2025 15th Annual Bastyr Student and Faculty Research Symposium

Bastyr University Research Institute, Center for Student Research, and the Library

On behalf of the Bastyr University Research Institute, Center for Student Research, and the Library we invite you to attend the 15th Annual Bastyr University Student and Faculty Research Symposium – online! The Symposium features posters from faculty, student, staff, and BU researcher partnerships showcasing Bastyr's research endeavors.


More info: https://www.bastyr.edu/library

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Bridging Practice and Research in Acupuncture Through Pragmatic Data Analysis

Kathleen Lumiere 1, Wen Tu 2, Lisa Taylor-Swanson 3, Lisa Conboy 4, Nick Lowe 5, Brigitte Linder 6, Sandro Graca 7, Beau Anderson 8, Spod Dutton 9, David Riley 10, Koon Kim 11, Xiaoming Sheng 12

Abstract
Bridging Practice and Research in Acupuncture Through Pragmatic Data Analysis

Kathleen Lumiere, Wen Tu, Lisa Taylor-Swanson, Lisa Conboy, Nick Lowe, Brigitte Linder, Sandro Graca, Beau Anderson, Spod Dutton, David Riley, Koon Kim, Xiaoming Sheng

Objective: To analyze pragmatic data from clinical registries and case reports to assess real-world outcomes and foster practitioner research.

Methods: Clinical registry data (n=221) reduced selection bias, while case report data (n=12) were more complete. Mixed methods were employed to analyze these combined data. Quantitative (N=233) analyses applied to demographics, pain (NRPS/PROMIS), and Patient Global Impression of Change (PGIC) across treatment durations from 1 week to 12 months. Qualitative analysis included thematic review of data from 15 patients, with concurrent triangulation exploring correlations between data sets.

Results: Pain scores significantly decreased from baseline (5.14) to 1 year (2.29, p<0.05), with PROMIS outcomes improving from 30.0 to 37.3 (p<0.0001). PGIC mean at 1 year was 2.31 ("Much Improved"). Musculoskeletal conditions comprised the largest category (57%). Qualitative findings documented individualized treatment and underscored the need for standardized documentation.

Conclusion: Pragmatic data analysis captures outcomes from individualized treatments, bridging the gap between clinical practice and research. Future directions include developing and teaching standardized pragmatic data guidelines. The pragmatic approach has significant implications for advancing acupuncture research and practice with inquiry that reflects real-world conditions and outcomes.
Presented by
Kathleen Lumiere <klumiere@bastyr.edu>
Institution
1 DAOM, LAc, Bastyr University, 2 MS, University of Utah, 3 PhD, LAc, University of Utah, SAR Board Member, 4 MS, ScD, Harvard University, SIEAM, 5 LicAc, MSc, ACU-Track, 6 AdvDip TCM, Western Sydney University, 7 MSc, LicAc, University of Wolverhampton, Evidence-Based Acupuncture, SAR Board Member, 8 PhD, LAc, Pace University, 9 LicAc, ACU-Track, 10 MD, CARE: Case Report Health Research Reporting Guidelines, 11 Student, Bastyr University, 12 PhD, University of Utah
Keywords
Acupuncture, Eastern Asian Medicine, TCM, case reports, clinical registry data, pragmatic data, observational research

Practical and economic challenges of implementing group auricular acupuncture treatment for chronic pain in primary care

Masa Sasagawa, Iman Majd, Daniel Cherkin

Abstract
Background: Although growing numbers of patients seek acupuncture for pain management, few acupuncturists with insurance credentialing work in the conventional medical settings. This has resulted in increasing frustration among patients wishing to receive acupuncture in primary care settings as part of their insurance benefits.

Methods: A course of eight weekly sessions of group auricular acupuncture (AA) for chronic musculoskeletal pain was implemented in a US primary care clinic and billed to insurance. The process of implementing group AA is described, including patients' and researchers’ perceptions of their experience. We also examined hypothetical scenarios for reimbursement based on relative value units (RVUs) based on Centers for Medicare and Medicaid (CMS) billing/coding.

