Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Education (1971)
- Medicine and Health Sciences (1903)
- Social and Behavioral Sciences (1529)
- Public Health (835)
- Nursing (792)
-
- Educational Administration and Supervision (740)
- Psychology (736)
- Public Health Education and Promotion (605)
- Teacher Education and Professional Development (546)
- Public Affairs, Public Policy and Public Administration (420)
- Business (381)
- Arts and Humanities (349)
- Public Policy (273)
- Epidemiology (213)
- Health and Medical Administration (185)
- Instructional Media Design (181)
- Sociology (181)
- Elementary and Middle and Secondary Education Administration (176)
- Public Administration (154)
- Curriculum and Instruction (147)
- Physical Sciences and Mathematics (137)
- Business Administration, Management, and Operations (131)
- Clinical Psychology (131)
- Educational Assessment, Evaluation, and Research (121)
- Higher Education Administration (118)
- Race, Ethnicity and Post-Colonial Studies (118)
- Mental and Social Health (114)
- Social Work (112)
- Higher Education and Teaching (111)
- Pre-Elementary, Early Childhood, Kindergarten Teacher Education (110)
- Keyword
-
- Education (129)
- Leadership (87)
- Professional development (83)
- Nursing (77)
- Retention (70)
-
- Reading (58)
- Technology (58)
- Diabetes (54)
- Literacy (54)
- Professional Development (54)
- Obesity (51)
- Self-efficacy (49)
- Depression (48)
- Qualitative (48)
- Perceptions (47)
- African American (46)
- Motivation (44)
- Management (42)
- Teachers (40)
- Mathematics (39)
- Women (37)
- Elementary (35)
- Mental Health (35)
- Stress (35)
- Evaluation (33)
- Resilience (33)
- Culture (32)
- Autism (30)
- Communication (30)
- Inclusion (30)
- Publication Year
Articles 511 - 540 of 5800
Full-Text Articles in Entire DC Network
Perceptions Of Nonclinical Healthcare Executives On Advancing Physical Therapists Into Executive Healthcare Leadership Positions, Lindsey Johnston
Perceptions Of Nonclinical Healthcare Executives On Advancing Physical Therapists Into Executive Healthcare Leadership Positions, Lindsey Johnston
Walden Dissertations and Doctoral Studies
Healthcare professionals often aspire to transition beyond clinical roles into organizational leadership. In particular, physical therapists may seek executive leadership opportunities beyond rehabilitation departments. However, there is limited understanding of how nonclinical healthcare executives perceive physical therapists advancing into these roles. This qualitative study aimed to understand nonclinical healthcare executives' perceptions regarding physical therapists’ advancement to executive healthcare leadership positions. The study was guided by new institutional theory and Level 5 leadership theory and addressed four research questions to explore these perceptions in depth. A general qualitative methodology was employed, with data collected through semistructured, virtual interviews with eight nonclinical …
Educational Leaders’ Perceptions Of Disproportionality In The Identification Of Elementary Gifted Students, Vincent Corrigan
Educational Leaders’ Perceptions Of Disproportionality In The Identification Of Elementary Gifted Students, Vincent Corrigan
Walden Dissertations and Doctoral Studies
Despite years of research on best practices in gifted program identification, racially diverse, linguistically diverse, and socioeconomically disadvantaged student populations continue to be underrepresented in elementary gifted programs. Guided by Renzulli’s three-ring conception of giftedness and practical system for identifying gifted and talented students, the purpose of this qualitative study was to explore local educational leaders’ perceptions of disproportionality in the identification of students for elementary gifted programs in a large public school system in the Eastern United States. For this basic qualitative design, data were collected through semistructured interviews with 18 educational leaders from the local elementary principal population. …
Staff Education On Depression Screening In Young Adults, Irene Micere Njeru
Staff Education On Depression Screening In Young Adults, Irene Micere Njeru
Walden Dissertations and Doctoral Studies
Summary This doctoral project was on staff education. The practice problem was a knowledge deficit regarding depression screening by staff nurses at a local acute inpatient psychiatric facility. The practice-focused question was as follows: Will education on depression screening for young adults (18-to-28-year-olds) increase knowledge on the use of evidence-based depression screening tools by nursing staff in an inpatient psychiatric crisis facility? The purpose of the doctoral project was to educate staff nurses at a local acute inpatient psychiatric facility on the PHQ-9 depression screening tool for individuals aged 18 to 28 years. The project included a PowerPoint presentation, a …
Beyond The Individual: Community Socioecological Correlates Of Mass Shootings In A Cross-Sectional Analysis, Barbara (Basia) E. Lopez
