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Risk Factors Affecting Functional Outcomes Of Traumatic Brain Injury Patients During Long-Term Acute Care Hospital Rehabilitation, Arturo Olazabal

Walden Dissertations and Doctoral Studies

Traumatic brain injury (TBI) is a major public health concern associated with long-term disability and high healthcare utilization. Evidence guiding post-acute rehabilitation for medically complex TBI populations remains limited, particularly in long-term acute care hospital (LTACH) settings serving medically unstable patients. This study examined clinical and system-level factors associated with functional rehabilitation outcomes among adults with moderate-to-severe TBI in LTACHs. Guided by the Socioecological Model, recovery was conceptualized as interactions across individual, clinical, and organizational levels. This dissertation included three manuscripts using cross-sectional logistic regression and CMS Section GG measures. In Manuscript 1, longer time from injury to LTACH admission …

Addressing Sensory Processing And Regulation To Improve Developmental Outcomes In A Nicu Developmental Clinic, Faith Crumley

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background and Significance 

Infants and children who spent time in the Neonatal Intensive Care Unit (NICU) experienced intense sensory stimuli early on, during a critical period of brain development. These early experiences have been associated with later challenges in sensory processing and regulation, impacting developmental outcomes (Pineda et al., 2023). Following discharge, NICU Developmental Follow-Up Clinics play a key role in monitoring developmental progress and identifying delays. Given the influence of sensory processing on regulation, motor development, and participation in occupations, early identification is critical. This capstone project was conducted at a NICU Developmental Clinic to address the need for …

Promoting Reintegration Across Home And School Environments For Pediatric Burn Survivors Through A Mental Health Toolkit For Children, Caregivers, And Educators, Ashtan Goodwin

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Objective:

Pediatric burn injuries affect physical recovery, emotional well-being, social participation, and school reintegration. Mental health needs are often under-addressed, particularly for caregivers and educators supporting children post-injury. Pediatric burn patients are three times more likely to develop psychiatric conditions than uninjured individuals, with disorders such as PTSD emerging years after the injury (Duke et al., 2018). The purpose of this project was to address gaps in mental health support and resources for pediatric burn survivors and their support systems.

Methods:

A mixed-methods approach was used through a pre-survey and interviews with burn care team members. The pre-survey was distributed …

Finding A Home Away From Home: An Accessible Hotel And Short-Term Rental Guide, Atley E. Livingston

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Travel has become a significant part of today’s social culture, allowing individuals to connect with family and friends, explore new environments, and engage in meaningful experiences. However, many wheelchair users report that traveling is often frustrating, inequitable, and difficult. To better understand the limitations of travel on this population, a needs assessment was conducted through a collaboration with a nationwide organization that supports the wheelchair community. Participants identified travel accommodations and the barriers they present as a major limitation to travel. The purpose of this capstone project is to analyze lodging and housing accessibility through the lens of the population, …

The Impact Of Sensory Modulation Through Multi-Sensory Stimulation Within Dementia Day Centers, Kristin Hood

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Dementia is a growing global health concern, with prevalence expected to double every 20 years as the population ages, and approximately 6.7 million individuals in the United States currently living with Alzheimer’s disease and related dementias (Cheng, 2017; Akincigil, 2024). Individuals with dementia commonly experience behavioral and psychological symptoms such as agitation, anxiety, pacing, withdrawal, and decreased engagement in meaningful activities, creating challenges for care staff and caregivers.

The purpose of this capstone project was to design and implement a multi-sensory stimulation room (MSSR) within a day program serving community-dwelling adults with dementia. The project aimed to provide a client-centered, …

Supporting Educators Through Executive Function Education And Tier 1 Regulation Strategies In The Classroom, Sarah Robbins

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Early support for students to develop strong executive functioning skills is crucial, as these abilities are linked to lifelong success, well-being, financial stability, and overall quality of life (Diamond, 2013). A needs assessment conducted via REDCap revealed that while educators were generally familiar with executive function, they reported limited access to resources, reduced confidence in implementing strategies, and time constraints within the classroom.

