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Factors Affecting African Americans’ Participation In Alzheimer’S Disease Clinical Trials, Morounsayo Abimbola Awosika-Olumo Jun 2024

Factors Affecting African Americans’ Participation In Alzheimer’S Disease Clinical Trials, Morounsayo Abimbola Awosika-Olumo

Walden Dissertations and Doctoral Studies

Racial minority U.S. populations are underrepresented in clinical trials. Ensuring people from diverse backgrounds join clinical trials is key to advancing health equity. Participants in clinical trials should represent the patients’ population. The purpose of this quantitative study was to assess the association of individual-level factors (age, sex, marital status, family history of Alzheimer’s disease, living arrangement), health-related factors (smoking and alcohol), and socioeconomic status (years of education, employment status, health insurance status) and the interest in clinical trial participation among African Americans (AAs). The theoretical foundation that grounded this study was the health belief model. Secondary data from 214 …


Predictors Of Complementary Alternative Medicine Usage Among Diabetic Adults In The United States, Erlina Kearse-Lewis Jun 2024

Predictors Of Complementary Alternative Medicine Usage Among Diabetic Adults In The United States, Erlina Kearse-Lewis

Walden Dissertations and Doctoral Studies

Available data for the last two decades have shown that the use of complementary and alternative medicine (CAM) is increasing, with users including adult diabetics around the world. There is not a strong consensus concerning the influence of socioeconomic factors on the use of CAM by adult diabetics. The purpose of this retrospective cross-sectional study was to examine the use of CAM among U.S. adults 21 years and older diagnosed with diabetes and whether income influences the use of CAM among adult diabetics after adjusting for age, gender, and location. Cross-sectional data from the 2017 National Health Interview Survey represented …


Predictors Of Complementary Alternative Medicine Usage Among Diabetic Adults In The United States, Erlina Kearse-Lewis Jun 2024

Predictors Of Complementary Alternative Medicine Usage Among Diabetic Adults In The United States, Erlina Kearse-Lewis

Walden Dissertations and Doctoral Studies

Available data for the last two decades have shown that the use of complementary and alternative medicine (CAM) is increasing, with users including adult diabetics around the world. There is not a strong consensus concerning the influence of socioeconomic factors on the use of CAM by adult diabetics. The purpose of this retrospective cross-sectional study was to examine the use of CAM among U.S. adults 21 years and older diagnosed with diabetes and whether income influences the use of CAM among adult diabetics after adjusting for age, gender, and location. Cross-sectional data from the 2017 National Health Interview Survey represented …


Factors Affecting African Americans’ Participation In Alzheimer’S Disease Clinical Trials, Morounsayo Abimbola Awosika-Olumo Jun 2024

Factors Affecting African Americans’ Participation In Alzheimer’S Disease Clinical Trials, Morounsayo Abimbola Awosika-Olumo

Walden Dissertations and Doctoral Studies

Racial minority U.S. populations are underrepresented in clinical trials. Ensuring people from diverse backgrounds join clinical trials is key to advancing health equity. Participants in clinical trials should represent the patients’ population. The purpose of this quantitative study was to assess the association of individual-level factors (age, sex, marital status, family history of Alzheimer’s disease, living arrangement), health-related factors (smoking and alcohol), and socioeconomic status (years of education, employment status, health insurance status) and the interest in clinical trial participation among African Americans (AAs). The theoretical foundation that grounded this study was the health belief model. Secondary data from 214 …


An Evaluation Of The Boys & Girls Clubs Teen Programs, William Walker Jun 2024

An Evaluation Of The Boys & Girls Clubs Teen Programs, William Walker

Walden Dissertations and Doctoral Studies

This evaluation study addressed the need to increase the participation of teenagers in the Youth Service Agency ABC (YSA ABC). ABC offers positive, powerful, and empowering experiences for area teens. These programs help them with character development, financial literacy, emotional intelligence, healthy well-being, and many other skills and tools to help teens reach their full potential. The organization was faced with decreasing teen participation and a lack of knowledge about the teen programs and services that would attract them to ABC. The purpose of this evaluation was to learn from ABC staff who worked closely with teens (Club site directors/unit …


