Digital Commons Network^™

It Will Only Work If Everyone Is On Board: A Needs And Context Assessment To Inform Exercise Oncology Implementation Within A Public Healthcare Organisation, Georgia L. White, Mary A. Kennedy, Bryan A. Chan, Hattie Wright, Grace L. Rose

Research outputs 2022 to 2026

Introduction: Exercise has well-established benefits across the cancer continuum for people living with and beyond cancer, yet the exercise oncology field faces a research-to-practice gap. Understanding the factors that influence implementation in any given context is essential to ensure implementation strategies have the greatest likelihood of success. The study mapped onsite exercise oncology services, staff-reported implementation barriers and facilitators, organisational readiness, and experiences reported by people living with or beyond cancer, across a large public healthcare organisation.

Methods: Staff and people living with and beyond cancer across cancer care centres within the public healthcare organisation completed an online survey. Data …

Knowledge, Intentions And Attitudes Towards Osteoporosis And Other Health Conditions Among Older Australians, Phuong Dung Lam, Satvinder S. Dhaliwal, Christina M. Pollard, Jonine M. Jancey, Richard L. Prince, Deborah A. Kerr

Research outputs 2022 to 2026

Background: Osteoporosis burden is underdiagnosed and undertreated. While increasing community awareness and education are recognised priorities, research on how older adults view osteoporosis is limited. The aim was to assess osteoporosis-related knowledge, intentions and attitudes in relation to other health conditions in Australian adults aged 50 years and older.

Methods: A validated online questionnaire, developed with an expert panel, was administered to 1432 healthy volunteers, (64.3 ± 9.5 years). The questionnaire assessed knowledge of osteoporosis risk factors, attitudes and intentions. Multivariable logistic regression identified factors associated with low knowledge.

Results: Knowledge score across six topics was 29.5 ± 14.5 (100 …

Living On Display: Reciprocal Gazes, Everyday Encounters, And The Politics Of Visibility In The Sunshine Coast Tourism Community, Madura Thiwanka Pathirana, Noel Scott

Research outputs 2022 to 2026

This community case study analyses the production, negotiation, and contestation of reciprocal gazes within everyday settings, particularly focusing on contemporary lifestyle tourism destinations, and the examination of the Sunshine Coast, Australia. Based on 48 in-depth interviews with tourists and locals, this case study looks at the politics of visibility that are part of host-guest relations in everyday encounters at the beach, cafe, marketplace, and online-mediated market. Intersecting with critical tourism studies, and tourism studies on the traveler, host, and reciprocal gaze, this study focuses on residents' experiences of being observed, judged, and photographed and the impacts of their experiences on …

Load-Settlement Behaviour Of Tailings Dam Foundation Strengthened Using The Wraparound Geosynthetic Reinforcement Technique, Francis Otieno, Sanjay Kumar Shukla

Research outputs 2022 to 2026

This paper presents a numerical investigation of the load–settlement behaviour of a geosynthetic-reinforced tailings foundation comprised of gold tailings, subjected to the weight of a tailings dam embankment. The study considered varying conditions, including the horizontal and vertical components of the wraparound reinforcement, reinforcement burial depth, and shear strength parameters of the foundation material. A particular focus of this study is to investigate the effect of reinforcement wraparound ends on the settlement behaviour of the foundation using commercially available finite element (FE) software. The reinforcement is a single-layer biaxial woven geotextile, with and without wraparound ends, at varying depths from …

Machine Learning Prediction Of Incident Hypertension In Australian Men: Integrating Survey, Pharmaceutical And Healthcare Utilisation Data From The Ten To Men Cohort, Ebenezer Afrifa-Yamoah, Emmanuel Peprah-Yamoah, Victor Opoku-Yamoah, Eric Adua

Research outputs 2022 to 2026

Background: Hypertension is a leading modifiable contributor to cardiovascular disease. We developed and evaluated machine learning models to predict incident hypertension in Australian men using baseline survey data linked to pharmaceutical (PBS) and healthcare utilisation (MBS) administrative records from the Ten to Men cohort.

