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Determinants Of Obesity Among Deaf And Hard Of Hearing Adults, Lindsay Buchko

Walden Dissertations and Doctoral Studies

Trends of obesity increased over the last 3 decades with the obesity rate doubling from 1980 to 2010. People with disability are more likely to experience health disparities including obesity compared to the general population. Yet research on the determinants of obesity such as self-efficacy, hearing levels, and deaf acculturation styles among those who are deaf or hard of hearing (HoH) is limited. This cross-sectional study, using the social cognitive theory framework, examined BMI and self-efficacy differences between deaf/HoH adults and hearing adults, aged 20 years and older. This study also examined the associations between BMI or self-efficacy and factors …

Exploring The Effectiveness Of Leadership Practices In Urban Charter Middle Schools, Cherise Cupidore

Walden Dissertations and Doctoral Studies

Researchers have noted that educational manager and instructional leadership roles are vital to achieving sustainable student achievement. Ineffective leadership practices may decrease students' academic success and are a continuous concern for educators, especially for those of urban charter schools. The purpose of this study was to explore practices that leaders of urban charter middle schools have implemented to advance their schools from a priority school to a focus school designation. This multiple case study sought to identify and clarify leadership practices of successful leaders in urban charter middle schools. Leithwood and Riehl's core leadership practices model served as the basis …

Generic Drugs : Physician Prescribing Practices For Brand Name And Generic Medications, Tamuno Raymond George

Walden Dissertations and Doctoral Studies

Brand-name drug costs continue to create a burden for many US seniors who receive care from healthcare institutions. Generic medication is as therapeutic as is brand-name drugs and, in most cases, costs far less. Despite this cost difference, physicians continue to prescribe brand-name drugs. The purpose of this cross-sectional study was to explore physicians' patterns of prescribing brand-name drugs over generic drugs. This study was guided by the medical home model, which was developed in 1967 by the American Academy of Pediatrics. The study incorporated a purposeful sampling approach with a sample size of 151 physicians. Multiple linear regression was …

Differentiation For Content Area Literacy: Middle School Teachers' Perceptions And Practices, Beth Ann Oswald

Walden Dissertations and Doctoral Studies

Recent studies support the use of differentiated instruction (DI) to improve literacy in content area classrooms. At the same time, research has found that few teachers implement DI purposefully or consistently. Accordingly, a case study design was used to explore middle school content area teachers' understanding and implementation of DI for content literacy at a site where it is an integral component of the response to intervention (RTI) process. The conceptual framework for this study was principles of differentiation, as defined and discussed by Tomlinson. Research questions were framed to examine how middle school content area teachers defined and implemented …

Perceived Barriers To Oral Health Care Access For Massachusetts' Underserved Parents, Doudelyne Cenafils-Brutus

Walden Dissertations and Doctoral Studies

Poor oral care is detrimental to the overall health of the population. In the United States, oral health diseases affect millions of individuals, especially children and adolescents. Guided by the health belief model, the purpose of this study was to identify parents' perceived barriers to oral health care access among their 5- to 10-year-old children. A phenomenological approach was used to gather data and thematically analyze interview data from 20 parents who were recruited from a health center in the northeastern United States. All participants had at least one child between 5-10 years old and all identified as under-served. Data …

Best Practices In Literacy Achievement To Address Reading Failure For Elementary Schools In One School District, Roxanne Boyd-Williams

Walden Dissertations and Doctoral Studies

The local district in this study has not made adequate yearly progress in the past several years in language arts literacy on state assessments. Particularly problematic were poor reading skills among district students. Poor literacy skills negatively affect student learning across the curriculum. The purpose of this case study was to identify teachers' and administrators' perceptions of best literacy practices, professional development, and administrative decisions regarding literacy learning for primary students in reading at a strong performing elementary school in the district. The target school was selected to help address reading failure for the low-performing schools in this district. Bloom's …

Knowledge, Attitudes, And Beliefs About Preconception Care Among American Adolescent Females, Lynette Collins Collins