The purpose of this doctoral capstone project was to enhance educators understanding and confidence in implementing strategies and techniques to address executive function challenges in the classroom. This project involved the development and delivery of educational resources …

Implementation Of Standardized Volunteer Training Protocol To Support Executive Functioning Outcomes In Therapeutic Riding, Sydney R. Cornwell

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Executive functioning (EF) skills including inhibition, working memory, and cognitive flexibility, are essential for successful participation in daily occupations. Therapeutic riding (TR) programs offer a unique environment where cognitive, sensory, and motor systems can be engaged simultaneously. Limited research, however, exists on how occupational therapy (OT) principles targeting EF can be systemically integrated into TR settings. This quality improvement project was conducted at a nonprofit therapeutic riding program serving children and adults with psychological, emotional, physical, and cognitive challenges. The purpose of the project was to enhance the structure, consistency, and therapeutic values of the riding sessions by introducing and …

Analyzing Variations In 48-Hour Mortality Rates Following Hospital Admission For Trauma Injuries Across Urban And Rural Hospitals, Kimberly Gilbert Henderson

MUSC Theses and Dissertations

Purpose:  To examine 48-hour in-hospital mortality among trauma admissions and evaluate patient- and hospital-level factors associated with early death, with emphasis on rural–urban differences.

Methods:  This retrospective observational study used the 2022 Healthcare Cost and Utilization Project–National Inpatient Sample (HCUP-NIS). Trauma admissions were identified using HCUP injury indicators and ICD-10-CM codes restricted to initial encounters. To reduce transfer-related bias, analyses were limited to non-transfer admissions after excluding 22,195 transfer-in cases, 6,723 transfer-out cases, and 66 observations with missing data, yielding 182,560 admissions. Early mortality was defined as death within 48 hours. Bivariate differences were assessed using χ² tests, and multivariable …

Dialectical Inquiry: Questions And Conversations That Enhance Learning And Encourage Development Of Self-Governance, Linda Barrett

Master of Arts in Classical Studies

This research considers the influence of dialectical questions and conversations on learning and the development of self-governance. The term dialectic has roots in the Greek dialegesthai, meaning to talk through, or to converse. Dialectic is a form of dialogue that pursues truth through questions that consider opposing or multiple perspectives of an idea or issue and conversation toward a clearer understanding of those perspectives. The dialectic is the “spirit of inquiry” at the heart of classical Christian education. It is often the locus, or place, of learning because asking questions and engaging in dialogue are essential ways in …

Understanding Post-Nicu Caregiver Mental Health And Occupational Participation: Implications For Healthcare Practice, Emily S. Knight

Student Capstone Papers

This capstone project explored the mental health challenges experienced by caregivers following their infant’s discharge from the neonatal intensive care unit (NICU) and the resulting impact on occupational participation. Using a mixed-methods design, data was collected through an anonymous survey of 46 post-NICU caregivers, incorporating both quantitative and qualitative responses. Findings revealed that caregivers commonly experienced significant mental health concerns, including stress, anxiety, and depressive symptoms, particularly within the first year following discharge. Although results demonstrated a statistically significant improvement in mental health over time, many caregivers reported limited access to mental health resources and professional support. Importantly, the study …

The Scarlet - Volume Civ, No. 10 (April 10, 2026), Scarlet Staff

The Scarlet (Student Newspaper) (2011-present)

The April 10, 2026 edition of The Scarlet (est. 1939), Clark University's student-run newspaper. The Scarlet is intellectually and editorially independent of the University. This issue is a satirical April Fools Day edition of The Scarlet.

Cultivating Wisdom And Virtue: A Professional Development Model For Teachers Entering Classical Schools, Andrea Lyons Wells

Morehead State Theses and Dissertations

A capstone submitted in partial fulfillment of the requirements for the degree of Doctor of Education in the Ernst and Sara Lane Volgenau College of Education at Morehead State University by Andrea Lyons Wells on April 10, 2026.

