Digital Commons Network^™

Psychotropic Medication Nonadherence Among Psychiatric Patients Using Motivational Interviewing, Kate Ananga Pabai

Walden Dissertations and Doctoral Studies

This educational intervention involved enhancing knowledge and competency of nursing staff in terms of application of motivational interviewing (MI) techniques to improve adherence to prescribed psychotropic medications among patients with mental health conditions. The project met criteria for a staff education initiative, directly addressing the ongoing issue of psychotropic medication nonadherence, a prevalent and pressing challenge at the project site. Clinicians observed frequent missed doses and treatment discontinuation, leading to symptom relapse, emergency room visits, and avoidable hospital admissions. These outcomes emphasized the need for a targeted intervention to support frontline nursing staff. The practice-focused question guiding the project was: …

Rethinking Green Building Development Through Policy And Operational Metrics: Insights From Baton Rouge And Beyond, Oluwafemi Awolesi

LSU Doctoral Dissertations

This dissertation explores the challenges and opportunities associated with the development, adoption, and performance of green buildings in regions with relatively low certification uptake, drawing insights from Baton Rouge and its parish system as a case study. It addresses three primary research questions: (1) How can the adoption rate of green buildings be enhanced? (2) How do certified buildings perform compared to their non-certified counterparts? (3) What operational metrics can be applied to better evaluate building performance in the future?

Using a mixed-methods approach, the study examines stakeholder perceptions in East Baton Rouge, Louisiana, investigates energy performance, indoor environmental quality, …

Injury And Illness: An Analysis Of Team Usa Athletes At The 2024 Winter Youth Olympic Games, Ashley N. Triplett, Eric G. Post, Travis Anderson, Olivia Samson, Alexis D. Gidley, Francisco Silva, Lea Thomann, Amber T. Donaldson, Jonathan T. Finnoff, Eric L. Dugan, Jeffrey S. Shilt, William M. Adams

Department of Pediatrics Faculty Papers

BACKGROUND: Injury and illness surveillance is essential for understanding the relative risks of sports participation to develop effective strategies to optimize athlete health, wellness, and performance. Epidemiological studies examining injuries and illnesses among Team USA youth athletes are limited, particularly among athletes competing in Winter sports. The purpose of this study was to characterize the injury and illness incidence rate among Team USA athletes participating in the 2024 Winter Youth Olympic Games (YOG).

METHODS: Injuries and illnesses among 101 Team USA youth athletes (40.6% female; age, 17 ± 1 years) were prospectively documented. Injury and illness prevalence, and incidence rate …

Studying Religious Symbols And Bias In Court Proceedings, Nicholas A.R. Fraser, Colton Fehr

Osgoode Hall Law Journal

MOCK JURY STUDIES INVESTIGATING the impact of religious symbols on jurors have produced conflicting findings, raising questions about how religious bias should be studied in judicial settings. Our study adds to the literature in three ways. First, we develop a clear theoretical framework which identifies dispositional and situational triggers allowing researchers to more precisely define and measure religiously motivated bias. Second, we show that mock jury experiments with video-based treatments simulating audio-visual cues are more likely to produce reliable findings relative to text-based studies. Third, we present the first empirical evidence of how mock jurors react to courtroom oaths. Our …

Factors Associated With Self-Report Symptom Screening Adherence In Pediatric Cancer Patients, L. Lee Dupuis, Emily Vettese, Catherine Aftandilian, Vibhuti Agarwal, Christina Baggott, Scott M. Bradfield, Nicole Crellin-Parsons, David R. Freyer, Kara M. Kelly, Allison A. King, Wade Kyono, Ramamoorthy Nagasubramanian, Etan Orgel, Michael E. Roth, Farha Sherani, Lolie Yu, Allison C. Grimes, Melissa P. Beauchemin, Lisa M. Klesges, George A. Tomlinson, Lillian Sung

School of Medicine Faculty Publications

Introduction: Objective was to describe the association between baseline characteristics and the number of Symptom Screening in Pediatrics Tool (SSPedi) assessments completed over an 8-week period. Methods: This was a sub-analysis of a cluster randomized controlled trial among 10 sites that were randomized to the intervention group. Participants were English- or Spanish-speaking pediatric patients 8–18 years of age newly diagnosed with cancer. Participants were prompted to complete SSPedi three times weekly for 8 weeks. The outcome was the number of SSPedi assessments completed during the 8-week period. Factors associated with the number of assessments were determined using mixed effects Poisson …