Results: Recruitment was limited by COVID-19 requirements for social distancing and administrative hurdles, such that only four patients participated, three of whom attended all eight sessions. Seven additional Medicare patients were excluded due to concerns that acupuncture would not be covered. Participants reported mostly positive experiences with both AA and the group model of care. Based on our hypothetical reimbursement scenarios, in the fee-for-service model, group sessions appear to be economically more viable when staffed by non-physician acupuncturists credentialed for insurance reimbursement. For example, for a group of six patients, each receiving acupuncture would be anticipated to generate 3.60 RVUs, whereas a physician seeing three individual patients consecutively for return office visits at CMS Evaluation and Management (E/M) level 3 could generate at least 4.11 RVUs.

Conclusions: Offering group AA services in primary care clinics might increase access to acupuncture for patients with chronic pain. Although patients appreciated quicker access to acupuncture through group visits, logistical and economic barriers remain a challenge for sustainable group-based acupuncture visits (Majd, 2025).
Presented by
Masa Sasagawa
Institution
Bastyr University and University of Washington School of Medicine Osher Center for Integrative Health
Keywords
integrative medicine, primary care, chronic pain, group care, insurance, auricular acupuncture, economics

Scientific Validation of Acupuncture for Autonomic Nervous System Regulation in Neck Pain and Headache

Principal Investigator: Jungmin Ahn, PhD, AEMP, LAc, MS; Ashley Traughber, MPH, LMT, CPT, ND & LAc Candidate; Kathleen Lumiere, Bastyr Faculty, AEAM Research Bastyr University Simon Song, Research auditor Maxine Filder, Medical writer Hyunwoo Moon, Researcher, Korean Medical Society of Acupotomology Nicholas Downey, Clinical data coordinator Chan Han, Data Analyst

Abstract
Scientific Validation of Acupuncture for Autonomic Nervous System Regulation in Neck Pain and Headache

Student: Ashley Traughber, MPH, LMT, CPT, ND & LAc Candidate Principal Investigator: Jungmin Ahn, PhD, AEMP, LAc, MS Other Contributors: Kathleen Lumiere, Bastyr Faculty, AEAM Research Bastyr University Simon Song, Research auditor Maxine Filder, Medical writer Hyunwoo Moon, Researcher, Korean Medical Society of Acupotomology Nicholas Downey, Clinical data coordinator Chan Han, Data Analyst

Objective: This study aims to scientifically validate the immediate regulatory effects of acupuncture on the autonomic nervous system (ANS) in patients presenting with neck pain and headache. The research focuses on objective changes in heart rate variability (HRV) and other physiological markers of ANS activity to evaluate acupuncture’s mechanism of action and clinical efficacy.

Methods: A retrospective case series involving 50 participants was conducted using the SA-3000P medical device to measure pre- and post-treatment metrics. Acupuncture was applied using a modern, anatomically-informed technique called Regenerative Soft Tissue and Neurological (RSN) acupuncture. Key variables analyzed included heart rate, standard deviation of normal-to-normal intervals (SDNN), root mean square of successive differences (RMSSD), and low-frequency to high-frequency ratio (LF/HF). Additional metrics included stress resilience (SR) and electro-cardiac stability (ECS). Statistical methods included paired t-tests, Wilcoxon signed-rank tests, and Cohen’s d for effect size calculation.

Results: Significant improvements were observed post-treatment in heart rate (-7.1%, p<0.001), SDNN (+27.7%, p=0.0008), RMSSD (+46.6%, p=0.0059), LF/HF ratio (-21.6%, p=0.0494), SR (+13.6%, p<0.001), and ECS (+17.1%, p<0.001). Strong correlations were noted between SDNN and RMSSD (r=0.90), and between SDNN and SR (r=0.85), suggesting coherent ANS modulation. No adverse events were reported.

Conclusion: The findings confirm that acupuncture is an effective intervention for immediate autonomic regulation. By enhancing parasympathetic activity and improving HRV metrics, acupuncture supports the clinical management of conditions associated with ANS imbalance. These results suggest the integration of acupuncture into broader healthcare settings may offer measurable benefits, warranting further longitudinal studies.

