Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Discipline
Institution
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 34111 - 34140 of 2913381

Full-Text Articles in Entire DC Network

Dental Insurance Status Among Formerly Incarcerated Older Adults, Alexander Testa, Rafael Samper-Ternent, Dylan B Jackson, Kyle T Ganson, Vahed Maroufy, Jason M Nagata, Ana C Neumann Apr 2026

Dental Insurance Status Among Formerly Incarcerated Older Adults, Alexander Testa, Rafael Samper-Ternent, Dylan B Jackson, Kyle T Ganson, Vahed Maroufy, Jason M Nagata, Ana C Neumann

Faculty, Staff and Student Publications

Formerly incarcerated individuals have poorer oral health and less frequent dental care utilization than the general population. However, prior work has overlooked the relationship between prior incarceration and disparities in dental insurance coverage. Using data from the Health and Retirement Study (n = 11,638), findings from multiple logistic regression analyses demonstrate that formerly incarcerated older adults are significantly less likely to have dental insurance coverage (odds ratio [OR] = 0.745, 95% confidence interval [CI] = 0.608, 0.912). After accounting for the income-to-poverty ratio, this association was no longer statistically significant. Analyses using the Karlson-Holm-Breen method demonstrated that approximately 45% of …


Sexual Health And Relationship Education Needs Of People In Recovery For An Opioid Use Disorder, J Michael Wilkerson, Kathryn R Gallardo, I Niles Zoschke, Hannah L N Stewart, Serena A Rodriguez, Michael U Anosike, Jason Pullin, Sheryl A Mccurdy Apr 2026

Sexual Health And Relationship Education Needs Of People In Recovery For An Opioid Use Disorder, J Michael Wilkerson, Kathryn R Gallardo, I Niles Zoschke, Hannah L N Stewart, Serena A Rodriguez, Michael U Anosike, Jason Pullin, Sheryl A Mccurdy

Faculty, Staff and Student Publications

People in recovery with histories of sex and drug-linked behavior (SDB) have an increased risk of substance use recurrence. However, sexual health concerns remain largely unaddressed by recovery support services researchers and practitioners. The purpose of this analysis was to describe the sex and relationship concerns of people in recovery for an opioid use disorder living in level II and level III recovery homes. Recovery homes are sober living homes that the National Association for Recovery Residences classifies into four levels based on staffing and service provision. We interviewed 93 residents and thematically analyzed 92 of the resulting transcripts; one …


Robo2 Variants Associated With Atrial Septal Defect Define A Novel Regulatory Element, Seong Won Kim, Michael Parfenov, Laura Rodriguez-Murillo, David A Conner, Arun Sharma, Inga Peter, Feng Xiao, Olivia Layton, Angela Tai, Tarsha Ward, Lauren K Wasson, Joshua M Gorham, Erica Mazaika, Valentina N Lagomarsino, Tracy L Young-Pearse, Elizabeth Goldmuntz, Hiroko Wakimoto, A J Agopian, David M Mckean, Steven R Depalma, William T Pu, Christine E Seidman, Bruce D Gelb, Jonathan G Seidman Apr 2026

Robo2 Variants Associated With Atrial Septal Defect Define A Novel Regulatory Element, Seong Won Kim, Michael Parfenov, Laura Rodriguez-Murillo, David A Conner, Arun Sharma, Inga Peter, Feng Xiao, Olivia Layton, Angela Tai, Tarsha Ward, Lauren K Wasson, Joshua M Gorham, Erica Mazaika, Valentina N Lagomarsino, Tracy L Young-Pearse, Elizabeth Goldmuntz, Hiroko Wakimoto, A J Agopian, David M Mckean, Steven R Depalma, William T Pu, Christine E Seidman, Bruce D Gelb, Jonathan G Seidman

Faculty, Staff and Student Publications

Background: Atrial septal defects (ASDs) are a prevalent type of congenital heart disease. Previous GWAS (Genome-Wide Association Studies) have identified common variants associated with ASDs, though their mechanisms remain unknown. We aimed to expand insights into the architecture of common variants associated with ASD risk and elucidate functional mechanisms.

