The passage of the Patient Protection and Affordable Care Act of 2010 authorized the Centers for Medicare and Medicaid Services (CMS) to create the Medicare Shared Savings Program (MSSP). This program aims to lower costs, improve access to care, and increase the quality of care provided to Medicare Beneficiaries (Berwick, 2011). Accountable Care Organizations (ACOs) are the mechanism for delivering this value based care within the MSSP and are a potential innovation at the forefront of heal...
Robert G Shipp III.
Advisors: Yerger, David B. Committee members: John Anderson; J. Mabry.
Ph.D. Indiana University of Pennsylvania 2019.
English

The purpose of the study was to extend the current research on the effect of thought suppression on chronic pain outcomes. Previous research recognizes that chronic pain is a complex experience with significant cognitive, emotional, and biological factors and that assessment of chronic pain should include evaluation of these factors for prognostic and treatment purposes. Additionally, previous research has identified a relationship between thought suppression and acute pain sensitivity and re...
John P Wunderlich.
Advisors: Mills, John Committee members: William Meil; Anthony Perillo.
Psy.D. Indiana University of Pennsylvania 2019.
English

The purpose of this study was to examine the comprehensiveness of Return to Learn (RTL) policies within Connecticut Public Schools. A secondary purpose of this study was to evaluate group differences in concussion knowledge between classroom teachers in schools with and without RTL policies. Results from this study suggest that within public schools in the state of Connecticut, RTL policies are uncommon. Similarly, of the identified policies, there is a significant difference in comprehens...
Alyssa Beit Stern.
Advisors: McGowan, Mark R. Committee members: Lynanne Black; Jenna Hennessey; Timothy Runge; Karen Laugel.
D.Ed. Indiana University of Pennsylvania 2019.
English

The current literature on shame and body image focuses primarily on issues of weight and shape, and the topic of Menstrual Shame is rarely mentioned. Menstrual Shame refers to the shame women feel about their menstrual cycle and menstrual fluid specifically (Johnson-Robledo & Chrisler, 2011).There is a culture of silence surrounding menstruation that prevents connection, contributes to shame, and increases Self-Objectification (Johnson-Robledo & Chrisler, 2013; McHugh, 2019).The shame and sti...
Kathleen M Dimattia.
Advisors: McHugh, Maureen C Committee members: Beverly Goodwin; Anson Long.
Psy.D. Indiana University of Pennsylvania 2019.
English

This qualitative case study examined the perceptions of seven undergraduate male Saudi English language learners (ELL) as students using Learning Management System (LMS) discussion boards in a US college classroom to promote active learning and writing development. Because students in Saudi Arabia are typically taught using teacher-centered pedagogies, this study explored how these Saudi learners would respond to the use of student-centered pedagogies. Specifically, the study looked at how Sa...
Naife Suliman Subahi.
Publisher info.: Dissertation/Thesis.
Advisors: Pagnucci, Gian S. Committee members: Mary Stewart; Matthew Vetter.
Ph.D. Indiana University of Pennsylvania 2019.
English

This dissertation investigates the representation of agency in twentieth and twenty-first- century feminist dystopian novels, television, and video games. Through drawing on media theory, feminism, agency theory, and feminist dystopian theory and criticism, I examine Margaret Atwood's The Handmaid's Tale, Octavia Butler's Dawn, HBO's Westworld, Double Fine Production's Broken Age, and Ubisoft's Beyond Good and Evil. Specifically, I consider how the representation of agency changes depending o...
Meghan Marie Hurley.
Advisors: Heflin, Tanya Committee members: Mike Sell; Heather Powers.
Ph.D. Indiana University of Pennsylvania 2019.
English

This study examines Andrea Olinger's (2014) sociocultural theory of style, which posits that style is dynamic, co-constructed, multisemiotic, and ideological. Olinger presents one main impact on stylistic production and reception, "participants' language ideologies." This study examines this impact and other factors, called constructs, that impact the production and reception of writing style. In doing so, this study applies rhetorical terms, concepts, and research from rhetoric-composition a...
Jonathan David O'Brien.
Advisors: Driscoll, Dana Lynn Committee members: Matthew Vetter; Gian Pagnucci.
Ph.D. Indiana University of Pennsylvania 2019.
English

This qualitative content analysis examined a virtual community of practice associated with Intensive English Programs: The Intensive English Program Virtual Community (IEPVC). A typology for virtual communities of practice (Dube, Bourhis, and Jacob, 2006) was used to examine the characteristics of the virtual community of practice. The IEPVC represents an active virtual community that provides information to its members, provides opportunities for members to share information, and advocates f...
Nell Rose Hill.
Advisors: Pagnucci, Gian S. Committee members: Gloria Park; Michele Petrucci.
Ph.D. Indiana University of Pennsylvania 2019.
English

