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2019

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Reduction Of Centers For Medicare And Medicaid Services Reimbursement Penalty Risk, Christopher Douglas Poteet Jan 2019

Reduction Of Centers For Medicare And Medicaid Services Reimbursement Penalty Risk, Christopher Douglas Poteet

Walden Dissertations and Doctoral Studies

Healthcare centers face increasing revenue risk under the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA). The purpose of this multiple case study was to explore strategies that successful leaders of healthcare centers use to mitigate the risk of reimbursement penalties under MACRA. The conceptual framework of this study was Generation 3 cultural-historical activity theory (CHAT-III), and the analysis process used was Yin's recursive and iterative phases. Participants of this study were 6 leaders of healthcare centers in the United States identified as having high quality and low cost via the Centers for Medicare and Medicaid public use …

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Rural Environmental Factors And Lesbian, Gay, Bisexual, And Transgender Mental Health Services Utilization, Terri Rorie Jan 2019

Rural Environmental Factors And Lesbian, Gay, Bisexual, And Transgender Mental Health Services Utilization, Terri Rorie

Walden Dissertations and Doctoral Studies

The rates of mental health issues in the lesbian, gay, bisexual, and transgender (LGBT) communities are twice that of individuals who identify as heterosexual. Research in urban communities show lower mental health services utilization rates for LGBT individuals compared to their heterosexual counterparts. The purpose of the study was to examine how rural environmental factors affect the use of mental health services by LGBT individuals and provide information to improve mental health outcomes. Andersen's healthcare utilization model and the minority stress theory were the foundations of this study. This study examined the association of mental health providers' availability/characteristics and utilization …

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Living Arrangements, Referral Source And Young Adult Admissions To Drug Treatment, Daniel Samaila Jan 2019

Living Arrangements, Referral Source And Young Adult Admissions To Drug Treatment, Daniel Samaila

Walden Dissertations and Doctoral Studies

Abuse of painkiller drugs and non-medical use of drugs among young adults continues to be a public health crisis in the United States. Living arrangements and source of treatment referral were considered as the social context that could contribute to increased admissions to treatment for drug abuse. The purpose of this study was to examine the relationship between, independent living arrangement, the principal source of referral, and abuse of opioid, heroin, and cocaine. Steered by the conceptual framework of the biopsychosocial model, this study used the data from the 2015 Treatment Episode Data Set: Admissions managed by the Substance Abuse …

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Oral Health Literacy And Oral Hygiene Habits In A Kentucky Appalachian Community, Katie D. Schill Jan 2019

Oral Health Literacy And Oral Hygiene Habits In A Kentucky Appalachian Community, Katie D. Schill

Walden Dissertations and Doctoral Studies

This study sought to identify the level of oral health literacy held by people who live in transitional and distressed Kentucky Appalachian areas and if this effects how often they are using oral hygiene techniques. Data were also collected to describe the attitudes Kentucky Appalachian adults hold toward oral hygiene and oral health status. Current documentation shows that poor oral health remains a public health threat in this population despite efforts such as school-based sealant programs and increased dental insurance coverage. This study followed a quantitative design and 99 participants were polled using a survey specifically developed for this study's …

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Effect Of The Breakthrough Student Assistance Program On Grades, Behavior, And Attendance, Regina Shoppe Jan 2019

Effect Of The Breakthrough Student Assistance Program On Grades, Behavior, And Attendance, Regina Shoppe

Walden Dissertations and Doctoral Studies

It is estimated that 9-14% of children from birth to age 5 experience social and emotional problems that may significantly affect their ability to learn later in life and students of any age may experience an array of problems resulting in difficulty learning. Although interventions are available to address these issues within the school context, government funding for programs is often limited to those that are evidence based. Student Assistance Programs (SAPs) address a variety of barriers to learning but many are not supported by empirical evidence. The purpose of the study was to determine if Breakthrough, a specific SAP, …

