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The Impact Of Parental Infidelity During Childhood On Emerging Adult Relationships, Rachel Anderson May 2026

The Impact Of Parental Infidelity During Childhood On Emerging Adult Relationships, Rachel Anderson

All Graduate Theses and Dissertations, Fall 2023 to Present

In this master’s thesis, I collected and analayzed data from 429 participants, 78 of whom reported having experience with parental infidelity, namely having at least one parent be sexually unfaithful to the other. The purpose of this study was to better understand the long-term impacts of experiencing parental infidelity during childhood. Participants with and without experience of parental infidelity were invited to complete an online questionnaire about potential experiences with parental infidelity, emotional well-being, attachment security in adult romantic relationships, couple satisfaction with current romantic partner, and attitudes (permissive versus accepting) towards potentially unfaithful behaviors of infidelity and pornography. I …


Out Of Sight, Out Of Mind? Psychological Distance And Public Perceptions Of The Great Salt Lake, Nathan Thompson May 2026

Out Of Sight, Out Of Mind? Psychological Distance And Public Perceptions Of The Great Salt Lake, Nathan Thompson

All Graduate Theses and Dissertations, Fall 2023 to Present

Over the past several years, Great Salt Lake has received a lot of media attention, both locally in Utah as well as nationally and even internationally. Within Utah, public perception surveys have indicated that concern about the lake varies depending on how low the lake levels are. This suggests that a concept called psychological distance might be influencing concern about the lake as well as support for strategies to help the lake. Psychological distance is the perceived distance a person has from an object, event, or person and is manifested in four ways: across physical distance (spatially), across time (temporal), …


Great Power Competition In Africa: U.S. Aid Responses To Chinese Aid And Investment, Ebenezer Nana Botsio May 2026

Great Power Competition In Africa: U.S. Aid Responses To Chinese Aid And Investment, Ebenezer Nana Botsio

All Graduate Theses and Dissertations, Fall 2023 to Present

Over the past two decades, China’s rapid expansion of aid and investment throughout sub-Saharan Africa has raised questions about how the United States responds to growing competition in the region. While the impact of China’s aid has been the subject of considerable study, far less attention has been given to how other donors shift their strategies to adjust. This thesis asks a simple but rather consequential question: does the US change how it gives aid in Africa in response to China’s ever-growing footprint? 

With data from 54 African countries, I find that the United States does not attempt to directly …


Examining Motivations And Perceptions In Secondary Technology And Engineering Education: A Gendered Analysis Using The Fit-Choice Scale, Abigail Villanueva May 2026

Examining Motivations And Perceptions In Secondary Technology And Engineering Education: A Gendered Analysis Using The Fit-Choice Scale, Abigail Villanueva

All Graduate Theses and Dissertations, Fall 2023 to Present

This study examined why individuals choose to become secondary technology and engineering education (TEE) teachers and whether motivations differ between men and women. TEE programs help prepare students for careers in science, technology, engineering, and math (STEM), yet schools face teacher shortages and low female representation in the field. Understanding what draws people to this profession can support better recruitment and retention efforts. Sixty-six current TEE teachers completed a survey about the factors that influenced their decision to teach. Overall, the strongest motivations were a personal interest in teaching, enjoyment of working with young people, and the desire to make …


Longing For Home, Ryker Eggenberger May 2026

Longing For Home, Ryker Eggenberger

All Graduate Theses and Dissertations, Fall 2023 to Present

This thesis is a collection of creative nonfiction essays examining what it means to belong. Multiple factors of belonging are explored, including belonging in human relationships, belonging to oneself, and feeling a sense of belonging to a physical place. Each essay contains three cohesive narratives—called “strands”—which are woven together to form a single essay. These strands include the author’s personal experiences, site visits conducted by the author, and various research topics. The personal experiences explore the author’s relationship to belonging contextualized by his pure obsessive-compulsive disorder. The site visits recount the author’s experiences in natural and community-oriented places. The research …


Rainbow Dominating Sets Of Graphs, Samuel L. Powell May 2026

Rainbow Dominating Sets Of Graphs, Samuel L. Powell

All Graduate Theses and Dissertations, Fall 2023 to Present

The content of this thesis may be compared to a stack of plates with a common design that are broken, one at a time. If the plates are broken into large enough pieces you would be able to choose one fragment from each broken plate to discover the entire design that the plates share. For example, if you were still missing the center of the design after taking a piece from some plates, you could look for the piece of the next broken plate with the region in question.

