Digital Commons Network^™

Asian/Asian American College Students’ Help-Seeking Attitudes For Adhd, Nandini Jhawar

Dissertations - ALL

Background: Asian/Asian American (AA) college students are least likely to engage with ADHD treatment compared to other racially minoritized groups, which may increase their risk for negative outcomes from untreated ADHD symptoms. Public stigma of ADHD contributes to these negative help-seeking attitudes. This study used the minority stress theory to examine if the distal and proximal stress of internalization of the model minority myth, a racial stereotype, influences the relationship between public stigma and help-seeking attitudes. Methods: Participants were undergraduate students recruited from nine geographically diverse universities in the United States. Data was collected over two academic years and included …

Bridging Gaps In Stem: An Evaluation Of A Stem Intervention Program And Its Impact On Degree Attainment And Career Pathways For Low-Income Undergraduate Students, Amanda L. Surman

Dissertations - ALL

Persistent disparities in Science, Technology, Engineering, and Mathematics (STEM) degree completion and career attainment continue to disadvantage students from low-income, firstgeneration, and underrepresented racial and ethnic backgrounds, despite sustained national efforts to diversify the STEM workforce. STEM Intervention Programs (SIPs) have emerged as promising strategies to address these inequities, yet limitations in SIP evaluation literature including the lack of comparison groups, limited longitudinal data, and minimal attention to psychosocial outcomes impede our understanding of their long-term impact. This dissertation uses a mixed-methods, three-project design to evaluate the Strategic Undergraduate STEM Talent Acceleration INitiative (SUSTAIN), a comprehensive SIP at a private, …

Subclinical Cardiometabolic Disease Risk In Adults With Autonomic Nervous System Dysfunction, Alaina Glasgow

Dissertations - ALL

Autonomic dysfunction (AD) is a precursor for cardiometabolic disease development; however, identifying AD and its associated risks presents significant challenges due to multi-system dysregulation and diverse symptom presentation. We examined subclinical cardiometabolic disease risk in AD and the utility of simple autonomic symptom assessments to identify subclinical disease risk. Study 1 thematically explored potential associations linking Postural Orthostatic Tachycardia Syndrome (POTS) to cardiometabolic disease risk. Neuropathic and hyperadrenergic POTS phenotypes may be related to metabolic dysregulation through autonomic neuropathy, sympathetic activity, inflammation, insulin resistance, and elevated vasoactive gut hormones. Study 2 investigated subclinical cardiovascular disease risk in POTS and whether …

Mobility At The Margins: Insights Into Gender, Class And Climate Change In Islamabad's Transit Spaces, Shanel Khaliq

Dissertations - ALL

This dissertation sets out to explore how the urban built environment- particularly public transport infrastructure- shapes class, gender and climate inequality in Islamabad, Pakistan. I tried to understand this issue by using mixed methods, primarily consisting of semi-structured in depth interviews, supplemented by ethnographic fieldwork and a brief consultation of english-language newspaper archives. I conducted 95 interviews in total, and clocked in around 80 hours moving around the city and engaging in a mobile ethnography. The first empirical question that I asked relates to the state and urban transportation planning. I wanted to understand what assumptions regarding class-based, gender-based and …

Essays On The Health And Labor Market Effects Of Menopause And Menopause Hormone Therapy, Lucia Elvira Torres Frasele

Dissertations - ALL

This dissertation explores how menopause and its medical management affect women’s health and labor market outcomes. Despite the centrality of reproductive transitions in the life course of women, economic research has largely ignored menopause, a biologically and socially significant milestone marking the end of fertility. This omission is surprising, given well-established medical evidence that links menopause to increased risks of health conditions that may impair the ability to work. The dissertation addresses this gap through two chapters that examine the causal impact of menopause and Menopause Hormone Therapy (MHT) on health and labor supply using two distinct empirical strategies. The …

Distributed Sovereignty: Law, Community, And Authority In The Political Theories Of Al-Māwardī, Al-Juwaynī, And Al-Fārābī, Ahmet Çelik

