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Development And Preliminary Psychometric Testing Of The Aaspire Adult Autism Healthcare Provider Self-Efficacy Scale, Christina Nicolaidis, Gavin Schnider, Junghee Lee, Dora Raymaker, Steven K. Kapp, Lisa A. Croen, Anna Urbanowicz, Joelle Maslak

School of Social Work Faculty Publications and Presentations

Our objective was to develop a measure of healthcare providers’ self-efficacy in providing healthcare to autistic adults and to better understand their training needs. We used a community based participatory research (CBPR) approach with academic researchers, autistic adults, supporters, and healthcare providers. We developed a 1-page questionnaire which included the new 6-item self-efficacy scale, two items on how challenging and rewarding it is to provide care to autistic adults, and seven items on provider characteristics. We surveyed 143 healthcare providers from eight primary care clinics in Oregon and California, USA. Preliminary psychometric testing found the AASPIRE Adult Autism Healthcare Provider …

Psychometric Testing Of Patient-Reported Instruments To Assess Healthcare Interventions For Autistic Adults, Christina Nicolaidis, Kelly Zhen, Junghee Lee, Dora Raymaker, Steven K. Kapp, Lisa A. Croen, Anna Urbanowicz, Joelle Maslak, Mirah L. Scharer

School of Social Work Faculty Publications and Presentations

There is a growing recognition of the need for interventions to improve the healthcare of autistic adults. However, there is a dearth of validated measures to evaluate such interventions. Our objectives were to use a community based participatory research approach to create an accessible set of patient- and proxy-reported instruments to measure healthcare outcomes and potential intervention targets in autistic adults and to assess the instruments’ psychometric characteristics, including content validity, construct validity, and internal consistency reliability. We administered a survey to 244 autistic adults recruited from 12 primary care clinics in Oregon and California, USA (194 participating directly, and …

What Happens When Youth Talk About Their Problems? Co-Rumination As A Mechanism Of Stress Generation, Jaclyn T. Aldrich

Clinical Psychology Dissertations

During adolescence, rates of depression increase significantly, necessitating understanding of interpersonal and intrapersonal factors that contribute to the occurrence of depressive symptoms. Prominent theories of depression, such as stress generation theory, suggest that depressed individuals experience more interpersonal stress that is dependent on their own actions or behavior. The current study sought to examine the role of co-rumination in the generation of stress and development of depression over the course of a year. Participants were 150 adolescents (48.7% female, 77.5% Caucasian) ages 11 to 14 years old (M = 13.03, SD = 0.93). Three models assessed the directional relationship …

Drugs, Patents, And Well-Being, Christopher Buccafusco, Jonathan S. Masur

Coase-Sandor Institute for Law & Economics Research Paper Series

The ultimate end of patent law must be to spur innovations that improve human welfare—innovations that make people better off. But firms will only invest resources in developing patentable inventions that will allow them to make money—that is, inventions that people will want to use and buy. This can gravely distort the types of incentives that firms face and the types of inventions they pursue. Nowhere is this truer than in the pharmaceutical field. There is by now substantial evidence that treatments for diseases that primarily afflict poorer people—including the citizens of developing nations—are dramatically under-produced, compared with drugs that …

Innovation Institutions And The Opioid Crisis, Daniel J. Hemel, Lisa Larrimore Ouellette

Coase-Sandor Institute for Law & Economics Research Paper Series

The United States has recently—and belatedly—come to recognize opioid addiction as a public health crisis. What has gone mostly unrecognized is the degree to which this crisis is intertwined with U.S. intellectual property law and related elements of U.S. innovation policy. Innovation institutions—the legal arrangements that structure incentives for production and allocation of knowledge goods—encouraged the development and commercialization of addictive painkillers, restricted access to opioid antidotes, and (perhaps most importantly) failed to facilitate investments in alternative, non-addictive treatments for chronic pain. Although innovation policy does not bear all the blame for the opioid wave that has washed over communities …

