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Increasing The Optimal Usage Of The Gad-7 And Phq-9 Screening Tools To Better Detect Co-Occurring Disorders In An Alcohol Use Disorder Clinic, Lauren Swansick May 2024

Increasing The Optimal Usage Of The Gad-7 And Phq-9 Screening Tools To Better Detect Co-Occurring Disorders In An Alcohol Use Disorder Clinic, Lauren Swansick

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Co-occurring disorders include substance use disorders and mental health conditions. These disorders affect 21.5 million individuals. Mental health screening tools, such as the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder Scale (GAD-7), are effective in screening individuals for depressive and anxiety mental health conditions within addiction settings.

Problem: Of those with an anxiety disorder, 20-40% will be diagnosed with an alcohol use disorder (AUD). Depressive disorders are the most common mental health conditions that can occur alongside an AUD. A literature review revealed that the PHQ-9 and GAD-7 are used in addiction treatment settings; however, not as …


Development Of An International Standard Set Of Outcomes And Measurement Methods For Routine Practice For Infants, Children, And Adolescents With Epilepsy: The International Consortium For Health Outcomes Measurement Consensus Recommendations, Martha Sajatovic May 2024

Development Of An International Standard Set Of Outcomes And Measurement Methods For Routine Practice For Infants, Children, And Adolescents With Epilepsy: The International Consortium For Health Outcomes Measurement Consensus Recommendations, Martha Sajatovic

Faculty Scholarship

At present, there is no internationally accepted set of core outcomes or measurement methods for epilepsy clinical practice. The International Consortium for Health Outcomes Measurement (ICHOM) convened an international working group of experts in epilepsy, people with epilepsy, and their representatives to develop minimum sets of standardized outcomes and outcome measurement methods for clinical practice. Using modified Delphi consensus methods with consecutive rounds of online voting over 12 months, a core set of outcomes and corresponding measurement tool packages to capture the outcomes were identified for infants, children, and adolescents with epilepsy. Consensus methods identified 20 core outcomes. In addition …


Creating Whole Inclusive Worlds: The Impact Of Social Media Usage On Black Gender Expansive Millennials’ Experiences Of Social Support And Identity Development Processes, Meredith J. Holmes May 2024

Creating Whole Inclusive Worlds: The Impact Of Social Media Usage On Black Gender Expansive Millennials’ Experiences Of Social Support And Identity Development Processes, Meredith J. Holmes

Doctoral Dissertations

This qualitative study explored the processes of finding community and developing one’s own intersectional racial and gender identity through the social media (SM) experiences of 8 Black gender expansive (GE) adults located around the United States. Using Interpretative Phenomenological Analysis (IPA) methodology and an intersectional theoretical framework, the research questions guiding the study were: “What is the relationship between Black gender expansive people, social media, and community?” and “What is the relationship between Black gender expansive people, social media, and identity development?” The researcher’s findings from in-depth interviews with participants included three major themes: A) Positive Resilience-Supporting Experiences on SM, …


From Suspension To Mass Incarceration: Punishment Of Students With Special Needs And The School-To-Prison Pipeline, Bailey Ellicott May 2024

From Suspension To Mass Incarceration: Punishment Of Students With Special Needs And The School-To-Prison Pipeline, Bailey Ellicott

Richmond Public Interest Law Review

Since their inception in the late 1980s, zero-tolerance policies have been a cornerstone of American school discipline. Passed by legislators with the intent of protecting school children, these policies have disparately upended the education of marginalized students. School discipline of vulnerable students often paves the way to juvenile incarceration, which in turn exponentially increases the likelihood of adult incarceration. Moreover, students with disabilities, especially students of color with learning disabilities, are often physically pushed out of their classrooms through suspensions and other harsh disciplinary policies. This is only made worse by the presence of law enforcement in schools, who treat …


Listener Biases Toward Chinese And Latino Instructor Accents: Their Impact On Subjective Evaluations And Objective Memory Measures, Ka Wai Lau May 2024

