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The Effect Of Breastfeeding On The Bmi Of Hispanic Preschool Children, Linda M. Kilby Jan 2010

The Effect Of Breastfeeding On The Bmi Of Hispanic Preschool Children, Linda M. Kilby

Walden Dissertations and Doctoral Studies

The American Academy of Pediatrics and World Health Organization recommend exclusive breastfeeding for the first 4-6 months of life to reduce risk of obesity in pre-school children. Previous research has indicated a high rate of obesity among Hispanic children in the northeastern United States. There is also a gap in the literature regarding the effectiveness of exclusive breastfeeding in preventing obesity among preschool Hispanic children. Therefore, the purpose of this study was to determine if there was an association between exclusive breastfeeding and obesity among pre-school Hispanic children enrolled in the Special Supplemental Nutrition Education Program for Women, Infants and …


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 …


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 …


An Analysis Of Reasonableness Models For Research Assessments, William D. Kight Jan 2010

An Analysis Of Reasonableness Models For Research Assessments, William D. Kight

Walden Dissertations and Doctoral Studies

Individuals who screen research grant applications often select candidates on the basis of a few key parameters; success or failure can be reduced to a series of peer-reviewed Likert scores on as little as four criteria: risk, relevance, return, and reasonableness. Despite the vital impact these assessments have upon the sponsors, researchers, and society in general as a benefactor of the research, there is little empirical research into the peer-review process. The purpose of this study was to investigate how reviewers evaluate reasonableness and how the process can be modeled in a decision support system. The research questions both address …


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 …


A Correlational Study Of Telework Frequency, Information Communication Technology, And Job Satisfaction Of Home-Based Teleworkers, Shana P. Webster-Trotman Jan 2010

A Correlational Study Of Telework Frequency, Information Communication Technology, And Job Satisfaction Of Home-Based Teleworkers, Shana P. Webster-Trotman

Walden Dissertations and Doctoral Studies

In 2008, 33.7 million Americans teleworked from home. The Telework Enhancement Act (S. 707) and the Telework Improvements Act (H.R. 1722) of 2009 were designed to increase the number of teleworkers. The research problem addressed was the lack of understanding of factors that influence home-based teleworkers' job satisfaction. Job dissatisfaction has been found to have a significant impact on voluntary turnover. The purpose of the study was to assess the relationship among telework frequency, information communication technology (ICT), and job satisfaction. The research questions were designed to answer whether correlational relationships exist among telework frequency, ICT, and job satisfaction and …


Managing Health Care In A Libyan Public Hospital: A Case Study, Alexandria K. Osborne Jan 2010

Managing Health Care In A Libyan Public Hospital: A Case Study, Alexandria K. Osborne

Walden Dissertations and Doctoral Studies

Libyan citizens who can afford private health care are opting out of the public health care system. They have a perception that the quality of public health care has deteriorated. The negative perceptions have resulted in a lack of trust by many of Libyan's citizens in the Libyan public health care system and consequently to unequal access to quality health care. The purpose of this study was to identify the factors that have led to the negative perceptions and mistrust. The conceptual support for the study was based on a construct of trust that defines trust as the state of …


The Effect Of Initial Entry Training On The Moral And Character Development Of Military Police Soldiers, Kenneth R. Williams Jan 2010

The Effect Of Initial Entry Training On The Moral And Character Development Of Military Police Soldiers, Kenneth R. Williams

Walden Dissertations and Doctoral Studies

The U.S. Army conducts extensive training on its core values beginning with initial entry training (IET), commonly referred to as basic training, in order to shape soldiers' behavior and decision making in combat and noncombat situations. This mixed methods study addressed the problem of limited empirical research on the effects of U.S. Army IET on soldiers' moral and character development. The purpose was to explore the effects of Military Police (MP) IET on soldiers in training through a mixed methods quantitative and qualitative model. The theoretical framework for this study was based on Rest's four component model (FCM) of moral …


The Perceptions Of Developmental Therapists About The Influence Of Inner-City Home Environments On Service Delivery, Tywanda Jiles Jan 2010

