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The Lived Experiences Of Caregivers Of Children With Reactive Attachment Disorder, Abby Baumgart

Walden Dissertations and Doctoral Studies

Parents of children with Reactive Attachment Disorder (RAD) encounter challenges in parenting and parent-child relationship development that are not typical to most parental situations. The purpose of the qualitative study was to explore the lived experiences of caregivers of children with RAD, to identify current met and unmet needs, to explore the experiences the caregivers of children with RAD have and the resources available to them. The study included a hermeneutic phenomenological foundation and incorporated the conceptual frameworks of family systems theory and attachment theory. A nonprobability, self-selection sampling strategy was utilized with recruitment through Facebook support groups. Methods included …

Work Adjustment And Family Caregiver Engagement In The Healthcare Transaction, Cynthia Uecker

Walden Dissertations and Doctoral Studies

Unpaid family caregivers in the U.S. now exceed 40 million people, and the question of how to effectively support the family caregiver is now decades old. Healthcare’s dominant perspective is reasonable because healthcare sees the family caregiver in the healthcare transaction. The research consistently reports caregivers cite lack of information and training as a primary reason for feeling the healthcare provider is non-supportive. This qualitative phenomenological study employed semi-structured interviews to explore whether non-supportive might represent a disconnect between caregiver and the healthcare provider purposes with respect to the caregiver role. The theory of work adjustment provides context for considering …

Behavioral Health Leadership Perspectives On The Transition To Medicaid Managed Care, Cynthia Lyn Gee

Walden Dissertations and Doctoral Studies

Healthcare and behavioral healthcare reform are sweeping across the United States to improve health outcomes, increase client satisfaction, and to decrease healthcare expenditures through statewide transitions to Medicaid managed care (MMC). Leaders of behavioral health organizations face significant challenges when implementing wide scale organizational change. A case study design was used to explore senior leaders’ experiences with transitioning from a fee for service environment to MMC at a behavioral health organization, which operates in the Northeastern region of the United States. The Baldrige excellence framework was used as a conceptual lens to assess the organization’s effectiveness in key factors. Senior …

The Lived Experience Of Monogamy Among Gay Men In Monogamous Relationships, Kellie L. Barton

Walden Dissertations and Doctoral Studies

Research on male gay relationships spans more than 50 years, and the focus of most of this research has been on understanding the development processes, consequences, and risk factors of nonmonogamous relationships. Few researchers have explored the nature and meaning of monogamy in the male gay community. Therefore, the purpose of this research was to explore the lived experience of monogamy to give voice to other expressions of gay male relationships and potentially add to the literature surrounding clinical implications of treatment. The framework for developing the research emerged from the construct of the monogamy gap, derived from theories of …

Aviation Maintenance Technician Decision-Making, Dominic Hemingway

Walden Dissertations and Doctoral Studies

Aircraft accidents caused by human decision-making errors cause property loss and fatalities on a global scale in the aviation industry. Aviation repair technician decision-making perceptions influence aviation safety. The purpose of transcendental phenomenological study was to explore the lived experiences of aviation repair technicians related to decision-making perceptions regarding aviation safety. The central research question and sub-question focused on the lived experiences of repair technicians’ decision-making perceptions. The naturalistic decision-making framework, decision theories, and decision-making models comprised the lens to assess the impact of aviation maintenance technician decision-making perceptions in aviation safety. Data were collected using semistructured interviews with 12 …

The Relationship Between Authentic Leadership In Project Managers And Project Success, Laurie Levy

Walden Dissertations and Doctoral Studies

Authentic leadership has been shown to influence prosocial employee attributes and behaviors. However, the relationship between authentic leadership in people without positional authority or power in an organization has not been studied as extensively. Therefore, the purpose of this study was to explore the relationship between nonpositional leaders in an organization and the authentic leadership components of relational transparency, self-awareness, ethical/moral values, and balanced processing, and to determine if authentic leadership in an organization’s project managers predicted project success. A second purpose was to determine if the possession of a project management credential moderated the relationship between authentic leadership and …

Gender Differences And Neurocognitive Function In Cocaine And Methamphetamine Addiction, Gwendolyn F. Royal-Smith