Listener Biases Toward Chinese And Latino Instructor Accents: Their Impact On Subjective Evaluations And Objective Memory Measures, Ka Wai Lau

Student Theses and Dissertations

Many people in the United States speak with a non-native accent that reveals their racial identity. Accent bias and discrimination are prevalent issues in many social interactions, including academic and work environments. Past research has argued that foreign-accented speech is generally more difficult to process. The present study aimed to explore the impact of Chinese and Latino accents compared to standard American accents on subjective evaluations and objective memory in a classroom setting. Participants were asked to evaluate speaker competence, trustworthiness, and warmth in math and Western literature lessons and completed a memory test for them. I found that Chinese-accented …


Exploring Teacher Emotions In A University Esl Writing Classroom, Matt Ford May 2024

Exploring Teacher Emotions In A University Esl Writing Classroom, Matt Ford

Linguistics

Second language acquisition research has been steadily moving towards recognizing the importance of emotions as they relate to language teaching and learning. Indeed, the language classroom - especially in the context of English as a Second Language (ESL) instruction - is often an intensely emotional place for both teachers and students. This study explores the following question: As a university ESL teacher in a writing classroom, what emotions do I experience in the classroom, and what emotional work do I put in to address these emotions? Using autoethnographic methods in my own classroom, including reflexive journals, classroom observations, and student …


One Tiger, Many Lions: Uneven Adoption Of China's Political And Economic Investment Among Democracies In Sub-Saharan Africa, Tommy Callan May 2024

One Tiger, Many Lions: Uneven Adoption Of China's Political And Economic Investment Among Democracies In Sub-Saharan Africa, Tommy Callan

Dissertations

This dissertation examines how unique qualities of democracies in Sub-Saharan Africa and their foreign policy decision making processes affect their ability to exercise state agency. Specifically, democratic qualities affect a state’s receipt of investment from China and how well those investment projects fare once accepted. It is hypothesized that a strong executive branch leads to decreased or inconsistent Chinese investment while a strong legislature may have the opposite effect. A strong executive may also lead to an increased chance of project success while a strong legislature may have the opposite effect. High levels of party contestation may lead to decreased …


504 Plans, School Gender Policy, And Gender Dysphoria: How The Case Of Kesha T. Williams May Change Education Policy, Clifford Clapp May 2024

504 Plans, School Gender Policy, And Gender Dysphoria: How The Case Of Kesha T. Williams May Change Education Policy, Clifford Clapp

Richmond Public Interest Law Review

Gender dysphoria affects transgender people at significantly higher rates than other populations. In the United States Court of Appeals for the Fourth Circuit case of Kesha T. Williams v. Stacey A. Kincaid, et al., 45 F.4th 759 (4th Cir. 2022), the Court found that the Fairfax County Sheriff’s Office, in denying Ms. Williams’ hormone replacement therapy for her gender dysphoria, had violated her right to equal treatment under the Americans with Disabilities Act (ADA). The Court generally found that, despite the ADA being written with animus toward transgender people, even under that language, gender dysphoria was not excluded from protection …


Law School News: Rwu Graduates Encouraged To 'Be Fearless' And To Always 'Seek Knowledge', Mel Thibeault May 2024

Law School News: Rwu Graduates Encouraged To 'Be Fearless' And To Always 'Seek Knowledge', Mel Thibeault

Life of the Law School (1993- )

No abstract provided.


Roger Williams University Commencement Exercises : Class Of 2024 : May 17, 2024, Roger Williams University May 2024

Roger Williams University Commencement Exercises : Class Of 2024 : May 17, 2024, Roger Williams University

School of Law Commencement (1996- )

No abstract provided.


