Saudi Cultural Missions Theses & Dissertations
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Item Restricted Wayfinding in Heritage Sites: Custom House ‘‘Vibrant Culture Hub’’ as case study(University of Edinburgh, 2025) Bahuwayrith, Slma; Hollis, EdwardThis research aims to enhance visitor interaction and experience within heritage sites by blending innovative design solutions, technology, and cultural narratives. Using the Vibrant Culture Hub as a case study, the project redefines how heritage sites can be navigated and appreciated in the modern world. While the transformation of Custom House into the Vibrant Culture Hub has addressed some wayfinding challenges, additional aspects remain to be explored. This research will examine how graphics, signage, and digital enhancements can be integrated into historic settings without detracting from their architectural and cultural essence. Furthermore, the research will explore how these wayfinding elements can express the site’s cultural narratives, enriching the visitor’s journey. Inclusivity and accessibility will be central to the solutions, ensuring they cater to all user groups. Insights from the Reading, Adapting, and Connecting Interiors courses will inform this investigation, enhancing its depth and relevance.21 0Item Restricted BALANCE ABILITY AND POSTURAL ADJUSTMENTS IN PATIENTS WITH MULTIPLE SCLEROSIS(University of Miami, 2024-12) Alanazi, Sulaiman; Moore, JamesMaintaining balance is essential for performing daily activities, requiring the body’s center of mass (COM) to stay within the base of support (BOS) during both static and dynamic tasks. Individuals with multiple sclerosis (PwMS) often face impairments in balance due to neurological dysfunctions that affect anticipatory (APAs) and compensatory (CPAs) postural adjustments, increasing the risk of falls. While previous studies have examined balance mechanisms using shoulder-level perturbations in PwMS, the impact of base-of-support perturbations on postural adjustments remains inadequately explored. This dissertation aimed to comprehensively characterize the balance ability and postural adjustments in PwMS compared to healthy controls and evaluate the effectiveness of targeted training interventions designed to enhance these capabilities. The research objectives included three main aims: first, to characterize differences in balance ability and postural adjustments between PwMS and age and sex matched healthy adults using clinical and instrumented measures; second, to systematically review the literature to identify the most effective intervention modes for improving balance in PwMS; and third, to investigate the impact of a targeted training program focusing on postural adjustments and functional strength on clinical and instrumented balance measures. Results revealed significant balance impairments in PwMS compared to controls, with lower scores on the BESTest, particularly in sensory orientation, anticipatory postural adjustments, and reactive postural responses. The LOS test indicated delayed reaction times and reduced directional control in PwMS. A systematic review of balance interventions identified postural adjustments targeted and functional strength training as the most effective approaches. Consequently, a targeted training program was implemented, leading to significant improvements in total BESTest scores, faster reaction times, greater endpoint excursions, and enhanced directional control on the LOS test. In conclusion, this dissertation provides a detailed understanding of balance impairments and postural adjustment deficits in PwMS, demonstrating that targeted training interventions can significantly enhance balance ability. These findings support the development of rehabilitation strategies aimed at reducing fall risk and improving quality of life for PwMS.18 0Item Restricted Web-Based Intervention to Help Nurses to Manage Work-Related Stress in Saudi Arabia: A Feasibility Study(University of Nottingham, 2024-10) Allehyani, Yasser; Blake, HollyBackground: The prevalence of work-related stress (WRS) among healthcare employees globally is higher than that of other professions, with nurses reporting the highest rates. WRS results in functional limitations and decreased productivity at work, and high rates of presenteeism, sickness, absenteeism, and turnover, incurring massive costs for health systems. WRS poses a severe occupational risk for healthcare personnel that can negatively impact their health and the wider economy, but despite well-known prevalence in Saudi Arabia, little is known about particular local issues in this national context. Aims and objectives: This study aims to utilise a novel web-based intervention for work-related stress (WBI-WRS) to support behavioural self-management for nurses with WRS. This digital technology-based intervention can potentially meaningfully affect outcomes such as stress, mental well-being, turnover intentions, and presenteeism. These intervention techniques can improve the general standard of patient care inside healthcare organisations by favourably affecting nurses impacted by WRS. Method: The participants were chosen from a tertiary hospital in Saudi Arabia. Convergent parallel mixed methods research with a feasibility study design was used. This was achieved by testing several variables, including the rate of participant attrition. participant recruitment, participant engagement with the intervention, the appropriateness of the outcome measures, and their experiences with the intervention’s various components. Secondary outcomes of this exploratory study included pre-post measurements of perceived stress, mental well-being, turnover intention, and presenteeism. Quantitative data were collected from a single group before and after the intervention to evaluate primary and secondary outcomes at baseline and six weeks after the WBI-WRS. Semi-structured interviews with 17 nurses were used to gather qualitative insights. Findings: From 81 initial recruits, sixty-eight nurses participated in the quantitative intervention feasibility study and completed three monthly follow-ups to evaluate the research design. It was determined that the research procedure and quantitative and qualitative data collection and analysis were practical. The intervention showed an attrition rate of 28% (n=19 drop-outs). Based on their experiences with the intervention, all nurses who completed the intervention expressed satisfaction with its impacts; the feasibility of outcome measures was the sole criterion that needed any degree of adjustment. Thematic analysis of qualitative