Digital Commons Network^™

The Effects Of Attending Prediabetes Prevention Workshops On Improving Students' Awareness, Knowledge, And Interest, Madelene Hamann

DNP Research Projects

Abstract

Objective:This DNP project evaluated the effectiveness of a five-week educational intervention on adolescents’ knowledge of prediabetes, awareness, and intentions to adopt healthy lifestyle behaviors. Method and Intervention:Youth aged 13 to 18 years participated in five 40-minute school-based workshops. Outcomes were measured using the Adolescent Diabetes Awareness Test (ADAT), Health Belief Model (HBM), and Centers for Disease Control and Prevention (CDC) workshop evaluation. Effect sizes and 95% confidence intervals (CIs) were used to determine clinical relevance. Results:The intervention had a large, clinically relevant effect on prediabetes knowledge and awareness measured by the ADAT (Hedges’ g = 1.10) …

Empowering Dietary Change: A Culturally Competent Nutrition Intervention For Hispanic Patients At The Agape Clinic, Ariana N. Smith

DNP Research Projects

Abstract 

Type 2 diabetes disproportionately affects Hispanic adults and may be more difficult to manage among uninsured and underserved populations experiencing barriers to healthcare, nutrition education, and culturally appropriate resources. The purpose of this Doctor of Nursing Practice quality improvement project was to implement and evaluate a brief, culturally tailored nutrition education intervention for Hispanic adults with elevated A1C receiving care at The Agape Clinic in Dallas, Texas. A quantitative, quasi-experimental, within-subject design was used. The intervention provided bilingual, low-literacy education focused on A1C, portion control, added sugars, and culturally familiar foods. Thirty-eight participants enrolled in the project, and 11 …

Implementing A Mental Health Workshop To Mitigate Burnout And Improve Job Satisfaction Among Psychiatric Technicians: A Mixed-Methods Case Study, John P. Smith

DNP Research Projects

Abstract 

Burnout among psychiatric technicians contributes to emotional exhaustion, decreased job satisfaction, workforce instability, and reduced quality of patient care. Despite increasing recognition of healthcare worker well-being as a priority, limited evidence exists regarding interventions specifically designed for psychiatric technicians. The purpose of this Doctor of Nursing Practice project was to implement and evaluate a structured mental health workshop designed to reduce burnout and improve job satisfaction among psychiatric technicians employed in inpatient, outpatient, and group home mental health settings. A mixed-methods case study utilizing a quasi-experimental pretest-posttest design was conducted with a convenience sample of 41 participants. Quantitative data …

Improving Pid Control With Bayesian Optimization For Adversarially Robust Federated Learning, Adrian Pena, Sergei Chuprov, Raman Zatsarenko, Leon Reznik

Computer Science Faculty Publications

Federated Learning (FL) often suffers from unstable convergence and reduced robustness under non-IID data and malicious attacks. In this paper, we present FedPIDAvg_tuned, a control-theoretic aggregation framework for improving stability and adversarial robustness in FL. In particular, our approach combines a server-side Proportional–Integral–Derivative (PID) controller with Bayesian optimization to tune controller gains for different data and attack conditions. The PID controller regulates global model updates through feedback on loss dynamics, providing adaptive scaling that improves stability and convergence. The tuned gains are applied within a trust-weighted trimmed-mean mechanism to remove adversarial or outlier updates. Using the Flower framework, we evaluate …

The Impact Of A Social Wellness Intervention On The Perception Of Social Support Among Working Adults, Jannysse Gray

DNP Research Projects

Abstract 

Objective: Social isolation and loneliness have detrimental effects on physical and mental health. For working adults, these experiences may impact work attendance, performance, satisfaction, and retention, leading to burnout, fatigue, grief, and disengagement. Barriers to developing and nurturing healthy relationships, such as competing work and family responsibilities, or a lack of resources or energy, can contribute to this problem; therefore, this group was chosen for the intervention. This project aimed to raise awareness of the importance of social connections and to analyze whether an online educational intervention was associated with improved perceptions of social support among working adults. Methods: …

Redefining Educational Technology: A Critical Collaborative Inquiry, Aras Bozkurt, Helen Crompton, Robert Farrow, Agnes Kukulska-Hulme, Jon Dron, Richard West, Agnieszka (Aga) Palalas, Matth Bower, Junhong Xiao, Ahmed Tlili, Danah Henriksen, Angelica Pazurek, Henk Huijser, Thomas K. F. Chiu, Petar Jandrić, Katy Jordan, John Curry, Royce Kimmons, Mutlu Cukurova, Thomas Reeves, Gwo-Jen Hwang, Peter Shea, Jason Lodge, Martin Weller, Davy Ng, Tutaleni Iita Asino

