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Articles 241 - 270 of 12709
Full-Text Articles in Entire DC Network
Delphi Study To Explore The Organizational Characteristics, Conditions, And Infrastructures Needed To Integrate Professional Development With A Career Advancement Framework In The Form Of Career Lattice, Shelly Yu-Tze Tze Shelly Wang
Delphi Study To Explore The Organizational Characteristics, Conditions, And Infrastructures Needed To Integrate Professional Development With A Career Advancement Framework In The Form Of Career Lattice, Shelly Yu-Tze Tze Shelly Wang
Dissertations
Purpose: The purpose of this policy Delphi study was to identify, prioritize, and build expert consensus on the organizational characteristics, conditions, and infrastructures that support employee access to professional development (PD) opportunities embedded within a career advancement (CAd) framework. Specifically, this study aimed to: (a) identify key organizational components necessary to support professional development within a career lattice structure, (b) determine the relative importance of these components as rated by experts, and (c) establish expert-recommended strategies for implementation.
Methodology: This study used a Delphi method, consisting of three rounds, to collect data from experts with the titles of manager, directors, …
Retention Of Elementary Special Education Teachers: A Phenomenological Study Of Retention Factors And Work-Life Balance In Brick-And-Mortar And Virtual, Independent Study Educational Environments, Meredith Clark-Lewis
Retention Of Elementary Special Education Teachers: A Phenomenological Study Of Retention Factors And Work-Life Balance In Brick-And-Mortar And Virtual, Independent Study Educational Environments, Meredith Clark-Lewis
Dissertations
Purpose: This phenomenological study aimed to identify the factors that influence the retention of elementary special education teachers in virtual, independent study environments and brick-and-mortar environments, and to explore similarities and differences in how elementary special education teachers experience work-life balance across educational settings.
Methodology: Purposeful sampling was used to identify 10 elementary special education teachers in California who worked in brick-and-mortar and virtual independent study settings and met the study's inclusion criteria. Semi-structured, open-ended interviews were conducted virtually, recorded, transcribed, and analyzed using NVivo qualitative data analysis software. Both deductive and inductive coding strategies were employed, guided by the …
Student Wellness: Exploring The Role Of Faculty In Implementing Effective Supports For Mental Well-Being And Academic Performance In Community College Dental Hygiene Education, Bernadette Heather Smith
Student Wellness: Exploring The Role Of Faculty In Implementing Effective Supports For Mental Well-Being And Academic Performance In Community College Dental Hygiene Education, Bernadette Heather Smith
Dissertations
Purpose: The purpose of this phenomenological, comparative study was to identify and describe effective supports used by dental hygiene faculty and their role in the mental well-being and academic performance of community college dental hygiene students.
Methodology: Two Southern California community college dental hygiene programs were selected for this phenomenological study to identify the use of faculty supports. A purposeful sampling strategy was applied to these populations to identify participants in specific selection criteria. Twenty-one participants, who consisted of five faculty members and five or six 2nd-year students from each school, were selected. Data were collected by conducting individual interviews …
Exploring Detached Concern, A Dual-Process Emotional-Regulation Strategy, Among Intensive Care Nurses Providing End-Of-Life Care In The United States, Melissa Milton Miasek
Exploring Detached Concern, A Dual-Process Emotional-Regulation Strategy, Among Intensive Care Nurses Providing End-Of-Life Care In The United States, Melissa Milton Miasek
Dissertations
Intensive care unit (ICU) nurses repeatedly provide end-of-life care (EoLC) and experience significant emotional distress, burnout, and moral distress that can lead to leaving the profession. Detached concern (DC), a dual-process emotional-regulation strategy which balances empathetic concern with emotional detachment, may support ICU nurses' emotional well-being; however, DC among nurses remains vastly understudied. This qualitative descriptive study gained deeper understanding of DC among ICU nurses providing EoLC in the United States. The study was guided by a conceptual model adapting Lampert and Glaser's dynamic DC process within Elfenbein's emotional regulation framework. The overarching research question explored ICU nurses' perspectives on …
Identifying And Prioritizing Essential Healthcare Services For A Private Start-Up Healthcare Hub In Laxmipasha, Bangladesh, Ferdous Ara Mostofa
Identifying And Prioritizing Essential Healthcare Services For A Private Start-Up Healthcare Hub In Laxmipasha, Bangladesh, Ferdous Ara Mostofa
Dissertations