interviews with 17 nurses (11 female and 6 male, aged between 18 and 55 years old) revealed five thematic topics from interviews concerning their perceptions of the WBI-WRS usability and prospective utility, participation in the toolkit, the impact of the toolkit, and their general attitude towards it: (1) Overview of Work-Related Stress; (2) WBI-WRS Toolkit Features; (3) Experiences with WBI-WRS Toolkit; (4) WBI-WRS Toolkit Impact; and (5) Improving the Toolkit. These topics gave insights into the characteristics required for nurses to use the WBIWRS successfully. As nurses demonstrated improvement in their secondary outcome measures following the WBI-WRS, the quantitative results supported the feasibility of the primary outcomes. Implications: A feasibility trial has been conducted to assess the WBI-WRS Toolkit. The study showed that the toolkit is accessible, acceptable to, and appropriate for nurses practising in Saudi Arabia. The efficacy and long-term usefulness of the WBI-WRS for nurses and other healthcare professionals in the Saudi context now need to be tested in a definitive trial.13 0Item Restricted The Effects of Reading Racetracks on the Letter-Sound Correspondences of Students with Mild Intellectual Disability(The Ohio State Univeristy, 2024-04-19) Alsultan, Abdulrahman; Alber-Morgan, SheilaThe ability to connect written letters (graphemes) with their spoken sounds (phonemes) is a cornerstone of early literacy development. This crucial skill unlocks the code of written language, enabling children to decode words, build vocabulary, and ultimately become fluent readers and writers. For students with mild intellectual disabilities (IDs), who may face additional challenges acquiring literacy skills, mastering letter-sound correspondence (LSC) is especially critical. Early interventions that effectively build this foundational knowledge can empower these students to overcome barriers and embark on a successful journey with reading and writing. In this study, a multiple-probe design across sets of LSCs was used to evaluate the impact of a reading racetrack intervention on acquiring LSC. The study involved four students with mild IDs in the second and third grades in a suburban Saudi Arabian school district. Results indicated a functional relation between the reading racetrack intervention and increased accuracy in LSC and words read correctly. Moreover, participants displayed positive attitudes toward the intervention and successfully maintained the LSCs 4 weeks post-intervention. These findings support the potential of the reading racetrack intervention for improving LSC in students with mild ID, warranting further investigation with larger and more diverse populations.16 0Item Restricted The prevalence, related factors, and burnout levels among primary health care nurses in elderly care settings(2022-09-30) Alshahrani, Nouf; Roberts, Sara LisabethBackground: Primary healthcare nursing denotes the valuable healthcare component services delivered to varied patient groups. Burnout is a persistent challenge for the healthcare professionals assigned primary roles in different settings. The burnout emerges in the execution of geriatric care in primary care settings. Aim: To establish the prevalence, varied factors related, and burnout levels in PHC nurses Methodology: A systematic review was conducted. A search was conducted on PubMed, MEDLINE Complete, Cochrane Library, and ScienceDirect. PRISMA Flow Chart guided the screening and selection of studies against predetermined eligibility criteria. ROBINS-I Tool facilitated the quality assessment of the studies and data extraction done in a matrix. A synthesis of the studies generated the key themes of the systematic review Results: The search generated 757 studies. The principal themes from the ten included studies were prevalence of burnout in PHC nurses offering geriatric care, factors, and levels of burnout in PHC nurses delivering geriatric care. The risk factors from the studies were with patient overcapacity, limited opportunities for professional advancement, and poor team staffing. The risk of acquiring infections, role ambiguity, excessive workload, economic insufficiency, and stigmatizing attitudes exposed primary care nurses in geriatric care to burnout. Conclusions: The systematic review reveals increased risk of burnout among primary care nurses in geriatric care. The high incidence of burnout complicates the geriatric care process for the primary care nurses. Future studies could identify the factors leading to burnout in geriatric care nurses in primary care centres to generate a viewpoint on the problem outside hospitals.25 0Item Restricted An Exploration of the Negative Impact of Social Media and Strategies for Intervention(2023-05-11) Kurdi, Maram; Mishra, ShivakantSocial media platforms are vital in connecting individuals globally. However, to thrive, these platforms must prioritize user and content creator satisfaction and engagement, which are key to their success. This highlights the importance of designing social media platforms with a user-centric approach that considers not only the technical aspects of interaction but also the psychological and emotional effects on the user. For instance, the sudden deletion of user-generated content without any explanation or warning can elicit negative emotions and frustration, while exposure to appealing digital food cues can indirectly affect users’ well-being and fuel the obesity epidemic. This thesis explores the impact of social media on individuals’ physical and emotional states and evaluates possible interventions aimed at mitigating its potential risks. It presents a comprehensive, large- scale examination of videos that have been removed by YouTube or deleted by their uploaders. It develops and assesses three prediction models that can predict which videos will be removed at three stages of their lifespan. Additionally, it presents a large-scale, mixed-method approach to quantify the prevalence of food cues on Snapchat in three countries with different cultural backgrounds (Saudi Arabia, the United States, and France). It also measures the impact of exposure to Snapchat food content on appetite and whether it may inadvertently exacerbate cravings. Finally, it sheds light on Snapchat users’ perceptions of a proposed intervention design idea, allowing them to customize their feed and hide food content to reduce exposure to it. The outcomes of this thesis offer valuable insights and recommendations for how social media platforms can be improved to promote a healthier and more positive user experience.42 0