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Walden Dissertations and Doctoral Studies

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Perception Of Anal Hpv Infection By Hiv-Positive Men Practicing Male-Male-Sex, Philecia Simone Mullings Jan 2015

Perception Of Anal Hpv Infection By Hiv-Positive Men Practicing Male-Male-Sex, Philecia Simone Mullings

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) is a preventable, sexually transmitted infection whose prevalence has been rising dramatically among men who have sex with men (MSM) in the United States since 2008. The HPV infection rate for MSM is rising even faster for MSM who are infected with the human immunodeficiency virus (HIV) and for those who have developed acquired immune deficiency syndrome (AIDS). It is not clear whether MSM in general and MSM with HIV have the knowledge necessary to prevent infection of themselves and their partners. This phenomenological study explored the knowledge, health perceptions, attitudes, and norms of the community of …

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The Effect Of Healing Touch Therapy For Youth Diagnosed With Reactive Attachment Disorder, Kelli Stiles Jan 2015

The Effect Of Healing Touch Therapy For Youth Diagnosed With Reactive Attachment Disorder, Kelli Stiles

Walden Dissertations and Doctoral Studies

Reactive attachment disorder (RAD), a disorder marked by a severe disruption in developmental attachment, is most often diagnosed in youth who have received substandard or negligent care from their primary caregiver. Such youth have increased risk of behavioral and emotional issues as well as future relationship problems; they generally do not respond to traditional evidence-based practices of therapy. The present study examined the use of the biofield energy practice of Healing Touch (HT) as a viable therapeutic option for improved quality of life for youth diagnosed with RAD. A quantitative, quasi-experimental research study using secondary data was conducted. Eligible participants …

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The Association Between Dietary Patterns And Diabetes Status Among U.S. Adults, Latonia Richardson Jan 2015

The Association Between Dietary Patterns And Diabetes Status Among U.S. Adults, Latonia Richardson

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus, or T2DM, is a leading cause of preventable death in the United States. Multiple studies have found that certain dietary patterns can significantly influence the risk of T2DM. The purpose of this study was to understand the dietary patterns associated with diabetes by comparing the relative adherence to these dietary patterns by individuals in 5 stages of diabetes: no diabetes, undiagnosed prediabetes, diagnosed prediabetes, undiagnosed diabetes, and diagnosed diabetes. Using the health belief model as the theoretical foundation, the primary research question examined whether adherence to specific dietary patterns significantly differed between individuals in different stages …

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Marketing Strategies Of Mobile Game Application Entrepreneurs, Talaya Waller Jan 2015

Marketing Strategies Of Mobile Game Application Entrepreneurs, Talaya Waller

Walden Dissertations and Doctoral Studies

Mobile game application entrepreneurs can offer many benefits to the U.S. economy; however, 80% of the entrepreneurs in this study stated that marketing their mobile applications was a major business challenge. Successful strategies that entrepreneurs have used to overcome their mobile game application marketing challenges may be beneficial to other entrepreneurs. Based on Schumpeter's theory of economic development and new value creation of technological innovation, the purpose of this phenomenological study was to explore the strategies that entrepreneurs have used to market their mobile game application development businesses successfully. Twenty mobile game application entrepreneurs from northern California, who successfully sustained …

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Impact Of An Urban High School Conflict Resolution Program On Peer Mediators:, Carolyn Joyce Waldon-Johnson Jan 2015

Impact Of An Urban High School Conflict Resolution Program On Peer Mediators:, Carolyn Joyce Waldon-Johnson

Walden Dissertations and Doctoral Studies

Urban high school students in the United States are often involved in conflicts related to bullying, physical fighting, and drug abuse. These conflicts create a hostile learning environment; interventions such as conflict resolution programs are implemented to reduce these disruptions to learning. The purpose of this qualitative case study was to explore how an urban high school conflict resolution program impacts trained peer mediators. The conceptual framework was based on Erikson's psychosocial theory of human development and Freire's critical theory about pedagogy of the oppressed. Participants included 4 high school students who participated as trained peer mediators in an urban …

