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Leadership Strategies For Increasing Access To Care For Persons Suffering From Anxiety And Depression, Brandee L. Downes
Leadership Strategies For Increasing Access To Care For Persons Suffering From Anxiety And Depression, Brandee L. Downes
Walden Dissertations and Doctoral Studies
Leadership strategies and decisions can impact the accessibility of mental health services for those seeking services related to anxiety and depression. The impact of readiness of leadership through strategy, implementation, and decision-making was the focus of this study. When the preparedness of an organization is at its peak, it increases the utilization of mental health services among adults, children, and adolescents struggling with anxiety and depression. The problem addressed in this study was how leadership strategies within the behavioral health organization contributed to a lack of collaboration, outreach, and training due to the absence of strategic planning, implementation, and leadership. …
Risk Factors Of Self-Reported Prediabetes Status In New York State, Kari Ann Hunter Thompson
Risk Factors Of Self-Reported Prediabetes Status In New York State, Kari Ann Hunter Thompson
Walden Dissertations and Doctoral Studies
Prediabetes affects over 4 million people in New York State and increases the risk of Type 2 diabetes. Prior research identified risk factors such as poor diet, inactivity, obesity, hypertension, and smoking; but no studies examined these collectively or assessed their interactions. This quantitative, cross-sectional study analyzed a sample of 289 non-institutionalized adults aged 18 or older with landline or cellular phone, from the Behavioral Risk Factor Surveillance System. The study examined relationships between prediabetes and 16 factors in five categories: demographic (age, race, sex, education), socioeconomic (income, employment), behavioral (fruit intake, vegetable intake, physical activity, smoking), physiological (hypertension, BMI), …
Complementary Self-Care Therapies To Self-Manage Endometriosis In Association With Health-Related Quality Of Life, Sarah Cummins
Complementary Self-Care Therapies To Self-Manage Endometriosis In Association With Health-Related Quality Of Life, Sarah Cummins
Walden Dissertations and Doctoral Studies
There is a lack of understanding within the psychological and medical communities on the extent to which endometriosis impacts the health-related quality of life (HRQoL) of people with endometriosis (PWE). This population is understudied in relation to the effects of endometriosis on HRQoL, the various methods used to treat and cope with endometriosis-related symptoms, the influence of self-managing endometriosis on PWE’s HRQoL, or the HRQoL outcomes associated with using nontraditional methods to self-manage endometriosis. As such, there is a lack of knowledge on the extent to which the use of various types of complementary self-care therapies to self-manage endometriosis is …
Executive Summary: Quality Improvement Initiative Retrospective Program Evaluation Of Sms Reminder System In Decreasing Outpatient Mental Health Clinic No-Show Rates, Jordan Rogers
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) project presents an organizational quality improvement initiative implementing a text message reminder system to decrease appointment no-show rates in the outpatient mental health clinic. The project was developed based on the high rate of appointment no-shows at the DNP project site. Appointment no-shows are costly to both clinics and patients. Clinics experience decreased revenue and efficiency, and patient outcomes can be compromised. The project evaluated whether text message reminders sent 24 hours before a scheduled appointment time decreased no-show rates by at least 10%. Preimplementation data were collected for months October, November, and December, …
Effective Followership And Successful Leadership In Small And Medium Enterprises In The Middle East, Kayan Alameh
Effective Followership And Successful Leadership In Small And Medium Enterprises In The Middle East, Kayan Alameh
Walden Dissertations and Doctoral Studies
Effective leadership has long been recognized as a critical factor in organizational success, yet the role of followership remains underexplored. The purpose of this quantitative quasi-experimental study was to examine the relationship between effective followership and successful leadership within small and medium enterprises (SMEs) in the Middle East. Followership theory, transformational leadership theory, and organizational culture theory grounded this study. The participants comprised 192 employees working in SMEs across the Middle East who completed the implicit followership theories scale developed by Thomas Sy to measure followership effectiveness. Leadership success was determined based on whether leaders achieved at least 80% of …