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Management Strategies To Address The Substance-Impaired Healthcare Professional In The Workplace, Anna Marie Smith Jan 2019

Management Strategies To Address The Substance-Impaired Healthcare Professional In The Workplace, Anna Marie Smith

Walden Dissertations and Doctoral Studies

Healthcare professionals who practice while impaired by alcohol or drugs endanger the well-being of patients. In the workplace, the substance-impaired healthcare professional poses challenges for healthcare leaders who are responsible for the provision of safe patient care and safe work environments. The purpose of this multiple case study was to explore management strategies used by some healthcare organizational leaders to address the substance-impaired healthcare professional in the workplace. The conceptual framework for this study drew upon the legal and ethical concepts of due diligence. Data collection consisted of surveys of 40 managers and supervisors, and 3 senior leaders, semi structured …

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Healthcare Organization Change Management Strategies To Guide Information Technology With For Information Technology Change Initiatives, Sharita Dianthe Speed-Crittle Jan 2019

Healthcare Organization Change Management Strategies To Guide Information Technology With For Information Technology Change Initiatives, Sharita Dianthe Speed-Crittle

Walden Dissertations and Doctoral Studies

As technology and organizations continue to increase in complexity, a willingness to implement change management strategies for Internet technology (IT) change initiatives is necessary in a healthcare setting. This multiple case study explored change management strategies that 3 hospital administrators at 3 different hospitals in the southeast region of the United States used to guide organizational IT change activities to avoid waste and increase profits. The conceptual framework for this study was Lewin's organizational change model and Kanter's theory of structural empowerment. Data were collected using semistructured interviews and a review of hospital documentation from the 3 hospitals. The data …

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Exploring Perceptions Of The Transition From Health Science Practitioner To Academic, Maryanne J. Stewart Jan 2019

Exploring Perceptions Of The Transition From Health Science Practitioner To Academic, Maryanne J. Stewart

Walden Dissertations and Doctoral Studies

Transitioning from a clinical practitioner to an educator in the health sciences is a difficult task for many professionals. Although, clinically, these individuals have achieved a level of expertise, they are not necessarily trained to teach in a classroom setting and may find it difficult to transition into their role as novice. The purpose of this qualitative case study was to examine faculty members' preparedness during their transition to academia and their perceptions of the need for more support during the first 5 years of teaching. Vygotsky's and Dewey's theories of social constructivism and Knowles's assumptions of adult learning provided …

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Redefining Protection Intervention In Humanitarian Aid Through External Factors: A Case Study Of Niger, Valerie Svobodova Jan 2019

Redefining Protection Intervention In Humanitarian Aid Through External Factors: A Case Study Of Niger, Valerie Svobodova

Walden Dissertations and Doctoral Studies

The magnitude of internal displacement worldwide is growing every year and represents a tripling of the existing number of refugees worldwide. Internally displaced persons have specific vulnerabilities and the system of assistance to them needs to be adapted and revised. The purpose of this case study was to identify external factors that influence protection interventions for internally displaced persons in humanitarian response. Using Benet's Polarities of Democracy theory and the Theory of Change Conceptual Framework as a framework, the study sought to identify key external factors influencing protection intervention in humanitarian aid settings. Data for this study was gathered through …

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Mentor Teachers' Perceptions Of Effective Mentoring Strategies, Paula Tomlinson Jan 2019

Mentor Teachers' Perceptions Of Effective Mentoring Strategies, Paula Tomlinson

Walden Dissertations and Doctoral Studies

Educators at a public high school in Southeastern United States depend on mentor teachers to minimize the attrition rate among beginning teachers, yet the strategies implemented by mentors lack definition and clarity. The purpose of this study was to explore mentor teachers' perceptions of effective mentoring strategies and their needs when mentoring new teachers. Maslow's humanistic learning theory guided this bounded basic qualitative study. The research questions focused on the mentoring strategies mentor teachers perceived as effective and the needs of the mentors. Ten high school mentor teachers, who currently mentor new teachers, were purposefully selected to participate in individual …