An Evaluation Of The Boys & Girls Clubs Teen Programs, William Walker Jun 2024

An Evaluation Of The Boys & Girls Clubs Teen Programs, William Walker

Walden Dissertations and Doctoral Studies

This evaluation study addressed the need to increase the participation of teenagers in the Youth Service Agency ABC (YSA ABC). ABC offers positive, powerful, and empowering experiences for area teens. These programs help them with character development, financial literacy, emotional intelligence, healthy well-being, and many other skills and tools to help teens reach their full potential. The organization was faced with decreasing teen participation and a lack of knowledge about the teen programs and services that would attract them to ABC. The purpose of this evaluation was to learn from ABC staff who worked closely with teens (Club site directors/unit …


Strategies For Remaining Competitive Without Compromising Quality In The Aerospace Industry, Cornelius Jude Amadeus Jun 2024

Strategies For Remaining Competitive Without Compromising Quality In The Aerospace Industry, Cornelius Jude Amadeus

Walden Dissertations and Doctoral Studies

The lack of strategic initiatives to elevate quality manufacturing and customer-centric business models has precipitated the monetary collapse of many aerospace organizations. Concerns arise when the focus on revenue supersedes the goal of quality workmanship. Grounded in total quality management (TQM), the purpose of this qualitative multiple case study was to explore strategies that seven aerospace leaders used to increase and maintain profitability through TQM to gain a competitive advantage. Data were collected using semistructured face-to-face interviews and a review of organizational documents. Five themes were identified through thematic analysis: (a) applying operational excellence, (b) optimizing capacity planning and resource …


Mexican American Men Who Have Sex With Men: Cultural Factors And Substance Use, Michael L. Garcia Jun 2024

Mexican American Men Who Have Sex With Men: Cultural Factors And Substance Use, Michael L. Garcia

Walden Dissertations and Doctoral Studies

Research has shown substance use affects sexual minority communities disproportionately. Studies have shown when individuals are part of ethnic or sexual minority groups, negative attitudes and risk behaviors that can lead to substance use are experienced at a greater scale compared to their majority counterparts. There have not been significant investigations regarding relationships between cultural values and sexual and ethnic minority subpopulations within the United States. The purpose of this quantitative study was to identify relationships between religion, family structure, traditional gender roles, and substance use in terms of Mexican American men who have sex with men (MAMSM) populations. This …


Primary Grade Teacher Perspectives About The Challenges Of Teaching Remotely, Jennifer Brooke Sample Jun 2024

Primary Grade Teacher Perspectives About The Challenges Of Teaching Remotely, Jennifer Brooke Sample

Walden Dissertations and Doctoral Studies

The problem this basic qualitative study addressed was that primary grade teachers, who taught different curricula, were not prepared to teach in a fully remote environment. The purpose of this study was to investigate teachers' perspectives about the challenges they experienced teaching primary-grade students remotely and to explore their perspectives on providing remote instruction training to teachers. This was accomplished using the conceptual framework of Garrison et al.’s community of inquiry model. Two research questions explored primary teachers’ perspectives on the challenges of teaching primary grade students in a remote platform and explored teachers’ suggestions for training in remote instruction. …


Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney Jun 2024

Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney

Walden Dissertations and Doctoral Studies

During the rapid spread of the coronavirus in 2020, some hospital managers lacked strategies to support and treat the number of patients falling ill daily. Effective strategies to support and treat patients during the next pandemic are important to hospital managers because insufficient access to quality healthcare services can be harmful to community citizens and detrimental to hospital sustainability. Grounded in the resource-based theory, the purpose of this qualitative pragmatic inquiry was to explore strategies some hospital managers have created and implemented to be prepared for future pandemics within their facilities. The participants were six healthcare leaders working in roles …


Mexican American Men Who Have Sex With Men: Cultural Factors And Substance Use, Michael L. Garcia Jun 2024

Mexican American Men Who Have Sex With Men: Cultural Factors And Substance Use, Michael L. Garcia