The Economic Basis Of The Independent Contractor/Employee Distinction, Eric Posner

Coase-Sandor Institute for Law & Economics Research Paper Series

In recent years, a controversy has erupted over the distinction between employees and independent contractors. Commentators have argued that in the modern “gig economy,” many people traditionally classified as independent contractors are as vulnerable as employees and should be granted the legal protections that employees alone normally enjoy. However, the distinction between the two categories remains inescapable, and the theoretical basis for it has not been identified. I argue that the distinction is derived from market structure. Employees are workers who, because they must make relationship-specific investments in a single firm, are subject to labor monopsony. Independent contractors do not …

Chevronizing Around Cost-Benefit Analysis, Jonathan S. Masur, Eric A. Posner

Coase-Sandor Institute for Law & Economics Research Paper Series

The Trump administration’s efforts to weaken regulations are in tension with cost-benefit analysis, which in many cases supports those regulations or otherwise fails to support the administration’s deregulatory objectives. Rather than attempting to justify its actions as a matter of policy preferences, the administration has responded on multiple occasions by using Chevron to interpret statutes so as to evade cost-benefit analysis. The statutory interpretation route, which we call “Chevronizing” around cost-benefit analysis, creates novel challenges for courts, as it pits traditional Chevron deference against a trend in favor of requiring agencies to regulate based on cost-benefit analysis as a matter …

Policy Implications Of The Common Ownership Debate, Eric A. Posner

Coase-Sandor Institute for Law & Economics Research Paper Series

The debate over common ownership initiated by Azar, Schmalz, and Tecu’s paper on airlines has raised questions about what, if any, policy responses are appropriate when common owners reduce competition in product markets. This paper, a response to a symposium for Antitrust Bulletin, reviews the literature on policy responses and evaluates various reform proposals in light of recent empirical and theoretical developments.

Communication Administration As A Tri-Voiced Sustainable Community, Ronald C. Arnett

Journal of the Association for Communication Administration

Books and authors have challenged the focus on “me” alone, rejecting “individualism” that seeks to stand above social context and constraints (Tocqueville, 1955; Arnett, 2019; Arnett, 2020), “narcissism” that falls in love with one’s own image (Lasch, 1985), and “emotivism” that limits decision making to personal preferences (MacIntyre, 1984). Contrary to a focus on an individual abstracted from a social context, one finds an emphasis on community (Arnett, 1986). When, however, a conception of community embraces only those empirically present, it becomes an abstraction oblivious of the phenomenological considerations of persons before and after the present moment. This essay textures …

A Social Media Strategy For An Academic Department, Stephanie Buermann, Heidi Everett, R. Jeffrey Ringer, Traci Anderson, Alex Davenport, Eddah Mutua

Journal of the Association for Communication Administration

This essay describes the process one communication studies department used to develop a social media strategy. That process involved identifying the audiences to be reached, establishing goals and objectives, conducting an audit to identify possible message posts, and selecting posts to reach our goals and objectives. The resulting strategy involves posting messages two to three times per week targeted toward specific audiences and reflecting twelve objectives. A calendar was created to guide the posts. Future research will assess the effectiveness of the strategy.

Complete Issue, Volume 39, Issue 2

Journal of the Association for Communication Administration

This is the complete issue for Volume 39, Issue 2 of the Journal of the Association for Communication Administration.

Examining The Elements Of Fidelity Of Implementation Of A Reading Program, Emir Gonzalez

Walden Dissertations and Doctoral Studies

Middle school reading scores throughout the state of California have been predominantly less than average in recent years. A school located within this region has struggled to raise reading scores. An unknown problem existed that stemmed from the implementation of the school’s reading program. The purpose of this investigation was to (a) determine the level of fidelity to the reading program, (b) understand the teachers’ perceptions of the reading program, and (c) understand the structure of the reading program. The theory of andragogy guided this qualitative case study. Six teachers from a local school participated in the investigation. The teachers …

