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The Relationship Between Climate Change Awareness And Mental Health Among Adults In The United States, Stanley Nkemjika
The Relationship Between Climate Change Awareness And Mental Health Among Adults In The United States, Stanley Nkemjika
Walden Dissertations and Doctoral Studies
Understanding the connection between climate change awareness and overall well-being is crucial, particularly regarding its impact on the environment and mental health. However, there is a need for more research on this topic, especially within the American context. The mental health implications of climate change are not yet fully understood, and there is a gap in the literature. This gap was addressed by exploring climate change awareness effects on mental health among U.S. adults. The social ecological model provided a framework to examine the impact of climate change awareness on mental health, considering individual, interpersonal, community, and societal factors. This …
The Leading Causes Of Homelessness In Two Southeastern Counties Of Pennsylvania, Lucia Christine Spargo
The Leading Causes Of Homelessness In Two Southeastern Counties Of Pennsylvania, Lucia Christine Spargo
Walden Dissertations and Doctoral Studies
Homelessness is a complex and multifaceted leading social issue in the United States. Society tends to focus on the individual as the cause of their own homelessness, blaming the victim rather than larger social and/or economic factors. There is an excess amount of data surrounding why/how an individual becomes homeless, but there is very little research examining the leading causes of homelessness in smaller geographic areas, such as counties. This study provides a better understanding and analysis of the leading causes of homelessness in two suburban counties in Southeastern Pennsylvania using binary logistic regression. Using ArcGIS, the study identified potential …
Leadership Strategies For Employee Engagement And Retention In Behavioral Health Organizations, Nneka Grace Slater
Leadership Strategies For Employee Engagement And Retention In Behavioral Health Organizations, Nneka Grace Slater
Walden Dissertations and Doctoral Studies
Healthcare business leaders encounter significant challenges related to employee engagement and retention across the United States. These healthcare business leaders are increasingly concerned with developing effective leadership strategies that promote employee engagement and ensure retention for periods extending beyond 5 years for improved organizational performance. Grounded in participative theory, the purpose of this qualitative pragmatic inquiry was to explore strategies business owners use to minimize employees’ intent to leave. The participants included six behavioral healthcare leaders in Monroe, Louisiana, United States, who successfully implemented strategies to engage and retain their employees for at least 5 years. Data were collected using …
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 …
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 …
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 …
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 …
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 …
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 …
Relationship Between Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, Inflammatory Biomarkers, And Hospital Length Of Stay Among Covid-19 Patients., Alice Aghamie Osuji
Relationship Between Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, Inflammatory Biomarkers, And Hospital Length Of Stay Among Covid-19 Patients., Alice Aghamie Osuji
Walden Dissertations and Doctoral Studies
COVID-19 has put immense pressure on healthcare facilities, especially in managing patients with comorbidity. This study addressed the association between two important coinfections, congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD), and their effect on hospital length of stay (LOS) among COVID-19 patients. The study also explored the predictive role of the inflammatory biomarker C-reactive protein (CRP) in prolonged hospitalization, also considering the influence of age and race. This study applied the Biopsychosocial Model and Chronic Care Model (CCM) to examine health outcomes and resource use. A retrospective cohort research design was used to examine medical records of …
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 …
The Association Of Sleep Quality And Depression On Having Three Vs. All Five Diagnostic Criteria Of Metabolic Syndrome, Nina Pollard
The Association Of Sleep Quality And Depression On Having Three Vs. All Five Diagnostic Criteria Of Metabolic Syndrome, Nina Pollard
Walden Dissertations and Doctoral Studies
Metabolic syndrome is increasing in prevalence in the United States. To be diagnosed, three of the five diagnostic criteria must be met. There is a higher risk of metabolic syndrome due to lifestyle and social factors, with increased criteria occurring as an individual has unmet social determinants of health. This quantitative quasi-experimental/quasi-comparative study examined the association between education level, with sleep quality and depression as moderators, on a diagnosis of metabolic syndrome with all five criteria versus three criteria using a binary logistic regression while controlling for age, race, gender, income, employment, and marital status. Bronfenbrenner’s social ecological theory served …
