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Impact Of Social Support On Malaria Management By Burundian Community Health Workers, Bonaventure Bazirutwabo Jan 2018

Impact Of Social Support On Malaria Management By Burundian Community Health Workers, Bonaventure Bazirutwabo

Walden Dissertations and Doctoral Studies

Malaria is the main cause of mortality for children under the age of 5 in Burundi. The access to malaria diagnostics and treatment is hampered not only because of logistical issues, but also due to the lack of qualified human resources and their inequitable distribution across the country. To mitigate the lack of human resources for health, the government of Burundi, along with its partners, shifted some tasks to community health workers (CHWs) to cover unmet healthcare needs for selected diseases such as malaria, diarrhea, and pneumonia. The purpose of this study was to determine whether the social support provided …


Chronic Disease And Injury Prevention Programming For Canada's Indigenous Population, Nicole Blackman Jan 2018

Chronic Disease And Injury Prevention Programming For Canada's Indigenous Population, Nicole Blackman

Walden Dissertations and Doctoral Studies

Local public health units in the province of Ontario, Canada, are often the primary source of health promotion and health education resources, but many do not provide programming specific to the Indigenous population. As of January 2018, modernization of the Ontario Public Health Standards requires public health units to work with the Indigenous population in providing culturally appropriate programs and services. The practice question guiding the capstone project was to determine what chronic disease and injury prevention programs exist that are culturally appropriate for the Indigenous population. The purpose of this project was to do an environmental scan and compile …


Perceptions Of First-Time Antiguan And Barbudan Mothers Towards Breastfeeding And Weaning, Janelle Dion Charles-Williams Jan 2018

Perceptions Of First-Time Antiguan And Barbudan Mothers Towards Breastfeeding And Weaning, Janelle Dion Charles-Williams

Walden Dissertations and Doctoral Studies

Antigua and Barbuda, in the eastern Caribbean, is one of several countries with exclusive low breastfeeding rates and premature weaning. Researchers have demonstrated that babies exclusively breastfed for the first 6 months of life are better protected from childhood diseases and experience a better quality of life into adulthood, while early weaning is associated with morbidity and mortality. However, at 6 weeks postpartum, only 30% of Antiguan and Barbudan mothers are exclusively breastfeeding. Researchers have explained why mothers in general cease exclusive breastfeeding prematurely: insufficiency of breast milk, returning to paid employment, lack of social support; but an explanation specific …


The Impact Of Lemongrass, Oregano, And Thyme Essential Oils On Candida Albicans' Virulence Factors, Jennifer Marie Eddins Jan 2018

The Impact Of Lemongrass, Oregano, And Thyme Essential Oils On Candida Albicans' Virulence Factors, Jennifer Marie Eddins

Walden Dissertations and Doctoral Studies

Increased systemic infections and growing resistance of Candida species in immunosuppressed people have prompted research for additional treatment options. The purpose of this quantitative study was to investigate the potential of lemongrass, oregano, and thyme essential oils tested individually, combined, and combined with the antifungal agents fluconazole and caspofungin to kill Candida albicans isolates in a controlled laboratory setting. This study was grounded on the theoretical concepts of the epidemiologic triangle model. The experimental data collected were used to investigate risk factors related to age, gender, race, and comorbidities. Kill rates of lemongrass, oregano, and thyme essential oils individually and …


Factors Associated With Menthol Cigarettes Smoking Among Youths Ages 12 To 19, Eniye Emmanuel Eguae Jan 2018

Factors Associated With Menthol Cigarettes Smoking Among Youths Ages 12 To 19, Eniye Emmanuel Eguae

Walden Dissertations and Doctoral Studies

Menthol is added to cigarettes to make smoking more convenient. Menthol is considered a contributing factor that makes smoking appealing to youths and their continuous smoking initiation, which progresses to regular cigarette smoking and addiction, especially among youths ages 12 to 19. Menthol encourages approximately 4,000 youths to experiment with smoking daily in the United States, of which approximately 1,000 become active smokers. Not enough is known regarding the influence of menthol on youth smoking initiation/smoking behavior. A quantitative analysis of data from the 2014 National Youth Tobacco Survey (NYTS) was used to explore the association between age, race/ethnicity, gender, …


