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Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul Jan 2016

Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Faculty and Staff Publications

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …


Pregnancy With Psoriasis: What New Parents Need To Know, Debra Henline Sullivan, Deborah Weatherspoon, Christopher Weatherspoon Jan 2016

Pregnancy With Psoriasis: What New Parents Need To Know, Debra Henline Sullivan, Deborah Weatherspoon, Christopher Weatherspoon

Walden Faculty and Staff Publications

Psoriasis is a common, chronic, autoimmune inflammatory disease that affects a substantial number of women annually during pregnancy and childbirth. Some of these women will need and seek guidance before or during their pregnancies and during lactation. The childbirth educator needs a basic knowledge base and ability to answer questions that may arise regarding psoriasis during the childbirth experience. This article will define psoriasis and its effects on pregnancy and childbirth, consider genetic concerns, and explore treatment options.


Gender Differences In Cardiometabolic Syndrome Among U.S. Rural And Non-Rural Adults, Srikanta Banerjee, Raymond Panas Jan 2016

Gender Differences In Cardiometabolic Syndrome Among U.S. Rural And Non-Rural Adults, Srikanta Banerjee, Raymond Panas

2010-2016 Archived Posters

Cardiometabolic syndrome (CMS) places an individual at a higher risk of stroke and heart failure. The 2013 Behavior Risk Surveillance System survey, the largest national population-based survey, was used for logistic regression modeling. An effect-modifying relationship was found among women between rural residence and CMS.


Using Multi-Theory Model For Physical Activity Behavior Change, Manoj Sharma Jan 2016

Using Multi-Theory Model For Physical Activity Behavior Change, Manoj Sharma

2010-2016 Archived Posters

Physical inactivity is a major public health problem. College students are a vulnerable group. This study was aimed at using multi-theory model (MTM) of health behavior change to predict physical activity behavior change in college students. Regression revealed that 26% of the variance in the initiation of physical activity was explained by advantages outweighing disadvantages, behavioral confidence, work status, and changes in physical environment. About 30% of the variance in sustenance of physical activity was explained by emotional transformation, practice for change, and changes in social environment.


The Difference Between Cacrep And Non-Cacrep Scores On Professional Counselor Licensure Examinations, Jason King Jan 2016

The Difference Between Cacrep And Non-Cacrep Scores On Professional Counselor Licensure Examinations, Jason King

2010-2016 Archived Posters

This study compared a nine-year period of scores from the National Counselor Examination (NCE), the National Clinical Mental Health Counselor Examination (NCMHCE), and the state jurisprudence examination (SJE). with graduates (n=1,740) from a Council for Accreditation of Counseling and Related Educational Programs (CACREP) mental health counseling (MHC) specialization and with graduates (n=200) from a non-CACREP professional counseling specialization. Results from a t-test, Chi-Square, and Levene's test for equality of variances indicated a better performance from the non-CACREP graduates.


Comparative Analysis Of Eating Patterns Of Individuals With Obese Vs. Normal Bmi And With And Without Type 2 Diabetes, David A. Hernandez, Cheri Ann Hernandez, Chris M. Wellington, Arthur Kidd Jan 2016

Comparative Analysis Of Eating Patterns Of Individuals With Obese Vs. Normal Bmi And With And Without Type 2 Diabetes, David A. Hernandez, Cheri Ann Hernandez, Chris M. Wellington, Arthur Kidd

2010-2016 Archived Posters

This study explored eating patterns of obese-weight (OB) and normal-weight (NW) individuals with and without Type 2 diabetes (T2D). The dietary intakes of OB-T2D individuals were significantly higher than those of NW individuals. Health care professionals can use this knowledge to provide direction for treatment modalities (e.g., different dietary strategies, more intensive dietary therapy, lifestyle counseling).


Healthy Weight Maintenance: A Narrative Analysis Of Weight Cycling In The Formerly Obese, Cheri Renee Lewis Jan 2016

Healthy Weight Maintenance: A Narrative Analysis Of Weight Cycling In The Formerly Obese, Cheri Renee Lewis

2010-2016 Archived Posters

This study addressed weight cycling and sustained weight loss among 6 formerly obese weight cyclers. Self-determination theory (SDT) and social cognitive theory (SCT) provided theoretical frameworks. Findings revealed five overarching themes and that no single solution exists for successful sustained weight loss in this population.