We study the question of how many broken plates might guarantee …


Comparison Of Consumptive Use Of Furrow And Drip Irrigated Onions, Chad C. Withers May 2026

Comparison Of Consumptive Use Of Furrow And Drip Irrigated Onions, Chad C. Withers

All Graduate Theses and Dissertations, Fall 2023 to Present

The State of Utah funded agricultural water optimization studies to determine how agricultural water depletion can be decreased while maintaining or improving yields. Conversion from surface irrigation to drip irrigation is investigated as a method to decrease consumptive use.

Some Utah onion producers are converting from furrow irrigation to drip irrigation to decrease water and fertilizer use and improve profits. This study compares the consumptive use and yield of three drip irrigated onion fields against the consumptive use and yield of three furrow irrigated onion fields.

Arrays of soil moisture sensors at various depths were placed in drip and furrow …


Honorata Memoria Prosequar: The Lives Of Republican And Augustan Women As Antecedents For Later Deifications, Megan Fairbanks May 2026

Honorata Memoria Prosequar: The Lives Of Republican And Augustan Women As Antecedents For Later Deifications, Megan Fairbanks

All Graduate Theses and Dissertations, Fall 2023 to Present

Emperors and some notable societal figures in the early Roman Empire are known to have practiced apotheosis, a state-sponsored process which confirmed that deceased men, women, and sometimes children had achieved the status of godhood. This process became official during the lifetime of Rome’s first emperor, Augustus, who deified Julius Caesar. As the process developed, it came to involve several formalized elements, including senatorial voting, a public ceremony (consecratio), and the production of commemorative images published through various media such as coins, paintings, and honorific statues. The purpose of this thesis is to determine the possibility of existing precursors for …


How Novices Write Code: Discovering Best Practices, Matt Rau May 2026

How Novices Write Code: Discovering Best Practices, Matt Rau

All Graduate Theses and Dissertations, Fall 2023 to Present

Learning to program is a difficult endeavor, leading to chronically high failure rates in introductory programming courses. One thing that makes teaching programming difficult is that we don’t fully understand what problem solving habits and writing strategies separate successful programmers from struggling ones. Knowing how to teach these habits to a new programmer is an equally difficult challenge,

Studying the way people write code has proved difficult. Until recently, there was very little relevant publicly available data, and no good ways to analyze student programming behavior at a large scale. In this thesis, I address both issues. I publish a …


Numerical Investigation On Lightning Survivability And Residual Strength Of Scarf-Patched And Z-Pinned Cfrp Composites, Logan Hales May 2026

Numerical Investigation On Lightning Survivability And Residual Strength Of Scarf-Patched And Z-Pinned Cfrp Composites, Logan Hales

All Graduate Theses and Dissertations, Fall 2023 to Present

Carbon fiber reinforced polymer (CFRP) composites are critical in aerospace applications yet remain vulnerable to lightning strikes due to orthotropic electrical conductivity and poor thermal resistance. Over the past decades, lightning-strike damage in pristine CFRP has been extensively investigated. However, the response of damaged and subsequently repaired laminates remains poorly understood, raising concerns about the structural integrity of repaired aircraft. This study aims to develop a sequentially coupled thermo-structural modeling framework to quantify how two common composite repair strategies (scarf patching and z-pinning), along with patch size, pin material, and configuration, influence lightning-induced damage and the residual flexural strength of …


Large Language Models For Introductory Computer Science Education: Content Generation, Intelligent Tutoring, And Learner Modeling, Muhammad Fawad Akbar Khan May 2026

Large Language Models For Introductory Computer Science Education: Content Generation, Intelligent Tutoring, And Learner Modeling, Muhammad Fawad Akbar Khan

All Graduate Theses and Dissertations, Fall 2023 to Present

This dissertation studies how artificial intelligence, especially large language models such as GPT, can help students learn introductory computer programming when the models are used inside a carefully designed learning system. Instead of focusing on AI as a standalone tool, the dissertation follows a connected story: generating learning resources, building a tutoring platform, running a user study, and then analyzing how students behave while they program.