STEMPS Faculty Publications

Educational technologists have not settled on a fixed definition of the field and likely never will. However, attempting to define the field helps to understand the epistemological meanings that shape what the field sees, values, and considers worth pursuing. Through a critical historical review spanning over a century, alongside theoretical engagement with the concepts of entanglement and distributed agency, this paper identifies three key insufficiencies in current educational technology frameworks. These are the persistence of an instrumental-facilitative paradigm that treats technology as a resource deployed by human agents; the theoretical dissolution of the pedagogy-technology dichotomy that existing definitions have not …

Monitoring, Oversight, And Learning In Medical Ai, W. Nicholson Price Ii

Articles

When medical AI errs, it often goes unnoticed. If there’s a specific patient injury, and the link to AI is obvious, that problem might be reported to the Food and Drug Administration (FDA), but not always. And many other types of problems, like worse performance on specific groups or ineffective integration into health system workflows, simply don’t fall within the contours of regularized reporting. Even if they are noticed by the health system—far from a given—there’s no obvious way to share that information more broadly. Against this backdrop, there are justified calls for better oversight and reporting. But there’s the …

Nursing Primary Care To Better Health, Kristen Dulling

Yale School of Nursing Digital Theses

The national nursing shortage and the rising cost of nursing is threatening sustainability of

the RN role on the care team in ambulatory care settings. There is a critical need to develop a

care model that defines the value of RNs on the primary care team by improving access and

effectively reducing cost by mitigating turnover and role dissatisfaction. This DNP project

developed and implemented a care model across four primary care settings that shifted

workflows for vaccine administration, prior authorizations, and emergency department follow up

calls from RNs to other roles on the care team. Capacity created allowed the …

Addressing Social Determinants Of Health To Reduce Missed Appointments In Primary Care Setting., Omolara Goyea

Yale School of Nursing Digital Theses

Background: Missed appointments impose a significant financial burden on the U.S. healthcaresystem, costing over $150 billion annually, with individual physicians losing an average of $200 per unused time slot (Gier, 2017). Unmet Social Determinants of Health (SDOH), such as transportation barriers, negatively impact primary care services and contribute to missed appointments (Brown et al., 2020; Fiori et al). The missed appointment rate in the United States ranges from 12% to 50% of scheduled appointments (Boone et al., 2023). Objective: This quality improvement project aimed to develop, implement, and evaluate a telehealth protocol specifically tailored for patients who identified transportation as …

Implementing Hepatitis C Screening And Treatment In Primary Care, Michele Castellano Wetmore

Yale School of Nursing Digital Theses

AbstractHepatitis C (HCV) is a curable hepatic disease. With direct-acting antivirals, it can be treated in 95% of cases. When left untreated, it can cause severe liver disease, including hepatocellular carcinoma and even death. The World Health Organization’s (WHO) goal is to eliminate HCV by 2030. This Quality Improvement (QI) project, conducted at a Federally Qualified Health Center (FQHC) from 8/4/2025 to 11/4/2025, will address the barriers to elimination and show that providing local services closes gaps. Screening and treating HCV within primary care has become a strategic approach to enhance access to treatment. This involves developing and utilizing a …

The Effect Of Verbal De-Escalation Simulation Training Using Artificial Intelligence On Nurse Leader’S Self-Efficacy, Mary Vitullo

Yale School of Nursing Digital Theses

Per year, rates of verbal workplace violence (V-WPV) are estimated to occur in 38.8 per 100 nurses, which is decreasing leader retention (NIOSH, 2020, Chang, Hsu, & Ouyang, 2022). Increasing the confidence of nurses in handling V-WPV through simulated training programs increases their intent to stay (Ming et al., 2019).

A two-pronged training program allowed nurse leaders to learn de-escalation techniques and then apply that knowledge in a life-like simulated environment. The education included a pre-work module on V-WPV de-escalation and a simulated scenario using an artificial intelligence conversational agent.

The aims of the project were: to develop a model, …

Differences Of Sex Development (Dsd), Children's Mercy Kansas City

Clinical Pathways

No abstract provided.

