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Social Network Correlates Of Hcv And Hiv Transmission Risk Behaviors Among Injecting Drug Users, Victor Emanuel Reyes-Ortiz

Walden Dissertations and Doctoral Studies

Drug injection is an increasingly important risk factor in the transmission of blood-borne pathogens, including the hepatitis C virus (HCV) and human immunodeficiency virus (HIV). The purpose of the study was to examine the influence of social network factors on HCV and HIV. The study was grounded in social network theory and sought to determine whether social network characteristics affect high-risk sexual and drug injection behavior as well as self-reported HIV and HCV status. The study design was a quantitative cross-sectional survey. A total of 181 participants in a needle exchange program completed a survey in Spanish assessing individual drug …

A Comprehensive Analysis Of Computer Use Among African Americans, Kandice Lauren Smith

Walden Dissertations and Doctoral Studies

On average, African Americans receive lower wages in the workplace due to lack of advanced technical skills. The reason for technical deficiency among some African Americans is often lack of exposure to IT resources at an early age. The purpose of this ethnographic study was to identify and explore the factors that contribute to lack of IT resources available to some African Americans to cultivate IT skills. Information literacy theory formed the conceptual framework, which focused on information resources that African American and Caucasians use in the workforce for problem solving and retrieving information. Data were collected by conducting face-to-face …

An Examination Of Teachers' Reading Instructional Challenges In An Alternative School Setting, Leslie Bowen Retchko

Walden Dissertations and Doctoral Studies

In a suburban alternative school, educators of at-risk students reading below grade level often struggled to provide effective reading instruction. As a result, these students were likely to continue to experience academic difficulties, which could limit their career options and their opportunities to contribute to the betterment of society. This study addressed the gap between reading strategies teachers actually used in the classroom and the reading strategies they learned during professional development. The research questions focused on the instructional challenges teachers experienced while working with struggling readers in an alternative school setting. Mastery learning theory and the adult adragogical theory …

Effects Of Common Core Curriculum Standards On High School Students With Disabilities, Nancy Beth Thompson Loedding

Walden Dissertations and Doctoral Studies

This case study examined the effect of implementing the Common Core Curriculum Standards (CCCS) on students with disabilities (SWD) in a county in northeast Georgia. The study investigated teachers' perceptions regarding the effect of implementing the CCCS in high school English language arts and mathematics classes on the academic success of SWD and their ability to graduate from high school with a regular diploma. Information was also gathered to determine if teachers offered additional supports to SWD as part of the increased academic expectations of the CCCS. In addition, teachers were asked about the preparation they received prior to teaching …

The Lived Experiences Of Limited English Proficiency, Spanish-Speaking Male Ex-Offenders, Paula Nery Sanchez

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to explore the lived experiences of Spanish-speaking men in the United States with limited English proficiency following their release from prison. The study specifically examined the experiences of these men in their efforts to access health care treatment, housing, education, and employment in Central Pennsylvania. An empirical, phenomenological research design was employed that used self-stigma, critical race, and self-determination theories for in-depth interviews with 8 men who spent 5 to 24 years in prison. A tiered coding method was used to generate 6 interconnected themes that tell the story of these men's lives: …

Army Medics With College Degrees Who Transitioned To Civilian Life, Alex Giberson

Walden Dissertations and Doctoral Studies

Few colleges and universities have adopted the practice to provide credits for the majority of undergraduate coursework for military career training. Easing the transition from military to civilian life has become a priority for the Department of Defense, yet there is a significant gap in empirical knowledge regarding the potential benefits of a college degree on soldiers exiting the military. The purpose of this study was to understand the lived experiences of Army Medics who have transitioned back into civilian life after graduating from a college degree program that grants significant credit for military training. This phenomenological study used a …

Awareness Of Diabetes Risk Associated With Individuals 18 And Older, Rebecca Jane Boone

Walden Dissertations and Doctoral Studies

The risk of developing Type 2 diabetes is increasing at epidemic proportions, and is 12-17% higher in Marion County Florida than it is across the state, based on Florida Department of Health statistics. The purpose of this DNP project was to determine if awareness of individual risk of developing Type 2 diabetes through a questionnaire would result in high-risk participants agreeing to attend a diabetes prevention program (DPP) at a local medical clinic. The health belief model and Rosswurm and Larrabee's model for change were used as frameworks. The review of the literature showed that prevention programs were highly effective …

Cultural Beliefs And Experiences Of Formal Caregivers Providing Dementia Care To American Indians, Damon Grew Syphers

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is a significant public health concern for all elders in the United States. It is a particular concern for the American Indian (AI) population, which is one of the fastest-aging populations in the United States and the smallest, most underrecognized, and most culturally-diverse group in the country. A formal caregiver understanding of AD in the AI population is scarce. This phenomenological study was designed to discern what is known about AD in the AI population by exploring the cultural beliefs and experiences of formal caregivers who provide care for AI dementia patients. Specifically, this study sought to …