Methods: We conducted a GWAS using isolated ASD cases and healthy controls and replicated findings in an independent cohort. We examined epigenetic marks within this ASD locus in human induced pluripotent stem cell-derived cardiomyocytes and fetal human hearts. We characterized the consequences of deletions introduced by CRISPR-Cas9 mutagenesis of human induced …


Developing Scenario-Based Strategies For Health, Climate, And Environmental Preparedness: The One Health, One Earth Approach, Azar M Abadi, Kyle D Brumfield, Moiz Usmani, Gemma Jiang, T C Chakraborty, Yuzhou Wang, Zhijie Zhou, Cenlin He, Minghao Qiu, Jennifer D Stowell, Douglas Fritz, Sunil Kumar, Qiang Guo, Ying Xiong, Georgia Destouni, Qian Xiao, Xindi C Hu, Kelvin C Fong, Yun Hang, John Nielsen-Gammon, Rima Habre, Jennifer R Bratburd, Christopher W Tessum, Antarpreet Jutla, Rita R Colwell, Gabriel M Filippelli, Thanh H Nguyen Apr 2026

Developing Scenario-Based Strategies For Health, Climate, And Environmental Preparedness: The One Health, One Earth Approach, Azar M Abadi, Kyle D Brumfield, Moiz Usmani, Gemma Jiang, T C Chakraborty, Yuzhou Wang, Zhijie Zhou, Cenlin He, Minghao Qiu, Jennifer D Stowell, Douglas Fritz, Sunil Kumar, Qiang Guo, Ying Xiong, Georgia Destouni, Qian Xiao, Xindi C Hu, Kelvin C Fong, Yun Hang, John Nielsen-Gammon, Rima Habre, Jennifer R Bratburd, Christopher W Tessum, Antarpreet Jutla, Rita R Colwell, Gabriel M Filippelli, Thanh H Nguyen

Faculty, Staff and Student Publications

Climate change amplifies many threats to human health. Despite advances in understanding climate change dynamics and impacts, there remains a critical gap in translating scientific knowledge into equitable, and community‐driven health interventions. The inaugural One Earth, One Health workshop sought to explore this gap through human‐centered design exercises involving interdisciplinary researchers from climate and Earth sciences, engineering, epidemiology, microbiology, and environmental health. Although participants did not co‐develop solutions with affected communities, they used stakeholder role‐playing to guide ideation and lay groundwork for actionable plans. Through these methods, participants identified community needs and proposed prototype solutions to alleviate health threats …


The All-Payer Claims Database After The Gobeille Supreme Court Decision: Assessing The Impact On Fatal Opioid-Related Overdose Research, Jack Cordes, Cici Bauer, Dana Bernson, Marc R Larochelle, Wenjun Li, Jiahao Cao, Olaf Dammann, Thomas J Stopka Apr 2026

The All-Payer Claims Database After The Gobeille Supreme Court Decision: Assessing The Impact On Fatal Opioid-Related Overdose Research, Jack Cordes, Cici Bauer, Dana Bernson, Marc R Larochelle, Wenjun Li, Jiahao Cao, Olaf Dammann, Thomas J Stopka

Faculty, Staff and Student Publications

Objective: To determine the consequences of the Gobeille v. Liberty Mutual Supreme Court decision on the representativeness of the Massachusetts all-payer claims database (APCD). The loss of individuals captured in the APCD may vary demographically, geographically, and in the capture of fatal opioid-related overdose (OOD).

Data sources and study setting: We used 2013-2021 data from the Massachusetts Public Health Data Warehouse (PHD), which links person-level APCD records to other datasets. The APCD includes commercially-insured health claims mandatorily reported pre-Gobeille. Post-Gobeille, reporting from self-insured plans, a subset of commercially-insured plans, became voluntary.

Study design: In a repeated cross-sectional design, we compared …


The Internal Motivation Of English Language Learners To Acquire The Language, Milos Slaninka Apr 2026

The Internal Motivation Of English Language Learners To Acquire The Language, Milos Slaninka

Doctor of Education (Ed.D)

This case study utilized qualitative research to investigate how the adult education program at a school in a northeastern state’s English as a second language (ESL) program affected the students’ intrinsic motivation. Students’ recruitment followed the principle of homogenous sampling, which entailed choosing a small number of the population that fit the study’s parameters. As a result, the data collection for the study consisted of interviews with 11 individuals enrolled in the ESL program. All interviews were carried out in the interviewee’s private setting via the Zoom platform to ensure the collection of the most genuine data possible. The main …


