Digital Commons Network^™

Perceptions Of Obese African American Women Regarding Altering Traditional Soul Food Preparation, Patricia A. Young

Walden Dissertations and Doctoral Studies

The obesity epidemic continues to be a major concern in the United States. The World Health Organization reported that 1.4 billion adults were either obese or overweight. African American (AA) women have the highest incidence of obesity worldwide. The obesity rate among AAs has continued to rise over the past 2 decades. The problem is that AA women prepare and consume high caloric foods that contribute to obesity. This qualitative descriptive study explored the perceptions that obese AA women have about altering how they prepare soul food to make it a healthier soul food. The empowerment model and the health …

Early Interventionists' Perspectives Of Self-Efficacy With Neonatal Abstinence Syndrome, Adrienne Anderson

Walden Dissertations and Doctoral Studies

An increasing number of infants are diagnosed with neonatal abstinence syndrome (NAS) as a result of prenatal opioid exposure. Early intervention services are recommended for this population of children and families to mitigate developmental delays associated with NAS. The effectiveness of early intervention is dependent on the ability of interventionists who deliver these services. The purpose of this qualitative case study was to explore early interventionists' perspectives of self-efficacy when working with infants diagnosed with NAS and their families. Bandura's self-efficacy theory and Rotter's concept of locus of control provided the conceptual framework for this study. The study's guiding research …

A Determinant For Measuring The Quality Of Tutoring Services Provided By Supplemental Educational Providers, Dovie Denise Dawson

Walden Dissertations and Doctoral Studies

Title I federal regulations provide funding to school districts to support Supplemental Educational Service (SES) tutoring services to qualified economically disadvantaged K-12 students and that these services should be monitored by school districts to determine its effectiveness. However, a school district in Southern California that is the focus of this convergent parallel design study has not provided sufficient oversight of the SES tutoring program resulting in ambiguity about policy implementation effectiveness. Using a theoretical framework of policy implementation as the foundation, the purpose of this study was to explore the role that quality of service played when administrators implemented the …

Effective Internal Controls For Recognizing Contracting Revenues, Antonio Ghaleb

Walden Dissertations and Doctoral Studies

Business leaders of contracting companies in Qatar struggle to develop appropriate internal controls over revenue estimates to mitigate the risk of financial statement manipulation. Grounded in the internal control framework of the Committee of Sponsoring Organizations of the Treadway Commission, the purpose of this multiple case study was to explore strategies that business leaders responsible for financial reporting use to develop and implement effective internal controls for recognizing contracting revenues. Nine participants from 3 private contracting companies in Qatar who had implemented strategies to develop and implement effective internal controls for recognizing contracting revenues participated in face-to-face semistructured interviews. Through …

Strategies For Healthcare Payer Information Technology Integration After Mergers And Acquisitions, Kishore Maranganti

Walden Dissertations and Doctoral Studies

Despite the high rate of failure in merger and acquisition (M&A) transactions, many organizations continue to rely on M&As as their primary growth strategy and to address market competition. The purpose of this qualitative single case study was to explore strategies managers from a large healthcare payer in the midwestern United States used to achieve operational and strategic synergies during the postacquisition information technology (IT) integration phase. Haspeslagh and Jemison's acquisition integration approaches model was the conceptual framework for the study. Methodological triangulation was established by analyzing the data from the semistructured interviews of 6 senior executives and 6 IT …

The Need For Cognition And Critical Thinking Skills And Depressive Symptoms In College Students, Jill Maschio

Walden Dissertations and Doctoral Studies

This dissertation concerns the relationship between the symptomatology of depression and cognition. The purpose of this study was to investigate the assumptions of Beck's negative cognition theory regarding the relationship between patients' lack of ability to reason and depression. Beck noticed that people with depression failed to consciously examine the basis upon which their negative self-defeating reality is founded. This study examined a relationship between critical thinking skills and the need for cognition (the desire to think about ambiguous information) and levels of depression and education. The participants were 75 postsecondary undergraduate and graduate students from both online and traditional …

