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Stigma And Hiv Testing Among African American Women In New Jersey, Mirriam Limage-Pierre
Stigma And Hiv Testing Among African American Women In New Jersey, Mirriam Limage-Pierre
Walden Dissertations and Doctoral Studies
African American women are 18 times more likely to contract HIV than are European American women, yet they are less likely to be tested for HIV. Lack of HIV testing leads to late diagnosis and increased mortality from HIV-related illnesses. Based on the health belief model, this correlational study analyzed the extent to which HIV stigma mediated the relationship between perceived benefits or perceived severity of HIV and the uptake of HIV testing among African American women in New Jersey. A total of 93 African American women aged 18 and older who resided in New Jersey completed online questionnaires. Data …
Teachers' Perceptions Of The Impact Of The Jolly Phonics Program On Students' Literacy, Lorane Evadney Moodie-Reid
Teachers' Perceptions Of The Impact Of The Jolly Phonics Program On Students' Literacy, Lorane Evadney Moodie-Reid
Walden Dissertations and Doctoral Studies
At 2 primary schools in Western Jamaica, students at the Grade 1 level lacked basic literacy skills of comprehension, letter recognition, letter sounds, and oral communication. The purpose of this qualitative evaluation study was to investigate teachers' perceptions of the Jolly Phonics program implemented to improve students' literacy in Grades 1-3. Guided by Engestrom's activity theory, the effectiveness of the Jolly Phonics approach was examined based on the sociocultural learning theories of Vygotsky, Dewey, and Piaget. The research questions focused on teachers' perceptions of the program's impact on students' literacy improvement and of the strategies used in the Jolly Phonics …
Immigration's Impact On Emerging Mental Health Issues Among Kenyans In The Northeast United States, Jane Itumbi Kabuiku
Immigration's Impact On Emerging Mental Health Issues Among Kenyans In The Northeast United States, Jane Itumbi Kabuiku
Walden Dissertations and Doctoral Studies
Immigrants lose their unique psychosocial context when their experiences are subsumed under pan ethnic labels such as Hispanics, Latina/o, Asians or Africans. The stress from navigating different cultural contexts becomes problematic when immigrants operate within mainstream cultural norms that are in conflict with their traditional values. The number of Kenyan immigrants to the United States has steadily increased since the 1980s. The purpose of this descriptive phenomenological study was to study the lived experience of Kenyan immigrants by focusing on their integration experience and how the integration processes may have affected their mental health. Very few studies center on the …
Case Study Of Access To Higher Education Through Technology In The Resource-Poor Country Of Haiti, Jean Jacques Medastin
Case Study Of Access To Higher Education Through Technology In The Resource-Poor Country Of Haiti, Jean Jacques Medastin
Walden Dissertations and Doctoral Studies
According to the Federal Ministry for Economic Cooperation and Development (2012-2013), access to higher education is limited in most of the developing countries due to inadequate budgets and lack of schools and teaching staff. The use of educational technology could help bridge the gap, but research has only explored the use of available technologies to enhance learning where higher education is already accessible. The purpose of this case study was to investigate the use of one-to-many videoconferencing as an education access tool for high school seniors seeking higher education in the most devastated areas of Haiti. The theoretical framework for …
Effect Of Healthy Food Demonstration On Minority Women's Dietary Habits In San Antonio, Texas, Staria Hudson Black
Effect Of Healthy Food Demonstration On Minority Women's Dietary Habits In San Antonio, Texas, Staria Hudson Black
Walden Dissertations and Doctoral Studies
Obesity has become a global epidemic. Healthcare cost continues to increase due to co-morbidities such as diabetes, hypertension, and coronary artery disease associated with obesity. The purpose of this project was to examine whether teaching nutritious food choices to obese African American and Hispanic females in healthy cooking demonstrations would have an effect on their dietary behavior. The holistic self-care model was used to develop healthy strategies for weight loss. The model guided the development of nutritional support, exercise, and spiritual strategies for weight reduction. African American and Hispanic females between the ages of 25 to 64 were solicited from …
Adherence To Self-Care Management Of Sickle Cell Disease Among Caregivers, Muinah Adenike Fowora
Adherence To Self-Care Management Of Sickle Cell Disease Among Caregivers, Muinah Adenike Fowora
Walden Dissertations and Doctoral Studies
The self-care management of sickle cell disease (SCD) improves mortality rate; however, compliance with SCD self-care management remains a problem. The purpose of this study was to examine the knowledge and factors that influence compliance with SCD self-care management recommendations among caregivers of children with SCD. The health belief model was used as the theoretical foundation of this study, theorizing that caregivers' perceived susceptibility, severity, and benefits of SCD self-care management will influence compliance. The study used a quantitative research design. A cross-sectional survey was administered to 100 caregivers of children with SCD attending sickle cell clinics in Lagos, Nigeria …