Impact Of Increased Learning Time On Economically Disadvantaged Students At An Urban Elementary School, Scott M. Larkin Jan 2018

Impact Of Increased Learning Time On Economically Disadvantaged Students At An Urban Elementary School, Scott M. Larkin

Walden Dissertations and Doctoral Studies

At an urban school district, administrators were concerned about the English language arts (ELA) achievement gap between economically disadvantaged (ED) students and non-economically disadvantaged (NED). To address this gap in performance, district administrators instituted an extended day program (EDP) for ED students that included additional learning time and individualized strategies in ELA. The purpose of the study was to determine the extent of the impact that the EDP had on ED students in ELA achievement. The quasi-experimental quantitative design was guided by Carroll's model of school learning and explored the difference in ELA Partnership for Assessment of Readiness for College …


The Relationship Of Parental Involvement And Reading Achievement Of Ninth-Grade Students, Florence Ann Mayhall-Andrews Jan 2018

The Relationship Of Parental Involvement And Reading Achievement Of Ninth-Grade Students, Florence Ann Mayhall-Andrews

Walden Dissertations and Doctoral Studies

The local high school and school district have failed to achieve adequate yearly progress in reading due to the poor performance of 9th-grade and special education students on the annual state reading assessment. There may be numerous factors leading to the low scores, but researchers have suggested that students whose parents are engaged in their education have more academic success than students whose parents have minimal participation. An explanatory survey design was used in this quantitative study to identify the involvement activities of parents of 9th-grade students and determine if there was a relationship between their involvement and their child's …


An Elementary Perspective Of The Value-Added Model, Pat Mccoy Jan 2018

An Elementary Perspective Of The Value-Added Model, Pat Mccoy

Walden Dissertations and Doctoral Studies

In a small, rural school district in the southeastern United States, elementary school teachers were receiving positive evaluation ratings while student proficiency on state assessments was below the state average. Due to changes in federal and state laws, school personnel evaluate methods have undergone significant reform. The purpose of this study was to answer the guiding research questions of teachers and administrators perceptions toward the value-added model (VAM) of evaluation and how those perceptions affect teacher performance. Taylor's scientific management theory, which suggests examining human productivity through the lens of applied science served as the conceptual framework. Data were collected …


A Staff Education Project And Screening Tool To Identify Calciphylaxis, Janice Pennington Jan 2018

A Staff Education Project And Screening Tool To Identify Calciphylaxis, Janice Pennington

Walden Dissertations and Doctoral Studies

Calciphylaxis is a deadly disease seen primarily in patients with end stage renal disease. Literature indicated that improved patient outcomes are seen with routine screenings. Many dialysis providers lack fundamental knowledge that would enable early identification of calciphylaxis in patients with renal disease. The purpose of this project was to design a screening instrument and develop a staff education program that would transform calciphylaxis management by promoting early identification and treatment of the disease. Knowles's theory of andragogy was used as the theoretic framework for the project. Dialysis center staff (n = 26) participated in the education. The number of …


Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan Jan 2018

Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan

Walden Dissertations and Doctoral Studies

Although health care transitions have received some attention in the literature, few researchers have emphasized family relational experiences and communication during major changes while living with a chronic illness. The purpose of this phenomenological study was to understand the lived experience of parents and their adult children while transitioning from pediatric to adult care of a chronic illness. The bio-psychosocial theory, family systems theory, and attachment theory established the context for this study. A criterion-based sampling technique and snowball sampling were used to recruit 7 parents and 6 of their adult children aged 18 to 30 years who were diagnosed …


The Impact Of Diabetes And Obesity In The African American Population, Andrea Lynette Swails Jan 2018

