Medicine and Health Sciences Commons^™

Exploring The Reassessment Of Palliative Home Care Clients: A Mixed Methods Study, Maya Canham

Theses and Dissertations (Comprehensive)

Introduction: The timely reassessment of clients receiving palliative home care (HC) is critical for supporting clinicians with care planning and service delivery. However, there is little information on the frequency of reassessments and factors driving reassessment in palliative HC clients.

Objectives: The objectives of this study were to: (i) determine the proportion of palliative HC clients reassessed with the interRAI Palliative Care (interRAI PC) instrument, (ii) calculate the average interRAI PC reassessment interval, (iii) identify the key factors driving interRAI PC reassessment at various intervals, and (iv) explore the factors that influence palliative HC clinicians to reassess their clients in …

Leadership In Behavioral Health, Rebecca Mccoy

School of Business Student Theses and Dissertations

Abstract

Leadership in healthcare is difficult when dealing with human contact in its most raw and vulnerable way. Leadership in behavioral health is just as challenging as direct practice practitioners tend to be the ones who move up into these roles. This study will exam “Identifying factors that promote successful leadership and challenges that cause barriers to having successful leadership in behavioral health.” This includes soft and hard skill knowledge, growth opportunities and the strengths and struggles in moving into leadership roles in this industry.

The study is based on phenomenological research to gain an understanding of the individual experience …

“It Is Tiny And It Is Everything”: Exploring The Effects Of Arts-Integrated Gardening On Experiences Of Ecological Grief Through Autoethnographic Research, Christina Kingsbury

Theses and Dissertations (Comprehensive)

This study explores how arts-integrated gardening affects experiences of ecological grief through autoethnography and draws on my personal experiences as a survivor of environmentally linked cancer and artist working with gardens through social practice. My research builds on two areas of emergent scholarship—investigations of ecological grief and gardens as sites for social work practice—to explore how social work may address ecological grief through arts-integrated gardening. I use a quilting autoethnography as a method of inquiry to foreground my subjective knowledge and analyze it through intersectional feminist, disability and decolonizing theories. By incorporating narrative analysis and arts-based inquiry—writing in place, poetic …

Weight Stigma In Health-Related Undergraduate Programs, Alicia Rodney

Theses and Dissertations (Comprehensive)

Health-related undergraduate programs are common pathways for future health care providers and play a critical role in shaping attitudes toward weight, as biases formed during training often carry over into professional practice. While weight stigma (WS) has been examined among practicing professionals and medical students, little is known about how it is experienced by undergraduate students in different health-related programs, particularly across the weight spectrum. This qualitative study contributes to closing this gap by exploring and comparing how students in one kinesiology and one health sciences program experience WS within an academic setting.

Using Reflexive Thematic Analysis, open-ended survey responses …

Development Of A Stress Response Framework For Understanding Sogie Refugee Health, Arooran Saravanan Ananthavel Murugan

Theses and Dissertations (Comprehensive)

As an increasing number of individuals flee persecution on the basis of sexual orientation and gender identity expression (SOGIE), Canada has become a prominent destination for SOGIE refugees. The chronic stressors encountered by this marginalized population remain insufficiently studied, particularly in relation to physical health outcomes. This qualitative study investigates the cumulative health impacts of chronic stress among SOGIE refugees through the application of a cell-to-society framework, underpinned by Minority Stress Theory (MST). The study seeks to develop a SOGIE-specific stress response framework that theorizes the processes by which social and environmental stressors become biologically embedded, thereby contributing to elevated …

More Than Meets The Eye: A Phenomenological Study Of Self-Concept, Identity, And Meaning-Making In Adults With Acquired Vision Loss, Melinda M. Szilva

Theses and Dissertations (Comprehensive)

The qualitative research project examines the lived experience of acquired vision loss in adulthood and its impact on the way participants see themselves and the world around them, both sensorially and metaphorically. The research question, “What are the lived experiences of adults with acquired vision loss as they relate to identity and conceptions of self?” is informed by the researcher’s clinical practice as a psychotherapist in a low vision clinic. The dissertation includes a literature review focussed on the psychosocial aspects of vision loss to provide insight into the intended population and context for the study. Data for the phenomenological …

Barriers To Postpartum Depression Treatment: Availability And Accessibility Of Maternal Behavioral Health-Inclusive Support Groups For Low-Income Populations, Radhika S. Venkatesan

