Digital Commons Network^™

The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley

Walden Dissertations and Doctoral Studies

The intersection of race, gender identity, and systemic marginalization has profound implications for mental health outcomes, particularly among African American transgender individuals. Addressing African American transgender individuals’ stigma experiences in mental health settings is important because transgender individuals have dual minority statuses, wherein racism, stigma, transphobia, and institutional neglect converge, significantly impacting their access to affirming and effective mental health treatment. The purpose of this study was to explore the stigma experiences of the African American transgender individual in mental health settings. The phenomenon of interest in this study was stigma experiences in mental health settings with mental health providers. …

Cytoskeletal Protein Expression In Autism Spectrum Disorder: A Psychoneuroimmunological Perspective On Sars-Cov-2, James Birch

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic heightened concerns about health disparities among individuals with autism spectrum disorder (ASD). Limited understanding of the biological factors underlying health variability may hinder efforts to reduce disparities and improve care for neurodivergent populations. Guided by the psychoneuroimmunology framework, this quantitative study investigated whether cytoskeletal gene expression was associated with neuroimmune variability in ASD and SARS-CoV-2 populations. Three genes –Nck-associated protein 1 (NCKAP1), WAS/WASL-interacting protein family member 1 (WIPF1), and actin-related protein 2/3 complex subunit 1B (ARPC1B)—were evaluated using two publicly available Gene Expression Omnibus datasets GSE212645 (ASD vs. sibling-matched controls, N = 40) and GSE152641 (SARS-CoV-2-positive vs. …

Fostering Active Learning In Reproductive Health Classes Among Undergraduates Of A Nigerian Public University: The Role Of Cognitive Restructuring Health Education, Ndubuisi Friday Ugwu, Adewumi Segun Igbinlade, Adijat Bolanle Adams, Uchenna Anselm Anibueze, Gabriel Aderibigbe Oyegbami, Chinyere Chrysantus Onwurah, Sabina Nwakaego Igwilo, Olufemi M. Olubamise, Folasade Adediran, Oladipo Adeyeye Olubodun Phd, Jacob Kehinde Opele, Loveth Nnenna Ugwu, Amos Olorunwa Agbojo

Higher Learning Research Communications

Objective: This study examined the efficacy of the cognitive restructuring health education (CRHE) intervention in improving participatory learning in sexual and reproductive health classes among students at a Nigerian public university.

Methods: The study employed a randomized pretest/posttest control group design involving 130 undergraduates from Federal University Oye-Ekiti, Nigeria. Participants were randomly assigned to either a 2-week intensive health education–based cognitive restructuring program (n = 65) or a waitlist control group (n = 65). Interaction behavior was assessed at pretreatment, at post-treatment, and at a 6-week follow-up using the 14-item Interaction Behavior Checklist (reliability = 0.85). …

Clinical Practice Guideline For Evidence-Based Management Of Chronic Prostatitis, Sandra Castro

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project involved the development, expert appraisal, and implementation of an evidence-based Clinical Practice Guideline (CPG) for chronic prostatitis management in adult male patients at a private outpatient clinic. The practice problem was persistent symptom burden from reliance on antibiotic monotherapy without adjunctive therapies, contributing to recurrent symptoms and decreased quality of life. The purpose was to develop and implement a standardized CPG to improve symptom outcomes and support antimicrobial stewardship. The project question was: In adult male patients with chronic prostatitis, how does a standardized CPG incorporating adjunctive ozone therapy and structured symptom monitoring, …

From Classroom To Cell: Examining Protective Factors Against The School-To-Prison Pipeline, Ronald Smith

Walden Dissertations and Doctoral Studies

Truancy and chronic absenteeism among adjudicated youth are significant concerns for educators, school administrators, policymakers, and juvenile justice stakeholders because persistent school disengagement may contribute to pathways associated with the school-to-prison pipeline. Grounded in Hirschi’s social bond theory, the purpose of this quantitative correlational study was to examine the relationship between parental involvement, extracurricular activities, and teacher–student social bonds and truancy/chronic absenteeism among adjudicated youth. Secondary data were obtained from the Pathways to Desistance study, which included 1,070 adjudicated youth ages 14–17 from Maricopa County, Arizona, and Philadelphia County, Pennsylvania. Multiple linear regression was used to examine the relationships among …

Perceptions Of Civilian Faculty In Professional Military Education Regarding Graduate Students’ Development Of Writing Skills, Katherine Zimmerle