Patenting The Unexpected, Sean B. Seymore Apr 2026

Patenting The Unexpected, Sean B. Seymore

Vanderbilt Law School Faculty Publications

Unexpected discoveries have transformed human existence. They’ve revolutionized science and spawned entire new fields of research. While unexpected discoveries seem inventive and worthy of patent protection, they don’t formally align with traditional patent theory. The bedrock principle that an invention begins with the conception of an idea in the inventor’s mind and ends with implementation doesn’t apply to unexpected discoveries. This misalignment is most acute for pharmaceuticals, where the discovery of new uses for old drugs has tremendous social and economic importance. Since a drug can inherently treat multiple conditions in a patient—even those unknown to the patient, doctor, or …


D&D And The Law Syllabus, Chris Ridder Apr 2026

D&D And The Law Syllabus, Chris Ridder

Historical and Topical Legal Documents

No abstract provided.


El Leñador, April 2026, El Leñador Staff Apr 2026

El Leñador, April 2026, El Leñador Staff

El Leñador Newspaper

El Leñador is an English and Spanish newspaper produced by Humboldt State University students. Our staff cover and provide news to Latinx and other diverse communities on campus and in Humboldt County. We are committed to providing relevant news and expanding the representations and stories told about people of color and other marginalized groups. Our work helps create more social, political and cultural diversity in local media.

El Leñador es un periodico en español y inglés producido por estudiantes de la Universidad Estatal de Humboldt. Nuestro personal cubre y provee noticias a la comunidad Latinx y otras comunidades diversas en …


Comparing Student Performance And Perceived Learning Between In-Person And Online Sections Of An Undergraduate Human Anatomy And Physiology Laboratory Course, Madeline M. Knox Apr 2026

Comparing Student Performance And Perceived Learning Between In-Person And Online Sections Of An Undergraduate Human Anatomy And Physiology Laboratory Course, Madeline M. Knox

Honors Thesis

Online laboratory courses are increasingly common in undergraduate science education, but their effectiveness relative to in-person laboratories remains unclear. This study compared students’ academic performance and perceived learning outcomes between online and in-person anatomy and physiology laboratory sections at the University of South Dakota. Final course grade distribution between the two modalities across three semesters (n = 158 in-person and n = 312 online) was analyzed, and student perceptions of cognitive, affective, and psychomotor learning were assessed using the CAP Perceived Learning Scale instrument in post-course surveys (n = 81 in-person and n = 37 online). Grade distributions …


Exploring The Psychological Health Of First Responder Women And Their Children, Shelby S. Deschepper Apr 2026

Exploring The Psychological Health Of First Responder Women And Their Children, Shelby S. Deschepper

Honors Thesis

Abstract

First responders (law enforcement officers, firefighters, paramedics, and emergency medical technicians) often face occupational stressors and may have exposure to traumatic events. As a result, they are at risk for developing mental health conditions. Although there is substantial research on first responder mental health, potential gender differences within this population have received limited attention. The existing evidence suggests that first responders who are women encounter an even higher risk for adverse mental health outcomes than first responders who are men. Additionally, few studies have explored the mental health outcomes of children with first responder parents, and even fewer have …


Leveraging Aspiring And Inspiring Mentorship Relationships To Promote Stem Persistence, Rayann K. Hoppe Apr 2026

Leveraging Aspiring And Inspiring Mentorship Relationships To Promote Stem Persistence, Rayann K. Hoppe

Honors Thesis

While several mentorship interventions for STEM students already exist, persistence and retention in STEM fields remain relatively low. Additionally, there is limited research examining the intersections between aspiring (upward) and inspiring (downward) mentorship roles.

This article aims to address these gaps by examining existing literature and mentorship frameworks, with a focus on how mentorship dynamics influence STEM persistence. Two principal findings emerge from the literature: (1) effective mentorship should be conceptualized as an interconnected ecosystem rather than a hierarchical structure, and (2) the intersection of aspiring and inspiring roles contributes to the development of identity, self-efficacy, and a sense of …


Ecological Studies Of Wolves On Isle Royale, Sarah R. Hoy, Rolf O. Peterson, John A. Vucetich Apr 2026

Ecological Studies Of Wolves On Isle Royale, Sarah R. Hoy, Rolf O. Peterson, John A. Vucetich

Ecological Studies of Wolves on Isle Royale

Annual Report 2025-2026


A Culture Divided: How Irish Americans Responded To Ireland’S Wartime Neutrality, Robert J. Barron Apr 2026

