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Articles 14071 - 14100 of 662466

Full-Text Articles in Social and Behavioral Sciences

Nurturing A Collection Development Community Within The Medical Library Association [Survey Data], Sarah Mcclung, Iris Kovar-Gough, Karen H. Gau Jan 2026

Nurturing A Collection Development Community Within The Medical Library Association [Survey Data], Sarah Mcclung, Iris Kovar-Gough, Karen H. Gau

VCU Libraries Faculty and Staff Data

This submission is aggregated survey results comprising the supplemental material for a case study that will be published in late 2026 or early 2027, with all free-text comments removed. A version of this survey with de-identified comments included is available through the Medical Library Association Collection Development Caucus’s archives, which requires membership for access (https://www.mlanet.org/communities/caucuses).

Below is the case study abstract:

The work of health sciences collection development librarians can be isolating as they are often the sole person responsible for stewarding the collection at their institution. This case study explores the iterative process of information and experience …


David John Farmer: A Scholarly Biography And Bibliography, Yali Pang, David John Farmer, Rosemary L. Farmer Jan 2026

David John Farmer: A Scholarly Biography And Bibliography, Yali Pang, David John Farmer, Rosemary L. Farmer

VCU University History Books

This brief biography introduces Dr. David John Farmer, one of public administration’s most influential and imaginative thinkers. It traces his journey from student to scholar, showing how his groundbreaking work challenged the field to move beyond rigid traditions and embrace creativity, ethics, and reflection in public service. Written for both scholars and general readers, the biography reveals that Dr. Farmer’s career represents more than the accomplishments of a distinguished academic—it embodies the larger idea that public administration must move beyond technique to become a field grounded in imaginization, reflection, and humanity.


The Impact Of Remittances On Food Security In Times Of Crisis—Evidence From Covid-19 In Latin America And The Caribbean, Colin Cannonier Jan 2026

The Impact Of Remittances On Food Security In Times Of Crisis—Evidence From Covid-19 In Latin America And The Caribbean, Colin Cannonier

Funded Scholarship

This study examines the association between workers’ remittances and food insecurity in Latin America and the Caribbean using data from a Coronavirus survey covering over 100,000 individuals during the COVID-19 pandemic. Results indicate that receipt of remittances is associated with an 8.8% decrease (2.5% points) in overall food insecurity. Heterogeneous effects are observed among females, individuals in Latin America, and households with children. Remittances from the USA exhibit a stronger influence on reducing food insecurity. The findings underscore the potential importance of remittances in improving food security at both extensive and intensive margins. Policy issues are also discussed.


Brief Therapy Dog Interactions May Increase Self-Efficacy And Lower Perceived Stress And Cortisol In High School Students: A Preliminary Study, Dawn Melzer, Deirdre Yeater, Madison Derubis, Christiana Rose Kohlroser, Barbara J. Pierce Jan 2026

Brief Therapy Dog Interactions May Increase Self-Efficacy And Lower Perceived Stress And Cortisol In High School Students: A Preliminary Study, Dawn Melzer, Deirdre Yeater, Madison Derubis, Christiana Rose Kohlroser, Barbara J. Pierce

Psychology Faculty Publications

The present study examined changes in high schoolers’ perceived stress, general self-efficacy and cortisol levels after a brief interaction with a certified therapy dog. High school students completed self-report measures of perceived stress and general self-efficacy and provided salivary cortisol samples both before and after a 10-min interaction with a certified therapy dog. Following the interaction, students reported reductions in perceived stress scores, exhibited lower salivary cortisol concentrations and demonstrated increases in self-efficacy scores compared to before the interaction. Although higher self-efficacy scores were observed, general self-efficacy is generally regarded as a stable construct; therefore, these findings may reflect a …


Graduate Student Retention: Examining Why Master’S Students Leave And What Motivates Their Return In A Large Public University System, Sonja Prophete Jan 2026

Graduate Student Retention: Examining Why Master’S Students Leave And What Motivates Their Return In A Large Public University System, Sonja Prophete

Theses and Dissertations

Graduate student persistence is a relatively unexplored area in the literature of higher education studies; specifically, at a multi-institutional scale at the master's level. This research study examines the factors which cause students to discontinue their master's degrees, and what conditions could possibly support them returning to their program at a large urban public university system. The current study was guided by Hoyt and Winn's (2004) distinction between non-returning students, and Bean & Metzner's (1985) theoretical model of student attrition. A sequential mixed-methods study was conducted to examine the institutional and environmental influences on students' decision-making processes.