Evolution Of Physician-Centric Business Models Under The Patient Protection And Affordable Care Act, Tanya Nix, Lynn Szostek Jan 2016

Evolution Of Physician-Centric Business Models Under The Patient Protection And Affordable Care Act, Tanya Nix, Lynn Szostek

International Journal of Applied Management and Technology

For decades, the cost of medical care in the United States has increased exponentially. United States citizens spend twice as much as their European counterparts on medical care. Congress enacted the Patient Protection and Affordable Care Act (PPACA) to ensure affordable healthcare to the citizens of the United States. PPACA legislation is creating a new paradigm in healthcare delivery and provider business models. The purpose of this case study was to explore physicians’ perspectives regarding physician-centric business models evolving under the requirements of the PPACA legislation. Data were gathered through semistructured interviews and questionnaires with a purposive sample of 75 …


E-Government Initiatives Case Study: New Models For Success, Douglass P. Smith Jan 2016

E-Government Initiatives Case Study: New Models For Success, Douglass P. Smith

International Journal of Applied Management and Technology

This case study examines the efforts of a mid-tier, cabinet-level state agency to transform its constituency services to be more effective using information technology. The agency, based in a rural Midwestern state, faced increased scrutiny to raise accuracy, lower wait times, decrease expenditures, increase constituency satisfaction, and expand services to the state. To meet these challenges, the agency conducted a series of meetings to determine best possible opportunities for change and decided that technology solutions, which supported their business vision of the future, would be the foundation for that change. Redesigning core organizational processes—using several technologies such as e-commerce, content …


A Case Study Exploration Of Blue-Collar Worker Retirement Plan Investment Decisions, Mark Griffin, Steven Tippins Jan 2016

A Case Study Exploration Of Blue-Collar Worker Retirement Plan Investment Decisions, Mark Griffin, Steven Tippins

International Journal of Applied Management and Technology

The finances of blue-collar workers were the most acutely impacted as these workers lost their jobs during the Great Recession of 2007 through 2009. The literature revealed a minimal understanding of how blue-collar workers allocated funds for their retirement, and what their investments might be when they invested. To address this problem, the current qualitative study addressed (a) how blue-collar workers chose to invest or not invest for retirement and (b) how blue-collar workers diversified their portfolio if they chose to invest. Theoretical foundations of the study were based on regret theory and prospect theory. A nonrandom purposeful sample of …


Examining The Impact Of Accreditation On A Primary Healthcare Organization In Qatar, Alia G. Banna Jan 2016

Examining The Impact Of Accreditation On A Primary Healthcare Organization In Qatar, Alia G. Banna

2010-2016 Archived Posters

While a modest body of literature exists on accreditation, little research has been conducted on the impact of accreditation on primary care in the Middle East. This descriptive correlational study assessed the changes resulting from the integration of Accreditation Canada International’s (ACI) program at Primary Health Care Corporation (PHCC) in the State of Qatar.


Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa Jan 2016

Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa

2010-2016 Archived Posters

Health care disparities and U.S. national public health concerns and disproportionately affect minority populations. Analysis of published studies on the health of larger immigrant populations from Europe, Asia, South American, and the Caribbean revealed a knowledge gap on the health of African and other minority immigrants. This phenomenological study of 11 recent African immigrants concerned access to maternal and child health (MCH) care as well as the causes and effects of disparities to care-seeking experiences. The results may support interventions to improve health care access and health outcomes of minority immigrants in the United States and beyond.


Mental Health Service Use Among Older African Americans And Caribbean Blacks Who Experience Traumatic Events, Camille Huggins Jan 2016

Mental Health Service Use Among Older African Americans And Caribbean Blacks Who Experience Traumatic Events, Camille Huggins

2010-2016 Archived Posters

This study identifies factors associated with mental health service use among older African American and Caribbean Blacks who have experienced a traumatic event. Method: Data drawn from the Research on Depression and Anxiety Disorders in Elders Clinical Correlation project (RDADE). Hierarchical logistic regressions were used to compute odds ratio. Result: Age, gender, spirituality, depression and access to medical insurance determines the utilization of mental health services. Implications for depression screening in this population.


The Association Between Osteoporosis And Early Menopause Following Hysterectomy, Mia Meeyaong-Won Botkin Jan 2016

The Association Between Osteoporosis And Early Menopause Following Hysterectomy, Mia Meeyaong-Won Botkin

2010-2016 Archived Posters

This study is to examine the association between osteoporosis and demographic and behavioral factors in women of age 50 and older who had undergone hysterectomies prior to reaching natural menopause. The 2009-2010 National Health and Nutrition Examination Survey (NHANES) was analyzed using multiple logistic regressions analysis. Osteoporosis was inversely associated with demographic and behavioral factors. Non-Hispanic Whites of the age of 36-45 at the time of the hysterectomies were significantly associated with osteoporosis. This study may drive positive social change by facilitating public health to promote and implement effective behavioral interventions in women.


