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Comparing Online Versus In-Person Administration Of Cognitive Tasks And Evaluating Their Predictive Utility Of Inattention Symptoms And Related Behaviors, Cameron Pothoven Aug 2026

Comparing Online Versus In-Person Administration Of Cognitive Tasks And Evaluating Their Predictive Utility Of Inattention Symptoms And Related Behaviors, Cameron Pothoven

Master's Theses

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder associated with less developed working memory (WM) processes, theorized to be a core contributing factor in the development of ADHD and a predictor of ADHD symptom severity (Alderson et al., 2013; Rapport et al., 2008). Objective measures inclusive of working memory tasks, when used in conjunction with self-report measures, have been previously shown to increase the accuracy of diagnosing ADHD (Marshal et al., 2021. However, given that WM is typically assessed by a trained clinician, it is unclear how accurate and comparable online administration of adapted WM tasks are to their in-person counterparts. …


Environmental Psychology In Historic Preservation, Eva Kindall Aug 2026

Environmental Psychology In Historic Preservation, Eva Kindall

Honors Theses

This thesis explores the adaptive reuse of the historic Brainerd Junior High School in Chattanooga, TN, as a catalyst for community revitalization. Initially built in 1930, the building served generations of students for 75 years. Currently, the main building is closed, while the additional buildings serve as the Midtown Community Center. Its architectural character, accessible location, and nostalgia present an opportunity to reimagine its role in the current economy. Adaptive reuse offers more than architectural preservation, but is a strategy to address urban challenges such as housing affordability, lack of amenity access, and cultural erasure. Through this project, the aim …


Genetic Regulation Of Uterine Organogenesis, Diana A. Machado Aug 2026

Genetic Regulation Of Uterine Organogenesis, Diana A. Machado

Dissertations and Theses (Open Access)

In eutherian and marsupial mammals, the site of embryo implantation and gestation is the uterus. The precursor tissue of the uterus, oviducts, cervix, and upper vagina is the Müllerian duct epithelium and its adjacent mesenchyme. Morphological uterine variation between species is established during embryogenesis by species-specific differences in Müllerian duct fusion at the midline, growth, and differentiation. For example, laboratory mice have a bipartite uterus with two uterine horns and a single cervix, whereas humans have a simplex uterus with a single chamber and single cervix. In humans, variations in the fusion process can alter typical uterine morphology, correlating with …


Multidimensional Determinants Of Gait, Balance, And Softball Performance In Female Youth: Biomechanics, Resource Access, And Psychosocial Factors, Allie G. Mcauliffe Aug 2026

Multidimensional Determinants Of Gait, Balance, And Softball Performance In Female Youth: Biomechanics, Resource Access, And Psychosocial Factors, Allie G. Mcauliffe

Master's Theses

Movement quality is a fundamental indicator of healthy childhood development and supports physical, emotional, psychosocial, and cognitive well-being. Movement quality is influenced by multiple biomechanical, environmental, and psychosocial factors, yet the relationships among them remain poorly understood in underrepresented populations such as female youth, particularly in softball. Previous studies have largely examined biomechanics, resource access, and psychosocial experience independently, and few have investigated how these factors interact in female youth softball players. To address this gap, this study compared gait and balance characteristics between softball (N = 34) and non-softball (N = 7) female youth, examined associations between resource access, …


Liah Greenfeld On Antisemitism As A Defining Characteristic Of The Monotheistic Civilization, Efraim Karsh Aug 2026

Liah Greenfeld On Antisemitism As A Defining Characteristic Of The Monotheistic Civilization, Efraim Karsh

Comparative Civilizations Review

One cannot overstate the scholarly and intellectual loss occasioned by the untimely death of Boston University Professor Liah Greenfeld. Through her prodigious interdisciplinary research, Professor Greenfeld has established herself as one of the foremost social science theorists of our time and a worthy heir to the great firstgeneration nationalism scholars, in particular Eric Hobsbawm, Ernest Gellner, and Anthony Smith.


Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams Aug 2026

Black Protection: Black Social Media Competency And Urban, Black Adolescents On Social Media, Taylor A. Williams

Dissertations

While urban, Black adolescents interact with racial identity content on social media, their identity is primarily shaped through offline experiences and later reflected or reinforced online. Through the concept of Black social media competency (B-SMC), this study examined the relationships between Black urban adolescents’ social media use, exposure to race-related content, and experiences navigating the digital environment. The study used a qualitative design, grounded in the phenomenological and ecological frameworks, with 21 adolescents recruited from two urban, Midwestern schools and programs to participate in semi-structured interviews, and data were analyzed using thematic analysis to identify patterns in how the participants …


Closer Than They Appear: Parasocial Relationships, Social Processes, And Emotional Intimacy, Paige Bedore Aug 2026

Closer Than They Appear: Parasocial Relationships, Social Processes, And Emotional Intimacy, Paige Bedore

All-Inclusive List of Electronic Theses and Dissertations

Decades of research have attempted to clarify the mechanisms underlying parasocial relationships, or one-sided relationships. Yet, relatively little empirical attention has been given to the subjective experiences of intimacy that occur in these relationships or to making direct comparisons between social and parasocial relational processes within individuals. The present study aimed to address these gaps and to investigate whether selected variables associated with social relationships similarly predicted parasocial relationship strength. Adult participants identified both a meaningful social relationship target and a parasocial target before completing measures of relationship strength, intimacy, attachment style, and cumulative exposure for each relationship type. Hypotheses …


Parent Emotion Socialization And The Influence On Child Emotion Regulation In A Clinical Sample, Crystal Tracy Aug 2026

Parent Emotion Socialization And The Influence On Child Emotion Regulation In A Clinical Sample, Crystal Tracy

All-Inclusive List of Electronic Theses and Dissertations

This study aimed to contribute to existing literature by examining parent emotion socialization (i.e., parent orientation to child emotion) and its influence on child internalizing symptoms. Prior research suggests that parent emotion socialization impacts child emotion regulation and internalizing symptoms; however, there is little research at present focused specifically on the influence of parent orientation to child emotion on child internalizing symptoms through child emotion dysregulation. This study adds to the literature by considering the association between parent orientation to child emotion and internalizing symptoms in a sample of children referred for an ADHD evaluation. Participants included 161 children ages …


Puzzles & Frames: Exploring Motion Graphics In Thriller Movie Poster Design, Xingyu Xiao Aug 2026

Puzzles & Frames: Exploring Motion Graphics In Thriller Movie Poster Design, Xingyu Xiao

Theses

This thesis explores how motion graphics can expand the role of traditional movie posters and create more engaging visual communication experiences. The project began with an observation that static posters displayed in busy campus environments can easily be overlooked. This led to the central question of how motion graphics can make traditional movie posters more visually engaging and effective in campus environments. To investigate this question, I developed a series of dynamic thriller movie posters that combine traditional graphic design elements—including typography, composition, imagery, abstraction, and visual hierarchy—with motion. The design process developed through several stages of experimentation. Early studies …


Charting The Martian Future: Long-Term Space Policy Planning Of Nasa’S Human Spaceflight Program, 1957-1988, Angel J. Peralta Aug 2026

Charting The Martian Future: Long-Term Space Policy Planning Of Nasa’S Human Spaceflight Program, 1957-1988, Angel J. Peralta

Electronic Theses and Dissertations

From the late 1950s to the early 1990s, NASA’s human spaceflight programs repeatedly encountered political and bureaucratic pressures that prioritized short-term interests over long-term planning. These constraints shaped the development of the Apollo, Space Shuttle, Space Station, and other human spaceflight programs, limiting NASA’s ability to pursue a sustained strategic vision. This thesis traces the evolution of long-term human spaceflight policy through documents and memos produced by advisory committees, research councils, and key individuals during this period. Despite shifting administrations and their respective politics, these sources reveal a consistent goal of human spaceflight ultimately leading beyond Earth to the Moon …


Factors Influencing Employee Engagement And Performance In Hybrid Work Environments, Saif Alblooshi Aug 2026

Factors Influencing Employee Engagement And Performance In Hybrid Work Environments, Saif Alblooshi

Theses

The widespread adoption of hybrid work arrangements, in which employees divide their working time between remote and office-based settings, has fundamentally altered how organisations manage, measure, and sustain workforce engagement and performance. While hybrid models offer tangible benefits such as increased autonomy, reduced commuting burden, and greater scheduling flexibility, they simultaneously introduce a set of organisational challenges that conventional management frameworks were not designed to address. Chief among these challenges is the difficulty of maintaining consistent levels of employee engagement across distributed work settings, where informal communication, social connection, and direct managerial oversight are structurally constrained. The absence of robust, …