Dissertations - ALL

ABSTRACT This dissertation examines the concept of sovereignty in classical Islamic political thought through a comparative analysis of three major thinkers—al-Māwardī (d. 450/1058), al-Juwaynī (d. 478/1085), and al-Fārābī (d. 339/950)—each representing a distinct epistemic tradition: jurisprudence (fiqh), speculative theology (kalām), and philosophy (falsafa). Employing a conceptual and textual methodology, the study reconstructs a theory of distributed sovereignty in Islamic thought, in which political authority is not centralized in a singular sovereign but dispersed across three interrelated domains: legitimate authority, lawgiving, and governance. Drawing on primary texts—including al-Aḥkām al-Sulṭāniyya, Tashīl al-Naẓar, Ghiyāth al-Umam, al-Madīna al-Fāḍila, al-Siyāsa al-Madanīyya, Kitāb al-Milla, and Iḥṣāʾ …

Race, Space, Taste In The Postwar U.S.: Three Independent Studies On Urban Restaurants In Syracuse, New York, Huseyin Zeyd Koytak

Dissertations - ALL

This dissertation examines how racial inequality shapes the survival, visibility, and strategic adaptation of restaurants in postwar Syracuse, New York. It investigates how commercial food spaces reflect, reinforce, and negotiate racialized patterns of urban development, consumer taste, and economic opportunity. Drawing on longitudinal business and demographic data, a computational content analysis of online restaurant reviews, and original interviews with immigrant restaurateurs, the study integrates quantitative, computational, and qualitative methods to illuminate how race and space co-produce outcomes in the urban food economy. The first empirical chapter shows that Black-majority neighborhoods face higher commercial volatility and shorter restaurant survival, while white-majority …

Leveraging Artificial Intelligence (Ai) For Competency-Based Course Design: A Quality Improvement Project In Nursing Education, Lesslie Bull

Doctor of Nursing Practice Projects

This quality improvement project addressed inefficient, manual course design processes contributing to faculty workload and declining National Council Licensure Examination (NCLEX) pass rates at a rural Texas university’s baccalaureate nursing program. Guided by the Roy Adaptation Model and the Plan-Do-Study-Act framework, the project evaluated the effect of integrating artificial intelligence (AI) tools on faculty perceptions of technology adoption, specifically perceived usefulness (PU), perceived ease of use (PEOU), and behavioral intention (BI). Using a quasi-experimental pre-/post-intervention design, twelve faculty members completed a one-hour, evidence-based training using the Generative AI for Instructional Development and Education (GAIDE) framework, and eight faculty participated in …

An Examination Of Student Adherence And Intervention Complexity Within A Class-Wide Cover-Copy-Compare Intervention, Kaytlin Ann Nelson

Dissertations - ALL

Cover-Copy-Compare is a self-management intervention strategy developed to improve students’ academic performance, particularly in spelling. In academic intervention research, it is often assumed that students are completing the intervention as intended, yet this is seldom examined during intervention implementation or subsequent data analysis. The purpose of the present study was to extend the empirical literature on students’ intervention adherence by examining Cover-Copy-Compare permanent products to assess whether the complexity of the intervention (i.e., targeting six versus nine spelling words) contributed to a student’s ability to adhere to core intervention components. For the purposes of the present study, data from one …

Barriers And Enablers Of Early Health-Seeking Behaviour Among Women With Preeclampsia And Eclampsia: A Qualitative Study At A National Referral Hospital In Uganda, Shirley Moore, Martha Sajatovic

Faculty Scholarship

Background: Globally, 2–8% of women experience hypertensive disorders in pregnancy (HDPs), including preeclampsia and eclampsia, which are the second leading cause of maternal mortality and morbidity. According to the management protocol for preeclampsia in Uganda, weekly follow-up is recommended for women with preeclampsia without severe features who are below 37weeks of gestation; however, this has not been feasible to most cases of preeclampsia/eclampsia (PE/E). There is still limited information describing barriers and enablers of early health-seeking behaviour amongst women with PE/E, yet this is needed to improve their healthcare. This study explored the barriers and enablers of early health-seeking behaviour …

