Digital Commons Network^™

Asperger's Syndrome In African American Children, Suzette Bailey

Walden Dissertations and Doctoral Studies

The prevalence of autism in the United States is 1 in 68 children. African American children are less likely to receive advance testing to confirm the diagnosis of Asperger's Syndrome (AS) compared to other ethnic groups. The purpose of this study was to determine if demographic factors (parental education level, family annual income, marital status of custodial parent(s), parent ethnicity, number of children in home, other children with disability, family location, mother age at time of birth, gender of child, birth status of child, adoption status and age, child order, and other disability) have any predictive relationship to AS diagnosis …

Predictors Of Blood Pressure And Lipids Levels Among African Americans, Frank Lanor

Walden Dissertations and Doctoral Studies

African Americans disproportionately develop cardiovascular disease risk factors including high blood pressure and high cholesterol levels in comparison to European Americans. The purpose of this study was to examine the associations of diet quality and physical activity with blood pressure levels and cholesterol levels among African Americans. The social ecological model was the theoretical foundation for the study. Research questions were designed to examine the extent to which diet quality and physical activity predict blood pressure levels and cholesterol levels. The research design was quantitative cross-sectional secondary analysis of 959 participants. After controlling for demographic factors, body mass index, and …

Males' Spouses Experiences Of Deployed Wives, Pamela Morales-Garcia

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological research study was to determine the psychological and emotional effects of female deployment on male spouses. The current research was designed to study the emotional and psychological experiences of male spouses of deployed women. The research question was focused on understanding the lived experience of the male spouses of their deployed active duty wives. The intent was to describe male spouses' lived experiences, focusing on mental health, physical health, marital problems, caregiving, and other reintegration related problems as well as the role transfer stress experienced by these male spouses of deployed wives. Gender role …

Professional School Counselors And Motivational Interviewing With Student Clients, Robert Pincus

Walden Dissertations and Doctoral Studies

Mental health counselors who counsel adolescents suffering from substance abuse and obesity issues have successfully used motivational interviewing with their clients; however there is little data that has explored motivational interviewing when it has been used to address academic concerns in schools. The purpose of this study was to explore the experiences of school counselors who have used motivational interviewing to improve student academic performance. This heuristic phenomenological qualitative study examined the perceptions and experiences of professional school counselors who had used motivational interviewing in their schools. Criterion sampling was used to recruit 9 middle and high schools counselors from …

Sexual Orientation And Intimate Partner Violence Among Women Who Have Sex With Women, Shanna Renn Smith

Walden Dissertations and Doctoral Studies

Limited knowledge exists about sexual orientation and intimate partner violence among women who have sex with women. These women are at risk for adverse physical and mental health hygiene outcomes that may result from unhealthy lifestyles secondary to intimate partner violence. The purpose of this study was to examine the association between sexual orientation and intimate partner violence among women who have sex with women. The constructs of the biopsychosocial model guided the study and examination of the relationships among biological factors (sexual orientation), social contexts (support of family and friends and use of community services), and psychological influence (mental …

Maternal Characteristics And The Risk Of Cleft Lip And Palate In The United States, Letha Thomas

Walden Dissertations and Doctoral Studies

Cleft lip with or without cleft palate (CLP) is an ongoing public health issue across the globe, and in the United States. The estimated number of babies born each year in the United States with cleft palate (CP) is about 2,650, while CLP affects approximately 4,440 babies. The purpose of this quantitative cross-sectional study was to determine if there is a relationship between CLP and maternal characteristics such as reproductive history (advanced maternal age, maternal obesity, prenatal visits, month prenatal care began, number of pregnancies, gestational age at birth, assisted reproductive technology used, gestational diabetes, and hypertension), socioeconomic status of …

