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Educational Design Models In Transition: A Comparative Review, Tofan Stofiana, Yeti Mulyati, Andoyo Sastromihardjo, Dadang Sunendar

Journal of Educational Research and Practice

A persistent gap between educational theory and classroom practice underscores the need for methodological approaches that are reflective, participatory, and context responsive. This study provides a comparative review of four major educational design models, including research and development (R&D); Analysis, Design, Development, Implementation, and Evaluation (ADDIE); design-based research (DBR); and educational design research (EDR), to examine their theoretical orientations and contemporary applications. A systematic literature synthesis and bibliometric mapping were conducted on 80 peer-reviewed journal articles indexed in Scopus between 2020 and 2025. The findings reveal that ADDIE remains the most frequently applied framework due to its procedural clarity and …

Atherogenic Index Of Plasma’S Association With Coronary Heart Disease Risks Among Postmenopausal Pakistani Women, Amad Khan, Syed Kashif Raza

Journal of Social, Behavioral, and Health Sciences

Coronary heart disease (CHD) is a leading global cause of mortality, notably affecting postmenopausal women. Hormonal fluctuations during menopause contribute to dyslipidemia, fostering cardiovascular disease (CVD). This study explored lipid profiles among postmenopausal Pakistani women, focusing on the atherogenic index of plasma (AIP) and its association with CHD.

The data consisted of surveys from 265 women aged between 40–70 years. A STEP-wise approach, using a questionnaire from the World Health Organization, was employed for data collection. This quantitative cross-sectional study, guided by the socioecological model, examined links between AIP, age, lipid profiles, and hypertension. The AIP’s association with CHD was …

Prevention And Resilience: Addressing Thc Use In Little Elm, Denton County, Texas, Luci Papanastassiou

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement

The goal of this Social Change Portfolio is to design a collaborative, community-level primary prevention program for adolescents in the Little Elm, Denton County, Texas area to mitigate the mental health and cognitive risks associated with THC use while strengthening protective factors across the entire community (County Health Rankings & Roadmaps, 2018; Smith, 2024; Substance Abuse and Mental Health Services Administration, 2025).

Significant Findings

The Little Elm, Denton County, Texas area is an area of growth and development that also faces the need for mental health professionals, especially with the current situation of THC use with adolescents (Substance …

Caribbean Early Childhood Educators, Primary Educators, And Student Teachers' Perceptions Of Visual Literacy And Visual Images Across The Curriculum, Monica Yvonne Hines-Graham

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is the gap in knowledge about the integration and evaluation of visual literacy and visual images across the curriculum of early childhood educators, primary educators, and student teachers, despite it being a requirement for teachers in the Caribbean education system. Grounded in Hall and Hord’s concerns-based adoption model, the purpose of this study was to explore the perceptions of early childhood educators, primary educators, and student teachers with the integration and evaluation of visual literacy and visual images across the curriculum. For this basic qualitative design, semistructured interviews with 12 participants from …

Community And Individual Risk Factors Associated With Tuberculosis Treatment Outcomes: Ca, Md, And Oh, [2017-2021]., Kadiatu Banjoko

Walden Dissertations and Doctoral Studies

There are unsuccessful treatment outcomes with Tuberculosis (TB) disease, although effective therapies exist. This study aimed to identify predictors of unsuccessful treatment using the socioecological model. A quantitative cross-sectional study and multinomial logistic regression analysis were used to measure the associations between long-term care (LTC), homelessness, correctional facility, Human Immunodeficiency Virus (HIV), diabetes, excess alcohol, illicit drug use, and TB treatment outcomes of death, lost to follow-up, and treatment refusal. The sample consisted of 7,589 individuals aged 15 and older with pulmonary TB between 2017 and 2021, residing in California, Ohio, and Maryland. Findings indicated a correlation between community factors …

Implementing Emotional Intelligence To Enhance Leadership Abilities In A Skilled Nursing Home, Nkechi Amaechina

Walden Dissertations and Doctoral Studies

To meet dynamic changes in healthcare, effective leadership is necessary. A major problem with effective leadership is the lack of emotional intelligence (EI). The purpose of this integrative review is to identify strategies that enhance skilled nursing home leadership abilities using EI. The Leader-Member Exchange (LMX) theory was used, supported by Complex Adaptive Systems (CAS)Theory. LMX theory explains that leaders-members relationships affect an organization while CAS theory describes healthcare industry as ever-changing. The review question (RQ) that guided this integrative review is: what best EI strategies can be implemented to enhance leadership abilities in a skilled nursing home? Twenty-six articles …