Understanding Students' Perceptions Of Cultural Diversity, Catherine Moss

Walden Dissertations and Doctoral Studies

Diversity is a positive aspect of a student's educational experience. Current literature supports the value of diversity, confirming that skills are developed within a diverse learning environment that prepares students to thrive in a competitive global economy. The leadership at University X (UX) had implemented various initiatives to improve diversity, yet the problem addressed in this study was that students perceived differently, citing that diversity growth lacked progress. The goal of this single case study was to bring forth change with a specific intervention created to elevate diversity and a positive campus climate. Maslow's hierarchy of needs was used to …

Cash-Flow Management Strategies In Small And Medium-Sized Occupational Health Enterprises, Sibongiseni Selby Myeni

Walden Dissertations and Doctoral Studies

Small businesses are critical to the success of a country's economy. The leaders of the South African government focus on the role of small and medium-sized enterprises (SMEs) to boost the economy and eradicate inequality, poverty, and unemployment. However, the sustainability track record of South African SMEs remains one of the worst records in the world. Therefore, it is essential that stakeholders improve the sustainability of SMEs. Using the resource-based view conceptual framework, the aim of this multiple case study was to explore the strategies that occupational health SME leaders use to manage cash flow to achieve sustainability for longer …

A Case Study On Learning Transfer In A Social Service Organization, Cynthia A. Barnes

Walden Dissertations and Doctoral Studies

Support from managers, training specialists, and human resource development specialists is needed if social service employees are to transfer learning to their organizations. There is a gap in the literature about managers, training specialists, and HRD specialists familiarizing employees with learning transfer expectations. This study addressed the way social service employees transferred what was learned after attending normal training classes. The research questions focused on learning transfer expectations for the employees, conditions that addressed during the learning transfer, processes that are in place where there was not a learning transfer initiative, and the way learning was used by employee. The …

Quantifying The Spectrum Of Depression, Octavious Bishop

Walden Dissertations and Doctoral Studies

Walden University

College of Social and Behavioral Sciences

This is to certify that the doctoral dissertation by

Octavious Bishop

has been found to be complete and satisfactory in all respects,

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Thomas Edman, Committee Chairperson, Psychology Faculty

Dr. Ricardo Thomas, Committee Member, Psychology Faculty

Dr. Joanna Bissell-Havran, University Reviewer, Psychology Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Quantifying the Spectrum of Depression

by

Octavious Bishop

MA, University of Texas at Austin, 2008

BS, University of Texas at Austin, 2001

Dissertation Submitted in Partial Fulfillment …

An Examination Of The Student-Focused Transition Planning Process In A Rural Setting, Pamela Lynne Brezenski

Walden Dissertations and Doctoral Studies

In the local state special education transition aged postoutcome survey measurements, high school students with disabilities (HS-SWDs) continue to demonstrate problems with unemployment, independent living, and postsecondary education as they transition to adult life. HS-SWDs receive instruction from transition planning teams (TPTs) to address educational attendance, independent living, agency collaboration, and employment skills. When these knowledge and skills are not acquired, HS-SWDs cannot gain employment or attend postsecondary institutions. The purpose of this qualitative, bounded case study was to explore the TPT members' perspectives of the transition planning process. Kohler's transition taxonomy guided this study. The research questions were used …

Screening And Educating Military Veterans About Post-Traumatic Stress Disorder, Jane Egbufoama

Walden Dissertations and Doctoral Studies

Veterans are at increased risk for developing mental illnesses because of separation from families, distressing experiences in the military, and previous injury to the brain. Approximately 30% of U.S. veterans returning from war suffer from post-traumatic stress disorder (PTSD). The incidence of acute PTSD is reduced when victims are aware of the condition and its associated factors. Through education and screening, the project bridged the gap between deployment of military veterans and treatment of PTSD in this population by addressing whether screening veterans and providing an educational process affected veterans' early PTSD recognition and treatment. The project study addressed the …