Factors Associated With Adolescents' Self-Efficacy To Meet With Their Health Care Provider Alone, Albert C Hergenroeder, Blanca Sanchez-Fournier, Cassandra Enzler, Mary Majumder, Beth H Garland, Constance M Wiemann

Center for Medical Ethics and Health Policy Staff Publications

Adolescents with special health care needs (ASHCNs) must develop self-management skills to effectively transition into adult-based care. This requires having the self-efficacy to meet with their health care provider independent of caregivers. This study aims to identify the factors associated with self-efficacy in meeting with a provider alone among ASHCN preparing for this transition.Eighty-three English-speaking 18-year olds with renal, gastrointestinal, neurologic, or rheumatologic diseases, and their English- or Spanish-speaking caregivers were recruited at a large children's hospital, and completed a one-time assessment as the historical control group for a larger intervention study. The main outcome measure was self-efficacy to meet …

An Anesthesia Informed Consent Checklist And Ahrq Share Decision-Making Model For Labor And Delivery Patients: A Quality Improvement Project, Katherine C. Burnett

Doctor of Nursing Practice (DNP) Manuscripts

Abstract

Background and Significance: Informed consent is the disclosure of all benefits, risks, and alternatives to patients for a given intervention. Recalling all important details during the consenting process can prove difficult for providers. The process is further complicated for obstetric patients since healthcare decisions also have consequences for the fetus. The American College of Obstetricians and Gynecologists’ Committee (ACOGC) (2021) recommends shared decision-making models (SDMs) for the obstetric patient population. SDMs engage patients in healthcare decisions by reaching a decision through provider expertise, best evidence, and patient values. In addition, surgical informed consent checklists have emerged as useful …

In Defense Of Metaphysics: A Defense Of The Value And Methodological Soundness Of Metaphysics Understood As Structural Modeling, Sean Nalty

Dissertations - ALL

The aim of this dissertation is to provide a defense of the value and methodological soundness of contemporary analytic metaphysics against a variety of recent anti-metaphysical and scientistic critiques. In Chapter 1, I attempt to answer (at least provisionally) a surprisingly difficult question: what is metaphysics, anyway? I suggest seven adequacy constraints on an answer to this question, and then test five historically and contemporarily influential candidate characterizations of metaphysics against these constraints. Finding each candidate lacking, I close by proposing an ecumenical conception of metaphysics — what I call the structural modeling conception — according to which metaphysics aims …

Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi

Walden Dissertations and Doctoral Studies

The 2011 Patient Protection and Affordable Care Act (PPACA) mandated that Primary Care Providers (PCPs) offer brief cognitive assessments during the Medicare Annual Wellness Visit (AWV), but this practice was inconsistent at best. This study investigated factors that influenced PCPs intentions to routinely assess cognition during the AWV. The theory of planned behavior (TPB) was used to assess the relationship between PCPs' behavior beliefs, subjective norm beliefs, perceived behavioral control (PBC) beliefs, and external control factors and their intentions to conduct brief cognitive assessments during the AWV. Using a quantitative correlational design, a cross-sectional online survey was administered to 86 …

Black Mothers' Adhd Experiences, Attitudes, And Support-Seeking Decisions, Catherine L. Montgomery

Dissertations - ALL

Background: ADHD, particularly when left untreated, is associated with significant impairment in several domains. Black youth may still be under-diagnosed with ADHD, resulting in symptoms going untreated. Black mothers may determine non-professional delivered supports to be more appropriate and acceptable than medication for their children with ADHD. As they tend to be the primary healthcare decision makers, it is important to develop a greater understanding of Black mothers’ ADHD support-seeking decision making for their youth. Method: The present study used semi-structured interviews guided by Kleinman’s Explanatory Models of Illness to discuss Black mothers’ decision making for their youth with ADHD. …

Pain Intensity And Alcohol Use Behavior Among Veterans With Chronic Pain: The Moderating Role Of Chronic Pain Acceptance, Kyle White