Black Men And Health Literacy: Strategies For Improvement In A Digital Age Through The Adaptation Of A Chronic Disease Self-Management Program, Evelina Weidman Sterling, Laura Stevens, Vanessa Robinson-Dooley, Tyler Collette

Faculty Articles

Health literacy is a critical determinant of health outcomes, yet it is often overlooked, particularly among marginalized groups. This paper explores the significance of health literacy, with a particular focus on low-income African American and Black (AA/B) men, a population that faces unique challenges due to intersecting factors such as race, gender, socioeconomic status, and educational disparities. We examine how these factors contribute to health literacy gaps, highlighting adverse effects on health outcomes for AA/B men compared to the general population. Additionally, we stress the growing importance of digital literacy in an increasingly technology-driven world. Not actively addressing digital health …

Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown

Walden Dissertations and Doctoral Studies

Cardiovascular disease plays a significant role in the number of death and disabilities around the world. While there have been marginal gains in positive health outcomes for women who suffer from cardiovascular disease, African American women continue to fall behind compared to their White counterparts. There is a comorbidity of cardiovascular disease and depression in older African American women. The purpose of this qualitative study was to gain an in-depth understanding of how the comorbidity of cardiovascular disease and depression uniquely present in young African American women, how these two diseases influence cardiovascular health protective factors, and how components of …

An Explanation Of African American Males' Experiences And Decisions In The Pursuit Of Doctoral Degrees, Vincent L. Tucker

Walden Dissertations and Doctoral Studies

There was a limited understanding of the lived experiences of African American males who had completed their doctoral degrees, which could provide solutions to the barriers faced by those did not complete the doctoral program. Elements of critical race theory, Vroom’s expectancy theory, and Herzberg’s theory of motivation were combined into a single conceptual framework to understand the barriers experienced by African American men that prevented them from pursuing and completing doctoral programs. The data analysis process included a pre-coding exercise conducted after data collection to identify patterns or commonalities between the two sets of data. The results from this …

Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman

Walden Dissertations and Doctoral Studies

Low parental engagement—especially among fathers and ethnic minority groups like Latinx parents—in child psychotherapy increases the risk of treatment dropout, behavioral issues, and poorer outcomes, contributing to persistent disparities. More research was needed on perceptual barriers and facilitators to parental engagement such as attitudes, beliefs, and expectations. The purpose of this study was to gain an in-depth understanding of parents’ experiences with their child’s psychotherapy and mental illness to facilitate parental engagement in services that support the child. An interpretative phenomenological approach and multiperspectival focus group design were used to illuminate each participant’s voice and explore overarching themes. Hill’s theory …

Expatriate Educators' Perspectives Of Transformational Leadership Practices In International Schools In Kuwait, Stacey Howe

Walden Dissertations and Doctoral Studies

Effective leadership is crucial for educational success, yet its definition varies across cultures, which may cause communication issues, especially in culturally diverse environments like international schools. The purpose of this quantitative study was to explore differing perceptions of transformational leadership (TL) between 68 expatriate teachers and 27 administrators, representing response rates of 22% and 47%, respectively, in three Kuwait international schools. Grounded in Bass's TL theory, the Global Transformational Leadership survey, an anonymous online survey with each of seven leadership domains represented by one item, was used in the study. Data collected on a 5-point frequency scale were analyzed using …

What Strategies Do People With Aphasia With High Basic Psychological Need Satisfaction Report Using? A Qualitative Exploration, Abigail Irene Jensen

Theses and Dissertations

This study explored patterns in the communication strategies reported by people with aphasia with high versus low basic psychological need satisfaction. Participants with aphasia (12 females and 11 males) completed an initial experimental session during which the Basic Psychological Need Satisfaction and Frustration Scale (BPNS/F) was administered. Following this session, participants completed a semi-structured interview in which they described strategies used during daily communication. Each interview was transcribed and analyzed through reflexive codebook analysis, with emphasis placed on the communication strategies they reported using. Participants were grouped according to whether their reported autonomy, competence, or relatedness on the BPNS/F were …

Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn

Walden Dissertations and Doctoral Studies

This research addresses the critical gap in counseling literature regarding multicultural and trauma-informed training, particularly relevant given Kenya’s documented trauma and limited mental health resources, highlighting the need for incorporating lived experiences into research to equip counselors for increasingly globalized practice. The present hermeneutic phenomenological study aims to fill a gap in the literature by exploring the lived experiences of Kenyan helping professionals as they care for survivors of trauma in their country of origin. A previous data set was used, consisting of interviews from four Kenyan helping professionals in 2019, all whom worked actively with survivors of trauma at …