Strategies To Implement Succession Planning In A Nonprofit, Talecia Y. Parks

Walden Dissertations and Doctoral Studies

Surveys of nonprofit organizations conducted between 2004 and 2014 showed that 74% of the 6,923 leaders surveyed did not have a succession plan. In this qualitative single case study, the human capital theory was used as a guide to explore strategies used to implement a succession plan by 3 nonprofit leaders in a single nonprofit organization in a large metropolitan city in Southeastern Georgia. The participants were selected based on their implementation of succession plan strategies and geographical location. Semistructured interviews and document review were used to collect the data, which were analyzed using Yin's 5-step approach. Three themes emerged: …

Integration Of Learning Activities For Improved Performance On The Nclex-Rn Exam, Erika Wilkinson

Walden Dissertations and Doctoral Studies

An institute of higher education located in the United States was unable to maintain the required first-time pass rate, on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) exam, by nursing graduates, as defined by their State Board of Nursing and accreditation body. Failure to meet these requirements resulted in a corrective action plan and fewer licensed nurses able to enter practice. The purpose of this study was to identify curricular changes to the associate nursing program to improve the first time pass rate by their nursing graduates. Benner's theory of skill acquisition was used as the conceptual framework …

The Effects Of Sleep Deprivation On Online University Students' Performance, Maureen Cort-Blackson

Walden Dissertations and Doctoral Studies

Sleep deprivation affects the academic performance of online university students, and students who have family responsibilities and a full-time job have a higher prevalence of sleep deprivation. This phenomenological study examined the lived experiences of online university students regarding sleep patterns, sleep deprivation, and the impact on their academic performance. The theoretical foundation for this study was based on the opponent processing model that explains the 2 fundamental processes necessary for individuals to function at their optimum ability: the sleep-wake homeostatic process and the circadian rhythm processes. The research question explored the beliefs and perceptions of 10 online university students, …

Household Determinants Of Malaria In Mutasa District Of Zimbabwe, David Takudzwa Zinyengere

Walden Dissertations and Doctoral Studies

Malaria is a vector borne, acute febrile illness, caused by Plasmodium parasites. Malaria impacts the medical and socioeconomic development programs of affected communities, as it diverts both individual and national resources into managing the disease burden. The purpose of this study was to explore and evaluate household determinants of malaria in Mutasa District, Zimbabwe. The precede-proceed theoretical model guided the study. Secondary data from Demographic Health Survey and District Health Management Information System, and current data from household determinant questionnaires, were used to evaluate the influence and significance of identified household determinants. Multiple logistic regression models were used to examine …

Parents' And Teachers' Perception Of An Alternative School, Larry Lee Adams

Walden Dissertations and Doctoral Studies

The alternative school in this case study has experienced resistance to the assignments the past few years. Present enrollment consists mostly of African American male students, whose parents complain about constant fighting, inadequate educational resources and the lack of class selections necessary for student academic progress. The purpose of this qualitative case study was to explore the perceptions of teachers and parents regarding academic information, and general information, they perceived have had the greatest impact on behavior, discipline, and achievement in the school environment. In addition, parents' primary concerns about student assignment to the alternative school were explored. Constructivist learning …

Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner

Walden Dissertations and Doctoral Studies

Nurse educators make decisions regarding the inclusion or exclusion of non-nursing courses in a curriculum. The current literature lacks research regarding which courses have the most impact on first-time nursing licensing examination pass-rates. The purpose of this quasi-experimental study was to investigate if there is a specific combination of courses that enhance first-time licensing examination pass-rates, using 161 randomly selected accredited associate degree nursing programs. General systems theory applied to nursing education was the framework for the study. ANOVA and independent t-tests were used to address the questions of non-nursing courses or discipline-specific set of non-nursing courses' impact on first-time …

Latino Parents With Lesbian, Gay, And Bisexual Children And The Catholic Doctrine Towards Homosexuality, Axel Monroig