A Culture Divided: How Irish Americans Responded To Ireland’S Wartime Neutrality, Robert J. Barron

Honors College Theses

In the Second World War, the nation of Ireland declared its neutrality and maintained this status through the course of the long conflict. Meanwhile, Germany, Great Britain, and eventually the United States all competed to gain Ireland’s support in the war. However, one overlooked group continued to keep tabs on the affairs within their homeland: Irish Americans. How does one respond to a nation you have a connection with staying neutral in such a deadly conflict? The answer, for Irish Americans, was that it depended on the year. Before the United States entered the war, Irish Americans firmly defended the …


Gamma Sigma Delta, Nebraska Chapter Newsletter, Issue #69 Spring 2026 Apr 2026

Gamma Sigma Delta, Nebraska Chapter Newsletter, Issue #69 Spring 2026

Gamma Sigma Delta, Nebraska Chapter: Newsletters

President's message, Dustin Loy

Undergraduate Scholarship Awards

2026 Chapter Officers and Committees

Faculty Awards

Membership info and dues form

Grad Student Scholarship

Award of Merit

NU Foundation Fund

New Initiates

Save the Date

In Memoriam:
Kara Daye Heideman (March 31, 1980-December 11, 2025)
L. Dale Van Vleck (June 11, 1933-December 23, 2025)
James (Jim) Eugene Specht (September 12, 1945-February 13, 2026)
Irvin Thomas Omtvedt (June 12, 1935-April 6, 2026)
Fayrene L. Hamouz (June 6, 1946-April 8, 2026)
Robert L. Raun (April 22, 1928-April 22, 2026)


Probing The Prevalence Of Pharmaceutical Corruption, Marc A. Rodwin Apr 2026

Probing The Prevalence Of Pharmaceutical Corruption, Marc A. Rodwin

Suffolk University Law School Faculty Works

This article reviews the history and current evidence of systematic pharmaceutical industry corruption.  It draws on studies by the OECD on international corruption; reports of the Securities and Exchange Commission; studies of the Public Citizen health Research Group of settlement agreements between federal and state authorities and pharmaceutical firm; the history of the Medicare and Medicaid Anti-Kickback Act; professional and industry codes of ethics; the literature on institutional corruption; and studies of conflicts of interest.  These sources support findings of systemic corruption since the mid-20th century. The paper also explores the relationship between classic corruption, institutional corruption and conflicts of …


Beyond Parallel Programmes: A Roadmap For Operational Integration Of Family Planning And Nutrition In Low- And Middle-Income Countries, Marleen Temmerman, Samuel Ojong Apr 2026

Beyond Parallel Programmes: A Roadmap For Operational Integration Of Family Planning And Nutrition In Low- And Middle-Income Countries, Marleen Temmerman, Samuel Ojong

Centre of Excellence in Women and Child Health

No abstract provided.


Daily Outdoor Pm2.5 Exposure Characterization And Road Edge Effect During A 2022 - 2023 Monitoring Campaign In Gambia, Kenya And Mozambique, Terence Mushore, Handsome Nyoni, Laura Munthali, Sibusisiwe Makhanya, Laurine Chikoko, Anotida Chapunza, Stanley Luchters, Matthew Chersich, Marleen Temmerman, Angela Koech Apr 2026

Daily Outdoor Pm2.5 Exposure Characterization And Road Edge Effect During A 2022 - 2023 Monitoring Campaign In Gambia, Kenya And Mozambique, Terence Mushore, Handsome Nyoni, Laura Munthali, Sibusisiwe Makhanya, Laurine Chikoko, Anotida Chapunza, Stanley Luchters, Matthew Chersich, Marleen Temmerman, Angela Koech

Centre of Excellence in Women and Child Health

Air pollution is a major contributor to mortality and adverse health outcomes, particularly in pregnant women and children, with vehicular emissions as a key source. This study aimed to characterize long-term exposure to fine particulate matter (PM2.5), evaluate potential health risks, and quantify the contribution of road transport and proximity to roads in The Gambia, Kenya, and Mozambique. Multi-temporal personal exposure data were interpolated into continuous spatial surfaces and aggregated into daily averages, which were then compared with World Health Organization (WHO) guidelines to assess potential health impacts. Multi-distance buffers at 10 m intervals up to 1000m from major roads …


