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Promoting Inclusion Through Evidence-Based Behavior Management: Effective Interventions For Students With Asd In General Education, Emma Kaiser Aug 2025

Promoting Inclusion Through Evidence-Based Behavior Management: Effective Interventions For Students With Asd In General Education, Emma Kaiser

Masters Projects

As diagnoses of autism spectrum disorder (ASD) continue to rise, general education classrooms are increasingly responsible for meeting the needs of students with ASD. However, many teachers lack the training and resources necessary to manage challenging behaviors effectively. This knowledge gap often results in exclusionary practices such as restraint, seclusion, and suspension, which act as barriers to inclusion. The purpose of this project is to equip educators with evidence-based behavior management strategies that support inclusive practices. Drawing from current research, the project organizes effective interventions into three key categories: preventing challenging behaviors, teaching alternative skills, and reinforcing positive behaviors. Each …


Optimal Roof Strategy For Mitigating Urban Heat Island In Hot Arid Climates : Simulation And Python-Based Multi-Criteria Decision Analysis, Rehab Alaa, Amira Elbalazi, Walaa S.E. Ismaeel Aug 2025

Optimal Roof Strategy For Mitigating Urban Heat Island In Hot Arid Climates : Simulation And Python-Based Multi-Criteria Decision Analysis, Rehab Alaa, Amira Elbalazi, Walaa S.E. Ismaeel

Architectural Engineering

No abstract provided.


700 Bklyn Realty Llc V. Lynch Aug 2025

700 Bklyn Realty Llc V. Lynch

All Decisions

The court granted the landlord a money judgment for legal fees and use and occupancy in a non-primary residence holdover. The tenant failed to appear or provide discovery, leading to a default judgment of possession for the landlord. The court found the landlord was the prevailing party and therefore entitled to fees under the lease. Citing public policy to discourage non-primary residence occupancy, the court awarded the landlord $54,780 in legal fees and a separate judgment of $65,298.97 for use and occupancy and eviction costs.


Dietary Protein’S Effect On The Gut Microbiome And Its Metabolites: Protocol Description And Virtual Recruitment Efforts For A Remote Randomized Controlled Trial, Karyn M. Gallivan, Kristin S. Ondrak, Denise M. Danos, Meng Luo, Christopher M. Taylor, Lauren E. Meyer, Ann M. Byerley, Alexander W. Nguyen, Sabyasachi Chatterjee, Jiri Adamec, Lauri O. Byerley Aug 2025

Dietary Protein’S Effect On The Gut Microbiome And Its Metabolites: Protocol Description And Virtual Recruitment Efforts For A Remote Randomized Controlled Trial, Karyn M. Gallivan, Kristin S. Ondrak, Denise M. Danos, Meng Luo, Christopher M. Taylor, Lauren E. Meyer, Ann M. Byerley, Alexander W. Nguyen, Sabyasachi Chatterjee, Jiri Adamec, Lauri O. Byerley

School of Medicine Faculty Publications

Fiber’s effect on our gut microbes has been studied extensively, while knowledge of the effect of protein is sparse. Colonic putrefaction of dietary protein is known to produce several potentially detrimental compounds. This randomized controlled trial (RCT) uses a pre- and post-study design to investigate the effect of consuming higher levels of dietary protein on the gut microbiota and the metabolites it produces. Here, we describe our virtual recruitment efforts and RCT protocol. Potential participants lived throughout the contiguous US. Several recruitment methods were employed, of which email reached the largest group of people (approximately 9,100) and generated a 0.3% …


Development Of Numerical Tools And Performance Metrics For Analysis Of Optical Particle Counters, Doug Webb Aug 2025

Development Of Numerical Tools And Performance Metrics For Analysis Of Optical Particle Counters, Doug Webb

