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The Effect Of Encounters Between Medical Gatekeepers And Patients On The Doctor-Patient Relationship, Linda Pilzer Erlich Jan 2010

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 …

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The Effect Of Direct Contact On Public Attitudes Towards People Living With Human Immunodeficiency Virus (Hiv) And Acquired Immune Deficiency Syndrome (Aids) In Zimbabweans, Mavis Mashingaidze Jan 2010

The Effect Of Direct Contact On Public Attitudes Towards People Living With Human Immunodeficiency Virus (Hiv) And Acquired Immune Deficiency Syndrome (Aids) In Zimbabweans, Mavis Mashingaidze

Walden Dissertations and Doctoral Studies

Stigma surrounding HIV and AIDS poses a significant threat to the curtailing of the epidemic by acting as a barrier to HIV testing and disclosure of serostatus. Previous research in the United States found personal knowledge of someone with HIV/AIDS to be a predictor of lower levels of HIV/AIDS-related stigma. However, no study to date has examined this relationship in Zimbabweans. Allport's contact hypothesis was hypothesis was the theoretical frame used to assess the effect of direct contact on public attitudes towards people living with the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) in Zimbabweans with the …

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How Does The Sf--‐36 Perform In Healthy Populations? A Structured Review Of Longitudinal Studies, Chinekwu A. Obidoa, Susan L. Reisine, Martin Cherniack Jan 2010

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 …

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Counseling Athletes Who Use Performance-Enhancing Drugs: A New Conceptual Framework Linked To Clinical Practice, Michael C. Johnson, David N. Sacks, William A. Edmonds Jan 2010

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 …

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Toward A Grounded Theory On The Management Of Orphanages In South Africa And Zimbabwe, Anna Siyavora Jan 2010

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 …

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Commitment To The Green Movement By Organizations And Individuals, Impacts Of Organizational Culture, And Perceptions Of Impacts Upon Outcomes, Susan M. L. Zee, Sandra J. Hartman, Lillian Y. Fok May 2009

Commitment To The Green Movement By Organizations And Individuals, Impacts Of Organizational Culture, And Perceptions Of Impacts Upon Outcomes, Susan M. L. Zee, Sandra J. Hartman, Lillian Y. Fok

International Journal of Applied Management and Technology

In this research, we find support for a proposed set of linkages among individual andorganizational green orientation, organizational culture, employee perceptions oforganizational green orientation, Quality Management (QM) Maturity, and outcomes, interms of positive impacts of the green movement and organizational performance.Specifically, we find that in organizations which are oriented toward the green movementand which have organizational cultures which are supportive of the green movement,employees who believe that their organizations are aligned with the green movement aremore likely to also see the organization as higher in QM Maturity. In turn, outcomes interms of overall performance and positive impact of the green …

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Downsizing And Organizational Change Survivors And Victims: Mental Health Issues, J. B. Schiro, R. L. Baker May 2009

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. …

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Using Design Patterns, Analysis Pattern, And Case-Based Reasoning To Improve Information Modeling And Method Engineering In Systems Development, Sean Chen, Bonnie W. Morris May 2009

Using Design Patterns, Analysis Pattern, And Case-Based Reasoning To Improve Information Modeling And Method Engineering In Systems Development, Sean Chen, Bonnie W. Morris

International Journal of Applied Management and Technology

Information modeling (IM) is the process of identifying information needs and models based onuser requirements and systems analysts’ perceptions during systems analysis and design. WhenIM is done correctly, it facilitates communication between the analysts and end-users about thefinal software product. In addition, successful IM provides a formal basis for both the analystsand the end-users about the tools and techniques that will be used in software development(SD), which, in turn, reduces costly overruns in time and money during systemsimplementation. Method engineering (ME) is the process of designing, constructing, andadapting information modeling methods for information systems development. As Siau (2003)and Kavakli (2005) …

