Arts and Humanities Commons^™

The Social Work Perspective Regarding The Underutilization Of Mental Health Services Among African American Families, Carissma Tempest Hughes

Walden Dissertations and Doctoral Studies

The underutilization of mental health services amongst African American families has been a long-standing concern in the African American community within large metropolitan cities in Texas. The metropolitan cities are Austin, Dallas/Fort Worth, Houston, San Antonio and McAllen. There remain experiences that impede families’ ability to engage in mental health services. These experiences involve the conflict between prayer and therapy, stigma, lack of awareness of local mental health services, and cultural competency. The purpose of this qualitative research study was to explore experiences of African American families and how those experiences affect mental health engagement, as well as how practicing …

The Experience Of Conflicting Identities Amongst African American Law Enforcement Officers, Jeremy R. Jones

Walden Dissertations and Doctoral Studies

Law enforcement’s unjust treatment of African Americans is a worldwide concern but impacts the African American community in different ways, particularly African American law enforcement officers who are placed in conflicting positions. They aspire to see change and more conforming police treatment, compared to other racial populations, but work for the same organization that exhibits the biased treatment they desire to have abolished. The purpose of this qualitative research study was to explore African American law enforcement officers’ experiences of conflicting identities. The theoretical foundation was based on Turner’s theory of self-categorization (SCT). The key research questions addressed African American …

Mandibular Attachment Device Effects On African American Veterans With Heart Failure, Tracey T. F. Carter

Walden Dissertations and Doctoral Studies

Heart failure is a growing epidemic that affects people nationwide and is disproportionate to African Americans. The purpose of this quantitative repeated measures study was to determine whether mandibular attachment device (MAD) therapy impacts symptoms of heart failure in African American male veterans diagnosed with obstructive sleep apnea (OSA). The oxidative stress theory was applied in this study to assess whether MAD therapy received from Veterans Affairs (VA) dental clinics impacted heart failure symptoms, after controlling for patient body mass index (BMI) levels and smoking status. Research questions examined whether MAD had a significant effect on symptoms of heart failure …

Relationship Between Parental Involvement And 4th-5th Grade Students’ Academic Motivation, Charla Williams

Walden Dissertations and Doctoral Studies

The achievement gap between African American and White students has been well documented. The purpose of this quantitative study was to examine whether parental involvement in academics predicted academic motivation of fourth- and fifth-grade African American students in the Southwest United States. Social development theory provided the framework for the study. Survey data were collected from 43 students and 43 parents using the Parental Involvement Scale and the Children’s Academic Intrinsic Motivation Inventory. A t test, linear regression, and multiple regression were used to analyze the data. Findings indicated no significant difference between how parents and students perceived parental involvement …

The Executive Director Experiences Of African American Women In Mainstream Nonprofit Performing Arts Organizations, Davida S. Gobin

Walden Dissertations and Doctoral Studies

African American women are presently underrepresented in mainstream nonprofit performing arts organizations (PAOs) throughout the United States. Despite this inequality, a small number of African American women have overcome the odds and have productively earned senior leadership roles as executive directors in mainstream nonprofit PAOs. Using the conceptual frameworks of intersectionality and critical race feminism, the purpose of this study was to explore the shared lived experiences of African American women in executive director positions and the impact of race and gender on their leadership development and training for advancement in a mainstream nonprofit PAO. Four research questions explored the …

Experiences Of African American Lesbians Who Attended A Historically Black College Or University, Lee Kimball Outlaw Barmore

Walden Dissertations and Doctoral Studies

The lived experiences of African American lesbians who attended historically Black colleges and universities (HBCUs) have not received sufficient empirical attention; therefore, this study was conducted to understand and describe their experiences. The study followed a qualitative phenomenological approach. The multidimensional identity model, developed by Reyolds and Pope, was used as the framework through which to understand the participants' experiences. Semistructured, 40 to 60-minute interviews were conducted with 6 women who identified as African American lesbians and attended HBCUs. Initial hand and subsequent NVivo coding of interview data led to the development of the following 7 themes: (a) either African …

Recruitment Strategies For A Sustainable Pipeline Of African American College Graduates As Civil Servants, Owen Wilbert Muldrow, Jr.

Walden Dissertations and Doctoral Studies

Government leaders have not been successful in their strategies for developing a pipeline of African American college students to address the absence of African American representation in civil service management positions. Increasing African American representation among civil service personnel may produce a government workforce that reflects American society, which may promote equitable and responsive solutions in serving public interests. The purpose of this qualitative modified Delphi study was to build consensus among a nationwide expert panel of government-affiliated talent managers as to strategies for creating a sustainable civil service pipeline of annual graduating classes of African American collegians. The research …

The Impact Of Campus Health Services On The Attitudes, Perceptions, Beliefs, And Behaviors Of Historically Black College And University Students, Micah Mccray Griffin

Walden Dissertations and Doctoral Studies

African Americans suffer worse health outcomes related to chronic disease than any other racial or ethnic group. The negative effects associated with poor dietary habits and a low propensity to exercise impact young adult African Americans who attend Historically Black Colleges/Universities (HBCUs) and can lead to higher mortality rates. It is important for HBCU campus health centers to address the perceptions and beliefs of students to positively impact health behaviors associated with diet and exercise. At the time of this study, there was limited research on-campus health centers and their impact on HBCU student health beliefs and behaviors. Therefore, this …

African American Parents' Perceptions Of Childhood Obesity In Broward County, Kenol Aris

Walden Dissertations and Doctoral Studies

Children may become overweight or obese for different reasons, and childhood obesity may have health consequences such as Type 2 diabetes and asthma. The purpose of this qualitative phenomenological study was to describe the perceptions of African American parents of elementary-age children with obesity living in Broward County, Florida about the causes and consequences of childhood obesity. The health belief model (HBM) guided this study. Interview data were gathered from 9 participants who met the criteria of being African American parents of elementary-age children with obesity living in Broward County, Florida. Moustakas- steps to analyze the data collected led to …

Substance Use And Romantic Attachment Among African American And Black Caribbean Adult Males, Shaun Faith Hutton

Walden Dissertations and Doctoral Studies

Individuals from unfavorable environments tend to carry maladaptive patterns of attachment from infancy through adulthood. Empirically, these styles have been shown to be intergenerational. Substance use disorder has been linked to maladaptive patterns of attachment among adults. However, limited data exists regarding this phenomenon with African American and Black Caribbean males. Bowlby's attachment theory and Ainsworth's patterns of attachment were the theoretical frameworks applied to this quantitative study. The purpose was to determine the effect of ethnicity and alcohol use on anxious and avoidant attachment patterns among a sample of 151 adult males. Using the Experience in Close Relationship and …

Breast Cancer Disparities Among African American Women Corresponding To Health Service Barriers, Dianne Jamerson

Walden Dissertations and Doctoral Studies

African American women tend to experience higher health disparities in cancer-related illness than any other female population in the United States. The purpose of this qualitative case study was to identify and examine access-related barriers that play a significant role in the decision-making process of this population when seeking breast cancer health services. The central research question explored the effect that barriers to health care have on African American women in the Southeastern region of the United States. Secondary research questions explored the role the Patient Protection and Affordable Care Act of 2010 has on improving access to affordable, quality …

Cultural Perspectives On African American Adolescent Sexual Risk Behavior In Central Mississippi, Debra Suzette Smith

Walden Dissertations and Doctoral Studies

In 2015, Mississippi had the 3rd highest adolescent birth rate in the United States, high rates of sexually transmitted diseases, and enduring racial disparities between African American and White teenagers. Few researchers have described the immediate cultural environment to determine how it may influence the sexual behaviors and attitudes of African American teens. The purpose of this qualitative ethnographic study was to describe the sociocultural environment of African American adolescents in Mississippi that influences their sexual behavior by exploring the knowledge, feelings, experiences and beliefs of African American adults. The social cognitive theory was used as a theoretical framework to …

The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to examine the experiences and perceptions of African American women who reside in a nursing home and to understand African American women's decisions for admitting to the facility. Social Learning Theory was applied to answer the question of how African American women's experiences and perceptions toward long-term care influence healthcare decisions and admission to a nursing home. Eleven participants interviewed in the study were at least 60 years old, admitted into the facility within the past two years and who had not previously resided in a nursing home. Yin's five step approach …

A Faith-Based Organization's Engagement Of An African American Community In Disaster Preparation, Tronda L. Douglas

Walden Dissertations and Doctoral Studies

Researchers have revealed that rural African American communities, which have been adversely impacted by disasters, could minimize personal injuries and property damage by being prepared before a disaster strikes. Data from past studies have shown that social networks, such as faith-based organizations (FBOs), have been instrumental in assisting rural African American communities recover from disasters such as floods and fires. This exploratory qualitative case study addressed the research question: How a rural, FBO organized resources to build a community based, all-volunteer fire department. The conceptual framework for this study incorporated concepts from social network theory and social capital theory. Purposeful …

Diabetes Self Care Behaviors And Social Support Among African Americans In San Francisco, Liseli Inonge Mulala

Walden Dissertations and Doctoral Studies

Both Type 1 and Type 2 diabetes are significant public health issues that affect people of all races; Type 2 diabetes disproportionately affects African Americans with higher diagnosis, morbidity, and mortality than it affects Caucasians, and Type 1 has been increasing in incidence. Diabetes self-care activities (DSCAs) and social support have been shown to help in managing both types, which can reduce morbidity and mortality. African Americans with diabetes in San Francisco have higher rates of complications, hospitalizations, and emergency room visits secondary to diabetes. This study assessed whether a relationship exists between emotional support, practical support, affirmational support, informational …

Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention reported that African American women had the lowest recorded number of suicide completions among all ethnic and gender groups in the United States. In addition, the number of suicides among African American women continued to soar without a clear reason or understanding of their lowest completion rates. Further research in the area of spirituality among African American women may be critical in understanding why African American women's rates of completed suicides are statistically lower than other ethnic groups and how to prevent future rate increases. A phenomenological framework was used to examine the …

Income, Education, Age, And Physical Activity Among Physically Disabled African American Women, Sherèè Johnson Johnson

Walden Dissertations and Doctoral Studies

This study was designed to identify possible risk factors about physical activity in middle-aged disabled African American women (AAW) aged 45 to 64 years. Disabled middle-aged AAW has a disproportionate prevalence of obesity and chronic illness than nondisabled women. Most disabled middle-aged AAW leads a sedentary lifestyle, and they do not meet the recommended physical activity (PA) guidelines. Little is known about this group, and a social ecological model was used to explain PA patterns. Data were extracted from the 2009 Behavioral Risk Factor Surveillance System (N = 1,599) for women who responded yes to indicate that they needed specialized …

Biosociocultural Factors And Motivation To Lose Weight Among Obese African American Women, Odette Marie Russell

Walden Dissertations and Doctoral Studies

Obesity is a pandemic that has a substantial impact among African American women. Biological, social, and cultural acceptance of obesity, collectively referred to as biosociocultural factors, represents an obstacle to efforts to address this health risk among this group. The purpose of this study was to develop a better understanding of the relationship between biosociocultural factors and motivation to lose weight. Self-determination theory, objectification theory, and social learning theory formed the study's theoretical framework. The key research question concerned the extent to which the investigated constructs (BMI, internalized body image, and social networks) helped to explain motivation for weight loss …

Teachers' And Parents' Perceptions Of Special Education Referral For African American Students, Darlene Smith

Walden Dissertations and Doctoral Studies

Patterns of representation of African Americans in K-12 special education programs vary across the United States. A school district in Arizona has a 13% African American population, yet the African American special education representation is 17%. The purpose of this grounded theory study was to generate an understanding of the processes related to special education referral and assignment of African American elementary students as perceived by 7 teachers and 6 parents in the school district. Inductive analysis including open, axial, and selective coding led to the categorization of three themes: complexity in the referral process, inadequate teacher-parent communication and lack …

The Perceptions And Experiences Of African American Parents In The Management And Care Of Obese Children, Priscilla Ann Huggins

Walden Dissertations and Doctoral Studies

Childhood obesity is a global concern among all ethnic groups. Childhood obesity is a problem that continues into adulthood, exacerbating the incidence of diseases such as diabetes or heart disease. The purpose of this phenomenological study was to explore, understand, and describe the perceptions and experiences of African American parents in the management and care of their obese or overweight children. This study used the health-belief model (HBM) as its theoretical foundation, focusing on the constructs of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. This research study used an interview tool and an 8-item …

Intercultural And Career Experiences Of African American Women Midlevel Leaders At Predominately White Institutions, Rabekah Stewart

Walden Dissertations and Doctoral Studies

African American women leaders positively influence the college experiences of students at predominately White institutions (PWI), but the retention of those women leaders remains an issue. At the time of this study, limited research informed race and gender issues that intersect the career advancement of African American women serving in midlevel leadership positions at PWIs. The purpose of this qualitative study was to understand the intercultural and career advancement experiences of these women. Critical race theory, critical race feminist theory, and intercultural communications theory were used as a framework to understand the participants' intercultural and career advancement experiences, perceived influences, …

Exploration Of Perceptions Of Marriage Dissatisfaction Among African American Couples, Terrence Schofield

Walden Dissertations and Doctoral Studies

Perceptions of Marital Dissatisfaction Among African American Couples

by

Terrence Schofield

MS, Walden University, 2012

BS, Knoxville College, 1994

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Clinical Psychology

Walden University

August 2016

Through Their Eyes: Young African American Men's Perceptions Of Fatherhood, Irena J. Glover

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore current African American fathers' experiences with being fathered, and to understand how those definitions, perceptions, and experiences of fatherhood impacted their involvement in the lives of their own children. In-depth individual interviews were conducted in Detroit, Michigan with 10 African American fathers ranging in age from 22 to 25. Ecological systems theory and identity theory served as the theoretical framework for the study. Member checking, detailed descriptions, and audit trails were used to establish trustworthiness of the data. The findings of the study showed that father involvement was directly related to or …

Interrelationships Of Colorism, Violence, And Sexual Behaviors Among Southern African American Women., Phaedra Christensen

Walden Dissertations and Doctoral Studies

Two significant public health concerns that threaten both the physical and mental health of African-American women are Intimate Partner Violence (IPV) and Human Immunodeficiency Virus (HIV). African-American women (AAW) in the south carry the greatest burden of HIV and disproportionately represent the region with an incidence of 71% for new HIV infections, and elevated rates of morbidity and mortality. In 2013, the murder rate among AAW was 2.5 times higher than it was among Caucasian women. Most of the published studies that explored the association between IPV and HIV had mixed populations, did not explore topics unique to AAs, or …

Rural Obese African American Women And Depression, Food Culture, And Binge Eating, Tracee Tamiko Smith

Walden Dissertations and Doctoral Studies

The rural African American population has a high incidence of severe psychosocial problems and a skewed perception of obesity, despite obesity's extremely high prevalence rate in this population. Despite the acknowledgements of these problems, there is a gap in literature relative to the effective treatments for obese African Americans diagnosed with depression. This study measured correlations between obesity and depression, binge eating, and food culture amongst African American women residing in Jefferson County, MS. The health belief model was used to guide an assessment of beliefs, perceptions, susceptibility, cues to action, and self-efficacy. A cross-sectional design was used based on …

Hostility Toward Dominant Culture Individuals And The Perceived Stability Of Power, Anne Kristine Pihl Gaddis

Walden Dissertations and Doctoral Studies

Racism in the United States is persistent and its negative effects are widespread. The social hierarchy in the United States positions White people as the dominant culture and Black people, among other races, as a minority culture. Current literature provides insight into explicit and implicit individual expressions of racism; however, very little research clarifies the effects racism has on the continuance and structure of the social race hierarchy. This study utilizes social gender hierarchy research to investigate how racism-induced hostility toward the dominant culture relates to an individual's perception of the stability of the race hierarchy. This quantitative survey study …

Stigma And Hiv Testing Among African American Women In New Jersey, Mirriam Limage-Pierre

Walden Dissertations and Doctoral Studies

African American women are 18 times more likely to contract HIV than are European American women, yet they are less likely to be tested for HIV. Lack of HIV testing leads to late diagnosis and increased mortality from HIV-related illnesses. Based on the health belief model, this correlational study analyzed the extent to which HIV stigma mediated the relationship between perceived benefits or perceived severity of HIV and the uptake of HIV testing among African American women in New Jersey. A total of 93 African American women aged 18 and older who resided in New Jersey completed online questionnaires. Data …

A Mixed Method Study Of Diagnostic And Adaptive Functioning Challenges In African American Preschool-Aged Children With Autism Spectrum Disorders, Douglene Jackson

Walden Dissertations and Doctoral Studies

Children with Autism Spectrum Disorder (ASD) are known to experience performance and participation challenges, with early diagnosis being critical for improved outcomes. Children from ethnic minority backgrounds tend to receive their diagnoses later, even when symptomatology is similar. This mixed methods study explored symptom severity, functional difficulties, and age at diagnosis for ASD and to describe the functional challenges encountered by preschool-aged children with ASD of African American descent. The International Classification of Functioning, Disability, and Health along with the Model of Human Occupation were the theories used for this study to conceptualize functional challenges and other potential factors. Research …

Health Care Seeking Behavior And Provider Responses For Hcv-Positive African Americans, Kathleen Susanna Bailey

Walden Dissertations and Doctoral Studies

Of the 3.5 million persons infected with chronic HCV in the United States, the African American population is the largest racial group with chronic HCV. Disparities in access to care and treatment involve a complex set of individual, interpersonal, socioeconomic, and environmental factors that influence the course of HCV infection in the African American population, resulting in poorer outcomes and survival. Drawing upon both the theory of reasoned action and the theory of planned behavior, this study was conducted to determine whether the seeking of health care by HCV-positive African Americans and the responses of health care providers to HCV-positive …

The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray

Walden Dissertations and Doctoral Studies

Researchers and economists have argued that the economic and social stagnation of African Americans is the result of their lack of self-confidence, initiative, and commitment toward their own advancement. This qualitative study examined whether historical conditioning and personal experiences have created a hypersensitivity in this population to events triggering behaviors that mirror the success fearing personality when seeking social, economic, and political advancement. It used Zuckerman and Allison's fear of success scale to identify the range of success fearing in 30 African American men and women aged 35 years or more; this group was also interviewed regarding their lived experiences …