The Impact Of Diabetes And Obesity In The African American Population, Andrea Lynette Swails

Walden Dissertations and Doctoral Studies

Within the 21st century, Type II diabetes has emerged as a public health crisis. African Americans and Hispanic Americans have the highest rates of Type II diabetes and obesity compared to European Americans. The purpose of this DNP project was to teach medical assistants (MA) to provide self-management of diabetes and obesity for the African American population in the local clinical setting. An educational tool kit for health providers was developed to guide the educational project. The chronic care model was used to guide the development of the educational toolkit. A pretest posttest design was incorporated into the educational program. …


The Effects Of Hourly Rounding On Patient Safety And Satisfaction, Renee Allatzas Jan 2018

The Effects Of Hourly Rounding On Patient Safety And Satisfaction, Renee Allatzas

Walden Dissertations and Doctoral Studies

The clinical practice problems addressed by the DNP project were the low patient satisfaction scores and the high number of falls on a hospital neurological step-down unit. The purpose of this project was to improve the Hospital Consumer Assessment of Healthcare Providers and Systems score on one patient satisfaction question and decrease the number of patient falls by implementing hourly rounding, using a script related to patient comfort and toileting needs. The scripted questions were expected to increase the satisfaction of patients and decrease unassisted falls due to increased attention to patient pain and positioning and timely help with toileting …


Wic Participant Fruit And Vegetable Intake In California, Lindsay Estrada Jan 2018

Wic Participant Fruit And Vegetable Intake In California, Lindsay Estrada

Walden Dissertations and Doctoral Studies

Low-income populations in the United States consume less healthful diets than higher-income populations, specifically relating to fruit and vegetable consumption. The supplemental nutrition program Women, Infants, and Children (WIC) is intended to bridge this gap by providing nutrition education and vouchers for nutritious foods. The purpose of this study was to determine if the 2009 WIC food package revisions impacted fruit and green vegetable consumption in 18 to 24-year-old females in California. Using the social ecological model as a guide, a population of WIC (N = 115) and non-WIC (N = 276) participants from the California Behavioral Risk Factor Surveillance …


Predictors Of Binge Drinking In High School Youths In Montgomery County, Maryland, Lum M. Fube Jan 2018

Predictors Of Binge Drinking In High School Youths In Montgomery County, Maryland, Lum M. Fube

Walden Dissertations and Doctoral Studies

Underage drinking is a major problem in the United States, leading to increased morbidity and mortality. About 43,000 deaths a year result from binge drinking in youths at a cost of $24 billion in 2010 to the U.S. economy. The purpose of this quantitative dissertation was to examine the predictors of binge drinking in high school youths in a highly racial diverse community of Montgomery County, Maryland. The social ecological model was the theoretical framework used for this study due to the presence of both personal and contextual factors that influence behavior. Using binary logistic regression to analyze data from …


Use Of Hpv Vaccination For Cervical Cancer Prevention In African American Women, Diamond Diane Hanson Jan 2018

Use Of Hpv Vaccination For Cervical Cancer Prevention In African American Women, Diamond Diane Hanson

Walden Dissertations and Doctoral Studies

Despite the availability of the human papillomavirus (HPV) vaccine, African American women are still at risk for contracting HPV. This is significant because HPV is one of the main risk factors for cervical cancer. The purpose of this quantitative study was to explore the relationship between the use of HPV vaccination for cervical cancer prevention and personal history of HPV, reduced access to healthcare, and risky sexual behaviors in African American women. The theoretical framework used for this study was the health belief model (HBM). Two hundred twenty-nine (n=229) African American women living in the United States, ages 18-49, who …


Perceptions Of Obese African American Women Regarding Altering Traditional Soul Food Preparation, Patricia Young Jan 2018

Perceptions Of Obese African American Women Regarding Altering Traditional Soul Food Preparation, Patricia Young