Hiv Testing Among Young African American Men Who Have Sex With Men, Tayo B. Awopeju

Walden Dissertations and Doctoral Studies

Young African American men who have sex with men (AAMSM) are at greater risk of being infected with the human immunodeficiency virus (HIV) and less likely to seek HIV testing than are members of other demographic groups. This behavior results in a significant public health threat because young AAMSM with an unrecognized HIV infection are less likely to practice safer sex and, therefore, more likely to pass the infection on to their partners. This study is an examination of the social and personality factors that influence HIV testing rates among young AAMSM, using Aday's model of the social determinants of …

A Case Study Of Mastery Learning Activities In Kindergarten Literacy Centers, Crystal Bateman Cowen

Walden Dissertations and Doctoral Studies

This case study examined the problem of below-grade-level reading scores among kindergarten students despite the use of literacy centers in a large Title 1 public elementary school in a suburb of Atlanta, Georgia. The purpose of the study was to investigate whether application of the literacy center model might be connected to student performance. Specifically, the research question concerned whether implementation of literacy centers was consistent with principles of mastery learning based on differentiation by ability. This study was guided by Bloom's theory of mastery learning, which suggests that higher levels of learning may be achieved if each child is …

High School Graduates' Perspectives On The Creation Of Online Identities, Lisa Koh-Herlong

Walden Dissertations and Doctoral Studies

Technological advancements continue to increase online accessibility and the virtual population. As students engage with these advancements, their lives and identities will be on a worldwide platform. The realities of online identities present a challenge for educators to teach students how to manage those online identities. Researchers have studied the after-effects of online identities, but there is a gap in understanding the individual's thought process during the creation of online identities. The purpose of this interpretative phenomenological analysis was to understand the perspectives of working high school graduates regarding the creation of online identities. The research questions were designed to …

Reimportation Of Prescription Drugs As Contributing Component To Patient Drug Adherence: A Qualitative-Grounded Theory Study, Jeffrey Tubbs

Walden Dissertations and Doctoral Studies

Pharmaceutical drugs are one of the most socially important heath care products. They are part of many individuals' everyday lives, from the eradicating of diseases at birth to treating patients at the end of life. However, for many patients access is prevented due to expensive cost. This study explored cost-related non-adherence (CRN) and researched if reimportation of pharmaceutical drugs from other countries could increase patient drug adherence. The perceptions of 10 patients and 10 providers in Maine were assessed. Maine is the only state that allowed its citizens to purchase prescription drugs from abroad. The research questions addressed (a) how …

The Relationship Between Science Curriculum Aligned To Common Core State Standards And Scientific Literacy, Amber Lee Struthers

Walden Dissertations and Doctoral Studies

Supporting the development of scientifically literate students is a priority in public school education, and understanding how that development is influenced by the Common Core State Standards is vital to quality science education. However, little quantitative research has been conducted about how the Common Core State Standards impact science education. The purpose of this quasi-experimental study was to determine how the alignment of science curriculum and instruction to the Common Core English Language Arts State Standards impacts the development of students' scientific literacy skills. Bybee's framework for scientific literacy provided the theoretical framework. Participants included 7 middle school students in …

Performance Enhancement And Precompetitive Anxiety Management Among Usag Junior Olympic Gymnasts, Christian Lee Way

Walden Dissertations and Doctoral Studies

Precompetitive anxiety (PCA) is problematic for young gymnasts and may have an influence on a multitude of factors like self-confidence, perceived level of self-efficacy, and athlete's performance in a competition. The objective of this 2-part study was to discover how earlier competitive experience influences the young gymnasts' level of anxiety, perception of control, and self-efficacy. An additional goal was to explore the potential impact of Guided imagery (GI) and Autogenic training (AGT) in reducing precompetitive anxiety. In the first study, 80 USAG Junior Olympic female gymnasts between the ages of 7 and 16 (40 compulsory level and 40 optional level) …

Determinants Of Social Disorganization As Predictors Of Illicit Drug Use During Recessionary Years, Daniel Kirk Westmoreland

Walden Dissertations and Doctoral Studies

Research suggests evidence of an association between sociodemographic determinants and illicit drug use. However, these data do not take into consideration the effect an economic obstacle, such as a recession, could have on an individual's urge to cope with this stressful period with illicit drugs. Furthermore, there is no research to suggest how clinicians and/or treatment institutions can forecast whether the use of monetary resources will be sustainable due to private and/or governmental fund reductions during an economic recession. Based on theories of social learning and social disorganization within an ecological framework, this study employed a quantitative trend analysis to …

Teacher Use Of Assistive Technology For Students With High Incidence Disabilities In Small Rural Schools, Heather Wood