The quantitative data …


Friends Of The Library Newsletter, Spring 2026, Hillary Richardson Jan 2026

Friends Of The Library Newsletter, Spring 2026, Hillary Richardson

Fant Library News and Reports

No abstract provided.


Skeletal Markers: Interpreting Trauma, Healing, And Survival Through Osteological Remains From Medieval Pomerania, Michael Mulliner-Szyndler Jan 2026

Skeletal Markers: Interpreting Trauma, Healing, And Survival Through Osteological Remains From Medieval Pomerania, Michael Mulliner-Szyndler

Cal Poly Humboldt theses and projects

Traditionally, studies in bioarcheology have cited the presence of individuals with evidence of healed traumatic injuries and certain pathologies as an indication of social care either at the time of the trauma or throughout the individual’s lifetime. Here, I present three case studies of individuals who present with signs of having survived traumatic injuries and related pathologies. These individuals are from a late medieval cemetery in Żelewo, in the historical region of Pomerania in present-day northwestern Poland. The site is associated with the nearby town of Kołbacz, which is home to the oldest Cistercian monastery in Pomerania. This study aims …


Effects Of Coaching Interventions On Burnout And Mental Health Outcomes Among Collegiate Athletes: A Meta-Analysis, Natalie Mitchell Jan 2026

Effects Of Coaching Interventions On Burnout And Mental Health Outcomes Among Collegiate Athletes: A Meta-Analysis, Natalie Mitchell

Cal Poly Humboldt theses and projects

This meta-analysis examined the effects of coaching interventions on burnout and mental health outcomes among collegiate athletes. Following PRISMA guidelines, literature published from 1980 onward was searched across SPORTDiscus, PsycINFO, PsycARTICLES, PubMed/MEDLINE, Web of Science, and ProQuest Theses & Dissertations. Studies were included if they assessed burnout, psychological well-being, or related mental health outcomes in collegiate athletes and investigated a coaching intervention. Twelve interventional studies met the inclusion criteria. Across studies, coaching interventions varied in structure, duration, sport context, and cultural setting, with most emphasizing intrapersonal strategies and emotional or mental health outcomes. Meta-analytic results indicated small, non-significant effects favoring …


Pretend Play Effects On Autistic Children's Theory Of Mind & Social Skills, Joelle Lok Jan 2026

Pretend Play Effects On Autistic Children's Theory Of Mind & Social Skills, Joelle Lok

Cal Poly Humboldt theses and projects

Autistic individuals often struggle with basic social skills due to deficits in Theory of Mind (ToM), perspective taking, reciprocity difficulties, etc. Early interventions that target these skills, specifically metarepresentation skills, could be essential to an individual’s social success and overall well-being. Further, pretend play shares an important relationship with ToM and social skills, due to their shared use of putting oneself in others’ shoes. Thus, a pretend play intervention could be beneficial in not only improving children’s overall play interactions, but also through a domino effect on their ToM and social skills. The directionality of the relationship between pretend play, …


Plurality Of Place: A Critical Walk Through The Ananda Meditation Retreat, Heidi L. Cram Jan 2026

Plurality Of Place: A Critical Walk Through The Ananda Meditation Retreat, Heidi L. Cram

Cal Poly Humboldt theses and projects

This autoethnographic research project is located in the fertile literary world of authors Gary Snyder and J. Donald Walters’s historic Bald Mountain land cooperative in Northern CA. This is the site of Walters’s Ananda Meditation Retreat, and Snyder's Ring of Bones Zendo. The project takes a creative embodied approach to analyzing and contributing to this location's literature of place through the genres of creative nonfiction and interpretive mapping. The cooperative's focus on Eastern and Indigenous spiritual practice seeded the countercultural bubble which surrounds these two institutions and generated a ripple of rich and varied literature of place. Through autoethnographic inquiry, …


Annual Report For Fy26, Tennessee. Department Of General Services Jan 2026

Annual Report For Fy26, Tennessee. Department Of General Services

Annual Reports

This annual report briefly describes the business units in General Services and financial transactions made during the fiscal year.


