Digital Commons Network^™

Bridging The Sensory Gap With Occupational Therapy: Program Development For Sensory Integration In Inpatient Rehabilitation For Adults With Central Nervous System Injuries, Callie Marie Honaker

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objectives: This project aimed to identify sensory processing deficits in adults with central nervous system injuries and to inform the development of sensory-informed program components in an inpatient rehabilitation setting. Participants: A total of 76 adults admitted with diagnoses including cerebrovascular accident, brain injury, and spinal cord injury were included. Methods: A structured sensory screening and mental health questionnaire were administered and compared to prescreening admission documentation and PHQ-9 scores. Descriptive statistics and inferential analyses were conducted. Results: Sensory impairments were highly prevalent, with participants demonstrating an average of three impairments across the sensory domains. Proprioceptive, tactile, and visual deficits …

Effects Of Fluency-Based And Percentage-Based Mastery Criteria On Learning, Maintenance, Application, And Learner Experience In Behavior-Analytic Skill Acquisition, Marisela Alicia Aguilar

Graduate Theses, Dissertations, and Problem Reports (ETD)

In behavior analysis, staff are often trained to percentage-based criteria to demonstrate that they have mastered a skill. However, percentage-based mastery criteria may not result in long-term maintenance of the skill. In other areas of instruction, fluency criteria resulted in multiple positive outcomes such as maintenance, endurance, and application of the skill beyond the training context, but these outcomes have not yet been widely demonstrated in the context of teaching behavior support plan (BSP) content and implementation. Across two experiments, we attempted to evaluate the extent to which training individuals to a fluency-based or percentage-based criterion resulted in maintenance and …

The Resilient Educator: Examining The Role Of Resilience On A First-Year Rural Music Educator’S Job Satisfaction, Isaac Price

Graduate Theses, Dissertations, and Problem Reports (ETD)

The future of music education in schools is largely determined by educators' resilience in their positions. Resilience is the process of adapting to adversity by accessing and utilizing intrinsic and extrinsic resources available (Gu & Day, 2007; Squires et al., 2023). Resilience affects various aspects of an educator’s personal and professional life, including job satisfaction (Li, 2023). Job satisfaction can affect teacher health, teacher performance, and teacher retention, which in turn may affect student performance (Huysman, 2008; Lu et al., 2024; Robison & Russell, 2022). The circumstances and events that occur during a teacher’s first year in the profession can …

Operationalizations Of Adverse Childhood Experiences And Health Prediction, Sarah Josephine Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Exposure to adverse childhood experiences (ACEs) has been consistently linked to suboptimal health outcomes and behaviors across the lifespan. As such, there has been widespread adoption of measures like the 10-item cumulative ACEs count measure developed by Felitti and colleagues (1998) across research literature and clinical practice. However, this measure was not developed with consideration of optimal psychometric properties and thus consists of several limitations that inhibit understanding of the specific dimensions of adversity that influence health outcomes. This 3-study dissertation focused on different measurement and statistical techniques to better understand the associations between ACEs and health. In study 1, …

Success Coaching And Conditional Admit Student Success, Zachery Oliver Thayer

Graduate Theses, Dissertations, and Problem Reports (ETD)

Student success is a matter of critical importance to institutions of higher education, and to students. Colleges and universities exist in a current context of decreasing supply of potential students as a result of an impending demographic cliff and, therefore, increased competition for those remaining students, all while many institutions have become more tuition-dependent. This creates an incentive to decrease selectivity in order to meet enrollment goals as well as to focus university resources on student success measures that impact retention.  Some institutions have decreased selectivity to the point of admitting students conditionally or provisionally, even if those students do …

Multi-Omics Analysis Of Immune-Metabolic Adaptation To Direct-Fed Microbial Supplementation In Newly Weaned Beef Steers, Adekunle Odunayo Ajiboye

Graduate Theses, Dissertations, and Problem Reports (ETD)