Journal of Social, Behavioral, and Health Sciences

The obesity epidemic continues to be a major concern in the United States. The World Health Organization reported that 1.4 billion adults were either obese or overweight African American (AA) women have the highest incidence of obesity worldwide. A qualitative descriptive study was used to explore the perceptions of obese AA women about altering how they prepare soul food to make it healthier. The empowerment model and the health belief model were used to frame this study. Data were collected using a nonprobability purposeful sampling strategy. The sample for this study consisted of four focus groups with six to seven …


Development And Validation Of The Body Knowledge Questionnaire (Phase 2), David A. Hernandez, Cheri Ann Hernandez Jan 2018

Development And Validation Of The Body Knowledge Questionnaire (Phase 2), David A. Hernandez, Cheri Ann Hernandez

Journal of Social, Behavioral, and Health Sciences

This study evaluated the psychometric properties of the Body Knowledge Questionnaire (BKQ), an instrument that measures weight management integration: an individual’s attitudes, preferences, and behaviors associated with weight self-management. The BKQ was revised following a pilot study demonstrating its validity and reliability, and new items were added based on data gathered through four focus groups of obese and normal-weight survey completers. Additional items were derived from the extant literature on weight management and integration. A panel of 30 health professionals who work in the area of weight management, bariatrics, and nutrition science reviewed the revised BKQ for content validity. Two …


Denzin’S Paradigm Shift: Revisiting Triangulation In Qualitative Research, Patricia Fusch, Gene E. Fusch, Lawrence R. Ness Jan 2018

Denzin’S Paradigm Shift: Revisiting Triangulation In Qualitative Research, Patricia Fusch, Gene E. Fusch, Lawrence R. Ness

Journal of Sustainable Social Impact

One approach to promote social change, mitigate bias, and enhance reaching data saturation is through triangulation: multiple sources of data. Triangulation adds depth to the data that are collected. In this scholarly essay, the authors discuss the continuing relevance of Denzin’s approach to triangulation of data. Included is a critique of researchers who have posited other approaches to triangulation that appear to be merely a renaming of Denzin’s original paradigm rather new outcomes. The intended audience is novice researchers and doctoral students who can benefit from clarity on some common misconceptions about triangulation.


Factors Associated With Adherence To Diabetes Medication Among Individuals With Type 2 Diabetes In Cambridge, Ontario, Canada., Benedict Osamuimen Atekha Jan 2018

Factors Associated With Adherence To Diabetes Medication Among Individuals With Type 2 Diabetes In Cambridge, Ontario, Canada., Benedict Osamuimen Atekha

Walden Dissertations and Doctoral Studies

Although it is known that the prevalence of type 2 diabetes is on the rise in Canada, more information is needed on how well type 2 diabetes patients living in Cambridge, Ontario self-manage their diabetes and what factors influence their adherence to diabetes medication regimens. The objective of this cross-sectional study based on the theory of planned behavior was to determine if there are predictors of adherence to diabetes medications among patients living with type 2 diabetes in Cambridge. The World Health Organization STEPwise Approach to Surveillance was used to collect demographic data. Adherence and diabetes knowledge were assessed with …


Household Determinants Of Malaria In Mutasa District Of Zimbabwe, David Takudzwa Zinyengere Jan 2018

Household Determinants Of Malaria In Mutasa District Of Zimbabwe, David Takudzwa Zinyengere

Walden Dissertations and Doctoral Studies

Malaria is a vector borne, acute febrile illness, caused by Plasmodium parasites. Malaria impacts the medical and socioeconomic development programs of affected communities, as it diverts both individual and national resources into managing the disease burden. The purpose of this study was to explore and evaluate household determinants of malaria in Mutasa District, Zimbabwe. The precede-proceed theoretical model guided the study. Secondary data from Demographic Health Survey and District Health Management Information System, and current data from household determinant questionnaires, were used to evaluate the influence and significance of identified household determinants. Multiple logistic regression models were used to examine …


