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Articles 16621 - 16650 of 16767
Full-Text Articles in Entire DC Network
How Does The Sf--‐36 Perform In Healthy Populations? A Structured Review Of Longitudinal Studies, Chinekwu A. Obidoa, Susan L. Reisine, Martin Cherniack
How Does The Sf--‐36 Perform In Healthy Populations? A Structured Review Of Longitudinal Studies, Chinekwu A. Obidoa, Susan L. Reisine, Martin Cherniack
Journal of Social, Behavioral, and Health Sciences
This study examined the stability of the Medical Outcomes Study-Short Form (SF-36) in healthy populations. The researchers conducted a structured review of longitudinal studies that reported the use of SF-36 among people in their active working years ages 18 to 65. The cumulative sample size across selected studies comprised 29,868 participants. SF-36 mean scores were similar to published U.S. aggregate norms. Gender-specific changes in SF-36 scores also followed a normative trend, with women having greater declines in scores (poorer health) than men. The SF-36 was stable among healthy populations; however, its use among healthy people requires caution, particularly when considering …
Counseling Athletes Who Use Performance-Enhancing Drugs: A New Conceptual Framework Linked To Clinical Practice, Michael C. Johnson, David N. Sacks, William A. Edmonds
Counseling Athletes Who Use Performance-Enhancing Drugs: A New Conceptual Framework Linked To Clinical Practice, Michael C. Johnson, David N. Sacks, William A. Edmonds
Journal of Social, Behavioral, and Health Sciences
Doping, the use of performance-enhancing drugs by athletes, is a major concern that the media have publicized prominently. Sport governing bodies currently use two primary methods to dissuade athletes from doping: punishment and didactic education. Neither of these approaches has eradicated doping from competitive athletics because the practice appears to be increasing. Including clinical interventions in systemic campaigns that address this problem would be efficacious. The current article provides a conceptual framework that addresses doping from a psychologist’s perspective and then operationalizes this framework, all the while identifying the unique environment in which athletes function. Practical interventions for working with …
Racial /Ethnic Disparities In Hypertension In United States Residents: A Cross-Sectional Study Of Potential Explanatory Covariates, Franklin I. Opara
Racial /Ethnic Disparities In Hypertension In United States Residents: A Cross-Sectional Study Of Potential Explanatory Covariates, Franklin I. Opara
Walden Dissertations and Doctoral Studies
Racial/ethnic disparities persist in hypertension (HTN) prevalence in the United States, and African Americans are disproportionately affected. The incidence is more than two-folds in African Americans compared to Caucasians, and mortality is highest among African Americans. Understanding the risk factors in HTN and how these factors vary across racial/ethnic groups is essential to reducing the mortality among African Americans. This study examined the prevalence of HTN among a sample non-institutionalized U.S. residents (N = 30,852), assessed racial/ethnic disparities and determined factors associated with racial/ethnic variance in HTN. A cross-sectional design was used to address these aims, utilizing the National Health …
Managing Health Care In A Libyan Public Hospital: A Case Study, Alexandria K. Osborne
Managing Health Care In A Libyan Public Hospital: A Case Study, Alexandria K. Osborne
Walden Dissertations and Doctoral Studies
Libyan citizens who can afford private health care are opting out of the public health care system. They have a perception that the quality of public health care has deteriorated. The negative perceptions have resulted in a lack of trust by many of Libyan's citizens in the Libyan public health care system and consequently to unequal access to quality health care. The purpose of this study was to identify the factors that have led to the negative perceptions and mistrust. The conceptual support for the study was based on a construct of trust that defines trust as the state of …
Acculturation, Social Support, And Self-Esteem As Predictors Of Mental Health Among Foreign Students: A Study Of Nigerian Nursing Students, Verna V. Lafleur
Acculturation, Social Support, And Self-Esteem As Predictors Of Mental Health Among Foreign Students: A Study Of Nigerian Nursing Students, Verna V. Lafleur
Walden Dissertations and Doctoral Studies
Nigerians are an integral part of the nursing profession, yet there is no literature on their common health risks, such as homesickness, isolation and suicide ideation. The purpose of this study was to investigate the association between lack of acculturation, social support, and self-esteem and mental health among Nigerian nursing students. Berry's model of acculturation was used which identifies individuals perception of self in relation to their ethnic culture and the host culture. A sample of 76 Nigerian nursing students enrolled in Baccalaureate nursing programs from 3 universities in the District of Columbia and Maryland participated in the study. Data …
