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Exploring Resiliency In Adult Blacks Who Were Formerly Children Of Incarcerated/Formerly Incarcerated Parents, Jennifer Nowell Feb 2024

Exploring Resiliency In Adult Blacks Who Were Formerly Children Of Incarcerated/Formerly Incarcerated Parents, Jennifer Nowell

Walden Dissertations and Doctoral Studies

Families of incarcerated individuals are impacted by the incarceration of their loved ones, especially those who had parents incarcerated during their childhood. Black individuals comprise a disproportionate rate of people affected by the circumstance of having incarcerated or formerly incarcerated parents. As a result, Black children of incarcerated parents often exhibit childhood trauma. Current evidence revealed that there is little data regarding how childhood trauma impacted the individuals’ perceptions of resiliency as they transitioned from childhood into adulthood. The purpose of this study was to explore the perceptions of adult Blacks regarding their former childhood experiences with resiliency and their …


How Black Americans Accessed And Used Mental Health Services During The Covid-19 Pandemic, John K. Anderson Jan 2023

How Black Americans Accessed And Used Mental Health Services During The Covid-19 Pandemic, John K. Anderson

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic created barriers to accessing mental health services for the general population, but for Black Americans, it exacerbated systemic barriers that have historically influenced help-seeking behaviors. Drawing from the concept of obstructed use, this qualitative study explored those barriers and, using a narrative approach, explored how Black Americans described their experiences of accessing mental health services during the COVID-19 pandemic The participants included six men and two women who identified as U.S.-born Black American adults who sought mental health services during the COVID-19 pandemic. Narrative data were analyzed through thematic analysis, identifying themes and subthemes of the participants' …


Experiences Of African American Students In A Stem-Focused Community Program, Angela Blount Jan 2023

Experiences Of African American Students In A Stem-Focused Community Program, Angela Blount

Walden Dissertations and Doctoral Studies

The United States has invested millions of dollars in STEM program initiatives; however, African Americans in STEM career fields are underrepresented. The purpose of this qualitative hermeneutic phenomenological study aimed to explore the lived experiences of African-American first-year college students from rural communities in a STEM program and whether their experiences influenced their decision to pursue a STEM major in college. Spencer’s phenomenological variant of ecological systems theory (PVEST) was used to frame the study. Data were collected from semistructured interviews with eight African American first-year college students from rural communities. Coding analysis involved identifying meaning units and situated narratives …


Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc Jan 2023

Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc

Walden Dissertations and Doctoral Studies

AbstractHypertension (HTN) is a frequent diagnosis in primary care settings and is disproportionately higher among African Americans. Observed in the clinic were frequent office visits by patients with uncontrolled blood pressure and nonadherence to medication in an outpatient cardiology clinic in Northeast New Jersey. Also, a knowledge gap was noticed among clinical staff on current HTN guidelines. An awareness of evidence-based guidelines was necessary to combat poorly controlled BP in the clinic. The purpose of this Doctor of Nursing Practice project was to create an education program on current HTN guidelines to bridge the knowledge gap among clinic staff. The …


Evaluating Church Hurt In The Black Church, Sheriyse Williams Jan 2023

Evaluating Church Hurt In The Black Church, Sheriyse Williams

Walden Dissertations and Doctoral Studies

The Black Church has been a significant source of support for many African Americans and has served as a protective factor while meeting religious and spiritual needs. However, some studies have suggested that the Black Church can also be a source of trauma, betrayal, and abuse for some African Americans. The purpose of the present study was to examine the effects between emotional manipulation, gender discrimination, spiritual bullying, and spiritual neglect on outcomes associated with church hurt and understand occurrences of church hurt using betrayal trauma theory. A nonexperimental, quantitative, correlational research design was used evaluate data from 155 African …


Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou Jan 2023

Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou

Walden Dissertations and Doctoral Studies

AbstractAfrican American males placed in special education programs their entire time in high school often experience stigmatizing feelings of lack of self-worth and self-esteem as adults. The purpose of this qualitative case study was to explore and better understand the influence special education programs may have on African American males’ self-esteem and self-worth. Becker’s and Lemert’s labeling theory and Baumgartner and Jones’s and Gould and Eldredge’s punctuated equilibrium theory guided this study. The focus of the research questions was the influence of special education programs on African American males’ learning experiences and the changes needed. Purposive and snowball sampling techniques …


Experiences Of African American Students In A Stem-Focused Community Program, Angela Blount Jan 2023

Experiences Of African American Students In A Stem-Focused Community Program, Angela Blount