2016 Walden University Research Symposium, Walden University Jan 2016

2016 Walden University Research Symposium, Walden University

2010-2016 Archived Programs

Welcome to the 2016 Walden University Research Symposium. The Walden University Research Symposium is an annual event that showcases research projects from our academic community, especially work by our recent graduates. The presentations at a symposium appear in two different formats. Poster presentations provide an opportunity for researchers to engage with all individuals attending the symposium and potentially to network with other interested researchers. Using a roundtable presentation format, a select group of researchers is available for interactive discussions of their work, with handouts and visual materials available to support the discussion. This year’s roundtable presenters are focused specifically on …


2015-2016 Social Change Review, Social Change Working Group Jan 2016

2015-2016 Social Change Review, Social Change Working Group

Social Change Impact Report

The 2015 Review of Social Change at Walden University identifies a number of initiatives that were put in place during 2015 to actualize and support the social change portion of the university mission. Many of these initiatives implemented proposals offered during the Special Emphasis Self-Study that was part of The Higher Learning Commission (HLC) reaccreditation project of 2012. One of the most important social change initiatives in 2015 emerged from discussions among Walden’s Board of Directors, president, and leadership teams, who agreed that Walden will move forward with development and implementation of a 5-year action plan to more fully realize …


Law Enforcement Officers' Experiences Of Exposure To Trauma, Michelle B. Nirenberg, Robyn Trippany-Simmons, Tiffany C. Rush-Wilson Jan 2016

Law Enforcement Officers' Experiences Of Exposure To Trauma, Michelle B. Nirenberg, Robyn Trippany-Simmons, Tiffany C. Rush-Wilson

Walden Faculty and Staff Publications

Violent, traumatic, and stressful work situations are common for law enforcement officers (LEOs). LEOs are susceptible to stressful situations that impact their emotions and have the ability to affect job performance. This phenomenological study focused on identification of how traumatic incidents affected 10 LEOs from 2 rural law enforcement agencies from a rural community in the southeastern United States. Participants were interviewed regarding the experience of how encountering or witnessing traumatic events impacted their emotions during and after the incident, coping mechanisms they implemented, views on seeking mental health treatment, and importance of peer support. Findings indicated that LEOs expressed …


Airline Pilots In Recovery From Alcoholism: A Quantitative Study Of Cognitive Change, Heather Christina Hamilton Jan 2016

Airline Pilots In Recovery From Alcoholism: A Quantitative Study Of Cognitive Change, Heather Christina Hamilton

Walden Dissertations and Doctoral Studies

In order to perform their duties, airline pilots must have no clinical diagnosis of mental illness or any substance use disorder. However, provisions have been in place since the 1970s that provide for a return to work for airline pilots with alcohol problems. To date, over 5,000 airline pilots have undergone rehabilitation for Alcohol Use Disorder (AUD) and successfully returned to work. An important gap in the literature remains with regard to what extent improvements in cognitive performance may be experienced by airline pilots who complete treatment and to what extent age influences the amount of change. This study examined …


Risk Factors For Tuberculosis And Multidrug-Resistant Tuberculosis Complications Among Foreign-Born Persons In Houston, Texas, James N. Isaboke Jan 2016

Risk Factors For Tuberculosis And Multidrug-Resistant Tuberculosis Complications Among Foreign-Born Persons In Houston, Texas, James N. Isaboke

Walden Dissertations and Doctoral Studies

Tuberculosis (TB) is a leading public health problem across the world. For various reasons, TB and multidrug-resistant tuberculosis (MDR-TB) have increased. Clarification on TB/HIV co-infection and homelessness as risk factors for TB and MDR-TB is required to inform policy interventions to reduce TB-related morbidity, mortality, and healthcare costs. In this quantitative study, data from the Houston Health Department (N = 341) were analyzed to explore the relationship between TB and MDR-TB outcomes and TB/HIV co-infection and type of housing/homelessness. Foreign-born persons are disproportionately affected in the United States. The socio-ecological model provided a theoretical framework for the investigation. Multiple and …


Examining Maternal Psychological Recollections Of Children Diagnosed With Autism Spectrum Disorders, Christine Desiree Shoop Jan 2016

Examining Maternal Psychological Recollections Of Children Diagnosed With Autism Spectrum Disorders, Christine Desiree Shoop