Walden Dissertations and Doctoral Studies

The problem that was investigated through this study was the gap in literature about civilian faculty’s perceptions of the writing skills needed and how best to support student success in graduate-level professional military education (PME) university programs. Grounded in schema theory and transfer theory, the purpose of this basic qualitative study was to investigate the perceptions of PME civilian faculty regarding the writing skills needed and recommendations thereof to strengthen the writing skill support in PME university programs. Data were collected through semistructured interviews with eight PME civilian faculty members with at least 3 years of experience. Qualitative content analysis …

Spatiotemporal Patterns Of Vaccine Uptake For Measles Outbreaks In Katsina State, Nigeria, Zeenat Kabir Asma'i

Walden Dissertations and Doctoral Studies

Measles remains a public health concern in Nigeria despite the availability of effective vaccines, yet limited research has comprehensively examined spatiotemporal patterns and contextual determinants of vaccination coverage and measles incidence in Katsina State. Guided by the socioecological model, this quantitative ecological study examined spatiotemporal patterns of measles incidence among children aged 9–59 months of age across 183 wards in 34 local government areas of Katsina State, Nigeria, from 2018 to 2022. Confirmed cases (n = 376) were analyzed using negative binomial regression and spatial methods, including Moran’s I, SaTScan, and geographically weighted regression (GWR). Urban wards had higher incidence …

Juvenile Probation Officers’ And Therapists’ Perceptions Of Challenges In Rehabilitating Juvenile Sex Offenders And Reducing Recidivism In The Northern Region Of Texas, Raven L. Miles-Henderson

Walden Dissertations and Doctoral Studies

Juvenile probation officers (JPOs) and therapists play a critical role in supervising and rehabilitating juvenile sex offenders (JSOs) while balancing community safety and continuity of care. However, limited community-based services, variations in professional training, and challenges related to family engagement may create barriers to successful rehabilitation and recidivism reduction. The purpose of this qualitative grounded theory study was to explore how JPOs and therapists describe the obstacles they encounter when ensuring continuity of care for JSOs in the northern region of Texas. The study was guided by Bronfenbrenner’s social-ecological model to examine systemic and relational influences on supervision practices. Data …

Teachers’ Experiences In Teaching Foundational Reading Skills In The General Education English Language Arts Classroom In Grades 9-12, Jodi Leigh Mckenzie

Walden Dissertations and Doctoral Studies

No abstract provided.

Juvenile Justice Professionals’ Perceptions Of Prevention Programs In West Central Florida, Terry Rachelle Harmon

Walden Dissertations and Doctoral Studies

No abstract provided.

What Strategies Do Some It Leaders Use To Prevent Ransomware Attacks On Healthcare Computer Networks, Sherraine Michelle Houston

Walden Dissertations and Doctoral Studies

No abstract provided.

Behavioral Intentions And Use Of Telehealth Among Afro-Caribbean Immigrants In Florida, Patsy Patricia Lindo-Wood

Walden Dissertations and Doctoral Studies

Many researchers have documented the benefits of telehealth in managing cardiovascular disease and its risk factors. However, acceptance and use of telehealth among immigrants in the United States were low compared to other users, and little is known about Afro-Caribbean immigrants and their telehealth acceptance and use. Guided by the unified theory of acceptance and use of technology, this study explored how performance expectancy, effort expectancy, social influence, and facilitating conditions shape behavioral intentions and telehealth use among Afro-Caribbean immigrants in Port St. Lucie, Florida. A generic qualitative design with a purposive sampling strategy was used to interview 17 Afro-Caribbean …

Leadership-Mediated Retention Strategies To Sustain Workforce Capacity And Performance In Public Health, Meredith Winslow Wilkins

Walden Dissertations and Doctoral Studies

Workforce retention challenges continue to affect public health leaders by contributing to staffing shortages, reduced organizational capacity, and disruptions in service delivery. Public health leaders are concerned with employee turnover because it affects workforce stability, organizational performance, and the ability to meet community health needs. Grounded in Herzberg’s motivation-hygiene theory, the purpose of this qualitative pragmatic inquiry was to explore effective workforce retention strategies used by public health leaders to retain skilled staff and strengthen organizational capacity and revenue. The participants were eight public health leaders in the Northeast region of the United States with responsibility for workforce management and …

Parental Participation And Engagement In North Carolina Medicaid Enhanced Mental Health Services For Children And Adolescents, Jonathan Andrew Traylor