Association Between Diabetes/Chronic Disease Incidence And Lifestyle Factors Among African-Born Populations, James Walakerwon Gbala
Association Between Diabetes/Chronic Disease Incidence And Lifestyle Factors Among African-Born Populations, James Walakerwon Gbala
Walden Dissertations and Doctoral Studies
Numerous studies have revealed that immigrants' health and well-being is challenged by an increased susceptibility to diabetes/chronic disease as they settle in the United States. This study investigated a potential association between the incidence of diabetes/chronic disease and various lifestyles factors among Sub-Saharan African immigrants and refugees. The lifestyle factors studied were sociodemographics, food practices and dietary habits, access to healthcare and insurance, acculturation, and the length of stay in the United States among these immigrants and refugees residing in Minnesota. The health belief and the socioecological models guided this study to improve understanding of Sub-Saharan African's health behavior and …
Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa
Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa
Walden Dissertations and Doctoral Studies
Health care disparities are U.S. national public health concerns that disproportionately affect minority populations. The focus of published studies on the health of larger immigrant populations from Europe, Asia, South America, and the Caribbean has revealed a knowledge gap on the health of African and other minority immigrants. The purpose of this phenomenological study was to explore disparities in access to maternal and child health (MCH) care as well as the causes and effects of such disparities to care-seeking experiences of recent African immigrants. Andersen's behavioral model of health services use provided the theoretical lenses to interpret study findings. Eleven …
Sustainability Of Small Businesses In Zimbabwe During The First 5 Years, Barbra Sibanda
Sustainability Of Small Businesses In Zimbabwe During The First 5 Years, Barbra Sibanda
Walden Dissertations and Doctoral Studies
Small businesses in Zimbabwe make up 94% of the country's business population but only contribute 15% to the country's economy due to a high failure rate during the first 5 years. The purpose of this descriptive multiple case study was to explore strategies and skills that may contribute to the sustainability of small businesses during the first 5 years. The study population consisted of 5 small business owners in Ntepe village in Zimbabwe who had sustained their businesses for the first 5 years of operations. The conceptual framework that grounded this study was management theory. The data collection process involved …
Novanet's Effect On The Reading Achievement Of At-Risk Middle School Students, Alice Harris Jackson
Novanet's Effect On The Reading Achievement Of At-Risk Middle School Students, Alice Harris Jackson
Walden Dissertations and Doctoral Studies
At-risk and special education students in the 7th and 8th grades in a rural middle school in western Alabama, in the years following the introduction of the No Child Left Behind federal legislation in 2002, failed to achieve adequate yearly progress in reading. School districts are increasingly implementing flexible computer-based intervention programs to improve their students' reading achievement. Using a between-group design, the purpose of this study was to determine whether NovaNET, a newly adopted reading intervention program, enhanced the reading attainment of at-risk and special education students. Guided by constructivist theory, archived reading achievement data from the 2009-2013 Alabama …
Workplace Violence Prevention Program To Improve Nurses' Perception Of Safety In The Emergency Department, April Hough Brown
Workplace Violence Prevention Program To Improve Nurses' Perception Of Safety In The Emergency Department, April Hough Brown
Walden Dissertations and Doctoral Studies
The literature claims that workplace violence (WPV) in the health care setting is among the highest, with the majority of that violence taking place in the Emergency Department (ED). The significance of WPV in reference to nursing is that it leads to burnout, absenteeism, and the risk of nurses leaving their job all together. Leaving the nursing profession intensifies the present critical shortage. With the success of an evidence-based WPV prevention program (WPVPP), hospitals could improve the quality of work for nurses, which consequently will improve retention rates, as well as provide an environment that will be more conducive to …
Professional Learning Communities In A Juvenile Correctional Facility, Altarene Wagner Brown
Professional Learning Communities In A Juvenile Correctional Facility, Altarene Wagner Brown
Walden Dissertations and Doctoral Studies
There is little evidence concerning the impact of professional learning communities (PLCs) at juvenile correctional facilities. This qualitative case study explored the implementation of a PLC at a juvenile correctional facility school that housed students 10 to 19 years of age in southeastern United States. The purpose of this study was to understand the perceptions of teachers and paraprofessionals about how the PLC supported their work as they designed, constructed, and delivered instruction at the correctional facility. The social interactions among engaged educators through collaboration, collective inquiry, reflections, and communication derived from constructivist learning theory. Qualitative methodology included document review …
