Digital Commons Network^™

Readiness To Provide Inclusive Care For Sexual And Gender Minority Patients In Rural Physical Therapy Education And Practice, Steven Halcrow

Theses and Dissertations

This research examined the readiness of physical therapists (PTs) and student physical therapists (SPTs) to provide inclusive and affirming care to sexual and gender minority (LGBTQ+) populations, with particular attention to states with substantial rural populations. Guided by the Sexual and Gender Minority Health Disparities (SGMHD) Framework, the study investigated three core constructs related to LGBTQ+ clinical competence: Basic Knowledge, Attitudinal Awareness, and Clinical Preparedness. A quantitative, cross-sectional survey design was utilized, including demographic characteristics, indicators of rurality, LGBTQ+-related educational exposure, political affiliation, generational cohort, and the Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS). A total …

He AliʻI Ka ʻĀina; He Kauwā Ke Kanaka (The Land Is Chief; Man Is Its Servant): A Qualitative Study Investigating The Importance Of Sacred Spaces And Native Land In The Health Of Native Hawaiians, Natalie Lai Jun Liz Makalapuaikekehau Lau

Theses and Dissertations

Purpose: This qualitative study aimed to understand Native Hawaiian perceptions on the relationship between land, sacred spaces, and overall health. The research sought to understand how impacts, changes, land access, desecration, and land loss impacts the health of Native Hawaiians across multiple areas. Background: Native Hawaiians have a deep connection with their land as they believe it to be a relative and an ancestor. Native Hawaiians experience several different health disparities, and these disparities could be caused by several different factors including but not limited to loss of land, sacred spaces, historical trauma, racism, and environmental injustices. Method: Three virtual …

A Framework For Integrating Virtual Reality Into The Curriculum Of Leadership In Physical Education And Sport Program At North Dakota State University, Justin T. Pieterick

Theses and Dissertations

There has been an increase across professional fields in the use of virtual reality (VR), a computer-generated immersive environment that allows users to interact with 3D simulations (Lowood, 2026), to increase the amount of authentic, practice-based experiential learning opportunities. In physical education and sport leadership preparation, VR offers a way to help students move beyond learning about leadership in theory and more toward practicing leadership in realistic, immersive situations. This study grew from the researcher’s professional experiences as a coach and Activities Director, where he learned that many important leadership lessons came through professional experiences involving decision-making, stakeholder relationships, conflict …

Strengthening Teacher Development Through School-University Partnerships: A Document Analysis Informed By Improvement Science, Holly Ripley

Theses and Dissertations

Teacher shortages have become a persistent challenge across the United States, particularly following the COVID-19 pandemic. Although alternative certification pathways have helped fill vacancies, many have also resulted in underprepared teachers entering the profession. This Dissertation in Practice addresses the need for sustainable solutions that strengthen teacher preparation while supporting school districts facing workforce shortages. Guided by improvement science and the Plan-Do-Study-Act cycle, this study investigates school-university partnerships as a strategy for addressing both teacher shortages and teacher preparedness. A qualitative document analysis was conducted to examine funded school-university partnerships and state policies that support their implementation. The study explored …

Hidden In Plain Sight: A Single-Case Study Analysis Of An Established Employee Well-Being Department In Higher Education, Andria Spaeth

Theses and Dissertations

This study addresses the perceptions and experiences of student-facing staff within the Divisionof Student Affairs at the University of North Dakota to understand how they currently have their holistic well-being needs met through the Work Well department and the support they receive from the senior administration. A detailed review of the relevant literature is included. A qualitative single-case study research methodology is used alongside the Social Cognitive Theory framework to examine the current perceived support student-facing staff have.

