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2016

Medicine and Health Sciences

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Full-Text Articles in Education

University Students' Involvement In A Health Promoting Lifestyle: Influencing Factors Of The Health Promotion Model, Madison Estrada Dec 2016

University Students' Involvement In A Health Promoting Lifestyle: Influencing Factors Of The Health Promotion Model, Madison Estrada

Electronic Thesis Collection

Abstract: This is a correlational study utilizing Nola Pender’s Health Promotion Model (HPM) for examining the key influential factors regarding involvement in a health promoting lifestyle (HPL) among undergraduate students at Pittsburg State University. Ninety-six (96) undergraduate students enrolled in general psychology courses at Pittsburg State University completed the Health Promoting Lifestyle Profile-II (HPLP-II; Walker, Sechrist, & Pender, 1987), the Exercise Benefits/Barriers Scale (EBBS; Pender, Walker, & Sechrist, 1987), the Self-Efficacy for Exercise Scale (SEE Scale; Resnick & Jenkins, 2000), and the Physical Activity Stages of Change Questionnaire (Marcus, Selby, Niaura, & Rossi, 1992). Spearman Correlation coefficients (one-tailed tests), were used to identify significant characteristics of those participating in an HPL. These analyses revealed the students in this sample ...


The Effects Of A Preceptor Coaching Intervention On Use Of Clinical Judgment By New Graduate Nurses, Sue A. Schuelke Dec 2016

The Effects Of A Preceptor Coaching Intervention On Use Of Clinical Judgment By New Graduate Nurses, Sue A. Schuelke

Theses & Dissertations

This work attempts to evaluate a preceptor intervention on the development of critical thinking/clinical judgment from the new graduate’s point of view as well as from the preceptor’s point of view. Manuscript 1 is a systematic review of the literature related to preceptor’s interventions and its effect on clinical judgment. Manuscript 2 describes the results of focus group interviews of preceptors and the viewpoint on clinical judgment and related concepts. Results of a pilot study: The effects of a preceptors coaching on new graduates clinical judgement, is reported in Manuscript 3. Each section includes an overview ...


Burnout In Radiation Therapy: Examining The Six Leading Influences, Gina C. Passmore Dec 2016

Burnout In Radiation Therapy: Examining The Six Leading Influences, Gina C. Passmore

All Theses And Dissertations

Recent studies are highlighting the dangers of burnout amongst healthcare workers, including radiation therapists. Since burnout is associated with an increase in medical errors (Sanchez-Reilly, 2013), it affects both the well-being of the patient and patient satisfaction scores, which are important to a hospital’s reputation. Burnout has a positive correlation with job dissatisfaction and increased employee turnover, making it both a financial and quality issue. Organizations acknowledge that burnout leads to unhappy employees, and unhappy employees are less likely to be engaged in their work, thereby not producing the best “products” (Sehlen, 2009). By examining which components seem to ...


Clinical Instructors Perceptions Of The Pta-Cpi Assessment Of Critical Thinking, Trudy L. Hansen Dec 2016

Clinical Instructors Perceptions Of The Pta-Cpi Assessment Of Critical Thinking, Trudy L. Hansen

Electronic Thesis Collection

The purpose of this study was to analyze how critical thinking skills are assessed for Physical Therapist Assistant students within the state of Kansas. Eight face to face interviews were conducted with clinical instructors who use the Physical Therapist Assistant Clinical Performance Instrument (PTA-CPI) as the instrument to assess critical thinking. Physical Therapy educational facilities supplied the names of clinical instructors who met the study’s criteria. Clinical instructor’s gave their definition of critical thinking, stated the advantages and disadvantages of the PTA-CPI, described their perceptions of a PTA student’s critical thinking skills in the clinical educational setting ...


Relationship Between Preponderance Of Adhd In The African American Community And How Teachers Are Trained To Type Students As Adhd, E Madison Dec 2016

Relationship Between Preponderance Of Adhd In The African American Community And How Teachers Are Trained To Type Students As Adhd, E Madison

Capstone Collection

The following capstone paper “Relationship between preponderance of ADHD in African American community and how teachers are trained to type students as ADHD” explores the epidemic of Attention Deficit Hyperactivity Disorder (ADHD) diagnosis in students and the prevalence of ADHD in the African American community. In recent years the number of African American children with ADHD have skyrocketed concerning parents about the over diagnoses and misdiagnoses of the disorder (Ahmann, 2016). A recent study by Getahun and colleagues found a "70 percent increase in the number of ADHD diagnoses among African American children, with a 90 percent increase among African ...