Walden Dissertations and Doctoral Studies

The United States has invested millions of dollars in STEM program initiatives; however, African Americans in STEM career fields are underrepresented. The purpose of this qualitative hermeneutic phenomenological study aimed to explore the lived experiences of African-American first-year college students from rural communities in a STEM program and whether their experiences influenced their decision to pursue a STEM major in college. Spencer’s phenomenological variant of ecological systems theory (PVEST) was used to frame the study. Data were collected from semistructured interviews with eight African American first-year college students from rural communities. Coding analysis involved identifying meaning units and situated narratives …


Impacts Of Mobile Health Technology On The African American Millennial Health Care Experience, Antoine J. Campbell Jan 2023

Impacts Of Mobile Health Technology On The African American Millennial Health Care Experience, Antoine J. Campbell

Walden Dissertations and Doctoral Studies

African Americans are underrepresented and have limited access to health care in the United States due to systemic disparities. The purpose of this qualitative phenomenological study was to develop a better understanding of the relationship that African Americans have with the health care system and the way they interact with it as well as to examine the impacts of mobile health (mHealth) patient engagement applications and their impact on shaping health experiences amongst millennial African Americans. Research questions addressed African American millennials’ perspectives on potential barriers to utilizing health care in the U.S. health care system as well as consideration …


Impacts Of Mobile Health Technology On The African American Millennial Health Care Experience, Antoine J. Campbell Jan 2023

Impacts Of Mobile Health Technology On The African American Millennial Health Care Experience, Antoine J. Campbell

Walden Dissertations and Doctoral Studies

African Americans are underrepresented and have limited access to health care in the United States due to systemic disparities. The purpose of this qualitative phenomenological study was to develop a better understanding of the relationship that African Americans have with the health care system and the way they interact with it as well as to examine the impacts of mobile health (mHealth) patient engagement applications and their impact on shaping health experiences amongst millennial African Americans. Research questions addressed African American millennials’ perspectives on potential barriers to utilizing health care in the U.S. health care system as well as consideration …


Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou Jan 2023

Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou

Walden Dissertations and Doctoral Studies

AbstractAfrican American males placed in special education programs their entire time in high school often experience stigmatizing feelings of lack of self-worth and self-esteem as adults. The purpose of this qualitative case study was to explore and better understand the influence special education programs may have on African American males’ self-esteem and self-worth. Becker’s and Lemert’s labeling theory and Baumgartner and Jones’s and Gould and Eldredge’s punctuated equilibrium theory guided this study. The focus of the research questions was the influence of special education programs on African American males’ learning experiences and the changes needed. Purposive and snowball sampling techniques …


Self-Care And Psychosocial Factors That Predict Sickle Cell Disease-Related Outcomes Among African Americans In The Usa, Datonye Agina-Obu Jan 2023

Self-Care And Psychosocial Factors That Predict Sickle Cell Disease-Related Outcomes Among African Americans In The Usa, Datonye Agina-Obu

Walden Dissertations and Doctoral Studies

Existing beliefs and conceptions regarding sickle cell disease (SCD) have had a significant impact on the appropriate management of the condition, including self-care and psychosocial factors, particularly among African Americans. The aim of this study was to examine the influence of self-care and psychosocial factors on SCD-related outcomes among African Americans in the United States. The study was grounded in the self-care management theory and employed a cross-sectional, quantitative design. Regression analyses were conducted to explore the associations between self-care and psychosocial factors and SCD-related outcomes sample of 180 individuals. The results indicated three factors showed significant relationships for sickle …


The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin Jan 2022

The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the relationship between racial discrimination and anger, stress, and obesity. The stress-disease model provided a theoretical perspective of the biological, psychological, and social pathways from stress. Past research regarding the correlation between racial discrimination, anger, stress, and obesity reported a possible connection, but results have been mixed. This research expanded upon existing literature that proposed that blatant or subtle experiences of racial discrimination are pathways to mental and physical health consequences. The hypothesis was that there was a significant relationship between racial discrimination and the levels of stress, anger, and obesity. Racial …


Law Enforcement And Racial Profiling Among African Americans And Hispanics In The United States America, Jeremy Christopher Bell Jan 2022

Law Enforcement And Racial Profiling Among African Americans And Hispanics In The United States America, Jeremy Christopher Bell