Dissertations - ALL

The co-occurrence of chronic pain and unhealthy alcohol use is common among veterans and associated with worse treatment outcomes and greater functional impairment relative to either condition alone. Accordingly, the U.S. Department of Veterans Affairs (VA) has underscored the importance of addressing co-occurring medical conditions in their clinical practice guidelines for substance-related disorders. Recent legislation has also oriented the VA towards complementary and integrative health therapies to minimize opioid prescriptions for chronic pain. Thus, identifying malleable psychological factors linking pain to alcohol use is a vital step in the development of tailored interventions for veterans. The goal of the current …

A Systematic Review Of Participant Adherence To Writing Self-Monitoring Interventions, Alec Ryan Goldstein

Dissertations - ALL

Writing is a highly versatile tool that can be used to achieve various goals and serves as an effective means for learning (Bangert-Drowns et al., 2004; Graham, 2007). One widely adopted intervention to enhance student writing is self-graphing, which enables students to compare their current performance with previous efforts, thereby potentially increasing their motivation to improve subsequent performances (Harris et al., 1994; Hirsch et al., 2013; Sheehey et al., 2016; Wells et al., 2017). Self-graphing interventions require students to engage in self-directed self-assessments, which presents opportunities for noncompliance or errors. This necessitates the examination of participant adherence, or the likelihood …

The Impact Of Adhd On Entrepreneurship Through A Gender Lens Three Essays, Mi Hoang Tran

Dissertations - ALL

This dissertation investigates how neurodiversity, specifically attention-deficit/hyperactivity disorder (ADHD), relates to entrepreneurial behaviors and outcomes, with a specific attention to gender as a moderating factor. The first essay provides a comprehensive meta-analytic review of 44 empirical studies, synthesizing 261 effect sizes to assess the relationship between ADHD and different stages of the entrepreneurial process: attitudes, behaviors, and post-launch outcomes. Results reveal that hyperactivity/impulsivity symptoms are positively associated with entrepreneurial attitudes and behaviors but unrelated to post-launch outcomes, while inattention symptoms are negatively associated with outcomes. These findings offer evidence that ADHD’s impact is phase-specific and contingent. The second essay draws …

Mental Health, Physical Activity, And Cardiovascular Disease Risk In International Migrant Populations, Andrew Rodriguez Heckel

Dissertations - ALL

International migrant populations, including immigrants, refugees, and international students, are a growing population worldwide that may be vulnerable to a heightened cardiovascular disease risk. Lifestyle factors, such as poor mental health and physical inactivity, may worsen cardiovascular disease risk factors that, in turn, increase cardiovascular disease risk. We sought to examine measures of cardiovascular disease risk and the lifestyle factors that may be affecting these measures in international migrant populations. In study 1, we compared hypertension prevalence between adult immigrants and non-immigrants in the United States. We found a lower hypertension prevalence in immigrants, which was mediated by their lower …

Technological Revolutions And Advertising: Historical Innovation Cycles, Ai, And The Future Of Platform Power, Christopher J. Lorusso

Dissertations - ALL

This study explores the future of advertising amidst a digital landscape increasingly shaped by artificial intelligence (AI). Leveraging Carlota Perez’s Technological Revolutions and Financial Capital framework, it examines how AI is poised to further disrupt the advertising ecosystem through the key elements of automation, user data, and inventory. Collectively, these dynamics have become key drivers of platform power, with implications for user behavior, competitive strategy, and the societal diffusion of AI technology more broadly. Employing a thematic analysis across historical and contemporary cases of advertising technology, the research identifies five themes worthy of strategic and scholarly consideration. Two primary themes—Dependency …

Targeting Fear Of Cancer Recurrence With Internet-Based Emotional Freedom Techniques (Ieft) And Mindfulness Meditation Intervention (Immi) (Bgog-Gyn1b/Remote), Laura Tack, Lore Mertens, Marte Vandeweyer, Fien Florin, Emma Pauwels, Thaïs Baert, Tom Boterberg, Christel Fontaine, Kurt Geldhof, Caroline Lamot, Christine Langenaeken, Jeroen Mebis, Laure-Anne Teuwen, Katherine Vandenborre, Heidi Van Den Bulck, Florence Van Ryckeghem, Mohammad Najlah, Patricia Schofield, Philip R. Debruyne