Unsheltered Homelessness On Oahu, Hawaii, Erik Gray

Walden Dissertations and Doctoral Studies

According to a recent national estimate of homelessness in the United States, between 2016 and 2017, the number of people experiencing homelessness increased by 0.7 %. This study was focused on the issue of unsheltered homelessness in the context of Oahu, Hawaii. There is a gap within the available scholarly literature that directly addresses the unsheltered homeless populations and why it is that they are unsheltered rather than living in a shelter or utilizing other transitional services. Using the generic qualitative approach and a purposive sampling method, 12 service provider professionals who work directly with the unsheltered homeless on the …

The Impact Of Digital Self-Scheduling On No-Show Event Rates In Outpatient Clinics, Karen M. Marhefka

Walden Dissertations and Doctoral Studies

The failure of patients to keep scheduled appointments results in significant loss of revenue due to decreased administrative efficiency, expensive clinical resource time, disruptive continuity of care between the patient and the provider, and reduced quality of care. The purpose of this quantitative study was to explore the use of digital self-scheduling as an emerging alternative to traditional office-assisted scheduling methods and determine if its use has an impact on reducing the occurrence of no-show events. The theoretical framework used for the study was the Consumer Behavior Theory. Three years of de-identified secondary data were collected from a large, adult …

Treatment Providers’ Beliefs And Knowledge About Evidence-Based Practices, Kelly J. Bawden

Walden Dissertations and Doctoral Studies

Treatment providers working with adults in substance use treatment have been slow to implement evidence based practices (EBPs) into their treatment approaches. For treatment providers there are barriers to implement EBPs such as lack of resources, knowledge, and beliefs about EBPs as well as their beliefs about addiction. The consolidated framework for implementation research (CFIR) is investigating tools to decrease provider’s barriers. Therefore, the purpose of this study was to investigate whether online training from addiction technology transfer center (ATTC) affected knowledge or beliefs about EBPs while controlling for beliefs about addiction. The dependent variables of knowledge and beliefs about …

Teacher And Administrator Perspectives On Low Reading Achievement Among Middle School Hispanic Students, Erica Criswell

Walden Dissertations and Doctoral Studies

Hispanic middle school students in Southeast Texas were scoring below their peers on the Texas standardized reading exam, and the study site was placed on the Texas Education Agency needs improvement list. The purpose of this basic qualitative study was to identify the perceptions of reading teachers and administrators regarding Hispanic students’ low reading achievement. Cummins’ empowerment of minority students formed the conceptual framework that guided this study. The research question focused on the teacher and administrator perceptions about low reading achievement of Hispanic students in grades 7-8. A basic qualitative design was used to capture the insights of 3 …

Perceptions Of Transformational Leadership In Northern Great Plains Reservation Turnaround Schools, Lynn Jean Lawson

Walden Dissertations and Doctoral Studies

American Indian/Alaska Natives have the highest rates of poverty and unemployment and the lowest rates of graduation in the United States. Leadership and classroom instruction influence academic achievement. Little is known about leadership methods for turnaround efforts in American Indian schools. The purpose of this qualitative exploratory case study was to explore administrators’ and teachers’ perceptions of transformational leadership in 2 American Indian reservation turnaround schools in the Northern Great Plains. Burns’ transformational leadership theory guided this study. Two K-8 administrators and 6 K-8 teachers, who were state certified and served at least 1 year at their school site, volunteered …

Factors Affecting The Successful Completion Of Online Graduate Programs Among Single Mothers, Kimberly Ann Palermo-Kielb

Walden Dissertations and Doctoral Studies

An advanced degree is a step toward career aspirations, access to affordable healthcare, and financial goals. For single mothers, a population most vulnerable for living on the brink of poverty, an advanced degree can be a means toward ending intergenerational poverty. Single mother students face serious barriers to advance their education which impede their ability to pursue and complete their degrees. The purpose of the present study was to explore graduate student single mothers’ experiences attending an online education program. The conceptual frameworks guiding the study are Pintrich’s motivational self-regulated learning model for achievement and Duckworth’s model on the psychology …

