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2021

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Relationship Between Faculty Age, Stress, And Intent To Leave Academic Medical Institutions, Susan Christian Atterton Jan 2021

Relationship Between Faculty Age, Stress, And Intent To Leave Academic Medical Institutions, Susan Christian Atterton

Walden Dissertations and Doctoral Studies

Faculty intent to leave academic medicine affects clinical productivity, patient and teaching service quality, and institutions' profitability. Understanding factors associated with faculty intent to leave is critical for healthcare and human resources leadership within academic medical institutions in efforts to reduce faculty intent to leave. Grounded in Graves’ spiral dynamics theory, the purpose of this correlational study was to examine the relationship between faculty age, faculty stress, and faculty intent to leave academic medical institutions. The data were collected and analyzed for 125 faculty physicians with an M.D., Ph.D., D.O., or M.B.B.S. degree in an academic medical institution in the …

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Teachers Support For The Bullied Population Of Students Through Positive Culture Initiatives In The Classroom, Sandra Davis Jan 2021

Teachers Support For The Bullied Population Of Students Through Positive Culture Initiatives In The Classroom, Sandra Davis

Walden Dissertations and Doctoral Studies

Despite the efforts of many, bullying behaviors continue to be on the rise in schools. However, limited research has been conducted to support the bullied population of students through positive culture initiatives in the classroom. The purpose of this basic qualitative study was to explore teachers’ support for the bullied population of students through positive culture initiatives in the classroom. The conceptual framework was based on ecological systems theory related to bullying involvement and classroom initiatives, as well as the portion of the role construction theory focused on positive communication and relationships. This study was conducted in a school district …

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Comparison Of The Therapeutic Efficacy Of Rheumatoid Arthritis Treatments, Kacy Smith Davis Jan 2021

Comparison Of The Therapeutic Efficacy Of Rheumatoid Arthritis Treatments, Kacy Smith Davis

Walden Dissertations and Doctoral Studies

Rheumatoid arthritis (RA) is an autoimmune condition that causes chronic joint pain and destruction. The current standard regimen of monotherapy disease modifying anti-rheumatic drug (DMARD) treatments may not be as effective as that of combination therapy of a DMARD and a biologic agent in treating RA. The purpose of this study was to answer the question, is there a difference in the therapeutic efficacy of combination DMARD treatments with a biologic, compared to monotherapy DMARDs without a biologic, in U.S. Caucasian women between the ages of 30 and 60 that have been diagnosed with RA? Guided by the theoretical framework …

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School Administrators’ Perceptions On Teaching Foster Children, Tisha Marie Hess Jan 2021

School Administrators’ Perceptions On Teaching Foster Children, Tisha Marie Hess

Walden Dissertations and Doctoral Studies

Children in foster care face multiple barriers compared to their nonfoster peers, especially as it pertains to their educational success. The problem was school administrators, such as principals and assistant principals, face greater challenges in meeting the educational needs of foster children in addition to balancing the extraneous issues foster children face. Using Bronfenbrenner’s ecological theory, the purpose of this qualitative case study was to explore the experiences, perceptions, and challenges of elementary school administrators who work with foster youth in one school district in Illinois. The specific focus was on administrators’ role in curriculum design, support services, and ability …

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Strategies To Gain A Social License To Operate In The Mining Industry, Luis Llaque Jan 2021

Strategies To Gain A Social License To Operate In The Mining Industry, Luis Llaque

Walden Dissertations and Doctoral Studies

Failure to gain a social license to operate (SLTO) in the mining industry often leads to mine closures and increased risk exposure that negatively impacts profitability. Mining project managers who do not obtain an SLTO risk project, which can affect profitability. Grounded in general systems theory, the purpose of this qualitative multiple case study was to explore strategies used by mining project managers to gain an SLTO to improve profitability effectively. Data were collected from semistructured interviews and document reviews. Participants comprised eight project managers at five mining companies in the Republic of Peru who implemented successful strategies to obtain …

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Social Workers’ Attitudes Toward Medication-Assisted Treatment For Opioid Use Disorder, William Tillman Spivey Jan 2021

Social Workers’ Attitudes Toward Medication-Assisted Treatment For Opioid Use Disorder, William Tillman Spivey

Walden Dissertations and Doctoral Studies

Over the last decade, opioid misuse has emerged as a major problem in the United States. The extreme increase in overdose deaths affects both public health and social welfare in north central Florida. Social workers play a major role in the delivery of treatment for opioid misuse. Medication-assisted treatment for opioid use disorder has become widely used yet faces debate among social workers. The practice-focused research question for this project addressed the attitudes of social workers toward the use of medication-assisted treatment for opioid use disorder. Social learning theory was the theoretical framework used in this action research study. Data …

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Educational Attainment And Growth Among Individuals With Absent Fathers, Angelica Yolanda Barrera Jan 2021

Educational Attainment And Growth Among Individuals With Absent Fathers, Angelica Yolanda Barrera

Walden Dissertations and Doctoral Studies

There are more than 20 million children who are growing up in a fatherless home. It is understood that this population is more likely to experience a variety of intrapersonal and interpersonal issues when compared to children who grow up in a home with both parents. These issues include being twice as likely to drop out of school. Although few of these individuals pursue a higher education, very little understanding of the underlying variables that contribute to such education-seeking behaviors is available for this population. Guided by the theory of positive disintegration and the posttraumatic growth conceptual model, the purpose …

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Increasing Provider Awareness About The Use Of Cbt In Treating Insomnia In Adults, Ayorinde Oluwagbemiga Oyeneyin Jan 2021

