Digital Commons Network^™

Dietary Patterns For Weight And Glycemic Management In Persons With Type 1 Diabetes: A Meta-Analysis Of Clinical Trials, Daria Igudesman, Laura M Nally, Alyssa A Grimshaw, Craig G Gunderson, Elizabeth G Considine, Laura M Jacobsen, Mustafa Tosur, Peter A Gottlieb, Irl B Hirsch, Lori M Laffel, Jennifer L Sherr, Chantal Mathieu, Richard E Pratley

Children’s Nutrition Research Center Staff Publications

Background: Medical nutrition therapy is fundamental for managing glycemia and weight in type 1 diabetes, yet dietary guidance specific to this population and relevant subgroups is lacking.

Purpose: We synthesized the interventional literature investigating diet patterns for glycemic and weight management in youth and adults with type 1 diabetes, with attention to interindividual variation that suggests the need for precision approaches. The protocol was prospectively registered (CRD42024519941).

Data sources: AMED, CINAHL, Cochrane Library, Ovid MEDLINE, Ovid Embase, Google Scholar, and Web of Science Core Collection were searched from January 2011 to June 2024.

Study selection: Clinical trials ≥4 weeks with …

An Integrated Decision Support System For Bim Level 3 Implementation, Lama Abumoeilak, Salwa Beheiry, Serter Atabay

Civil and Environmental Engineering Faculty Publications

The Architecture, Engineering, and Construction (AEC) sector accounts for 39% of greenhouse gas emissions, 40% of solid waste, and 12% of potablewater usage globally, underscoring the need for sustainable, efficient practices. Building Information Modeling (BIM) offers a digital framework to address these challenges through lifecycle management, collaboration, and efficiency gains. However, most organizations remain at BIM Level 2 maturity, which limits their potential for full integration. This study proposes a comprehensive Decision Support System (DSS) to facilitate the adoption of BIM Level 3, with an emphasis on collaboration, sustainability, and data interoperability. The DSS integrates Structural Equation Modeling (SEM), Analytical …

"Concealed Sorrow": Unveiling The Implications Of Miscarriages On Women In England 1500-1600s, Krista Ann Everson

Doctoral Dissertations and Projects

This study examines the societal, religious, and political implications of miscarriage in Tudor England, with a particular focus on the experiences of Anne Boleyn. Miscarriage, a profoundly personal yet historically stigmatized event, intersects with broader cultural, theological, and economic forces that shape public and private responses to it. By exploring Anne Boleyn’s miscarriages within the context of Tudor society, this research sheds light on how historical understandings of pregnancy loss have influenced cultural attitudes and policies, offering insights into the lived realities of women in the early modern period.

A Phenomenological Study Of Parent And Educator Perceptions Of Inclusive Education For Individuals With Disabilities, Karin Elizabeth Kawagoe

Doctoral Dissertations and Projects

This phenomenological qualitative study, grounded in disability theory, explores the lived experiences of parents and educators regarding inclusive education. At present, laws and regulations promote the inclusion of individuals with disabilities. Inclusion has evolved since the mid-1950s. The biblical foundation for inclusion draws on the life of Jesus. This study examined how concepts of belonging, willingness, perceptions of inclusion, and evidenced based practices manifest in perceptions of advocacy, empathy, flexibility, and collaboration. Data was collected using interviews with parents and educators. Thematic analysis revealed that parents’ experiences centered on advocacy, resilience, empathy, and compassion, reflecting feelings of isolation and being …

Empowering Psychiatric Nurse Practitioners To Address Nutritional Deficits: An Educational Quality Improvement Study, Beatrice Joan Richards

Doctoral Dissertations and Projects

Psychiatry is a complex and multifaceted discipline, and treatment approaches often vary based on provider preference and philosophy. Some focus heavily on pharmacotherapies, while others use psychotherapeutic methods, and still others take a more holistic approach involving full-body wellness. All three strategies are beneficial, and providing psychiatric care with a combination of them all can address the full spectrum of factors that influence one’s mental health. Much research, education, and clinical focus have been put on pharmacotherapy and psychotherapeutics. However, there is a marked lack of understanding regarding the holistic realm of psychiatric care, specifically the role of nutrition, amongst …