Cebuano For Missionaries - Missionary Training Center Grammar Book, Jaden Sigua

Instructional Psychology and Technology Graduate Student Projects

This project presents the design and development of Cebuano for Missionaries, a grammar resource created to support language instruction at the Missionary Training Center (MTC). The purpose of the project was to align grammar instruction with communicative missionary tasks and support learners in achieving Intermediate-Low proficiency on the ACTFL scale. The resource was developed using an iterative design process informed by stakeholder interviews, task analysis, and pilot testing. Key design features include simplified grammar explanations, visual reference charts, and task-based study activities to support classroom instruction, tutoring, and independent study. The project also outlines implementation plans, evaluation strategies, and …

Enhancing Family Centered Care, Participation, And Well-Being In The Nicu, Abigail Schweickhardt

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background

Caregiver mental health is often overlooked or not addressed in the neonatal intensive care unit (NICU). When diving into the literature, themes of anxiety, stress, depression and PTSD are reported from NICU caregivers. A metanalysis study reported many caregivers received short discharge notices, and NICU staff deemed caregivers competent in using their child’s medical equipment after a 15-minute brief. The short notices and lack of knowledge in medical equipment causes caregivers to not feel confident in taking care of their infant (Padratzik, 2022). To help improve caregiver mental health, the family centered care model is the gold standard. Caregivers …

A Proposed Vision For An Existing Educational Program For Professional And Economic Resources For Traditional Industries With Economic Returns In The Sultanate Of Oman To Enhance The Orientation Of Post-Basic Education Students Towards Entrepreneurial Work, Saif Al-Maamari, Ruqaya Al-Haddabi, Fawzia Al-Wahaabia

Journal of Arts and Social Sciences

The current study aimed to build a proposed vision for an educational program, based on professional funds of knowledge for traditional craft industries with economic returns, to enhance the orientation of post-basic education students in the Sultanate of Oman towards entrepreneurial work. to achieve the goal of the study, the researchers followed the ethnographic approach by applying an ethnographic interview with six experts from those working in traditional craft industries (pottery, palm trees, and the Omani dagger). The study showed many results, the most important of which is that craftsmen in traditional craft industries possess rich professional funds of knowledge …

Parental Awareness And Response To Cyberbullying: A Qualitative Study Of Nigerian Parents, Adaobi Jennifer Iloakasia, Nneka Anthonia Obumse

Jurnal Kajian Bimbingan dan Konseling

The problem of cyberbullying has been gaining momentum in modern society because of the dynamic development of digital technologies and the extensive use of social media by adolescents. This paper thus examined the parental cognition and reaction to cyberbullying of Nigerian parents with a particular emphasis on Anambra State. The research design in the study was a qualitative one, based on a phenomenological approach to reflect the experiences of parents. Purposive selection of parents with children in secondary schools was done (30 parents). The collection of data was done via semi-structured interviews, and thematic analysis was used to analyze the …

Adapting As Pioneers: A Phenomenological Study Of First-Batch Medical Students In A New Medical Faculty, Hilma Tsurayya Ifitahurroza, Tisnalia Merdya Andyastanti, Anditri Weningtyas, Rosalie Aurellie Wibowo, Callysta Neysa Yusangka

Jurnal Kajian Bimbingan dan Konseling

Entering medical faculty is inherently demanding for first year student and the challenges are amplified for first-batch students in newly established faculties. These students must navigate academic, social, and professional adaptation simultaneously with evolving institution systems. Understanding their adaptation is essential to support success and resilience. This study aimed to explore the adaptation experiences of first-batch medical students in their first year in a new medical faculty. A descriptive phenomenological approach was employed. Data were collected through semi-structured interviews conducted in September 2024 with seven first-year students at the Faculty of Medicine, State University of Malang, established in 2023. Participants …

Regional And Global Innovative Initiatives And Projects To Develop The Dimensions Of Identity And Citizenship In Governmental And Community Educational Institutions, Samah Hamad Al Shukaili, Hamood Khamis Alnoofli