School Counselors’ Perceptions On Providing Mental Health Services In Schools, Kimberly Davis

Walden Dissertations and Doctoral Studies

The increasing prevalence of mental health concerns among students in the United States has amplified the demand for comprehensive school-based mental health services. School counselors are often positioned as frontline providers of this support, yet research suggests they face numerous systemic and role-related challenges. This qualitative phenomenological study was conducted to explore school counselors’ perceptions of their roles in providing mental health services, the barriers they encounter, and the ways in which self-efficacy is shaped by these experiences. Ten school counselors from diverse school settings participated in semistructured interviews. Thematic analysis revealed five central themes: (a) roles and responsibilities, (b) …

Christian Identity And Commercialization: A Rhetorical Case Study Of Faith-Based Nil Branding In College Athletics, Santiago Diaz Finochietto

All HCAS Student Capstones, Theses, and Dissertations

This project, “Christian Identity and Commercialization: A Rhetorical Case Study of Faith-Based NIL Branding in College Athletics," explores the intersection of faith, personal branding, and commercialization in the era of Name, Image, and Likeness (NIL) in collegiate athletics, with a specific focus on Christian student-athletes. Since the NCAA's 2021 policy change allowing athletes to profit from NIL, student-athletes have been thrust into a complex landscape of sponsorships, digital branding, and entrepreneurial identity. While this shift offers unprecedented opportunities, it also presents ethical and spiritual dilemmas, particularly for Christian athletes seeking to integrate their faith into their public and commercial presence …

Effect Of Instructional Guidelines On The Parents’ Care Of Neonates With Neural Tube Defects, Asmaa Khamis, Safaa Salah Ismail, Hayam Tanatwy

Nursing

Abstract Background Neural tube defects (NTDs) represent the most common congenital anomalies of the central nervous system in pediatric populations, posing significant challenges for both neonatal care and parental wellbeing. This study aimed to evaluate the effectiveness of instructional guidelines on improving parental care practices for neonates with NTDs. Methods A quasi-experimental design was employed at the neonatal intensive care unit and Neurological Department of the Children's Hospital affiliated with Ain Shams University, and at Helwan General Hospital. A convenience sample of 40 parents of neonates diagnosed with NTDs participated. Data were collected over a complete 12 years using three …

Trusted Professional Multi-Agency Transitions For Young People Facing Multiple Disadvantage – Learning From Co-Production By A Third Sector Partner In The Plymouth Alliance, Uk, Gemma Doyle, Sean Mitchell, Sue Hawley, Katy Krysiak, Felix Gradinger

Peninsula Medical School

Introduction: This case study provides practice-based reflections on challenges and potential solutions for young people with multiple disadvantages across housing, substance misuse, mental health, criminal justice, and domestic abuse systems, informed by 4 local principles: trauma informed, learning based, an alliance commissioning ethos, and workforce development.Description: To improve the current experiences of 17–25-year-olds in service transition iterative insights drew from networking staff across sectors, clinical audit and following live cases, and appreciative enquiries with young people. This was conducted by a practitioner researcher in a local Young Person’s charity and was supported by peer researchers with lived experience and embedded …

Creative Processes In Visual Arts In Education: A Conceptual Framework, Enock Swanzy-Impraim

Research outputs 2022 to 2026

The diversity and uniqueness of individuals and the multifaceted nature of creativity necessitate new models in various domains. This study reviewed previous studies and models of the creative process and presented a combined model (Swanzy-Impraim panoramic creative process model) of the creative process applicable to the visual arts in education and other artist-expressive domains. It positions the creative process in seven phases: (1) immersion, (2) problem/task identification, (3) ideation, (4) production, (5) outcome, (6) evaluation, and (7) responses. This conceptual paper explores creativity as a concept and its significance in the artists’ expressive domain, reviews and maps creative process models, …

Spartanburg County School Integration Project: Cynthia Godfrey Interview, Cynthia Godfrey, Clayton Whisnant, Dallas Green, Wade Toth

Oral History Interviews

Spartanburg County School Integration Project

Narrator: Cynthia Godfrey (CG)

Interviewers: Dr. Clayton Whisnant (CW)

Dallas Green (DG) and Wade Toth (WT)

at Wofford College

July 10, 2025

Enhancing Medication Communication In The Acute Care Setting To Strengthen Patient Comprehension And Retention, Ashleigh C. Christensen

Student Scholarly Projects

Practice Problem: Research has shown that breakdowns in communication, especially in the context of medication education, play a critical role in the delivery of safe and effective patient care. These findings underscore the need to prioritize effective communication in medication education. In the acute care setting, effective communication is essential for ensuring patient safety, adherence, and improved patient-centered outcomes.