"All Hail The Real Queens Of The Universe”: The Impact And Lived Experience Of Social Media On Body Dissatisfaction And Mood., Rosemary Porter, Katie Lingmai May 2024

"All Hail The Real Queens Of The Universe”: The Impact And Lived Experience Of Social Media On Body Dissatisfaction And Mood., Rosemary Porter, Katie Lingmai

Linfield University Student Symposium: A Celebration of Scholarship and Creative Achievement

Limited research has evaluated comments' effects on social media posts. Prior investigations have narrowly focused on negative body image measures after viewing idealized bodies. We extended this work to examine the impact of non-ideal images among 557 cis-gender women and 49 gender-diverse individuals (MAge=23.49). Participants were randomly assigned to one of eight conditions in the 2 (time:pre/post) X 2 (image: deal/non-ideal) X 4 (comment:no comment, reinforcing, challenging, reinforcing+challenging comment) mixed-model design. After completing pre-test measures, participants viewed 13 Instagram-like images standardized in a pilot study to be similar in age, attractiveness, and photo quality, but differing in body shape/size. Comments …


The Awareness Of Missing And Murdered Indigenous Women And Girls (Mmiwg): Policy Steps Toward Addressing The Crisis, Meenakshi P. Richardson, Kimberly Klein, Stephany Runninghawk Johnson May 2024

The Awareness Of Missing And Murdered Indigenous Women And Girls (Mmiwg): Policy Steps Toward Addressing The Crisis, Meenakshi P. Richardson, Kimberly Klein, Stephany Runninghawk Johnson

American Indian Law Journal

No abstract provided.


Enhancing Ethical Leadership: The Impact Of Governance Mechanisms On Nonprofit Organizations, Norma Guerrero May 2024

Enhancing Ethical Leadership: The Impact Of Governance Mechanisms On Nonprofit Organizations, Norma Guerrero

Master's Projects and Capstones

This research is dedicated to uncovering the complex connections between ethics and effective governance within nonprofit organizations. The study focuses on identifying factors that influence ethical behavior, addressing ethical challenges specific to the nonprofit sector, and developing strategies to encourage ethical practices within these entities. By integrating literature reviews, case studies, and expert interviews, the research underscores the vital link between ethical decision-making and organizational efficiency, as well as public trust. The study aims to enrich the ongoing discourse on nonprofit governance, providing key insights and actionable recommendations for board members, executives, professionals, volunteers, and scholars to strengthen governance and …


Facial Recognition Ai: Alaska Is An Ideal Forum For Introducing Regulation, Sarah Edwards May 2024

Facial Recognition Ai: Alaska Is An Ideal Forum For Introducing Regulation, Sarah Edwards

Alaska Law Review

As artificial intelligence becomes increasingly commonplace, we are all exposed to shockingly dystopian forms of surveillance. This Note details the unique danger of facial recognition technologies powered by artificial intelligence. First, this Note examines the rise of facial recognition technologies in both the public and the private sector. It illustrates this phenomenon by highlighting a few key players in both the development and implementation of facial recognition. Second, it proceeds by examining the current privacy landscape in Alaska. Alaska's unique focus on privacy rights makes the State a promising forum for regulation. Finally, it provides possible statutory and judicial solutions …


A Comparison Of Emotional Intelligence And Resilience Between Bachelor's Degree And Associate Degree Nursing Students, Natalie Board May 2024

A Comparison Of Emotional Intelligence And Resilience Between Bachelor's Degree And Associate Degree Nursing Students, Natalie Board

Dissertations

Emotional intelligence and resilience are essential proficiencies critical for nurses to deliver safe and quality patient care. In the healthcare industry, nurses are exposed to numerous complex circumstances in demanding and high-stress environments. The quality of patient care a nurse can deliver depends on one's capacity to handle certain situations effectively. Emotional intelligence and resilience were potentially important variables in improving clinical practices and patient outcomes (Cleary et al., 2018). With the nursing shortage in the US, all nurses became necessary and required on the front lines of patient care during this time of dire need, regardless of their levels …


Medicare Expansion And Access To Quality Care In A Rural Long-Term Care Hospital In Tennessee, Lashunda Shaw May 2024

Medicare Expansion And Access To Quality Care In A Rural Long-Term Care Hospital In Tennessee, Lashunda Shaw

