Digital Commons Network^™

The Relationship Between Attitude Toward Suicide And Related Sociodemographic Factors That Influence The Use Of Mental Health Resources Among Undergraduate College Students: A Predictive Correlational Study, Floydena S. Smith

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive, correlational research study was to identify the relationship between attitude toward willingness to intervene against suicide scores and the linear combination of sex and age among undergraduate students. Higher education institutions must now determine if these sociodemographic variables prompted undergraduate college students to seek out interventions and use mental health services in case of suicide. The target undergraduate population included 93 full-time students between the ages of 18-45 from a postsecondary institution. A convenience sample was used to obtain 93 students, but only 80 participants in the study completed the survey in its entirety. …

The Effect Of An Educational Intervention On Pre-Licensure Nursing Students Using The Theory Of Cultural Humility, Margaret Curry

Doctoral Dissertations and Projects

The American population has become more racially and ethnically diverse. Pre-licensure nursing students must have the knowledge, skill, and attitude to meet the needs of this diverse patient population. The purpose of this study was to educate pre-licensure nursing students on the concept of cultural humility using standardized patients from diverse cultural backgrounds in simulation experiences. The 27 students in this study were enrolled in a traditional nursing program in the southern U.S. This one-group quasi-experimental pretest–posttest design used Foronda’s Cultural Humility Scale. These students completed this scale (pretest), participated in simulation experiences with standardized patients from diverse cultural backgrounds, …

Enhancing Hypertension Management In Correctional Facilities: Educating Advanced Practice Providers On Effective Strategies, Kimbreya E. Otey

Doctoral Dissertations and Projects

Hypertension is a leading risk factor for cardiovascular disease and remains a significant public health concern, particularly within correctional facilities where access to consistent guideline-based care is often limited. Incarcerated individuals experience higher rates of chronic conditions, including hypertension, yet standardized approaches to management are frequently lacking. To address this gap, an evidence-based educational program was developed for nurse practitioners (NPs) and physician assistants (PAs) working in the correctional setting. Grounded in the International Society of Hypertension (ISH) guidelines, the program was developed to enhance awareness and knowledge among NPs and PAs regarding evidence-based hypertension management practices using the International …

Perceptions Of Air National Guard Students’ Transformative Technology Experiences During Their Professional Military Education Courses: A Transcendental Phenomenological Study, Tiffany Colburn

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand the perceptions of Air National Guard students stationed in the United States about technology integration during their professional military education (PME) courses and its role in encouraging leadership perspective transformative learning in the United States. The theory guiding this study was the transformative learning theory. This study explored how technology could help students expand their views while completing their PME courses and enabled them to use their own experiences to add value to the course. The central research question was: What are the perceptions of Air National Guard students on …

Exploring Higher Education Faculty Experiences With Artificial Intelligence: A Case Study, Keisha Pierre-Stephen

Doctoral Dissertations and Projects

The purpose of this case study was to explore the experiences and perceptions of higher education educators integrating artificial intelligence (AI) tools, such as ChatGPT, in curriculum work conducted within a university setting, focusing specifically on faculty members. The theory guiding this study was the technological pedagogical content knowledge (TPACK) framework, which presented a window for understanding the integration of technology, pedagogy, and content knowledge in educational practices. The central research question was: What are the lived experiences and perceptions of higher education faculty members at an urban university on the West Coast of the United States regarding students' use …

A Phenomenological Study Understanding Religious And Spiritual Coping In African American Female Veterans Who Experienced Combat-Related Trauma, Dawn Raini Long

Doctoral Dissertations and Projects

African American females are drawn to pursue a military career for many reasons, including upholding a family tradition, securing funding for education, or simply due to the stability it offered in a challenging economic climate. This study depicted narratives of battlefield-induced psychological stress arising from the convergence of military culture intersectionality, posttraumatic stress, and the transition to civilian life. The purpose of this phenomenological study was to describe the religious or spiritual coping of African American female veterans who experienced combat-related trauma in the military. The participants were interviewed at Asheville Buncombe Community Christian Ministry (ABCCM) and Veterans Bridge Home. …

Iowa Test Scores Before And After Covid-19 In Early Adolescents, Carmel F. W. Ontoy

