Digital Commons Network^™

Psychological Interventions For Children With Neurodevelopmental Disabilities In The Context Of Neurodiversity: A Systematic Review, Kalliopi Megari, Dimitra V. Katsarou, Evangelos Mantsos, Soultana Papadopoulou, Efthymia Efthymiou, Maria Theodoratou, Maria Sofologi, Eugenia Toki

All Works

Highlights What are the main findings? What is the implication of the main finding?Highlights What are the main findings? What is the implication of the main finding?Abstract Background/Objectives: This systematic review examines psychological interventions for children with neurodevelopmental disabilities within a neurodiversity framework, emphasizing that variations in cognition, behavior, and neurological functioning represent natural forms of human diversity rather than deficits. Methods: A systematic literature search was conducted across the PubMed, PsycINFO, and Google Scholar databases for studies published between 2010 and 2025. Studies were included if they focused on children with autism spectrum disorder (ASD), learning or intellectual disabilities …

Race And Ethnicity And Overall Survival In Pediatric Acute Myeloid Leukemia, Daniel J. Zheng, Long Khuong, Catherine Aftandilian, Kira Bona, Emi H. Caywood, Caitlin W. Elgarten, Brian T. Fisher, Cody-Aaron L. Gathers, Taumoha Ghosh, M. Monica Gramatges, Gary Hettinger, Meret R. Henry, Yuan-Shung V Huang, Yimei Li, Kelly Maloney, Amir Mian, Tamara P Miller, Arunkumar Modi, Rajen Mody, Regina M. Myers, Haley Newman, Jose Ortiz, Alix E. Seif, Caroline Smith, Jamie Stokke, Naomi Winick, Jennifer J. Wilkes, Victor Wong, Richard Aplenc, Kelly D. Getz

Department of Pediatrics Faculty Papers

IMPORTANCE: Hispanic and non-Hispanic Black (hereafter, Black) children with acute myeloid leukemia (AML) have historically experienced worse survival outcomes compared with non-Hispanic White (hereafter, White) children. Understanding specific intermediate pathways underlying these outcome disparities is a critical step to directing interventional efforts and resources.

OBJECTIVE: To compare survival outcomes by race and ethnicity in a large contemporary cohort of pediatric patients with AML and to examine presentation acuity, frontline organ toxic effects, and relapse as potential mediators of any observed outcome disparities.

DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study was analyzed from April 2025 to January 2026 and included …

Profiles Of Body Image In Emerging Adults And Associations Across Sociocultural Influences, Alligrace Story

Theses and Dissertations

The Tripartite Influence Model of body image suggests that multiple sources of appearance-related pressures (i.e., family, peers, significant others, and media) impact body image and disordered eating behaviors via appearance-related comparisons and internalization of body-related ideals (i.e., thin-ideal internalization and muscular-ideal internalization). Previous research has shown support for the Tripartite Influence Model of body image among various demographic groups. The current study identified and examined profiles of emerging adults based on their reported body esteem and body appreciation. Body esteem was measured using the Body Esteem Scale for Adolescents and Adults (BESAA; Mendelson et al., 2001), and body appreciation was …

Tips For Higher Education: A Research-Informed Framework For Designing Trauma-Informed Professional Support Practices In Higher Education, Kelli Wallace

Theses and Dissertations

This capstone project addresses the need for structured trauma-informed professional preparation within higher education as institutions continue responding to increasing student adversity, trauma exposure, mental health concerns, and barriers to academic engagement and persistence. The purpose of the project is to develop Tips for Higher Education: A Research Informed Framework for Designing Trauma-Informed Professional Support Practices in Higher Education. The project examines the research-supported elements that should be included in a trauma-informed professional preparation framework, the competencies and learning domains needed by faculty, advisors, and student-support professionals, and the ways professional learning should be structured and sequenced to support sustainable …

Ethnic Identity And Career Adaptability Among African American High School Students: Exploring The Roles Of Perceived Barriers And Social Support, Zion J. Kamau

Theses and Dissertations

African Americans are subjected to systemic racial discrimination and bias in the labor market. Data on labor force participation collected by the U.S. Census Bureau between 1970 and 2010 were investigated for the purpose of identifying trends, and it was found that race and ethnicity significantly influence an individual's labor market position and employment outcomes (Byars-Winston et al., 2014). African Americans were more likely to hold positions earning less, requiring fewer skills, and associated with a lower social status. There is a misconception that the phenomenon occurs only in adulthood, but it is also observed during adolescence. The U.S. Bureau …