Evaluating The Motivations Of Participants In Online Equine Extension Courses, Sarah Vos Aug 2026

Evaluating The Motivations Of Participants In Online Equine Extension Courses, Sarah Vos

Department of Animal Science: Dissertations, Theses, and Student Research

Traditional program evaluations emphasize participant demographics, knowledge gain, behavior change, and program impact. However, evaluating participant motivation can provide addition insight into why participants enroll in extension programs and help explain participant engagement and persistence throughout a program. The purpose of this study was to evaluate participant motivation in two online equine extension courses and examine potential relationships between motivation, demographics, and course delivery method, and describe participant engagement in Virtual Horse Judging Camp (VHJC). This cross-sectional study utilized convenience sampling of participants in two online equine extension courses, Horse Adult Leader Training and Educational Resource (HALTER) and VHJC. The …


Understanding The Relationship Among Elementary Teachers' Professional Well-Being, Self-Efficacy, And Instructional Confidence To Inform Peer Support In An Upper Midwestern School District, Kelly Herrera Aug 2026

Understanding The Relationship Among Elementary Teachers' Professional Well-Being, Self-Efficacy, And Instructional Confidence To Inform Peer Support In An Upper Midwestern School District, Kelly Herrera

Theses and Dissertations

This study addresses a significant problem of practice within an Upper Midwestern elementary school where budget cuts, curriculum mandates, and staffing shortages have severely reduced teacher well-being. Grounded in Bandura’s Social Cognitive Theory and Noddings’ Care Theory, this research investigates the relationship between professional well-being, self-efficacy, and instructional confidence. Using a quantitatively led convergent parallel mixed -methods approach, the study concurrently collected data through a 28-item survey instrument. Primary emphasis was placed on the quantitative strand, utilizing inferential and descriptive statistics, including Pearson’s correlations, ANOVA, and t-tests, to measure relationships between variables, while qualitative open-ended responses provided deeper context. The …


Cross-Border Initiatives Border Fellow Report 2025-2026, Elise Free Ma, Tori Luna Ma, Jonathan De Vicente Encarnación Ma, Yolanda Viridiana Chávez Flores Phd, Korina Odet Cortés Uribe Edd, Jessie Valcin, Cristina Solano Díaz, Etienne Mulumeoderhwa Mufungizi Phd Aug 2026

Cross-Border Initiatives Border Fellow Report 2025-2026, Elise Free Ma, Tori Luna Ma, Jonathan De Vicente Encarnación Ma, Yolanda Viridiana Chávez Flores Phd, Korina Odet Cortés Uribe Edd, Jessie Valcin, Cristina Solano Díaz, Etienne Mulumeoderhwa Mufungizi Phd

Kroc IPJ Research and Resources

The 2025–2026 Border Fellows Report documents six community-led projects carried out across the Tijuana–San Diego region under the Kroc Institute for Peace and Justice's Border Fellows Program. Working in academia, civil society, and the public sector, the fellows addressed distinct challenges shaped by a common context: firearms trafficking and armed violence against women and LGBTQIA+ people; youth violence and suicide risk in a public middle school; discrimination in a federal preparatory school serving more than 4,300 students; the organizational capacity and language rights of Indigenous communities in Baja California; academic accompaniment for Haitian adolescents excluded from formal schooling; and intercultural …


Survival First: How Citizens Prioritize Competing Climate-Health Risk Countermeasures Under Fiscal Constraints, Katsuya Tanaka, Kazuhide Akaishi Aug 2026

Survival First: How Citizens Prioritize Competing Climate-Health Risk Countermeasures Under Fiscal Constraints, Katsuya Tanaka, Kazuhide Akaishi

Center for Public Service Publications and Reports

When governments must allocate limited resources among competing climate-health countermeasures, citizen risk priorities determine political feasibility—yet whether those priorities translate into fiscal support remains poorly understood. This study develops a hybrid best–worst scaling and contingent valuation framework that integrates individual-level priority parameters into an acceptance model, enabling direct testing of whether preference intensity predicts willingness to pay. Applied to a largesample survey of residents in Yokohama, Japan—a rapidly aging metropolis facing escalating heat emergencies—the analysis reveals three findings. First, citizens exhibit a survival-first hierarchy, decisively prioritizing immediate protective measures over long-term structural interventions, with consensus varying sharply across countermeasure types. …