Walden Dissertations and Doctoral Studies

Parents who experience their children's coming out encounter emotional reactions that could compromise their ability to function, particularly when challenged by the Catholic doctrine towards homosexuality. It is not well known how Latino parents experience their children's coming out and how they mediate their Catholic identity. The purpose of this research was to explore the experiences of these parents considering phenomenology as the method of inquiry. The theoretical lens was based on the parental acceptance-rejection theory. The research questions addressed how Latinos experienced the coming out of their children and how they mediated their identities as Catholics and as parents …

Physician-Patient Relationships And Their Effect On T2dm Patient Treatment Adherence, Cindy Schmidt

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2DM) is a health epidemic that continues to worsen. A major concern is that treatment adherence rates hover around 50%, despite the introduction of new medications, treatments, and technology. Lack of adherence by patients can lead to complications like blindness, kidney disease, and amputations. While there have been many studies conducted to evaluate patient factors related to adherence, fewer studies have been conducted to evaluate the role of the physician-patient relationship. The purpose of this study was to examine the correlation between the physician-patient relationship and patient treatment adherence, and examine the moderators of age, education, ethnicity, …

Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason

Walden Dissertations and Doctoral Studies

In society, individuals tend to be socialized into roles that take on characteristics of masculine and feminine. Studies exist on the role strain experienced by heterosexual couples dealing with a life-threatening illness due to this characterization. The scholarly literature lacks studies on the understanding of roles, as well as possible role strain, in lesbian, gay, bisexual, transgender, and queer (LGBTQ) couples when dealing a life-threatening illness. The purpose of this qualitative case study was to explore the role strain experiences of LGBTQ couples who are living with cancer diagnoses of a partner. Biddle's role strain theory provided the conceptual framework …

Predictors Of Student Referrals To School Counselors By School Teachers, Kristina Donovan

Walden Dissertations and Doctoral Studies

A large percent of high school students in New Jersey aged 12 -17 can benefit from seeing their school counselor. The problem is that without teacher referrals, many students with unidentified mental health disorders may not receive the needed early intervention services. Limited research exists as to which factors may influence a teacher to refer a student to a school counselor. Framed with cognitive behavioral theoretical foundation, a cross sectional survey design study investigated how teachers' perception of school counselors influence teachers' willingness to refer to a school counselor, as measured by the Counselor Rating Form - Short Edition. Using …

Recidivism Rates Among Biological Fathers And Parental Figures Who Commit Child Sexual Abuse In Hawai'i, Stephanie Dixon Dixon

Walden Dissertations and Doctoral Studies

Sex offenders are commonly grouped into categories based on the characteristics (e.g., victim age, relationship to offender) of their victims for criminal sentencing and treatment purposes. The purpose of this quantitative, quasi-experimental study was to address the gap in the lack of literature comparing recidivism rates among biological fathers and male parental figures who committed incestuous child sexual abuse in Hawai'i against children 15 years or younger. This study was the first attempt in the state to examine the number of inmates who had completed their maximum sentences and were later returned to prison for new felony incest offenses. Secondary …

Factors Affecting Completion Of Childhood Immunization In North West Nigeria, Sule Abdullahi

Walden Dissertations and Doctoral Studies

North West Nigeria has the lowest vaccination rate of the geopolitical regions of the country. The purpose of this cross-sectional study was to examine associations between the parents'/caregivers' biological, cultural, and socioeconomic factors and the completion or noncompletion of routine immunization schedules. Andersen's behavioral model provided the framework for the study. Data were obtained from the 2013 National Demographic Health Survey. Descriptive statistics were calculated for all variables. Chi-square tests were used for categorical predictor variables, simple logistic regression models were used for the age variable, and multiple linear regression models were used for the biological, cultural, and socioeconomic variables …

Effect Of Differentiated Instruction On Reading Comprehension Of Third Graders, Deborah Davidsen

