Digital Commons Network^™

Priapism Among Male Adolescents With Sickle Cell Disease, Prince Ocansey

Dissertations

The purpose of this qualitative phenomenological study was to describe the lived experience of priapism among male adolescents with sickle cell disease (SCD). A painful genetic disorder with no cure, SCD severely impacts the lives of patients, as well as their families and friends. Priapism is one of the complications of SCD and involves persistent and painful penile erections. The review of literature established a gap in researchers’ understanding of the lived experience of priapism among male adolescents with SCD. This study aimed to bridge that gap.

Using a convenience sampling method, 7 adolescent males between the ages of 16 …

Depressive Symptomatology And Perceived Social Support In Adolescents With Type 2 Diabetes, Kristiana Gay Huffman Cullum Phd, Cpnp

Dissertations

Type 2 diabetes has increased dramatically in the pediatric population in the last decade. One of the comorbidities of diabetes is depression. In the presence of depression, diabetes may be mismanaged by patients and lead to a decline in health. Diabetes with comorbid depression may have better disease management outcomes in the presence of higher levels of social support. Defining childhood depression, which encompasses adolescence, and the subtleties of this disorder compared to the adult counterpart, was needed to better delineate important variables for this research study. There are several instruments that evaluate adolescents' perceived social support, but a fairly …

Skin Cancer Risk Perception And Sunscreen Use In Adolescent Female Soccer Athletes, Cheryl L. Butera Phd, Msn, Aprn, Fnp-Bc, Np-C, Phn

Dissertations

Over 3.5 million cases of skin cancer are diagnosed annually in the United States. In adolescent females ages 15-19, melanoma is the second most common form of cancer. The greatest risk factor for skin cancer is ultraviolet rays from the sun. Research has shown that sunscreen use is protective of all skin cancers, especially melanoma. The purpose of this study was to obtain perceptions about risk of skin cancer and sunscreen use among 13- to 18-year-old adolescent female club soccer athletes as a basis for effective interventions to improve sunscreen use in this population. The Health Belief Model was employed …

Facilitating Comprehension And Motivation By Engaging Adolescents As Ipad Readers, Virginia M. Bauman Edd

Dissertations

Technologies continue to transform the many ways that we read, write, and communicate, redefining what it means to be literate in the 21st century. For example, the explosive growth in tablet computers over the last few years has seemingly everyone embracing the new digital literacies without any real knowledge of the skills, strategies, and dispositions required to comprehend digital text. Given the newness of this technology, it's hardly surprising that little empirical research has been conducted to examine the extent to which e-books can actually improve comprehension as well as the motivation to read among students. To help solve this …

Transitioning Adolescents With Type I Diabetes To Adult Care, Kathyann Kenny Marsh Phd

Dissertations

Background: Care transitions, defined as hospital discharge or movement from one healthcare setting to another, are currently a major concern for healthcare providers and policy makers alike. These care transitions are occurring in the context of increasingly fragmented care and have been known to result in hospital readmissions, adverse events, and medication errors. The adolescents' transition between pediatric and the adult care system is not only fragmented but occurs at a time when they are most vulnerable and ill equipped for change. Objectives: The purpose of this research was to conduct a feasibility study to examine if the use of …

Accounting For The Attrition Of African American Males In An Academic Support Setting, Ronald R. Lancia Phd

Dissertations

This dissertation addresses a continuing crisis in our nation's education system. Historically African American students have underperformed academically. This achievement gap is particularly pronounced for African American males. AVID (Advancement Via Individual Determination), an academic support program for underachieving students, most recently created the African American Male Initiative (AAMI). The AAMI was designed specifically to respond to the needs of black males. Despite its efforts, the AAMI has had a difficult time attracting and retaining black male participants. The purpose of this study was to better understand why African American high school males are not choosing to participate in the …