PICOT: In clinical staff providing direct patient care in the acute care setting (P), does the implementation of the evidence-based teach-back method (I), as compared to current practice (C), improve patient knowledge, understanding, and self-management upon discharge (O), over ten weeks …

Galaxy Tales: A Data-Driven Approach To Emotional Self-Expression, Bing Chen

Theses

Galaxy Tales is a mobile application that transforms users’ social media activity into personalized planetary visuals, offering a novel way to document and reflect on life experiences. This project explores how data-driven design can create emotionally resonant and personalized representations of identity by extracting key elements—color, object shapes, and emotional atmosphere—from digital footprints. Grounded in psychological theories such as memory anchors and emotional attachment, Galaxy Tales enables users to form deep emotional connections with their virtual planets, turning abstract memories into tangible visual metaphors. The project also addresses current societal challenges, such as loneliness and emotional fatigue, by offering a …

Market Anomalies In Stock Returns: A Comparative Analysis Of Kompas 100 Index Companies And Investor33 Index, Dayanti Dayanti, Nofryanti Nofryanti, Iin Rosini

Journal of Accounting Auditing and Business

This research aims to analyse the impact of the week-four effect and the January effect on stock returns, focusing on companies listed in the Kompas 100 and Investor33 indices, with respective sample sizes of 150 and 125, spanning the period from 2018 to 2022. Hypothesis testing was performed using panel data regression analysis, revealing that neither the week-four effect nor the January effect significantly influences stock returns within the Kompas 100 index. In contrast, both effects have a notable impact on stock returns in the Investor33 index, which is also projected to yield better stock returns in the future compared …

Responding To The Needs Of Dementia Care Partners: Recommendations For Policy Change At The State And Federal Levels., Walter D. Dawson, Jenn Reed, Allison Lindauer, Sherril B. Gelmon

Institute on Aging Publications

The need to optimize supports of Alzheimer's disease and related dementias (ADRD) care partners through policy innovation is high. This study sought to frame the care and support needs of multiple historically underrepresented populations who may be underserved and/or have difficulty accessing culturally specific services and determine specific policies that may reduce ADRD care partner burden and improve wellbeing. Qualitative data were gathered through interviews ( = 24) with leaders of organizations that support people living with ADRD and focus groups ( = 5) with dementia care partners from four communities historically underserved in the United States (Asian, Black, Indigenous, …

Academic Stress Among Jss High School Students In Mysuru And Chamarajanagar Districts: A Cross-Sectional Study, Lathika R, Dr Sunil Kumar D, Krishnamurthy K V, Dr Rakshitha J

Digital Journal of Clinical Medicine

Background

In today's world, students face academic stress which leading to anxiety, poor performance in academics and many other issues like nervousness, panic attacks and depression mainly derived from grades, parental pressure, and competition between the students. With the above background study aims to estimate the prevalence and assess the associated factors of academic stress among high school adolescents.

Method

A cross-sectional study was conducted to explore the academic stress among JSS high school students of Mysuru and Chamarajanagar districts. A total of 379 were selected through Probability proportional to size (PPS) sampling. Structured questionnaire was used to assess the …

Acute Respiratory Distress Syndrome In Patients With Lymphopenia: Results From The National Inpatient Sample (2017-2021), Arnav Garyali, Trishna Parikh, Dhruv Kumar, Ishan Gupta, Adishwar Rao, Akriti Agrawal, Sabiha Armin, Rishi Panjala, Rohan Patil, Nikhil Sriram, Sruthi Parthasarathy, Aarohi Parikh, Bindu Akkanti

Faculty, Staff and Student Publications

Background: Lymphopenia has been associated with in-hospital, early, and late mortality. We aimed to elucidate differences in baseline characteristics in patients with lymphopenia with and without acute respiratory distress syndrome (ARDS) and determine predictors of in-hospital mortality in this patient population.

Methods: Patients ≥ 18 years of age with lymphopenia were identified in the National Inpatient Sample (2017-2021) and stratified according to ARDS diagnosis. Predictors of in-hospital mortality were determined using multivariate analyses with a logistic regression model.

