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Articles 421 - 450 of 2220
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Perspectives Of Hypertensive Black Males Living In Rural Virginia With Sodium Intake, Monitoring, And Reduction, Barbara Chestnut-Adamson
Perspectives Of Hypertensive Black Males Living In Rural Virginia With Sodium Intake, Monitoring, And Reduction, Barbara Chestnut-Adamson
Walden Dissertations and Doctoral Studies
Sodium reduction therapies such as daily sodium monitoring, adhering to the American Heart Association (AHA) recommended sodium guidelines, and following the Dietary Approaches to Stop Hypertension (DASH) diet lowers blood pressure. Black males living in rural communities would benefit the most from sodium reduction therapies since they experience the highest rates of stroke and death from hypertension. However, Black males living in rural communities are underrepresented in studies, and little information exists on whether these sodium reduction therapies are known, believed, or practiced. This basic qualitative study researched sodium intake, monitoring, and reduction among eight clinically diagnosed hypertensive Black males …
Trauma-Informed Behavioral Health Leadership Strategies For Enhancing Mental Wellness Among Bereavement Midwives, Katherine Hyde Hensley
Trauma-Informed Behavioral Health Leadership Strategies For Enhancing Mental Wellness Among Bereavement Midwives, Katherine Hyde Hensley
Walden Dissertations and Doctoral Studies
The mental wellness of bereavement midwives is a crucial yet often overlooked aspect of health care. This study, grounded in organizational resilience theory, explored trauma-informed behavioral health leadership strategies aimed at enhancing mental wellness among these essential providers. The primary objective was to offer actionable insights for enhancing workplace mental wellness in bereavement midwives. Purposive sampling was used to enlist three participants from a multidisciplinary bereavement team with expertise in bereavement midwifery. Key behavioral themes and leadership strategies were identified through thematic analysis of qualitative interviews, supplemented by secondary data from organizational documents and reports. The Baldrige Framework and Authentic …
Parental Perceptions Of Child Neglect And Triggering Factors, Magaly Jeanty Arthus
Parental Perceptions Of Child Neglect And Triggering Factors, Magaly Jeanty Arthus
Walden Dissertations and Doctoral Studies
Child neglect is the most widely reported and substantiated form of maltreatment in the United States. Although the federal government establishes the minimal definition, acts, and behaviors that comprise child neglect, there are discrepancies at the national, state, local, and organizational levels in how child neglect is defined. The purpose of this study was to increase the understanding of how parents perceive the definition of child neglect and the factors they believe trigger it. Using the social cognitive theory as the theoretical foundation, the generic qualitative research design was used to explore the perceptions of child neglect and beliefs of …
Homeless Individuals’ Experiences Of Access To Personal Hygiene And Sanitary Products And Processes During Menstruation, Chele Taylor-Jennifer
Homeless Individuals’ Experiences Of Access To Personal Hygiene And Sanitary Products And Processes During Menstruation, Chele Taylor-Jennifer
Walden Dissertations and Doctoral Studies
Homelessness and period (menstruation) poverty are recurring global phenomena. In the United States, approximately 220,000 women experience homelessness annually. Studies have shown that approximately 35% of individuals who menstruate experience period poverty while living in Baltimore, Maryland. The theoretical foundation was Wollstonecraft‘s theory of feminism. To better understand this phenomenon, a general qualitative study was conducted using semistructured interviews with 18 people who were once homeless while menstruating. Through data collection and analysis, five themes emerged: (a) women have had to find creative ways of addressing menstruation; (b) women have had to find creative ways of addressing the personal hygiene …
Undergraduate Degree Type And Passing The Registered Dietitian Nutritionist Exam On The First Attempt, Jennifer J. Ford
Undergraduate Degree Type And Passing The Registered Dietitian Nutritionist Exam On The First Attempt, Jennifer J. Ford
Walden Dissertations and Doctoral Studies
To meet accreditation benchmarks, program directors of dietetic education programs monitor registered dietitian nutritionist (RDN) exam pass rates. The RDN exam first-time pass rate for a midwestern university’s dietetic coordinated graduate program (CGP) had been 72.73% in 2022, 47.62% in 2021, 60.87% in 2020, and 69.7% in 2019, all of which fell below the required minimum of 80% for accredited dietetic education programs. The purpose of this study was to explore the association between undergraduate degree type and passing the RDN exam on the first attempt. Constructivism was the theoretical framework that informed this study. This study employed a quantitative …
Obese African American Women’S Perceptions Of Transition From College To Workforce, Alea Lycorish