Walden Dissertations and Doctoral Studies

Parental participation and engagement (PPE) are positively associated with improved treatment outcomes for children receiving mental health services; however, parental involvement remains inconsistent among culturally diverse and economically disadvantaged families served through North Carolina Medicaid enhanced mental health services. Barriers to communication, collaboration, and sustained engagement may limit parents’ active participation in treatment planning and service delivery. The purpose of this basic qualitative study was to explore PPE among culturally diverse and economically disadvantaged parents whose children received North Carolina Medicaid enhanced mental health services. The ecological perspective of human development constituted the theoretical framework for this study. Data were …

Effective Strategies For Retaining Millennial Employees In Small Southern Retail Businesses, Justin Nathaniel Moore

Walden Dissertations and Doctoral Studies

Small retail businesses in the Southern United States continue to experience costly millennial employee turnover, threatening workforce stability and long-term business sustainability. This issue is important to small Southern retail business owners because turnover increases staffing costs, disrupts customer service, and weakens organizational performance. The purpose of this qualitative pragmatic inquiry was to explore strategies some small Southern U.S. retail business owners use to improve millennial employee retention. The job demands–resources model grounded the research project. Participants were six owner-operators in Virginia, Alabama, and Tennessee with at least 5 years of leadership experience managing millennial employees. Data were collected through …

The Relationship Between Emotional Intelligence And Leadership Styles Among African American Female Law Enforcement Supervisors, Hudson Cutno, Jr.

Walden Dissertations and Doctoral Studies

No abstract provided.

Black Entrepreneurs’ Strategies For Sustainability, Barbara Davis

Walden Dissertations and Doctoral Studies

No abstract provided.

Reducing Turnover At The Frontline: Hotel Leadership Strategies, Tamica Hales

Walden Dissertations and Doctoral Studies

No abstract provided.

Organizational Demands, Worker Adaptation, And The Relational Ripple Effect In Child Welfare Case Planning, Mackenzie Alexia Leach

Walden Dissertations and Doctoral Studies

No abstract provided.

Mandatory Arrest Laws: Breaking The Cycle Of Violence In Colorado And Nebraska, Ryann Lavata Livingstone

Walden Dissertations and Doctoral Studies

No abstract provided.

Managing Elderly Patients With Dementia Using Evidence-Based Non-Pharmacological Interventions In The Ed Setting, Rita Anue Cho

Walden Dissertations and Doctoral Studies

Persons with dementia frequent emergency departments (EDs), but ED staff lack understanding of cognitive impairment and evidence-base management of these symptoms, which sometimes results to unsafe encounters, aggression, agitation and assault with or without injuries. As a result, staff may resort to physical or chemical restraints to maintain safety for patients, staff, and the milieu. It is essential for staff in the ED to understand the disease process, recognize behavioral triggers, and apply evidence-based non-pharmacological interventions. The purpose of this project was to provide education to ED staff to enhance their understanding of cognitive disorders and dementia in the elderly …

Black Faith-Based Organization Leaders And Their Role In Mental Health, Alyssa Te'rese Green

Walden Dissertations and Doctoral Studies

Blacks age 65+ have more mental health issues than others but underutilize mental health services because of stigma. The purpose of this generic qualitative study was to identify what leaders in Black faith-based organizations believe their role is in supporting their congregants in accessing/attaining mental health services and how they provide support to their elderly congregants who may not have social support that could identify mental health issues. The health belief model and theory of planned behavior were used to explore mental health knowledge and support for the elderly congregants of faith-based organizations. Semistructured interview data from 10 Black religious …

Caregiving And Mental Health Among Mothers During The Covid-19 Pandemic, Makayla Elise Techentine

Walden Dissertations and Doctoral Studies

The 2019 coronavirus (COVID-19) pandemic led to reliance on family members or friends to care for the sick, resulting in a burden of informal caregiving stressors and relationship to mental health. Guided by the stress process model, this quantitative, cross-sectional study aimed to assess the relationship between caregiving stressors and the mental health of mothers of children aged 18 years or younger who were serving as informal caregivers. Secondary data from the 2020-2021 Behavioral Risk Factor Surveillance System (N = 1,772) considered the independent variables related to caregiving stressors, including hours spent caregiving, time since becoming a caregiver, personal care …

Spreading Awareness And Advocating For The Shortage Of Special Education Resources In Martin County, Florida, Lynn Potter

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement:

The goal is to prevent staff shortages of special education and student support professionals in Martin County, FL, and advocate for systemic changes that improve staff retention, raise awareness, and expand special education resources.