K-8 School Administrators' Implementation Of Positive Behavior Intervention And Support Systems To Reduce Out-Of-School Suspensions In A Southeastern U.S. School District, Chantell H. Walker

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is that the implementation of positive behavior interventions and supports (PBIS) has not resulted in a consistent reduction in the use of out-of-school suspensions as a disciplinary consequence in K–8 schools in a Southeastern U.S. school district. Grounded in Horner and Sugai’s PBIS, the purpose of this qualitative study was to explore K–8 school administrators’ perceptions of their implementation of PBIS in a Southeastern U.S. school district. For this basic qualitative design, semistructured interviews were conducted with three principals and three assistant principals in the local school district. Thematic analysis using inductive …

Paternal Filicide In The Context Of Divorce And Child Custody, Andrea Chase

Walden Dissertations and Doctoral Studies

This qualitative study examined the troubling intersection of parental separation, domestic violence and paternal filicide, issues that profoundly challenge societal and legal frameworks. Although domestic violence and marital dissolution are recognized risk factors for child maltreatment, their role in paternal filicide, specifically when motivated by parental separation, has been understudied. Using a purposeful and criterion-based sampling strategy, cases were drawn from the Center for Judicial Excellence database of children murdered during divorce, parental separation, and child custody disputes. After applying predefined inclusion and exclusion criteria, the final sample consisted of 113 biological fathers responsible for the deaths of 263 children …

Polypharmacy In The Geriatric Population, Colleen Laflamme

Walden Dissertations and Doctoral Studies

The project entailed the development and review of a clinical practice guideline (CPG) for reducing polypharmacy in the geriatric patient population. Polypharmacy is associated with increased risk of adverse drug events (ADEs) such as drug-drug interactions, poor adherence to pharmacotherapy, and increased risk of falls. Additionally, polypharmacy tends to increase high hospitalization rates and emergency department (ED) visits. From a nursing practice perspective, polypharmacy worsens patient outcomes and increases nurses’ workload and healthcare costs for patients. The purpose of this project was to develop a CPG with evidence based recommendations on how to reduce polypharmacy among older adults. The practice-focused …

The Lived Experience Of Gay Men In The Generation Jones Cohort, Thomas Stacy Helton

Walden Dissertations and Doctoral Studies

Existing research lacks examination of the interplay between life histories and gay identities within the Generation Jones cohort, hindering our understanding of how individuals navigated the challenges of aging Specifically, we lack understanding of how identity formation, stigma, and historical trauma in light of sociocultural events—including the criminalization of homosexuality, the HIV/AIDS epidemic, and the rise of digital connectivity—shaped self-concept, relationships, and resilience. This qualitative phenomenological study explored the lived experiences of gay men in the Generation Jones cohort, defined as those born between 1954 and 1965. Grounded in social identity theory, it asked how gay men in this cohort …

Unpacking Domestic Violence Intervention Programs, Lauren Pagan

Walden Dissertations and Doctoral Studies

Domestic violence is a public health concern and most existing literature has focused on service delivery for victims, opposed to interventions for perpetrators. The Duluth model is the most common model guiding groups for perpetrators, yet results on its effectiveness have been inconsistent and unclear. Counselors and counselor educators lack the empirical support needed to effectively apply the Duluth model while working with the people who abuse. The purpose of this qualitative, existential–phenomenological study was to explore the lived experiences of participants in Duluth Model-based, domestic violence intervention programs (DVIPs). Guided by existential–phenomenological theory, this study addressed the research question: …

Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese

Walden Dissertations and Doctoral Studies

Mobile fraud attack rates are increasing rapidly. Financial institutions, cybersecurity managers, and regulators need effective strategies to reduce consumer financial harm and operational risk. Grounded in the cybernetics model, this qualitative, pragmatic inquiry identified the cybersecurity strategies that cybersecurity professionals use at financial institutions to mitigate data breaches for mobile customers accessing financial data. Data were collected from five cybersecurity professionals through semistructured interviews and from publicly available documents and guidance issued by financial institutions and standards bodies. Six significant themes emerged from thematic analysis: implementing multifactor authentication, deploying virtual private networks (VPNs), delivering user education, promoting regular account monitoring, …