Multimodal Emotion Detection System, Shubhankar Sameer Munshi

Master's Projects

Trying to understand emotion from speech is a problem that is present in human computer interaction. Nevertheless, there are still some shortcomings in current SER methods. Text-based systems may miss vital vocal cues, such as sarcasm, tone changes, and delivery. On the other hand, purely audio-based systems are prone to noise and unstable acoustic features. The combination of linguistic and acoustic features in multimodal approaches partially solves this problem, but many existing approaches use inflexible multimodal fusion techniques that cannot adjust their behaviors according to the quality of input signals. In this work, we propose a multimodal approach based on …

Modeling Sealed Deck Construction In Collectible Card Games Using Learning-To-Rank Approach, Michael Dinh Nguyen

Master's Projects

Artificial intelligence has demonstrated strong performance in complex decision-making domains such as chess and Go, motivating research into its application for games with even richer rules and combinatorial complexity. In collectible card games like Magic: The Gathering, deck construction from a constrained card pool is a critical and challenging task that requires evaluating card strength, synergy, and resource balance. This project explores whether machine learning, specifically learning-to-rank (LTR), can effectively model these human decision processes to construct competitive decks in a sealed format. The results found here can also be applicable to other areas of note, such as sports drafting …

The Coral Microbiome Under Climate Change: Shifting Symbiotic Interactions, Katherine E. Parker, Kate M. Quigley

Biological Sciences Faculty Publications

Host–microbe symbioses are central to organismal health, yet these complex partnerships are often strongly shaped by the environment. Climate change is increasingly altering environmental conditions, disrupting the balance of host–microbe interactions and pushing them along a continuum from mutualism (both partners benefit) toward parasitism (one partner gains at the other’s expense). Reef-building corals provide a clear example of this vulnerability, as the coral holobiont, an ecological unit comprising diverse photosynthetic algal symbionts (Symbiodiniaceae) and other microbial partners, depends largely on these mutualistic interactions for nutrition, immunity, and stress tolerance. Increasingly, evidence suggests that under heat stress, the algal symbionts retain …

Rapid Urbanization Reduces Genetic Diversity And Increases Genetic Differentiation Of A Lynx Spider Oxyopes Sertatus In Central Taiwan, Ying-Yuan Lo, Chi Wei, Wan-Jyun Chen, Chung-Ping Lin

Biological Sciences Faculty Publications

Urbanization is a dominant force driving destructive and irreversible changes of natural habitats in modern times. While the effects of urbanization on community composition and phenotypic responses are well-documented, its influence on genetic diversity and population structure remains understudied, particularly for invertebrates in subtropical regions. This study tested the hypothesis that urbanization reduces genetic diversity and increases population differentiation in the lynx spider Oxyopes sertatus, a common foliage-dwelling spider in Taiwan. We sampled 245 individuals from 17 sites distributed along an urban-rural gradient and quantified urbanization intensity using land-use composition at both landscape (4 km²) and local (0.25 km²) …

Evaluating Species At Risk In Data-Limited Fisheries: A Productivity-Susceptibility Analysis For Marine Aquarium Fish, Gabrielle A. Baillargeon, Alice A. Wynn, Jemelyn Grace P. Baldisimo, Michael F. Tlusty, Andrew L. Rhyne

Biological Sciences Faculty Publications

The marine aquarium trade (MAT) is a significant global industry harvesting millions of wild-caught, live coral reef fishes for public and private aquaria markets in the United States and Europe annually, while supporting fisher livelihoods in the Indo-Pacific. This diverse and species-rich trade is considered data-limited, creating barriers to quantifying the current and future socio-ecological sustainability of the fishery. We present a revised and expanded productivity–susceptibility analysis (PSA) that serves as a holistic risk assessment to estimate the vulnerability of marine aquarium fish to overfishing. Our global analysis includes 306 species that are actively in trade. Improvements to the PSA …

Brilliance In The Margins: An Exploration Of The Lived Experience Of Black Women Faculty In Stem, Mykella C. Mitchell

West Chester University Graduate Theses, Dissertations, and Final Projects

This qualitative research study explores the lives of Black women STEM faculty at Ivy and Ivy+ institutions. The existing literature reveals a distinct gap in research as it pertains to this demographic, due to the limited number of Black women who hold faculty positions and the limited research that centers their voices. This study intentionally centered the voices of Black women scholars using portraiture, which helped to avoid the creation of deficit‑based stories. Furthermore, this research was guided by the conceptual frameworks of whiteness as smartness and meritocracy. Portraits were created from the lives of six tenured and tenure‑track Black …

Examining The Flow State In College Football, Nicholas R. Reynolds Jr., Selen Razon