Honors Undergraduate Theses

The maternal health crisis is a prevalent and concerning issue in the United States. The lack of efficient availability and accessibility to health care services plays a significant role in augmenting this problem. One health care service that is often understudied is support groups, for prevalent issues like postpartum depression. Considering the socioeconomic burdens of low-income mothers, this paper analyzed the accessibility and availability of maternal health support groups across counties in Florida, with varying amounts of individuals below the federal poverty level (%BPL). Essentially, Florida counties were divided into one of four categories depending on their %BPL. A Fisher’s …

A Quantitative Study Comparing The Effects Of Physical And Digital Mandala Coloring On Anxiety In High School Students, Amy Bainton

Art Therapy | Master's Theses

Through the frameworks of Solution-Focused School Counseling (SFSC) and art therapy, this quantitative research paper compared the potential effects of using a physical versus a digital mandala coloring page with high school students experiencing test anxiety before a final exam. Participants took part in one of two experimental tasks before taking their exam, where they either used colored pencils to color a preset mandala or used a cellphone-based website to color in a mandala digitally. Participants completed a brief pretest-posttest State-Trait Anxiety Inventory (STAI) and answered an independent questionnaire to further understand their experience after artmaking. Data results were analyzed …

Mixed Methods Study On The Impact Of Coloring Mandalas On Emotional Regulation, Mindfulness, And Attachment Style In Adults, Rachel N. Faas

Art Therapy | Master's Theses

Abstract
This mixed methods study investigates the impact of coloring pre-drawn mandalas on adult emotional regulation, mindfulness, and state attachment style. Drawing from Attachment Theory and Art Therapy frameworks, the research evaluates whether adult coloring interventions—specifically structured mandala designs—can serve as accessible tools for improving psychological well-being. A sample of adult participants engaged in a mandala coloring intervention and completed pre- and post-assessments measuring emotional regulation, mindfulness, and attachment style, including qualitative interviews to capture subjective experiences. Results suggest that mandala coloring may promote increased mindfulness and adaptive emotional regulation strategies, with preliminary evidence indicating shifts toward more secure attachment …

Altered Book Making With Siblings Of Adults With Schizophrenia: A Mixed Methods Approach, Anna-Marie M. Vargas

Art Therapy | Master's Theses

Schizophrenia is a severe mental illness that affects the entire family unit. Due to deinstitutionalization, families are often left to care for their loved ones the best they can without the structured support offered by long-term hospitalization. As parents age and become less able to care for adult children with schizophrenia, the task of ongoing support in various capacities falls to the next of kin, most often, to siblings. There is limited research on the experiences of siblings of adults with schizophrenia, and to date, there have not been any published studies with this population in the field of art …

Creating A Neonatal Intensive Care Unit Evidence Based Evaluation Protocol, Mary Redlin

Occupational Therapy Capstones

Background: Neonatal Intensive Care Units (NICU) in the United States admit approximately 300,000 infants annually (Valencia et al., 2023). Upon admission, neonatal occupational therapists assess a range of factors, including neurobehavioral, neuromotor, musculoskeletal, and sensory systems, as well as family/caregiver interactions and activities of daily living (Craig et al., 2018). This comprehensive evaluation underscores the need for effective assessment tools, efficient protocols, and adequate support for therapists. However, practitioners often face challenges that impact the quality of care, such as limited resources, lack of specialized training, and inconsistent organizational standards (Kaur et al., 2021). Occupational therapy has emerged as a …

Promoting Wellness In Community-Dwelling Older Adults: An Occupational Therapy Approach Guided By The Eight Dimensions Of Wellness, Mckenzie Ulrich

Occupational Therapy Capstones

Background: Wellness is a process where an individual intentionally makes choices to support a satisfying lifestyle and is aware of their choices (Swarbrick & Yudof, 2015). In the United States, unhealthy lifestyle choices and the high prevalence of chronic conditions negatively influence one’s health, wellness, and quality of life (Li et al., 2018). Additionally, age-related changes can negatively influence one’s overall well-being. Examples of age-related changes may include changes in strength, mobility, coordination, balance, gait, and cognitive functioning (Bello-Haas et al., 2018a; Bello-Haas et al., 2018b; Judge & Dawson, 2018). Occupational therapy's role in health promotion and prevention includes promoting …

