Digital Commons Network^™

Predictors Of Outpatient Follow-Up Attendance And Subsequent Psychiatric Readmission, Sandra J. Beltran

Theses and Dissertations

Psychiatric readmissions remain a persistent challenge in mental health care, often reflecting gaps in continuity of treatment following discharge. The Agency for Healthcare Research and Quality (2019) indicated that a key component in preventing inpatient readmission is adequate outpatient care following discharge. Moreover, early attendance in outpatient follow-up visits is associated with improved patient outcomes (Boston Medical Center, 2022). Various predictors are associated with engagement in outpatient services, such as age, medication compliance, and socioeconomic variables (Carson et al., 2014; Li et al., 2005; Marino et al., 2016; Stubbs et al., 2024).

The present study sought to determine whether psychiatric …

Parent Perspectives On Contemporary Adolescent Concerns, Allyson Worthy

Theses and Dissertations

Adolescence is a critical developmental period that marks the transition between childhood and adulthood. Psychopathology is known to emerge during this time, in which many internalizing and externalizing disorders have their onset. The assessment of adolescent psychopathology involves use of questionnaire measures to obtain perspectives from the adolescent themselves, their parents, and their teachers. Parents have been found to be especially important informants of adolescent functioning. With new challenges that arise for present-day adolescents (e.g., social media use), parents can provide insight into the different areas that need to be evaluated when assessing domains of contemporary adolescents’ development and psychopathology. …

The Power A Generation Holds: A Study On Students Generating Change In American Social Movements, Caroline E. Koziol

Dartmouth College Master’s Theses

Social activism ebbs and flows throughout American history. In the contemporary period, high visual coverage of activism has contributed to frustrations over the apparent decrease in change despite perceptions of increased participation. Young activists in the classroom ask questions to learn from their predecessors. This paper focuses on answering, “How can students create sustained change through social activism?” The present work recenters activism in the role of students and higher education institutions, noting their potential for creating change through a formula for future activists to engage with. The proposed formula targets methods and theories to bolster success towards the cause …

Diabetes-Related Foot Complications And Socioeconomic Influences Among Hispanic Males In South Texas: A Scoping Review, Mariana J. Rodriguez, Demian Rodriguez, Amanda Killeen

School of Podiatric Medicine Publications

Introduction: Diabetes mellitus is the 7th leading cause of death in the U.S. and 6th in Texas. South Texas counties have higher diabetes rates than state and national averages. This complex, progressive disease affects multiple body systems and can lead to serious complications, especially in the lower extremities. Uncontrolled diabetes is often associated with diabetic foot ulcers (DFU), foot infections, and lower extremity amputations (LEA). South Texas, predominantly Hispanic American, is disproportionately affected. This demographic faces clinical barriers due to a lack of cultural understanding, highlighting the need for culturally sensitive healthcare workers such as promotoras. This study aimed to …

Volumetric Differences Of Thalamic Nuclei Are Associated With Posttrauma Psychopathology, Jacklynn M. Fitzgerald

Psychology Faculty Research and Publications

Background

Previous investigations of whole thalamus and thalamic nuclei volumes in posttrauma psychopathology have been sparse and limited in scope and have yielded inconsistent results. To address this, volumetric estimates of whole thalamus and thalamic nuclei were obtained from structural brain magnetic resonance imaging scans from 2058 participants across 20 worldwide sites in the ENIGMA (Enhancing Neuro Imaging Genetics through Meta Analysis) Posttraumatic Stress Disorder (PTSD) working group.

Methods

Thalamic volumes were compared in trauma-exposed participants with PTSD (n = 238), major depressive disorder (MDD) (n = 184), and comorbid PTSD+MDD (n = 618) and in trauma-exposed …

Factors That Influence The Implementation Of Effective Succession Planning In Nonprofit Organizations, Sharon L. Cook

Human Resource Development Theses and Dissertations

The purpose of this qualitative study was to explore factors influencing the implementation of effective succession planning (SP) in nonprofit organizations within a specific traditional industry—the electric utility industry. This study adopted the concept of SP as a process or system, and systems theory was selected to examine the SP process. Rothwell’s (2016) seven- pointed star model for systematic SP and management provided the conceptual framework for this study. This study used an inductive, qualitative approach to collect information from participants, with semi-structured, open-ended interviews. Face-to-face interviews were preferred, but some online interviews via Zoom were necessary. Interviews were conducted …

