Digital Commons Network^™

Utilizing A Social-Ecological Approach To Understand Healthcare Professional's Ability To Identify Child Sexual Exploitation, Vanessa Gudiel, Alyssa Fierro

Electronic Theses, Projects, and Dissertations

Commercially sexually exploited children (CSEC) are an underrecognized population who face barriers when receiving healthcare services in emergency settings. A common theme that prevents them from receiving services is the healthcare professionals' (HP) inability to recognize warning signs and engage with victims. This stems from an absence of CSEC-focused curriculum in institutional settings, leading to a lack of education and confidence in identifying CSEC. CSEC screenings are not mandatory in most healthcare settings, leaving the discretion to the HP and enabling the continued missed opportunity to identify victims. The proposed study will utilize an exploratory design to conduct qualitative interviews …

A Qualitative Study Of Maternal Morbidity And Mortality In The United States, Stacy D. Harris

Electronic Theses, Projects, and Dissertations

Maternal morbidity and mortality (MMM) in America are largely preventable. The aim is to analyze disparities found in women of color regarding MMM in America and evaluate: How does adequate maternal health care affect the morbidity and mortality disparities found in communities of disadvantaged mothers? This research will employ a qualitative analysis of mothers, a more specified age group, and region (West Coast) of the United States. Previous work neglected to obtain in-depth, first-hand interviews with mothers residing regionally in the United States from a specified age group. An interview guide will be used to conduct comprehensive interviews virtually. Expert …

Improving Patient Satisfaction Through Enhanced Communication Strategies, Kiranjot Kaur

Electronic Theses, Projects, and Dissertations

Patient satisfaction reflects more than the technical quality of healthcare; it represents patients' perceptions of communication, respect, and emotional trust throughout the care experience. Ineffective communication contributes to poor comprehension, reduced treatment adherence, preventable readmissions, and disparities in patient outcomes. Conversely, clear, culturally responsive communication improves patient engagement, safety, and satisfaction. This project proposes a leadership-driven communication improvement initiative for a mid-sized acute-care hospital located in Southern California serving a culturally and linguistically diverse population, including Hispanic, Asian, and limited-English-proficient patients. The initiative is guided by the Patient-Centered Care Model and Hersey and Blanchard's Situational Leadership Theory. These frameworks position …

Teaching Through A Cultural Lens: A Practitioner’S Self-Study On Fostering Science Engagement Among Latina/O And African American Middle School Students, Michelle R. Estrada-Quezada

Electronic Theses, Projects, and Dissertations

Latina/os and African American students are underrepresented in STEM fields and STEM majors. Participation in STEM related activities and course work dwindles over the course of K-16 schooling, a phenomenon known as the leaky pipeline. Culturally relevant teaching is one practice that has been found to increase engagement and academic success among underrepresented student populations. This research project aims to study the impact of culturally relevant science teaching on the teacher and the students through a semester-long self- study in an eighth-grade middle school classroom. Data sources included daily reflection journals, critical friend debrief sessions with an advisor, student pre- …

Examining The Relationship Between Executive Functions And Resilience, Joseph W. Toland

Electronic Theses, Projects, and Dissertations

The direct and indirect associations of executive functions (EF) and resilience hint towards a strong association between these variables, however there are still gaps in the literature. The current study aims to explore the relationship between EF's (inhibition, shifting, and updating) and resilience. We hypothesize that EF's scores will generally correlate with resilience. Specifically, we hypothesize that inhibition scores will positively correlate to resilience scores. That shifting scores will positively correlate to resilience scores. That updating scores will correlate positively with resilience scores. Finally, the strength of the association between EF's and resilience will change depending on which EF's is …

Cyberbullying Among Adolescents: Causes, Effects, And Prevention Strategies, Darssy Franco, Jovi Lazo

Electronic Theses, Projects, and Dissertations

This proposed study will examine the impact of cyberbullying on adolescents’ mental health, in relation to anxiety, depression, and self-esteem. Cyberbullying is identified as a growing digital phenomenon that threatens adolescents' emotional development. The proposed study would examine cyberbullying, school-based interventions, policy development, and mental health outcomes. The proposed research would utilize a comprehensive literature review of peer-reviewed studies published between 2013 and 2025 to identify trends, gaps, and effective prevention strategies. A structured data extraction tool would be used to collect data related to prevalence rates, sample characteristics, independent variables such as cyberbullying exposure, and dependent variables, including mental …