Walden Dissertations and Doctoral Studies

A significant achievement gap between students with disabilities and their peers without disabilities has led to increased inclusion of students with disabilities in the general education classroom. Assistive technology (AT) has the potential to improve access to the curriculum for students with high-incidence disabilities. Teachers are challenged with learning about, recommending, and implementing AT; yet little is known about how teachers in New Hampshire use AT or the needs for professional development (PD) in AT utilization. The purpose of this intrinsic case study was to understand how teachers in small rural New Hampshire schools utilized AT with students with high-incidence …

A Phenomenological Study Of Leaders' Perceptions And Experiences In Local Government, Janet Elerene Williams

Walden Dissertations and Doctoral Studies

An emerging crisis in the public sector of the United States is that local government organizations are unable to recruit and retain leaders. A large proportion of high-level and mid-management public administrators leave the profession within a 5-year period. The purpose of this phenomenological study was to explore, identify, and describe patterns in the experiences and perceptions of local government administrators to promote career longevity. The central research questions were designed to determine whether work adjustment theory accurately described the lived experiences and perceptions of the subjects' career success in local government. Data collection included in-depth interviews with 10 current …

The Effect Of A Culture Of Safety On Patient Throughput, Laurie Lee Dawn Dillon

Walden Dissertations and Doctoral Studies

There is a national movement to create improvements in patient safety and outcomes due to evolutionary changes in the healthcare. Many health care organizations are using the framework of a culture of safety in order to create a reliable and stable work environment that emphasizes safety and improves patient outcomes. Patient throughput, defined as the active management of the supply of patient beds (rooms for occupation) to the demand of patients to beds and the length of time it takes for this action to occur, has been identified as one of the areas in need of improvement. This study considered …

Alleviating Risks Of Parental Incarceration Through Mentorship, Sonia Murrey

Walden Dissertations and Doctoral Studies

The focus of the present study was on the lack of positive socialization of children affected by parental incarceration. Researchers have indicated the need to broaden the examination of the effects of parental incarceration on children. Mentorship has demonstrated a positive influence for youth who display at-risk behaviors. However, there is little research regarding the effectiveness of mentorship programs for youth who have experienced the negative effects of parental incarceration. The purpose of this transcendental phenomenological study was to describe the experiences of youth who have completed an individualized mentorship program following parental imprisonment. Flyers were distributed to case managers …

Health Care Seeking Behavior And Provider Responses For Hcv-Positive African Americans, Kathleen Susanna Bailey

Walden Dissertations and Doctoral Studies

Of the 3.5 million persons infected with chronic HCV in the United States, the African American population is the largest racial group with chronic HCV. Disparities in access to care and treatment involve a complex set of individual, interpersonal, socioeconomic, and environmental factors that influence the course of HCV infection in the African American population, resulting in poorer outcomes and survival. Drawing upon both the theory of reasoned action and the theory of planned behavior, this study was conducted to determine whether the seeking of health care by HCV-positive African Americans and the responses of health care providers to HCV-positive …

Teacher And Parental Influence On Childhood Learning Outcomes, Michele Denise Benjamin

Walden Dissertations and Doctoral Studies

Previous research has investigated the strategies to develop teacher-parent relationships in preschool programs. However, a gap exists concerning whether or not parents and teachers perceive that their relationships with children directly impact student's learning outcomes. The purpose of this descriptive case study was to determine how teachers and parents perceive the role of professional development, parental involvement, and the teacher-parent relationship on children's achievement. Early childhood experts have suggested that each of these roles contribute to children's learning outcomes. Bronfenbrenner's ecological model served as a framework for this study because it focuses on the connection between home and school that …

Promotion Of The Hospital's Patient Portal, Courtnie Jones Burrell

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services wanted to ensure that electronic health records were used in a meaningful manner to improve coordination and quality of patient care. In 2011, the federal government began offering monetary incentives to help healthcare facilities and providers adopt technology that supported patient access and increased their ability to manage their own health. The hospital where this project took place encouraged patients’ involvement in their health by providing a patient portal, yet the public has underutilized it. The purpose of this project was to develop an evidence-based strategy for future implementation at the hospital that …

Factors Influencing The Adoption Of Learning Management Systems By Medical Faculty, Kristy Burrough

Walden Dissertations and Doctoral Studies

Despite recommendations by the Association of American Medical Colleges regarding

the adoption of technology in medical universities, faculty are still reluctant to adopt new

learning technologies. The purpose of this qualitative interview study was to determine

the factors existing in the adoption of learning management technology among late

adopters within the faculty of colleges labeled as comprehensive academic medical

centers. Using the Everett Rogers diffusion of innovations theory as its framework, this

study sought to ascertain the factors late adopters identify as preventing them from

adopting technology and to determine what measures they suggest to increase technology

adoption among their …

The Influence Of Demographics And Cultural Attitudes On Sexual Orientation Attitudes In African American Adults., Bernadette Dawn Harrell