This quantitative study identifies and prioritizes essential healthcare services for developing a private start-up healthcare hub in Laxmipasha, Bangladesh, a rural community with significant gaps in healthcare access. Using secondary data from national and international sources, the research analyzed disease burden, population characteristics, and service availability to determine the most urgent health priorities. A structured, evidence-based framework was used to evaluate services based on mortality and morbidity, service gaps, and potential health impact. The findings indicate that Maternal and Child Health (MCH), Non-Communicable Disease (NCD) management, and infectious disease control represent the most critical priorities for initial implementation. The study …
Teacher Self-Efficacy Perceptions For Technology Integration And Social Media Use As Instructional Tools: Future Implications For Pedagogy In Trinidad And Tobago, Paula Edwards Sealey
Teacher Self-Efficacy Perceptions For Technology Integration And Social Media Use As Instructional Tools: Future Implications For Pedagogy In Trinidad And Tobago, Paula Edwards Sealey
Dissertations
Problem
As the educational landscape in Trinidad and Tobago evolve post COVID-19, gaining an understanding of the purpose of teachers in the implementation of national and ministerial ICT policies seem imperative. The exploration of teacher’s personal belief about their ability to effectively infuse technology and social media with their traditional teaching practices, may provide much needed insight about the role that teacher self-efficacy plays in this educational shift (Caner & Aydin, 2021; Phillip & Cain, 2015). Very few studies in the local and regional literature involve teacher self-efficacy as a variable of interest. Moreso, there has been no research to …
The Symphony Of Justice: An Intertextual Study Of Social Justice Material Between The Torah And The Psalms, Daniel Gordan
The Symphony Of Justice: An Intertextual Study Of Social Justice Material Between The Torah And The Psalms, Daniel Gordan
Dissertations
Do passages dealing with social justice in the Torah and the Psalms together comprise an intentionally composed grand symphony, or do they merely form an ad hoc patchwork quilt in which their echoes of similarity are mere coincidences?1 Literary interactions between the Torah and the Prophets of the Hebrew Bible have been a focus of biblical scholarship, but the intertextual connections between the legal corpus of the Torah and poetry in Psalms have not received sufficient attention. Scholars have noticed some thematic similarities, but there are no systematic studies that analyze these interactions to determine whether they involve reuse and, …
Leadership Studies In The Master Of Divinity (M.Div.) Curricula Of The Southern Baptist Convention (Sbc) Seminaries, Todd Stinnett
Leadership Studies In The Master Of Divinity (M.Div.) Curricula Of The Southern Baptist Convention (Sbc) Seminaries, Todd Stinnett
Dissertations
This dissertation chronicles the pursuit of an answer to the following question: In what ways have Southern Baptist Conventions (SBC) seminaries incorporated leadership studies into the curricula of their Master of Divinity (M.Div.) programs? This dissertation is a qualitative, multi-site case study that utilized a descriptive method of research. The research also utilized a qualitative interview that asked seminary administrators about their understanding of leadership studies and the place of those studies in the leadership courses that each seminary provided. One administrator from each of the six SBC seminaries was interviewed for this research. Content analysis was used to discover …
Role Of Mkp-2 In Pancreatic Beta Cell Function & Development Of Diabetes, Nabin Ghimire
Role Of Mkp-2 In Pancreatic Beta Cell Function & Development Of Diabetes, Nabin Ghimire
Dissertations
Diabetes mellitus is a chronic metabolic disease characterized by persistent hyperglycemia. Type 1 diabetes results from autoimmune destruction of β-cells, whereas Type 2 diabetes is associated with obesity and insulin resistance. Type 2 diabetes (T2D) and metabolic-associated fatty liver disease (MAFLD) are closely linked, as individuals with T2D are twice as likely to develop MAFLD. Previous work from our lab demonstrated that overexpression of MKP-2 in obesity promotes hepatic steatosis, diet-induced obesity, reduced insulin sensitivity, and increased body weight. However, the role of MKP-2 in the onset and progression of diabetes remains unclear. The objectives of this study were to …
Exploring Drivers And Barriers To S.M.A.R.T. Goal Implementation: A Phenomenological Study Of Exemplary K-5 Public Elementary School Teachers, Rochelle Davies
Exploring Drivers And Barriers To S.M.A.R.T. Goal Implementation: A Phenomenological Study Of Exemplary K-5 Public Elementary School Teachers, Rochelle Davies
Dissertations
Purpose: The research aimed to explore how exemplary K-5 public elementary school teachers in Southern California perceive the factors that support or hinder S.M.A.R.T. goal implementation, as well as their suggestions for sustaining these practices in their classrooms. This study also examined how teachers who successfully implement S.M.A.R.T. goals experience the process of using them to promote academic clarity, strengthen student ownership, and foster long-term achievement.