Conflict As Catalyst: The Role Of Conflict In Creating Political Space For Women, Christie S. Warren Apr 2026

Conflict As Catalyst: The Role Of Conflict In Creating Political Space For Women, Christie S. Warren

Faculty Publications

Although the benefits associated with the presence of women in political decision-making positions are uncontested, global statistics relating to the number of women in political leadership roles paint a disappointing picture of underutilized resources. While rights-based advocacy, quotas, and economic incentives are commonly posited as effective strategies to increase the number of women active in public spaces, several studies have shown that the law alone is not sufficient to bring about changes in gender norms unless the underlying structural constructs that perpetuate inequalities privileging dominant groups are addressed first. Conflict, especially when driven by rejection of those inequalities, can hasten …


Article Iii's Constraints On The Legislative Power, Elizabeth Earle Beske Apr 2026

Article Iii's Constraints On The Legislative Power, Elizabeth Earle Beske

William & Mary Law Review

Article III’s heightened concreteness standard for statutory harms takes federal judges deep into legislative terrain, jeopardizing statutory damage provisions and confining Congress to post hoc solutions rather than preemptive strikes. The Supreme Court has insisted that creating a cause of action is a legislative function. At the same time, its recent standing cases instruct lower federal courts to permit suit on statutory injuries only when they find actual harm that bears a tight connection to injuries recognized at common law. This new harm requirement rests uneasily with countless statutes featuring statutory damage provisions that are in place precisely because damages …


Is It Credit?, Jim Hawkins Apr 2026

Is It Credit?, Jim Hawkins

William & Mary Law Review

Earned wage access companies advance money to workers based on wages they have already earned but have not yet been paid. Then, one of three things happens to reimburse the earned wage access provider: (1) the worker’s employer sends the provider money directly, (2) the provider withdraws money from the worker’s bank account on payday, or (3) nothing. The last of these is the most interesting. If the earned wage access provider does not receive the funds from the worker’s employer or bank account, the worker just walks away. Even more remarkable, many providers do not charge any mandatory fees …


Key Components Of An Effective Gifted Program, Amanda Fjeld Apr 2026

Key Components Of An Effective Gifted Program, Amanda Fjeld

Master's Theses & Capstone Projects

This inquiry-based research project aimed to identify the essential components of an effective gifted education program. The study examined which factors of a gifted pull-out program impact student learning through identifying consistent patterns. A mixed-methods approach was used. Qualitative and quantitative data were gathered on program structures, instructional approaches, and teacher preparedness. This study gathered information from peer-reviewed articles and survey responses from four Iowa gifted educators. The results revealed that while there are consistencies across many pull-out programs, there are many different goals. Key themes that were identified in gifted programs include 21st-century skill development, project-based learning, and social-emotional …


The Impact Of Culturally Responsive And Inclusive Instructional Practices, Avril Baccam Apr 2026

The Impact Of Culturally Responsive And Inclusive Instructional Practices, Avril Baccam

Master's Theses & Capstone Projects

Culturally responsive and inclusive instructional practices are essential for supporting student engagement and participation in increasingly diverse elementary classrooms. However, some second-grade students do not experience equitable opportunities to engage in learning due to instructional practices that may not fully address cultural, linguistic, and learning differences. This inquiry-based research study aimed to examine second-grade teachers' perceptions of culturally responsive and inclusive instructional practices and their impact on student engagement and participation. The study also explored which instructional strategies teachers identify as most effective for promoting equitable engagement among diverse learners. A mixed-methods approach was utilized, including quantitative survey data and …


Schoolwide Pbis And Its Influence On Engagement And Discipline For Students With Disabilities, Morgan Peterson Apr 2026

Schoolwide Pbis And Its Influence On Engagement And Discipline For Students With Disabilities, Morgan Peterson

Master's Theses & Capstone Projects

Positive Behavior Interventions and Supports (PBIS) is a framework adopted by schools to proactively teach and reinforce expected and prosocial student behaviors. The framework is implemented across three tiers and provides opportunities for data collection to support decision-making at each level of intervention. PBIS emphasizes clear behavioral expectations, consistent reinforcement, and systematic responses to behavior within a schoolwide system (Simonsen et al., 2022; Meyer et al., 2021). Previous research suggests that when PBIS is implemented across all three tiers, the use of exclusionary disciplinary practices decreases for all students, with particularly notable effects for students with disabilities who are supported …


