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Walden Dissertations and Doctoral Studies

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Emotional Eating In The Work Place: The Eating Patterns Of Mental Health Workers, Carly Rene Zies Jan 2017

Emotional Eating In The Work Place: The Eating Patterns Of Mental Health Workers, Carly Rene Zies

Walden Dissertations and Doctoral Studies

More than a third of all adults in the United States are considered obese. Due to the high costs of health care for obese adults and children, obesity has become a national health crisis. Many government programs have been developed to curtail obesity in adults and children. Unfortunately, there has only been limited success. Past research has shown that obesity has been linked to stress and eating while stressed. Emotional eating occurs when individuals respond to certain emotions, such as stress, by eating to cope with the emotion. Research has shown a correlation between nursing and disordered eating. Given the …

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Restaurant Management Strategies To Comply With Food Safety Regulations, Dr. Carlos Juan Calcador Jan 2017

Restaurant Management Strategies To Comply With Food Safety Regulations, Dr. Carlos Juan Calcador

Walden Dissertations and Doctoral Studies

The recent economic crisis in Puerto Rico has created decreased health department fiscal capabilities, adding more responsibilities to health department officials in charge of restaurant inspections without adding more operational funds, which in turn led to less regulatory capacity. This situation instigated increased food safety regulation violations, and food safety legislation changes, imposing more economic pressure to restaurant owners, which leads to a lack of restaurant sustainability. The purpose of this case study was to explore strategies six business visionaries, smart entrepreneurs, who have positioned themselves as successful restaurateurs, in the restaurant industry in Puerto Rico. They were key factors …

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African American Charitable Giving In Charlotte, North Carolina: Engagement Strategies, Keith Eric Cradle Jan 2017

African American Charitable Giving In Charlotte, North Carolina: Engagement Strategies, Keith Eric Cradle

Walden Dissertations and Doctoral Studies

Nonprofit agencies are instrumental in U.S. society and local communities. While there is significant outreach targeted for wealthy and middle-class Caucasian families, there is a lack of targeted effort for African Americans. The purpose of this case study was to explore the strategies development directors use to engage and retain African American donors. The focus of the research questions was what factors lead to successful engagement campaigns for African Americans. The qualitative case study was suitable for gathering data from multiple sources of information, including an interview questionnaire and existing literature. A purposeful sampling strategy was appropriate for choosing 5 …

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Development Of A Program Evaluation For A Preceptor Preparation Program, Olivia Hagos Jan 2017

Development Of A Program Evaluation For A Preceptor Preparation Program, Olivia Hagos

Walden Dissertations and Doctoral Studies

A significant nursing shortage exists in the United States, which is compounded by high turnover rates. Skilled nurse preceptors are needed to train and assimilate nurses, which would improve retention of nurse preceptors, facilitate transition of nurses to the practice environment, and increase the number of preceptors within the organization. A preceptor preparation program in a 300-bed hospital was developed to promote nurse preceptor success while enhancing learning outcomes and creating a supportive work environment. The organization's leaders are interested in the successes of the program and its long-term role in retaining nurse preceptors who completed the preceptor preparation program. …

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Transformational Leadership Strategies For Addressing Voluntary Employee Turnover, Chris A. Osisiogu Jan 2017

Transformational Leadership Strategies For Addressing Voluntary Employee Turnover, Chris A. Osisiogu

Walden Dissertations and Doctoral Studies

For every standard deviation of increase in employee turnover, organizations could suffer a roughly 27% decline in financial performance. Current voluntary employee turnover rates hover between 15% - 40% and the associated unquantifiable indirect costs affecting customer loyalty and creating reputational risks for business leaders. Furthermore, when employees leave an organization for another, a minimum of 95% leave with trade secrets, strategic skills, and acquired knowledge. As a result, turnover has evolved into a significant concern for organizational leaders. Using the transformational leadership concept, the purpose of this single case study was to explore the leadership strategies that bank leaders …

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Facilitating Environmental Enrichment In Senior Care Activities With Professional Development, Celia Mary Ross Jan 2017

Facilitating Environmental Enrichment In Senior Care Activities With Professional Development, Celia Mary Ross

Walden Dissertations and Doctoral Studies

There is little known about the current state of professional development and continuing education practices for empowering activity professionals to better enhance environmental enrichment in long term care. The purpose of this qualitative study was to explore the activity professional's perceived role and best strategies for professional development to enrich the long-term care environment. The study used social cognitive theory as its theoretical framework to develop research questions focused on the views of activity professionals concerning professional development and continuing education to support care for long-term care residents. Using a narrative approach, 9 activity professionals were recruited through networking at …

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The Impact Of Parental Incarceration On Childhood Health, Nastassjiah Cunningham Jan 2017

The Impact Of Parental Incarceration On Childhood Health, Nastassjiah Cunningham

Walden Dissertations and Doctoral Studies

Many children in the United States have experienced the imprisonment of a parent, given the country's high rate of incarceration. Researchers have found that such children have a higher likelihood of having health problems than do other children. However, a gap in current literature exists regarding these children's ability to acquire needed health care services to accommodate health issues resulting from the experience of parental incarceration. Therefore, the purpose of this quantitative study was to examine the relationship between these children's health status and their experience of parental incarceration. Bowlby's attachment theory, along with life course theory, constituted the conceptual …

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Retail Big-Box Development And Small Business Strategy At The Local Level, Katherine F. Kem Jan 2017

Retail Big-Box Development And Small Business Strategy At The Local Level, Katherine F. Kem

Walden Dissertations and Doctoral Studies

The big-box superstore has created a dramatic effect on the retail landscape since its appearance in 1962. As big-box stores proliferate, small business owners continue to struggle with how to compete. The purpose of this multiple case study was to identify and explore strategies small business owners use to maintain or grow profit margins post big-box store market entry. The sample consisted of 5 small business owners in Kansas City, Missouri who survived the entry of the big-box store for at least 1 year. The conceptual framework was the general systems theory and systems thinking. Data were collected using semistructured …

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Development Of An Evidence-Based Practice Guideline For Prevention Of Diaper Dermatitis, Nanita Flavier Lim-Sulit Jan 2017

Development Of An Evidence-Based Practice Guideline For Prevention Of Diaper Dermatitis, Nanita Flavier Lim-Sulit

Walden Dissertations and Doctoral Studies

Diaper dermatitis, an acute inflammatory reaction of the skin, is one of the most common forms of dermatitis among neonatal and pediatric patients. The problem addressed in this quality improvement project was the absence of an evidence-based practice (EBP) guideline for perineal care which resulted in 4 unexpected cases of diaper dermatitis per 100 hospital days at a non free standing children's hospital. Framed within Rosswurm and Larrabee's model for EBP, the purpose of this project was to develop an educational initiative encompassing an EBP guideline for perineal care, an educational curriculum plan for staff members, and a Power Point …

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Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson Jan 2017

Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson

Walden Dissertations and Doctoral Studies

Homelessness is a major social problem in the United States and this nation has the largest number of homeless women. Minority women appear to be more affected than other individuals. Specifically, they are more vulnerable, impoverished, and disenfranchised than all other groups in the nation. These factors affect their emotional well-being and ability to move toward and achieve sustainability. Particularly, African-American women are disproportionately represented in the homeless population, yet they have not been adequately examined in research studies and there are minimal empirical studies that focus on homeless African-American women. Beck's cognitive behavioral therapy (CBT) and Weiner's attribution theory …

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Assessing Plant-Based Food Lifestyle To Reduce Obesity Risk, Erna Siregar Jan 2017