Walden Dissertations and Doctoral Studies

Despite an initiative to provide preconception care (PCC) and reproductive life planning (RLP) for all women of childbearing age, many women, especially those with low incomes, are not receiving it. As a result, there continues to be a high rate of infant morbidity and mortality in this population. Furthermore, low income adolescent females have not been adequately studied regarding this phenomenon. The purpose of this phenomenological study was to explore low income adolescent females' knowledge, attitudes, and beliefs about PCC and RLP in order to serve them more effectively. Five low income adolescent females, aged 18 to 21, were recruited …

Delaying First Pregnancies: Canadian Women's Knowledge And Perception Of The Consequences, Deborah Haynes

Walden Dissertations and Doctoral Studies

Many women aged 20-30 are postponing their first pregnancies until their mid 30s and beyond, which has resulted in compressed childbearing years and/or infertility. Little is known about the knowledge and understanding that Canadian women of advanced age (age 35-45) possess of their reproductive capacity. This phenomenological study sought to explore these women's knowledge and perception of their reproductive capacity in relation to the timing of first pregnancy. Research questions using the constructs of Ajzen's theory of planned behavior were developed to explore how the behavioral, normative, and control beliefs of women's childbearing behaviors were based on their perceptions of …

Multiculturalism In United States Higher Education Institutions: The Lived Experiences Of Enrolled International Students, Loretta Arian Ragsdell

Walden Dissertations and Doctoral Studies

Since 2006, international student enrollment in U.S. higher education institutions has increased significantly, which has precipitated an increase in the institutions' multiculturalism. A mechanism to facilitate the integration of students of different cultures within a multicultural institution would be valuable to fostering positive educational experiences for all students. The purpose of this phenomenological study was the inclusion of multiculturalism within U.S. higher education institutions. Banks' multiculturalism theory provided the study's conceptual framework. Six international students were interviewed, and their responses were analyzed to answer 2 research questions concerning the lived experiences of international students enrolled in U.S. higher education institutions …

Risk Factors For Hypertension Among African-Born Immigrants In The United States, John Ojih

Walden Dissertations and Doctoral Studies

Essential hypertension (HTN) has been and continues to be a serious public health problem across the globe, particularly among Black races, with an estimated morbidity rate of over 1 billion people and an estimated mortality rate of 9.4 million people worldwide. Essential HTN can lead to a host of chronic diseases including cardiovascular disease (CVD), stroke, myocardial infarction, brain damage, kidney failure, and retinopathy. The main purpose of this quantitative, descriptive, nonexperimental study was to investigate the association of physical inactivity, length of stay in the United States, immigrants' health status, and food security as risk indicators in the development …

Domestic Violence Intervention Program Facilitators' Motivation For Working With Repeat Offenders, Elaine Marie Barclay

Walden Dissertations and Doctoral Studies

Domestic violence (DV) rehabilitative program facilitators administer the same treatment programs to males who reoffend. When DV facilitators administer the same unsuccessful treatment programs to repeat offenders, facilitators may lose intrinsic and extrinsic motivation to perform their job. For this study a hermeneutic phenomenological methodology approach was used to explore the phenomenon of DV facilitators' motivation. Self-determination theory was used to frame the influence of intrinsic and extrinsic motivation on DV facilitators who administer treatment programs to repeat offending males. A recruitment flyer was placed in the DV organization, data were collected from 7 participants through face-to-face or telephone interviews …

Exploring Barriers To Fathers' Implementation Of Behavioral Interventions For Nonverbal Children With Autism, Michael Lafasakis

Walden Dissertations and Doctoral Studies

Many families, regardless of their ethnic and cultural background, find it challenging to raise a nonverbal child with autism. Parent-implemented behavioral interventions can contribute to positive behavior change related to joint attention, imitation, and communication. However, many parents face barriers that prevent them from implementing behavioral interventions in the home. Very little research has been conducted on fathers of nonverbal children with autism to ascertain their perspectives on these barriers. In this qualitative study, a phenomenological design was used to obtain input from 12 fathers of diverse ethnic and cultural backgrounds residing in New York City regarding barriers to implementing …