Doctoral Dissertations and Projects

This paper addresses past research that examined the effects of COVID-19 on academics and presents a study further examining an area of academics before and after COVID-19. Research relating to COVID-19 has varied, studying correlations and effects on factors such as mental health and relationships. Researchers and educators projected various degrees of learning loss, and while some studies have revealed some loss, others have revealed little to no change. Further research is needed to continue developing researchers’ and educators’ understanding of how COVID-19 and the shift to online learning may have been related to learning and academics of young adolescents. …

Exploring Teachers’ Experiences With Augmented Reality (Ar) Implementation: A Phenomenological Study, Sulaimon Aremu Jimoh

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to investigate public secondary school teachers’ incorporating (AR) into their teaching practices. The central research question was: What are the lived experiences of public secondary school teachers using AR in the classroom? The research leveraged for this study was found through social networks, including LinkedIn and Teacher Social Network to specifically target and recruited 10 public secondary school teachers who have proven experience in incorporating augmented reality. These platforms offered me a unique opportunity to access a diverse pool of teachers across the United States. LinkedIn, as a professional networking platform, provides …

Marketing Culture Of Award-Winning Secondary School Librarians: A Hermeneutic Phenomenological Study, Cynthia Martin Schmidt

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to understand the lived experiences developing, understanding, and implementing marketing culture for award-winning secondary school librarians in the United States. The conceptual framework guiding this study was marketing culture, which explores the context of marketing attitudes, knowledge, and behaviors of organizations, purportedly leading to organizational success. This study used a phenomenological approach with secondary school librarians who had won an award for their work as a school librarian. Data collection consisted of individual semi-structured interviews, artifact analysis, and reflective journal prompts. Data analysis consisted of a hermeneutic epoché-reduction followed by a manual …

Long-Term Psychological And Emotional Impacts On Survivors Of Child Sexual Abuse, Quanesha Lashay Johnson

Doctoral Dissertations and Projects

Child Sexual Abuse (CSA) has lasting psychological and emotional effects, yet limited research directly compares long-term outcomes between CSA survivors. This study addressed that gap by examining adult survivors’ long-term depression levels, emotional wellbeing, and sexual wellbeing, focusing on how the relationship to the perpetrator may influence outcomes. Using a quantitative, cross-sectional design, the study employed three validated instruments: the Beck Depression Inventory (BDI), BBC Subjective Wellbeing Scale (BBC-SWB), and the Natsal Sexual Wellbeing Measure. A total of 78 adults participated. Of these, 46 reported experiencing CSA by a family member or family friend, 17 experienced CSA by someone else …

Church Support For People With Suicidal Ideations Or Attempts: A Phenomenological Study, S. Allyson Bowers

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the lived experiences of people with suicidal behavior seeking help from an Evangelical Church. The theories that guided this study were Kelman’s social influence theory and Kelly and Thibaut’s interdependence theory. The social influence theory explains the influence the church may have over an individual, and the interdependence theory describes how church leadership impacts interactions with church members who have suicidal behaviors. Data was collected through semi-structured interviews of participants. The interviews were recorded to help with accuracy and transcribed. Participants reviewed the transcriptions for accuracy. Then the researcher went through …

A Phenomenological Study Of The Training, Perceptions, And Experiences Of College Campus Police Who Encounter Persons With Mental Illness, Kirk B. Wolfe

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study is to understand the lived experiences of campus police officers as they interact with persons with mental illness (PMI). This purpose was achieved through research which was conducted on two college campuses with personnel from their police departments. The research yielded evidence that supported whether the campus police officers perceive they are either prepared or unprepared to effectively deal with the PMI situations. The Norm-Centered Stigma Theory as designed by Worthen (2020) was used to understand how the officer’s training may have shaped the lens through which they view persons with mental illness. …

Examining The Relationship Between Tolerance Of Student Behavior, Teachers' Race, Teaching Experience, And Teachers' Multicultural Self-Efficacy: A Multiple Regression Study, Sherise N. Waterman

Doctoral Dissertations and Projects

The purpose of this quantitative, correlational predictive study was to investigate whether teachers’ tolerance of student behaviors is predicted by the combination of teachers’ race, teachers’ years of teaching experience, and teachers’ multicultural efficacy. Understanding the significance of the relationship between teacher tolerance of student behaviors, teacher race, teacher years of experience, and multicultural efficacy is necessary if educators want clearer insight to address inequitable discipline practices. The study consisted of 110 high school teachers in an urban district in southern Texas. A correlational study was conducted utilizing the Social Behavior Survival Inventory of Teacher Social Behavior (SBS) and Expectations …

The Decision-Making Process In Student Conduct: A Qualitative Study, Kupenda Palmer

