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2020

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Historical Trauma, Contemporary Trauma, And Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women, Dorothy Ruth Jolley Jan 2020

Historical Trauma, Contemporary Trauma, And Type-2 Diabetes Self-Management Among American Indian/Alaska Native Women, Dorothy Ruth Jolley

Walden Dissertations and Doctoral Studies

Endemic Type-2 Diabetes Mellitus (T2DM) is one of the leading causes of mortality among American Indian/Alaska Natives (AI/ANs). Trauma and stress have been shown to impact the progression of diabetes that could negatively impact health-related behaviors. Previous studies have not examined the relationship between historical and contemporary trauma and T2DM self-management among AI/AN women. The purpose of this research was to examine the relationship between historical loss, historical loss associated symptoms, stressful life events, microaggressions (microinsults and microinvalidations), and T2DM self-management (glucose management, dietary control, physical activity, healthcare use) among AI/AN women with diabetes. Historical trauma theory was the basis …

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Staff Engagement And Training In Supported Addiction Recovery Program For Adults With Intellectual Disabilities, Hannah Carlson Jurewicz Jan 2020

Staff Engagement And Training In Supported Addiction Recovery Program For Adults With Intellectual Disabilities, Hannah Carlson Jurewicz

Walden Dissertations and Doctoral Studies

The prevalence of substance use disorder (SUD) is similar among individuals with intellectual or developmental disabilities (ID/DD) and the general population, yet there is a disparity between treatment and outcomes for these two groups due to a lack of appropriately adapted treatment and staff training. The purpose of this case study was to examine how leaders in a behavioral health organization understand the engagement and training experience for staff who provide substance abuse treatment for individuals with ID/DD. Governance and operational data were collected and analyzed from internal archival sources and organizational leader interviews. Themes identified from coding indicated that …

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Impact Of Chlorpyrifos Exposure On Colorectal Cancer In Agricultural Communities In Ohio, Vicky Knisley-Henry Jan 2020

Impact Of Chlorpyrifos Exposure On Colorectal Cancer In Agricultural Communities In Ohio, Vicky Knisley-Henry

Walden Dissertations and Doctoral Studies

Colorectal cancer (CRC) is the third leading cancer diagnosis in the United States, and second in Ohio, for both men and women. In 2019, there were an estimated 145,000 cases of new CRC diagnoses and will lead to more than 50,000 deaths. Results from a systematic review indicate that chlorpyrifos use in agriculture is linked to the incidence of breast and lung cancers and has a possible association with CRC. Grounded in the social-ecological model, this study investigated the association between exposure to chlorpyrifos and CRC rates in agricultural communities in Ohio. The quantitative cohort design method utilized secondary data …

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Obesity, Snoring, Sleep Apnea, And Coronary Heart Disease, Maryam Khalilah Muhammad Jan 2020

Obesity, Snoring, Sleep Apnea, And Coronary Heart Disease, Maryam Khalilah Muhammad

Walden Dissertations and Doctoral Studies

Coronary heart disease (CHD) is a significant public health issue that affects communities across all socioeconomic and demographic groups. Risk factors for CHD include sleep apnea and snoring. Obesity with short sleep duration also places individuals at higher risk for CHD. Although limited research has been conducted on CHD and its relationship to obesity, sleep apnea, and snoring as individual risk factors for CHD, a gap exists as these factors had not been studied as paired in this study. The purpose of this quantitative, cross sectional study was to determine if a significant relationship existed between obesity, snoring, sleep apnea, …

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Factors Associated With Hepatitis B Vaccination Among Asian Adults (≥ 18 Years) In The United States., Naana Abena Ohemeng-Tinyase Jan 2020

Factors Associated With Hepatitis B Vaccination Among Asian Adults (≥ 18 Years) In The United States., Naana Abena Ohemeng-Tinyase