The Perceptions Of Developmental Therapists About The Influence Of Inner-City Home Environments On Service Delivery, Tywanda Jiles

Walden Dissertations and Doctoral Studies

The reauthorization of the Individuals with Disabilities Act required that early intervention services for young children from birth to age 3 take place in their natural environment. However, limited research has been conducted on the impact of this requirement on the actual service providers who work within the home environments. Lewin's field theory on behavior, individual person, and the environment formed the theoretical framework for this descriptive case study, which examined the perceptions of developmental therapists on how their service is influenced by the inner-city home environment. Ten developmental therapists in a midwestern metropolitan city were interviewed about their beliefs …


The Relationship Between Psychological Well-Being And Perceived Wellness In Graduate-Level Counseling Students, Michel Renee Harris Jan 2010

The Relationship Between Psychological Well-Being And Perceived Wellness In Graduate-Level Counseling Students, Michel Renee Harris

Walden Dissertations and Doctoral Studies

It is imperative that those who provide personal therapy to others be well-adjusted in their personal and professional lives and possess a keen and accurate perception of wellness. Yet, persons drawn to careers in counseling often have unresolved psychological issues. Counselor education programs should have a systematic way to evaluate and improve wellness in their students. Studies addressing the well-being of counselors-in-training, their perception of wellness, and their need for self-care are lacking in the professional literature. This study, therefore, examined the relationship between psychological well-being and perceived wellness in a sample (N = 97) of graduate students in a …


The Effect Of Text-To-Self Reading Strategies On Reading Comprehension, Cathy Arlene (Legg) Cutright Jan 2010

The Effect Of Text-To-Self Reading Strategies On Reading Comprehension, Cathy Arlene (Legg) Cutright

Walden Dissertations and Doctoral Studies

Middle-school male students currently face a disadvantage in reading comprehension compared to female students. Research suggests the problem is that more male students score below grade level in reading comprehension because they require more cognitive scaffolding. The purpose of this study was to evaluate the effectiveness of text-to-self reading instruction and to compare the comprehension achievement of male and female students in 6th-grade reading and language-arts classes using guided reading of text-to-self instruction and guided reading using novels. The foundation of this study was based on constructivist theories including Dewey's pragmatist philosophy, Piaget's developmental theory, and Vygotsky's theory of zone …


Reflective Thinking And Emotional Intelligence As Predictive Performance Factors In Problem-Based Learning Situations, Kathleen Mitchell-White Jan 2010

Reflective Thinking And Emotional Intelligence As Predictive Performance Factors In Problem-Based Learning Situations, Kathleen Mitchell-White

Walden Dissertations and Doctoral Studies

Continued improvement of the training and preparation of Federal Bureau of Investigation (FBI) special agents is critical to the organization's ability to protect the national security of the United States. Too little attention has been paid to the factors that improve new agent trainees' (NATs) ability to learn and succeed in their training programs. Based on the theories of reflective thinking and emotional intelligence, this nonexperimental, correlational study explored predictors of NATs' (N = 183) performance in problem-based exercises as part of the 20-week training program. Self-report instruments measured levels of critical reflection (CR), emotional intelligence (EQ), and perceived ability …


The Relationship Between Leadership Styles And Performance Success In Hospitals, Beverly J. D. Hernandez Jan 2010

The Relationship Between Leadership Styles And Performance Success In Hospitals, Beverly J. D. Hernandez

Walden Dissertations and Doctoral Studies

Upheavals in the health care landscape threaten the sustainability of contemporary hospital organizations. Yet there is limited research regarding the characteristics of leaders within successful hospitals. The problem is the leadership styles needed to effectively run hospital organizations have not been identified and/or established. The purpose of this study was to develop a model of congruent leadership styles linked to the success of hospitals in one metropolitan city. The research questions sought to uncover (a) consistent leadership styles within successful hospitals, and (b) what, if any, relationship exists between leadership styles and measures of success. Examination of the literature uncovered …


The Mediating Role Of Psychological Distress In The Relationship Between Adverse Childhood Experiences And Adult Smoking, Tara Wynn Strine Jan 2010

