Digital Commons Network^™

Influential Factors For Disclosing A Tuberous Sclerosis Complex Diagnosis To Romantic Partners, Laura Gorecki

Dissertations and Theses (Open Access)

Tuberous sclerosis complex (TSC) is a highly variable genetic condition characterized by multi-organ tumor predisposition. Due to the heritability, variability, and severity of this condition, individuals with TSC may face unique psychosocial challenges in dating and romantic relationships, specifically related to disclosing their diagnosis to romantic partners. Despite disclosure within romantic relationships being explored in the context of other genetic conditions, this area has not yet been explored in the TSC community who face unique challenges related to physical and mental health, educational performance, and overall quality of life. This study surveyed 117 independent adults with TSC regarding the following …

Inclusion Of Adoption As A Pregnancy Management Option In Prenatal Genetic Counseling Practice, Emma Billings

Dissertations and Theses (Open Access)

Prenatal genetic counselors are essential to providing education, psychosocial support, and guidance on pregnancy options to patients who receive a fetal diagnosis of an anomaly or genetic condition. Therefore, genetic counselors should be well-educated on comprehensive pregnancy management options consisting of parenting, abortion, and adoption. The landscape of adoption education in genetic counseling practice was last characterized in 2010 by Perry and Henry, revealing substantial variability in both the inclusion of adoption-specific education in genetic counseling program (GCP) curricula and the discussion of pregnancy options with patients in prenatal practice. As a result, the authors published a call to action …

Impact Of Genetic Counseling On Patient Empowerment After Diagnosis Of Fetal Anomaly, Carley Brueckner

Dissertations and Theses (Open Access)

Approximately 3-5% of pregnancies are affected by fetal anomalies, often leading to structural and functional differences that impact infant health and mortality. When anomalies are identified on prenatal ultrasound, genetic counseling (GC) and genetic testing may be offered to investigate the potential for a possible syndromic cause. Genetic counselors provide education on the chance for a genetic etiology, available testing options, potential changes in medical intervention related to an identified etiology, and psychosocial counseling and resources. Regardless of a patient’s testing decision, genetic counseling should include psychosocial counseling to support and empower patients in a time of prognostic uncertainty and …

Motivations And Attitudes For Pursuing Anonymous Genetic Testing For Huntington’S Disease, Jordan Steffen

Dissertations and Theses (Open Access)

Huntington’s disease (HD) is a progressive neurodegenerative disorder for which predictive and confirmatory testing is available. However, only a small portion of at-risk individuals complete predictive testing. Concerns of privacy and genetic discrimination have been cited as reasons testing is declined. This leads some to seek anonymous testing, a process in which measures are taken to exclude identifying information, thereby preventing results from being linked to legal names, medical records, or health insurance. Previous research suggests anonymous testing is not widely favored amongst healthcare providers, but patient perspectives have not been described. These studies also precede the implementation of the …

Does Contingent Reward Leadership Enhance Or Diminish Team Creativity? It Depends On Leader (Un-) Predictability, Debjani Ghosh, Martin Buss, Amita Shivhare

Management Faculty Publications

Although prior research has shown that reward provision might sometimes increase creativity, little is known about how leadership that clarifies effort-reward contingencies (i.e., contingent reward leadership) is related to team creativity. Drawing on the theory of learned industriousness, we argue that contingent reward leadership can enhance team knowledge exchange and, in turn, team creative performance. However, we propose that this relationship is moderated by leader unpredictability, which can create uncertainty about resource allocation, thereby undermining the otherwise positive effect of contingent reward leadership. In a two-source, lagged design (three-wave) field study with data from 60 organizational teams, we found a …

Meta-Analytic Investigations Of Team Development Interventions And Effectiveness, Sydney Begerowski

All Dissertations

Team development interventions (TDIs) are evidenced-based best practices that improve performance trajectories of teams. To date, various independent studies have demonstrated the effectiveness of one type of TDI in improving effectiveness, but there has yet to be a cross-intervention assessment. Accordingly, the goal of this dissertation was to explore a subset of TDIs (team charters, team training, team debriefing) from a comparative lens. First, I conducted a series of pairwise meta-analyses across team charters, team training, and team debriefing to establish a TDI-effectiveness relationship. Findings were inconclusive regarding team charters, but suggested that team training and team debriefing significantly improve …

A Mixed Methods Study Of South Carolina Reading Policy On Teacher Knowledge, Matthew Ferguson

All Dissertations

This sequential explanatory mixed methods study examines the impact of the Language Essentials for Teachers of Reading and Spelling (LETRS) professional learning intervention on teacher knowledge within the context of South Carolina's reading policy.