Significant Findings:

The shortage of ESE resources in Martin County, Florida, is affecting students’ success outcomes and relationships between parents and educators. With a 42% turnover rate over the past four years, the district needs to drastically improve teacher retention (WPBF 25 News, 2023). The western zone of Indiantown, which has a minority population of Hispanic and Latino students, is critically affected (United States …

Addressing Homelessness As A Key Risk Factor For Overdose Deaths In King County, Washington, Catherine Mutti-Driscoll

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement:

In this portfolio, I identify prevention strategies that address the nested problems of overdose deaths and homelessness in King County, Washington. By examining how housing instability, substance abuse, structural racism, and gaps in coordinated care intersect, this paper advocates for a responsive prevention approach that combines evidence-based substance abuse strategies, phased housing approaches, and culturally responsive care.

Significant Findings:

While recent harm reduction measures have improved overdose death rates in King County, unhoused individuals continue to account for 50% of the county’s still concerning fatal overdose numbers. Data shows that historical racism in King County also shapes who …

Addressing The Stigma: Fostering Mental Health And Resilience Among Law Enforcement Officers In The Columbia River Gorge, Claire Ranit

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement:

This portfolio aims to raise awareness of the increased risk of suicidality in small, rural law enforcement agencies and identify prevention strategies to reduce the risk by empowering and educating law enforcement officers (LEOs).

Significant Findings:

LEOs in small, rural agencies like those found in the Columbia River Gorge face significant mental health challenges, with research indicating LEOs rate of suicide at agencies employing 50 or fewer sworn staff is 43.78 per 100,000 between 2016 to 2022, compared to the United States (U.S.) general population of 13.78 per 100,000 in that same time period (Lawrence et al., 2025; …

Reducing Chronic Loneliness Among Lgbtq+ Older Adults In Greater Seattle, Douglas J. Gallup

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

The goal of this project is to reduce chronic loneliness and social isolation among LGBTQ+ adults age 65 and older in the Greater Seattle area by increasing access to affirming, accessible, and evidence-informed opportunities for meaningful connection.

Significant Findings

LGBTQ+ older adults in Seattle and King County face elevated risks of living alone, social isolation, and limited access to affirming services, while also demonstrating substantial resilience (Fredriksen-Goldsen et al., 2015). A promising approach would combine meaningful activity, social support, practical access assistance, and PEARLS-informed strategies. GenPride is a logical community partner because its programs foster well-being and belonging …

The Impact Of Childhood Trauma On Parenting And Emotional Regulation In Charlotte, Nc], Raven Forrest

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement:

The goal of this social change project is to increase awareness of how unresolved childhood trauma can affect parenting, emotional regulation, and family relationships among low-income families in Charlotte, North Carolina. This project focuses on prevention by promoting trauma-informed education, emotional regulation skills, and evidence-based parenting support programs that can help reduce intergenerational patterns of trauma.

Significant Findings: Unresolved childhood trauma may affect adults through emotional dysregulation, anxiety, depression, low self-esteem, unhealthy communication, harsh discipline, and difficulty forming healthy family relationships. These challenges may increase parenting stress and create emotionally unsafe home environments for children. In Charlotte, families …

Preventing Mental Health Issues In Children And Adolescents With Learning Disabilities, Laura Barrett

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this social change portfolio is to prevent mental health issues in children and adolescents with learning disabilities in the state of Utah.

Significant Findings: Children and adolescents with learning disabilities (LDs) in Utah face elevated risks of anxiety, depression, low self-esteem, and related difficulties stemming from chronic academic frustration and social challenges, yet substantial service gaps for this vulnerable population exist. Approximately 58% of children needing mental health care in Utah do not receive any, and only about half of the estimated 58,000 students diagnosed with LDs have specialized educational supports such as individualized education …

Adolescent Social Disconnection And Social Media Overuse In San Jose, California, Gilmour Arufo

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

The goal of this Social Change Portfolio is to support the implementation of a school-based prevention program for high school students in San Jose, California, that promotes healthy technology use, strengthens peer and adult connections, and increases participation in face-to-face social activities. The proposed program seeks to increase adolescents' awareness of their social media use patterns while strengthening protective factors associated with positive youth development, including school connectedness, supportive peer relationships, trusted adult relationships, and meaningful social engagement.