The Liminal Space Of Invisible Disability: An Educator And Doctoral Student Autoethnography, Tina Michelle Samuels Jan 2026

The Liminal Space Of Invisible Disability: An Educator And Doctoral Student Autoethnography, Tina Michelle Samuels

Georgia Educational Researcher

This autoethnographic study explores the liminality of navigating academia as both a remote doctoral student and a college instructor living with invisible, fluctuating chronic illnesses. Grounded in standpoint epistemology and the rallying cry of "Nothing About Us, Without Us," the author examines the "Crip Liminality" of occupying a threshold between the able-bodied majority and established disability categories. Through the lens of Spoon Theory and "bodywork," the article details how conditions like Fibromyalgia, POTS, and Interstitial Cystitis disrupt traditional academic rhythms, necessitating remote environments as essential adaptations rather than luxuries. The paper identifies critical gaps in current institutional accommodation models, which …


Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada Jan 2026

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …


Seek In Cuny Archives, Reign Mcconnell Jan 2026

Seek In Cuny Archives, Reign Mcconnell

Publications and Research

SEEK in CUNY Archives is an inclusive research guide to archival materials about the Percy Ellis Sutton Search for Education, Elevation, and Knowledge (SEEK) program, and College Discovery (CD) program available at CUNY archives. The SEEK Program was established within CUNY in 1965 on the pre-baccalaureate level to integrate Black and Puerto Rican students into the CUNY system and expanded to other senior-level colleges in 1966. The program provides students with academic and financial support, as well as tutoring and counseling services. Currently, the SEEK Program is available at twelve of CUNY’s four-year colleges. College Discovery is a two-year program …


Getting To Guidelines: Corralling Competing Needs At Cuny, Jahanara Alamgir, Yujin Lee, Rachael Nevins, Jojo Karlin, Andrew Mckinney Jan 2026

Getting To Guidelines: Corralling Competing Needs At Cuny, Jahanara Alamgir, Yujin Lee, Rachael Nevins, Jojo Karlin, Andrew Mckinney

Publications and Research

This case study examines how the City University of New York (CUNY) developed guidelines for the use of generative artificial intelligence (genAI) in the creation of open educational resources (OER). CUNY is the nation’s largest urban public university, with 26 campuses distributed across New York City’s five boroughs. CUNY includes 7 community colleges, 11 senior colleges (3 of which are comprehensives), and 8 graduate, honors, and professional schools. Since the 2017-2018 academic year, CUNY’s OER Initiative has received $4 million a year of state funding to support the creation and use of OER across the university system. The OER Initiative …


After The Aid Boom: Government Responses To The Global Health Agenda And Political Commitment In Low- And Middle-Income Countries, Sana Abdelkarim Jan 2026

After The Aid Boom: Government Responses To The Global Health Agenda And Political Commitment In Low- And Middle-Income Countries, Sana Abdelkarim

Electronic Theses & Dissertations (2024 - present)

How do governments respond to the global health agenda? Does external health assistance translate to sustained domestic political commitment in low- and middle-income countries? Over the past three decades, development assistance for health has expanded, accompanied by international agreements emphasizing country ownership, alignment, and domestic resource mobilization. Yet domestic fiscal commitment to health remains uneven across countries. These questions have become more pressing as the global aid landscape enters a period of contraction, with a significant decline in development assistance, including health financing, raising concerns about the sustainability of health systems that have become reliant on external support.  This raises …


Linking Social Entrepreneurship To Crime Reduction Among Young African Americans In Chicago’S South And West Sides, Grady C. Wheaton Jr. Jan 2026

Linking Social Entrepreneurship To Crime Reduction Among Young African Americans In Chicago’S South And West Sides, Grady C. Wheaton Jr.

All Student Theses and Dissertations

This study examined community members’ perceptions of social entrepreneurship as an employment-centered strategy for addressing youth violence among African Americans on Chicago’s South and West Sides. The study was guided by the following research question: Can social entrepreneurship be leveraged to reduce youth violence among African Americans on Chicago’s South and West Sides, as perceived by community members? Using Fillmore Laundry, a healthcare linen-processing social enterprise located in North Lawndale, as a case example, this quantitative, cross-sectional study collected survey data from 99 eligible community members recruited through community-based partnerships. The survey assessed perceived youth- and community-level program benefits, evaluations …


Exploring Management Strategies To Reduce Workplace Violence: Perceptions Of Illinois Healthcare Professionals, Mary Mack Jan 2026