Type I Hybrid Effectiveness-Implementation Randomised Controlled Trial To Address Intergenerational Impact Of War Trauma And Resilience Among Second-Generation Refugee Children In The Usa: Resettled Refugee Families For Healing (Rrf4h) Study Protocol, Nhial T Tutlam, Tewodros W Liyew, Theresa S Betancourt, Byron J Powell, Shenyang Guo, Mary Mckay, Fred M Ssewamala

2020-Current year OA Pubs

INTRODUCTION: Children from refugee families resettled in the USA face higher risks of serious mental health challenges compared with their native-born peers. Research shows that refugee youth in high-income countries frequently suffer from trauma-associated disorders such as post-traumatic stress disorder (PTSD), depression and anxiety. The high prevalence of trauma-associated mental health problems among these youth may be attributed to their own trauma exposure, especially if born in conflict zones, and post-resettlement challenges like poverty, acculturation difficulties, racism and discrimination. However, they may also suffer from the effects of intergenerational trauma, where parental war trauma impacts them. This study aims to …

Nurse Confidence In Mental Health Communication: Examining The Effect Of An Educational Intervention In Outpatient Specialty Departments, Joy-Ruth Mathews

Doctoral Dissertations and Projects

The global prevalence of mental health illnesses has prompted a growing need for healthcare professionals to be prepared to identify and address these concerns. Many nurses in outpatient specialty departments report feeling underprepared and lacking confidence when communicating with patients about mental health concerns. This scholarly project utilized an educational intervention to improve nurse confidence in mental health communication, the application of therapeutic communication techniques, and resource identification. A quasi-experimental, one-group pretest/posttest design was implemented, with nurses from outpatient specialty departments at Duke Health’s Kernodle Clinic completing pre- and post-Likert scale surveys to assess changes in their self-reported confidence. The …

Qualitative Ethnographic Research On The Efficacy Of A Christian-Based Approach To Mentorship For Black Males, Arnold M. Campbell

Doctoral Dissertations and Projects

This study advanced qualitative research by identifying several statistical gaps in the social sciences related to leadership development, learning principles, character traits, and spiritual formation for a specific demographic of Black males. This researcher aimed to understand the efficacy of Christian-based actions through mentorship programs that intend to address social deficits. From a theological and theoretical context, this research literature review and observations focused on the practical Christian-based approaches to mentorship that provided a model to improve the lives of a specific demographic of Black males considered high-risk and vulnerable. The target group was raised in single-parent homes and attended …

A Phenomenological Study Of Secondary Music Teachers And Their Experiences With Class Schedules In Central Virginia, Aliza Marie Nogueras

Doctoral Dissertations and Projects

There is currently a lack of recognition for the unique influence of class schedules on music educators’ lived experiences in public-schools. This study examines how middle and high music class schedules play a role in music teacher’s curriculum development and overall well-being. Class schedules created without regard to musical instruction may create significant challenges for music teachers, reducing instructional time, disjointing curricula, and causing inconsistencies in delivering high-quality music education. Focusing on music teachers in Central Virginia, this hermeneutic phenomenological study highlights the specific lived experiences of public-school music educators. The central research questions explore how class schedules shape instructional …

Psychologist-Federal Agent Approaches To Supporting Veterans And Police With Mental Health Challenges, Ismith Bocaille

Doctoral Dissertations and Projects

This study explored how federal agents and psychologists collaborate to assist veterans and police officers receive offer mental health care. The study paid attention to the potential interplay of artificial intelligence and faith-informed models. Following IPA-based qualitative interviews with federal agents and psychologists and an extensive literature review, the study pointed out some barriers to seeking mental health services, including stigma, rigidity inside organizations, and less peer support. Intervention models that involve patients intensely have emerged as more effective ideas, which are used sparingly. The results indicate that peer support should be incorporated into departmental policies, and closer contact and …

Experiences Of A Simulated Medical Malpractice Lawsuit On Nursing Students' Documentation Practices: A Transcendental Phenomenological Approach, Heide Thorne