The Effect Of Breastfeeding On The Bmi Of Hispanic Preschool Children, Linda M. Kilby
The Effect Of Breastfeeding On The Bmi Of Hispanic Preschool Children, Linda M. Kilby
Walden Dissertations and Doctoral Studies
The American Academy of Pediatrics and World Health Organization recommend exclusive breastfeeding for the first 4-6 months of life to reduce risk of obesity in pre-school children. Previous research has indicated a high rate of obesity among Hispanic children in the northeastern United States. There is also a gap in the literature regarding the effectiveness of exclusive breastfeeding in preventing obesity among preschool Hispanic children. Therefore, the purpose of this study was to determine if there was an association between exclusive breastfeeding and obesity among pre-school Hispanic children enrolled in the Special Supplemental Nutrition Education Program for Women, Infants and …
The Impact Of Stakeholder Collaboration On Effectiveness Of Health Program Implementation In Ghana, Samuel Kwami Agbanu
The Impact Of Stakeholder Collaboration On Effectiveness Of Health Program Implementation In Ghana, Samuel Kwami Agbanu
Walden Dissertations and Doctoral Studies
Healthcare providers increasingly recognize the importance of collaboration among stakeholders in cost-effective healthcare delivery. While collaborative relationships offer great advantages, little research has addressed their relevance in an international development aid context, particularly in sub-Saharan Africa. The region is a major recipient of international development support, yet health indicators on HIV/AIDS, malaria, tuberculosis, and child and maternal mortality indicate the health of the region is among the weakest worldwide. This sequential mixed method, descriptive study of a USAID-funded community health program in Ghana examined the nature of collaboration among six stakeholders and impact of this collaboration on effectiveness of program …
Social Capital Variables As Predictors Of Hiv Risk-Taking Behaviors Among Sub-Saharan African Immigrants In The United States, Gbadebo Ogundiran Ogungbade
Social Capital Variables As Predictors Of Hiv Risk-Taking Behaviors Among Sub-Saharan African Immigrants In The United States, Gbadebo Ogundiran Ogungbade
Walden Dissertations and Doctoral Studies
Vulnerable populations, including immigrants, are often at risk for human immunodeficiency virus (HIV) infection because of their risk-taking behaviors. This study investigated risk-taking behavior for HIV infection among Sub-Saharan African (SSA) immigrants in United States. Using social capital as a theoretical foundation, the study aimed to address the question, is there any association between social capital assets of educational opportunity, employment, and eligibility for social assistance and HIV risk-taking behavior, defined as condom use before sex (CUBS) among SSA immigrant in the U.S? Potential participants were recruited through religious and social organizations in a southwestern US state. The survey generated …
Toward A Grounded Theory On The Management Of Orphanages In South Africa And Zimbabwe, Anna Siyavora
Toward A Grounded Theory On The Management Of Orphanages In South Africa And Zimbabwe, Anna Siyavora
Walden Dissertations and Doctoral Studies
The number of orphaned children in many parts of Africa is increasing as their parents die from human immunodeficiency virus (HIV) or acquired immune deficiency syndrome (AIDS). The research problem addressed in this qualitative study was lack of understanding by others about how the managers of orphanages in 2 African countries -- South Africa and Zimbabwe - were responding to the emotional and social needs of these orphans. The purpose of this study was to develop an orphanage management theory or model that could replicate the African kinship environment in the orphanages under study. Nurturing leadership theory provided the conceptual …
Professional Development In Elementary School Mathematics, C Scoggins
Professional Development In Elementary School Mathematics, C Scoggins
Walden Dissertations and Doctoral Studies
This study was an investigation of mathematics instruction and professional development at a rural elementary school. The Department of Education in a southern U.S. state implemented a new curriculum in 2007 that required major changes in mathematics instruction. The problems were that teachers engaged in different levels of training and many students experienced a decline in mathematics scores on the Criterion-Referenced Competency Test (CRCT). The historical learning theories of Piaget and Vygotsky framed the study. The guiding questions focused on how to improve mathematics instruction through professional development for teachers. Nine elementary school educators served as purposefully selected participants. The …
