Digital Commons Network^™

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 …

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: …

Musical Measures: Nurse Education On Music-Based Interventions To Reduce Patient Restraints, Crystal D. Tucker

Doctor of Nursing Practice Projects

The use of physical restraints in acute psychiatric settings poses significant risks to patient safety, including physical injury and psychological distress. Evidence supports the need for alternative, non-pharmacologic interventions to reduce reliance on restraints. This Doctor of Nursing Practice quality improvement project aimed to evaluate the impact of an educational intervention on nurses’ knowledge and confidence in implementing music-based interventions, specifically binaural beats, to manage patient anxiety and agitation.

The project was conducted on a medical observation and behavioral health holding unit and utilized a pre- and post-intervention design. Registered nurses participated in educational sessions on music-based interventions and were …

Building Clinical Competency In Central Line Care: A Nurse-Focused Initiative To Prevent Clabsis, Glenda A. Robbins

Doctor of Nursing Practice Projects

Central line-associated bloodstream infections (CLABSIs) are a significant yet preventable source of increased morbidity, mortality, and healthcare costs in acute care settings. Despite established evidence-based prevention bundles, inconsistent nursing adherence remains a primary contributor to elevated CLABSI rates. A 241-bed acute care hospital reported CLABSI rates above the national benchmark. This Doctor of Nursing Practice (DNP) project utilized Neuman’s Systems Model. The intervention consisted of a structured educational module on central line care and maintenance, including pre- and post- knowledge assessments. Additionally, standardized daily central line visual audits were reinforced by the Vascular Access Team. A total of 363 bedside …

Improving Overall Morale Of Nurses By Implementing A Serenity Room, Ruth B. Clarke-Johnson

Doctor of Nursing Practice Projects

Nursing, while a highly respected profession grounded in research and scientific practice, continues to face persistent challenges related to staff retention and morale. Key contributors include burnout related to high workloads, challenging staffing ratios, lack of supportive leadership, and an aging workforce. Together, these factors hinder healthcare organizations’ ability to sustain a stable and experienced staff. The implementation of a serenity or relaxation room is supported by growing evidence highlighting its positive effects on nurse morale and stress reduction. A review by Mileski et al. (2022) found wellness spaces significantly reduced burnout, emotional exhaustion, and stress while improving resilience, job …

Cultivating Wellness: Nurturing Gratitude And Resilience, Brennan Lewis, Christi Welter, Elaine Beardsley, Alison Kell

Podcasts

This heartfelt discussion on the power of wellbeing and gratitude in nursing practiceoff ers practical strategies to gear up for the busy season, prioritize wellness and recognize the invaluable contributions of your nursing colleagues.

Fueling Nursing Excellence: Exploring New Talent Pipelines, Brennan Lewis, Christi Welter, Deb Echtenkamp, Christina Smith

Podcasts

Learn about an innovative talent pipeline developed to help build our clinical nursespecialist team, and how they are shaping the next generation of nursing professionals that will lead the way in care delivery.

Gamification Of Online And Onsite Corporate Trainings In The Philippines, Jyro B. Triviño, Kylie Rayne S. Cai, Jan Angeli G. Cane, Clarissa Marie R. Fernandez, Faith D. Goli Cruz, Kleid L. Pedraja

Business Insights Laboratory for Development (BUILD)

This study examined Filipino corporate trainers’ views on the effectiveness of gamification in onsite and online training. Using Clark and Braun’s thematic analysis, eight trainers shared their insights into its impact on engagement, motivation, and reinforcement. Results showed gamification can boost participation and structure learning, but its success depends on deliberate integration of game elements and digital tools. This varied slightly between modalities, especially when involving inductive and deductive assessments. Trainers emphasized the importance of incorporating interactive activities, providing feedback, enhancing competition, and offering rewards to strengthen engagement. The study also identified the complementary benefits of online and onsite training …

The Impact Of Congenital Heart Disease On The Timing Of Alzheimer's Disease In Down Syndrome, Julianne G. Clina, Brian C. Helsel, Sigan L. Hartley, David A. White, Victoria L. Fleming-Batayneh, Benjamin Handen, Bradley Christian, Elizabeth Head, Mark Mapstone, Christy L. Hom, Beau Ances, Jeffrey Burns, H. Diana Rosas, Florence Lai, Sharon Krinsky Mchale, Joseph H. Lee, Frederick A. Schmitt, Jordan Harp, Ira T. Lott, Shahid Zaman, Lauren T. Ptomey

Neurology Faculty Publications

INTRODUCTION: The incidence of Alzheimer's disease (AD) in Down syndrome (DS) exceeds 90%. Approximately 50% of people with DS have congenital heart disease (CHD). Having CHD increases risk for early-onset AD in populations without DS, but it is unclear if CHD influences AD in DS. METHODS: Data from the Alzheimer Biomarker Consortium-Down Syndrome (ABC-DS) were used. Participants with CHD (n = 82, mean age = 39.9 ± 8.5 years, 97.6% White race) were age- and sex-matched to participants without CHD (n = 82, mean age = 40.5 ± 8.1 years, 98.8% White race). Cognitive assessments and Centiloid load (CL) (positron …