Methods: Among 13,519 men free of hypertension at baseline (2014), incident hypertension over 10 years was ascertained from PBS antihypertensive dispensing. Twenty-five baseline features spanning sociodemographic, anthropometric, lifestyle, clinical and administrative domains were used to train logistic regression, random forest, gradient boosting and XGBoost models, evaluated by five-fold cross-validation with out-of-fold prediction. Discrimination, calibration and threshold-based …

Mechanisms Influencing Maximum Joint Range Of Motion And Stiffness: A Narrative Review, Camila D. Lima, Anthony J. Blazevich

Research outputs 2022 to 2026

Joint ‘flexibility’ is an encompassing term influenced by both a joint’s maximum range of motion (ROMmax) and its resistance to rotation, i.e. its stiffness. A critical amount of flexibility is thought to be important for both sports performance and daily and occupational tasks. Improvements in joint ROMmax, specifically, are often assumed to result from material and mechanical changes in the joint’s soft tissue structures; however, they also may result from changes in sensory information relayed from peripheral receptors to the brain, or the interpretation of that information. Changes in psychological state mediated by pain, state arousal and other psychological factors …

Mental Health Impacts Of Anti-Trans Stigma On Transgender People In Australia: A Mixed-Methods Study, Sav Zwickl, Sasha Bailey, Rin Chan, Shalem Y. Leemaqz, Joel Murray, Stevie Lane, Foster Skewis, Julian Grace, Eli Ward-Smith, Tomi Ruggles, Ada S. Cheung

Research outputs 2022 to 2026

Background: Anti-trans stigma has escalated globally, yet there is limited empirical evidence examining its mental health impacts on trans populations.

Methods: In a May 2024 mixed-methods cross-sectional online survey, trans people aged ≥16 years living in Australia reported the frequency of seven anti-trans stigma experiences in the previous month, including exposure to anti-trans remarks in the news media or online; personal experience of online bullying, harassment or threats; having thought about, seen or heard about anti-trans rhetoric by Australian politicians and high-profile individuals; or anti-trans rallies; or police violence; or international anti-trans legislation and violence. Generalized linear models examined associations …

Music Teacher Wellbeing And Flourishing In Australian Primary Schools, Han Meng, Jason Goopy, Narelle Lemon

Research outputs 2022 to 2026

Teacher wellbeing is often generalised across roles, while a nuanced understanding of specialist teachers is often overlooked. This study used the positive psychology strengths-based PERMAH model to investigate factors that support wellbeing and flourishing of primary school music teachers in Australia and opportunities for growth. As part of a larger mixed-methods research project, data for this article were generated through interviews with 14 music teachers who deliver primary school class music and were analysed using reflexive thematic analysis. Findings indicated that music teacher wellbeing was promoted by joy derived from students’ learning, passion for teaching music, and recognition and support …

Practising Digital Product Passport For Circular Supply Chain: Ecosystem Orchestration Perspective, Martin Agyemang, Daniel Faibil, Richard Asante, Cristina Iodice

Research outputs 2022 to 2026

Digital product passports (DPP) are emerging as an important tool to support industries in realising circular supply chain (CSC) practices. However, small and medium-sized enterprises (SMEs) remain constrained by various challenges in implementing DPP. Therefore, using social practice theory and ecosystem orchestration perspective, the study identifies factors essential for DPP-enabled CSC implementation by SMEs. The study proposes an actionable framework to classify and operationalise these factors. We collected data from managers and analysed it using the Best–Worst Method and Fuzzy-DEMATEL to understand the interdependence, coordination and temporal adaptation of the factors. The findings show that material factors are particularly salient …

Relationships Between Physical Performance Characteristics And Match Characteristics Of English Academy Soccer Players, B. Dickinson, P. Jones, P. Comfort