African American’S Accessibility To Culturally Appropriate Mental Health Services, Latasha Martin
African American’S Accessibility To Culturally Appropriate Mental Health Services, Latasha Martin
Walden Dissertations and Doctoral Studies
Mental disorders are a major cause of disability in the United States, disproportionately affecting African Americans (AAs) since the Post-Civil War era (1865-1877). Despite prior studies on racial disparities in mental health care, evidence-based delivery protocols for racial and ethnic minority groups remain underdeveloped. The purpose of this study was to explore the lived experiences of AA when accessing culturally appropriate mental health services, using qualitative, phenomenological research methods. The theoretical framework for this investigation was based on social stress theory, which explored individual experiences and community change. Six AA males and females, from Gregg County, Texas, and the Louisiana …
Elementary Mathematics Teachers’ Experiences Addressing Student Learning Loss, Regina Lashonda Bynum-Gray
Elementary Mathematics Teachers’ Experiences Addressing Student Learning Loss, Regina Lashonda Bynum-Gray
Walden Dissertations and Doctoral Studies
The problem was the COVID-19 pandemic-related learning loss of Grade 3–5 students in mathematics within Texas public schools (TPS). Studying this problem was important to address learning loss to avoid other academic issues. The purpose of this basic qualitative study was to explore TPS Grades 3–5 mathematics teachers’ instructional practices and the support needed to improve students’ pandemic-related learning loss. The conceptual framework that was used in this study was learning loss recovery, which consists of evidenced-based practices grouped into four categories: opportunities for additional learning time, assessment, student social and psychological wellness, and support for teachers. This study included …
Integrative Treatment Providers’ Perspectives: Gender Differences For Adult Survivors Of Childhood Sexual Abuse, Amanda M. Robinson
Integrative Treatment Providers’ Perspectives: Gender Differences For Adult Survivors Of Childhood Sexual Abuse, Amanda M. Robinson
Walden Dissertations and Doctoral Studies
The long-term effects that individuals suffer because of childhood sexual abuse may impact their physical, mental, emotional, spiritual, and social health. Treatment providers and helping professionals working with childhood sexual abuse survivors offer a unique insight into the impact of the trauma based on the gender of the survivor. The purpose of this qualitative study was to explore integrative treatment providers’ perceptions of treating male versus female adult survivors of sexual abuse. Seligman’s positive psychology was used for the theoretical framework of the study, and the conceptual framework was based on Engel’s biopsychosocial model. The data for this study were …
Environmental And Systemic Barriers To Pursuing Postsecondary Education For Young African American Men From Single Parent Households, Felix A. Weston
Environmental And Systemic Barriers To Pursuing Postsecondary Education For Young African American Men From Single Parent Households, Felix A. Weston
Walden Dissertations and Doctoral Studies
African American men often face significant environmental and systemic barriers in pursuing postsecondary education as shown by research on the experiences of African American male high school students and first-generation college students. The experiences of African American men who have not attended college or postsecondary education have received less attention. The purpose of this study was to explore the environmental and systemic barriers experienced by African American men aged 18–24 who have not attended or pursued college or postsecondary education. A qualitative study was conducted with 15 African American men aged 18–24 from single parent households utilizing the ecological model …
Acculturation, Education, Food Choice, And Body Mass Index: A Survey In The Rio Grande Valley, Melanie Espinoza
Acculturation, Education, Food Choice, And Body Mass Index: A Survey In The Rio Grande Valley, Melanie Espinoza
Walden Dissertations and Doctoral Studies
Obesity is a global problem and a risk factor for many life-threatening illnesses and diseases. The Rio Grande Valley (RGV) in South Texas has higher than state and national obesity rates. The cultural influences on food choice in this region are a frequent focus of research, and there have also been numerous studies on the relationship between socioeconomic status and overweight and obesity; however, there are currently no studies that specifically investigate the relationship between educational attainment, acculturation, food choice behavior, and overweight and obesity among Hispanics in the RGV. Grounded in social cognitive and acculturation theories, the purpose of …