The case study follows a bounded system approach with the Work Well department serving as the site selection as the worksite wellness …

Attachment Security And Sexual Compliance: Implications For Mental Health And Relationship Outcomes, Kimberly Tom

Theses and Dissertations

Sexual compliance is defined as consenting to sexual acts despite not wanting to have sex. Even though sexual compliance behavior has been associated with a multitude of adverse outcomes, it remains an understudied sexual behavior. Previous research has suggested people with insecure attachment (i.e., avoidant, anxious, and disorganized attachment styles) may be more likely to engage in sexual compliance than their securely attached counterparts. Results from the current study found attachment anxiety, but not attachment avoidance, significantly predicted sexual compliance behavior. Gender and generalized anxiety symptoms also emerged as significant predictors of sexual compliance behavior. This study also sought to …

Emotional And Physical Neglect As Predictors Of Mcmi-Iv Personality Scales, Jenna Wolff

Theses and Dissertations

Theodore Millon (2011) proposed that specific developmental experiences and childhood adversities contribute to personality pathology, although these hypotheses have received limited empirical investigation. Participants (N = 490) completed the Millon Clinical Multiaxial Inventory-IV (MCMI-IV) and self-report measures of childhood adversity. Hierarchical ordinal regression analyses examined whether childhood adversities predicted elevations across MCMI-IV personality scales after controlling for age, gender, and co-occurring abuse. Although neglect was the primary focus of the study, childhood physical and emotional abuse emerged as the most consistent predictors across models. Both forms of abuse significantly predicted elevated masochistic, borderline, and schizotypal personality scores. Emotional abuse uniquely …

Investing In Tomorrow's Citizens: Exploring Generation Alpha Middle School Students' Perspectives On Civics And Education, Talia Luccia Vazquez

Theses and Dissertations

Democracy requires maintenance from an active, informed citizenry, yet civic literacy in the United States has been rapidly declining while its democratic structures face systematic subversion. To reverse this, educational researchers have recommended increasing time for K–12 civics education. While devoting more time to middle school civics education could help rebuild a civically literate citizenry, public middle schools face the unique challenge of teaching a student population that is experiencing rapid physical and psychological development, alongside a well-documented dip in academic motivation and engagement. Tailoring civics education to be academically motivating to the current student demographic—Generation Alpha—requires an understanding of …

Diabetter Together: Outcomes Of A Randomized Controlled Trial Evaluating A Peer Mentor Behavioral Intervention For Young Adults With Type 1 Diabetes During The Transfer From Pediatric To Adult Care, Marisa E Hilliard, Charles G Minard, Samantha A Carreon, Wendy L Levy, Sarah K Lyons, Randi Streisand, Tricia S Tang, Siripoom V Mckay, Sridevi Devaraj, Barbara J Anderson

Faculty, Staff and Students Publications

Objective: Transition between pediatric and adult health care is complex, with high risk for loss to follow-up and suboptimal health outcomes for young adults with type 1 diabetes. This trial evaluated the efficacy of DiaBetter Together, a 12-month strengths-based behavioral intervention delivered by trained peer mentors. The intervention aimed to help young adults navigate the transfer process to promote optimal glycemic outcomes, shorten time to adult care follow-up, and improve psychosocial outcomes.

Research design and methods: Using a single-site randomized clinical trial design, we compared the 12-month intervention to usual care among n = 100 young adults aged 17-25 years …

From Understanding To Production: A Qualitative Case Study Of Instructional Alignment And Bar Examination Readiness At One Law School, Mackenzie E. Gray

Education (PhD) Dissertations

Many law students who understand the law struggle to produce it under examination conditions.This qualitative case study examined how instruction in three settings at one ABA-accredited law school (first-year doctrinal, upper-division doctrinal, and for-credit bar preparation courses) shaped students’ perceptions of their readiness for the California Bar Examination. Grounded in metacognitive transfer theory, the study drew on 18 classroom observations across six courses, semi-structured interviews with seven students and four professors, and a simulated bar examination scored against a criterion-referenced rubric, all collected during the Spring 2026 semester. Interview data were analyzed through codebook thematic analysis. Five themes resulted. Students …

A Critical-Constructivist Grounded Theory Exploration Of The Mental Health Experiences Of Individuals With Intellectual Disabilities In Post-Secondary Settings, Alyssa L. Decker

Dissertations, 2020-current

Individuals with intellectual disabilities (ID) now have access to higher education, often through inclusive post-secondary education programs (IPSE), to increase employability and quality of life. IPSE programs, historically, have provided academic and life skill support and not mental health support within programs’ curricula. A recent review of IPSE programs reveals that if mental health services are included, they are often accessed through university health services. Transitioning from high school to college induces high levels of stress, which can exacerbate underlying mental health conditions. Mental health care is defaulted to an already overburdened college counseling center without the knowledge and skills …

Full Issue

Comparative Civilizations Review

No abstract provided.