The Relationship Between Christian Religiosity And Heterosexism In The Southern United States, Patricia Hare

Walden Dissertations and Doctoral Studies

The internalization of heterosexism places lesbian, gay, and bisexual (LGB) individuals at disproportionately higher risks of depression and self-destructive behaviors. For LGB Christians, this phenomenon is often exacerbated. Although literature on heterosexism has increased, little research has examined more insular, religious environments. The purpose of this study was to examine the relationship between Christian denominational religiosity and heterosexism and to compare the degree of religiosity and heterosexism between members of 5 Christian denominations and between same-sex sexuality perspectives in the southern United States. Guided by the attribution theory, a correlational, cross-sectional survey design was used to analyze degree of religiosity …

Teacher Perceptions Of Professional Learning Community Maturity In Catholic Schools, Jane-Marie Fetty Koelsch

Walden Dissertations and Doctoral Studies

Many Midwestern Catholic schools have implemented professional learning communities (PLCs) to enhance teacher quality and attain school goals. However, not all schools have aligned practices essential to increase maturity in the five PLC dimensions, as defined by Hord. Guided by Hord's framework, this research study investigated teachers' perceptions of PLC maturity in select Catholic schools. A convenience sample allowed an examination of schools engaged in an initiative that included PLCs. Using a sequential explanatory mixed-methods design, the Professional Learning Communities Assessment - Revised was administered to 42 teachers in 4 schools. Quantitative survey data were analyzed using descriptive statistics. Data …

Fresh Fruits And Vegetables In A Rural Elementary School: A Mixed-Methods Program Evaluation, Patricia Marie Moore

Walden Dissertations and Doctoral Studies

The Fresh Fruits and Vegetables Program is a federally funded program intended to increase public school students' fruit and vegetable consumption. The purpose of this mixed-method study was to evaluate the implementation of this program at a rural southwestern Title 1 elementary school to determine teacher perceptions of the program and whether the program met federal goals. Social ecological model and social cognitive theory grounded the investigation. The mixed method design included semi-structured interviews with 11 teachers accompanied by an anonymous web-based open response questionnaire and document reviews. Descriptive statistics were reported for Likert scale survey items and invoice documents …

Examining Teachers' Lesson Plans Following Universal Design For Learning Training, Georgeann A. Winter

Walden Dissertations and Doctoral Studies

With a growing population of culturally and academically diverse student populations in K -12 education, Universal Design for Learning (UDL) has the potential to improve the quality of teaching and learning for all students. However, there is a lack of research on UDL teacher in-service training to determine whether teachers are more effective at implementing UDL once they receive adequate training. The purpose of this quantitative study was to examine changes in teachers' lesson plans following UDL professional training. Seventeen teachers from 5 school districts in the state of Mississippi participated in the study. Teachers' lesson plans were evaluated at …

After-School Activities Policy And The Atlanta Fulton Public Library System, Vincent Chukumah

Walden Dissertations and Doctoral Studies

Public libraries are evolving from their traditional role as promoters of literacy to a new role as providers of community resources, including after-school activities for teenagers. A policy mandate for such activities appears to be lacking though, which might impact negatively their effectiveness. The purpose of this study was to get a better understanding of the existing policy and implementation mechanisms of after-school activities offered by the Atlanta Fulton Library System in Georgia to at-risk teenaged patrons. Moore's theory of innovation and public value provided the theoretical framework for the study. An embedded case study research design was used to …

Barriers Faced By Canadian Aboriginal Adults As They Return To Postsecondary School, Robert Lawrence Campbell

Walden Dissertations and Doctoral Studies

Aboriginal people in Canada are less likely to complete postsecondary education than are non-Aboriginal people. This lack of education leads to increased rates of unemployment and poverty and the need for additional government supports. The purpose of this project study was to identify and examine barriers faced by Canadian Aboriginal adult students as they return to school for postsecondary education. The conceptual framework for this qualitative study was based on the work of Ertmer, which suggests barriers can be placed into broad categories of extrinsic and intrinsic barriers. A case study design was used with a purposeful sample from a …