Beyond The Individual: Community Socioecological Correlates Of Mass Shootings In A Cross-Sectional Analysis, Barbara (Basia) E. Lopez
Walden Dissertations and Doctoral Studies
Mass shootings represent an urgent and persistent threat to public safety in the United States, yet most research has focused on individual-level characteristics, leaving community-level socioecological conditions comparatively underexamined. This study addressed this gap in knowledge through an examination of the statistical correlations between community-level characteristics and mass shooting incidence using Ostrom’s social-ecological systems theory as a guiding framework. A cross-sectional quantitative design was employed using secondary data from The Violence Project, the U.S. Census Bureau, Neighborhood Atlas National Data Archive, and publicly available law enforcement and policy records. Multiple regression analysis was performed to test both main and interaction …
Relationship Between Doctor Communication And Patient Satisfaction In Inpatient Units In California, Sandra Viehoever
Relationship Between Doctor Communication And Patient Satisfaction In Inpatient Units In California, Sandra Viehoever
Walden Dissertations and Doctoral Studies
Effective doctor communication is an important determinant of patient satisfaction in inpatient units. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures patient satisfaction and influences reimbursement rates under the Hospital Value-Based Purchasing Program. The purpose of this retrospective quasi-experimental quantitative study was to examine the possible relationship between doctor communication and patient satisfaction in inpatient units in California. The Donabedian framework provided the theoretical framework to examine possible relationships between the variables. Publicly available data were collected from 290 hospitals in California that participated in the HCAHPS survey between July 2022 and June 2023. Results of …
Strategies To Reduce Waiting Times In A Hospital Emergency Department, Gillian Denise Browne-Farrell
Strategies To Reduce Waiting Times In A Hospital Emergency Department, Gillian Denise Browne-Farrell
Walden Dissertations and Doctoral Studies
Leaders of the emergency departments (EDs) globally, especially in the United States face persistent challenges addressing staffing issues in the ED and increased wait times. The purpose and review question for this integrative review was to investigate strategies and best practices to decrease waiting times in a hospital ED. The Theory of Constraints framework served as the theoretical foundation for this review. An examination of the literature published within the past five years identified 101 relevant articles. From these articles, 30 empirical and non-empirical articles were selected for further analysis using the Johns Hopkins evidence-based practice model and six major …
Postpartum Experiences Of Arab Women And The Educational Role Of The Mother, Diana Ikki
Postpartum Experiences Of Arab Women And The Educational Role Of The Mother, Diana Ikki
Walden Dissertations and Doctoral Studies
Women in the Arab world traditionally observe a 40-day postpartum rest period, during which they rest, follow specific rituals, and learn to care for their newborn under the guidance and care of a family matriarch, typically their mother. Despite the prevalence of this practice, there is limited empirical research exploring the educational role of Arab mothers during their daughters' postpartum period; this qualitative study addressed this gap. Foundational to this study’s theoretical framework was Ramona Mercer’s theory of maternal role attainment. The study addressed two research questions: how Arab women describe their postpartum experiences and the educational role their mothers …
Staff Education On Culturally Tailored Hispanic Diabetes Management In A Primary Care Community Clinic, Robyn Elizabeth Reeves
Staff Education On Culturally Tailored Hispanic Diabetes Management In A Primary Care Community Clinic, Robyn Elizabeth Reeves
Walden Dissertations and Doctoral Studies
The Hispanic population is the fastest-growing ethnic minority in the United States, and they have a 66% chance of developing Type 2 diabetes mellitus (T2DM). Less than half of Hispanic patients with diabetes achieve optimal glycemic control due to cultural barriers and dietary issues. At the project site, a primary care practice in the southeastern United States regarding cultural competency training in diabetes management for Hispanics was identified. The practice-focused question was: Does providing education to primary care staff improve their knowledge of diabetes management among Hispanic patients with diabetes, as evidenced by pre- and post-surveys? In the project, I …
The Problem With Consumer Affordability Of Prescription Medications In The United States, Valerie E. Bell
The Problem With Consumer Affordability Of Prescription Medications In The United States, Valerie E. Bell
Walden Dissertations and Doctoral Studies
