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A Predictive Model For Dementia Risk In Elderly Adults With Prediabetes, Susan Elizabeth Alford

Walden Dissertations and Doctoral Studies

Dementia is a serious public health concern in the United States, with a prevalence of 5.2 million. There is currently no effective way to prevent or cure dementia, and the precise etiology is unknown, but it appears there are multiple risk factors. Prediabetes (PD) has been identified as a risk factor although the scientific evidence is conflicting. This study is important to those at high risk for dementia and to healthcare professionals who lack substantiated dementia prevention strategies. The purpose of this case control study was to determine whether PD is associated with dementia in adults aged 65-95 years and …

Perspectives Of Parents Of Students With Disabilities Toward Public And Homeschool Learning Environments, Angie Marie Delaney

Walden Dissertations and Doctoral Studies

Homeschool delivery to students is on the rise, particularly in regards to the education of students with disabilities. At this time, there is a lack of research on homeschooled students with disabilities. The purpose of this phenomenological study was to explore how parents choose a model of education for their children with disabilities. A purposeful sample of 3 distinct groups comprising 13 parents of children with disabilities was assembled: (a) parents who are homeschooling their child with a disability, (b) parents who have decided to enroll their child in the public school system after previously homeschooling, and (c) parents who …

Middle School Teachers' Experiences Regarding The Influence Of Data On Instruction, Anne Marie Gwizdak

Walden Dissertations and Doctoral Studies

This research addressed the data-driven process that teachers utilized to increase student scores on state tests, a process brought forth from a national concern with increased accountability. According to the district website, there is no consistent direction for data use and informal teacher interviews demonstrated varying levels of proficiency and understanding in using available data. Constructivism and learning styles from Vygotsky, Bandura, and Gardner informed this qualitative case study's theoretical framework, which centered on data-driven decision making for instruction. The research questions explored the experiences of middle school teachers in collecting and analyzing data, how the school supported the teachers' …

The Relationship Between Family, Personal, And School Variables And The Math Achievement Of Elementary Students, Regina Wicker Kerr

Walden Dissertations and Doctoral Studies

School administrators and teachers must determine the factors most associated with academic success in order to meet the academic needs of all students. Researchers have identified general risk factors such as student socioeconomic status (SES), but there may be additional unidentified factors correlated to student achievement. The purpose of this study was to explore the relationship between a set of school, family, and personal demographic variables and students' math achievement. Bandura's social learning theory, Vygotsky's zone of proximal development, and Feurestein's mediated learning experience served as the guiding frameworks for this study. A descriptive correlational design was used to examine …

Financial Resources And Technology To Transition To 450mm Semiconductor Wafer Foundries, Thomas Earl Pastore

Walden Dissertations and Doctoral Studies

Future 450mm semiconductor wafer foundries are expected to produce billions of low cost, leading-edge processors, memories, and wireless sensors for Internet of Everything applications in smart cities, smart grids, and smart infrastructures. The problem has been a lack of wise investment decision making using traditional semiconductor industry models. The purpose of this study was to design decision-making models to conserve financial resources from conception to commercialization using real options to optimize production capacity, to defer an investment, and to abandon the project. The study consisted of 4 research questions that compared net present value from real option closed-form equations and …

The Impact Of Common Core Professional Development On Teaching Practices, Elisabeth S. Kannenberg

Walden Dissertations and Doctoral Studies

The adoption of the Common Core State Standards (CCSS) in Mathematics represents a challenge for public educators due to the broad scope of required instructional change. This case study investigated the implementation of a professional development (PD) series across 11 elementary schools, designed to address the problem of insufficient teacher preparation in CCSS pedagogical shifts. Grounded in Vygotsky's social learning theory and constructivism, the training was intended to enhance teacher skills through collaborative, inquiry-based learning. The research questions included in the study examined math teaching practices before and after the implementation of the district training. Through questionnaires and interviews, perceptions …

Weight-Loss Interventions Performed To Reduce The Risk Of Obesity-Related Complications, Victoria Stephanie Stewart

Walden Dissertations and Doctoral Studies

The management of obesity before a woman conceives is one of the most effective efforts a woman can take in decreasing her risk of obesity-related complications during pregnancy. Evidence supports the idea that maternal obesity influences maternal and fetal outcomes, leading to maternal and fetal morbidities. Physicians acknowledge the importance of screening women for obesity, but many do not refer patients for weight-loss therapy. In this study, the health belief model was used to explore the associations between participants' obesity risk of complications during pregnancy, the number of weight-loss interventions they attempted to implement prior to pregnancy, and how they …

A Case Study Of Teachers’ And Administrators’ Experiences Integrating Project-Based Learning, Gastrid Harrigan

Walden Dissertations and Doctoral Studies

Implementation of project-based learning (PBL) has contributed to increases in students’ retention of concepts, engagement, and academic success. The problem for this study is that teachers’ and administrators’ experiences and perceptions have not been sought regarding the integration of PBL in the classroom at the school district. The purpose of this qualitative instrumental case study was to gain a deeper insight into the experiences of teachers and administrators implementing PBL. Centered on the theory of constructivism, the research questions focused on 10 teachers’ and 5 administrators’ experiences integrating PBL. Face-to-face interviews with participants and 10 classroom observations were conducted. Inductive …

Developing A Lifestyle Modification Toolkit To Prevent And Manage Hypertension Among African American Women, Julia Ugochi Ugorji

Walden Dissertations and Doctoral Studies

Hypertension is a global public health issue affecting many people in the United States. African American women remain the highest in percentage by race and ethnicity for developing hypertension with poor risk awareness. Hypertension has costly implications for the health care system. Through lifestyle modifications in the form of a nutrition plan called Dietary Approach to Stop Hypertension and increased physical activity, hypertension could be prevented. Among African Americans, the incidence of hypertension increases in their late thirties. The purpose of the project was to develop a toolkit of resources for African American women between the ages of 20 to …

Diminishing Incontinence In Long-Term Care Using Electronic Health Records, Catherine Rodgers

Walden Dissertations and Doctoral Studies

Urinary incontinence affects up to 70% of residents living in a long-term care facility and can affect their quality of life. Specifically, urinary incontinence has a direct impact on older adults in regards to self-esteem, pressure ulcer development, falls, urinary tract infections, and psychosocial wellbeing. The goal of this quality improvement pilot project was to determine if an electronic health record (EHR) assessment tool could help older adults remain continent longer and assist in maintaining an independent lifestyle. Orem's self-care deficit theory and social cognitive theory were used to determine how the electronic health record incontinence template could be used …

Direct-To-Consumer Advertising Of Drugs And Patients' Health Care Seeking Behaviors, Patricia Elaine Kennedy-Tucker

Walden Dissertations and Doctoral Studies

Known as direct-to-consumer advertising (DTCA), pharmaceutical companies in the United States are permitted to advertise prescription drugs directly to consumers. The purpose of this quantitative study was to determine if an association exists between DTCA and health care-seeking behaviors. The theoretical framework for this study involved social learning theory, information integration theory, and prospect theory. The research questions identified if exposure to DTCA (a) is associated with physician office visits, (b) influences a patient/physician conversation regarding a prescription, (c) influences requesting a prescription, and (d) has an impact on patients' ratings of the overall interaction with the physician. Data were …

African American Race And Culture And Patients' Perceptions Of Diabetes Health Education, Linda Marie Keenan

Walden Dissertations and Doctoral Studies

African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the preferred educational content, layout of material, and methods for educational delivery and caregiver support. A purposive sample of …

Preoperative Education Needs In Ear, Nose, & Throat Clinic: A Patient Perspective, Jonathan Edmun Ramos

Walden Dissertations and Doctoral Studies

A medical center specializing in ear, nose, and throat (ENT) services noted an increase in the number of postoperative ENT complications compared to the national average. The purpose of this mixed-methods project study was to examine ENT patients' preoperative patient education (PPE) needs regarding postoperative care. Grounded in Knowles's model of learning, core adult learning principles were applied as guidelines in facilitating patients' PPE learning. Data were collected from 58 ENT patients who were selected using a convenience sampling method and who responded to a PPE survey using a 5-point Likert scale and open-ended questions. Quantitative data were analyzed using …

Teachers' Expectations And Reading Achievement Of African American Middle School Students, Gloria Denise King Lewis

Walden Dissertations and Doctoral Studies

A local and national concern in education is the persistent achievement gap between African American and Caucasian middle school students. Despite numerous reforms, the gap continues to show African American middle school students performing lower in reading. The purpose of this mixed methods study, framed in the theoretical perspective of Culturally Responsive Pedagogy, was to examine teachers' expectations and the relationship between those expectations and the educational outcomes of African American middle school children. Data were collected to identify pedagogical practices, examine teacher expectations, and determine the relationship between those expectations and student Criterion Referenced Competency Test (CRCT) scores. Nineteen …

Increasing Hpv Vaccination Rates Among Adolescent Males: A Toolkit For Parents, Lance Everette Hadley

Walden Dissertations and Doctoral Studies

According to the Centers for Disease Control and Prevention (CDC), there are approximately 14 million new cases of HPV diagnosed each year (men and women combined). The rate of vaccine administration among adolescent males is much less than it is among females. As a result, the CDC has urged health care providers to work with state and local health care providers to improve the utilization of the HPV vaccine. The purpose of this scholarly project was to develop an educational toolkit, one guided by Ajzen and Fishbein's theory of reasoned action, regarding the value of the HPV vaccine. The toolkit …

Evaluation And Improvement Of An Advisory Program, John Walter Van Ornum

Walden Dissertations and Doctoral Studies

Evaluation and Improvement of an Advisory Program

by

John W. Van Ornum

MS, Brigham Young University, 1989

BS, Brigham Young University, 1987

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

December 2014

This project study investigated the effectiveness of a student advising program at a rural high school in Hawaii. The advisory program was implemented to help students track their progress and prepare them for post-high school college and career choices, yet the program's implementation had not been evaluated. Guided by Erickson's theoretical framework, this quantitative study examined advisory participants' …

The Impact Of Vaccination Schedules On Infants' And Children's Physio-Psychological Health: A Qualitative Investigation, Dina A. Alsalih

Walden Dissertations and Doctoral Studies

Many people may have become increasingly concerned about the risks associated with vaccines. At the same time, there is a lack of qualitative research on the impact of various vaccinations schedules on individuals' physio-psychological health. In addition, "mandatory" versus "nonmandatory, but recommended" vaccines are still under debate in some Western countries. The purpose of this ethnographic study was to provide an in-depth understanding of the beliefs, experiences, and perceptions of adolescents, parents, and health care providers regarding different vaccination schedules. The health belief model was used as the theoretical framework. The sample consisted of adolescents and parents from different vaccination …

Mission Statement Clarity And Organizational Behavior At An Art-Focused High School, Michael Allen Mitchell

Walden Dissertations and Doctoral Studies

Many new institutions struggle with issues of identity and purpose, which can create instability and lack of growth. Mission statements are often used to clearly identify the characteristics that make an organization unique. This study was informed by theories of organizational management, art integration constructivism, and Bronfenbrenner's cultural ecology. The literature indicates that there is a strong connection between a clear and concise mission statement and the organization's behaviors. This study examined a small Southeast Michigan charter school devoted to integrating arts and academic curricula to determine how the stated mission was understood and implemented by its stakeholders. An applied, …

Church-Based Hiv/Aids Prevention For Adults, Hattie Acheampong

Walden Dissertations and Doctoral Studies

Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) disproportionately affect African Americans in the South; given that population's high rate of church attendance, churches have been one potential avenue for HIV/AIDS education. Research has shown the importance of HIV/AIDS education in reducing risk behavior and infection, although church-based HIV/AIDS prevention programs for adults have received little scholarly attention, including the impact of such programs on attitudes, behavioral control, and intention to engage in safe sexual practices. Using Ajzens' theory of planned behavior as a foundation, the purpose of this quantitative study was to explore whether there is a statistically …

Worked Examples In Video Lessons To Reduce Cognitive Load, Kiera Llord-Ratcliffe

Walden Dissertations and Doctoral Studies

Informed parent advocates are essential to planning the educational outcomes of their children with special needs in the K through 12 public school system. However, inappropriate instructional techniques used in advocacy training may reduce trainees' learning outcomes by adding complexity and increasing cognitive load. This study examined whether using worked examples to break down complex problems into component parts to build long term schema could lower cognitive load and thus improve learning outcomes for parent advocacy trainees. Based on cognitive load theory, this 2 x 3 factorial design study examined the efficacy of noninteractive video lessons for parent trainees using …

Instructional Models For English Language Learners As Contributors To Elementary Teachers' Effectiveness, Arleen Elizabeth Folorunsho

Walden Dissertations and Doctoral Studies

Faculty at a public school in Georgia have been unable to explain how and why English language learner (ELL) students improved their performance on English and writing standardized tests. Leadership at this school desired an evidence-based ELL teaching model, which required exploration of this improved performance. The purpose of this qualitative, phenomenological, and heuristic project study was to understand the roots of this ELL achievement. Guided by teacher effectiveness theory, which suggests that examining the role of teachers is a valid way of understanding student achievement, this theory provided a specific construct of effectiveness consisting of distinct behaviors and characteristics. …

Effects Of Coteaching Instruction Between A Speech Pathologist And First Grade Teachers, Chrisonia Busch

Walden Dissertations and Doctoral Studies

The effects of coteaching instruction used by speech language pathologists (SLP) and 1st grade teachers on students' early literacy skills have not been widely examined in current literature. This lack of research may hinder the efforts of SLPs to provide support services for students with and without disabilities who struggle with early literacy skills. Guided by the ecological systems theory, this quasi-experimental study examined the impact of coteaching instruction on students' literacy skills by comparing scores of 2 groups, experimental group who received coteaching and control group who did not receive coteaching instruction. The scores were measured by the final …

Teachers' Perceptions Of The Use Of Read 180 With Secondary Remedial Reading Students, Melanie Mclaughlin Cleveland

Walden Dissertations and Doctoral Studies

Read 180 is a research-based reading intervention program. One local district implemented the program to improve student performance on the state assessment, and after a year of implementation, nearly half of the students in the district studied still did not make adequate progress in reading. The purpose of this study was to explore teachers' perceptions of and experiences with the use of Read 180 in secondary reading classrooms. Guided by Carroll's framework on the critical aspects of implementation, the study examined teachers' perceptions of (a) availability of resources necessary to adhere to the program's design, (b) ample class time to …

The Impact Of Prostate Cancer On Survivors' Sense Of Meaning In Life, Carol Lynn Brady

Walden Dissertations and Doctoral Studies

Research has shown that meaning in life is a universal human need, regardless of cultural identity or education. This research study investigated how the encounter with prostate cancer impacted men's sense of well-being and what they considered meaningful in life. An interpretative phenomenological research design was used because of its descriptive nature and its focus on the individual's perspective. The sample included 6 men between the ages of 18 and 65 who had been out of treatment for 1 year. Participants completed essays about their perceptions and experiences over 3 periods of time: before diagnosis, during treatment, and as survivors. …

Factors Influencing Diabetes Self-Management Of Filipino Americans With Type 2 Diabetes Mellitus: A Holistic Approach, Jocelyn B. Sonsona

Walden Dissertations and Doctoral Studies

There is an increasing prevalence of Type 2 diabetes mellitus among Filipino Americans. However, how well Filipino Americans with diabetes self-manage their disease and what factors influence their diabetes self-management behaviors remain unknown. Based on a holistic approach, this quantitative study was designed to investigate the diabetes self-management behaviors of this population and the factors influencing their self-management behaviors. The combined roles of diabetes knowledge, diabetes self-efficacy, spirituality, and social support were examined in predicting diabetes self-care behaviors. A convenience sample of 113 Filipino Americans with Type 2 diabetes mellitus completed the Diabetes Knowledge Test, Self-Efficacy for Diabetes Test, Daily …

Longevity Of Women Superintendents, Kim C. Sethna

Walden Dissertations and Doctoral Studies

Public schools are facing a leadership crisis regarding the lack of women superintendents in the United States. Although, historically, women have dominated the positions of classroom teachers and outnumbered men in receiving administrative leadership certificates, there is a disproportion in the number of men and women superintendents leading the nation's approximate 14,000 public schools. While current researchers describe the complex roles that the superintendency entails, there is little data on gender differences, specifically, how women superintendents achieve longevity in this role. The purpose of this study was to examine the relationship between the longevity of women superintendents in public school …

Differentiated Instruction In A Standards-Based Middle School Science Classroom, Marsha Ranata Hogan

Walden Dissertations and Doctoral Studies

Middle schools in Georgia and all over the United States face unique obstacles for enhancing the academic accomplishment of an increasingly diverse group of learners. Under pressure to implement innovative research-based teaching practices to overcome these challenges, many schools and teachers adopt differentiated instruction (DI), a teaching approach designed to accommodate different learning styles and levels of ability. This study was grounded in Howard Gardner's multiple intelligences and Lev Vygotsky's zone of proximal development (ZPD) theory. The research questions investigated in this study were designed (1) to explore the perceptions of science teachers regarding how they apply DI and …

Evaluation Of The State Of Georgia's School Instructional Extension Program (Siep) At One Middle School, Taiesha Marie Adams

Walden Dissertations and Doctoral Studies

This study examined the implementation of the State of Georgia's School Instructional Extension Program (SIEP) at one middle school in a rural school district. SIEP was adopted in this district in an effort to improve outcomes for students who demonstrate deficiencies in core-academic subjects. For the past 2 years, SIEP has been used at this study site to address low academic performance in the area of mathematics. However, to date, school leaders have not developed a system to evaluate the efficacy of the program. The purpose of this project study was to conduct a comprehensive program evaluation that addressed the …

Strategies For Creating A Unique Culture In Preparation For Campus Relocation: A Process Evaluation, Dana Ague

Walden Dissertations and Doctoral Studies

The relationship between a college and its founding church changed as the college developed its liberal arts programs and leaders sought to create an independent new culture from the church. Using Clark's organizational saga framework, the purpose of this study was to assess the effects of culture change on this institution. The research questions examined strategies that leaders used to transition the campus to its new reality. A formative, qualitative, process-oriented evaluation was used to collect interview data from 22 institutional leaders and other key stakeholders; data were also collected from institutional documents. The data were then coded and analyzed …

African American Women's Perceptions Of Personal Risks For Heart Disease, Fecelia Laurice Holt

Walden Dissertations and Doctoral Studies

Heart disease has been the primary cause of death among both men and women in the United States. More African American women are developing and dying from heart disease than any other ethnic group; yet, they are less likely than European American women to know that they have the major risk factors for heart disease. The purpose of this study was to determine the overall knowledge and health beliefs about heart disease among African American women. Five health belief model constructs of perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action were applied as the theoretical framework …