School of Nursing and Midwifery

Approximately one-third of cancer survivors report a need for professional help to cope with Fear of Cancer Recurrence (FCR). In the REMOTE trial, we aim to investigate the efficacy of two internet-based mind-body techniques to address this currently unmet medical need. Cancer survivors, screened using the Cancer Worry Scale (CWS), are randomly assigned to one of the three study groups: (1) internet-based emotional freedom techniques (iEFT) (n = 113), (2) an active control condition internet-based mindfulness meditation intervention (iMMI) (n = 113), or (3) a wait-list control group (WLC) (n = 113). The interventions iEFT and iMMI are conducted remotely …

Premenopausal And Postmenopausal Malignant Cervical Cancer Diagnosis Among Disaggregated Subethnic Groups Of Asian American Women In The United States, Nilofar Haider Mirza

Walden Dissertations and Doctoral Studies

Despite being the United States' fastest-growing and diverse population, Asian Americans are often aggregated with Native Hawaiian and Pacific Islanders in prior research, resulting in masking disparities in cervical cancer screening/diagnosis among Asian American subethnic groups. Guided by Bronfenbrenner's ecological model, the association between disaggregated subethnic groups and cervical cancer diagnosis among Asian American women aged 20+ in the United States was examined using binary logistic regression. How histology type/behavior and age at diagnosis moderate the relationship between disaggregated subethnic groups and cervical cancer diagnosis was also explored. A quantitative cross-sectional design was employed using cases (N=1014) from the U.S. …

Increasing Nursing Professional Development Specialty Certification Rates Amongst The Nursing Professional Development And Informatics Department, Nicole L. Cockerill

Group: Nebraska Methodist College

Problem: Nursing specialty certification promotes professionalism, demonstrates commitment and accountability for lifelong learning and professional development, is associated with improved knowledge and skills, and is linked to improved organizational and patient outcomes. Despite these benefits, certification rates remain low, and nurses still face barriers in obtaining certification.

Intervention: The project intervention was to offer a one-hour introductory class followed by three weekly one-hour Nurse Professional Development (NPD) certification prep courses through Microsoft Teams to the NPD and Informatics Department. The prep course followed the blueprint of the exam and focused on different topics each week.

Measures: Through pre- and post-surveys, …

Characteristics And Effectiveness Of Premarital Thalassaemia Educational Interventions Worldwide: A Scoping Review, Maisarah N. Anwar, Nik Nairan Abdullah, Dalila Roslan, Aimi N.M. Ruzlin

Sultan Qaboos University Medical Journal

Thalassaemia, a hereditary blood disorder, remains under-recognised due to limited awareness, particularly among young people. This scoping review aimed to evaluate the characteristics and effectiveness of premarital thalassaemia educational interventions globally. Following PRISMA-ScR guidelines, six databases were searched for English-language studies targeting adolescents and young adults. Eight studies met the inclusion criteria, and data were extracted using a standardised form adapted from the Joanna Briggs Institute, focusing on intervention characteristics, outcomes and key findings. Most studies involved school students and young adults from culturally diverse, resource-limited settings. The interventions—traditional, technology-based or culturally adapted—consistently improved knowledge (P < 0.001). However, behavioural outcomes, such as increased uptake of screening, were inconsistent. While educational strategies enhanced knowledge effectively, socio-cultural barriers limited the translation into behavioural changes. These findings support the need for future interventions to integrate behavioural change theories, leverage digital tools and address cultural sensitivities to improve their overall impact.

