Medicine and Health Sciences Commons^™

Integrative Machine Learning Of Genetic And Lifestyle Factors For Personalized Skin Health, Yassine Benachour, Lina Maloukh, Barbara Geusens

All Works

Objective: To develop an AI framework that combines genetic, phenotypic, and lifestyle data for profiling skin-health patterns and generating hypothesis-supporting summaries for potential decision support. Methods and procedures: A dataset of 5,254 individuals integrates six genes (FLG, AQP3, MMP-1, MMP-3, SOD2, GPX), six phenotype severities, and 20+ lifestyle factors. Mutation burden and interactions are tested by ANOVA. K-modes clustering identifies four interpretable dermatological profiles within the cohort and is embedded in leakage-free nested cross-validation (train-only selection; test labels from training centroids). Subtypes are predicted from genetics plus lifestyle using an XGBoost (XGB) classifier; explainability uses gain, permutation importance, and SHAP …

Poct Hgb A1c And Patient Satisfaction In Adult Patients With Diabetes, Kelly Galvin

West Chester University Graduate Theses, Dissertations, and Final Projects

Point-of-care testing (POCT) is used to measure a variety of healthcare data rapidly at the bedside. It can be particularly useful when laboratory data is not available at the time a patient sees their healthcare provider (HCP). Patients living with diabetes frequently do not obtain laboratory data prior to their visit with their HCP. This quality improvement projected aim to assess if use of POCT to measure an Hgb A1c level in patients with diabetes affected patient satisfaction in an endocrinology clinic. Eligible participants were asked to complete an anonymous survey, with three questions asking if having their Hgb A1c …

The Experiences Of Black Women’S Maternity Care And Its Effects On Pregnancy Outcomes, Joy O. Osaghae

West Chester University Graduate Theses, Dissertations, and Final Projects

Health disparities in maternal health are a significant challenge to the public health of the United States, and Black women have double the morbidity and mortality rates of maternal illnesses in comparison with White women. These inequalities persist across socioeconomic levels, highlighting systemic inequities within the healthcare system. Some published studies have focused on quantitative outcomes, but few have examined Black women's lived experiences and their impact on pregnancy outcomes. This paper fills this gap by discussing the maternity care experiences of Black women in Philadelphia, Pennsylvania. Drawing on Critical Race Theory and Intersectionality Theory, this qualitative phenomenological study explored …

Analysis Of The Functional And Acoustical Comfort Of Earplugs Experienced By A Group Of Workers In Canadian Companies And Identification Of The Influencing Variables, Bastien Poissenot-Arrigoni, Olivier Doutres, Alessia Negrini, Djamal Berbiche, Franck Sgard

Études primaires

Earplugs are essential for hearing protection in noisy workplaces, but their effectiveness depends heavily on user comfort, which influences proper and consistent use. This study explores functional and acoustical comfort experienced by 173 workers across Canadian companies, each testing different ’disposable or reusable’ earplug models over seven weeks. Comfort is assessed using detailed questionnaires covering six subdimensions: ease of insertion and removal, noise protection, impact on work, and discomfort related to internal and external noise perception. Linear mixed-effects models are applied within a triad framework encompassing person-, earplug-, and environment-related characteristics in order to identify those with a significant influence …

Lung Inflammation From Daily Exposure To Airborne Particulate Matter In A Trade School, Kynda Tinawi, Céline Plante, Alan Da Silveira Fleck, Édith Giasson, Isabelle Valois, Caroline Couture, Eva Suarthana, Maximilien Debia, Audrey Smargiassi

Études primaires

Background Workers are exposed daily to various airborne chemical agents, however, associations between daily exposures to particulate matter and lung inflammation in occupational settings have been little explored. Objective To estimate the association between daily occupational exposure to respirable (PM4 and PM2.5), ultrafine particles, their oxidative potential, and fractional exhaled nitric oxide within apprentices in a school of construction trades. Methods We used a repeated measures design over 5 consecutive days in 56 apprentices from 3 construction trade sectors (bricklaying, welding, and carpentry). Fractional exhaled nitric oxide was measured each day post-work. Personal and work area daily PM4 were collected …