Funding/Ethical Considerations: No external funding was reported for this study. This study received IRB approval (25-0003) from Bastyr University. Data were collected retrospectively using de-identified patient records, ensuring participant confidentiality and data security. Licensed acupuncturists administered treatments following standard clinical protocols. No adverse events were reported during data collection.
Presented by
Jungmin Ahn
Institution
Bastyr University: Acupuncture of East Asian Medicine & Silverlake Clinic
Keywords

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Assessment of Neurological Effects of Centella asiatica using Quantitative Electroencephalography

Hattie Patterson

Abstract
Assessment of Neurological Effects of Centella asiatica using Quantitative Electroencephalography Student: Hattie Patterson Faculty Advisor: Kaleb Lund, PhD, RH (AHG) Objective: Centella asiatica is a commonly used adaptogenic and nootropic herb that is said to benefit cognitive function; however, there have been very few studies to substantiate the effects on the brain. This study aimed to evaluate the impact on brain electrical signaling and attention testing using a standardized extract of Centella asiatica. Methods: This self-conducted study occurred over three days, comprising IVA testing and a series of eyes-open and eyes-closed qEEGs. The initial day involved obtaining a baseline assessment of the participant's normal brain function, followed by two additional days of blinded scans, which included a placebo capsule and a 200 mg standardized extract of Centella asiatica. Results: Cognitive function improved significantly with the Centella asiatica, which was demonstrated by increased relative power of Beta waves and quicker firing of Alpha wavebands. There was an increase in electrical function in the left frontal lobe, indicating improved mood. Attention tests showed increased visual attentiveness and decreased impulsivity and reactivity; however, there was a decrease in auditory attention compared to the placebo and baseline tests. Conclusion: There were mixed results with delta wavelengths indicating tiredness on the active day. The mixed results of the attention test suggest that Centella asiatica exhibits a dose-dependent response on attention. Based on the various effects observed in both eyes-open and eyes-closed scans, Centella asiatica appears to have an impact on the brain, with the triterpenoid saponins in the standardized extracts primarily responsible for these effects.
Presented by
Hattie Patterson
Institution
Bastyr University
Keywords

Effects of Falcarindiol and Oplopanax horridus Extracts on Human Breast Cancer Cells

Bibiana Ancheta, Joel Yates

Abstract
Effects of Falcarindiol and Oplopanax horridus Extracts on Human Breast Cancer Cells

Bibiana Ancheta and Joel Yates This study investigates the extraction efficiency of falcarindiol from Devil’s Club using a series of incremental ethanol extractions and evaluates the potential effects of the optimal extract on MCF7 breast cancer cell proliferation. High-performance liquid chromatography (HPLC) analysis of extracts prepared with ethanol concentrations ranging from 10% to 100% revealed that falcarindiol content peaked in the 80–90% ethanol range, with a marginal decline observed at 100% ethanol. Based on these findings, an 80% ethanol extract was selected as optimal for further biological assessment.

Application of the crude extract of Oplopanax horridus at 80% ethanol was analyzed for interactions of breast cancer cell growth rates. Initial findings provided data that reflected an increased proliferation of breast cancer cells in direct relation to the increased concentration of the crude extract. Whether this was due to systematic or human error that altered the data results, further replication of this experiment is needed for conclusive evidence of this implication.

Future research would include application of Oplopanax horridus crude extract on human killer-T immune cells to examine interactions and explore the potential activation of the overall immune system. Also, repeatability of the previous research experiment on MCF7 human breast cancer cells to see if data is replicated or identify possible sources of error, whether human or systematic.
Presented by
Joel Yates & Bibiana Ancheta
Institution
Bastyr University
Keywords
Breast Cancer, Oplopanax horridus, Devil's Club, Falcarindiol

Lymphagogues For All

Alexandra Madsen, Trisha Hodges, Mack Coker

Abstract
Title: Sustainable Lymphagogues for All Student name(s): Alexandra Madsen, Trisha Hodges, Mack Coker Mentor(s): Kaleb Lund, PhD, RH(AHG) Study Objective: To compare the flavonoids and phenolic acids in Ceanothus spp. leaves and roots to identify sustainable market options. The objective of this project was to examine whether Ceanothus velutinus leaf could be a replacement for Ceanothus americanus root as a lymphagogue support on the market. Examining the presence of specific flavonoids and phenolic acids, as they have been shown to have positive effects on stimulating the lymphatic system by increasing interstitial fluid circulation and increasing the efficiency of movement of nutrients through the bloodstream and into the lymph. To analyze the flavonoid and phenolic constituents of Ceanothus velutinus leaf and Ceanothus americanus root, a decoction for the root and an infusion with the leaf was prepared. Four 1:10 tinctures were made using 25% and 95% ethanol (EtOH), shaken daily for 14 days, then diluted and filtered. The samples were analyzed using High-Performance Liquid Chromatography (HPLC). Standards included flavonoids (rutin, quercetin, and luteolin) and phenolic compounds (caffeic acid, chlorogenic acid, and rosmarinic acid) with a detection at 280 nm and 320 nm under controlled conditions. Initial HPLC analysis showed that Ceanothus velutinus leaves contain more rutin than the roots. They are equal in terms of the other phenolic acids and flavonoids. In conclusion, Ceanothus velutinus leaf would be a more sustainable option to replace Ceanothus americanus root on the market as a lymphagogue.
Presented by
Alexandra Madsen
Institution
Bastyr University, Herbal Sciences Bachelors
Keywords
Red Root, Lymphagogue