Tobacco-Use Promotional Environment And Intrapersonal Environment: Predictors Of Smoking Intention Among Young Southern California Thai-American Adolescents, Arpakorn Magkunthod Phd, Msn, Rn

Dissertations

This study explores tobacco-use related environment, intrapersonal factors, and smoking initiation in Thai-American adolescents aged 10 to 16 living in Southern California. A purposive sample of 217 youth was recruited from seven Thai-community centers located in four counties of Southern California: The sample was fairly evenly distributed by gender with female (54.5%) and almost three quarters (70.9%) were born in the United States (70.9%). Age ranged from 10 to 16 years, with the mean age 12.71 years old (SD =1.835); 27% reported age of 11. Data were collected using the 97 item Teen Tobacco-Use Questionnaire. Findings indicated 12 participants (6.3%) …

The Lost-Boys Phenomenon: Case Studies Of San Diego High School Males, Richard Stakelum Edd

Dissertations

By most measures of success—e.g., academic Grade Point Average (GPA), graduation rates, participation in extracurricular and civic activities, and college enrollment—adolescent males are less successful than females. Young males are falling behind in reading and writing and are more likely to be involved in truancy, violence, crime, suicide, and substance abuse. While the nation mobilized to address historical gender discrimination issues for females since the 1970s, there has not been a similar effort mounted to assist adolescent males. The trends alluded to in the previous paragraph have begun to be recognized by popular-press authors. Some have begun to refer to …

An Investigation Of The Test-Taking Skills And Associated Thinking Processes Of Ninth Grade English Language Arts Students, Mary B. O'Shea Edd

Dissertations

Although much is known about how students perform on standardized tests, little research exists concerning how students think and process while taking such tests. This mixed methods action research study was designed to investigate if a constructivist approach to test preparation could yield improved results for 37 English language arts freshmen preparing for the California High School Exit Exam (CAHSEE). The researcher explored student performances on Princeton Review practice CAHSEE tests (versions A, B, and C) over a 3-month period and she performed several statistical tests including repeated measures ANOVA by individual classes (advanced, basic, below basic) to determine differences …

A Formative Experiment Investigating The Use Of Reflective Video Journals To Increase High School Students' Metacognition, Brian Jeffrey Dixon Edd

Dissertations

This study sought to determine the factors that enhance the effectiveness of reflective video journals to increase the metacognition of adolescent students. To achieve this pedagogical goal, this study followed the six-phase methodology of a formative experiment. Twelve high school students participated in a six- session after-school reflective video journaling program. Diverse data collection methods were used to determine the factors in the educational environment that enhance or inhibit students' metacognition, how the intervention and its implementation were necessarily modified to more effectively achieve the pedagogical goal, the potential impact of feedback and peer response, and any unanticipated positive or …

Roots Of Ancient Wisdom For Contemporary Education, Patricia Ottow Keen Edd

Dissertations

Scholars have long contended that the main purpose of education is to guide youth towards more authentic, fruitful ways of being in the world; this ancient wisdom continues to challenge educators to serve as effective role models (e.g., Aristotle, 1963; 1985; Maslow, 1993; Palmer, 1998). Yet, until now, teachers' levels of self-actualization have not been investigated with valid and reliable instruments. This quantitative study used two psychometrically sound, closed-ended surveys to investigate the extent to which teachers consider themselves self-actualized and mindful; it measured the direction and strength of the correlation between their self-actualization and mindfulness scores; and, investigated the …

Academic Writing And The Pedagogical Practices Of Effective Teachers, Thomas Devere Wolsey Edd

Dissertations

Composition, particularly when academic register is required, is a complex task. Because cognitive flexibility theory explains how humans can spontaneously restructure knowledge and adapt to situational demands, it is ideally suited to the ill-structured domain of transactional writing. Global aspects related to paragraph and whole-text structure and local operations related to word and sentence-level features define academic writing. A mixed-methods design used quantitative methods for investigation of five corpora of 10th grade students' work. Qualitative methods were used to explore the means teachers used in promoting academic writing and the interactions they intended to promote via teaching cues, including prompts. …