Walden Dissertations and Doctoral Studies

African Americans who identify as gay, lesbian, bisexual, and transgender (GLBT) are discriminated against in the African American community. Sociodemographics such as income, education, age, and religion/spirituality have been shown to be associated with sexual prejudice. There is limited research on how African American cultural attitudes influence attitudes towards sexual orientation. The purpose of this study was to examine the extent to which demographic variables and African American cultural attitudes (measured by the African American Acculturation Scale-Revised; AAAS-R) predict attitudes toward sexual orientation in African American adults (measured by the Attitudes towards Lesbians and Gay Men Scale; ATLG). Social identity …

Financing School-Based Health Centers: Sustaining Business Operational Services, Ingrid Monique Hayes-Burrell

Walden Dissertations and Doctoral Studies

School-based health centers (SBHCs) have faced challenges in securing adequate funding for operations and developing sound business systems for billing and reimbursement. Specifically, administrators often lack strategies to develop and sustain funding levels to support appropriate resources for business operations. The focus of this descriptive study was to explore best practice strategies to develop and sustain funding through the experiences of SBHC administrators. The conceptual framework included Elkington's sustainability theory, which posits that corporate social responsibility, stakeholder involvement, and citizenship improve manager's effect on the business system. Twenty full-time SBHC administrators working in separate locations throughout the state of Maryland …

A Cross-Regional Comparison Of Fabricated Metals' Manufacturing Sector Resiliency, Linda Ann Holt

Walden Dissertations and Doctoral Studies

Fabricated metals' manufacturing sector employment in the United States declined following the onset of the 2008 recession. Premium compensation and benefits afforded to employees within the manufacturing sector amplified the negative effects of recessionary job losses. Using the regional macroeconomic complex adaptive systems (CAS) framework, the purpose of this study was to examine the geographic distribution of job losses, recovery rates, and adaptive behavior after the recession for the fabricated metals manufacturing sector by measuring and comparing effects in 50 East North Central division MSAs and 50 South Atlantic division MSAs in the United States. Independent sample t tests compared …

The Effects Of The Night Shift On Nursing Staff Of An Inpatient Hospice Facility, Carolyn Dopson Horton

Walden Dissertations and Doctoral Studies

The night shift environment in an inpatient hospice facility is unique in care and relegates challenging situations for the nursing staff. Using the Parse methodology, the purpose of this project was to explore the challenges faced by inpatient hospice facility night shift nursing staff in providing a continuum of care for dying patients and their families. Nine night shift hospice nurses participated in 45-60 minute interviews. The interviews were conducted in a hospice quiet room or a designated place of comfort for the participant, which allowed for dialogical engagement. The interviews were unstructured with open-ended questions about lived experiences. The …

Raising Texas State Biology Exam Achievement Scores For Students With Disabilities, Nancy Kay Larkin

Walden Dissertations and Doctoral Studies

The No Child Left Behind Act changed the way educators taught students with disabilities (SWD), as this population has now become part of all districts' annual yearly progress. The problem this qualitative study addressed was that many biology teachers in a Texas suburban district were not effectively implementing evidence-based strategies for SWD. The study's conceptual foundation was based on Vygotsky's cognitive development theory that students achieve at higher levels when working in their zone of proximal development with support from peers or adults. The guiding question was intended to determine what strategies biology teachers were using to provide this support …

Association Of Bisphenol A And C-Reactive Protein Concentrations With Cardiovascular Diseases, Hassan Salim Naji

Walden Dissertations and Doctoral Studies

Bisphenol A (BPA), a widely used chemical in plastic, has drawn wide attention due to its presence in many consumer products and the environment. The purpose of this study was to examine the association between urinary BPA and the reporting of cardiovascular diseases (CVD), and then to examine the effect of C-reactive protein (CRP) as a moderating variable. The data used in this research were extracted from the National Health and Nutrition Examination Survey collected in 2009-2010. Guided by the advanced epidemiological triangle, analysis involved 2 stepwise binary logistic regressions. The first step suggested that the controls were significant in …

Middle School Teachers' Experiences With Cross-Curricular Connections At The Incident Level, Melita M. Penchalk

Walden Dissertations and Doctoral Studies

Many curricular innovations, including cross-curricular teaching, are started in schools without adequate teacher preparation and support, reducing the effectiveness of the interventions in supporting student learning. The purpose of this qualitative case study was to describe the implementation of the cross-curricular connections teaching technique in middle schools. Research questions focused on how middle school teachers experienced implementation of cross-curricular teaching at the incident level and how teachers perceived cross-curricular teaching and its long-term value. Myers-Briggs personality type theory informed the study, supporting the postulation that teachers are more comfortable teaching from their personality types. Data from 10 middle school teachers …