Consumer affordability of prescription drugs is an ongoing problem in the United States. This study was undertaken to research the financial, physical, and economic effects of drug prices on consumers and the methods used by consumers to address such effects. Rational choice and power and politics theories were used to explain the decisions consumers make when they could not afford their medications and the role policies and politics play in drug pricing. The research questions concerned the relationship between consumers’ perceptions of drug pricing and their ability to purchase medications. The quantitative nonexperimental study involved the administration of a survey …
Effective Strategies That Marketing Leaders Use To Increase Fan Base, Denise Leslie Rosa
Effective Strategies That Marketing Leaders Use To Increase Fan Base, Denise Leslie Rosa
Walden Dissertations and Doctoral Studies
Despite its growth and potential, the Women’s National Basketball Association (WNBA) consistently struggles to generate profit, remaining unprofitable in its 28th (2024) season and heading into its 29th (2025) season. The inability of women’s professional basketball marketing leaders to generate increased revenue and fan engagement has limited the sport’s growth and visibility. Grounded in McCarthy’s four Ps of marketing concept that includes product, price, place, and promotion, the purpose of the qualitative pragmatic inquiry project was to identify and explore effective and innovative marketing strategies that marketing leaders use to increase the revenue of women’s professional basketball teams and their …
Experiences Of Women In K–12 Educational Technology Leadership Positions, Natalie M. Johnson
Experiences Of Women In K–12 Educational Technology Leadership Positions, Natalie M. Johnson
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the lack of women in K–12 educational technology leadership positions in the United States. The purpose of this basic qualitative study was to explore the experiences of women in K–12 educational technology leadership regarding the challenges and successes they encountered in achieving and maintaining their positions. Feminist standpoint theory formed the framework for this study. Semistructured interviews were conducted with 10 women who were active or former K–12 educational technology leaders in public schools across the country. Open and pattern coding were used to support thematic analysis. An overarching theme of gender bias …
Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco
Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco
Walden Dissertations and Doctoral Studies
The increasing prevalence of obesity and mental health disparities among Hispanic/Latino populations in the United States underscores the need to understand how sociocultural factors shape physical and psychological health. The purpose of this study was to examine how acculturation, diet quality, and fiber intake affect BMI and depressive symptoms over time. The study was guided by acculturation theory and the biopsychosocial model. The study used longitudinal secondary data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with a sample of N=8,816, including adults who completed examination visits, 1 (2008–2011) and 2 (2014–2017). Path analysis was conducted to assess direct …
Perceived Impact Of Participating As A Former Immigrant High School Athlete In A Program That Prioritized Social-Emotional Needs And Self-Determination Of Young Adult Males, Filip Cejovic
Walden Dissertations and Doctoral Studies
Many studies have confirmed the positive impacts of extracurricular activities on students' academic achievement and social success, but also revealed that few educational policies go beyond addressing the most basic needs of language and lunch for immigrant students. As the process of assimilation can impact numerous factors and long-term outcomes for these students, this study explored extracurricular program structures that prioritize participants’ psychological needs and whether these structures have a positive impact on immigrant students’ self-determination, intrinsic motivation, and future success. This qualitative, practice-focused case study examined a purposeful sample of one boys’ high school soccer program at a public …
Intrinsic Motivation Teaching Experiences Of Middle School Educators 4 Years After The Pandemic, Carmy Aristor
Intrinsic Motivation Teaching Experiences Of Middle School Educators 4 Years After The Pandemic, Carmy Aristor
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has altered the educational landscape, significantly impacting middle school educators’ intrinsic motivation to teach. While research has extensively addressed the immediate impacts of the pandemic on education, there remains a gap in understanding how middle school educators make sense of their intrinsic motivation teaching experiences 4 years after the pandemic. Grounded in intrinsic motivation as the conceptual framework supported by the self-determination theory (SDT), the purpose of this qualitative study was to gain an understanding of the intrinsic motivation teaching experiences of middle school educators 4 years after the pandemic. The central research question examined the lived …