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Chronic Care Model Staff Education And Adherence With End-Stage Renal Disease Patients, Emilia K. Addo Jan 2015

Chronic Care Model Staff Education And Adherence With End-Stage Renal Disease Patients, Emilia K. Addo

Walden Dissertations and Doctoral Studies

The management and treatment of chronic diseases, such as end-stage renal disease, is often unproductive because of patients' poor adherence to treatment. The chronic care model toolkit is an Agency for Healthcare Research and Quality supported framework, associated with improved outcomes in patients living with chronic disease. The purpose of this project was to develop and plan an educational program using the chronic care model toolkit for the interdisciplinary clinical staff of a renal hemodialysis center. The goal of this project was to adapt team building between patients and their clinicians through the use of the chronic care model in …

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Examining The Relationship Between Selected Ratios And Market Capitalization Of An Ipo, Michael Wayne Donaldson Jan 2015

Examining The Relationship Between Selected Ratios And Market Capitalization Of An Ipo, Michael Wayne Donaldson

Walden Dissertations and Doctoral Studies

This study examined the relationship between return on equity (ROE) and return on assets (ROA), the business sector, and long-term performance of new firms 5 years after the initial public offer (IPO) date. IPOs have a high rate of delisting from stock exchanges, and understanding possible predictors of long-term performance will benefit business owners and investors. The purpose of this study was to determine if ROE and ROA are predictors of long-term performance of IPOs on U.S. stock exchanges. The research question examined whether there is a statically significant relationship between the ROE, ROA, business sector, and market capitalization of …

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Third-Party Administrators In Public-Private Partnerships: A Multiple Case Study, Beata Ewa Haug Jan 2015

Third-Party Administrators In Public-Private Partnerships: A Multiple Case Study, Beata Ewa Haug

Walden Dissertations and Doctoral Studies

Local public agencies turn to public-private partnerships (PPPs) to allow greater participation by private firms in delivering public services. In the last 25 years, private organizations had been reluctant to form PPPs with local government agencies because of the complex procurement processes and the bureaucratic business environment. Guided by the decision theory and complex adaptive systems theory, the purpose of this multiple case study was to identify what information leaders within third-party administrators (TPAs) need regarding the contracting process in the formation of PPPs. The data collection process consisted of face-to-face interviews with 4 executive leaders of 3 Wisconsin state …

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Consumer Reactions To Diminishing Retirement Funds: A Financial Crisis By-Product, Erika J. Eason Jan 2015

Consumer Reactions To Diminishing Retirement Funds: A Financial Crisis By-Product, Erika J. Eason

Walden Dissertations and Doctoral Studies

The shift to defined contribution plans from defined benefit plans have left future retirees concerned about having the necessary funds to retire. The purpose of this phenomenological study was to explore how investment behaviors have changed due to losses in retirement accounts because of the global financial crisis of 2008. Building upon the conceptual framework of attribution theory and risk perception theory, this study explored what might encourage future retirees to use the stock market for retirement. A purposeful sample of 20 Hampton Roads, Virginia residents who held retirement accounts prior to the financial crisis of 2008 consented to interviews …

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Understanding Faith Leaders' Perspectives On Breast Health Interventions In The Church, Marsha Ladonna Marshall Jan 2015

Understanding Faith Leaders' Perspectives On Breast Health Interventions In The Church, Marsha Ladonna Marshall

Walden Dissertations and Doctoral Studies

The prevalence and incidence of breast cancer is an important issue that is affecting all women, but African American women have the lowest survival rates after breast cancer diagnosis. Historically, the Black church and faith leaders have been essential in promoting health in the African American community. Moreover, faith-based interventions have become more common within the African American community in addressing factors that affect survival rates such as early detection, cultural barriers, and education. Currently, there is not clear information on the perspectives faith leaders have on their experiences with implementing breast health interventions in their places of worship. This …

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A Comparative Analysis Of Mississippi Rural Schools' Abstinence-Only And Abstinence Plus Programs, Alonzo Jeffrey Williams Jan 2015

A Comparative Analysis Of Mississippi Rural Schools' Abstinence-Only And Abstinence Plus Programs, Alonzo Jeffrey Williams

Walden Dissertations and Doctoral Studies

The predominately rural state of Mississippi responded to high teenage pregnancy rates by enacting a 2011 law requiring school districts to choose between an abstinence-only and an abstinence-plus program for their high schools. However, there is limited extant research on Mississippi's sex education policies, creating a research gap that inhibits developing successful programs to reduce teenage pregnancy rates. There is specifically a need to compare the two types of allowed programs with a focus on rural areas. This study compared programs by examining students' abstinent sexual attitudes, social norms, self-efficacy, sexual abstinence behaviors, and perceived effectiveness of sexual education and …

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Customer Satisfaction Factors In Life Insurance Growth In Ghana, Geraldine Gina Abaidoo Jan 2015

Customer Satisfaction Factors In Life Insurance Growth In Ghana, Geraldine Gina Abaidoo

Walden Dissertations and Doctoral Studies

The growth rate of life insurance in Ghana is under 1% of GDP, and life insurance company leaders must identify and implement customer satisfaction strategies that will aid business growth and sustainability. Guided by the theory of customer satisfaction management systems (CSMS), the purpose of this multiple case study was to explore customer satisfaction strategies that life insurance company leaders execute to grow and sustain the life insurance business. Twelve life insurance company leaders working in the Accra-Tema geographic area participated in face-to-face semistructured interviews for this study. Data analysis involved compiling, disassembling, reassembling, interpreting, and concluding the data. Member …

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Strategies For Mitigating Supply Chain Disruptions, Johnny Bowman Jr Jan 2015

Strategies For Mitigating Supply Chain Disruptions, Johnny Bowman Jr

Walden Dissertations and Doctoral Studies

Disruptions in the supply chain are becoming more common as supply chains become more complex, and supply chain managers of warehouse distribution centers need strategies to minimize the impact of disruptions. In this study, the focus of the research questions was on strategies supply chain managers could use to mitigate the impact of disruptions. The conceptual frameworks for this study were the resource dependence theory and the normal accident theory, which link supply chain disruptions with resource availability and the inability to eliminate disruptions. An exploratory case study involved exploring how supply chain managers of a warehouse distribution center in …

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Employees' Perceptions About The Deterrence Effect Of Polygraph Examination Against Security Compromises, Joshua Lee Cook Jan 2015

Employees' Perceptions About The Deterrence Effect Of Polygraph Examination Against Security Compromises, Joshua Lee Cook

Walden Dissertations and Doctoral Studies

Controversy continues over the use of polygraph testing to deter and detect potential leakers as critics argue that the technique is based on faulty assumptions. The purpose of this descriptive and exploratory research study was to determine whether there was a perceived deterrence effect related to the use of polygraphs between a group of participants who were subjected to a polygraph examination within the past year compared to those who have not experienced a polygraph examination within the same time period. Paternoster and Simpson's, as well as Vance and Siponen's, rational choice models and Bandura's social learning theory served as …

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Parents' Perceptions Of Academic Progress Information Access And Dual Enrollment Student Success, Terrill L. Nickerson Jan 2015

Parents' Perceptions Of Academic Progress Information Access And Dual Enrollment Student Success, Terrill L. Nickerson

Walden Dissertations and Doctoral Studies

To comply with The Family Educational Rights and Privacy Act (FERPA) regulations, parents of high school students taking college classes as part of a dual enrollment program have to employ alternative monitoring practices to remain informed about their students' academic progress. This quantitative research study explored how parents' perceptions of access to student academic progress information correlated with their students' academic performance based on cumulative grade point average (GPA) in college classes. Credit-based transition programs (CBTP) and parent monitoring theory provided the framework. All 867 parents of students under age 18 enrolled in the dual enrollment program at an urban …

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Social Determinants Of Health Inequality And Life Expectancy Among Women Of Edo State, Nigeria, Daniel Aromeh Odekina Jan 2015

Social Determinants Of Health Inequality And Life Expectancy Among Women Of Edo State, Nigeria, Daniel Aromeh Odekina

Walden Dissertations and Doctoral Studies

Health inequality conflates a huge number of economic, social, and political issues. These issues, together described as social determinants, determine a population's health through influencing health status and life expectancy. The research purpose of this study was to examine how social determinants affected the life expectancy of the women of Edo State, based on secondary data from Nigeria's 2008 demographic and health survey (NDHS). The theories that guided the study were self-efficacy beliefs of the social cognitive theory and physical self-concept of the health belief model. This quantitative cross-sectional study examined the associations between socioeconomic status, nutritional status, literacy/educational attainment, …

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Barriers To The Influenza Vaccination In Veterans, Zina Floyd Jan 2015

Barriers To The Influenza Vaccination In Veterans, Zina Floyd

Walden Dissertations and Doctoral Studies

Influenza is the eighth leading cause of death in the United States, accounting for 56,000 deaths annually and leading to an average of more than 200,000 hospitalizations every year. Adults 65 years of age and older account for 50% to 60% of influenza-related hospital admissions and an estimated 90% of influenza-associated deaths occur in people age 65 and older. During the 2011 to 2012 influenza season, approximately 50 % of veterans between 45 and 70 years of age refused the influenza vaccine within the metro-area outpatient Veteran Administration (VA) facility in Atlanta, Georgia. The aim of this project was to …

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Pregnant Obese Women And Factors Which Impact Their Social And Physiological Well-Being, Stephanie Denise Morgan Frye Jan 2015

Pregnant Obese Women And Factors Which Impact Their Social And Physiological Well-Being, Stephanie Denise Morgan Frye

Walden Dissertations and Doctoral Studies

For more than 50 years, researchers have recognized complications associated with obesity and pregnancy as a problem for mothers and their unborn children. Despite this recognition, the rates of obesity and mortality in pregnant women have continued to rise. Using the health belief model, the transtheoretical model of behavior change, and the social cognitive theory as the theoretical frameworks, this phenomenological study examined barriers that might hinder the health of obese pregnant women and their unborn children. Semi-structured interviews were conducted with 12 women who had a body mass index of 30 to 50, were between the ages of 18-55, …

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Increasing Student Interest In Poultry Science Careers Through 4-H, Peggy Lynn Armstrong Jan 2015

Increasing Student Interest In Poultry Science Careers Through 4-H, Peggy Lynn Armstrong

Walden Dissertations and Doctoral Studies

The demand for poultry science graduates to fill available positions in the poultry industry continues to increase. At the same time, there are not enough graduates to fill the positions. The purpose of this study was to investigate the implementation of the poultry curriculum in the 4-H program and student recruitment through the 4-H program into the Poultry Science Department. The targeted populations were 4-H leaders who implement the poultry curriculum and university students who were currently studying poultry. Career development theories suggest that previous experiences during adolescence can be a major influence in future vocation choice. A mixed methods …

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Positive Psychological Capital, Need Satisfaction, Performance, And Well-Being In Actors And Stunt People, Brian Hite Jan 2015

Positive Psychological Capital, Need Satisfaction, Performance, And Well-Being In Actors And Stunt People, Brian Hite

Walden Dissertations and Doctoral Studies

Positive psychological capital (PsyCap), a second-order construct formed from optimism, hope, resilience, and self-efficacy, has predicted the performance and psychological well-being of a variety of full-time workers, and mediators of the relationships between PsyCap and performance and psychological well-being have rarely been examined. Using self-determination theory, broaden-and-build theory, and the conceptual framework of positive psychology, this study was an exploration of (a) the relationships among PsyCap, (b) basic psychological need satisfaction (i.e., autonomy, competence, relatedness), and (c) psychological well-being and performance using a sample of 103 working actors and stunt people. A serial mediation model was proposed whereby PsyCap predicted …

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Certified Nursing Assistants' Experiences Regarding Resident-To-Resident Bullying In Nursing Homes, Cheryl Jones Jan 2015

Certified Nursing Assistants' Experiences Regarding Resident-To-Resident Bullying In Nursing Homes, Cheryl Jones

Walden Dissertations and Doctoral Studies

Elder bullying is on the rise and occurs in many contexts such as senior living communities and nursing homes, causing concern for the well-being of the residents by families, staff, themselves, and society in general. Although research has been limited, it does reveal that resident-to-resident bullying in nursing homes is a problem warranting further scholarly attention. The purpose of this study was to investigate the experiences of certified nursing assistants (CNAs) regarding resident-to-resident bullying in nursing homes. The theory of reasoned action and the theory of reflective equilibrium provided a conceptual lens from which to explore and describe the importance …

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General Education Diploma Students' Familial Attachment Experiences Influencing Premature High School Departure, Tonya Suzanne Wright-Stone Jan 2015

General Education Diploma Students' Familial Attachment Experiences Influencing Premature High School Departure, Tonya Suzanne Wright-Stone

Walden Dissertations and Doctoral Studies

Lowered academic achievement and premature departure from high school continue to plague the educational system, creating the need for greater insight into experiences affecting students' classroom performance. Much is known about academic achievement; however, less research has focused on the role of familial attachment on premature departure from high school. Guided by attachment theory, the purpose of this interpretative phenomenological study was to gain insight into General Education Diploma (GED) students' familial attachment experiences influencing premature departure from high school. The research questions focused on GED students' primary caregiver and educational experiences. Participants (n = 14) consisted of current or …

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Attachment Style, Leadership Behavior, And Perceptions Of Leader Effectiveness In Academic Management, Rehema Underwood Jan 2015

Attachment Style, Leadership Behavior, And Perceptions Of Leader Effectiveness In Academic Management, Rehema Underwood

Walden Dissertations and Doctoral Studies

Organizational effectiveness is related to both effective leadership styles and to having leaders with secure attachment styles. Transformational and charismatic leaders often have secure attachment styles. However, the relationships between insecure attachment styles and leadership styles remain unclear. The purpose of this study was to examine whether insecure attachment in leaders (fearful, preoccupied, and dismissing attachment styles) is related to transformational, charismatic, transactional, and laissez faire leadership. A quantitative, non experimental approach was taken in this study. Participants included those in leadership positions (college deans, chairpersons, and provosts) (n = 18) and instructors (subordinates) (n = 36) from local community …

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The Impact Of Implementing Bedside Report To Transition Patients Across Units, Tonya Johnson Jan 2015

The Impact Of Implementing Bedside Report To Transition Patients Across Units, Tonya Johnson

Walden Dissertations and Doctoral Studies

Evidence supports bedside report as a mechanism to improve communication, patient safety, quality of report, and nurse and patient satisfaction when implemented in a closed unit. The purpose of this project was to examine the impact of implementing a bedside report process to transition patients from the emergency department to a medical-surgical unit. Specifically, the goal was to analyze the impact of a bedside- reporting process on patient progression and on nurse and patient satisfaction. Lewin's change model provided the theoretical framework for this quasi-experimental study. Patient progression data consisted of 706 patient transitions from the emergency department to the …

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Clinical Significance Of Response Shift In A Spine Interventional Clinical Trial, Robin Carlson Jan 2015

Clinical Significance Of Response Shift In A Spine Interventional Clinical Trial, Robin Carlson

Walden Dissertations and Doctoral Studies

The effectiveness of treatments for degenerative spine conditions, where the primary symptom is back pain, is typically determined using patient-reported quality of life (QoL) measures. However, patients may adjust their internal standards when scoring QoL based on factors other than their health. This response shift phenomenon could confound the interpretation of study data and impact effectiveness conclusions. In the current study, response shift was examined using structural equation modeling (SEM) and previously collected clinical trial data comparing 2 minimally invasive medical devices in lumbar spinal stenosis patients through 1 year postintervention. In subject QoL results, reprioritization shift between 3 months …

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Neighborhood Risks And Resources Correlated With Rates Of Successful Reentry Of Youth Returning From Detention Centers In Massachusetts, Nokuthula Sibanda Jan 2015

Neighborhood Risks And Resources Correlated With Rates Of Successful Reentry Of Youth Returning From Detention Centers In Massachusetts, Nokuthula Sibanda

Walden Dissertations and Doctoral Studies

Youth delinquency is a major social problem in the United States with approximately 29% of youths aged 18 to 21 reoffending within the first year of release in Massachusetts. Given the amount of state resources used for youth corrections, the factors that encourage the youth to reoffend become important to understand. The purpose of this quantitative, cross-sectional correlational study was to examine whether community and environmental risks and resources are related with successful reentry of youth returning from detention centers in Massachusetts. Using the collective efficacy and routine activities theory to explain the motivations to reoffend, the study sought to …

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The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick Jan 2015

The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick

Walden Dissertations and Doctoral Studies

Bullying has become a widespread social issue. Previous research has focused on both genders and various grade levels; it has shown that programs reduce bullying and improve social climates and attitudes toward academics. The effect of these programs, specifically on female youth, has not been studied. This study addressed the effect of bullying prevention programs on perceptions of bullying among female youth in Grades 5-7 in 2 schools in rural eastern Pennsylvania. One school utilized a prevention program while the other did not. Teachers and administrators were also interviewed to gain insight regarding their perceived effectiveness of the program. The …

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A Phenomenological Study Of Female Gender Inequality In The Defense Industry, Erica Helaine Woods Jan 2015

A Phenomenological Study Of Female Gender Inequality In The Defense Industry, Erica Helaine Woods

Walden Dissertations and Doctoral Studies

Despite advances made during the women's movement, gender inequality is a problem for women seeking leadership opportunities within the U.S. Defense Industry today. The purpose of this phenomenological study was to understand the perceptions of civilian females who had experienced gender inequality obstacles in their professional advancement opportunities within the U.S. Defense Industry. The mommy track framework, defined as the family/work imbalance; the gatekeeper framework; and the institutional sexism framework were used to guide this study. The research questions focused on how these women perceived both internal and external barriers to their professional advancement in the U.S. Defense Industry. A …

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Current Capacity Building Needs Of Occupational Therapists Related To Older Driver Screening, Assessment, And Intervention, Ranyouri Hines Senia Jan 2015

Current Capacity Building Needs Of Occupational Therapists Related To Older Driver Screening, Assessment, And Intervention, Ranyouri Hines Senia

Walden Dissertations and Doctoral Studies

Older adult safe driving is a growing public health issue; however, the skill set of occupational therapists that provide services to these older clients is unclear. The extent to which occupational therapists possess the skills to evaluate an elderly person's ability to operate safely an automobile is unclear. Therefore, the purpose of this quantitative, cross-sectional survey was to determine the current capacity building needs of occupational therapists (OT) related to older driver screening, assessment, and intervention. The ecology of human performance framework was the theoretical base of the study. The independent variables were the OTs' training related to older drivers, …

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Teacher Perceptions Of Elementary Children's Internalizing Symptoms When Experiencing Parental Wartime Military Deployment, Letitia Henson Jan 2015

Teacher Perceptions Of Elementary Children's Internalizing Symptoms When Experiencing Parental Wartime Military Deployment, Letitia Henson

Walden Dissertations and Doctoral Studies

Military wartime deployment of parents has a powerful and potentially damaging impact on their young children. As tours lengthen and deployments of military parents become more frequent, the possible negative effects on the children increase proportionally. This quantitative, comparative study evaluated internalizing symptoms among 220 young children who had a parent currently on military deployment and a parent who returned from military deployment compared to a control group of same age peers whose parents were nonmilitary. Using the theoretical frameworks of attachment theory and ambiguous loss theory, the study investigated 3 internalizing symptoms: Anxiety/Depressed, Withdrawn/Depressed behaviors, and Somatic Complaints among …

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