Obese African American Women’S Perceptions Of Transition From College To Workforce, Alea Lycorish
Walden Dissertations and Doctoral Studies
The rate of obesity continues to rise among adults in the United States, and African American (AA) women are at greater risk in comparison with any other group. This matter has become an alarming public health crisis. Obese AA women also face a higher risk of discrimination in the workforce. The purpose of this qualitative, multiple case study was to increase the understanding of the perceptions and experiences of bachelor degree educated, overweight AA women during the postgraduate phase, who entered the workforce within the past 10 years. The theoretical framework used in this study was Crenshaw’s intersectionality theory. The …
Stakeholders’ Perspectives On Motivational Support For Economically Disadvantaged High School Students, Jenny Evans
Stakeholders’ Perspectives On Motivational Support For Economically Disadvantaged High School Students, Jenny Evans
Walden Dissertations and Doctoral Studies
A discrepancy in high school graduation rates for low socioeconomic students has been a historical trend. Despite evidence that reduced high school completion rates limit these students' career options and earning potential, state and national data consistently show a higher failure-to-graduate rate for them despite government interventions to reduce it. Studies have investigated various contributing causes for the gap in completion rates, but few studies have focused on schools that have filled that gap. The purpose of this study was to explore stakeholders’ perspectives on motivational support in schools that have successfully created graduation equality for economically disadvantaged students and …
Parental Experiences And Health Education Perceptions Raising Children With Orofacial Clefts, Ama Agyeibea Amuasi
Parental Experiences And Health Education Perceptions Raising Children With Orofacial Clefts, Ama Agyeibea Amuasi
Walden Dissertations and Doctoral Studies
Congenital abnormalities, such as cleft lip and/or palate (CL/P), are a significant global public health issue that contribute to newborn morbidity and mortality, difficulties in social integration, psychological problems for affected persons, parents, and families. Available health education information and resources on CL/P care for parents and families in Ghana are however minimal. The purpose of this qualitative study was to explore the health education perceptions of parents of children born with CL/P to identify and understand experiences of common psychosocial challenges, potential risk, and protective factors used by parents. Five research questions were designed to examine the health education …
Social Ecological Factors Influencing Participation In Workplace Health Promotion Programming Among University Employees, Emily Frank
Walden Dissertations and Doctoral Studies
Workplace health promotion programming (WHPP) promotes healthy behaviors in employees, reduces negative health risks, reduces overall healthcare costs, and improves workplace outcomes. Despite known benefits of workplace health promotion, research demonstrates low employee participation rates across various settings. There is limited research examining multilevel factors that influence employee participation in WHPP and how the Coronavirus 19 (COVID-19) pandemic impacted workplace wellness offerings and employee participation. The purpose of this qualitative study was to explore factors that influenced participation in WHPP among university employees through a social ecological lens. Thirteen university employees participated in semi-structured interviews through Zoom. Interview questions explored …
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
Walden Dissertations and Doctoral Studies
This study examined the association between the worry of food insecurity and the manifestation of generalized anxiety, and how these factors related to perceived health status among adults aged 18 years and older in the U.S. The study controlled demographic factors such as gender, age, race, and education. Utilizing data from the 2019 National Health Interview Survey (NHIS), a binomial logistic regression analysis was employed. The findings indicated a significant association between those persons who often worry about food insecurity, severe (OR = 7.324, p < .001) and frequent generalized anxiety (OR = 5.185, p < .001) suggesting that individuals who worry about food insecurity have higher odds of experiencing severe and frequent (more than 3 times per week) generalized anxiety. Furthermore, both the worry of food insecurity in persons not sure (OR = 0.120, p = 0.004) and generalized anxiety (OR = 0.623 for severe anxiety, p = 0.009) were found to be significantly associated with lower perceived health status. These results suggest a potential association between worry about food insecurity and negative impacts on mental health and perceived overall well-being. Overall, these findings underscore the significant impact of food insecurity on mental health. Further research, including experimental and longitudinal studies, is necessary to elucidate the causal relationship between food insecurity and the manifestation of generalized anxiety in order to impact positive social change.
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students Who Lack Age-Appropriate Social And Emotional Skills, Rachel Ann Stewart
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students Who Lack Age-Appropriate Social And Emotional Skills, Rachel Ann Stewart
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the significant increase in the number of students who lack age-appropriate social and emotional skills (SES), which has become a concern, especially for teachers. The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives on the challenges of teaching students who lack age-appropriate SES and what support they believed would help them when working with these students in the classroom. The conceptual framework that guided this study consisted of Bandura’s social learning theory. The focus of the research questions was early childhood teachers’ perspectives on the challenges of teaching …
Improving Access To Care For Uninsured Patients In Texas Outpatient Clinics: Achieving Patient-Centered Care, Stephanie Ann Greenwood
Improving Access To Care For Uninsured Patients In Texas Outpatient Clinics: Achieving Patient-Centered Care, Stephanie Ann Greenwood
Walden Dissertations and Doctoral Studies
Uninsured patients encounter major barriers to accessing healthcare, leading to delayed or missed medical care, higher rates of chronic conditions, and increased financial and psychological stress. The purpose of this integrative review study was to examine the factors that affect Texas residents who lack insurance and require access to healthcare services in outpatient community clinics. The review question was used to explore strategies to improve access to healthcare and strengthen patient-centered care for uninsured patients in Texas outpatient health clinics. A thorough integrative review was completed using empirical and nonempirical literature published between 2019 and 2024. The results of the …
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Walden Dissertations and Doctoral Studies
High rates of pregnancies and childbirth contribute to a heightened risk of maternal mortality among women between 15 and 49 in Liberia. Most women are uninformed about their maternal risk behaviors, symptom severity, and delayed care-seeking. The mortality rate for women between 25 and 34 during pregnancy and childbirth is unacceptably high. The highest increase in maternal mortality rates is seen among women between 40 and 44 who choose to delay motherhood. In Liberia, the deaths of 4.5 women a day are caused by complications during pregnancy and childbirth. We examined the influence of participant background characteristics, socioeconomic factors, and …
Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds
Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds
Walden Dissertations and Doctoral Studies
During the COVID-19 global pandemic, there was no precedence set or documented protocol to govern the transition from face-to-face to online teaching. The purpose of this study was to explore middle school administrators' perspectives on their challenges and opportunities when assisting teachers as they transitioned from face-to-face to online teaching during the COVID-19 pandemic. Bass’s transformational leadership theory was used as the conceptual framework to emphasize the need for administrators to motivate teachers to persevere and adapt during times of crisis. The study’s two research questions were designed to explore administrators’ perspectives on whether they experienced challenges or opportunities when …
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Walden Dissertations and Doctoral Studies
HIV/AIDS infection, which originally was a fatal disease, is now a treatable, chronic disease with which people can live to reach 70 years of age or older if they comply with treatment. HIV treatment requires adherence to medications, but there is a lack of evidence on therapeutic adherence among older adults in Puerto Rico. The purpose of this descriptive phenomenology study, guided by the health belief model, was to provide a better understanding of HIV therapy adherence among older adults living in Puerto Rico. Semi structured interviews were conducted with 10 HIV-positive adults aged 65 years or older who were …
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Walden Dissertations and Doctoral Studies
Malaria-induced child mortality is a Sub-Saharan African phenomenon, and Côte d'Ivoire, in West Africa, has one of the highest rates. This general qualitative study investigates waste management as a potential factor of malaria-induced child mortality to inform policy changes and fill a gap in the body of knowledge. The study is grounded in Skocpol's policy feedback theoretical framework. The research question explored aspects of waste management in Côte d'Ivoire which contribute to the high rate of malaria-induced child mortality. Eighteen participants, equally divided into three groups, were purposely recruited via email and WhatsApp messages for semi-structured interviews using a smartphone …
Covid-19 Fear, Self-Regulation, Coping, And Eating Behaviors, Marlina Macblane
Covid-19 Fear, Self-Regulation, Coping, And Eating Behaviors, Marlina Macblane
Walden Dissertations and Doctoral Studies
Coronavirus Disease 2019 (COVID-19) impacted the world at an alarming rate, including the United States, near the end of 2019. Uncertainty, fear, anxiety, and unanswered questions spread rapidly with COVID-19. The media shared the most devastating outcomes of the virus while the harsh reality of fear and unknowns seemed to stop life as people knew it and began what seemed to be a new normal with social isolation and home confinement. This quantitative correlational study examined whether fear of contracting COVID-19 was associated with coping and self-regulation of eating behaviors. Lazarus’s transactional theory of stress and coping provided the framework …
The Impact Of Viet Nam’S Socialization Policy On Education And Health Equity Among Disadvantaged Children, Trang Quynh Nguyen
The Impact Of Viet Nam’S Socialization Policy On Education And Health Equity Among Disadvantaged Children, Trang Quynh Nguyen
Walden Dissertations and Doctoral Studies
The Xa hoi hoa (socialization) policy was officially adopted by the government of Viet Nam in the late 1990s as a coping strategy for its acute funding shortage in public services with the intent of improving social equity. There was hardly any assessment on the policy to learn its impact on social equity as documented in its key document. Using secondary data from UNICEF’s Multiple Indicator Cluster Surveys conducted in Viet Nam and Viet Nam Household Living Standards Surveys, this study examined the policy’s impact on education and health outcomes among disadvantaged children’s cohorts: the rural, the ethnic minorities and …
Impacts Of Diets And Weight On Cognitive Decline Diseases Among The Middle-Aged Populations In Louisiana, Danielle Beamon
Impacts Of Diets And Weight On Cognitive Decline Diseases Among The Middle-Aged Populations In Louisiana, Danielle Beamon
Walden Dissertations and Doctoral Studies
Cognitive decline is a public health concern since people are living longer, but little is known regarding how to prevent the progression of this condition; furthermore, current treatment options are not always effective after diagnosis. Previous research indicated obesity was associated with diminishing cognitive health, but most studies were conducted on individuals over the age of 65. The purpose of the study was to determine if there is a statistical correlation between cognitive decline and body mass index (BMI) among those between the ages of 40 and 64 years. Data from the 2015-2020 Behavioral Risk Factor Surveillance System Alzheimer’s Disease …
Spirituality And Self-Management Of Diabetes Among African American Women, Tiaa Reshawn Padgette
Spirituality And Self-Management Of Diabetes Among African American Women, Tiaa Reshawn Padgette
Walden Dissertations and Doctoral Studies
Spirituality plays an important role of support for many people; however, little is known about the role spirituality plays in helping manage chronic conditions such as type 2 diabetes (T2D). African American women (AAW) have the highest incidence of T2D compared to other racial and ethnic groups, which demonstrates the need to learn more about improving health and reducing diabetes in AAW. The purpose of this qualitative narrative inquiry, using Roy’s adaptation model as the theoretical framework, was to assess the role of spirituality in how AAW with T2D manage their illness and whether that role changes according to disease …
Prevalence Of Chronic Kidney Disease And Awareness Levels Among Young Adults In Imo And Anambra States, Nigeria, Jacinta Okolie
Prevalence Of Chronic Kidney Disease And Awareness Levels Among Young Adults In Imo And Anambra States, Nigeria, Jacinta Okolie
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD) presents a significant public health concern, particularly in developing countries such as Nigeria, where health care resources are limited and awareness remains low. This quantitative study evaluated the prevalence of CKD and awareness levels among young adults in Imo and Anambra States, Nigeria. The relationship between health care access, medication adherence, and CKD diagnosis was also examined. The health belief model and the social ecological model provided the framework for the study. A sample of 800 participants was recruited from in- and outpatient facilities in Imo State and Anambra State, and sociodemographic information, awareness levels, and …
Residential Street Trees And Cardiovascular Disease Among Urban-Dwelling Mexican Adults, Christine Campbell
Residential Street Trees And Cardiovascular Disease Among Urban-Dwelling Mexican Adults, Christine Campbell
Walden Dissertations and Doctoral Studies
Cardiovascular diseases (CVDs) are a significant public health burden in Mexico despite national efforts to address traditional risk factors. With growing evidence that elements of nature can improve physical and mental health of people living in cities, this quantitative epidemiological study of secondary data examined the relationship between the presence of street trees in Mexican metropolitan areas and self-reported CVD in adults over age 40. The integrated socio-environmental model of health and well-being provided the conceptual framework for the study. A secondary data analysis was performed using combined individual health data from Mexico’s 2012 National Health and Nutrition Survey and …
The Relationship Between Physical Activity, Acculturative Stress, And Cognitive Function In South-Asian Immigrants, Suchana Das Bandhan
The Relationship Between Physical Activity, Acculturative Stress, And Cognitive Function In South-Asian Immigrants, Suchana Das Bandhan
Walden Dissertations and Doctoral Studies
Although previous research has indicated that acculturative stress and lack of physical activity may contribute to age-related cognitive decline in older immigrants, previous research has not investigated the combined influence of acculturative stress and physical activity on cognitive function in a population of older immigrants. This quantitative correlational study aimed to investigate this relationship among older South-Asian immigrants using acculturation theory to guide the research. Acculturative stress was measured using the Social, Attitudinal, Familial, Environment Acculturative Stress Scale. Physical activity was measured using the Community Healthy Activities Model Program for Seniors. Cognitive functioning was measured using the Trail-Making test, Stroop …
Teachers’ Use Of Differentiated Instructional Strategies To Support Students Of Low Socioeconomic Status, Cindi Van Petten
Teachers’ Use Of Differentiated Instructional Strategies To Support Students Of Low Socioeconomic Status, Cindi Van Petten
Walden Dissertations and Doctoral Studies
The problem under investigation in this qualitative study was teachers’ inconsistent implementation of differentiated instructional strategies when teaching students of low socioeconomic status. The purpose of this qualitative study was to investigate how elementary teachers implement differentiated instructional strategies to support students of low socioeconomic status. The conceptual framework was based on Jerome Bruner’s constructivist theory, the growth of mind, because symbolic representation helps students visualize the world and enhance experiences. The research questions investigate how teachers implement differentiated instructional strategies to support students of low socioeconomic status and how they believe training on differentiated instructional strategies to support students …
Sociocultural Effects On Suicidal Ideation Among South Asian Immigrants, Rezwana Ahmed Choudhury
Sociocultural Effects On Suicidal Ideation Among South Asian Immigrants, Rezwana Ahmed Choudhury
Walden Dissertations and Doctoral Studies
With the growing South Asian immigrant population in the West, it is necessary to conduct suicide-related studies among this population to understand the reasons behind suicidal ideation faced by this population. This quantitative cross-sectional survey design study aimed to examine sociocultural factors that may be associated to the risk level of suicidal ideation among South Asian immigrants in the United States. A survey questionnaire was developed using a combination of demographic questions and existing instruments: the Suicide Ideation Attributes Scale, Religious Belief Salience Scale, Suinn-Lew Asian Self-Identity Acculturation Scale, and Rapid Eating Assessment for Participants—S. Data were collected from a …
Student Nurse Experiences Of Retention Strategies And The Perceived Contribution To Academic Progress, Jessica Dugas
Student Nurse Experiences Of Retention Strategies And The Perceived Contribution To Academic Progress, Jessica Dugas
Walden Dissertations and Doctoral Studies
There is a worldwide nursing shortage that has been heightened by the COVID-19 pandemic. Several factors have contributed to the worsening shortage, including high attrition rates in nursing programs. Retention strategies have been suggested to support nursing students during their education to have success and graduate. The purpose of this descriptive qualitative study was to explore how nursing students experience retention strategies and their perceived contributions to academic progress. Bandura’s social cognitive theory was the theoretical framework used to guide the study. Data were collected from one-on-one interviews with 12 nursing students recruited using purposeful and snowball sampling. Data were …
Medicaid Coverage As A Critical Component In Care Coordination And Continuity In Health Care Access During Reentry For Justice-Involved Individuals In Maryland, Bernard Bendenkaga Alenda
Medicaid Coverage As A Critical Component In Care Coordination And Continuity In Health Care Access During Reentry For Justice-Involved Individuals In Maryland, Bernard Bendenkaga Alenda
Walden Dissertations and Doctoral Studies
Incarcerated individuals in the United States have a high disease burden. Moreover, most of them are released from incarceration without health coverage. The problem is that most incarcerated people in Maryland return to the community from incarceration without health coverage and cannot access health care. The purpose of this qualitative study was to understand how Medicaid enrollment staff and managers of the Medicaid program perceive the experiences and challenges of justice-involved individuals in navigating the Medicaid system in Maryland. The study was grounded in the behavioral model for vulnerable populations. The main research question aimed at understanding how the enrollment …
Association Between Psychological Distress And Diabetic Retinopathy Among U.S. Adults, Claret Ijeoma Onukogu
Association Between Psychological Distress And Diabetic Retinopathy Among U.S. Adults, Claret Ijeoma Onukogu
Walden Dissertations and Doctoral Studies
Diabetes can lead to diabetic retinopathy, an eye disease that causes damaged blood vessels and the growth of abnormal ones, leading to vision loss. The two stages of the disease are non-proliferative and proliferative diabetic retinopathy. In the non-proliferative stage, diabetics develop macular edema and ischemia with shortage of blood in the macula region of the eye, and the vision eventually becomes blurry. However, the proliferative stage is the advanced stage of the disease involves neovascularization and retinal detachment. The quantitative study employed the socioecological model as the theoretical framework to examine the relationship between psychological distress and diabetic retinopathy …
How Sarcoidosis Mental Health Stories Could Affect Legislation, Dorothy Michelle Kemp
How Sarcoidosis Mental Health Stories Could Affect Legislation, Dorothy Michelle Kemp
Walden Dissertations and Doctoral Studies
The problem this general qualitative study with narrative techniques addressed was the lack of empirical research about sarcoidosis mental health based on depression, anxiousness, and feeling lonely. Sarcoidosis legislation was also compared to current mental health legislation, which proposed mental health measures. This study aimed to gather secondary data of firsthand descriptions based on the impacts of sarcoidosis mental health aspects and review sarcoidosis legislation. Accumulated secondary data for this study were a collection of stories from doctors, diagnosed patients, and caregivers based on their narrative of the disease from a mental health perspective. In utilizing the advocacy coalition framework, …
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
Walden Dissertations and Doctoral Studies
East African refugee women arrive as a vulnerable population in their host country. Before coming to the United States, refugee women may have experienced varying levels of trauma due to civil wars, genocide, sexual assault, deaths of loved ones, terrorist attacks, being taken hostage, and torture in their home country. The purpose of this generic qualitative study was to explore the experiences of refugee women from East African countries seeking health care in the Central United States when government assistance ends. The framework of the behavioral model of health was the guide for examining the experiences of the participant refugee …