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Biofeedback Therapy in the Management of Anxiety and Depression in an Elderly Woman- A Case Study

Sara Anis and Maya Roth, ND

Abstract
Objective: To evaluate the effectiveness of biofeedback therapy in managing anxiety, depression, and hyperventilation symptoms in a 72-year-old woman during her transition into retirement. Methods: The patient underwent eight sessions of biofeedback therapy utilizing diaphragmatic breathing and heart rate variability (HRV) training through PhysioData and EmWave software. Standardized assessments, the Generalized Anxiety Disorder 7-item scale (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the Nijmegen Questionnaire were used at intake and final visit to measure symptom changes. Results: After eight sessions, the patient’s GAD-7 score dropped from 14 to 5, PHQ-9 from 18 to 10, and Nijmegen from 29 to 21, showing improvements in anxiety, depression, and hyperventilation symptoms. Subjectively, she reported better sleep, improved stress management, and increased confidence in using breathing techniques. Conclusion: Biofeedback therapy, including diaphragmatic breathing and HRV training, may be a beneficial adjunctive treatment for older adults experiencing emotional and physiological symptoms during major life transitions. Continued medication use and inconsistent home practice were noted limitations. This case supports the use of biofeedback as a complementary, non-pharmacologic option for elderly patients seeking greater autonomy in managing mental health.
Presented by
Sara Anis
Institution
Bastyr University San Diego
Keywords
Biofeedback Therapy, Heart Rate Variability (HRV) , Anxiety and Depression , Geriatric Mental Health

Heart Rate Variability Biofeedback and Naturopathic Interventions for Symptom Relief in Post-Concussion Syndrome: A Case Report

Chloe Miller, ND Candidate; Maya Roth, ND

Abstract
Objective: This case report explores the effectiveness of integrating heart rate variability (HRV) biofeedback with naturopathic interventions in the management of persistent post-concussion syndrome (PCS) symptoms.

Methods: A 34-year-old female presented with daily migraines, fatigue, memory dysfunction, and autonomic dysregulation following a motor vehicle accident that exacerbated her history of five prior concussions. A seven-session HRV biofeedback protocol was implemented using Physiodata and emWave software to improve HRV coherence through paced breathing, guided imagery, and emotional desensitization. Nutritional interventions included Vitamin D (10,000 IU/day), Vitamin B12 (5,000 mcg/day), and Omega-3 fatty acids (4.5 g/day). Pre- and post-treatment assessments included the PHQ-9, GAD-7, Nijmegen Questionnaire, and HRV coherence tracking.

Results: The patient showed a marked increase in HRV coherence, with high coherence rising from 1% to 43%. PHQ-9 improved from 4 to 3, GAD-7 from 7 to 5, and Nijmegen from 18 to 10. Clinically, she reported reduced migraine frequency (from daily to once or twice weekly), improved energy, and greater cognitive clarity. These improvements were sustained through consistent at-home practice of breathing techniques and lifestyle modifications.

Conclusion: This case suggests that HRV biofeedback, when combined with targeted naturopathic therapies, may effectively improve autonomic regulation and reduce symptom burden in PCS. While promising, further investigation with larger cohorts and objective HRV measures is warranted.

Funding: None.