Exploring Management Strategies To Reduce Workplace Violence: Perceptions Of Illinois Healthcare Professionals, Mary Mack

All Student Theses and Dissertations

This qualitative study examined how managers of nonprofit healthcare facilities in the Chicago metropolitan area implement strategies to reduce workplace violence, what these strategies are and how they are carried out, and what organizational factors facilitate or impede their implementation. Semi-structured interviews were conducted with seven healthcare professionals in management or safety-oriented roles across seven facilities, purposefully sampled through the researcher's professional network. Findings revealed four recurring patterns across the sample. Prevention infrastructure was installed reactively, following specific triggering incidents rather than anticipating documented risk. Facilities consistently favored lower-cost mitigation measures over more resource-intensive prevention strategies. Reliance on short-tenure contract …


Front Matter: The State Of The Region, Hampton Roads 2026, Dragas Center For Economic Analysis And Policy, Old Dominion University Jan 2026

Front Matter: The State Of The Region, Hampton Roads 2026, Dragas Center For Economic Analysis And Policy, Old Dominion University

State of the Region Reports: Hampton Roads

Cover, Front Matter, Table of Contents, Sponsors, and other materials for the 2026 The State of the Region Report authored by the Center for Economic Analysis and Policy at Old Dominion University.


Part 2: Divergent Paths? Rising Defense Spending And Headwinds For The Port And Tourism, Dragas Center For Economic Analysis And Policy, Old Dominion University Jan 2026

Part 2: Divergent Paths? Rising Defense Spending And Headwinds For The Port And Tourism, Dragas Center For Economic Analysis And Policy, Old Dominion University

State of the Region Reports: Hampton Roads

The most recent economic data shows that the three-legged stool is tilting under the weight of conflicting economic policies. National defense spending has continued to expand, and we expect that, as a result, defense spending in Hampton Roads will also rise in the coming years. Declines in federal civilian employment will limit these gains, and the defense industrial base in the region faces an existential threat from the rise of uncrewed systems on the modern battlefield. The Port of Virginia performed well, gaining market share, but higher tariffs have negatively impacted the dollar volume of trade flowing through the Port. …


Part 3: Early Childhood Care And Education In Hampton Roads, Dragas Center For Economic Analysis And Policy, Old Dominion University Jan 2026

Part 3: Early Childhood Care And Education In Hampton Roads, Dragas Center For Economic Analysis And Policy, Old Dominion University

State of the Region Reports: Hampton Roads

The economic and social consequences of inadequate early childhood care and education (ECCE) are, by now, well known—but the problem is notoriously difficult to solve. To many working families, the quest for affordable, high-quality care seems hopeless. However, it is also true that our regional leaders are increasingly prioritizing this issue and are working together with early childhood experts to develop viable solutions. This chapter discusses ECCE from an economic perspective and explores why this market is so challenging to reform.


Part 5: The Value Of Water, Dragas Center For Economic Analysis And Policy, Old Dominion University Jan 2026

Part 5: The Value Of Water, Dragas Center For Economic Analysis And Policy, Old Dominion University

State of the Region Reports: Hampton Roads

In this chapter, we examine how the Hampton Roads Sanitation District (HRSD), in collaboration with localities, changed the regional approach to wastewater treatment, saving ratepayers from billions of dollars in additional costs. We discuss the SWIFT project and how it will inject treated, drinking quality water into the aquifer, partially offsetting the losses from residential and business use. We estimate the economic impacts associated with HRSD and SWIFT and note how HRSD serves as an example of how regional collaboration can produce innovative benefits to the residents of Hampton Roads.


Part 6: Housing In Hampton Roads, Dragas Center For Economic Analysis And Policy, Old Dominion University Jan 2026

Part 6: Housing In Hampton Roads, Dragas Center For Economic Analysis And Policy, Old Dominion University

State of the Region Reports: Hampton Roads

In this chapter, we discuss the state of housing in Hampton Roads. We focus on the supply side of the market for reasons that will become apparent throughout the chapter. We start with single-family housing and then discuss multi-family housing. We then explore factors that influence the supply of housing across the region. We conclude with actions that Hampton Roads can take to address the supply and, by extension, the affordability of housing in the region.