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Psychological Effects Of Training In Martial Arts After Interpersonal Trauma, Alexandro Garcia Vargas Jan 2019

Psychological Effects Of Training In Martial Arts After Interpersonal Trauma, Alexandro Garcia Vargas

Walden Dissertations and Doctoral Studies

Individuals who experience a traumatic event may have an adverse emotional reaction that negatively impacts their quality of life. The purpose of this qualitative phenomenological study was to explore the influence of training in the martial arts as an intervention in the treatment of interpersonal trauma. The biopsychosocial model provided the framework for the study. The research questions addressed the effects of training in the martial arts and the biological, psychological, and social functioning of individuals who had sustained a form of interpersonal trauma. Data were collected from semistructured interviews with 9 participants. Data were analyzed using Moustakas's modified van …

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Cultural Health Beliefs And Influenza Vaccination Among Caribbean-Born Students, Dona S. Walcott Jan 2019

Cultural Health Beliefs And Influenza Vaccination Among Caribbean-Born Students, Dona S. Walcott

Walden Dissertations and Doctoral Studies

This purpose of this quantitative study was to examine health beliefs among Caribbean-born university students regarding acceptance or rejection of influenza vaccination among populations at institutions of higher education. In addition, acculturation was addressed as a factor affecting cultural health beliefs. A survey was completed by 98 students enrolled at Florida International University during the spring 2018 semester. Linear regression was used to analyze whether cultural health beliefs and acculturation were predictive of beliefs about influenza vaccination and beliefs about perceived barriers to influenza vaccination. The study findings showed cultural health beliefs of the students were statistically significant predictors of …

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The Effects Of Expressive Writing On Emotional Intelligence In College Undergraduates, Elizabeth Harrington Walker Jan 2019

The Effects Of Expressive Writing On Emotional Intelligence In College Undergraduates, Elizabeth Harrington Walker

Walden Dissertations and Doctoral Studies

Attending college is often so stressful that as many as 40% of students leave without earning a degree. Many students desert during their first and second years of study. Emotional intelligence has been associated with effective coping skills, student achievement, and psychological well-being. The act of expressing emotions through writing has been shown to engage many capabilities associated with emotional intelligence. Few studies have examined the effects of expressive writing on emotional intelligence. The theory of emotion regulation provided theoretical framework. The purpose of this quantitative experimental study was to examine the effects of expressive writing on emotional intelligence and …

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A Phenomenological Study Of The Transition Of Veterans Into The Civilian Workforce, Brian Keith Ward Jan 2019

A Phenomenological Study Of The Transition Of Veterans Into The Civilian Workforce, Brian Keith Ward

Walden Dissertations and Doctoral Studies

Military veterans face various challenges during their transition into the civilian workforce, including mental health problems. Veterans experience challenges like emotional trauma and physical distress while transitioning into the civilian workforce. The challenges result from the nature of the civilian work. The purpose of this phenomenological study was to explore the challenges among veterans in California and Michigan while transitioning into the civilian life. The study participants included 30 veterans from California and Michigan who had retired and those who were expecting to retire from the military within six months at the time of conducting the study. Schoenberg's 4S transition …

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Financial Investment Advisor Professional Arrogance And Performance, Cranla Warren Jan 2019

Financial Investment Advisor Professional Arrogance And Performance, Cranla Warren

Walden Dissertations and Doctoral Studies

Arrogance in the workplace is a growing area of interest within industrial-organizational psychology. Arrogant employees tend to lack positive interpersonal work relationships, act superior yet have a lower level of cognitive abilities, and have poorer job performance than their less arrogant counterparts, leading to challenging work relationships and overall impact on an organization's ability to meet its objectives. The present study examined professional arrogance measured by the Workplace Arrogance Scale (WARS), a 26 question survey, in relation to the objective outcome measure of a Financial Investment Advisor's (FIA) ranking on the firm's leader board based on total assets under management …