Walden Dissertations and Doctoral Studies

The research problem addressed in this study is that it was not known whether differences in 30-day readmission rates among the elderly exist between urban and rural long-term care hospitals in Tennessee. The purpose of this quantitative descriptive study was to determine whether such differences exist. The conceptual framework that guided this study is the Donabedian framework. The research question was addressed that focused on the difference in the rate of potentially preventable hospital readmissions 30 days after discharge and on the difference in the potentially preventable 30-day readmission rates compared to the national preventable 30-day readmission rates. Data were …


Human Service Professionals Perceptions About Support From Supervisors During The Covid-19 Pandemic, Ericka Booker May 2024

Human Service Professionals Perceptions About Support From Supervisors During The Covid-19 Pandemic, Ericka Booker

Walden Dissertations and Doctoral Studies

The United States Department of Human Services provided information about how to administer services remotely to human service organizations during the COVID-19 pandemic, but multiple challenges arose including lack of support, ethical concerns, and difficulty in building a rapport with clients remotely. The problem that was addressed in this study was the negative impacts on clients due to the issues with human service professionals providing virtual services during the pandemic. This generic qualitative study aimed to explore perceptions about the support human service professionals received from their supervisors during the pandemic. Bandura’s self-efficacy theory was used to explore participant perceptions …


Climate Security And Scale: Climate Change Risk And Security As An All-Scales, All-Of-Society Challenge, Alec Bennett May 2024

Climate Security And Scale: Climate Change Risk And Security As An All-Scales, All-Of-Society Challenge, Alec Bennett

Engineering

Climate security as an emerging field of study seeks to connect the substantial security-related challenges faced under climate change, and the ways in which climate change re-prioritizes issues at all scales of governance, and throughout all parts of society. This dissertation explores these perspectives to better understand how climate security differs from past approaches in security, and how climate change requires new paradigms to consider local, national, regional, and international assessments on risk and security. Through three papers, this dissertation assesses local approaches toward shifts in natural hazards through computational modeling, explores regional and global governance challenges that generate ethical …


Nigerian Secondary Physics Teachers’ Perceptions Of Factors That Challenge Information And Communication Technology Integration, Hemamalini Srinivasan May 2024

Nigerian Secondary Physics Teachers’ Perceptions Of Factors That Challenge Information And Communication Technology Integration, Hemamalini Srinivasan

Walden Dissertations and Doctoral Studies

Challenges to integrating technology into educational institutions pose a significant issue that impacts students’ performance and accomplishments. The research problem addressed through this study was that secondary school physics teachers were challenged to integrate information and communication technology (ICT) in a southwestern state of Nigeria. The purpose of this basic qualitative study was to explore secondary physics teacher perceptions of the factors that challenged ICT integration in the southwestern state of Nigeria, so that schools could be provided with research-deduced recommendations to take informed steps forward toward developing technology-integrated student-centered pedagogies. In this study, the unified theory of acceptance and …


Resilient Af: Understanding The Lived Experiences Of Women Of Color Psychologists In Forensic Mental Health Settings, Carisse A. Cronquist May 2024

Resilient Af: Understanding The Lived Experiences Of Women Of Color Psychologists In Forensic Mental Health Settings, Carisse A. Cronquist

Doctoral Dissertations

This study explored the lived experiences of women of color psychologists who identify as ethnic-racial minorities. This qualitative study used interpretative phenomenological analysis (IPA) to understand the narrative experience of the participants from their perspective. A total of four participants took part in this study. All participants identified as cisgender women psychologists currently working in a forensic mental health setting and identified as an ethnic-racial minority. In the lived experiences of the participants, three themes, and several subthemes, emerged: challenges, self-preservation, and strengths / resilience. The results showed that women of color psychologists working within forensic mental health settings face …


The Influence Of Play As Positive Emotion On Engagement And Self-Regulated Learning In An Online Higher Education Classroom, Kim Frost May 2024

The Influence Of Play As Positive Emotion On Engagement And Self-Regulated Learning In An Online Higher Education Classroom, Kim Frost