Doctoral Dissertations and Projects

The purpose of this collective case study was to understand the perspectives and experiences toward decision-making for student conduct administrators at various institutions in the Midwest and Northeast regions. The theory guiding this study is Westaby’s behavioral reasoning theory, as it explains the relationship between decision-making and reasoning for leaders. The central research question for the study is: How do student conduct administrators make decisions concerning student conduct matters? This study adopts a qualitative approach grounded in constructivist philosophy to understand how Student Conduct Administrators (SCAs) make decisions regarding student misconduct. A case study design was chosen to explore the …

Empowering Residents Through Relational Ministry: Implementing The Missional Resident Program At Creekside Community Village, Megan E. Yingst-Coats

Doctoral Dissertations and Projects

Individuals who are homeless have a reason beyond the stereotypes that might be assigned to them. Homelessness can be caused by mental illness, disability, loss of income, addiction, and many other reasons, but implementing a long-term program where homeless individuals can move in and be rehabilitated will decrease the number of homeless individuals that are in our country (Swenson, Miller, Herzberg & Ray, 2011). The purpose of the missional program at Creekside Community Village is to provide individualized care for residents and create a permanent solution for those experiencing chronic homelessness. The missional program will equip missional residents to walk …

The Protective Factors Of Trauma-Informed Care For Parents With Autistic Children, Carolynn J. Redd-Recksiek

Doctoral Dissertations and Projects

The purpose of this current phenomenological study is to understand the experience of parents with autistic children and their lack of trauma-informed care from direct care providers in Northern Utah. This study is guided by trauma-informed theory, which is a model of care delivery created by Maxine Harris and Roger D. Fallot (2001). Trauma-informed care recognizes how adverse experiences can impact a person and have a negative impact on the health and well-being of that person and how those negative experiences have a direct impact on the health and well-being of the family, which directly impacts the health and well-being …

Exploring The Impact Of Professional Development On Teachers As They Implement New English Language Arts Curriculum In Secondary Schools In The Southeast: A Hermeneutical Phenomenological Study, Sara A. Ancrum

Doctoral Dissertations and Projects

The purpose of this hermeneutical phenomenological study is to explore the implementation of a new state-adopted ELA curriculum for English teachers at secondary schools in the Southeast United States. At this stage in the research, sustained professional development will be generally defined as multiple touchpoints at regular intervals that build capacity and efficacy with the new curriculum. The theory guiding this study is Bandura's theory of self-efficacy. Understanding the impact of professional development on teachers as they implement a new curriculum is essential to the success of teachers' classroom practices. High-quality professional development that keeps teachers at the heart of …

Biblical Servant Leadership And Physical Therapists' Clinical Decision Making For Breast Cancer Patients After Breast Cancer Surgery: A Correlational Study, Cleve Carter Iii

Doctoral Dissertations and Projects

The purpose of this quantitative, correlational study was to determine whether a relationship exists between physical therapists’ (PTs’) perceptions of their manager’s or director’s application of BSL and the clinical decision-making of the PT when treating patients of varying socioeconomic status (SES) and race after breast cancer surgery (e.g., mastectomy, lumpectomy) in the United States (U.S.). This study utilized case-based vignettes for a patient population seeking skilled physical therapy services after breast cancer surgery within the U.S. healthcare system context. The sample population consisted of PTs from across the U.S. who actively evaluate and treat patients following breast cancer (BC) …

Equipping Future Christian Leaders: Parents’ Perspectives Of Christian Schools In Orange County, California, Mawufemor Jay Biekro

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to explore how Christian schools in Orange County, California, contribute to the spiritual growth of their students as it pertains to becoming future Christian leaders. Spiritual growth will be defined as the process of becoming more and more like Jesus Christ. Though studies exist addressing the spiritual formation of children, this research focused specifically on the impact of Christian schools in Orange County, California, as perceived by their parents. The meaning of “future Christian leaders” as used in the title of this research not only refers to future pastors or Christians who hold …

A Phenomenological Study Of African American Males In Education Doctoral Programs, Byron L. Kelly

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to interpret the lived experiences of African American males in education doctoral programs at three universities in the southern region of the United States. The theory guiding this study was Tinto’s retention theory on integration, as it explained how academic and social integration help to retain students and ultimately assist them in graduating. This hermeneutical phenomenological study was designed to allow the researcher to interpret the lived experiences of individuals. Ten African American males enrolled in or graduated from education doctoral programs from three universities in the Southern region of the United States …