Scottish Workers’ Stories Of Life And Labour During Covid-19 From The Workers’ Stories Project, Hailey Maxwell, Ruth Gilbert, Suki Sangha, Ewan Gibbs

Studies in Scottish Literature

This article explores how Scottish workers narrated the impact of the COVID-19 pandemic on their life and work, by analysing 55 fifty-five submissions to the Workers' Stories Project. Between 2020 and 2022, the project creative reflections on the pandemic from workers across Scotland, drawing on the tradition of workers' inquiry and workers' education that encouraged critical reflection and the embrace of worker creativity. Submissions were overwhelmingly literary in form, primarily short prose supplemented by poetry, with three key themes emerging: intimacy and alienation; insecurity and status; and a slower living pace. Cumulatively, the stories underline how COVID-19 magnified workplace injustices …

When Executions Don't Kill: The Stories Of Eight People Who Survived Their Date With Death, Austin Sarat, Julia Morgan-Canales, Aidan Gemme

Cardozo Journal of Equal Rights & Social Justice

This Article focuses on the eight people who have survived execution attempts in the last 100 years. Some of them faced a second attempt to carry out the sentence. Others escaped that fate only to die in prison; one reached an agreement with the state to allow them to remain in prison for the rest oftheir life, and the fate of another is up in the air.

By examining what went wrong in their executions and the accounts of those events offered by defense lawyers, state officials, and judges, this Article suggests that these executions fall into distinct genres. Each …

Can The Free Speech Clause Protect Transgender Expression From The Trump Administration?, Daniel Cooper

Cardozo Journal of Equal Rights & Social Justice

This Article explores how the Free Speech Clause can provide protection to speakers implicated by the Trump administration's executive orders restricting gender-related speech. Part I will provide an overview of how the Trump administration has directed executive authority to stifle gender-non-conforming identity and expression, how those efforts fit within the larger context of right-wing efforts to marginalize transgender people, and why the Equal Protection Clause of the Fourteenth Amendment to the United States Constitution is not currently a useful tool for the protection of trans rights. Part II will examine efforts to regulate government employees' pronoun usage, focusing on whether …

The Weight Of Stigma, Rebekah A. King, Michael S. Sinha

Cardozo Journal of Equal Rights & Social Justice

Many health care providers, both implicitly and explicitly, perpetuate stigma in their treatment of patients classified as obese. While medical professionals understand that a one-size-fits-all approach to treatment is ineffective, patients classified as obese are frequently offered limited treatment options that fail to account for their unique needs. Access to a range of effective treatment options has historically been limited, but new GLP-1 receptor agonist medicines like Wegovy (semaglutide) and Zepbound (tirzepatide), have shown incredible promise in addressing the obesity crisis. Unfortunately, these transformative drugs are costly, in high demand, and not widely covered by insurance, rendering them inaccessible for …

Home By Now? “Habitual Residence” And The Hague Convention On The Civil Aspects Of International Child Abduction, Emily Mcanally

The International Law Review Association Student Forum

The Hague Convention on the Civil Aspects of Child Abduction (“the Convention”) is a multilateral treaty signed in 1980 which aims “to secure the prompt return of children wrongfully removed to or retained in any Contracting State”; and to ensure mutual respect of the “rights of custody and access” between the contracting states. As of 2025, there are 103 signatories of the Convention who have committed to taking “all appropriate measures” and employing “the most expeditious procedures available” to ensure that children wrongfully within their territory can be returned home. Although the Convention has existed for nearly half a century, …

Establishing A Translational Research Framework For Optimizing Clinical Workflows And Care Pathways Across The Continuum Of Stroke Care: Evaluation Of Time Series Derived Patterns In Adverse Health Trajectories Among Acute Ischemic Stroke Survivors Using Clinical And Medical Claims Linked Data, Alan Pan

Dissertations and Theses (Open Access)