Relationship Of A Business Simulation Course To Act Applied Math Outcomes, Brenda Lorraine Savage
Relationship Of A Business Simulation Course To Act Applied Math Outcomes, Brenda Lorraine Savage
Walden Dissertations and Doctoral Studies
Little evidence links the use of business simulations to advances in the higher order thinking skills that high school students need to prepare for careers in finance. The problem for this study was that students in three southern high schools had limited success on the ACT Applied Math Assessment, and there was a need to explore the relationship of a newly implemented stock market trading simulation course to student success on the assessment. Kolb’s experiential learning theory, which was aligned to the simulation activities, guided the study. The purpose of this quantitative predictive study was to determine whether participation in …
Lived Experiences Of Leader Development And Action Inquiry In For-Profit Social Entrepreneurs, Kymm J. Nelsen
Lived Experiences Of Leader Development And Action Inquiry In For-Profit Social Entrepreneurs, Kymm J. Nelsen
Walden Dissertations and Doctoral Studies
For-profit social enterprises (FPSEs) represent a growing response to urgent social and environmental challenges. Yet little is known about how their leaders develop internal capacities to navigate the tensions of hybrid business models. This interpretive phenomenological analysis (IPA) explored the lived experiences of FPSE leaders, focusing on meaning-making, developmental action inquiry, and leader evolution within profit- and mission-driven contexts. Rooted in ego development theory, developmental action inquiry, and the action logic framework, the study examined intrapersonal and systemic aspects of growth. Eleven U.S.-based FPSE leaders with at least 3 years leading a mission-driven enterprise and 5 years of total leadership …
Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah
Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah
Walden Dissertations and Doctoral Studies
Extant literature reports increased uptake of maternal health care utilization in Liberia in the era following the 14-year civil war that ended in 2004. The purpose of this secondary quantitative data analysis study was to examine the relationship between women’s place of residence, women’s earnings spending autonomy, and maternal health care utilization of women ages 15–49 in Liberia. Maternal health care utilization in this study is measured by women’s visits to government hospitals for antenatal care. Maternal health care utilization indicates whether women who were pregnant within the 3 years before the 2019–20 Demographic Health Survey in Liberia attended any …
Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver
Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver
Walden Dissertations and Doctoral Studies
Maternal health disparities among homeless non-Hispanic Black women in Georgia represent a critical public health concern, driven by inequitable access to care and elevated risks of adverse pregnancy outcomes. This study examined how homelessness influences perinatal care utilization (timing and frequency of prenatal visits and postpartum checkups) and pregnancy complications (gestational diabetes, hypertension, and depression), and whether these associations differ by geographic context (urban versus rural). Grounded in the Social Determinants of Health framework, the study used a quantitative cross-sectional design, analyzing secondary data (n = 1,540; weighted ≈ 203,571) from Phase 8 (2017–2021) of the Pregnancy Risk Assessment Monitoring …
The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu
The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu
Walden Dissertations and Doctoral Studies
The COVID-19 lockdown impacted chronic diseases care globally, but there is limited research on how individuals in rural Nigerian communities managed diabetes during this period. This qualitative phenomenological study explored the lived experiences of self-management with diabetes during the COVID-19 lockdown among adults in Esan Northeast. The socioecological model (SEM) served as the guiding conceptual framework, allowing for the exploration of the impact of individual, interpersonal, community, and institutional factors on self-care behaviors. The research explored how cultural, social and economic factors impacted how adults with diabetes in Esan Northeast managed their condition during the COVID-19 lockdown. Semi-structured interviews via …
Predicting Dietary Behavior In Obese Adult Diabetics Using Social Cognitive Theory, Precious Mueller
Predicting Dietary Behavior In Obese Adult Diabetics Using Social Cognitive Theory, Precious Mueller
Walden Dissertations and Doctoral Studies
Predicting Dietary Behavior in Obese Adult Diabetics Using Social Cognitive Theory by Precious Mueller MA, University of Phoenix, 2009 BS, University of Iowa, 2006 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University November 2024 “ Diabetes mellitus Type II is a prevalent and serious condition affecting millions globally, particularly among obese adults. The association between dietary behaviors and diabetes management is critical, as it directly impacts health outcomes and quality of life for affected individuals. This study aims to identify the determinants of dietary behaviors that influence Type II …
Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman
Parents’ Experiences With Their Child’S Psychotherapy And Mental Illness, Valerie Marsman
Walden Dissertations and Doctoral Studies
Low parental engagement—especially among fathers and ethnic minority groups like Latinx parents—in child psychotherapy increases the risk of treatment dropout, behavioral issues, and poorer outcomes, contributing to persistent disparities. More research was needed on perceptual barriers and facilitators to parental engagement such as attitudes, beliefs, and expectations. The purpose of this study was to gain an in-depth understanding of parents’ experiences with their child’s psychotherapy and mental illness to facilitate parental engagement in services that support the child. An interpretative phenomenological approach and multiperspectival focus group design were used to illuminate each participant’s voice and explore overarching themes. Hill’s theory …
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Kenyan Perspectives Of Trauma: A Hermeneutic Phenomenological Study On The Lived Experiences Of Helping Professionals, Megan Flinn
Walden Dissertations and Doctoral Studies
This research addresses the critical gap in counseling literature regarding multicultural and trauma-informed training, particularly relevant given Kenya’s documented trauma and limited mental health resources, highlighting the need for incorporating lived experiences into research to equip counselors for increasingly globalized practice. The present hermeneutic phenomenological study aims to fill a gap in the literature by exploring the lived experiences of Kenyan helping professionals as they care for survivors of trauma in their country of origin. A previous data set was used, consisting of interviews from four Kenyan helping professionals in 2019, all whom worked actively with survivors of trauma at …
Expatriate Educators' Perspectives Of Transformational Leadership Practices In International Schools In Kuwait, Stacey Howe
Expatriate Educators' Perspectives Of Transformational Leadership Practices In International Schools In Kuwait, Stacey Howe
Walden Dissertations and Doctoral Studies
Effective leadership is crucial for educational success, yet its definition varies across cultures, which may cause communication issues, especially in culturally diverse environments like international schools. The purpose of this quantitative study was to explore differing perceptions of transformational leadership (TL) between 68 expatriate teachers and 27 administrators, representing response rates of 22% and 47%, respectively, in three Kuwait international schools. Grounded in Bass's TL theory, the Global Transformational Leadership survey, an anonymous online survey with each of seven leadership domains represented by one item, was used in the study. Data collected on a 5-point frequency scale were analyzed using …
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Walden Dissertations and Doctoral Studies
The scholarly community understands little about the experiences of lesbian, gay, bisexual, and transgender (LGBT) young adults as they transition out of the foster care system. This study explored the lived experiences and difficulties encountered by LGBT young adults after exiting foster care. Grounded in Erikson’s theory of psychosocial development, this qualitative dissertation employed a phenomenological design to interpret how participants made sense of their transitions. Recruitment was conducted through a flyer posted on Facebook and the Department of Children and Family Services; 10 LGBT young adults participated in 60-minute interviews. Using interpretative phenomenological analysis, the study revealed six overarching …
Positive Social Emotional Influences Experienced By College-Educated Black Men During Their K–12 Education In U.S. Public Schools, Lyzanethia Howard
Positive Social Emotional Influences Experienced By College-Educated Black Men During Their K–12 Education In U.S. Public Schools, Lyzanethia Howard
Walden Dissertations and Doctoral Studies
Although negative experiences and unfair factors in the K–12 educational experiences of Black males are well-researched, very little research is found on the positive contributions toward their educational success. As some Black males successfully complete K–12 schooling and advance to the college level, it is imperative to understand the factors that positively contributed to their educational advancement. Guided by Yosso’s theory of community cultural wealth, this basic qualitative study explored six aspects of cultural capital—the aspirational, familial, linguistic, resistant, navigational, and social capital—that contributed to the educational success and advancement of Black males during their journeys through the U.S. K–12 …
Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray
Exploring Exemplary Leadership Practices Of Elementary Principals, Latoya R. Gray
Walden Dissertations and Doctoral Studies
There is insufficient understanding regarding the educational leadership practices that have enabled one elementary school, out of 23, to achieve continuous school improvement in ELA and mathematics in Grades 3–5 over 3 consecutive academic years. Although all schools in the district implemented a uniform curriculum, the study site consistently increased the percentage of students scoring proficient or above in both subjects during 2022, 2023, and 2024, as measured by the state end-of-grade assessment. This qualitative single-case study explored how an elementary principal in a suburban Georgia district achieved continuous improvement through distinctive leadership practices. Grounded in Kouzes and Posner’s framework …
A Chat Room In A City Of Missouri's Public Safety Answering Point, Rochele Wynee' Young
A Chat Room In A City Of Missouri's Public Safety Answering Point, Rochele Wynee' Young
Walden Dissertations and Doctoral Studies
Despite new and emerging communications technologies to improve access to 911 emergency services for people with speech, hearing, and cognitive disabilities, there continue to be access barriers for those who may require silent communications due to the nature of the emergency. Chat rooms in 911 communications present a promising solution to this challenge. However, the current literature has inadequately examined the use of chat rooms in 911 communications, mainly due to the nascent nature of this technology. This study aimed to fill that gap by providing valuable insights to enhance access to 911 emergency services for individuals who may require …
Experiences Of Supervisees Developing Culturally Responsive Skills Through Clinical Supervision, Jaime Lyn Parker
Experiences Of Supervisees Developing Culturally Responsive Skills Through Clinical Supervision, Jaime Lyn Parker
Walden Dissertations and Doctoral Studies
Culturally responsive supervision has been shown to be beneficial to supervisees (Adams et al., 2023). A research gap exists in culturally responsive clinical supervision through the lens of supervisees’ experiences; as a result, supervisors are ill-equipped to offer culturally responsive clinical supervision. The purpose of this narrative inquiry study was to explore supervisees’ culturally responsive experiences in clinical supervision. Grounded in critical race theory, this study highlights the narratives of marginalized voices as they share their stories of developing culturally responsive skills through clinical supervision. That is, the research question explored the experiences of counseling supervisees as they develop culturally …
Understanding Elementary Teachers’ Experiences Implementing Technology In A 1:1 Classroom, Susan Mccurry
Understanding Elementary Teachers’ Experiences Implementing Technology In A 1:1 Classroom, Susan Mccurry
Walden Dissertations and Doctoral Studies
The availability of technology resources in elementary classrooms is becoming more commonplace, including environments where every child has a laptop. The problem addressed in this basic qualitative study was that elementary school teachers in kindergarten through the fifth grade struggled to adapt their teaching to the 1:1 technology-based approach at Fennario School District (FSD, a pseudonym), an urban southern elementary schools. The purpose of this study, framed by Magana’s translational, transformative, transcendent, framework for innovation in education, and Bandura’s theory of self-efficacy, was to explore elementary school teachers’ successes, challenges, and the resources needed to integrate 1:1 laptop technology in …
Latent Tuberculosis Infection Treatment Adherence Among Black/African American People Living In Houston, Texas, Napoleon Ayibo Wokoma
Latent Tuberculosis Infection Treatment Adherence Among Black/African American People Living In Houston, Texas, Napoleon Ayibo Wokoma
Walden Dissertations and Doctoral Studies
Early detection and treatment of latent tuberculosis infection (LTBI) is crucial in preventing active TB and supporting elimination efforts. However, adherence to LTBI treatment is challenging, especially among racial and ethnic minorities, with Black/African Americans showing particularly low rates. A quantitative retrospective chart review was conducted to examine sociodemographic factors affecting LTBI adherence in Black/African American individuals and to evaluate various adherence strategies. Using the health belief model, 435 deidentified secondary data records were analyzed from the Houston Health Department from 2012 to 2022, covering both native and foreign-born Black/African American patients undergoing LTBI treatment. Descriptive and inferential statistics, including …