Word count: 298 Character count (excluding spaces): 1487
Presented by
Chloe Miller
Institution
Bastyr University of San Diego, Department of Naturopathic Medicine
Keywords
Concussions, biofeedback, stress, migraines, heart rate variability, traumatic brain injury, case report

Prospective Outcomes Trial in Patients Undergoing Care with Naturopathic Providers (POT PNP)

Chih-Yun Hsuing, ND, Natiya Guin, ND, Brandy McGill, ND, Jeanette Dok, ND, Ellen Prairie, ND, Ksenia Zvereva, ND, Pedro Alcazar-Perea, Shayon Aram, Katy Bachman, Monica Binford, Patricia Cavallini, Stephanie Daboub, Julia Dannenbaum, Kimberly Dickenson, Aaron Donny-Clark, Leslie Fiedler, Ann Hackney, Andrea Haynes, Amber Heller, Makenna Herrero, Jessica Jarrett, Fjorda Jusufi, Amie Kim, Juliana Langdon, Judith Lantigua, Taya Lindsay, David Lee, Rebecca Malits, Mckenzi Mazur, Brenna McGrath, Chloe Miller, Sarah Nelson, Lauren Picone, Nidhi Sheth, Stevie Simpson-Burk, Kayla Szampruch, Rebecca Tobolski, Kate Tanaka, Anne Wells, Christie Wylde, Erin Sweet, ND, MPH, FABNO

Abstract
OBJECTIVES The overall aims of this prospective observational case series are to: 1. Describe both the quality of life (QoL) changes over time associated with complementary and integrative medicine treatments provided by naturopathic physicians. 2. Provide students with a real-world clinical research experience prior to graduation.

METHODS Patients ≥18 years of age presenting to the Bastyr Center for Natural Health (BCNH) for care who meet the following inclusion criteria are eligible to participate; speak English well enough to understand the consent form and able to read and understand the questionnaires. Patients will be consented and PROMIS Global Health-10 (PGH-10), Global Anxiety Disorder-7 (GAD-7), and the Patient Health Questionnaire-9 (PHQ-9) will be administered at each visit. Questionnaires, ICD-10 codes, CPT codes and recommended treatments will be abstracted from the participants chart at the time of each visit and entered into the Research and Electronic Data Capture (REDCap) database.

RESULTS Results are currently ongoing for our participants enrolled in the study. A total of 58 (a 56% increase over 2023-2024) participants have been enrolled. A total of 123 (a 58% increase over 2023-2024) visits have been completed.

CONCLUSION The purpose of the research shifts is to provide students with a real-world clinical research experience prior to graduation. This is intended to provide medical students with invaluable opportunities to develop essential skills, gain practical exposure to patient care, and contribute to the advancement of medical knowledge, ultimately preparing them for successful careers as evidence-based practitioners. Collecting this data will help to inform physicians and patients what conditions naturopathic physicians commonly treat, with what therapies, frequency of use, the cost of such treatments, and how these treatments are associated with QoL. This research is disseminated annually at various conferences, which addresses the need to conduct naturopathic clinical outcomes research and the goal of providing students with a research experience during their education and training. In addition to the current shift offered at the Bastyr Center for Natural Health (BCNH), this project was expanded to include a second research-focused teaching shift at Bastyr University San Diego (BUSD) in Fall 2023.

ACKNOWLEGEMENT Funding for these studies has been provided by Bastyr University Research Institute. Contact: Erin Sweet esweet@bastyr.edu

Presented by
Erin Sweet, ND, MPH, FABNO
Institution
Bastyr University
Keywords
Naturopathic Medicine, Clinical Research

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Impactful Care Cycles in the Nutrition Care Process Framework: Insights from the AUGmeNt Study on Patients with CKD Grade 5 Treated by Dialysis

Ginger Hultin DCN RDN CSO, Casey R. Colin, DCN, RDN, LDN, FAND, Hanadi Hamadi, PhD, Constantina Papoutsakis, PhD, RD

Abstract
Background and Research question: Excessive phosphorus intake is a common nutrition challenge among adults with end-stage renal disease (ESRD) undergoing hemodialysis (HD), impacting patient outcomes and increasing disease risk. While Registered Dietitian Nutritionists (RDNs) play a critical role in managing phosphorus levels, detailed care documentation remains limited. The study aimed to determine how RDNs document Nutrition Care Process (NCP) practice patterns, including diagnoses, interventions, and outcomes, in patients with ESRD in the AUGmeNt Study.