Obesity Risk Knowledge, Self-Efficacy, And Physical Activity In Families Of Adolescents, Elaine M. Rutkowski Phd, Msn, Rn, Cns

Dissertations

There were no significant relationships found between parental obesity risk knowledge and physical activity in their children. nor between parent's self efficacy and their children's physical activity. In addition there was no significant relationship between the adolescents' obesity risk knowledge and their physical activity. There was, however, a statistically significant relationship between adolescent's self efficacy and physical activity. The result of the correlation between parent's self-efficacy and their level of physical activity was not significant but approached significance (p = .07) and may be identified as a trend. There was a statistically significant negative correlation between parents who describe their …

A Mixed Methods Study On Cbam And The Adoption Of Thin Client Computers By Adolescents, Cynthia Sistek-Chandler Edd

Dissertations

Although stages of change and adoption of innovation dynamics have been examined for adult populations, comparable research for adolescents is limited. Applying a change instrument grounded in Concerns-Based Adoption Model (CBAM) to an adolescent population, this study investigates perceptions of 45 middle school students who used thin client portable computers in a one-to-one program at home and at school for 3 years. A mixed methodology design identified which of the 7 stages of concern students passed through and why some students adopted the innovation more readily than others. The Change Facilitator Stages of Concern Questionnaire, a modified version of CBAM, …

What Are They Saying: Voices From The Inner City? Lived Experience Of Inner City African American Adolescents With Asthma, Othello Childress Phd

Dissertations

The purpose of this study was to investigate the lived experience of African-American adolescents with asthma who reside in an inner city community. The research in this area of interest is sparse, yet the morbidity and mortality rates related to asthma within the African-American population are greater than the general population. This study offers the experience of living with asthma from the perspective of the young African-American adolescent. Using phenomenological methodology, the nurse researcher selected 13 African-American adolescents; aged 12 to 15, who reside and attend middle school in the inner city. All of the participants had a confirmed medical …

Personalization For English Learners At A Small Conversion High School, Mary Jewell Edd

Dissertations

One of the most notable ways in which large, comprehensive high schools are working to meet the needs of the increasing numbers of English Language Learners (ELLs), and other students who may be struggling with academics, is by subdividing into smaller schools. One of the most appealing features of small schools is their emphasis on personalized instruction for students. While it takes many forms, personalizing education means knowing all students well and designing curriculum that meets their individual needs. Personalized learning environments hold enormous potential for improving the educational experiences, and even very lives, of English learners. The purpose of …

Psychosocial Responses By Adolescent Male Victims To Peer Bullying, Karin Eve Reuter-Rice Phd

Dissertations

Bullying remains a pervasive problem in most schools throughout the nation. Peer-bullied victims report higher levels of depression, suicidal ideation, anxiety, and concerns regarding their safety in school. Reactions of victims to peer bullying have been extreme, as in the cases of the rampage school shooters. Primarily, current research has not focused on the high school adolescent, although most school shooters arise from that age group. The overall purpose of this study was to examine the psychosocial responses by adolescent male victims to peer bullying. Research questions addressed the frequency and severity of peer-victimization, distress, anxiety, and their perception of …

Chronically Ill Adolescents' Involvement In Health Treatment Decision Making, Edna B. Domingo Phd

Dissertations

The purposes of this study were to explore preferences for involvement of chronically ill adolescents in health treatment decision-making; describe, explain and predict relationships and differences in self-confidence in decision-making between older and younger chronically ill adolescents; and explore relationships between severity of symptoms and self-confidence in health treatment decision-making among chronically ill adolescents. Ten to twenty million American children have some type of chronic illnesses with 90% survival to adulthood. There is lack of current literature on adolescent preferences for involvement in health care decisions. Courts and legislators assume that minors lack the requisite capacity for information, and lack …