Research outputs 2022 to 2026

The aim of this study was to determine the relationships between physical performance and match characteristics of Elite academy soccer players using pooled data across U15, U16, U18, U23 age groups. Sixty elite academy soccer players including u15 (Subject: N = 15; age: 14.64 ± 0.25; mass: 59.88 ± 9.12 kg; height: 171 ± 6.69 cm), u16 (Subject: N = 15; age: 15.42 ± 0.36; mass: 65.11 ± 8.70 kg; height: 175 ± 7.21 cm), u18 (Subject: N = 15; age: 17.00 ± 1.00; mass: 72.85 ± 7.43 kg; height: 179 ± 6.43 cm), u23 (Subject: N = 15; age: …

School Is No Longer A Lone Wolf Effort: Leadership Strategies For Inclusive, Community-Based School Cultures, Stuart Woodcock, Elias Avramidis, Umesh Sharma, Pearl Subban, Caroline Sahli Lozano, Harry Kullman, Tim Lorman, Sergej Wüthrich, Margarita Knickenberg

Research outputs 2022 to 2026

Based on the premise that the successful implementation of inclusion is largely dependent on the educators’ commitment to inclusive ideals, this study sought to examine the ways principals promote an inclusive vision and foster the development of associated practices in their school community. The study employed an exploratory qualitative research design, collecting data through semi-structured interviews and focus groups with 12 principals of highly-ranked inclusive schools from four countries: Australia, Italy, Switzerland, and Spain. In so doing, the emphasis was placed on the principals’ perspectives and practices that contribute to the development of an inclusive school culture. The iterative process …

Selective Human Resource Practices, Psychological Safety Climate And Employee Wellbeing, Yvonne Brunetto, Matthew J. Xerri, Geremy Farr-Wharton

Research outputs 2022 to 2026

Purpose: Engineers and healthcare professionals perceive higher levels of stress compared with the general population, suggesting that past human resource management (HRM) systems have failed to manage them appropriately. This study examines whether psychosocial safety climate (PSC) acts as a psychological conduit in translating HRM practices and mediating their impact on wellbeing using the common good HRM (CGHRM) and Conservation of Resources theoretical frameworks.

Design/methodology/approach: Data were collected using surveys collected at two points – one-month apart, and then analysed using structural equation modelling (Analysis of Moment Structures) to manipulate survey data from 300 matched employees.

Findings – The variance …

The Contribution Of Nursing And Midwifery To Achieving The Sustainable Development Goals: A Bibliometric Analysis, David C. Benton, Andrew D. Benton, Kate Buchanan, Gemma Doleman, Karen Strickland, Lisa Whitehead

Research outputs 2022 to 2026

Background: Nurses and midwives are central to achieving the Sustainable Development Goals (SDGs) as the largest regulated sector of the global health workforce and as professions explicitly encouraged by the International Council of Nurses and the World Health Organization to advance the 2030 Agenda. This paper updates a 2016 bibliometric analysis to examine changes in nursing and midwifery scholarly engagement with the SDGs.

Methods: A bibliometric analysis of Scopus, CINAHL Ultimate, and PubMed was undertaken for publications from 2000 to 2025 containing Millennium Development Goal (MDG) or Sustainable Development Goal (SDG) terminology in nursing and midwifery literature. VOSviewer was used …

The Evolution Of Match-Play In Major League Soccer From 2018 To 2023, Callum J. Mccaskie, Christopher Wing

Research outputs 2022 to 2026

Major League Soccer (MLS) has experienced significant growth since its establishment 30 years ago. However, no research has investigated the on-field performance trends. Thus, the purpose of this study was to examine the evolution of MLS match-play via technical and tactical key performance indicators, and investigate the differences between teams according to league finishing position. MLS on-field performance indicators were obtained across six seasons from open-source website FBref. Mean game values were collected from 21 match performance indicators for every MLS team over six seasons. Teams were also classified according to their league finishing position at the conclusion of each …