Part 1: Rough Seas And Quartering Winds: Can Hampton Roads Grow In Uncertain Times?, Dragas Center For Economic Analysis And Policy, Old Dominion University Jan 2026

Part 1: Rough Seas And Quartering Winds: Can Hampton Roads Grow In Uncertain Times?, Dragas Center For Economic Analysis And Policy, Old Dominion University

State of the Region Reports: Hampton Roads

We discuss the region’s economic performance in 2025 and provide an assessment of the prospects for growth in 2026 and beyond. We discuss how the resident population of Hampton Roads has grown this century and explore the components of population change. We examine measures of the region’s labor market, including its civilian labor force, individual employment, and nonfarm payrolls (jobs). While the evidence points to a continued expansion in 2026, we also note that the challenges to growth continue to mount.


Lessons For Transformative Ocean Science From The Integrated Marine Biosphere Research (Imber) Project, Deborah Santos Prado, Ella-Kari Muhl, Mia Strand, Derek Armitage, Nina Bednaršek, Stephanie Brodie, Christopher Cvitanovic, John Claydon, Sam Dupont, Karen Evans, Alistar Hobday, Eileen Hofmann, Raleigh Hood, Laura Kaikkonen, Dongyan Liu, Jessica Melbourne-Thomas, Franz Mueter, Eugene Murphy, Prateep Kumar Nayak, Alice Newton, Heidi Pethybridge, Carol Robinson, Samiya Selim, Rowan Trebilco, Micaela Trimble, Fang Zuo Jan 2026

Lessons For Transformative Ocean Science From The Integrated Marine Biosphere Research (Imber) Project, Deborah Santos Prado, Ella-Kari Muhl, Mia Strand, Derek Armitage, Nina Bednaršek, Stephanie Brodie, Christopher Cvitanovic, John Claydon, Sam Dupont, Karen Evans, Alistar Hobday, Eileen Hofmann, Raleigh Hood, Laura Kaikkonen, Dongyan Liu, Jessica Melbourne-Thomas, Franz Mueter, Eugene Murphy, Prateep Kumar Nayak, Alice Newton, Heidi Pethybridge, Carol Robinson, Samiya Selim, Rowan Trebilco, Micaela Trimble, Fang Zuo

CCPO Publications

This paper synthesizes the key contributions and lessons learned from Integrated Marine Biosphere Research (IMBeR), a large-scale global research project aimed at fostering ocean sustainability under global change for the benefit of society. The UN Decade of Ocean Science for Sustainable Development has catalyzed a renewed focus on the importance of transforming ocean science. IMBeR’s global activity over the past decade has focused on promoting transformative science by generating, mobilizing, and communicating the knowledge needed to support ocean governance. Key contributions from IMBeR participants include quantifying and comparing historic and present structure and functioning of linked ocean and human systems, …


Ecological Feedbacks In The Earth System, Eugene J. Murphy, Jessica J. Williams, Isla H. Myers-Smith, Vivienne P. Groner, David M. P. Jacoby, Lester Kwiatkowski, Jess Melbourne-Thomas, Emma Ransome, Cristina Banks-Leite, Laurent Bopp, Marion Gehlen, Eileen E. Hofmann, Babette Hoogakker, Nadine M. Johnston, Yadvinder Malhi, Emma L. Cavan Jan 2026

Ecological Feedbacks In The Earth System, Eugene J. Murphy, Jessica J. Williams, Isla H. Myers-Smith, Vivienne P. Groner, David M. P. Jacoby, Lester Kwiatkowski, Jess Melbourne-Thomas, Emma Ransome, Cristina Banks-Leite, Laurent Bopp, Marion Gehlen, Eileen E. Hofmann, Babette Hoogakker, Nadine M. Johnston, Yadvinder Malhi, Emma L. Cavan

CCPO Publications

Ecological feedbacks are fundamental features of the Earth system, affecting physical processes and chemical cycles. Our understanding of the interactions underlying these feedbacks at different spatial and temporal scales and the extent to which feedbacks affect Earth system functioning remains limited. Climate change and other anthropogenic pressures are already negatively affecting ecological processes in marine, freshwater, and terrestrial ecosystems. These will most likely be amplified in the coming decades under our current warming and socioeconomic pathways. The knock-on impacts on ecological feedbacks have the potential to cause rapid perturbations to the Earth system, and may significantly impact the structure and …


An Insidious Interstice: Understanding Cognition And Language Behaviour Through The Eyes Of Juvenile Justice Professionals, Anne M. Perrotti, Allison T. Chappell, Tancy Vandecar-Burdin Jan 2026

An Insidious Interstice: Understanding Cognition And Language Behaviour Through The Eyes Of Juvenile Justice Professionals, Anne M. Perrotti, Allison T. Chappell, Tancy Vandecar-Burdin

Human Movement Studies & Special Education Faculty Publications

Introduction

Despite evidence suggesting language and cognition deficits are prevalent for justice involved youth, little research explores how juvenile justice personnel experience language and cognition behaviours in the youth they serve.