Walden Dissertations and Doctoral Studies

Abstract

Cocaine and methamphetamine-addicted women are more likely to suffer from personal life traumas that lead to persistent and committed drug abuse. In addition to social-psychological problems associated with drug abuse are neuropsychological processes involving specific regions of the brain responsible for working memory, decision-making, and impulse control. Classical and operant conditioning theories of learning provide a paradigm foundation for this quantitative, correlational study that utilized archival data from the National Institute on Drug Abuse (NIDA). I analyzed a randomly selected sample of 186 adults who voluntarily participated in an eight week treatment program for cocaine and methamphetamine (MA) addiction. …

Afriican American Students' Experiences Of Stress From Discrimination In Online Doctoral Education, Senovia Wyche

Walden Dissertations and Doctoral Studies

Abstract

There is a lack of current research about the experiences of stress related to discrimination encountered by African American students in online doctoral programs. Such discrimination can negatively impact the academics, educational experiences, and overall health of this student population. In this generic qualitative study, how African American students in online doctoral programs interpreted, perceived, and responded to their experiences of stress regarding discrimination was explored. Using the conceptual framework of Lazarus and Folkman’s cognitive appraisal theory, the research questions addressed stress related to discrimination encountered in online educational institutions, discriminatory factors perceived as inhibitors towards earning a doctoral …

Aligning Counseling Center Behavioral Health Outcomes With Overall College Outcomes, Lorrie Ann Spivey

Walden Dissertations and Doctoral Studies

College counseling service departments report an increase in the demand for mental health services. Simultaneously, college counseling centers are reporting a shortfall in budgets to meet the increased demands. Furthermore, they are not prepared for the severity of the presenting problems found in today’s student population. Behavioral health leaders on college campuses must find a balance between meeting the student population’s immediate needs and meeting organizational outcomes, such as retention and student success. This qualitative case study focused on a College Counseling Service Department at a Midwest college serving a diverse population of college students. The strategies behavioral health leaders …

Parents’ Fear Of Addiction, Education, Income, Child’S Gender And Perception Of Stimulants, Rosi Albuquerque-Shain

Walden Dissertations and Doctoral Studies

Research has indicated that the use of stimulant medication in the treatment of attention/deficit hyperactivity disorder (ADHD) in children has increased in the last decades. However, there remains an important gap in the current literature regarding parents’ perceptions of stimulants in the treatment of ADHD symptoms. The purpose of this quantitative study was to examine the relationship between parents’ fear of addiction, parental level of education, household income, and gender of the child, and parents’ perception of stimulant medication to address the symptoms of ADHD in children 6-8 years old. The theory of reasoned action was used to provide an …

Factors Affecting The Successful Completion Of Online Graduate Programs Among Single Mothers, Kimberly Ann Palermo-Kielb

Walden Dissertations and Doctoral Studies

An advanced degree is a step toward career aspirations, access to affordable healthcare, and financial goals. For single mothers, a population most vulnerable for living on the brink of poverty, an advanced degree can be a means toward ending intergenerational poverty. Single mother students face serious barriers to advance their education which impede their ability to pursue and complete their degrees. The purpose of the present study was to explore graduate student single mothers’ experiences attending an online education program. The conceptual frameworks guiding the study are Pintrich’s motivational self-regulated learning model for achievement and Duckworth’s model on the psychology …

Predictors Of Intention To Use Health Literacy Strategies Among Physicians In Grenada, Arlette Wildman

Walden Dissertations and Doctoral Studies

Low health literacy is linked to poor health outcomes. Adequate health literacy depends on effective communication between patients and their healthcare providers, so it is important physicians use health literacy strategies. Grounded in the theory of planned behavior, the aim of this quantitative correlational study was to investigate the relationship between health literacy knowledge, health literacy experience, gender, the region of training, years of practice, and intentions to use health literacy strategies among physicians in Grenada. One hundred and eighteen physicians were sampled using a cross-sectional survey method. The results of the multiple linear regression analysis were significant, F(5, 112) …