The Networked City: City Climate Change Networks And U.S. Climate Governance, Caroline G. Cox

American University Law Review

City climate change networks complicate common narratives about the local role in environmental and climate change governance in the United States. These networks—organizations with three or more member cities or representative city staff that share information and resources—are crucial actors in supporting the increasing interest in local climate change mitigation. Building upon prior scholarship addressing mayor-led networks and municipal collaborations, this Article considers how city climate networks challenge notions of local parochialism and rebut some critiques of local climate action. The Article also evaluates the growing importance of these networks in light of changes in federal climate policy, including the …

Restorative Restitution, Lula A. Hagos

American University Law Review

How to best meet the needs of crime victims while also furthering the imperative of decarceration has long vexed advocates and scholars alike. This dilemma comes into sharp focus when one examines two developments in criminal procedure that, until now, have been analyzed separately: victim restitution and restorative justice.

Criminal restitution, the monetary payments ordered from defendants to victims, often fails both groups. Because most defendants are indigent, restitution obligations lengthen defendants’ involvement with the criminal legal system without delivering meaningful compensation to victims, making restitution more symbolic than restorative. At the same time, interest in restorative justice has surged …

Playing It Safe Or Playing Favorites? Miller Act Bonds And The Cost Of Exclusion Of Women- And Minority Owned Businesses, Fernando Mendoza López

American University Law Review

As federal contracting policy has moved away from race- and gender-conscious contracting initiatives, the need to identify and remove facially neutral requirements that create disparate impacts has assumed heightened significance in shaping access to government contracting law. In construction projects, the federal government has long required contractors to purchase surety bonds under the Miller Act to protect subcontractors and the government in cases of prime contractor default. While that original purpose remains valid today, bonding requirements are widely believed to unnecessarily limit participation by women- and minority-owned businesses.

Federal, state, and local governments have tacitly accepted the claim that bonding …

“Necessary” Jurisdiction: Veterans’ Rights In Article Iii Courts, Dana Montalto

American University Law Review

U.S. veterans should possess the same access to courts as other Americans, but a misreading of a federal law has led many veterans to be denied an opportunity to assert their civil rights in any judicial forum. That law—38 U.S.C. § 511—grants exclusive jurisdiction over certain federal veterans benefits appeals to a specialized Article I court, the Court of Appeals for Veterans Claims. But federal judges and Department of Veterans Affairs leaders have mistakenly interpreted that grant of exclusive jurisdiction to also close the door to Article III courts, leading veterans’ meritorious claims of systemic discrimination and injustice to be …

Ticking Toward Reform: Rethinking The Material Difference Exception In The Luxury Watch Resale Market And Beyond, Mallory K. Hogan

American University Law Review

The rapid growth of the luxury resale market has heightened tension between trademark holders and secondary-market sellers. Courts are increasingly left to apply the material difference exception to first sale doctrine defenses, to find trademark infringement when resold goods differ from the original product, even in de minimis ways. Originally designed to protect consumers from confusion where post-sale modifications affected product quality or safety, the exception has evolved into a broad enforcement tool that luxury brands leverage to challenge resellers over minor or cosmetic alterations. In the luxury watch and accessories markets in particular, courts have deemed even minimal differences …

Antidiscrimination Law Against Labor, Jordan Laris Cohen

American University Law Review

In recent years, employer compliance with antidiscrimination law has emerged as a major justification for limiting the rights of employees to organize and engage in collective action in the workplace. In IBM Corp., a Republican majority of the National Labor Relations Board cited “laws addressing workplace discrimination and sexual harassment” as a primary reason to deny nonunionized employees the right to a coworker representative during investigatory interviews. In General Motors, a Republican Board majority invoked antidiscrimination law in upending four decades of precedent regarding employer discipline of employees engaged in “opprobrious conduct” in the course of protected organizing …

The Leasehold World, Jeffrey Manns

American University Law Review

The ideal of American fee simple property rests on a popular misconception. Many Americans often think of fee simple property in terms of absolute ownership. In reality, however, fee simple title has many similar features of a “public” leasehold in practice, which has significant implications for understanding the relationship of private property “owners” to the state. The American state, at all levels, effectively serves as a landlord over private property “owners,” mirroring the traditional role of the king in feudal England.