Deferred Dreams: Mental Health Challenges And Access To Services Among Daca Recipients, Jamie G. Ruiz, Marlene Ortiz, Denisse Salvatierra

Electronic Theses, Projects, and Dissertations

Deferred Action for Childhood Arrivals (DACA) is an administrative program that protects young immigrants from deportation while granting them access to education and employment. DACA recipients face challenges in accessing resources due to their temporary status and the unpredictability of immigration laws, leading to mental health risks from stigma, anxiety, and fear of deportation. However, little research has examined how DACA's instability and immigration politics affect psychological well-being and access to services over time. This study examines how restrictive immigration policies affect DACA and undocumented people's mental health and access to culturally responsive, trauma-informed mental health and social services. This …

The Impact Of Implicit Bias On The Therapeutic Dyad: A Study Of Clients' Perceptions, Nicholas Taylor Walsh

Electronic Theses, Projects, and Dissertations

This study explores the influence of implicit bias on the therapeutic dyad, focusing on how clients perceive its impact in their therapeutic process. Using a qualitative research approach, in-depth interviews will be conducted with Black clients of White clinicians to capture their perspectives on therapist bias, particularly its subtle, unconscious manifestations and their perceived impact on treatment. It is hypothesized that the findings will reveal that implicit biases related to race can subtly affect the therapeutic alliance, communication dynamics, and overall treatment outcomes. This study seeks to illuminate how clients perceive and navigate implicit bias within the therapeutic relationship, ultimately …

Associations Between Water Intake, Dietary Quality, And Beverage Consumption Among University Students, Mohammad A. Qazi

Electronic Theses, Projects, and Dissertations

Title: Associations Between Water Intake, Dietary Quality, and Beverage Consumption Among University Students

Background and Aims: Sugar-sweetened beverage (SSB) and ultra-processed food (UPF) consumption significantly contribute to chronic disease risk and is often more common in underserved and racially/ethnically diverse communities. Drinking water is a low-cost, calorie-free behavior that may support healthier beverage and dietary patterns. Previous studies show that increased daily water consumption positively correlates with better diet quality and is inversely correlated with SSB and UPF consumption. This study aims to examine whether (1) increased daily water intake is associated with self-reported diet quality and (2) self-reported hydration …

Trauma-Informed Care: Msw Students’ Perceptions Of Readiness And Factors Influencing Readiness, Naomi M. Jackson, Brittany Samperio, Kayla Broughton

Electronic Theses, Projects, and Dissertations

Background: Although social workers frequently engage with individuals and families who have experienced complex trauma, limited research has examined whether Master of Social Work (MSW) students feel prepared to apply trauma-informed principles in professional settings. Objective: This study examined MSW students perceived readiness to implement trauma-informed care (TIC) and identified factors that may influence their preparedness. Methods: This study used an exploratory sequential mixed-methods design. In Phase I, MSW students enrolled at CSUSB were invited to complete an anonymous online survey consisting of demographic questions, the Attitudes Related to Trauma-Informed Care (ARTIC) scale, and the Readiness to …

Beyond The Dice Roll: Investigating Character Creation In A Pokemon-Inspired D&D Game, Alberto S. Rendon

Electronic Theses, Projects, and Dissertations

For this study of Pokémon Dungeons and Dragons (D&D) I study gameplay as a way to capture how players use character creation and performance in role-playing games as a form of social identity expression. I provide a rich description of how players construct a game persona and relate it to their social identity.By engaging in an ethnographic study wherein I analyze the players’ game character, their style of play, the decisions they make during the game, and the small group dynamic that emerges as a result, I want to show how mixing these two fandoms can promote ways for players …

Impact Of Parental Immigration Status On Latino Adolescents’ Mental Health, Kassandra Gomez, Stephanie Montero, Odalys Garcia

Electronic Theses, Projects, and Dissertations

Latino adolescents in the United States face unique stressors related to family immigration status; however, this issue has not been paid much attention in the literature. Guided by the Ecological Systems theory, this quantitative study seeks to explore and describe how parents’ immigration status impacts adolescents’ mental health (Bronfenbrenner, 1979. Two hundred adolescents, who will be randomly sampled across seven different Colton Joint Unified Schools, will be engaged in a survey. Data will be collected from respondents using a self developed questionnaire, which captures variables including student demographics, parental immigration status, immigration related stressors in relation to depression and anxiety …

