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Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry Jan 2022

Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry

Walden Dissertations and Doctoral Studies

February 2022 Abstract In the United States, 17% of children between the ages of two to 19 years are diagnosed with obesity more than any other chronic health condition. African American children living in the United States have an obesity rate of 22% compared to White children who have an obesity rate of 14.1%. These high obesity rates created situations in which these children are likely to experience significant lifelong health problems. The purpose of this descriptive qualitative phenomenological study was to describe the experiences of African American parents of low-income managing weight-loss in their young children with obesity between …

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Elementary Principals’ Instructional Leadership Challenges Supporting Inclusive Special Education Students’ Ela Achievement, Teresa Bey Jan 2022

Elementary Principals’ Instructional Leadership Challenges Supporting Inclusive Special Education Students’ Ela Achievement, Teresa Bey

Walden Dissertations and Doctoral Studies

As instructional leaders, principals must apply leadership to ensure achievement of all students. There is a gap in practice involving challenges principals face while supporting the ELA achievement of their inclusive special education students. The purpose of this qualitative study was to understand instructional leadership challenges elementary principals perceived were necessary to overcome in order to support ELA achievement of inclusive special education students. The conceptual frameworks for this study were Weber’s instructional leadership model and Hornby’s theory of inclusive special education. The research question sought to explore the instructional leadership challenges elementary principals perceive as necessary to overcome in …

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Successful Ethical Reporting Strategies In The Technology Industry, Frances Aida Billingsley Jan 2022

Successful Ethical Reporting Strategies In The Technology Industry, Frances Aida Billingsley

Walden Dissertations and Doctoral Studies

AbstractTechnology employees can feel restricted if there is an inability to report unethical behaviors safely, resulting in disengagement and reduced work performance. Technology managers need effective, ethical reporting strategies to improve work performance. Grounded in stakeholder theory, the purpose of this multiple case study was to explore the ethical reporting strategies that three technology managers used to improve work performance in New Jersey. The data sources were semistructured interviews and company documents from the companies’ websites, annual reports, professional association biographies, and the LinkedIn profiles of participants. The three primary themes that emerged using thematic analysis were documenting incidents immediately, …

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Culinary Employees’ Lived Experiences Of Abusive Leadership And Perspectives Of Its Impact On Individual And Organizational Performance, Louise Elizabeth Black Jan 2022

Culinary Employees’ Lived Experiences Of Abusive Leadership And Perspectives Of Its Impact On Individual And Organizational Performance, Louise Elizabeth Black

Walden Dissertations and Doctoral Studies

More than half of U.S. employees will have an abusive manager at some point in their careers. Although the adverse impacts of an abusive leader on organizations have been well established, much less is known about the phenomenon in the culinary industry specifically and how experiences of abusive leadership affect employees in the sector. The purpose of this qualitative interpretative phenomenological study was to understand the lived experiences of culinary employees who are affected by abusive leadership relationships and the impact of such leadership on individual and organizational performance. The conceptual framework used in this study included those pertaining to …

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Strategies For Hospitals After Implementation Of Reimbursement Cuts To The Outpatient Prospective Payment System, Nicole J. Boscia Jan 2022

Strategies For Hospitals After Implementation Of Reimbursement Cuts To The Outpatient Prospective Payment System, Nicole J. Boscia

Walden Dissertations and Doctoral Studies

Healthcare costs have continued to increase in the United States. The Centers for Medicare and Medicaid Services (CMS) have proposed policy changes to reduce inequities between hospital outpatient centers and independent freestanding facilities when reimbursing for the same service. The purpose of this quantitative study was to explore if there was a difference in the payments to the Outpatient Prospective Payment System between the years 2017 and 2018 to assist hospital administrators in preparing for Medicare reimbursement cuts. The study was grounded in the agency theory and aimed to determine the relationship among the provider, payer, and patient. The research …

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Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee Jan 2022

Stress, Resiliency, And Burnout Among Leaders In The Counseling Profession, Adriana Bovee

Walden Dissertations and Doctoral Studies

Leaders in the counseling profession face many demands. The purpose of this quantitative regression analysis study was to determine if there was a predictive relationship between the independent variables of stress and resiliency and dependent variables of burnout, emotional exhaustion, depersonalization, and personal accomplishment among leaders in the counseling profession. Transformational leadership theory and resilience theory were applied as the theoretical framework of this study. A cross-sectional data collection method was used, and data were collected through anonymous online surveys from a purposive sample of 75 counseling leaders. Data analyses methods included descriptive statistics and multiple linear regressions. Results indicated …

