Digital Commons Network^™

Formative Research To Identify Contributors To Risky Drinking And Adapt An Alcohol Reduction Intervention Among Young Adults Vulnerable To Hiv: Qualitative Focus Group Study, Fidelis Y. Sesenu, Sally Kirklewski, Bryce Takenaka, Jaime Brown, Erin Nicholson, Kimberly Haney, Kaylia Carroll, Arjee Restar, Donte Travon Boyd, Keisa Fallin-Bennett, Trace Kershaw, Carolyn Lauckner

Communication Faculty Publications

Background: Across populations, risky drinking has been demonstrated to increase HIV risk behaviors. This is of special concern for sexually minoritized cisgender men and gender-diverse young adults (aged 18‐34 years), who report greater incidence of hazardous drinking (as defined by the Alcohol Use Disorders Identification Test - Consumption criteria) and HIV compared to their heterosexual and/or cisgender peers.

Objective: This study aimed to examine alcohol perceptions, patterns of use, and the role that anti-LGBTQ+ (lesbian, gay, bisexual, transgender, queer) policies and discrimination played in alcohol risk behaviors for sexually minoritized cisgender men and gender-diverse individuals. Results were used to inform …

Social Engagement Moderates The Relationship Between Cognitive Functioning, Depressive Symptoms, And Restless Sleep In Older Black Adults, Sunkanmi Folorunsho, Olufunmilola Abraham, Darlingtina K. Esiaka

Pharmacy Practice and Science Faculty Publications

INTRODUCTION: Older Black adults face higher dementia risk, but it is unclear whether social engagement offsets the effects of depression and restless sleep.

METHODS: We analyzed 1,905 Black adults aged 50+ from the 2016-2020 Health and Retirement Study (HRS). Linear mixed-effects models tested how depressive symptoms, restless sleep, and social engagement predicted baseline cognition and cognitive decline.

RESULTS: Higher depressive symptoms and restless sleep were associated with lower baseline cognition (about 0.2 and 0.5 points lower) and faster decline (β×time ≈ −0.07 and −0.05). Greater social engagement predicted higher baseline cognition (about 0.6 points higher) and slower decline (β×time ≈ …

Developing Curcumin Analogues For Treating Breast Cancer, Tulasi Laxmi Nutalapati

Theses, Dissertations and Capstones

Breast cancer is still one of the most common types of cancer and one of the most common causes of cancer-related deaths in women around the world. Despite significant advances in early detection and treatment strategies, drug resistance, systemic toxicity, and poor outcomes in aggressive subtypes continue to limit the overall effectiveness of cancer therapy. Natural compounds have become promising anticancer agents because they can target many different things and are not very toxic. Curcumin has shown promise as an anticancer drug, but it cannot be used in the clinic because it does not absorb well, breaks down quickly, and …

Understanding Workplace Psychological Safety Among Latina Professionals: An Exploration Of Intersectional Experiences, Michal Tapia

Theses and Dissertations

Latina professionals represent one of the fastest-growing segments of the U.S. workforce, yet they remain disproportionately underrepresented in executive and C-suite roles. This disparity reflects structural conditions that shape access to voice, support, advancement, and decision-making authority.

This mixed-methods study examined psychological safety among 145 Latina professionals across the United States, defined as the belief that one can speak up, ask for help, disagree, or raise concerns without fear of negative consequences (Edmondson, 1999, 2019). The study explored how identity, relationships, leadership, workplace support, inclusion, mentorship, and structural barriers shape psychological safety at work.

Quantitative analyses showed that workplace support …

From Tension To Teaching: Combating Incivility And Bullying Behaviors Directed At Nursing Students, Shelley Dyal

Theses

Background: The phrase “nurses eat their young” has long been used to describe the culture of incivility and bullying often directed at nursing students. These behaviors in the nursing clinical learning environment break down nurse-student relationships. To address this issue, nursing staff must have the tools to fulfill their roles as educators and mentors in clinical settings. The purpose of this project is to implement and evaluate the effectiveness of an evidence-based asynchronous educational workshop focused on incivility reduction and student mentorship among nursing staff in a rural hospital setting.