The Effect Of Stem Professional Development On Self-Efficacy In K-12 Sub-Saharan Educators: A Quantitative, Experimental Study, Erin J. Bergen

Doctoral Dissertations and Projects

The purpose of this quantitative, experimental study is to determine if there is a significant difference in self-efficacy in K-12 Christian educators across sub-Saharan Africa because of STEM professional development. This research will help determine if professional development leads to a sense of feeling equipped in STEM integration. The sample of participants is comprised of overseas educators across three sub-Saharan African schools. The number of participants in this experimental study is 81. The Science Teaching Efficacy Belief Instrument STEBI (Form A) was used to record the self-efficacy of the participating in-service educators for posttest-only control group evaluation. After completing descriptive …

Investigating The Need For A Contemporary Bachelor Of Music In Music Education Degree At Trevecca Nazarene University And Union University, Thomas Paul Goddard

Doctoral Dissertations and Projects

Despite the traditional music education curriculum being valuable to music education majors, it fails to provide contemporary approaches and relevant content within a modern musical society. Students graduate from Trevecca Nazarene University’s (TNU) School of Music (SoM) and Union University’s (UU) Department of Music (DoM) and enter the music education field without sufficient guidance. This study examined the perspectives of music education professionals from interviews and the Teacher Sense of Efficacy Scale (TSES). Guided by Gordon’s music learning theory, this multimethod study identifies experiences from music educators that create a comprehensive undergraduate music education curriculum. In addition to the traditional …

Predicting School Culture From Teacher Experience And Funding: A Predictive Correlational Study, Bailey D. Keller

Doctoral Dissertations and Projects

The purpose of this quantitative, predictive correlational study is to understand how accurately the perception of school climate can be predicted from a linear combination of special education teachers’ years of teaching experience and supplemental state and federal funding allocated to teachers in the special education setting. The participants were drawn from a convenience sample of public school special education teachers located in a large school district in a southern state of the United States during the 2024-2025 school year. The setting for this research is a collection of campuses representing the work environments of the participants sampled. The My …

Nurse Preceptors' Perceptions Of Effectiveness Precepting Senior Baccalaureate Nursing Students: A Transcendental Phenomenological Study, Kelly Anne Arraf

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to explore how clinical nurse preceptors perceive their effectiveness when working with senior baccalaureate nursing students in East Texas. The study was guided by two theories: Invitational Education Theory, introduced by Purkey and Novak, used to understand how preceptors teach, and Bandura’s Social Learning Theory, used to understand how preceptees learn. The central research question was: What is the lived experience of being a nurse preceptor to senior baccalaureate nursing students in East Texas? Data were collected from semistructured virtual interviews, field and journal notes, and a demographic survey. Braun and Clarke’s …

The Relationship Of Worship Drumming On Christian Spiritual Well-Being: A Qualitative Case Study, Micah Joseph Holland

Doctoral Dissertations and Projects

The purpose of this case study was to bridge the knowledge gap and discover the relationship between worship drumming and Christian spiritual well-being. It also examined the spiritual disciplines developed from worship drumming that impact Christian spiritual well-being. The theory guiding this study was the religious attribution theory, as it is used to describe how people use religious explanations to understand events that cannot be explained by natural causes. The theoretical framework that falls under the religious attribution theory was the Feedback Loop Model for Religious Worship Experiences, which showed the dynamic of how music and the environment can provoke …

Superintendent Stress And Mental Health: The Case Of African American Female Superintendents In The United States, Kamika Lynette Bell

Doctoral Dissertations and Projects

This study investigated the challenges faced by African American female K–12 school superintendents in the United States, with a particular focus on work-related stress and mental health. The unique challenges encountered by African American women in leadership positions include work stressors, racial and societal barriers, and gender discrimination. The purpose of this qualitative phenomenological study was to gain a deeper understanding of the work-related stress and mental health experiences of African American female superintendents in K–12 schools. The study was a means to elicit new information from the experiences of African American women regarding experiences of gendered racism and its …

Fractional Flow Reserve From Coronary Ct: Evidence, Applications, And Future Directions, Arta Kasaeian, Mohadese Ahmadzade, Taylor Hoffman, Mohammad Ghasemi-Rad, Anoop Padoor Ayyappan