Immune and metabolic disruption during weaning represents a major challenge to health and productivity in beef cattle. This dissertation tested the hypothesis that supplementation with multi-strain direct-fed microbials (DFMs) modulates immune regulation and metabolic pathways associated with adaptation to weaning stress. To address this, whole-blood transcriptomics and plasma metabolomics were used to evaluate molecular and metabolic responses in newly weaned beef steers during the receiving period. Transcriptomic analysis identified differential expressions of genes associated with immune signaling and inflammatory regulation, indicating modulation of immune-related pathways without changes in growth performance. Metabolomic analysis revealed alterations in circulating metabolites related to amino …

Treatment Of Birdsong In Selected Works For Solo Piano, Madeline Hoover

Graduate Theses, Dissertations, and Problem Reports (ETD)

Birdsong-inspired music makes up a small but important part of the classical piano repertoire. This paper reviews birdsong in classical music since the seventeenth century, exploring different techniques for mimicking birdsong and the unique strengths of the piano as an instrument for purveying bird music. In the Baroque and Classical eras, the cuckoo song was sampled often because of its simplicity. Later, composers’ attention turned toward more complicated songs, like that of the hermit thrush. Interest in more complex songs led to experimentation in notation and a push for more accurate transcriptions. In the 20th century, composers included recordings of …

A Constraint-Based Approach To Developing Melodic Improvisational Skills In Intermediate Jazz Piano Students, Alton Xian Rong Wong

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines the pedagogical value of a constraint-based approach in helping students develop improvisational fluency and coherence by facilitating audiation. Although there are pedagogical texts on jazz improvisation that incorporate exercises shaped by constraint-based thinking, there is neither a systematic framework for their application with students of varying levels and musical backgrounds, nor a clear explanation of their pedagogical purpose. This research investigates how constraint-based pedagogy, through the lens of rhythmic, harmonic, and melodic parameters, can be applied independently or collectively to support the development of improvisational fluency in intermediate level jazz piano improvisers. It argues that musical constraints …

Be A Man: Hypermasculinity And Hostile Attribution Bias As Predictors Of Violence, Kaley Nicole Potter

Graduate Theses, Dissertations, and Problem Reports (ETD)

In recent years, violence has risen to record-high numbers in communities and correctional facilities, with men perpetrating the vast majority of violent crimes. Hypermasculine values (e.g., power, aggression, and domination) have been linked to aggressive and violent behavior. Hostile attribution bias, which leads individuals to attribute hostile intent to neutral or ambiguous stimuli, has also been linked to aggression.

The current study used structural equation modeling (SEM) to examine hypermasculinity and hostile attribution bias as predictors of proclivity for violence, comprised of aggression and historical violence. The model was iteratively modified to assess changes in model fit and constructs. Male …

Ai-Assisted Task Completion: Consumer Sentiments By Effort Level, Jason Mickey Martin

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines consumer anger in reaction to firms’ use of artificial intelligence (AI) to assist them in the completion of tasks. Specifically, we focus on instances when AI supplements rather than replaces human effort. Using cognitive appraisal theory and psychological contract constructs, this research investigates how the amount of effort consumers invest into a service review and the effort reciprocated by firms influences emotional reactions. Across two studies, using scenario-based experiments, we find that consumers report higher levels of anger when AI is used to aid in responding to high-effort reviews compared to low-effort reviews. The results suggest that …

More Than A Man: An Ethnomusicological Survey Of The Folklore Of John Henry And Resource Guide For “More Than A Man” By Shanyse Strickland, Clayton R. Heath

Graduate Theses, Dissertations, and Problem Reports (ETD)

“John Henry” exists as an enduring folk legend in the United States of America, representing the confluence of the Reconstruction Era, the economic utility of Appalachia and the Westward expansion of industry which left it behind. Though based on historical events, Henry’s fictional representation has diverted and evolved in music and other media from its inception in the oral tradition to the modern age. Through this progression, shared symbols have circulated, gathering embedded meanings and associating the folklore with specific communities. Henry’s representational identity has been signaled with the creation and distribution of each version of his story, both complicating …

Among The Remnants, Jade-Lynn B. Lewis Vance

Graduate Theses, Dissertations, and Problem Reports (ETD)

This written thesis serves as supporting documentation and research for my Master of Fine Arts thesis exhibition, Among the Remnants, at West Virginia University. This dissertation will explain how my artistic vision, influences, research, and thesis exhibition fits into larger art and cultural contexts. Drawing from art history and theory, my work explores memory, touch, and fragmentation. My fascination with artifacts and the stories they hold inspires my research and drives me to create personal connections within my own art. The figurative sculptures serve as a vessel for recalling impactful experiences and embodying personal perception and these interactions. The …