Interdisciplinary Studies

Student demand for online learning is at an all-time high, making the identification of practical strategies for supporting student success in online learning more vital than ever. Positive emotion has been shown to promote self-regulated learning (SRL) and engagement, both evidenced predictors of student success. However, little is known about designing online learning environments to elicit positive emotion in students. The purpose of this study was to assess the influence of play-infused learning design on SRL and engagement in an online, higher education classroom. This study is based on the premise that play is a positive affect emotional system that …


Missing Wedge Completion Via Unsupervised Learning With Coordinate Networks, Dave Van Veen, Jesús G Galaz-Montoya, Liyue Shen, Philip Baldwin, Akshay S Chaudhari, Dmitry Lyumkis, Michael F Schmid, Wah Chiu, John Pauly May 2024

Missing Wedge Completion Via Unsupervised Learning With Coordinate Networks, Dave Van Veen, Jesús G Galaz-Montoya, Liyue Shen, Philip Baldwin, Akshay S Chaudhari, Dmitry Lyumkis, Michael F Schmid, Wah Chiu, John Pauly

Faculty, Staff and Students Publications

Cryogenic electron tomography (cryoET) is a powerful tool in structural biology, enabling detailed 3D imaging of biological specimens at a resolution of nanometers. Despite its potential, cryoET faces challenges such as the missing wedge problem, which limits reconstruction quality due to incomplete data collection angles. Recently, supervised deep learning methods leveraging convolutional neural networks (CNNs) have considerably addressed this issue; however, their pretraining requirements render them susceptible to inaccuracies and artifacts, particularly when representative training data is scarce. To overcome these limitations, we introduce a proof-of-concept unsupervised learning approach using coordinate networks (CNs) that optimizes network weights directly against input …


The Impact Of Behavior Change Counseling Delivered Via A Digital Health Tool Versus Routine Care Among Adolescents With Obesity: Pilot Randomized Feasibility Study, Maura Kepper, Callie Walsh-Bailey, Zoe M Miller, Min Zhao, Kianna Zucker, Angeline Gacad, Cynthia Herrick, Neil H White, Ross C Brownson, Randi E Foraker May 2024

The Impact Of Behavior Change Counseling Delivered Via A Digital Health Tool Versus Routine Care Among Adolescents With Obesity: Pilot Randomized Feasibility Study, Maura Kepper, Callie Walsh-Bailey, Zoe M Miller, Min Zhao, Kianna Zucker, Angeline Gacad, Cynthia Herrick, Neil H White, Ross C Brownson, Randi E Foraker

2020-Current year OA Pubs

BACKGROUND: Youth overweight and obesity is a public health crisis and increases the risk of poor cardiovascular health (CVH) and chronic disease. Health care providers play a key role in weight management, yet few tools exist to support providers in delivering tailored evidence-based behavior change interventions to patients.

OBJECTIVE: The goal of this pilot randomized feasibility study was to determine the feasibility of implementing the Patient-Centered Real-Time Intervention (PREVENT) tool in clinical settings, generate implementation data to inform scale-up, and gather preliminary effectiveness data.

METHODS: A pilot randomized clinical trial was conducted to examine the feasibility, implementation, and preliminary impact …


Title Ix On The Hill, Riley Peck May 2024

Title Ix On The Hill, Riley Peck

College Honors Program

This thesis seeks to answer the question, “What does Title IX mean at the College of the Holy Cross?” It considers and triangulates the words and experiences of students, faculty members, and Office of Title IX and Equal Opportunity (Office) administrators to gauge the understandings and potential misconceptions of available resources and the College’s culture. Further, it draws upon archival analysis to situate the Office in a broader historical context of the College and also includes an auto-ethnographic component. This thesis concludes with general suggestions for the Office and the College at large to more efficiently combat sexual violence and …


She Has Green Eyes & Trauma: Problematic Depictions Of Mental Illness In Young Adult Novels, Diane G. Mcdonough May 2024