Methods:  This study used a quantitative, one-group pretest–posttest intervention design …

Empowering Change: Impact Of Motivational Interviewing On First-Semester Nursing Students' Perceived Confidence And Communication Skills, Norma L. Branyon

Theses

Background: Effective communication is vital when interacting with others, regardless of the profession. When healthcare providers lack the skills to facilitate conversations about behavior changes, poor patient outcomes can be produced. New graduate nurses often encounter difficulties in effectively communicating with patients and display reluctance to engage with patients and their families. Ineffective communication may lead to increased anxiety, miscommunication, and mistrust. This communication gap can hinder therapeutic relationships, patient engagement, and overall health outcomes. Communication plays a crucial role in student nurses’ self-confidence, motivation, and personal and professional growth. Therefore, role transition for new nurses can be difficult and …

The Effects Of Childhood Maltreatment On Executive Functioning: The Difference Between Cumulative Trauma, Abuse Severity, And Neglect, Kelly Krehbiel

Master's Theses or Doctor of Nursing Practice

Childhood maltreatment is prevalent in the United States with around 558,899 children being victims of abuse in 2022 (U.S Department of Health & Human Services, 2024). Neglect is the most common form of abuse with around 74 percent of abused children being neglected; however, neglect tends to be the least researched form of abuse. Childhood maltreatment has long-term effects on a person’s mental, physical, and cognitive health. Previous research suggests that childhood maltreatment leads to severe deficits in executive functioning skills such as working memory and cognitive flexibility. Executive functioning skills are important for almost every aspect of life including …

Mythology Of Whiteness: Constructing Black Girls As A Bully, Kathleen O'Brien, Pamela Twyman Hoff

Faculty Publications - College of Education

This analytical essay uses data from a qualitative study by O’Brien (2017) that explored the social construction of bullying. O’Brien interviewed 16 high school students enrolled in alternative and college-preparatory high schools. Although the study did not focus specifically on Black girls, their narratives surfaced a distinctly different story—one that exposed how whiteness, intersectional power, and cultural ways of knowing construct Black girls as quintessential bullies in schools. This re-analysis explores how Black girls are cast within the mythology of whiteness as archfoes—not merely as disruptive, but as symbolic antagonists whose existence threatens the normative order of whiteness …

The Impact Of School Climate On Student Achievement, Tonia L. Schiro

All Electronic Theses and Dissertations

This literature review explores the relationship between school climate and student achievement by examining research from education, psychology, and school improvement literature. School climate encompasses many aspects of the educational environment, including perceptions of safety, the quality of relationships among students and staff, levels of engagement, and students’ sense of belonging within the school community. The review investigates how these factors contribute to academic success and influence students’ overall educational experiences. Findings across the literature consistently demonstrate that positive school climates are associated with higher levels of student achievement, stronger engagement, improved attendance, and greater social-emotional well-being. The review also …

The Impact Of Somali Parental Involvement On Elementary Education In Minnesota: Opportunities And Challenges, Abdiqani Abdullahi Elmi

All Electronic Theses and Dissertations

Abstract This qualitative study examines the challenges faced by Somali-American parents in Minnesota regarding involvement in their children's education, particularly during elementary school. The elementary level is a critical stage for students' learning and a foundational pillar for both academic development and social integration, making parental involvement during this stage especially important. However, immigrant families, specifically Somali-Americans, face significant challenges that impede their ability to participate actively in their children's educational journey. This qualitative phenomenological research investigated barriers that might stem from limited formal education, low English proficiency, cultural, linguistic, and socioeconomic challenges. The methodology used in this research is …

The Role Of Mentorship In Women’S Pathways To Senior Superintendency Positions In K–12 Public Education, Tara Falasco

All Electronic Theses and Dissertations

Although women comprise the majority of the K–12 workforce, they remain underrepresented in senior superintendency leadership positions, a disparity attributed to systemic and social factors such as implicit bias, gender stereotypes, limited access to professional networks, and inequitable mentorship and sponsorship structures that restrict advancement opportunities. Mentorship is widely recognized as an important factor in women’s pathways to senior roles; however, women often report less access to advocacy-oriented sponsorship than men, leaving those in building-level leadership (e.g., principals, assistant principals) facing barriers—such as limited access to networks, implicit gender bias, and work–life balance challenges—when seeking senior superintendency positions. This phenomenological, …

Barriers To Creativity: Addressing Anxiety And Self-Doubt In Secondary Visual Arts Students, Wenlai Fang

All Electronic Theses and Dissertations

Adolescence is a crucial stage for self-development and creativity development. During this period, middle school students will experience creative anxiety and self-doubt about creative expression in multiple dimensions. To help students manage the uncertainties inherent in the creative process and build confidence and resilience, this study, based on Rhodes' (1961) 4P creativity framework (Person, Process, Press, and Product), systematically investigated the obstacles to the development of adolescent creativity and identified teaching intervention measures for fostering a supportive creativity ecosystem.
This study demonstrated that the development of adolescent creativity is a result of multi-faceted and multi-dimensional interactions from the 4P creativity …

