Digital Commons Network^™

The Lived Experience Of Pediatric Pain Management: Insights From Families And Providers, Samrithaa Balakrishnan, Annesha Dey, Aarti Bavare, Paul Checchia, Katherine Shwetz, Natasha Afonso

Faculty, Staff and Students Publications

Pain represents a subjective experience that manifests with emotional and physical discomfort. In pediatric care, pain management is especially complex due to communicative limitations, which creates a unique point of entry for parents to contribute to their child's treatment process. In this study, we explored whether families' perceptions of their child's pain and preferences for treatment were aligned with healthcare providers' pain management decisions. Using narrative-informed techniques in interviews with families and healthcare providers in pediatric care settings, we analyzed areas of concordance and discordance in pain assessment and treatment priorities. Our findings show that trust is built over time …

Point-Of-Care Ultrasound Foundations In Physics And Image Acquisition: An Innovative Hands-On Active Learning Workshop, Cherie Tator, Saul Flores, Alan Riley, Kiyetta Alade

Faculty, Staff and Students Publications

Introduction: We developed an innovative, active learning workshop to introduce foundations of point-of-care ultrasound (POCUS) physics and instrumentation. The workshop design aimed to reduce cognitive load and encourage learner-centered engagement through hands-on exploration that reinforces key principles and connects theory to practice.

Methods: First-year medical students participated in small-group, student-driven exercises to explore POCUS machine controls, transducers, and image acquisition skills. Each group was supported by a faculty member to guide activities and ensure accuracy. Students scanned pickles, hard-boiled eggs, and olives with pits; these items were selected for their low cost, sonographic characteristics, and recognizability. Later in the semester, …

A Conceptual Framework For Cognitive Engagement And Human Agency In Ai-Mediated Learning, Sam Rhodes, Zuhal Yilmaz, Terrie Galanti, Younggon Bae, Victoria Delaney, Zareen Gul Aga, Stephen Hutt

School of Mathematical & Statistical Sciences Faculty Publications

The purpose of this chapter is to propose a conceptual framework that unpacks AI use in instructional practice across three interrelated dimensions: human agency, cognitive demand, and AI orchestration. We ground this work in historical perspectives on technology's mediating role in education. We then propose the conceptual framework and three characterizations of the use of AI in school instruction: cognitive load reducer, cognitive capacity builder, and cognitive companion. We then illustrate a worked example of each, including a curricular example and sample student prompts, and conclude with questions that educators might ask themselves as they consider if and how to …

Personalizing Therapies Over The Course Of Hormone Receptor-Positive/Her2-Negative Metastatic Breast Cancer, Akshara Singareeka Raghavendra, Senthil Damodaran, Carlos H Barcenas, Suzanne A Fuqua, Rachel M Layman, Debu Tripathy

Faculty, Staff and Students Publications

The hormone receptor (HR)‐positive/human epidermal growth factor receptor 2 (HER2)‐negative breast cancer subtype accounts for most early and metastatic breast cancer (MBC) cases. HR‐positive/HER2‐negative MBC is characterized by a relatively prolonged, although variable, disease course and substantial intertumoral and intratumoral heterogeneity. Although endocrine‐based therapies remain the cornerstone of treatment, nearly all patients eventually develop resistance, which is increasingly addressed with biologically targeted agents and newer‐generation cytotoxic drugs. This review summarizes the current understanding of HR‐positive/HER2‐negative MBC biology, highlighting mechanisms of intrinsic and acquired resistance, including driver genomic alterations that, along with clinical factors, help guide therapeutic choices and sequencing. The …

Reclaiming Sophia In The Age Of Ai: Theological And Ethical Reflections On Consecrated Technology And Human Dignity, Matthew H. Sauber

Faculty Scholarship 2026

The cultural emergence of artificial intelligence systems named after figures of divine wisdom—most notably the Hanson Robotics humanoid Sophia, granted Saudi citizenship in 2017—reveals a gap between the language of the wisdom traditions and that of contemporary technology. This paper treats that gap as the occasion for theological and ethical reflection on AI. Drawing on the Sophia tradition across its Hebrew, Hellenistic-Patristic, Gnostic, Russian Sophiological, perennialist, and Sufi articulations—especially Sergei Bulgakov’s account of Sophia as mediation between divine wisdom and created order—it develops a framework termed Consecrated Technology. The argument unfolds in three moves: (1) a structural critique showing how …

From Disconnection To Well-Being: A Longitudinal Study On Digital Access As A Social Determinant Of Health For Older Adults In China, Minzhi Ye, Jierong Hu

School of Social Work Faculty Publications

Objectives: This study innovatively includes digital access as a social determinant of health (SDoH) to examine the longitudinal relationship between digital inclusion and subjective well-being among older adults in China, one of the largest aging populations worldwide.

Methods: We used data from the Chinese Longitudinal Aging Social Survey (CLASS, 2016 and 2020 waves). We applied the SDoH framework to analyze the interaction between digital inclusion and social structures at the micro, meso, and macro levels. Digital accessibility was captured in waves in 2016 and 2020. Four digital accessibility trajectories were identified: continuous access, gained access, lost access, and never accessed. …

Parents’ Perspectives On Trajectories Of Well-Being For Immigrant Youth From Central America., Tatiana Londoño, Lauren E. Gulbas, Luis H. Zayas

School of Social Work Faculty Publications

This study explored the trajectories of well-being among immigrant youth in the United States using an ecodevelopmental and posttraumatic growth perspective. Immigrant youth were from the Northern Triangle of Central America and had recently been released from immigration family detention in the United States. Through time-ordered matrix thematic analysis of interviews with 15 mothers at baseline and follow-up (N = 30 interviews), the research revealed a complex landscape of challenges and adaptations during resettlement. While initial adverse emotional outcomes were common, these tended to improve over time as families gained stability in the United States. Family structure emerged as …

“Full And Equal Access”: A Socio-Ecological Model Of Healthcare Ableism Experienced By The Blind And The Low Vision Community, Rebecca Fischbein, Rachel Conrad Bracken, Allyson S. Hughes, Rayyan Bhutta, Nazanin M. Heydarian

School of Social Work Faculty Publications

In 2023, the National Institutes of Health (NIH) designated people with disabilities as a population experiencing health disparities, citing “a wide and varying range of health conditions leading to poorer health and shorter lifespan” and “discrimination, inequality and exclusionary structural practices” contributing to pervasive health inequities. As blindness and low vision (BLV) become increasingly common due to an aging population coupled with higher rates of type 2 diabetes, more people who are BLV will require quality care. Yet, people who are BLV face many barriers to care, including healthcare provider and staff (HCP) ableism. In this chapter, we propose a …

Socioeconomic Influences On Doula Access And Perceived Care Quality Among Black Women Experiencing Severe Maternal Morbidity, Deborah Esene

2026 Spring Honors Capstones Projects

Black women experience disproportionately high rates of maternal morbidity and mortality, making it essential to examine access to and the perceived impact of doula support. This study examines whether socioeconomic status influences access to and the perceived benefits of doula support among Black women who experienced severe maternal morbidity (SMM). Researchers surveyed Black women ages 18-49 who had a live birth within the past two years and experienced SMM. Participants were recruited and completed an online survey in late 2020. Key variables included income, education, doula use, and perceived quality of prenatal, intrapartum, and postpartum care. Among 188 participants, 12.2% …

Psychometric Properties Of A Novel Affective Bias Task And Its Application In Clinical And Nonclinical Populations, Prathik Kalva, Kourtney Kanja, Brian A Metzger, Xiaoxu Fan, Brian Cui, Bailey Pascuzzi, John Magnotti, Madaline Mocchi, Raissa Mathura, Kelly R Bijanki

Faculty, Staff and Students Publications

To mitigate limitations in self-reported mood assessments, we introduce a novel affective bias task (ABT). The task quantifies instantaneous emotional state by leveraging the phenomenon of affective bias, in which people interpret external emotional stimuli in a manner consistent with their current emotional state. This study establishes task stability in measuring and tracking depressive symptoms in clinical and non-clinical populations. Initial assessment in a large non-clinical sample established normative ratings. Depressive symptoms were tracked relative to task performance in a non-clinical sample, as well as in a clinical cohort undergoing surgical evaluation for severe epilepsy. In both cohorts, a stronger …

Predictors Of Inpatient Rn Turnover In Rural And Urban Vha Hospitals, Katherine G Bay, Chase S Eck, Melissa K Knox, Paras Mehta, Laura A Petersen

Faculty, Staff and Students Publications

Background: The rising demand for health care delivery and an aging workforce is of particular concern in rural areas, where health care access depends upon an adequate nursing workforce. To address this shortage and optimize care, it is essential to measure when registered nurses (RN) leave inpatient direct care positions (ie, inpatient RN turnover) and identify modifiable factors correlated with RN turnover.

Objectives: Apply a novel method for characterizing inpatient RN turnover to understand factors associated with variation in RNs leaving inpatient positions at rural and urban Veterans Health Administration (VHA) hospitals.

Project design: Retrospective cohort study.

Subjects: Direct care …

Relationship Between Number Of Assigned Patients And Rn Time To Administer Medications During The Peak-Time Medication Pass, Chase S Eck, Melissa K Knox, Paras D Mehta, Christine Yang, Laura A Petersen

Faculty, Staff and Students Publications

Background: Inpatient nurse staffing affects patient outcomes. Less is known about the mechanism of this relationship and how lower overall staffing in a unit affects individual RN activities at the bedside.

Objectives: Estimate the relationship between the number of patients assigned to an RN and time spent on medication administration at the peak-time medication pass (PTM), a common nursing task.

Research design: Estimate the association using multivariable linear regression to adjust for patient severity and staff and unit fixed effects.

Subjects: All 9272 RNs administering medications during the PTM on 243 inpatient units in 113 VHA hospitals in 2019.

Measures: …

The Words Community Dwelling, Spanish-Preferring Mexican/Mexican American Adults Use To Talk About Alzheimer’S Disease And Genetic Testing: Implications For Education And Outreach, Jamie C Fong, Fatima I Chavez, Karla Silos, Mirna L Arroyo-Miranda, Gabriela Castro Castro, Mark E Kunik, Joshua M Shulman, Luis D Medina

Faculty, Staff and Students Publications

Introduction: Hispanic/Latino (H/L) adults are more likely than non-Hispanic White individuals to have Alzheimer's disease (AD), yet fewer than one in five H/L adults has apolipoprotein E (APOE) Ɛ4, underscoring gaps in understanding genetic risk across H/L heritage groups. H/L adults remain underrepresented in AD research that uses genetic data for participant stratification. To inform culturally appropriate educational materials for 16 million U.S. Spanish speakers, we identified culturally salient words Spanish-preferring H/L adults use to describe AD and genetic testing beyond APOE.

Methods: Community-residing, Spanish-preferring Mexican/Mexican American adults (n = 14) completed freelisting interviews, a method eliciting …

Personal Narratives Of Young Adults With Epilepsy: Exploring The Transition To Adulthood Amidst Stigma And Disclosure Fears, Kirby-Estar Gilene Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Navigating the transition to adulthood presents unique challenges for young adults with epilepsy, particularly concerning stigma and the fear of disease disclosure. While significant social difficulties, such as increased unemployment rates and decreased relationship satisfaction, are prevalent among individuals with epilepsy, current transition programs often fail to address these psychological and social aspects that are vital for an independent adult life. Instead, the majority of the attention for young adults transitioning into adulthood is focused on the shift to adult-oriented healthcare systems. Consequently, there is a critical need for research that goes beyond a healthcare focus and explores the social …

Cultural Perceptions And Willingness Or Reluctance To Use Ai Chatbots For Emotional Support By International African Students In Higher Educational Institutions In The United States, Zakariah Issah

Graduate Theses, Dissertations, and Problem Reports (ETD)

The increasing use of artificial intelligence (AI) chatbots for emotional support underscores the need to understand how cultural perceptions shape their adoption among international African students in higher education institutions in the United States. Guided by the Technology Acceptance Model (TAM) and Social Stigma Theory, this qualitative study explored the perceptions, motivations, and barriers influencing the use of AI chatbots for emotional support. Semi-structured interviews were conducted with 20 undergraduate and graduate students from 10 African countries. The findings reveal that participants viewed AI chatbots as conditional and situational sources of emotional support rather than replacements for human relationships. Convenience, …

Influences Of Response Rate And Distribution On Accuracy Estimates: The Value Of Replications Based On Analytic Approach, Olivia Brianne Harvey

Graduate Theses, Dissertations, and Problem Reports (ETD)

Accurate observational data are essential for drawing correct conclusions about behavioral phenomena and ensuring the replicability of research findings. Accuracy is the extent to which an observer’s recorded responses correspond with true values (i.e., the actual occurrence of behavioral events). Correspondence is quantified using one of several percentage-based algorithms. However, these accuracy estimates may be influenced by characteristics of the data, such as response rate and response distribution, as well as the algorithm used to calculate them. The purpose of this dissertation was to evaluate how response rate, response distribution, and the algorithm used to evaluate accuracy influences estimates. Across …

Effect Of Yoga On Non-Invasive Measures Of Cardiovascular Functioning And Health, Alexis Nicole Thrower

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Cardiovascular disease (CVD) has been the number one cause of death worldwide and within the United States (US) for decades. Effective and practical prevention modalities are needed to reduce the burden of this often-preventable condition. Physical activity is an effective and modifiable behavior for CVD risk management; however, only one in four adults meet current physical activity guidelines. Some types of yoga, including vinyasa yoga, are a form of physical activity, and vinyasa yoga efficiently incorporates moderate-intensity aerobic activity, muscular-strengthening movements, and flexibility components. Yet, minimal rigorous research evaluates yoga’s effects on health. The purpose of this dissertation is …

Romantic Narrative In Three Early Piano Cycles By Robert Schumann: Papillons, Op. 2; Fantasiestücke, Op. 12; And Kinderszenen, Op. 15, Lingqing Huang

Graduate Theses, Dissertations, and Problem Reports (ETD)

This research project compares Romantic instrumental narrative in Robert Schumann’s Papillons, Op. 2; Fantasiestücke, Op. 12; and Kinderszenen, Op. 15, with particular attention to how pianists communicate cyclic continuity in performance. In this study, narrative continuity refers to relationships formed across ordered short pieces through contrast, interruption, return, literary association, fantasy, memory, tonal and motivic recall, and the shaping of sound and time. Comparative score analysis shows that Schumann creates a distinct form of continuity in each cycle. In Papillons, he creates a public, ballroom-based form through masquerade, waltz-like dance, abrupt entrances, interruption, and the gradual dissolution of the social …

"If I Knew Then What I Know Now": Analyzing Online Narratives Of Regretful Parents, Marina Binti Mohd Hamdan

Graduate Theses, Dissertations, and Problem Reports (ETD)

This exploratory study seeks to understand the extent to which parenthood affects individual self-actualization by identifying the trade-offs, compromises, and sacrifices that parents make within the context of family life. Using a thematic analysis of 221 archived posts from the Reddit community r/regretfulparents, this study examines how social pressures surrounding parenthood may be related to experiences of parental regret. Specifically, it identifies two domains: pressures to be parents, including social norms, familial coercion, and interpersonal conflict, and pressures of parenting, including issues of labor, number of children, and challenging children. Across these domains, this study explores how tensions between personal …

