In this case study, the formal feedback process of the PCC was researched to determine if the process causes a potential threat state within PCC representatives, and, if so, identify aspects of the process that are potential causes of the threat state. Researched was complete via survey, and data was analyzed using open coding and various quantitative methods. Based on the data obtained in the survey, a threat state was determined to exist due to the feedback process, and two potential causes were identified. A recommendation report was built from the data, and two recommendations were presented. The first recommendation was to adjust to process of how feedback is sent to a PCC rep, and the second was around how often that feedback is delivered. Also included in the recommendation report was discussion around limitations to the research and how those are potential options for future research.

For our Founders Lab Thesis Project, we are investigating the viability of a cryptocurrency that will be marketed towards students, prospective students, alumni, and faculty members of Arizona State University (ASU). Our cryptocurrency is known as “Hippocampus”. Essentially, individuals within the target audience will have the opportunity to exchange their fiat money for our university-affiliated cryptocurrency. These individuals will be incentivized to utilize the university-affiliated cryptocurrency as opposed to fiat money, because this cryptocurrency will offer them discounts on college-related expenses, such as tuition, student loans, textbooks, supplies, on-campus housing, on-campus dining, and much more. As the demand for Hippocampus increases, so will its value, which will benefit ASU as a whole. We created a Spring 2022 Semester Survey and surveyed a sample of 250 ASU students regarding the viability of our Founders Lab Thesis Project. 73.2% of participants revealed that they would support a university-affiliated cryptocurrency, and 62% of participants revealed that they would personally utilize a university-affiliated cryptocurrency. Additional activities that we completed to enhance our Founders Lab Thesis Project include interviewing an avid cryptocurrency user, learning about the Blockchain Research Lab, meeting with a financial advisor to understand the financial implications of a university-affiliated cryptocurrency, collaborating with a group of university students at Portland State University who implemented their own university-affiliated crypcorreucy, and touring a cryptocurrency-mining company to grasp an understanding of how cryptocurrency is mined.

Polypharmacy among psychiatric patients is a concerning trend. From 2007-2010, 58.2% of women and 41.8% of men reported taking five or more prescription drugs within the last 30 days (CDC, 2014). Negative outcomes include prescription drug abuse, side effects, interactions, treatment failure, patient dissatisfaction, and lack of treatment control. The associated practice challenges have led to the following PICOT question. In persons with mental health issues receiving care at an outpatient mental health clinic, does engaging in mindfulness practice versus no mindfulness practice change polypharmacy use over a 3-month period?

The project purpose was to evaluate the effectiveness of Insight Timer mobile mindfulness app at helping patients self-manage distressing symptoms and reduce polypharmacy. Over three weeks, mental health clinic nurse practitioners (NPs) voluntarily recruited patients (n=12) over age 18 using as needed prescriptions (PRNs), and agreed to use Insight Timer mobile mindfulness app for adjunct symptom management. Consenting participants downloaded the mobile app, and completed a brief questionnaire measuring PRN use at the start of app use, and PRN use at their next visit. A Wilcoxon signed-rank test indicated a 10-week mindfulness app trial did not significantly lower total PRN doses compared with pre-app dosing (Z = -.534, p = .593). Paired t-tests revealed no significant change in pre (M = 65.17, SD = 28.64) versus post (M = 67.75, SD = 20.22) OQ45 life functionality results (t(11) = -.420, p = .683) (d = .121) as a result of app use.

Clinically relevant results illustrated 83.33% of participants taking greater than nine PRN doses over the study period used the app six times or more in place of medication. High PRN users employed the app frequently in place of medication regardless of total PRN doses taken. Practice implications and sustainability recommendations include incorporating mobile app use in treatment plans for high PRN users and educating NP’s on the tangible benefits of mindfulness apps in reducing polypharmacy and easing symptom distress on an ongoing basis.
Keywords: mindfulness, mhealth, mobile apps, mobile smart phone, online, RCT, behavior change, polypharmacy.