The Effect Of Encounters Between Medical Gatekeepers And Patients On The Doctor-Patient Relationship, Linda Pilzer Erlich
The Effect Of Encounters Between Medical Gatekeepers And Patients On The Doctor-Patient Relationship, Linda Pilzer Erlich
Walden Dissertations and Doctoral Studies
Research currently indicates patient perceptions of the doctor-patient relationship are central to health outcomes. Theoretically, the current study is grounded in two literatures: the placebo effect and the broader literature examining empirically tested predictors of the doctor-patient relationship. Two factors not yet studied relative to patient perceptions of the doctor-patient relationship include the direct effect of medical gatekeeper characteristics along with the interaction between gatekeeper characteristics and existing healthcare attitudes/behaviors. This quantitative archival study utilized a MultiCare Survey dataset of 10, 579 participants who were general practitioner patients in northwestern United States. This study first examined the individual impact of …
American Red Cross Academy: Team-Building And Leadership Development, Anne L. Drabczyk
American Red Cross Academy: Team-Building And Leadership Development, Anne L. Drabczyk
Journal of Sustainable Social Impact
This research explored and validated value-based organizational indicators in order to enable coconstruction of the American Red Cross Leadership Academy. Participation in the leadership experience would foster deeper membership accountability toward fulfilling requisite disaster response functions. Through an appreciative inquiry method, a cohort discovered and acknowledged individual, collective, and organizational strength-based values. An emergent cohort profile was generative in nature and cultivated vision statements that synchronized collective strengths and values with organizational responsibilities. Self-identified strengths and values provided tangible traction upon which associates could foster design and deployment accountability strategies. The cohort was able to create a customized leadership curriculum …
Downsizing And Organizational Change Survivors And Victims: Mental Health Issues, J. B. Schiro, R. L. Baker
Downsizing And Organizational Change Survivors And Victims: Mental Health Issues, J. B. Schiro, R. L. Baker
International Journal of Applied Management and Technology
Survivors and victims of organizational change are experiencing mental health issues afterdownsizing and organizational change. The purpose of this study was to determine whether whitecollarworkers were aware of major changes in corporate America and how these changes mightaffect them. The research question, “Do survivors or victims of downsizing or organizationalchange experience mental health issues after downsizing or organizational change?” This was thefoundation of this study. This quantitative approach involved surveying 196 white-collar workers intwo industries: manufacturing and health. An analysis showed that the literature has sensationalizedthe health-related problems because only about 20% of the people surveyed acknowledged therewas a problem. …
Nurse Anesthetists' Perception Of Their Rigorous Training Program A Grounded Theory Study, Joy Kieffer Phillips
Nurse Anesthetists' Perception Of Their Rigorous Training Program A Grounded Theory Study, Joy Kieffer Phillips
Presidential Alumni Research Dissemination Award
There is no empirical understanding of the stressors that nurse anesthesia students encounter from their perspective as they negotiate a nurse anesthesia program. The initial research questions for this study examined what stressors these recent graduates encountered during their program and how they successfully negotiated those stressors. This study employed grounded theory methodology and the theory of symbolic interactionism. The data were collected from individual, semistructured, indepth interviews with 12 recent nurse anesthesia graduates who have been out of school for less than 2 years. The interview transcripts were analyzed using open, axial, and selective coding. The stressors discovered were …
The Effects Of An Integrated Behavioral Health Initiative On The Behavior Of Providers In An Ob/Gyn Primary Care Clinic, Dean Moritz
Walden Dissertations and Doctoral Studies
The separation between behavioral services and traditional medicine is increasingly being seen as counterproductive on personal and societal levels. Despite this, there has been little research examining how integrated models blending mental and physical health services could be implemented. The literature revealed that behavioral interventions have been incorporated into traditional medical treatments, but this often has been piecemeal in nature and has yielded equivocal results. This study examined the assertion that effective integration between behavioral and medical services will increase the standard of care for the patient. Integration in this study was accomplished by colocating a psychologist on the primary …