Congregational Health Promotion By African American Female Pastors In The Christian Faith, Arlene Obazee Jan 2018

Congregational Health Promotion By African American Female Pastors In The Christian Faith, Arlene Obazee

Walden Dissertations and Doctoral Studies

Health disparities have mostly affected African Americans who are poor, uninsured, under insured and unemployed. This population of African Americans seek spiritual solace and social counseling from their pastors, and church-based health promotion (CBHP) offers the opportunity to reach millions of the U. S. Black population. The lack of studies on female African American pastors implementing congregational health promotion activities influenced this study. This qualitative study helped in understanding the experiences, perspectives, and influences of 13 female African American Christian pastors on health-related issues within their congregation. Feminist theory and CBHP model guided this qualitative case study. Open-ended interview questions, …


Complementary And Alternative Medicine Careers Following A Science Academy For Underrepresented Minority Students, Tolulope Oyelowo Jan 2018

Complementary And Alternative Medicine Careers Following A Science Academy For Underrepresented Minority Students, Tolulope Oyelowo

Walden Dissertations and Doctoral Studies

Minority groups experience disproportionately worse health outcomes. An identified solution is to increase the number of minorities providing healthcare in their own communities. Primary care complementary and alternative medicine (CAM) providers are a potential resource. Many investigators have demonstrated the efficacy of science-based pipeline programs for increasing the roles of students in allopathic health professions. Whether these programs influence matriculation of minorities into a CAM university is unknown. The main purpose of this study was to gain an understanding of a pre-college science academy at a CAM university and determine whether the experience increased interest in and motivation for CAM …


Influence Of Maternal Psychosocial Health On Infant Feeding Practices, Tessy Linda Aguzie Jan 2018

Influence Of Maternal Psychosocial Health On Infant Feeding Practices, Tessy Linda Aguzie

Walden Dissertations and Doctoral Studies

Choice of nutrition has a great effect on the early development of human growth. Despite increased knowledge on the benefit of breastfeeding to both mother and child, some mothers still choose to formula feed. The purpose of this study is to explain how maternal health contributes to choices. The theory of maternal role attainment and the social cognitive theory are used to evaluate these feeding choices. This study tests for the association between maternal weight status and choice of infant feeding practices, the association between postpartum depression and choice of feeding and finally, if depression mediates the relationship between maternal …


Dynamics Of Household Role Performance And The Culture Of Child Health Production In Igbo-Ora, Southwestern Nigeria, Kabiru K. Salami, Ayodele S. Jegede, Frederick O. Oshiname Dec 2017

Dynamics Of Household Role Performance And The Culture Of Child Health Production In Igbo-Ora, Southwestern Nigeria, Kabiru K. Salami, Ayodele S. Jegede, Frederick O. Oshiname

Journal of Social, Behavioral, and Health Sciences

Studies about production of health for children have mainly concentrated on the behavior of one or two key household members compared to the dynamics in households involving three or more members. Health production refers to the process of directing available knowledge, skills, and resources towards ensuring, maintaining, and sustaining the health of the members. This cross-sectional design study explored how the dynamics of household structure and members’ roles influence the process of health production in a rural Nigerian community. An interviewer-moderated questionnaire was administered through a panel survey approach in 576 households. Twelve in-depth interviews and eight group discussion sessions …


The Social, Economic, And Public Health Consequences Of Global Population Aging: Implications For Social Work Practice And Public Policy, Mitchell A. Kaplan, Marian M. Inguanzo Oct 2017

The Social, Economic, And Public Health Consequences Of Global Population Aging: Implications For Social Work Practice And Public Policy, Mitchell A. Kaplan, Marian M. Inguanzo

Journal of Social Work in the Global Community

Human populations around the world are growing older at the most astounding rate in the history of humanity. Advances in technology are enabling health care providers to deliver the latest innovations in treatment and prevention services to a broader spectrum of adult populations across the lifespan making longevity increasingly more commonplace rather than the exception to the rule in most of the industrialized world. This article provides an overview of the key social, economic, and public health costs and consequences that aging populations will exact upon international communities in the years ahead. It also examines the most significant social challenges …


Importance Of Educating Girls For The Overall Development Of Society: A Global Perspective, Tabreek Somani Oct 2017

Importance Of Educating Girls For The Overall Development Of Society: A Global Perspective, Tabreek Somani

Journal of Educational Research and Practice

Educating girls is pivotal to the development of society. Despite many global declarations and development goals, and significant effort by the international community, gender disparity in education continues to exist. This article focuses on the first research question of Somani’s 2017 study titled “Girls Have a Right to Education Too” to better understand the importance and impact of educating girls and increase awareness. This qualitative research uses primary data from 38 respondents comprising 29 interviewees and nine participants in a focus group. Participants included 16 experts and leaders in academia and development, 13 educators, four students, three development professionals, and …


Disparity In Maternal Health Services Among The Different Geopolitical Zones In Nigeria, Abubakar Sadiq Umar, Chinaro Kennedy, Hebatullah Tawfik, Daniel M. N. Okenu Aug 2017

Disparity In Maternal Health Services Among The Different Geopolitical Zones In Nigeria, Abubakar Sadiq Umar, Chinaro Kennedy, Hebatullah Tawfik, Daniel M. N. Okenu

Journal of Social, Behavioral, and Health Sciences

Although the use of antenatal and other skilled maternal health delivery services in Nigeria was reported to be on the increase, this research explored whether geopolitical zone of residence and place of domicile are associated with the number of antenatal visits and place of delivery. A quantitative cross-sectional study based on secondary data from the Demographic and Health Survey was used to examine the relationship between women’s geopolitical zone of residence, place of domicile (rural/urban), and the number of antenatal visits (categorized as fewer than four or four or more) and delivery (home or health facility). A total of 33,385 …


Birth Weight As Destiny? How Parental Investment Reinforces The Birth Weight Educational Gap, Leah Gillion Apr 2017

Birth Weight As Destiny? How Parental Investment Reinforces The Birth Weight Educational Gap, Leah Gillion

Journal of Social, Behavioral, and Health Sciences

Through numerous studies, scholars have come to view birth weight as having a lasting impact on educational outcomes. Normal birth weight is associated with greater educational attainment; however, much of the literature ignores the role of parental investment. Using data from the Fragile Families Child Well-Being Study, it was found that birth endowments alone do not produce varying levels of cognitive development, but these birth endowments do lead parents to make different choices for their children, choices that potentially exacerbate the educational divide. Children with normal birth weight receive more parental investment from birth to age 3 than children with …


Obesity And Learned Eating Behavior: A Review Of First Bite: How We Learn To Eat, Winnie Eke Feb 2017

Obesity And Learned Eating Behavior: A Review Of First Bite: How We Learn To Eat, Winnie Eke

Journal of Social, Behavioral, and Health Sciences

Bee Wilson's book, First Bite: How we learn to eat is reviewed.


Evaluating The Impact Of An Evidence- Based Weight Reduction Program Among The Obese At A Medical Facility In North Central United States, Petronilla Eke Jan 2017

Evaluating The Impact Of An Evidence- Based Weight Reduction Program Among The Obese At A Medical Facility In North Central United States, Petronilla Eke

Walden Dissertations and Doctoral Studies

In September 2016, the Centers for Disease Control and Prevention (CDC) determined that more than one-third (36.5%) of U.S. adults have an obesity problem. According to the CDC, this issue results in other medical conditions such as type 11 diabetes, hypertension, cancer, heart disease, and stroke. This project was designed to evaluate the effectiveness of an evidence-based weight reduction program for obese individuals at a medical facility in the North Central United States. The methodology used consisted of a retrospective chart review of pre- and post-data for 45 people who participated in the medical facility's weight-reduction program over a 6 …