Methods: A secondary analysis of AUGmeNt registry data evaluated RDN implementation of renal nutrition guidelines, NCP terminology (NCPT) use, documentation quality, and outcomes, including diagnosis resolution and serum indicators. Thirty-seven RDNs documented 1,347 nutrition care encounters for 676 patients with ESRD on HD across 22 states.

Results: Among these encounters, excessive phosphorus intake was the most frequently documented nutrition problem (N=421; 21%), with food and nutrition-related knowledge deficit as the most common etiology term (N=61; 58%) and knowledge as the most frequent etiology category matrix category (N=43, 41%). Education on nutrition's influence on health (N=28; 27%) was the most common intervention and serum phosphorus measurement (N=42; 41%) was the most common nutrition monitor, used for evaluation. Improvement or resolution was documented for 70% (N=104) of patients with excessive phosphorus intake. Successful care cycles commonly included education on how phosphorus influences patient health and strategies on how to manage intake, demonstrating improved phosphorus levels at reassessment.

Conclusion and Research Implications: These findings highlight the impactful role of RDNs in managing excessive phosphorus intake through structured NCP cycles. Further emphasis on improving NCP documentation and best practices can enhance patient outcomes and reinforce the value of RDNs in the ESRD population.
Presented by
Ginger Hultin <ghultin@bastyr.edu>
Institution
University of North Florida, Brooks College of Health, Department of Nutrition and Dietetics,
Keywords
chronic kidney disease, end-stage renal disease, registered dietitian nutritionist, dietetics, nutrition assessment, nutrition care process, nutrition care process terminology, medical nutrition therapy

Integrating Nutrition & the Gut-Skin Axis into Dermatology: A Holistic Approach to Skin Health & Rejuvenation

Noor Javidi

Abstract
Objective: Recent studies show that the gut-skin axis is significant in maintaining skin health, particularly in anti-aging, collagen synthesis, and rejuvenation. The gut microbiome regulates inflammation, immune responses, and skin barrier function, all critical in supporting youthful, healthy skin. Diets rich in vitamins, minerals, antioxidants, and omega-3 fatty acids help reduce oxidative stress, support collagen production, and combat inflammation. A balanced diet can help maintain the skin’s structure and external appearance by supporting internal processes that regulate skin health. Methods: Many species, such as Cutibacterium acnes, Staphylococcus epidermidis, and Malassezia, on the skin are affected by gut health imbalances, influencing skin inflammation and irritation. Probiotics, found in foods like yogurt and kefir, can help restore balance to the gut microbiome, further supporting skin health. Integrating nutrition-focused therapies into dermatology offers a holistic approach to skincare. Results: The gut-skin axis suggests that a healthy gut microbiome influences skin conditions. Diets high in fiber, fermented foods, and prebiotics support beneficial gut bacteria, reducing inflammation and improving skin barrier function. In contrast, diets rich in processed foods and unhealthy fats contribute to gut dysbiosis, which can exacerbate conditions like acne, rosacea, and eczema. Conclusion: This review explores how personalized nutrition and microbiome-focused therapies can enhance dermatological treatments, offering an integrative approach to skin rejuvenation. As research continues, evidence-based nutritional guidelines will play a pivotal role in optimizing skin health, addressing both internal health and external appearance for more sustainable, effective skincare solutions.
Presented by
Noor Javidi
Institution
Bastyr University San Diego Doctor of Naturopathic Medicine
Keywords

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The Impact of Personality on Groups in Isolated, Confined, and Extreme (ICE) Environments: A Literature Review

Kelly Shepherd and Naomi Lester, Ph.D.

Abstract
Objective/Background: Human-crew missions to Mars and other planets have the potential to greatly accelerate scientific and technological innovation, yet such missions carry high risks due to the isolated, confined, and extreme (ICE) environments of spaceflight and planet-based ground operations. Research has investigated team operations in analogous earth-based ICE situations such as isolated polar or undersea regions and suggests that individual differences in team members may impact the functionality of these work groups. The current project reviewed research on the impact of individual personality traits on group cohesion/function for teams working in ICE environments.

Methods: Database searches in PsycInfo, PubMed, PsycARTICLES, and ProQuest initially identified 20 studies that appeared to meet search criteria. Of these, many were excluded due to factors such as lack of outcome measures and research environments not fitting inclusion criteria, with 6 studies meeting full inclusion criteria for critical review.