Jison Jiei: Offensive Realism And Imperial Japan's Spiral Toward Regional Hegemony, John William Dodd

War, Diplomacy, and Society (MA) Theses

This thesis examines Imperial Japan’s march from the Mukden Incident of 1931 to the attack on Pearl Harbor in 1941 through the lens of offensive realism. It asks to what extent Japan’s prewar grand strategy can be understood as a bid for regional hegemony, and what that interpretation reveals about the relationship between power politics, international law, and future great-power crises. Rather than treating Japanese expansion as irrational madness or reducing it only to ideology or militarism, this thesis argues that Japanese leaders acted according to a recognizable strategic logic.

Proceeding from theory to historical analysis, this project first situates …

Development Of An Evidence-Based Aromatherapy Policy And Toolkit For An Inpatient Psychiatric Hospital, Mia Nie

Doctor of Nursing Practice Final Project Abstract

Purpose:The purpose of this project was to develop a comprehensive, evidence-based aromatherapy policy and toolkit to guide safe and standardized use of aromatherapy as a complementary intervention in inpatient psychiatric settings.

Background: Sleep disturbances are common among psychiatric inpatients, and non-pharmacologic interventions are increasingly prioritized to support holistic care (Sazawa et al., 2022). Aromatherapy has shown potential benefits; however, the absence of standardized policies creates variability in practice and raises safety concerns, particularly in high-acuity psychiatric environments.

Methodology: This quality improvement project focused on developing an organizational policy. A review of current literature and clinical guidelines informed the foundation …

University Of Central Florida Undergraduate Catalog, 2025-2026, University Of Central Florida

UCF Catalogs

No abstract provided.

Emergency Medical Services Mental Health: Causes Of Providers Leaving The Industry, Brian C. Selke

Graduate Theses and Dissertations (2019 - present)

Employee resilience and mental health have become critical concerns in Emergency Medical Services (EMS) as workforce shortages increasingly threaten staffing stability and patient care. National Registry of Emergency Medical Technicians (NREMT) data indicates that more than 30% of eligible EMS providers did not recertify between 2020 and 2023, raising concerns about workforce sustainability. This study examines EMS providers’ intentions to leave the profession and identifies workplace factors associated with turnover. A statewide survey of more than 1,200 licensed EMS providers in Alabama was analyzed using regression techniques to evaluate the relationship between workplace conditions and turnover intentions. Results demonstrate that …

"I Can See Where This Is Taking Me": Medical Students' Perceptions Of Humanities Courses At Aga Khan University, Kenya, Catherine Gathu, Marthaclaire Zammit, Urvi Saboo, Robert Opoka

Family Medicine, East Africa

Background Humanities courses in medical training are increasingly recognized as essential for developing empathetic, reflective and socially responsive physicians. Although well-established globally, their integration into medical education in African contexts remains limited. In Kenya, humanities are often peripheral within curricula dominated by biomedical sciences and clinical medicine. Aga Khan University (AKU), Nairobi, has introduced a novel medical curriculum that embeds seven core humanities courses as central components of the initial phase of its MBChB program. This study explored students’ perceptions and lived experiences of these humanities courses.

Methods A retrospective descriptive study using an embedded mixed-methods design was conducted among …

Effects Of Beverage Color During Mouth Rinsing On Measures Of Muscular Endurance, Muscular Strength, And Exercise Perceptions During Isometric Handgrip Testing, Sydney Andrews

Exercise Science Theses & Dissertations

Previous research has shown that color can influence psychological responses, physiological responses, and exercise performance. These effects have been previously attributed to learned associations or expectations which may influence exercise-related outcomes. This study aimed to investigate whether beverage color influences muscular performance during intermittent isometric handgrip exercise. This randomized, single-blind, deceptive crossover study consisted of 34 physically active adults (21.9±3.1 years) who completed a handgrip endurance test under three conditions: red beverage rinse, clear beverage rinse, and no-rinse. Participants were informed that the study would examine the effects of mouth rinsing two commercially available carbohydrate containing sport drinks on muscular …