Walden Dissertations and Doctoral Studies

In the United States, hepatitis B disproportionately affects Asian and Pacific Islanders (AAPIs). Hepatitis B related liver cancer is the leading cause of cancer deaths among Asian Americans. Despite the proven significant economic, health, and social effect of hepatitis B virus, immunization rates remain low. The purpose of this study is to examine the association between sociodemographic factors (age, marital status, gender, work experiences), health status factors (chronic disease, nonchronic disease), health behavior factors (smoking, alcohol intake, tobacco use, physical activity), and hepatitis B vaccination among Asian adults (≥ 18 years) in the United States. The main theory that frames …

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Reported Literacy Engagement Among Low-Income Parents And Their Children., Olugemi Ojo Jan 2020

Reported Literacy Engagement Among Low-Income Parents And Their Children., Olugemi Ojo

Walden Dissertations and Doctoral Studies

Little is known about literacy engagement between low-income parents and their preschool children, although it may affect children's language development and later school achievement. The purpose of this qualitative study was to examine shared reading interactions among low-income parents and their children. The research questions addressed the lexical diversity of books read and the shared book reading experience of preschool children as reported by their low-income parents. The conceptual framework was based on the work of Hart and Risley, who proposed that the extent and value of literacy environment and collaboration during shared book reading are linked to the socioeconomic …

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Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton Jan 2020

Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton

Walden Dissertations and Doctoral Studies

Diabetes (DM) is the 7th leading cause of death in the United States. Minorities like Hispanics and African Americans (AA) are at greater risk of developing DM. The prevalence and outcomes affecting diabetes are attributed to socioeconomic status, sex differences, ethnic, cultural, and religious status. Diabetes-related mortality is a major health problem in AA in rural America. The focus for this project was to identify the best evidence regarding educational counseling on lifestyle modifications that positively impact adult AA women with diabetes living in Rural America. The social-ecological theory and health belief model informed this project because these models incorporate …

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Parental Characteristics And Lead Knowledge In The Minimization Of Environmental Lead Exposure, Trina Yvette Redford Jan 2020

Parental Characteristics And Lead Knowledge In The Minimization Of Environmental Lead Exposure, Trina Yvette Redford

Walden Dissertations and Doctoral Studies

A method for guiding lead intervention and minimizing lead exposures in Philadelphia, Pennsylvania (PA) is through understanding the relationship between lead knowledge and parental characteristics such as gender, age, income, marital status, and education attainment. Parental characteristic may play a significant role in the identification of population groups where knowledge pertaining to lead exposure is inadequate. Through awareness and intervention, preventive measures can be implemented to minimize and eliminate lead exposure. The theoretical concept used in this quantitative study was Krieger ecosocial theory. The ecosocial theory provides guidance and analyzes differences in existing health relationships, especially those with biological and …

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The Perceptions And Experiences Of Clinical Caseworkers In Promoting Pregnancy Prevention In Foster Youth, Ruby Ann Stroman Jan 2020

The Perceptions And Experiences Of Clinical Caseworkers In Promoting Pregnancy Prevention In Foster Youth, Ruby Ann Stroman

Walden Dissertations and Doctoral Studies

Teen pregnancy prevention has been a focus for clinical and medical professionals for many years now, and it is an extensively documented social issue, especially in the foster care system. In an effort to promote pregnancy prevention, clinical caseworkers who work with foster youth educate at-risk youth in regards to the difficulties that can be experienced as a result of teen pregnancy. The purpose of this generic qualitative study was to explore the perceptions and experiences of clinical caseworkers as they promoted pregnancy prevention in foster care youth. The 6 purposefully selected respondents were all clinical caseworkers. The study used …

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Exploring The Strategies For Sustaining Small- To Medium-Scale Enterprises, Kingsley Onochie Umadia Jan 2020

Exploring The Strategies For Sustaining Small- To Medium-Scale Enterprises, Kingsley Onochie Umadia