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Women, Domestic Violence Service Providers, And Knowledge Of Technology-Related Abuse, Nadine White Jan 2019

Women, Domestic Violence Service Providers, And Knowledge Of Technology-Related Abuse, Nadine White

Walden Dissertations and Doctoral Studies

Many victims of domestic violence face continued exposure to abuse through technology because intimate partners may use technology as weapon against them. Some domestic violence service professionals lack necessary information or training to educate victims. The impact on victims has not been thoroughly examined. The purpose of this qualitative case study was to assess the impact on women when domestic violence service providers do not provide current information about technology-related abuse to promote safety when providing service to victims. The conceptual framework was the Duluth model of power and control and the feminist perspective on intimate partner violence. The primary …

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Crisis Communication Systems Among K-12 School Principals, Tomicka Nicole Williams Jan 2019

Crisis Communication Systems Among K-12 School Principals, Tomicka Nicole Williams

Walden Dissertations and Doctoral Studies

Crisis communication systems (CCS) in educational settings have been challenged by mass casualty events including shootings, natural disasters, and health outbreaks in the United States. The U.S. federal government and the U.S. Department of Education have created safety and security instructions to manage these complex and diverse security issues, yet they do not address the role of school leaders within a CCS. Using complex adaptive systems as the theoretical construct, the purpose of this qualitative case study was to examine CCSs utilized by school leaders within a single public school district in the United States. The research questions are focused …

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Racial Socialization And Fear Of Crime In Stand Your Ground Laws, Anna Nicole Douglas Jan 2019

Racial Socialization And Fear Of Crime In Stand Your Ground Laws, Anna Nicole Douglas

Walden Dissertations and Doctoral Studies

In 2005, Florida enacted the Justifiable Use of Deadly Force legislation, known as Stand Your Ground (SYG) laws, in response to the Workman case. The aftermath of that case led to the expansion of the laws that removed the duty to retreat principle and allowed citizens to employ deadly force when imbued with fear. The SYG laws as written appeared to imply state-sanctioned violence, with an increase in homicides, coupled with racial disparities. This study employed a quantitative inquiry with a causal-comparative design to explore whether a relationship existed between racial socialization and fear of crime in SYG states compared …

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Implications Of Non-Tangible Assets And Macroeconomic Parameters On Long-Term Stock Performance, Leo Rajan Pereira Jan 2019

Implications Of Non-Tangible Assets And Macroeconomic Parameters On Long-Term Stock Performance, Leo Rajan Pereira

Walden Dissertations and Doctoral Studies

A rational long-horizon stock investment decision is a complex process due to uncertainty in supply and demand, competitive advantage, macroeconomic parameters and various perspectives of investors. Today, the '€˜non-tangible assets'€™ (NTA) that include goodwill and intangible assets are a significant part of corporate assets, but their role in stock performance has not well studied. The purpose of this research is to empirically analyze the implications of NTA and of gross domestic product (GDP) of the United States on the stock price. According to the efficient market hypothesis, stock price reflects all relevant information. The research question focused on the extent …

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Central California's Juvenile/Dependency And Criminal Courts' Treatment Of Parent-Child Contact, Cheryl Oslinker Spano Jan 2019

Central California's Juvenile/Dependency And Criminal Courts' Treatment Of Parent-Child Contact, Cheryl Oslinker Spano

Walden Dissertations and Doctoral Studies

Parties to a legal action of child abuse can be prosecuted criminally as well as charged with allegations within the jurisdiction of juvenile/dependency court. This can lead to seemingly conflicting goals regarding contact and visitation between the two parties (victim and defendant; child and parent). In essence, restraining orders or visitation orders from one court can contradict the case goals of another court. The purpose of this qualitative case study was to (a) determine if there is a pattern of inconsistent goals in cases of concurrent jurisdictional child-abuse cases, (b) evaluate the effect of conflicting court orders on each jurisdiction's …