Aims

This qualitative study explored how juvenile justice personnel understand language and cognition skills and deficits in justice involved youth.

Methods

Twenty-two U.S. juvenile justice professionals participated in individual, semi-structured interviews. Questions focused on individual understanding of receptive language, expressive language, social communication, and cognition (i.e., problem-solving, predicting consequences and impulsiveness) in juveniles served. Using a phenomenological lens, transcripts were coded identifying themes and sub-themes of participant responses.

Results …


Seeing The Invisible Load: Xr+ Multimodal Sensing For Cognitive Ergonomics In Industrial Training, Jessica M. Johnson, Andwele Grant Jan 2026

Seeing The Invisible Load: Xr+ Multimodal Sensing For Cognitive Ergonomics In Industrial Training, Jessica M. Johnson, Andwele Grant

Virginia Digital Maritime Center (VDMC) Faculty Publications

Extended reality (XR) technologies are increasingly positioned as disruptive Industry 5.0 tools for human-centric industrial training and intelligent human–system integration. Coupled with multimodal sensing (eye tracking, EEG, HRV, GSR, and other physiological signals), XR environments promise to make otherwise invisible cognitive demands observable, especially for novice trainees entering complex industrial settings. Yet the evidence base is fragmented: (1) there is no quantitative synthesis of the cognitive ergonomics benefits of XR plus sensing; (2) little is known about which XR–sensor configurations yield the strongest effects; (3) prior reviews rarely focus on industrial and manufacturing tasks; (4) multimodal signals are used predominantly …


From Reviews To Value: Harnessing Crowdsourced Data To Capture Visitor Perceptions And Economic Benefits Of Recreation, Laura Costadone, Shan Zhang Jan 2026

From Reviews To Value: Harnessing Crowdsourced Data To Capture Visitor Perceptions And Economic Benefits Of Recreation, Laura Costadone, Shan Zhang

ODU Articles

Quantifying the recreational value of protected natural areas is essential for sustainable management, conservation financing, and informed decision-making. Traditional approaches, such as on-site surveys, are often costly, spatially limited, and constrained by regulatory barriers. This study evaluates the potential of crowdsourced user-generated data to jointly assess visitor perceptions and the economic value of nature-based recreation, using Back Bay National Wildlife Refuge (Virginia, USA) as a case study. We integrated georeferenced photographs and textual content from four platforms (Flickr, TripAdvisor, Yelp, and AllTrails) with supplementary survey data to analyze visitation patterns, visitor sentiment, cultural ecosystem services, and recreational value using the …


Preoperative Patient Sentiment Is Associated With Postoperative Outcomes In Adult Spinal Deformity Surgery, Ross J. Gore, David Mazur-Hart, Mohan K. Sunkara, Aaqib Ali, Qizar Ali, Christopher J. Lynch, Christopher Ames Jan 2026

Preoperative Patient Sentiment Is Associated With Postoperative Outcomes In Adult Spinal Deformity Surgery, Ross J. Gore, David Mazur-Hart, Mohan K. Sunkara, Aaqib Ali, Qizar Ali, Christopher J. Lynch, Christopher Ames

Center for Secure and Intelligent Critical Systems (CSICS) Publications

Study Design: Prospective observational pilot study of adult spinal deformity surgery patients.

Objective: To determine whether preoperative patient sentiment, quantified using a 21-class valence scale extending the CARP paradigm implemented through an offline Large Language Model, predicts postoperative outcomes.

Summary of Background Data: Predicting adult spinal deformity surgery outcomes remains challenging with traditional clinical and radiographic parameters alone. Although patient psychological factors and expectations significantly influence postoperative satisfaction and quality of life, systematic approaches to capture these factors are underdeveloped. Offline Large Language Models offer scalable, privacy-preserving psychological risk stratification.

Materials and Methods: We prospectively enrolled 18 patients undergoing adult …