Cultural Identity As A Predictor Of Weight Loss In U.S. Hispanics, Leon Daniels

Walden Dissertations and Doctoral Studies

Research on behavioral weight-loss programs has guided the development of health-related, behavior-change interventions that contribute to combating overweight and obesity in the United States, and illnesses that co-occur with unhealthy weight. However, research on behavioral weight-loss programs that focus on the U.S. Hispanic population and cultural identity is largely unrepresented in the current literature. The purpose of this study was to quantitatively examine body mass index (BMI) decreases of U.S. Hispanics while observing their (a) motivation toward exercise, (b) cultural identity, (c) physical activity program type, (d) exercise frequency, and (e) demographic variables as predictors of weight-loss. Guiding this study …

Impact Of Perception Of Supervisors’ Knowledge-Sharing Behaviors On Newcomers’ Information-Seeking Behaviors, Melissa Denton

Walden Dissertations and Doctoral Studies

During their first year, new employees rely on their supervisors to share knowledge that will help them adjust to their new jobs. The purpose of this quantitative, correlation study was to examine the relationship between newcomers’ perceptions of supervisors’ knowledge-sharing and the information-seeking tactics of (a) direct inquiry, (b) indirect inquiry, (c) third-party inquiry, (d) testing limits, and (e) observing. The theoretical foundation used in this study was social exchange theory. The independent variable was measured using items from the Attitude Towards Knowledge Sharing Scale developed by Bock and Kim, and the dependent variables were measured using Miller’s Information-Seeking Strategies …

Effects Of Depression And Health Habits On Diabetes Outcomes, Yvonne Marie Chapa

Walden Dissertations and Doctoral Studies

Diabetes mellitus outcomes are intensified by the lack of screening and awareness for depressive symptoms, alcohol consumption, cigarette use, and gender difference. The purpose of this quantitative survey study, grounded in biopsychosocial theory, was to investigate the best predictor (alcohol consumption, cigarette use, and the exploratory variable gender) of diabetes outcome in a Mexican American population. Data were collected using the Patient Health Questionnaire-9 with 120 Mexican American patients from a diabetic clinic in Southern Texas. Results from a multiple regression analysis indicated that gender was the best predictor. A series of Pearson correlations revealed a significant positive relationship between …

Secondary Traumatic Stress In The Mortuary Industry: Prevalence And Mitigation, Robert Borselli

Walden Dissertations and Doctoral Studies

For those working in the mortuary industry, exposure to traumatically deceased remains may predispose them to developing subjective Secondary Traumatic Stress (STS). The purpose of this quantitative study was to examine the relationship among the independent variables of hardiness and perceived social support, and the dependent variable of subjective STS in mortuary workers. The theoretical foundations on which this research was based are the theories of stress and illness, secondary traumatic stress, hardiness, and social support. The primary research question governing this research was whether social support and hardiness had any correlation to the levels of subjective STS in this …

Stress And Job Satisfaction As Predictors Of Teacher Turnover Intentions, Alrick Thompson

Walden Dissertations and Doctoral Studies

High teacher turnover is problematic because of the costs associated with recruiting and training new hires. However, some of the factors originating outside of the working environment that may influence teacher turnover intentions are not fully understood. The purpose of this quantitative correlational design study was to examine the extent to which job satisfaction, commuting stress, and financial stress are predictors of teacher turnover intentions. The study involved a purposive sampling of 227 teachers within a school district in the South Eastern part of the United States. Hobfoll’s conservation of resources theory provided the theoretical framework for the study. Validated …

Myth Endorsement And Children’S Age Of Referral To Augmentative And Alternative Communication, Jennifer Madaffari Ferreira

Walden Dissertations and Doctoral Studies

Children who are born without functional speech and who have complex communication needs are at a disadvantage because of their inability to verbally respond. Professionals disagree on when to incorporate augmentative and alternative communication (AAC), often missing critical windows of development. The purpose of this quantitative study was to determine the extent to which endorsement of myths related to AAC intervention persist among speech language pathologists (SLPs) and pediatricians, and the extent to which these myths and other factors influence age of referral for children with complex communication needs to receive therapy that incorporates AAC. Perlovsky’s theory of a hierarchical …