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Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield Jan 2022

Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield

Walden Dissertations and Doctoral Studies

AbstractWhile the use of technology in healthcare has been present for many years, the recent rise of digital therapeutics in healthcare has been understudied, specifically regarding the perceptions and experiences of patients using mobile applications. Traditional healthcare involves face-to-face human interactions, requiring scheduled check-ins and provides structured interventions. Conversely, Digital therapeutics is primarily comprised of human to machine interactions. Digital therapeutics allows the user to access intervention in their time of individual need. The decrease of human-to-human interaction and the rise of human-to-machine interaction was explored in this qualitative descriptive phenomenological study from the patient perspective. Watson’s theory of human …

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Factors Causing Commercial Leaders In U.S. Multinational Pharmaceutical Businesses To Change Companies, Robert J. Britting Jr Jan 2022

Factors Causing Commercial Leaders In U.S. Multinational Pharmaceutical Businesses To Change Companies, Robert J. Britting Jr

Walden Dissertations and Doctoral Studies

Employee turnover in U.S. multinational pharmaceutical companies remains high, even though U.S. multinational pharmaceutical companies offer competitive salaries and benefits compared to other large industries. A recent survey found that 67% of 2,400 pharmaceutical leaders would be looking for a new job within 12 months and that general employee turnover costs organizations 70% to 300% of each employee's salary. The purpose of this case study was to explore the factors that cause commercial leaders from mid- to large-size U.S. pharmaceutical companies to seek employment outside of their organization. Lewin’s three-stage model of unfreezing, moving, and refreezing, along with the psychology …

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The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown Jan 2022

The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown

Walden Dissertations and Doctoral Studies

Childhood trauma may be a reason a child develops maladaptive coping mechanisms such as sexual fantasies and paraphilia. These coping mechanisms increase in intensity, leading to sexual violence to gain a sense of power and control. Even though researchers have identified that serial sexual killers suffer from child and adult sexual fantasies and criminal paraphilia, details of the sexual fantasies and paraphilia have not been examined. The purpose of this qualitative exploratory case study was to explore the role of child and adult sexual fantasies and criminal paraphilia involving serial sexual murderers. Hickey’s trauma-control model and relational paraphilic attachment theory …

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Expectations And Reality: Post Deployment Reintegration Through The Lived Experiences Of Military Spouses, Michele Marie Brown Jan 2022

Expectations And Reality: Post Deployment Reintegration Through The Lived Experiences Of Military Spouses, Michele Marie Brown

Walden Dissertations and Doctoral Studies

This phenomenological study aims to understand how post-deployment reintegration impacted the quality of life, functionality, adjustment, and levels of distress among military spouses. Additionally, this study analyzed data collected from 11 individual military spouse responses to gain firsthand insight into the challenges of post-deployment reintegration and the resiliency factors that influence stability. While extensive research existed on the challenges associated with the hardships of physical distance and absence, there was limited research on the impact of post-deployment reintegration on the overall quality of life of a military spouse. Three theories explored the extremely individualized experiences of military spouses’ post-deployment reintegration. …

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Exploring The Relationships Between Autism Parent Training And Fathers’ Parental Involvement, Ray Brown Jan 2022

Exploring The Relationships Between Autism Parent Training And Fathers’ Parental Involvement, Ray Brown

Walden Dissertations and Doctoral Studies

AbstractAs the prevalence of autism spectrum disorder (ASD) in American children has increased over the past decade, many local and state agencies are seeking avenues to become more efficient in the type of training services they offer. One such training is referred as Autism Parent Training (APT). The purpose of this study is to explore the relationship between fathers’ participation in APT and the factors related to involvement with their children prior to training and after attending training. This study relied on the developmental learning perspective as a theoretical framework, which asserts that the experience a person has in his/her …

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Teachers’ Integration Of Writing In Career, Technical, And Agricultural Education Classrooms, Caryn L. Brown Jan 2022

Teachers’ Integration Of Writing In Career, Technical, And Agricultural Education Classrooms, Caryn L. Brown

Walden Dissertations and Doctoral Studies

Teachers’ instructional practices of integrating writing into their courses can improve students’ writing abilities and better prepare students for postsecondary education and career success. At ABC College and Career Academy (pseudonym), career, technical, and agricultural education (CTAE) teachers were required by the Common Core State Performance Standards to integrate writing into their courses, but 60% of teachers were not complying with that requirement. The purpose of this study was to explore how CTAE teachers at ABC College and Career Academy integrated writing into their courses, their challenges regarding integrating writing, and needed aids for integrating writing. The conceptual framework for …