Supporting Mothers Within The Criminal Legal System: Programs In Akron And Perceptions Of “Good Motherhood”, Brynn R. Lewis

Williams Honors College, Honors Research Projects

This paper examines the programs and support systems available in Akron, Ohio, for mothers involved in the criminal legal system, including defendants, survivors, and other justice-involved individuals. Using qualitative interviews (n = 6) with professionals across courts, legal defense, community corrections, and advocacy organizations, this study examines how local institutions provide resources and support to mothers. Findings indicate that while programs aim to promote stability and rehabilitation, mothers face persistent barriers such as limited access to transportation, childcare, and communication, as well as heightened stigma tied to societal expectations of caregiving. These findings reveal that institutional support both reflects and …

Stanislavski And Operatic Acting: What Caused The Divide Between Stanislavski’S Ideals And The Opera World?, Max Smith

Williams Honors College, Honors Research Projects

There is a difference between the realism of acting in opera and in other theatrical art forms. One reason for this might be due to theatre practitioner Konstantin Stanislavski’s ideals not being readily adopted in the opera world. Due to translation and publication issues in both the West and in the USSR, his work on opera has been largely neglected by theatre and opera historians. Certain demands of opera as an art form limit or make more difficult the ability for realism in portraying a character, but Stanislavski and others show that it is possible. A look at literature reflecting …

Designing Crime Prevention And Crowd Management Plans For The New Berea Campus Expansion Project For The Cleveland Browns, Elleana G. Grant

Williams Honors College, Honors Research Projects

The Cleveland Browns are expanding their CrossCountry Mortgage Campus by 16 acres. This research seeks to answer a core question: How can the design of the new expansion support both crime prevention and effective crowd management for events drawing up to 6,000 guests? Additional research questions include identifying the safety risks associated and determining which evidence-based strategies are most appropriate. The main goal of this research is to ensure that the expanded campus is safe for all visitors. This work is motivated by the significant increase in daily activity that the expansion will bring, not only during major events, but …

Designing Intentionally: Color Psychology In Graphic Design, Savannah Jons

Williams Honors College, Honors Research Projects

This study will explore the role of color in graphic design and the psychological processes behind viewersʼ emotional and perceptual responses. Research will investigate how color psychology is influential on design, how the selection of color guides design appeal, and how it can alter commercial messaging.

Ai-Based Music Mood Analysis With Historical And Real-Time Data, Biswash Bhattarai

Williams Honors College, Honors Research Projects

The Music Mood Analyzer Dashboard identifies and visualizes the emotional tone of songs using audio features like tempo, energy, and valence. It classifies tracks into moods such as happy, sad, or calm and presents insights through an interactive dashboard. The project combines music analysis and data visualization to help users understand how sound relates to emotion.

Cardiorespiratory Response In Esports Participants In Competition And Scrimmage, Jacob W. Bowerman

Williams Honors College, Honors Research Projects

The purpose of this study is to explore how heart rate differs between scrimmages and competitions in varsity esports athletes at The University of Akron. This study also examines how heart rate varies across video game titles, as well as before and after both scrimmage and competition play. A scrimmage is defined as a practice game between two collegiate esports teams in which league standings and tournament eligibility are not affected by the outcome. In contrast, a competition is an official match between collegiate esports teams in which results directly influence league standings and tournament qualification.

Physiological stress can be …

The Impact Of Night Shift On New Nurses: Effects On Mental Health And Work-Life Balance, Avery Windham, Abby Maruskin, Elizabeth Yoder

Williams Honors College, Honors Research Projects

This research examines the impact of night shift schedules on new nurses' mental health and work-life balance as they transition into professional practice. The transition from nursing school to the workforce presents challenges that are further compounded by shift work, which can disrupt circadian rhythms and contribute to stress, fatigue, and reduced job satisfaction. The purpose of this research is to evaluate how starting on night shift versus day shift influences nurses’ self-evaluation of work-life balance within their first year of practice. This systematic review synthesizes findings from peer-reviewed sources to assess the physical, emotional, and professional consequences of night …

Brains Under Pressure: The Role Of Media, Ai, And Technology In Toxic Student Stress, Ella C. Granat

Williams Honors College, Honors Research Projects

This Honors Research Project examines the relationship between toxic stress and everyday technology use among college students aged 18 and older. The study explores how media consumption, reliance on digital tools, and the use of artificial intelligence in academic work may contribute to stress and influence brain functioning. Using a quantitative, survey-based design, data will be collected through self-administered questionnaires distributed both in print and online. The Perceived Stress Scale (PSS) will be used to measure stress levels, alongside a supplemental questionnaire assessing patterns of technology use and related life factors. Recruitment will occur through flyers, email, and snowball sampling …

Pitch Report: Purdue Ivy Tech Chips Evaluation Report, Jennifer Sdunzik

Evaluation and Learning Research Center Reports

The Purdue Ivy Tech CHips (PITCH) program is a university-industry-community partnership aimed at developing an educational pipeline capable of providing a qualified workforce for the growing semiconductor industry in the region. Increasing student interest in microelectronics, awareness of current and future microelectronics careers, and self-efficacy to pursue microelectronics opportunities are foundational to building the industry’s workforce. The PITCH program addressed these needs by offering a summer experience that introduced high school students to the semiconductor industry.