A Survey Of Disability-Inclusive K-12 Public School Music Programs In The United States Where Best Buddies Friendship Programs Have Been Established, Geena Louise Jeffries Mattox

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study examines the presence and structural characteristics of disability-inclusive band, orchestra, and choir programs serving students with intellectual and developmental disabilities (IDDs) in K-12 public schools across the United States that implement the Best Buddies School Friendship Program. Intellectual and Developmental Disabilities is defined as group of chronic, lifelong conditions that originate before age 22, affecting physical, learning, language, or behavior areas. Despite federal legislation, peer reviewed scholarship specifically addressing access to performance-based music ensembles for students with IDDs remain comparatively limited. Employing a survey distributed nationwide within a defined population of schools implementing Best Buddies Programs, administered via …

Self-Leadership And Perceptions Of Artificial Intelligence: A Single-Case Study, Patrik Garren

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this single-case qualitative project is to uncover how self-leadership’s behavioral and cognitive strategies influence perceptions of Artificial Intelligence (AI) and AI adoption. While existing literature acknowledges that there is an association between self-leadership, technology’s perceived usefulness and ease of use, as well as comfort with AI preparedness and its professional impact, there is limited research on how self-leadership shapes perceptions of AI and AI adoption in real-life contexts. To fill this gap in contemporary literature, this project analyzes qualitative semi-structured interviews with 25 healthcare professionals involved in the implementation of ‘AI Model 1’ at their mid-sized United …

Manipulating Unit Price During Alternative Reinforcement Schedule Thinning In A Concurrent- Schedules Arrangement, Katherine A. Cucinotta

Graduate Theses, Dissertations, and Problem Reports (ETD)

Reinforcement schedule thinning, a critical component when addressing target behavior using differential reinforcement of alternative behavior schedules, aims to decrease alternative reinforcement rates while maintaining suppression of a target response (Davis et al., 2023; Hagopian et al., 2011). When multiple response options are available, manipulating the relative unit price across options alters the relative efficiency with which reinforcement is obtained and can shift responding toward an alternative behavior. Thus, altering the relative unit price can be a beneficial tactic when reinforcement for a target behavior cannot be withheld. Using concurrent-schedule arrangements, two experiments evaluated the conditions under which target response …

The Bleeding Edge Of Misogyny: How Gender-Based Harassment And Infrastructural Neglect Shape Menstrual Distress, Mackenzie J. Miller

Graduate Theses, Dissertations, and Problem Reports (ETD)

Despite growing attention to menstrual health, organizational research has largely overlooked how workplace conditions shape menstrual experiences. Dominant perspectives frame menstruation as an individual issue that negatively affects work, neglecting how features of the work environment – such as gender-based harassment and access to menstrual-related infrastructure – contribute to menstrual distress. Addressing this gap, this dissertation adopts a bidirectional perspective, examining how social and material workplace conditions shape menstrual distress, defined as the extent to which menstrual symptoms interfere with daily functioning. Drawing on the transactional model of stress and objectification theory, I hypothesized that gender-based harassment would predict menstrual …

The Effect Of Innovative Value Proposition On Buyer Reactions: The Moderating Roles Of Price Orientation And Perceived Risk, Chad Stuttz

Graduate Theses, Dissertations, and Problem Reports (ETD)

Value propositions are essential to the success of personal selling in the Business-to-Business (B2B) context. While earlier studies have offered valuable insights into the roles of value propositions in driving B2B sales, they have often regarded value propositions as uniform. In this dissertation, I argue that value propositions vary in their levels of innovativeness. The dissertation introduces the concept of innovative value proposition (IVP) and proposes that IVP indicates greater future growth potential to buyers, leading to more favorable reactions such as responsiveness and willingness to engage than less innovative ones. Additionally, the dissertation explores the moderating effects of buyer …