She Has Green Eyes & Trauma: Problematic Depictions Of Mental Illness In Young Adult Novels, Diane G. Mcdonough

College Honors Program

This thesis discusses the problematic ways in which male authors write about female mental illness, and the damage that these portrayals can have on adolescent girls who read them. My first two chapters discuss, respectively, Looking for Alaska and Turtles All the Way Down, both by John Green, with reference to two of his other young adult novels, Paper Towns and The Fault in Our Stars. In these chapters, I explore Green’s depictions of female characters who suffer from mental illness. My third chapter focuses on It’s Kind of a Funny Story by Ned Vizzini and The Perks of Being …


Feasibility Of Fit24, A Digital Diabetes Prevention Program For Hispanic Adolescents: Qualitative Evaluation Study, Erica G Soltero, Salma M Musaad, Teresia M O'Connor, Debbe Thompson, Keith Norris, Bettina M Beech May 2024

Feasibility Of Fit24, A Digital Diabetes Prevention Program For Hispanic Adolescents: Qualitative Evaluation Study, Erica G Soltero, Salma M Musaad, Teresia M O'Connor, Debbe Thompson, Keith Norris, Bettina M Beech

Faculty, Staff and Students Publications

BACKGROUND: Digital health interventions are promising for reaching and engaging high-risk youth in disease prevention opportunities; however, few digital prevention interventions have been developed for Hispanic youth, limiting our knowledge of these strategies among this population.

OBJECTIVE: This study qualitatively assessed the feasibility and acceptability of Fit24, a 12-week goal-setting intervention that uses a Fitbit watch (Fitbit Inc) and theoretically grounded SMS text messages to promote physical activity and sleep among Hispanic adolescents (aged between 14 and 16 years) with obesity.

METHODS: After completing the intervention, a subsample of youth (N=15) participated in an in-depth interview. We categorized the themes …


The Invisibility Of The American Emigrant, Laura Snyder May 2024

The Invisibility Of The American Emigrant, Laura Snyder

DePaul Journal for Social Justice

No abstract provided.


Disentangling War From Masculinity: A Framework For Combatting Sexual Violence In Conflict, Taren E. Wellman, Amanda F. Metcalfe, Madisen R. Campbell May 2024

Disentangling War From Masculinity: A Framework For Combatting Sexual Violence In Conflict, Taren E. Wellman, Amanda F. Metcalfe, Madisen R. Campbell

DePaul Journal for Social Justice

No abstract provided.


Reinvigorating The Post-Covid Gen Z English Major, Gaby Bedetti May 2024

Reinvigorating The Post-Covid Gen Z English Major, Gaby Bedetti

Journal on Empowering Teaching Excellence

Access the online Pressbooks version of this article here.

The decline in English majors has energized instructors to upskill for the post-COVID Gen Z student. Toward that end, this small-scale (n=20), one-semester study of an upper-division literature class identifies the preferred learning styles of English majors at a public comprehensive regional university in Kentucky. The participants represent national English major demographics. The research methods are quantitative and qualitative. Eight figures and an appendix are included. Three guidelines emerge for responding to the needs of Gen Z students: 1) keep communication brief, 2) co-create, and 3) interact in-person. The findings about …


Using An Interrupted Case Study To Engage Undergraduates’ Critical Thinking Style And Enhance Content Knowledge, Kelsey Hall, Katherine Starzec May 2024

Using An Interrupted Case Study To Engage Undergraduates’ Critical Thinking Style And Enhance Content Knowledge, Kelsey Hall, Katherine Starzec

Journal on Empowering Teaching Excellence

Access the online Pressbooks version of this article here.

The interrupted case study is a structured way to engage students in active learning. Interruptions, or pauses for reflection and discussion scheduled within the case-study presentation, provide students with a chance to collaborate and engage in critical thinking. Critical thinking style, which is a measure of how one tends to think critically, provides insight into how one tackles problem solving. This article describes a pilot project that combined critical-thinking style and an interrupted case study, delivered over a two-class-period time frame, to four college courses. The project’s goals were to assess …