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Exploring Elite Athletes’ Perceptions Of The Practice Of Mindfulness For Mental Health And Optimal Performance, Omar A. Sesay
Exploring Elite Athletes’ Perceptions Of The Practice Of Mindfulness For Mental Health And Optimal Performance, Omar A. Sesay
Walden Dissertations and Doctoral Studies
Elite athletes experience physical, cognitive, and emotional demands that affect athletic performance and personal well-being, increasing the risk for anxiety, depression, burnout, attentional difficulties, and maladaptive coping strategies. Mindfulness-based stress reduction (MBSR) has been examined for its effect on attentional control, emotional regulation, cognitive flexibility, and stress resilience, but limited qualitative research has examined how elite athletes experience the practice of mindfulness. The purpose of this generic qualitative study was to explore elite athletes’ perceptions of the practice of mindfulness for mental health and optimal performance. The theoretical framework draws from mindfulness theory and MBSR principles. Semistructured interviews were conducted …
Challenges Early Childhood Educators Encounter When Balancing Play-Based Learning With Preparation For Standardized Testing, Shanette Damar Mcbride
Challenges Early Childhood Educators Encounter When Balancing Play-Based Learning With Preparation For Standardized Testing, Shanette Damar Mcbride
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that emphasis is being placed on standardized testing, which is causing early childhood educators to feel pressured to eliminate or reduce playtime in their classrooms. Framed by Vygotsky’s theory of social development and Lave and Wenger’s situated learning framework, the purpose of this basic qualitative study was to explore the experiences of early childhood educators in a southcentral U.S. state regarding the challenges they face in balancing a play-based learning curriculum and the support they need, while emphasizing information about standardized testing. The data were collected from semistructured interviews with 12 certified kindergarten …
Relationship Between Sociodemographic Factors And Opioid Overdose Mortality In Milwaukee County, 2020-2021, Elizabeth David
Relationship Between Sociodemographic Factors And Opioid Overdose Mortality In Milwaukee County, 2020-2021, Elizabeth David
Walden Dissertations and Doctoral Studies
Opioid overdose deaths increased significantly from 2020 to 2021, with Milwaukee County experiencing higher rates than the national and state averages. African American and Hispanic residents faced disproportionately high fatal overdose rates. The purpose of this quantitative retrospective cross-sectional study was to examine the associations among socioeconomic status, race, age, access to treatment (measured by emergency medical services [EMS] naloxone administration), and opioid overdose mortality among underserved minority populations in Milwaukee County. Guided by the social-ecological model, the study analyzed data from the Milwaukee Health Department and the Milwaukee County Medical Examiner's Office across 34 ZIP codes. Inclusion criteria for …
Local Farming Sustainability Nongovernment Organization’S Perceived Driving Forces For A Crisis Management Plan, Nthonoki Cynthia Tsepe
Local Farming Sustainability Nongovernment Organization’S Perceived Driving Forces For A Crisis Management Plan, Nthonoki Cynthia Tsepe
Walden Dissertations and Doctoral Studies
Nongovernmental organizations (NGOs) operate in increasingly volatile environments characterized by financial uncertainty, political pressures, and climate-related disruptions; however, many lack formalized crisis management systems. The absence of structured crisis governance exposes organizations to operational instability, financial risk, and reputational damage. The purpose of this qualitative force field analysis study was to explore a local farming sustainability NGO’s perceived driving and restraining forces for developing a formal crisis management plan. Guided by Burnett’s crisis management model and Lewin’s force field analysis framework, data were collected from nine organizational leaders involved in governance and operational decision making. Round 1 included open-ended online …
African American Fathers’ Experiences Of Emotional Distress Within The Context Of Black Masculinity After Their Children’S Autism Diagnosis, John Notice
Walden Dissertations and Doctoral Studies
Although parental experiences following a child's autism spectrum disorder (ASD) diagnosis have been examined, mothers’ experiences have garnered the most exploration, with comparatively less attention given to fathers’ experiences. There was a gap in knowledge, in particular, on how African American (AA) fathers experience their children's ASD diagnoses while navigating emotional distress within the context of Black masculinity. The purpose of this generic qualitative study was to explore how AA fathers experienced their children's ASD diagnoses while navigating emotional distress within the context of Black masculinity. Crenshaw's intersectionality theory served as the conceptual framework. Data were collected by conducting semistructured …