Methodology: The research design used qualitative phenomenological methods to collect and analyze data. Nine K-5 teachers from public elementary schools in Southern California were purposefully selected based on specific criteria. Semistructured interviews served as …
Exploring Cultural Competence Of Alabama Nurse Educators : A Mixed Methods Study, Rachel Bloodworth
Exploring Cultural Competence Of Alabama Nurse Educators : A Mixed Methods Study, Rachel Bloodworth
Dissertations
Cultural competence is a vital skill in nursing practice and nursing education. Nurse educators must be able to teach this concept and prepare students to provide culturally competent care to patients. This study examined the cultural competence of Alabama pre-licensure nurse educators in associate degree nursing (ADN) and baccalaureate (BSN) programs and explored their perceptions of cultural competence's role in nursing education. An explanatory sequential mixed-methods design was employed, guided by Campinha-Bacote's Process of Cultural Competence in the Delivery of Health Care Services Model. In Phase I, 51 nurse educators completed the Cultural Diversity Questionnaire for Nurse Educators-Revised (CDQNE-R) and …
Exploring Pregnancy-Related Empowerment And Person-Centered Prenatal Care In Black Pregnant And Postpartum Women In Alabama, Lauren Milam
Exploring Pregnancy-Related Empowerment And Person-Centered Prenatal Care In Black Pregnant And Postpartum Women In Alabama, Lauren Milam
Dissertations
Black women in the United States experience disproportionately high rates of maternal morbidity and mortality and often report feeling unheard, dismissed, or excluded from decision-making during pregnancy and childbirth. Understanding how Black women experience prenatal care and how those experiences relate to empowerment during pregnancy is essential for improving care and addressing persistent inequities. This study examined the relationship between person-centered prenatal care and pregnancy-related empowerment and explored Black women’s prenatal care experiences in Alabama using a sequential Quan → QUAL mixed methods design. In the quantitative phase, relationships among person-centered prenatal care, pregnancy-related empowerment, and care-related factors were examined …
Human Perceptions Of Social Intelligence In Large Language Models, Derek Koehl
Human Perceptions Of Social Intelligence In Large Language Models, Derek Koehl
Dissertations
This dissertation investigates how users form perceptions of social intelligence and trust when interacting with large language model chatbots. Three experimental studies manipulated chatbot agreeableness, goal orientation, and simulated short-term memory, measuring perceived social intelligence and trust. The primary finding is an asymmetric effect of personality: disagreeable chatbot behavior produced large reductions in perceived social intelligence and trust, whereas agreeable behavior produced negligible gains above a warm baseline, consistent with negativity bias in social cognition. Goal orientation did not independently enhance perceptions but functioned as a contextual moderator. Simulated memory produced medium-to-large increases in perceived social intelligence without reliably increasing …
Quantitative Metabolomics And ¹³C-Enrichment Analysis Of The Effects Of Fat10 Overexpression On Serum And Hepatocytes, Emily C. Hunt
Quantitative Metabolomics And ¹³C-Enrichment Analysis Of The Effects Of Fat10 Overexpression On Serum And Hepatocytes, Emily C. Hunt
Dissertations
Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as nonalcoholic fatty liver disease, is associated with obesity and type 2 diabetes, and as the prevalence of these conditions increases, the incidence of MASLD is expected to rise. However, the mechanisms that underlie the development of MASLD are complex and incompletely understood. Previous work from our group has indicated that the human leukocyte antigen-F adjacent transcript (Fat10) is overexpressed in the LEW.1WR1 rat model, which develops features of MASLD. The objective of this work was to quantify metabolites associated with MASLD in response to Fat10 overexpression. To achieve this end, we …
Sharing Patient-Generated Health Data With Electronic Health Record: A Standardised Provenance And Context-Rich Information Model And Clinician Evaluation, Abdullahi Abubakar Kawu
Sharing Patient-Generated Health Data With Electronic Health Record: A Standardised Provenance And Context-Rich Information Model And Clinician Evaluation, Abdullahi Abubakar Kawu
Dissertations
With the advent of Patient-Generated Health Data (PGHD) through wearable, mobile, and home monitoring systems, there is immense potential for ongoing monitoring and patient engagement. But integrating PGHD with Electronic Health Record (EHR) is challenged by sub-optimal support for contextual metadata and its relevant elements, lack of semantic interoperability among disparate systems, poor knowledge regarding the factors that impact clinician acceptance, and absence of globally agreed standards for data exchange. This thesis explores how contextually relevant patient-generated health data can be shared with EHRs through a FAIR standardized information model that ensures semantic and syntactic interoperability.