Reciprocal Teaching With Emergent Bilingual Students: Promoting Academic Reading Strategies And Fostering Hope, Lorissa K. Nelson Aug 2026

Reciprocal Teaching With Emergent Bilingual Students: Promoting Academic Reading Strategies And Fostering Hope, Lorissa K. Nelson

All Graduate Theses and Dissertations, Fall 2023 to Present

Many students struggle with reading comprehension, and research shows that low literacy skills in a student’s first language can unfortunately lead to lower rates of university program completion, regardless of the language of instruction. When students feel empowered and confident in their ability to achieve their academic goals, they are much more likely to take ownership of their learning. In fact, students who actively demonstrate hopeful thinking and behaviors are consistently more successful in their academic journeys.

My research explores how we can better support these high school students— specifically concurrent enrollment (CE) students—by examining the impact of Reciprocal Teaching. …


The Influence Of Shape Complexity And Exploratory Behavior On Grasping, Mckenzie Gunter Aug 2026

The Influence Of Shape Complexity And Exploratory Behavior On Grasping, Mckenzie Gunter

Dissertations

People can orient and configure their hands in many ways in order to grasp objects. The current study investigates how object shape and hand placement influence graspability of objects, and how experimentally imposed constraints on grasping type alter grasping behavior. In a recent study, Gunter and Hajnal (under review) found that the ratio of object curvature and maximal handspan is the variable that defines the affordance of graspability. The current study aims to extend these findings by employing a more precise measurement of finger placement in two experiments using 3D printed objects as stimuli. To capture varying complexities of object …


Vulnerability In The Dark Triad: Insecure Attachment And Relational Aggression In The Peer Relationships Of College Students, Summer Boggs Aug 2026

Vulnerability In The Dark Triad: Insecure Attachment And Relational Aggression In The Peer Relationships Of College Students, Summer Boggs

Dissertations

Research on relational aggression (i.e., a type of aggression in which the aggressor harms others by damaging their relationships, reputation, and/or feelings of social acceptance) with college students has identified several important correlates, including anxious and avoidant attachment styles. Moreover, the personality traits captured by the Vulnerable Dark Triad (VDT; i.e., borderline, the antisocial component of psychopathy, and vulnerable narcissism; Miller et al., 2010) have demonstrated positive relationships with both relational aggression and insecure attachment. This study examined the relationship between insecure attachment and relational aggression among college students (N = 560), testing VDT traits as partial mediators of …


Understanding The Impact Of Parenting, Self-Determination Theory, And Adverse Childhood Experiences On College Students, Melanie D. Prater Aug 2026

Understanding The Impact Of Parenting, Self-Determination Theory, And Adverse Childhood Experiences On College Students, Melanie D. Prater

Dissertations

College students are at high risk for experiencing psychological distress which impacts their academic, mental, and physical well-being (Eskin et al., 2016; Reed‑Fitzke & Lucier‑Greer, 2020; Sharp & Theiler, 2018). The Self Determination Theory (SDT) serves as a suitable framework for investigating the impact of parental autonomy support (PAS) and parental psychological control (PPC) on college students’ well-being and distress. According to SDT, the satisfaction of three foundational needs (autonomy, competence, and relatedness) supports well-being, while thwarting of these needs may be associated with psychological distress and resilience (Costa et al., 2016; Lera & Abualkibash, 2022; Reed‑Fitzke & Lucier‑Greer, 2020; …


A Comparison Of The Effectiveness Of Teacher-Led And Student-Supported Variations Of The Good Behavior Game, Patrick Wells Aug 2026

A Comparison Of The Effectiveness Of Teacher-Led And Student-Supported Variations Of The Good Behavior Game, Patrick Wells

All Graduate Theses and Dissertations, Fall 2023 to Present

This project examined the effectiveness of two variations of the Good Behavior Game (GBG) intervention: the traditional teacher-led and a student-supported variation. The traditional intervention has been shown to be an effective intervention for reducing disruptive classroom behaviors. Despite its effectiveness, proper implementation does require additional effort from the teacher—effort that may better be directed toward improving instruction. A student-supported variation of the intervention has the potential to reduce the effort required of teachers who wish to implement the intervention in their classroom. We utilized a nonconcurrent, multiple baseline design with alternating treatment to compare the effectiveness of both versions …