Walden Dissertations and Doctoral Studies

AbstractRacial profiling among African Americans and Hispanics brings significant challenges to police conduct in providing police service to minority groups. Recent events of racial profiling committed by law enforcement officers bring negative perceptions toward police officers. African Americans and Hispanics are among the highest population groups arrested and mistreated by law enforcement officers. The purpose of this qualitative phenomenological study was to examine the lived experience of racial profiling among African Americans and Hispanics against police officers. The research question for this study examined the lived experience of African Americans/ Hispanics over 18 who were racially profiled by police officers. …


Nutrition And Physical Exercise Prevention Strategies To Reduce Obesity During The Covid-19 Pandemic, Carmesha Vajill Carter Jan 2022

Nutrition And Physical Exercise Prevention Strategies To Reduce Obesity During The Covid-19 Pandemic, Carmesha Vajill Carter

Walden Dissertations and Doctoral Studies

Obesity has reached an epidemic level of 75 million obese adults and 15 million obese children in the United States. The research problem addressed in this study is the lack of information on how obese people manage their weight-loss strategies to prevent or reduce obesity during shut-in place restrictions for the COVID-19 Pandemic. This study included the Prochaska and DiClemente Trans-Theoretical Model of Behavioral Change and the Stage of Change Theory. The phenomenon approach using phenomenology described participants' lived experiences of being obese. The researcher completed data collection and evaluation among sixteen participants using email questionnaires to analyze participant's responses …


Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph Jan 2022

Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph

Walden Dissertations and Doctoral Studies

HIV testing rates are much lower among African American male college students than male college students of other racial groups. Routine HIV testing on college campuses can decrease HIV rates among African Americans and increase students' awareness of their HIV status. This study was an investigation of factors associated with HIV testing among a sample of 140 African American male college students. The health belief model guided the research study and served as the theoretical framework to examine the influence of factors such as the location of testing, STD status, number of sexual partners, insurance coverage, health information, and alcohol …


Stigmas Of Alzheimer's Disease And Help Seeking For Alzheimer's Disease Among African Americans, Donna De Levante Raphael Jan 2022

Stigmas Of Alzheimer's Disease And Help Seeking For Alzheimer's Disease Among African Americans, Donna De Levante Raphael

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to examine how the perceptions of stigma of Alzheimer’s disease (AD) affected the help-seeking behaviors of African American caregivers. Data used in this study were collected using semistructured interviews with 11 African American caregivers caring for loved ones diagnosed with AD. The conceptual framework of this study was guided by the stigma theory and the sociocultural health belief model. The four types of social stigmas used to assess the effects of the stigma of AD were public, self, courtesy, and structural stigma. Data were analyzed using the Thematic Content Analysis (TCA). Results provided support …


Reluctance To Seek Mental Health Treatment Among African Americans Living In Generational Poverty, Myisha Boulware Jan 2021

Reluctance To Seek Mental Health Treatment Among African Americans Living In Generational Poverty, Myisha Boulware

Walden Dissertations and Doctoral Studies

African Americans are 20% more likely to experience mental health issues but are the least likely group to seek professional mental health treatment. In addition, African Americans are more likely to experience severe mental health conditions than other races due to a greater risk of homelessness and being exposed to violence. This research study used a phenomenological qualitative methodology to explore the attitudes and lived experiences of 10 African Americans living in generational poverty in inner-city Chicago. The participants provide detailed accounts of their lived experiences with generational poverty, mental health, and the attitudes their family lineage had shared with …


Healthcare Access For Elderly African American Type 2 Diabetics On Medicare, William Alexander Floyd Jan 2021

Healthcare Access For Elderly African American Type 2 Diabetics On Medicare, William Alexander Floyd

Walden Dissertations and Doctoral Studies

AbstractPrior research has shown that African Americans have less access to healthcare than do White Americans. The study’s purpose was to determine the association between race/ethnicity and quality care measures in a population of Medicare recipients with Type 2 diabetes, aged 65 75 years and over. Covariates predicted satisfaction with doctor care, compassionate doctor care, and indifferent doctor care using Andersen’s health behavior theory. The Medicare Current Beneficiary Survey (MCBS) sample consisted of 1,716 people with Type 2 diabetes, with most (76.6%) being non-Hispanic Whites, and the remainder non-Hispanic Blacks (10.8%) and Hispanics (12.6%). Race/ethnicity were associated with quality-of-care measures …


Improving Nurses’ Knowledge To Provide Diabetes Self-Management Education For African Americans, Jakeyla Reed Jan 2021

Improving Nurses’ Knowledge To Provide Diabetes Self-Management Education For African Americans, Jakeyla Reed

Walden Dissertations and Doctoral Studies

African Americans are at high risk for type II diabetes compared to other ethnic groups due to biological, socioeconomic, and psychosocial risks. Specifically, African American adults are nearly two times more likely than White individuals to develop type II diabetes. The meaningful gap-in-practice addressed by this doctoral project was nurses’ lack of diabetes knowledge affecting their ability to provide diabetes care and diabetes self-management education (DSME) to their patients with diabetes. The clinical practice-focused question asked whether an education intervention for outpatient clinic nurses could improve their knowledge of DSME. Orem’s self-care model, Bandura’s self-efficacy theory, and Lewin’s change theory …


Black Citizens Experiences And Interactions With Police In Coffee County, Brittany Nicole Palmer Jan 2021

Black Citizens Experiences And Interactions With Police In Coffee County, Brittany Nicole Palmer

Walden Dissertations and Doctoral Studies

Media attention directed towards the relationship between law enforcement officers and communities of color has increased in recent years, specifically regarding the treatment of African Americans. In some cases, contact between police and African Americans had resulted in excessive and unjustified use of force. These types of occurrences have resulted in a divide between African Americans and police officers. The purpose of this phenomenological research study was to understand African Americans’ experiences and interactions with police in communities with less-than-optimal working relations in Coffee County, Georgia. The theoretical framework for this study is the normative sponsorship theory. Data were collected …


Increasing Nurse Knowledge Of The Underutilization Of Hospice Services For African Americans, Vicki Schmidt Jan 2021

Increasing Nurse Knowledge Of The Underutilization Of Hospice Services For African Americans, Vicki Schmidt

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was increasing knowledge of underutilization ofhospice services for African Americans (AAs) and the need to increase cultural competence among nurses regarding this issue. The identified gap in practice was nurses’ lack of cultural competence and knowledge regarding the underutilization of hospice specific to AAs. The practice-focused question focused on whether a staff educational intervention increased nurses’ knowledge of the cultural implications regarding the introduction of hospice services for AAs. The education was guided by the Purnell model for culturally competent health care, Healthy People 2030, and the National Hospice and Palliative Care Organizations AA …


Perceptions And Experiences Of African American Americorps Program Participants, Dean Michael Hindenlang Jan 2021

Perceptions And Experiences Of African American Americorps Program Participants, Dean Michael Hindenlang

Walden Dissertations and Doctoral Studies

AmeriCorps, a voluntary public service program founded in 1993, has largely consisted of a nonminority middle-class group, generally 20 to 29 years old, who had the financial assistance of family while serving. African American participants may be experiencing AmeriCorps-based programs differently, in areas such as financial solvency, job readiness skills, and the ability to begin or return to college. This qualitative study was designed to reveal the perceptions and experiences of African American participants who have completed AmeriCorps service in a Midwest metropolis. Using the lens of critical race theory, which explored African American Corps members through a historical position …


Internet Use, Perceived Social Support, And Obesity Among African American Young Adults, Cynthia Adams Jan 2021

Internet Use, Perceived Social Support, And Obesity Among African American Young Adults, Cynthia Adams

Walden Dissertations and Doctoral Studies

African Americans are disproportionately affected by obesity. Public health practitioners have an incomplete understanding of the social-environmental risk factors and how they affect obesity. The purpose of this quantitative, cross-sectional study was to explore whether internet use and perceived social support predicted obesity among African American young adults. The social cognitive theory guided this study. Secondary data were analyzed from the 2017 Behavioral Risk Factor Surveillance Survey. The sample consisted of 6,765 African American young adults age 18 to 34 and represented the U.S. population using weighted estimates. A Bonferroni correction was performed to reduce Type I error due to …


Medical Skepticism And Diabetes Management In African Americans, Pamela Bouyer Jan 2020

Medical Skepticism And Diabetes Management In African Americans, Pamela Bouyer

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2DM) in African Americans is a manageable disease, and self-management interventions reduce complications and hospital stays. However, in the African American population, traditional T2DM self-management interventions do not produce long-term effects on lifestyle and behavior changes. Researchers have analyzed the barriers and interventions associated with the disease, but the problem still exists. Medical skepticism may influence T2DM management and health outcomes in African Americans. However, there is scarce literature addressing the relationship between medical skepticism and health outcomes (eye and kidney problems). The purpose of the study is to assess the relationship between medical skepticism and outcomes …


Perceptions Of Reproductive Health Services Of Young African American Mothers With Low Literacy, Timika S. Anderson-Reeves Jan 2020

Perceptions Of Reproductive Health Services Of Young African American Mothers With Low Literacy, Timika S. Anderson-Reeves

Walden Dissertations and Doctoral Studies

As they begin to shift decision-making from their parents to themselves, many African American adolescent girls embracing motherhood and living with low literacy seek reproductive health services at federally qualified health centers (FQHCs). Emerging adult African American mothers engaged in reproductive health services at urban FQHCs are provided services based on the centers’ promulgated health policies. Although FQHC staff assess for health literacy levels, they often do not design organizational processes to support reproductive health mothers with literacy challenges and diverse learning styles, and little is known about how young African American mothers with low literacy experience FQHCs’ reproductive health …


Neighborhood Factors, Depression, And Body Mass Index Among Patients With Lupus In Georgia, Aisha L. Hill Jan 2020

Neighborhood Factors, Depression, And Body Mass Index Among Patients With Lupus In Georgia, Aisha L. Hill

Walden Dissertations and Doctoral Studies

Elevated BMI (overweight and obesity) is a common health-related issue and affects more than half of the lupus population. Weight issues lead to additional health-related issues, such as heart disease and disabilities in the lupus population. To address the shortage of research focusing on this specific issue in the lupus population, one approach is a novel outlook on how neighborhood factors have the capability of determining or altering behaviors, such as physical activity, healthy eating, and healthy social relationships. Another variable to consider is depression and its capability of altering interactions, relationships, self-esteem, or even the inflammatory state of the …


African Americans Beliefs Regarding Skin Cancer And Prevention, Tamara Wesley Jan 2020

African Americans Beliefs Regarding Skin Cancer And Prevention, Tamara Wesley

Walden Dissertations and Doctoral Studies

Skin cancer is becoming more prevalent in African Americans. African Americans' mortality rate is significantly higher than any other race due to lack of awareness. The purpose of this qualitative study, guided by Rosenstock's health belief model, was to gain an understanding of African Americans' beliefs and perceptions regarding skin cancer. Ten telephone interviews were conducted with African Americans who were 18 years old or older, no history of cancer, and who were members of a church in a rural town in the southeastern United States. The interview transcripts were manually transcribed verbatim. The data were analyzed by using codes …


Barriers That Influence The Underuse Of Mental Health Services By African Americans Diagnosed With Schizophrenia, Pamela Gail Stackhouse-Hinsey Jan 2020

Barriers That Influence The Underuse Of Mental Health Services By African Americans Diagnosed With Schizophrenia, Pamela Gail Stackhouse-Hinsey

Walden Dissertations and Doctoral Studies

African Americans diagnosed with schizophrenia have longer wait times to be treated by mental health care professionals, resulting in their underuse of mental health services. This problem has motivated medical professionals to reexamine the ways in which services are rendered and then make appropriate improvements. The purpose of the study was to explore the lived experiences of African Americans diagnosed with schizophrenia and identify the reasons for their underuse of mental health services. A phenomenological research design was used to understand and explore the participants’ lived experiences of the phenomenon. Participants were recruited from an independent living facility. Purposive sampling …


Identifying Strategies That Address Race-Based Traumatic Stress Of African Americans In Rural Mississippi, Syrenia Johnson Jan 2020

Identifying Strategies That Address Race-Based Traumatic Stress Of African Americans In Rural Mississippi, Syrenia Johnson

Walden Dissertations and Doctoral Studies

There has been a dramatic increase of race-based encounters that have had an extensive health impact on African Americans. Social workers and other mental health professionals play a crucial role in working with African American adults who experience race-based traumatic stress. The purpose of this qualitative study was to identify strategies to address race-based traumatic stress from a mental health perspective. Racial encounter coping appraisal and socialization theory (RECAST) guided this study where eight social workers from the local community mental health center in rural Mississippi completed an open-ended questionnaire to identify and determine culturally competent treatment strategies for African …


Perspectives Of African Americans Diagnosed With End Stage Renal Disease And Their Perceptions Regarding Accessibility Of Care, Toya Williams Jan 2020

Perspectives Of African Americans Diagnosed With End Stage Renal Disease And Their Perceptions Regarding Accessibility Of Care, Toya Williams

Walden Dissertations and Doctoral Studies

End stage renal disease (ESRD) is the final phase of kidney disease. African Americans make up 35% of all ESRD cases, which is rising. They lead all other racial groups and are 3 times more likely to be diagnosed with ESRD. Researchers have reported quantitative results involving this population, but none have focused on their experiences. The researcher sought to capture the experiences of these patients and their perceptions regarding access to healthcare to determine the role that access to care played in their condition. Interviews were conducted to gain an understanding of their experiences related to their use of …