Digital Commons Network^™

Evaluating The Suitability Of The Berg Balance Scale For Assessing Balance In Diabetes With And Without Prior Covid-19: A Methods-Validation Study, Garima Kaushik Dr, Sheetal Malhan Dr., Apoorva Tiwari Dr, Vishakha Daga Dr

Journal Of Indian Physician Associates

ABSTRACT

Background: Balance impairment in diabetes mellitus is predominantly driven by somatosensory loss secondary to peripheral neuropathy. The Berg Balance Scale (BBS) is widely used to evaluate functional balance, yet it mainly reflects motor performance and may not adequately represent sensory mechanisms. Following COVID-19, additional concerns regarding deconditioning have emerged, but interpretation depends on the measurement tool employed.

Objective: To examine the construct behavior and suitability of the BBS for assessing balance in individuals with diabetes with and without prior COVID-19 infection, and to determine whether the scale reflects known determinants of diabetic imbalance.

Methods: A cross-sectional analysis was conducted …

Exploring Coaching Issues And Feedback Generation During A Virtual International Coaching Exchange, Lori A. Gano-Overway, Ian Hj Cowburn, Liam Mccarthy

Journal of Coach Development

Internship opportunities can provide coaches with the chance to learn through experience and explore their personal theories in practice. However, to effectively develop coaches during internships facilitators of learning need to know more about what student coaches typically perceive and find meaningful to puzzle through to support their learning and developing theory of practice. Grounded in experiential learning theory and the notion of the reflective practitioner, the authors sought to examine how early-career sport coaches identify, frame, and explore practical coaching issues presented through a virtual international coaching exchange. Using a descriptive multiple-case study approach, the authors presented the coaching …

Ischool Student Research Journal, Vol.16, Iss.1

School of Information Student Research Journal

No abstract provided.

Exploring Identity Through Clay: A Humanistic Art Therapy Case Study With A Blind Chinese Adoptee, Virginia Jade Leicht

Expressive Therapies Theses

This qualitative case study explored how working with clay in art therapy can help support a blind man’s identity exploration. This paper addresses the problem of many traditional therapeutic approaches within the art therapy realm: They rely too heavily on visual engagement, which can limit the accessibility and opportunities for self-exploration and identity development for those who are blind. The study was grounded in current research and foundational theories based on the humanistic art therapy approach. Clay is considered an accessible medium that engages multiple senses and allows for emotional exploration and meaning making, specifically through tactile and sensory-based engagement …

Youth-Based Mentorship Programs And The Development Of Social Capital, Toby C. Lumley

Honors Projects

Diverse communities often face complex challenges related to integration and collective action across different social, economic, and ethnic groups. Formal youth mentorship programs can be important institutions for addressing these challenges. This research examines how these programs act as intentional sites for cultivating social networks and relational trust necessary for successful civic engagement. Research for this project heavily relies on social capital theory explained through the lens of Robert Putnam. There will be special emphasis on the immediate community of Harrisonburg-Rockingham County, Virginia, due to its diverse population and rural-urban intersections. Through interviews with various directors of local youth-based mentorship …

Aacn Hwe Standards: Bridging Clinical Excellence And Academic Resilience, Michelle Kidd

Creating Healthy Work Environments (CHWE)

For over 20 years, the American Association of Critical-Care Nurses (AACN) has championed Healthy Work Environment (HWE) standards as essential for nursing excellence. While HWEs improve patient and staff outcomes, they may be underutilized in academia. As faculty and clinical staff face record burnout and turnover, the nursing pipeline's survival depends on a unified HWE approach that bridges clinical practice and academia through intentional collaboration.