The work first uses prompt engineering to create a large collection of 11,700 Python exercises aligned with introductory computer science topics. Students and instructors then evaluate these exercises to check whether they are clear, …


Examination Of The Association Among Family Communication Patterns, Attitudes Toward Sex, And Sexual Communication Self-Efficacy, Brooklynn Edelmayer May 2026

Examination Of The Association Among Family Communication Patterns, Attitudes Toward Sex, And Sexual Communication Self-Efficacy, Brooklynn Edelmayer

All Graduate Theses and Dissertations, Fall 2023 to Present

The purpose of this study was to gain a better understanding of the role that family communication plays in the development of sexual attitudes and sexual communication self-efficacy. Essentially, each family has a unique communication environment, which consists of how open communication is, the variety of topics a family might discuss, and expectations of conformity that parents have for their children. Attitudes toward sex can be conservative–reflecting traditional views toward sex–or progressive–reflecting tolerance and flexibility toward various sexual lifestyles. Sexual communication self-efficacy is the degree to which an individual feels comfortable communicating about sex with a sexual partner. Participants in …


The Practice Of Inclusion: Indigenous Knowledge And Ethical Design, Kate E. Van Der Zalm May 2026

The Practice Of Inclusion: Indigenous Knowledge And Ethical Design, Kate E. Van Der Zalm

All Graduate Theses and Dissertations, Fall 2023 to Present

Indigenous Knowledge is a cumulative body of practices and beliefs developed by Indigenous communities through generations of interaction with the natural environment. This knowledge offers valuable insights for caring for the land in sustainable and respectful ways but is not fully considered in modern planning and design practices. This research examines how Indigenous Knowledge is currently understood and used within landscape planning and design firms in British Columbia, Canada. Using a combination of existing research and interviews with design professionals and Indigenous participants, the study explores where Indigenous Knowledge is being applied, where challenges exist, and what opportunities remain for …


Effect Of Agroecological Feeding Systems Of Dairy Cattle On The Nutritional Composition Of Milk, Sree Bhavya Immadi May 2026

Effect Of Agroecological Feeding Systems Of Dairy Cattle On The Nutritional Composition Of Milk, Sree Bhavya Immadi

All Graduate Theses and Dissertations, Fall 2023 to Present

How food is produced can influence both its nutritional quality and its impact on the environment. In recent years, regenerative (agroecological) farming practices have gained attention for their potential to improve soil health, biodiversity, and the nutritional value of foods. In dairy production, these practices often involve growing more diverse forage crops, reducing soil disturbance, and relying less on monoculture-grown feed rations. However, there is still limited real-world evidence showing how these practices affect the nutritional composition of milk produced on commercial dairy farms.

This dissertation explores how regenerative feeding and feed production practices influence the nutritional quality of milk, …


Scalable Roof Polygon Extraction And Geometric Characterization From Remotely-Sensed Data For Snow Load Assessment, Jashon Newlun May 2026

Scalable Roof Polygon Extraction And Geometric Characterization From Remotely-Sensed Data For Snow Load Assessment, Jashon Newlun

All Graduate Theses and Dissertations, Fall 2023 to Present

Heavy snow accumulation on rooftops is a serious structural risk in cold climates, and understanding how much snow builds up on different types of roofs is essential for safe building design. Currently, most data on roof snow loads comes from small, labor-intensive field surveys that cover only a handful of buildings at a time. This results in far too few measurements of buildings to draw confident conclusions about how snow behaves across communities. This thesis develops and demonstrates a new automated approach for measuring roof snow accumulation and extracting key building characteristics across thousands of buildings at once using airborne …


Faith And Doubt: Exploring How We Interpret The World, Amber Mccuen May 2026

Faith And Doubt: Exploring How We Interpret The World, Amber Mccuen

All Graduate Theses and Dissertations, Fall 2023 to Present

This collection of four fictional short stories explores questions of belief—and practice of belief—in four separate contexts. The first story, “Little Marie,” follows a young girl who’s made her own system of belief created by correlation. The second story, “Last Days,” sees a woman return to her childhood home which has been overcome by the hoarding habits of her paranoid, fundamentalist Christian mother. The third story, “Graduation,” takes place at a divinity school graduation and explores the strength of both social influence and unspoken rules within closed groups. The final story, “Away From the Ninety and Nine,” follows a cult …


Developing Fragility Curves For Steel Special Moment-Resisting Frames In Utah, Olivia P. Murphy May 2026

