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2015

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Methods Used In Public Policy Decision Making By County Managers In North Carolina, Jeffrey Bryan Gowen Jan 2015

Methods Used In Public Policy Decision Making By County Managers In North Carolina, Jeffrey Bryan Gowen

Walden Dissertations and Doctoral Studies

Researchers have examined ways in which policy makers develop their decisions. The literature has not explored, however, the methodologies used by county managers to arrive at decisions, or whether they consider the medium- and long-term policy implications, or second and third order effects, of those decisions. The purpose of this study was to identify the methodologies and decision-making processes used by county managers in North Carolina. The theoretical framework was Lindblom's theory of incrementalism in decision making. Data for this phenomenological study were collected through semi-structured interviews with 10 purposefully selected county managers, and were coded and categorized to identify …

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Transformational Leadership And Safe Driving Performance In The U.S. Electric Utility Industry, Mackington Joseph Jan 2015

Transformational Leadership And Safe Driving Performance In The U.S. Electric Utility Industry, Mackington Joseph

Walden Dissertations and Doctoral Studies

Transformational leadership (TL) has been found popular in many industries in the United States and abroad for the perceived transformational leaders' effectiveness in improving occupational safety. There is a lack of empirical evidence to confirm these claims for safe occupational driving. This phenomenological study attempted to fill this knowledge gap in the electric utility industry where employees must drive in all weather conditions to restore power to customers. The conceptual framework for the study was based on leadership and motivation theories of Burns and Maslow. The research questions explored the influence of (a) TL on safe driving performance improvement in …

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Associative Factors Of Acculturative Stress In Latino Immigrants, Sam Kedem Jan 2015

Associative Factors Of Acculturative Stress In Latino Immigrants, Sam Kedem

Walden Dissertations and Doctoral Studies

For the past 200 years, Latinos have comprised the largest, consistent category of immigrants in the United States. This influx has created a need for culturally competent psychological treatment of a population that suffers from acculturative stress, defined as the stress a minority member experiences while trying to adjust to the culture of the majority. Researchers have studied Latino immigrants' enduring trials as they adjust to life in the United States. Nevertheless, there is limited research on the quantification of factors contributing to acculturative stress. Based on the conceptual framework of bidimensional acculturation and Latina/o critical race theory, predictors of …

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Exploring Yoga As A Holistic Lifestyle For Sustainable Human And Environmental Health, Julia A. Leischner Jan 2015

Exploring Yoga As A Holistic Lifestyle For Sustainable Human And Environmental Health, Julia A. Leischner

Walden Dissertations and Doctoral Studies

Improved health indicators, mental and physical health outcomes, and sustainable lifestyle practices have been found among yoga practitioners. The purpose of this study was to examine the impact of mixed styles of yoga practice on the health and behaviors of yoga practitioners. The relationship between yoga and body mass index (BMI), self-reported disease diagnosis, participation in other types of physical activity, adoption of healthy and sustainable lifestyle and dietary behaviors, perceived improvements in medical conditions that yoga was used to treat, quality of life resulting from yoga practice, and the reasons for beginning and continuing yoga were observed and tested …

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Phenomenological Inquiry On Cigarette Smoking In Adults With Serious Mental Illness, Pedro R. Gabino Jan 2015

Phenomenological Inquiry On Cigarette Smoking In Adults With Serious Mental Illness, Pedro R. Gabino

Walden Dissertations and Doctoral Studies

Cigarette smoking in adults with serious mental illness (SMI) has increased even when accounting for a decrease of smoking among the general population. Most of the research has focused on the prevalence, rates, and effects of smoking in adults with SMI. Little research has examined the motivations for smoking and experiences with smoking cessation among adults with SMI. Such an understanding may facilitate a reduction in smoking in this population. To address this gap in the literature, 12 adults with SMI who live in the southern Nevada area and smoke were selected through invitations distributed at a treatment facility and …

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Shared Trauma And Resiliency Among Military Mental Health Veterans: A Heuristic Inquiry, Tashina Miller Jan 2015

Shared Trauma And Resiliency Among Military Mental Health Veterans: A Heuristic Inquiry, Tashina Miller

Walden Dissertations and Doctoral Studies

With the wars in Iraq and Afghanistan lasting over a decade, hundreds of military mental health providers have deployed to hostile environments and some on multiple occasions. Military mental healthcare providers can experience symptoms of acute and chronic stress resulting from exposures to horrific events while caring for soldiers in a deployed environment. Indeed, in treating these soldiers, clinicians may continue to experience the same traumatic events as their clients. The purpose of this phenomenological study was to understand and describe shared trauma and resilience for military mental health professionals who have deployed. The concept of shared trauma was defined …

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Predictors Of Obesity Among Nigerian Immigrants In The United States, Olawunmi Obisesan Jan 2015

Predictors Of Obesity Among Nigerian Immigrants In The United States, Olawunmi Obisesan

Walden Dissertations and Doctoral Studies

Obesity has been identified as a significant risk factor for chronic diseases, contributing to health disparities in minority and vulnerable populations. Though research has identified an increased risk for obesity in the Hispanic immigrant population, there is little or no research on the heterogeneity of obesity predictors in specific immigrant populations in the United States. This study examined the predictors of obesity in the Nigerian immigrant population in the United States. Guided by the social ecological model and the segmented assimilation theory, this cross-sectional study collected primary data from 205 Nigerian immigrants in the United States using the CDC's Behavioral …

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Spirituality, Religious Coping, And Depressive Symptoms In Hospice Patients: A Terror Management Perspective, Janine Siegel Jan 2015

Spirituality, Religious Coping, And Depressive Symptoms In Hospice Patients: A Terror Management Perspective, Janine Siegel

Walden Dissertations and Doctoral Studies

Facing imminent death can be an unremitting problem for hospice patients who lack psychological support for existential concerns that contribute to depressive symptoms and suffering. According to terror management theory, spiritual and religious beliefs are a common means of coping with mortality at the end of life, and few studies have considered how hospice patients feel about their impending death. This was a quantitative, cross-sectional study that examined whether spirituality and religious coping moderated the relationship between imminent death concerns and depressive symptoms in 54 hospice patients. Participants completed a self-administered survey that included the Templer Death Anxiety scale, Brief …

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Gendered Differences In Motivation For Entering The Teaching Field In North Carolina, Sharon Russell Wilkins Finkler Jan 2015

Gendered Differences In Motivation For Entering The Teaching Field In North Carolina, Sharon Russell Wilkins Finkler

Walden Dissertations and Doctoral Studies

North Carolina faces a growing shortage of male teachers in K-12 classrooms. To help understand that problem, the purpose of this quantitative, cross-sectional, descriptive study was to explore the motivating factors that influence individuals to consider pursuing teaching careers and to determine whether these factors differ based on gender. Research questions used to guide the inquiry asked whether differences exist between males and females with regard to 13 motivational factors important for entry into the teaching profession and measured by the FIT-Choice Survey. Conceptually, Fishbein and Ajzen's expectancy value theory, which suggests that individuals make career choices based on expectations …

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Mri As An Adjunct To Conventional Mammography Screening For Cancer In Dense Breast Tissue, Rachel Sunmattie Connett Jan 2015

Mri As An Adjunct To Conventional Mammography Screening For Cancer In Dense Breast Tissue, Rachel Sunmattie Connett

Walden Dissertations and Doctoral Studies

Diagnostic methods to effectively image dense breast tissue (DBT) can pose challenges for breast cancer screening. While conventional mammography is the gold standard for breast cancer screening, this technique has a low sensitivity to DBT and can miss about 78% of cancers in DBT, but magnetic resonance imaging (MRI) has a high sensitivity for imaging DBT, and produces a smaller number of false positives. The purpose of this study was to determine the extent to which conventional mammograms can miss breast cancer in women with DBT and to determine if an adjunct method of imaging DBT might detect breast cancers …

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The Effects Of A K-12 Dual Language Instruction Program On Student College Readiness, Danielle Adair Cortes Jan 2015

The Effects Of A K-12 Dual Language Instruction Program On Student College Readiness, Danielle Adair Cortes

Walden Dissertations and Doctoral Studies

Diverse student populations are increasing in local, state, and national settings. There are achievement gaps in college readiness which must be closed between various student demographic groups. It is important for schools to know what methods work best for language acquisition to close the gaps and open postsecondary opportunities for all students. The purpose of this sequential, explanatory, mixed-method, formative program evaluation study was to examine the effects of a dual language (DL) program on improving the college readiness of students. Guided by the framework of learning and second language acquisition, college readiness levels between DL and non-DL students were …

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Moderating Effect Of Psychological Hardiness On The Relationship Between Occupational Stress And Self-Efficacy Among Georgia School Psychologists, Jennifer B. Crosson Jan 2015

Moderating Effect Of Psychological Hardiness On The Relationship Between Occupational Stress And Self-Efficacy Among Georgia School Psychologists, Jennifer B. Crosson

Walden Dissertations and Doctoral Studies

School psychologists have unique advisory, consultative, interventional, and therapeutic leadership functions within schools. Consequently, they are confronted with increased levels of occupational stress, which test their cognitive appraisal, coping mechanisms, and feelings of self-efficacy. Although studies have included school psychologists, none have examined the moderating effect of psychological hardiness on the relationship between occupational stress and self-efficacy. A cross-sectional, nonexperimental, and quantitative design used convenience, single-stage, and self-administered web-based surveys with 112 Georgia school psychologists. Using a framework structured by the theory of psychological hardiness, self-efficacy theory, and transactional model of stress and coping, sequential multiple linear regression revealed that …

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Analysis Of An Early Intervention Reading Program For First Grade Students, Elizabeth Nicole Matthews Jan 2015

Analysis Of An Early Intervention Reading Program For First Grade Students, Elizabeth Nicole Matthews

Walden Dissertations and Doctoral Studies

Poor early literacy performance in public elementary schools has been a concern for many years. To that end, the purpose of this study was to examine an Early Intervention Program (EIP) in a public school. First grade students at the participating elementary school struggled with reading skills and were not meeting the grade standards of the local school district. In order to remedy this problem, the school implemented early support to provide struggling students with specific and targeted small group reading instruction. This quantitative program evaluation was intended to explore the effect of the EIP used at the participating elementary …

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The Association Between Exhaled Nitric Oxide In Exhaled Breath Condensate And Chronic Obstructive Pulmonary Disease, Colin Mitchell Jan 2015

The Association Between Exhaled Nitric Oxide In Exhaled Breath Condensate And Chronic Obstructive Pulmonary Disease, Colin Mitchell

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD), a progressive and nonreversible disease, is a leading cause of mortality and morbidity throughout the world. Detecting COPD early in the disease process will help in decreasing later stage COPD severity. Because airway inflammation is a hallmark of COPD, it has been proposed that measuring exhaled nitric oxide, a marker of inflammation, in exhaled breath condensate could prove to be an inexpensive and efficient method to detect COPD in outpatient settings. Using the hypothetico-deductive theory as a guideline, this study used secondary data from the National Health and Nutrition Examination Survey 2007 to 2010 to …

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The Association Of Maternal Health Literacy Levels And Preterm Birth, Aimee Moynihan Jan 2015

The Association Of Maternal Health Literacy Levels And Preterm Birth, Aimee Moynihan

Walden Dissertations and Doctoral Studies

According to the CDC, each year approximately 0.06 % of the world's population dies in infancy. The March of Dimes indicated that the leading causes of infant mortality include birth defects, preterm birth, low birth weight, sudden infant death syndrome, maternal complications of pregnancy, and respiratory distress syndrome, most of which are considered preventable with access to adequate prenatal care by mothers. The goal of this study was to examine the association between maternal health literacy levels and preterm birth. This research was based on the theoretical framework of the Interaction Model of Client Health Behavior. The hypothesis for this …

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Secondary Principals Who Are Mothers: Balancing Home And Career, Turina Parker Jan 2015

Secondary Principals Who Are Mothers: Balancing Home And Career, Turina Parker

Walden Dissertations and Doctoral Studies

Working mothers who are school leaders face challenges as they attempt to manage competing time demands and personal and professional responsibilities. A need exists for existing school leaders, as well as women aspiring to school leadership, to understand the coping strategies used by mothers who are also school principals. To that end, the purpose of this phenomenological study was to examine the experiences of mothers who are school principals. Strategies used to navigate multiple roles were examined through a role conflict lens. Three overarching research questions guided this study to focus on how female principals with children accommodate their dual …

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A Staff Development Program: Diabetes And Tb Education And Screening, Relyndo Manalo Salcedo Jan 2015

A Staff Development Program: Diabetes And Tb Education And Screening, Relyndo Manalo Salcedo

Walden Dissertations and Doctoral Studies

There is a growing body of evidence on the positive association between diabetes and tuberculosis (TB), especially in populations with low socioeconomic status. According to the CDC and the WHO, diabetes is increasingly seen as a global epidemic, one that poses a threat to global TB control. The goal of this DNP project was to develop a program to educate clinical staff on the importance of early identification of diabetic and TB patients. The logic model was chosen as the framework for this project because it allows the planner to rationally observe each stage of a project's development. The program …

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Tracking Culture: The Meanings Of Community Engagement Data Collection In Higher Education, Howard Rosing Jan 2015

Tracking Culture: The Meanings Of Community Engagement Data Collection In Higher Education, Howard Rosing

Scholarship of Engagement

The essay briefly outlines the history of community engagement at DePaul University in order to explore how and why universities and colleges are increasingly adopting data collections systems for tracking community engagement. I explore the question of why there is a growing interest in tracking engagement within the academy and suggest that dominant meanings attached to tracking behavior (e.g., recognition, marketing, budget legitimation) overshadow more critical and political rationales for documenting engagement, such as those that emerge out of aspiration to understand how higher education can play a role in promoting social justice and transforming communities. I argue that the …

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Matt Siber: Idol Structures, Gregory Harris, David Raskin Jan 2015

Matt Siber: Idol Structures, Gregory Harris, David Raskin

DePaul Art Museum Publications

No abstract provided.

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Understanding Health Literacy Skills Of Patients With Cardiovascular Disease And Diabetes, Patrick J. Dunn Jan 2015

Understanding Health Literacy Skills Of Patients With Cardiovascular Disease And Diabetes, Patrick J. Dunn

Walden Dissertations and Doctoral Studies

Health literacy is the ability to understand and act on health information and is linked to health outcomes. It is unclear how health literacy skills are developed in patients with complex conditions, such as cardiovascular disease and diabetes. The purpose of this grounded theory study was to gain perspectives of both patients and healthcare professionals on how health literacy skills were developed in patients with cardiovascular disease or diabetes. The research questions addressed how knowledge and skills were acquired, the role of digital tools, instructional strategies used by healthcare professionals, and how the instructional strategies of the healthcare professionals matched …

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Quality Improvement To Increase Nurse Knowledge On Nursing Informatics Project Management Standards, Elizabeth J. Fleischer Jan 2015

Quality Improvement To Increase Nurse Knowledge On Nursing Informatics Project Management Standards, Elizabeth J. Fleischer

Walden Dissertations and Doctoral Studies

When an inexperienced nurse project manager is assigned to serve as a project manager for health information technology (HIT) tools, there is increased risk the project will not be completed on time, within budget, and in scope. An identified business need at a large military treatment facility was an educational tool to bridge the gap between nursing informatics and project management. The scholarly project was a Nursing Informatics Project Management Guidebook, which served as an educational tool to increase nurses' knowledge to serve in the HIT project manager role. With a quality improvement methodology, the outcome and impact sequence logic …

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Nurses Knowledge, Skills, And Attitude Toward Electronic Health Records (Ehr), Sharon L. Adams Jan 2015

Nurses Knowledge, Skills, And Attitude Toward Electronic Health Records (Ehr), Sharon L. Adams

Walden Dissertations and Doctoral Studies

Information technology (IT) has been rapidly integrated into the healthcare industry, including nursing, and has the ability to reduce errors, cut cost, and enhance patient care. However, approximately 45% of the current nurse workforce lacks adequate training in computer skills, which may hinder the adoption of health-related IT in the workplace. Characteristics of Rogers's diffusion of innovation (relative advantage, compatibility, complexity, trialability, and observability) guided this project. This project was conducted to address the problem of IT adoption on a local level and was designed to assess whether simulation training on a generic electronic health record (EHR) system would improve …

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Correlation Between Self-Esteem, Self-Efficacy, Personality, Fear Of Success, And Self-Defeating Behaviors Of Performing Artists, Albert C. Bramante Jan 2015

Correlation Between Self-Esteem, Self-Efficacy, Personality, Fear Of Success, And Self-Defeating Behaviors Of Performing Artists, Albert C. Bramante

Walden Dissertations and Doctoral Studies

There is substantial evidence that self-defeating behaviors appear regularly among populations considered psychologically stable. While there has been abundant research on self-esteem, self-efficacy, personality traits, and fear of success as independent constructs, little is known regarding the combined effect of these constructs on the self-defeating behaviors of performing artists. Examining self-defeating behaviors among performing artists is significant because this population is susceptible to self-sabotaging behaviors, underscoring the need to understand their behaviors. The purpose of this quantitative correlational study was to examine whether self-esteem, self-efficacy, personality, and fear of success predicted self-defeating behaviors among performing artists. Bandura's self-efficacy theory and …

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Improving Educational Technology Integration In The Classroom, Nicole Elizabeth Yemothy Jan 2015

Improving Educational Technology Integration In The Classroom, Nicole Elizabeth Yemothy

Walden Dissertations and Doctoral Studies

Teachers' ability to integrate technology is a topic of growing concern given the importance of technology and 21st century skills readiness in both academics and the global society of 2014. This study investigated the technology integration barriers that educators faced, the training the educators received, and support needs of educators at a large, prominent, 30-year old international school located in Central America offering grades Pre-K 3 to 12. The social learning theory of Bandura, the constructivist theories of Piaget and Dewey, and the technology constructionism of Papert provided the theoretical framework. The research questions focused on understanding technology integration by …

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Obesity Surveillance In Childhood, Jessica Garcia Jan 2015

Obesity Surveillance In Childhood, Jessica Garcia

Walden Dissertations and Doctoral Studies

Current practice behaviors for obesity management have remained refractory. Research has shown that lack of time and poor training/skills by primary care providers has led to poor or absent obesity counseling in practice. The purpose of this intervention was to facilitate obesity counseling in a pediatric office by using an evidence-based model called the 5As model of behavioral change. Lewin's change theory was the framework for this project to help clinicians transition their practice to include the 5As model in practice. The project consisted of a 30-minute power point presentation that included 2 case samples demonstrating how the 5As would …

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Utilizing Education To Change College Students' Attitudes About Mental Illness, Claudette Thompson Jan 2015

Utilizing Education To Change College Students' Attitudes About Mental Illness, Claudette Thompson

Walden Dissertations and Doctoral Studies

Researchers have found that public opinion of people who are mentally ill is often negative. This study, grounded in cognitive theories, was conducted to determine if education would improve college students' attitudes toward mental illness and if there were gender differences in those attitudes, as past studies had shown. Attitudes of 184 Jamacian adult college students towards mental illness were measured before and after a didactic seminar using the Attitudes to Mental Illness Questionnaire (AMIQ), Opinion About Mental Illness Scale (OMI), and Help Seeking Attitudes Scale. A nonrandomized trial was used to generate nonequivalent comparison groups, with one group attending …

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Port Security: The Terrorist Naval Mine/Underwater Improvised Explosive Device Threat, Peter Von Bleichert Jan 2015

Port Security: The Terrorist Naval Mine/Underwater Improvised Explosive Device Threat, Peter Von Bleichert

Walden Dissertations and Doctoral Studies

Terrorist naval mines/underwater improvised explosive devices (M/UWIEDs) are a threat to U.S. maritime ports, and could cause economic damage, panic, and mass casualties. The purpose of this case study was to examine this threat and propose reforms that improve port security management. The study aligned with the mission area analysis objective of identifying and assessing potential terrorist threats in order to preempt and prevent attacks. Von Bertalanffy's general systems theory was the framework for research questions, which focused on improvements in port security management to mitigate the threat of terrorist M/UWIEDs. Data collection included a document content analysis of open …

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Career Outcomes For Participants In A Leadership Development Program, Cheryl Louise Meheden Jan 2015

Career Outcomes For Participants In A Leadership Development Program, Cheryl Louise Meheden

Walden Dissertations and Doctoral Studies

In an attempt to raise the level of leadership competence and to increase the number of qualified candidates for leadership positions within post-secondary institutions, many colleges are supporting leadership development training for faculty and staff. This qualitative case study explores whether participating in a leadership development program resulted in career advancements that can fill leadership gaps. The study's framework, expectancy theory, suggests that individuals who participate in leadership development expect to become leaders. This exploratory case study sought to learn whether, upon completion of a comprehensive leadership development program, participants applied for, and assumed, leadership positions. The leadership program under …

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Parental Perceptions Of The Diagnostic Process For Autism Spectrum Disorder In British Columbia, Ramen Kaur Saggu Jan 2015

Parental Perceptions Of The Diagnostic Process For Autism Spectrum Disorder In British Columbia, Ramen Kaur Saggu

Walden Dissertations and Doctoral Studies

In 2014, the Center for Disease Control and Prevention reported that the incidence of autism had reached a prevalence rate of 1 out of every 68 children. This increase means that more families have experienced the difficult Autism Spectrum Disorder (ASD) diagnostic process. Although research on parental perspectives of the ASD diagnostic process is almost 2 decades old, to date, there have been no studies conducted in Canada comparing parental experiences between the private and government-funded assessment routes. Research in general has shown that parents are generally dissatisfied with the ASD diagnosis process. The theoretical foundation for this study is …

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The Effects Of Parental Motivations On Home-Based And School-Based Parental Involvement, Steve C. Strickland Jan 2015

The Effects Of Parental Motivations On Home-Based And School-Based Parental Involvement, Steve C. Strickland

Walden Dissertations and Doctoral Studies

Students at a Title I middle school in Georgia have scored low on standardized state tests for several years. Of the many possible ways to address low test scores, the school focused on increasing parental involvement, which can have a strong positive correlation with academic success. Researchers have indicated that parental involvement programs are more successful when created based on the specific motivations of parents. Therefore, the purpose of this study was to examine the effects of parental motivation on parents' home-based and school-based involvement behaviors. The theoretical framework for this study was the work of Hoover-Dempsey and Sandler who …

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