Walden Dissertations and Doctoral Studies

The performance measures from the Progress in International Reading Literacy Study revealed no measurable growth in the U.S. average reading scores of 4th graders for the period between 2011 and 2016. Therefore, the diverse learning needs of students need to be customized if the education system is to accomplish its goal to graduate well-informed individuals capable of sustaining a lifestyle conducive to a democratic society. The purpose of this study was to investigate the effect of differentiated instruction on 3rd graders' reading comprehension. The theoretical foundation for this teaching approach was Vygotsky's zone of proximal development. The research question focused …

Meta-Analysis Of The Efficacy Of Neurofeedback, Sarah Fifer

Walden Dissertations and Doctoral Studies

Decreases in overall well-being and daily functioning result from unpleasant and uncomfortable symptoms associated with physical health and mental health disorders. Neurofeedback training, rooted in the theory of operant conditioning, presents the possibility of increasing brain wave regulation, decreasing symptoms experienced from abnormal brain wave activity, and increasing overall well-being and daily functioning. The efficacy of neurofeedback for physical and mental health outcomes is unclear, contributing to confusion about the treatment and any potential benefits. In order to assess the efficacy of neurofeedback in the alleviation of physical health and mental health symptoms, a systematic review and meta-analysis of neurofeedback …

Exploring Relationships Of Meaning, Co-Occurring Diagnoses, And Attitudes About Substances, Misty Grant

Walden Dissertations and Doctoral Studies

It is increasingly important to understand the factors associated with individuals struggling with addiction and their quality of life, especially with those struggling with co-occurring diagnoses (CODs). The purpose of this study was to explore the extent to which meaning, and CODs of anxiety and depression predict an individual's attitudes and beliefs about addiction among persons receiving treatment for substance use disorders (SUDs). The theoretical foundation used to guide this study was logotherapy, which emphasizes the importance of increasing meaning in life through choices, while also centering on being able to find meaning in all situations. A cross-sectional correlation design …

Strategies For Shipping Temperature-Sensitive Medical Devices Using Cognitive Mapping, Eric C. Guynes

Walden Dissertations and Doctoral Studies

Supply chain management (SCM) practitioners who ship temperature-sensitive diagnostic medical devices (DMDs) to clinicians must use effective cold chain management (CCM) strategies to avoid temperature excursions that contribute to medical device errors. Such errors have caused patient harm and death, which costs the U.S. health care system billions of dollars per year. The purpose of this qualitative multiple case study was to explore strategies for selecting and managing cold chain shipping solutions (CCSSs) requiring SCM executives to trade cost for regulatory compliance and predictability when mitigating temperature variations that occur during shipping. The conceptual framework for the study was the …

Caregiver Support And Advocacy For Children With Disabilities In Guyana, Shiromanie Sharla Khargi

Walden Dissertations and Doctoral Studies

Abstract

In Guyana, a developing country in South America, many parental caregivers of disabled people struggle to understand their children's disability as well as provide, and advocate for, educational resources and medical and psychological care for their children. The researchers have found that the needs of this population have been minimized placing disabled people at risk for neglect, abuse, and death. In 2006, the Convention on the Rights for People with Disabilities created a plan to help developing countries improve the care and advocacy for people with disabilities. The purpose of this evaluative study, which was guided by general systems …

Social Capital And Academic Achievement Of African American Male High School Students, Sabreen Ayesha Mutawally

Walden Dissertations and Doctoral Studies

Although more researchers have focused on academic deficits of male African American students, it is also important to understand the social factors that contribute to those who perform at a proficient level. Drawing on social capital theory as forwarded by Coleman and Putnam, this qualitative case study of 3 African American male high school students examined how their parent(s), teacher, mentor, peer or sibling, and pastor or community leader influenced the creation of social capital surrounding the students' academic achievement. Interview protocols and research interview instruments were developed and used to collect data from a total of 16 research participants, …

Complementary And Alternative Medicine Careers Following A Science Academy For Underrepresented Minority Students, Tolulope Oyelowo