Doctoral Dissertations and Projects

The purpose of this qualitative, transcendental phenomenological study is to understand the perspectives of first semester nursing students participating in a simulated medical malpractice lawsuit and documentation practices. The theory guiding this study is Kolb’s experiential learning theory (ELT), as it explains the relationship of learning and knowledge transfer through a simulation-based learning activity (SBL). Data collection approaches included observations, anonymous reflective journals, and individual interviews or questionnaire capturing students’ personal experiences and emerging themes. Bracketing enhanced reflexivity, reduced bias, and strengthened the study’s credibility and dependability. Results of the study support the efficacy of a specific, powerful SBL activity …

Developing A Ministry Model That Reengages The Members Of Mount Zion Into Fulfilling God’S Purpose, Desmond Wayde Wallace

Doctoral Dissertations and Projects

Making a meaningful difference within a ministry that requires intervention demands not only strategic planning and teamwork but also leadership that is unwavering in its commitment to fulfilling God’s purpose through service. The church under review has faced significant shifts within its community beginning in the late 1990s and extending into the early 2000s. Unfortunately, these changes did not lead to the anticipated growth and development; instead, they triggered a noticeable decline within both the ministry and the surrounding area. This decline has had a cascading effect, negatively impacting the community and further eroding the church’s vitality, resulting in decreased …

An Intellectual History Of The American Right To Keep And Bear Arms, John Charles Davis

Doctoral Dissertations and Projects

This dissertation presents an examination of the intellectual history of the American right to keep and bear arms, as well as its embodiment in the Second Amendment of the United States Constitution. The document presents the history of ideas surrounding the concept of the right to keep and bear arms, from early Western Civilization through various channels, including English traditions, and how they contributed to the unique perspective on the right to keep and bear arms that emerged in America. Explores not only English contributions, but those of the Scots, and philosophers throughout Europe and Western Civilization, as well as …

Public Administrators’ Role In Law Enforcement Training: How Public Administrators Influence The Communication Gap Between Law Enforcement Personnel And Society, Lori B. Singer-Bare

Doctoral Dissertations and Projects

Communication training in police academies has historically been lacking across the nation. Prior research indicates that communication skills are necessary for law enforcement professionals. Recent incidents have indicated that a communication gap occurs between law enforcement professionals and community members. Ultimately, public administrators play a role in the delivery of law enforcement services. In Ohio, the 2024 Blue Ribbon Task Force uncovered that communication training for law enforcement professionals is lacking. Public administrators are often charged with making proposals for organizational and law enforcement training to address societal needs. State Attorney Generals often oversee the Peace/Police Officer Training Academy and …

Building Stability Through Compassion: A Study Of City Gates Ministries’ Impact On Homelessness And Resource Distribution, Bryan Christopher Pruitt

Doctoral Dissertations and Projects

This Dissertation-in-Praxis focused on how City Gates Ministries, a nonprofit organization in Thurston County, Washington, improved its support for individuals and families facing homelessness and poverty by refining its operational systems. The initiative aimed to strengthen donation intake, inventory management, and furniture delivery, which had previously strained resources and hindered organizational consistency. Guided by biblical leadership principles, the project introduced cost-effective solutions like a barcode-based digital inventory system, color-coded signage, and modular volunteer training sessions. Outcomes included a 30% reduction in inventory duplication errors, a nearly 45% decrease in retrieval times for high-demand items, and a decrease in misplaced inventory …

The Impact Of Childcare Services On The Professional And Personal Lives Of Nurse-Parents In Puerto Rico, Sandily Villegas

Doctoral Dissertations and Projects

The purpose of this study was to evaluate the impact of childcare services on the professional and personal lives of nurse-parents in Puerto Rico. The problem investigated was that nurses who are parents constantly face challenges regarding balancing work and childcare responsibilities. This study used qualitative research with a grounded theory framework. Neuman System Theory serves as a framework for evaluating the stressors and challenges faced by nurse-parents. The central research question was: How does the availability of childcare services affect the professional and personal lives of nurse-parents in Puerto Rico? To answer this question, data were collected through three …

Exploring The Lived Experiences Of Of Teacher Mentors While Working With New And Experienced Teachers In The Public School Setting In Southeast Tennessee, Vandy S. Watt

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore the lived experiences of teacher mentors working with new and experienced teachers in the public-school setting in southeast Tennessee. The theory guiding this study is Burns’ (1978) transformational leadership theory as it drives and influences the mentoring experiences of the individuals and the impact on the mentor and mentee. The central question was how do teacher mentors describe their experiences serving as mentors? To address this question, the study utilized 12 participants that had served as mentors in the secondary setting within the last three years. Participants were required to …