Urban And Rural Alaskan Physicians’ Knowledge, Attitudes, And Behaviors Regarding Palliative Care, Mary Bernadette Cavalier

Walden Dissertations and Doctoral Studies

Palliative care provides multidisciplinary treatment of the physical, psychological, social, and spiritual needs of patients and families with serious illnesses. Alaska has the highest per capita rates of serious illnesses in the United States, but many Alaskans lack access to palliative care. Using Engel’s biopsychosocial model of care, Saunders’ total pain theory, and Bandura’s theory of self-efficacy, the purpose of this study was to assess the role of physicians regarding palliative care access in Alaska. This quantitative multivariable regression analysis examined the relationship between 133 Alaskan physicians’ knowledge and attitudes (independent variables) and their behaviors (dependent variable) regarding palliative care; …

Exploring Cybersecurity Awareness And Training Strategies To Protect Information Systems And Data, Michael Hanna

Walden Dissertations and Doctoral Studies

Ineffective security education, training, and awareness (SETA) programs contribute to compromises of organizational information systems and data. Inappropriate actions from users due to ineffective SETA programs may result in legal consequences, fines, reputational damage, adverse impacts on national security, and criminal acts. Grounded in social cognitive theory, the purpose of this qualitative multiple case study was to explore strategies hospitality organizational information technology (IT) leaders utilized to implement SETA successfully. The participants were organizational IT leaders from four organizations in Hampton Roads, Virginia. Data collection was performed using telephone and video teleconference interviews with organizational IT leaders (n = 6) …

A Multiple Case Study Of School Administrators On Use Of Disciplinary Measures, Michele L. Jones-Pace

Walden Dissertations and Doctoral Studies

Disproportionately high rates of out-of-school suspension and expulsion of African American children represent an ongoing issue in the U.S. public school system. Bronfenbrenner’s ecological theory was used as the theoretical framework for this multiple case study. The research question focused on the perceptions, perspectives, and experiences of a purposeful sample of 7 high school principals and what they believed were the reasons for persistently high rates of out-of-school suspension for African American students. The principals represented Title I and non-Title I schools located in urban, rural, and suburban regions of a southern state. Data from individual interviews and archival data …

Experiences Of College Freshmen Women Who Eat In A Social Environment, Kylie Cowens Blodgett

Walden Dissertations and Doctoral Studies

The social cognitive theory suggests that social surroundings influence health behaviors, and social modeling literature supports that eating behaviors are influenced by social norms. Eating decisions are especially vulnerable to social influence during the transition to college, although current interventions do not address social influence in the context of the eating environment itself or consider how men and women may experience this environment differently. This generic qualitative study explored how freshmen women perceived their experiences eating in a cafeteria setting. The research questions investigated freshmen women’s perceptions about social influence on self-efficacy, self-regulation, outcome expectations, and modeling of normative information …

Exploring Gender Dysphoria Among Active-Duty Transgender Service Members In A Right-To-Serve-Openly Military, Ralph Ogburn

Walden Dissertations and Doctoral Studies

The U.S. Department of Defense’s June 2016 directive-type memorandum 16-005 permitting transgender service members to serve openly in the U.S. military disqualifies transgender personnel with a history of gender dysphoria from serving in the military unless a licensed medical doctor certifies that they have been free from significant distress for 18 months. Research has illuminated the prevalence of gender dysphoria among military veteran transgender members due to their military experiences, but not in active-duty military. Informed by role theory and minority stress theory, the purpose of this interpretive phenomenological analysis study was to explore role conflict and stress in the …

Attitudes And Beliefs Related To Risk Of Sexually Transmitted Infection In Swingers Who Do Not Use Condoms, Deborah Brown

Walden Dissertations and Doctoral Studies

Sexually transmitted infection (STI) affects the public as a hidden epidemic of contagious disease with significant economic and health impacts. There are 110 million living with STI in the United States, with 20 million new infections annually. Condom use can reduce STI, but some people have sex without condoms, with risk for contracting or transmitting STI increasing when a person is in the same sexual network. Swingers are a growing sexual network and are a group at high risk of developing and spreading STI. The purpose of this generic qualitative study was to develop an understanding of the attitudes and …