Hiv Pre-Exposure Prophylaxis Uptake And Continuation Among 15-24-Year-Old Women In Mulago, Uganda, Dithan Kiragga

Walden Dissertations and Doctoral Studies

Young women in Uganda face disproportionately high HIV risk compared to the general population. While pre-exposure prophylaxis (PrEP) demonstrates proven effectiveness, poor uptake and nonadherence limit its potential impact. This study examined the relationship between perceived HIV susceptibility, PrEP benefits, behavioral risk factors, service delivery models, and PrEP uptake and continuity among young women aged 15–24 in Uganda, guided by the health belief model. Data were ed from surveillance records at Mulago National Referral Hospital’s STI clinic from January 2024 to September 2025. Of N=23,765 young women screened (median age 21 years; 98.9% single or separated; 48.7% with primary education), …

Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu

Walden Dissertations and Doctoral Studies

Early-onset atopic dermatitis (AD) affects approximately 10-20% of children in the United States, and emerging evidence suggests potential links between early immune dysregulation and neurodevelopmental outcomes. Limited research has examined whether early AD serves as a specific risk factor for later ASD diagnosis. Guided by life course theory, the purpose of this study was to examine whether AD diagnosed within the first two years of life predicts later diagnosis of ASD among U.S. children younger than five years. A secondary analysis of the Fragile Families and Child Wellbeing Study was conducted using a retrospective cohort design. The sample included 2,949 …

Staff Education On The Use Of Screening, Brief Intervention, And Referral To Treatment (Sbirt) For The Identification And Management Of Excessive Alcohol Use, Vivienne Tsopndou Nkengafac

Walden Dissertations and Doctoral Studies

Summary The project was a practice-focused quality improvement project endeavor aimed at augmenting staff utilization of an evidence-based screening instrument for alcohol use disorder (AUD). The problem under study in an outpatient behavioral health setting stemmed from insufficient staff understanding and poor implementation of established screening and intervention protocols, heightening the risk of under identification and ineffective management of AUD. Resolving this issue is crucial in nursing practice because nurses play a pivotal role in early identification, brief intervention, referral to treatment, and fair care provision for patients with substance problems. The project was centered on the following practice-focused question: …

Staff Education To Address Workplace Violence Against Staff, Julie Ann Childers

Walden Dissertations and Doctoral Studies

In this Doctor of Nursing Practice (DNP) project, the primary focus was on addressing knowledge of workplace bullying within the hospital setting. The project involved developing and implementing an educational program to raise awareness, prevent workplace bullying, and effectively respond to it among healthcare staff. Workplace bullying harms physical and emotional well-being, reduces productivity, increases absenteeism, and increases turnover. The practice-focused question was as follows: In a hospital setting, does implementing a workplace violence (WPV) prevention education program for healthcare workers lead to increased knowledge of WPV incidents, awareness, and management among staff? Using evidence-based strategies and resources, the DNP …

Black Educated Women's Experience With Relationship Formation After Intimate Partner Violence, Jeannette Aris Thompson-Beckford

Walden Dissertations and Doctoral Studies

Black women experience intimate partner violence (IPV) at disproportionately high rates, yet most research has focused on those from lower socioeconomic backgrounds, overlooking how educated Black women navigate relationships after IPV. While extensive studies have examined the health consequences of IPV among Black women, less attention has been given to their experiences with intimacy, trust, and partner selection post-IPV. Additionally, existing research on relationship formation after IPV has largely centered on other racial groups, leaving the unique challenges faced by Black educated women underexplored. The purpose of this phenomenological study was to explore how Black, educated women describe their experiences …

Mental Health Provider Perceptions Of Self-Efficacy Following Prison Budget Reductions, Angela Frankland

Walden Dissertations and Doctoral Studies

Burnout rates for mental health workers are impacted due to budget restrictions in treatment programs. Fiscal challenges and their impact on the experiences of mental health providers have yet to be explored within correctional settings. There is a lack of research concerning mental health professional’s self-efficacy beliefs when providing treatment services to inmates. The purpose of this qualitative, phenomenological study was to explore mental health professional’s self-efficacy beliefs in correctional systems with context towards diminishing fiscal resources. Self-efficacy theory and prison rehabilitation management theory are the theoretical frameworks used as the foundation for this study. The research question was designed …