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Spirituality, Hiv And Black/African American Women, Shawanna D. Brun Jan 2022

Spirituality, Hiv And Black/African American Women, Shawanna D. Brun

Walden Dissertations and Doctoral Studies

Despite the surmounting prevalence of human immunodeficiency virus (HIV) among Black women, few studies have been conducted to examine culturally appropriate prevention methods to reduce the occurrence of the disease. The purpose of this cross-sectional study was to explore how religion/spirituality affects the attitudes, beliefs, and self-perceptions of HIV/AIDS among 151 Black/African women, ages 25-44, in Florida, and to investigate the impact of HIV-related stigma on the attitudes, beliefs, and self-perceptions of HIV/AIDS within this population. Social cognitive theory was the framework of the study. Multiple linear regression and hierarchical regression were used to analyze the survey data. Results revealed …

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Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd Jan 2022

Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd

Walden Dissertations and Doctoral Studies

During the transition to practice, new graduate nurses (NGNs) face conflict and uncertainty influenced by lack of resiliency and self-care knowledge. In a rural hospital, NGNs had minimal standardized guidance during the transition to practice. Without a proper understanding of resiliency and self-care knowledge, NGNs could not adapt to change and risked leaving the profession or harming patients. A self-care staff education project was developed to improve knowledge of resiliency in a group of NGNs. Self-care deficit theory provided the framework for the project. Sources of evidence published between 2017 and 2022 were used as well as previously analyzed data …

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Exploring Parent Support For School-Based Health Programs To Reduce Childhood, Alaphiah Delaney Campbell Byfield Jan 2022

Exploring Parent Support For School-Based Health Programs To Reduce Childhood, Alaphiah Delaney Campbell Byfield

Walden Dissertations and Doctoral Studies

The rise in childhood obesity rates continues globally despite the design and implementation of social programs aimed at curtailing that phenomenon. The government of Jamaica has indicated that a whole-of-government, whole-of-society approach is needed to control obesity. The literature has shown that in Jamaica, support for being fluffy impedes progress toward addressing the problem of childhood obesity; being fluffy is considered attractive and a sign that one has a good life. Studies have shown that obese or overweight children are at risk for developing psychosocial (e.g., having low self-esteem, and underperforming academically) and medical problems (e.g., noncommunicable diseases such as …

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Child Sexual Abuse And Its Effects On A Young Adult Relationship With A Sexual Partner, Friends, And Community, Miriam Cires Jan 2022

Child Sexual Abuse And Its Effects On A Young Adult Relationship With A Sexual Partner, Friends, And Community, Miriam Cires

Walden Dissertations and Doctoral Studies

AbstractIn the United States, child sexual abuse is a significant public health issue, but society lacks awareness and its consequences. Therefore, little is known about the influence of sociodemographic factors on a sexually abused child and the quality of relationships as a young adult. A quantitative cross-sectional study based on the social-ecological model was carried out to assess whether the presence of sexual abuse, age of abuse, frequency of abuse, abusive kindship, race, and sex predict in a sexually abused child inappropriate relationships as a young adult. Logistic regression analyses were conducted using secondary data collected from 1300 children and …

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Perceived Social Support And Anxiety Among Informal Caregivers Of Individuals With Dementia, Latonya Cofield Jan 2022

Perceived Social Support And Anxiety Among Informal Caregivers Of Individuals With Dementia, Latonya Cofield

Walden Dissertations and Doctoral Studies

AbstractMany individuals who are diagnosed with some form of dementia are cared for by informal caregivers. Past research has indicated many of the caregivers have potential for encountering caregiver distress leading to physical and mental health deterioration. The purpose of this study was to examine the impact perceived social support may have on anxiety among the informal caregivers. Using the transactional model of stress and coping, this quantitative study examined the relationship between perceived emotional/informational social support, instrumental social support, gender, and anxiety among informal caregivers caring for individuals diagnosed with dementia. A correlational research design and the multiple linear …

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Professional Identity Within An Evolving Profession: Clinical Social Work In Puerto Rico, Lorna Betzaida Colon Gonzalez Jan 2022

Professional Identity Within An Evolving Profession: Clinical Social Work In Puerto Rico, Lorna Betzaida Colon Gonzalez