High School Principals' Values And Their Symbolic And Cultural Leadership Approaches To Character Education In China, T.C. Kao Edd

Dissertations

Relatively little is known about the symbolic and cultural leadership practices and approaches used to imbed character education in high schools in China. In addition, there is a lack of published studies and reports investigating the revival between character and moral education in the Chinese school system. Without additional information, it is impossible to understand and develop effective leadership approaches that will shape and mold school cultures to effectively support both character and moral education. The literature reviewed in this study revealed little information about if, and in what form, there is a return to moral education focusing on traditional …

The Efficacy Of A School-Based Support Group On Adolescent Self-Esteem And Social Support, Julia Ann Smith Phd

Dissertations

Adolescents are faced with daily obstacles that affect their ability to progress into adulthood successfully. Rising divorce rates and subsequent single parenting, adolescent pregnancy, drug and alcohol abuse, violence, and lack of parental involvement represent only a few of the many issues teens confront. School nurses are on the front lines, attempting to educate youth against an alarming rise in personal and social controversies that impede their ability to come to school ready to learn. As part of the educational team, school nurses are in a prime position to develop and integrate intervention strategies aimed at assisting adolescents during this …

An Examination Of Teachers’ Beliefs About Critical Reading And Academic Writing, Cindi Davis Harris Edd

Dissertations

The ability to compose a well-written research paper is evidence o f a student's ability to read critically and write academically. However, evidence suggests that many college-bound high school graduates have not learned these skills. While the research literature overwhelmingly supports the notion that teachers are an important factor in students’ academic success, and that in order to be academically successful, students need to have critical reading and writing skills, there has been little research about how teachers' beliefs and knowledge about critical reading and academic writing influence instruction with regard to these skills. This naturalistic case study employed in-depth …

Nobody's Ever Asked Me That Before: Middle School Students Talk About Motivation To Achieve In School Contexts, Erika Daniels Edd

Dissertations

The purpose of this study was to explore whether or not a connection exists between students' school contexts and their academic and social choices by listening to the voices of first year middle school students. The intent of this study was to provide teachers with a way to reconceptualize adolescents as learners. Research suggests that there are two distinct approaches to the study of motivation. Some researchers believe that motivation can be externally enacted through exams, assessments, and other accountability measures. Other researchers believe that motivation is internally generated through the relationships students build, through their beliefs about learning, and …

Collaborative Leadership In Middle Schools And Teacher Job Satisfaction: A Search For Relationships, A. Greg Bowden Edd

Dissertations

This correlational study examined the relationship between the leadership practiced by middle school principals and the job satisfaction reported by their teachers. Data were collected from 10 middle school principals who completed a demographic survey and the Principal Leadership Survey-Self (PLS-S). Data were also collected from 183 teachers who completed a demographic survey, the Principal Leadership Survey-Other (PLS-O), the School Participant Empowerment Scale (SPES), and the Minnesota Satisfaction Questionnaire (MSQ). Sub scale scores from the PLS-O and the SPES were used to measure collaborative leadership. Telephone interviews were conducted with nine of the teachers who reported the highest degree of …

Factors Related To Resilience Abilities And Self-Care Practices In Adolescents, Sandra L. Solem Phd, Msn, Rn

Dissertations

Identification of resilience factors in adolescents is necessary to promote health and decrease the incidence of negative health outcomes related to risk-behaviors in this age group. The purpose of this descriptive-correlational research was twofold: (1) to investigate the inter-relationships of perceived health status, perceived self-efficacy, resilience abilities, self-care agency and self-care practices in adolescents and (2) to evaluate a revised measure, The Solem Adolescent Resilience Abilities Scale (SARAS-R). Orem's self-care theory was used as the theoretical framework for this study. The convenience sample of 100 adolescents from San Diego county in southern California were recruited through health professionals and secondary …