The study addresses six …
A Proposed Conceptual Framework For Assessing Quality Of Life In The United Arab Emirates: Application To Ras Al Khaimah Emirate, Aaesha Saif Al Shehhi
A Proposed Conceptual Framework For Assessing Quality Of Life In The United Arab Emirates: Application To Ras Al Khaimah Emirate, Aaesha Saif Al Shehhi
Dissertations
Quality of Life (QoL) has become a central concern in urban planning and sustainable development, particularly in rapidly transforming contexts such as the United Arab Emirates. This dissertation proposes and empirically validates a comprehensive framework for assessing urban QoL, with a focused application to the Emirate of Ras Al Khaimah. A mixed-methods approach integrates objective indicators and residents' subjective perceptions, aligned with national strategies including UAE Vision 2030, the National Strategy for Wellbeing 2031, and UAE Centennial 2071.
The methodology combines Geographic Information Systems (GIS), the Analytic Hierarchy Process (AHP), and statistical analyses to evaluate seven key sectors: environment, infrastructure …
Called To Lead: Leadership Journeys And Workplace Experiences Of Women Presidents In Seventh-Day Adventist Institutions, Gary Thurber
Called To Lead: Leadership Journeys And Workplace Experiences Of Women Presidents In Seventh-Day Adventist Institutions, Gary Thurber
Dissertations
Problem
Although women constitute more than half of Seventh-day Adventist Church membership, they remain substantially underrepresented in senior leadership roles across North America. This disparity raises important questions about the historical, theological, organizational, and gender-related factors that shape women’s access to institutional leadership within the denomination. A growing body of scholarship has examined the life experiences of women clergy in the church; however, limited research has explored the experiences of women serving in presidential leadership roles within Seventh-day Adventist institutions.
Purpose
The purpose of this study was to understand and describe the experiences of women serving in presidential leadership roles …
A Qualitative Case Study Exploring The Processes And Criteria For Presidential Leadership Selection In Three United States Higher Institutions Of Learning, Gabriel Kofi Boahen Nsiah
A Qualitative Case Study Exploring The Processes And Criteria For Presidential Leadership Selection In Three United States Higher Institutions Of Learning, Gabriel Kofi Boahen Nsiah
Dissertations
Background of the Problem
Today, research on U.S. higher education presidential search processes is limited, and existing literature characterizes these searches as reactive postures that are secretive, closed-door practices that have not adapted to the early signals of external seismic change. According to Quincy Martin (2021), “the world has evolved (p. 99).” Therein lies the problem. Quincy Martin insists, “Higher education has entered a period of upheaval, aided by new technologies, but hampered by political and cultural shifts. These are only amplified by modern, warp-speed information-sharing practices. All of this has exacerbated the consequences of scandals that threaten the stability …
Validation Of The Touch/Bonding Sense Of The Five Senses Model Of Intimacy As A Spiritually Based Whole-Person Lifestyle Approach To Intimacy In Dating And Marital Relationships, Karen J. Holland
Dissertations
Problem
Intimacy is in crisis and is being culturally defined and redefined through a number of influencing factors. These include the ongoing development of individualist and narcissistic relationships; the fragmentation of human wholeness; the influence of social media and an increasingly entertainment focused society; the permeation of technology influencing personal choice and lifestyle, including the use of generative AI; and the diminishing influence of Judeo-Christian principles and values as key drivers in the development of life-long marriage relationships. This study seeks to address the need for establishing a foundation for relational intimacy based on the biblical relationship demonstrated by God’s …
Cultivating An Evangelistic Culture At Mountain Chapel Methodist Church Through Preaching, Nicholas Channing Hughes
Cultivating An Evangelistic Culture At Mountain Chapel Methodist Church Through Preaching, Nicholas Channing Hughes
Dissertations
The purpose of this project was to examine the effectiveness of an intentional sermon series, Everyday Evangelism, in cultivating an evangelistic culture at Mountain Chapel Methodist Church, a Global Methodist congregation. The study used a program evaluation model and addressed the question, How does preaching cultivate an evangelistic culture in the local church, along with questions concerning growth in prayerfulness for the lost, gospel conversations, acts of compassion, invitations to Christian community, follow-up with seekers, and whether leaders exhibited greater change than the congregation as a whole. The project employed a pre- and post-series survey design using two participant groups, …