The Mediating Role Of Psychological Distress In The Relationship Between Adverse Childhood Experiences And Adult Smoking, Tara Wynn Strine

Walden Dissertations and Doctoral Studies

While research has indicated that impaired mental health partially mediates the relationship between adverse childhood experiences (ACEs) and alcohol and illicit drug use, little research has examined potential mediators in the relationship between ACEs and smoking, the number one cause of preventable mortality in the United States. Accordingly, this study examined the potential mediating effect of psychological distress on the relationship between ACES and smoking using data from Wave II of the ACE Study, a cross-sectional study completed between June and October of 1997 on a sample of adult health maintenance organization members (N = 7,211). The theoretical underpinnings for …


National Survey On Equine Assisted Therapy: An Exploratory Study Of Current Practitioners And Programs, Patricia J. Mcconnell Jan 2010

National Survey On Equine Assisted Therapy: An Exploratory Study Of Current Practitioners And Programs, Patricia J. Mcconnell

Walden Dissertations and Doctoral Studies

Equine facilitated psychotherapy (EFP), a new field in psychology, is an alternative method of therapy that uses horses to facilitate therapeutic outcomes. There is minimal peer reviewed literature and few published studies examining efficacy. The conceptual lens of this study was grounded theory, as there is insufficient evidence of theoretical frame-works guiding equine assisted therapy. The purpose of this exploratory concurrent mixed methods study was to examine the theoretical foundation of practitioners; program make up; client populations; efficacy of program; and why the horse serves as the therapeutic catalyst of this model. A 43-item survey was sent to 800 programs, …


Using Globally Significant Children's Literature To Increase Fourth-Grade Students' Global Attitudes And Intercultural Sensitivity, Tonya Salisbury Jan 2010

Using Globally Significant Children's Literature To Increase Fourth-Grade Students' Global Attitudes And Intercultural Sensitivity, Tonya Salisbury

Walden Dissertations and Doctoral Studies

It is vital for future generations to clearly grasp what it means to be global citizens in order for them to be successful and for America to maintain its status as a world leader. The purpose of this mixed-method study was to measure and describe the growth of global attitudes and intercultural sensitivity that fourth-grade students acquire through reading and discussing globally significant children's literature which honors and celebrates diversity worldwide, in terms of culture, race, language, religion, and social status. According to Rosenblatt's transactional theory, readers experience aesthetic transactions with the text leading to an understanding of the world …


Using A Structured Decision Making Protocol To Stratify Caseloads In The Child Support Program, Steven J. Golightly Jan 2010

Using A Structured Decision Making Protocol To Stratify Caseloads In The Child Support Program, Steven J. Golightly

Walden Dissertations and Doctoral Studies

Although structured decision making and risk assessment protocols have successfully been used in human service programs, little research has been done on their applicability in the child support program. In this study, problems identified with child support case management were examined, along with positive and negative attributes of various risk assessment tools utilized in other arenas. The overall research problem asserted that there are no structured decision making protocols in the child support program to support case assignment by enforcement difficulty. The primary research question asked whether or not a process stratified by risk and level of enforcement difficulty could …


A Q-Methodology Study Of Adult English Language Learners' Perceptions Of Audience Response Systems (Clickers) As Communication Aides, Lisa Ann Rodriguez Jan 2010

A Q-Methodology Study Of Adult English Language Learners' Perceptions Of Audience Response Systems (Clickers) As Communication Aides, Lisa Ann Rodriguez

Walden Dissertations and Doctoral Studies

This study explored the perceptions of adult English language learners about the use of audience response systems (clickers) to facilitate communication in a classroom environment. In the early stages of second language acquisition, learners' receptive capabilities surpass expressive capabilities, often rendering them silent in their second language. Educational strategies and tools may be available to help English language learners communicate more effectively by enabling them to demonstrate their knowledge and express their opinions nonverbally. Many studies have been conducted with clickers, but none were found pertaining to adult English language learners. Second language acquisition theory provided the theoretical base for …


Confidence-Based Assessment In Moodle: Insights From Teachers, Administrators, And Programmers, Timothy P. Florian Jan 2010