A Prospective Analysis Of Success And Survival Of Haptic Robotically Driven Dental Implant Placement., Samuel Clarkman Smith

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: The aim of this prospective study was to assess survivability of dental implants placed using robotic computer aided implant surgery via Yomi® (Neocis, Inc. Miami, FL) after at least 1 year of functional loading. Secondary analysis included additional success and marginal bone loss outcomes after at least 1 year of functional loading of the same Straumann (Basel, Switzerland) titanium dental implants that were placed with the r-CAIS workflow. Materials and Methods: Since acquisition of the Yomi® robotic system, a comprehensive list of patients who underwent dental implant therapy via r-CAIS methodology at West Virginia University Department of Graduate Periodontics …

Community Resilience Drives Change, Andrew Thomas Solt

Graduate Theses, Dissertations, and Problem Reports (ETD)

The opioid crisis has impacted many Americans. From 1999 to 2023, approximately 800,000 people have died due to opioid overdose (CDC, 2025). What began as overprescriptions of painkillers has quickly evolved into a complex social health issue that is now further worsened by stronger synthetic drugs like fentanyl. Fentanyl and fentanyl analogs (synthetic opioids that are very similar chemically to fentanyl) are often found in illegal drug supplies and in counterfeit pills (CDC, 2025). Thus, individuals who might have been initially overprescribed painkillers might now be pushed towards illegally produced drugs that are significantly more potent than what they were …

Community Resilience Drives Change, Claudia Rose Dilima

Graduate Theses, Dissertations, and Problem Reports (ETD)

The opioid crisis has impacted many Americans. From 1999 to 2023, approximately 800,000 people have died due to opioid overdose (CDC, 2025). What began as overprescription of painkillers has evolved into a complex social health issue that is now worsened by stronger synthetic drugs like fentanyl. Fentanyl and fentanyl analogs (synthetic opioids that are very similar chemically to fentanyl) are often found in illegal drug supplies and in counterfeit pills (CDC, 2025). Thus, individuals who might have been initially overprescribed painkillers might now be pushed toward illegally produced drugs that are significantly more potent than what they were originally prescribed. …

Utilizing Plethodontid Occupancy To Assess Initial Ecosystem Responses To Invasive Plant Control Treatment In The Central Hardwoods, Maree Guinevere Dieterich

Graduate Theses, Dissertations, and Problem Reports (ETD)

Invasive plants are a growing concern for land managers, impacting ecosystem resilience and outcompeting native vegetation. To combat this, invasive plant control treatments can assist in reducing the impacts and spread of damaging, non-native plant species. However, intensive treatments completed at large scales have the potential to negatively impact ecosystem services as well. To monitor these impacts, I utilized a well-known indicator in the Central Applachian region, Plethodontid salamanders, to assess impacts of invasive plant control treatments in the Central Hardwood forests. I completed 12 visual samples across 60 sites in West Virginia, USA during Spring and Fall of 2025 …

Student And Teacher Perceptions Of Confirming Behaviors Across Instructional Modalities, April Nicole Wright

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation examined how undergraduate students and instructors evaluate lowinference teacher confirmation behaviors across instructional modalities and identified additional behaviors perceived as confirming in contemporary instructional contexts. Participants included 274 undergraduate students and 104 higher-education instructors who completed a survey measuring four clusters of confirming behaviors (willingness to engage, recognition, acknowledgment, and endorsement) using a 7-point Likert-type scale. Open-ended questions invited participants to describe confirming behaviors not represented in existing measures. Results indicated that both students and instructors rated most behaviors above the midpoint of the scale, with instructional responsiveness and course organization receiving the highest ratings. Instructors rated all …

Do You Walk On By? The Effects Of Donor Fatigue On Willingness To Donate, Shawn Michael Henry

Graduate Theses, Dissertations, and Problem Reports (ETD)

