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Walden Dissertations and Doctoral Studies

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Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern Jan 2023

Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern

Walden Dissertations and Doctoral Studies

Tobacco use has been a long-standing known modifiable risk factor to maternal health. Although there have been many efforts to encourage smoking cessation, use of electronic cigarettes in pregnancy has been increasing over the years. Understanding potential factors that may play a role in the increased use of electronic cigarettes is important to improve maternal and fetal health outcomes. The social ecological model provides the theoretical framework for this study. The purpose of this study is to determine whether a woman’s primary language and pregnancy health care factors (i.e., access to health care 12 months prior to pregnancy, access to …


Experiences Of Women Faculty Using Meditative Practices Through Workplace Health Promotion In Ontario, Kelly Lynn Henley Jan 2023

Experiences Of Women Faculty Using Meditative Practices Through Workplace Health Promotion In Ontario, Kelly Lynn Henley

Walden Dissertations and Doctoral Studies

Workplace stress is pervasive and changes to the postsecondary teaching and learning environment have contributed to stress among women faculty and adversely impacted their personal well-being. The purpose of this qualitative study was to understand how the constructs in the health belief model (HBM) play a role in the use of worksite wellness initiatives to manage stress and promote wellness among women postsecondary faculty in Ontario. The research questions were designed based on the HBM to examine the participants’ perceptions of severity and susceptibility to workplace stress, perceived benefits and barriers to participation, motivation to participate, and self-efficacy. Women faculty …


Stigma Associated With Invisible Disabilities And Its Effect On Intended Disclosure In The Workplace, Jessica Lynne Hicksted Jan 2023

Stigma Associated With Invisible Disabilities And Its Effect On Intended Disclosure In The Workplace, Jessica Lynne Hicksted

Walden Dissertations and Doctoral Studies

Disability discrimination is a long-standing issue that, despite protections, continues to result in unemployment, underemployment, and lack of advancement for disabled persons. Visible stigma is researched substantially; however, less is known about the impact of stigma associated with identities that can be concealed. Although researchers have investigated this issue, currently there is no tool to measure this phenomenon. The purpose of this quantitative study was to create and validate a new tool to measure stigma associated with invisible disabilities. The study is grounded by Roberts’ conceptual model of professional image construction integrating social identity, impression management, and organizational behavior; Meisenbach’s …


Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham Jan 2023

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …


Attachment Bond Experiences Among Adults Using Service Dogs To Mitigate Psychiatric Disabilities, Marcia Lynn Jackson Jan 2023

Attachment Bond Experiences Among Adults Using Service Dogs To Mitigate Psychiatric Disabilities, Marcia Lynn Jackson

Walden Dissertations and Doctoral Studies

AbstractMental illness has a negative influence on U.S. society, affecting more than 21% of adults. Worldwide, approximately 264 million people are impacted by psychiatric conditions. Despite the prevalence of psychological disorders, treatment resources are lacking. As such, the addition of adjunctive therapeutic interventions could benefit society. Researchers have demonstrated that the bond formed between humans and animals offers a vital healing tool. However, there was limited information on the use of service dogs in the psychiatric population. This qualitative interpretative phenomenological analysis explored how adults with psychiatric diagnoses describe attachment to service dogs used to mitigate the symptoms of their …


Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson Jan 2023

Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson

Walden Dissertations and Doctoral Studies

Resilience characteristics in law enforcement officers have been a focus of scholars for several decades. Repetitive trauma requires officers to establish coping mechanisms and manufacture varying resilience factors. Researchers have demonstrated that interventions to improve resilience may result in a higher demand for psychoeducation, training and well-being, and stress management. Researchers have yet to establish what shared characteristics are among law enforcement officers that promote resilience. The purpose of this study was to examine the lived experiences of law enforcement officers’ experiences, beliefs, and knowledge about their exposure to repetitive traumatic events. The resilience theory supported the research. A qualitative, …


Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky Jan 2023

Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky

Walden Dissertations and Doctoral Studies

Obesity and substance use are two significant public health issues among Native American adolescents. Despite much evidence linking obesity and substance use during adolescence to several long-term health conditions and increased morbidity and mortality, evidence describing the relationship between current substance use and obesity among Native American adolescents is lacking. The purpose of this quantitative study was to investigate associations between current substance use – specifically alcohol, marijuana, and tobacco products – and obesity among Native American high school students, when adjusted for sex, soda consumption, and physical activity. Rosenstock’s health belief model served as the theoretical foundation for this …


Gender Disparities: 5 Year Survival Rates Of Elderly Colorectal Cancer Patients With Depression, Riya Joshi Jan 2023

Gender Disparities: 5 Year Survival Rates Of Elderly Colorectal Cancer Patients With Depression, Riya Joshi

Walden Dissertations and Doctoral Studies

AbstractColorectal cancer (CRC) is a life-threatening health condition known to greatly affect the elderly than younger populations. CRC, if comorbid with mental condition such as depression, can seriously affect patients’ quality of life with a direct influence on the survival rate. There is a connection between depression and worsened cancer progression and survival rate of CRC, little is known on gender differences in survival rates on elderly CRC patients with pre-existing depression (PD). A socioeconomic model study was used to evaluate gender, initial diagnostic stage, and marital status (MS) at diagnosis as major independent variables and 5-years survival rate (5-YS) …


Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt Jan 2023

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …


Association Of Socioeconomic Status And Marital Status With Genuine Halitosis Among Dental Patients In Sudan, Eiman Abd Almonim Khidir Jan 2023

Association Of Socioeconomic Status And Marital Status With Genuine Halitosis Among Dental Patients In Sudan, Eiman Abd Almonim Khidir

Walden Dissertations and Doctoral Studies

AbstractThe prevalence of halitosis has been rising in recent years and has become a social and public health problem worldwide. People’s concerns about halitosis can influence their psychological, social, and professional lives and lead to social isolation and anxiety. The purpose of this quantitative cross-sectional study was to examine the association of socioeconomic status and marital status with genuine halitosis after adjusting for age, gender, and smoking among patients attending dental clinics in Khartoum, Sudan. The social-ecological model grounded the study. Secondary data from dental clinics in Khartoum, Sudan, were used with a sample size of 340. Data analysis included …


Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee Jan 2023

Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee

Walden Dissertations and Doctoral Studies

The Appalachian region has experienced a substantial increase in the number of grandparent-headed households providing care to grandchildren. Custodial parenting is not a typical responsibility for many grandparents and can be challenging. The specific problem addressed in this research study was the high level of stress experienced by many custodial grandparents. The theoretical foundation of the current study was based on Selye’s stress theory, which was introduced in 1936 and examined biological stress that he referred to as “the syndrome of being sick.” The purpose of this quantitative, nonexperimental, and correlational study was to examine the predictive relationship that custodial …


The Relationship Between Adolescent Stress In Five Domains And Depression: Rumination As A Moderator, Crystal Victoria Lupo Jan 2023

The Relationship Between Adolescent Stress In Five Domains And Depression: Rumination As A Moderator, Crystal Victoria Lupo

Walden Dissertations and Doctoral Studies

Prior to this study, understanding the impact of rumination as a moderating factor in predicting the interaction between specific domains of stress and adolescent depression remained largely unknown. Guided by the theoretical frameworks of response style theory of depression, control mastery theory, and diasthesis stress model, the purpose of this quantitative nonexperimental study was to examine the link between five domains of adolescent stress (i.e., school, family, peers, appearance, and sports) and depression, the relationship between rumination and depression, and the moderating effect of rumination on these relationships. Participants included previously data collected from 635 adolescents from a midwestern U.S.city. …


Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez Jan 2023

Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez

Walden Dissertations and Doctoral Studies

There are over half a million children and adolescents living in foster care in the United States, and many of them endure frequent disruptions to their placements. Disruptions are more common among children with a history of sexual abuse. The disruption of placement increases the likelihood of undesirable outcomes for both the children and their foster parents. Foster parents who are willing to offer a home that is safe and stable for a child in the foster care system are more important than ever. This qualitative study explored foster parents’ experiences of well-being after having fostered children with a history …


Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew Jan 2023

Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew

Walden Dissertations and Doctoral Studies

Sexually transmitted infections (STIs) are a major public health problem in the United States. Adolescents are a high majority of these cases, with African American adolescents being affected disproportionally. Previous research has shown that risky sexual behaviors, such as non-condom use, multiple sexual partners, early initiation of sexual intercourse, and alcohol or marijuana use before sexual intercourse put adolescents at a higher risk of contracting an STI when they are sexually active. These behaviors can be observed through the theoretical framework of the problem behavior theory that describes the constructs of why individuals engage certain behaviors. How alcohol and drug …


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 …


Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller Jan 2023

Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller

Walden Dissertations and Doctoral Studies

It may or may not be true that the conditions and practices associated with supermax sentencing are both creating and exacerbating psychological harm for the inmates who are exposed to them. To date, there is evidence that both supports and refutes the contention that supermax sentencing is psychologically harmful; thus, the literature necessitates additional research into this phenomenon. This qualitative study was conducted to add to the extant body of knowledge relevant to supermax prisons and populations by exploring the lived experiences of professionals who have worked with them. This research was conceptually based in the current understanding of social …


Parenting From Juvenile Confinement: Adults’ Reflections On Their Juvenile Experience, Lakeasha R. Moore Jan 2023

Parenting From Juvenile Confinement: Adults’ Reflections On Their Juvenile Experience, Lakeasha R. Moore

Walden Dissertations and Doctoral Studies

AbstractMass incarceration in the United States has resulted in an estimated 19.7 million youth living in fatherless homes. Incarcerated juvenile fathers are contributing to that number. Juvenile fathers who are incarcerated is a socially pertinent topic with significant implications, yet child developmental scholars understudy it. This phenomenological qualitative study was conducted to fill this gap by exploring the lived experiences of adults who, as juveniles, were incarcerated fathers and how they coped with social and emotional stressors while attempting to balance adolescence and defining fatherhood. Five adult males were interviewed and asked a series of four demographic and 18 semistructured …


Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton Jan 2023

Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton

Walden Dissertations and Doctoral Studies

AbstractEven though the current literature addresses racial microaggressions among ethnic minority people and implications for counseling, no qualitative research that included the voices of ethnic minority individuals was found. Researchers have not fully addressed the prevalence of racial microaggressions in counseling sessions. The purpose of this qualitative narrative study was to explore the lived encounters of ethnic minorities concerning racial microaggressions in counseling. The study issue was analyzed through the lens of critical race theory. Four participants were recruited from the Walden University participation pool. Data were selected through semi-structure interviews and narrative analysis was used to analyze data to …


Effects Of Statewide Sex Education Laws On Health Behaviors, Adam Shane Mullis Jan 2023

Effects Of Statewide Sex Education Laws On Health Behaviors, Adam Shane Mullis

Walden Dissertations and Doctoral Studies

Data suggested that abstinence-only education (AOE) was not an effective form of sex education compared to abstinence plus (AP) or comprehensive sex education (CSE). However, there was a dearth of research regarding how state sex education policies affect sixth, seventh, and eighth grade student behaviors. This study involved investigating how state policies impact sexual health behaviors of this population. The theoretical framework for this study was the socioecological model (SEM), which was used to assess how policies impact sexual behaviors. Research questions involved sex education policies and their impacts on condom use as well as age and number of sexual …


Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin Jan 2023

Differences In Phq-9 Depression Severity Between Adults Receiving Ketamine Or Ketamine-Assisted Psychotherapy, Sophie Lake Oswin

Walden Dissertations and Doctoral Studies

Treatment-resistant depression (TRD) affects roughly 2.8 million or 1.1% of the United States population. Many traditional treatments of mental disorders including various types of psychotherapy and pharmacotherapy do not provide adequate symptom reduction for clients, and many clients diagnosed with TRD seek out nontraditional treatments such as ketamine and psychedelics for their antidepressant effects. Due to the dissociative nature of psychedelic medication wherein resistance is reduced, and a trance-like state is induced, ketamine-assisted psychotherapy (KAP) has great potential as an adjunct to ketamine therapy. Procedures of KAP have been in development for the last 7 years and a consensus on …


Factors Impacting College Students’ Receipt Of Human Papillomavirus Vaccination, Joy Yvette Payne Jan 2023

Factors Impacting College Students’ Receipt Of Human Papillomavirus Vaccination, Joy Yvette Payne

Walden Dissertations and Doctoral Studies

Less than half of U. S. students entering college have had a human papillomavirus (HPV) vaccination, placing them at risk for HPV-related cancers. This study’s purpose was to identify predictors of HPV vaccination initiation in college students. Andersen’s behavioral model of health services use was used to examine the differences in predisposing, enabling, and need factors in U.S. college students ages 18–26 years who received an initial HPV vaccination in college compared to those who never received an HPV vaccination. The study was a quantitative, cross-sectional survey design using multivariable logistic regression for data analyses. Data were collected through an …


African American Women’S Experiences Coping With Stress Through Community-Based Services, Delisa V. Procks Jan 2023

African American Women’S Experiences Coping With Stress Through Community-Based Services, Delisa V. Procks

Walden Dissertations and Doctoral Studies

Few studies have studied how community-based services (CBS) work to mitigate the strong Black woman image (SBWI) coping mechanism for Black women to improve their mental health. The purpose of this generic, qualitative study was to understand the experiences of 10 African American women, ages 18 and older, who identified with the SBWI and had received CBS to address their stress-related coping strategies. Transactional theory of coping with stress and the SBWI approach was used as the framework to help explain how stress in terms of the SBWI impacted the response of the African American women within their environment. Data …


Impact Of Minority Incarceration On The Family Unit, Huey S. Ratcliff Jan 2023

Impact Of Minority Incarceration On The Family Unit, Huey S. Ratcliff

Walden Dissertations and Doctoral Studies

The economic impact of incarceration on minority family units has both secondary and third-order effects on the minority family unit when a family member is incarcerated, which is exacerbated when the incarcerated family member was both the primary breadwinner and a parent. The purpose of this study was to identify the social and economic effects incarceration has on minority families. The study addressed how minority families adjust to changes in organic composition and how the minority family copes with increased debt and loss of earning potential. Further, the study sought to answer how minority families overcome economic hardship when the …


Exploring An Indian K-12 School’S Experience Of Culturally Adapting Multiple Intelligences Theory, Jessica Richmond Jan 2023

Exploring An Indian K-12 School’S Experience Of Culturally Adapting Multiple Intelligences Theory, Jessica Richmond

Walden Dissertations and Doctoral Studies

Many government-run K-12 schools in India struggle to serve their diverse student bodies in a culturally responsive manner that draws from the nation's rich cultural heritage. Academic programs based on Gardner’s multiple intelligences (MI) theory have been utilized internationally to enhance learning, but the implementation has not been explored in a school curriculum based on Indian culture. The purpose of this qualitative case study, which was grounded in MI and Ladson-Billing’s culturally responsive pedagogy (CRP), was to explore the methods and experiences of an Indian K-12 school that culturally adapted MI theory to include yogic principles of the Indian culture. …


Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez Jan 2023

Nurses' Lived Experiences Caring For Covid-19 Patients In The United States, Cynthia Rose Rodriguez

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has affected healthcare services and delivery and may leave unprecedented effects on nurses’ physical and mental health. Research is sparse on the pandemic’s effects on nurses, but studies have identified the stressful factors that may contribute to nurses’ health and well-being. The purpose of this qualitative interpretive phenomenological study was to understand the lived experiences of nurses caring for COVID-19 patients in the United States and discover how their experiences impact them on a personal and professional level. Hans Selye’s general adaptation theory served as the theoretical basis for this study with Edmund Husserl’s life worldview used …


Heterosexual Male Sexual Assault Victims Experience Of Challenges In Reporting Their Victimization, Jessica Lynn Rundle Jan 2023

Heterosexual Male Sexual Assault Victims Experience Of Challenges In Reporting Their Victimization, Jessica Lynn Rundle

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to identify the gender specific challenges male sexual assault victims face when they report their victimization. Researchers can use their knowledge of these challenges reduce the stigmatization that is correlated with being a male sexual assault victim. The theoretical basis for this study was Joseph Pleck’s sex role strain paradigm, also known as the gender role strain paradigm. The research questions pertained to the psychological challenges that male sexual assault victims encounter when they begin seeking out services. The sample for this study consisted of eight heterosexual male participants who are sexual assault …


Adult Attitudes And Adverse Childhood Experiences: Implications For Child Maltreatment, Carla M. Santana Jan 2023

Adult Attitudes And Adverse Childhood Experiences: Implications For Child Maltreatment, Carla M. Santana

Walden Dissertations and Doctoral Studies

In the United States, approximately $124 billion is spent annually on mental health and medical diagnosis as a result of the negative effects of adverse childhood experiences. These experiences can result in both mental and physical illness as well as a pattern of instability across the lifespan, which may affect adult attitudes toward child maltreatment and perpetuate the cycle of abuse. The purpose of this quantitative regression study was to examine any association between a person’s adverse childhood experiences and attitudes of what defined child maltreatment. Bronfenbrenner’s ecological systems theory was the framework. A total of 98 participants took part …


Early Childhood Teachers’ Perspectives On Their Responses To Children’S Challenging Behaviors, Dr. Sharon Denise Scallion Jan 2023

Early Childhood Teachers’ Perspectives On Their Responses To Children’S Challenging Behaviors, Dr. Sharon Denise Scallion

Walden Dissertations and Doctoral Studies

AbstractThe problem that was the focus of this study was the high rate of suspensions and expulsions of preschool children enrolled in independently funded childcare centers in Texas, and the lack of understanding of preschool teachers’ response to children’s challenging behavior. The purpose of this basic qualitative study was to explore preschool teachers’ perspective on how they handle children’s challenging behaviors, and what inclines teachers toward suspending or expelling children from independently funded childcare centers. Liu’s theory of children’s externalizing behavior provided the conceptual framework for the study. Ten preschool teachers from urban, independently funded childcare centers in Texas were …


Implementing Music Therapy Into Behavioral Healthcare To Treat Autism Spectrum Disorder, Arthur George Scott Jan 2023

Implementing Music Therapy Into Behavioral Healthcare To Treat Autism Spectrum Disorder, Arthur George Scott

Walden Dissertations and Doctoral Studies

AbstractThis study explored how best to implement Music Therapy (MT) in any hospital setting when working with autistic children, teenagers, and adults. Baldrige’s theory and concepts were used as a benchmark to facilitate all findings through the research conducted. Multiple factors affect the workforce and the existing staff at a large medical facility in the Western United States. The methodology employed included interviews with two behavioral health leaders using structured questions. This was an ideal research setting given that over fifty providers, including doctors, psychiatrists, and therapists, who work daily with the ASD population. Key findings included MT treatments at …


Medication Versus Mindfulness Meditation On Symptoms Of Adhd In Adult Women, Maria Skoulidas Jan 2023

Medication Versus Mindfulness Meditation On Symptoms Of Adhd In Adult Women, Maria Skoulidas

Walden Dissertations and Doctoral Studies

AbstractA recent spike has occurred in women diagnosed with less common and often overlooked ADHD symptoms. Using the mindfulness to meaning theory as the foundation, this study was conducted to explore how mindfulness meditation (MM) and medication affected three related factors commonly found in women with ADHD, self-concept, risky behaviors, and familial relationships. The research questions were formulated to determine if there was a difference in subscale scores of each variable based on the type of treatment the participant was using, either mindfulness meditation (MM) or prescription medication, to deal with ADHD symptoms. A pre-experimental static group comparison design was …