Walden Dissertations and Doctoral Studies

Mothers of children diagnosed with autism spectrum disorders (ASDs) experience symptoms of depression, anxiety, stress, and despair stemming from the challenges of raising offspring with behavioral, communicative, and socioemotional impairments. Researchers have shown that children diagnosed with ASDs exhibit symptoms within the first year of life (early-onset), while some exhibit normal development until the second year (regressive-onset), and some exhibit normal development until the second year but display abnormalities in the first year (mixed-onset). Despite the wealth of research on ASDs, there are few examinations of ASD symptom onset groups and the impact of those onset groups on parental psychological …


Perceptions Of Leader Emotional Intelligence And Subordinate Turnover Intentions In Substance Abuse Treatment Centers, Suzanne L. Jafferian Jan 2016

Perceptions Of Leader Emotional Intelligence And Subordinate Turnover Intentions In Substance Abuse Treatment Centers, Suzanne L. Jafferian

Walden Dissertations and Doctoral Studies

Substance abuse is a persistent social problem contributing to family disruption; domestic abuse; school failure; and financial costs relating to criminal prosecution, incarceration, treatment, and lost productivity and wages. Substance abuse is amenable to treatment, including psychotherapy. A client-therapist relationship is broken if the therapist leaves the organization; therefore, employee retention is especially important in treatment centers. Employee retention has been studied, but how it is affected by supervisees' perceptions of their managers' emotional intelligence has been a neglected area. The purpose of this nonexperimental, correlational study was to determine the relationship between employee turnover intention and perceived emotional intelligence …


The Conceptual Framework Of Leadership In A Public Private Partnership, Mary Ellen Ludden Jan 2016

The Conceptual Framework Of Leadership In A Public Private Partnership, Mary Ellen Ludden

Walden Dissertations and Doctoral Studies

Partnerships between public and for profit organizations are increasing in frequency and scope due to scarce economic resources to support and deliver social programs. However, little is known about the characteristics of a successful partnership versus the characteristics of a failed partnership. The purpose of the study was to explore the leadership characteristics that were exhibited by the management team of a public-private partnership (PPP) that suffered a significant failure at the onset of the partnership, but recovered successfully over a period of time. The research question explored which leadership characteristics existed within the public and for-profit leadership teams that …


The Effect Of Adolescent Girls' Drug Use On Academic And Social Development, Jackie Briggs-Vaughn Jan 2016

The Effect Of Adolescent Girls' Drug Use On Academic And Social Development, Jackie Briggs-Vaughn

Walden Dissertations and Doctoral Studies

Substance abuse, once primarily visible in the U.S. adolescent male population, is an increasing concern for the adolescent girls' population. Mental health challenges, behavioral problems, and academic failure are issues adolescent girls may encounter when they engage in substance abuse. The incidence and impact of drug use on female students' academic and social development at a large suburban school district was unknown. Vygotsky's social development theory and Bandura's social learning theory provided the framework for this cross-sectional survey study that addressed the relationships between adolescent girls' drug use and their academic performance and social development. Descriptive statistics and analysis of …


Perceptions Of Business School Students About Character Development And Ethical Reasoning, Larkey Mays Iii Jan 2016

Perceptions Of Business School Students About Character Development And Ethical Reasoning, Larkey Mays Iii

Walden Dissertations and Doctoral Studies

Character development in higher education is essential for enhancing ethical awareness and moral reasoning. However, inconsistent perspectives exist concerning the impact of ethics education on students' ethical awareness and moral reasoning. This phenomenological study examined the perceptions of senior-level undergraduate business students on their own ethical belief systems and changes in ethical awareness. Astin's student development theory on the environmental effects on learning formed the conceptual framework. The research questions explored how the 4-year undergraduate business school experience changed the students' ability to recognize and evaluate ethical concerns in relation to the ethical aspects of coursework. Thirteen undergraduate seniors pursuing …


Perceptions Of Cameroonian Women Regarding Cervical Cancer Prevention, Anna Nkapsah Nji Jan 2016

Perceptions Of Cameroonian Women Regarding Cervical Cancer Prevention, Anna Nkapsah Nji

Walden Dissertations and Doctoral Studies

Women in Cameroon as well as those residing in the Maryland-Washington Metropolitan area and the Diasporas suffer a disproportionate rate of cervical cancer morbidity and mortality due to the vast disproportion in the distribution of healthcare services. The widespread human papillomavirus (HPV) vaccination holds promise for helping to attenuate the disproportion in cervical cancer screening and prevention services. Literature from other countries including Cameroon suggests that barriers to the uptake of cervical cancer screening include: culture, religion, the psychological impact of embarrassment, the influence of husbands, cost, discomfort, and vulnerability. The purpose of this study was to gain an understanding …