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Strategies To Improve Employee Engagement In The Hospitality Industry, Carolyn Yvette Taylor Jan 2019

Strategies To Improve Employee Engagement In The Hospitality Industry, Carolyn Yvette Taylor

Walden Dissertations and Doctoral Studies

More than 50% of the workforce in the United States is disengaged, costing U.S. organizations almost $355 billion annually. Engaged employees improve customer satisfaction, perform effectively, and are committed to organizational goals. Guided by Kahn's personal engagement theory, the purpose of this multiple case study was to explore strategies business leaders in the hospitality industry used to improve employee engagement for increased productivity. A purposive sample of 1 business leader each from 6 organizations in South Korea shared their experiences with the phenomenon of employee engagement. Data were collected through face-to-face semi structured interviews and by reviewing company position descriptions …

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Can Online Media-Literacy Education Mitigate The Effects Of A Toxic Media?, Patricia Tefo Jan 2019

Can Online Media-Literacy Education Mitigate The Effects Of A Toxic Media?, Patricia Tefo

Walden Dissertations and Doctoral Studies

Media-literacy education provides a way for people to assess and critically evaluate media images. Traditional media literacy programs have mitigated the negative effects of idealized media imagery such as reduced self-esteem, eating-disordered attitudes, and low body-satisfaction among women. Although education is moving increasingly to online platforms, the potential of media literacy education delivered online has not been evaluated. Based on social comparison and objectification theories, the purpose of this study was to quantitatively assess the comparative efficacy of online and face-to-face media literacy education programs. A quasi-experimental design using pre- and post-media literacy education program questionnaires was used. A mixed-method …

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Accomplished Education Leaders' Perspectives On Competition, Capacity, Trust, And Quality, Robert Lee Williams Jan 2019

Accomplished Education Leaders' Perspectives On Competition, Capacity, Trust, And Quality, Robert Lee Williams

Walden Dissertations and Doctoral Studies

From 2017 to 2019, the primary strategy to improve public schools in the U.S. was increasing competition through the expansion of charter schools and the promotion of vouchers to send public school students to private schools. The problem this presented was that key education leaders had not provided adequate input and feedback into this strategy. The purpose of this qualitative study was to gather the perspectives of accomplished education leaders on how Tiebout's theory of competition and the concept of the Ontario K-12 School Effectiveness Framework impacted quality, trust, and capacity. Data were collected using semistructured interviews with a purposeful …

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The Correlation Between Manager Work-Life Balance And Employee Engagement, Euart Keith Murvin Jan 2019

The Correlation Between Manager Work-Life Balance And Employee Engagement, Euart Keith Murvin

Walden Dissertations and Doctoral Studies

Globalization, 24-hour connectivity, and the expectation that members of the organization commit increasingly more time to work are the reality in an ever-changing environment. Research shows, however, that these demands have resulted in a significant work-life imbalance that produces the opposite effect of reducing productivity. The purpose of this study was to examine the correlation between work life balance satisfaction of front-line managers and the engagement of employees whom they supervise. The variables of these study were: work life balance satisfaction of frontline managers measured by Work life Balance and Emotional Support Scale and engagement perception employees measured by Employee …

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Strategies For Not-For-Profit Sustainability, Latesha Slappy Jan 2019

Strategies For Not-For-Profit Sustainability, Latesha Slappy

Walden Dissertations and Doctoral Studies

Leaders of not-for-profit organizations could benefit from learning how to build a sustainable organization to help ensure that their organizations could continue to provide valuable services to the community for the future. The purpose of this single case study was to explore the fundraising strategies and donor development skills that leaders used to create a sustainable organization. Five purposefully selected leaders of a not-for-profit organization in Michigan, with experience in implementing effective fundraising strategies and fostering donor development skills for a sustainable business, participated in the study. Transformational leadership was the conceptual framework. The data collection process entailed face-to-face semistructured …