Confidence-Based Assessment In Moodle: Insights From Teachers, Administrators, And Programmers, Timothy P. Florian

Walden Dissertations and Doctoral Studies

Critical thinking is a skill that school systems are trying to develop in their student populations. Numerous studies have been conducted on developing critical thinking skills such as self-regulation, interpretation, and analysis. However, available data on the use of learning management systems (LMS) as a means to develop critical-thinking skills have been opaque. This study examined the perceptions of local stakeholders and the impact of confidence-based assessment (CBA) on secondary students at one high school. The conceptual framework guiding the study represented a synthesis of theoretical perspectives on critical thinking and its development with the current research on the pedagogical …


Social Capital Variables As Predictors Of Hiv Risk-Taking Behaviors Among Sub-Saharan African Immigrants In The United States, Gbadebo Ogundiran Ogungbade Jan 2010

Social Capital Variables As Predictors Of Hiv Risk-Taking Behaviors Among Sub-Saharan African Immigrants In The United States, Gbadebo Ogundiran Ogungbade

Walden Dissertations and Doctoral Studies

Vulnerable populations, including immigrants, are often at risk for human immunodeficiency virus (HIV) infection because of their risk-taking behaviors. This study investigated risk-taking behavior for HIV infection among Sub-Saharan African (SSA) immigrants in United States. Using social capital as a theoretical foundation, the study aimed to address the question, is there any association between social capital assets of educational opportunity, employment, and eligibility for social assistance and HIV risk-taking behavior, defined as condom use before sex (CUBS) among SSA immigrant in the U.S? Potential participants were recruited through religious and social organizations in a southwestern US state. The survey generated …


The Relationship Between Campus Climate And The Teaching Of Critical Thinking Skills In Community College Classrooms, Thomas C. Simon Jan 2010

The Relationship Between Campus Climate And The Teaching Of Critical Thinking Skills In Community College Classrooms, Thomas C. Simon

Walden Dissertations and Doctoral Studies

Although critical thinking skills are important for all citizens participating in a democratic society, many community college students appear to lack these skills. This study addressed the apparent lack of research relating critical thinking instruction to campus climate. Critical thinking theory and Moos's organizational climate theory served as the theoretical foundation. The relationship between faculty's perceptions of three campus climate factors and their use of five critical thinking instructional techniques in the classroom was analyzed in this quantitative study. An online instrument based on the School-Level Environment Questionnaire (SLEQ) to measure campus climate and a researcher-designed measure of critical thinking …


A Phenomenological Inquiry Of Chronic Homeless Individuals' Challenges To Independence, Dewana Hall Jan 2010

A Phenomenological Inquiry Of Chronic Homeless Individuals' Challenges To Independence, Dewana Hall

Walden Dissertations and Doctoral Studies

Homelessness is a comprehensive social problem affecting approximately 744,000 people in the U.S. Despite consistent efforts from politicians, state and local leaders, and service providers, the number of homeless people continues to rise. Although there are some explanations in the literature to account for the increase of homelessness, the literature tends to not include the voices of the homeless themselves. The purpose of this phenomenological study, which used Maslow's hierarchy of needs as its conceptual framework, was to understand the life experiences of members of the homeless population, as perceived by four male residents of a mission in an eastern …


The Effects Of Oral Reading Fluency On Reading Comprehension For Students With Reading Disabilities And Specific Learning Disabilities, Renee C. Nouvelle Jan 2010

The Effects Of Oral Reading Fluency On Reading Comprehension For Students With Reading Disabilities And Specific Learning Disabilities, Renee C. Nouvelle

Walden Dissertations and Doctoral Studies

The gap in reading achievement continues to be consistent, despite No Child Left Behind goals to narrow these gaps among minority and other subgroup populations. This gap is especially profound for students with disabilities, and any evidence to support progress monitoring of oral reading fluency (ORF) and comprehension will inform educational policy and practice. The theory of automaticity explains that a reader can focus more attention on the meaning of a reading passage when less attention is needed for word and sound recognition. The literature has suggested that reading comprehension can be improved through efforts to improve ORF. The central …