Postdischarge Pediatric Mortality In Nigeria For Children Under 5 Years Of Age, Philomina Nwaugo Chukwudike

Walden Dissertations and Doctoral Studies

Child mortality has remained a public health issue that is prevalent among families living in Nigeria and low- and middle-income countries. Factors associated with post-discharge pediatric mortality among children under 5 have not been explored. The study involved examining associations between timely individual follow-up visits, availability of healthcare facilities for follow-up care, and likelihood of post-discharge mortality among children under 5 while adjusting for household income, geographical location, mothers’ age, and mothers’ education. The theoretical framework was the social ecological model. Data were generated from the 2018 Demographic and Health Survey. A sample size of N=21,671 was used to determine …

Need For A Psychiatric Facility To Develop A Clinical Practice Guideline On Self-Care To Give To Patients Upon Discharge, Judith Agwu

Walden Dissertations and Doctoral Studies

The project is a Doctor of Nursing Practice (DNP) clinical practice guideline (CPG) on the need for a psychiatric facility to develop a CPG on self-care to give to patients upon discharge. The practice problem was a healthcare facility did not have guidelines to educate patients on self-care upon discharge. Addressing the problem within nursing practice can promote self-care practices and improve overall health outcomes for patients with mental illnesses. The practice-focused question that guided this project was: will a CPG potentially increase self-care among discharged patients? The purpose of the study was to develop a CPG on self-care for …

Fire Service Leadership Cost-Effective Strategies To Reduce Sudden Cardiac Death, Kathryn Marie Bernardo-Preston

Walden Dissertations and Doctoral Studies

Abstract A high incidence of on-duty firefighter sudden cardiac death (SCD) results in increased costs and decreased organizational performance. Fire department leaders are concerned about the financial burden of SCDs as they put strain on departmental budgets and subsequently limit operational readiness. Grounded in transformational leadership theory, the purpose of this qualitative pragmatic inquiry project was to explore how fire department leaders used cost-effective strategies to reduce SCD episodes among on-duty firefighters. Participants comprised six fire department leaders located on the East Coast of the United States who had successfully implemented strategies to minimize firefighter SCD. Data were collected using …

Perspectives Of Current And Former Kindergarten Teachers Regarding The Role Of Play-Based Learning Practices, Breann Nicole Crocker

Walden Dissertations and Doctoral Studies

The increase in standards-based curriculum in kindergarten has led to uncertainty about the use play-based learning to teach to benchmark standards. The problem that was addressed through this study is that the role of play-based learning in the study state new kindergarten (SSNK) curriculum to teach benchmark standards has not been evaluated. Grounded in Vygotsky’s zone of proximal development, the purpose of this basic qualitative study was to explore kindergarten teachers’ perspectives of the role of play-based learning practices in teaching to state learning benchmarks after being trained in (SSNK) curriculum. Data were collected through semistructured interviews with eight kindergarten …

Racial Identity, Student Engagement, Student Satisfaction, And Persistence In African American Students Attending Predominately White Institutions, Antoinette Drakeford

Walden Dissertations and Doctoral Studies

African American college students attending predominantly White institutions (PWIs), such as Old Dominion University, face challenges, including experiences with microaggressions and limited engagement opportunities, which may affect their persistence. The purpose of this study was to examine whether racial identity and microaggressions moderate the relationship between student engagement, satisfaction, and persistence among African American students at a PWI. Cross’s theory of nigrescence served as the theoretical framework for understanding African American racial identity development. A quantitative, non-experimental design was employed. Data were collected from 50 African American undergraduate students using standardized instruments measuring racial identity, microaggressions, engagement, satisfaction, and persistence. …

Underrepresented And Understudied: Exploring The Lived Experiences Of African American Women In Policing, Brenda Goss Andrews