The Relative Importance Of Academic Achievement In Determining The Self-Esteem Of Students In Rural British Columbia: An Empirical Examination Of Students In Grades 6, 8, 10 And 12, Scott E. Bergstrome Edd

Dissertations

As school systems across North America struggle to redefine themselves, educators everywhere are seeking a balance between academic achievement and the human and social needs of their students. The purpose of this correlational study was to quantitatively assess the construct of the school experience, as determined by academic achievement, as measured by GPA, and the level of involvement in school activities, from the perspective of four measures of student self-esteem. Data were collected from 263 students in grades 6, 8, 10, and 12 in a small district in southwestern Canada. The first part of this study explored the relationship between …

The Effects Of Teachers' Flow Experiences On The Cognitive Engagement Of Students, Nian Q. Zhu Edd

Dissertations

The purpose of this quantitative study was to investigate the relationship between teachers' flow experiences and student cognitive engagement during class time. Study participants consisted of students and their teachers in grades 6 through 10 from a number of elementary and secondary schools in the Fraser Valley region of British Columbia, Canada. Data were collected through the use of the Experience-Sampling Method, originally developed by Csikszentmihalyi to investigate flow experiences, that allowed teachers and students to fill out sampling forms in response to randomly generated electronic signals transmitted to pagers or wrist watches that the teachers wore. Data were collected …

Aligning Practice With Vision: Leadership For Developing Character And Employability Attributes, Douglas Archibald Hoey Edd

Dissertations

Leadership to achieve the development of character and employability attributes depends highly on one significant principle—aligning practice with vision. The purpose of this study was to investigate the leadership necessary to design and implement an intervention process to develop character and employability attributes in secondary school students. The work habit mark was the means of assessing the degree of success to which a student demonstrated the attributes. The research questions under investigation were: (1) Is there a change in the demonstration of work habits marks after the intervention, and (2) Do any changes in the demonstration of work habits marks …

Adolescent Perceptions Of Parent-Adolescent Communication And Adolescent Pregnancy, Susan L. Tohm Lloyd Phd, Ms, Rn

Dissertations

Identification of adolescent perceptions of parent-adolescent communication, a significant factor in family functioning and connectedness, is important if effective interventions are to be provided by health care professionals related to decreasing the number as well as the adverse effects of adolescent pregnancy in the United States. The purpose of this descriptive, non-experimental, triangulated study was to examine the relationship between the perceived quality and effectiveness of parent-adolescent communication and pregnancy from the perspective of pregnant adolescent women in the Banning/Beaumont area of southern California. The theoretical framework for this study was based on adolescent and family developmental theories, family communication …

An Insider's Perspective: The Dropout Challenge For Canada's First Nations, Patricia Ann Makokis Edd

Dissertations

This modified case study honors the voices of 21 Cree participants, including nine students, six parents, four community leaders and two Elders. This study, written from an insider's perspective, identified more than 50 reasons why First Nations students dropped out of three provincial high schools located in northern Alberta, Canada. The results were collapsed into several categories that can best be generalized as resulting from the effects of colonization. Canada's First Nations have a long history of oppression, colonization, and the resultant soul wounds. The four participant groups collectively identified five common themes why students dropped out of provincial high …

Giving Up And Giving In: Young Adolescents' Dilemmas When Caring For A Grandparent With Alzheimer's Disease, Diane Lee Beach Edd

Dissertations

Caregivers of persons with Alzheimer's disease have been studied extensively; the vast majority of caregiver research has focused on spouses and adult children, negating the impact caregiving has on younger family members. Importantly, 75% of caregivers are female; 31% of these women have children at home under the age of 12 and 23% live with a child aged 12–17. As such, adolescents will be increasingly involved in the care of Alzheimer's victims. This study sought to examine the experiences of these individuals. Specifically, what is it like for an adolescent to provide care for a grandparent afflicted with Alzheimer's disease? …