Occupational Participation Through Harm Reduction, Allie Reiffenberger

Occupational Therapy Capstones

Purpose: Individuals who have experienced homelessness face higher risks of physical disabilities, mental illnesses, and substance use disorders (SUD), which often co-occur, compared to the general population (Mosel, 2024; Parker & Scaffa, 2020; SAMHSA, 2023a). Due to past experiences and unmanaged chronic conditions, substance use, and negative health behaviors are common. The high prevalence of SUD, mental illness, and chronic health conditions in this group severely affects their ability to engage in daily activities, influencing overall health and well-being (Marshall et al., 2020a). While complete abstinence is often deemed ideal, it can be unrealistic for this population. Harm reduction seeks …

Accessibility Of Higher Education: Supporting Student Self-Advocacy, Morgan Diane Halliday

Occupational Therapy Capstones

As of the 2020-2021 academic year, 1 in 5 undergraduate students reported having a disability (National Center for Education Statistics, n.d.). College students with disabilities (CSWD) face social and physical environmental barriers to higher education due to exclusive policies, procedures, and designs. In turn, occupational engagement is decreased, inhibiting participation in education. A college education can support career opportunities, financial stability, and personal development (Plotner & May, 2019). Therefore, it is essential that CSWD have equitable access. Despite efforts from college campuses to become more accessible, gaps remain that require CSWD to be self-advocates. The purpose of this project was …

A Guide To Occupational Therapy Intervention Planning For Individuals With Migraines In Rural Communities, Angelina M. Caron

Occupational Therapy Capstones

One in ten individuals in the world experience migraines (Amari et al., 2022). Migraines are a debilitating condition that presents with symptoms of intense head pain, aura, and nausea (American Migraine Foundation, 2018; Mayo Clinic, 2023). These symptoms have a global effect on an individual’s life and affect the meaningful and necessary tasks they do each day including work, school, family and social life, and their emotional health and cognitive functioning (Buse et al., 2019; Estave et al., 2021). Occupational therapy (OT) can be used with individuals with migraine by addressing factors such as routines, migraine self-management, cognitive strategies, and …

Coming To Your Senses: A Guide For Sensory Considerations In Higher Education, Aspen D. Delano

Occupational Therapy Capstones

Background: Sensory stimuli bombard humans at every point during their day. Senses are the avenue through which humanity interacts with its world. Individuals have varying thresholds of sensory stimuli. When people face more stimuli than they can cope with, they struggle to interact with the world around them. This can pose a significant challenge for graduate-level college students due to the already strenuous mental load required for formal education. The association between sensory processing and stress has strengthened in recent years, with individuals reporting a positive feedback loop between these constructs (Harrold et al., 2024). Stress leads to greater sensory …

A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried

Art Therapy | Master's Theses

This mixed methods, randomized, single-session study tested whether integrating text-to-image generations into Solution-Focused Brief Art Therapy alters therapeutic rapport and short-term outcomes relative to traditional artmaking materials. Participants were assigned by coin flip to create using either a text-to-image generator or convention media (23 per group), completing immediate and three-day follow-ups. Alliance was measured using DREAM (Dimensions of Regard, Empathy, and Authenticity Metric), and problems were rated pre/post; groups did not differ significantly on DREAM total or facets, and both modalities produced reliable pre-to-post reductions in problem severity. At the same time, process differences were pronounced: the AI condition showed …

Rad Reduction Reveals Therapeutic Potential Of Targeting Cardiomyocyte L-Type Calcium Channel Regulation For Heart Failure, Garrett Elmore

Theses and Dissertations--Physiology

Heart failure (HF) is prevalent and is predicted to increase with the aging population. Dilated cardiomyopathy (DCM) is a common cause of systolic HF. Current therapies fail to address principal issues: compromised systolic function and dysfunctional Ca²⁺ handling. No therapeutic approach exists for direct, positive modulation of cardiomyocyte L-type calcium channels (LTCC). RAD (Ras associated with diabetes) is a key regulator of the cardiac LTCC. RAD is a downstream phosphorylated target of the ß-adrenergic receptor (ß-AR)/cAMP/protein kinase A pathway; phosphorylation augments LTCC activity, contributing to chronotropy, inotropy, and lusitropy. RAD overexpression results in LTCC inhibition, whereas knockout positively modulates …

Identity Formation In Adolescents Using Assemblage And Found Objects, Sahar Mozaffar