Walden Dissertations and Doctoral Studies

The lack of development and the continued survival of small- to medium-scale enterprises (SMEs) poses a challenge to SME practices in Nigeria. Using sustainability theory, the purpose of this qualitative multiple case study was to explore the strategies that leaders use in sustaining SMEs in Lekki, Lagos, Nigeria. Ten SME leaders from the manufacturing sector, trading services, education, oil and gas service companies, and financial services sector provided comments during the interviews that addressed the research question. Data were analyzed by transcription, coding, categorizing and analysis of participants' responses using member checking. From the themes that emerged from the study, …

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Quality Of Life, Physical Activity, And Weight Status For A Sample Of Online Students, Walaa Awad Jan 2020

Quality Of Life, Physical Activity, And Weight Status For A Sample Of Online Students, Walaa Awad

Walden Dissertations and Doctoral Studies

Obesity has been identified as a global health problem and a risk factor for many chronic diseases. While previous studies discussed the weight status and factors associated with overweight and obesity among adults enrolled in traditional universities, few studies have yet estimated the obesity rate among adults who choose online education. Guided by the social cognitive theory, this descriptive exploratory quantitative study used a survey to collect primary data from adult online students of three higher educational institutions. The survey examined the effect of quality of life and physical activity level on the weight status of the participants; taking into …

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Urban High School Principals' Leadership Practices And Academic Progress For At-Risk Students, Mary Delouise Duhart-Toppen Jan 2020

Urban High School Principals' Leadership Practices And Academic Progress For At-Risk Students, Mary Delouise Duhart-Toppen

Walden Dissertations and Doctoral Studies

Researchers have shown that principals are vital to improving student academic achievement. Urban principals often face significant challenges in their environments and have large populations of at-risk students. The purpose of this qualitative case study was to explore and describe the perceptions of urban high school principals regarding the type of leadership practices needed to support the academic progress of at-risk students. Elements from transformational leadership, transformative leadership, and effective leadership practices informed the conceptual framework. Research questions addressed how principals described and perceived the practices, processes, and procedures used to create environments that support students in urban high schools …

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Racial Disparities In Periconceptual Folic Acid Levels, Kelvin Gibson Jan 2020

Racial Disparities In Periconceptual Folic Acid Levels, Kelvin Gibson

Walden Dissertations and Doctoral Studies

Periconceptional folate level deficiencies are associated with birth defects of the brain and spinal cord, posing a significant public health problem. In 2009, Black and Hispanic women exhibited lower periconceptual folate levels and higher rates of folate-related birth defects compared with non-Hispanic White women, prior to enactment of the Affordable Care Act (ACA) of 2010. It is not known if improved access to prenatal care under the ACA narrowed the gap in mean periconceptual folate levels between non-Hispanic White, Black, and Hispanic women between 2009 and 2017. The purpose of this causal-comparative cross-sectional quantitative study was to determine whether there …

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Nonprofits’ Financial Health And Healthy People 2020 California Program Outcomes, Tammie Vanessa Johnson-Lozolla Jan 2020

Nonprofits’ Financial Health And Healthy People 2020 California Program Outcomes, Tammie Vanessa Johnson-Lozolla

Walden Dissertations and Doctoral Studies

Nonprofit organizations (NPOs) are essential for implementing U.S. health promotion policies such as the Healthy People 2020 Nutrition and Weight Status 9, 10.4, and 15.1 program goals. Obtaining and sustaining NPO funding are pervasive problems. Prior research has focused primarily on NPO financial measures without taking into consideration a conjoint assessment of program outcomes connected to their primary mission. This study examined the influence of financial, accountability, and transparency measures on a selection of California NPOs whose program goals focused on Healthy People 2020 nutritional outcomes. Using Mohr’s program theory lens, this quantitative study examined financial strategies and administrative components …

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Primary Care Physicians’ Knowledge And Perception Of The Impact Of Health Literacy On Patient Care, Lutrisha S. King Jan 2020

Primary Care Physicians’ Knowledge And Perception Of The Impact Of Health Literacy On Patient Care, Lutrisha S. King

Walden Dissertations and Doctoral Studies

Until recently, many health literacy studies were completed from the patient and nurse perspective, while few focused on the physician perspective, specifically the primary care physician. The purpose of this study was to provide insight into the health literacy knowledge and education of primary care physicians and determine the association, if any, between physicians’ perceptions of patients’ limited health literacy and physicians’ use of health literacy communication techniques. The knowledge, attitudes, and practice (KAP) framework directed this study. This framework posits that knowledge informs or influences attitudes, which leads to practices. The KAP framework was employed to answer the research …

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Microvascular Disease And Chronic Kidney Disease In Persons With Diabetes In Grenada, Jennifer Elizabeth Lewis Jan 2020

Microvascular Disease And Chronic Kidney Disease In Persons With Diabetes In Grenada, Jennifer Elizabeth Lewis

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) is a set of pathophysiological reactions that impact the functionality of the kidney. The association between microvascular disease (MVD) and CKD as it relates to diabetes is important to the evaluation of organizational effectiveness in-hospital services planning as well as improving health outcomes. The purpose of this quantitative, cross-sectional study was to determine if there is an association between MVD and CKD severity in persons with diabetes. Using the socioecological model, the association between gender, age group, cigarette smoke, cigarette smoke frequency, alcoholic drink, alcoholic drink frequency, hypertension, albumin-to-creatinine ratio (ACR) severity, cholesterol, sickling (i.e. persons …

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Assessing School-Based Telehealth Utilization In Medically Underserved Communities, Danielle Wesley Jan 2020

Assessing School-Based Telehealth Utilization In Medically Underserved Communities, Danielle Wesley

Walden Dissertations and Doctoral Studies

Medically underserved communities face challenges accessing health care services, and millions of Americans have no access to primary care. In many areas of the United States, the supply of primary care providers cannot keep up with the demand for health services. Newer healthcare delivery models are needed to address the issue. Using telehealth can augment the physician workforce shortages. The purpose of this quantitative dissertation is to examine the associations of telehealth utilization using a pediatric school-based telehealth model in Health Professional Shortage Areas (HPSAs) in North Texas. Texas has many counties without a primary care provider, making them medically …

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Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic, Jamil E. Davis Jan 2020

Importance Of Early Recognition Of Extrapyramidal Symptoms (Eps) In A Community Mental Health Clinic, Jamil E. Davis

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this project was to address the lack of knowledge of nurses in recognizing extrapyramidal symptoms during the early stages of clinical presentation in patients taking antipsychotic medication. Nursing staff need to be properly training to be effective. Maslow's hierarchy of human needs informed this project. The primary goal of this project was to identify if an instructional seminar regarding EPS symptoms and management would increase the knowledge of the nursing staff. The project had a sample size of 7 and the criteria for inclusion included licensed professional nurses working in the clinical setting of mental health. The …

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Identifying Factors Contributing To Hospital Readmission Of Patients With Chronic Obstructive Pulmonary Diseases, Marcia Hector Jan 2020

Identifying Factors Contributing To Hospital Readmission Of Patients With Chronic Obstructive Pulmonary Diseases, Marcia Hector

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) is one of the leading causes of hospital readmission within 30 days of discharge. However, the factors that contribute to early readmission of COPD patients are not well understood, nor is it clear how to reduce readmission. This study used a qualitative phenomenological approach to examine COPD patients' experience on factors that contribute to the COPD readmission rate and practices that might reduce it. In depth interviews with 10 COPD patients were conducted to explore their lived experiences of factors contributing to hospital readmission with COPD exacerbation. Questions were asked on issues known to affect …

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Neighborhood Factors, Depression, And Body Mass Index Among Patients With Lupus In Georgia, Aisha L. Hill Jan 2020

Neighborhood Factors, Depression, And Body Mass Index Among Patients With Lupus In Georgia, Aisha L. Hill

Walden Dissertations and Doctoral Studies

Elevated BMI (overweight and obesity) is a common health-related issue and affects more than half of the lupus population. Weight issues lead to additional health-related issues, such as heart disease and disabilities in the lupus population. To address the shortage of research focusing on this specific issue in the lupus population, one approach is a novel outlook on how neighborhood factors have the capability of determining or altering behaviors, such as physical activity, healthy eating, and healthy social relationships. Another variable to consider is depression and its capability of altering interactions, relationships, self-esteem, or even the inflammatory state of the …

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Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell Jan 2020

Teachers' Perceptions Of Toxic Stress And Classroom Practices They Use With Young Children, Pamela Joyce Waddell

Walden Dissertations and Doctoral Studies

AbstractYoung children experiencing toxic stress has negative consequences on their development. The purpose of this case study was to explore teachers' perceptions of toxic stress in young children and the classroom practices used to assist students experiencing toxic stress from two rural early childhood centers in an eastern state in the United States. The conceptual framework for this qualitative research included Bronfenbrenner's ecological model of human development, social constructivist theory, and information from The Center on the Developing Child at Harvard University. The research questions explored teachers' perceptions of toxic stress in young children and classroom practices being used in …

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Using Student Engagement And Reengagement To Reduce Chronic School Absenteeism, Janet Lassiter Dennis Jan 2020

Using Student Engagement And Reengagement To Reduce Chronic School Absenteeism, Janet Lassiter Dennis

Walden Dissertations and Doctoral Studies

AbstractChronic absenteeism is a problem in an urban school district in Virginia. This problem not only affects the staff and administrators, but it also affects the surrounding communities, students, and parents. The purpose of the study was to the investigate the perceptions of teachers and administrators in the local school district regarding students’ chronic absenteeism. Bowen’s family system theory comprised the conceptual framework that guided this study. The research questions focused on the perceptions of Grade K-12 teachers and administrators about the causes of chronic absenteeism in the local district and their views of the effectiveness of methods that have …

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Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares Jan 2020

Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares

Walden Dissertations and Doctoral Studies

Obesity poses an escalating threat to public health in many countries. A better understanding of the psychological construct of obesity and alternative approaches for treating it are needed. The purpose of this study was to examine secondary data to measure the effects of a program using group play in sand on self-perceptions of obese Danish women. The framework was based on elements from the Bandura’s social learning theory and conception of self-efficacy integrated with the concept of body image perception. Participants (N = 34) were obese women in Copenhagen, Denmark, who used group play in sand as their therapy program. …

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Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam Jan 2020

Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam

Walden Dissertations and Doctoral Studies

Patients suffering from chronic obstructive pulmonary disease (COPD) not only face difficulties managing their disease but are also faced with a higher risk of being readmitted to a hospital after an initial visit for acute exacerbation of their condition. Despite hospitals’ many attempts to offset this burden, readmission reduction programs are not effective. The purpose of this quantitative study was to further research an organization’s specific population surrounding patient comorbidities, reasons for readmissions, and demographic characteristics that may lend insight into reasons for readmissions. The research design was a retrospective analysis of a health system’s electronic medical record with a …

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Borehole Water And Sachet Water Production In Southeast Nigeria, Joseph Emerenini Jan 2020

Borehole Water And Sachet Water Production In Southeast Nigeria, Joseph Emerenini

Walden Dissertations and Doctoral Studies

AbstractDrinking water is potable and safe if it is free from physical, chemical, and microbiological contaminants. Despite the Nigerian government's interventions to alleviate water contamination, a considerable number of Nigerians are still without safe potable water. The purpose of this quantitative cross-sectional study was to examine whether the level of contamination of drinking water sourced from boreholes and sachet packaged water in Owerri City, Southeast Nigeria was in compliance with World Health Organization (WHO) standards, and to examine the relationship between the physical, chemical, and bacteriological parameters of drinking water sourced from borehole and sachet packaged water The conceptual framework …