Examining The Lived Experience Of Caregivers Learning A Home Program From A Pediatric Occupational Therapist, Michelle Finet Dec 2016

Examining The Lived Experience Of Caregivers Learning A Home Program From A Pediatric Occupational Therapist, Michelle Finet

Theses and Dissertations

The purpose of this study was to examine the lived experiences of family caregivers as they learned a home program from an occupational therapist for their child. Gaining information from the caregiver on experiences with patient education may enable therapists to develop an understanding of the needs of caregivers during the educational process that occurs when a therapist is giving the caregiver a home program. Meeting the learning needs of the caregivers may possibly reduce the amount of overall therapy needed by the child. This phenomenological approach sought to answer the following research questions: (a) what are the lived experiences ...


Post-Concussion Experiences Of Collegiate Student-Athletes, Kaitlin Iris Singer Dec 2016

Post-Concussion Experiences Of Collegiate Student-Athletes, Kaitlin Iris Singer

Doctoral Dissertations

Sports-related concussions are a major public health concern affecting a significant number of collegiate student-athletes. Medical and public health research has addressed every aspect of concussion management processes including concussion education, medical diagnosis, recovery, and returning to sport and classroom. This research has led to several best-practices for concussion management. Since 2010, the NCAA has mandated that its member institutions maintain concussion management policies and procedures. However, the current recommendations, based primarily on medical research, have been found in quantitative studies of the behaviors and practices of athletic trainers, coaches, and student-athletes to be ineffective. To date, no studies have ...


A Mother's Spiritual Journey With Her Disabled Son: An Autoethnography, Margaret C. Higgins Edd Dec 2016

A Mother's Spiritual Journey With Her Disabled Son: An Autoethnography, Margaret C. Higgins Edd

Dissertations

Abstract

This autoethnographic research delves into a mother’s experiences with her disabled son over thirty-five years. Beginning with a thick description of the crib accident that resulted in physical and cognitive disabilities that profoundly change the course of both mother and son’s life, this research chronicles the search for meaning, community, and healing as they negotiate the realms of medicine, education, career, family, and spirituality. Models of disability that seek to explain various ways in which society often views disability are examined, but none resonate with the researcher’s intimate experiences nor satisfies her deepest needs for insight ...


Attachment Styles And Trust Propensity In Females With Borderline Personality Disorder, Jacob Matthew White Dec 2016

Attachment Styles And Trust Propensity In Females With Borderline Personality Disorder, Jacob Matthew White

Theses and Dissertations

Borderline Personality Disorder (BPD) is one of the most frequently encountered and complex disorders in mental health care. Interpersonal impairment is a central issue for individuals with BPD. This complex disorder has received negative stigma along with historically more females than males receiving this diagnosis (Linehan, 1993). Therefore, this study examined a clinical sample of 30 females diagnosed with BPD. Through the collection of data this study used the following measures: a basic demographic questionnaire gathering specific age, ethnicity, current relationship status, parental relationship status, the Experiences in Close Relationships Scale (ECR; Brennan, Clark & Shaver, 1998), and the Propensity to Trust Scale (PTS; Frazier, Johnson, & Fainshmidt, 2013). The data was evaluated through descriptive statistics, a Shapiro-Wilk’s Test of Normality, a Kurkal-Wallis H test, and a Spearman’s rho correlation. Two tailed Cronbach’s =.05 level was used as the significance standard for all statistical procedures. As hypothesized, rs(28) = -.375, p = .041, the data indicated a significant negative correlation between avoidance and propensity to trust in females with BPD. Additionally, congruent with previous meta-analytic research findings (Agrawal, Gunderson, Holmes, & Lyons-Ruth, 2004), the majority of participants 93% reported an insecure style of attachment with preoccupied as the most frequent style of attachment reported. The following manuscript examines attachment styles and propensity to trust in females with BPD; clinical implications and future ...


Enhancing Vegetable Intake In Infants And Toddlers Through Parental Complementary Feeding Education, Sophia Testa Dec 2016

Enhancing Vegetable Intake In Infants And Toddlers Through Parental Complementary Feeding Education, Sophia Testa

The Eleanor Mann School of Nursing Undergraduate Honors Theses

This research project investigated the outcomes of educating parents of infants between the ages of 6 months and 12 months on the importance of including vegetables in complementary feedings on the infant’s vegetable consumption. The efficiency of teaching was measured by comparing physical measurements and quantity of vegetables consumed by infants whose parents received education with the same data from infants whose parents did not receive education on inclusion of vegetable in complementary feedings. The results found contributed to Dr. Shreve’s research on childhood obesity in the Northwest Arkansas population and to the knowledge of parental education with ...


Health Educators’ Perceptions Of Factors Related To The Implementation Of School-Based Sexual Education, Kari Ellis Dec 2016

Health Educators’ Perceptions Of Factors Related To The Implementation Of School-Based Sexual Education, Kari Ellis

Honors Theses

Mississippi is one of the leading states in both teen pregnancies and sexually transmitted infection rates. In an effort to limit these rates, Mississippi passed House Bill 999 in 2011. This bill mandated sexual education in public schools throughout the state. However, since the passage of the bill there have been many factors that impact the way this curriculum is taught. To better understand these factors, how they affect educators, and how schools are addressing them, this study surveyed educators who taught some form of sex-related education curriculum from 2011 to 2016. The findings show that educators believe many factors ...


Oral Microbial Burden Of Periodontal Pathogens Among Orthodontic Patients, David Jolley Dec 2016

Oral Microbial Burden Of Periodontal Pathogens Among Orthodontic Patients, David Jolley

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objectives

Many research studies involving orthodontic patients have a natural inclination to focus on changes in levels of cariogenic pathogens after bracket placement, and very few studies examine the role of changes of periodontal pathogens – particularly among adult patients. Interestingly, recent evidence suggests that increased levels of a specific periodontal pathogen, Fusobacterium nucleatum, may elevate risk for development of colon cancer in adults through direct pathways. Based upon this new evidence, the objective of the current study was to screen saliva samples taken from orthodontic patients to determine the prevalence of periodontal pathogens, including F. Nucleatum, T. denticola, and P ...


The Impact Of Nursing Crew Resource Management Training On The Patient Safety Self-Efficacy Of Nursing Students, Deanne Marie Donaway Dec 2016

The Impact Of Nursing Crew Resource Management Training On The Patient Safety Self-Efficacy Of Nursing Students, Deanne Marie Donaway

UNLV Theses, Dissertations, Professional Papers, and Capstones

Quality health care and optimal health outcomes begin by assuring patient safety. This is a shared responsibility of all health care providers. However, nurses have a fundamental obligation to assure patient safety, given their constant presence with patients requiring care. Patients who are cared for by nurses with insufficient or outdated patient safety education and knowledge can and often experience costly and catastrophic outcomes (Institute of Medicine (IOM), 2011). Medical errors now rank as the third leading cause of death in the United States and cost over 17.1 billion dollars/year (Makary & Daniel, 2016; Andel, Davidow, Hollander & Moreno, 2012). A shocking report issued in 2010 by the Society of Actuaries indicated that when years of lost productivity were calculated with the direct costs, the total costs were near one-trillion dollars per year (Shreve et al., 2010).

National health organizations have been calling for improvements in patient safety practices and in patient safety education for years (IOM, 2011; QSEN, 2014; The Joint ...


Nursing Students’ Nonacademic Barriers To Success On High Stakes Exams, Jennifer Bussen Bussen Dec 2016

Nursing Students’ Nonacademic Barriers To Success On High Stakes Exams, Jennifer Bussen Bussen

UNLV Theses, Dissertations, Professional Papers, and Capstones

Every nursing program wants its graduates to pass the NCLEX-RN licensure examination the first time they take it. For those who fail, entry into practice is delayed until they can pass the NCLEX-RN. The nursing programs that graduated students who fail may experience a loss of reputation, decreased numbers of potential applicants, and, ultimately, state board of nursing sanctions. In an effort to determine which students are likely to be successful in taking the NCLEX-RN, many programs have turned to end-of-program predictor exams such as the Health Education System Inc. (HESI) exit examination (E2) (Lauer & Yoho, 2013; Nibert & Morrison, 2013; Reinhardt, Keller, Summers, & Schultz, 2012; Simon ...


Self-Perceived Coordinated School Health Coordinator Leadership Styles And Practices, Heather R. Ledbetter Dec 2016

Self-Perceived Coordinated School Health Coordinator Leadership Styles And Practices, Heather R. Ledbetter

Electronic Theses and Dissertations

School-aged children’s health needs have changed over the last several decades to the present day population of many overweight and obese children with health complications (Centers for Disease Control & Prevention, 2015). Tennessee has implemented the Centers for Disease Control and Prevention’s (CDC) model for Coordinated School Health (CSH) in all public schools. Leading each school district’s program is a CSH Coordinator. The role of CSH Coordinators is to provide leadership to district and school administrators while effectively and efficiently implementing the CSH program (Wechsler, 2012).

The purpose of this quantitative study was to explore the self-perceived leadership ...


Quality Management: A Global Case Study In Organ Transplantation, Cassie L. Rodriguez Dec 2016

Quality Management: A Global Case Study In Organ Transplantation, Cassie L. Rodriguez

Master's Projects and Capstones

Every year the US and European countries face an epidemic of organ failure from a multitude of reasons: cancer, genetic predisposition, exposure to harmful chemicals in home or surrounding areas or through drinking, drugs and smoking. Another problem faced, is the ratio of organ donors to organ recipients. Over 121,000 patients are on the waiting for an organ transplant, and a fraction of those waiting will die because of time. The Hanover Medical school and department of quality management, have created an integrated approach to organ transplant avenues. Quality management is a systematic guide for organ transplantation that allows ...


Group Empowerment Capacity And Capability In Associate Degree Schools Of Nursing In The United States, Christy Lee Savell Dec 2016

Group Empowerment Capacity And Capability In Associate Degree Schools Of Nursing In The United States, Christy Lee Savell

Dissertations

The purpose of conducting this research was to determine the perception of group empowerment capacity (EC) and group empowerment capability (E) among faculty and administrators in associate degree nursing programs (ADN) in the United States (U.S.), whether there was a significant difference in the scores of EC and E between the two groups and if there was a significant relationship between the mediating variables and EC. The study was conducted online with administrators and faculty of ADN programs throughout the United States (U.S.). Information letters with questionnaire links were sent to all members of the Organization of Associate ...


Faculty-To-Faculty Incivility As Perceived By Nursing Faculty, Melinda Lofton Sills Dec 2016

Faculty-To-Faculty Incivility As Perceived By Nursing Faculty, Melinda Lofton Sills

Dissertations

The purpose of this research was to determine the perceived presence of workplace incivility among nursing faculty in associate, baccalaureate, and graduate nursing programs and whether there was a significant difference between workplace incivility behaviors, occurrence of incivility, extent of incivility, and engagement of incivility among the three groups. A convenience sample of faculty from nursing programs accredited by Accreditation Commission for Education in Nursing and Commission of Collegiate Nursing Education in Alabama, Arkansas, Florida, Louisiana, and Tennessee completed the Incivility in Nursing Education-Revised (INE-R) survey. The final sample included 169 nursing faculty.

Based on the results of the study ...


Bariatric Surgery Weight-Loss Maintenance Among Hispanics: A Multiple Case Study, Minerva Aguilera Nov 2016

Bariatric Surgery Weight-Loss Maintenance Among Hispanics: A Multiple Case Study, Minerva Aguilera

Nursing Theses and Dissertations

Obesity significantly contributes to human illness and to subsequent rising healthcare expenditures. Bariatric surgery has been identified as the only effective option to achieve the weight loss necessary for those who are morbidly obese. Previous research indicated that maintaining significant weight loss has been a problem for individuals who undergo bariatric surgery. The number of bariatric surgeries is increasing and factors that contribute to or interfere following bariatric-surgery weight-loss maintenance need to be determined. Research on weight-loss maintenance following bariatric surgery is very limited, particularly among the Hispanic population. This case-study research used an explanatory, multiple-case-study design to gain greater ...


The Debt Burden Of Entry-Level Physical Therapists In Florida, Steven Benton Ambler Nov 2016

The Debt Burden Of Entry-Level Physical Therapists In Florida, Steven Benton Ambler

Graduate Theses and Dissertations

Despite the education, autonomy, and high demand for physical therapists both nationally and in Florida, recent graduates have seen steadily rising education costs with disproportionate changes in income once they have graduated and entered the workforce. The growing debt burden of physical therapists entering the workforce, coupled with the growth in projected need and stagnant wages, raises concern about where and how entry-level physical therapists will practice and if these choices will be affected by their debt burden. The purpose of this quantitative, cross-sectional survey study was to identify the debt profile of entry-level physical therapists and explore the relationship ...


Investigation Of Whether Determining A Patients Personality Results In Better Patient Communication And Oral Health, Cynthia E. Chavez Nov 2016

Investigation Of Whether Determining A Patients Personality Results In Better Patient Communication And Oral Health, Cynthia E. Chavez

Dental Hygiene ETDs

One of the dental psychosomatic territories is the link between personality traits and oral health treatment. This present study aims at investigating whether determination of patient personality types leads to enhanced communication between dental hygienists and patients resulting in improved oral health. Some hypothesize that determining patient personality traits results in enhanced communication between the patient and the dental hygienist. Similarly, it is hypothesized that determination of a patient’s personality trait can result in better oral health.


Adaptive Styles And Coping Strategies Of Youth Diagnosed With Cancer: Relationship To Well-Being, Psychosocial And Educational Adjustment, And Parents’ Adaptive Styles, Renee Corbett Oct 2016

Adaptive Styles And Coping Strategies Of Youth Diagnosed With Cancer: Relationship To Well-Being, Psychosocial And Educational Adjustment, And Parents’ Adaptive Styles, Renee Corbett

Graduate Theses and Dissertations

Although almost 16,000 children and adolescents are diagnosed with cancer each year, the incident rates have remained stable over recent years, and mortality has decreased consistently since 1975 (American Cancer Society, 2016). With increased survivorship, research and practice in pediatric oncology has focused more on the psychosocial well-being of patients during and after treatment. With research repeatedly indicating that patients and families appear to exhibit great resilience and adjustment, and low incidences of psychosocial difficulties (e.g., Kazak, 1994, Eiser et al. 2000), some researchers have examined adaptive style as a possible construct that may help explain the predominantly ...


Examining Content Validity Of The Nurse Competence Scale In The United States, Jessica B. Shearer Oct 2016

Examining Content Validity Of The Nurse Competence Scale In The United States, Jessica B. Shearer

Graduate Theses and Dissertations

Nursing competence is a necessity as it affects public health, safety and welfare; however there are very few reliable and valid tools that measure nursing competence. The Nurse Competence Scale has been used in many different countries outside of the United States and is based on Benner’s Novice to Expert theory. The purpose of this study was to examine the content validity of the Nurse Competence Scale using a mixed methods approach. Descriptive statistics were used to report results of the frequency of use scale and the critical to practice scale. Nursing faculty indicate Prioritizing My Activities Flexibility According ...


Exploring The Critical Thinking Skills Of Respiratory Care Students And Faculty, Bshayer Ramadan Alhamad Oct 2016

Exploring The Critical Thinking Skills Of Respiratory Care Students And Faculty, Bshayer Ramadan Alhamad

Seton Hall University Dissertations and Theses (ETDs)

Introduction: Today, with the increased demands in health care, working as a competentrespiratory therapist requires being a highly skilled, critically thinking professional. Although students are expected to learn how to think critically mostly in the academic environment from their faculty, only a paucity of studies has assessed the critical thinking of respiratory care students, with none, to our knowledge, assessing that of faculty. Therefore, the purpose of this mixed method study was to (1) assess the overall critical thinking skill levels of both respiratory care students and faculty, (2) investigate whether respiratory care faculty have stronger overall critical thinking skills ...


Racial And Ethnic Differences In Low-Risk Cesarean Deliveries In Florida, Yuri Combo Vanda Sebastiao Oct 2016

Racial And Ethnic Differences In Low-Risk Cesarean Deliveries In Florida, Yuri Combo Vanda Sebastiao

Graduate Theses and Dissertations

Background and Significance: Cesarean delivery rates increased by more than 50% between 1996 and 2011 in the United States. The large increase in rates for the procedure was generally not associated with significant improvements in obstetric outcomes, raising concern about quality and prompting recommendations for prevention. Primary cesareans provide the best opportunity to reduce overall cesarean rates, and the group of first-time mothers considered low-risk for cesarean (known as nulliparous, term, singleton, vertex, NTSV) constitutes the focus of prevention efforts. Studies increasingly report racial and ethnic differences in NTSV cesareans, which remain after controlling for health factors. However, the reasons ...


Hiv/Aids Prevention: Educating Future Generations, Carmella Williams Oct 2016

Hiv/Aids Prevention: Educating Future Generations, Carmella Williams

All Student Theses

The purpose of this study was to discover if implementing more educational interventions on HIV/AIDS would lead to lower incidents of HIV/AIDS among youth. A quantitative research design was used to determine the level of knowledge, perceptions, and attitudes of high school students in regard to HIV/AIDS. The targeted population were youth ages 14-18 years old, which are generally high school students who are at risk of contracting HIV/AIDS. Participants in this study were students from Human Resources Development Institute’s Teen Pregnancy Prevention Program at Harper High School in Chicago, Illinois. The researcher administered questionnaires ...


Dental Hygiene Alternative Practice Models: Preparedness And Confidence Of 2015 Graduates, Futun Nasser Alkhalifah Oct 2016

Dental Hygiene Alternative Practice Models: Preparedness And Confidence Of 2015 Graduates, Futun Nasser Alkhalifah

Dental Hygiene Theses & Dissertations

Purpose: evaluate dental hygiene graduates’ perceived preparedness and confidence to practice in alternative settings. Methods: a survey was sent through ADHA to all members who graduated within the last year (2015-2016) with a minimum of one-week work experience. The survey consisted of demographics, and two alternative practice scales. Independent variables characterized as follows: (1) graduate of a baccalaureate degree dental hygiene program within an allied health science program, (2) graduate of a baccalaureate degree dental hygiene program within a dental school, or (3) graduate of an associate degree dental hygiene program. The dependent variables were preparedness, confidence and practice management ...


An Evaluation Of Pathways To Community College Student Success In Anatomy And Physiology I, Staci Brooke Forgey Oct 2016

An Evaluation Of Pathways To Community College Student Success In Anatomy And Physiology I, Staci Brooke Forgey

Educational Foundations & Leadership Theses & Dissertations

The demand for healthcare workers is increasing nationwide. Higher education is responding by examining various interventions designed to increase completion (Abele, Penprase, & Ternes, 2011). Anatomy and Physiology is often identified as a gatekeeper course for students, since many withdraw or fail this course (Hopper, 2011). Within the VCCS, two colleges have implemented a prerequisite course, NAS 2, for Anatomy and Physiology. This study analyzed student data from before and after NAS 2 implementation, and examined General Biology to determine if it was a predictor of success in Anatomy and Physiology.

When NAS 2 was a significant predictor of grade in ...


Community Schools: A Public Health Opportunity, Catherine Diamond Sep 2016

Community Schools: A Public Health Opportunity, Catherine Diamond

Dissertations and Theses

Community schools link students, families, and communities to educate children and strengthen neighborhoods. They have become a popular model for education in many U.S. cities in part because they build on community assets and address multiple determinants of educational disadvantage. Since community schools seek to have an impact on populations, not just the students enrolled, they provide an opportunity to improve community health. It has been proposed that community schools influence the health and education of the area residents through three pathways: building trust, establishing norms, and linking people to networks and services. However, no research has been published ...


The Effects Of Health-Related Fitness On School Attendance In New York City 6th-8th Grade Youth, Emily M. D'Agostino Sep 2016

The Effects Of Health-Related Fitness On School Attendance In New York City 6th-8th Grade Youth, Emily M. D'Agostino

All Dissertations, Theses, and Capstone Projects

Background: Only 42% of youth ages 6-11 in the United States meet the World Health Organization’s recommendation for ≥60 minutes of daily moderate to vigorous physical activity. Estimates for adolescents ages 12-19 are even lower, ranging from 8-17%. Literature suggests low levels of youth health-related fitness (fitness) may negatively impact attendance, potentially due to reduced physical and psychosocial wellness. Nationally, 10-15% of (5-7.5 million) students are chronically absent, meaning that they miss ≥10% of the school year (or ≥20 days of school per year). Moreover, 20-30% of students in high-poverty, urban school districts do not attend school regularly ...