The Relationship Between Religious And Spiritual Factors And The Perpetration Of Intimate Personal Violence, Robbin G. Todhunter
The Relationship Between Religious And Spiritual Factors And The Perpetration Of Intimate Personal Violence, Robbin G. Todhunter
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a multifaceted social issue that affects the Christian faith community as it does the secular community. Though the literature reflects some understanding of general correlates and possible antecedents to IPV within the Christian community, the impact of religious and spiritual factors tends to be homogenized and is often misjudged. Allport's theory of intrinsic and extrinsic religious orientation provided a platform for investigating Christian male-perpetrated IPV. This quantitative study utilized survey design and measured the impact of 10 select religious and spiritual factors on the probability of physical or sexual IPV perpetration. Archival data from Wave …
Job Design Factors In The Workplace That Support Successful Aging For Older Workers, Martha J. Sanders
Job Design Factors In The Workplace That Support Successful Aging For Older Workers, Martha J. Sanders
Walden Dissertations and Doctoral Studies
Increasing numbers of older adults are expected to return to the labor force to reap both the financial and social rewards of paid employment. However, little is known about how the workplace supports older workers' successful aging process. The purpose of this study was to examine how the design of a job (opportunities for decision making, use of a variety of skills, coworker support, and supervisor support) influences successful aging (having a sense of control over life, social networks, emotional support, and opportunities for generativity) in older workers (aged 55 and older) in the home building industry. The study explored …
The Effects Of Art Education On Self -Efficacy In Middle School Students, Ellen P. Mitchell
The Effects Of Art Education On Self -Efficacy In Middle School Students, Ellen P. Mitchell
Walden Dissertations and Doctoral Studies
Researchers have theorized that student achievement and its contingent effects on self-efficacy are important factors in art education. There is, however, a paucity of research addressing this relationship, which in turn affects students' and educators' levels of success. Accordingly, this study was an investigation of the relationship between art education and self-efficacy in middle school students and tested the constructivist theory, as embodied in Bandera's theories on the foundations of self-efficacy beliefs. This pretest-posttest control-group true experimental design tested the relationship between the independent variable, art education and the dependent variable, self-efficacy in middle school students. The instrument, Patterns of …
The Responses Of Bamenda Disability Organizations To Hiv And Aids: A Multiple Case Study, Lynn Cockburn
The Responses Of Bamenda Disability Organizations To Hiv And Aids: A Multiple Case Study, Lynn Cockburn
Walden Dissertations and Doctoral Studies
In Cameroon, many disabled people (an estimated 10-20% of the population) have inadequate access to education and health care, and disabled people's organizations (DPOs) are advocating for social change. Yet, there is a scarcity of information regarding how African DPOs address HIV and AIDS. The purpose of this study was to assess how DPOs in Cameroon have responded to AIDS in the disabled population and to identify strategies to enable DPOs to manage AIDS issues. This study was guided by the complex adaptive systems theory as the theoretical framework. The research questions focused on what DPOs have done to develop …
Perceptions Of Leadership Effectiveness In The Management Of Intergenerational Work-Values Conflict: An Antecedent Of Organizational Citizenship Behavior Of Perioperative Registered Nurses, Patricia G. Wright
Walden Dissertations and Doctoral Studies
Studies reveal a progressive net decrease in the nursing profession across four generations, creating a shortage that poses a critical threat to the health care delivery system and to the health and safety of patients within that system. Research also suggests that generational cohorts reflect social change in attitudes toward work-life balance, organizational commitment, personal-professional relationships, autonomy, focus on career advancement, and actions that represent organizational citizenship behavior (OCB). Previous research grounded in theoretical frameworks of organizational behavior, leadership, and social capital indicates that leadership support of workforce diversity and effectiveness in conflict management influence OCB. However, little research explores …