The Use Of Online Supplemental Materials In College Courses To Improve Retention, Amy Lynn Hennings

Walden Dissertations and Doctoral Studies

First-generation college students continue to have lower retention and success rates in colleges and universities, reducing their likelihood of staying above the poverty line. The study tested Bandura and Vygotsky's social cognitive theories of self-efficacy, self-regulation, and student ability to self-pace in the classroom. The purpose of this study was to explore if offering supplemental online materials to traditional class delivery, which can be self-regulated and self-paced, impacted students' success rates in the class and semester-to-semester retention. Using a quasi-experimental method, first-semester college students, in a small private liberal arts college (N = 678); were compared on use of supplemental …

An Examination Of School Culture And English Language Learner Achievement, Tawanda Blackshear Hunter

Walden Dissertations and Doctoral Studies

English Language Learners (ELLs) do not achieve sufficiently on standardized tests, as required by federal law. Fourth grade ELLs at a suburban elementary school in the Southern United States experienced similar problems in the failure rate on the state standardized test. Still, this school outperformed several of the schools in the same area of the county. In this sequential, explanatory study, teacher and administrator perceptions of school culture and its impact on the achievement of ELLs in a Southern elementary school were examined. Vygotsky's cultural-historical theory provided the theoretical framework to ground this study, as culture within a school could …

Videotaped Role-Play Simulation In Teaching Transcultural Self-Efficacy To Interprofessional Healthcare Students, Holldrid Aner Odreman

Walden Dissertations and Doctoral Studies

Increased demand for culturally sensitive healthcare services suggests that interprofessional beginning healthcare students need to gain the necessary cultural competency skills to be successful in delivering positive health outcomes for diverse patients. Bandura's theory of observational learning, Mezirow's theory of transformative learning, and Purnell's and Paulanka's model of cultural competence informed the framework for this research. The purpose of this quasi-experimental quantitative study was to determine the relationship between mode of instruction (observing role models in videotaped role-play simulation) and increased transcultural self-efficacy in cultural competence instruction. A convenience sample of 196 students enrolled in an interprofessional education (IPE) course …

Supervisory Working Alliance And Job Satisfaction In Community Mental Health Settings, Jennifer Weigelt

Walden Dissertations and Doctoral Studies

Researchers have written extensively on many facets of supervision in the counseling profession, including the supervisee benefits associated with a strong supervisory working alliance. While the majority of studies have focused on the working alliance in academic settings with student trainees, there has been a lack of research exploring the role of the supervisory working alliance in workplace settings, where supervision can be different from supervision offered in a university clinic or counseling center. Employee job dissatisfaction has been a problem identified within the mental health workforce. Researchers have identified effective supervision as a mediating factor. The purpose of this …

Facilitators And Barriers To Physical Activity Among People With Spinal Cord Injury, Laura Nicole Richardson-Smith

Walden Dissertations and Doctoral Studies

Research has shown that people with physical disabilities are at risk for developing secondary health conditions. Many of these secondary health conditions may be reduced by engaging in physical activity, yet people with physical disabilities are less likely to participate in physical activity. Information gaps remain regarding facilitators and barriers to physical activity. The purpose of this phenomenological study was to understand the experiences with physical activity among adults with a spinal cord injury (SCI). Research questions asked were about exercise experiences, barriers and facilitators, and the role of the natural and social environment. The theoretical framework used was the …

Self-Efficacy And Select Characteristics In Nurses Who Respond To A Pediatric Emergency, Nancy Mcneill

Walden Dissertations and Doctoral Studies

Self-Efficacy and Select Characteristics in Nurses Who Respond to a Pediatric Emergency

by

Nancy McNeill

MA, New York University, 1996

BS, New York University, 1987

Doctoral Project Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

June 2016

Nurses at a suburban northeastern U.S. community hospital reported that they felt unprepared to effectively respond to a pediatric emergency. Empirical data were not available to identify if this local problem was due to a lack of the nurses' self-confidence or if other factors were involved. The purpose of this study was to determine …