Parental Supervision And Monitoring And Deviant Adolescent Behavior, Mary Catherine Ross-Gray

Walden Dissertations and Doctoral Studies

Deviant adolescent behavior is a social crisis in the United States, estimated at an annual cost of over $4 billion; yet there are gaps in the research on parental influences regarding this behavior. In this study, the principles of social learning theory were used to examine the relationships between parental supervision and deviant adolescent behavior as moderated by self-control and socioeconomic status. The population for this quantitative study consisted of 87 parent volunteers who completed surveys measuring parent supervision, child executive functioning, and delinquent behavior as well as demographic information such as socioeconomic status. Multiple Regression/Correlation was used to examine …

Treatment Providers’ Perceptions Of Effective Sexual Offender Treatment Modalities, Reta Alphin

Walden Dissertations and Doctoral Studies

The treatment of sex offenders is a controversial public policy issue, yet the research on what treatment providers perceive to be effective treatment modalities is limited. Using von Bertalanffy’s systems theory as the theoretical foundation, the purpose of this quantitative study was to examine and evaluate the treatment providers’ perceptions of effective treatment modalities. Data were collected from 101 treatment providers located within 6 states in the Midwest through a researcher developed survey. Data were analyzed using descriptive statistical analysis. A total of 55 treatment modalities were examined, which were condensed into 5 categories. Findings indicated that the psychoeducational modality …

Decreasing Thirty-Day Readmissions For Heart Failure Patients, Willybroad Che

Walden Dissertations and Doctoral Studies

Heart failure (HF) patients have a 20-25% hospital readmission rate within the first month of discharge. Patients experiencing HF often have a decline in health resulting in frequent hospitalizations and encumbering symptoms including dyspnea, fluid retention, and orthopnea. HF is a common condition in nursing homes and accounts for a significant proportion of resident transfers to emergency departments. HF is considered one of the costliest diagnoses in the United States, estimated to cost the healthcare system billions of dollars annually. The purpose of this systematic review was to provide a synthesis of evidence-based literature on the current recommendations and strategies …

Risks For Hiv Infection Among Adolescent Girls And Young Women In Mozambique, Isabelle Casavant

Walden Dissertations and Doctoral Studies

Adolescent girls and young women (AGYW) living in Sub-Saharan African countries constitute 17% of the population, yet they account for one third of all new human immunodeficiency virus (HIV) infections. To prevent HIV infections among AGYW, it is necessary to understand why they are disproportionally infected. The purpose of the dissertation was to identify risk for HIV among AGYW living in a southern district of Mozambique. The analysis was driven by the Modified Socio Ecological Model and performed using a quantitative dataset collected for the Chokwe Combination Prevention of HIV (N=3354). Logistic regression analysis was conducted to assess whether an …

Investigating Active Learning In Inclusion And Resource Language Arts Classrooms, Haley Cooper

Walden Dissertations and Doctoral Studies

At the study site, middle school students with disabilities continue to demonstrate reading deficits. Because the lack of growth in the reading skills of students with disabilities has negative consequences for the students and for the school, it was paramount to investigate if the instructional design decisions made by teachers influence the reading growth of these students. The central purpose of this qualitative case study was to use the interactive-constructive-active-passive (ICAP) framework to analyze if teachers are assigning learning activities that compel students with disabilities to engage in active learning during reading instruction. Three research questions guided the investigation of …

Predictors Of The Health Effects Of Marijuana Use On The Hepatic Function, Makafui Kokou Gbogbo

Walden Dissertations and Doctoral Studies

The quantity of marijuana use, the length of time it was used, and the age of initiation of the drug are at the core of the discussions about the potential health effects of marijuana use on the liver. Results of recent studies regarding how the drug affects human health have resulted in a number of conflicting conclusions. Nevertheless, based on these findings, marijuana users are being denied liver transplants. The objective of this study was to identify predictors of the health effects of marijuana on the liver and provide guidance in the care management of marijuana users. To address the …