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Walden Dissertations and Doctoral Studies
Perinatal mood and anxiety disorders (PMADs), including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and postpartum psychosis, affect postpartum individuals and their families. Limited research has examined the lived experiences and competencies of licensed mental health professionals who address PMADs, potentially limiting counselor educators’ ability to prepare counselors for postpartum mental health needs. Guided by hermeneutic phenomenology and informed by Ecological Systems Theory, the purpose of this qualitative study was to answer the guiding question: What are the lived experiences of licensed mental health professionals in recognizing, assessing, and treating PMADs among postpartum clients? Semi-structured interviews were conducted with eight …
Teachers’ Perspectives About Early-Career Implementation Of Culturally Responsive Teaching Practices In Secondary Science Classrooms, Nicole D. Wilson-Pringle
Teachers’ Perspectives About Early-Career Implementation Of Culturally Responsive Teaching Practices In Secondary Science Classrooms, Nicole D. Wilson-Pringle
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that little was known about how secondary science teachers use their training to implement culturally responsive teaching practices (CRTPs) during their early careers in classrooms with diverse student populations. Grounded in the culturally relevant pedagogy and the teacher identity development frameworks, the purpose of this basic qualitative study was to explore secondary science teachers’ perspectives on the use of their training to implement CRTPs during their early careers in classrooms with diverse student populations. Data were collected through semistructured interviews with 10 middle and high school science teachers who received certification …
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
Walden Dissertations and Doctoral Studies
Single mothers were largely absent from the COVID-19 literature, despite being head of household in approximately 80% of single-parent homes. The purpose of this phenomenological qualitative research study was to gain insight into the lived experiences of single mothers during the COVID-19 pandemic. This study addressed how this group connected with family, friends, and others in meaningful ways despite government-imposed lockdowns and restrictions. This phenomenon was explored through Erik Erikson’s psychosocial development theory, with a focus on the intimacy versus isolation stage. An Eriksonian perspective on relationship building and maintenance in adulthood can help better understand and address the social …
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Walden Dissertations and Doctoral Studies
Treatment retention, specifically as it pertains to offenders who are mandated to receive substance use treatment rather than serve standard incarceration sentences, is receiving more scholarly attention. Although prior research indicates an association between substance use treatment and reduced criminal behavior, many studies have methodological limitations. The purpose of this quantitative non-experimental, comparative study was to compare treatment completion outcomes for mandated and non-mandated offenders and to examine individual predictors of treatment completion, thereby addressing gaps in the current research. Secondary data from adult offenders receiving treatment at an inpatient substance use rehabilitation facility were analyzed. The risk-needs-responsivity model was …
Improving Provider Awareness Of Stimulant-Associated Risks In Patients With Attention-Deficit/Hyperactivity Disorder And Comorbid Anorexia Nervosa Through Provider Education, Quenia Alfrenard
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a quality improvement initiative designed to improve provider knowledge regarding the identification and management of young adults diagnosed with attention-deficit/hyperactivity disorder (ADHD) and comorbid anorexia nervosa in an outpatient behavioral health clinic. Evidence has demonstrated a significant association between ADHD and eating disorders; however, this comorbidity is frequently underrecognized in clinical practice, contributing to challenges in treatment selection and patient safety. Stimulant medications, the first-line pharmacologic treatment for ADHD, may suppress appetite and promote weight loss, potentially worsening anorexia nervosa and delaying nutritional recovery (Shear et al., 2021). Consequently, providers must understand …
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Kindergarten Classroom Educators’ Perceptions Of Social Emotional Learning Implementation, Thomasina A. Millner
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that research on social emotional learning (SEL) has largely focused on student outcomes, program effectiveness, and implementation practices, but limited research has examined kindergarten classroom educators’ perceptions of implementing SEL. Grounded in the Collaborative for Academic, Social, and Emotional Learning framework, the purpose of this study was to explore kindergarten classroom educators’ perceptions of SEL implementation. For this basic qualitative design, semistructured interviews with nine kindergarten educators who had at least 1 year experience implementing SEL were conducted. Through thematic data analysis the following five themes emerged: Educators noted (1) that SEL is …
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Patient-Reported Outcomes Of Effectiveness Of Esketamine For Treatment-Resistant Depression, Erica L. Marino
Walden Dissertations and Doctoral Studies
Treatment-resistant depression (TRD) affects approximately 30% of individuals with major depressive disorder who do not respond to conventional antidepressant therapies. TRD symptoms severely impact a patient’s quality of life (QoL) and impose a considerable burden on healthcare systems. The purpose of this quantitative study was to evaluate the impact of esketamine in decreasing depressive symptoms and improving QoL factors in patients diagnosed with TRD. The research aimed to determine whether there were statistically significant improvements in depressive symptoms, as measured by the Patient Health Questionnaire-9, and changes in QoL, as measured by the Quality of Life in Depression Scale, over …
Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard
Staff Education To Improve Hypertension Management Knowledge, Angelor Eliscard
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice (DNP) staff education project, I addressed inconsistent staff knowledge of evidence-based strategies for preventing and controlling hypertension among African American women in an outpatient primary care setting. The practice-focused question was: In an outpatient clinical setting, what was the impact of an evidence-based staff education program on healthcare providers' knowledge of hypertension prevention and control strategies for African American women, as measured by pretest and posttest scores? The purpose of this project was to implement and evaluate a structured staff education program to improve providers' knowledge of evidence-based strategies for preventing and controlling hypertension …
Best-Practice Patient Education On Glp-1, Low-Glycemic Diet, Intermittent Fasting, And Exercise For Weight Loss In Obese Nondiabetics, Clara Green
Walden Dissertations and Doctoral Studies
Executive Summary: Clinical Practice Guideline Best-Practice Patient Education on GLP-1, Low-Glycemic Diet, Intermittent Fasting, and Exercise for Weight Loss in Obese Nondiabetics by Clara Green MS, Walden University, 2020 BS, University of Texas at El Paso, 2014 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2026
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
K–3 Teachers’ Perspectives Regarding Learnable Intelligence As A Developmental Target And Their Advocacy For Students’ Cognitive Capabilities, Eleanor Nkechi Maduako
Walden Dissertations and Doctoral Studies
Extensive research shows the brain is malleable and, with experience and knowledge, intelligence can grow. The research problem addressed through this study was that the extent of early childhood educators' knowledge of learnable intelligence and their advocacy for advancement of children’s cognitive capabilities as a developmental goal were unknown. Guided by Perkins’s theory of learnable intelligence, the purpose of this basic qualitative study was to explore K–3 teachers’ perspectives on learnable intelligence as a developmental target and how they advocate for children’s cognitive capabilities in their classrooms. In vivo and axial coding of data from semistructured interviews with 12 participants …
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Hypnotherapists’ Perspectives On Using Hypnosis To Address Somatic Symptoms In Clients With Psychological Distress, Tina Wilkerson
Walden Dissertations and Doctoral Studies
Somatic symptoms accompany psychological distress and can affect well-being. Hypnosis has demonstrated effectiveness in reducing psychological distress and related somatic symptoms, but limited research has explored hypnotherapists’ perspectives on its clinical application. The purpose of this qualitative phenomenological study was to explore the experiences of licensed hypnotherapists with 3 years of experience using hypnosis to treat adults experiencing somatic symptoms associated with psychological distress. Guided by Engel’s biopsychosocial model and Hilgard’s neodissociation theory, data were collected through semistructured interviews with 10 licensed hypnotherapists and analyzed using phenomenological reduction and thematic analysis. Analysis resulted in four primary themes: (a) mind–body connection …
Psychosocial Experiences Of Secondary School Students Living With Sickle Cell Disease While In School In Lagos State, Nigeria, Toluwalope Yetunde Onuwe
Psychosocial Experiences Of Secondary School Students Living With Sickle Cell Disease While In School In Lagos State, Nigeria, Toluwalope Yetunde Onuwe
Walden Dissertations and Doctoral Studies
Sickle cell disease (SCD) is a lifelong genetic condition significantly impacting the physical, emotional, and social health of those affected. Nigeria has one of the highest global burdens of SCD, yet there is limited research on the psychosocial experiences of secondary school students living with SCD in educational settings. This qualitative study explored these experiences among students in Lagos State, Nigeria. Using the social ecological model and interpreted through the social model of disability, the study examined how school environments, educational practices, and institutional support influenced students' psychosocial well-being and perceived health. Twenty secondary school students participated in 4 in-person …
The Exploration Of Pandemic Educational Equity Among Virginia Schools, James Edward Graves
The Exploration Of Pandemic Educational Equity Among Virginia Schools, James Edward Graves
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic intensified existing educational inequities among marginalized student populations, prompting unprecedented federal investments through the Coronavirus, Aid, Relief, and Economic Security (CARES) Act to support educational continuity. Existing literature findings consistently demonstrated that collaborative leadership, equitable resource allocation, family engagement, and community partnerships improved educational continuity, which reduced learning disparities during the COVID-19 pandemic. Despite substantial resource allocations, limited research has examined parent perceptions regarding the equity and effectiveness of CARES Act-supported educational interventions. The purpose of this generic qualitative study was to explore Virginia high school parents' perceptions of pandemic educational equity, CARES Act financial disbursement strategies, …
Exploring Licensed Clinical Social Workers’ Past Trauma And Current Practice: A Strengths-Based Perspective, Michael E. Conner
Exploring Licensed Clinical Social Workers’ Past Trauma And Current Practice: A Strengths-Based Perspective, Michael E. Conner
Walden Dissertations and Doctoral Studies
This qualitative study explored the lived experiences of licensed clinical social workers to examine how they manage, reinterpret, and integrate their childhood trauma into their professional clinical identities. Adverse childhood experiences among clinicians are often framed through a risk-based lens of burnout and impairment, leaving social work leaders without empirical models to support post-traumatic growth and workforce retention. The purpose of this study was to examine how clinicians leverage past adversity to inform contemporary practice. A basic qualitative design was used, with semistructured interviews conducted with 11 participants. Participant narratives were examined through the dual lenses of shattered assumptions theory …
Parents' Perspectives Of Factors Contributing To Speech Delays In Children Born During The Covid-19 Pandemic, Alva Jessica Daniels
Parents' Perspectives Of Factors Contributing To Speech Delays In Children Born During The Covid-19 Pandemic, Alva Jessica Daniels
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly disrupted children’s developmental environments by limiting access to childcare, healthcare, and opportunities for social interaction, raising concerns about speech and language outcomes in children born during this period. Grounded in Bronfenbrenner’s ecological systems theory, this qualitative study was an exploration of factors associated with speech and language delays and examined parents’ perceptions and experiences in Philadelphia. The qualitative study included a sample of nine parents who cared for children during the COVID-19 pandemic quarantine period. Analysis of the interview data revealed five emergent themes: (a) limited social interaction during the pandemic, (b) delayed identification and diagnosis …
The Impact Of Sexual Harassment Policy Strictness And Supervisory Support On Reporting Behavior In Local, County, And State Female Law Enforcement Officers In Northeastern Kansas, Cleora Maxine Tousey
The Impact Of Sexual Harassment Policy Strictness And Supervisory Support On Reporting Behavior In Local, County, And State Female Law Enforcement Officers In Northeastern Kansas, Cleora Maxine Tousey
Walden Dissertations and Doctoral Studies
This quantitative study examined the impact of stricter sexual harassment policies with protections against retaliation and stronger supervisory support on the likelihood that female law enforcement officers would report incidents of sexual harassment by male colleagues. The problem addressed was the underreporting of sexual harassment in policing, a critical issue given the negative impact on victims and workplace culture. Connell’s theory of masculinity served as the theoretical framework, indicating how traditional power dynamics may negatively influence the likelihood of reporting. Using a correlational design, this study surveyed municipal, county, and state female officers in Northeastern Kansas to measure their perceptions …
The Relative Strength Of Justice-Related Satisfaction, Posttraumatic Maladaptive Beliefs, And Self-Compassion In Predicting Perceived Control Over Stressful Events, Katherine Mooney
Walden Dissertations and Doctoral Studies
Coercive control and domestic violence perpetrated by men against women are global social problems sustained by patriarchal norms that normalize gender-based violence. These norms often contribute to victims' maladaptive self-beliefs, leading women to believe they provoked the abuse. When survivors seek legal protection, they may experience revictimization through legal processes that minimize their claims and enable perpetrators to continue exerting power and control through the justice system. As a result, dissatisfaction with the legal system may reinforce self-blame, while low self-compassion may further undermine women's perceived control over stressful events in both the short and long term. While previous research …
Adults’ Lived Experiences With Placement In Child Protective Services During Adolescence, Michaela First Haynes
Adults’ Lived Experiences With Placement In Child Protective Services During Adolescence, Michaela First Haynes
Walden Dissertations and Doctoral Studies
Perceptions of safety and emotional support during involvement with child protective services (CPS) during adolescence may play a significant role in shaping attachment experiences and relationships in adulthood. Although researchers have examined the effects of child maltreatment and foster care involvement, limited research has explored how adolescents perceive emotional support and safety during CPS involvement and how those experiences influence attachment in adulthood. The purpose of this qualitative study was to explore the lived experiences of adults who experienced CPS involvement during adolescence and to understand how perceptions of safety and emotional support are reflected in their adult attachment relationships. …
Public Perceptions Regarding Surveillance Of Lyme Disease In Tennessee, Shaheena Yasmin Asad
Public Perceptions Regarding Surveillance Of Lyme Disease In Tennessee, Shaheena Yasmin Asad
Walden Dissertations and Doctoral Studies
Lyme disease (LD), a tick-borne illness, has been a growing concern in the state of Tennessee. Studies have established environmental concerns regarding a growing tick population and identified a gap between reported cases and disease burden in Tennessee. Despite this information, it remains classified as a low-incidence reporting state, raising concerns about underreporting that indicate an ineffective current surveillance system. Because the public perception regarding surveillance of LD is unknown, the purpose of this qualitative study was to explore how adults in Tennessee perceived LD as a credible public health threat within the context of the current surveillance system. Guided …
Effective Techniques In Equine Assisted Therapies From The Facilitators Perspective, Emily Dolezal
Effective Techniques In Equine Assisted Therapies From The Facilitators Perspective, Emily Dolezal
Walden Dissertations and Doctoral Studies
Equine assisted therapies have been shown to be an effective treatment approach for individuals experiencing mental health issues. However, there have been rising challenges in standardization and nomenclature throughout the field. Current research supporting the benefits of equine assisted therapies is often from the client perspective. There is a gap in understanding what occurred in session that made it beneficial to their mental health. The purpose of this phenomenological study was to describe the lived experiences of equine assisted therapy facilitators in terms of mechanisms that produce positive changes in their clients. The theories and concepts that ground this study …
From Fields To Flu: Mapping H5n1 Zoonotic Risk In California Rice Fields, Mariati Messinger
From Fields To Flu: Mapping H5n1 Zoonotic Risk In California Rice Fields, Mariati Messinger
Walden Dissertations and Doctoral Studies
Highly Pathogenic Avian Influenza (HPAI) H5N1 threatens agriculture, wildlife, and public health in California, where flooded rice fields in the Central Valley provide surrogate wetland habitat for migratory waterfowl and may create ecological interfaces for viral spillover into poultry systems. This quantitative ecological study examined whether county-level rice acreage, Lesser Snow Goose activity, and their interaction were associated with poultry HPAI H5N1 outbreak incidence during complete winter seasons available for analysis. Guided by One Health and disease ecology frameworks, secondary data from USDA, eBird, PRISM, and public surveillance sources were analyzed for 36 county-winter observations using negative binomial regression, logistic …
K-12 Teachers’ Perspectives On The Adoption Of Virtual Reality And Augmented Reality Technology In Classroom Instruction, Breanna Mckenley
K-12 Teachers’ Perspectives On The Adoption Of Virtual Reality And Augmented Reality Technology In Classroom Instruction, Breanna Mckenley
Walden Dissertations and Doctoral Studies
The problem addressed in this basic qualitative study was that although some K–12 teachers have access to virtual reality (VR) and augmented reality (AR) technologies, these tools are not widely accepted or adopted for classroom instruction. Guided by the technology acceptance model, the purpose of the study was to explore K–12 teachers’ perspectives on their willingness to incorporate VR/AR, the perceived usefulness and ease of use of these technologies, and the challenges they encounter or anticipate during the adoption process. Semistructured interviews were conducted with 10 K-12 teachers from public, charter, and private schools in the United States who had …
Hospital-Acquired Infections Among Hispanic Diabetic Patients: Considering Geographic And Substance Use Factors In Southern Puerto Rico, Fabian A. Ramirez Rivera
Hospital-Acquired Infections Among Hispanic Diabetic Patients: Considering Geographic And Substance Use Factors In Southern Puerto Rico, Fabian A. Ramirez Rivera
Walden Dissertations and Doctoral Studies
Hospital-acquired infections (HAIs) remain a major cause of preventable morbidity, mortality, and healthcare utilization among hospitalized patients. Limited research has examined the relationship between diabetes and HAIs in Puerto Rican populations. The purpose of this quantitative cross-sectional study was to examine the prevalence of type 2 diabetes mellitus (T2DM) and its association with HAI characteristics and hospitalization outcomes among patients in southern Puerto Rico. The chronic care model provided a framework for evaluating whether diabetes status, geographic location, and substance use were associated with outcomes. Data were obtained through retrospective review of electronic health records from N = 846 patients …
Time Series Analysis Of Temperature And Pollen Exposure On Asthma Outcomes In Atlanta, Georgia, Victoria Okereke-Viktorsson
Time Series Analysis Of Temperature And Pollen Exposure On Asthma Outcomes In Atlanta, Georgia, Victoria Okereke-Viktorsson
Walden Dissertations and Doctoral Studies
The effects of climate change contribute to volatile temperature changes, which coupled with pollen exposure pose a significant threat to asthmatic people, potentially impacting methods for asthma management. The purpose of this ecological time-series study was to use the carbon dioxide theory of climate change, Dutch hypothesis, and social ecological model to estimate the relationship between average temperature and average pollen concentrations on average asthma morbidity outcomes for adults living in metropolitan Atlanta from 2020 to 2022 (N = 37,913). Results varied in terms of years, socioeconomic status (SES) vulnerability, gender, and racial group. Overall, a linear regression model revealed …
Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado
Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado
Walden Dissertations and Doctoral Studies
Current knowledge regarding risk factors for metabolic syndrome (METS) among Hispanic individuals of Mexican descent remains limited. Using data from NHANES 2017–2020, this study compared factors contributing to METS and included U.S.-born and non-U.S.-born Hispanic adults of Mexican descent aged ≥ 18 years living in the USA (N = 949) with assessed METS. Grounded in the social ecological model and social determinants of health, this research evaluated dietary habits, lifestyle patterns, and acculturation processes using multivariate logistic regression and stratified analyses. Educational attainment was associated with METS, but the association was not statistically significant in adjusted models p = 0.528. …