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Articles 901 - 930 of 2220
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Applied Behavior Analysis Therapy For Children With Autism Spectrum Disorder And The Impact Of Environment On Treatment Outcomes, James Adkins
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD) effects growing numbers of children and effective treatment is essential for families to overcome the challenges associated with ASD. Applied behavior analysis treatment has been tailored to address the unique learning needs of children with ASD. The purpose of this study was to examine the extent to which treatment environment impacted language milestones and barriers among children with ASD. Behaviorism and applied behavior analysis served as the framework for the study. A nonexperimental quantitative mixed design with two independent variables was used. The between-subjects independent variable was type of treatment environment (home vs. clinic). The within-subjects …
The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin
The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin
Walden Dissertations and Doctoral Studies
The purpose of this study was to explore the relationship between racial discrimination and anger, stress, and obesity. The stress-disease model provided a theoretical perspective of the biological, psychological, and social pathways from stress. Past research regarding the correlation between racial discrimination, anger, stress, and obesity reported a possible connection, but results have been mixed. This research expanded upon existing literature that proposed that blatant or subtle experiences of racial discrimination are pathways to mental and physical health consequences. The hypothesis was that there was a significant relationship between racial discrimination and the levels of stress, anger, and obesity. Racial …
Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka
Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka
Walden Dissertations and Doctoral Studies
AbstractHypertension (HTN) is one of the most significant risk factors for morbidity and mortality worldwide and is responsible for the annual deaths of approximately 9 million people globally. A major problem with HTN self-management (SM) is low health literacy (HL), which is associated with poor health outcomes and self-care. The purpose of this explanatory sequential, mixed method study, guided by Pender’s health promotion model, was to explore the perceptions of adults with HTN and low HL about the SM of their HTN. A total of 32 adults with HTN were screened using the Newest Vital Sign health literacy screening tool. …
Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin
Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin
Walden Dissertations and Doctoral Studies
Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …
Conceptions Of Service Provider Preparedness, Aaron Engstrom
Conceptions Of Service Provider Preparedness, Aaron Engstrom
Walden Dissertations and Doctoral Studies
Victims of human trafficking often need a variety of services to recover from their experiences. Service providers are organizations that aim to meet the personal and environmental needs of survivors by providing resources and guidance. However, the efficacy of services offered to survivors has not been robustly studied, which could leave unsuccessful survivor outcomes unnoticed. The purpose of this case study was to learn how service provider employees prepared to meet survivors’ needs. The combination of social cognitive theory and social constructionist theory served as the lens through which service provider employee conceptions of preparedness were explored. Four service provider …
Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit
Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit
Walden Dissertations and Doctoral Studies
AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …
The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier
The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier
Walden Dissertations and Doctoral Studies
Household-level double burden of malnutrition (HL-DBM) challenges traditional South African vertical malnutrition programs. Research has associated a household with an overweight/obese mother of reproductive age and her under 5-year-old child with signs of undernutrition (wasting, stunting, or thinness) with socioeconomic levels, maternal characteristics, features of the household, and child’s demographics. Grounded in the social determinants of health conceptual framework, this study aimed to investigate the determinants of HL-DBM in South Africa across the reproductive-child health continuum. Using the representative 2017 Wave 5 South African National Income Dynamics Study survey secondary data, a total sample of 314 homes met this non-experimental …
Association Between Poverty Level And Prehypertension Risk Among U.S. Adults, Cynthia Adeyemi
Association Between Poverty Level And Prehypertension Risk Among U.S. Adults, Cynthia Adeyemi
Walden Dissertations and Doctoral Studies
