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Walden Dissertations and Doctoral Studies

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An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson Jan 2023

An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson

Walden Dissertations and Doctoral Studies

s the prevalence and incidence of childhood obesity has increased, so has the number of cases of pediatric Type 2 diabetes mellitus (T2DM). Although made unconstitutional in 1968, the transgenerational implications of redlining can be observed in disinvestments resulting in neighborhood detraction. Utilizing the 2019–2020 National Children’s Health Survey, the purpose of the study was to evaluate the relationship between obesity, T2DM, and neighborhood detraction elements as well as assessed indicators of T2DM in non-institutionalized children 6 through17 years of age (N = 34,725). The social determinants of health perspective served as the conceptual framework for the study. Results indicated …

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Filipino Americans’ Attitudes And Experiences With Mental Health And Help-Seeking Behaviors, Kelsey Guerrero Jan 2023

Filipino Americans’ Attitudes And Experiences With Mental Health And Help-Seeking Behaviors, Kelsey Guerrero

Walden Dissertations and Doctoral Studies

Filipino Americans suffer from mental illness at an alarming rate and have a low rate of seeking mental health treatment. Because Filipino Americans are underrepresented in social science research, psychologists do not understand how to resolve this issue within the Filipino American population. The purpose of this generic qualitative study was to describe the experiences with mental health and treatment of Filipino Americans. Bronfenbrenner’s ecological model theory and Latane’s social impact theory served as the theoretical foundation for the study. A sample of 12 Filipino Americans was interviewed using a semistructured interview design. Participants were asked 10 questions addressing their …

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Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León Jan 2023

Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León

Walden Dissertations and Doctoral Studies

In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …

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Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge Jan 2023

Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge

Walden Dissertations and Doctoral Studies

AbstractAdult informal caregivers play an essential role in the care of people with dementia living in the community. Adult informal caregivers may experience a host of negative psychological, emotional, and physical effects because of their roles as caregivers. The purpose of this quantitative correlational study was to investigate the influence of locus of control and mindfulness on the perceived caregiver burden experienced by adult informal caregivers of people with dementia, controlling for relevant sociodemographic characteristics. Social determination theory and social learning theory provided the theoretical foundation for this study. Variables were measured using the Caregiver Burden Inventory, Mindfulness Attention Awareness …

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Non-Alcoholic Fatty Liver Disease And Metabolic Syndrome: The Role Of Gender Differences And Menopausal Status Of Women, Kimberly Kushner Jan 2023

Non-Alcoholic Fatty Liver Disease And Metabolic Syndrome: The Role Of Gender Differences And Menopausal Status Of Women, Kimberly Kushner

Walden Dissertations and Doctoral Studies

There are few studies that investigate the association between non-alcoholic fatty liver disease (NAFLD) and metabolic syndrome (MetS) predominantly in menopausal women. This quantitative study investigated the association between MetS and NAFLD while controlling for age, gender, ethnicity, and menopausal status of women. The theoretical framework that helps establish and guide the research was the diffusion of innovation (DOI). A multivariable logistic regression was conducted using secondary data from the National Health and Nutrition Examination Survey. There is a statistically significant association between MetS, and NAFLD after controlling for age (OR = 2.96, 95% CI = 2.319–3.778, p < 0.001). However, ethnicity was not statistically significant. After further controlling for gender, the relationship remained statistically significant and exhibited a decrease in risk for females compared to males (OR = -.734, 95%CI = .387–.596, p < 0.001). Lastly, focusing on women only, and further controlling for menopausal status, the association between MetS and NAFLD was still statistically significant (OR = 2.227, p < 0.001). Mexican Americans, other Hispanics, and Non-Hispanic Black women were at higher risk (95% CI 1.102–7.039, 1.321–5.351, and 1.255–3.013, respectively). Implications for positive social change include adopting proactive and preventative strategies that can improve the quality of life for vulnerable patients and reduce morbidity and mortality associated with MetS and NAFLD.

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Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula Jan 2023

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …

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Health Education Practices For Middle Eastern Women With Polycystic Ovary Syndrome, Walaa Daffaalla Jan 2023

Health Education Practices For Middle Eastern Women With Polycystic Ovary Syndrome, Walaa Daffaalla

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a complex women’s health condition that reduces women’s quality of life, leading to health complications, such as menstruation issues, infertility, insulin resistance, risk of type 2 diabetes, depression, anxiety, emotional stress, being overweight or obese, and more. Research on PCOS has focused on the etiology and complications in women from different ethnicities. But limited research has explored the experiences and perspectives of Middle Eastern (ME) women in the United States with PCOS related to PCOS health education. The purpose of this qualitative study was to explore the perspectives and experiences of ME women of reproductive …

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Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim Jan 2023

Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim

Walden Dissertations and Doctoral Studies

The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …

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Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory Jan 2023

Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory

Walden Dissertations and Doctoral Studies

Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …

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Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate Jan 2023

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

Many individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …

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Strategies To Reduce Flight Attendant Voluntary Turnover, Jorge Tobar Jan 2022

Strategies To Reduce Flight Attendant Voluntary Turnover, Jorge Tobar

Walden Dissertations and Doctoral Studies

Flight attendant voluntary turnover can lead to staffing shortages that can cause severe disruptions to flight schedules, damage the airlines’ reputations, and negatively affect revenues, which are significant challenges for airline leaders. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies airline leaders use to reduce flight attendant voluntary turnover. Data were collected from four leaders from four U.S. airlines in the southwestern United States using semistructured interviews and reviews of organizational documents. Five themes emerged from thematic analysis: improving compensation and benefits packages, implementing rewards and recognition programs, increasing supervisory support, expanding …

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Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb Jan 2022

Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb

Walden Dissertations and Doctoral Studies

Dysautonomia dysfunction (DD) is a disorder of the autonomic nervous system. Over 70 million people suffer from some type of DD, and the average length of time from symptoms to diagnosis is 6 years. Most facilities and providers choose not to treat DD due to the number of symptoms and the difficulty of being able to diagnose correctly. The purpose of this project study was to create guidelines for the diagnosis, treatment, and management of DD. The research question addressed the effectiveness of these guidelines to help nurses and providers caring for patients with DD provide better care. Watson’s theory …

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Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer Jan 2022

Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer

Walden Dissertations and Doctoral Studies

Hunger and food insecurity are public health issues with 38 million people in the US struggling with food hardship. This study examined if there was a relationship between four types of social capital (SC) (bonding, bridging, community structural-formal, and community structural-informal), income, and food insecurity risk (FIR), in two counties in Wisconsin. A quantitative descriptive correlational study design involving multiple linear regression analysis and the integral model framework was conducted with cross-sectional secondary data from the 2014-2016 Survey of the Health of Wisconsin. Participants were from Milwaukee (n = 335) and Dane County (n = 235). Results revealed that in …

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Family Childcare Providers’ Perspectives On Participating In Quality Improvement Using National Association For Family Child Care Accreditation, Mary Muhs Jan 2022

Family Childcare Providers’ Perspectives On Participating In Quality Improvement Using National Association For Family Child Care Accreditation, Mary Muhs

Walden Dissertations and Doctoral Studies

Few family child care providers attain accreditation in the research state and little research existed as to why family childcare providers make the decision to participate or not in National Association for Family Child Care Accreditation (NAFCC). The purpose of this qualitative study was to explore perspectives and experiences of family childcare providers, in the research state, regarding the decision-making process related to their participation in NAFCC Accreditation. The conceptual framework consisted of both andragogy and growth mindset; guiding the research questions to explore providers’ perspectives and experiences about the decision-making process related to participating in quality improvement initiatives and …

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Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings Jan 2022

Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings

Walden Dissertations and Doctoral Studies

Central line associated blood stream infections (CLABSIs) are the most acquired hospital infection in the United States. CLABSI is caused by bacteria that enter the bloodstream through a central line. In the United States, CLABSI has a mortality rate of 18%, and every year 250,000 people are infected. Of these, 30,000 patients die due to CLABSI infections, hospital stays are prolonged, and hospital costs are increased. Patients in an intensive care unit (ICU) are more exposed to CLABSI because of procedures that break tissues and skin, such as the insertion of a central line. A gap in practice was identified …

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How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns Jan 2022

How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns

Walden Dissertations and Doctoral Studies

Obesity is an issue that negatively effects the health and wellbeing of children across theU.S. The problem addressed by this study was the increasing percentage of obesity among elementary students in a southeastern school district. Guided by Bandura’s social learning theory, the purpose of this basic qualitative study was to explore the perceptions of elementary teachers about increasing student obesity and the challenges they faced in teaching students about health issues in the local school setting. Ten elementary teachers who had knowledge of nutrition and awareness of the student obesity and overweight issues at the study site participated in semistructured …

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Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh Jan 2022

Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh

Walden Dissertations and Doctoral Studies

AbstractThe United States has a higher rate of fetal death compared to other industrialized nations. Although many studies on the factors that contribute to fetal death have been conducted among women in general, little of this phenomenon is known among women who have had a previous Cesarean section (C-section). The purpose of this study was to explore the factors of fetal death among women with a previous C-section(s) and offer suggestions for interventions. The social determinants of health theory was used with other social constructs to provide a theoretical and conceptual framework for the study. As part of the cross-sectional …

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Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques Jan 2022

Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques

Walden Dissertations and Doctoral Studies

AbstractZika virus is an infectious disease caused by the bite of an infected mosquito that has been linked to increased rates of microcephaly and other devastating birth defects. The existing body of knowledge has focused on the individual-level factors that influence a person’s decisions about prevention activities and risk perceptions related to Zika virus. The purpose of this study was to determine the relationship between state-level plans for prevention and education and individual-level risk perceptions. Rosenstock’s health belief model lays a foundation for why individuals make the health decisions they do and helps explain how these can be influenced for …

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Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King Jan 2022

Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King

Walden Dissertations and Doctoral Studies

Title I middle schools face challenges delivering effective inquiry-based science instruction within the framework of Title I requirements. The purpose of this basic qualitative study was to explore Title I middle school teacher and principal perspectives on and experiences with the challenges of delivering inquiry-based science instruction within the framework of Title I requirements. Dewey’s theories of experiential learning and Vygotsky’s theory of sociocultural constructivism provided the conceptual framework for this study. The research questions focused on teacher and principal experiences with inquiry-based science instruction and the impact Title I school policies and practices had on the delivery of inquiry-based …

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Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd Jan 2022

Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd

Walden Dissertations and Doctoral Studies

During the transition to practice, new graduate nurses (NGNs) face conflict and uncertainty influenced by lack of resiliency and self-care knowledge. In a rural hospital, NGNs had minimal standardized guidance during the transition to practice. Without a proper understanding of resiliency and self-care knowledge, NGNs could not adapt to change and risked leaving the profession or harming patients. A self-care staff education project was developed to improve knowledge of resiliency in a group of NGNs. Self-care deficit theory provided the framework for the project. Sources of evidence published between 2017 and 2022 were used as well as previously analyzed data …

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Enterprise Resource Planning Implementation Strategies In Small- And Medium-Sized Manufacturing Enterprises, Tatianna Gilliam Jan 2022

Enterprise Resource Planning Implementation Strategies In Small- And Medium-Sized Manufacturing Enterprises, Tatianna Gilliam

Walden Dissertations and Doctoral Studies

The difficulty SME leaders of manufacturing firms experience in the executing of enterprise resource planning (ERP) systems threatens the longevity of innovative change within firms seeking to adopt ERP systems. Grounded in the diffusion of innovation theory, the purpose of this multiple case study was to examine critical success factors used to successfully implement ERP systems. The participants were four ERP business leaders of small to medium size manufacturing firms based on the east and west coasts of the United States. Data were collected using semistructured online interviews and a review of company documents. Through thematic analysis, five themes were …

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Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike Jan 2022

Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike

Walden Dissertations and Doctoral Studies

AbstractDiabetes is a global public health problem responsible for increased healthcare costs, altered quality of life, and significant morbidity and mortality. Mobile applications have become an effective lifestyle modification tool for ongoing individual diabetes monitoring and management; however, the project site had not been using this technology with their diabetes patients. Guided by the chronic care model, this staff education project explored the likelihood that clinicians in a family practice group in the Southeast region of the United States would implement a mobile application for their patients following an evidence-based education session. The staff education project was developed using evidence …

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Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin Jan 2022

Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin

Walden Dissertations and Doctoral Studies

Blood-borne pathogens (BBPs) are an occupational risk confronted by many health care workers. Nurses are routinely exposed to Hepatitis B, Hepatitis C, and human immunodeficiency virus. A literature review, which included retrieval of peer-reviewed quantitative articles, systematic reviews, and mixed-methods studies published between 2014 and 2021 supported the need for nurses to be knowledgeable about prevention of BBP exposures and the processes to follow after an incident. The project aimed to educate staff nurses on the best practices for preventing the risk for and transmission of BBPs. A pretest–education–posttest format was used to assess knowledge before and after the presentation …

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Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen Jan 2022

Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen

Walden Dissertations and Doctoral Studies

The prevalence of obesity among children and adolescents has markedly increased in several developed countries in recent years. Researchers have examined different factors that contribute to overweight and obesity in children and adolescents but have not fully explored the psychological impact of obesity on this population. The effectiveness of nutrition education programs in addressing the effects of obesity is also understudied. The primary purpose of this evaluative case study was to examine the impact of the Harvest of the Month nutritional educational program, which was adopted by San Diego County public schools in 2005, on the nutritional habits and psychosocial …

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Educators' Perspectives On Coordination Of Transition Programming For Early Childhood Students With Asd In Inclusive Settings, Lashundra Dees Jan 2022

Educators' Perspectives On Coordination Of Transition Programming For Early Childhood Students With Asd In Inclusive Settings, Lashundra Dees

Walden Dissertations and Doctoral Studies

Coordination of special education prekindergarten (PK) to kindergarten (K) transition programming for children with autism spectrum disorder (ASD) represents significant changes for students within inclusive school environments. The problem addressed by this basic qualitative study involved barriers, challenges, supports, and successes in the coordination of transition programming from PK to K for students with ASD. This study addressed a gap in the literature on educators' perspectives on the coordination of transition programming. Bronfenbrenner’s ecological systems theory framed this study that explored the perspectives of 11 educators. Data were collected from semistructured digitally audio recorded interviews conducted with six PK and …

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The Impact Of Electronic Cigarettes Use On Traditional Cigarette Uses Among U.S. Adolescents, Ismail Mensah Dwumfour-Poku Jan 2022

The Impact Of Electronic Cigarettes Use On Traditional Cigarette Uses Among U.S. Adolescents, Ismail Mensah Dwumfour-Poku

Walden Dissertations and Doctoral Studies

The increased usage of e-cigarettes among adolescents in the United States (U.S.) is a major public health concern. According to the Centers for Disease Control and Prevention (CDC), nicotine, an active ingredient in e-cigarettes, is the most addictive drug in use today. The purpose of the current study was to explore the relationship between smoking of e- cigarettes and the risk of smoking traditional cigarettes among middle and high school students in Grades 6 through 12 in the U.S., and to determine if demographic factors contribute to this predisposition. This, quantitative cross-sectional study used the social ecological model as the …

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Relationship Between Early Years’ Activities Of Daily Living And Alzheimer’S Disease Onset, Linyi Fan Jan 2022

Relationship Between Early Years’ Activities Of Daily Living And Alzheimer’S Disease Onset, Linyi Fan

Walden Dissertations and Doctoral Studies

A few promising studies have indicated that activities of daily life (ADL) may be a useful way of predicting Alzheimer’s Disease (AD). However, the existing cross-sectional studies fail to show how ADLs in early years predict AD, and how social factors influence health either in addition to or in interaction with individual risk factors. Using a social epidemiology framework, this study examined the relationship between early years’ ADL and the development of AD in later years. This quantitative study included 4,526 participants derived from the Health and Retirement Study (HRS) dataset. The dependent variable was whether the participant has been …

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Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel Jan 2022

Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel

Walden Dissertations and Doctoral Studies

The growing population of postpartum African-born immigrant women has contributed significantly to the high burden of obesity and poor maternal health outcomes in the state of Texas; however, there is little research on this population. The purpose of this transcendental phenomenological study was to explore the lived experiences of weight management among postpartum African-born immigrant women in Texas based on the concepts of the health belief model. Semistructured interviews sparked the life experience of postpartum weight management of African-born immigrant women ages 18–45 who had a baby within the last year and suffered postpartum overweight or obesity. Interviews were audio-recorded …

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Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander Jan 2022

Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander

Walden Dissertations and Doctoral Studies

As decriminalization of cannabis in the United States increases, understanding how cannabis use may alter physical and mental health is important. The Appalachian Mountain region is an area with poor support systems, stigma against mental health, and historic drug use problems, resulting in residents being more vulnerable to societal change. The theoretical framework for this research is psychoneuroimmunology (PNI), which is the study of the interconnections between psychology, neurology, and immunology as a holistic approach to health. Via SurveyMonkey, 160 participants completed the study, and data were based on self-reporting of cannabis use patterns in relation to anxiety, depression, immunity, …

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Association Of Myplate Diet And Exercise With Diabetes In African American Women, Brandi Jones Jan 2022

Association Of Myplate Diet And Exercise With Diabetes In African American Women, Brandi Jones

Walden Dissertations and Doctoral Studies

Lifestyle choices such as diet and physical activity have been described as significant predictors of preventable disease, such as Type 2 diabetes mellitus. African American women disproportionately develop Type 2 diabetes and are at greater risk, compared to Caucasian/European Americans. The purpose of this study was to examine the association of physical activity and adherence to the MyPlate diet plan with the occurrence of Type 2 diabetes among African American women. The health belief model was the theoretical foundation for this study. Research questions were designed to examine the extent to which diet and physical activity predict Type 2 diabetes. …

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