Multifactor Capital Asset Pricing Model In The Jordanian Stock Market, Mohammad Kamel Elshqirat

Walden Dissertations and Doctoral Studies

A valid and accurate capital asset pricing model (CAPM) may help investors and mutual funds managers in determining expected returns and thus, may increase profits which can be reflected on the community resources. The problem is that the traditional CAPM does not accurately predict the expected rate of return. A more accurate model is needed to help investors in determining the intrinsic price of the financial asset they want to sell or buy. The purpose of this study was to examine the validity of the single-factor CAPM and then develop and test the validity of a multifactor CAPM in the …

Creation Of An Evidence-Based Practice Guideline For A Seclusion Alternative, Patricia Green

Walden Dissertations and Doctoral Studies

Seclusion is a behavioral management intervention used at the practicum site to manage maladaptive behaviors seen in mentally ill patients. Seclusion is not a voluntary occurrence for patients. The practice-focused question asked: Can development of an evidence-based practice (EBP) guideline help guide health care providers in the development of a multisensory room as an alternative to seclusion for people living with mental health disorders (PLWMHD)? The purpose of this DNP project was to develop the EBP guideline for a multisensory room as an alternative to seclusion for the practicum site. To aid in the development of the EBP guideline, the …

Effects Of Stigma On The Use Of Spirituality By Older Black Men Living With Hiv, Warren Lee Miller

Walden Dissertations and Doctoral Studies

Previous research on HIV stigma and the use of spirituality by people living with HIV/AIDS is scarce. Moreover, the research with older Black men who have sex with men (BMSM) is scant. The focus of this qualitative transcendental phenomenological study was to examine the lived experiences of BMSM living with HIV aged 50 and older with encounters of HIV stigma on the use of spirituality. The research questions were designed to explore the lived experiences of aging, HIV stigma, and spirituality. Conceptually, this study was framed within the minority stress theory and the HIV stigma framework. Data were collected through …

An Exploration Of The Causes Of Success And Failure Of Managed Change, Michael Moore

Walden Dissertations and Doctoral Studies

Change management (CM) and organizational development are mature industries with decades of research and development. Yet, failure rates stated for organizational change initiatives remain high at 70%. This failure rate suggests that 30% of change initiatives were successful, but no reports of these successes were found in the literature. The overarching question considered the experiences of change leaders of successful CM initiatives. The conceptual framework for this research consisted of change models defined by Burke, Kotter, Schein, and others. The primary purpose of this study was to identify the strategies used by successful change leaders. 10 phone interviews with senior …

Breast Cancer Disparities Among African American Women Corresponding To Health Service Barriers, Dianne Jamerson

Walden Dissertations and Doctoral Studies

African American women tend to experience higher health disparities in cancer-related illness than any other female population in the United States. The purpose of this qualitative case study was to identify and examine access-related barriers that play a significant role in the decision-making process of this population when seeking breast cancer health services. The central research question explored the effect that barriers to health care have on African American women in the Southeastern region of the United States. Secondary research questions explored the role the Patient Protection and Affordable Care Act of 2010 has on improving access to affordable, quality …

Stress And Job Satisfaction In Career College Criminal Justice Department Heads, Sherria Nicole King

Walden Dissertations and Doctoral Studies

There has been a significant amount of research on the impact of stress and job satisfaction amongst employees in a multitude of professional settings, including the criminal justice and higher education field. Yet, information on criminal justice professionals who work in more untraditional types of higher education institutions, such as career colleges, was lacking. The purpose of this quantitative research study was to examine whether there is a significant relationship between stress, job satisfaction, and being employed as a criminal justice department head within a career college institution and compare whether heads of other departments within career college institutions differ …

Resiliency And Age As Predictors Of Academic Performance Among Adult Online Students With Trauma-Related Disabilities, Carrie Lebarron