Human trafficking is the largest criminal activity in the world and frequently defined as intricate and complex. The realities this modern day slavery are often confusing and misunderstood due to stereotypes portrayed through the media. Feature films provide an opportunity to explore the realities of trafficking and create an awareness that breaks down stereotypes and strengthens anti-trafficking efforts. The purpose of this study was to investigate audiences' perception of human trafficking ...
Laurie A Lawrence.
Publisher info.: Dissertation/Thesis.
Advisors: Wilson, B. Gail Committee members: Mark Piwinsky; Rachel Porter.
Ph.D. Indiana University of Pennsylvania 2019.
English

Experts in the study of ergonomics and human performance factors have described the 'collective mindfulness' of nurses as a critical element to the attainment of highly reliable safety within patient care delivery. Little research exists related to the construct of mindfulness and its impact on safe nursing practice and situation awareness by the nurse. A mixed method, descriptive correlational study of 102 senior-level nursing students at two baccalaureate nursing programs was used to ex...
Deborah L Struth.
Publisher info.: Dissertation/Thesis.
Advisors: Hromadik, Lora K. Committee members: Riah Hoffman; Jan Wachter.
Ph.D. Indiana University of Pennsylvania 2019.
English

This dissertation investigates the social and political functions of higher education in the United States by examining three novels, each one engaging key issues in their three respective historical periods. The basic premise of this study is the remarkable growth of the university in the Post-World War II period, especially in the 30-year period from 1945-75 when undergraduate enrollments in the U.S. went from about 2 million to 12 million; today, there are more than 20 million. Yet, in the...
Elizabeth Jacoby.
Publisher info.: Dissertation/Thesis.
Advisors: Downing, David Committee members: Eric Leuschner; Christopher Orchard; Todd Thompson.
Ph.D. Indiana University of Pennsylvania 2019.
English

This study evaluated the effects of a contingent reward on college students' ability to feign Attention-Deficit/Hyperactivity Disorder (ADHD) on neuropsychological measures while avoiding detection on performance validity tests (PVT). It also sought to ascertain strategies used by college students to feign ADHD. This investigation extends previous research on malingering by including both incentivized and unincentivized experimental groups to establish the impact of incentivizing ADHD-related...
Jesse A Siegel.
Advisors: Knight, Laura A. Committee members: Margaret Reardon; Anthony Perillo.
Psy.D. Indiana University of Pennsylvania 2019.
English

This dissertation explores the development of the Academic Literacies of multilingual learners in the multicultural settings of a Toronto College. More specifically, it addresses teacher reported experiences and reported perceptions of developing the Academic Literacies of multilingual learners. It uses a unified conceptual framework encompassing established aspects of ESL materials and methodology, namely, teacher roles, learner roles, materials' roles, activities' roles, and academic litera...
Mary Anne John.
Advisors: Savova, Lilia P. Committee members: Bennett Rafoth; Michele Petrucci.
Ph.D. Indiana University of Pennsylvania 2019.
English

The current study examined a computer-driven intervention utilizing I-sharing (i.e., shared subjective experience) to reduce alcohol use intentions among participants. Specifically, this study sought to test whether I-sharing could foster affiliative motivation and lead participants to socially tune their alcohol use intentions to those of a faux interaction partner. The sample consisted of 199 undergraduate students at Indiana University of Pennsylvania. After completing a pre-intervention...
Timothy Carnevale.
Advisors: Long, Anson E Committee members: Maureen McHugh; Derek Hatfield.
Psy.D. Indiana University of Pennsylvania 2019.
English

While research has examined the level of blame placed on victims and perpetrators for rape and sexual assault simulations, no one has ever examined if college students can accurately identify what rape is. In addition, the simulations that are presented to students tend to overwhelming have female victims and male perpetrators. This study examines if college students can accurately identify rape, using four visual vignettes demonstrating a clear violation of law, an ambiguous violation of law...
Samantha M Gavin.
Advisors: Frenzel, Erika Committee members: Jonathon Cooper; John Lewis; Jennifer Gossett.
Ph.D. Indiana University of Pennsylvania 2019.
English

This study fills the existing gap in the research, which indicates that few researchers have examined multilingual writers' preference between audio and written feedback, and the impact of feedback format on their revision process. However, this dissertation has five interrelated purposes: 1. To understand the expectations of multilingual writers from instructors' feedback, 2. to understand multilingual writers' perceptions regarding the advantages and disadvantages of audio and written feedb...
Sukanto Roy.
Publisher info.: Dissertation/Thesis.
Advisors: Vetter, Matthew A. Committee members: Dana Driscoll; Mary Stewart.
Ph.D. Indiana University of Pennsylvania 2019.
English