Enhancing Provider Knowledge With Phq-9 Education, Laurette Abunaw
Enhancing Provider Knowledge With Phq-9 Education, Laurette Abunaw
Walden Dissertations and Doctoral Studies
Depression represents a significant public health concern that often remains undiagnosed or untreated, primarily due to insufficient systematic screening in primary care settings. The lack of standardized screening tools such as the Patient Health Questionnaire-9 (PHQ-9) elevates patient risks, increasing symptom severity, increasing suicide rates, and delaying interventions. Research studies show that a significant number of individuals with depression go untreated for long durations, with primary care settings recognizing only a small percentage of cases. The PHQ-9 is an effective tool for assessing and monitoring depression in a primary care setting, leading to early detection of symptom severity. Clinical practice …
Non-Fatal Overdose Among Florida Opioid Users: A Quantitative Analysis Of Anxiety, Depression, And Insurance Providers, Zachary Miller
Non-Fatal Overdose Among Florida Opioid Users: A Quantitative Analysis Of Anxiety, Depression, And Insurance Providers, Zachary Miller
Walden Dissertations and Doctoral Studies
Nonfatal overdose (NFOD) is a critical yet often overlooked aspect of the opioid crisis, significantly contributing to the public health burden of opioid use disorder (OUD). The purpose of this quantitative correlational study was to examine the relationship between depression severity, anxiety severity, and health insurance type with repeated nonfatal opioid overdoses among individuals with Opioid use Disorder (OUD) in Florida. This study was guided by the biopsychosocial model, which highlights the interplay of biological, psychological, and social factors in health outcomes. A total of 90 anonymous surveys were collected from participants who met the requirements. A multiple linear regression …
Effect Of Police Corruption On Former Residents Of The Philippines Upon Their Return To Their Homeland, Larry Dean Doyle
Effect Of Police Corruption On Former Residents Of The Philippines Upon Their Return To Their Homeland, Larry Dean Doyle
Walden Dissertations and Doctoral Studies
Corruption in law enforcement is particularly heinous because it deprives the citizens living under the threat of police corruption of the rule of law and takes away the constitutional protections that are guaranteed and enforced by the courts. The purpose of this qualitative phenomenological study was to explore the perceptions of former residents of the Philippines regarding the effect of police corruption on them. Schultz’s behavioral theories and the reward neurophysiology provided this study's framework. Data were collected from twenty-four surveys of former residents of the Philippines when they visited their homeland. Findings indicated that former residents of the Philippines …
The Psychological And Social Effects Of Asset Building Among Low-Income Consumers, Al Maurice Fleming
The Psychological And Social Effects Of Asset Building Among Low-Income Consumers, Al Maurice Fleming
Walden Dissertations and Doctoral Studies
Low-income consumers face social and psychological barriers to economic self-sufficiency. This qualitative inquiry aimed to bridge the knowledge gap by examining how social and psychological factors that impede single mothers from achieving economic self-sufficiency. Grounded in Fishbein and Ajzen’s Theory of Planned Behavior (TPB), this study examined factors influencing single parents’ financial behaviors. The findings supported TPB, showing that financial literacy shapes intentions, perceived control increases with stability, and social norms influence financial behavior. Demographic questionnaires were administered, and structured interviews were conducted with 15 single African American mothers. The data was analyzed using themes, code annotations, and categorical classification. …
Treatments For Opioid Use Disorder: Perspectives Of Patients In Long-Term Recovery, Robert Florian
Treatments For Opioid Use Disorder: Perspectives Of Patients In Long-Term Recovery, Robert Florian
Walden Dissertations and Doctoral Studies
The contemporary landscape of substance use disorders, particularly opioid use disorder, presents a complex and pressing public health concern, marked by escalating rates of mortality and morbidity worldwide. Although extensive research has been conducted on the efficacy of interventions for opioid use disorder, a notable research gap exists concerning the perspectives of individuals in long-term recovery (defined as exceeding 2 years). Specifically, how these individuals view pharmacological and non-pharmacological treatment approaches remains largely unexplored in the existing literature. Grounded in the biopsychosocial model, this study investigates patients’ perceptions of medication-assisted treatment and abstinence-based therapies. Purposive sampling was utilized, and participants …