Developing Fragility Curves For Steel Special Moment-Resisting Frames In Utah, Olivia P. Murphy

All Graduate Theses and Dissertations, Fall 2023 to Present

Major seismic events along the Wasatch Fault represent a serious threat to Utah's residents and built environment. Engineers currently rely on a statistical approach that calculates earthquake ground shaking based on probabilities of various events occurring over extended time periods. This method informs how strong new buildings must be constructed. However, many structural engineering professionals in Utah worry that this probability-based approach may significantly underestimate the actual ground shaking compared to an alternative method that examines the largest possible earthquake a fault can generate. The substantial differences between the two analytical approaches raise fundamental concerns about whether existing construction standards …


Effects Of Cannabinoid Agonist Win 55-212-2 On Latent Inhibition, Ashley Peterson May 2026

Effects Of Cannabinoid Agonist Win 55-212-2 On Latent Inhibition, Ashley Peterson

All Graduate Theses and Dissertations, Fall 2023 to Present

The endocannabinoid system (ECS) is a modulatory system that helps regulate brain functions, including learning and memory, influencing processes such as latent inhibition (LI). LI refers to the slower association formed when a familiar event is paired with a new outcome, compared to the association of an unfamiliar event. LI is a process that is often disrupted in individuals with schizophrenia and is known as a cognitive symptom. This study aimed to determine whether the drug WIN-55-212-2 (WIN), which interacts with the ECS, influences the process of LI using a fear-conditioned response procedure. The results found no significant interaction among …


Constraint-Aware Metaheuristic Optimization For Experimental Design, Benjamin N. Fuller May 2026

Constraint-Aware Metaheuristic Optimization For Experimental Design, Benjamin N. Fuller

All Graduate Theses and Dissertations, Fall 2023 to Present

Designing experiments becomes much more challenging when many variables and strict constraints are involved, as is common in modern science and engineering. This thesis introduces a new computational and mathematical framework that efficiently searches for optimal experiments in complex, high-dimensional spaces where traditional methods fail. By combining geometric techniques with flexible optimization algorithms like particle swarm optimization, our methods handle difficult constraints while scaling to real-world problems. Built in the high-performance Julia programming language and released as open-source software, this work bridges advanced theory with practical tools, offering researchers a powerful and accessible way to design better experiments under realistic …


Parental Socialization Practices As Protective Factors Of Lgbtq+ Youth Well-Being And Sexual Health, Melissa M. Ferguson May 2026

Parental Socialization Practices As Protective Factors Of Lgbtq+ Youth Well-Being And Sexual Health, Melissa M. Ferguson

All Graduate Theses and Dissertations, Fall 2023 to Present

LGBTQ+ teens face challenges like discrimination and exclusion from school-based sex education. Support from parents is crucial for helping LGBTQ+ teens feel safe and confident. Most research has only looked at how parents react when their child comes out, and less about how parents support their child in everyday life. This two-study dissertation explored how parents help support and protect their LGBTQ+ teens’ well-being over time.

The first study looked for patterns of protective parenting across interviews with LGBTQ+ teens and their parents from diverse racial and ethnic backgrounds. Teens and parents shared their experiences of open communication, building community, …


Online Act Guide For Sub-Clinical And Clinical Insomnia Among College Students, Guadalupe "Gabe" San Miguel May 2026

Online Act Guide For Sub-Clinical And Clinical Insomnia Among College Students, Guadalupe "Gabe" San Miguel

All Graduate Theses and Dissertations, Fall 2023 to Present

College students are shown to have more sleep difficulties, specifically insomnia. These sleep difficulties compared to the general public due to the college environment (for example increase screen time, sedentary time, or alcohol use). Students with reported sleep difficulties have ties to lower GPA and lower odds of graduation. That is why this dissertation conducted a comparison between an online version of Acceptance and Commitment Therapy (intervention) to a placebo condition among college students with insomnia to help determine if the intervention had better outcomes over time. Each condition (intervention = 39; placebo = 40) completed questionnaires at the start …


Analyzing The Influence Of Stem Project-Based Learning On Students' Perceptions And Career Interest In Stem, Melissa S. Barker May 2026

Analyzing The Influence Of Stem Project-Based Learning On Students' Perceptions And Career Interest In Stem, Melissa S. Barker