Art Therapy | Master's Theses

The purpose of this study was to explore a gap in current research that reveals how art therapy, using assemblage with found objects, empowers adolescents to explore their identity by creating a personal narrative. Identity formation is a critical step in adolescence that involves the development of a coherent sense of self and identity (Erikson, 1968, as cited in Branje et al., 2021). For the adolescent to be successful in this stage, they must synthesize both their personal and social identities (Erikson, 1950, as cited in McLean & Syed, 2014). Using this understanding of adolescent identity, this study utilized a …

Parents With Low Mood And Their Child: Exploring The Effects Of Group Art Therapy, Allison M. Pierce-Gay

Art Therapy | Master's Theses

This qualitative study examines the effects of group art therapy on postpartum depression (PPD) symptoms, specifically focusing on reducing isolation and improving parent–child attachment. The participants included two parents with self-reported low mood and one child (aged 2–2.5 years), and insights from eight multidisciplinary experts (clinicians, educators, and parents) were also gathered. Interventions included a somatic body scan, collage-making, and dyadic handprint painting. The results indicated reduced isolation (Likert scores improved from 3.5 to 4.75) and enhanced attachment through nonverbal co-creation; however, structural barriers (e.g., time poverty) limited sustained impact. Expert interviews identified seven themes, including grief, systemic isolation, and …

Death, End-Of-Life Doulas, And Art:
Exploring Connections Between Death Competency And Art Making, Jill K. Hoefgen

Art Therapy | Master's Theses

Death in the United States is often viewed as a medical event rather than the natural course of life, which results in avoidance of planning for the inevitable. The emergence of Hospice in the 1970s, Medical Aid in Dying (MAID) laws in several states, and the positive death movement have demonstrated a shift in attitudes and priorities about death and dying. Since the early 2000s, end of life doulas (EOLDs) have emerged as practitioners who help people plan for and transition to death. Emotional and existential coping skills are components that emerge from death work, and these elements can be …

Asymmetric Synthesis Of The Hiv Protease Inhibitor Tmc-126 And An Anti-Malarial Agent Via A Titanium Tetrachloride Mediated Asymmetric Glycolate Aldol Addition Reaction. Redefining The Curtius Rearrangement Reaction Via Dehomologation Of Carboxylic Acids Bearing Alpha-Leaving Groups, Kweku Amaning Affram

Theses and Dissertations

Acquired Immune Deficiency Syndrome (AIDS) and malaria are two devastating infectious diseases caused by HIV and Plasmodium parasites. AIDS is caused by HIV-1 and HIV-2, transmitted through sexual contact, blood transfusions, needle sharing, and perinatal routes. Malaria, caused by plasmodium parasites through mosquito bites. Today, millions of people around the world have been infected with HIV and malaria and much research has been done to treat it. However, despite advancements in therapeutic options, these diseases remain a significant global health threat, particularly in developing countries due to the emergence of drug-resistant strains for both HIV and malaria complicating eradication efforts. …

The Role Of Sptbn1 Protein In Microglia Cells Actin Structure And Hiv-1 Infection, Rachel Pecka

Graduate Theses/Dissertations

Human immunodeficiency virus (HIV) directly attacks the host immune system by infecting and replicating in CD4-presenting immune cells. Like most viral pathogens, HIV utilizes cellular machinery to assist in viral entry, transport, and export. One of the components HIV is known to utilize for replication is the actin cytoskeleton. By directly binding to actin or actin-binding proteins, HIV can manipulate structural dynamics within the cell. The way HIV hijacks actin for replication post-viral fusion isn’t fully understood, especially during viral transport to the nucleus. A 2013 study conducted by Dai et al. found that lowering the expression of the cellular …

A Framework For Mixed Reality Within Healthcare Education, Benyamin Ebadinia

Theses

Understanding complex three-dimensional systems and spatial relationships is a recurring difficulty in healthcare education, where students are often expected to reason about internal structures and multi-system processes from 2D diagrams, textbook figures, and static mannequins. This thesis presents the design, implementation, and mixed-methods evaluation of Systems Simulation, a reusable mixed reality (MR) application intended to help undergraduate nursing students explore human anatomy and pathophysiology using immersive 3D visualization.