Wellness In The Workplace: An Assessment Of The Mississippi State University Extension Service Workplace Environment And Its Effect On Employee Mental Health And Overall Wellbeing, Tashmia S. Prowell

Theses and Dissertations

The purpose of this study was to identify perceived stressors within the Mississippi State University Extension Service (MSU-ES) workplace environment and to determine the impact of these stressors on employee mental health and overall wellbeing. This study utilized a descriptive, cross-sectional research design collecting data through a quantitative web-based survey developed in Qualtrics and adapted from the NIOSH Worker Wellbeing Questionnaire. To examine the research questions and hypothesis guiding this study, quantitative data were analyzed using Stata MP 19.5. After a data scrub, 213 usable responses were yielded. Associations between variables were examined using descriptive and inferential statistical methods. The …

Exploring Emergency Manager Decision-Making Regarding Heat Hazards Using Protection Motivation Theory, Nathaniel Mirly

Theses and Dissertations

Heat is the leading cause of weather-related mortality in the United States, yet it remains under-recognized despite rising mortality and intensifying climate trends. This qualitative study explored decision-making processes regarding heat hazards among 15 county-level emergency managers in the Northern Gulf Coast region using Protection Motivation Theory (PMT) as a guiding framework. Semi-structured interviews were conducted and analyzed using reflexive thematic analysis, combining deductive coding of PMT constructs with inductive identification of independent themes. Key findings showed reliance on verbal persuasion and prior experience as primary information sources, threat appraisals moderated by normalization and deprioritization of heat due to other …

The Role Of Latinx And Hispanic Identity In The Presentation Of Hoarding Symptoms, Caitlyn Ashley Nix

Theses and Dissertations

Although people who identify as Hispanic and Latinx make up approximately 19% of the United States population (U.S. Census Bureau, 2023), most research into hoarding disorder is comprised of White, non-Latinx samples. Thus, the current study investigated Hispanic and Latinx ethnicity as a predictor of several facets of hoarding disorder. Previous literature has shown lower risk for Hispanic and Latinx individuals in terms of several physical health outcomes when compared to individuals of similar socioeconomic status (Markides & Coreil, 1986), though mental health outcomes have more variation by subgroup (Barragán et al., 2020). Previous research has also shown that collectivistic …

An Equity-Centered Creative Therapies Implementation Framework For K-12 School Counseling Practice, Brian Caleb Carlisle

Theses and Dissertations

Adolescents in K-12 schools are experiencing a significant mental health crisis, with rising rates of anxiety, depression, trauma, and emotional dysregulation, while many continue to face limited access to equitable, developmentally appropriate supports. Although schools increasingly serve as primary sites for mental health services, they often lack resources, training, and infrastructures necessary to implement effective interventions. Arts-based and creative therapy approaches demonstrate benefits for emotional regulation, trauma processing, and social-emotional development but remain underused due to inconsistent implementation and systemic barriers. This capstone project examines how creative therapies can be integrated into school counseling programs to address these gaps. Guided …

Enhancing Social Emotional Learning Interventions For Black Adolescent Girls Through Staff Training, Shundrell Mcmullan

Theses and Dissertations

Black girls often face systemic inequities rooted in discriminatory practices and policies in the educational system contributing to adverse social-emotional outcomes unless mitigated by intentional protective supports. Many schools have adopted social emotional learning (SEL) programs; however, their effectiveness for culturally diverse students are often challenged. The present study examined the impact of Sisters of Nia, a race-conscious and gender-responsive intervention designed to enhance protective factors and social-emotional well-being among six adolescent Black girls. Student outcomes, including academically engaged behaviors and positive peer interactions, were primarily evaluated using a single-subject A/B design. Students’ self-esteem and racial identity were also measured …

A Policy Analysis Of State-Mandated Literacy Reform In Tulsa Public Schools, Paul Eicher

Theses and Dissertations

Oklahoma has implemented state-mandated literacy reforms grounded in the Science of Reading (SoR) to address persistent reading achievement challenges. Despite increased accountability measures and adoption of approved intervention programs, secondary literacy outcomes in Tulsa Public Schools (TPS) remain low, raising questions about policy design and implementation. The purpose of this project is to analyze the state-mandated framework for secondary reading intervention in TPS and develop evidence-based recommendations to strengthen literacy outcomes. The study is guided by the Adapted Policy Analysis Triangle, which examines policy through the domains of content, context, process, and actors. The research explores effective intervention practices, implementation …