Factors Associated With Steady Employment Among Felons, Rosalind Holley

Walden Dissertations and Doctoral Studies

Research has shown that a felony conviction record negatively impacts an individual’s employment prospects. Although stable employment has been shown to reduce recidivism, the stigma associated with being labeled a felon is a significant barrier to employment for this population. This phenomenological study, guided by Roy’s adaptation model, labeling theory, and social identity theory, explored the lived experiences of individuals with a felony conviction in seeking and obtaining employment postconviction. Participants were recruited from the Adult Probation offices of the Community Supervision and Corrections Department of Brazoria County near Houston, Texas. Six adult males who were currently on adult community …

Revisions Of A Clinical Practice Guideline For Diabetes Management Protocol, Daniel O. Huston

Walden Dissertations and Doctoral Studies

Management of type 2 diabetes mellitus (T2DM) is essential from cost and treatment perspectives. In 2017, costs associated with diabetes management in the United States amounted to approximately $327 billion. The treatment of T2DM has been in a dynamic state for the past several years with the arrival of new classes of medications and new data supporting the use of diabetes medications to reduce risks from cardiovascular disease and slow the decline of renal function. This project explored the current evidence on treatment of T2DM to support changing either the flow of the current protocol algorithm or the medications identified …

Impact Of Race-Related Stress And Intraracial Microaggressions On Self-Efficacy Of African Descendants, Samina Long

Walden Dissertations and Doctoral Studies

Race-related stress such as ancestral trauma and experiences of out- and in-group microaggressions can be intergenerationally transmitted from parent to child. The current study was conducted to address the need for research on race-related trauma and out- and in-group discrimination by providing evidence-based research on whether African descendants experiencing and witnessing race-related stress and intraracial microaggressions results in low self-efficacy. The purpose of this quantitative, multiple regression design was to explore the relationships among race-related stress, intraracial microaggressions, and self-efficacy, which may provide clarity on the psychological impact of these stressors. This study addressed the question of whether race-related stress …

Early-Career Child Care Teachers' Perceptions Of Their Training Experiences, Teri M. Peasley

Walden Dissertations and Doctoral Studies

In a Midwest state, child care teachers who enter the workforce with only a high school diploma or GED credential are not required to complete child development training before being placed in a classroom. Child care teachers need foundational knowledge to provide quality care and education to young children. The purpose of this qualitative phenomenological study was to explore how early-career child care teachers with no advanced education in child development experience training upon entering the workforce. Personal narratives are scarce in existing research, and understanding the perspectives of child care teachers provided an opportunity to consider appropriate training and …

Strategies To Sustain Funding In The Nonprofit Sector, Mark Sami

Walden Dissertations and Doctoral Studies

Nonprofits provide much needed services to communities, especially to the poor and

vulnerable population, but the majority are operating in an environment of uncertainty

because of scarcity of resources. It is imperative that nonprofit managers implement

strategies to ensure the sustainability of their organizations. Grounded in the general

systems theory, the purpose of this qualitative multiple case study was to explore

strategies that nonprofit managers use to sustain funding in the nonprofit sector. The

study participants were 3 nonprofit managers, including 2 from the Caribbean, and 1

from the United States. Data were collected from semistructured interviews and a review …

Leadership Strategies For Improving Employee Retention In The Fast Food Industry, Hope J. Stallworth

Walden Dissertations and Doctoral Studies

The turnover of skilled employees in the fast food industry results in significant yearly financial losses to organizations across the United States. Applying the findings in this study may help business leaders improve best practices in fast food industries in order to minimize employee turnover. Grounded in the expectancy motivation theory, the purpose of this qualitative single case study was to explore strategies 5 transformational business leaders in southern Mississippi used to improve employee retention in a fast food restaurant. Data collection included semistructured face-to-face interviews and an assessment of the company’s documents (e.g., employee handbook, training manual, and vision …