Assessing Plant-Based Food Lifestyle To Reduce Obesity Risk, Erna Siregar

Walden Dissertations and Doctoral Studies

Despite an increasing number of healthy lifestyles throughout the country, Americans, including Native Hawaiians, keep gaining weight. Unlike several American lifestyles that have resulted in weight gain within the American population, the vegetarian lifestyle is a scientifically proven method for decreasing body weight and maintaining the weight loss for more than 1 year. This study aimed to compare the lifestyle patterns of 4 vegetarian lifestyles and 1 nonvegetarian lifestyle among Native Hawaiians aged 21 and older using their body mass index (BMI). This quantitative study utilized a correlational design, which is particularly suitable for examining the relationship of BMI to …

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Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom Jan 2017

Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom

Walden Dissertations and Doctoral Studies

Marketing decision makers often employ stereotypes in their advertising messages, but constant exposure to negative messages is offensive to older consumers and contributes toward ageism. The general problem is that many senior adults feel dissatisfied with advertising directed toward them and may not purchase products that they could otherwise enjoy. Based on the tenets of social identity theory, the purpose of this study was to explore the perceptions of a group of senior consumers toward the stereotypes used to portray older adult models featured in magazine advertisements by uncovering the factors that influence purchasing decisions and the stereotypes that are …

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Factors Influencing Doctors Ordering Of Clinical Lab Tests: A Qualitative Study, Lakshmanan Suresh Jan 2017

Factors Influencing Doctors Ordering Of Clinical Lab Tests: A Qualitative Study, Lakshmanan Suresh

Walden Dissertations and Doctoral Studies

Qualitative studies exploring the factors behind a doctor's decisions to order clinical laboratory blood testing are lacking. A better understanding of these factors can help in formulating interventions that could improve the quality of health care and limit costs. The purpose of this qualitative case series study was to identify factors that influence a doctor's decision to order routine clinical laboratory blood tests. Fifteen doctors from Western New York, working in different hospital settings, were interviewed. There were 5 doctors in each case type: major, community, and private hospitals. When analyzed by case, there was a difference between the three …

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Keeping The Children: Nonviolent Women Offenders In Two Michigan Residential Programs, Denise Smith Allen Jan 2017

Keeping The Children: Nonviolent Women Offenders In Two Michigan Residential Programs, Denise Smith Allen

Walden Dissertations and Doctoral Studies

Seventy-five percent of women offenders confined to prison, jails, or residential treatment programs are custodial parents of minor children at the time of their separation. Little is known, though, about how prosocial networks are used to address the effects of separation from children. Using Bui and Morash's conceptualization of the theory of gendered pathways, the purpose of this phenomenological study was to better understand, from the perspective of incarcerated women, the experience of using prosocial networks to cope with the effects of separation. Data were collected through interviews with 10 mothers from 2 residential treatment programs in Michigan. Interview data …

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Impact Of Telephone Call On Patient Satisfaction In Adult Oncology Patients, Victoria Maria Frazier-Warmack Jan 2017

Impact Of Telephone Call On Patient Satisfaction In Adult Oncology Patients, Victoria Maria Frazier-Warmack

Walden Dissertations and Doctoral Studies

Patient satisfaction is an ongoing action in which hospitals and health care providers are constantly seeking strategies to improve their satisfaction ratings. In the ambulatory oncology infusion setting, patient satisfaction is also a key metric that is being monitored, but actual patient satisfaction is unknown. Guided by Lewin's change theory and King's theory of goal attainment, the aim of this project was to use a strategy of conducting follow-up telephones calls to determine if patient satisfaction improved in an ambulatory oncology setting. A descriptive comparative approach was used to evaluate patient satisfaction before and after a telephone follow-up intervention. Participants …

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Determinants Of Hiv Screening Among Adults In New Jersey After Hurricane Sandy, Nathaniel R. Geyer Jan 2017

Determinants Of Hiv Screening Among Adults In New Jersey After Hurricane Sandy, Nathaniel R. Geyer

Walden Dissertations and Doctoral Studies

HIV screening is recommended to destigmatize the condition, prevent partner transmission, and postpone AIDS progression. However, determinants associated with implementation of opt-out HIV screening are not well understood. The purpose of the study was to examine determinants that predicted odds of HIV screening for persons impacted by Hurricane Sandy, and how these factors differed according to demographic characteristics, geographical attributes, health-related quality of life score, access-to-care, and health insurance status. The social ecologic model provided the framework for this multilevel cross-sectional study that included New Jersey data from the Behavior Risk Factor Surveillance System. Bivariate chi-square, simple logistic regression, and …

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Health Care Transition And Patient-Perceived Quality Of Life In Sickle Cell Disease, Karen Alicia Haynes Jan 2017

Health Care Transition And Patient-Perceived Quality Of Life In Sickle Cell Disease, Karen Alicia Haynes

Walden Dissertations and Doctoral Studies

Because of the high mortality rate of sickle cell disease (SCD) patients who do not continue care into adulthood, researchers have paid increasing attention to the health care transition experiences of SCD patients. However, a gap exists regarding patients' perspectives of care transition related to their quality of life. The purpose of this phenomenological study, guided by the biosocial-ecological systems model, was to explore the lived health care transition experiences of SCD patients in relation to their health-related quality of life. Data collection included open-ended interviews with 12 patients in the Southwestern United States. Colaizzi's (1978) method of phenomenological data …

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Evaluating Nurses' Self-Efficacy In Caring For Patients With Dementia, Wendy Hopkins Jan 2017

Evaluating Nurses' Self-Efficacy In Caring For Patients With Dementia, Wendy Hopkins

Walden Dissertations and Doctoral Studies

In 2011, 5 million Americans had dementia and this number is predicted to increase. As the number of people with dementia increases, the need for quality nursing care, education, and treatment for patients with dementia increases. To address the need, nurses not only must be prepared with the knowledge, skills, and abilities to care for patients with dementia, but they must also have the self-efficacy to provide quality care. The practice focused question guiding the project was to determine the level of self-efficacy for caring for dementia patients among long-term care nursing staff. Using Bandura's social cognitive theory, the purpose …

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Childhood Obesity Comorbitities Awareness Hospital-Based Education, Sandra Mcgrath Mcgrath Jan 2017

Childhood Obesity Comorbitities Awareness Hospital-Based Education, Sandra Mcgrath Mcgrath

Walden Dissertations and Doctoral Studies

As childhood obesity continues to increase, so do the comorbidities and related health issues, putting youth at a greater risk of developing adult-related diseases such as hypertension, Type 2 diabetes, and cardiovascular diseases. Current literature indicates that healthcare organizations have a significant role in the fight against this epidemic, yet most children's hospitals have no policy to accomplish this task. The purpose of this project was to develop a program proposal for a hospital-based, sustainable obesity program that will aid in improving patient and family awareness of the importance of maintaining an ideal body weight to decrease the incidences of …

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Music Teachers' Perceptions Of Targeted Professional Development, Julie Meadows Jan 2017

Music Teachers' Perceptions Of Targeted Professional Development, Julie Meadows

Walden Dissertations and Doctoral Studies

The fundamental purpose of teacher professional development programs is to improve instructional effectiveness and increase student learning. However, the target district offered no programs that focused on helping teachers develop strategies to meet state standards in music education. The purpose of this qualitative case study was to investigate elementary and middle school music educators' perceptions regarding the need for targeted professional development programs. Self-determination theory served as the foundation for this study. Research questions concerned participants' views of the impact of district professional development programs on their competency in enhancing students' musical skills and their decision-making and connectedness with other …

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Assessing Nurses' Demographic Cardiovascular Risk Factors And Pharmacogenetic Testing Knowledge And Acceptance, Stella Chibuzor Ohanuka Jan 2017

Assessing Nurses' Demographic Cardiovascular Risk Factors And Pharmacogenetic Testing Knowledge And Acceptance, Stella Chibuzor Ohanuka

Walden Dissertations and Doctoral Studies

The lack of knowledge of pharmacogenetic testing for cardiovascular disease (CVD), coupled with their increased risk for CVD, may impair nurses' cognitions and attitudes toward pharmacogenetic testing for CVD. The purpose of this quantitative cross-sectional correlational study, conducted with 230 RNs without CVD who worked in acute-care settings in Georgia, was to determine if their years of education, years of experience, and gender significantly influenced their perceived risk for CVD (Questions 1-3) and their perceived knowledge of pharmacogenetic testing for CVD (Questions 4-6), and if their perceived risk for CVD significantly influenced their acceptance of pharmacogenetic testing for CVD (Question …

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The Impact Of The Men Accepting Neophytes-Uplifting Pupils Community-Based Mentoring Program, Aisha Stephen Jan 2017

The Impact Of The Men Accepting Neophytes-Uplifting Pupils Community-Based Mentoring Program, Aisha Stephen

Walden Dissertations and Doctoral Studies

Effective mentoring programs are essential for African American youth to feel satisfaction and contribute to society, particularly in large urban communities. A need exists to study the impact of community-based mentoring programs in central Georgia, particularly those focused on male African Americans. Despite various mentoring programs, stakeholders know little about the elements of program impact for at-risk youths. Community mentoring programs frequently serve as a tool to minimize high dropout rates that often result from youth incarceration, expulsion, and suspension. The purpose of this study was to gain insight into the perceptions of mentors and administrative staff on the impact …

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Strategies Of Small Business Owners To Acquire Federal Government Contracts, Delores Ann Tyms Jan 2017

Strategies Of Small Business Owners To Acquire Federal Government Contracts, Delores Ann Tyms

Walden Dissertations and Doctoral Studies

Small business owners are not acquiring U.S. federal government contracts at the government established target rate. The government's small business procurement goals remain unmet, which represents an underutilized source of revenues for many small business owners. The purpose of this multiple case study was to explore strategies of 3 small business owners operating in the Washington, D.C., metropolitan area to acquire federal government contracts to increase profitability. The thematic findings were in the context of the resource-based view as the conceptual framework. The participants answered questions in semistructured interviews and provided organizational documents for review. Triangulation of multiple data sources …

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Employee Engagement Processes And Productivity Among Las Vegas Five-Star Hospitality Organizations, Robert White Jan 2017

Employee Engagement Processes And Productivity Among Las Vegas Five-Star Hospitality Organizations, Robert White

Walden Dissertations and Doctoral Studies

Employee disengagement creates an unhealthy working environment. Disengagement rates among Las Vegas hospitality industry organizations led to dissatisfaction among employees and resulted in low productivity and profitability. This qualitative descriptive study involved exploring employee engagement strategies that hospitality industry supervisors and managers used to implement programs, thereby solving the employee engagement problems of their organizations. The conceptual framework for the study was leader-member exchange theory. Twenty participants with 5 or more years of Las Vegas hospitality experience who had already successfully implemented engagement programs answered open-ended questions in semistructured interviews. Company documents constituted an additional data source. Analyzing the data …

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Instructional Strategies That Promote Cultural Competence In Nutrition And Dietetics Education, Cecile Adkins Jan 2017

Instructional Strategies That Promote Cultural Competence In Nutrition And Dietetics Education, Cecile Adkins

Walden Dissertations and Doctoral Studies

Changing demographics in the United States to a minority-majority culture require health care professionals who are culturally competent to provide appropriate care to patients. In a university in the Mid-Atlantic region of the United States, a gap existed between student education and the culturally competent professional practice of entry-level registered dietitians. Using Freire's notion of social justice and Vygotsky's constructivist theory as the conceptual frameworks, the purpose of this study was to explore educators' instructional strategies that promoted cultural competence in nutrition and dietetics education. The research questions examined how educators described the instructional practices they employed to promote cultural …

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Educators' Perceptions Of Best Practices For Increasing Literacy Among High-Poverty Students, Giuseppe Di Monte Jan 2017