Perception Of Job Satisfaction And Over Qualification Among African Immigrants In Alberta, Canada, Benard Chi Njeundam Chuba
Perception Of Job Satisfaction And Over Qualification Among African Immigrants In Alberta, Canada, Benard Chi Njeundam Chuba
Walden Dissertations and Doctoral Studies
African-trained landed immigrants in the Alberta labor market are faced with employment over qualification and professional devaluation. Researchers have documented the precarious labor market position of this cohort and efforts undertaken by federal and provincial Canadian governments to address it. Little is known, however, about how these African immigrants perceive job satisfaction and over qualification. Guided by human capital theory, this phenomenological study focused on the perceptions of job satisfaction and over qualification among 11 landed immigrants of African origin in Alberta, Canada. Data were collected using semi structured interviews. Hatch's 9-step technique was used to analyze data, resulting in …
Prevalence And Predictors Of Complementary And Alternative Medicine Use Among Lebanese College Students, Lama Jizi
Walden Dissertations and Doctoral Studies
In Lebanon, estimates of Complementary and Alternative Medicine (CAM) use among college students are not available. CAM practices are not well regulated and some products contain unsafe substances. The purpose of this study was to estimate the prevalence and predictors of CAM use among Lebanese college students using the health belief model. A quantitative cross sectional research design was used. An online survey was administered to 126 Lebanese college students with the aim of determining the most important predictors of CAM use. A majority (89%) of surveyed students reported the use of CAM in the last 12 months. Based on …
Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor
Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor
Walden Dissertations and Doctoral Studies
Nondisclosure of positive status drives the secondary transmission of human immunodeficiency virus (HIV) infection. This cross sectional quantitative survey study grounded by the consequence theory evaluates fear of stigma, lack of social support, and level of HIV-related knowledge as barriers to self-disclosure of HIV-positive status to stable heterosexual partners. A sample of 303 HIV-infected respondents (111 men and 192 women) accessing antiretroviral therapy at 4 designated centers in Warri, Nigeria, completed the self-administered questionnaires. Logistic regression analysis was used to assess the association between these factors and spousal HIV-positive status disclosure. Results demonstrated: (a) social support availability significantly predicted HIV …
Experiences Of Colorado Parents As They Recognized Their Child's Mental Illness, Lori Salgado
Experiences Of Colorado Parents As They Recognized Their Child's Mental Illness, Lori Salgado
Walden Dissertations and Doctoral Studies
Mental illness is not only the leading cause of disability among adults, but there is also an emerging public health crisis in childhood mental illness. A majority of parents do not recognize symptoms of psychological disorder in their children, and current policies and programs for mental health service delivery are not sufficiently responsive to the early help-seeking dynamics of families. Using a concurrent mixed methods design, this study explored how parents in the Pikes Peak region of Colorado learned to recognize their child's mental illness. Phenomenological interviews, augmented by poetic inquiry and quantitative measurements, were used to discover factors that …
Equipping Teachers To Meet The Needs Of Students With Emotional And Behavioral Disorders, Christie Mcduffee Elam
Equipping Teachers To Meet The Needs Of Students With Emotional And Behavioral Disorders, Christie Mcduffee Elam
Walden Dissertations and Doctoral Studies
The increase of students with an emotional and/or behavioral disorder (EBD) and the increased time they are in the regular education classroom presents multiple challenges for untrained regular classroom teachers. At the local site it was noted that leadership needed a deeper understanding of the practices used by the teachers with EBD students. The purpose of this study was to identify educator's descriptions of effective instructional strategies when working with EBD students. Using Vygotsky's theories of defectology and zone of proximal development as the framework, the guiding questions for this study focused on training, instructional strategies, and behavior management tools …
The Leadership Experiences Of Immigrant Nigerian Women In New York City, Osinachi Muoka
The Leadership Experiences Of Immigrant Nigerian Women In New York City, Osinachi Muoka
Walden Dissertations and Doctoral Studies
Nigerian women face numerous cultural difficulties in their quest to attain leadership positions in Nigeria, a developing country. They are often overlooked in favor of men due to politics, religious beliefs, education, and bias in gender roles. When Nigerian women emigrate to a new country, the challenges are even greater. Although several United States policies impact the ability of a female immigrant to attain a leadership position 'the Equal Pay Act, Affirmative Action, and the Equal Employment Opportunity Act' little research has examined the challenges that affect their quest to attain leadership positions in the United States. This study explored …