For the past 25 years, the human services field has experienced a paradigm shift regarding its practice ideologies, moving away from the deficit models of practice towards more partnership and strengths-based empowerment-oriented practice perspectives. Temple University's Credential for Strengths-based Family Workers (SFW) is a nationally standardized professional training and credentialing program distinctively focused through a multi-faceted evaluation process on the enhancement and documen...
Jennifer Marie Miernicki-Nojunas.
Publisher info.: Dissertation/Thesis.
Advisors: Gunter, Valerie Committee members: John Anderson; J. Mabry; Barbara Mooney.
Ph.D. Indiana University of Pennsylvania 2019.
English

This mixed methods study explores students' and teachers' perceptions of 21st century skill development (i.e., collaboration, communication, creativity, critical thinking, content mastery, and digital literacy) in high schools with one-to-one initiatives. Analysis of data from seven student focus groups and seven one-on-one teacher interviews revealed that high school students and teachers held similar perceptions around 21st century skill development. Both groups acknowledged that students' ...
Rachel M Schiera.
Publisher info.: Dissertation/Thesis.
Advisors: Rieg, Sue A. Committee members: Francisco Alarcon; Susan Sibert.
D.Ed. Indiana University of Pennsylvania 2019.
English

Faculty in many developing countries are in the early stages of utilizing technology for teaching. This study seeks to describe faculty access, attitudes, and use of instructional and web-based technologies at five Federal Teacher Preparation Colleges (Federal Colleges of Education) in the north-west zone of Nigeria. Using an explanatory sequential design, quantitative data were gathered from 190 randomly selected faculty members; following which qualitative data were collected from ten volun...
Abdulsalami Ibrahim.
Advisors: Machado, Crystal Committee members: Susan Sibert; Daniel Wissinger.
D.Ed. Indiana University of Pennsylvania 2019.
English

This study explores the policy shift from voluntary to punitive enforcement of privacy violations of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 by the U.S. Department of Health and Human Services' Office of Civil Rights. Specifically, I examined why policymakers altered the enforcement of HIPAA and how different stakeholders influenced policy change. I apply the multiple-streams framework, social movements and countervailing powers, and bounded rationality to th...
Heather N Smith.
Advisors: Mabry, J. Beth Committee members: Valerie Gunter; Melissa Swauger.
Ph.D. Indiana University of Pennsylvania 2019.
English

Shame is a universal experience, in which one feels painfully exposed as defective. While the shame research has steadily increased, the experience of shame in supervision has been largely ignored in the self-conscious affect research. Shame research has primarily focused on the differentiation of shame and guilt, and the negative outcomes associated with shame-proneness. This study examined the experience of shame in supervision experience and explored the mediating roles of social support a...
Melissa A Meulman.
Advisors: McHugh, Maureen C Committee members: Pearl Berman; Beverly Goodwin.
Psy.D. Indiana University of Pennsylvania 2019.
English

Social and emotional learning in education has become the preferred method of enhancing student mental health, as opposed to the "reactionary model" that focuses on amelioration of negative behaviors and emotions. This study is an investigation of a new social and emotional primary prevention program (The Look for the Good Project-LFTGP) for elementary schools that is aimed at increasing gratitude in students. Utilizing a convenience sample of schools, pre-test and post-test measures of grati...
Laura Hall.
Advisors: McLaughlin, Courtney L. Committee members: Lynanne Black; Becky Knickelbein.
D.Ed. Indiana University of Pennsylvania 2019.
English

Each year, hundreds of nursing students begin their education at one of the many educational institutions located in Pittsburgh, Pennsylvania. Despite the fact that more than a quarter of Pittsburgh's residents identify themselves as a racial minority, the current demographics of nursing professionals in Pittsburgh remains overwhelmingly White. The city is home to 15 different nursing programs where students can obtain a diploma, associate, or baccalaureate degree, in two, three, or four year...
Christina Serrao Baktay.
Publisher info.: Dissertation/Thesis.
Advisors: West, Edith A. Committee members: Michele Gerwick; Jeanine Mazak-Kahne.
Ph.D. Indiana University of Pennsylvania 2019.
English

The public school system in Pennsylvania has experienced academic and financial challenges over the past 10 years. In June 2006, the state government passed the Taxpayer Relief Act, also referred to as Act 1. The Act was later revised in 2011 and limits the ability of school districts to increase taxes beyond a set limit without voter approval (Pennsylvania Department of Education, 2018). Given Act 1, the problem for school district stakeholders is to know how much money is enough to adequate...
Daniel T Potutschnig.
Publisher info.: Dissertation/Thesis.
Advisors: Piper, David Committee members: Kelli Paquette; Sue Rieg.
D.Ed. Indiana University of Pennsylvania 2019.
English