Digital Commons Network^™

Student Health Benefits Plan Market Research And Analysis, Zachary William Doucette

Honors Theses and Capstones

The University of New Hampshire (UNH) in Durham, New Hampshire requires all full-time students to have health insurance meeting set requirements as a condition of enrollment. UNH offers its own health plan, entitled the Student Health Benefits Plan (SHBP) through its Health Services Center to students as a way to procure this insurance if they lack insurance, or if their current insurance is insufficient or does not meet the insurance requirements. Health Services at UNH is looking for market research on current attitudes, perceptions, and beliefs of both students at UNH, and the parents of students who currently have a …

Literacy Exposure In Public Preschools: The Effects On Language Acquisition, Chloe Hannah Robison

Honors Theses and Capstones

No abstract provided.

First Generation Azerbaijani Immigrants In The United States: Socio-Cultural Characteristics And Identity Issues., Ahmad Guliyev

Khazar Journal of Humanities and Social Sciences

The community of Azerbaijani immigrants in the United States, which is the subject of our proposed study, is a pretty recent phenomenon. Most Azerbaijani-Americans have immigrated to the United States mainly from Iran, Azerbaijan, Russia or Turkey. Azerbaijani immigration and integration in the United States have not been documented and studied thoroughly. There is no population survey that provides information of any kind on the attitudes and opinions of Azerbaijani Americans. Based on the survey conducted among sample of 103 Azerbaijani immigrants, this paper aims to provide the profile of the Azerbaijani community, socio-cultural characteristics, assess the immigrant’s identification with …

Contributions Of The Cognitive, Affective And Linguistic Domains To Strategy Use And Degree Of Strategy Use To Effective Reading Performance, Seyed Hassan Talebi, Behnaz Seifallahpur

Khazar Journal of Humanities and Social Sciences

According to Oxford (1990), different learner variables affect the choice of learning strategy. It was also found that effective L2 readers know how to use strategies to foster reading comprehension and ineffective readers have little awareness of strategies to read effectively (Yang, 2002). This study investigates the contribution of three relatively important variables and their components (namely, the cognitive domain or awareness and use of strategies, the linguistic domain or general English proficiency level, and the affective domain or attitude toward reading in L2), to reading strategy use in English. The second purpose of the study is to find out …

Enhancing Generalisation In Biofeedback Intervention Using The Challenge Point Framework: A Case Study, Elaine Hitchcock, Tara Mcallister Byun

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Biofeedback intervention can help children achieve correct production of a treatment-resistant error sound, but generalisation is often limited. This case study suggests that generalisation can be enhanced when biofeedback intervention is structured in accordance with a "challenge point" framework for speech-motor learning. The participant was an 11-year-old with residual /r/ misarticulation who had previously attained correct /r/ production through a structured course of ultrasound biofeedback treatment but did not generalise these gains beyond the word level. Treatment difficulty was adjusted in an adaptive manner following predetermined criteria for advancing, maintaining, or moving back a level in a multidimensional hierarchy of …

Validating And Optimizing A Crowdsourced Method For Gradient Measures Of Child Speech, Tara Mcallister Byun, Elaine Hitchcock, Daphna Harel

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

There is broad consensus that speech sound development is a gradual process, with acoustic measures frequently revealing covert contrast between sounds perceived as identical. Well-constructed perceptual tasks using Visual Analog Scaling (VAS) can draw out these gradient differences. However, this method has not seen widespread uptake in speech acquisition research, possibly due to the time-intensive character of VAS data collection. This project tested the validity of streamlined VAS data collection via crowdsourcing. It also addressed a methodological question that would be challenging to answer through conventional data collection: when collecting ratings of speech samples elicited from multiple individuals, should those …

Using Visual Scene Displays As Communication Support Options For People With Chronic, Severe Aphasia: A Summary Of Aac Research And Future Research Directions, David R. Beukelman, Karen Hux, Aimee R. Dietz, Miechelle L. Mckelvey, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Research about the effectiveness of communicative supports and advances in photographic technology has prompted changes in the way speech-language pathologists design and implement interventions for people with aphasia. The purpose of this paper is to describe the use of photographic images as a basis for developing communication supports for people with chronic aphasia secondary to sudden-onset events due to cerebrovascular accidents (strokes). Topics include the evolution of AAC-based supports as they relate to people with aphasia, the development and key features of visual scene displays (VSDs), and future directions concerning the incorporation of photographs into communication supports for people with …

Understanding Health Literacy Skills Of Patients With Cardiovascular Disease And Diabetes, Patrick J. Dunn

Walden Dissertations and Doctoral Studies

Health literacy is the ability to understand and act on health information and is linked to health outcomes. It is unclear how health literacy skills are developed in patients with complex conditions, such as cardiovascular disease and diabetes. The purpose of this grounded theory study was to gain perspectives of both patients and healthcare professionals on how health literacy skills were developed in patients with cardiovascular disease or diabetes. The research questions addressed how knowledge and skills were acquired, the role of digital tools, instructional strategies used by healthcare professionals, and how the instructional strategies of the healthcare professionals matched …

Examining Barriers With Implementing Augmentative And Alternative Communication In A Midwest School, Ashley Renee Fields

Walden Dissertations and Doctoral Studies

Many speech-language pathologists (SLPs) in a Midwest urban public school system have experienced barriers that prohibit the effective use of augmentative and alternative communication (AAC). The result has left some students with speech language impairments (SLI) without the communication skills for meaningful relationships and success in and out of school. The purpose of this exploratory case study was to determine the perceived barriers of 8 local school SLPs regarding the successful implementation of AAC and their suggestions for addressing the problem. Data were collected from semi-structured interviews with the SLPs. Data collection and analysis were grounded by Ely's conditions of …

Preventative Strategies To Improve Birth Outcomes Among African American Women In Rhode Island, Yvonne Michele Heredia

Walden Dissertations and Doctoral Studies

Despite increased access to prenatal care, birth outcomes continue to be a major source of disparity among women in the United States. The focus on lifestyle choices and negative behaviors prior to a pregnancy to reduce adverse birth outcomes has become a well-documented strategy. The purpose of this study was to determine if preparing for a pregnancy in advance improves birth outcomes for African American women of childbearing age between the ages of 12 and 45 years in the State of Rhode Island (RI). The theoretical foundation for this study was based on Prochaska's model of change, which is also …

Speech-Language Pathologists On Multicultural Counseling Competency, Denise Moore Revel

Walden Dissertations and Doctoral Studies

Despite reports of speech-language pathology graduate-level programs focusing on multicultural competence, the literature suggests speech-language pathologists are not adequately educated and trained to be culturally competent. The purpose of this study was to examine the experiences of public school-based speech-language pathologists' graduate-level academic instruction and the clinical practicum experiences in multicultural competence, specifically in the area of multicultural counseling. Guided by the theory of multicultural counseling and therapy, this study used a phenomenological approach, employing semistructured, in-person interviews with 7 participants. The inclusion criteria used for selecting study participants included: having a master's degree in speech-language pathology, graduation from an …

An Interpretative Phenomenological Analysis Of Caregivers' Support For Their Preschool Children's Language And Social Skills Development, Sheri Stein Blum

Walden Dissertations and Doctoral Studies

Some children have difficulty communicating due to a lack of age-appropriate language and social skills. Researchers have explored how music and language share features that shape language processing. The purpose of this interpretive phenomenological analysis was to explore the experiences of caregivers of preschool children who participated in a music-based program and to understand their perspectives related to children's language and social skill development. Learning style and sensory integration processing theories were used as framework to provide foundations of skills in this study. Research questions addressed caregivers' choices related to this program for their children, their experiences of their children's …

Teachers' Perceptions Of Multimodal Literacies In Middle School Health Literacy Programs, Cynthia Darlene Jackson-Howard

Walden Dissertations and Doctoral Studies

Health literacy, defined as the ability to understand and use health information to make informed decisions, is critical to maintaining health; however, not all U.S. states mandate strategies to improve adolescents' health literacy. Moreover, many middle school teachers are often unaware of how their roles could improve the health literacy of their students. Multimodal literacies help students to create meaning through viewing print-based resources and using digital technologies. The purpose of this study was to investigate teachers' perceptions of the effectiveness of multimodal literacies on adolescents' overall health literacy via the introduction of health literacy programs into the curriculum. This …

Underserved Patients' Perspectives On How The Ehr Impacts Their Health, Marie Mirna Lexima

Walden Dissertations and Doctoral Studies

Our modern health care system requires technology that can deal with multidisciplinary and complex processes, operations, and situations. The EHR, by far, is one of the greatest health information technology innovations that satisfy these requirements because of its efficiency and the effectiveness of its features. This study sought to develop an in-depth understanding of how underserved patients' perspectives about their health and illness, can contribute to greater use of the EHR. It also sought to improve their health outcomes and maintain sustainable change in the lives of the underserved. A quantitative non-experimental design study was conducted over a 6-week period …

Nonattendance Rates And Barriers To Health Care In Outpatient Clinic Settings, Susan Louise Geiger

Walden Dissertations and Doctoral Studies

Lower socioeconomic status, ethnicity, and race are associated with reduced health care use in the United States. Patients who continually miss their appointments suffer significant negative results, including a disruption in continuity of care, complications with their chronic illnesses, and an increase in hospital readmissions. The health belief model was used as the theoretical support for this project that investigated the underlying causes of no-shows at an urban hospital-based outpatient clinic in the United States. It used a quantitative, descriptive design and examined a minority, underserved, and underinsured population that was receiving care at the research site and had a …

A Qualitative Analysis Of Migrant Women Farmworkers' A Qualitative Analysis Of Migrant Women Farmworkers’ Perceptions Of Maternal Care Management, Stacey A. Pilling

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to examine migrant women farmworkers' views of perinatal care management while working in the fields. Like men, women migrant farmworkers are exposed to many physical, chemical, and biological hazards that pose human health risks. However, women of childbearing age are at an increased risk of having reproductive health difficulties and adverse pregnancy outcomes, and the infant mortality rate among migrant farmworkers is estimated to be twice the national average. Perinatal care is a critical factor in reducing adverse outcomes for perinatal and newborn mortality. Face-to-face interviews were conducted with 15 migrant women farmworkers …

Cultural Competence In Certified Registered Nurse Anesthetists, Martina Renee Steed

Walden Dissertations and Doctoral Studies

For several decades, the field of nursing has focused on the integration of cultural competence content into its prelicensure educational programs. Despite this focus, little is known about the cultural competence of nurses extending their education past initial licensure into an advanced practice nursing specialty, such as nurse anesthesia. Researchers in other fields have found that provider race and previous cultural competence training are associated with higher levels of cultural competence. This research, guided by the culture care diversity and universality theory, sought to determine the relationship between the two subscales, Cultural Awareness and Sensitivity (CAS) and the Cultural Competence …

The Relationship Between Social Intelligence And Hearing Loss, Deborah Finken

Walden Dissertations and Doctoral Studies

This study was an exploration of adults with long-term hearing loss (LTHL) and how it may relate to social intelligence (SI) proficiency. The outcome of this study was intended to illuminate a gap in the literature, namely, the manner in which those with long-term LTHL were able to understand social situations and communicate with others when auditory comprehension was limited. A quantitative nonexperimental method was used that provided the Tromso Social Intelligence Scale (TSIS) to a group of 66 adults with LTHL who were diagnosed with hearing loss as children, as well as a group of 70 adults with no …

Retention In Nursing Programs: Factors Contributing To The Success Of Esl Students, Patience Jegbefu Mbulu

Walden Dissertations and Doctoral Studies

The problem addressed in this project is the high attrition rate among English as Second Language (ESL) students in a local community college associate degree nursing program. If the retention problem is addressed, the increase in the number of ESL nursing student graduates could result in a more diverse nursing workforce, reflecting the diversity of the community. The purpose of this study was to examine student and faculty views regarding factors that contribute to the academic success and retention of ESL students. To that end, a qualitative case study approach was used, guided by the theoretical frameworks of Cummins's contextual …

Assessment Practices At An Associate Degree Nursing Program, Tracey Jane Siegel

Walden Dissertations and Doctoral Studies

Nursing programs have traditionally used teacher-developed multiple-choice (MCQ) examinations to prepare students for licensure. Researchers have determined that poorly constructed MCQ tests used as formative and summative evaluations may penalize nursing students and impact progression and retention in nursing programs. The purpose of this exploratory case study was to examine issues related to the use of teacher-developed MCQ examinations as the only method of student assessment in the theory component of nursing courses. The National League for Nursing Core Competencies for Nurse Educators and the revised Bloom's Taxonomy were used as the conceptual frameworks for this study. The Director of …

Stories Of Contaminated Waste Dump Sites In Amskapi Pikuni Blackfeet Country, Kimberly L. Paul

Graduate Student Theses, Dissertations, & Professional Papers

Abstract:

Significant health disparities affect much of the American Indian/Alaska Native (AI/AN) and Native Hawaiian (NH) populations of America_.^3,6,10,11,14 Inequalities in health care and delivery of services for these populations are a contributing factor to disparate health conditions.² Lack of equity in areas such as social services¹⁸, education, environmental contaminants^5,7,8,17, historical trauma¹ and acute poverty[a1] [KP2] ^{16, 19} strongly influence health conditions⁴. People residing within the remaining tribal lands of the Northern Plains experience markedly higher incidence of disease than other ethnicities within this nation¹⁰, ultimately …

A Comparison Of Combined Overlap Block Fuzzy Cognitive Maps (Cobfcm) And Combined Overlap Block Neutrosophic Cognitive Map (Cobncm) In Finding The Hidden Patterns And Indeterminacies In Psychological Causal Models: Case Study Of Adhd, Hojjatollah Farahani, Florentin Smarandache, Lihshing Leigh Wang

Branch Mathematics and Statistics Faculty and Staff Publications

In spite of researchers’ concerns to find causalities, reviewing the literature of psychological studies one may argue that the classical statistical methods applied in order to find causalities are unable to find uncertainty and indeterminacies of the relationships between concepts.

In this paper, we introduce two methods to find effective solutions by identifying “hidden” patterns in the patients’ cognitive maps. Combined Overlap Block Fuzzy Cognitive Map (COBFCM) and Combined Overlap Block Neutrosophic Map (COBNCM) are effective when the number of concepts can be grouped and are large in numbers. In the first section, we introduce COBFCM, COBNCM, their applications, and …

Advances And Applications Of Dezert-Smarandache Theory (Dsmt) For Information Fusion (Collected Works), Vol. 4, Florentin Smarandache, Jean Dezert

Branch Mathematics and Statistics Faculty and Staff Publications

The fourth volume on Advances and Applications of Dezert-Smarandache Theory (DSmT) for information fusion collects theoretical and applied contributions of researchers working in different fields of applications and in mathematics. The contributions (see List of Articles published in this book, at the end of the volume) have been published or presented after disseminating the third volume (2009, http://fs.unm.edu/DSmT-book3.pdf) in international conferences, seminars, workshops and journals.

First Part of this book presents the theoretical advancement of DSmT, dealing with Belief functions, conditioning and deconditioning, Analytic Hierarchy Process, Decision Making, Multi-Criteria, evidence theory, combination rule, evidence distance, conflicting belief, sources of evidences …

Existential Suffering And Cura Personalis: Dilemmas At The End-Of-Life, George P. Smith Ii

Scholarly Articles

Existential, or non-somatic suffering, is often associated with the management of refractory pain at the end-stage of life. Because of misleading sympathologies, this condition is often either mis-diagnosed or even ignored. When diagnosed as a part of a futile medical condition, this Paper argues that deep, palliative, or terminal sedation be offered to the distressed, dying patient as an efficacious and ethical response to preserving a semblance of human dignity in the dying process. Not only is this option of care humane and compassionate, it is consistent with the ideal of best patient care. The notion of care should not …

The Contribution Of Mild Traumatic Brain Injury/Concussion To The Development Of Post-Traumatic Stress Disorder Symptoms, Kylie Lauren Marshall

Open Access Theses & Dissertations

A controversial issue is whether TBI is a necessary precursor to the development of PTSD symptoms, or if the two variables are mutually exclusive. Recent rodent-models reveal that a stressful environment cannot cause PTSD symptoms directly without TBI, yet it is unknown if PTSD symptoms can develop following a TBI. This study provides a potential analogue to study this relationship by evaluating the effects of sports-related concussion. Purpose: This study investigated two questions, 1) Is there a significant difference in the frequency of PTSD symptoms reported by athletes at baseline (BL) testing and post-concussion (PC) testing over time? 2) Is …

A Comparison Of Maze Frequency And Type Across Language And Speaker: A Look At English And Spanish Narrative Retells, Melissa Silver

Open Access Theses & Dissertations

Background: Mazes, as they are referred to in the language literature, are disfluencies that do not add meaning to an utterance including filled pauses, whole word revisions, part word revisions, part word repetitions and whole word repetitions. Extensive research has been conducted on mazes in monolingual and bilingual children, yet the research has not been extended to adults' narrative retell production.

Aims: The current study analyzes monolingual English, monolingual Spanish, and bilingual English and Spanish narrative retells to compare the percent of maze use and type of maze use amongst groups.

Methods & Procedures: The narrative retells of thirty-nine bilingual …

The Effects Of Baby Sign Training On Child Development, Bethany Iris Urquidi

Open Access Theses & Dissertations

Introduction: Baby sign has gained the attention of many researchers and parents. Relatively little is known about the use of baby sign and the impact it has on the development of children. As the use of baby sign increases in popularity, research studies have had limited and inconsistent results regarding its influence. Purpose: The purpose of this study is to measure the effects of baby sign training on the overall development of normally hearing children while improving on the limitations of current studies (between group study). Methods: Participants in the study included 22 children, ages 6 months to 2 years; …

A Comparative Assessment Of Electrophysiological And Behavioral Performance In Individuals With Aphasia Responding To Spoken And Written Sentence Length Commands, Sha-Renae Alexander

Open Access Theses & Dissertations

The aim of this study is to investigate whether deficits in processing affect auditory and reading comprehension in the same manner. This study compared the behavioral and electrophysiologic performance of four individuals with aphasia and four participants with no brain damage responding to spoken and written sentence length commands using a modified version of the Revised Token Test (McNeil & Prescott, 1978). Electrophysiological responses were recorded from the scalp using event related potentials (ERP). The latency and amplitude of the N400 ERP component were measured and analyzed. Behavioral reaction times and correct responses were collected and examined. Performance differences between …

The Sweet Taste Of Health: A Positive Deviance Inquiry Into Communicative Acts That Lead To Effective Management Of Diabetes Among Hispanics, Claudia Martinez Boyd

Open Access Theses & Dissertations

ABSTRACT

Diabetes is among the fastest growing diseases in the world. In the U.S., Hispanics are the third most affected population. Nonetheless, there are Hispanics diagnosed with diabetes who have, against all odds, found solutions to manage their disease. This study focused on the intrapersonal and interpersonal acts and behaviors of "positive deviant" Hispanics living on the U.S. - Mexico border that effectively managed their diabetes. They are referred to as "positive deviants" because they accrue "positive" outcomes and "deviants" because they are not the norm.

A PD inquiry was conducted and twelve PD respondents between the ages of 20 …

Comparing Electrophysiologic Differences In Linguistic And Tonal Auditory Oddball Tasks In A Normal Population, Luisa Alejandra Esquivel

Open Access Theses & Dissertations

Limited studies using Event Related Potentials (ERP) comparing attentional differences between individuals with and without brain damage have been conducted. In addition, the literature review showed limited studies examining electrophysiologic performances that compare linguistic and tonal auditory oddball tasks. The purpose of this study is to examine the electrophysicologic differences between a linguistic and tonal oddball task in a group of participants with no brain damage. Event related potentials (ERP) were used to examine the neural processes of attention by measuring peak latency and amplitude of the P300 ERP component. Traditional auditory oddball tasks involve participants discriminating between two tones, …