Walden Dissertations and Doctoral Studies

More than three decades of data document the challenges of clinical social workers in establishing their professional identity within the social work profession in Puerto Rico. Less is known specifically about how they identify within interdisciplinary and multidisciplinary teams in the various clinical settings on the island. The purpose of this study was to explore the perceptions of clinical social workers in Puerto Rico regarding their professional identity as compared to generalist social workers. The generic qualitative study was based on the ecological system theory framework. Data were collected from semistructured interviews with a purposive sample of 10 clinical and …

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Teacher Perceptions Of Gamification In K-8 Classrooms, Niya Nicole Costley Jan 2022

Teacher Perceptions Of Gamification In K-8 Classrooms, Niya Nicole Costley

Walden Dissertations and Doctoral Studies

Teachers have positive attitudes toward the use of gamification in the classroom yet research shows that it is implemented inconsistently. Furthermore, specific elements of what makes gamification successful with students has not been studied. The purpose of this study was to explore teacher perceptions of gamification and its use in the K-8 classroom. The conceptual frameworks for this study were constructivism and connectivism. The central research question for this basic qualitative study focused on the perceptions of teachers about gamification and its use in the K-8 classroom that contribute to student success. The participants were selected using a convenience, continuum, …

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The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier Jan 2022

The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier

Walden Dissertations and Doctoral Studies

Household-level double burden of malnutrition (HL-DBM) challenges traditional South African vertical malnutrition programs. Research has associated a household with an overweight/obese mother of reproductive age and her under 5-year-old child with signs of undernutrition (wasting, stunting, or thinness) with socioeconomic levels, maternal characteristics, features of the household, and child’s demographics. Grounded in the social determinants of health conceptual framework, this study aimed to investigate the determinants of HL-DBM in South Africa across the reproductive-child health continuum. Using the representative 2017 Wave 5 South African National Income Dynamics Study survey secondary data, a total sample of 314 homes met this non-experimental …

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Discrimination Threats For U.S.-Born Latinx During The Trump Administration, Isaac Cudjoe Jan 2022

Discrimination Threats For U.S.-Born Latinx During The Trump Administration, Isaac Cudjoe

Walden Dissertations and Doctoral Studies

U.S.-born Latinx tend to have greater proximity to the enforcement of U.S. Customs and Border Protection (CBP) and U.S. Immigration and Customs Enforcement (ICE) than their European American, African American, and Asian American counterparts. The purpose of this generic qualitative study was to explore whether and how U.S.-born Latinx young adults experienced discrimination during CBP and ICE investigations, arrests, and deportation during the Trump administration. The narrative policy framework guided the study. Data were collected from interviews with seven U.S.-born Latinx young adults who were between 18 and 34 years old during the Trump administration. Findings from coding analysis indicated …

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Strategies To Promote Employee Engagement In The Aerospace Industry, David R. Cunningham Jan 2022

Strategies To Promote Employee Engagement In The Aerospace Industry, David R. Cunningham

Walden Dissertations and Doctoral Studies

Disengaged employees harm organizational performance. Lack of employee engagement costs manufacturing leaders in the United States billions of dollars annually in productivity. Guided by the personal engagement theory, the purpose of this single case study was to identify strategies manufacturing leaders use to improve employee engagement. The participants were manufacturing leaders in the aerospace industry in southern California. Data were collected from face-to-face semistructured interviews with three participants and a review of company engagement strategies available on the company website. Data were analyzed using thematic analysis and methodological triangulation. Four themes emerged: (a) leadership competency, (b) intrinsic and extrinsic motivation, …

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Exploring The Impact Of Student Conduct Models On Student Development At Hbcus, Deona Cureton Jan 2022

Exploring The Impact Of Student Conduct Models On Student Development At Hbcus, Deona Cureton

Walden Dissertations and Doctoral Studies

The effectiveness of the student conduct approaches of the mixed method model, a mixture of restorative justice and traditional sanctioning, and traditional sanctioning, known as the “model code,” in student learning at historically Black colleges and universities (HBCUs) has been largely unexamined in existing literature. This quantitative study examined whether the model code process or a mixed method model process is more effective and efficient in producing learning and accountability. The present study utilized the 28-item questionnaire from the Student Accountability and Restorative Research (STARR) Project, a multicampus study conducted in 2011 in the United States. In the current study, …

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Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels Jan 2022

Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels

Walden Dissertations and Doctoral Studies

Registered nurses entering the workforce with baccalaureate of science degrees in nursing (BSN) are expected to be knowledgeable and skilled in planning and caring for multicultural patients, but there is little information on what experiences new nurses have in implementing culturally competent care. The purpose of this descriptive phenomenological study, guided by the Campinha-Bacote process of cultural competence in the delivery of health care services model, was to understand the lived experiences of BSN graduates with one year or less experience in implementing cultural competence in planning care for their multicultural patients. The research question directly addressed this purpose. Ten …