West Chester University Graduate Theses, Dissertations, and Final Projects

The flow state, first defined by Csikszentmihalyi (1990) as a state of total absorption in an activity characterized by effortless control, heightened focus, and peak functioning, has been well-documented in sport but has received limited attention in the context of college football. This study examined the flow state experiences of varsity football players at West Chester University, including their awareness of the concept, the frequency and subjective nature of their experiences, the strategies they use to reach this state, and their perceptions of its relationship to team success. A researcher-developed survey was administered to team members during the offseason, yielding …

Arts Enriched Head Start Preschool And School Readiness: Are Benefits Accentuated For Children Facing Greater Economic Hardship?, Isabella Capera

West Chester University Graduate Theses, Dissertations, and Final Projects

Children growing up in impoverished and low-income households face opportunity gaps that limit their school readiness (Blair & Raver, 2015). Head Start preschool, which serves families facing economic hardship, has been demonstrated to reduce these gaps and enhance school readiness. Further, multiple studies have suggested that arts enriched Head Start may offer particular benefits (e.g., Brown et al., 2010, 2018; Lobo & Winsler, 2008). Yet research to date is limited and has not examined whether the benefits of arts enriched preschool may be uniquely helpful for children facing the greatest economic risk. The present study examines growth in school readiness …

Looking Beyond Minimalist Pedagogies: Rhetorical Listening As A Framework For Ethical Collaboration And Student Empowerment In The Writing Center, Abby M. Samella

West Chester University Graduate Theses, Dissertations, and Final Projects

Since its establishment, the Writing Center has strived to solidify its institutional presence as a space of student-centered pedagogy, minimalist directive approaches, and collaborative learning. However, students frequently perceive Writing Centers as the polar opposite of collaboration, frequently seeking out this support for a transactional, ‘remedial’ fix to their writing product. As Writing Centers grapple with this tension that threatens their process-driven pedagogies, scholars recognize a gap in Literature regarding collaborative approaches that empower the student through the implementation of rhetorical listening. Using the foundational framework of Rhetorical Listening as a strategy to reassert the collaborative identity of the Center …

Beyond Compliance: Creating A Disability Self-Advocacy Summit For Higher Education Using Critical Disability Pedagogy, Katie Manwiller

West Chester University Graduate Theses, Dissertations, and Final Projects

The Americans with Disabilities Act (ADA) has been in place for over 35 years, yet the systems it created to ensure equity are riddled with inherent barriers and often fail to provide equal access because of the ableism baked into American society. Institutions of higher education exemplify this failure as they largely treat disability as a compliance-issue, not as a marginalized identity that deserved dedicated inclusion efforts. Most institutions provide disability inclusion solely through the ADA-mandated accommodation process for students and employees, which falls far short of creating fully accessibility cultures. Crucially, these case-by-case processes isolate disabled people and do …

Connecting Classroom Physics To Real-World Research: A Citizen Science Approach In Ap Physics 1, Heather M. Landgarten

West Chester University Graduate Theses, Dissertations, and Final Projects

Advanced Placement (AP) Physics 1 emphasizes evidence-based reasoning, quantitative modeling, and scientific inquiry. However, secondary science instruction often remains focused on procedural problem solving and standardized assessment rather than authentic scientific practice. This study examined the integration of citizen science projects into an AP Physics 1 curriculum to provide students with authentic research experiences while reinforcing physics concepts during the post-AP examination instructional period.

Using a classroom-based mixed-methods pre–post design, students participated in citizen science activities through publicly available research platforms, including Zooniverse. Students collected and classified authentic scientific data, analyzed real-world datasets, developed research questions, compared observations with theoretical …

Teaching For Meaning: Life, Death, Self And Purpose, Stephen Diromualdo

West Chester University Graduate Theses, Dissertations, and Final Projects

Teaching for Meaning is fundamentally a paper about the need for a philosophical shift in current educational goals. The current institution of public education relies on “job training skills” and ideas of “global competitiveness” as its most important outcomes. This thesis argues that not only are these goals insufficient but actually detrimental to human development. The thesis seeks a method to shift to a more humanistic approach of education through the inclusion of several potential methods. Those methods include the implementation of democratic schooling, youth participatory action research and death studies.  In order to establish those methods the thesis the …

Belief, Capacity, Foresight Epistemic Exchange In American Law, Edwin T. Mcquillen Iv