Donation solicitation literature validates the successful usage of various solicitation tactics that lead to achieving set donation goals for their associated cause. Yet, while the financial success of “checkout charity” is well-documented, a significant gap remains regarding the impact of high-frequency solicitations on long-term consumer-brand relationship. This research addresses this gap. Over the span of three surveys, this study finds that donation request frequency overall erodes donation likelihood through donor fatigue when donation frequency changes (occasional vs. always). However, this relationship is moderated by the perceived consumer base, with a larger perceived consumer base exacerbating the “diffusion of responsibility.” Further, …

Posttraumatic Growth In Appalachian Youth: Findings From An Outpatient Pediatric Trauma Specialty Clinic, Marinne M. Morgan

Graduate Theses, Dissertations, and Problem Reports (ETD)

Childhood traumatic event exposure (CTE) involves exposure to extreme events that overwhelm one’s ability to cope. Childhood traumatic event exposure has been linked to a wide range of adverse mental and physical health consequences, including posttraumatic stress symptoms (PTSS). Fewer studies have examined positive trajectories following childhood traumatic event exposure, such as posttraumatic growth (PTG), especially in understudied regions such as Appalachia. The current study used a cross-sectional design to examine posttraumatic growth in 14 youths aged 9 to 15 years seeking trauma-focused therapeutic services at an outpatient pediatric trauma specialty clinic in West Virginia. In line with previous research, …

Impact Of Occupational Therapy Within The Rosenbaum Family House: How Program Development Supports Health And Well-Being For Caregivers And Care Recipients, Zaccardi P. Muniz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Healthcare hospitality houses (HHH) are designed to accommodate patients and caregivers receiving medical treatment far from home. The Rosenbaum Family House (RFH) acts as the HHH adjacent to J.W. Ruby Memorial Hospital in Morgantown, West Virginia. The RFH offers amenities that meet the basic needs of guests; However, there is an opportunity for occupational therapy-based program development to help further assist caregivers and care recipients both inside and outside the RFH. During the doctoral capstone experience (DCE), a three-phase project was developed to support the health and well-being of guests and WVUMedicine clients through group programming, resource guide development, and …

Exploring The Role Of Occupational Therapy In A Pediatric Specialty Care Office, Sierra Leigh Hays

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The role of OT in primary and specialty care clinics is a rising area of interest in the field. There are also many multidisciplinary clinics that OTs can be or are apart of. This study aims to evaluate the consulting role of OT in primary and specialty care clinics, as well as to evaluate data collected by an OT in a pediatric brachial plexus and peripheral nerve clinic. Methods: The first objective was focused on analyzing functional outcomes, using the Active Movement Scale (AMS), of children following neurosurgery or onabotulinum toxin A injections. This was a retrospective study with …

His Cues, Her Cues: Teaching Presence, Gender, And Relational Impressions In Online Learning, Kyle R. Vareberg, Ryan Goke, Ian Berry, Maranda Goke, Stephanie Kelly

Iowa Journal of Communication

Online courses are increasingly common and taken more frequently by students, yet students' perceptions of them may portray instructors as invisible and uninvolved. Drawing on social information processing theory, we argue that cues intended to signal course design are also interpreted relationally. Teaching presence, the work instructors do to be “present” in the online environment, is not merely instructional structure: it is relational communication embedded in course design. This study explored whether teaching presence and students' perceptions of immediacy and credibility are related, and whether those relationships differ by student gender. Using a cross-sectional survey, we divided our sample into …

Conditional Admission And The Hazards Of Lawyer Assistance Programs Operating Without Transparency Or Oversight, Paula Schaefer

Oklahoma Law Review

No abstract provided.

Professional Quality Of Life Among Medical Surgical And Telemetry Registered Nurses, William Lim, Emy-Lee Marie Anglo Ricafrente, Jenny Carrillo

Publications 2026-present

No abstract provided.

Decreasing Risk Factors For Post-Intensive Care Syndrome Using Nurse-Led Rounds And A Novel Icu Liberation Bundle, Jennifer Kepler, Kenneth Moller

Publications 2026-present

Background: Critically ill patients are more likely to survive today than at any other time in history. As more patients recover from critical illnesses, however, many experience health impairments known as post-intensive care syndrome. The Society of Critical Care Medicine developed the ICU Liberation Bundle to decrease the risk of post-intensive care syndrome.