Walden Dissertations and Doctoral Studies

Research has shown substance use affects sexual minority communities disproportionately. Studies have shown when individuals are part of ethnic or sexual minority groups, negative attitudes and risk behaviors that can lead to substance use are experienced at a greater scale compared to their majority counterparts. There have not been significant investigations regarding relationships between cultural values and sexual and ethnic minority subpopulations within the United States. The purpose of this quantitative study was to identify relationships between religion, family structure, traditional gender roles, and substance use in terms of Mexican American men who have sex with men (MAMSM) populations. This …


Strategies For Small U.S. Software Companies To Reduce Merger And Acquisition (M&A) Employee Turnover, Michael William Landreth Jun 2024

Strategies For Small U.S. Software Companies To Reduce Merger And Acquisition (M&A) Employee Turnover, Michael William Landreth

Walden Dissertations and Doctoral Studies

Voluntary turnover during the merger and acquisition (M&A) process can affect the success of the M&A, resulting in company failure and the inability of employees to experience associated financial and career growth opportunities, a problem for employees, managers, and executives. Grounded in Eisenberger et al.’s organizational support theory, the purpose of this generic qualitative pragmatic inquiry study was to explore strategies executive leaders of small U.S. software companies use that promote employee engagement throughout the M&A process and reduce voluntary turnover. Six executive leaders of small U.S. software companies who successfully employed strategies to reduce or eliminate voluntary turnover during …


Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney Jun 2024

Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney

Walden Dissertations and Doctoral Studies

During the rapid spread of the coronavirus in 2020, some hospital managers lacked strategies to support and treat the number of patients falling ill daily. Effective strategies to support and treat patients during the next pandemic are important to hospital managers because insufficient access to quality healthcare services can be harmful to community citizens and detrimental to hospital sustainability. Grounded in the resource-based theory, the purpose of this qualitative pragmatic inquiry was to explore strategies some hospital managers have created and implemented to be prepared for future pandemics within their facilities. The participants were six healthcare leaders working in roles …


Strategies For Small U.S. Software Companies To Reduce Merger And Acquisition (M&A) Employee Turnover, Michael William Landreth Jun 2024

Strategies For Small U.S. Software Companies To Reduce Merger And Acquisition (M&A) Employee Turnover, Michael William Landreth

Walden Dissertations and Doctoral Studies

Voluntary turnover during the merger and acquisition (M&A) process can affect the success of the M&A, resulting in company failure and the inability of employees to experience associated financial and career growth opportunities, a problem for employees, managers, and executives. Grounded in Eisenberger et al.’s organizational support theory, the purpose of this generic qualitative pragmatic inquiry study was to explore strategies executive leaders of small U.S. software companies use that promote employee engagement throughout the M&A process and reduce voluntary turnover. Six executive leaders of small U.S. software companies who successfully employed strategies to reduce or eliminate voluntary turnover during …


Primary Grade Teacher Perspectives About The Challenges Of Teaching Remotely, Jennifer Brooke Sample Jun 2024

Primary Grade Teacher Perspectives About The Challenges Of Teaching Remotely, Jennifer Brooke Sample

Walden Dissertations and Doctoral Studies

The problem this basic qualitative study addressed was that primary grade teachers, who taught different curricula, were not prepared to teach in a fully remote environment. The purpose of this study was to investigate teachers' perspectives about the challenges they experienced teaching primary-grade students remotely and to explore their perspectives on providing remote instruction training to teachers. This was accomplished using the conceptual framework of Garrison et al.’s community of inquiry model. Two research questions explored primary teachers’ perspectives on the challenges of teaching primary grade students in a remote platform and explored teachers’ suggestions for training in remote instruction. …


Strategies For Improving African American Women-Owned Small Business And Access To Financial Capital, Nokomis Medley Cleveland Jun 2024

Strategies For Improving African American Women-Owned Small Business And Access To Financial Capital, Nokomis Medley Cleveland