Experiences Of Ptsd Sufferers Who Participate In Internet-Based Virtual World Activities In Desktop Virtual Reality Environments, Colleen Margaret Crary

Walden Dissertations and Doctoral Studies

Treatments for posttraumatic stress have remained largely static for 3 decades, resulting in low recovery rates, high degrees of retrogression, and noncompliance by patients, calling for new approaches for posttraumatic stress disorder (PTSD) treatment. This qualitative phenomenological study explored the lived experiences of people with PTSD who participate in Desktop Virtual Reality Environments (DVREs). The research questions asked about the lived experiences of adults with PTSD who use the DVRE, and what they perceive as changes in their narratives about PTSD through their use of the DVRE. Twenty-three participants responded to a 10-item, open-ended questionnaire. Findings show that although each …

Job Self-Efficacy, Alexithymia And Secondary Traumatic Stress Among Correctional Officers, Paulette Andrea Gayle

Walden Dissertations and Doctoral Studies

Correctional officers work in a volatile environment and are regularly exposed to inmates’ violence or cruelty. These factors negatively affect their job performance, contribute to physiological and mental health issues that could result in secondary traumatic stress (STS) symptoms. Researchers have identified job self-efficacy and alexithymia traits as mitigating factors against elevated stress. Other researchers have identified the traits as strongly associated with mental health illnesses. The purpose of this quantitative study, using a convenience sampling strategy, was to determine whether job self-efficacy and alexithymia traits were predictors of STS among a sample of 79 correctional officers working for Her …

Does Counselor Type Affect A Manualized Treatment?, Cynthia C. Kay

Walden Dissertations and Doctoral Studies

This quantitative study was to determine whether there are differences in client treatment outcomes based upon the type of counselor who conducted an empirically supported treatment called Seeking Safety for persons diagnosed with posttraumatic stress disorder and substance use disorder. Many studies show that counselors’ personal attributes impact treatment; however, this study added to the literature by focusing on a standardized treatment for the co-occurrence disorder of substance use and posttraumatic stress disorder. Archival data from an outpatient treatment facility was used. Clients were provided integrated services, which included psychological and substance use treatment. The participants/clients were men and women …

Mental Health Needs In Schools As Predictors Of Burnout In School Counselors, Sondra Junek

Walden Dissertations and Doctoral Studies

Researchers have found an increasing number of students with mental health issues, and

school counselors are often the first resource available to students. School counselors are

faced with many job duties including supporting students’ academic, career, and

emotional needs. Maintaining these duties of school counseling can increase stress and

lead to burnout. The purpose of this quantitative study was to examine mental health

needs, mental health knowledge, and mental health skills as predictors of each of the

three subscales of burnout (emotional exhaustion, depersonalization, and personal

accomplishment) among early, middle, and late career school counselors. Lazarus and

Folkman’s transactional theory …

The Relationship Between Spirituality And Mental Health Among Kidney Dialysis Patients, Eddy Darcy Perez

Walden Dissertations and Doctoral Studies

The 9th leading cause of death in the United States is kidney disease. An estimated 37 million Americans in the United States, or about 15% of the adult population, have some level of chronic kidney disease. Kidney disease is multifaceted and has implications for both physical and psychological health of a patient. However, research on kidney dialysis patients has primarily focused on physical health. Grounded in social learning theory, this quantitative study used a correlational research design to examine the relationship between spirituality and mental health in 128 kidney dialysis patients with end-stage renal disease. Kidney dialysis patients at kidney …

Black Students' Online Networking And Social Capital Development Behaviors In Varied University Settings, Tarita Bateman

Walden Dissertations and Doctoral Studies

Sustained high unemployment among educated Black jobseekers as well as disparate salaries between educated Blacks and non-Blacks continues to persist. Social capital as a major source for job attainment and career progression is recognized as a potential factor contributing to this situation. This quantitative study examined the social networking site usage intensity and external social capital development behavior among 130 graduate Black university students at predominantly White, historically Black, and diverse online universities. The theoretical foundation of social capital development was analyzed from perspectives of bridging and bonding social capital. Educational setting, sex, and socioeconomic status were used to predict …