Problem: An audit of 100 patient charts identified complete ICU Liberation Bundle documentation in only 20% of eligible patient days, highlighting the need for increased consistency in bundle implementation. Since the ICU Liberation Bundle addresses modifiable post-intensive care syndrome risk factors, lack of consistency implementing bundle interventions …

Investigating The Impact Of School Leaders’ Leadership Style And Teachers’ Intrinsic Motivation For Improved Science Instruction In Elementary Schools, Leila M. Greene

Graduate Studies Theses and Dissertations 2026

A report by the National Academies of Sciences, Engineering, and Medicine, determined that 69% of U.S. elementary teachers are not prepared to teach science, especially in the areas of earth/space and physical sciences. As a result, some elementary teachers avoid teaching science. School administrators play a key role in providing a supportive environment to inspire and motivate elementary science teachers. For this reason, the study utilized the Self-Determination Theory (SDT), to examine three types of school leadership styles (Transformational, Transactional, and Laissez-Faire) and how they impact the intrinsic motivation for elementary science teachers in three areas including autonomy, competency, and …

Well, If You Put It That Way Three Studies On Contract Framing In Incomplete Contract Environments, Garrison L. Nuttall

Graduate Studies Theses and Dissertations 2026

This dissertation contains three studies examining contract framing, with implications for how organizations structure and frame performance-based compensation systems. Across all studies, I compare penalty contracts to bonus contracts with gain framing and bonus contracts with loss framing. My first study examines how managers prefer to frame performance-based compensation systems on average and identifies how the traits trust propensity, empathy, personal norm of reciprocity, loss aversion, Machiavellianism, and critical thinking disposition are associated with certain preferences. I find that mangers prefer bonus contracts to penalty contracts on average and that empathy is positively associated with this preference. My second study …

Psychological Impact Of Cultural Heritage Vr Experience Using Well-Mind Framework. (Case Study: Mahmoud Sami Palace In Mansoura)., Sara Ahmed El-Bayoumi, Hager Ahmed El-Sayed El-Ayouti, Mohamed Mohamed Shawki Abo Leila

Mansoura Engineering Journal

This study examines the psychological effects of immersive virtual reality (VR) experiences designed to preserve and disseminate intangible cultural heritage. It addresses the growing challenge of declining cultural engagement and the need for innovative tools that support psychological well-being, emotional engagement, and cultural connection. A VR-based reconstruction was developed within the historic Mahmoud Sami Al-Baroudi Palace in Mansoura, Egypt, focusing on traditional Egyptian practices and oral storytelling. The evaluation employed the WELL-MIND framework alongside participant feedback to assess both structured well-being indicators and subjective user experiences. The WELL-MIND-based assessment indicated improvements in cognitive stimulation, emotional engagement, and environmental perception. In …

Opioid Abuse: Community Education, Meggan N. Wolff-Jackson

Doctor of Nursing Practice Projects

The opioid epidemic in the United States has persisted for over two decades and has become one of the leading causes of accidental deaths nationwide (Robert et al., 2022). The opioid crisis represents a widespread public health emergency that extends beyond individual and community boundaries, imposing burdens on both the national economy and the healthcare system (Kyei et al., 2024). Although the opioid epidemic is a global concern, it is particularly concerning in the target community located in the western part of North Carolina. This region has some of the highest rates of opioid overdoses within the state, with 118 …

Integrating Lactation Education Into Centering Pregnancy To Enhance Maternal Confidence And Lactation Initiation Rates, Courtney Barbee

Doctor of Nursing Practice Projects

Introduction: Breastfeeding remains the gold standard for infant nutrition providing physical and psychological benefits for both mother and baby. The inadequacy of lactation education and support continue to hinder breastfeeding initiation in the rural areas of North Carolina. Integrating a board-certified lactation consultant into the Centering Pregnancy model provides an evidence-based strategy to improve maternal confidence and increase lactation initiation rates within the target community.

Method: Using a quality improvement framework, the project targeted expecting mothers participating in Centering Pregnancy. Pre- and post-surveys assessed confidence levels after receiving two educational sessions with a board-certified lactation consultant.

Results: …