The Impact Of Religious Faith On The Relationships Between Negative Affect, Work-Family Conflict, And Emotional Intelligence In Adult Online Learners, Alexander A. Priel

Doctoral Dissertations and Projects

Emotional intelligence has been well researched in traditional environments as a trait that positively influences employees and the culture of organizations of numerous industries This study served to fill a gap in the psychological literature in assessing adult online learners, a population that is both increasing in number and vastly understudied. The primary goal of this dissertation was to assess variables that impact emotional intelligence in a virtual environment. NA has been identified with an inverse relationship with EI, increasing counterproductive work behaviors, while WFC has been negatively associated with EI, potentially leading to stress and burnout for organizational employees. …

Genetic Determinants And Genomic Consequences Of Non-Leukemogenic Somatic Point Mutations, Joshua S. Weinstock, C Charles Gu, Et Al.

2020-Current year OA Pubs

No abstract provided.

Exploring Children’S And Their Parents’ Experiences Within Urgent Treatment Centres: Phd Plan, Danielle Edge, Sarah Neill, Lucy Bray, Martha Paisi

School of Nursing and Midwifery

Background:Children under 18 are frequent users of urgent and outpatient care, yet their perspectives, especially those of younger children under 7, are rarely captured in research. Urgent Treatment Centres (UTCs), established to reduce attendance to Emergency Departments, must be responsive to the needs (RCPCH, 2018) and rights of children as outlined in the UNCRC (1989), including their right to be heard and involved in decisions about their care.Aim:To critically explore the experiences and perceptions of children aged 2–7 and their parents when receiving care in Urgent Treatment CentresMethods:This doctoral study is underpinned by a child rights-based approach and has been …

Strategies For Recruitment And Retention Of Mental Health Providers In The Military Health System, Christopher J. Chase

Walden Dissertations and Doctoral Studies

Recruitment and retention of mental health professionals are critical challenges for the Military Health System (MHS), affecting timely access to behavioral health care, workforce stability, and mission readiness. Persistent shortages threaten the well-being of service members and increase reliance on the resilience of overburdened staff, particularly in rural and underserved areas. This integrative review aimed to identify and synthesize best practices to improve recruitment and retention of mental health providers within the MHS. Using the Johns Hopkins Nursing Evidence-Based Practice Model, a systematic literature search and thematic analysis were conducted on 27 high-quality research and non-research articles. The Affective, Continuance, …

Staff Education And Competency Assessment For Central Line-Associated Bloodstream Infection Reduction, Shabana Ali

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an educational initiative to provide comprehensive central line-associated bloodstream infection (CLABSI) prevention education program for staff working in an intensive care unit (ICU). CLABSIs pose a significant threat to patient safety, contributing to increased morbidity, mortality, and healthcare costs, with annual expenditures estimated at $300 million to $2.3 billion and mortality rates ranging from 10% to 30%. Despite existing protocols, the project site facility experienced persistent CLABSI rates. The purpose of the project was to provide a comprehensive educational program to ICU staff members on the unit. The practice-focused question guiding this project …

Influence Of High-Speed Internet Infrastructure Availability On Aggregate Academic Outcome Measures For Washington State High Schools, Jessie A. Tanksley

Walden Dissertations and Doctoral Studies

Limited research has been conducted about the potential influence of high-speed broadband infrastructure availability in rural and urban communities on high school academic outcome measures in Washington state. Guided by Siemens’s theory of connectivism and van Dijk’s digital divide theory, the purpose of this quasi-experimental, causal-comparative, quantitative study was to determine whether significant differences in high school academic performance, measured by graduation rates and standardized test scores, exist between urban and rural communities with and without access to high-speed broadband internet infrastructure in Washington state. Three research questions were developed to examine differences in graduation rates, 10th-grade English Language Arts …

Civic Engagement Among African American Women And The 2024 Presidential Election, Arquena Dailey