Effects Of Single-Session Interventions On Youth Internalizing Problems, Thomas K. Franzmann Aug 2026

Effects Of Single-Session Interventions On Youth Internalizing Problems, Thomas K. Franzmann

All Graduate Theses and Dissertations, Fall 2023 to Present

Anxiety and depression are among the most common mental health concerns young people face, and they often interfere with school, friendships, family life, and long-term well-being. Even though effective therapies exist, only about half of youth who need care ever receive it, and among those who do start treatment, the most common total number of sessions a young person attends is one. This gap between what young people need and what they actually receive raises a practical question for the field: can a single, well-designed meeting with a provider produce meaningful change for some youth and families, and what should …


Visibility Assessment In Urban Areas: Exploring Measures And Approaches For Viewing Green Space, Doo Hong Lee Aug 2026

Visibility Assessment In Urban Areas: Exploring Measures And Approaches For Viewing Green Space, Doo Hong Lee

All Graduate Theses and Dissertations, Fall 2023 to Present

Urban greenery is often used to understand the quality of living conditions in cities. However, measuring greenery is not always simple. Some methods show how much vegetation exists from above, while others try to show what people actually see while walking or moving through streets. These are different ways of understanding green space. This dissertation focuses on visible greenness, or the greenery that people can see from eye level in everyday urban environments.

This research addresses a practical problem. Many existing methods for measuring visible greenness require large image datasets, advanced computing, or commercial street-view images. These requirements can make …


Impact Of Chronic Stress And Nutrition On Functional Connectivity And Neural Networks In Young Kichwa Children From The Ecuadorian Amazon Rainforest, Matthew L. Cook Aug 2026

Impact Of Chronic Stress And Nutrition On Functional Connectivity And Neural Networks In Young Kichwa Children From The Ecuadorian Amazon Rainforest, Matthew L. Cook

All Graduate Theses and Dissertations, Fall 2023 to Present

Early childhood is a critical period for brain development. Positive and negative experiences during this time can have lasting effects on learning, health, and well-being. However, most research on children’s brain development has been conducted in wealthy, industrialized nations, leaving important gaps in our understanding of how children develop in other cultural and environmental contexts.

This study examined brain development in Indigenous Kichwa children living in two rural communities in the Ecuadorian Amazon Rainforest. The goal was to better understand how chronic stress and nutrition may influence a child’s developing brain during early childhood. Children participated in noninvasive brain assessments …


Challenges To Longevity Among Native Americans In The Four Corner States, Ashley Lenarz Aug 2026

Challenges To Longevity Among Native Americans In The Four Corner States, Ashley Lenarz

All Graduate Theses and Dissertations, Fall 2023 to Present

Previous research has shown that Native Americans within the Four Corners States of the United States experience poor health outcomes and premature mortality. The Four Corners States include Arizona, New Mexico, Colorado, and Utah. Research examining COVID-19 pandemic outcomes has also suggested that Native peoples within the Four Corners States have been especially hard hit with high rates of infection and mortality. Our research seeks to (1) understand how life expectancy trends and differences changed among non-Hispanic Native Americans and Whites in the Four Corners States during the COVID-19 pandemic and (2) examine how much of these trends and differences …


Mindful Classrooms: Teachers Co-Designing And Implementing Mindfulness Interventions, Mary L. Phan Aug 2026

Mindful Classrooms: Teachers Co-Designing And Implementing Mindfulness Interventions, Mary L. Phan

All Graduate Theses and Dissertations, Fall 2023 to Present

Teachers play a critical role in supporting student learning and well-being, yet many experience high levels of stress, burnout, and increasing job demands. Stress can negatively affect teachers’ mental health, job satisfaction, and classroom environments, making it important to identify practical and sustainable ways to support teacher well being. Mindfulness practices, which encourage individuals to focus on the present moment with awareness and acceptance, have shown promise for reducing stress and improving emotional well-being. However, little is known about how mindfulness programs can be adapted to fit the realities of elementary school classrooms and whether teachers can successfully implement these …