Modulating The Plastisphere: Inhibiting Biofilm Formation Of Vibrio Spp., Kacian Clayton

Harriet L Wilkes Honors College Theses 2020 - Present

According to the United Nations Environment Programme (UNEP), approximately 19-23 million tons of plastic are released into the aquatic environment each year. Vibrio spp. are diverse gram-negative bacteria that inhabit these environments, capable of colonizing and forming biofilms on these plastic surfaces. In an age when anthropogenic activity exerts an undeniable influence on ecosystems, elucidating a way to regulate the interactions between plastic and vibrios is essential. In previous studies, Polymyxin B has demonstrated high efficacy against biofilm formation in gram-negative bacteria, including Vibrio cholerae. The purpose of this study is to investigate the efficacy of cyclic lipopeptide antibiotics toward …

Age And Congressional Leader Success: Are They Getting Too Old, Edward N. Drinkwine, Scot Schraufnagel

Honors Capstones

Congressional leaders play a central role in shaping legislative agendas, maintaining party cohesion, and negotiating policy outcomes. Despite the important roles they play, our nation's congressional leaders continue to grow older, and research has rarely examined how age influences their effectiveness in these roles. This study asks whether older congressional leaders are less effective at advancing legislation than their younger counterparts. Using data on leaders serving in the U.S. House and Senate from the 93rd through the 118th Congress, the analysis compares leaders’ ages with their Legislative Effectiveness Score Ratios, controlling for legal experience, state legislative experience, elite education, ideology, …

Inbreeding And The Fall Of The Spanish Habsburg Dynasty, Kira L. Kent

Honors Theses

Inbreeding and the Fall of the Spanish Habsburg Dynasty examines how centuries of consanguineous marriages within the Spanish Habsburg family contributed to the dynasty’s decline and eventual extinction. Focusing on the reign and health of Carlos II of Spain, this study explores how dynastic marriage strategies, which were designed to consolidate political power and preserve royal lineage, ultimately produced severe genetic consequences. This thesis analyzes patterns of intermarriage beginning with Carlos I and continuing through the next four monarchs, highlighting the repeated marriages between close relatives. These practices significantly increased the likelihood of inheriting harmful recessive traits. In addition, this …

Evolving Art Therapy In Virtual Environments: Exploring Telehealth Art Therapy Within Gaming, Kathleen A. Wilber

Expressive Therapies Theses

The rapid expansion of virtual therapy following the COVID-19 pandemic has prompted art therapists to reconsider how creative processes can be facilitated through digital means. This capstone thesis explores how art therapy practices can evolve within virtual environments by exploring the video game The Sims 4 as a novel digital medium for virtual art therapy. A qualitative approach was used within an intensive outpatient program (IOP), including a preliminary peer session and two individual client sessions. The intervention involved therapist-facilitated gameplay, where the clinician acted as a “third hand,” guiding clients in an effort to support identity and values-based exploration. …

Returning To Play: Play-Centered Art Therapy With Parentified Adult Caregivers, Paola Andrea Mendez Carreno

Expressive Therapies Theses

This research investigates the impact of play-centered art therapy on parentified adult caregivers, focusing on how creative interventions utilizing elements of play can support identity development, self-compassion, and relational capacity. The literature indicates that childhood parentification leads to identity loss and burnout, but creative play can foster neuroplasticity and emotional processing by allowing adults to externalize harmful narratives that have been internalized. To explore these concepts, the author conducted four sessions over six weeks with an adult participant at a private outpatient practice in Massachusetts. Play-centered activities included free collaging, puppet-making, and clay modeling, often involving moments of parallel play …

Losses And Labor: Experimental Insights Into Worker Effort Supply And Behavioral Biases, Maia Lemov

Economics Honors Projects

Worker effort supply is influenced not only by rational expectations but also biases such as framing and numerical presentation of incentives. Identifying these effects is essential for designing effective incentives. To study left-digit manipulation, loss aversion, and loss aversion prediction, I conducted an experiment in an online labor market. Participants completed a real-effort typing task, a willingness- to-pay (WTP) task, and a self-reported loss aversion survey. Loss framing and left-digit manipulation had no statistically significant effects on effort, with no interaction effect, suggesting their influence on effort-supply may be overstated or highly heterogeneous. Despite null treatment effects, behaviorally elicited loss …

Chemometric Analysis Of Dissolved Organic Matter Using Fluorescence, Dani Fellner, Ken Overway