Results: Results showed that personality traits, including agreeableness, extraversion, openness, and conscientiousness, as well as individual differences in levels of flexibility and self-discipline, do appear to impact team cohesion/function in ICE environments. Results also suggest that the variability of trait levels and trait mixes within teams may impact team cohesion and outcomes.

Conclusions: Further research, particularly studies focused on the adaptive and maladaptive aspects of extroversion, mixed levels of agreeableness and openness within teams, and the adaptive components within conscientiousness, could be helpful for boosting understanding and assisting with development of crew training methods to help foster success in high-risk ICE work environments, such as missions to Mars and other planets.

Funding: n/a
Presented by
Kelly Shepherd & Naomi Lester
Institution
Bastyr University, Department of Counseling and Health Psychology
Keywords
Personality, Teams, Extreme Environments

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Impact Of Digital Health Literacy (DHL) On Mental Wellbeing Of University Students During the COVID-19 Pandemic- A Secondary Data Analysis.

Sana Samreen, Dr. Cristina Ciupitu-Plath

Abstract
Impact Of Digital Health Literacy (DHL) On Mental Wellbeing Of University Students During the COVID-19 Pandemic.

Student: Sana Samreen

Faculty Advisor: Dr. Cristina Ciupitu-Plath

Background/Objectives: The COVID-19 pandemic significantly exacerbated mental health challenges among students. Simultaneously, students became increasingly reliant on digital platforms to seek health-related information. This study examines the relationship between Digital Health Literacy DHL and the mental health of university students during the COVID-19 pandemic, with a focus on how demographic factors moderate this relationship.

Methods: This study is a secondary data analysis of survey responses from 106 university students enrolled at two minority-serving institutions in Washington State. The survey utilized validated instruments to measure DHL and mental health outcomes like anxiety and depression. Descriptive and inferential statistical analyses were conducted using Jamovi software. Inferential analysis included Pearson correlations and multiple linear regression models.

Results: Neither total DHL scores nor specific subdomains showed significant associations with mental health outcomes. Additionally, no significant moderation effects were found for demographic characteristics. However, demographic factors were strong predictors of mental health, with students identifying as LGBTQ+, middle to low SES, and those with disabilities having significantly higher scores of anxiety and depression.

Conclusion: The findings suggest that while DHL remains an important competency for navigating online health information, it may not directly improve or protect mental health in contexts where structural inequities and psychosocial stressors play a stronger role. Based on our findings, we recommend that institutions expand culturally competent mental health services for historically marginalized students, with efforts extending beyond individual-level interventions. Universities should also incorporate DHL training into academic curricula to enhance students’ ability to evaluate and use digital information responsibly. Additionally, future research is needed to explore causal relationships through longitudinal studies, and how student parents experienced the pandemic, and what supported their sense of resilience.
Presented by
Sana Samreen
Institution
Bastyr University, Department of Public Health
Keywords
Digital Health Literacy, Mental Health, University Students, COVID-19 Pandemic

We Heal Us: An Integrative Wellness Care Model for QTBIPOC Communities

Mariah Emerson

Abstract
Objective: This capstone project exists to create an integrative wellness care model designed by and for Queer, Trans, Black, Indigenous, and People of Color (QTBIPOC) communities in order to address and reduce health disparities affecting these communities. The model is rooted in the principles of participatory action research, collective self-determination, and liberation-centered health practices. Central to this model are five interlocking pillars: integrative wellness, community health education, self-advocacy, culturally affirming care, and grassroots community infrastructure.

Methods: Methodology included a comprehensive literature review of community-led health models historically implemented by groups such as the Black Panther Party and the Young Lords Party. Additionally, primary-source interviews from community leaders experienced in building and delivering models of care informed the model’s design, ensuring relevance, adaptability and grounded praxis.

Results: The research uplifts health sovereignty and radical accessibility as critical means of positioning care as a collective responsibility rather than an individual burden. Engaging the constituency of those accessing care from design into implementation of a care space ensures trust, interdependence and sustainability of the space at large.

Conclusion: Implications of this project suggest that scalable, community-led wellness frameworks—when embedded in cultural relevance and political analysis—can effectively disrupt health inequities. It offers a replicable foundation for integrating intergenerational, traditional and contemporary healing modalities which are relevant to be employed in public health settings, clinical environments and community organizations.
Presented by
Mariah Emerson
Institution
Bastyr University
Keywords