Quantitative analyses of pre- and post-assessment data indicate significant improvements in teacher content knowledge of foundational literacy skills following LETRS training. Descriptive statistics and paired-samples t-tests demonstrate substantial gains in knowledge, particularly in Volume 1 of the LETRS curriculum. The study reveals notable increases in pre- and post-assessment scores, suggesting the effectiveness of LETRS in enhancing teacher expertise.

Qualitative findings from focus groups highlight the positive …

What Do You Want To Be When You Grow Up? An Explanatory Sequential Mixed Methods Study Examining What Influential Factors Guide Rural Middle School Students To Consider A Potential Career Trajectory, Heather Wilks

All Dissertations

This explanatory sequential mixed methods study examines what influences 7th and 8th grade rural middle school students to consider a potential career trajectory. Phase One of the study includes a demographic and career cluster interest survey of 38 participants. Phase Two of the study focused on 23 of the 38 Phase One participants, who were chosen using random sampling. The Phase Two participants were interviewed using a semi-structured approach. They were asked to discuss their career cluster results from Phase One, how they used their surrounding factors and knowledge to conclude, and if they agreed with their results. Findings indicated …

Developing Machine Learning Agency Among Youth: Characterizing Youth Critical Use, Examination, And Production Of Machine Learning Applications, Ibrahim Oluwajoba Adisa

All Dissertations

This study explores how middle school-aged youths at an afterschool center utilized, examined, and produced AI applications for social good with the support of adults and peers. The study employs a qualitative single case study design. It uses thematic analysis and quantitative ethnography methods to analyze data from multiple sources, including field notes, interviews, focus groups, story completions, video recordings, and artifacts. Findings indicated that engaging youths in critical exploration of AI tools enhanced their ability to design interest-based AI applications that provide solutions for healthcare problems, security, and accessibility. Moreover, the computational thinking practices that youth engaged in increased …

Going, Going, Gone: The Influence Of Job And Home Demands And Resources On Emergency Department Nurse Turnover, Jordan Gail Smith

All Dissertations

Nurse turnover, which challenged healthcare organizations even before the pandemic, reached alarming rates across hospitals worldwide during COVID-19. Due to the unprecedented and stressful nature of the pandemic, recent investigations have focused primarily on exploring job demands and nurse turnover intentions. While job demands are critical to understanding turnover, this narrow scope ignores the possible influence of other factors such as job resources and demands and resources external to the work domain. This study utilized archival qualitative data from a longitudinal survey of Emergency Department clinicians to analyze research questions and hypotheses. The first aim of this study was to …

Investigating Bimanual Haptic Exploration With Arm-Support Exoskeletons, Balagopal Raveendranath

All Dissertations

The ability to judge properties like weight and length of hand-held objects is essential in industrial work. Sometimes workers use devices like exoskeletons, which can augment their ability to lift and move heavy objects. Previous studies have investigated the perceptual information available for one-handed weight and length judgments. The current study investigated how blindfolded participants bimanually heft and wield objects to explore haptic information, to perceive object heaviness or length. The study also investigated the effects of using an arm-support exoskeleton (ASE) on the perceived weight of hand-held objects. We empirically tested whether people wield and manipulate objects differently, depending …

A Rhetorical-Sociological Understanding Of Emotion, Amy Boone

All Dissertations

This project presents a rhetorical-sociological understanding of emotion while foregrounding the place and role of language. Born from Sara Ahmed’s work in The Cultural Politics of Emotion, it presents a simplified equation (contact + orientation = emotion) as both a prescriptive and descriptive formula for making sense of human emotional experience. Starting with an exploration of the difficult-to-understand affect system, this dissertation identifies both rhetoric and affect as energies which cannot be understood apart from their traces, the things they move, produce, and become. As a way to get at these often-invisible forces, two trace studies are conducted which explore …

Can I Get A Witness? Employee Reactions To Witnessing Visible Self-Compassion At Work, Sara Krivacek

All Dissertations

Self-compassion is defined as a tripartite process whereby an individual notices their own suffering, feels empathetic concern for oneself, and responds to alleviate or address the suffering. Research on self-compassion has proliferated in the last decade, and a major theme in the literature posits that it is beneficial for the practicing individual. However, less attention is given to the impact of self-compassion expression on other individuals in the workplace – partly because one major assumption is that self-compassion is an internalized process. In this dissertation, I conceptualize self-compassion as a social process and draw from affective events theory to make …

An Exploration Of The Efficacy Of Virtual Agents Within Smartphone Mental Health Applications, Stephanie Six

All Dissertations

The prevalence of depression in the U.S. has increased over the past decade, leading to an all-time-high during the COVID-19 pandemic (WHO, 2022). With this increase, the number of mental health applications (MHealth apps) on virtual e-stores increases in tandem. Despite this expanding number of MHealth apps, few demonstrate a foundation in empirical research. One design factor that may influence usability and effectiveness is the inclusion of virtual agents. Three studies were conducted to investigate users’ preferences for a variety of characteristics associated with virtual agents. In Experiment 1, users completed a single-session, three-stage CBT-based interaction with virtual characters and …

Shift Schedule Justice And Clinician Outcomes: A Quasi-Experimental Approach, Caroline George

All Dissertations

Emergency Physicians (EPs) work in stressful and unpredictable work environments. Due to these factors and the nature of their work scheduling (in shifts), EPs experience heightened levels of adverse work outcomes. As such, it is important for EPs to believe their shift schedule is fair, and for them to have adequate recovery time away from work. The present research examined the effects of Emergency Department leadership approving a 1-hour increase to EP shifts, equating to roughly two fewer shifts per month (8-hour shifts will become 9-hour shifts). As such, EPs should experience more time off from work per month, allowing …

Design And Application Of Smart Systems To Address Analytical Problems, Lucas B. Ayres

All Dissertations

This dissertation is a multidisciplinary effort that integrates low-cost analytical instrumentation, redox chemistry, and artificial intelligence to overcome existing limitations in the fields of wearable sensing technology, Deep Eutectic Solvents (DES), and antioxidant chemistry. The overall goal behind each implemented strategy is to enhance the accuracy, efficiency, and accessibility of analytical processes and technologies. A general overview of the thesis, along with the research outcomes is included in Chapter One. The theoretical framework of this dissertation is presented in Chapter Two. Chapter Three describes the development of a wearable platform (sensor and instrumentation) to rapidly detect (~20 minutes) S. aureus …

Challenges Beyond Addiction: Maternal Experiences With Postpartum Substance Use Disorder Recovery And Perspectives Of Reproductive Healthcare Providers, Leah Holcomb

All Dissertations

Substance use disorders (SUD) impact millions of pregnant and postpartum people in the United States. With the increasing rates of perinatal substance use and the risk of overdose and death during the postpartum period, understanding overall functioning and the needs of postpartum persons is critical for informing interventions to reduce the impact of substance use within the perinatal period. The goal of this research is to explore the needs of postpartum people navigating SUD recovery.

This dissertation investigates postpartum maternal functioning within the context of early SUD recovery, as well as the comfort of reproductive healthcare providers (RHPs) to care …

Communication Of Oncology Genomics: Patients, Providers, And Artificial Intelligence, Lisa Stewart

All Dissertations

ABSTRACT This dissertation comprises five chapters concentrated on the communication of molecular profiling (MP) results between patients with cancer and oncology providers. Chapter I introduces MP and describes the significance of this testing. Chapter II is a state-of-the-art literature review focused on cancer patients’ expectations, knowledge, attitudes, satisfaction, and concerns regarding MP. Nineteen articles were reviewed, and findings revealed gaps in the communication process between patients and clinicians. Chapter III is a case study entitled “A Case for Caution: Patient Use of Artificial Intelligence.” In this case, pitfalls become apparent when a patient utilizes an artificial intelligence (AI) chatbot as …

With Great Power: Using Comics To Facilitate Discussion Of Systemic Oppression In Higher Education Literature Classes, Keri Crist-Wagner

All Dissertations

Undergraduate student participation in general education classes constitutes a point of struggle for many educators, especially when it comes to lessons centered around systems of oppression like racism, sexism, or heterosexism. Using both constructivism and counter storytelling as theoretical frameworks, this multi-method phenomenological case study explored the experiences of undergraduate honors students in a semester long general education literature class. The purpose of this study was to 1) explore how comics can be used as a pedagogical tool in higher education classrooms to facilitate discussion of systems of oppression, 2) assess the ways in which students interacted with comics, and …

Examining Current Capacity Of Healthcare Systems: Identifying Potential Adaptations For Children And Youth With Special Healthcare Needs, Caitlin Koob

All Dissertations

Children and youth with special healthcare needs (CYSHCN) are a growing proportion of the pediatric population, accounting for 23% of children in South Carolina (SC). Children with medical complexity (CMC) are a subgroup of CYSHCN who experience the most complex conditions and comprise

This dissertation investigates equitable healthcare access, service quality, and health and well-being among CYSHCN and their families, within the context of SC’s healthcare system. Three studies make up this dissertation, focusing on various aspects of healthcare access and experiences of CYSHCN and their families.

El Leñador, May 2024, El Leñador Staff

El Leñador Newspaper

El Leñador is an English and Spanish newspaper produced by Humboldt State University students. Our staff cover and provide news to Latinx and other diverse communities on campus and in Humboldt County. We are committed to providing relevant news and expanding the representations and stories told about people of color and other marginalized groups. Our work helps create more social, political and cultural diversity in local media.

El Leñador es un periodico en español y inglés producido por estudiantes de la Universidad Estatal de Humboldt. Nuestro personal cubre y provee noticias a la comunidad Latinx y otras comunidades diversas en …

The Educator Labor Market In Times Of Change: Lessons From The Covid-19 Pandemic, Andrew Mitchell Camp

Graduate Theses and Dissertations

The COVID-19 pandemic placed an undeniable burden onto the teaching profession which already faced levels of prestige and interest at 50-year lows. The strains of the pandemic resulted in educators reporting higher levels of job-related stress and burnout and exacerbated concerns about potential teacher shortages. This dissertation leverages administrative data from Arkansas to better understand challenges facing the teacher workforce following COVID-19 and evaluate two increasingly policies aimed at the teacher workforce. In the first chapter, I provide evidence that teacher turnover was relatively stable during the first two years (2020-21 and 2021-22) of the COVID-19 pandemic before a notable …

Where Silicone Meets Silicon: Analyzing Nier: Automata As A Subversive Postfeminist Text With Respect To Marxism, Existentialism And Feminism, Joaquin Vela

Communication Honors Theses

No abstract provided.

An Examination Of The Fitsparation Principles Of Influence, Anita Faerchuk

Masters Theses, 2020-current

Obesity is a health issue that continues to get worse. A contributing factor to this health issue is various marketing techniques that have made it harder for an individual to understand health information. This study was designed to help understand these tactics and how one can be armed against these marketing techniques as well as use them to help influence themselves and others to be healthy.

Do Executive Functions Buffer Against Covid-19 Fear And Stress? A Latent Variable Approach, Tina Li Yi Ng, Nadyanna M. Majeed, Verity Yu Qing Lua, Andree Hartanto

Research Collection School of Social Sciences

Levels of COVID-19 stress have soared worldwide as a result of the pandemic. Given the pernicious psychological and physiological effects of stress, there is an urgent need for us to protect populations against the pandemic’s psychological impact. While there exists literature documenting the prevalence of COVID-19 stress among various populations, insufficient research has investigated psychological factors that might mitigate this worrying trend. To address this gap in the literature, the current study seeks to examine executive functions as a potential cognitive buffer against COVID-19 stress. To do so, the study adopted a latent variable approach to examine three latent factors …

Can Confidence Influence Persuasiveness In Disagreements By Conveying Competence Versus Dominance? The Moderating Role Of Competitiveness, Laura Rees, Ming-Hong Tsai, Shirli Kopelman, Hsiu-Hua Hu