Theses and Dissertations

Monitoring air quality is essential for understanding and mitigating the health impacts of airborne particulate matter (PM), which is linked to respiratory and cardiovascular disease. Optical particle counters (OPCs) are widely used for air quality monitoring, yet their precision and accuracy remain uncertain due to inconsistent performance evaluations. In this thesis, performance metrics are developed that can be used to assess the accuracy of OPCs in measuring PM concentrations and size distributions. Computational fluid dynamics (CFD) simulations are employed to analyze the behavior of particle-laden air streams through representative OPC models. The impact of design parameters is quantified using newly …


Empowering General Educators: Supporting Students With Learning Disabilities Through Inclusive Tier Two Practices, Megan Sparling Aug 2025

Empowering General Educators: Supporting Students With Learning Disabilities Through Inclusive Tier Two Practices, Megan Sparling

Masters Projects

Many general education teachers enter the profession with minimal training in how to effectively support students with learning disabilities, particularly those who require Tier Two interventions but do not qualify for special education services. This lack of preparation contributes to reduced instructional confidence, inconsistent intervention practices, and missed opportunities to support struggling learners. Grounded in Vygotsky’s Zone of Proximal Development, Universal Design for Learning (UDL), and Bandura’s theory of self-efficacy, this capstone project addresses the urgent need for ongoing, practical professional development tailored to the realities of inclusive classrooms. The literature highlights the importance of sustained, collaborative, and contextually embedded …


Homologous And Heterologous Vaccination Regimens With Mrna And Rvsv Platforms Induce Potent Immune Responses Against Sftsv Glycoprotein, Tomaz B. Manzoni, Jonna B. Westover, Kendall A. Lundgreen, Philip D. Hicks, Raegan J. Petch, Jordan T. Ort, Drew Weissman, Steven H. Y. Fan, Scott E. Hensley, Norbert Pardi, Brian B. Gowen, Paul Bates Aug 2025

Homologous And Heterologous Vaccination Regimens With Mrna And Rvsv Platforms Induce Potent Immune Responses Against Sftsv Glycoprotein, Tomaz B. Manzoni, Jonna B. Westover, Kendall A. Lundgreen, Philip D. Hicks, Raegan J. Petch, Jordan T. Ort, Drew Weissman, Steven H. Y. Fan, Scott E. Hensley, Norbert Pardi, Brian B. Gowen, Paul Bates

Animal, Dairy, and Veterinary Science Faculty Publications

Background: Severe fever with thrombocytopenia syndrome virus (SFTSV) is a highly pathogenic bunyavirus with a high case-fatality ratio for which there is no approved vaccine. Studies have assessed different vaccine technologies. However, few studies have yet assessed the immunogenicity of heterologous prime-boost regimens. Methods: Here, we compare a lipid nanoparticle (LNP)-encapsulated nucleoside-modified mRNA-based vaccine encoding the SFTSV glycoproteins, Gn and Gc, to our recently described recombinant VSV SFTSV (rVSV-SFTSV) vaccine in single dose, homologous, and heterologous prime-boost regimens in mice. Results: We show that all regimens protect from pathogenic SFTSV challenge and elicit strong long-lasting antibody responses. Furthermore, strong cellular …


Effects Of Mode And Transitioning To A Mixed-Mode (Web/Phone) Design On Categorical Survey Estimates: Do Question Characteristics Matter?, Mengyao Hu, Vicki A Freedman, Justin Kamens Aug 2025

Effects Of Mode And Transitioning To A Mixed-Mode (Web/Phone) Design On Categorical Survey Estimates: Do Question Characteristics Matter?, Mengyao Hu, Vicki A Freedman, Justin Kamens

Faculty, Staff and Student Publications

An increasing number of telephone surveys are introducing a web option. Limited experimental research has explored the implications of such design changes and how they vary by question characteristics. Using an experimental design and propensity score matching techniques, this study examines the effects of mode (web vs. telephone) and transitioning to a mixed-mode design (from telephone-only to the choice of web or telephone) on survey estimates and how effects differ by question characteristics. We draw upon an experiment embedded in the National Study of Caregiving (NSOC), in which half of NSOC-eligible caregivers were randomized to a telephone-only design and the …