Prehypertension (PreHTN) is a significant risk factor for hypertension (HTN) that has been observed in both pediatric and adult populations. In the United States, adjusted mortality rate attributed to HTN in 2018 was highest among non-Hispanic Black (NHB) men followed by NHB females. The purpose of this study was to measure whether lowest, middle, and highest poverty group (LMHPG) and PreHTN varied by age, gender, race, and ethnicity (Hispanic compared to non-Hispanic [HcNH]) and whether the association varied by participants responding yes or no to having been told by a doctor or healthcare professional that they have PreHTN. This study, …
Nicu Services For Preterm Babies: Experiences Of Aghem Women Of Northwest Cameroon, Deudonne Kum Amuam
Nicu Services For Preterm Babies: Experiences Of Aghem Women Of Northwest Cameroon, Deudonne Kum Amuam
Walden Dissertations and Doctoral Studies
The experiences of women with health care services continue to be a challenge for health care workers in providing quality care. Women’s poor impressions of health care services in sub-Saharan Africa stems from the negative behavior of health care workers during the provision of care to mothers and their preterm babies. The lack of data on women's experience with health care services in Cameroon was the problem this study addressed. The study's purpose was to understand Aghem women's experience with health services provided for their preterm babies in the neonatal intensive care unit (NICU) and how they perceived that their …
Birthplace Decision Making Experiences Of The Ugep Women Of Southern Nigeria, Thomas Okoi Ofem
Birthplace Decision Making Experiences Of The Ugep Women Of Southern Nigeria, Thomas Okoi Ofem
Walden Dissertations and Doctoral Studies
The purpose of this basic qualitative study was to explore and describe how behavioral, normative, and control beliefs shape women's birthplace decision-making experiences. The study sought to better understand how Ugep women of southern Nigeria decided where to give birth after attending antenatal care. Using the theory of planned behavior as a framework, a purposeful sample of nine women aged 25 to 35 years who attended antenatal clinic at least twice at the selected primary health facility but gave birth at home during the past year was recruited. Data collection was through face-to-face, semistructured interviews. Audio recordings of interviews were …
Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen
Role Of Hypertension In Low-Birth-Weight Racial Disparities Among Virginian Women, Ashli Owen
Walden Dissertations and Doctoral Studies
Low birth weight (LBW) is a leading cause of infant mortality globally, but it disproportionately burdens the Black community in the United States, with a rate twice that of White women. Further, hypertensive disorders of pregnancy (HDsP) increase LBW incidence. The purpose of the study was to assess the association between HDsP and LBW, maternal race and LBW, and the moderation effect of HDsP on race and LBW on Black and White women in Virginia. The theoretical framework for this study was based on the lifecourse health development model, which states that health should be viewed as an outcome of …
Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay
Self-Management Support Program For Dialysis Patients, Elmer Sadiang-Abay
Walden Dissertations and Doctoral Studies
AbstractChronic kidney disease (CKD) prevalence rates have been on the rise in recent years, and currently, about 37 million Americans are living with the disease. Most patients with CKD progress to end-stage renal disease (ESRD), resulting in additional treatments, including kidney transplants and hemodialysis (HD). HD treatments depend on patients’ adherence to self-management practices. The practice gap was the lack of guidelines for staff to use with ESRD patients to teach self-management strategies. This project aimed to develop an evidence-based clinical practice guideline (CPG) on a self-management support program for dialysis patients for use by health care providers at the …
Sociodemographic And Behavioral Predictors Of Obesity Among Female Asian Indian Immigrants In The United States, Afiya Saleem
Sociodemographic And Behavioral Predictors Of Obesity Among Female Asian Indian Immigrants In The United States, Afiya Saleem
Walden Dissertations and Doctoral Studies
Individuals from low-income countries such as those in the Asian region migrate to high-income countries and adopt obesogenic behaviors like sedentary lifestyles and high fat and sugar intake. This results in increased susceptibility to obesity, diabetes mellitus, cardiovascular disease, and stroke. Previous research has demonstrated that migrants from South Asian countries are at an increased risk of developing obesity, type 2 diabetes, and hypertension; however, little is known about the factors that contribute to this phenomenon. This was a quantitative, cross-sectional study guided by the social-ecological model. This study used secondary data from the National Health Interview survey to investigate …
Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo
Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo
Walden Dissertations and Doctoral Studies