Using Play-Based Learning To Support Early Academic-Related Learning Behaviors: A Case Study In An Early Childhood Classroom, Tracy Montalvo Apr 2026

Using Play-Based Learning To Support Early Academic-Related Learning Behaviors: A Case Study In An Early Childhood Classroom, Tracy Montalvo

Master's Theses & Capstone Projects

This inquiry-based research study examined how play-based learning supports early academic-related learning behaviors for an individual child in a preschool early childhood special education (ECSE) classroom. The purpose of this study was to understand how engagement, persistence, and problem-solving developed over time through play-based experiences and teacher facilitation. Data were collected over a four-week period using multiple tools, including structured observation checklists, frequency and duration recording sheets, anecdotal field notes, and reflective journal entries. The findings of this study suggest that play-based learning supported the development of early academic-related learning behaviors, as the child demonstrated increased engagement, improved persistence, and …


The Impact Of Mindfulness Strategies In An Elementary Classroom, Trinity Lawless Apr 2026

The Impact Of Mindfulness Strategies In An Elementary Classroom, Trinity Lawless

Master's Theses & Capstone Projects

School districts across the globe have adopted social-emotional initiatives throughout their schools to better the mental health of students and instill crucial soft skills within them. Implementing mindfulness strategies is one way that teachers are helping their students become more emotionally self-regulated learners. Although there is a plethora of research surrounding mindfulness, research on the specific mindfulness strategies that work best and the ones that students prefer is missing from the existing research. To mend this research gap, the current researcher sought to discover how mindfulness strategies impact students’ overall mindfulness score, what strategies are most beneficial, and which strategies …


The Impact Of Structured Reflective Journaling On Self-Efficacy In Early-Career Teachers, Ashley Van Dusseldorp Apr 2026

The Impact Of Structured Reflective Journaling On Self-Efficacy In Early-Career Teachers, Ashley Van Dusseldorp

Master's Theses & Capstone Projects

Teacher self-efficacy is a critical factor influencing instructional effectiveness, classroom management, and teacher retention, yet many educators in their first five years of teaching report low confidence in their professional abilities as they navigate the complexities of the classroom. This lack of confidence can negatively impact instructional decision-making, classroom practices, and long-term commitment to the profession. The purpose of this inquiry-based research study was to examine the impact of a structured reflective journaling intervention on the self-efficacy of new teachers with fewer than five years of teaching experience. Using a mixed-methods design, participants completed pre- and post-intervention self-efficacy surveys and …


Improving Bullying Victimization And Supports For Autistic Students, Sidney Swanson Apr 2026

Improving Bullying Victimization And Supports For Autistic Students, Sidney Swanson

Master's Theses & Capstone Projects

Bullying and peer victimization remain persistent concerns for students with autism spectrum disorder (ASD), who experiences higher rates of peer exclusion, rejection, and social isolation than their neurotypical peers. These experiences can negatively affect school engagement, emotional well-being, peer relationships, and long-term mental health outcomes. This practitioner inquiry study examined how classroom based social emotional learning (SEL) and inclusion strategist influenced peer relationships, student belonging, and bullying related behaviors for students with autism in an elementary school setting. This study was conducted over a six-week period in one first grade general education classroom and one Strat II ID/ LD classroom …


Jfl Insider: A Newsletter To Keep You In The Know, Liberty University Apr 2026

Jfl Insider: A Newsletter To Keep You In The Know, Liberty University

Jerry Falwell Library Newsletter

No abstract provided.


Precision Or Invasion? Mapping The Personalization Paradox, Shyamala N. Chalakudi, Gnana Bharathy Apr 2026

Precision Or Invasion? Mapping The Personalization Paradox, Shyamala N. Chalakudi, Gnana Bharathy

Journal of Applied Marketing Theory

AI-driven personalization has transformed consumer engagement, yet existing research offers no systematic way to determine when personalization shifts from helpful to intrusive. Current research and models explain privacy concerns or expectancy violations but do not measure the point at which personalization triggers user discomfort, creating the personalization paradox. This study introduces the Discomfort Threshold Assessment & Measurement (DTAM) framework, a conceptual model that identifies and evaluates this threshold by integrating Dual Process Theory, Expectation Violation Theory, and Privacy Calculus Theory. DTAM distinguishes between affective discomfort reactance and cognitive discomfort reactance and outlines how these constructs could, in future empirical studies, …