Walden Dissertations and Doctoral Studies

Understanding the importance of resilience in academic performance as it pertains to adult online students is valuable to the people who provide services to, work with, and are a part of the population. The need to develop and enhance social programs that will improve outcomes for students with trauma-related disabilities is beneficial in increasing graduation rates and improving on the time it takes for adult online students to graduate. There is also a need for research focused on students with trauma-related disabilities because the literature in the field was found to be lacking in information. The purpose of the study …

Demographic Differences, Self-Esteem And Sexual Assertiveness Among Black Women, Sharon Lewis-Keith

Walden Dissertations and Doctoral Studies

There is a high HIV prevalence rate for Black women in Virginia; however, few scholars have examined how sexual assertiveness and self-esteem against HIV vary within this group. Black women who have low levels of self-esteem may increase their risk for HIV. The purpose of this quantitative cross-sectional study was to determine if four aspects of sexual assertiveness (sexual initiation, sexual refusal, HIV/AIDS/STD communication, and contraception/STD prevention) differed across demographic categories and were associated with self-esteem in a diversified group of Black women living in Virginia. A cross-sectional survey was conducted with a community-based sample of 117 adult Black women. …

Weight Bias In Healthcare: An Investigation Of Impact On Obesity, Jennifer Scheffler, Fnp

Walden Dissertations and Doctoral Studies

More than two-thirds of Americans are obese or overweight. Obesity rates have risen to an epidemic level, contributing to health inequalities and leading to reduced health-related quality of life. When obese and overweight persons face weight bias by health care providers, fragmented care may occur. Ensuring positive relationships with healthcare providers is important in helping those who are obese or overweight. The purpose of this project was to understand the factors that contribute to negative weight bias in the provider-patient relationship and to identify the most effective interventions that would reduce stigmatizing attitudes and support self-awareness, acceptance, and resolution for …

A Program Evaluation Of A Preadolescent Girls' Youth Development Program, Linda F. Weekley

Walden Dissertations and Doctoral Studies

Programs that include skills to help girls successfully navigate the difficulties of preadolescence have been shown to be beneficial. One such youth development program in the southeastern part of the United States began in 2014 but has had no formal evaluation completed. The purpose of this qualitative study was to conduct a utilization-focused process evaluation, asking questions that addressed the perceptions of a school leader (n = 1) and volunteers of the program (n = 8). Their input was solicited concerning successful implementation strategies used, and recommendations for adaptations, recruitment, and volunteer training. Semistructured interviews were conducted using predetermined open-ended, …

Patient Experience And Readmissions Among Medicare Shared Savings Programs Accountable Care Organizations, Benjamin Michael Anderson

Walden Dissertations and Doctoral Studies

In 2011, Medicare patients represented the largest share of total readmissions and health costs when compared to all other patient categories. Because patient-centered care drives the use of health services, the U.S. Patient Protection and Affordable Care Act outlined improving the patient experience to reduce readmission rates; however, the relationship between patient experience and readmissions is not well understood. Grounded in systems theory, the purpose of this correlational study was to determine if the relationship between patient experience and readmission rates in Medicare Shared Savings Program accountable care organizations. Data from the Consumer Assessment of Healthcare Providers and Systems survey …

Analytic Extensions To The Data Model For Management Analytics And Decision Support In The Big Data Environment, Nsikak Etim Akpakpan

Walden Dissertations and Doctoral Studies

From 2006 to 2016, an estimated average of 50% of big data analytics and decision support projects failed to deliver acceptable and actionable outputs to business users. The resulting management inefficiency came with high cost, and wasted investments estimated at $2.7 trillion in 2016 for companies in the United States. The purpose of this quantitative descriptive study was to examine the data model of a typical data analytics project in a big data environment for opportunities to improve the information created for management problem-solving. The research questions focused on finding artifacts within enterprise data to model key business scenarios for …

Intervention Specialists' Perceptions Of A Tutoring Program For High School Students With Disabilities, Jerlisa M. Calhoun