Research Collection School of Social Sciences

Research has demonstrated that confident individuals gain social influence because their confidence signals competence rather than dominance in settings in which they do not experience a disagreement with others. We extend this research by exploring felt competitiveness, as reflected by perceptions of goal opposition between perceivers and others. In settings where people experience a disagreement, we explore the impact of felt competitiveness on the association between expressed confidence and social perceptions of the expresser’s competence and dominance, and how these shape persuasiveness. We conducted a field study examining dyadic interactions between coworkers (Study 1) and two experimentsmanipulating competitiveness and confidence …

Evaluating Mental Health Outcomes In Covid-19 Icu Survivors: A Scoping Review Of Measurement Tools, Kimberly T'Ng, Justin Kenardy, Andree Hartanto

Research Collection School of Social Sciences

Objective: The objective of this scoping review was to map the range of measurement tools used to study the prevalence of common mental health conditions in COVID-19 ICU survivors. Introduction: Increased rates of admission to and survivorship from intensive care units (ICUs) have been observed in recent years, particularly during the global pandemic. ICU patients are at a higher risk of developing depressive, anxiety, and PTSD symptoms. Due to the high burden of disease, an accurate understanding of long-term mental health challenges for this population is key. Unfortunately, there is significant variability in reported prevalence rates. Heterogeneity in measurement tools …

Person-Centred Interventions To Improve Patient-Provider Relationships For Hiv Services In Low- And Middle-Income Countries: A Systematic Review, Laura K Beres, Ashley Underwood, Noelle Le Tourneau, Christopher Galloway Kemp, Gauri Kore, Lauren Yaeger, Jingjia Li, Alec Aaron, Claire Keene, Deepthi Priyanka Mallela, Banda A A Khalifa, Aaloke Mody, Sheree Renae Schwartz, Stefan Baral, Chanda Mwamba, Kombatende Sikombe, Ingrid Eshun-Wilson, Elvin H Geng, Marie-Claude C Lavoie

2020-Current year OA Pubs

INTRODUCTION: Person-centred care (PCC) has been recognized as a critical element in delivering quality and responsive health services. The patient-provider relationship, conceptualized at the core of PCC in multiple models, remains largely unexamined in HIV care. We conducted a systematic review to better understand the types of PCC interventions implemented to improve patient-provider interactions and how these interventions have improved HIV care continuum outcomes and person-reported outcomes (PROs) among people living with HIV in low- and middle-income countries.

METHODS: We searched databases, conference proceedings and conducted manual targeted searches to identify randomized trials and observational studies published up to January …

Coarctation Duration And Severity Predict Risk Of Hypertension Precursors In A Preclinical Model And Hypertensive Status Among Patients, Arash Ghorbannia, Hilda Jurkiewicz, Lith Nasif, Abdillahi Ahmed, Jennifer Co-Vu, Mehdi Maadooliat, Ronald K. Woods, John F. Ladisa Jr.

Mathematical and Statistical Science Faculty Research and Publications

BACKGROUND:

Coarctation of the aorta (CoA) often leads to hypertension posttreatment. Evidence is lacking for the current >20 mm Hg peak-to-peak blood pressure (BP) gradient (BPGpp) guideline, which can cause aortic thickening, stiffening, and dysfunction. This study sought to find the BPGpp severity and duration that avoid persistent dysfunction in a preclinical model and test if predictors translate to hypertension status in patients with CoA.

METHODS:

Rabbits (n=75; 5–12/group) were exposed to mild, intermediate, or severe CoA (≤12, 13–19, ≥20 mm Hg BPGpp) for ≈1, 3, or 22 weeks using dissolvable and permanent sutures with thickening, stiffening, contraction, and endothelial …

Threat And Risk Assessment Measurement: A State Of The Science Review, Samuel Hunter, Katherine Parsons, Kelsey Ciagala, Sydney L. Reichin, Matt Allen, Erin M. Kearns, Austin C. Doctor, Joel Elson

Reports, Projects, and Research

Threat and risk assessment are the processes of identifying, assessing, and managing threats of targeted violence prompted by warning behaviors. Threat assessment differs from the traditional operations of law enforcement as it may provide predictive information rather than investigating threats after a violent offense has been committed. Threat and risk assessment examines the escalation of behavior over time and corroborates information from multiple sources to reach a level of concern. Initially developed as a way to prevent assassinations, the tools and approaches around threat assessment have emerged as a violence prevention measure in many settings, including workplaces, schools, universities, and …