Towards The Publisher-Function Of The Independent Press: Authorship And Experimentation In The Semiotext(E) Oeuvre, Gilbert Aguirre

Electronic Theses, Projects, and Dissertations

This project is a contribution to debates on authorship, expanding Foucault’s theorization of the author as a function of discourse into the field of creative production by proposing my theory of the publisher-function. Here, I highlight the role of the publisher in shaping literary discourse using avant-garde publishing house Semiotext(e). I analyze two experimental publications to illustrate how this publisher’s role in editing and curating their booklist—or, as I propose we call it, their oeuvre—compounds with the fact of publication to create a new kind of authorial role. This is done through emphasizing the paratexts, elements of design, and literary …

School-Based Interventions To Support Children Experiencing Immigration-Related Trauma, Aaliyah Murrieta, Kathelinne Rodriguez

Electronic Theses, Projects, and Dissertations

Immigration can seriously affect the academic and emotional stability of school-age children. This study looks at how immigration influences students’ academic engagement, emotional well-being, and their experiences with support services at school. The research uses both quantitative and qualitative methods to capture measurable outcomes and personal experiences. The study includes 80 participants: 40 students who struggle with trauma due to immigration related stressors and 40 parents or guardians. Researchers will collect quantitative data through structured surveys that measured school safety, emotional distress, academic engagement, and access to support services. To learn more about trauma, family disruption, and obstacles in educational …

The Left Behind: The Impact Of Community Program Cuts On Transition Age Foster Youth Without Family Support., Jessica J. Mcdowell

Electronic Theses, Projects, and Dissertations

This proposed study would examine how cuts to community-based programs affect housing stability among transition age foster youth in California. Youth aging out of foster care face disproportionately high rates of homelessness and housing instability, which are often compounded by reductions in transitional housing, case management, and supportive services. The significance of this study lies in addressing a critical gap between policy intent and lived experience by centering the voices of former foster youth while also documenting measurable patterns of service access and housing outcomes. A mixed-methods research design would be used to capture both quantitative and qualitative data. Quantitative …

Secondary Traumatic Stress In Children And Family Services Workforce, Jasmyne Schinhofen, Karina Urena

Electronic Theses, Projects, and Dissertations

This proposed study would examine secondary traumatic stress among employees at Children and Family Services, addressing the growing concern that child welfare professionals experience significant emotional strain from ongoing exposure to client trauma. Although trauma-informed care initiatives often focus on improving outcomes for children and families, less attention is given to workforce well-being, which directly impacts service quality, case management, and organizational stability. This quantitative study would use a cross-sectional correlational design and collect anonymous survey data with the Secondary Traumatic Stress Scale, along with selected workplace and demographic variables, including perceived workplace support, length of employment, weekly work hours, …

Examining The Influence Of Race, Gender Identity, And Sexual Orientation On Homelessness Among Lgbtq+ Youth, Francisco J. Trujillo Jr., Lauren E. Flynn

Electronic Theses, Projects, and Dissertations

The purpose of this proposed study is to examine how race, gender identity, and sexual orientation influence the experiences of homelessness among LGBTQ+ youth between the ages of 18 and 24. Existing research shows that LGBTQ+ youth experience disproportionately high rates of homelessness compared to their heterosexual and cisgender peers, with even greater disparities among youth of color. While previous studies have identified increased risks related to discrimination, family rejection, and mental health challenges, there is a need to further examine how intersecting identity factors relate to housing instability outcomes.

This proposed study would use a quantitative research design and …

Exploring Mental Health Service Disparities Among First-Generation Latino College Students, Diane Zepeda-Rodriguez, Samantha Ramirez, Desiree Robledo, Merina Leo-Urroz

Electronic Theses, Projects, and Dissertations

First-generation Latino college students experience barriers to mental health in the form of cultural stigmas and systemic disadvantages, which prevent them from obtaining support and cause disparities within mental health services within their community. Existing research addresses how cultural factors, such as religion, gender roles, and stigma, play a part in their willingness to obtain services. However, despite the limited literature found regarding research addressing barriers to Latinos receiving mental health support, little to no research addresses the specific population of first-generation Latino college students. This study will aim to explore how systemic barriers and cultural stigmas impact help-seeking behaviors …