Successful Leadership Strategies For Reducing Staff Turnover In Clinical Research Organizations, Tamala Burden
Successful Leadership Strategies For Reducing Staff Turnover In Clinical Research Organizations, Tamala Burden
Walden Dissertations and Doctoral Studies
High employee turnover in clinical research organizations (CROs) disrupts research continuity, increases operational costs, and threatens the timely execution of clinical trials. High employee turnover is a critical concern to CRO leaders, as excessive employee attrition can delay developing and delivering new patient therapies and threaten organizational performance. Grounded in social exchange theory, the purpose of this qualitative pragmatic inquiry was to identify and explore employee-focused strategies that CRO leaders use to reduce employee turnover successfully. Data collection included semistructured interviews with six purposively selected CRO leaders, supplemented by publicly available records to triangulate findings. Following Braun and Clarke’s 6-step …
Acculturation, Social Support, And Immigration-Related Stressors: Impact On Depression Among Single Mother Immigrants In The United States, Comfort Payne
Walden Dissertations and Doctoral Studies
Depression is a prevalent mental health condition that disproportionately affects immigrant single mothers in the United States, whose risk is heightened by unique vulnerabilities. The interplay between acculturation, social support, and economic burden in this population is underexplored. This quantitative, cross-sectional study examined the relationship between various factors and depression using 2020–2022 National Health Interview Survey data. Inclusion criteria were single immigrant mothers aged 19–60 years, who had lived in the U.S. for at least one year, had one or more dependent children, and self-reported depression status. The socioecological model provided a lens for identifying how individual, interpersonal, and structural …
Effective Engagement Strategies For Management To Increase Job Satisfaction Within Virtual Teams, Judy R. Ramphal
Effective Engagement Strategies For Management To Increase Job Satisfaction Within Virtual Teams, Judy R. Ramphal
Walden Dissertations and Doctoral Studies
Job satisfaction within virtual teams is a significant challenge for many corporations, affecting goal achievement, retention, and performance. Some managers of medium to large companies lack strategies for the engagement of virtual team members to ensure job satisfaction. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative, multiple case study was to explore effective engagement strategies that some managers of medium and large companies use to increase job satisfaction within virtual teams. Participants included five upper-level managers from five companies who were successful in managing engagement strategies in virtual teams. Thematic analysis revealed three major themes: continuous communication with …
Lived Experiences Of Seropositive Msm Who Face Intersectional Stigma Regarding Hiv-Prevention And Care In California, Sagar Bedi
Walden Dissertations and Doctoral Studies
Individuals who are positive for Human Immunodeficiency Virus (HIV) and identify as MSM (men who have sex with men), a population disproportionately affected by this disease, face complex struggles due to interplay between multiple forms of stigma, disclosure, and HIV risk behaviors. This results in delayed testing, poor treatment adherence, and decreased engagement in care. Despite the growing body of research on HIV among MSM, very few studies have explored the complex ways in which multiple forms of stigma intersect and impact the lives of Seropositive MSM. The purpose of this qualitative study was to explore the perception and lived …
Medical Social Workers’ Self-Efficacy And Perceptions Of Interdisciplinary Collaboration Managing Patients With Chronic Pain And Opioid Use Disorder, Alexis Ware
Walden Dissertations and Doctoral Studies
Social work is a complex field, with the roles and responsibilities of social workers often unclear. This ambiguity can lead to low self-efficacy and hinder effective collaboration with other disciplines, which can negatively impact patient care. The purpose of this quantitative study is to explore the relationship between the occupational self-efficacy of medical social workers, level of experience and social workers’ perceptions of interdisciplinary collaboration when managing patients with co-occurring chronic pain and opioid use disorder. The theoretical framework that guided this study is Bandura’s self-efficacy theory. The conceptual framework for this research is Bronstein’s model of interdisciplinary collaboration. The …
Culturally Appropriate Mental Health Awareness To Reduce Mental Health Stigmatization And Improve Quality Of Life Among People Of African Descent., Nicoline Frinwie
Culturally Appropriate Mental Health Awareness To Reduce Mental Health Stigmatization And Improve Quality Of Life Among People Of African Descent., Nicoline Frinwie
Walden Dissertations and Doctoral Studies
No abstract provided.