A Delphi Study Of Ethical Best Practices For Psychedelic Assisted Therapy, Alyssa K. Griskiewicz

Antioch University Dissertations & Theses

The purpose of this Delphi study was to establish areas of ethical consensus regarding psychedelic-assisted therapy (PAT) from the perspectives of an expert panel of practitioners, with attention to issues of equity and access. Participants (N = 29) include individuals with two or more years of experience in one or more of the following domains of psychedelic expertise: clinical/professional practice, scholarly/research contributions, or guided community/ceremonial facilitation. In Round 1, qualitative data were collected through open-ended questions and analyzed using thematic analysis to generate Delphi statements. In Round 2, panelists (N = 24) rated these statements using a Likert-type scale to …

Cross-Domain Identity Development In Bipoc Autistic Adults: A Grounded Theory Study, Ginnylyne Mariano Guisadio

Antioch University Dissertations & Theses

Racial and autistic identity development both involve navigating stigma, seeking community, and contending with dominant frameworks that constrain authentic self-expression, yet existing research has not examined how these processes interact for individuals holding both identities. These interactions unfold within structural conditions such as diagnostic disparities, culturally specific ableism, and racialized consequences of visible autistic expression, which shape how identity development proceeds for BIPOC autistic adults. This study investigated whether and how the core identity processes of exploration and commitment proceeded for this population. Nine BIPOC autistic adults participated in written interviews analyzed through constructivist grounded theory, with identity status theory …

Infection Control Across Clinical And Laboratory Dental Settings Protocols, Risks, And The Role Of Emerging Technologies, Khrystyna Vyprynyuk, Laura Andreesku

Publications and Research

This article explores infection prevention strategies and disease transmission pathways in dental settings, emphasizing the critical connection between clinical practice and dental laboratories. It highlights the risks of cross-contamination, disinfection and sterilization challenges, and the growing role of technology in enhancing infection control.

Le Parcours Des Travailleurs Immigrants Blessés Et Son Incidence Sur L’Alliance Thérapeutique : Une Étude De Cas Longitudinale En Contexte De Réadaptation Au Travail Au Québec, Maude Arsenault, Jessica Dubé, Daniel Côté

Études primaires

Cette étude explore l’incidence du parcours prélésionnel des travailleuses et travailleurs immigrants (TI) blessés sur l’alliance thérapeutique (AT) en réadaptation au travail. À partir d’une ethnographie longitudinale menée dans une clinique québécoise, sept trajectoires ont été analysées selon leurs dimensions migratoires, socioprofessionnelles et linguistiques. Les résultats montrent que le déclassement professionnel, la précarité de l’emploi, les barrières linguistiques et les expériences de racisme fragilisent la construction du lien de confiance et la définition partagée des objectifs de retour au travail. Lorsque l’emploi prélésionnel est perçu comme transitoire ou inadéquat, l’obligation institutionnelle d’y retourner crée une rupture symbolique qui entre en …

Health And Nutrition In The First 1000 Days Of Life, Yaojiang Shi, Qi Zhang, Yiliang Zhu, Jingchun Nie

Health Behavior, Policy & Management Faculty Publications

Malnutrition and health issues remain persistent global crises, with developing regions bearing the brunt of the burden. According to the World Health Organization, nearly half of under-five deaths in low-and middle-income countries are linked to malnutrition, while stunting, wasting, and micronutrient deficiencies impair the development of millions of children annually. The studies in this special issue focus on countries facing distinct yet interconnected challenges: Sub-Saharan African nations grapple with high rates of stunting and maternal high-risk fertility behaviors; China confronts rural-urban disparities in dietary diversity and grandparenting practices; Colombia struggles with intersectional inequalities driving infant mortality; and Zambia faces unique …