Improving Reading Fluency Of Elementary Students With Learning Disabilities Through Reader's Theater, Tami S. Schoen-Dowgiewicz Jan 2016

Improving Reading Fluency Of Elementary Students With Learning Disabilities Through Reader's Theater, Tami S. Schoen-Dowgiewicz

Walden Dissertations and Doctoral Studies

Elementary teachers in a school district in a western state expressed concerns about the reading achievement of students with disabilities (SWDs). SWDs were not developing decoding, comprehension, and fluency skills to become proficient readers. Without mastering these skills, SWDs will experience diminished academic attainment in their school career. To address this problem, teachers in elementary learning centers (LCs) within the district implemented Reader's Theater (RT), an evidenced-based reading approach that incorporates repeated readings using drama-based activities. The purpose of this qualitative bounded case study was to explore elementary LC teachers' use and implementation of RT to improve reading performance with …


Gender-Specific Programming And Quality Improvement Ratings Of Florida Residential Delinquency Programs For Girls, Katrina Smith Jan 2016

Gender-Specific Programming And Quality Improvement Ratings Of Florida Residential Delinquency Programs For Girls, Katrina Smith

Walden Dissertations and Doctoral Studies

Female delinquency and adult female incarceration rates increased from the 1980s until the early 2000s. Many of these women and girls have been victimized, and their unresolved victimization issues may have led them to criminal behavior which may not be adequately addressed in the juvenile and criminal justice systems. The theoretical framework for this study consisted of 3 developmental theories (pathways, trauma, and addiction theories) that facilitated an understanding of the impact of victimization and criminality in these women and girls' lives. Florida's Department of Juvenile Justice implemented changes to address the victimization issue in the 10 female gender-specific programs …


Socioeconomic Status-Related Inequities On Maternal Health Services: Trends, Associations, And Outcomes, Nibretie Gobezie Workneh Jan 2016

Socioeconomic Status-Related Inequities On Maternal Health Services: Trends, Associations, And Outcomes, Nibretie Gobezie Workneh

Walden Dissertations and Doctoral Studies

Maternal Mortality Rate (MMR) in Ethiopia remains one of the highest in the world due in part to very limited use of maternal health services. However, the underlying factors for limited use of the services and hence the high MMR are not well known. The purpose of this study was to identify factors associated with use of maternal health services and maternal health risks, to analyze inequity patterns between use of maternal health services and maternal health risks, and to measure the magnitude and trends in inequity. Behavioral-cultural and structural theories of health inequalities were used to frame the study. …


Hiv Risk Perceptions Of Hiv-Infected Adults Ages 30 To 49 Years In Atlanta, Georgia, Esther Nduta Mune-Ashford Jan 2016

Hiv Risk Perceptions Of Hiv-Infected Adults Ages 30 To 49 Years In Atlanta, Georgia, Esther Nduta Mune-Ashford

Walden Dissertations and Doctoral Studies

More than 49,081 people were diagnosed with HIV in the United States in 2011. Of those 49,081 HIV-infected persons, 1 in 6 was not aware of being HIV positive. In 2011, Georgia had the 5th highest number of HIV diagnoses among the 50 U.S. states. This phenomenological study aimed to understand the lived experiences of HIV-infected adults, ages 30 to 49 years in Atlanta, Georgia, by understanding their perceptions of risk prior to contracting HIV. The health belief model was used to guide this study because it explains and predicts health-related behaviors and it has been used in previous studies …


Ninth Grade Student And Teacher Perceptions Of Teacher-Student Relationship, Lynda Rose Huggins Jan 2016

Ninth Grade Student And Teacher Perceptions Of Teacher-Student Relationship, Lynda Rose Huggins

Walden Dissertations and Doctoral Studies

The challenge of transitioning into high school is associated with social anxiety, decreased grades, increased absences, and overall motivation to learn. Based on anecdotal evidence from 9th grade teachers in the Ohio School District, teachers had poor rapport with some of their students, and 9th graders were being retained more often than were students in any other grade. Grounded in Noddings's care theory, the purpose of this mixed methods sequential case study was to explore perceptions of rapport between 9th graders and their teachers. Guiding research questions were used to discover student and teacher perceptions about their relationship as it …