Honors Projects

Univariate spectroscopic techniques have been utilized to measure dissolved organic matter (DOM), but challenges arise in the separation and characterization due to similarities in chemical structures and spectral overlap. Multivariate techniques utilize a combination of known analytes with their unique excitation and emission spectra from fluorescence measurements to quantify amount of each analyte present in the mixture using parallel factor analysis. Tryptophan, tyrosine, and phenylalanine are common amino acids found in environmental samples and can be quantified due to their intrinsic fluorescence qualities. These amino acids can be utilized to estimate the amount of DOM in a sample since proteins …

The Efficacy Of An Educational Program On The Benefits Of Aquatic Therapy: An Occupational Therapy Perspective, Matile Kaplan, Kathryn Burke Otd, Otr/L

Occupational Therapy Doctorate Capstones

Aquatic therapy has been a therapeutic modality since 2400 B.C and offers multisystem physiological effects including cardiovascular, musculoskeletal, immune, gastrointestinal, and more. The aquatic environment offers buoyancy, hydrostatic pressure, resistance, and drag force to ease engagement and recovery. Individuals have a higher rate of participation in aquatic therapy compared to on-land therapy, although referral rates are low due to the existing perceptions and insufficient awareness of the benefits.

Educating Birthing Professionals About The Benefits Of Occupational And Physical Therapy In The Acute Postpartum Period, Jayde Monteiro, Kathryn Burke Otd, Otr/L

Occupational Therapy Doctorate Capstones

Purpose: Across all developed countries, the US has the highest maternal mortality rate. The acute postpartum period is considered the first 6 weeks after birth and is often the most prevalent time medical complications arise. Currently there is a trend of OT and PT referral after these complications have already happened negatively impacted patients. To bring awareness and relevance to acute postpartum OT and PT, birthing professionals need more education to gain knowledge on how therapy can produce successful recovery outcomes in their patients. The research question "How does online educational programming increase birthing professionals’ knowledge about the benefits of …

Choosing Your Line: Training Adaptive Ski Instructors How To Facilitate Occupational Participation For Individuals With Complex Communication Needs., Jordan E. Chizmadia, Monique Dawes Otd, Otr/L Cpam

Occupational Therapy Doctorate Capstones

The project will explore communication methods for individuals with complex communication needs (CCN) in adaptive skiing, focusing on alternative communication methods and the development of a Picture Exchange Communication System. A communication training program for ski instructors will be implemented. Findings will advance occupational therapy by highlighting the role of self-directed communication and autonomy in promoting occupational engagement for individuals with CCN.

Advancing Social-Emotional Wellness In Adolescents Through Structured Physical Fitness Programming, Serena Mora, Tania Rose Otd, Otr/L, Amy Wheadon Otd, Otr/L

Occupational Therapy Doctorate Capstones

Neurodivergent (ND) adolescents tend to struggle with participating in physical activity (PA) compared to their neurotypical (NT) peers. Current programs available that focus on PA are competitive and can add anxiety to an already difficult adjustment. This doctoral capstone project investigates the effect of participation in PA on social emotional well-being in ND adolescents. An 8-week PA program was created and implemented in this pre-post test quasi-experimental study.

Building Adolescents' Social Emotional Wellness Through Physical Fitness Programming, Serena Mora, Tania Rosa Otd, Otr/L

Occupational Therapy Doctorate Capstones

Neurodivergent (ND) adolescents tend to struggle with participating in physical activity (PA) compared to their neurotypical (NT) peers. Current programs available that focus on PA are competitive and can add anxiety to an already difficult adjustment. This scoping review investigates the effect of participation in PA on behaviors and well-being connected to ND conditions.