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The Influence Of Community-Based Reentry Programs On Reintegrating Ex-Offenders In Ohio, Ebony Ann Ivery Jan 2020

The Influence Of Community-Based Reentry Programs On Reintegrating Ex-Offenders In Ohio, Ebony Ann Ivery

Walden Dissertations and Doctoral Studies

Ex-offenders participate in community-based reentry programs to help transition back into society, yet some are still reoffending. Previous research suggested that community-based reentry programs need to be evaluated to successfully determine their influence on reintegrating ex-offenders. Limited research existed on the experiences of ex-offenders while taking part in such programs. The theory of effective correctional intervention was used to guide this general qualitative research study on Ohio community-based reentry programs. The following areas were addressed: (a) the role that community-based reentry programs play in addressing the needs of ex-offenders; (b) barriers and limitations that community-based reentry programs face in meeting …

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Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze Jan 2020

Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze

Walden Dissertations and Doctoral Studies

In Africa, especially Nigeria, maternal mortality is a public health issue among women of childbearing age (WCBA). WCBA living in the Ekpeye community located in Rivers state in Nigeria are at high risk of maternal deaths during pregnancy and labor or delivery. Data were obtained through key informant interviews with 9 relatives, friends, and health workers. The purpose of the key informant interviews was to identify perceived barriers that result in high maternal deaths and facilitators seen as promoters to reduce pregnancy-related deaths. The participants identified 11 core themes as contributors to maternal death: (a) postpartum death, (b) financial insecurity, …

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Head Start Parent Perspectives Of Their Roles In Their Children’S Preschool Education, Fawn Thomas-Brown Jan 2020

Head Start Parent Perspectives Of Their Roles In Their Children’S Preschool Education, Fawn Thomas-Brown

Walden Dissertations and Doctoral Studies

Head Start expects parent involvement as part of parents’ in-kind contribution to the program, but data from a multi-center Head Start agency in the southeastern United States indicated many parents do not meet this expectation. Lack of parental involvement in Head Start children’s education was the problem of focus in this study. The purpose of this study was to increase understanding of the perspectives of Head Start parents regarding their roles in their preschool children’s education. The work of Hoover-Dempsey and Sandler formed the conceptual framework for this study. The research questions focused on how parents describe their responsibilities for …

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The Relationship Between Cervical Cancer And Women Living With Disabilities In Kentucky, Carolyn Akakpo Jan 2020

The Relationship Between Cervical Cancer And Women Living With Disabilities In Kentucky, Carolyn Akakpo

Walden Dissertations and Doctoral Studies

AbstractDespite many national interventions, cervical cancer (CC) rates persist, and in Kentucky (KY), CC incidence rates are on the rise. Additionally, women with disabilities face more barriers to secondary prevention and healthcare access, have more known risks, and experience more health disparities than women without disabilities. Given that 1 in 4 persons live with a disability, the purpose of this observational, cross-sectional, quantitative study was to explore the relationship between CC and women with disabilities as evidenced by reproductive cancer discharges from inpatient hospital (IHD) and outpatient services databases (OSD) so as to compare population-specific differences from social determinants of …

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Sustainable Land Management And Smallholder Farmers In Zimbabwe, Owen Prince Gono Jan 2020

Sustainable Land Management And Smallholder Farmers In Zimbabwe, Owen Prince Gono

Walden Dissertations and Doctoral Studies

AbstractThe sustainability of smallholder farms in Southern Africa is largely dependent on farmers’ decision-making abilities regarding land management practices; however, smallholder farmers in Zimbabwe have knowledge gaps on sustainable land management practices. The purpose of this qualitative multiple case study was to gain a deeper understanding of specific knowledge gaps among smallholder farmers in Zimbabwe to tailor sustainable land management training to their needs. To address the research problem and purpose of the study, qualitative data were collected from multiple sources of evidence, including semistructured interviews with 7 smallholder farmers in Zimbabwe, archival data, and reflective journaling notes. This study …

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