Built in C# with the StereoKit framework for Microsoft HoloLens 2, Systems Simulation organizes nine anatomical body systems within a shared application. Learners can select a system, anchor the model in their …

Examining The Impact Of A Health Course On Lifelong Learner Attitudes Toward Psychedelic And Entheogenic Substances, Dustin B. Larrazolo

Cal Poly Humboldt theses and projects

This study examined the impact of a three-week Osher Lifelong Learning Institute (OLLI) health course, “Far Out” Medicine: The Science and History of Psychedelics, on midlife and older adult learners’ knowledge, attitudes, and perspectives regarding psychedelic and entheogenic substances. Eleven midlife and older adults (ages 40 - 80; M = 59.0, SD = 15.35) completed matched pre- and post-course surveys assessing demographic characteristics, factual knowledge, attitudes, personal willingness, and social or policy views. The sample was highly educated (1 associate, 5 bachelor’s, 3 master’s, and 2 doctoral degrees) and demonstrated strong internal consistency and response convergence across repeated measures. …

Implementation Of The Novel Nurse Intuition Patient Deterioration Scale To Assess For A Correlation Among Nurse Intuition And Patients Returning To The Intensive Care Unit, Janie L. Walsh

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/Background: Adult hospitalized medical and surgical patients at an academic medical center are being transferred out of the Intensive Care Unit (ICU) to the step-down floor and having rapid response calls in less than 48 hours after the transfer. Nurse intuition is not a consideration in the decision to transfer a patient. Physiological variables such as Modified Early Warning Scores (MEWS) and vital signs are relied on heavily as indicators for escalation or de-escalation of care. There is evidence supporting the use of acknowledging nurse intuition to better predict a patient’s readiness for transitions of care.

Purpose: To evaluate the …

A Limb-Speed-Driven Locomotor Control System And Its Ability To Adapt, Emily Marie Herrick

Graduate Theses, Dissertations, and Problem Reports (ETD)

Despite how simple walking may seem, the locomotor control system is structurally and functionally complex. Its hierarchical organization of supraspinal and spinal networks with forward and feedback pathways has many interactions at multiple levels that are dependent on the dynamics of a high-dimensional musculoskeletal system. Having a comprehensive understanding of sensorimotor integration within a healthy locomotor control system is crucial for understanding changes to the system due to age or neurologic disease and developing effective technologies to recover mobility in those populations. In this dissertation, we address persistent gaps in knowledge pertaining to how the nervous system controls locomotion.

In …

An Evidence-Based Practice Initiative To Improve Blood Pressure Control, Teresa D. Hines

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction/Background: High blood pressure (HBP) is a significant public health concern. It affects millions of adults in the United States (US) and half of the adult population in the Appalachia regions. High blood pressure is a known risk factor for cardiovascular disease (CVD), which is the leading cause of morbidity and mortality Appalachia. Complications associated with high blood pressure result in substantial economic burdens for patients and their families, healthcare systems, and national economies. High blood pressure is a significant health issue in West Virginia (WV), with an estimated 602,000 people suffering from HBP.

Purpose: The purpose of this …

Tobacco And Trouble: Exploring The Health Consequences Of Electronic Cigarette Use In Adolescents, Noor Ibrahim Abdulhay

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Tobacco use remains one of the leading causes of preventable disease and death in the United States (U.S.). Although conventional cigarette use among youth has declined, the use of electronic cigarettes (e-cigarettes) has become highly prevalent and poses emerging public health concerns. Adolescence represents a critical developmental period for both oral and mental health, making it essential to understand the consequences of tobacco and nicotine exposure during this stage. The goal of this dissertation is to examine the health impacts of tobacco use in adolescents across multiple domains. Specifically, this research (1) synthesizes existing evidence on the relationship between …

Feasibility Testing Of A Web-Based Phq-9 Test For Student Depression, Israel Oluwagbenga Odugboye

Graduate Theses, Dissertations, and Problem Reports (ETD)

Feasibility Testing of a Web-Based PHQ-9 Test for Student Depression

Israel Odugboye

Student depression stands as a critical public health issue because it affects numerous young adults who experience academic decline, disability, absenteeism, productivity reduction, and suicidal thoughts. The general population shows a 10% to 15% lifetime risk of developing depression which leads to a twentyfold elevation in suicide risk for depressed individuals [3]. The Patient Health Questionnaire-9 (PHQ-9) serves as a popular tool for detecting depressive symptoms and determining severity levels among students from different cultural backgrounds. The assessment contains 27 possible scores which follow DSM depressive symptom criteria …