The American Revolution is often framed as a sea change in property rights and individual liberty. But efforts to …

Lawbreaking As A Method Of Competition, Sandeep Vaheesan

American University Law Review

Business competition is not a free-for-all in which firms can compete and triumph by hook or crook. Instead, market rivalry is a process structured by laws of general application and sector-specific rules. Certain competitive strategies and tactics are proscribed by statutes, regulations, and common law. Firms may not compete by bombing their rivals’ facilities, bribing the employees of wholesale customers, or making false claims about their own goods.

In a range of industries, however, firms choose to compete by violating laws protecting consumers, workers, businesses, and the public and obtaining an unfair cost or other advantage over their rivals. Examples …

The Lawyer Of The Future: Ethics And Identity In The Age Of Ai, David Yosifon, Michael Santoro, Isaac Nikssarian

American University Law Review

The dawn of artificial intelligence (AI) poses a fundamental challenge to the legal profession’s practical function and social identity. We argue that this challenge should be met as an opportunity to reclaim the profession’s core ethical intentions. We approach the emergence of AI as an occasion to define and safeguard what is irreducibly human in legal work. We ground our approach in the ethical imperatives set out in the American Bar Association’s Model Rules of Professional Conduct, while extending them into an invigorated framework for the AI era.

We survey the uses and ethical challenges associated with cutting-edge deployment of …

Beyond Marriage: Challenging Marital Prerequisites In State Adoption Laws Through A Constitutional And Child-Centered Lens, Alisha Glass

American University Law Review

Many state adoption laws restrict joint adoptions to married couples, thus excluding unmarried partners who share loving and committed relationships with the children they seek to adopt. These marital prerequisites reflect society’s outdated preference for the nuclear family while conflicting with adoption law’s commitment to the best interests of the child. Nonmarital families experience unequal legal protections based on marital status and geographic location. Building on the Kentucky Supreme Court’s decision in G.G. v. Cabinet for Health & Family Services, this Comment examines the limits of resolving these disparities through statutory interpretation and identifies the constitutional questions that remain …

Application Of The Lancet Commission Criteria For The Diagnosis Of Obesity To A Clinical Trials Population: The Leap Trial, Faith Anne N Heeren, Kathleen R Ruddiman, Courtney Simmons, Brian N White, Byron C Jaeger, Nicholas M Pajewski, Stephanie A Hooker, Deborah B Horn, Katy Martin-Fernandez, Kimberly A Gudzune, Caroline Blackwell Young, Jamy Ard, Kristina Henderson Lewis

Faculty, Staff and Student Publications

Objective: This study aimed to apply The Lancet Diabetes & Endocrinology criteria for diagnosing obesity among clinical trial participants and understand participants' characteristics by obesity status.

Methods: The criteria were operationalized and applied to baseline data from the Long-term Effectiveness of the Anti-obesity medication Phentermine (LEAP) trial (NCT05176626). Excess adiposity, organ and tissue dysfunction, and limitations to daily activities were assessed. We examined differences between participants with "no obesity," "pre-clinical obesity," and "clinical obesity."