The post-stroke journey is highly variable. Upon hospitalization for a primary acute ischemic stroke (AIS), patients encounter a multitude of clinical decisions that ultimately influence the trajectory of their health recovery and outcomes. The overarching scope of our work is centered around leveraging routinely captured sources of health information – such as electronic medical records (EMR) and administrative medical claims – to assess how patterns in clinical workflows and care pathways can be extracted and transformed to generate insights from observational data repositories. Within this framework, we utilized a suite of computational methods to evaluate predictors of adverse health outcomes …

Colaborate: A Mixed-Methods Approach To Enabling Inclusive Dialogue Of Emotional Regulation Resources For Young Autistic Children, Sarai E. Deese

Senior Theses

Emotion regulation (ER) is a critical developmental milestone and is often delayed or more difficult for autistic children. Publicly available resources for birth-5-year-olds with autism could benefit significantly by integrating the values of and information provided by autistic adults. However, existing resources may have poor accessibility, acceptability, and feasibility according to different groups within the autism community, creating a significant gap in effective support. This mixed-methods study investigated ER experiences, resource knowledge, and resource desire among autistic adults (N=4; Stage 1) and caregivers of young autistic children (N=4; Stage 2) to inform the development of acceptable ER supports. In Stage …

Hungry Minds: Analyzing The Impact Of Food Insecurity And Food Assistance Programs On Neurocognitive Development And Childhood Mental Health, Kayla A. Davenport

Senior Theses

Introduction: Food insecurity affects millions of children in the United States and is increasingly recognized as a significant risk factor for poor nutritional intake and adverse health outcomes. However, less is known about how the experience of food insecurity disrupts healthy development and well-being, particularly among American youth. This thesis had two aims: (1) to examine the relationship between household food insecurity and children’s neurocognitive and mental health outcomes and (2) to evaluate how major food assistance programs address, or fail to address, these developmental risks.

Methods: This thesis uses a mixed-methods approach, integrating a narrative literature review, a cross-sectional …

Arcadia Magazine, 2025-10

Alumni Magazine

No abstract provided.

The Moderating Effects Of Community Involvement On The Association Between Witnessed Community Violence And Mental Health Outcomes Among Black Adolescents, Curtisha Tamara Shacklewood

Theses and Dissertations

Black youth and adolescents are at a disproportionately high risk for experiencing community violence exposure (CVE) and the potential influence it may have on psychological functioning. Research posits that Black youth who experience community violence are at a significantly higher risk of experiencing elevated internalizing symptoms (e.g., depression) and externalizing symptoms (e.g., delinquency). Previous research has utilized the ecological model to investigate interpersonal protective factors that potentially buffer the effects of CVE, including parental support and family characteristics. However, there is little research that explores community-level factors, such as community activities (e.g., youth activities and parental perception of collective efficacy) …

The Impact Of Project-Based Learning On Future First Generation College Students’ Oral Communication Skills, Presentation Skills, Confidence Levels, And College And Career Readiness, Mandana Marashi

Theses and Dissertations

The purpose of this action research was to evaluate the impact of a project-based learning innovation course on high school students’ oral communication, presentation skills, confidence levels, and college and career readiness in a college and career readiness program housed at a university in the Mid-Atlantic region. Effective oral communication and presentation skills have been continuously emphasized by national organizations and employers to be critical skills for success in students’ academic and professional lives. However, teaching oral communication and presentation skills to high school students has been neglected, which has negatively affected students’ college and career readiness, particularly for students …

Influence Of School Climate On Comprehensive School Behavioral Health Effectiveness, Halle Rose Singer

Theses and Dissertations

Youth are experiencing a sharp rise in mental health concerns, which have reached critical levels. Schools have emerged as a key setting for delivering mental health services due to their accessibility, familiarity, and capacity to reach diverse populations. Comprehensive School Behavioral Health (CSBH) systems offer a multi-tiered, evidence-based framework for supporting the mental health of all students. However, the success of CSBH interventions varies across schools presumably indicating that systemic or school level factors, like school climate, may influence youth mental health outcomes. In this study, I investigate how school-level factors, specifically student-perceived school climate, influence the mental health outcomes …

Investigating The Influence Of Instructional Strategies On The Development Of Procedural And Conceptual Knowledge In Advanced Algebra Ii Students, Maura Frances Yinger