Exploring Healthcare Students' Perceptions About Race And Privilege At A Large Academic Medical Center: A Pilot Study Of A Peer Education Program, Elizabeth A. Brown, Dante Pelzer, Katrina Black Reed, Chinieka Jackman-Rogers, Madison Kimmell

Health Behavior, Policy & Management Faculty Publications

Amid the racial unrest stemming from the summer of 2020, in the United States, many institutions had difficult conversations about race and the impact of racism with employees, students, and patients. In January 2021 and February 2021, we recruited undergraduate students for the Peer Education Program (PEP), a voluntary program conducted at a large academic medical center, and encouraged students to have a safe space to discuss controversial topics in healthcare. From April 2021 to July 2021 four interdisciplinary healthcare students met once a month for 1 hr to discuss privilege, race/racism, leadership, and advocacy and their influence on health …

Advancing Food Equity Through Explainable Ai (Xai): Identifying Place-Based Factors And Conditions Of Food Security, Leslie Hoglund, Hyoshin Park

Health Behavior, Policy & Management Faculty Publications

Food behaviors, food security, and their association with socioeconomic factors constitute a critical area of study with implications for public health, economic stability, and social equity. Understanding these relationships are essential for developing effective policies and interventions that promote sustainable, healthy food systems and greater food equity. This paper employs explainable artificial intelligence (XAI) methods to identify key features influencing household food behaviors. The insights gained from the XAI analysis are further utilized in conjunction with inverse reinforcement learning (IRL) to examine expert behaviors related to eating habits satisfaction. The XAI results reveal that household health conditions, spending patterns, and …

A Scoping Review To Conceptualize Social Privilege For Studying Patients' Health Outcomes And Health Disparities, Elizabeth A. Brown, Priyanka Patel, Esther May B. Sarino, Vladimir Markovic, Carles Muntaner

Health Behavior, Policy & Management Faculty Publications

Background

The continued reliance on single-category self-reported demographic data (e.g., race/ethnicity) reflects conceptual limitations that hinder the study and understanding of health outcomes research. There is a pressing need for more precise measures of social privilege that conceptualize privilege and oppression while enabling the examination of their effects on health outcomes in the United States (US) healthcare system.

Objective

The purpose of this scoping review was to review the literature, determine how researchers have measured aspects of privilege and oppression, and develop a conceptual framework to study patients' social privilege in the US healthcare system and public health research.

Methods …

Large Language Model-Assisted Research Question Development In Public Health: A Case Study In The Special Supplemental Nutrition Program For Women, Infants, And Children (Wic), Qi Zhang, Bidusha Neupane, Priyanka Patel, Futun N. Alkhalifah, Yi He, Leslie Hodges

Health Behavior, Policy & Management Faculty Publications

Objective:

To assess the feasibility of using large language models (LLMs) to develop research questions about changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages.

Design:

We conducted a controlled experiment using ChatGPT-4 and its plugin, MixerBox Scholarly, to generate research questions based on a section of the USDA summary of the final public comments on the WIC revision. Five questions weekly for three weeks were generated using LLMs under two conditions: fed with or without relevant literature. The experiment generated 90 questions, which were evaluated using the FINER criteria (Feasibility, Innovation, Novelty, Ethics, …

Prenatal Exposure To Nicotine And Postpartum Depression: A Systematic Review And Meta-Analysis, Reem Sharaf-Alddin, May Salama, Denise Mckinney, George Saade, Qi Zhang

Health Behavior, Policy & Management Faculty Publications

Purpose: Postpartum Depression (PPD) is the most common mental health complication of childbirth, and has short-term and long-term consequences for mother, child, and the entire family. PPD is a function of several factors. Prenatal exposure to nicotine (PEN) by Active Tobacco Smoking (ATS), Secondhand Smoking (SHS), or Electronic Nicotine Products (ENPs) is a major potential risk factor. This systematic review and meta-analysis aim to summarize and evaluate all evidence regarding the association between PEN and PPD.