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Interaction Within Individualized Education Program Meetings: Conversation Analysis Of A Collective Case Study, Christopher Charles Plum Jan 2009

Interaction Within Individualized Education Program Meetings: Conversation Analysis Of A Collective Case Study, Christopher Charles Plum

Harold L. Hodgkinson Award for Outstanding Dissertation

Current research provides little insight into interaction during Individual Education Program (IEP) meetings. This lack of insight may impede decision-making regarding student placement. This collective case study addressed that problem by analyzing interactions of participants in IEP meetings. Rooted in a conversation analytic (CA) theoretical framework, research questions centered on ways IEP teams interacted, oriented to identities, and ascribed to potential power asymmetries, with analysis focused on talk preceding a child's educational placement. Six hours of IEP meeting footage from 13 meetings distributed across 3 Detroit area charter schools were transcribed in CA Jeffersonian notation and analyzed using CA methodology. …

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The Effects Of An Integrated Behavioral Health Initiative On The Behavior Of Providers In An Ob/Gyn Primary Care Clinic, Dean Moritz Jan 2009

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 …

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The Relationship Between Religious And Spiritual Factors And The Perpetration Of Intimate Personal Violence, Robbin G. Todhunter Jan 2009

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 …

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Job Design Factors In The Workplace That Support Successful Aging For Older Workers, Martha J. Sanders Jan 2009

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 …

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Cognitive Preference And Ethnic Identity Among Anglo And Native American High School Students, Chad Martin Novak Jan 2009

Cognitive Preference And Ethnic Identity Among Anglo And Native American High School Students, Chad Martin Novak

Walden Dissertations and Doctoral Studies

According to the Office of Educational Research and Improvement: A Project of the Stanford Institute for Higher Education Research, graduation rates for Native Americans from both secondary and post secondary institutions are dismally low at 58% and 7%, respectively. Some research addresses cognitive preference and other ethnic identity, but research animating the cognitive preference---ethnic identity interplay for high school students is absent. These limitations in access to educational opportunities lead to abbreviated quality life experiences and a restriction in individual efficacy and collective agency. The following project assessed ethnic identity using Phinney's Multigroup Ethnic Identity Measure and cognitive preference using …

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Predictors Of Placement Duration For Foster And Adopted Children With Special Needs, Patricia A. Somers Jan 2009

Predictors Of Placement Duration For Foster And Adopted Children With Special Needs, Patricia A. Somers

Walden Dissertations and Doctoral Studies

Foster and adopted children with special needs have high rates of placement instability. This has been associated with their increased risk of having special needs, particularly reactive attachment disorder which results from severe disruptions in early relationships. Child welfare agencies report inadequate knowledge of specific placement predictors and assessment measures, although research has shown that placement duration is partly a function of successful parent-child match. Using Bowlby's attachment theory as the theoretical framework, this quantitative study examined the contributions of foster and adoptive parents' own attachment characteristics, the child's type of special need, and the child's age at the time …

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The Effects Of Art Education On Self -Efficacy In Middle School Students, Ellen P. Mitchell Jan 2009

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 …

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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 Jan 2009

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 …

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The Application Of Learning Organization Principles To Church Growth, Colleen S. Bryan Jan 2009

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 …

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Personality Traits, Self -Efficacy Of Job Performance, And Susceptibility To Stress As Predictors Of Academic Performance Of Nurse Education Programs, Nancy Wilson-Soga Jan 2009

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 …

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Beliefs And Attitudes Regarding Health -Enhancing Behaviors In African American And Caucasian Women, Cassaundra Murray Jan 2009

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; …

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The Impact Of A First -Year Learning Community On Student Persistence: Perceptions Of Community College Students, David Gerkin Jan 2009

The Impact Of A First -Year Learning Community On Student Persistence: Perceptions Of Community College Students, David Gerkin

Walden Dissertations and Doctoral Studies

This descriptive case study explored the perceptions of former community college first year learning community participants on aspects of their learning community experience that affected their persistence in college using Astin's student involvement theory and Tinto's student persistence model as a conceptual framework. Learning communities have been shown to increase student persistence, but little is known about how they do so. A better understanding of how learning communities contribute to increased student persistence would improve learning community practice and gain administrative support for learning communities. This study used a mixed methods research design utilizing both qualitative and quantitative data. Qualitative …

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A Mixed Methods Study Of Secondary Distance-Learning Students: Exploring Learning Styles, Jennifer M. Roberts Jan 2009

A Mixed Methods Study Of Secondary Distance-Learning Students: Exploring Learning Styles, Jennifer M. Roberts

Walden Dissertations and Doctoral Studies

Public education in the United States has experienced an increase in distance-learning (DL) opportunities. Because research has focused on student achievement in post-secondary DL programs, little is known about secondary students' experiences. The purpose of the current study was to explore DL applicability within secondary education. Specific research questions addressed by the concurrent mixed methods nested study included examining students' opinions and experiences in a secondary DL course and determining whether individual learning styles were addressed. Structured interviews, group discussions, and a survey were used to gather data over 2 months from 14 students in grades 9 through 12 participating …

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Exploring The Factors That Influence Attitudes And Achievement When Students Take Computerized Tests, Jessie E. Kilgore Jr. Jan 2009

Exploring The Factors That Influence Attitudes And Achievement When Students Take Computerized Tests, Jessie E. Kilgore Jr.

Walden Dissertations and Doctoral Studies

Currently, a problem exists in K-12 education related to the use of technology for the assessment of student learning. Specifically, due to the lack of access to and infrequent use of computers for middle school students, the rise in the use of high stakes computer-based tests may negatively impact student test scores in poor, urban schools. The conceptual framework of this study was informed by Albert Bandura's theory of self-efficacy, the work of The National Center for Fair and Open Testing regarding ending the misuses and flaws of standardized testing, and James Popham's research on quality assessment. The central research …

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The Phenomenology Of Self -Injurious Behavior, William Hosmer Jan 2009

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 …

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Spiritual And Religious Diversity: Implications For Counselor Education Programs, Sharon R. Gough Jan 2009

Spiritual And Religious Diversity: Implications For Counselor Education Programs, Sharon R. Gough

Walden Dissertations and Doctoral Studies

The Association for Spiritual, Ethical, and Religious Values in Counseling (ASERVC) identifies 9 core competencies for integrating spirituality/religion into practice. Previous research indicates that some mental health professionals have experienced discomfort when considering the balance between religious ideology (RI) and scientific orientation (SO) in their practice. However, no research exists assessing this potential for cognitive dissonance among mental health professionals nor has there been a test of the relative influence of RI/SO on approval of ASERVC competency integration into counselor training. Therefore, the purpose of this quantitative study was first to assess RI/SO cognitive dissonance and, second, to test RI/SO …

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Locus Of Control And Adjustment To Vision Loss Among People With Age Related Macular Degeneration, Delinda Stinnette Jan 2009

Locus Of Control And Adjustment To Vision Loss Among People With Age Related Macular Degeneration, Delinda Stinnette

Walden Dissertations and Doctoral Studies

People aged 65 and older account for 12.8% of the population and for 30% of all visually impaired individuals. Age-related Macular Degeneration (ARMD) has been identified as a significant public health issue, with a potential 8 million Americans at risk. While the literature supports a connection between LOC and adaptation to ARMD, there is a gap in the current literature supporting this relationship even when other factors are controlled (i.e. age, sex, education, type of ARMD, when diagnosed, the use of medical treatments, the use of visual assistance devices, participant engagement in rehabilitation, and depression). The present survey study used …

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Social Analysis Of Cleft Lip And Palate Abnormality In Nigeria, Alice Umweni, Kokunre Agbontaen-­‐Eghafona, Hartwig Sauter Jan 2009