A Qualitative Examination Of Probationary Police Candidate Success And Attrition, Joseph Eugene Roy
A Qualitative Examination Of Probationary Police Candidate Success And Attrition, Joseph Eugene Roy
Walden Dissertations and Doctoral Studies
Law enforcement has undergone significant changes, requiring modern officers to embody a complex blend of traditional values and adaptive capabilities. Despite rigorous selection and training processes, some police recruits leave the profession prematurely, often during their probationary or field training phases. This early attrition represents a costly challenge for law enforcement agencies, with training expenses sometimes exceeding $200,000 per recruit. This qualitative study explored the lived experiences of police recruits who successfully completed field training and compared them to the observations of FTOs who trained recruits who left law enforcement early. The research used Edwin Sutherland’s differential association theory and …
Social Support And Treatment Outcomes Among Multi-Drug Resistant Tuberculosis And Persons Living With Hiv In Nigeria, Abiodun Olusegun Hassan
Social Support And Treatment Outcomes Among Multi-Drug Resistant Tuberculosis And Persons Living With Hiv In Nigeria, Abiodun Olusegun Hassan
Walden Dissertations and Doctoral Studies
An estimated 40% of people with tuberculosis (TB) are missed due to underdiagnosis, and among those previously treated TB cases, about a quarter develop drug-resistant TB in Nigeria. The emergence of multi-drug-resistant TB (MDR-TB) is stalling the effort towards TB’s control and eradication. Few studies have examined the impact of the psychosocial effect and support systems for TB, particularly for MDR-TB. In this quantitative, cross-sectional study, the predictive relationship between social support given to MDR-TB patients and their treatment outcomes was examined using secondary data of 594 MDR-TB cases enrolled between January 2018 and December 2021. The theoretical framework for …
Formative Research For A Family Counseling-Special Education Advocacy Intervention, Rosalind C. Ceasar
Formative Research For A Family Counseling-Special Education Advocacy Intervention, Rosalind C. Ceasar
Walden Dissertations and Doctoral Studies
Families of children with disabilities may face challenges with their children’s education which increases their risk of mental health problems. This formative, qualitative research was to explore the practices of mental health counselors who incorporate special education advocacy into counseling, to advise the development of a family counseling-special education advocacy program. The research question was: what are the special education advocacy practices of mental health counselors when they work with students who require special education and related services and their families, and how can the practices inform the formal development of a family counseling-special education advocacy intervention? Bartholemew et al.’s …
A Narrative Policy Framework Analysis Of Lgbtq+ Adoptive Fathers’ Experiences In Georgia, Seft George Hunter
A Narrative Policy Framework Analysis Of Lgbtq+ Adoptive Fathers’ Experiences In Georgia, Seft George Hunter
Walden Dissertations and Doctoral Studies
LGBTQ+ individuals continue to face systemic discrimination and inconsistent policies when seeking to adopt, despite legal advancements and growing public support. Existing research has primarily focused on lesbian mothers or broadly on same-sex couples, with limited attention to LGBTQ+ fathers, especially those living in politically conservative states like Georgia. This gap in the literature limits the understanding of their adoption experiences and the development of responsive policies. The purpose of this qualitative narrative study was to explore the barriers and success factors experienced by LGBTQ+ fathers in Georgia and to identify the federal, state, and local policies they viewed as …
Policymakers’ Perceptions About Providing Affordable Housing In Rural Georgia, Robert Joseph Wiley
Policymakers’ Perceptions About Providing Affordable Housing In Rural Georgia, Robert Joseph Wiley
Walden Dissertations and Doctoral Studies
The literature showed that low-income households face a persistent deficit of affordable housing, forcing these families to live in dilapidated housing or to live beyond their means to pay for adequate housing, and that this problem transcends rural and urban counties. Further, researchers indicated that solving this problem provided a stable workforce and a better quality of life for all income groups. A gap in the literature showed the need for more research on nonmetropolitan communities addressing housing and neighborhood revitalization; therefore, through this qualitative multiple-case study local policymakers' perceptions of the affordable housing problem in rural Georgia were explored. …
Commanders’ Perspectives On Training, Intervention, And Identity Adjustment For Reintegration, Chelsea Jones
Commanders’ Perspectives On Training, Intervention, And Identity Adjustment For Reintegration, Chelsea Jones
Walden Dissertations and Doctoral Studies