Transformational Leadership And Employees’ Organizational Citizenship Behavior: Examining The Role Of Perspective-Taking, Job Satisfaction, And Organizational Trust, Marie A. Smith
Dissertations
The study surveyed employees in the service and helping professions (for example retail, healthcare related, hospitality), to examine the impact of transformational leadership on employee organizational citizenship behavior (OCB). Specifically, it tested job satisfaction and organizational trust as possible mediators to the transformational leader to employee OCB relationship and evidence of perspective-taking as a possible moderator to either of these mediated relationships. The study employed PLS-SEM as the method of analysis and examined the influence of transformational leadership, and employee job satisfaction and trust, on employee OCB. The social exchange theory’s reciprocal nature and the leader-member exchange (LMX) theory, based …
Constructing Effectiveness: Culture, Legitimacy, And Strategic Planning In Zoos And Aquariums, Robin Keith
Constructing Effectiveness: Culture, Legitimacy, And Strategic Planning In Zoos And Aquariums, Robin Keith
Dissertations
Zoos and aquariums are complex organizations operating with multiple mandates—saving species, providing exceptional care to animals, connecting communities with nature, and inspiring environmental action—making “effectiveness” difficult to define. What counts as success depends on who is asked and which goals are foregrounded. This study investigated how stakeholders in Association of Zoos and Aquariums (AZA)–accredited organizations conceptualize and operationalize effectiveness within strategic planning processes. Prior research on nonprofit and mission-driven organizations has shown effectiveness is multidimensional and often defined differently by various stakeholders. However, little has been known about how these definitions are negotiated through the practice of strategic planning, …
Exploring Practices Leaders Of Teleworkers Use To Foster Employee Engagement: A Phenomenological Approach, Ronald Eric Snipes
Exploring Practices Leaders Of Teleworkers Use To Foster Employee Engagement: A Phenomenological Approach, Ronald Eric Snipes
Dissertations
Purpose: The purpose of this phenomenological study was to identify and describe the leadership practices used to foster employee engagement among teleworkers in the Veterans Health Administration’s Workforce Management and Consulting division and to examine why leaders believe those practices are important to sustaining employee engagement. The study was guided by the job demands–resources (JD-R) model, which proposes that employee engagement is strengthened when job resources buffer job demands and support motivational processes. As telework continues to expand across organizations, understanding how leadership practices influence engagement in remote environments has become increasingly important.
Methodology: A qualitative phenomenological research design was …
Semi-Supervised Learning For Annotation And Representation Of Single-Cell Rna Sequencing And Spatial Transcriptomics Data, Haoran Liu
Dissertations
Semi-supervised learning has emerged as a powerful paradigm for analyzing single-cell RNA sequencing (scRNA-seq) and spatial transcriptomics (ST) data, where full annotation is often costly or impractical. scRNA-seq technologies measure the expression of thousands of genes across tens of thousands of cells, whereas ST additionally captures the spatial coordinates of gene expression within intact tissue sections. Annotation is a key step in both scRNA-seq and ST analysis pipelines, aiming to identify cell types, spatial domains, and latent biological structures. However, most existing annotation approaches rely on separate clustering methods that are typically fully unsupervised and fail to leverage side information …
Beyond Words: A Systematic Multimodal Framework For Text, Images, And Extreme Helpfulness In Online Reviews, Alvaro J. Aguado Marin
Beyond Words: A Systematic Multimodal Framework For Text, Images, And Extreme Helpfulness In Online Reviews, Alvaro J. Aguado Marin
Dissertations
Online product reviews have become increasingly multimodal, combining text with media-rich elements such as images. However, academic research has largely examined textual features in isolation, overlooking how visual content and its interaction with text shape perceived helpfulness. This dissertation addresses that gap by developing and empirically validating a comprehensive framework capturing how textual, visual, and contextual features collectively influence review evaluation. Grounded in the Elaboration Likelihood Model (ELM) and extended through the Text-Image Elaboration Likelihood Model (TI-ELM), the framework advances understanding of how consumers process content from both user- and business-generated sources. It also lays the foundation for examining emerging …