Journal of Arts and Social Sciences

The study aimed to identify regional and global innovative initiatives and projects in order to enhance identity and citizenship in government institutions. The study also aimed to understand the Oman Vision 2040 document in the field of innovation, as well as to identify the obstacles faced by innovators in the Sultanate of Oman. These obstacles included social, psychological, administrative, technical, marketing, and material challenges encountered by innovators in Oman, and to assess the need for a social specialist to help them deal with the obstacles they face. This study is descriptive and relies on social surveys: a comprehensive survey was …

The Perceptions Of Special Education Teachers In The Sultanate Of Oman Regarding The Challenges They Face In Enhancing The Cultural Identity Of Their Students In The First Cycle Of Basic Education., Ruqayah Bint Hassan Al-Hadbiya, Zakia Bint Rashid Bin Amer Al-Siyabi

Journal of Arts and Social Sciences

The current study aimed to reveal the challenges faced by first-year special education teachers in the Sultanate of Oman towards enhancing cultural identity among deaf students. To achieve the goal of the study, an open interview was used, which in its final form consisted of ten main questions on a sample of 15 teachers, in various specializations. The results of the study indicated that the challenges lie in the lack of appropriateness of the curriculum for the hearing disabled, the lack of linguistic stock among the hearing disabled, the difficulty and scarcity of educational resources and means, the difficulty of …

The Image Of Omani Society And The Factors Shaping It Among Non-Omanis., Rahma Harith Nasser Al-Harrasi

Journal of Arts and Social Sciences

The current study sought to identify the image of the Omani society among non-Omani. Random stratified sampling was used to recruit 245 non-Omani academics working at Sultan Qaboos University, where online questionnaires were distributed. The study revealed that the respondents’ evaluation of the image of the Omani society was high which means that the image of Omani society among non-Omanis is positive. Moreover, the highest evaluation was for the phrase “Omani society is a cohesive society that supports each other”. The study identified several factors that shaped the Omani society’s image among non-Omani such as personal communication, social media, academic …

Building An Inclusive Workforce: Closing Equity Gaps In Community Colleges And Vocational Schools With Elliott’S Embodied Inclusion 360 Framework, Niki Elliott Ph.D.

Inclusion in Postsecondary Education

Community colleges and vocational schools serve as critical access points to higher education and upward mobility, yet historically marginalized neurodiverse students—particularly men of color—continue to face inequitable outcomes in retention, completion, and career readiness. Despite rising enrollment in career and technical education programs and increasing workforce demand, institutional practices often rely on fragmented supports that overlook the interplay of physiology, environment, culture, trauma, and instructional design. Closing these equity gaps requires a holistic, embodied approach informed by neuroscience, trauma studies, and culturally responsive pedagogy. Elliott’s Embodied Inclusion 360 (EI 360) Framework offers such a model, integrating five interdependent domains—physiological, relational, …

Understanding Post-Nicu Caregiver Mental Health And Occupational Participation: Implications For Healthcare Practice, Emily S. Knight, Zeida Gutierrez, Maureen Fischer

Spring 2026 OTD Capstone Symposium

This capstone project explored the mental health challenges experienced by caregivers following their infant’s discharge from the neonatal intensive care unit (NICU) and the resulting impact on occupational participation. Using a mixed-methods design, data was collected through an anonymous survey of 46 post-NICU caregivers, incorporating both quantitative and qualitative responses. Findings revealed that caregivers commonly experienced significant mental health concerns, including stress, anxiety, and depressive symptoms, particularly within the first year following discharge. Although results demonstrated a statistically significant improvement in mental health over time, many caregivers reported limited access to mental health resources and professional support. Importantly, the study …

Detention Before Adjudication: Evaluating Its Role In Juvenile Justice Outcomes, Ella Morrow

2026 Spring Honors Capstones Projects

Pre-adjudication detention involves confining juveniles while they await a hearing, aimed at ensuring court appearance and upholding public safety. However, the use of pre-adjudication detention has expanded significantly, which has raised concerns regarding the impact on juvenile justice outcomes. This study reviews established peer-reviewed research and observational data from internships to evaluate how this type of detention influences legal outcomes and juvenile development. The research findings demonstrate that detention is associated with harsher dispositions, higher recidivism rates, and long-term consequences. For example, a 38% reduction in high school graduation rates is attributed to pre-adjudication detention. Research has also shown that …