Walden Dissertations and Doctoral Studies

Students with disabilities (SWD) at an urban high school in Midwestern United States experienced academic, social, and emotional problems. When SWD experience difficulties in high school, they may drop out and face potentially life-long problems. The purpose of this case study was to understand how a Response to Intervention (RTI) tutoring program addressed the academic, social, and emotional needs of students using the RTI model as a conceptual framework. The research questions addressed intervention specialists' perceptions of how use of the RTI model helped them meet SWD needs and what tutoring documents revealed about tutoring practices. Data sources consisted of …

Perceptions Of Black Heterosexual Men In An Involuntarily Childless Relationship Considering Adoption, Richard P. Campbell

Walden Dissertations and Doctoral Studies

Research on involuntary childlessness and adoption among heterosexuals is primarily focused on women's needs and perceptions. Consequently, little is known about how men view childlessness and adoption, and less is known about Black men's perceptions. The purpose of this qualitative case study was to explore Black heterosexual men's experiences of considering adoption when involved in an involuntarily childless relationship. Bronfenbrenner's ecological systems theory served as a foundation for this study. Data were derived from semi structured interviews with 7 participants and 3 adoption professionals. Transcribed and coded data were analyzed using MAXQDA 2018, a qualitative data analysis software. Initial codes …

Understanding Experiences Of The Bermuda Government's Youth-Serving Professionals In Transformational Coaching, Nicola Feldman

Walden Dissertations and Doctoral Studies

Public administrators and civil servants working with vulnerable youth have the challenging yet critical job of supporting their young clients in overcoming adversity and achieving optimal life outcomes. Public administrators and civil servants work with vulnerable youth to help shift their trajectories toward positive life outcomes; however, if these professionals are not thriving in the workplace, they may not have the best possible positive influence on youth. Little was known about how to support the ability of professionals to experience professional thriving, defined as the experience of feeling energized at work and motivated toward professional growth and success. The purpose …

Changes In Attitudes Towards Substance Use Among High School Students, Laura Sue Catherine Elias

Walden Dissertations and Doctoral Studies

Use of alcohol and illicit drugs during adolescent development can have negative effects on cognitive functioning and mental health. The purpose of this cross sectional study was to examine grade level, sex, athletic affiliation, and ethnicity as they relate to substance-using attitudes to isolate the period in which shifts in attitudes toward substance use in adolescents occur. The social learning theory provided the framework for the study. Participants included 276 high school students from a midsized Midwestern city. Students in the ninth, 10th, 11th, and 12th grades who participated in the study were asked to complete a brief electronic survey …

Perinatal Residents' Perceptions Of Confidence Gained Through Their Preceptors, Veritta Henderson

Walden Dissertations and Doctoral Studies

The importance of preceptorships, as a mechanism to transfer knowledge of evidence-based nursing practices and developing confidence in nurses, is well-known. However, the effectiveness of preceptorships to develop confidence in perinatal nurses who provide safe care to childbearing women is unknown. Guided by Kolb's model of experiential learning and using a narrative analysis approach, this study examined perinatal nurse residents' perceptions of experiences that enhanced learning and developed confidence during preceptorship. Twenty nurses who completed a perinatal nurse residency of 18 weeks or more in the past 12 months participated in audiotaped, structured interviews. Their answers were transcribed and data …

Strategies For Adopting Additive Manufacturing Technology Into Business Models, Robert Martens

Walden Dissertations and Doctoral Studies

Additive manufacturing (AM), also called 3-dimensional printing (3DP), emerged as a disruptive technology affecting multiple organizations' business models and supply chains and endangering incumbents' financial health, or even rendering them obsolete. The world market for products created by AM has increased more than 25% year over year. Using Christensen's theory of disruptive innovation as a conceptual framework, the purpose of this multiple case study was to explore the successful strategies that 4 individual managers, 1 at each of 4 different light and high-tech manufacturing companies in the Netherlands, used to adopt AM technology into their business models. Participant firms originated …