Influence Of Nontraditional Students On Traditionals In The Community College Classroom, Angela J. Richart-Mayfield

Walden Dissertations and Doctoral Studies

An increase in nontraditional student enrollment continues in community colleges nationwide. Little is known about the interactions between mixed-age groups of students. This qualitative collective case study explored the academic and social influences of non-traditional students on their traditional peers in the community college classroom at a large, midwestern 2-year college. Tinto's interactionalist theory framed the study. Purposeful sampling was used to select 30 participants (13 traditional students, 13 non-traditional students, and 4 instructors) who represented the college population in terms of gender and racial and ethnic diversity. Interview questions were guided by the research questions, and data were also …

Identity-Based Cultural Paradigms, Trauma, And Interethnic Conflict In South Sudan, John Maluk Yak

Walden Dissertations and Doctoral Studies

In 2011, South Sudan became independent through the agreement and implementation of the comprehensive peace agreement (CPA). However, interethnic conflict also escalated. This cycle of violence impacts the psychological and physical health of local society. When violence between ethnic groups escalates, civilians may be forced to flee their homes. This study employed a phenomenological research approach that examined the views and experiences of the recruited 13 members from the state of Jonglei; 5 members of the Dinka, 3 members of the Murle, and 5 members of the Nuer ethnic groups residing in the United States. In an attempt to understand …

Increasing Seasonal Influenza Vaccine Rates In A Black Inner City Population, Barbara E. Beckford

Walden Dissertations and Doctoral Studies

The seasonal influenza (flu) vaccine has been shown to prevent flu outbreaks that can cause debilitating effects on the body and even death. Underserved members of Black communities are more likely to refuse the flu vaccine than are persons of other ethnicities. The purpose of the project was to determine from a needs assessment the reasons for flu vaccine refusal in the Black population of an inner city clinic in order to develop tailored communication and nursing actions that promote awareness of the flu vaccine's importance and safety. The health belief model constructs (perceived susceptibility, perceived severity, perceived benefits, and …

Strategies Functional Managers Use To Control Cyberloafing Behaviors, Emilsen Salazar Holguin

Walden Dissertations and Doctoral Studies

Computer technologies have increased the opportunities for employees to engage in cyberloafing by using the Internet at work for personal purposes. Uncontrolled cyberloafing is a threat to organizational effectiveness because it affects organizational productivity. The purpose of this single case study was to explore successful strategies functional managers use to control cyberloafing behaviors of their employees at an e-learning organization located in the northeastern United States. The theory of planned behavior, which emphasized behavioral, normative, and control beliefs as key elements to predict individuals' intentions to behave was the conceptual framework. Data collection included semistructured face-to-face interviews with 11 functional …

A Program Evaluation Of The Document-Based Question Project, Kimberly Haynes Johnson

Walden Dissertations and Doctoral Studies

Only 1% of students scored in the exceeding range on the Eighth Grade Writing Assessment in a rural Southeastern school district. The purpose of this program evaluation was to explore the effectiveness of the Document-Based Question (DBQ) project in improving student writing. Using interview protocols, work artifacts, and archival student data, a decision-based program evaluation of the DBQ project was conducted using the CIPP model. Administrators and teachers from elementary and middle schools who attended district DBQ project training were invited to participate in this study. One elementary and 1 middle school administrator, 5 elementary teachers, and 7 middle school …

Exploring The Use Of Texting Within San Antonio Texas Police Emergency Reporting, Deborah Lee Almendarez

Walden Dissertations and Doctoral Studies

The introduction of wireless device text messaging, as an alternative to a citizen placing a telephone call for police help, generates the need for new polices and processes relevant to police call-taker, police dispatcher, and police officer response to reported emergencies. Little scholarly research explores the policy issues around the use of text 9-1-1 within public safety answering point operations. Using systems theory as the foundation, the purpose of this qualitative case study was to explore the potential use of written communication via a wireless device text message for reporting a police emergency. Research questions focused on the reciprocal relationships …