Computational Design Of Nanoporous Materials For The Adsorption Of Per- And Polyfluoroalkyl Substances, Daniel D. Mottern
Computational Design Of Nanoporous Materials For The Adsorption Of Per- And Polyfluoroalkyl Substances, Daniel D. Mottern
Dissertations
Per- and polyfluoroalkyl substances (PFAS) are a large family of chemicals that have seen wide usage due to their fluorinated carbon backbone. The presence of strong C-F bonds in the backbone lends PFAS molecules high thermal and chemical stability, as well as strong hydrophobicity and lipophobicity. This combination of properties has led to heavy use of PFAS as surfactants, non-stick coatings, and aqueous foam forming films and flame retardants. However, these properties bring their own consequences. The high chemical and thermal stability of PFAS renders them persistent, with the C-F bonds resisting naturally occurring forms of degradation. Existing forms of …
Computational Methods For Single-Cell And Multi-Omic Data Integration And Regulatory Network Inference, Jianlan Ren
Computational Methods For Single-Cell And Multi-Omic Data Integration And Regulatory Network Inference, Jianlan Ren
Dissertations
Single-cell and multi-omic technologies have transformed the dissection of cellular heterogeneity and regulatory dynamics in health and disease. However, the high dimensionality, technical variability, and biological complexity of these datasets present significant challenges for integration, annotation, and interpretation. In this dissertation, a suite of computational approaches is introduced to address key problems in single-cell and multi-omic data analysis through model-based innovations and applied statistical frameworks.
First, a constrained deep learning framework for single-cell data integration, label transfer, and clustering is proposed. By incorporating biologically motivated constraints into the training process, robust performance is achieved across simulated and benchmark datasets spanning …
Student Voices On Trauma And Resilience: A Critical Phenomenological Study Of Gun Violence And College Student Experiences, Lucia Helena Garcia
Student Voices On Trauma And Resilience: A Critical Phenomenological Study Of Gun Violence And College Student Experiences, Lucia Helena Garcia
Dissertations
This study posits that gun violence in the United States is a public health crisis and that colleges and universities must actively collaborate to develop and implement solutions to address and prevent this crisis, which affects communities and students. Gun violence can and does lead to disruptions in educational access, travel and safety, as well as have longstanding impacts on mental health. While extensive research exists that is focused on the impact of community and gun violence exposure on K-12 students, the impact of community violence and gun violence exposure on emerging adults in university settings is limited and remains …
Teaching And Learning With Feeling: A Qualitative Case Study Of Teacher Candidates’ Experiences With Socio-Emotional Learning, Anna Melinda Press
Teaching And Learning With Feeling: A Qualitative Case Study Of Teacher Candidates’ Experiences With Socio-Emotional Learning, Anna Melinda Press
Dissertations
Research on socio-emotional learning (SEL) has demonstrated its many benefits for students, justifying its prevalence in pre-kindergarten to grade 12 schools across the U.S. Despite evidence of the centrality of a teacher’s role in effective SEL implementation, less research has been conducted on teacher training in SEL – particularly for teacher candidates (TCs). The purpose of this qualitative case study was to examine TCs’ experiences with SEL, and the impact of those experiences on their development as providers of SEL. Purposive sampling was used to recruit TCs in either the second or third year of one specific undergraduate, field-based teacher …
Understanding Medication Adherence Among American Indian/Alaska Native People With Type 2 Diabetes Within A Commercial Health System, Leandra Bitterfeld
Understanding Medication Adherence Among American Indian/Alaska Native People With Type 2 Diabetes Within A Commercial Health System, Leandra Bitterfeld
Dissertations
American Indian/Alaska Native (AI/AN) adults experience higher rates of type 2 diabetes and worse glycemic control than non-Hispanic White Americans. Despite the importance of medication adherence for T2DM management, there is only one study in the last 15 years examining the relationship between medication adherence and A1C among AI/ANs. Furthermore, T2DM research among AI/ANs has largely been conducted within Indian Health Service and Tribal healthcare systems, though most AI/ANs live outside of reservations, meaning many use commercial health systems. The purpose of this dissertation is twofold. We sought to first understand the experience of AI/AN people accessing T2DM in a …