Military reintegration presents significant challenges for service members returning home to civilian life. Previous research has indicated many reintegration challenges, including reintegration preparation, identity adjustment, and proactive intervention; however, there remains an essential gap in the literature regarding training for military commanders and how they can be updated to help better facilitate service members’ reintegration. Grounded in general systems theory, the purpose of this qualitative study was to ask about the lived experiences of military commanders on reintegration preparation training, regarding proactive intervention during deployment, and about identity adjustment issues upon reintegration. The participants comprised six active and retired military …
Examining Motivations And Risk Factors Associated With Revenge Filicide, Alicia Darneice Jones
Examining Motivations And Risk Factors Associated With Revenge Filicide, Alicia Darneice Jones
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to examine the motivations and risk factors of revenge filicide. Revenge filicide is when a parent murders their child or children out of retaliation to inflict emotional pain on the other parent. This descriptive study used 12 revenge filicide cases consisting of five female and seven male offenders to determine the motivation and risk factors for revenge filicide, and attachment theory was used as the theoretical foundation. The whole sample reported having strained or failed relationships with their current or former partner and were amid a bitter custody battle at the time of …
Perceptions Of Muslim Women On The 2019 Reforms To The Saudi Guardianship System, Isatu Jalloh
Perceptions Of Muslim Women On The 2019 Reforms To The Saudi Guardianship System, Isatu Jalloh
Walden Dissertations and Doctoral Studies
In Saudi Arabia, the 2019 reforms to the guardianship system were implemented to grant women greater autonomy in areas such as education, employment, and travel. However, despite legal advancements, recent research shows that deeply ingrained cultural and societal norms continue to impact the full realization of gender equality, and a literature gap exists involving professional and educational contexts. The purpose of this research was to examine Saudi women’s perspectives on the 2019 guardianship reforms and explore how these changes have affected their higher education and employment opportunities. The study used Islamic feminist theory and the narrative policy framework as a …
Exploring Housing Instability Faced By Youth Aging Out Of Foster Care, Jerri Linda Malone
Exploring Housing Instability Faced By Youth Aging Out Of Foster Care, Jerri Linda Malone
Walden Dissertations and Doctoral Studies
Despite the well-documented prevalence of homelessness, past research primarily focused on post-emancipation housing experiences, often overlooking housing instability, including affordability, availability, and quality. The purpose of the study was to understand youth transitioning from foster care, focusing on housing instability while transitioning to independent living. This qualitative study used generic qualitative inquiry grounded in cumulative disadvantage theory. The study explored how early adversities in foster care led to compounded challenges, particularly during the transition to adulthood. The key research question that guided the study asked what are the lived experiences of youth who have aged out of foster care and …
Dual Enrollment Course Location And Retention In Higher Education, Joanne Krueger
Dual Enrollment Course Location And Retention In Higher Education, Joanne Krueger
Walden Dissertations and Doctoral Studies
College students in the United States begin their higher education journey intending to graduate, but almost 37% do not earn a degree. The problem addressed in this study is that while dual enrollment has been shown to affect graduation rates in higher education positively, it was unclear if the location of dual enrollment courses, high school or college campus, influenced retention at a southwestern United States community college. Using Tinto’s student integration theory, the research question sought to discover the extent to which the location of dual enrollment courses, high school or college campus, predicts student retention to the second …
Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson
Teachers’ Perceptions Of Risk Factors, Protective Factors, And Intervention Strategies For School Shooters, Emily Michelle Hudson
Walden Dissertations and Doctoral Studies
Over 1,000 lives have been lost in school shootings in the United States. Many school shooters are current or former students ages 12 to 18, predisposed to risk factors (e.g., mental illness, bullying, trauma). Teachers have a crucial role in school safety, but their voices are underrepresented regarding school shooting interventions. Guided by the social ecological model, this generic qualitative research explored teachers’ perspectives of the risk factors, protective factors, and intervention strategies for school shootings. Data were collected through semistructured interviews with 10 secondary education teachers from various states in the United States. The collected data were then thematically …