Walden Dissertations and Doctoral Studies

Minority groups experience disproportionately worse health outcomes. An identified solution is to increase the number of minorities providing healthcare in their own communities. Primary care complementary and alternative medicine (CAM) providers are a potential resource. Many investigators have demonstrated the efficacy of science-based pipeline programs for increasing the roles of students in allopathic health professions. Whether these programs influence matriculation of minorities into a CAM university is unknown. The main purpose of this study was to gain an understanding of a pre-college science academy at a CAM university and determine whether the experience increased interest in and motivation for CAM …

College Rotc Cadets' Perceptions Of Gender Fairness With Selective Service Registration, Barrett Peavie

Walden Dissertations and Doctoral Studies

The U.S. Selective Service System currently excludes women from the talent pool based upon the DoD's 1981 ban on women in direct combat. The DoD has removed the exclusion and has implemented a gender-neutral policy standard for assignments. However, there appears to be a misalignment of national security policy as it relates to gender fairness that impacts Reserve Officer Training Corps (ROTC) participants in particular. Using Durkheim's functionalism theory as the theoretical foundation, the purpose of this phenomenological study was to examine institutional differences in policies regarding justice and gender among ROTC participants who are between 18 and 26 years …

A Causal Layered Analysis Of Assistive Technology For The Cognitively Impaired Elderly, Dariusz J. Ropiak

Walden Dissertations and Doctoral Studies

Assistive technology may delay cognitively impaired elders' need for long-term institutionalization, and the promote independence. Its use is on the rise, yet the gap between the needs of the cognitive impaired elderly and what developers of the assistive technologies design, manufacture, and implement, remains to be filled. Using Inayatullah's 6-pillar approach, as the guide to the future of assistive technology, the purpose of this qualitative study was to explore how assistive technologies may fulfill the daily functional needs of the cognitively impaired elderly with Alzheimer's or other dementia by 2037. Data were collected from a focus group of 10 seniors …

Measuring Self-Perceived Clinical Preparedness With Lesbian, Gay, Bisexual, And Transgender Clients, Kimerly D. Patterson

Walden Dissertations and Doctoral Studies

Counselors and counselor educators must serve clients regardless of culture, race, disability, sexual orientation, and age. Counselor educators have attempted to stay abreast of new methods to enhance counselor competencies to adequately counsel lesbian, gay, bisexual, and transgender (LGBT) clients. The purpose of this quantitative study was to determine the extent of the relationship between self-perceived clinical preparedness of working with LGBT clients and self-perceived attitudinal awareness towards LGBT clients as moderated by levels of religious commitment of licensed professional counselor (LPC) using a feminist and multicultural theory framework. Statistical Package for the Social Sciences (SPSS) quantitative analysis software program …

The Lived Experiences Of African American Noncustodial Fathers In Tennessee, Anovia L. Slaughter

Walden Dissertations and Doctoral Studies

There is a disproportionate number of African American fathers in the State of Tennessee that experience parenting and child support disparities when compared to single parents of other ethnicities. The purpose of this general qualitative study was to examine the experiences of African American noncustodial fathers and to examine the impact of the codification of Tennessee family laws. The theoretical frameworks for this study were critical race theory, and social construction and policy design. The key research questions examined the lived experiences of African American noncustodial fathers in the State of Tennessee and how the codification of Tennessee family laws …

Sustaining A Family Business Beyond The Second Generation, Donna Wells Austin

Walden Dissertations and Doctoral Studies

A significant number of funeral homes in the United States are family-owned businesses. These family-owned funeral businesses contribute to society throughout generations to create wealth, provide employment opportunities, and serve the communities that surround them. The purpose of this descriptive multiple case study was to explore strategies that leaders of family-owned funeral business owners in the eastern region of the United States used for intergenerational succession planning. Game theory was the conceptual framework for the study. Data were collected from semistructured interviews with 3 family business owners and review of the family businesses' professional association websites and family historical documents. …