Examining Obsessive-Compulsive Symptomatology And Maternal Functioning During The Postpartum Period: Implications For Disclosure And Assessment, Meghan Collins

PCOM Psychology Dissertations

Maternal mental health is a significant global health concern, with nearly one in five new mothers experiencing a mental health disorder during the perinatal period. Timely screening, assessment, and treatment are critical for the well-being of both mother and infant, given the potential adverse effects of unaddressed mental health concerns. While much of the existing literature has focused on perinatal depression and anxiety, research specifically examining obsessive-compulsive symptoms and unwanted or intrusive thoughts remains limited. The present study investigated the relationship between obsessive-compulsive symptoms and maternal functioning, as well as experiences related to the assessment and disclosure of intrusive thoughts. …

The Impact Of Long Covid On Mental Health, Marzena Podkalicka

PCOM Psychology Dissertations

Since the emergence of the novel coronavirus, a significant portion of the global population has transitioned from acute infection to Long COVID, a multisystemic condition characterized by persistent symptoms lasting 4 weeks or longer. This study investigated the psychological impact of Long COVID, to explore rates of anxiety, depression, post-traumatic stress disorder (PTSD), and quality of life in people with Long COVID compared to those without it. A quantitative survey-based design was employed with a sample of 310 adults (Aged 18 to 90; M = 48.2). Participants completed validated instruments, including the Long COVID Questionnaire, Short Form Health Survey, General …

Breaking Barriers In Bariatric Care, Morgan Lapshanski

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

The doctoral capstone project titled Breaking Barriers in Bariatric Care was established to promote equitable care and increase the quality of healthcare services provided to bariatric patients. Breaking Barriers in Bariatric Care was implemented to address the areas of education, research, and advocacy. With the focus being on these areas, the student worked to promote levels of accessibility and inclusivity within the healthcare system. The capstone project included an asynchronous virtual educational program for healthcare students at Misericordia University to enhance knowledge in the areas of bias reduction, safe handling, and providing appropriate care to bariatric patients. The student conducted …

Harmony In Healing: Addressing The Psychosocial Needs Of Individuals Living With Lymphedema, Bria K. Brombacher

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Lymphedema is a chronic and incurable condition associated with significant physical and psychosocial challenges, including depression, anxiety, social isolation, and reduced quality of life. Despite increasing recognition of these concerns, limited interventions exist that specifically address the psychosocial needs of individuals living with lymphedema. Additionally, individuals within this population often report limited provider awareness of lymphedema within the healthcare system. The purpose of this doctoral capstone project, Harmony in Healing: Addressing the Psychosocial Needs of Individuals Living with Lymphedema, was to promote well-being, improve quality of life, and increase awareness of the psychosocial implications of lymphedema through occupational therapy intervention. …

Rapid Response To Recovery: Expand Integrated, Technology-Enabled Crisis Care, Madison Chandler

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Behavioral health challenges in rural communities continue to place significant strain on healthcare systems, particularly through repeated reliance on emergency departments for crisis care. Nelson County, Kentucky, reflects this pattern, with higher reported rates of poor mental health and limited access to behavioral health providers. This paper proposes the Beacon Behavioral Health Response Program, a community-based, multidisciplinary crisis intervention model designed to improve access to timely care and strengthen continuity of support. The program combines mobile crisis response—delivered by a licensed clinical social worker and a peer support specialist—with a technology-enabled component using the Luma AI-supported mental health platform. Together, …

Promoting Maternal And Infant Health In Franklin County, Ky: A Community-Based Physical Activity And Education Intervention, Subin Kim

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Maternal and infant health outcomes are key indicators of population health, yet persistent disparities exist in rural communities across the United States. In Kentucky, Franklin County reflects this pattern, with concerning maternal and infant health indicators despite relatively favorable socioeconomic conditions. Identified challenges include elevated rates of poor physical and mental health days, high drug overdose mortality, provider shortages, and ongoing reproductive health concerns such as tobacco use during pregnancy and increased infant mortality associated with elevated maternal body mass index.