Social Analysis Of Cleft Lip And Palate Abnormality In Nigeria, Alice Umweni, Kokunre Agbontaen-­‐Eghafona, Hartwig Sauter

Journal of Social, Behavioral, and Health Sciences

This study examined cleft lip and palate from the sociological point of view. It looked at the social aspects of a health issue by examining the social problems that may emanate from cleft lip/palate deformity. Questionnaires were administered in northern Nigeria to 32 patients between the ages of 10 and 60 who had been born with the defect. Oral interviews using the same set of questions were conducted with 18 patients with similar defects of cleft lip/palate deformity in southern Nigeria. The questionnaire method was preferred by the respondents in the north, whereas the respondents in the south preferred the …

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Promoting Breast Cancer Screening Among Chinese American Women Through Young Children's Theatrical Performance, Angela Sun Jan 2009

Promoting Breast Cancer Screening Among Chinese American Women Through Young Children's Theatrical Performance, Angela Sun

Walden Dissertations and Doctoral Studies

Research has revealed that underutilization of breast cancer screening by ethnic minorities often is related to language difficulties and cultural values and beliefs about cancer. The problem addressed in this secondary data analysis was the late diagnosis of breast cancer in the Chinese immigrant community. The purpose of the quasi-experimental study was to test the efficacy of a theatrical preschool performance, guided by the diffusion of innovation theory, in educating Chinese American women about breast cancer detection. The research questions sought to determine whether the performance increased the participants' knowledge of breast cancer screening guidelines and whether country of origin, …

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An Examination Of Cooperative Learning Models And Achievement In Middle And Secondary Level Social Studies, Jeffrey R. Niemi Jan 2009

An Examination Of Cooperative Learning Models And Achievement In Middle And Secondary Level Social Studies, Jeffrey R. Niemi

Walden Dissertations and Doctoral Studies

There is a lack of understanding of different cooperative learning methods and their effects on student achievement in middle and secondary level social studies education. The purpose of this quasi-experimental study was to compare two different cooperative learning models in terms of their effects on student achievement in middle level social studies classes. The research question addressed in this study involved understanding the nature of the relationships between different cooperative learning models, gender, ability level and achievement in social studies students. The two cooperative learning models compared were the structured dyad model, which was effective in studies on reading achievement, …

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Collegiate Dating Violence: A Quantitative Analysis Of Attachment Style And Help -Seeking Behavior By Gender And Sexual Orientation, Kathleen Elizabeth Kline Jan 2009

Collegiate Dating Violence: A Quantitative Analysis Of Attachment Style And Help -Seeking Behavior By Gender And Sexual Orientation, Kathleen Elizabeth Kline

Walden Dissertations and Doctoral Studies

Previous research has indicated few victims of dating violence seek help for abuse or violence experienced at the hands of a dating partner, a failure that has led to rising healthcare costs and unreported crime. Attachment theory and the social support network orientation model have been used in understanding differences in attachment style and help-seeking behavior among individuals seeking help for medical and psychological problems, but the differences in these variables among victims of dating violence have not been examined. The purpose of this quantitative web-based study was to examine differences in type of abuse or violence experienced, attachment style, …

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The Effect Of Faculty Performance Measurement Systems On Student Retention, Timothy Woods Jan 2009

The Effect Of Faculty Performance Measurement Systems On Student Retention, Timothy Woods

Walden Dissertations and Doctoral Studies

Institutions of higher learning have been tracking student course-drop rates as a measure of student success along with faculty performance data. However, there is a lack of understanding as to how faculty performance data influences drop rates. The purpose of this study was to determine whether faculty knowledge of performance data creates a difference in drop rates. This study combined theories of performance measurement, decision support, self-determination theory (SDT), and personal decision making (PDM) as a conceptual foundation that linked faculty knowledge to student success. The specific research question addressed if data can be used to assist faculty efforts in …

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