A Multifaceted Approach To Managing Agitation In Assisted Living Residents With Dementia ​, Emily Hamed

Occupational Therapy Doctorate Capstones

Purpose: Dementia is a growing concern and will continue to increase. One symptom of dementia is agitation, which can be disruptive in an assisted living facility (ALF) and can impact quality of life for residents and caregivers/staff. Evidence shows that creating a conducive environment and equipping staff with skills can lead to better resident outcomes (Wong et al., 2024). This capstone project aims to address agitation by implementing physical and social environmental modifications in an (ALF). Design: This quasi-experimental mixed methods design will be conducted in an ALF to measure resident agitation pre and post intervention and staff confidence in …

“Empowering Peer Mentorship” Developing Best Practices Of Peer Mentoring At Empowersci Inc., Caitlyn Menard, Monique Dawes Otd, Otr/L Cpam

Occupational Therapy Doctorate Capstones

Each Year, 250,000-500,000 people sustain a spinal cord injury (SCI) , facing challenges in social participation, quality of life, activities of daily living (ADLs), returning to work, and unmet needs in mental health, self-efficacy, and community mobility (Beauchamp et al., 2016 & Divanoglou et al., 2017). While interdisciplinary rehabilitation and peer mentorship aim to support adaptation, growth, and independence, there remains a lack of standardization in adequately preparing individuals for the peer mentor role (Rocchi et al., 2022). Aim: EmpowerSCI is a nonprofit organization that aims to bridge the gap in rehabilitation by offering in-person, holistic residential programming. EmpowerSCI currently …

Understanding Occupational Therapy Referral Patterns And Knowledge Gaps Among United States Medical Providers, Zachery Edwards, Shannon Strate Otd, Ms Otr/L

Occupational Therapy Doctorate Capstones

Medical providers in the United States (US) have limited education and understanding of occupational therapy’s (OTs) full scope of practice (SOP), contributing to reduced access to OT services and potential negative consequences for client outcomes, interprofessional collaboration, and the profession’s viability (Rouch et al., 2022; Vij, 2023). This study aimed to examine US medical providers perspectives on OT utilization and identify areas of desired knowledge. Qualitative data was attained via a national survey administered to medical providers with analysis focused on responses to question three (Q3): “Why don't you refer clients to OT?” (n=424) and question six (Q6): “If you …

Utilization And Impacts Of Pediatric Caregiver Programming On Therapeutic Engagement And Wellbeing: A Pilot Program, Venisa Rodriguez, Tania Rose Otd, Otr/L

Occupational Therapy Doctorate Capstones

Purpose: The proposed doctoral capstone aims to measure the utilization and impacts of pediatric caregiver programming on therapeutic engagement and wellbeing. A scoping literature review and needs assessment of pediatric caregivers of children receiving OT services found that limited access to quality, caregiver-specific resources and programming impact the wellbeing of caregivers, their ability to care for their child, and their confidence and ability to engage in the therapeutic process. The literature points to a want and need for caregiver-specific programming and the use of a family-centered care approach to improve caregiver and child outcomes.

Design: This study will utilize a …

Limit Of Detection Variations In Polyphenol Mixtures Using Parafac-Feem Spectroscopy, Ken Overway, Brockton Zorn

Honors Projects

Polyphenols are chemical compounds commonly found in food products like olive oil and red wine. Research suggests that their presence in such foods conveys positive cardiovascular and cognitive health benefits. This group of compounds is often difficult to quantify in such samples due to an overlap in the chemical signals and the presence of interferences, such as coloring, found naturally in the food. Use of 3D Fluorescence Excitation Emission Matrix (EEM) measurements combined with pH sensitivity could establish a method in which polyphenols are identified more easily in mixtures. Binary and ternary mixtures of polyphenols were analyzed without the additional …

The Effect Of Cognitive Coordination Response Speed Exercises On Timed Counterattack Performance In Female Fencers, Fatimah Abed Malih, Rimah Mohammed Zuwair, Ardo Okilanda

Modern Sport

Fencing is characterized by rapid and sudden changes that require speed in decision-making and motor responses. In addition, it requires high sensorimotor awareness and strong coordination between leg, arm, and eye movements. In the current study, the researchers used cognitive coordination response speed exercises and physical and skill exercises in order to develop performance in the time counterattack. The aim of the study is to identify the effect of cognitive coordination response speed exercises on the performance of the time counterattack of female foil fencers. An experimental method was used on the female fencing team players at the College of …