The Application Of Learning Organization Principles To Church Growth, Colleen S. Bryan
The Application Of Learning Organization Principles To Church Growth, Colleen S. Bryan
Walden Dissertations and Doctoral Studies
While many studies showed evidence of the use of learning organization theory in a variety of venues, these theories have been studied in a limited capacity in church settings. This research attempted to substantiate the presence of learning organization principles in churches experiencing growth, and to refine a tool to measure these characteristics in churches. Relationships and strengths of association between and among 3 learning organization principles of leadership, job structure and systems, and performance and development, and degrees of growth defined as negative, plateau, and positive growth were examined in a sample of Nazarene churches via a revised survey …
A Case Study Of Factors Influencing Health Benefit Offerings By Small Businesses, Richard J. Dahlkemper
A Case Study Of Factors Influencing Health Benefit Offerings By Small Businesses, Richard J. Dahlkemper
Walden Dissertations and Doctoral Studies
If the United States is turning to consumer-driven health plans to control costs and improve access, research is needed regarding the perception of such plans among small businesses. Nearly half of Americans are employed by small businesses where access to health insurance has declined most rapidly. Reviews of the literature revealed solid theoretical bases for high expectations regarding the diffusion of consumer-driven health plans among small businesses, but relatively little information was found regarding the attitudes of small businesses toward emerging health plan models. Qualitative case studies of 6 small employers in the Ogden, Utah, area were conducted to address …
Personality Traits, Self -Efficacy Of Job Performance, And Susceptibility To Stress As Predictors Of Academic Performance Of Nurse Education Programs, Nancy Wilson-Soga
Personality Traits, Self -Efficacy Of Job Performance, And Susceptibility To Stress As Predictors Of Academic Performance Of Nurse Education Programs, Nancy Wilson-Soga
Walden Dissertations and Doctoral Studies
The United States is experiencing a shortage of registered nurses, and institutions of higher education are unable to graduate enough prepared nurses to reduce this employment shortage. A significant relationship between personality traits and academic performance has been found; however, how personality traits combine with students' self-efficacy of job performance and stress susceptibility to impact nursing students' academic performance has yet to be demonstrated. This study, grounded in the five-factor model (FFM) of personality traits, self-efficacy, and stress theories, sought to determine whether self-assessments of the NEO-Five Factor Inventory, the Nursing Practice Self-Efficacy survey, and the Susceptibility Under Stress Survey …
Foodborne Or Pandemic: An Analysis Of The Transmission Of Norovirus-Associated Gastroenteritis And The Role Of Food Handlers, M. S. Dreyfuss
Foodborne Or Pandemic: An Analysis Of The Transmission Of Norovirus-Associated Gastroenteritis And The Role Of Food Handlers, M. S. Dreyfuss
Walden Dissertations and Doctoral Studies
This study examined the strength of association between food workers and food to norovirus in comparison to bacteria associated with foodborne-related gastroenteritis by whether norovirus had a direct (physical evidence), indirect (statistical evidence), or suspect (neither of the two) association with food or food handlers. The Centers for Disease Control and Prevention considers norovirus to cause the largest number of foodborne-related gastroenteritis cases in the United States. The association of norovirus with foodborne outbreaks through its information data collection form focuses on the food worker as the typical source. Yet, many outbreaks are not foodborne in nature. The gap in …
Beliefs And Attitudes Regarding Health -Enhancing Behaviors In African American And Caucasian Women, Cassaundra Murray
Beliefs And Attitudes Regarding Health -Enhancing Behaviors In African American And Caucasian Women, Cassaundra Murray
Walden Dissertations and Doctoral Studies
A disproportionate number of African American (AA) women are overweight, obese, and more likely to have weight related health concerns compared with Caucasian (C) women. Previous research indicates perception about health-enhancing behaviors influences AA females' health behavior. A gap exists in the current literature regarding AA women's perception of eating and exercise behavior and the impact social support has on AA women's adherence to USDA recommendations. The purpose of this study was twofold: (1) to examine AA women's weight locus of control, perceived susceptibility to weight related diseases, and perceived barriers to healthy eating and exercise relative to C women; …