West Chester University Graduate Theses, Dissertations, and Final Projects

American law sometimes assigns responsibility under conditions of uncertainty–even when there’s no completed harm, no demonstrable knowledge, and no identifiable victim. This thesis argues that across three otherwise unrelated doctrines, courts engage in what might be called epistemic exchange: when the kind of knowledge normally required for responsibility is unavailable, some alternative epistemic basis gets treated as functionally sufficient for judgment instead. Courts never state this practice outright; it is a philosophical description of what they are doing. In criminal attempt law, a justified but false belief can stand in for knowledge of whether the contemplated crime could actually be …

Daily Routines And Activities In Association With Emotion Regulation For Children Facing Economic Hardship And The Impact Of The Covid-19 Pandemic, Shanelle L. Stovall, Eleanor D. Brown

West Chester University Graduate Theses, Dissertations, and Final Projects

This study examined family routines and child emotion regulation across pre-pandemic and pandemic/post-pandemic periods among families facing economic hardship. Participants were 187 children enrolled in Head Start preschools near the East Coast of the United States, their caregivers, and teachers. Of these families, 131 participated during the 2015–2016 through 2018–2019 pre-pandemic school years, and 56 participated during the 2019–2020 through 2022 2023 pandemic/post-pandemic school years. Caregivers completed a demographic interview and 10 daily interviews across two weeks assessing family routines. Teachers completed a validated measure of child emotion regulation. MANCOVAs examined cohort differences in routines and emotion regulation. Hierarchical regressions …

The Role Of Growth Mindset As A Mitigating Factor On Teacher Burnout In The Secondary Math Classroom, Grant Butler

West Chester University Graduate Theses, Dissertations, and Final Projects

This mixed methods sequential explanatory study examined how secondary mathematics teachers’ mindsets relate to burnout tendencies, and how schools can support staff mindset to prevent burnout. Using a two-phase design, Phase 1 gathered survey data from 94 secondary math teachers, measuring mindset and burnout with descriptive statistics, correlations, chi-square tests, and regression analysis to quantify associations between mindset orientation and burnout risk. Phase 2 employed semi-structured interviews with a subsample of teachers and open and axial coding to explain and contextualize the quantitative patterns. Quantitative analyses revealed that teachers with more fixed mindset tendencies reported significantly higher burnout scores across …

Fit Ideal Internalization And Muscularity-Oriented Disordered Eating Among College Women: Examining Social Comparisons And Body Dissatisfaction As Serial Mediators, Nicole Graumann

West Chester University Graduate Theses, Dissertations, and Final Projects

Muscularity-oriented disordered eating (MODE) comprises rigid eating behaviors driven by a desire to be toned and muscular (Cunningham et al., 2021; Murray et al., 2019). While MODE has been widely studied among men, it is increasingly prevalent among women, and it is vital to explore its associated risk factors. In particular, the fit ideal (thin but also toned) is an emerging issue among women’s body image and could be a factor for women engaging in MODE; however, there is limited research exploring this relationship. The present study examined the relationship between the fit ideal internalization and MODE among college women …

Educators’ Perceptions Of Artificial Intelligence Enabled Wearable Technology To Support The Social, Emotional, And Behavioral Functioning Of Neurodiverse Students, Jessica Taraborrelli

West Chester University Graduate Theses, Dissertations, and Final Projects

The integration of technology in education has largely focused on academic outcomes, with limited attention to students’ social, emotional, and behavioral needs, particularly for neurodiverse students. Artificial Intelligence enabled wearable technologies present promising opportunities to address this gap by providing real time data and interventions. The purpose of this quantitative study was to examine educators’ perceptions of AI-enabled wearable technology and its potential to support the social, emotional, and behavioral functioning of neurodiverse students. Grounded in the Technology Acceptance Model (TAM3) and the Collaborative for Academic, Social, and Emotional Learning (CASEL) frameworks, this study explored how perceived usefulness and its …

Seeing Through Their Lenses: Perspectives Of Kindergarten Teachers On Implementing Purposeful Play For Children’S Academic And Developmental Learning, Subarna Basu

West Chester University Graduate Theses, Dissertations, and Final Projects

The purpose of this study was to examine the kindergarten teachers’ perceptions of using purposeful play for children’s academic and developmental learning, and the benefits and challenges they perceive in implementing purposeful play. The study utilized a qualitative, visual arts-based, participatory action research (PAR) design, in the form of Photovoice methodology. This qualitative study focused on the kindergarten teachers’ lived experiences and voices on the importance of implementing purposeful play and employed Paulo Freire’s Critical Pedagogy and Constructivist theories. Utilizing this methodology, six kindergarten teacher participants collected photographs based on photo prompts, provided narratives to their photographs, and reflected and …