Results: From 183,185 patients with lymphopenia, 10,420 (5.7%) had ARDS, of which 92.8% had coronavirus disease 2019. The patients with ARDS suffered …

Improving Multilingual Competence In Higher Education: An Integrated Framework For Parallel Learning Of Two Foreign Languages, Aiym Kontek, Albina Dossanova, Galiya Kulzhanbekova

Higher Learning Research Communications

Objectives: The study aims to create a comprehensive framework for the effective organization of parallel teaching of two foreign languages in higher education in Kazakhstan, accounting for linguistic, psychological, didactic, and technological aspects.

Methods: We used theoretical (modeling, analysis, and generalization) and empirical methods (pedagogical experiment, testing, questionnaires, and methods of mathematical statistics) in the research. An original structural and content model of parallel learning was developed, including interrelated blocks for the integrated formation of speech activity skills and a lexico–grammatical base in each of the languages. The effectiveness of the proposed model was confirmed during the pedagogical experiment, which …

Telogen Effluvium And Anesthesia Considerations: A Case Report, Elizabeth Johnson-Gray, Samantha A. Currier, Hanen Fernandez, Matt Brown, Matthias Franzen

Student Publications

Telogen effluvium is a form of non-scarring hair loss characterized by premature shedding of hair. Pathophysiologically, telogen effluvium occurs when a significant number of hair follicles prematurely enter the telogen phase, resulting in excessive shedding. The exact mechanism is unclear, but it is believed to involve alterations in the hair follicle’s growth cycle, possibly mediated by illness, infection, major surgery, low protein intake, or hormonal changes. Some medications can also be linked to this disease, such as beta blockers, carbamazepine, and vitamin A. When affected hairs are in the resting phase, noticeable hair shedding occurs. Our patient was a 61-year-old …

From Heroic Imagination To Belonging-Focused Healing: A Tribute To Philip Zimbardo, Agnieszka Wilczynska

Heroism Science

This article offers a reflective account of the Polish adaptation of the Heroic Imagination Project (HIP), a global educational initiative founded by Philip Zimbardo to promote everyday heroism through psychological awareness. As HIP took root in Poland, we developed a robust infrastructure of certified trainers, academic collaborators, and educational centers, reaching over 250 schools and 800 educators. Grounded in core psychological principles -- such as the bystander effect, social conformity, and prejudice -- the program empowered participants to resist negative social influences and cultivate moral courage. The experience also gave rise to Belonging Focus Therapy (BFT), a psychobiological and sociocultural …

Family Caregivers’ Perceptions Of Quality Of Dementia Self-Care In Wakiso District, Uganda, Martha Sajatovic, Kylie Meyer

Faculty Scholarship

INTRODUCTION: In Sub-Saharan Africa, most people with dementia are cared for in the home setting (dementia self-care) with hardly any support from the formal health and social care system. The study explored family caregivers' perceptions of quality of dementia self-care. METHODS: A descriptive-exploratory qualitative study design was used. Data were collected through four focus group discussions with 48 family caregivers of older people with dementia, recruited from four villages of the Wakiso district in Uganda. RESULTS: Five themes emerged: (1) patience and understanding; (2) maintaining hygiene and cleanliness; (3) constant supervision and safety precautions; (4) personalized care by understanding individual …

Varieties And Domains: A Syncretic Synthesis Of Law And Justice In India ( Including A Special Emphasis On Alternate Dispute Resolution), Amrith Bhargav B

Theses and Dissertations

From the abstract idea of Dharma that enabled the practice and sustenance of local custom and usage, law was defined without verbiage but in meanings and understandings. In the colonial age, law was constantly being defined and codified not just textually, but through projects of economies of politics, knowledge and power in a way that their transactional metrics produced social and cultural genres that changed India forever. In that state of play, lawyers and their associated players contributed to the emerging culture of power and dominance with their tool of making the law through cases and mainstreamed the colonial legal …

Stratifying The Population Based On Health Risk: Identification Of Patient Key Health Risk Factors Through Consensus Techniques, Carolina Castagna, Andrew Huff, Aaron Douglas, Phd, Matteo Garofano, Massimo Fabi, Richard W. Hass, Vittorio Maio

College of Population Health Faculty Papers

BACKGROUND: Risk stratification is a population health management approach that classifies patients according to their health risks and projected care needs. This strategy is especially valuable in primary care, where timely interventions for high-risk individuals can lead to better health outcomes, reduced healthcare expenditures, and a more sustainable healthcare system. The goal of this study was to establish expert consensus on the clinical and sociodemographic patient factors that should be incorporated into a primary care risk stratification tool.

METHODS: A multidisciplinary expert panel of 24 healthcare professionals, including primary care providers (PCPs), specialists, and allied health professionals, was convened in …