School Administrators’ Lived Experiences In Educational Settings Supporting Students With Exposure To Violence, Craig Karnell Chapman

Theses and Dissertations

Violence in schools and communities presents persistent challenges for K–12 students, educators, and school leaders, particularly in high-poverty contexts where exposure to violence disrupts teaching, learning, and school climate. Guided by Bronfenbrenner’s Ecological Systems Theory (1979). Ecological systems theory, this phenomenological study explored the lived experiences of school administrators in supporting students exposed to violence in their schools and communities. Data were collected through semi-structured interviews with five purposively selected school administrators working in high-poverty districts and analyzed using thematic analysis. Findings revealed four central themes: (a) instructional instability resulting from persistent exposure to violence, (b) the spillover of community …

A Descriptive Quantitative Study Of Non-Traditional Parental Student Support Structures In Texas Community Colleges, Caitlin Connolly

Theses and Dissertations

The purpose of this descriptive quantitative study is to determine the type and distribution of parental student support services available at Texas public community colleges, using data collected from the fall of 2024 and 2025. This study was conducted using secondary archival quantitative data from the Texas Higher Education Coordinating Board (2024), Texas Comptroller of Public Accounts (2024), Texas Association of Community Colleges (2025), National Student Clearinghouse (2025), U.S. Department of Education (2025), and Texas community college websites. The study collected the following concerning the 52 public Texas community colleges: location, enrollment, student support services available (e.g. campus childcare, family …

Latent Profile Analysis Of Trauma Appraisal: Associations With Psychological Problems And Substance Use Moderated By Emotion Dysregulation In College Students With Trauma History, Tram Nguyen

Theses and Dissertations

Empirical research suggests that trauma-related appraisals have significant mental health implications. A prior meta-analysis reported that maladaptive trauma-related cognitions play a central role in the development and maintenance of poor coping strategies (i.e., substance use) and posttraumatic stress disorder. However, less is known about the relationships among maladaptive trauma cognitions, emotion dysregulation, and risk for substance use. The current study sought to provide a comprehensive examination of the relationships among trauma appraisals, emotion dysregulation, psychological problems, and substance use. A systematic review highlighted the lack of a person-centered approach to trauma appraisal research, as well as a lack of research …

The Impact Of Interactive Digital Tools On Students’ Engagement And Learning Outcomes In Economics, Ashram Ramgarib

Theses and Dissertations

This study examined how the integration of digital tools in a constructivist framework improved student learning outcomes and learning engagement in the 12th-grade economics class. The quasi-experimental design was used. Sixty participants took part in the study. Five research questions guided the study. Data collection involved administering a pretest, a posttest, and a survey questionnaire. However, the survey questionnaire was administered only to the quasi-experimental group. Data analysis included calculating percentages, means, standard deviations, t-tests, correlations, and ANOVA. The findings showed that the quasi-experimental group outperformed the control group. The results revealed that 63% of the students in the quasi-experimental …

Professional Development And Coaching To Support Teachers In Implementing Reading Interventions To Students With Dyslexia In Catholic Schools, Payton Elise Bosma

Masters Projects

Students with dyslexia need explicitly designed and implemented instruction in order to combat deficits in phonological, language, and executive functioning processes, yet teachers in Catholic Schools may not have the necessary training for successful reading intervention due to a lack of dyslexia policy in private schools. This project aims to fill this need by providing one Catholic School in an urban setting with a year-long professional development series which includes 5 professional development sessions to be implemented alongside individual coaching sessions. The purpose of the professional development sessions is twofold. They were created to increase teacher awareness of the etiology …

Clinical Practice Guideline For Fall Prevention And Reduction, Wendy Zitzloff

Walden Dissertations and Doctoral Studies

Falls are a significant concern for residents in long-term care facilities who are 65 years old or older, which places them at a higher risk of injury. The risk of falling is unique to each patient and cumulative with advanced age and complex comorbidities. A Long-Term Care (LTC) Facility in Minnesota had 6.6% of long-stay residents experience a fall resulting in a major injury, higher than the Minnesota average of 4.1%. This Clinical Practice Guideline (CPG) outlines foundational components for preventing and reducing falls among geriatric patients in long-term care facilities. The purpose of the CPG is to outline the …

Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that underrepresented students (low-income and first generation college students) face challenges associated with the transition from secondary education to postsecondary education. Grounded in Schlossberg’s transition theory, the purpose of this study was to explore underrepresented students’ perceptions of support provided by precollege programs and remaining challenges when transitioning to higher education. For this basic qualitative design, semistructured interviews with 11 underrepresented students who participated in a precollege program were conducted. Braun and Clarke’s six-phase data analysis was used. After deductive and inductive analysis, the following themes emerged: Students indicated that the …

Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino

Walden Dissertations and Doctoral Studies

Treatment-resistant depression (TRD) affects approximately 30% of individuals with major depressive disorder who do not respond to conventional antidepressant therapies. TRD symptoms severely impact a patient’s quality of life (QoL) and impose a considerable burden on healthcare systems. The purpose of this quantitative study was to evaluate the impact of esketamine in decreasing depressive symptoms and improving QoL factors in patients diagnosed with TRD. The research aimed to determine whether there were statistically significant improvements in depressive symptoms, as measured by the Patient Health Questionnaire-9, and changes in QoL, as measured by the Quality of Life in Depression Scale, over …

Managerial Strategies For Increasing The Engagement And Retention Of Retail Employees, Dorothy Kelly Williams

Walden Dissertations and Doctoral Studies

A lack of employee engagement strategies to increase worker retention is a concern for managers in the retail industry. This problem is important because without such strategies, organizations may experience turnover, which undermines operational stability, customer experience, and profitability. Grounded in employee engagement theory, the purpose of this qualitative pragmatic inquiry was to identify and explore effective employee engagement strategies that retail managers use to increase employee retention. Participants were six retail managers in the southern United States, each with at least 3 years of experience managing employees. Data sources consisted of semistructured interviews, public documents, and related studies. Thematic …

Promoting The Bipartisan Dimension Of Political Leadership: A Study Of The Impact Of A Normative Intervention With Newly Elected Members Of Congress, Jaime M. Ruvalcaba

Dissertations

The U.S. political system is more polarized now than at any time in the past century, as evidenced by the rise of political incivility, legislative gridlock, and hyperpolarization. To date, most studies and efforts have focused on institutional strategies to explain, transform, and mitigate the challenges posed to the political environment. By contrast, little attention has been paid to the normative or values-based behaviors of leaders to either explain or influence political leadership in ways that positively impact the political environment. Fortunately, some organizational programs, like Harvard’s Bipartisan Program for Newly Elected Members of Congress, have taken a different tack, …

Improving Rural Students’ Access To Advanced Mathematics: A Policy-Based Curriculum Study, Alison Shae Blackledge

Theses and Dissertations

Students with advanced mathematical readiness in rural high schools face difficulties reaching their fullest potential due to significant opportunity gaps. The limited availability of advanced coursework and a scarcity of STEM opportunities often lead to disengagement and behavioral challenges. This project examines the challenges faced by rural students with advanced mathematical readiness and designs a curriculum framework to expand access, support growth, and sustain engagement. Renzulli’s (1977) Enrichment Triad Model serves as the foundation for a curriculum plan intended to transition students from passive learners to independent mathematical investigators. Three research questions are addressed in this study: (1) Which barriers …

Breaking The Chain Or Passing The Torch? Caregiver Type, Perceived Caregiving, And Extent Of Aggression In Emerging Adult Relationships, Amara Mason

Theses and Dissertations

This study examined how caregiver type (alternate caregiving versus biological parent caregiving), childhood adversity, and parenting styles relate to intimate partner violence (IPV) and attachment outcomes. Guided by Intergenerational Transmission of Violence Theory, Social Learning Theory, and Attachment Theory, the study explored whether alternate caregiving buffered or intensified the effects of early adversity on later relational functioning. College students aged 18–25 from a southern U.S. university completed anonymous self-report measures assessing caregiving experiences, childhood trauma, attachment, and IPV. Measures included the Conflict Tactics Scale–Revised (CTS2), Adverse Childhood Experiences Scale (ACEs), and Parental Bonding Instrument (PBI). Hierarchical regression analyses indicated that …

Exploring The Viability Of Variable-Design Policy Approach To Addressing Teacher Retention In Kentucky, Donald R. Smallwood