Leadership Practices To Influence Employee Satisfaction And Well-Being In The Behavioral Health Environment, Kandice Ferdon

Walden Dissertations and Doctoral Studies

The increasing complexity and competitiveness of today’s health care system require innovative leadership approaches that support both high‑quality patient care and a healthy workforce. Although concerns about clinician burnout have grown, limited research has examined how leadership practices within behavioral health settings influence employee well‑being and satisfaction. This qualitative case study explored how behavioral health leaders shape workplace well‑being by integrating physical and psychological safety into daily practice. Methodological triangulation—combining survey data, organizational outcomes, and interview responses—strengthened the validity of the findings and provided a multidimensional understanding of leadership impact. Leaders emphasized that employee well‑being depends on both physical safety …

Exploring Sequential Technical Practices Towards Skill Development And Musical Expression In Violin Performance And String Pedagogy Methods, Erin Kim

LSU Doctoral Dissertations

This dissertation proposes the Erin Kim System, a pedagogical framework designed to support sequential technical development and musical expression in beginning, intermediate, and advanced levels of violin performance. This system examines how structured technical progression, guided repertoire sequencing, and a nurturing learning environment with the teacher and parents can foster skill acquisition and long-term musical engagement among violin students. Musical enjoyment and inspiration serve as primary motivators for learning, particularly when students are encouraged to work toward performing aspirational repertoire such as the Sibelius Violin Concerto. By organizing repertoire and supplemental exercises in a clear step-by-step process, this system enables …

Back Matter

Caroliniana Undergraduate Research Journal

This is the Back Matter for Vol. 1, Iss. 1: "The Blueprint" in the Caroliniana Undergraduate Research Journal. The Back Matter includes the following sections:  The Editorial Board, About the Authors, and the Back Cover of the issue. Here you can find more about the contributors that made this issue possible.

Emotional Intelligence Training In Physician Assistant Education: Comparing Workshops Alone To Workshops Plus Coaching, Mickey Lebowitz, William Holmes

Innovations in Health Sciences Education Journal

Introduction

Clinicians and health care students with higher emotional intelligence (EQ) are more likely to experience positive outcomes for themselves and their patients. Given these benefits and EQ’s learnability, teaching EQ to health care students has been suggested. Therefore, we aimed to assess the impact of workshops combined with coaching (W+C) relative to workshops only (WO) on PA students’ EQ, and, as an outcome measure, their feelings of success. Additionally, we investigated whether these impacts depend on students’ baseline EQ.

Method

Using the Six Seconds Emotional Intelligence Inventory, we retrospectively tracked first- and second-year changes in EQ and success scores …

Cripping The Border – Acompañamiento As Access: An Ethnographic Case Study Of Transborder Youth With Disabilities, Marco O. Amaral

Dissertations

The U.S.-Mexico border is a historical, geopolitical site of intense militarization where colonial logics of "othering" converge to marginalize disabled transborder youth. While transborder studies have expanded, students with disabilities remain relegated to the "void" and contained by educational systems that prioritize surveillance over access. Grounded in Sepúlveda’s (2011) acompañamiento and Transborder DisCrit, this ethnographic case study examines the lived experiences of both students and their families who cross the border daily to attend school in the U.S. It frames these journeys not as mere commutes, but as acts of defiance within the broader disability rights movement.

As a teacher-activist, …

The Effect Of Vestibular System Stimulation On Emotional Regulation In Children With Disabilities, Mickayla N. Coyle

Student Capstone Papers

This capstone project is a mixed-methods research study that aimed to identify the impact of vestibular system stimulation on emotional regulation in children with disabilities. Throughout this research study, swing use was used as vestibular stimulation to identify its effectiveness in improving emotional regulation in children with disabilities. The study was conducted over the course of six weeks in a school-based setting.  The results of this research study are indicative that using a swing as a vestibular input is an effective intervention to manage emotional regulation in children with disabilities. Utilization of linear swinging at the beginning of occupational therapy …

Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan

Walden Dissertations and Doctoral Studies

Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …