Digital Commons Network^™

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

One Tree, Many Roots: A Care-Centered Cultural Philosophy Of Education For Collective Flourishing, Darshini Margaret Elizabeth Stark

Antioch University Dissertations & Theses

Public education in the United States is often framed as a neutral pathway to opportunity, democratic participation, and individual success. Yet for many students, particularly those from historically marginalized communities, schooling has functioned as a site of self-abandonment, where compliance means survival. This dissertation argues that persistent educational harm is not the result of individual curriculum failure or isolated policy shortcomings, but something far more insidious: the intentional use of schooling as a mechanism of political control and socioeconomic hierarchy, shaped over centuries by authoritarian governance and colonial ideology. In response, this work advances Oru Maram (Stark, in preparation) as …

Bipoc Faculty Thriving In The Community College System: Collective Healing, Joy And Liberation, Carolina Forero-Moreno

Antioch University Dissertations & Theses

This professional innovation dissertation addresses the need for Black, Indigenous, and other people of color (BIPOC) faculty in Washington State community and technical colleges to have safe, sacred spaces to engage in anti-racist, anti-colonial, and healing practices. The proposed space is a year-long institute with bimonthly gatherings focused on decolonization work, liberatory practices, and collective healing. Gloria Anzaldúa’s Path of Conocimiento (2002) will be used to develop participants’ critical consciousness as racialized people. Emergent Strategy (brown, 2017) and the Constellations Framework (Constellations Framework, 2022) are used to learn and embody liberatory practices, all the while the Seven Circles of Wellness …

Challenging The Status Quo: An Autoethnographic Inquiry Into Critical Pedagogy And Social Justice, Andrea Williams

Antioch University Dissertations & Theses

This autoethnographic study explores the transformative journey of rethinking pedagogical practices through the lens of critical and spiritual pedagogy on behalf of a larger project for social justice. Drawing from Paulo Freire’s foundational work on critical pedagogy, alongside the insights of Zenju Manuel on decolonization and Yitzhak Bentov’s spiritual frameworks, this research examines how personal storytelling, and reflective practices can foster educational transformation. Embedded within traditional educational settings, I critically reflect on how empathy, both as a cognitive and affective process, catalyzed change in my pedagogical approach and challenged colonial legacies within the classroom. The study situates itself within the …

The Impact Of The Covid-19 School Shutdown On Standardized Test Scores In Rural And Nonrural Areas, Cory Laflamme

Antioch University Dissertations & Theses

The novel Coronavirus of 2019 (COVID-19; Gillings School of Global Public Health, n.d.) caused an extensive disruption of education systems worldwide. Elementary and secondary schools began to close to students and staff to protect them from potential exposure to the virus (Masonbrink & Hurley, 2020). Nearly 1.6 billion students in over 200 countries had their learning impacted on some level, causing changes in traditional educational practices (Pokhrel & Chhetri, 2021). One profound change in educational practice was the shift from face-to-face learning to online learning alternatives. Using the State of New Hampshire data allowed for a unique analysis of how …

The Effect Of Paternal Engagement On The Sexual Self-Concept Of Black Female Adolescents, Amelia Flynn

Antioch University Dissertations & Theses

Black women in the U.S. continue to experience disproportionately high rates of unintended pregnancies, with a 64% rate reported in 2011 (Finer & Zolna, 2016). Positive sexual self-concept (SSC) is linked to healthier sexual behaviors, yet research on SSC development has largely overlooked the role of fathers and systemic influences, particularly within Black families. Grounded in an ecological framework, this study examines the impact of father-daughter engagement on SSC among Black female adolescents, considering paternal residential status and socioeconomic class as key contextual factors. The study revealed that when middle class father-daughter engagement is high, daughters’ sexual self-esteem is lower. …

Assessing Use Of Invasive Understory Plant Species By The Eastern Box Turtle (Terrapene Carolina Carolina) Within A Massachusetts Wildlife Management Area, Karoline Weston

Antioch University Dissertations & Theses

Eastern box turtles are facing population declines across their range due to habitat loss, vehicular strikes, and illegal collection. A lesser-explored aspect of eastern box turtle conservation is the role of non-native, invasive vegetation in shaping fine scale habitat use. Invasive vegetation can alter habitat structure and quality, yet its role in eastern box turtle behavior remains unstudied. To evaluate this relationship, I tracked 19 eastern box turtles via radio telemetry throughout the 2022 active season in a Massachusetts wildlife management area. My study addressed six questions: (1) Do eastern box turtles exhibit a preference for microhabitats containing invasive vegetation? …

Reimagining Occupational Justice Beyond Anthropocentrism: A Humane Education Approach To Occupational Therapy Education, Macy Sutton

Antioch University Dissertations & Theses

Occupational therapy positions itself as a holistic, justice-oriented profession, yet many of its theories, practices, and educational standards reflect Eurocentric values and assumptions. Even occupational justice, the disciplinary concept specifically concerned with advancing a more just world, is steeped in coloniality. Critical scholars have increasingly critiqued particular oppressive structures embedded in the field, such as ableism and white supremacy; however, anthropocentrism remains largely unchallenged. In the occupational justice literature, anthropocentrism operates primarily through omission; that is, animals are absent from most scholarly works. This gap is significant because anthropocentrism contributes to prejudice, oppression, and discrimination not only toward animals and …

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …

Storytelling And Equity: A Program Evaluation That Promotes And Supports Narrative-Based Learning And Open Dialogue Practices At Higher Ed Institutions, Regis A. Peeples

Antioch University Dissertations & Theses

On college campuses worldwide, storytelling functions as a primary method for transmitting and affirming knowledge. It serves to validate lived experiences, acts as a relational teaching tool, and supports theoretical inquiry. Given that teaching is inherently political, storytelling can also perpetuate hate, oppression, and other social harms within academic environments. Even when educators use storytelling constructively, limited training exists on the full range of its impacts on students, particularly in terms of what may be described as “dangerous” storytelling. Dangerous storytelling refers to narratives, intentional or authentic, that reinforce or cultivate phobias about physical appearance (e.g., race, culture, nationality), propagate …

Virtual Communities, Real Identities: Bi+ Storying And Connection On Youtube, Gabrielle Gershoni

Antioch University Dissertations & Theses

This dissertation explored how bi+ individuals narrate identity, belonging, and community connection through personal storytelling on YouTube. Despite being a significant subset of the LGBTQIA+ population, bi+ individuals face unique challenges such as monosexism, bi-erasure, and binegativity. These systemic challenges contribute to health disparities and a pervasive lack of belongingness in both straight and queer communities. Using a narrative inquiry framework and reflexive thematic analysis, this study examined six publicly shared narratives of bi+ YouTube creators to investigate how digital spaces are utilized to construct and discus bi+ identities. Heteronormative socialization, “clicks” of identity recognition, relational negotiations, and misrecognition both …

How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker

Antioch University Dissertations & Theses

Working in an inpatient setting inherently involves an increased risk of violence. This violence can affect both staff and patients alike and can lead to psychological trauma, serious bodily injury, and even death. To mitigate this risk, many models for preventing inpatient violence have been proposed for hospitals to implement. However, the evidence for the efficacy of these methods is inconsistent, and the theoretical underpinnings are varied and slim. This dissertation seeks to improve these models by re-examining the theoretical structures for common themes of four models for inpatient violence reduction and proposing additional recommendations informed by this synthesis. First, …

Mind The Gap: Comparing Asian American And White American Experiences In Integrated Primary Care, Tenzin Miller-Dorjee

Antioch University Dissertations & Theses

This study explores Asian American and White American adults’ experiences of integrated primary care (IPC), focusing on patient satisfaction and perceived provider cultural competence. Although IPC models are intended to improve access to behavioral health services, it remains important to examine whether these models are experienced as culturally responsive and equitable across racial groups. This study used a quantitative, cross-sectional survey design with 550 adults in the United States who reported experience with IPC. Patient satisfaction was assessed using the Patient Experience of Integrated Care Scale (PEICS), and perceived provider cultural competence was assessed using the Iowa Cultural Understanding Assessment–Client …

Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly

Antioch University Dissertations & Theses

Concussions present complex diagnostic and treatment challenges, particularly for pediatric patients who may experience persisting symptoms. Psychological mechanisms, including patient expectations and beliefs about recovery and symptoms, play a critical role in shaping outcomes. However, there is limited research exploring these factors in pediatric populations, particularly using qualitative approaches. This study sought to address this gap by employing a qualitative phenomenological design with interpretive phenomenological analysis to examine the recovery expectations of pediatric patients with persisting symptoms following concussion, as well as caregivers’ perspectives. Using the nocebo effect as a conceptual framework, eight pediatric patients and their caregivers participated in …

Into Action: A Twelve Step-Informed Act Group Protocol For Outpatient Substance Use Treatment, Doug Hohenberger

Antioch University Dissertations & Theses

Substance use disorders remain a prevalent and costly public health concern. Despite this, efforts to disseminate evidence-based practices frequently encounter both practical and philosophical barriers. Language and practices from the Twelve Steps of Alcoholics Anonymous have permeated addiction treatment settings and have become the “common tongue” for addiction recovery discourse. Consequently, most substance use treatment programs feature tenets of the Twelve Steps of Alcoholics Anonymous in their clinical programming, even though the framework was designed for peer support settings. Twelve Step fellowships have made important contributions to the substance use treatment field and have guided individuals through personal recovery through …

Healing Attachment Wounds Through Romantic Love: Exploring Narratives Of Earned Security, Ashlyn Griffith

Antioch University Dissertations & Theses

This dissertation explored how earned attachment security is experienced and developed within long-term romantic relationships through couples’ shared narratives. Using dyadic interviews, the study focused on romantic partners in which one individual demonstrated continuous attachment security while the other described a shift toward earned security over time. Although existing attachment research has examined the traits that encourage security in other relational contexts, limited research has explored the lived attachment experiences of couples or their shared understanding of how security develops within romantic love. Five long-term romantic couples participated in semi-structured dyadic interviews designed to elicit shared narratives of relationship development, …

Adverse Childhood Experiences Of Individuals Charged Or Convicted Of Homicide In Their Youth, Marcus Krodel

Antioch University Dissertations & Theses

Adverse Childhood Experiences (ACEs) represent a collection of distressful events occurring during childhood and have been shown to have a negative impact on future functioning. ACEs were utilized in the current study to increase our understanding of a unique population among court-involved individuals: juveniles charged or convicted of homicide. Court decisions have established that juveniles convicted of homicide are both distinct from their adult counterparts and present with dissimilar risk and protective factors. The current study explored a sample of 66 individuals who were charged or convicted of homicide while in their youth. Each participant was retroactively assigned an ACEs …

Impact Of Therapeutically Applied Role-Playing Games (Ta-Rpg) For Individuals At The Intersection Of Sexual And Gender Minorities (Sgm) And Autism Spectrum Disorder (Asd), Alexander S. Gelernter

Antioch University Dissertations & Theses

Individuals with Autism Spectrum Disorder (ASD) who also identify as sexual and gender minorities (SGM) may experience intersecting challenges related to communication, social belonging, masking, identity development, and access to affirming clinical spaces. Although role-play and therapeutically applied role-playing games (TA-RPGs) have been described as promising experiential approaches, limited research has examined how ASD/SGM individuals themselves understand role-playing games (RPGs) or evaluate their possible therapeutic use. This qualitative study explored how young adults with ASD level 1 who identify as SGM describe their experiences with RPGs and how they appraise the potential usefulness, risks, and conditions of TA-RPG. Five participants …

The Psychological Process Of Decolonizing The Colonized Self: A Grounded Theory Based On Hong Kongers’ Decisions After The 2019 Protests, Lai Kwan Shirley Lo

Antioch University Dissertations & Theses

Hong Kong, a British colony for over a century, was returned to China in 1997. In 2019, the proposal of an extradition bill sparked widespread outrage, leading to a year of unprecedented social unrest. The protests eventually dissipated with the advent of the COVID-19 pandemic and the Chinese central government’s tightening controls. Although the state characterized its interventions as decolonization, a significant wave of Hong Kongers responded by leaving their homeland to cultivate new lives in the “Western world,” including Britain. How does a colonized population willingly return to their colonizer after decolonization? This study sets out to search for …

The Gender Binary And Its Effects On Athletes And Society At Large As Described In Newspaper Accounts Of Competitors In The Summer 2024 Olympics, Neo Zheng

Honors College Theses

The purpose of this paper is to look at the impact of gendered language and gender rhetoric on the continued social maintenance of gender, especially as it relates to athletes. This project focuses on the patterns that arise in language of news articles on two female athletes participating in the 2024 Paris Olympics who are accused of being transgender or male, shedding light on how media outlets talk about the topic of gender in athletes specifically, and society itself more generally.

From The Classroom To The Workplace: The Role Of Internships In Shaping Student Values, Jasmine Williams

Honors College Theses

A significant degree of research on workplace values has been conducted to better understand how employees are motivated in the hopes of reducing turnover. There also exists a significant body of literature on how internships impact career outcome and can effectively prepare students for the workforce. However, previous studies have not explored the differences between students who have completed internships in comparison to those who have not. The goal of this research is to determine whether internships create a significant impact on students’ workplace values (e.g. intrinsic, extrinsic, altruistic, and social) when compared to students who have not completed an …

Transforming Cancer Nursing Care Through Academic-Clinical Practice Partnerships, Eileen Danaher Hacker, Constance Johnson, Asha Demla

International Nursing Research Congress (INRC)

Background: Academic-clinical partnerships in nursing are vital to foster scholarly inquiry, strengthen quality improvement, promote evidence-based practice, and advance research initiatives. Hosting a collaborative conference strengthens academic-clinical practice partnerships and creates a platform for communicating findings.

Purpose: This report details the program evaluation of the inaugural Transforming Cancer Nursing Care Through Quality Improvement, Evidence-Based Practice, and Research Conference hosted jointly by an academic medical center and school of nursing.

Methods: Findings from a study that identified and prioritized the real-world challenges faced by cancer nurses served as the initial catalyst for convening the conference. The academic-clinical practice partnership provided the …

Ccb Release Impact On Indonesia’S Bank Lending: A Difference-In-Differences Approach, Sang Tyas Suci, Beta Yulianita Gitaharie

Jurnal Ekonomi dan Pembangunan Indonesia

This study investigates the impact of Indonesia’s Capital Conservation Buffer (CCB) release on loan growth during the COVID-19 recession. Using a Difference-in-Differences (DiD) approach and bank-level data from 2019:Q1 to 2022:Q2, it analyzes how regulatory capital relief affected lending. The results indicate that the regulation was an effective countercyclical tool to increase loan growth, particularly among less-capitalized banks. The research contributes to the limited empirical evidence on capital buffer policies in emerging markets by examining the effectiveness of temporary capital relief in crisis contexts. We suggest future research on the buffer reimposition and exploring its implications for post-crisis lending behavior.

Design Considerations For Development Of A Youth Advisory Board, Michelle I. Graef, Penny Putnam Collins

Center on Children, Families, and the Law (and Related Organizations): Publications

This guide provides an overview of youth advisory board (YAB) design components. The guide is organized around key design components, with examples from States across the country to illustrate different approaches. A range of examples are provided that highlight diverse and instructive models of the various ways YABs have been structured. Each section describes approaches that states have used in practice, offering jurisdictions a menu of options to consider when developing or strengthening their own YABs. Descriptive information about state YABs was gathered through interviews conducted with state YAB administrators and contractors from 8 states, conducted from October–December 2024. Examples …

Bridging The Gap: Predictors Of Alignment Of Parent And Caseworker Perceptions Of Engagement, Jianchao Lai, Michelle I. Graef

Center on Children, Families, and the Law: Faculty Publications

This study examined predictors of alignment between parents’ and caseworkers’ perceptions of family engagement in child welfare services. Using data from 2,274 Alternative Response (AR)–eligible families randomized to AR or Traditional Response, engagement was assessed across the domains of Receptivity, Buy-in, Worker-family Relationship, and Mistrust using a modified Yatchmenoff (2005) scale. Multinomial logistic regression models identified factors associated with agreement and discrepancy between ratings of family engagement within the parent and worker dyad. While both parents and workers valued engagement, workers were more likely to provide higher overall engagement ratings, although the direction of discrepancy varied across specific subscales. Greater …

Relationship Between Turnover, And Resilience Among Critical Care Nurses In Oman. An Implication For Nursing Practice., Mohammed Qutishat

Health Professions Education

Background: Critical care nurses face numerous challenges, including increased anxiety, depression, and traumatic incidents. Workplace stress can lead to Burnout and turnover, with a significant percentage of global hospital nurses planning to leave within a year. Resilience and positive attitudes towards mental health are crucial for nurses, as they serve as societal leaders. In Oman, many nurses plan to leave their current jobs within a year, highlighting the need for healthcare organizations to create measures to avoid stressors and foster worker well-being.

Aim: To examine the relationship between turnover and resilience among critical care nurses in Oman.

Method: This study …

Varieties And Forms Of Capstone Experiences In U.S. Pharmacy Education, Mohammed A. Islam, Erfan Kohzadi, Laleh Zamirian

Health Professions Education

Purpose: In health professions education, capstone courses provide students with a culminating experience, enabling them to integrate and apply clinical and practice skills in real-world settings. With their growing adoption in Doctor of Pharmacy (PharmD) curricula, this study examined the prevalence, diversity, and structure of capstone courses across US programs. The aim was to identify emerging patterns that can inform the development of models aligned with accreditation standards, workforce expectations, and ongoing curricular improvement.

Methods: A systematic content analysis of 142 US pharmacy program websites was performed. The recorded data included course objectives, format, credit hours, course placement, teaching methods, …

Factors Influencing Feedback In A Problem-Based Learning Curriculum: A Mixed Methods Study In The Context Of Saudi Arabian Medical Schools, Abdulmohsen M. Alomair, John Sandars, Michelle Marshall, Pirashanthie Vivekananda-Schmidt

Health Professions Education

Purpose Even though there is extensive literature about good practice in feedback, it is currently unclear how to sustain a good quality feedback experience in a problem-based learning (PBL) curriculum. This research aims to explore students’ and tutors’ experiences of the feedback process in a PBL curriculum in the local context of Saudi medical schools, and to identify factors that influence perceived feedback quality. Method A mixed methods approach was adopted. First, 856 students from six medical schools completed a survey, followed by 12 student focus groups and 11 tutor semi-structured interviews across four schools. Results Verbal feedback was reported …

Assessing The Academic Performance Of Medical Students In Face-To-Face And Online Examinations: A Comparative Study From A Leading Medical College Of Peshawar, Pakistan, Rizwan Faisal, Iftikhar Qayum, Lia Anwar, Usama Afridi, Abdul Rahman, Rehan Ahmad

Health Professions Education

Background: The world of medical education is rapidly replacing the traditional face-to-face assessments of students by switching to online systems, and Pakistan is also undergoing this transition in its medical colleges and universities. It is therefore essential to obtain data on the performance of medical students in this new mode of assessment so that a smooth transition is enabled. Objective: To evaluate the academic performance of medical students in face-to-face and online examinations based on gender and professional year. Methods: A comparative study was performed at Rehman Medical College, Peshawar, Pakistan, from November 2023 to January 2024, on face-to-face and …

Exploring Job Stressors And Burnout Among Core Faculty In Entry-Level Physical Therapist Education Programs: A Convergent Mixed Methods Study, Jj Ferguson, Adam Fritsch, Jodi L. Young

Health Professions Education

Purpose This study explored burnout among core faculty in Doctor of Physical Therapy (DPT) programs, identifying its most prevalent aspects and key organizational correlations. Methods A convergent parallel mixed-methods design integrated quantitative data from the Maslach Burnout Inventory–Educators Survey and the Areas of Worklife Survey with qualitative data from semi-structured interviews. Data were collected concurrently, analyzed independently, and merged during interpretation. Quantitative analyses used multiple linear regression, while qualitative data underwent thematic analysis. Results Eighty-one faculty completed the survey and 20 participated in interviews. Emotional exhaustion emerged as the most prevalent burnout dimension, with 51.9% reporting moderate to high levels. …