Development Of A Unique Surgical Implant To Address The Development Of Iatrogenic Trigeminal Neuralgia Following Maxillomandibular Advancement Surgery For Osa, Erika L. Manning, Kun Yoon, Robert Diecidue, Joseph Harrington

Department of Oral and Maxillofacial Surgery Faculty Papers

A 58 y/o male with no significant past medical history presented in 2021 with obstructive sleep apnea (OSA), including trouble breathing through his nose due to hypoplastic maxilla, retrognathic mandible and chin, and microgenia. He underwent a LeFort 1 maxillary osteotomy, bilateral sagittal split osteotomy (BSSO), and genioplasty with fat graft on 2/10/2022. Postoperatively, the patient developed moderate pain and facial edema, which progressed into hypoesthesia with pain in the face with a sensation of fullness in the left ear and left masseter tightness. He also developed a positive Tinel sign in the left mandibular area and was diagnosed with …

Effective Leadership Styles For Middle Managers During Mergers And Acquisitions, Joshua Lee Lahaie

M.S. in Leadership

No abstract provided.

Evaluating The Impact Of A Meaningful Recognition Bundle On The Health Of The Emergency Department Work Environment And Emergency Nurse Burnout, Sean Truesdell

Doctoral Projects

Background: The health of the work environment significantly influences emergency nurse practice. The Emergency Nurses Association and the American Association of Critical-Care Nurses have called for the establishment of a healthy work environment (HWE) to improve outcomes, reduce burnout and turnover, and increase job satisfaction. Meaningful recognition is consistently among the lowest-performing HWE standards. Purpose: To implement a bundle of meaningful recognition elements in the Emergency Department (ED) and evaluate the outcomes. Methods: A quality improvement project was conducted in the ED of a non-profit community health system in Northern California. The Healthy Work Environment Assessment Tool (HWEAT) and Oldenburg …

Advancing Equitable Nurse Assignments Through Nursing Workload Score Categorization In An Adaptable Acuity Unit At An Academic Health Center, Moses Albaniel

Doctoral Projects

Inpatient nursing shift assignments often rely on clinical judgment, which can lead to inequitable workload distribution on mixed‑acuity units. This quality improvement project evaluated assignment equity using the coefficient of variation (CV) of nursing workload acuity scores and examined the relationship between workload balance and perceived assignment burden. A single‑group pretest–posttest design was implemented on a cardiac adaptable acuity unit at Stanford Health Care over a 12‑week period, encompassing 168 shifts from December 14, 2025, to March 7, 2026. The intervention, implemented with 11 charge nurses, combined structured charge nurse education with an optimized Epic Reporting Workbench tool incorporating dynamic …

Information Processing Styles, Problem Solving, And Their Relationship With Metamotivation And Perceived Control Among Postgraduate Female Students, Intisar Owaid Ali, Fatimah Abed Malih, Abeer Dakhil Hatem Al-Selmi, Andriy Vovkanych

Modern Sport

The demands of professional, scientific, and academic life have made it necessary to identify the various difficulties faced by postgraduate female students, which lead to problems that hinder their achievement of the required goals. This necessitates directing efforts toward finding solutions to confront and solve problems through appropriate cognitive behavior. Therefore, this study aimed to identify information processing styles and problem-solving and their relationship with metamotivation and perceived control among postgraduate female students (PhD/Master's). To achieve this aim, the descriptive approach using the survey method was adopted due to its suitability to the nature of the research problem. The population …

Redlining And Neighborhood Health, Mariam Adams

McNair Scholars Collection

This research paper explores the historical impact of redlining and its connection to respiratory illness within communities of color. It acknowledges the role of social determinants of health, environmental pollution, and mental health disorders through comprehensive literature reviews. The primary objective is to investigate whether redlining contributes to adverse respiratory health outcomes among people of color living in these designated areas. The study delves into the discriminatory practice of redlining that relegated specific neighborhoods, predominantly inhabited by people of color, to substandard living conditions, limited resources, and reduced access to quality healthcare. By drawing upon evidence from various academic sources, …