Results: Among the 860 participants, 0.8% had no obesity (mean BMI 29.0 kg/m2 [SD 0.6]), 18.7% had pre-clinical obesity (mean BMI 35.2 kg/m2 [SD …

Truth And Consequences: What Catastrophe Teaches Us About Homeownership And Underinsurance, Kenneth S. Klein

Faculty Scholarship

The firestorms enveloping Los Angeles in January 2025 made yet more inescapable the reality of the increasingly overwhelming impacts that climate change is having on communities. Many thousands of owner-occupied homes were destroyed. Most homes will have insurance, but many homeowners will be surprised to find themselves underinsured, meaning their insurance proceeds will be materially less than the insurer-reported, incurred cost of rebuilding their destroyed home. The human consequences on these homeowners, each of whom has lost everything in a single week, are a now sadly all too imaginable tragedy in real time.

How underinsurance happened and what could have …

Healthcare Provider Perspectives On A Clinical Decision Tool To Support Individualized Exercise Prescriptions And Discussions For Breast Cancer Survivors, Jinani Jayasekera, Oliver W. A. Wilson, Kaitlyn M. Wojcik, Eleanor M. Kerr, Rachelle Brick, David Berrigan, Jennifer Yeong-Shin Sheng, Takeo Fujii, Kathleen Thomas, Henri K. Parson, Padma Sheila Rajagopal, Richard L. Street Jr.

Department of Medicine Faculty Publications

Purpose: We evaluated healthcare providers' current knowledge, practices, and perspectives on a novel clinical decision tool (beta-version) to facilitate individualized exercise prescriptions and discussions in clinical settings.

Methods: We recruited healthcare providers who had treated or provided care to breast cancer survivors aged >= 35-years in the past 12 months. The participants were presented with a tool to provide individualized exercise recommendations considering women's individual, clinical, and contextual characteristics. Validated and reliable pre-existing instruments were used to survey providers' current knowledge, practices regarding exercise discussions, and perspectives on the beta-version (paper-draft) of the novel tool.

Results: The sample consisted of …

Physical Activity, Telomere Length, And Cardiometabolic Syndrome In Older Women: The Cardiovascular Health Study, Jeni Page, Melissa Richard, Elizabeth Lyons, Elizabeth Baumler, M Terese Verklan, Michelle C Odden, Elizabeth Lorenzo

Faculty, Staff and Student Publications

Background: Cardiometabolic syndrome (CMS) affects approximately 39% of US women and increases risk for cardiovascular disease, diabetes, and stroke. Telomere length, a biomarker of cellular aging, is associated with CMS and may be influenced by physical activity (PA), potentially mitigating telomere shortening. Black women have higher CMS prevalence compared to white women and may exhibit distinct telomere length dynamics influenced by interactions between CMS and PA.

Methods: Data were drawn from the Cardiovascular Health Study and included black and white women who provided data on PA, CMS risk factors, and telomere length (N = 417). Linear regression models examined the …

By Design, Roger Allan Ford

American University Law Review

In recent years, scholars and policymakers have increasingly embraced regulation “by design” to address new problems, especially those caused by new technologies. These approaches go by various names, like privacy by design, security by design, even the rule of law by design. Despite the popularity of these approaches, though, describing what goes into regulation “by design” is surprisingly challenging. Different speakers use the term in strikingly different ways, with little consensus about why design is important, how design and new technologies interact, or how design can be harnessed to deliver policy results.

Design exists along multiple dimensions: process versus result, …

Tyranny Of A Feather: Asymmetry In Civil Burdens Of Proof, Thomas O. Main

American University Law Review

Civil litigation suffers from a paradox that is at once self-evident, unfair, and overlooked: the trial process promises equality between plaintiffs and defendants under the preponderance-of-the-evidence standard, even as the pretrial process is skewed dramatically in defendants’ favor. At trial a plaintiff needs only “50% plus a feather” to tip the scales and prevail, reflecting a commitment to equal treatment of the parties. Pretrial, however, the playing field tilts steeply: plaintiffs alone must navigate a procedural gauntlet of motions that impose pleading and production burdens for which defendants face no equivalent. This entrenched asymmetry in pretrial practice has become so …