Walden Dissertations and Doctoral Studies

African American women entrepreneurs have difficulty accessing financial capital to sustain their businesses. These entrepreneurs are concerned that with little access to financial capital, there will be fewer opportunities for starting and operating a successful business. Grounded in resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies some African American women business owners used to gain access to and secure financial resources to start and sustain the businesses. The participants were four African American women small business owners in various industries who successfully obtained financial capital to start and/or sustain the businesses. Data were …


Strategies For Improving African American Women-Owned Small Business And Access To Financial Capital, Nokomis Medley Cleveland Jun 2024

Strategies For Improving African American Women-Owned Small Business And Access To Financial Capital, Nokomis Medley Cleveland

Walden Dissertations and Doctoral Studies

African American women entrepreneurs have difficulty accessing financial capital to sustain their businesses. These entrepreneurs are concerned that with little access to financial capital, there will be fewer opportunities for starting and operating a successful business. Grounded in resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies some African American women business owners used to gain access to and secure financial resources to start and sustain the businesses. The participants were four African American women small business owners in various industries who successfully obtained financial capital to start and/or sustain the businesses. Data were …


Relationships Between Parenting Styles And Oppositional Defiant Disorder In African American Families, Sierra Savedge Jun 2024

Relationships Between Parenting Styles And Oppositional Defiant Disorder In African American Families, Sierra Savedge

Walden Dissertations and Doctoral Studies

Oppositional defiant disorder (ODD) is a mental health disorder that is seen throughout adolescent populations; however, limited research has been conducted on African American adolescents. Based on the parenting theory, the purpose of this quantitative study was to examine relationships between parenting styles, African American cultural influences, and ODD. A sample of 125 parents with adolescents in Virginia was surveyed. The Parenting Styles Questionnaire was used to measure parenting styles. The African American Acculturation Scale Revised was used to measure African American cultural influences. Symptoms of ODD were measured using the Child and Adolescent Disruptive Behavior Inventory. Chi-square tests, independent …


Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay Jun 2024

Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay

Walden Dissertations and Doctoral Studies

In South Africa, diabetes is a serious problem where 1 in 9 adults has diabetes, making it the country with the highest diabetes prevalence on the African continent. Even though insulin is an absolute necessity for treating diabetes, it is unaffordable to millions. Biosimilar insulins, however, are innovative medicines that are similar but not exact copies of the originator insulin, making alternative treatment affordable to patients. The problem is that, in South Africa, it is still not known whether patients have access to biosimilar insulin in a country where diabetes is rampant. The diffusion of innovation theory was used to …


High School Teachers’ Perceptions Of The Challenges Of Integrating Technology In Math Instruction, Jennifer Denise Mcclellan Jun 2024

High School Teachers’ Perceptions Of The Challenges Of Integrating Technology In Math Instruction, Jennifer Denise Mcclellan

Walden Dissertations and Doctoral Studies

Although teachers agree that technology is beneficial for enhancing math education and pedagogy, there are concerns about incorporating technology into their teaching practices. The problem addressed in this study was that high school teachers are challenged to integrate technology into math instruction. The purpose of this basic qualitative study was to explore high school teachers’ perceptions of the challenges in integrating technology into math instruction to answer the research questions regarding those challenges and viable strategies for infusing instructional technology into math classrooms. The theoretical framework was based on the technological pedagogical content knowledge framework, which combines content knowledge, technology …


Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan Jun 2024

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …


High School Teachers’ Perceptions Of The Challenges Of Integrating Technology In Math Instruction, Jennifer Denise Mcclellan Jun 2024

High School Teachers’ Perceptions Of The Challenges Of Integrating Technology In Math Instruction, Jennifer Denise Mcclellan

Walden Dissertations and Doctoral Studies

Although teachers agree that technology is beneficial for enhancing math education and pedagogy, there are concerns about incorporating technology into their teaching practices. The problem addressed in this study was that high school teachers are challenged to integrate technology into math instruction. The purpose of this basic qualitative study was to explore high school teachers’ perceptions of the challenges in integrating technology into math instruction to answer the research questions regarding those challenges and viable strategies for infusing instructional technology into math classrooms. The theoretical framework was based on the technological pedagogical content knowledge framework, which combines content knowledge, technology …


Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay Jun 2024

Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay

Walden Dissertations and Doctoral Studies

In South Africa, diabetes is a serious problem where 1 in 9 adults has diabetes, making it the country with the highest diabetes prevalence on the African continent. Even though insulin is an absolute necessity for treating diabetes, it is unaffordable to millions. Biosimilar insulins, however, are innovative medicines that are similar but not exact copies of the originator insulin, making alternative treatment affordable to patients. The problem is that, in South Africa, it is still not known whether patients have access to biosimilar insulin in a country where diabetes is rampant. The diffusion of innovation theory was used to …


Corporate Social Responsibility, Job Satisfaction, And Company Performance, Teaira Melvin Jun 2024

Corporate Social Responsibility, Job Satisfaction, And Company Performance, Teaira Melvin

Walden Dissertations and Doctoral Studies

Poor financial performance can have negative impacts on business sustainability. Banking and finance leaders are concerned about poor financial performance because it can lead to a decrease in investor confidence and lower share prices for publicly traded companies. Grounded in stakeholder theory, the purpose of this quantitative correlation study was to examine the relationship between corporate social responsibility, job satisfaction, and return on assets. The participants were 76 employees of the U.S. banking and finance industry who completed a job satisfaction survey. Financial performance and corporate social responsibility data were derived from the LSEG Data & Analytics database. The results …


Staff Perceptions Of Data Collection And Analysis During Multitiered Systems Of Support In A Public Montessori Charter School, Luanna Lee Bellairs Salemi Jun 2024

Staff Perceptions Of Data Collection And Analysis During Multitiered Systems Of Support In A Public Montessori Charter School, Luanna Lee Bellairs Salemi

Walden Dissertations and Doctoral Studies

A problem exists in NC Montessori schools with effective data analysis for specific learning disabilities (SLD) placement. The purpose of this study was to identify administrators’ and teachers’ perceptions of data collection and analysis within multitiered systems of support (MTSS) in a Montessori school. Fixsen’s implementation science theory was the framework for examining participants’ descriptions of MTSS methods. The first research question for this study sought to identify implementation methods administrators and teachers used during data collection and analysis within MTSS as a component of SLD eligibility in a public Montessori charter school. The second question explored the components of …


Staff Perceptions Of Data Collection And Analysis During Multitiered Systems Of Support In A Public Montessori Charter School, Luanna Lee Bellairs Salemi Jun 2024

Staff Perceptions Of Data Collection And Analysis During Multitiered Systems Of Support In A Public Montessori Charter School, Luanna Lee Bellairs Salemi

Walden Dissertations and Doctoral Studies

A problem exists in NC Montessori schools with effective data analysis for specific learning disabilities (SLD) placement. The purpose of this study was to identify administrators’ and teachers’ perceptions of data collection and analysis within multitiered systems of support (MTSS) in a Montessori school. Fixsen’s implementation science theory was the framework for examining participants’ descriptions of MTSS methods. The first research question for this study sought to identify implementation methods administrators and teachers used during data collection and analysis within MTSS as a component of SLD eligibility in a public Montessori charter school. The second question explored the components of …


Relationships Between Parenting Styles And Oppositional Defiant Disorder In African American Families, Sierra Savedge Jun 2024

Relationships Between Parenting Styles And Oppositional Defiant Disorder In African American Families, Sierra Savedge

Walden Dissertations and Doctoral Studies

Oppositional defiant disorder (ODD) is a mental health disorder that is seen throughout adolescent populations; however, limited research has been conducted on African American adolescents. Based on the parenting theory, the purpose of this quantitative study was to examine relationships between parenting styles, African American cultural influences, and ODD. A sample of 125 parents with adolescents in Virginia was surveyed. The Parenting Styles Questionnaire was used to measure parenting styles. The African American Acculturation Scale Revised was used to measure African American cultural influences. Symptoms of ODD were measured using the Child and Adolescent Disruptive Behavior Inventory. Chi-square tests, independent …


Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan Jun 2024

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …


Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White Jun 2024

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …


Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White Jun 2024

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …