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Walden Dissertations and Doctoral Studies

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Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne Jan 2022

Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne

Walden Dissertations and Doctoral Studies

Gender variant people experience a variety of health concerns for which they seek the assistance of healthcare providers. These concerns may range from chronic health conditions and psychological disorders to gender affirming concerns. Due to living in a heteronormative society, gender variant individuals are more susceptible to experiencing stigmatization, discrimination, and other forms of unfair treatment while accessing healthcare services, which contributes to poor health outcomes. This treatment may be attributed to the lack of knowledge, competency, and training of healthcare providers as it relates to trans-inclusive care. Grounded in minority stress theory and intersectionality theory, the purpose of this …

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The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross Jan 2022

The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross

Walden Dissertations and Doctoral Studies

AbstractOver 20,000 young adults are released from state care annually and 100,000 young adults are released from justice centers. Past studies have revealed that young adults 18-24 years of age transitioning out of care are not prepared for independent living and may face many adversities. The problem is that young adults have difficulties finding permanent housing once emancipated from state care, their biological homes, or juvenile justice centers. The purpose of this study was to explore the perceptions and experiences of young adults 18-24 years of age and how their experiences and life skills helped on their journey to acquire …

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Factors Impacting Vicarious Traumatization In Metropolitan Law Enforcement Officers, Falisa Asberry Jan 2022

Factors Impacting Vicarious Traumatization In Metropolitan Law Enforcement Officers, Falisa Asberry

Walden Dissertations and Doctoral Studies

AbstractThe exposure to work-related trauma and the relationship to gender, age, years of service, and education level and their impact on the development of vicarious traumatization (VT) on metropolitan law enforcement officers has been underexamined. This quantitative correlational study aimed to examine whether the mediating variable resilience, along with the independent variables gender, age, years of service, and level of education, impacted the dependent variable VT. The constructivist self-development theory and the resilience theory were used as the framework for the study. The professional quality of life scale was used to measure the independent variables and VT. The resilience scale …

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Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel Jan 2022

Predictors Of Time Spent Counseling: Counselors’ Professional Identity, Counseling Competencies, And Principal Relationship, Lori P. Barthel

Walden Dissertations and Doctoral Studies

This quantitative study was an inquiry into whether Louisiana school counselors’ perceptions of their professional identity, quality of principal-school counselor relationships, and confidence level (self-efficacy) of providing school-based mental health services (SBMHS) including counseling skills, addressing student issues, and working with students who have a Diagnostic and Statistical Manual diagnosis influence the frequency of counseling services provided to K-12 students. The theoretical lenses were the leader-member exchange theory and social cognitive theory. The hypotheses were that Louisiana school counselors (N=147) who identify as mental health providers working in a K-12 school setting with higher ratings of relationship quality with their …

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Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry Jan 2022

Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry

Walden Dissertations and Doctoral Studies

February 2022 Abstract In the United States, 17% of children between the ages of two to 19 years are diagnosed with obesity more than any other chronic health condition. African American children living in the United States have an obesity rate of 22% compared to White children who have an obesity rate of 14.1%. These high obesity rates created situations in which these children are likely to experience significant lifelong health problems. The purpose of this descriptive qualitative phenomenological study was to describe the experiences of African American parents of low-income managing weight-loss in their young children with obesity between …

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The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown Jan 2022

The Role Of Child And Adult Sexual Fantasies And Criminal Paraphilia Involving Serial Sexual Murderers, Heather Brown

Walden Dissertations and Doctoral Studies

Childhood trauma may be a reason a child develops maladaptive coping mechanisms such as sexual fantasies and paraphilia. These coping mechanisms increase in intensity, leading to sexual violence to gain a sense of power and control. Even though researchers have identified that serial sexual killers suffer from child and adult sexual fantasies and criminal paraphilia, details of the sexual fantasies and paraphilia have not been examined. The purpose of this qualitative exploratory case study was to explore the role of child and adult sexual fantasies and criminal paraphilia involving serial sexual murderers. Hickey’s trauma-control model and relational paraphilic attachment theory …

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Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap Jan 2022

Therapists’ And Teachers’ Experiences Of Children With Aggression: A Children’S Partial Hospitalization Program, Kimberlee Joy Dunlap

Walden Dissertations and Doctoral Studies

Aggression is an indicator of future criminal behavior. It can be a result of trauma, substance-abusing parents, or executive functioning. Research has shown that aggression in childhood often creates criminal behavior later in life, thus researchers suggest that more studies are conducted on programs that help children with aggression. The purpose of this qualitative study was to examine the experiences of therapists who work with aggressive children in a children’s partial hospitalization program, and those teachers who have had these children in class before entering the program and upon discharge from the program. The qualitative study was done using semi-structured …

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Returning Home: The Reported Reintegration Experiences Of Parents/Guardians Of African American Female Youth, Jenay Garrett Jan 2022

Returning Home: The Reported Reintegration Experiences Of Parents/Guardians Of African American Female Youth, Jenay Garrett

Walden Dissertations and Doctoral Studies

African American, female youth remain overrepresented in juvenile detention centers. Parental involvement has been identified as a major factor in the success of a youth’s reintegration into the community post detention; however, there is limited information about the experiences of parents/guardians of African American female youth during reintegration. The purpose of this generic, qualitative study was to gain insight and understanding regarding the reported reintegration experiences of parents/guardians of African American teenage daughters returning, home post detention, regarding their role development as parents/guardians during that time. The theoretical framework for this study is parent development theory (PDT) developed by Dr. …

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Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway Jan 2022

Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway

Walden Dissertations and Doctoral Studies

AbstractClostridium difficile infection (CDI) is a major nosocomial threat to be reckoned with in the current health care setting in the United States. Advancing age, underlying chronic disease associated with inflammation (including Diabetes Mellitus Type I ([DMI]), Diabetes Type II ([DMII]), and obesity), trauma, immunodeficiency and other factors that diminish the overall health of an individual, and increase an individual’s susceptibility to CDI. The ecological framework was used to determine the relationship between geographic, chronic diseases and the occurrence of infectious diseases. To continue enhancing knowledge related to CDI susceptibility this quantitative study used the 2010 National Hospital Discharge Survey …

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Urban Administrators Perspectives Of Exclusionary Discipline Techniques And The School-To-Prison Pipeline, Sabrina Enid Johnson Jan 2022

Urban Administrators Perspectives Of Exclusionary Discipline Techniques And The School-To-Prison Pipeline, Sabrina Enid Johnson

Walden Dissertations and Doctoral Studies

There is an overrepresentation of elementary-age, Black boys being suspended across the United States. Researchers have found that if these boys are disconnected from school at an early age, they are at risk of becoming part of the school-to-prison pipeline (STPP). Educators, particularly those in urban settings, need to understand more about the use of exclusionary discipline policies and practices. The purpose of this generic qualitative study was to understand how urban educators consider the consequences of exclusionary discipline practices and the overrepresentation of elementary-age, Black boys who receive them compared to others. Critical race theory informed this study. Ten …

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Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson Jan 2022

Bullying, Participation In Violence, Suicidal Ideation, And Behavior Among African American Youth, Kierystan Lorquoyea Johnson

Walden Dissertations and Doctoral Studies

Suicide is the second leading cause of death among adolescent, teens, and young adults. Suicidal ideation is a predictor of suicide attempts. Guided by the integrated motivational-volitional model and social cognitive theory, Youth Risk Behavior Surveillance Survey data were used to investigate whether traditional bullying, cyberbullying, and participation in physically violent behavior (independent variables) were associated with suicidal ideation and behavior (dependent variables) among African American high school aged youth controlling for age, gender, physical, and sexual abuse. It was found that experiencing traditional bullying increased suicidal ideation significantly, as there is an 82% increase in likelihood. There was also …

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Perceived Discrimination As A Moderator Of The Relationship Between Allostatic Load And Asthma Control, Vera Kern Jan 2022

Perceived Discrimination As A Moderator Of The Relationship Between Allostatic Load And Asthma Control, Vera Kern

Walden Dissertations and Doctoral Studies

While asthma prevalence in the United States is generally declining, African Americans tend to experience poorer outcomes regarding asthma severity and control. The purpose of the present study was to test whether discrimination (everyday and lifetime) moderated the relationship between allostatic load and asthma severity/asthma control (dyspnea and peak flow). In previous literature, researchers established the relationship between allostatic load and asthma severity/asthma control among African Americans. The biopsychosocial model and allostatic load theory served as the theoretical frameworks for this study. In this cross-sectional, nonexperimental, quantitative design, 201 African Americans between the ages of 34 and 82 years were …

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Resilience And Success Of Graduated Undergraduates Who Experienced Homelessness During Their Undergraduate Years, Sheena Lashell Moore Jan 2022

Resilience And Success Of Graduated Undergraduates Who Experienced Homelessness During Their Undergraduate Years, Sheena Lashell Moore

Walden Dissertations and Doctoral Studies

Approximately 9% of students who attend 4-year colleges and community colleges have experienced homelessness at some time during their undergraduate years. Researchers have primarily focused on the negative effects of homelessness of these students related to academic success. The purpose of this qualitative multiple case study was to investigate the internal goals and drives associated with the resiliency of graduated undergraduates as well as support systems they believed helped them overcome barriers to become academically successful. Resiliency theory was the theoretical framework for the study. Semistructured interviews were conducted with two women regarding their experiences. Data were analyzed using a …

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Stigma And Discrimination’S Effect On Hiv Testing Of Pregnant Women In Nigeria, Charles Echezona Nzelu Jan 2022

Stigma And Discrimination’S Effect On Hiv Testing Of Pregnant Women In Nigeria, Charles Echezona Nzelu

Walden Dissertations and Doctoral Studies

The utilization of HIV testing services among pregnant women in Nigeria has not been optimal. Although much is known about the determinants of HIV testing among pregnant women, there is a gap in knowledge on determinants for pregnant women infected with the virus, specifically whether stigma and discrimination are barriers. The purpose of this study was to examine the effect of stigmatizing attitudes and personal knowledge of discriminatory practices towards persons living with HIV/AIDS on the decision by pregnant Nigerian women aged 15-49 years to test for HIV during antenatal visits or childbirth. The health belief model served as the …

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Maternal Attachment And The Role Of Disparate Biology In Lesbian Co-Mothers, Annisha J. Peets Jan 2022

Maternal Attachment And The Role Of Disparate Biology In Lesbian Co-Mothers, Annisha J. Peets

Walden Dissertations and Doctoral Studies

Lesbian co-mothers represent a unique population whose alternative family structure has received additional attention resulting from legal changes permitting same-sex marriage. Challenging the heteronormative status quo through lesbian mothering offers numerous facets of familial relationship development and dynamics worth exploring. Prior research has focused on exploring how adoptive lesbian co-mothers navigate the emotional connections to their children; however, it has not adequately explored how lesbian couples negotiate unequal biological ties to their children and the extent to which biology influences which mother forms a primary bond to the child. This study explored the disparate role of biology and any influences …

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Strategies Business Leaders Use To Mitigate Online Credit Card Fraud, Clarissa Rosario-Tavarez Jan 2022

Strategies Business Leaders Use To Mitigate Online Credit Card Fraud, Clarissa Rosario-Tavarez

Walden Dissertations and Doctoral Studies

Online credit card fraud targeting banks, customers, and businesses costs millions of U.S. dollars annually. Online business leaders face challenges securing and regulating the online payment processing environment. Grounded in the situational crime prevention theory, the purpose of this qualitative multiple case study was to explore strategies online business leaders use to mitigate the loss of revenue caused by online credit card fraud. The participants comprised five online business leaders of an organization in the Southwest of the United States, who implemented strategies that successfully mitigated revenue losses due to online credit card fraud. The data were collected from semistructured …

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Exploration Of Religious Parents’ Involvement In Their Children’S Sexual Education, Helenita Thomas Jan 2022

Exploration Of Religious Parents’ Involvement In Their Children’S Sexual Education, Helenita Thomas

Walden Dissertations and Doctoral Studies

Research has indicated that religious families influence the sexual education of their children. This qualitative phenomenological research addressed the research gap of how religious parents engage and communicate with their children concerning sexual education and sexuality. Bronfenbrenner’s multilevel ecological theory supported the notion of parents as first teachers developing the basis for socialization with family, relatives, neighbors, friends, church, schools, peer, and other groups in the community. The study included 10 qualitative data sets collected through guided interviews with parents in four separate conservative faith communities. Data analyses via explication process identified the major themes of self-preparation by parents, communicating …

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Preventing Volunteers From Leaving Nonprofit Organizations, Maurice Arthur Thorpe Jan 2022

Preventing Volunteers From Leaving Nonprofit Organizations, Maurice Arthur Thorpe

Walden Dissertations and Doctoral Studies

Increasing volunteer turnover hinders nonprofit organizational leaders’ ability to promote transformative changes within local communities. Grounded in the Herzberg two-factor theory, the purpose of this qualitative multiple case study was to explore strategies leaders in African American-centric nonprofit organizations employ to volunteer turnover. The participants comprised five leaders from African American-centric nonprofit organizations throughout Washington, DC, District of Columbia, Maryland, and Virginia, successfully reducing volunteer turnover. Data were collected through semistructured interviews and organizational documents. Yin’s five-step process was used to analyze data. Three themes emerged: open line of communication with the leadership, establishing and meeting expectations of volunteers, and …

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Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla Jan 2022

Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla

Walden Dissertations and Doctoral Studies

Influenza is a public health concern that claims up to 56,000 lives annually in the United States, though it is a vaccine-preventable disease. Influenza vaccination among health care personnel (HCP) is highly encouraged to prevent influenza transmission in health care settings. The objective of this study was to examine the relationship between mandatory reporting of HCP influenza vaccination rates (implemented in 2012) and HCP influenza vaccination intake in a health care network with 20 hospitals. The protection and motivation theory was used as the theoretical framework. Data collected from surveys of hospital administrators and archives of the Center for Medicare …

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Artificial Affectionate Communications And Loneliness, Richard D. Adams Jan 2022

Artificial Affectionate Communications And Loneliness, Richard D. Adams

Walden Dissertations and Doctoral Studies

This qualitative narrative study examined experiences of older adults’ use of teleconferencing information and communication technologies (ICTs) and how their use related to feelings of loneliness. This research targeted older adults residing in North Alabama assisted living facilities who were separated from their previous social network. This research was grounded in the social needs model, which indicates that all humans have a basic need for social contact. This research was also grounded in the buffering hypothesis, where social support acts as a buffer against possible stressful events. Five older adult assisted living facility residents from two facilities participated in a …

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Equine-Assisted Psychotherapy: An Exploration Of The Therapist’S Clinical Process, Marybeth Agayev Jan 2022

Equine-Assisted Psychotherapy: An Exploration Of The Therapist’S Clinical Process, Marybeth Agayev

Walden Dissertations and Doctoral Studies

AbstractIn the existing research authors report that within the current field of equine-assisted therapy practitioners are using a number of approaches, some independently and others in affiliation with formal organizations, to treat a wide variety of issues in a very broad population. The purpose of this study was to determine what underlying thought processes guide the equine-assisted therapist’s role in the clinical process. This generic qualitative study included five participants who met the criteria of having 3-5 years of experience performing equine-assisted psychotherapy with mental health populations. Participants also met the standard of being licensed or certified in accordance with …

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Millennial Leadership In The Retail Industry, Phyllis Atwood Jan 2022

Millennial Leadership In The Retail Industry, Phyllis Atwood

Walden Dissertations and Doctoral Studies

The retail industry contributes to the United States economy, and high turnover rates reduce the profitability of businesses, which affects their sustainability. The general problem is millennials employed in retail are not finding adequate leadership support and alignment with their career expectations or social beliefs. This qualitative single case study involved an embedded group of millennials employed as retail managers with at least three years of supervisory experience. The purpose of this study was to explore experiences and expectations involving effective leadership. The study involved using the generational theory, cognitive model of behavior, and servant leadership theory to address how …

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Lawyers’ Perspective: The Criminal Justice System’S Support Of Domestic Abuse Victims In Jamaica., Sonia Burrell Jan 2022

Lawyers’ Perspective: The Criminal Justice System’S Support Of Domestic Abuse Victims In Jamaica., Sonia Burrell

Walden Dissertations and Doctoral Studies

Domestic violence in Jamaica can be contextually understood through radical feminism and social learning theory used in this study to explain the patriarchal social structures, intergenerational transmission of intimate partner violence, and normalization of this behavior. This phenomenological study examined the criminal justice system's support of victims of intimate partner violence and results indicated reforms to improve initiatives to eradicate this violent conduct. The data collection method was semi-structured interviews of 12 lawyers in Jamaica, functioning in a legal capacity as prosecutors and family law practitioners, and analyzed using thematic analysis. The results demonstrated that the criminal justice system reduces …

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Leadership Practices Of K-12 Principals Regarding College And Career Ready Performance Index, Joyce Edwards Dean Jan 2022

Leadership Practices Of K-12 Principals Regarding College And Career Ready Performance Index, Joyce Edwards Dean

Walden Dissertations and Doctoral Studies

School principals are responsible for improving low College and Career Ready Performance Index (CCRPI) scores; however, little was understood about how K-12 school principals’ leadership practices were perceived to improve CCRPI scores in schools. The purpose of this basic qualitative study was to examine the leadership practices of K-12 school principals to increase CCRPI scores in a Title I school district in the southeastern United States. The research question addressed the leadership practices of K-12 school principals that were intended to increase CCRPI scores in their Title I school district. The conceptual framework was the instructional leadership framework of Hallinger …

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Loneliness As A Treatment Focus For Suicide Prevention In Airmen Who Seek Mental Health Care, Jovanna O. Gaines Jan 2022

Loneliness As A Treatment Focus For Suicide Prevention In Airmen Who Seek Mental Health Care, Jovanna O. Gaines

Walden Dissertations and Doctoral Studies

The Department of Defense is challenged to decrease rising suicide rates in all branches of military service. Studies have consistently shown interpersonal risk factors versus intrapsychic factors as strong indicators of suicide risk, yet the practice has not focused on loneliness as a treatment focus for increased risk. This study explored clinical social workers’ view of loneliness as experienced in patients who are active-duty airmen to identify prevention, coping, and treatment strategies for managing suicides. The methodology involved a semistructured interview of 10 active duty licensed clinical social workers with greater than two years of experience working within a mental …

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Preconception Protective Factors Associated With Preterm Birth In Black/African American And Non-Hispanic White Women In Nyc, Joyce Yvonne Hall Jan 2022

Preconception Protective Factors Associated With Preterm Birth In Black/African American And Non-Hispanic White Women In Nyc, Joyce Yvonne Hall

Walden Dissertations and Doctoral Studies

Racial disparities in preterm birth have persisted during the past two decades. Though studies have delineated the medical, behavioral, and social risk factors explaining racial disparities in preterm birth, less is known about protective factors. This quantitative, correlational study was conducted to examine the prevalence, association, and risk of preconception health protective factors and sociodemographic covariates between Black/African American and non-Hispanic White women with preterm birth in New York City (NYC). The maternal and child health (MCH) life course approach was the theoretical foundation. The NYC Pregnancy Risk Assessment Monitoring System 2016–2018 Phase 8 survey data, which included 2,161 women …

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Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield Jan 2022

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …

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Association Between Multicultural Counseling Graduate Training And Mental Health Professionals’ Self-Perceived Effectiveness, Janessa Liscette Henry Jan 2022

Association Between Multicultural Counseling Graduate Training And Mental Health Professionals’ Self-Perceived Effectiveness, Janessa Liscette Henry

Walden Dissertations and Doctoral Studies

Special training is often needed for counseling professionals to meet the unique cultural needs of their clients. Previous researchers have suggested that larger samples of professional counselors are needed to better understand the presence of these multicultural skills and noted a dearth of research regarding the effects of training in multicultural counseling following graduation and among practitioners. Following the theory of multicultural counseling and therapy (MTCT), the research questions were tested by using descriptive statistics, t-tests, and multiple linear regression to address the study of multicultural knowledge and multicultural awareness among counseling professionals who did and did not receive formal …

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Exploring African American Women’S Experiences With Breastfeeding Support In Health Services, Jennifer Johnson Jan 2022

Exploring African American Women’S Experiences With Breastfeeding Support In Health Services, Jennifer Johnson

Walden Dissertations and Doctoral Studies

Breastfeeding provides complete nutrition to infants and reduces the risk of many chronic diseases among infants and their mothers, yet disparities exist. African American mothers have the lowest breastfeeding rates compared to other ethnic groups in the United States. There is limited qualitative research on health services support from the African American mother’s perspective. Understanding health behaviors may improve programming, reduce racial and ethnic disparities, and address social determinants of health. The purpose of this study was to explore African American women’s beliefs, experiences, perspectives, and opinions around breastfeeding support provided in healthcare settings by healthcare professionals. From a conceptual …

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Association Between Family Structure And Childhood Obesity In Essex County, Nj., Chima Tony Onyeagoro Jan 2022

Association Between Family Structure And Childhood Obesity In Essex County, Nj., Chima Tony Onyeagoro

Walden Dissertations and Doctoral Studies

Obesity is one of the most prevalent nutritional disorders in children in the United States. There are many factors associated with childhood obesity, but there is limited information about the association between family structure and childhood obesity. This quantitative retrospective cross-sectional study, guided by the Social Ecological Model, was carried out to identify the effect of family structure on childhood obesity. For this study, the 2017 National Survey of Children’s Health (NSCH) of children 6-13 years old residing in the state of New Jersey was analyzed. Binary logistic regression was used to determine the relationship between family structure and obesity, …

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