Methods: We searched the following databases, PubMed, Medline, Cochrane, EMBASE, and CINHAL, for studies published between Jan.1st ,2000&Sep.19th ,2024, with the outcome PPD. Studies …

Entry Requirements As Predictors Of Early Academic Success And Student Performance In Undergraduate Occupational Therapy Education, Eileen Du Plooy, Daleen Casteleijn, Denise Franzsen, Gopika Ramkilawon

Journal of Occupational Therapy Education

The selection process for health sciences programs such as occupational therapy is complex, involving a combination of academic and non-academic selection criteria as entry requirements. This study aimed to investigate the predictive value of entry requirement variables on academic performance during the first and second year of an undergraduate occupational therapy program in South Africa. A quantitative, cross-sectional design was utilized, and the sample included 129 first- and second- year occupational therapy students. Data was collected retrospectively through educational data mining of university records and institutional dashboards. The variables analyzed included National Senior Certificate Grade12 (NSC12) grades (Mathematics, Life Sciences, …

A Scholarly Exploration Of Teaching Strategies For Learning About Pediatric Sleep, Laura J. Carpenter, Amanda M. Buono

Journal of Occupational Therapy Education

The occupation of sleep is an area of occupational therapy practice for which many practitioners report a lack of confidence and/or knowledge to properly address. The current study addresses this concern by studying the effects of a learning module on students’ confidence and knowledge to address pediatric sleep. The study used a pre-test, post-test non-experimental design and collected survey responses from 48 entry-level occupational therapy students in three different programs. The lecture portion of the module included content about both assessing and intervening, while the case study emphasized intervention-planning only. Results indicated significant gains in knowledge overall (z = …

Recognizing Excellence: Key Traits, Qualities, And Behaviors Of The Exceptional Fieldwork Educator In Occupational Therapy, Piper Hansen, Lydia H. Schallenberg, Jayde M. Kahn, Jacqueline Rizzi, Ariel Torres

Journal of Occupational Therapy Education

All students of occupational therapy enrolled in accredited programs are required to complete Level I and Level II fieldwork experiences. A critical factor in shaping successful fieldwork experiences is the fieldwork educator, who guides clinical learning, models professional behaviors, and supports skill development for practice readiness. Despite the importance of the fieldwork experience, the fieldwork educator, and the impact of the supervisory relationship, there is limited understanding of the unique attributes and strategies that distinguish exceptional occupational therapy fieldwork educators. This study sought to investigate the key traits, qualities, and behaviors of the exceptional fieldwork educator in occupational therapy and …

Enhancing Occupational Therapy Students' Knowledge Of Menstrual Health: A Quantitative Pilot Study, Glynnis Jones, Skylar Edwards, Allison Bressette, Emilie Wright, Michelle Hiller

Journal of Occupational Therapy Education

This study examined preliminary effects of a targeted learning module on occupational therapy students’ knowledge and perceived understanding of the profession’s role in menstrual health. Although menstrual health is a universal biological process, it remains underrepresented in occupational therapy curricula. Guided by occupational justice theory, this project aimed to enhance awareness within professional education to promote equity. A quasi-experimental, pre-posttest design assessed changes following completion of a self-paced online module. Fourteen second-year students from accredited occupational therapy programs participated. Subjects completed pre- and post-intervention knowledge assessments and the Menstrual Health Understanding Questionnaire (MHUQ), a 5-point Likert scale measuring perceived understanding …

Integrating Fieldwork Educators Into Didactic Coursework: Impact On Occupational Therapy Students’ Readiness For Level Ii Fieldwork, Tara Mansour, Victoria Denovellis

Journal of Occupational Therapy Education

Level II fieldwork represents a critical transition from didactic learning to clinical practice in occupational therapy education, yet students frequently report challenges related to applying knowledge, managing expectations, and navigating complex clinical environments. Many of these challenges reflect aspects of the “hidden curriculum,” including implicit expectations related to communication, professional behaviors, and feedback that are often not explicitly addressed in coursework. This study examined the impact of integrating fieldwork educator–led sessions into a didactic seminar to support student readiness. A mixed-methods survey using a retrospective pre–post design was administered to 33 students (97% response rate). Quantitative analyses demonstrated significant improvements …