Menopausal Symptoms, Psychosocial Factors, And Physical Activity Among Physically Active Midlife Females, Ella Onsoriasl

Exercise Science Theses & Dissertations

Menopausal symptoms are common during midlife and may be associated with females' physical activity (PA) participation, yet how these symptoms relate to PA levels, perceived confidence and enjoyment, and psychosocial resources such as social support (SS), exercise identity, and quality of life (QOL) remains unclear. The purpose of this study was to examine how menopausal symptom severity relates to PA levels, perceived confidence and enjoyment during PA, and psychosocial factors, including SS, exercise identity, and QOL. This cross-sectional study surveyed 151 midlife females aged 40 to 60 who reported engaging in intentional PA at least once per week. Participants completed …

Cultural Values, Norms, And Mental Health Service Utilization Among Young Adult Guyanese Immigrants, Rhonis Alfred

Walden Dissertations and Doctoral Studies

Young adult Guyanese immigrants living in the United States often face cultural, familial, and social challenges that influence their perceptions of mental health and willingness to seek professional support. Despite growing attention to immigrant mental health, limited research has explored the experiences of this population. This qualitative study aimed to improve understanding of how cultural values, family dynamics, and acculturation stress influence mental health perceptions and help-seeking behaviors. The theoretical framework underpinning this study was acculturation theory. The research explored how participants navigated cultural identity, family expectations, and adaptation to life in the United States. A purposive sampling strategy was …

Phenomenological Exploration Of The Military Veterans' Experiences Transitioning Into Civilian Workplace In Central Florida, James Wesley Shelton

Walden Dissertations and Doctoral Studies

Military veterans transitioning from military service to civilian employment frequently encounter challenges related to workforce integration, translating military-acquired skills, adapting to civilian workplace cultures, and employer perceptions of their qualifications. Organizational leaders need to understand these challenges as a key indicator of the factors that influence successful workforce integration, organizational commitment, and employee retention. Grounded in person-environment fit theory, the purpose of this qualitative study using an interpretative phenomenological analysis (IPA) approach was to explore the lived experiences of military veterans and how they make meaning of their transition to the civilian workplace. The participants comprised seven U.S. military veterans …

From Personal To Personalized Goals: How Goal Nudges Improve Production, Joaquín Gómez-Miñambres, Brice Corgnet, Roberto Hernán González

ESI Working Papers

We study how workers’ non-binding self-set goals affect their production and whether goal nudges (ability-calibrated goal hints) make goal setting more effective. In a real-effort task, participants first complete an ability pretest and are then assigned to one of three treatments: a no-goal baseline, a personal goal treatment with no external hint, or a personalized goal nudge that participants may accept or modify. We document a positive link between goals and production. However, merely asking workers to set goals is ineffective: when left unguided, workers anchor on conservative goals well below those induced by goal nudges, leading to underperformance. In …

Why They Stay: Career Development, Personal Growth, And The Retention Of Higher Education General Staff, Ursula Brady

All Dissertations

Higher education general staff (HEGS) are critical to the operational continuity and institutional success of U.S. colleges and universities, yet their retention remains a persistent challenge. While faculty development has received sustained attention, HEGS have historically lacked equivalent access to career advancement and personal growth opportunities. This study examined how perceived access to career development and personal growth opportunities was associated with job satisfaction and turnover intention among HEGS and tested whether job satisfaction mediated these relationships. Grounded in Self-Determination Theory and Herzberg's Two-Factor Theory, this study hypothesized that career development and personal growth would predict turnover intention both directly …

Shared Identity, Shared Trust: How Cultural Sensitivity Signaling And Advisor Race Shape Minority Investors' Trust And Investment Intentions, Kathy J. Kuria

All Dissertations

Persistent racial disparities in stock market participation constrain wealth accumulation among African American and Latino households. This study examined how two forms of representation, a firm’s cultural-sensitivity disclosure (an organizational signal) and the advisor’s racial identity, shape trust and investment intentions among these groups. Drawing on social identity theory, signaling theory, and the impression-formation/stereotype-reconciliation literature, this study hypothesized that disclosure and a minority advisor independently increase trust, that the cues would be complementary, and that trust would mediate their impact on investment intentions. A 2 × 2 between-subjects experiment with African American and Latino adults tested predictions using ANOVA, ANCOVA, …

