Background: Decentralization and task-shifting of hepatitis C virus (HCV) infection testing and management from specialty services to primary care is vital to achieve global and Canadian HCV elimination targets since direct-acting antiviral therapy revolutionized HCV management. Primary care providers are instrumental in enabling more accessible and sustainable community-based HCV management. Understanding primary care providers' experiences and beliefs on provision of HCV treatment in primary care is vital to optimize primary care-directed HCV treatment. Purpose: We aimed to use best practices from implementation science to determine the key factors influencing primary care physicians' provision of HCV treatment and to synthesize the published evidence on the barriers and enablers to optimizing primary care-directed HCV treatment to inform future implementation interventions. Method: In Study 1, we conducted theory-informed interviews with family physicians practicing in Ontario, Canada to identify perceived barriers of and enablers to their provision of HCV treatment. The interviews and data analysis were guided by the Theoretical Domains Framework (TDF), which incorporates 33 theories of behaviour change into 14 domains to systematically identify cognitive, affective, social, and environmental influences on health behaviours. In Study 2, we conducted a systematic review of the barriers and facilitators to optimizing primary care-directed HCV treatment using the TDF as the organising framework. We characterized key determinants of primary care-directed HCV treatment by using the theoretical constructs, generating themes, and mapping themes to relevant TDF domains to identify potential targets for future implementation interventions. Results: We conducted semi-structured TDF-based interviews with 20 family physicians and found 'knowledge gap of HCV treatment guidelines', 'time and resource constraint and competing priorities in primary care', and 'clarity of primary care physicians' professional role in HCV treatment cascade' were the key barriers and enablers to provision of HCV treatment in primary care. The systematic review included 20 studies which suggested 'enabling environment', 'primary care capacity', and 'knowledge deficit in HCV treatment guidelines' were the key factors coded to 'Environmental context and resources', 'Social influences', 'Identity and social professional role', and 'Knowledge' as the most relevant TDF domains to influencing the optimization of primary care-directed HCV treatment. Conclusion: Our results provided practical insights into the barriers and enablers to better primary care-based HCV management. Future research will focus on developing implementation strategies to tackle the barriers and fortify the enablers to optimal HCV treatment in primary care.

The actor and artist Gladys del Pilar takes us on a journey through her different personas. We follow her into the four different stages of life from childhood into adulthood. What she has been facing as adopted and non-white and how she has navigated within the norm of whiteness. How the white privileged society has affected her life and how the structural racism has created obstacles in everyday life and in the profession as an actor and artist.

I decided to do the Disney College Program as my honors thesis because Disney is something I am very passionate about. I worked for the Disney Company before and knew that I wanted to continue my experience with them. I went into the program hoping to discover what the college program could do to prepare me (or any prospective programmer) for the profession and for a life in performance. In January of 2023, I made my way to Orlando, Florida, to start my next journey with the Walt Disney World Company. I went through four different orientation processes, as well as a week of training and an assessment period. For five months I worked for the company in a performance-based position, with hopes of discovering if there could be more opportunity to advance in performance. I discovered that by simply doing the job I was assigned well, my name was already beginning to circulate amongst Disney recruitment and leadership. This is the account of my semester in Walt Disney World. This thesis will cover everything from the application process to testimonials from other cast members. My hope is that my thesis can be a starting point for prospective applicants to this program. It is my hope that this will help prepare applicants for what is to come from the program, and the endless amount of performance opportunities and growth that stem from this internship.

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Thesis (M.F.A.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2999-01-01

Thesis (M.F.A.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2999-01-01

The present study investigated the relationship between indicators on the Bender Visual Motor Gestalt Test and acting-out behavior shown by 58 male and 40 female adolescents in a behaviorally oriented, alternative educational program, Acting-out behavior was measured by assessing the number of timeouts students received during their first 25 days in the program. Two Bender composite indexes were calculated--l0 emotional indicators recommended by Koppitz and 12 indicators believed related to acting-out behavior or control problems. Results found that the index of Bender acting-out indicators correlated with number of timeouts. The Koppitz index did not correlate with timeouts, suggesting lack of internal consistency. Five individual indicators correlated with number of timeouts.