Assessment Of Level Ii Fieldwork Performance (Alf): Development And Refinement Of A Level Ii Assessment Tool For Use In Occupational Therapy Curricula, Suzanne Marasco, Karen Weis, Zachary A. Myers

Journal of Occupational Therapy Education

The Assessment of Level II Fieldwork Performance (ALF) is a new tool developed for use in occupational therapy programs to evaluate students’ performance during Level II fieldwork. The present study reports on the development of the ALF and revisions of the tool based on two rounds of expert review utilizing a modified Delphi methodology. An expert panel of sixteen occupational therapists who had previously utilized the tool while serving as fieldwork educators was recruited to review the ALF and complete online surveys related to the tool’s content, pragmatics, and clinical value. Based on expert consensus, the ALF was modified and …

Predictors Of First-Attempt Nbcot Success: A Multivariable Analysis Of Occupational Therapy Graduates, Kristina Hartsook, Sean Brim, Arlenys Loffredo

Journal of Occupational Therapy Education

First-time pass rates on the National Board for Certification in Occupational Therapy (NBCOT) examination have declined in recent years, highlighting the need to better understand factors associated with licensure readiness. This study examined academic, internal, and external predictors of first-attempt NBCOT success among occupational therapy graduates. A retrospective, cross-sectional survey design was used with a sample of 40 graduates from a single institution. Participants completed a post-examination survey assessing academic performance (graduate grade point average [GPA]), self-management skills (time management), external demands (workload, stress, support), study behaviors, and engagement with preparation resources, including the Occupational Therapy Knowledge Examination (OTKE). Descriptive, …

Association Between A Lifestyle Medicine Score And Stroke In U.S. Adults With Hyperglycemia: 2007- 2010 Nhanes, Swarnima Naithani

UNF Graduate Theses and Dissertations

The relationship between glycemic control and cardiovascular disease (CVD) is well- established, however, lifestyle modifications to prevent CVD warrant further investigation. Purpose: This study aimed to evaluate the relationship between adherence to the six lifestyle medicine pillars promoted by the American College of Lifestyle Medicine and stroke in U.S. adults with hyperglycemia. A lifestyle medicine composite score (LMS) was developed to quantify adherence with the hypothesis that a higher LMS (greater adherence to lifestyle recommendations) correlates with lower odds of stroke in adults with hyperglycemia. Methods: The study sample (n=2,079) included adult (≥ 40 years of age) participants in the …

Brief Exposure Therapy With Exercise For Ptsd: A Pilot Study Using Single Case Experimental Design, Troy J.J. Hubert

Theses and Dissertations--Psychology

Posttraumatic stress disorder (PTSD) is a common and often disabling psychiatric disorder associated with an increased risk of multiple mental and physical health conditions. Exposure therapy is a gold standard treatment for PTSD, but attrition rates and treatment response are notable limitations. Animal and human research collectively indicate that aerobic exercise can enhance preclinical and experimental models of exposure by improving consolidation of fear-extinction memories. To date, only one clinical trial has attempted to translate exercise augmented exposure therapy for PTSD. The current study is an open-label pilot clinical trial aiming at gauging the effectiveness of a brief eight-session PTSD …

Stress Dynamics Between Clinical Supervisors And Allied Health Students: A Scoping Review, Piao Wang, Laurie Peebles, Aine O'Connor, Xinrong Li, Yongsheng Wang

Funded Scholarship

Stress within clinical supervision in allied health education functions as a reciprocal and relational process that shapes both learning and professional development. This scoping review synthesizes findings from 54 studies published between 1980 and 2024 to examine how stress is experienced, transmitted, and managed between students and clinical supervisors. Four interconnected domains were identified through the synthesis: the supervisory relationship, systemic and contextual pressures, personal factors, and the placement environment. Together these domains illustrate how organizational demands and supervisory strain influence student engagement, feedback processes, and educational outcomes. The literature provides valuable descriptive insight but remains fragmented, methodologically inconsistent, and …