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Stigmas Of Alzheimer's Disease And Help Seeking For Alzheimer's Disease Among African Americans, Donna De Levante Raphael Jan 2022

Stigmas Of Alzheimer's Disease And Help Seeking For Alzheimer's Disease Among African Americans, Donna De Levante Raphael

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to examine how the perceptions of stigma of Alzheimer’s disease (AD) affected the help-seeking behaviors of African American caregivers. Data used in this study were collected using semistructured interviews with 11 African American caregivers caring for loved ones diagnosed with AD. The conceptual framework of this study was guided by the stigma theory and the sociocultural health belief model. The four types of social stigmas used to assess the effects of the stigma of AD were public, self, courtesy, and structural stigma. Data were analyzed using the Thematic Content Analysis (TCA). Results provided support …

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The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez Jan 2022

The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez

Walden Dissertations and Doctoral Studies

Work-related traumatic exposure has been studied but has not been concisely defined in the widest range of research studying trauma exposure. Specifically, it is not known from previous research whether direct, indirect, and vicarious trauma exposure predict burnout and PTSD in acute care mental health care workers. The emotional processing theory was used as theoretical foundation informing this study as the habituation of response to stress and trauma has been shown to occur incidentally and cumulatively; the theory supports the concept of dichotomous and continuous type of trauma exposure over time. The purpose of this study was to use a …

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Administrator Perceptions Of Truancy Support For Rural Elementary Students, Jennifer Lynn Douthit Jan 2022

Administrator Perceptions Of Truancy Support For Rural Elementary Students, Jennifer Lynn Douthit

Walden Dissertations and Doctoral Studies

This study focused on the support administrators give to truant elementary rural students in a southeastern state using a qualitative approach. Students must be accustomed to attending school daily. Chronic absence in kindergarten foretells low classroom success levels at the end of 5th grade. The problem addressed in this study was that administrators are challenged to support students with a high rate of truancy in rural elementary schools in the southeastern United States. The purpose and research question of this study was to investigate how administrators support truant elementary rural students in a southeastern state. The situational leadership theory was …

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Beliefs About Food Education And Healthy Food Consumption In Food Insecure Areas, Eboni Drummond Jan 2022

Beliefs About Food Education And Healthy Food Consumption In Food Insecure Areas, Eboni Drummond

Walden Dissertations and Doctoral Studies

Many food desert residents suffer from food insecurity as a result of residing in communities where access to affordable, healthy foods is limited. This limited access can make it difficult for these residents to consume healthy foods, such as fruits and vegetables, on a consistent basis. To increase access to healthy foods, interventions such as the building of supermarkets, the introduction of mobile farmers markets or mobile produce markets, and the conversion of local corner stores into healthy corner stores are often introduced to food desert communities. However, these intervention efforts fail to focus on non-physical factors, such as the …

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Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap Jan 2022

Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap

Walden Dissertations and Doctoral Studies

Aggression is an indicator of future criminal behavior. It can be a result of trauma, substance-abusing parents, or executive functioning. Research has shown that aggression in childhood often creates criminal behavior later in life, thus researchers suggest that more studies are conducted on programs that help children with aggression. The purpose of this qualitative study was to examine the experiences of therapists who work with aggressive children in a children’s partial hospitalization program, and those teachers who have had these children in class before entering the program and upon discharge from the program. The qualitative study was done using semi-structured …

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Predictors Of Glycemic Control Among Type 2 Diabetes Mellitus Patients In Owerri, Nigeria, Jideuma Ikenna Egwim Jan 2022

Predictors Of Glycemic Control Among Type 2 Diabetes Mellitus Patients In Owerri, Nigeria, Jideuma Ikenna Egwim

Walden Dissertations and Doctoral Studies

Diabetes mellitus (DM) is a significant public health concern globally and in Owerri, Nigeria. The deleterious effects of diabetes have been linked to poor glycemic control. According to the International Diabetes Federation, poor glycemic control is reflected in glycosylated hemoglobin (HbA1c) levels greater than 7.0%, which are associated with substantial morbidity and mortality. Studies have shown a dramatic rise in diabetic complications in Nigeria, particularly in Owerri. However, evidence is lacking on specific risk factors associated with poor glycemic control among DM patients in Owerri. With health insurance assuming a significant position in healthcare service delivery in Nigeria, addressing this …

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