The Link Between Disability And Suicide Ideation In Men Over 60, Cassandra Lawrence Aug 2025

The Link Between Disability And Suicide Ideation In Men Over 60, Cassandra Lawrence

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention considers suicide and suicide ideation as a severe public health issue among older men and people with disabilities. The purpose of this study was to determine if there is a predictive relationship between the level of disability, type of disability (i.e., physical, visual, hearing), functional disability, (i.e., mobility, activities of daily living (ADLs), instrumental activities of daily living (iADLs), and having multiple disabilities on suicide ideation among men with a disability who are aged 60 years and older while controlling for age, depression, marital status and retirement status. The interpersonal-psychological theory of suicidal …


Information Technology Industry Leaders’ Methods To Enhance Employee Job Performance, Helen Chioma Orisakwe Aug 2025

Information Technology Industry Leaders’ Methods To Enhance Employee Job Performance, Helen Chioma Orisakwe

Walden Dissertations and Doctoral Studies

Many U.S. tech companies are grappling with the challenge of sustaining high employee performance. It's crucial for information technology (IT) executives and business leaders to adopt strategies that support high employee performance, as this is vital for fostering innovation, promoting staff well-being, and ensuring reliable service. Grounded in Bass and Avolio’s transformational leadership theory, this qualitative pragmatic inquiry sought to determine which leadership practices employed by experienced IT supervisors most effectively elevate employee performance. Purposive sampling was used to recruit seven IT organizational leaders with at least five years of supervisory experience and demonstrated success in performance-enhancing initiatives. Data from …


The Educator Becomes The Student: Achieving Lifelong Learning Through Daybook, Casper Jonker, Zoe Brookes, Catherine Coelho, Sally Hanks, Amanda Addy Aug 2025

The Educator Becomes The Student: Achieving Lifelong Learning Through Daybook, Casper Jonker, Zoe Brookes, Catherine Coelho, Sally Hanks, Amanda Addy

Peninsula Dental School

No abstract provided.


Effective Public Sector Information System Enterprise Cybersecurity Leadership Strategies, Christopher Adiele Orisakwe Aug 2025

Effective Public Sector Information System Enterprise Cybersecurity Leadership Strategies, Christopher Adiele Orisakwe

Walden Dissertations and Doctoral Studies

Public sector organizations face increasing cybersecurity risks due to the growing complexity of digital infrastructure, expanding attack surfaces, and evolving threat landscapes. Despite the increasing risk, many Information Technology (IT) leaders continue to struggle with implementing comprehensive and sustainable strategies to protect information systems. Grounded in Ajzen’s theory of planned behavior, the purpose of qualitative pragmatic inquiry was to explore effective cybersecurity strategies IT leaders in the public sector use to protect organizations from cyberattacks, maintain public trust, and prevent financial losses. The project examined how attitudes, subjective norms, and perceived behavioral control influence leaders’ cybersecurity practices. Data were collected …


Exploring Strategies For Mitigating Toxic Behaviors And Improving Employee Retention In Organizations, Roy Lydell Rucker Aug 2025

Exploring Strategies For Mitigating Toxic Behaviors And Improving Employee Retention In Organizations, Roy Lydell Rucker

Walden Dissertations and Doctoral Studies

A lack of mitigation strategies for middle manager toxic leadership can negatively affect organizational retention outcomes. Business leaders are concerned with a lack of effective strategies to counteract these behaviors and improve retention. Grounded in the toxic leadership theory, this study aimed to explore executive leaders’ strategies for mitigating toxic leadership and enhancing retention, guided by the toxic leadership framework. A qualitative, pragmatic inquiry design employed purposive sampling of nine C-suite executives from U.S. technology small and medium-sized enterprises (SMEs). Data were collected via semistructured interviews and organizational documents. Thematic analysis, employing iterative coding and constant comparison, yielded six themes: …


Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro Aug 2025

Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro

Walden Dissertations and Doctoral Studies

The problem investigated in this study was that low-level writing skills among postsecondary, non-traditional students contributed to poor essay grades, a lack of persistence, and low test scores, resulting in increased drop-out rates. A college writing center in a large city in the Northeastern United States developed an innovative, asynchronous tutorial to improve students' writing skills. The purpose of this basic qualitative study was to explore the experiences of non-traditional students at a four-year college regarding an on-demand asynchronous writing tutorial offered by the college writing center. The technology acceptance model was used to frame the study because it has …


Nonprofit Organizational Effectiveness And Executive Leaders, Karen Renee Solomon Edwards Aug 2025

Nonprofit Organizational Effectiveness And Executive Leaders, Karen Renee Solomon Edwards

Walden Dissertations and Doctoral Studies

U.S. nonprofit organizations provide important services to society as an integral sector within the community. This necessitates organizational effectiveness. The problem explored in this research concerned how nonprofit executive leaders defined organizational effectiveness and perceived their role in creating and sustaining it within their organization. There was limited scholarly literature regarding a common understanding of how executive leaders defined organizational effectiveness within a nonprofit, and how they perceived their role in creating and maintaining it. The purpose of this basic qualitative study was to explore how nonprofit organization executive leaders defined organizational effectiveness and perceived their role in creating and …


From Age Estimation To Age-Invariant Face Recognition: Generalized Age Feature Extraction Using Order-Enhanced Contrastive Learning, Haoyi Wang, Victor Sanchez, Chang Tsun Li, Nathan Clarke Aug 2025

From Age Estimation To Age-Invariant Face Recognition: Generalized Age Feature Extraction Using Order-Enhanced Contrastive Learning, Haoyi Wang, Victor Sanchez, Chang Tsun Li, Nathan Clarke

School of Engineering, Computing and Mathematics

Generalized age feature extraction is crucial for age-related facial analysis tasks, such as age estimation and age-invariant face recognition (AIFR). Despite the recent successes of models in homogeneous-dataset experiments, their performance drops significantly in cross-dataset evaluations. Most of these models fail to extract generalized age features as they only attempt to map extracted features with training age labels directly without explicitly modeling the natural ordinal progression of aging. In this paper, we propose Order-Enhanced Contrastive Learning (OrdCon), a novel contrastive learning framework designed explicitly for ordinal attributes like age. Specifically, to extract generalized features, OrdCon aligns the direction vector of …


The Role Of Artificial Intelligence In Transforming Project Management In The Fashion, Selin Yapici Aug 2025

The Role Of Artificial Intelligence In Transforming Project Management In The Fashion, Selin Yapici

Harrisburg University Dissertations and Theses

The quick adaptation of artificial intelligence (AI) is driving a significant revolution in the fashion. The use of AI in project management is still somewhat unexplored, despite its widespread adaptation in design, retail, and marketing. The impact of AI on project management procedures in the fashion industry is examined in this study, with a focus on striking a balance between operational effectiveness and creative freedom. The study is based on the Technology Acceptance Model (TAM), Industry 4.0, and Project Management Theory, which collectively offer a multi-theoretical perspective for comprehending the adoption and effects of AI. Examining fashion expert’s perspectives and …


Effects Of Risk Management Strategies On Project Delays In Aircraft Maintenance, Inkyu Lee Aug 2025

Effects Of Risk Management Strategies On Project Delays In Aircraft Maintenance, Inkyu Lee

Harrisburg University Dissertations and Theses

Aircraft maintenance delays create operational inefficiencies, increase costs, and reduce aircraft availability. These delays were often caused by poor planning, weak communication, and inconsistent risk identification. Previous research focused mainly on safety and compliance, with less attention given to how risk management affected project efficiency. This qualitative study looked at how structured risk management strategies could help reduce delays in aircraft maintenance projects. Data was collected through interviews with 12 professionals working in line and hangar maintenance. Each participant had at least five years of experience with risk-related tasks. The group included technicians, lead mechanics, a planner, and a manager. …