A Comparative Analysis Of Demographic Characteristics Of Male Intimate Partner Violence Perpetrators, Katherine M. Thompson
A Comparative Analysis Of Demographic Characteristics Of Male Intimate Partner Violence Perpetrators, Katherine M. Thompson
Walden Dissertations and Doctoral Studies
Intimate partner violence is a significant and widespread social issue with far-reaching personal, societal, and economic consequences. Nonfatal strangulation is an act of violence that is considered a strong predictor of homicide within violent relationships. While research about nonfatal strangulation has improved, there is still limited knowledge about individuals who commit acts of strangulation within violent relationships. This study was an investigation of demographic characteristics of male individuals who commit acts of strangulation within intimate relationships. This research was grounded in the power and control theory, general strain theory, and social learning theory. The research questions for the study examined …
Assessing The Predictability Of Sexual Homicide Subtypes In Serial Homicide Offenders Using Childhood Abuse And The Macdonald Triad, Kevin Dionne
Walden Dissertations and Doctoral Studies
Prior research established a positive correlation between childhood abuse and sexually motivated murders, and childhood abuse is considered a risk factor for serial murder, especially for sexually motivated serial murder. The purpose of this quantitative study was to assess whether a predictive relationship exists between childhood abuse types (physical, sexual, and psychological) and MacDonald triad behaviors (enuresis, fire setting, and animal cruelty) in predicting sexual homicide subtypes (sexualized, grievance, and rape murder) in a sample of male serial sexual homicide offenders. The subtypes were derived from the Higgs, Carter, Tully, and Browne systematic review. The theoretical lenses applied in the …
Lived Experiences Of School Counselors Regarding Applications Of Multicultural And Social Justice Advocacy, Michele Lynn
Lived Experiences Of School Counselors Regarding Applications Of Multicultural And Social Justice Advocacy, Michele Lynn
Walden Dissertations and Doctoral Studies
School counseling literature claimed that school counselors were trained in multicultural and social justice advocacy and were uniquely positioned within the school system as change agents. School counseling research had not explored school counselors’ experiences when applying their ethical responsibilities of multicultural and social justice advocacy. This hermeneutic qualitative phenomenological study explored the lived experiences of school counselors working in the education system regarding ethical practices of multicultural and social justice advocacy. The research question was: How do school counselors experience their social justice and multicultural advocacy roles within the education system? Three theories composed this study’s foundation: hermeneutic phenomenology, …
Nursing Educators’ Perceptions Of Using Virtual Simulated Games In Nursing Education, Ruhee Waheeda Mir
Nursing Educators’ Perceptions Of Using Virtual Simulated Games In Nursing Education, Ruhee Waheeda Mir
Walden Dissertations and Doctoral Studies
Nursing educators of Trinidad and Tobago have limited experience with virtual simulated games (VSGs) as a part of their teaching methodology. This lack of experience was highlighted during the COVID-19 pandemic as educators had to use virtual approaches in their classrooms and struggled with unfamiliar technologies. The purpose of this qualitative descriptive study, guided by the extended technology acceptance model, was to explore the perceptions of Trinidadian and Tobagonian nursing educators regarding the use of a VSG as a teaching tool. The sample consisted of eight nursing educators from an educational institute in Trinidad who met the criteria of being …
Relationship Between Department Of Justice Consent Decrees And Police Use Of Force And Search And Seizure Incidents, Judith Crowell
Relationship Between Department Of Justice Consent Decrees And Police Use Of Force And Search And Seizure Incidents, Judith Crowell
Walden Dissertations and Doctoral Studies
Efforts to reform law enforcement practices related to use of force and search and seizure incidents have largely involved policy revisions and training enhancements. This study compares use of force and search and seizure incidents in the Baltimore City (BCPD) and the Chicago (CPD) Police Departments before and after the implementation of a Department of Justice (DOJ) Consent Decree. An Independent Samples t-test was used to analyze whether there was a statistically significant difference between pre and post use of force incidents and search and seizure incidents by the BCPD and the CPD. Secondary data regarding the BCPD use of …
Effective Strategies Restaurant Owners Use To Retain Employees, Olivia Patriece Leonard
Effective Strategies Restaurant Owners Use To Retain Employees, Olivia Patriece Leonard
Walden Dissertations and Doctoral Studies
Employee retention is a persistent challenge in the restaurant industry. Business owners are particularly concerned because frequent staff departures can disrupt operations, increase training costs, and ultimately threaten business profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative pragmatic inquiry study was to identify restaurant owners’ effective retention strategies in Birmingham, AL. Data sources included semistructured interviews, public data such as disseminated reports and websites, literature, including books, and peer-reviewed articles. Thematic analysis of the data resulted in four themes: (a) compensation, (b) acknowledgment and rewards, (c) management practices, and (d) a positive working environment. A key recommendation …
Mental Health Wellness For Female Law Enforcement Executives And Their Perception Of Proactive Mindsets, Cindy Elizabeth Baughman
Mental Health Wellness For Female Law Enforcement Executives And Their Perception Of Proactive Mindsets, Cindy Elizabeth Baughman
Walden Dissertations and Doctoral Studies
This qualitative study aimed to examine how female law enforcement executives perceive the use of mental health wellness in their professions. The phenomenological design provided an increased understanding of the lived experiences of those interviewed, specifically regarding their use of mental health wellness. The snowball sampling technique was utilized to recruit seven female law enforcement executives at the Sheriff, Under Sheriff, Chief, or Deputy Chief rank. One-on-one interviews were completed, data collected from the interviews was transcribed using NVivo software, and collectively, common themes amongst the participants’ interviews were identified. The gap in the research and the associated qualitative interview …
Title 1 Third-Grade Teachers' Experiences With Writing Strategies To Improve Students' Writing Proficiency, Kim Robertson
Title 1 Third-Grade Teachers' Experiences With Writing Strategies To Improve Students' Writing Proficiency, Kim Robertson
Walden Dissertations and Doctoral Studies
Third-grade students are not meeting minimum proficiency in opinion and informational writing, as determined by scores from the annually mandated Georgia Milestones Assessment (GMAS) in the 19 elementary schools in a local school district in central Georgia. Guided by Vygotsky’s social-constructivist perspective, the purpose of this basic qualitative study was to explore Title 1 third-grade English Language Arts teachers’ experiences with using writing strategies designed to improve students’ writing proficiency on the GMAS in the Title 1 elementary schools in a local district in central Georgia. Data were collected using semistructured interviews with 10 third-grade teachers who were chosen from …
Cryptocurrency Strategies For Small Enterprises, Ufuoma Omosebi
Cryptocurrency Strategies For Small Enterprises, Ufuoma Omosebi
Walden Dissertations and Doctoral Studies
Due to their limited creditworthiness and growth potential, small enterprises (SEs) encounter significant challenges when securing their growth needs. SEs in Florida lack awareness, understanding, or practical guidance on cryptocurrency-based growth strategies. The purpose of the qualitative, multiple-case study was to explore the cryptocurrency-based growth strategies available to SEs in Florida. Rogers’s diffusion of innovations theory, Markowitz’s modern portfolio theory, and Thaler’s behavioral finance theory grounded the conceptual framework. Four participants identified through purposeful sampling as SEs in Florida used cryptocurrency in their enterprises. Data were collected using in-depth semistructured interviews. Five themes emerged from the six-phase thematic analysis: (a) …
The Role Of Knowledge Of Vaping And E-Cigarette Use Among Young Adults Aged 18-25 Years, Martha Tarluwah Kollison
The Role Of Knowledge Of Vaping And E-Cigarette Use Among Young Adults Aged 18-25 Years, Martha Tarluwah Kollison
Walden Dissertations and Doctoral Studies
Vaping is a growing public health concern in the United States among young adults. Despite the belief that vaping is safer compared to traditional smoking, e-cigarettes have become a major public health problem among young adults between the age of 18-25 in the United States. In this qualitative study, the perceptions of the risks of vaping by young adults in Indiana, their lived experiences, and factors contributing to vaping behavior were explored. Based on the Health Belief Model (HBM), the effect of knowledge on perceived risks and reported vaping behavior among the respondents was explored. Ten participants, seven males, and …
The Experiences Of Veterans Seeking Peer-To-Peer Support For Mental Health Services After Covid-19, Edwin Brown
The Experiences Of Veterans Seeking Peer-To-Peer Support For Mental Health Services After Covid-19, Edwin Brown
Walden Dissertations and Doctoral Studies
This qualitative study explored the experiences of U.S. military veterans seeking peer-to-peer support for mental health services after COVID-19. The study investigated how veterans perceive the role of peer-to-peer support in addressing mental health challenges, particularly in the context of social isolation, anxiety, and other COVID-19 related stressors. Using semi-structured interviews, data were collected from veterans who sought peer-to-peer support services after COVID-19. A total of 14 veterans participated in this study, providing insights into their experiences accessing and utilizing peer-to-peer support mental health services after COVID-19. Thematic analysis identified key themes, including the importance of shared lived experiences, the …
Fulltime Faculty Perspectives On Engagement In Distributed Leadership At A Technical College, Jacinda Halene Lay
Fulltime Faculty Perspectives On Engagement In Distributed Leadership At A Technical College, Jacinda Halene Lay
Walden Dissertations and Doctoral Studies
The problem that was addressed in this basic qualitative study was that fulltime college faculty was not sufficiently engaged in distributed leadership at a technical college in a western state. The purpose of this study was to explore fulltime college faculty members’ perspective about their engagement in distributed leadership at a technical college in a western state. The research questions explored how fulltime faculty described their engagement in, and knowledge of, faculty leadership, at a technical college, and recommendations for increasing engagement. Using Spillane’s leader plus paradigm as the conceptual framework, semistructured interviews of 14 purposively sampled fulltime college faculty …
Relating Average Teacher Salary, Student-Teacher Ratios, And Percent Of Title I Schools To Teacher Retention Rates In Georgia School Districts, Deann Webb
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was high teacher turnover in Georgia school districts. Guided by the job demands-resources theory, the purpose of this quantitative, correlational study was to investigate average teacher salary, student-teacher ratios, and the percentage of Title I schools in terms of teacher retention rates in Georgia school districts. Archival data were collected from 180 public school districts in Georgia and obtained from the Georgia Department of Education and the Governor’s Office of Student Achievement. Multiple regression and Chi-square analyses were used to examine the relationships among variables. Chi-square analysis was used due to concerns …
Higher Education Leaders’ Perspectives About Communication Challenges During Crises, Carey-Ann Marie Balkwill
Higher Education Leaders’ Perspectives About Communication Challenges During Crises, Carey-Ann Marie Balkwill
Walden Dissertations and Doctoral Studies
The problem was that while impact and problems of crisis communication have been identified in the literature, little is known about the perspectives of leaders in higher education when facing communication issues in times of crisis. Guided by crisis communication theory and leadership theory, the purpose of this basic qualitative study was to explore higher education leadership team members’ perspectives of communication challenges in times of crisis. Four research questions guided the study on the perspectives of higher education leadership team members about (a) how their own leadership and communication changed during a crisis, (b) how internal communications evolved during …
K-12 Principals Who Persist In Their Principalship Despite Challenges In Urban Schools, Monique Nicole Durham
K-12 Principals Who Persist In Their Principalship Despite Challenges In Urban Schools, Monique Nicole Durham
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is the approximately 13% attrition of K-12 principals in a large urban school district in the Mid-Atlantic region, exceeding the national average. The purpose of this qualitative study was to explore the perspectives of K-12 principals who had persisted in their roles despite the significant challenges in leading urban schools. The study was grounded in the job demands-resources theory, which posits that job demands could lead to burnout, while job resources help employees cope with challenges, thereby fostering resilience. For this basic qualitative design, data were collected from semistructured interviews with 12 …