Examining Moral Susceptibility In Ai Vs. Human-Assisted Decision-Making, Seth James Fogle

Graduate Theses, Dissertations, and Problem Reports (ETD)

Artificial intelligence (AI) systems are increasingly integrated into decision-making contexts, yet their influence on ethical judgment remains unclear. This study examines whether advice from an AI advisor, compared to a human advisor, affects moral susceptibility in a consumer decision-making scenario. Using a 2 × 2 between-subjects experimental design (advisor type × price condition), this research tests whether personal agency, perceived objectivity, and diffusion of responsibility operate as psychological mechanisms underlying ethical decision-making.

Results indicate that advisor type did not significantly influence moral susceptibility, nor did it significantly affect the proposed mediators. Additionally, the price condition did not moderate these relationships. …

Bridging The Gap: An Innovative Life Skills And Job Readiness Initiative For Those Facing And/Or Experiencing Homelessness, Alyssa Rae Lester

Graduate Theses, Dissertations, and Problem Reports (ETD)

Homelessness disrupts occupational functioning across all domains of daily life, yet individuals in transitional housing frequently lack access to structured life skills programming tailored to their current level of functioning. This doctoral capstone project developed, implemented, and evaluated a life skills and job-readiness curriculum at the West Virginia Coalition to End Homelessness West Run transitional housing facility in Morgantown, West Virginia. Grounded in Bronfenbrenner's Ecological Model of Human Development and the Bridging the Transition from Homeless to Housed framework, the curriculum addressed four domains: personal development, household management, financial literacy, and vocational readiness. A mixed-methods design combined a structured staff …

Social Media Addiction And Its Influence On The Physical Social Interactions Among West Virginia University Students, Blessing Ochom Omaleko

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Social Media Addiction and its Influence on the Physical Social Interactions Among West Virginia University Students

Blessing O. Omaleko

This qualitative study investigated social media addiction and its perceived influence on face-to-face interactions among 14 West Virginia University students using an open-ended qualitative survey. Grounded in Griffiths' (2013) behavioral addiction components, salience, mood modification, conflict, and relapse, the data were analyzed using Thematic Analysis (Braun & Clarke, 2006). Findings revealed that while students characterized their social media use as a habit rather than an addiction, their descriptions aligned with multiple addiction components. Students consistently valued in-person interactions over online …

The Dual-Factor Model (Dfm) Of Mental Among Appalachian Youth, Mawyah Adel Bashatah

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background. Adolescent mental health is a critical public health concern, particularly in rural Appalachian communities where rates of depression, anxiety, and substance use exceed national averages and access to mental health resources remain severely limited. Traditional mental health frameworks rely predominantly on the identification and reduction of psychopathological symptoms, neglecting the independent contributions of positive well-being to adolescent risk and resilience. The Dual-Factor Model (DFM) of mental health offers a more comprehensive alternative by simultaneously assessing subjective well-being (SWB) and psychopathology, classifying individuals into four distinct groups: Complete mental health, Vulnerable, Symptomatic but content, and Troubled. Despite the DFM’s growing …

“Black Students Matter”: A Phenomenological Study Of Black Student Experiences At A Predominately White Institution In Appalachia During The Dual Pandemic Of Covid-19 And Systemic Anti-Black Racism, Toni Owens

Graduate Theses, Dissertations, and Problem Reports (ETD)

As the spread of COVID-19 escalated into a global pandemic in 2020, simultaneously, the nationwide media in the United States (U.S.) highlighted coverage of the country’s ongoing incidents of longstanding systemic anti-Black racism in America, another pandemic. In the Summer of 2020, a collective of Black students at West Virginia University (WVU) signed and publicly submitted a petition to the university’s leadership with a list of demands to address their needs as they were further exacerbated by the dual pandemic. This study is guided by the question, “What are the lived experiences of Black Students at West Virginia University during …

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 …