Theses and Dissertations

This mixed-methods action research study investigated the influence of instructional strategies shown to improve students’ procedural and conceptual understanding in a rational expressions and equations unit in Advanced Algebra II. The instructional strategies used in the study include comparing, self-explaining, and exploring before instruction. The students (N=27) completed a pre-test and a post-test, both of which were followed by questions asking students to justify their responses on two questions. All students also responded to six digital self-explanation journal prompts. Randomly selected students were placed into three homogenous groups to participate in performance task observations. Analysis of the data …

Personal Finance Education In Florida: Teaching The Teachers, Jessica Morey

Theses and Dissertations

This mixed-methods action research study with an explanatory sequential design investigated teacher financial capability and financial well-being in advance of a mandate that will require high school students in Florida to take a semester-long personal finance course, taught by social studies teachers. Survey results from 47 participants—teachers at a large suburban high school and high school social studies teachers across a Florida school district serving just over 29,000 students—indicated that while most teachers can answer basic financial literacy questions, many lack the financial self-efficacy to ensure their financial future. Teachers had varying experiences with financial socialization. While many had experienced …

Journey Toward Collective Efficacy: ​The Impact Of Lesson Study In A Professional Learning Community, Julia Rose Pabst

Theses and Dissertations

This mixed methods action research study investigated the impact of a lesson study protocol on elementary teachers’ confidence through the implementation of the Three Read Close Reading Protocol (3RCRP), a research-based reading comprehension strategy. This study, grounded in Bandura’s Social Cognitive Theory, explored how collaborative and practice-based professional learning could bridge the gap between pedagogical knowledge and classroom practice to enhance teacher self-efficacy. The primary research questions focused on how participation in a lesson study influenced teachers’ self-efficacy and which aspects of the protocol were perceived as most influential. Four participants and one participant-observer engaged in a series of Professional …

The Role Of Prelimbic Projections To The Rostromedial Tegmnetal Nucleus In Cue Discrimination, Emma Lane Carlson

Theses and Dissertations

Maladaptive decision-making, such as persistent reward seeking despite negative consequences, is a hallmark of substance use disorder (SUD) and related psychiatric conditions. These behaviors are thought to arise from impairments in aversive learning and disrupted neural signaling that normally supports behavioral inhibition. The prelimbic cortex (PL) plays a critical role in encoding cue–outcome associations and exerting top-down control over behavior, while the rostromedial tegmental nucleus (RMTg) serves as a GABAergic inhibitor of midbrain dopamine neurons in response to aversive stimuli. Although both structures have been implicated in reward and avoidance processes, little is known about how direct PL-RMTg projections contribute …

Integrity On The Line: An Action Research Investigation Into Cheating Behaviors Among Honors Students, Latasha Arda Smart

Theses and Dissertations

Academic dishonesty remains a persistent issue in education, undermining both learning and institutional integrity. While it has been extensively researched in general contexts, little is known about its occurrence in high-achieving settings such as honors classes, where students are frequently under increased performance pressure. This action research study investigated the prevalence, causes, and consequences of cheating behaviors among honors students at a rural high school.

The study centered on Ajzen’s Theory of Planned Behavior, Bandura’s Social Cognitive Theory, and Merton's Strain Theory. Data were collected using a qualitative case study design, which included semi-structured interviews with students, teachers, and administrators, …

Developing A Comprehensive Schoolwide Discipline Plan In Title 1 Southern Schools, Rose Clark Kebe

Theses and Dissertations

This qualitative case study explored how teachers in Title I schools across the southern United States perceived and experienced school discipline practices. The study addressed the problem of inconsistent implementation of restorative and preventive frameworks, which has contributed to inequitable outcomes, teacher frustration, and lost instructional time. Although initiatives such as Positive Behavioral Interventions and Supports (PBIS) are mandated across many districts, inconsistent use and limited fidelity have restricted their effectiveness in improving equitable discipline and school climate.