Beyond Execution: Managerial Attributes For Successful Experiential Marketing, Joann Imosi Emale

All Dissertations

This study examined the relationship between what consumers value in experiential marketing events and the managerial competencies organizations seek when hiring experiential marketing roles. As brands increasingly compete on emotional and sensory engagement, the experiential marketing manager has become central to execution, yet the role remains loosely defined, and the skills it demands are rarely tied to what audiences respond to. This research addressed that gap by asking which event attributes consumers prized most, which respondent characteristics shaped those preferences, and what competencies employers asked for when they hired the managers who built these experiences.

Survey data were collected from …

Food Insecurity And Parent Engagement In Pediatric Therapy: A Comparative Study Of Feeding, Speech-Language, And Combined Services, Kendra Kendra Rosales

Open Access Theses & Dissertations

Pediatric feeding disorders and food insecurity represent two compounding challenges for families navigating pediatric therapy services, yet their intersection has received little empirical attention. This study examined food insecurity rates across three pediatric therapy groups and explored the relationship between food insecurity and parent engagement in therapy. A cross-sectional online survey was administered to 175 caregivers of children actively receiving feeding therapy only (n = 34), speech-language therapy only (n = 93), or combined feeding and speech-language therapy (n = 48). Food insecurity was assessed using the USDA Household Food Security Survey Module: Six-Item Short Form, and parent engagement was …

Domain Adaptation Of Facial Age Estimation For Law Enforcement Mugshot Repositories, Jorge Alejandro Pacheco Roque

Open Access Theses & Dissertations

Facial age estimation supports law enforcement via image-based, age-filtered queries, age-progressive re-identification, and bulk record labeling, where prediction accuracy determines if the resulting decisions can be trusted. State-of-the-art models excel on web imagery but incur higher error on mugshots due to domain shift between the professionally lit, filtered, and posed web photographs used during pre-training and the uniform backgrounds, uncooperative expressions, and decades of evolving capture technology found in mugshot collections. We address this gap by adapting SwinFace - a state-of-the-art multi-task Swin Transformer with public code and pretrained weights, trained on color face imagery for face recognition, facial expression …

"Fenomeno Frontera:" Family Language Policy As Lived Experience At The U.S.-Mexico Borderlands, Alejandra Sanmiguel-Lopez

Open Access Theses & Dissertations

Family language policy (FLP) research expands the understanding of how families' language ideologies, language management, and language practices shape children's bilingual development. However, limited research has examined these processes among transfronterizo families living along the U.S.-México border. This qualitative narrative inquiry explores how transfronterizo families describe and negotiate their family language policies and how these policies relate to their experiences in the borderland, including their relationships with schools. Guided by family language policy and borderlands theory, this dissertation employs Seidman's (2006) three-interview series with five transfronterizo mothers raising children enrolled in dual language programs in the El Paso, Texas, region. …

Prevalence Of Type 2 Diabetes Risk Factors Among Landscaping Workers In El Paso, Texas, Valeria Fontes

Open Access Theses & Dissertations

Type 2 diabetes mellitus (T2DM) is a significant public health challenge worldwide, yet little is known about the prevalence of diabetes risk factors among landscaping workers, an understudied occupational group. The purpose of this pilot study was to estimate the prevalence of type 2 diabetes risk factors among landscaping workers in El Paso, Texas. A descriptive cross-sectional study was conducted using a convenience sample of 20 landscaping workers. Participants completed a structured questionnaire and underwent anthropometric measurements, blood pressure assessment, point-of-care lipid and glucose testing, and vitamin D screening. Sixteen type 2 diabetes risk factors were assessed across seven domains: …

From The Editor: Is Giving Actually Better Than Receiving?, Romesh Nalliah

The Journal of the Michigan Dental Association

This editorial examines the relationship between generosity, volunteerism, and well-being. Using the Michigan Dental Association Foundation’s Mission of Mercy as a focal point, the author highlights research suggesting that prosocial behavior can improve mental and physical health while benefiting communities in need. The article encourages oral health professionals to use their skills and resources to support underserved populations through volunteer service, mentorship, and community engagement.