All Graduate Theses and Dissertations, Fall 2023 to Present

Although science, technology, engineering, and mathematics (STEM) enrichment programs aim to increase participation in STEM, the design features that meaningfully influence adolescents’ task values and career-related beliefs remain insufficiently specified. The purpose of this study was to investigate whether STEM PBL activities designed with an interest-focused theoretical lens of Subjective Task Value (STV) and Social Cognitive Career Theory (SCCT) influence students’ perceptions of STEM courses, majors, and careers. Additionally, I sought to understand what elements of the STEM PBL experience were most impactful. I designed and taught STEM PBL activities for students from the Native American lands in southeastern Utah …


Mapping Spatial Variability For Precision Management In Utah’S Tart Cherry Orchards, Kurt T. Wedegaertner May 2026

Mapping Spatial Variability For Precision Management In Utah’S Tart Cherry Orchards, Kurt T. Wedegaertner

All Graduate Theses and Dissertations, Fall 2023 to Present

Tart cherry orchards are a major part of the agricultural landscape in Utah, but producing cherries is becoming increasingly difficult and expensive. Orchard land is not uniform. Some parts of a field grow strong, healthy trees, while other parts struggle because of differences in soil, water, and landscape. Even though these differences exist, orchards are usually managed the same way everywhere. Over many years, this causes some trees to become much larger than others, making orchards harder to manage, less efficient to harvest and prune, and more costly to maintain.

This research focused on finding practical ways to measure these …


A Survey On Digital Reading Materials And Personal Study Of Christian Religious Texts, Teancum Price May 2026

A Survey On Digital Reading Materials And Personal Study Of Christian Religious Texts, Teancum Price

All Graduate Theses and Dissertations, Fall 2023 to Present

Religion, including reading from religious texts such as scriptures, are a part of the daily lives of many people. Modern technology has influenced the way that this religious reading takes place, but its effects have not yet been studied. Existing research of the effects of technology on reading focus on topics such as reading comprehension, but the study of religious texts is often focused on achieving a religious experience, so the existing research does not capture the whole scope of these changes. In our study, we surveyed two universities (Utah State University and Abilene Christian University) to ask individuals how …


Corrigendum To 'Risk Factors For Bronchiolitis Obliterans Syndrome After Initial Detection Of Pulmonary Impairment After Hematopoietic Cell Transplantation' [Transplantation And Cellular Therapy 29/3 (2023) 204-204], Mansour Alkhunaizi, Badar Patel, Luis Bueno, Neel Bhan, Tahreem Ahmed, Muhammad H Arain, Rima Saliba, Gabriela Rondon, Burton F Dickey, Lara Bashoura, David E Ost, Liang Li, Shikun Wang, Elizabeth Shpall, Richard E Champlin, Rohtesh Mehta, Uday R Popat, Chitra Hosing, Amin M Alousi, Ajay Sheshadri May 2026

Corrigendum To 'Risk Factors For Bronchiolitis Obliterans Syndrome After Initial Detection Of Pulmonary Impairment After Hematopoietic Cell Transplantation' [Transplantation And Cellular Therapy 29/3 (2023) 204-204], Mansour Alkhunaizi, Badar Patel, Luis Bueno, Neel Bhan, Tahreem Ahmed, Muhammad H Arain, Rima Saliba, Gabriela Rondon, Burton F Dickey, Lara Bashoura, David E Ost, Liang Li, Shikun Wang, Elizabeth Shpall, Richard E Champlin, Rohtesh Mehta, Uday R Popat, Chitra Hosing, Amin M Alousi, Ajay Sheshadri

Faculty, Staff and Student Publications

No abstract provided.


Factors Associated With Postpartum Depression Symptoms Following Antepartum Hospitalization, Alison N Goulding, Daniel Palacios, Sukru Aras, Hu Chen, Sasidhar Pasupuleti, Marika Toscano, Nicole Cirino, Israel C Christie, Zhandong Liu, Emily S Miller, Terri L Fletcher May 2026

Factors Associated With Postpartum Depression Symptoms Following Antepartum Hospitalization, Alison N Goulding, Daniel Palacios, Sukru Aras, Hu Chen, Sasidhar Pasupuleti, Marika Toscano, Nicole Cirino, Israel C Christie, Zhandong Liu, Emily S Miller, Terri L Fletcher

Duncan NRI Faculty and Staff Publications

Background: Hospitalized antepartum patients are at increased risk for postpartum depression (PPD). Developing approaches to identify those at highest risk for PPD would enable timely and targeted intervention.