Walden Dissertations and Doctoral Studies

Although election data exists on the importance of African American women for the Democratic Party, a gap remains in the literature regarding the influences of African American women who participated in the Democratic Party civic engagement during the 2024 presidential election. Key findings from existing literature included the tension between hope and burnout and the reliance on faith-based and peer networks to sustain motivation. The purpose of this study was to explore the influences responsible for African American women’s civic engagement in the 2024 presidential election. This authentic narrative qualitative study’s conceptual framework was grounded in the digital peer influence …

The Relationship Between Transformational Leadership Skills And Telecommunication Organizations’ Project Success, Robert Buhr

Walden Dissertations and Doctoral Studies

Low project success rates are a significant issue for telecommunications organizations and project managers, as they can negatively impact operational efficiency and profitability. Grounded in transformational leadership theory, this quantitative project aimed to investigate the relationship between transformational leadership and project success within the telecommunications industry. A priori power analysis was conducted using G*Power, yielding a noncentrality parameter of 2.54, a critical t value of 1.68, degrees of freedom (df) equal to 49, a total sample size of 51, and an actual power of 0.80. The 51 participants were project managers in leadership positions, with two or more years of …

Trauma As A Predictor Of Engagement Among Former Foster Youth Parents Involved With Child Welfare, Sarah Gordon

Walden Dissertations and Doctoral Studies

The specific research problem addressed in this study is that the relationship between parent engagement with child safety personnel and the trauma histories of parents with transgenerational child welfare involvement is not well understood. Parent engagement is a critical component of child safety family outcomes. Although past research recognizes lower engagement for former foster youth (FFY) parents with child safety systems and the negative effects of trauma throughout a person’s life, there is no prior research that examines how trauma affects FFY parent engagement with child safety systems. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this quantitative, cross-sectional …

System Barriers To Brokering School-Based Versus Community-Based Therapeutic Services From The Perceptions Of School Social Workers In Georgia, Jessica Ochei-Gilliam

Walden Dissertations and Doctoral Studies

Barriers to brokering therapeutic services cause challenges for school social workers to address their students’ mental health needs, especially in Georgia, where students’ mental health needs are high. The purpose of this qualitative study was to explore school social workers’ perceptions of the system barriers related to brokering these services. The research questions explored school social workers’ perceptions of brokering on-site versus community-based therapeutic services in the state of Georgia. In addition, this study inquired about the system barriers that school social workers face when brokering these services. This study was grounded in the ecological systems theory, which argues that …

Stoic Wisdom For The Contemplative Teacher: Prosochê And Praemeditatio Malorum As Alternative Approaches To Mindfulness, Anna Rumjahn

Journal of Contemplative and Holistic Education

In K-12 environments where teacher burnout and attrition are increasingly prevalent, where can educational professionals seek sustainable approaches to reduce exhaustion, emotional demands, and uncertainty? In this paper, I extend Christopher McCaw’s research on the direct and dynamic relationship between contemplative practices and who teachers are and are becoming. By examining the current debates around defining reflective and contemplative practitioners, I call for alternative definitions of mindfulness when considering teacher professional becoming and submit for consideration the perspectives of Greco-Roman philosophy which has hitherto been less explored apropos education. Using prosochê (attention) and the Stoic exercise of praemeditatio malorum to …

A Plane, A Plaque, And A Prize: J.R.R. Tolkien And Peter Medawar, Kristine Larsen

Journal of Tolkien Research

On May 4, 1941, a military plane crashed near Tolkien's home. This article ties together his family's experience, the impact it had on the Oxford community, and a Nobel Prize, whose winner Tolkien later shared air raid warden duty with.

Clinical Management Of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome As A Curriculum Thread To Meet Accreditation Standards In Physical Therapy Education, Sallie W. Rediske, Heidi Shearin, Todd E. Davenport, Melinda W. Maxwell

Internet Journal of Allied Health Sciences and Practice

Purpose: ME/CFS is a debilitating, complex, chronic illness that is estimated to affect up to nine million Americans. It requires a paradigm shift in treatment approach to one of energy conservation due to metabolic effects resulting in exercise and activity intolerance. Including clinical management of ME/CFS as a curriculum thread in Doctor of Physical Therapy (DPT) programs is vital for safe and effective care of people with ME/CFS and can help meet accreditation standards. Methods: ME/CFS significantly impacts quality of life. It has been recognized by the World Health Organization since 1969 as a biomedical neurological disorder. Prior to …