To address these gaps, a three-pronged, community-based prenatal and postpartum physical activity and education program is proposed. The program …

Effects Of Tech-Based Self-Monitoring And An Interdependent Group Contingency On Group Engagement, Ariana K. Hefter

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

This study evaluated the effects of a class-wide self-monitoring (SM) intervention delivered via the I-Connect app and paired with an interdependent group contingency, on whole-group engagement in a general fourth grade classroom. Participants included 23 students during a 30-min instructional period. The researcher measured group engagement using momentary time sampling (MTS) with planned activity check (PLACHECK) with a fixed rotation schedule in 30-s intervals and recorded the percentage of students on-task per session. A withdrawal (ABAB) design was used to examine the effects across the baseline and intervention phases. Results indicated a slight increase in group engagement during the intervention …

Simulating Social Attitudes With Llms: Accuracy, Demographic Effects, And Refusal Behavior In The Sensitive Domain Of Suicide Prevention, Cristina J. Perez, Michael P. Vasquez Jr., Philippe J. Giabbanelli, Patrick Y. Wu

VMASC Publications

Large language models (LLMs) are increasingly used to simulate public opinion, yet their validity in sensitive policy domains remains underexplored. We evaluate whether LLMs can reproduce attitudes toward suicide prevention policies using 32 questions drawn from seven nationally representative U.S. surveys (2023-2025). We systematically vary demographic conditioning (race/ethnicity, gender, age, education, income, party), prompt framing (direct elicitation, respondent embodiment, specialist embodiment), and model architecture (GPT-5 Nano, DeepSeek V3.2, Meta Llama 3.1 8B, Mistral Small 24B). Across 811,560 prompts, the mean absolute error—the average gap between predicted and human response distributions—is 23 percentage points. We also find that LLM responses to …

Exploring K-2 Teachers’ Perspectives Around Screen Time In Blended Learning Classrooms, Cameryn Lee Ronspies

Dissertations and Theses

The integration of digital technologies in primary education has transformed instructional practices, yet the use of screen time in K-2 classrooms remains a debated issue. While prior research has examined the effects of screen time on children’s development and learning outcomes, little is known about how teachers themselves make decisions regarding its use in the classroom. This study explores how K-2 teachers in blended learning environments navigate the complexities of screen time. Despite debate among researchers, few policies exist to guide teachers in regulating the quality and duration of screen use, leaving teachers to make complex decisions independently. Grounded in …

Impact Of Borderline Personality Features On Menstrual Phases And Pain Perception, Morgan Maples

Dissertations and Theses

Pain is a pervasive global health concern that affects approximately one in five adults worldwide and carries substantial psychological and economic costs. Chronic and persistent pain often co-occurs with emotional dysregulation and maladaptive coping behavior, suggesting the involvement of complex biopsychosocial mechanisms including personality pathology. Specifically, borderline personality disorder (BPD) features, have been associated with altered pain perception, increased emotional reactivity, and higher engagement in non-suicidal self-injury (NSSI). Further, hormonal fluctuations across menstrual cycle phases have been linked to variability in pain sensitivity, though findings remain inconsistent. Despite the growing body of literature on pain and personality, little is known …

Mild Cognitive Impairment (Mci) And Exceptional Parental Longevity: A Retrospective, Longitudinal Approach, Deepak Seshadri M.S.

Selected Full Text Dissertations, 2011-

The specific determinants and mechanisms of genetic longevity are an intriguing area of research. There is evidence to show that longevity and associated phenotypes of successful aging are partially determined by genetic factors (Adams et al. 2008; Barzilai et al. 2006; Barzilai et al. 2003; Murabito et al. 2013; Newman et al. 2011). Further research shows that offspring of parents with exceptional longevity (OPEL) may age more successfully and be protected from age related decline than the offspring of parents with usual survival (OPUS) (Ayers et al. 2014; Barzilai et al. 2006; Barzilai et al. 2003). Studies demonstrated an inverse …

Associations Between Cognitive Scripts Of Insecure And Anomalous Attachment And Psychopathology Symptoms In A Normative-Risk Community Sample, Andrea “Andie” Youniss M.S.

Selected Full Text Dissertations, 2011-

Adult insecure and disorganized attachment representations have been shown to be consistently associated with internalizing and externalizing symptoms in adulthood. A recently validated coding system (Groh & Haydon, 2024) was developed to assess insecure (i.e., deactivating and hyperactivating) and disorganized (i.e., anomalous) scripted attachment representations via the Attachment Script Assessment (ASA; Waters & Waters, 2006) – a word prompt task traditionally designed to assess secure base script knowledge. Deactivating scripts reflect minimized or ignored attachment-relevant problems; hyperactivating scripts entail exacerbated attachment-relevant issues; and scripts with anomalous content contain disorganized or contradictory attachment-relevant concerns that shape how caregiving interactions are expected …

Culturally Responsive Dialectical Behavior Therapy With Chinese Sexual And Gender Minority Individuals: A Qualitative Study, Weiyi Liao M.S.