Educators' Perceptions Of Best Practices For Increasing Literacy Among High-Poverty Students, Giuseppe Di Monte

Walden Dissertations and Doctoral Studies

The local problem addressed in this study was the low reading achievement of high-poverty fourth-grade students in a small rural school in the Mid-Atlantic region of the United States. The purpose of this instrumental case study was to examine the perceptions of the campus principal and teachers at a sampled high-poverty and high achieving elementary school to determine best practices for meeting literacy needs of high-poverty students. This knowledge is important because student success in reading achievement contributes to overall academic success. The neo-sociocultural conceptual paradigm of Wertsch, del Rio, and Alverez, which links cognitive and cultural learning processes, was …

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Common Psycholinguistic Themes In Mass Murderer Manifestos, Laura E. Hamlett Jan 2017

Common Psycholinguistic Themes In Mass Murderer Manifestos, Laura E. Hamlett

Walden Dissertations and Doctoral Studies

Mass murder in the United States is increasing, yet understanding of mass murderers is still relatively limited. Many perpetrators compose manifestos, which include journals, blogs, letters, videos, and other writings. Previous research has indicated that personal messages are of great social and psychological importance; however, there remains an important gap in the current literature regarding studies specific to these manifestos. As such, the purpose of this qualitative multiple case study was to provide greater understanding of mass murderers' motives and mindsets through psycholinguistic analysis of their recorded words. The constructivist conceptual framework enabled gathering, analyzing, interpreting, and reporting thematic language …

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The Effects Of Transitional Challenges On Ninth Grade School Dropouts, Merlene Leona Jones Jan 2017

The Effects Of Transitional Challenges On Ninth Grade School Dropouts, Merlene Leona Jones

Walden Dissertations and Doctoral Studies

The high dropout rate of the United States Virgin Islands school district's ninth-grade students is a major educational problem and the catalyst for a myriad of social problems. Ninth grade academies and extended school day intervention programs have benefited only the academically prepared students. This qualitative case study examined educators' perceptions of the challenges that led to the increased dropout rate of the district's ninth-grade students. Bandura's self-efficacy theory and Atkinson's motivational achievement theory formed the foundational pillars for this study. The research questions were focused on challenges that led to the increased dropout rate of ninth-grade students and the …

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Quality Of Sibling Relationship And Age Spacing In Single-Parent Households Versus Two-Parent Households, Mari Varga Overlock Jan 2017

Quality Of Sibling Relationship And Age Spacing In Single-Parent Households Versus Two-Parent Households, Mari Varga Overlock

Walden Dissertations and Doctoral Studies

Sibling relationship quality is affected by several variables, such as gender, age spacing, marital conflicts, parenting, and parent-child relationship, which simultaneously influence personality and developmental outcomes. Furthermore, sibling relationships can significantly influence the social climate of the family and vice versa. The objective of this study was to examine the effects of household composition (1-parent home vs. 2-parent home) and the number of years between siblings ages on sibling relationship quality, and to determine whether parental conflict response management strategies differ between single-parent and 2-parent homes. The participants were 124 adult mothers with at least 2 children. Participants provided demographic …

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A Quantitative Comparison Of Adult Children Of Alcoholics (Acoas) And Non-Acoas On Attachment, Carly Rodgers Jan 2017

A Quantitative Comparison Of Adult Children Of Alcoholics (Acoas) And Non-Acoas On Attachment, Carly Rodgers

Walden Dissertations and Doctoral Studies

Children who grow up in an environment where at least 1 parent is an alcoholic can experience behavioral and emotional problems that continue into adulthood. A critical literature gap concerning the relationship between attachment and adult child of an alcoholic (ACOA) status, as well as personal alcohol abuse and levels of hope, was identified. The purpose of this study was to gain a better understanding of the influence of having alcoholic parents on personal alcohol abuse, attachment, and hope among ACOAs. Informed by attachment theory, this cross-sectional study compared attachment among ACOAs and non-ACOAs and the impact of attachment on …

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