Exploring The Role Of Accessibility In Enhancing User Experience: Trends, Challenges, And Opportunities Across Digital Platforms, Adiba Khan Aug 2025

Exploring The Role Of Accessibility In Enhancing User Experience: Trends, Challenges, And Opportunities Across Digital Platforms, Adiba Khan

Harrisburg University Dissertations and Theses

Accessibility was a fundamental aspect of enhancing user experience (UX) across digital platforms, ensuring equitable access to information and services for a diverse range of users, including individuals with visual, auditory, cognitive, or motor impairments. As digital products became increasingly central to education, commerce, and communication, the need for inclusive design grew. This study explored the intersection of accessibility and UX, with a specific focus on how accessibility-driven design improved usability, user satisfaction, engagement, and the overall quality of digital interactions. Grounded in Agile project management principles, the research examined how early integration of accessibility into the software development lifecycle …


Effect Of Histidine Tag On The Enzymatic Activity Of Pseudolysin And Its Interaction With The Streptomyces Metalloprotease Inhibitor (Smpi) Protein, Adewale Adeboye Adewole Aug 2025

Effect Of Histidine Tag On The Enzymatic Activity Of Pseudolysin And Its Interaction With The Streptomyces Metalloprotease Inhibitor (Smpi) Protein, Adewale Adeboye Adewole

Electronic Theses and Dissertations

Pseudolysin (PLN) protein is a major virulent factor in Pseudomonas aeruginosa infection. PLN belongs to the family of zinc-dependent metalloproteases. It is naturally inhibited by a smaller protein called streptomyces metalloprotease inhibitor (SMPI), secreted by Streptomyces nigrescens. Previous and current studies demonstrate that the interaction between PLN and SMPI offers unique mechanistic insights for drug development against infections caused by P. aeruginosa. This study investigated the effect of N-terminal Histidine (His) tag on the enzymatic activity of PLN and its interaction with SMPI. His-tagged PLN and SMPI proteins were expressed in bacteria and purified by affinity chromatography …


A Comprehensive Evidence-Based Educational Initiative For Improving Hand Hygiene, Lyanna L. Chan Aug 2025

A Comprehensive Evidence-Based Educational Initiative For Improving Hand Hygiene, Lyanna L. Chan

Master's Projects and Capstones

Abstract

Problem: Healthcare-associated infections (HAIs) are a persistent concern in assisted living facilities, often resulting from inconsistent hand hygiene practices. Although national guidelines exist, adherence remains suboptimal, especially where staff training and compliance monitoring are limited.

Context: This project took place in a 53-bed assisted living facility without a formal system to track or reinforce hand hygiene. The aim was to improve staff knowledge and promote infection prevention through education.

Interventions: A Clinical Nurse Leader (CNL) led an evidence-based hand hygiene education program. The intervention included interactive training, visual reminders, personal sanitizers, and leadership support during clinical huddles.

Measures: Pre- …


Efficacy Of Lactobacillus Rhamnosus And Its Metabolites To Mitigate The Risk Of Foodborne Pathogens In Hydroponic Nutrient Solution, Esther Oginni, Robin A. Choudhury, Veerachandra Yemmireddy Aug 2025

Efficacy Of Lactobacillus Rhamnosus And Its Metabolites To Mitigate The Risk Of Foodborne Pathogens In Hydroponic Nutrient Solution, Esther Oginni, Robin A. Choudhury, Veerachandra Yemmireddy

School of Earth, Environmental, & Marine Sciences Faculty Publications

Hydroponic nutrient solution (HNS) has been established as an ideal conduit for pathogen contamination and proliferation. This study evaluated the efficacy of lactic acid bacteria and their metabolites in mitigating the risk of foodborne pathogens in HNS when compared to conventional chemical treatments. Hoagland’s HNS were prepared according to the manufacturer’s instructions and inoculated with Salmonella Typhimurium, Escherichia coli 0157:H7, and Listeria innocua at 105 CFU/mL cell concentration. These nutrient solutions were subjected to treatment with various concentrations of Lactobacillus rhamnosus live cells, a cell-free extract (CFE) of L. rhamnosus metabolites, sodium hypochlorite and peroxyacetic acid at 22 ± 1 …


Shared Kitchens Changing The Housing Development, Agniya Seliuzhytskaya Aug 2025

Shared Kitchens Changing The Housing Development, Agniya Seliuzhytskaya

McNair Summer Research Program

In response to the escalating housing crisis and ongoing economic disruptions, many individuals have turned to home-based food entrepreneurship as a means of financial stability. The Microenterprise Home Kitchen Operation (MEHKO) program enables residents to legally operate small-scale food businesses from their private kitchens, effectively blurring the line between domestic and commercial space. This research investigates how MEHKOs challenge conventional understandings of housing, domesticity, and zoning, and considers how shared or adaptable kitchen models might inform emerging housing typologies.

The study combines spatial and policy analysis by mapping the distribution of approved MEHKO sites in San Diego and overlaying that …


Immigrant Surveillance In San Diego During A Fascist Era, Jennifer L. Torres Leon Aug 2025

Immigrant Surveillance In San Diego During A Fascist Era, Jennifer L. Torres Leon

McNair Summer Research Program

The following qualitative study examines a new increase of technological surveillance used on immigrants by San Diego’s local law enforcement. Drawing from in-depth interviews of the San Diego Privacy Advisory Board and Trust SD, insights of technological related violations are sanctioned by the San Diego Police Department. This is done through ambiguous language regarding “criminal investigations” and lack of definitive use policy, despite several memorandums and recommendations by the SD Privacy Advisory Board. Present findings reveal a duality of immigrant surveillance instigating hyper-visible tracking and broadcasting an image of their criminality. This study contributes to scholarship or crimmigration and urban …


The Consequences Of Workplace Racial Discrimination: A Scoping Review, Yaritza A. Ortiz, Evelyn D. Sarsar Aug 2025

The Consequences Of Workplace Racial Discrimination: A Scoping Review, Yaritza A. Ortiz, Evelyn D. Sarsar

McNair Summer Research Program

Racial discrimination has been consistently associated with negative mental health outcomes among marginalized communities. Racial discrimination within the workplace has shown to be detrimental to mental well-being and behavioral outcomes, however, there is much less work investigating these links. Therefore, this scoping review aimed to understand the association between workplace racial discrimination and mental and behavioral health outcomes.

Empirical articles were identified using Google Scholar and PsycINFO. The extracted data included, design of the study, the number of participants, ethnicity or race, type of discrimination, mental or behavioral outcome, and the results produced by the data. For the final review, …


Spaces Of Empowerment: A Study On University Multicultural Spaces & Civil Rights, Keana Balalio Aug 2025

Spaces Of Empowerment: A Study On University Multicultural Spaces & Civil Rights, Keana Balalio

McNair Summer Research Program

Following the 1960s Civil Rights Movement, American universities dedicated offices and centers to multiculturalism. This project questions how identity-centered spaces for empowerment operate in relation to efforts for institutional integration. This study proposes the term space(s) of empowerment to describe identity-based areas at universities [and other institutions] that encourage gathering of historically marginalized communities, their allies, and institutional supervisory support. The concept draws on architectural literature regarding political and economic power dynamics of space. Beginning with the University of San Diego’s United Front Multicultural Commons (UFMC), study includes reproductions of floor plans and memories. Analysis draws from Michel de Certeau’s …


Where Pipes Meet The Water: Urban Infrastructure In Tijuana, Joab Barrientos Aug 2025

Where Pipes Meet The Water: Urban Infrastructure In Tijuana, Joab Barrientos

McNair Summer Research Program

Tijuana's rapid urban growth and industrial development have placed significant pressure on its water infrastructure, resulting in ongoing pollution concerns in the Tijuana River Watershed and elsewhere in and beyond the city. In many areas of the city, rapid urban growth has outpaced the building of critical infrastructure like sewage and stormwater systems. These factors have left neighborhoods at risk for a long time. At the same time, industrial growth has often relied on old infrastructure or happened without the right systems in place. Although poor water quality has been a problem for years, few studies have used spatial analysis …


Illuminating Leadership Excellence: An Evidence-Based Qi Intervention Reigniting Nurse Leaders From Burnout To Brilliance Using Caring Science And Reflective Practice, Matthew S. Elliott Aug 2025

Illuminating Leadership Excellence: An Evidence-Based Qi Intervention Reigniting Nurse Leaders From Burnout To Brilliance Using Caring Science And Reflective Practice, Matthew S. Elliott

Master's Projects and Capstones

Abstract

Problem: A 2024 assessment at a 250‑bed Northern California medical center revealed that 76% of 16 inpatient nurse leaders met "high‑burnout" criteria on the Maslach Burnout Inventory, and leader turnover had climbed to 25%, more than triple national benchmarks, threatening patient care quality, financial stability, and alignment with Magnet® and employee engagement goals.

Context: Root causes included pandemic‑era promotions without development support, a task‑oriented leadership culture, and eroding psychological safety (Press Ganey engagement ≈ 30%). An integrative logic model positioned Watson's Caring Science as the theoretical base, Schön's Reflective Model for adaptive learning, and the Prosci ADKAR change framework …


Enhancing Client Intake Efficiency In The Removal Defense Program: A Nursing-Led Quality Improvement Initiative, Johnny Linares, Julia Tran Ngo, Daniel Orea, Atheana Yadira Lopez Aug 2025

Enhancing Client Intake Efficiency In The Removal Defense Program: A Nursing-Led Quality Improvement Initiative, Johnny Linares, Julia Tran Ngo, Daniel Orea, Atheana Yadira Lopez

Master's Projects and Capstones

This quality improvement project focuses on optimizing the intake process for the Removal Defense Program at a nonprofit immigration legal office serving asylum-seeking clients. The existing intake relied on unstructured, phone-call-based intake interviews that gathered incomplete information, leading to inconsistent documentation, reduced efficiency, and significant client processing delays. A structured, multilingual, and multiplatform new-client admission protocol coupled with the implementation of a client-facing resource guide for waitlist clients were co-developed and implemented using the Lippitt Change Theory framework. Utilizing a mixed methods approach, the study involved staff interviews and observational assessments with staff members from the program. Baseline intake process …


Increasing The Feasibility, Impact, And Equity Of The Medicare Annual Wellness Visit (Awv) With A Practice Tailored Awv Intervention: A Stepped Wedge Clinical Trial Protocol, Chi-Hong Tseng, Neil S. Wenger Aug 2025

Increasing The Feasibility, Impact, And Equity Of The Medicare Annual Wellness Visit (Awv) With A Practice Tailored Awv Intervention: A Stepped Wedge Clinical Trial Protocol, Chi-Hong Tseng, Neil S. Wenger

Faculty Scholarship

Background Older adults vastly underutilize evidence-based preventive health services and screenings that reduce illness, morbidity and mortality. The free-to-patient Medicare Annual Wellness Visit (AWV) is an opportunity to enhance preventive healthcare use, but also is underused. Objectives To evaluate the effect of a practice-tailored intervention on the sustained use of Medicare AWVs and on guideline-recommended preventive services and racial/ethnic disparities in 3 types of practice settings. Methods This is a stepped wedge cluster randomized controlled trial. The intervention will be implemented at the practice level in 24 primary care practices across the country (8 community-based, 8 academic, and 8 serving …