Selected Full Text Dissertations, 2011-

Professional guidelines emphasize the importance of adapting evidence-based treatments to the cultural and contextual needs of minoritized populations. Although substantial research has examined lesbian, gay, bisexual, transgender, and queer (LGBTQ+) mental health, comparatively little is known about the psychotherapy experiences of Chinese sexual and gender minority individuals or how dialectical behavior therapy (DBT) may be delivered responsively with this population. DBT is an evidence-based treatment for emotion dysregulation, self-harm, and suicidal behavior that explicitly addresses the effects of invalidating environments. Because Chinese cultural contexts and LGBTQ-related minority stress may both shape emotional expression, help-seeking, and treatment experiences, this qualitative study …

Post-Boom(Er) Maximalism In The Americas: Valeria Luiselli's “Lost Children Archive”, Antonio Barrenechea

English & Linguistics Articles

This article poses an alternative non-Anglophone starting point for twenty-first century maximalism through the Latin American Boom and “la novela total” that is its crowning achievement. Among such works are Gabriel García Márquez’s One Hundred Years of Solitude (1967) and Carlos Fuentes’s Terra Nostra (1975). The term’s 1960s conception by Peruvian author Mario Vargas Llosa predates Thomas Pynchon as figurehead for maximalist theorizing within First World academic environments that control the conversation. Furthermore, I examine Mexican author Valeria Luiselli’s Lost Children Archive (2019) as a case of post-Boom(er) maximalism that differs from the big novels of the Latin American luminaries. …

Geography Of Erasure: Manufactured Housing, Heat Exposure, And State Neglect In Florida, Gianna M. Hutton

Pomona Senior Theses

This thesis examines Florida's manufactured housing communities through the intersecting frameworks of energy justice, critical heat studies, and housing displacement scholarship, centering how structural, political, and economic forces shape uneven exposure to thermal insecurity and housing precarity. Using a mixed-methods approach combining statistical regression analysis of American Community Survey microdata (2019-2023) and spatial case study of Miami-Dade County's heat governance and The Li'l Abner Mobile Home Community’s displacement, this research investigates how manufactured housing residents experience compounded exclusions across energy systems, urban heat governance, and housing security. The findings reveal that manufactured home residents face a 26% higher energy burden …

(R)Evolutionary Cultural Literacy: Pauli Murray’S Boundary-Crossing Tripartite Pedagogy, Lorise Ann Diamond

CGU Theses & Dissertations

Civil rights lawyer, poet, activist, questioning, and Episcopal priest Pauli Murray spent seven decades generating legal doctrine, autobiography, poetry, and institutional redesign across some of the most hostile yet fecund terrain American public life produced. Scholarship across rhetoric and writing studies, cultural studies, Black feminism, and critical pedagogy has theorized literacy, movement, and commons-making as separate concerns. What the field of cultural literacy lacks is a framework that holds those concerns together, reads them through a focused body of texts, and translates them into a transferable pedagogy applicable across academic, civic, and institutional settings. This dissertation argues that cultural literacy …

An Exploration Of Academic Help-Seeking Among Postsecondary Students: Differences By Gender And Ethnicity, Stephanie Greenquist-Marlett, Linda Bol, Claire Consadine, Courtney Hill

STEMPS Faculty Publications

Students often struggle to employ effective learning and study strategies in postsecondary settings that challenge their academic success. These struggles can be amplified depending on student characteristics like gender and ethnicity. One way to improve their success is an awareness they may need help and how to most productively use this help. We sought to understand students’ patterns of help-seeking behaviors as well as whether these patterns differed by gender and ethnicity. The researcher-developed Academic Help-Seeking Inventory (AHSI) was designed to measure academic help-seeking. Participants were 249 undergraduate and graduate students enrolled at two East Coast public universities. An exploratory …

Dementia Incidence In Patients With Prurigo Nodularis: An Observational Retrospective Cohort Study, Madison P. Olexson, Ana Ormaza Vera, Chunghwan Ro, Clinton W. Enos

Department Dermatology Faculty Publications

[Introduction] Prurigo nodularis (PN) is a chronic neuroinflammatory dermatosis of unknown etiology characterized by severely pruritic, symmetrically-distributed nodules with a negative impact on quality of life [1]. While some consider PN a primary idiopathic disorder, it often arises as a secondary manifestation of underlying conditions, including atopic dermatitis (AD), chronic kidney disease (CKD), human-immunodeficiency-virus (HIV), and thyroid disorders [2]. Although patients with PN are at higher risk for psychiatric comorbidities including depression, anxiety, and suicidal ideation [3] research which investigates associations between PN and neurodegenerative disorders is limited [4]. Moreover, emerging evidence implicating sustained systemic inflammation, characteristic of psoriasis and …