Making Faces: Evaluating Facial Control Methods In Vr For Live Conversations, J. K.Sangeeth Chandran, Marisa Llorens Salvador, Cathy Ennis

Research Outputs: 2025-Present

Facial expressions are a crucial part of affective communication in our daily lives, and the same applies to virtual humans. However, achieving a full range of believable and naturalistic emotional expression via VR devices still remains a challenge, particularly when constrained by the capabilities of midrange consumer VR devices without face tracking as opposed to the more expensive versions with facial tracking capabilities. In this study, we evaluated and compared three methods to control avatar facial expression in VR: continuous face tracking (FT); thumbstick label (TL), which is a VR controller's thumbstick-based selection method with visually labeled expression; and thumbstick …

Assessing Trauma Triage Tools: The Cribari Matrix Method And Modified Need For Trauma Intervention., Olivia Houck, Nathaniel C Brophy, Danielle Rossler, Roxanna Giambri, Deanah Moore, Sara Arida, Melody Campbell, Richard L George

Emergency Medicine and Trauma

BACKGROUND: Assessment of triage procedures is crucial for improving patient care. Most programs evaluate under- and over-triage using the ISS-based Cribari Matrix Method (CMM), but tools such as the critical-intervention-based Need for Trauma Intervention (NFTI) and its time-critical modified version (mNFTI) focus on identifying patients who need immediate resources. The mNFTI has seen limited empirical inquiry in assessing triage procedures.

OBJECTIVE: To assess accuracy and agreement rates between mNFTI and CMM.

METHODS: This multicenter, retrospective cohort study compared triage classifications in trauma patients using 2019 trauma registry data from trauma centers across 5 trauma systems in Ohio, United States. Patients …

Trump Opportunity Zones In Louisville, Kentucky: A Look At The Results So Far., Thomas E. Lambert

Faculty and Staff Scholarship

In 2017 the US Congress passes and President Donald J. Trump signs the 2017 Tax Cuts and Jobs Act. Part of the legislation allows states to create opportunity zones (OZs), census tracts which will be targeted for business investment and economic development through federal tax incentives. In Louisville, Kentucky, as in other jurisdictions throughout the US over the last several decades, special district “zones” have been used by local, state, and/or the federal government(s) to try to revive low-income, deteriorated, and blighted areas. These have been typically urban areas but sometimes have included semi-rural and rural areas. Whether named enterprise …

Assessing Family Burden In Borderline Personality Disorder: Family Functioning, Relationship Dynamics, And Emotional Well-Being, Alina Palomino, Gabriela Rivera

Electronic Theses, Projects, and Dissertations

The purpose of this study is to explore and understand the impacts of Borderline Personality Disorder (BPD) on the family system, specifically in the areas of family functioning, relationship dynamics, and emotional well-being through the assessment of burden. The proposed study would employ a mixed-methods approach to provide a comprehensive understanding of how families adapt to the behavioral and emotional patterns of this mental health condition. Quantitative questionnaires and qualitative interviews would be incorporated to enhance understanding of this dynamic. Semi-structured interviews would provide deeper insight into emotional dynamics, communication patterns, caregiving roles, and coping strategies, while the Burden Assessment …

Maltreatment In Out-Of-Home Care: Former Foster Youths' Perspectives On Experiences And Investigation, Sarah Avila

Electronic Theses, Projects, and Dissertations

One of the tasks of the public child welfare system (PCWS) is to remove children from their home when abuse or neglect has occurred at a level that warrants removal. The PCWS places these children in licensed foster homes under the assumption that they will be safe and nurtured under the care of licensed foster caregivers. However, previous research have consistently shown that children experience ongoing maltreatment while in out-of-home care. This negligence is especially alarming when considering the United States’ rates of children in the foster care system. Despite the prevalence of this issue, little qualitative studies have been …

Motivational Factors And Developmental Outcomes In Adolescent Marijuana Use: A Mixed-Methods Study, Antonio E. Gonzalez

Electronic Theses, Projects, and Dissertations

Adolescent marijuana use has become increasingly normalized within the United States, particularly as legalization policies expand and social attitudes continue to shift. While many adolescents report using marijuana for relaxation, socialization, or coping, early use has been associated with psychological, cognitive, and social challenges during a critical developmental period. Although prior research has examined either the motivations for marijuana use or its effects, limited studies have explored how adolescents’ motivations relate to psychological, cognitive, and social outcomes. Guided by self-determination theory, this study examines the motivational factors associated with adolescent marijuana use and explores how these motivations relate to psychological, …

Exploring How Acculturation In Childhood Impacts The Adult Identity Of Children Of Hispanic/Latinx Immigrants, Maritza De La Torre, Irene Zapata-Macareno

Electronic Theses, Projects, and Dissertations

The purpose of this study is to provide perspective of struggles with identity for children of Hispanic immigrants. There is limited existing literature on the impact of acculturation on children of Hispanic/Latinx immigrants in the United States. The intention is to provide insight about common experiences and underlying traumas faced by individuals who grow up in immigrant Hispanic/Latinx families. The objective is to provide adults with some insight into their identity based on their specific family dynamic since there is a gap in society about the topic. This study will use a phenomenological qualitative approach to collect data through semi-structured …

Certified Health Education Specialist Exam Toolkit For Undergraduate Public Health Students, Briana C. Villari

Electronic Theses, Projects, and Dissertations

The Certified Health Education Specialists (CHES) is a credentialing exam that is offered by the National Commission for Health Education Credentialing, Inc (NCHEC) for public health professionals and students. With the completion of this exam, individuals can demonstrate their mastery of core health education skills and concepts. With the 2025 testing cycle, roughly 63 to 73 percent of test takers passed. The purpose of this project is to create a CHES exam toolkit for undergraduate public health students in preparation for their exam. The development of this toolkit was guided by the Health Education Specialists Practical Analysis (HESPA II 2020), …

The Impact Of Adverse Childhood Experiences On Mental Health And Substance Use Among Black Foster Youth And Young Adults With Foster Care Experience, Jessica Davis, Leslie Del Pozo, Lorina Ramos-Delgado, Jarren Ho See

Electronic Theses, Projects, and Dissertations

Historically throughout the U.S, Black youth have been overrepresented in the foster care system and are more likely to experience high levels of Adverse Childhood Experiences (ACEs), racial discrimination, and frequent placement changes. Over time, these experiences can increase the risk of long-term mental health challenges and substance use. While research shows a strong link between ACEs and negative health outcomes in general, fewer studies focus specifically on ACES affecting Black foster youth or consider the role of culturally grounded resilience. This study examines how high ACE scores affect mental health and substance use among Black adolescents and young adults …

Assessing The Research Integrity At A Public University In California, Michael Lee Gillespie

Electronic Theses, Projects, and Dissertations

To investigate these issues, this study utilized a quantitative-dominant survey design supplemented by qualitative narratives. The sample included 61 tenured and tenure-track faculty from the College of Natural Sciences and the College of Social and Behavioral Sciences. The primary instrument was the Survey on Organizational Research Climate (SOuRCe), which assesses seven subscales of ethical health. Data were analyzed using Ordinary Least Squares (OLS) regression to determine if specific climate dimensions predict the acceptance of ethically ambiguous practices.

Findings revealed that while interpersonal relations and local norms (such as advisor-advisee relations) were rated highly, departmental socialization was the lowest-rated dimension, indicating …

The Missing Link: Strengthening College And Career Readiness For African American Males, Deniesha Nicole Culverson

Electronic Theses, Projects, and Dissertations

The purpose of this qualitative research study was to examine how supports in Linked Learning Pathways influence college and career readiness among African American males. This study explores how African American males describe their experiences in Linked Learning Pathways and how participation influenced their college and career readiness. Using a hermeneutic phenomenological design, data were collected through semi-structured interviews with five African American male graduates who participated in Linked Learning Pathways. Findings indicate that participants generally perceived their pathway experiences as positive, highlighting the importance of supportive relationships, exposure to college and career opportunities, development of transferable skills, and access …

Female Victimization In Intimate Partner Violence, Phileine Phan

Electronic Theses, Projects, and Dissertations

Intimate Partner Violence (IPV) is a widespread issue that disproportionately affects women, causing significant physical, psychological, and economic harm. Although research has explored IPV prevalence and risk factors, fewer studies address how race, socioeconomic status, sexual orientation, and disability intersect to shape women’s experiences and access to support. Generalizing survivors’ experiences often leads to overlooked services and policies for marginalized women. This study addresses that gap through a qualitative systematic review of peer-reviewed research on IPV victimization among women in the United States. A thematic analysis will be used to identify patterns related to systematic inequalities, help-seeking barriers, and the …