Teacher Perception Of Technology As A Conduit To Acquiring Critical Thinking Skills, Wanda Pearl Patrick
Teacher Perception Of Technology As A Conduit To Acquiring Critical Thinking Skills, Wanda Pearl Patrick
Walden Dissertations and Doctoral Studies
Seventh-grade and eighth-grade special education students struggle to learn higher-order thinking skills in pre-algebra and algebra that can be addressed by using technology. However, little is known about science, technology, engineering, and math (STEM) teachers' attitudes toward use of and their actual use of calculators and technology to access students' development of higher-order thinking skills. The purpose of this qualitative case study was to explore the perceptions of rural middle school Grade 7 and 8 STEM teachers in one Western state. This study used Gardner's multiple intelligences and Armstrong's neurodiversity theories as a framework. Participants were 10 Grade 7 and …
Perceptions Of Stroke Risks Among West African Male Immigrants In San Diego, Lawrence Agi
Perceptions Of Stroke Risks Among West African Male Immigrants In San Diego, Lawrence Agi
Walden Dissertations and Doctoral Studies
The incidence and knowledge of the risk factors of stroke across ethnic groups in the United States have been examined in multiple studies. However, it is not well known if the foreign-born African immigrants who constitute about 4% of the U.S. immigrant population are at a higher risk of the incidence of stroke than are other nonimmigrant population in the U. S. This ethnographic study explored the perceptions of Anglophone African male immigrants residing in San Diego on the risk factors of stroke. The theoretical framework for this study included the health belief model and the health promotion model. Data …
The Effects Of Reader's Theater On Reading Comprehension And Fluency Of Fifth-Grade Students, Laura Ashley Black
The Effects Of Reader's Theater On Reading Comprehension And Fluency Of Fifth-Grade Students, Laura Ashley Black
Walden Dissertations and Doctoral Studies
According to the National Institute of Child Health and Human Development, an estimated 75% of students who are poor readers in 3rd grade continue to be poor readers in 9th grade. Although much research has been conducted on this topic, engaging and successful reading programs that put theory into practice are scarce. Reader's theater is a strategy students use to collaborate, rehearse, and critique one another while the teacher offers support and modeling. The research questions addressed the effectiveness of using Reader's Theater to improve scores in reading fluency and comprehension. LaBerge and Samuels' automaticity theory was used as the …
Exploring The Financial Management Skills Of Independent Rock Bands, Mary A. Hobson
Exploring The Financial Management Skills Of Independent Rock Bands, Mary A. Hobson
Walden Dissertations and Doctoral Studies
In the post-Napster era of disruptive innovations, independent artists are managing more nonmusical roles and more revenue streams to remain competitive and earn a living wage from their music. The purpose of this single case study was to explore the financial management strategies that one independent rock band needed to understand music royalties. Disruptive innovation was the conceptual framework used to guide the study. The sample was comprised of 4 members of an independent rock band based in Northeast Ohio. The selected band met the criteria for the study as members who earned revenue from copyrighted works, merchandise, and CD …
Incidence And Factors Associated With Nonalcoholic Fatty Liver Disease Among Patients With Rheumatoid Arthritis, Ani K. John
Incidence And Factors Associated With Nonalcoholic Fatty Liver Disease Among Patients With Rheumatoid Arthritis, Ani K. John
Walden Dissertations and Doctoral Studies
Nonalcoholic fatty liver disease (NAFLD) has become one of the most common hepatic diseases worldwide, making the diagnosis and management of NAFLD an emerging public health issue. Theories associated with NAFLD surmise that inflammation may be the root cause, along with the complex interplay of other chronic conditions such as obesity, metabolic syndrome, diabetes, dyslipidemia, and cardiovascular disease (CVD). It is unknown if other inflammatory conditions such as rheumatoid arthritis (RA), along with the use of methotrexate (MTX), might confer increased risk for NAFLD. Longitudinal data collected from a retrospective cohort of 17,481 adult RA patients in the United States …
Obesity Among Women In Rural Kenya: Knowledge, Beliefs, And Perceptions., Ann Mugo
Obesity Among Women In Rural Kenya: Knowledge, Beliefs, And Perceptions., Ann Mugo
Walden Dissertations and Doctoral Studies
Obesity or being overweight is a prevalent health concern around the world. Despite the growing problem in developing countries such as Kenya, there is scant literature available on obesity or being overweight among women in rural Kenya. This research study provides information necessary for bridging the gap in understanding the perceptions, beliefs, and knowledge of obesity among women in rural Kenya. This study used the social cognitive theory (SCT) framework to assist in understanding the impact of obesity or being overweight among women living in rural Kenya. Participants were women aged 20 to 45 recruited from a local church in …
Improving Health Literacy With Clear Communication, Carol Barbara Wilson
Improving Health Literacy With Clear Communication, Carol Barbara Wilson
Walden Dissertations and Doctoral Studies
Health literacy is demonstrated when individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions. Veteran health literacy is believed to be lower than the general population due to the aging and culturally diverse population. Veterans require adequate health literacy to manage their diverse high acuity physical injuries, psychological conditions, and chronic diseases. Clear communication between the clinician and veteran patient is essential to provide high quality health services. The objective of this quality-improvement project was to evaluate the ability of nurses in the ambulatory environment to identify low health literacy patients and …
Comparing Fountas And Pinnell's Reading Levels To Reading Scores On The Criterion Referenced Competency Test, Shunda F. Walker
Comparing Fountas And Pinnell's Reading Levels To Reading Scores On The Criterion Referenced Competency Test, Shunda F. Walker
Walden Dissertations and Doctoral Studies
Reading competency is related to individuals' success at school and in their careers. Students who experience significant problems with reading may be at risk of long-term academic and social problems. High-quality measures that determine student progress toward curricular goals are needed for early identification and interventions to improve reading abilities and ultimately prevent subsequent failure in reading. The purpose of this quantitative nonexperimental ex post facto research study was to determine whether a correlation existed amongst student achievement scores on the Fountas and Pinnell Reading Benchmark Assessment and reading comprehension scores on the Criterion Reference Competency Test (CRCT). The item …
The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle
The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle
Walden Dissertations and Doctoral Studies
The Patient Protection and Affordability Act of 2010 (PPACA) addressed the access to healthcare in the United States. One of the problems of this healthcare access was rooted in disproportionally lower access among minority populations. The purpose of this quantitative study, guided by the consumer behavior theory, was to examine the association between race/ethnicity and enrollment within the Covered California-?¢ (CoveredCA) Insurance Exchange. A cross-sectional study design was used to investigate the association between race/ethnicity and the use of Covered CA health benefit exchange. Logistic regression analysis was used to examine the relationship between enrollment and race/ethnicity, having adjusted for …
Rural High School Mathematics Instructional Practices And Students' Academic College Readiness, Luajean Erna Bryan
Rural High School Mathematics Instructional Practices And Students' Academic College Readiness, Luajean Erna Bryan
Walden Dissertations and Doctoral Studies
Rural high school graduates in the United States lag behind in college math preparedness, therefore prompting researchers to identify instructional practices that would advance student math performance. This quantitative research study investigated specific teacher practices and their correlation with student gains in college math preparedness on the American College Test (ACT). Data were collected using a teacher questionnaire to quantify the level of reform practices among a sample of six math teachers and used ACT pre and posttests to assess 312 11th grade students' gains in college math readiness in a public rural high school in Southeast Tennessee. Correlation analysis …
Chiropractic Student Infection Control Practices And Methicillin-Resistant Staphylococcus Aureus Skin Infections, Jonathon Todd Egan
Chiropractic Student Infection Control Practices And Methicillin-Resistant Staphylococcus Aureus Skin Infections, Jonathon Todd Egan
Walden Dissertations and Doctoral Studies
Chiropractic training involves many hours of skin contact, and chiropractors have manual contact with millions of patients annually, but chiropractic has only had professional clinical hygiene guidance since 2010. Methicillin-resistant Staphylococcus aureus (MRSA) is the most common cause of cultured skin and soft tissue infection (SSTI) in the United States. Using the epidemiologic triad of person, place, and time as a framework, this quantitative, cross-sectional study obtained the first assessment of MRSA SSTI incidence among chiropractic students and its association with infection control behaviors (hand and table hygiene, sharing gowns, and sharing lotion) and initiation of patient care. The study …
Associations Between Healthcare Facility Types And Healthcare-Associated Infections, Aretha D. Miller
Associations Between Healthcare Facility Types And Healthcare-Associated Infections, Aretha D. Miller
Walden Dissertations and Doctoral Studies
Healthcare-Associated Infections (HAIs) continue to be an epidemiological issue burdening patients and public health systems worldwide. The purpose of this study was to determine if specific healthcare facility types (Acute Care Hospitals, Long Term Acute Care Hospitals, and Inpatient Rehabilitation Facilities) were associated with particular categories of HAIs: Ventilator-Associated Pneumonias (VAPs), Central Line-Associated Bloodstream Infections (CLABSIs), and Catheter-Associated Urinary Tract Infections (CAUTIs). The theoretical framework for this study was the environmental determinants of infectious disease framework. A single research question focused on whether an association existed among the specified health care facility types and HAIs. Three independent categorical variables were …