Cultural Humility In Motion: A Graduate Student Hybrid Immersion In Self- And Other Awareness Through Dance, Emily Jeanne Slater Aug 2026

Cultural Humility In Motion: A Graduate Student Hybrid Immersion In Self- And Other Awareness Through Dance, Emily Jeanne Slater

All Graduate Theses and Dissertations, Fall 2023 to Present

Universities bring together people from many different backgrounds, identities, and experiences. Yet university spaces often focus on mind-centered and discussion-based learning and overlook how the body plays a role in education. When education ignores the bodily experience of learning, students lose opportunities to reflect, connect, and make meaningful change in their lives and communities. To address this gap, this dissertation designed and implemented a learning experience for graduate students that creates space from them to examine their own assumptions, engage across differences, and share in inclusive practices. The learning experience draws on and advances cultural humility theory, which understands self-awareness, …


Fostering Safe Space For Children In Online Navigation And Parent-Child Interactions, Rizu Paudel Aug 2026

Fostering Safe Space For Children In Online Navigation And Parent-Child Interactions, Rizu Paudel

All Graduate Theses and Dissertations, Fall 2023 to Present

As children and teenagers spend increasingly more time online, digital devices have become a major source of family friction. Disagreements frequently arise over privacy boundaries, and online activities. When these conflicts are unresolved, they often lead to broken trust and secretive behavior, leaving children vulnerable to digital harms like cyberbullying, toxic content, or account hacking. Therefore, it is important to create a safe and open environment for children where in order for them to share their feelings with parents. This dissertation investigates the human and technological dynamics of parent-child interactions, developing new ways to support collaborative conflict resolution and online …


Public And Self-Stigma Toward Mental Health Among Individuals Of Mexican Heritage, Mitzi Escalante Aug 2026

Public And Self-Stigma Toward Mental Health Among Individuals Of Mexican Heritage, Mitzi Escalante

Theses & ETDs

There are rising concerns about social isolation and declining mental health that have prompted increased attention to the role of culture in shaping mental health experiences, particularly through stigma. Although prior research suggests that mental health stigma varies across and within cultural groups, limited work has focused specifically on Mexican American populations. The present study examined the relationship between Mexican American cultural values and both public stigma and self-stigma toward mental illness. Measures included the Mexican American Cultural Values Scale (MACVS), the Community Attitudes toward the Mentally Ill scale (CAMI) to measure public stigma, and the Internalized Stigma of Mental …


Issue 26: Labour, Poverty, And Health Concerns Of Migrant Women And Girls Working As Kayayei In Ghana's Urban Centres, Comfort Baidoo, Robert Mcleman Aug 2026

Issue 26: Labour, Poverty, And Health Concerns Of Migrant Women And Girls Working As Kayayei In Ghana's Urban Centres, Comfort Baidoo, Robert Mcleman

International Migration Research Centre

Over the past four decades, growing numbers of women and girls have left northern Ghana for the country's cities, drawn by the promise of work, independence, and a chance to support their families. Many end up as kayayei, head porters who carry goods through Accra's crowded markets for a negotiated fee. Their labour keeps the informal economy moving, yet it comes at a steep personal cost: unpredictable earnings, punishing physical strain, unsafe housing, and a healthcare system that too often leaves them out. This brief draws together the available evidence on the economic and health conditions of kayayei in Greater-Accra. …


Recover Well: Reducing Readmissions Through Nurse-Led Follow-Up After Urologic Surgery – A Quality Improvement Project, Candace Brigette Mike Aug 2026

Recover Well: Reducing Readmissions Through Nurse-Led Follow-Up After Urologic Surgery – A Quality Improvement Project, Candace Brigette Mike

Doctor of Nursing Practice Projects

Hospital readmissions within 30 days following urologic surgeries are often associated with catheter complications, infections, poor pain management, and limited patient understanding of discharge instructions and therefore represent a significant quality and safety concern for patients and institutions alike. The purpose of this quality improvement project was to evaluate whether implementing structured, nurse-led telephone follow-up in conjunction with standard discharge education reduced unplanned 30-day hospital readmissions among adult patients undergoing urologic surgery. Guided by the Logic Model framework, this project used a quasi-experimental, two-group pre- and post-intervention design to compare outcomes at a high-volume outpatient urology clinic in Houston, Texas. …