AbstractGlobally, childhood obesity is a major social and public health concern characterized by complications such as high cholesterol and high blood pressure. The purpose of this quantitative cross-sectional study was to examine the association between childhood obesity in children age 6–12 years and the socioeconomic status of their parents in the Southwest geopolitical zone of Nigeria. Social cognitive theory served as the theoretical framework for the study. Questionnaire data were collected from 384 parents/guardians of children age 6–12 years across three states in the Southwest geopolitical zone of Nigeria. Data were analyzed using descriptive statistics and multiple logistic regression at …
Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James
Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James
Walden Dissertations and Doctoral Studies
Malnutrition in children under 5 years remains an important public health challenge as it spurs child mortality and morbidity in developing countries, including Nigeria. The purpose of this quantitative cross-sectional study was to explore the risk factors of malnutrition in children under 5 years of age in Akwa Ibom State, Nigeria. Socioecological and health belief models were applied to examine risk factors of malnutrition among these children. This study used a secondary dataset of 1,235 participants obtained from Akwa Ibom State Demographic and Health Survey database. Pearson’s chi-square test and binary logistic regression were adopted for the analyses. The results …
Life Experiences Of Head Start Teachers In A Midwestern Region Pursuing Higher Education, Jeanette O. Keyes
Life Experiences Of Head Start Teachers In A Midwestern Region Pursuing Higher Education, Jeanette O. Keyes
Walden Dissertations and Doctoral Studies
AbstractThe 2007 Head Start Reauthorization Act mandated that all Head Start teachers have at least an associate degree and 50% of teachers within each Head Start program should have a baccalaureate degree in early childhood education. The problem addressed in this study was that Head Start teachers from a Midwestern region encountered barriers as they pursued higher education to meet mandated requirements to continue employment. The purpose of this study was to explore the life experiences, barriers, coping strategies and views of support needed by Head Start teachers who were completing their degrees. Tinto’s academic and social integration model and …
Impact Of Social Barrier Removal On Primary Care Use By Managed Care Enrollees, Pamme Lyons-Taylor
Impact Of Social Barrier Removal On Primary Care Use By Managed Care Enrollees, Pamme Lyons-Taylor
Walden Dissertations and Doctoral Studies
Personal health represents a complex relationship among social, physical, and emotional factors that can be influenced by health-seeking behaviors. Prior research indicates that greater use of preventive services leads to longer life and lower healthcare costs. For some populations, evidence suggests that social barriers hinder access to preventive services. To better understand the relationship between social factors and the other personal-health factors, de-identified healthcare claims and social service encounter data for 4,480 low-income individuals enrolled in Medicare Advantage or Managed Medicaid at one national health insurance were examined using a retrospective, quasi-experimental design for services rendered between October 1, 2014 …
Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani
Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani
Walden Dissertations and Doctoral Studies
Globally, vaccination is among the most successful and cost-effective public health practices in the prevention of infectious diseases. The purpose of this study was to examine the child, parental, and geographical risk factors that influence childhood vaccination coverage in Afghanistan. The health belief model and socio-ecological model was used in this study as the theoretical framework to examine the effects of these risk factors on vaccination coverage among children in Afghanistan. Univariate, bivariate, and multivariate tests were conducted within the secondary data analysis of the 2015 Afghanistan national Demographic and Health Survey dataset. Of the 32,420 children aged 0 to …
Health Care Provider Program On The Management Of Obesity, Erlinda P. Bhat
Health Care Provider Program On The Management Of Obesity, Erlinda P. Bhat
Walden Dissertations and Doctoral Studies
Research has shown that educational programs have led to developing the professional skills and behaviors of front-line health care providers who care for overweight or at-risk obese patients. The purpose of this project was to provide an educational program on best practices for weight management to health care providers at a large military clinic. The project question was developed to assess whether the educational program increased the knowledge and confidence of health care providers in the management of obesity. Utilizing Pender's health promotion model, a quasi-experimental study was conducted in which 15 health care providers, including licensed and unlicensed personnel …
Investigating The Needs Of Homeless Individuals Living In Transitional Housing, Tonya Hambrick-Mcclain
Investigating The Needs Of Homeless Individuals Living In Transitional Housing, Tonya Hambrick-Mcclain
Walden Dissertations and Doctoral Studies
Homeless individuals are a disadvantaged and vulnerable population. Some of the issues contributing to homelessness are mental illness, medical problems, substance abuse, domestic violence, and lack of education and affordable housing. Homelessness continues to be a major social issue in the United States, and it profoundly affects individuals ages 25–35 years old. There is limited research identifying the needs of homeless individuals between the ages of 25 and 35 who live in transitional housing in the Chicago area. The purpose of this generic qualitative research study was to explore how homeless individuals ages 25-35 years old describe their lived experiences …
Human Immunodeficiency Virus And Homelessness Among U.S.-Born And Foreign-Born Tuberculosis Cases In Georgia, Semra Ramosevac
Human Immunodeficiency Virus And Homelessness Among U.S.-Born And Foreign-Born Tuberculosis Cases In Georgia, Semra Ramosevac
Walden Dissertations and Doctoral Studies
According to the Centers for Disease Control and Prevention, tuberculosis (TB) is an infectious disease caused by bacteria and can easily spread in the U.S. and worldwide. TB infections in the U.S. have been much lower compared to other countries around the world in the last 40 years, but with the recent increase in an immigrant foreign-born population, there is a serious risk of the spread of TB. The goal of the study was to look into U.S.-born vs. foreign-born populations among TB/HIV/homeless cases in the state of GA from 2014 to 2018. The quantitative study was performed using secondary …
Evaluation Of A Cardiac Surgery Nurse Navigator Quality Improvement Program, Eileen Joy Watkins
Evaluation Of A Cardiac Surgery Nurse Navigator Quality Improvement Program, Eileen Joy Watkins
Walden Dissertations and Doctoral Studies
AbstractPatients who have had cardiac surgery may experience longer hospital stays and increased readmission rates when there is poor care coordination between patients, families, and the healthcare team. Poor care coordination leads to unclear expectations of each phase of care, decreased compliance with postoperative care regimen resulting in increased length of stay, patient and family dissatisfaction, and increased rates of readmission. This project evaluated a Cardiac Surgery Nurse Navigator (CSNN) Quality Improvement program to address care coordination and improve length of stay and readmission rates for cardiac surgery patients. The goal was to determine whether the CSNN program was effective …
Gender Equality And Equity Narratives Amongst Women In Nongovernmental Organizations, Barbara Etta Austin-Lucas
Gender Equality And Equity Narratives Amongst Women In Nongovernmental Organizations, Barbara Etta Austin-Lucas
Walden Dissertations and Doctoral Studies
Gender equality and equity narratives of women members of registered nongovernmental organizations (NGOs) have been largely unexamined relative to their lived experiences in healthcare, education, socioeconomic status, and political participation. The purpose of this study was to explore the narratives of women members of registered NGOs located in the Northeastern United States. The gender equality and equity narratives of women in registered NGOs related to their experiences with healthcare, education, socioeconomic status, and political participation were explored. For this qualitative narrative research, the conceptual framework was the narrative policy framework theory, which explores how narratives influence public opinion, policy dialogue, …
An Educational Intervention To Reduce Central Venous Catheter Infection Rates, Bolanle Olajuyigbe
An Educational Intervention To Reduce Central Venous Catheter Infection Rates, Bolanle Olajuyigbe
Walden Dissertations and Doctoral Studies
AbstractCentral venous catheters (CVC) are essential in both critical and noncritical care settings. Despite benefits such as the administration of medications, blood products, and parenteral nutrition, CVCs are also associated with infections known as central–line associated blood stream infections (CLABSI). Linked to knowledge deficit and noncompliance in following evidence-based care bundles by nurses, it is important that nurses are empowered through education to provide quality care to reduce CLABSI rates. Thus, a staff education program was developed to answer the practice-focus question: if an organized education program increases the knowledge of medical-surgical nurses on central line care and management procedures …
Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland
Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland
Walden Dissertations and Doctoral Studies
The United States has a significant diabetes problem. This chronic disease affects the body physically and mentally. One of the emotional effects of diabetes is depression. Depression is often present in individuals with diabetes, chiefly in those with type 2 diabetes mellitus (T2DM). While depression is common in T2DM and can interfere with treatment adherence, clinician screening for depression in T2DM patients is low. The purpose of this study was to examine clinicians' attitudes, behaviors, and perceptions concerning screening patients with T2DM for depression. Through a qualitative case study approach centered on reasoned action theory, 3 physicians and 5 nurse …
Effects Of Trained Providers And Naloxone Distribution On Prescription Opioid Use Disorder, Samuel Sarpong
Effects Of Trained Providers And Naloxone Distribution On Prescription Opioid Use Disorder, Samuel Sarpong
Walden Dissertations and Doctoral Studies
AbstractOpioid abuse and overdose are associated with substantial morbidity and mortality rates, as well as social and economic costs. The purpose of this study was to evaluate the independent and interactive effects of state-sponsored prescription drug monitoring program (PDMP) trained healthcare providers and community-based naloxone distribution program related factors in the states of Florida and Georgia for the prevention and reduction of prescription opioid use disorder, overdose, and deaths. The research theory adopted was the socio-ecological model with an emphasis on risk factors such as age. The study used secondary data from 2014 to 2018 from the Florida and Georgia …
Social Determinants Of Health And Type 2 Diabetes Among Enrollees Of California Children’S Services Program In Fresno County, California, Daniela Marie Aghadjanian
Social Determinants Of Health And Type 2 Diabetes Among Enrollees Of California Children’S Services Program In Fresno County, California, Daniela Marie Aghadjanian
Walden Dissertations and Doctoral Studies
Despite extensive study in adults, Type 2 diabetes (T2D) has been the subject of little research concerning young adults or children. Doctors believed T2D to develop only in a person’s later years until health care providers found younger individuals developing this disease. The purpose of this cross-sectional quantitative analysis was to determine correlations between T2D and social determinants of health in Fresno County, California, based on children and adolescents. The 2017-19 data came from the Fresno County Department of Public Health. The theoretical foundation for the study was the socio-ecological framework focusing on individuals’ traits having a bidirectional impact on …
Understanding How Religious Practices Influence Self-Care In Black Churchgoers Diagnosed With Hypertension, Taquina C. Davis
Understanding How Religious Practices Influence Self-Care In Black Churchgoers Diagnosed With Hypertension, Taquina C. Davis
Walden Dissertations and Doctoral Studies
Religion plays an essential role in managing health; however, there is limited research on religious practices among Black churchgoers diagnosed with hypertension. This research aims to understand how religious practices influence self-care in Black churchgoers diagnosed with hypertension. The sample consisted of 21 Black men and women, ages 29 to 70 years, with a clinical diagnosis of hypertension. Participants were recruited from two local, predominately Black churches in South Carolina and administered semistructured interviews to participants. A grounded theory design was used, and the data analysis consisted of constant comparison. Two core concepts were identified. One core concept identified was …
Elementary Stakeholder Perceptions Of Data Team Discussions Influence On Instructional Adjustments, Michelle Shay
Elementary Stakeholder Perceptions Of Data Team Discussions Influence On Instructional Adjustments, Michelle Shay
Walden Dissertations and Doctoral Studies
Federal law requires schools to conduct formative, summative, and diagnostic assessments to inform instructional strategies. However, the collection of student accountability compliance data has not always resulted in improved student academic achievement. The research problem addressed in this study is that little is understood about how data team discussions influence elementary teachers’ instructional adjustments. The purpose of this basic qualitative study is to gain an in-depth understanding of elementary teacher and leader perceptions of how data team discussions influence teachers’ data-driven decision making (DDDM) instructional adjustments. The conceptual framework for this study is based on the theory of planned behavior, …
The Lived Experience Of Black Women With Weight Loss And Counseling Post Bariatric Surgery, Cynthia Williams
The Lived Experience Of Black Women With Weight Loss And Counseling Post Bariatric Surgery, Cynthia Williams
Walden Dissertations and Doctoral Studies
AbstractStudies have shown that bariatric surgery can assist obese individuals to both lose a significant amount of weight rapidly and improve or resolve health comorbidities associated with obesity. This weight loss, however, can be considerably less for the obese Black woman. While reasons for this difference appears multifactorial entailing dietary, genetics, and environmental factors, limited research concerning the lived experiences of obese or formerly obese Black women with weight loss and post bariatric counseling have been conducted. The primary objective of this interpretative phenomenological study was to increase the understanding of the lived experiences of obese or formerly obese Black …