The purpose of the study was to examine teacher perspectives to inform the development of a culturally responsive, schoolwide behavioral system grounded …

Inspiring Girls To Fill The Blank Space In Stem: The Impact Of An After-School Coding And Robotics Club On Elementary Female Students' Engagement And Self-Efficacy In Computer Science, Lisa Guenther Wilbanks

Theses and Dissertations

The purpose of this action research was to describe how participation in an after-school coding and robotics program influenced elementary female students’ engagement and self-efficacy in computer science. According to a 2023 report from the National Science Foundation, in 2020 women earned only 21% of computer science degrees and 24% of engineering undergraduate degrees in the United States. As two of the fastest growing fields, the lack of female perspectives and experiences will continue to limit innovation in these areas. Studies show that gender gaps in engagement and self-efficacy in STEM begin long before students enter college and the workforce, …

Food Insecurity And Social Connection Of Nicaraguan Refugees And Asylum Seekers In Costa Rica: A Qualitative Study, Keren Herran

Theses and Dissertations

Background

Given the physical and mental health consequences of food insecurity, solutions should be evidence-based and seek to prioritize vulnerable populations. This qualitative study adds to limited literature on how refugees and asylum seekers use their social connections to mitigate food insecurity by investigating how Nicaraguan refugees and asylum seekers in Costa Rica foster social connections and use these connections to acquire and manage food.

Methods

In fall 2024, 35 in-depth semi-structured interviews were conducted in San José, Costa Rica. Participants were recruited through six migrant-serving nonprofit organizations. For study inclusion, participants had to: 1) be 18 or older; 2) …

Ai-Driven Autonomous Manufacturing: A Novel Taxonomy, Vision-Guided Planning, And Diversity-Aware Active Learning Frameworks, Ibrahim Yousif

Theses and Dissertations

Manufacturers face two opposing challenges: the escalating demand for customized products and the pressure to reduce lead times. Current manufacturing equipment, although reliable, operates at the limits of its technology and lacks adaptability to dynamic environments. This trade-off has been described as the optimal degree of automation, a threshold beyond which further automation incurs more cost than benefit. Smart manufacturing has introduced adaptive, data-driven systems, but many deployments still lack the contextual adaptability and autonomous decision-making required to handle unplanned disruptions. This underscores the need for intelligent, autonomous systems capable of real-time adaptation without costly reconfiguration, minimizing human intervention during …

Multi-Layer Decision Making For Long-Term Autonomous Mission Based On Dual Process Theory, Shruti Jadhav

Theses and Dissertations

Unmanned aerial vehicles (UAVs) are increasingly used in precision agriculture, where extended autonomous operation is required for monitoring, intervention, and field management. However, achieving long-term autonomy remains challenging due to battery constraints, environmental uncertainty, and the need to balance exploration with event-driven tasks. To address these challenges, a multi-layer decision-making framework inspired by Dual Process Theory (DPT) is developed. The framework combines reactive return-tobase strategies, exploratory navigation, and directional bias from prior missions, with a conflict-monitoring mechanism that adapts system behavior based on real-time conditions. The approach is implemented in a simulated agricultural grid environment, demonstrating improved adaptability and coverage …

Exploring Barriers To Patient Care In A South Carolina Free Clinic, Jonathan G. Green

Doctor of Nursing Practice Scholarly Projects

Access to healthcare remains a persistent challenge for medically underserved populations who rely on free medical clinics for primary care services, particularly in non-Medicaid expansion states such as South Carolina. Free clinics serve as critical safety-net providers, yet patients frequently encounter barriers that limit access, continuity, and quality of care. The purpose of this Doctor of Nursing Practice (DNP) project was to explore and identify the structural, social, and interprofessional barriers to patient care within a South Carolina free medical clinic to inform targeted, evidence-based interventions. A mixed-methods needs assessment design was used, combining a retrospective chart review of forty …

Combating Obesity: Creating A Comprehensive Wellness Plan For Uninsured & Low-Income Populations, Kayla C. Berrios

Doctor of Nursing Practice Scholarly Projects

Aim: The aim of this project was to research the specific barriers encountered by obese patients that are low-income and uninsured. The goal of this data collection was to inform the stakeholders involved in creating a comprehensive wellness plan for obese patients.

Background: The staff at Good Neighbor Clinic have struggled to support their support their obese patients with weight reduction. Many of the ailments that patients seek care for correlate to their obesity. Health promotion in this community clinic needs a more comprehensive program to support patients during their weight loss experience, providing support and resources to allow for …