The PITCH leadership team engaged Purdue's Evaluation and Learning Research Center (ELRC) to (1) identify (short and longer-term) impacts of the summer program on …

“It Feels Like A Safe Container”: Experiences Of Finding Solid Ground Groups For Adults With Dissociative Disorders., Laura Hawkins, Sarah Chipps, Kim Foreman, Stephanie Johnson, Aimee Mccann, Rebecca Braughton, Abidemi Mary Ajuwon, Dongjuan Xu

School of Nursing Faculty Publications

Objective: Dissociative disorders (DD) are trauma-related conditions marked by disruptions in memory, identity, and consciousness. Despite high prevalence, DDs are underdiagnosed and undertreated. This study explores the experiences of adults with DD participating in a 31-week Finding Solid Ground (FSG) psychoeducational group. Method: Participants (N=72) were mostly women (81%), who experienced a DD or PTSD dissociative subtype, along with multiple mental health comorbidities. Eight groups (seven virtual, one in-person) completed 31 weekly 90-minute sessions based on the FSG curriculum as adjunctive to individual psychotherapy. Thematic qualitative analysis was used to analyze participants’ hopes, challenges, helpful and unhelpful aspects, and perceived …

Centering Learners' Voices: Mapping As A Tool For Visuospatial Reasoning In Mathematics, Maria Eloisa C. Nuguid

Indiana STEM Education Conference

Visuospatial reasoning considers visual imagery and the dynamics of space rooted in learners’ lived experiences. Mapping is an example of a visuospatial task where learners interact with and represent their environment. The research focuses on children’s experiences with mapping tasks in the context of informal science, technology, engineering, art, and mathematics (STEAM) education.

Cognitive Support Apps For Students With Autism And Low-Incidence Disabilities, Isabella Salzgeber

Williams Honors College, Honors Research Projects

Preparing students for life after high school is one of the many goals teachers and parents have for their students or children. As educators, providing students with different tools to support them during and after the transition from high school is essential. There are many educational apps online, but finding apps that support a specific population of students can be difficult. Cognitive support apps, specifically for students with autism and low incidence disabilities, can be extremely useful tools for the classroom and beyond. These apps can range from basic daily reminders on a digital calendar, to apps that help students …

The Cross Cultural Study Of Self-Ideation: Eastern Vs Western, Florencia Suhartono

Williams Honors College, Honors Research Projects

Self-Ideation behavior, a topic that although is increasing in awareness, is also increasing in victims as well. One thing is very clear however, both the Eastern and Western countries still see suicide and its related attitude in a taboo perspective. Regarding this, factors of various customs of each respective country will be further explained; taking note on how their contrasting cultural differences may potentially feed on the self-harming attitude that each victim may have developed. It will continue on explaining the more specific details on how each side of the world reacts when a person declares their self-ideating thoughts, studying …

Magnifying Mental Health In The Perinatal Population: A Systematic Review, Kasey E. Arnold, Alyssa M. Maki

Williams Honors College, Honors Research Projects

Pregnant individuals often experience significant anxiety, which can negatively affect both pregnancy and fetal outcomes. This systematic review evaluates the effectiveness of pharmacologic versus non-pharmacologic anxiety-relieving interventions, primarily focusing on the labor period. The PICOT question is: In perinatal patients, do non-pharmacologic anxiety-relieving measures, compared to pharmacologic anxiety-relieving measures, have a greater impact on ease of delivery and overall mental health during pregnancy and the perinatal period? PRISMA (2020) guidelines were used with inclusion criteria of human subjects, English language, and published within the last six years. Databases included PubMed, CINAHL, and Cochrane Library. Twenty-three studies were analyzed to examine …

Long-Term Effect Of Aces On Children’S Mental Health, Substance Abuse, And Education, Annalisa M. Lobello, Kayla A. Kemer

Williams Honors College, Honors Research Projects

This honors project will aim to discover how adverse childhood experiences (ACES) affect a child’s mental health, substance use, and education. ACES are potentially traumatic events that occur between ages zero to seventeen (Centers for Disease and Control Prevention, 2024). Some examples could include experiencing violence, abuse, neglect, having a family member attempt or die by suicide, growing up around substance use, mental health problems, parental separation, and household members being incarcerated. ACES are widely recognized as powerful predictors on long-term outcomes of children. This proposal will highlight the importance of recognizing ACES within children, trauma-informed care, and appropriate interventions …