Objective: We aimed to identify factors associated with the development of PPD symptoms in hospitalized antepartum patients and to assess their predictive utility.

Study design: This retrospective cohort study included pregnant individuals hospitalized in a regional referral center due to medical or obstetric complications between 2012 and 2025. Data were extracted from the electronic health record, including demographics, medical and obstetric history, hospitalization characteristics, and postpartum Edinburgh Postnatal Depression Scale (EPDS) scores …


A Qualitative Exploration Of How Spanish-Speaking Latino Parents Communicate With Their Adolescent Children About Substance Use, Diana Karina Diaz May 2026

A Qualitative Exploration Of How Spanish-Speaking Latino Parents Communicate With Their Adolescent Children About Substance Use, Diana Karina Diaz

Doctoral Dissertations

Substance use during adolescence remains a significant public health concern, particularly within Latino communities where cultural values, family dynamics, and communication patterns play a central role in youth development. This qualitative study explored how Latino parents communicate with their adolescent children about substance use, the strategies they use for prevention, and the cultural and contextual factors that shape these conversations. Using a focus group design, data was collected from four focus groups consisting of two groups of Latino mothers (n = 10) and two groups of Latino fathers (n = 9). A thematic analysis revealed six primary themes: (1) parent–child …


The Role Of Mother Tongues In Foreign Language Acquisition: Teachers’ Perception Of Multilingual Learners, Sean Aval May 2026

The Role Of Mother Tongues In Foreign Language Acquisition: Teachers’ Perception Of Multilingual Learners, Sean Aval

Doctoral Dissertations

This qualitative study, rooted in phenomenological inquiry, explored the extent to which an understanding of language transfer informs the pedagogical decisions of foreign language teachers, most notably in how they approach the teaching of sentence construction, apply the Grammar Translation Method (GTM), and understand the errors of their foreign language students produce. The research was implemented at an Undergraduate Foreign Language School of a government-operated language institute, and drew on two complementary data sources: in-depth interviews with four experienced foreign language instructors, each of whom responded to twelve open-ended questions, and a written survey was administered to twenty-three additional foreign …


Comparative Fatigue Analysis Of Cf-Pla Metamaterial Bone Plates For Orthopaedic Fixation, Ani Daniel, Hamed Bakhtiari, Barun K. Das, Muhammad Aamir, Majid Tolouei-Rad May 2026

Comparative Fatigue Analysis Of Cf-Pla Metamaterial Bone Plates For Orthopaedic Fixation, Ani Daniel, Hamed Bakhtiari, Barun K. Das, Muhammad Aamir, Majid Tolouei-Rad

Research outputs 2022 to 2026

Bone plates are widely used in orthopaedic surgery to stabilise fractured bones and support healing following traumatic injuries or osteotomies. However, conventional metallic bone plates suffer from stress shielding and stiffness mismatch with bone, which can hinder optimal healing. Additive manufacturing enables the incorporation of novel metamaterial architectures into polymer-based implants to enhance mechanical properties. The fatigue behaviour of these implants during the healing period is critical to ensuring their structural integrity and long-term performance. In this study, the compressive fatigue performance of fused deposition modelling (FDM)-printed carbon fibre-reinforced polylactic acid (CF-PLA) bone plates were investigated. Four metamaterial structures—tetrachiral, re-entrant, …


Digital Decoding Of The Multidimensional Pain Experience In People Living With Dementia, Kreshnik Hoti, Ipsit V. Vahia, Paola Chivers, Jeffery David Hughes May 2026

Digital Decoding Of The Multidimensional Pain Experience In People Living With Dementia, Kreshnik Hoti, Ipsit V. Vahia, Paola Chivers, Jeffery David Hughes

Research outputs 2022 to 2026

Background: Understanding how pain manifests in people living with dementia can facilitate pain management but evidence from large real-world studies is limited. Through digitally compiled large number of pain assessments, we explore how behavioural indicators manifest across all widely used domains of pain assessment. Methods: This is a population based observational study with data from aged care homes across Australia, New Zealand and the United Kingdom. Pain assessments were conducted over a period of 5.3 years in 89 230 residents living with advanced dementia. The primary outcome was to determine pain indicator occurrence across pain levels and explore their predictive …