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Attaining And Sustaining Competitive Advantage In Dubai's Real Estate Industry, Qais Alfaraj Jan 2019

Attaining And Sustaining Competitive Advantage In Dubai's Real Estate Industry, Qais Alfaraj

Walden Dissertations and Doctoral Studies

Real estate business leaders who fail to attain and sustain competitive advantage to increase profitability during periods of unstable or declining markets, experience either lost profits or bankruptcy. In Dubai, United Arab Emirates, the brokerage market is saturated with over 5,000 active brokers and more than 2,000 registered real estate offices. The purpose of this multiple case study was to explore the strategies that successful leaders of Dubai medium-sized real estate businesses implemented to attain and sustain competitive advantage to increase profitability during periods of unstable or declining markets. The population for the study included business leaders of 4 medium-sized …

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Regulating Interrogations And Excluding Confessions In The United States: Balancing Individual Rights And The Search For Truth, Jenia I. Turner Jan 2019

Regulating Interrogations And Excluding Confessions In The United States: Balancing Individual Rights And The Search For Truth, Jenia I. Turner

Faculty Journal Articles and Book Chapters

Like other criminal justice systems, the U.S. system must balance, on the one hand, enforcing the criminal law and, on the other, protecting individual rights in the process. Reliable fact-finding is a prerequisite to the effective enforcement of criminal law and to just outcomes. Protection of individual rights often promotes reliable fact-finding, as when a ban on involuntary confessions prevents the introduction of unreliable testimony at trial. On occasion, however, the commitment to accurate fact-finding may conflict with individual rights in a particular case. One of the clearest examples of such a conflict occurs when a court must decide whether …

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Learning And The Practice Of Social Media In Informal Science Education Centers, Lisa Lundgren, Kent J. Crippen Jan 2019

Learning And The Practice Of Social Media In Informal Science Education Centers, Lisa Lundgren, Kent J. Crippen

Instructional Technology and Learning Sciences Faculty Publications

Both social media and informal learning spaces have the potential to foment knowledge-building. This article aims to bridge theory and practice with an analysis of the social media practices across informal science learning centers through the lens of the Contextual Model of Learning. We evaluate strategies through directed content analysis of phone interviews, online surveys, and researcher field notes. Our findings reveal that informal science learning centers create marketing-related social media strategies as opposed to ones which align with contemporary learning in informal settings. Implications for researchers who seek to use social media in an educative manner are discussed.

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General Nutrition Knowledge Among High School Students, Annique Cornejo Jan 2019

General Nutrition Knowledge Among High School Students, Annique Cornejo

Loma Linda University Research Reports

Background: Obesity now affects 1-in-5 children and adolescents in the United States. As of 2018, the prevalence of obesity has reached 18.5% and affects about 13.7 million children. Obese children are at increased risk for high blood pressure and high cholesterol that can lead to cardiovascular disease, impaired glucose tolerance, insulin resistance, and type 2 diabetes. Since health habits are commonly established during the formative years, it is imperative that good food choices and basic knowledge about nutrition be taught at an early age. This study examined whether students had received sufficient teaching about nutrition, particularly as it relates …

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The Small Publisher’S Guide To Audiobooks, Stephanie Anderson Jan 2019

The Small Publisher’S Guide To Audiobooks, Stephanie Anderson

Book Publishing Final Research Papers

While audiobooks have been around since the invention of the phonograph, the invention of streaming technologies, combined with our increasingly fast-paced, multitasking culture, has caused audiobooks to become the fastest growing market in the publishing industry in recent years. In fact, since 2013 the audiobooks market has seen sales growth of an average of 20% per year, according to studies done by the Audio Publishers Association. However, many small publishers are not entering into the vital “new” frontier and reaching greater markets because of assumptions about the cost-prohibitive nature of creating audiobooks, and a lack of knowledge of the industry …

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