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 …


Integrating Equine-Assisted Activities And Therapy (Eaat) Into A Higher Learning Institution, Gary Mullen Jan 2010

Integrating Equine-Assisted Activities And Therapy (Eaat) Into A Higher Learning Institution, Gary Mullen

Walden Dissertations and Doctoral Studies

Collegiate equestrian programs are costly to operate, and cost often exceeds revenue from tuition. The local problem in this project study was the need for supplemental revenue to support a cost-intensive equestrian program, without cutbacks or raising student fees. The study examined the integration of an equine-assisted activities and therapy (EAAT) program for additional income, while capitalizing on existing institutional resources at a Midwestern university in the United States. Research questions explored how to implement an EAAT program to close the budgetary gap at the project site. Systems theory formed the conceptual framework for analyzing the relationship between program characteristics …


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 …


Emerging Adults' Perceptions Of Learning In An Undergraduate Student Organization For Global Social Justice, Patricia Marie Kean Jan 2010

Emerging Adults' Perceptions Of Learning In An Undergraduate Student Organization For Global Social Justice, Patricia Marie Kean

Walden Dissertations and Doctoral Studies

Current literature suggests the institution of higher education is exploring its identity and role in society, much like the emerging adults who enroll in their programs as traditional aged undergraduates. Literature also reveals that society is asking undergraduate institutions to meet the diverse needs of its students and prepare them for adulthood and life long learning. However, research also highlights the need for students to be educated for participation within an interconnected and complex global society able to facilitate positive social change. Using a developmental lens, this interpretive case study addressed these current needs through interpreting perceptions of undergraduates and …


Illness Uncertainty, Ways Of Coping, And Psychological Adjustment Among 18--25-Year-Olds With Anaphylactic Food Allergy, Susan J. Cohen Jan 2010

Illness Uncertainty, Ways Of Coping, And Psychological Adjustment Among 18--25-Year-Olds With Anaphylactic Food Allergy, Susan J. Cohen

Walden Dissertations and Doctoral Studies

The prevalence of food allergy is increasing, with adolescents and young adults being the group most likely to die from food-induced anaphylaxis. Behavioral and psychological factors contribute to this risk. This study investigated the relationship between illness uncertainty (as measured by the Mishel Uncertainty in Illness Scale Community Form) and emotion- and problem-focused coping (as measured by the Ways of Coping Scale), to see if they contributed to psychological adjustment (as measured by the Depression Anxiety Stress Scale-21) in this population. A cognitive diathesis-stress model was used to explain individual differences in adjustment. Multiple regression was used to test illness …


Intraracial, Intergenerational Conflict And The Victimization Of African American Adults By African American Youth, Katherine E. James Jan 2010

Intraracial, Intergenerational Conflict And The Victimization Of African American Adults By African American Youth, Katherine E. James

Walden Dissertations and Doctoral Studies

Black on Black victimization amongst inner-city African American youth is a well-documented phenomenon. Less understood are the shared lived experiences of inner-city, middle-aged African Americans who have been victims of crimes perpetrated by African American youth. The purpose of this study was to understand the lived, shared experience of this population. Social ecological theory, psychological sense of community, and crisis theory served as the theoretical frameworks for the study. A qualitative method of phenomenological inquiry was used to gain insight into the meaning ascribed to the victimization experiences, as well as the resulting thoughts, beliefs, attitudes, and life-impacting implications. In-person, …


Attitudes Of Southern Baptist Pastors Toward Professional Counseling, Stanley Paul Vespie Jan 2010

Attitudes Of Southern Baptist Pastors Toward Professional Counseling, Stanley Paul Vespie

Walden Dissertations and Doctoral Studies

While clergy are at the forefront of providing mental health counseling services, many lack confidence in their ability to provide adequate care for those suffering mental health issues and many, across denominations, question the validity and reliability of mental health counseling and are reluctant to make referrals to professional counselors. There remains a gap in the current research literature regarding the views of Southern Baptist pastors. Using conflict theory as the framework for this study, the purpose of this exploratory quantitative study was to determine how 225 Southern Baptist pastors' conservative views, church size, and educational level (the independent variables) …