Walden Dissertations and Doctoral Studies

African American women are underrepresented in policing and understudied in the research. Grounded in Collins’ Black feminist thought, whose theme seeks to empower Black women to speak in their authentic voices, this qualitative phenomenological study explored the lived experiences of 12 African American female officers from Midwest departments. It examined how the intersection of race and gender shaped their workplace realities. The purpose of the study was to gain perspectives from the participants on strategies to recruit and retain African American female officers. Historically, policing has been a gendered and hypermasculine profession, making it difficult for African American female officers …

Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano

Walden Dissertations and Doctoral Studies

Despite the growing demand for mental health services in Spanish, bilingual counselors are often ill-equipped to provide services in Spanish and frequently enter state-required supervised licensure without adequate training or opportunities for clinical supervision to support their growth as bilingual counseling professionals. The purpose of this qualitative narrative inquiry was to answer the research question: What are the narratives of first-generation Mexican American bilingual counselors during supervised licensure? Guided by Anzaldua’s Borderlands Theory as a conceptual framework, data were collected from eight participants through semi-structured virtual interviews and analyzed using thematic analysis. Findings revealed four themes mirroring the stages of …

Reducing Youth False Confessions With Attorney Presence, Rosa Bowden-Maccalla

Walden Dissertations and Doctoral Studies

Interrogation techniques are influenced by the interrogator's style and the individual being interviewed. Most law enforcement agencies use adult-centered interrogation methods, leading to suboptimal results when working with youth. The research has focused on youth offenders in the interrogation room and the choices they make, often leading to false confessions when an attorney is absent. This suggests that the presence of legal representation helps protect youths' vulnerability, suggestibility, and rights, thereby reducing the likelihood of false confessions. This qualitative collective case study aimed to understand why youth offenders falsely confess by collecting seven anonymous questionnaires from multigender U.S. practicing attorneys …

Managerial Strategies To Increase Employee Retention In The Health Care Industry, Albert Scales Iii

Walden Dissertations and Doctoral Studies

Employee turnover remains a significant business concern for Hawaiian health care organizations. Health care organization leaders are concerned about employee retention because of its implications for organizational effectiveness and the continuity of customer care. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry was to identify and explore successful strategies used by eight purposively selected health care leaders in Hawaii to improve employee retention. Thematic analysis of semistructured interview data and public organizational documents revealed six themes: (a) competitive compensation and benefits, (b) professional development and training, (c) recognition and rewards, (d) work–life balance and flexibility, (e) …

Overseas Military Transition And Post-Military Job Retention, Chea Hale-Hernandez

Walden Dissertations and Doctoral Studies

Adjustment from military life to the corporate or civilian world can be challenging for some individuals who have served in the armed forces. The purpose of this qualitative phenomenological study was to explore the lived experiences of U.S. military veterans transitioning from overseas service to civilian employment and to identify the factors contributing to long-term job retention. The military transition theory and turnover contagion theory grounded this study. The participants consisted of 20 male veterans representing the U.S. Army, Navy, Air Force, and Army National Guard in Dayton, Ohio. Data were collected using semistructured interviews and public documents. Two themes …

Exploring Effective Strategies For Optimizing Financial Investments In Healthcare Technology, Bashir Adeniyi Agboola

Walden Dissertations and Doctoral Studies

Ineffective optimization of the billions of dollars spent annually on healthcare technology threatens the sustainability of healthcare systems and exacerbates inequities in patient access. Healthcare technology leaders who lack effective investment optimization strategies risk reducing the operational effectiveness of their healthcare system. The purpose of this qualitative, pragmatic inquiry was to explore the effective strategies that healthcare technology leaders use to optimize financial investments in healthcare technology to improve the patient care experience and equitable access to healthcare services. The participants were nine healthcare technology leaders who used optimal financial investment strategies. Data were collected through semistructured interviews and a …

Navigating Blended Family Dynamics: Lived Experiences Of Newly - Married Black American Couples With Children, Nichole King-Price

Walden Dissertations and Doctoral Studies

Remarriage offers the opportunity to create new family structures, giving individuals second chances to forge meaningful connections and develop new family dynamics. This study involved investigating the experiences of newly-married Black American couples with children as they faced challenges inherent to blended family dynamics. The objective was to understand how these families navigated the complexities of integrating different family systems during their formative years. Using a basic qualitative research design, the study was guided by Bowen’s family systems theory, which emphasizes how individuals construct knowledge within their socioemotional contexts. A convenience sample of nine spouses from blended families was purposefully …