Challenging Life Events Of Undergraduate Students, Kristi Lewis, Gayle Roux, Catherine Dingley

The Qualitative Report

College students often face many difficult or stressful personal life events such as academic pressure, financial worries, family stress, or a relationship breakup. These events can impact their mental health and academic performance. Amid the growing mental health crisis on college campuses, it is important to explore the strategies that college students employ to tackle challenging life events. The purpose of this study was to (1) explore the experience of college undergraduates as they navigate challenging life events; and (2) examine strategies and resources utilized by the students. We conducted a qualitative descriptive study informed by phenomenology (Giorgi, 2009) using …

Threats In Adopting Financial Technologies: Unlocking The Role Of Technological Literacy, Shahbaz Tariq, Najabat Ali Dr., Muhammad Nauman Sadiq

Business Review

Financial technologies have been considered a transformative strategy in the contemporary world, paving the way for high-quality, time-convenient, and affordable financial services to individuals, businesses, and institutions. Despite the increasing security and financial risk, the perception of cyber threats remains unchanged. We conducted this study to analyze the perception of cyber threats, factors related to cybersecurity, and the behavior of customers adopting financial technologies through banking channels. To understand the behavior of individuals and business corporations, we developed a theoretical framework based on the Theory of Planned Behavior and the Technology Acceptance Model. A convenient sampling method was used, and …

Supporting Labor And Delivery Nurses Post-Trauma: Addressing Absenteeism And Retention In Practice, Catherine Crawford

Creating Healthy Work Environments (CHWE)

Labor and delivery (L&D) nurses frequently encounter traumatic workplace events that significantly impact their well-being, leading to increased absenteeism and intent to leave the profession (Kendall-Tackett & Beck, 2022; Uddin et al., 2022; Xie et al., 2021). This problem contributes to workforce instability and compromises patient care quality (Al Ismail et al., 2023). The purpose of this study is to examine the correlation between traumatic events, absenteeism, and intent to leave among labor and delivery nurses while discussing strategies to address these challenges.

I performed a mixed-methods study with a national sample of L&D nurses recruited from the Association of …

Enhancing Research Training Curricula Through The Ethical Integration Of Ai-Powered Tools: Opportunities And Challenges For Counselor Educators, Joshua C. Watson, Chris Leeth, Kevin Wong, Justen Schroeder

Journal of Counselor Preparation and Supervision

This article reviews existing training models used to teach research courses and facilitate researcher identity development in counselor education curricula and suggests how generative artificial intelligence (GenAI) can be incorporated into these courses as an instructional aid that improves researcher efficiency. Various GenAI tools used across stages of the research process are introduced with a discussion of their ethical implications and how they can be integrated into exiting lesson plans.

Mathematics And Mental Health: An Interdisciplinary Analysis Of Ai In Counselor Education, Jennifer M. Hightower, Catrina A. May

Journal of Counselor Preparation and Supervision

Although use of Artificial Intelligence (AI) in mental health care has become increasingly common, many professional counselors remain under informed about foundational components of AI. Fundamental issues associated with AI, including model bias and the Black Box Problem, must be considered as these tools become integrated into the counseling profession. This manuscript provides an interdisciplinary, theoretical analysis of AI use in counseling and counselor education grounded in foundational knowledge of AI and the American Counseling Association’s recommendations for the ethical integration of AI (Butler et al., 2023). The paper summarizes these recommendations, establishes accessible definitions of AI terms, explains the …

Counselor-In-Training Perceptions Of Artificial Intelligence: Implications For Counselor Education, Leo Gonzalez Jr., Deija Mccalla

Journal of Counselor Preparation and Supervision

This study examined the perceptions of counselors-in-training (CIT) on artificial intelligence (AI) in counseling practice and training. 31 CIT responded to three open-ended questions about the benefits, drawbacks, and overall attitudes of integrating AI into counseling practice and education. Thematic analysis was used to analyze the responses. The findings showed that CIT perceive AI as a clinical support tool, especially for tasks such as diagnosis and treatment planning. Additionally, CIT voiced concerns of potential overreliance on AI, ethical risks, confidentiality concerns, and the possible loss of human connection. Furthermore, although several CIT expressed cautious optimism regarding AI's use in counselor …