Bridging The Divide: Principles For Healthy Corporate Social Responsibility Partnerships, Mark Gordon, Donna Daniels
Bridging The Divide: Principles For Healthy Corporate Social Responsibility Partnerships, Mark Gordon, Donna Daniels
Journal of Sustainable Social Impact
In its infancy, corporate social responsibility (CSR) focused on environmental issues rather than the provision of a wider array of support to local communities. Today, CSR includes strong partnerships between multinational corporations and nongovernmental organizations (NGOs). Previous research has demonstrated that corporations that partner with NGOs are more visible to their key stakeholders. Through a longitudinal, in-depth study of Merck Thailand and the Raks Thai Foundation in Bangkok, Thailand, this case study identified best practices for a multinational company interested in partnering with a local NGO. From those practices, the research identified the key principles that sustain the partnership: leadership, …
Development And Psychometric Testing Of A Multi-Dimensional Instrument Of Perceived Discrimination Among African Americans In The Jackson Heart Study, Mary Lou Gutierrez, Sharon Wyatt, Mary Lou Gutierrez, Herman Taylor
Development And Psychometric Testing Of A Multi-Dimensional Instrument Of Perceived Discrimination Among African Americans In The Jackson Heart Study, Mary Lou Gutierrez, Sharon Wyatt, Mary Lou Gutierrez, Herman Taylor
Walden Faculty and Staff Publications
Objective Assessing the discrimination-health disparities hypothesis requires psychometrically sound, multidimensional measures of discrimination. Among the available discrimination measures, few are multidimensional and none have adequate psychometric testing in a large, African American sample. We report the development and psychometric testing of the multidimensional Jackson Heart Study Discrimination (JHSDIS) Instrument. Methods A multidimensional measure assessing the occurrence, frequency, attribution, and coping responses to perceived everyday and lifetime discrimination; lifetime burden of discrimination; and effect of skin color was developed and tested in the 5302-member cohort of the Jackson Heart Study. Internal consistency was calculated by using Cronbach α. coefficient. Confirmatory factor …
The Ability Of Firefighting Personnel To Cope With Stress, David Milen
The Ability Of Firefighting Personnel To Cope With Stress, David Milen
Journal of Sustainable Social Impact
The purpose of this study was to identify the effectiveness of the coping strategies and resources that firefighters use to deal with personal and workplace stressors. One hundred and fifteen firefighting personnel from 4 fire departments in Illinois and Indiana participated. The Coping Resources Inventory for Stress (CRIS) Scale measured stress levels and coping strategies. The results showed that firefighters who were not physically fit, who lacked social support, and who were unable to control tension and structure daily activities experienced feelings of low confidence. The findings from this study can provide fire department administrators and company officers with ways …
Air Force Users' Perceptions Of The Value Of Information Technology-Enabled Enterprise Business Systems, Kathleen Thome-Diorio
Air Force Users' Perceptions Of The Value Of Information Technology-Enabled Enterprise Business Systems, Kathleen Thome-Diorio
Walden Dissertations and Doctoral Studies
Based on the Government Performance and Results Act, the United States Air Force is transforming its business through e-government, the adoption of information technology enabled enterprise business systems. The problem this research addressed was the lack of theory on implementation success of enterprise business systems, especially when users perceive that organizational mission and the value of the systems differ from the enterprise vision and goals. The purpose of the study was to conceptualize the acceptance of enterprise business systems by internal users. The research was based on theories about the influence and interaction of drivers of technology adoption and user …
The Phenomenology Of Self -Injurious Behavior, William Hosmer
The Phenomenology Of Self -Injurious Behavior, William Hosmer
Walden Dissertations and Doctoral Studies
Self-injurious behavior (SIB; e.g., wrist-cutting, burning) is a pervasive coping phenomenon that may be indicative of dysfunctional affect regulation and complex developmental trauma. Previous research findings identify the incidence rate of SIB to be approximately 10% to 15% of the general population with 5% to 10% of those engaging in repetitive or recurring SIB. Other sources identify approximately 2 million individuals active in this behavior within the United States; 70% of those individuals are female. However, limited research has used internet technology as a data gathering tool to access individuals who have engaged in SIB and are apprehensive to participate …