Faculty, Staff and Students Publications

Coronary computed tomography angiography (CCTA) has emerged as the leading noninvasive imaging modality for the assessment of coronary artery disease (CAD), offering high-resolution visualization of the coronary anatomy and plaque characterization. The development of fractional flow reserve derived from CCTA (FFR-CT) has further transformed the diagnostic landscape by enabling the simultaneous evaluation of both anatomical stenosis and lesion-specific ischemia. FFR-CT has demonstrated diagnostic accuracy comparable to invasive FFR. The combined use of CCTA and FFR-CT is now pivotal in a broad range of clinical scenarios, including the evaluation of stable and acute chest pain, assessment of high-risk and complex plaque …

No Evidence Of Pitavastatin Effect On Muscle Area Or Density Among People With Hiv, Kristine M Erlandson, Triin Umbleja, Heather J Ribaudo, Michael T Lu, Jana Taron, Marissa R Diggs, Pamela S Douglas, Kathleen V Fitch, Carl J Fichtenbaum, Markella V Zanni, Judith A Aberg, Maria C Rodriguez-Barradas, Katharine Breaux, Rosalba Gomez Morones, Craig A Sponseller, Judith S Currier, Gerald S Bloomfield, Sarah M Chu, Alex B Lu, Carlos D Malvestutto, Steven K Grinspoon, Todd T Brown

Faculty, Staff and Students Publications

Background: Skeletal muscle area (MA) and muscle density (MD) are key determinants of physical function and typically decline with increasing age. Statins have well-known musculoskeletal effects but whether statins impact MA or MD is not well established, especially in the setting of randomized treatment.

Methods: REPRIEVE is a double-blind randomized trial evaluating the effect of pitavastatin for primary prevention of major adverse cardiovascular events in people with HIV (PWH). Thoracic paraspinal, pectoralis, and infraspinatus MA and MD were assessed among Mechanistic Substudy participants with CT at baseline and month 24.

Results: Of 804 substudy participants, 510 remained on study treatment …

No Evidence Of Pitavastatin Effect On Muscle Area Or Density Among People With Hiv, Kristine M Erlandson, Triin Umbleja, Heather J Ribaudo, Michael T Lu, Jana Taron, Marissa R Diggs, Pamela S Douglas, Kathleen V Fitch, Carl J Fichtenbaum, Markella V Zanni, Judith A Aberg, Maria C Rodriguez-Barradas, Katharine Breaux, Rosalba Gomez Morones, Craig A Sponseller, Judith S Currier, Gerald S Bloomfield, Sarah M Chu, Alex B Lu, Carlos D Malvestutto, Steven K Grinspoon, Todd T Brown

Faculty, Staff and Students Publications

Background: Rapid initiation of antiretroviral therapy (Rapid ART) is a key strategy for the Ending the HIV Epidemic inititative. In Harris County, Texas, a priority Ending the HIV Epidemic jurisdiction, 57% of persons with HIV receive care at 1 of 5 public agencies that receive funding from the Ryan White HIV/AIDS Program. The Ryan White HIV/AIDS Program is administered by the US Department of Health and Human Services, Health Resources and Services Administration, and HIV/AIDS Bureau. This program administers grants to clinics and local/state programs to deliver medical and support services (Part A) for low-income persons with HIV. In 2019, …

No Evidence Of Pitavastatin Effect On Muscle Area Or Density Among People With Hiv, Kristine M Erlandson, Triin Umbleja, Heather J Ribaudo, Michael T Lu, Jana Taron, Marissa R Diggs, Pamela S Douglas, Kathleen V Fitch, Carl J Fichtenbaum, Markella V Zanni, Judith A Aberg, Maria C Rodriguez-Barradas, Katharine Breaux, Rosalba Gomez Morones, Craig A Sponseller, Judith S Currier, Gerald S Bloomfield, Sarah M Chu, Alex B Lu, Carlos D Malvestutto, Steven K Grinspoon, Todd T Brown

Faculty, Staff and Students Publications

Background: Skeletal muscle area (MA) and muscle density (MD) are key determinants of physical function and typically decline with increasing age. Statins have well-known musculoskeletal effects but whether statins impact MA or MD is not well established, especially in the setting of randomized treatment.

Methods: REPRIEVE is a double-blind randomized trial evaluating the effect of pitavastatin for primary prevention of major adverse cardiovascular events in people with HIV (PWH). Thoracic paraspinal, pectoralis, and infraspinatus MA and MD were assessed among Mechanistic Substudy participants with CT at baseline and month 24.

Results: Of 804 substudy participants, 510 remained on study treatment …