Structuring Role-Emergent Level Ii Fieldwork Placements For Success: A Framework Grounded In Collaboration, Accountability, Supervision, And Site Integration (The Cass Framework), Lisa A. Fyffe, Amy Van Camp

Journal of Occupational Therapy Education

We propose a framework for implementing role-emergent fieldwork grounded in four structural principles identified in the literature and refined through professional reflection: collaboration, accountability, supervision, and site integration. Occupational therapy students report positive experiences with role-emergent fieldwork placements, citing benefits such as professional development, increased autonomy, and opportunities for innovation. However, studies have found that role-emergent placements often lack the structure students need to develop traditional documentation skills, manage complex practice dynamics, and implement occupational therapy programs in a novel setting. Consequently, occupational therapy students describe challenges with role-emergent placements in defining their professional role, managing high levels of responsibility, …

Reliability And Generalizability Of An Occupational Therapy Fieldwork Assessment Tool In Japan, Keiko Takeuchi, Hirotaka Onishi

Journal of Occupational Therapy Education

Occupational therapists require high-quality clinical education to develop the skills needed for safe and effective practice. In Japan, the duration of occupational therapy education is shorter than in many other countries and the rapid expansion of training schools has created new challenges for assuring the quality of fieldwork. Assessment tools used in long-term clinical training must therefore provide sufficient reliability to support fair pass–fail decisions and meaningful feedback. This study examined the reliability of two conventional learner assessment tools used in one Japanese occupational therapy program: a 17-item supervisor rating form and a 10-item faculty rating form completed after debriefing …

Student And Recent Graduate Perceptions Of Single Versus Multiple Supervision Models In Occupational Therapy Level Ii Fieldwork: A Descriptive Survey Study, Ricardo G. Altahif Jr., Kirsten Davin, Kelli Easley

Journal of Occupational Therapy Education

As occupational therapy programs increase in number, the need for increased fieldwork capacity has led to growing interest in alternative supervision models. Understanding how supervision structure influences student perception of the fieldwork experience is essential for ensuring quality educational experiences. This descriptive, cross-sectional study examined occupational therapy students’ and recent graduates’ perceptions of single versus multiple supervision models during Level II fieldwork. A 23-item online survey was developed and distributed nationally via professional networks and academic channels. Participants rated their experiences across three domains: satisfaction and mentoring quality, communication and feedback, and development of clinical and professional skills. Descriptive statistics …

The Influence Of Level I International Fieldwork Experiences On Subsequent Level Ii Fieldwork Performance, Brittany N. Saviers, Deborah Gangluff

Journal of Occupational Therapy Education

This retrospective cohort study examined whether participation in a Level I international fieldwork placement was associated with differences in student performance during subsequent Level II fieldwork, as measured by the American Occupational Therapy Association’s Fieldwork Performance Evaluation (FWPE). A total of 136 entry-level occupational therapy doctoral students from a single U.S. university were included, with 46 students completing at least one international fieldwork placement in Costa Rica or Tanzania and 90 completing only domestic placements for Level I fieldwork. All students completed three Level I fieldwork experiences, with international placements representing one component of this sequence when applicable. Independent samples …

Faculty Perceptions Of Using Technology For Virtual Debriefing, Kelly Layne, Deanne Otto, Elisabeth Mcgee

Journal of Occupational Therapy Education

Face-to-face simulation and debriefing have been widely used and researched in occupational therapy and physical therapy education to provide students with authentic learning experiences. However, technology acceptance of virtual debriefing has not been studied with occupational therapy and physical therapy faculty. This is an important area of study, as the use of technology to facilitate virtual debriefing became more common during the COVID-19 pandemic and has continued to increase in use post-pandemic. The purpose of this basic qualitative study was to explore faculty perceptions of using technology to facilitate virtual debriefing in graduate occupational therapy and physical therapy programs. The …