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Walden Dissertations and Doctoral Studies

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Reimbursement Of Mental Health Service For Individuals Seeking Services At Primary Care Facilities, Keith Avant Jan 2021

Reimbursement Of Mental Health Service For Individuals Seeking Services At Primary Care Facilities, Keith Avant

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to explore the relationship between primary care services, mental health services, patient visits, and insurance reimbursement for individuals with a mental health diagnosis who visit primary care facilities. The theoretical integrated theory of health behavior changes has been vital in identifying the contributing factors to the relationship between primary care, mental health services, and insurance reimbursement. The research questions explored whether any relationship existed between mental health diagnosis and office visits, outpatient versus inpatient, the amount paid for treatment, and reimbursement of services. This study used a quantitative approach along with a Pearson …

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Perceived Level Of Neurodiversity-Based Methodologies In Support Programs For Post-Secondary Autistic Students, Gwendolyn Barnhart Jan 2021

Perceived Level Of Neurodiversity-Based Methodologies In Support Programs For Post-Secondary Autistic Students, Gwendolyn Barnhart

Walden Dissertations and Doctoral Studies

Autistic students often face stigmatization surrounding their autism diagnosis, especially in academia, which can cause depression, lower self-esteem, or suicidal ideation and lead to lower academic success. The problem of insufficient research-based effective practices to guide support services for autistic students in their post-secondary education was addressed in this study. The purpose of this qualitative case study was to understand the degree to which neurodiversity-based methodologies are utilized in special education post-secondary support services. The diffusion of innovation framework was used to explore perceptions of 19 staff members who worked in academic support services. The research questions were focused on …

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Community-Based Hiv Prevention Strategies For African American Men Who Have Sex With Men, Dean Michael Aguon Jan 2021

Community-Based Hiv Prevention Strategies For African American Men Who Have Sex With Men, Dean Michael Aguon

Walden Dissertations and Doctoral Studies

The success of community-based organizations (CBOs) that provide HIV prevention services depends on strong evaluations to ensure the effective use of resources for HIV prevention strategies. However, there is lack of frameworks or process models to provide best practices for implementing HIV interventions by CBOs, and there is a gap in understanding regarding interventions focused on reducing HIV among African American men who have sex with men (MSM). This study addressed CBO employees’ lived experiences within a single organization in Las Vegas, examining program creation, implementation, and measurable outcomes for the African American MSM population, which the research question was …

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Teachers’ Perceptions Of Self-Regulated Learning In A Technology-Supported Collaborative Learning Environment, Sharon Davenport Jan 2021

Teachers’ Perceptions Of Self-Regulated Learning In A Technology-Supported Collaborative Learning Environment, Sharon Davenport

Walden Dissertations and Doctoral Studies

In a local school district, sixth- through eighth-grade students were reading and performing on reading tests below grade level, and teachers started using strategies to promote self-regulated learning (SRL) in their classrooms. However, students continued to struggle with reading comprehension when asked to read independently. The purpose of this qualitative case study was to explore the instructional strategies teachers used to implement SRL for reading and to explore the perspectives of middle-school teachers regarding how an SRL environment could affect students’ learning outcomes. Winne’s conditions, operations, products, evaluations, and standards (COPES) theory provided the conceptual framework for the study. Data …

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The Effect Of Acupuncture On The Stress Levels Of Patients With Posttraumatic Stress Disorder In Ghana, Derrick Tettey Dicker Jan 2021

The Effect Of Acupuncture On The Stress Levels Of Patients With Posttraumatic Stress Disorder In Ghana, Derrick Tettey Dicker

Walden Dissertations and Doctoral Studies

Around the world, the use of acupuncture is increasingly becoming a common alternative treatment for the symptoms often associated with posttraumatic stress disorder (PTSD). However, the treatment of acupuncture appears to be lacking in Ghana because mental health professionals, patients, and the government representatives are largely unaware of its potential efficacy. The purpose of this study was to examine the effect of acupuncture treatment on patients with PTSD in Ghana. The study was conducted through the lens of psycho-physiological trauma. A research question was formulated to investigate the association between the independent variable, acupuncture treatment, and the dependent variable, the …

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Socioecological Determinants Of Psychoticism Among Central-Asian Immigrants To The United States, Viktor Dlugunovych Jan 2021

Socioecological Determinants Of Psychoticism Among Central-Asian Immigrants To The United States, Viktor Dlugunovych

Walden Dissertations and Doctoral Studies

Every year, thousands of individuals from every country and every walk of life arrive in the United States in hopes of better lives for themselves and their families. A significant portion of immigrants arrives from Central Asia countries, namely Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. Stress associated with the process of uprooting in the country of origin and adaptation in the country of destination often makes newcomers vulnerable to developing mental health illnesses. The purpose of this work was to analyze relationships between psychoticism, psychological comorbidities, and psychosocial factors. This study used archival data that included 195 cases of individuals …

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Strategies To Protect Against Security Violations During The Adoption Of The Internet Of Things By Manufacturers, Sixtus Anayochukwu Ekwo Jan 2021

Strategies To Protect Against Security Violations During The Adoption Of The Internet Of Things By Manufacturers, Sixtus Anayochukwu Ekwo

Walden Dissertations and Doctoral Studies

Security violations have been one of the key factors affecting manufacturers in adopting the Internet of Things (IoT). The corporate-level information technology (IT) leaders in the manufacturing industry encounter issues when adopting IoT due to security concerns because they lack strategies to protect against security violations. Grounded in Roger’s diffusion of innovations theory, the purpose of this qualitative multiple case study was to explore strategies corporate-level IT leaders use in protecting against security violations while adopting IoT for manufacturers. The participants were senior IT leaders in the eastern region of the United States. The data collection process included interviews with …

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Associations Between Provider Type And Medicaid Overpayments, Kezia Hercules Jan 2021

Associations Between Provider Type And Medicaid Overpayments, Kezia Hercules

Walden Dissertations and Doctoral Studies

Healthcare costs have been rapidly increasing in the United States and consume a significant percentage of the Gross Domestic Product (GDP). A percentage of these costs are attributed to increased incidences of healthcare overpayments to providers. This study examined the impact of these overpayments by provider type, and the underlying reasons which resulted in overpayments from the Medicaid perspective. The theoretical framework used in this study was Ostrom’s institutional analysis and development (IAD) framework. The study used all available data (N = 682) from New York State Medicaid Inspector General final audits of providers for Medicaid overpayments. A chi-square test …

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Barriers To Technology Adoption Among Maritime Industry Stakeholders In Nigeria, Nicholas Mmaduabuchi Ikpogu Jan 2021

Barriers To Technology Adoption Among Maritime Industry Stakeholders In Nigeria, Nicholas Mmaduabuchi Ikpogu

Walden Dissertations and Doctoral Studies

A literature gap exists regarding why Nigerian maritime industry stakeholders remain slow to accept new technologies to improve the maritime sector’s capacity to drive national sustainable development. The purpose of this qualitative single case study was to explore the barriers to technology acceptance among Nigerian maritime industry stakeholders. A single case study with an embedded unit design was used to address the literature gap, and qualitative data from 12 semi-structured interviews, reflective field notes, and archival data were collected to provide answers to the central research question. This study was framed by Yang’s concept of maritime shipping digitization and Wiafe …

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Reproductive Health Factors And Maternal Mortality Of Internally Displaced Women In Nigeria, Fatima Mahmood Jibirilla Jan 2021

Reproductive Health Factors And Maternal Mortality Of Internally Displaced Women In Nigeria, Fatima Mahmood Jibirilla

Walden Dissertations and Doctoral Studies

Approximately 529,000 women die from pregnancy-related causes every year, with 99% of these maternal deaths occurring in developing countries. Each year, about 59,000 maternal deaths occur in Nigeria, with a mortality rate of 576 deaths per 100,000 births. Women constitute about half of the 33.2 million internally displaced persons (IDPs) worldwide. The purpose of this retrospective cross-sectional study was to explore the association between the reproductive health factors and maternal mortality of internally displaced women in Borno state, Nigeria. McCarthy and Maine’s model for determinants of maternal mortality informed this study. A secondary dataset of 400 women (age 14-49 years) …

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Understanding The Clery Act Compliance Team Policy Instrument Using Contextual Interaction Theory, Shanieka S. Jones Jan 2021

Understanding The Clery Act Compliance Team Policy Instrument Using Contextual Interaction Theory, Shanieka S. Jones

Walden Dissertations and Doctoral Studies

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a consumer-protection law solely applicable to higher education institutions participating in student financial aid programs. This study addressed the perceived lack of sustainable institutional implementation efforts, which have become the focus of federal program reviews, subjecting campuses to civil penalties and public scrutiny. A quantitative sequential multimethod study using a survey and content analysis was used to address whether Bressers’s contextual interaction theory (CIT) could explain relationships between group dynamics, interdepartmental collaboration, and Clery Act compliance within higher education institutions. Correlational and regression analyses tested connections …

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Adult Canadian Disordered Gambling And Poor Physical Or Mental Health, Pilar Lane Jan 2021

Adult Canadian Disordered Gambling And Poor Physical Or Mental Health, Pilar Lane

Walden Dissertations and Doctoral Studies

Disordered gambling has become the first recognized nonsubstance addiction. Low- and moderate-level gamblers have been found to be more likely to suffer health consequences. The purpose of this quantitative, cross-sectional, comparative study was to explore whether and to what extent being a disordered gambler in Canada increases the likelihood of having a concurrent physical or mental health problems (i.e., heart disease, diabetes and/or suicidal ideation or attempts). The research questions were whether there was a significant difference in having heart disease, diabetes, or suicidal ideations or attempts between Canadian adults who are and who are not disordered gamblers. The theoretical …

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Experiences And Perceptions Of School Principals Regarding School Safety Programs And Bullying, Denise Lowe Jan 2021

Experiences And Perceptions Of School Principals Regarding School Safety Programs And Bullying, Denise Lowe

Walden Dissertations and Doctoral Studies

AbstractMany researchers have documented the continued problem with safety in U.S. schools, which may be related to bullying. Though the most effective way to address bullying in schools is schoolwide programs, limited information is available relating to principals’ views on safety programs in U.S. suburban high schools. Accordingly, this study included two research questions and eight interview questions to address the problem relating to safety programs and interventions with 12 principals in Catholic suburban high schools in Kansas and Missouri. Six distinctive themes emerged from the data based on participant answers to interview questions: effective safety intervention programs, mental health …

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Aging Out Of Foster Care And Support Services, Sandra Ifenyinwa Ogbonna Jan 2021

Aging Out Of Foster Care And Support Services, Sandra Ifenyinwa Ogbonna

Walden Dissertations and Doctoral Studies

Youth aging out of the foster care system face many difficulties in transitioning to adulthood. In this exploratory study, the strategies used by foster care social work case managers to help youth successfully age out of foster care were investigated. Bronfenbrenner’s ecological theory provided the framework through which the research questions were explored. Eight social work case managers experienced with aging-out foster youth participated in qualitative interviews, in which they were asked to define success for youth who age out of foster care and describe the effectiveness of existing strategies for improving the transition into adulthood among youth emancipated from …

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Exploring Citizen Security In The Nigeria Federated State: Lagos State Neighbourhood Safety Agency In Perspective, Adesoji Olaitan Ogunsanya Jan 2021

Exploring Citizen Security In The Nigeria Federated State: Lagos State Neighbourhood Safety Agency In Perspective, Adesoji Olaitan Ogunsanya

Walden Dissertations and Doctoral Studies

AbstractThe research problem of this study was centered on the state of insecurity in Lagos State and the intervention of the Lagos State Neighbourhood Safety Agency. Evidence from previous studies supported the use of community policing, police reform, training of security personnel, and collaboration amongst security agencies as measures to address issues of insecurity in Lagos State. The purpose of this qualitative research was to examine the impact of the Lagos Neighbourhood Safety Agency on the security challenges of the state and generate additional discourse. Institutional theory was used as the theoretical foundation for this research with a purposive sampling …

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Health Literacy Staff Education For Heart Failure Management, Ifeoma Onyeiwu Jan 2021

Health Literacy Staff Education For Heart Failure Management, Ifeoma Onyeiwu

Walden Dissertations and Doctoral Studies

Heart failure (HF) is a chronic disease with progressive deterioration that occurs over years or decades. There is a need for individuals affected by HF to be educated regarding this complex disease. Health literacy, an integral part of health and wellness, is one's ability to understand and use health information. Ninety million adults in America have difficulty understanding and using health information, resulting in higher rates of hospitalization and use of emergency services among patients. Limited health literacy may lead to billions of dollars in avoidable healthcare costs. This DNP project addressed health literacy as it relates to medication adherence …

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Medical Brain Drain And Its Effect On The Nigerian Healthcare Sector, Oluwakemi Osigbesan Jan 2021

Medical Brain Drain And Its Effect On The Nigerian Healthcare Sector, Oluwakemi Osigbesan

Walden Dissertations and Doctoral Studies

Nigeria suffers from a huge brain drain issue across different sectors, particularly in the healthcare sector. The WHO assessed that there is a current shortage of 2.8 million physicians in the world A heuristic phenomenological method was used in this study to explore the lived experiences of 12 Nigerian healthcare practitioners that migrated to the United States. The push-pull theory served as the theoretical framework that grounded this study. The central research questions for this study focused primarily on the reasons healthcare practitioners are leaving Nigeria and what the impact of those decisions have on the Nigerian healthcare sector. Qualitative …

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The Long-Term Effects Of Teacher Participation In Mindfulness-Based Stress Reduction, Germaine Pentsil Jan 2021

The Long-Term Effects Of Teacher Participation In Mindfulness-Based Stress Reduction, Germaine Pentsil

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to determine the long-term effects of mindfulness-based stress reduction (MBSR) on student disciplinary behavior, student academic progress and teacher absenteeism within the educational environment, using the theoretical framework of the Pro-Social Classroom theoretical model. Furthermore, by observing the before and after patterns of middle school teacher absenteeism, middle school student disciplinary behavior, and middle school student academic progress, this study addressed whether mindfulness-based stress reduction techniques were beneficial to the teacher professional development process. This study included 75 survey responses from teachers that met the sampling criteria via the Walden Participant Pool, as …

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Qualitative Exploration Of Catholic Church Leaders’ Perspectives Regarding Counseling Parishioners With Anxiety, Amy Lynn Polster Jan 2021

Qualitative Exploration Of Catholic Church Leaders’ Perspectives Regarding Counseling Parishioners With Anxiety, Amy Lynn Polster

Walden Dissertations and Doctoral Studies

There is little research addressing the mental health literacy of Roman Catholic clergy in their job as spiritual counselors for parishioners with anxiety. Devout individuals struggling with fear- or worry-driven anxiety often call on divine assistance for help as a frontline defense. Anxiety is a leading mental health problem, disturbing about 40 million U.S. adults aged 18 to 54 years. This study explored the mental health literacy perceptions of six Catholic clergy leaders and their awareness of fear- or worry-based anxiety, drawing upon the concept of the triune brain and using evolutionary threat assessment systems theory as a theoretical foundation. …

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School Personnel’S Perceptions Toward Transfer Versus Nontransfer Students In A Borderland School, Maria Isabel Quiñones Velez Jan 2021

School Personnel’S Perceptions Toward Transfer Versus Nontransfer Students In A Borderland School, Maria Isabel Quiñones Velez

Walden Dissertations and Doctoral Studies

School personnel serving highly transient student populations in borderland schools in the southwestern United States may have different perceptions toward transfer students and nontransfer students. Few quantitative studies have measured the perceptions that arise as school personnel confront the unique challenges of providing services to transfer students. Research-based evidence of the perceptions of school personnel in a southwestern border town is needed. The purpose of this quantitative study was to identify the presence, or not, of different perceptions of school personnel toward students who transfer from other school systems due to specific circumstances versus the perceptions toward nontransfer students who …

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Workplace Spirituality Among University Administrative Employees In Southeastern Georgia, Leo W. Riley Jr Jan 2021

Workplace Spirituality Among University Administrative Employees In Southeastern Georgia, Leo W. Riley Jr

Walden Dissertations and Doctoral Studies

AbstractWork engagement in the United States is reportedly below 30%, and a 4.6% decline in employee tenure with worker devaluation concerns university management in higher education. The specific management problem was university management’s lack of university worker’s knowledge concerning workplace spirituality’s influence on the lived experiences of university administrative employees who were unsatisfied, depersonalized, and devalued at a university located in Southeastern Georgia. The purpose of this qualitative transcendental phenomenological study was to identify and report the lived experiences of university administrative employees regarding workplace spirituality. The reciprocity theory was the conceptional framework in this study. The study research question …

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The Academic And Nonacademic Perceived Barriers And Resources Of Latinx First Generation Students At A Community College, Jessica Caridad Rivera Jan 2021

The Academic And Nonacademic Perceived Barriers And Resources Of Latinx First Generation Students At A Community College, Jessica Caridad Rivera

Walden Dissertations and Doctoral Studies

Since the 1970s, the college enrollment of Latinx first generation students (FGS) has increased nationally and within the research site. In this vein, the purpose of this qualitative study was to gain an understanding regarding the actual academic and nonacademic experiences that prevent Latinx FGS from graduating community college. This qualitative study was framed by Ladson-Billings and Tate’s theory of critical race in education to explore what Latinx FGS identify as barriers in graduating from a community college while providing feedback on how college leadership can support them in graduating. By using a phenomenological tradition, participants used storytelling to define …

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Juvenile Probation Officers’ Perspectives On The Success Factors Of Youth Diversion Programs, Kya Tanique Robertson Jan 2021

Juvenile Probation Officers’ Perspectives On The Success Factors Of Youth Diversion Programs, Kya Tanique Robertson

Walden Dissertations and Doctoral Studies

The goal of youth diversion programs includes reducing recidivism while granting opportunities for youth to refocus their paths. Although juvenile probation officers' role is vital to supervised probation in youth diversion programs, the problem is that there is a lack of literature that assesses the success of the factors of mentoring, education, and mental health treatment that directly connect youth with social services. The purpose of this qualitative case study was to explore the perceptions of juvenile probation officers on the success factors of youth diversion programs as they relate to mentoring, education, and mental health treatment. Becker's labeling theory …

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Secondary Educator Experiences Using Social Media To Influence Students’ Empowerment Skills, Jacqueline Mary Roehl Jan 2021

Secondary Educator Experiences Using Social Media To Influence Students’ Empowerment Skills, Jacqueline Mary Roehl

Walden Dissertations and Doctoral Studies

Social media is a sociopolitical phenomenon with the potential to impact people’s psychological empowerment. The problem is that little is known about the experiences of secondary educators who teach students to use social media in empowering ways for social change. The purpose of this study was to explore secondary educator experiences using social media to influence students’ psychological empowerment skills to understand diverse opinions about community issues and proactively work for social change. This study’s conceptual framework was connectivist theory that learning occurs through online connections and the psychological empowerment principle that people feel in more control when they understand …

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Male Graduates' Experiences Following An Alternatives Sentencing Program In Grenada, Wendy Margaret Romain Jan 2021

Male Graduates' Experiences Following An Alternatives Sentencing Program In Grenada, Wendy Margaret Romain

Walden Dissertations and Doctoral Studies

AbstractJuveniles in many countries around the world were incarcerated during the 1980s and 1990s due to countries’ legislating tough-on-crime policies against juveniles. Community-based alternative sentencing options have since been found to be more effective than prisons for developmental and rehabilitative needs of juveniles. However, there is a dearth of research on how these programs have impacted the lives of their graduates. In this study, five male graduates of an alternative sentencing program on the island of Grenada were interviewed to examine how they applied skills and knowledge gained from the program. The theory of change model based upon Prochaska’s Transtheoretical …

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Misuse Of Prescription Pain Relievers Among Pregnant Women In The United States, Winnie Chebet Rono Jan 2021

Misuse Of Prescription Pain Relievers Among Pregnant Women In The United States, Winnie Chebet Rono

Walden Dissertations and Doctoral Studies

The non-medical use of prescription pain relievers has increased remarkably, posing social and public health concerns particularly in developed countries such as the United States. The management of pain experienced by pregnant women poses a challenge to clinicians considering the effects of the regimen on unborn babies. Guided by the health belief model, which aims to predict health-related behavior in terms of certain health beliefs and explain change and behavior maintenance as well as to guide health behavior interventions, this cross-sectional study aimed to understand the associations between misusing pain relievers and social determinants of health such as education level …

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Effects Of Trained Providers And Naloxone Distribution On Prescription Opioid Use Disorder, Samuel Sarpong Jan 2021

Effects Of Trained Providers And Naloxone Distribution On Prescription Opioid Use Disorder, Samuel Sarpong

Walden Dissertations and Doctoral Studies

AbstractOpioid abuse and overdose are associated with substantial morbidity and mortality rates, as well as social and economic costs. The purpose of this study was to evaluate the independent and interactive effects of state-sponsored prescription drug monitoring program (PDMP) trained healthcare providers and community-based naloxone distribution program related factors in the states of Florida and Georgia for the prevention and reduction of prescription opioid use disorder, overdose, and deaths. The research theory adopted was the socio-ecological model with an emphasis on risk factors such as age. The study used secondary data from 2014 to 2018 from the Florida and Georgia …

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Perspectives Of Key Court Personnel On The Prosecution Of Domestic Violence Cases, Crystal M. Schoeder Jan 2021

Perspectives Of Key Court Personnel On The Prosecution Of Domestic Violence Cases, Crystal M. Schoeder

Walden Dissertations and Doctoral Studies

Domestic violence (DV) continues to be a public health and criminal justice problem. Several criminal justice system changes have been made to combat DV, such as mandatory arrest policies, no-drop prosecution policies, and specialized DV courts. Perspectives on these policies, DV, and the criminal justice system have been obtained from the victims, police officers, and victim advocates. However, perspectives from those within the criminal justice court system are missing. The purpose of this qualitative phenomenological study was to obtain the perspectives of key court personnel in small rural communities regarding the prosecution of DV cases. Narrative policy framework was used …

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Predictors Of Obesity Among Young Adults In The State Of Maryland, Kala Shahi Jan 2021

Predictors Of Obesity Among Young Adults In The State Of Maryland, Kala Shahi

Walden Dissertations and Doctoral Studies

AbstractObesity has become a global wellness concern for young adults. In the past, there were very few studies conducted on predictors of obesity among young adults, even though there have been several studies on the potential predictors of obesity on the general population. The social ecological model was used to guide this quantitative cross-sectional study to identify the possible predictors of obesity among young adults. The Behavioral Risk Factor Surveillance System was used to analyze the potential predictors of obesity among young adults between the ages 18 – 34 years old in Montgomery County, Frederick County, and Princess Georges County, …

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Narrative Study Of Educational Stigmatization In Parents Of Indigenous Children With Fasd, Wendy Dianne Sherren-Doucette Jan 2021

Narrative Study Of Educational Stigmatization In Parents Of Indigenous Children With Fasd, Wendy Dianne Sherren-Doucette

Walden Dissertations and Doctoral Studies

Often public stereotyping and prejudicial attitudes follow parents of Indigenous children with FASD throughout their day-to-day life. Stigma affects Indigenous people, particularly parents of Indigenous children with FASD, in different facets of their lives. The purpose of this study was to explore the perceptions that parents of Indigenous school-aged children with FASD have had of their experiences with school personnel. The study was grounded in Goffman’s social stigma theory and used a narrative inquiry approach in an interview-style format which collected data for this study. The research question explored the experiences of six parents of Indigenous children with FASD with …

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