Theses and Dissertations

Teacher attrition among early- and mid-career educators threatens the stability of Kentucky's public school workforce, yet the Commonwealth has largely relied on isolated, single-lever retention strategies. This desk-based capstone evaluated the viability of a coordinated, multiple variable policy framework for improving teacher retention in Kentucky. The study identified, appraised, and synthesized evidence, including peer-reviewed studies, state and national policy reports, legislative documents, and Kentucky-specific working-conditions data. Three research questions guided the study, addressing the evidence for coordinated multiple-variable retention approaches, the evidence for each individual policy lever, and the challenges and opportunities within Kentucky's current retention landscape. Content and thematic …

Decentralized And Privacy-Preserving Intelligent Systems Via Federated Learning For Healthcare Monitoring And Financial Security, George Anim

Theses and Dissertations

The rapid expansion of data-driven methodologies in healthcare and finance is increasingly constrained by ethical, regulatory, and security requirements that limit centralized data sharing. Sensitive information—including electroencephalogram (EEG) recordings and inter-institutional financial transaction logs—remains siloed, reducing opportunities for collaborative model development and limiting generalizability across heterogeneous environments. In healthcare, epileptic seizure prediction is challenged by inter-patient variability, scarce and non-IID EEG data distributions, and the need for real-time inference on resource-constrained wearable devices. In finance, anti-money laundering (AML) detection is complicated by decentralized and dynamically evolving transaction networks, temporal-structural dependencies, limited labeled data, and information-sharing restrictions. This dissertation proposes a …

Engineering Identity And Persistence In Community College Students, Joseph Anthony Minutolo

Theses and Dissertations

As our society becomes more technologically advanced, the need for engineers grows. Academia is tasked with preparing future engineers to meet this increasing need. However, as graduation rates continue to hover around 50%, researchers have begun to investigate what aspects of the student experience have a positive effect on the retention of engineering students. One researched topic is the relationship between engineering identity and persistence. Engineering Identity is rooted in the theoretical framework of Identity Theory, whereas Persistence is grounded in Expectancy-Value Theory. Previous research has shown a positive correlation between engineering identity and persistence among traditional university engineering students; …

Designing A Measure Of County-Level Food Access, Logan Mattingly

Theses and Dissertations

Equitable access to food is a central component of food security and a key determinant of health. Yet current approaches to food access measurement remain fragmented and limited. This study introduces the first of its kind data driven, multidimensional, county-level measure of food access in the United States. Drawing on publicly available data, I employ a factor analysis pipeline to construct a suite of latent variable estimates that represent pillars of food access. This model-based approach allows synthesis of these diverse measures into the resulting Food Access Index (FAI), while explicitly accounting for measurement error and addressing missing data. Resulting …

A Comprehensive Approach To Cognitive Offloading, Oscar Daniel Ramirez Perez

Theses and Dissertations

Learners use a variety of strategies to engage with real-world learning material. One such strategy is cognitive offloading: the reliance on external stores to alleviate internal cognitive demand. Past research has found that learners remember less when they study with the expectation of access to an external store during a subsequent test relative to when they study without that expectation. One proposed theory is the study effort hypothesis: when learners expect access to an external store, they reduce their encoding effort based on the belief that their internal memory of the information will be less important when they have access …

Staffing Reductions, Visitor Sentiment, And Recreation Demand In U.S. National Parks, Rebekkah Adicoff

Theses and Dissertations

Staffing changes in U.S. national parks have the potential to influence both visitor experience and recreation demand. This study examines how an abrupt system-wide staffing reduction affected visitor sentiment and visitation across the National Park System, while accounting for differences in park-level risk exposure. Using the February 2025 staffing reduction as a quasi-natural experiment, the analysis combines monthly park-level visitation data with TripAdvisor visitor reviews from January 2024 to August 2025. Sentiment scores derived from reviews measure perceived experience quality, while recreation demand is modeled using fixed-effects count models (Poisson and negative binomial) that control for seasonality and park characteristics. …

Explicit Writing Instruction Across Content Areas: A Professional Development, Bethany B. Richardson

Masters Projects

Research shows that writing instruction has diminished in the elementary classroom due to high stakes testing in reading and math.  Writing is a driving force for literacy achievement and should be prioritized.  In order to improve writing instruction, teachers need professional development in explicit instructional strategies for writing in other content areas.  According to cognitive processing theory, students are using multiple cognitive and metacognitive processes to complete a singular writing task.  Using scaffolds like write alouds, mentor texts, and graphic organizers can help teachers support students in their writing. Scaffolding theory suggests that students need high levels of support in …