Increasing Provider Awareness About The Use Of Cbt In Treating Insomnia In Adults, Ayorinde Oluwagbemiga Oyeneyin

Walden Dissertations and Doctoral Studies

AbstractThis doctoral project addressed the issue of prescribing cognitive-behavioral therapy (CBT) as the first-line treatment for insomnia. Despite being less efficacious, medications are the most preferred form of treatment for insomnia among most psychiatric clinicians. Providers at the clinical site where the project took place were foregoing CBT in preference to medications. Providers preferred the pharmacotherapeutic approach due to its ease of prescription compared to the psychotherapeutic intervention. An educational program was provided for the providers regarding the advantages of prescribing CBT over medications, for the treatment of insomnia. The program was in the form of a PowerPoint presentation, which …

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The Determinants Of Endometrial Cancer Survival Disparities In The United States, Evelyn Anegbe Jan 2021

The Determinants Of Endometrial Cancer Survival Disparities In The United States, Evelyn Anegbe

Walden Dissertations and Doctoral Studies

Endometrial cancer is the most common gynecologic cancer in the United States with recent trends showing a continued increase in incidence and mortality. Prognosis is influenced by cancer stage at diagnosis and differs by race/ethnicity. Researchers have documented poorer survival among Blacks than Whites diagnosed with endometrial cancer. The 5-year survival rates for women with endometrial cancer is 81%; while survival for White and Black women are 84% and 62%, respectively. There is a gap in literature examining the widening disparity in incidence and survival of women diagnosed with advanced stage disease among population subgroups across the United States. The …

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The Relationship Between Burnout And Self-Care Of Children's Social Service Professionals, Annie L. Pritchett-Jackson Jan 2021

The Relationship Between Burnout And Self-Care Of Children's Social Service Professionals, Annie L. Pritchett-Jackson

Walden Dissertations and Doctoral Studies

AbstractBurnout has plagued human and social services professionals at higher rates than most other professions resulting in the need for interventions and research. The purpose of this quasi-experimental, nonequivalent control groups design was to examine to what degree self-care affects the stress levels of children’s social service professionals in a nonprofit agency in a southern U.S. state. Cognitive activation theory served as the theoretical framework. Nonprobability purposive sampling strategies recruited 77 participants, 21 years of age and older. The study included two groups, with one group received self-care intervention designed to increase self-care and to reduce burnout (N = 56). …

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Hiv/Aids And Substance Use Among Older Adults, Jamerlia E. Wyatt Jan 2021

Hiv/Aids And Substance Use Among Older Adults, Jamerlia E. Wyatt

Walden Dissertations and Doctoral Studies

HIV/AIDS and substance abuse among older adults is a significant national and worldwide problem. As older HIV-positive adults continue to age, they will have problems with managing their HIV/AIDS, comorbidity disorders, and quality of life, which can lead to substance abuse. The purpose of this descriptive, phenomenological study was to explore the socio-risk behaviors, specific treatment preferences, and daily lived experiences of adults aged 50 years and older living with HIV/AIDS and substance use in a large northeastern urban city. The conceptual framework used to ground this qualitative study was Engel's biopsychosocial model. The purposeful sampling method was used to …

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Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark Jan 2021

Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark

Walden Dissertations and Doctoral Studies

The increased number of older adults living longer parallels with the growth of public health concerns regarding the impact of sociodemographic and psychosocial factors (e.g., loneliness and social isolation) on older adults' wellbeing. The purpose of this quantitative study was to examine the association between loneliness, social isolation, the combined model of loneliness, and social isolation on wellbeing among older adults when accounting for age, gender, ethnicity, and social support. The socioecological model (SEM) was used to evaluate the multiple levels of environmental determinants for loneliness, social isolation, and wellbeing. The target population included older adults 65 years and older …

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Stressors Of Single Fatherhood In California, Dr. Kenneth Jones, Jr. Jan 2021

Stressors Of Single Fatherhood In California, Dr. Kenneth Jones, Jr.

Walden Dissertations and Doctoral Studies

This grounded theory study aimed to address the lack of awareness and resources available for single custodial fathers to address stressors in caring for their children. The findings of this qualitative study were derived from electronic correspondence and semi-structured individual interviews with 16 single primary custodial fathers residing in the state of California. The data were analyzed inductively following Percy et al.’s step-by-step process, which generated the following overarching themes: (a) societal stressors, (b) the aftermath of separation from child’s mother, (c) the reason for separation from child’s mother, (d) hands-on work in raising a child and accomplishing chores, (e) …

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How Prekindergarten And Kindergarten Teachers Supported Students' School Readiness Skill Development During The Covid-19 Pandemic, Eileen Manoukian Jan 2021

How Prekindergarten And Kindergarten Teachers Supported Students' School Readiness Skill Development During The Covid-19 Pandemic, Eileen Manoukian

Walden Dissertations and Doctoral Studies

Scholarly literature lacks studies on how prekindergarten and kindergarten (PK-K) teachers supported students’ school readiness skill development and successful transitions to formal schooling during the COVID-19 pandemic. Framed by school readiness theory and social development theory, this qualitative study explored perspectives of 16 PK-K teachers to answer two research questions about how teachers support students’ school readiness skill development foster students’ successful transitions to formal schooling during the COVID-19 pandemic in a metropolitan area in the southwest region of the United States. Data were collected through one on one, semistructured interviews, and analyzed by following an inductive process using Saldaña’s …

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Exploring Motivation To Adhere Among Crossfit Exercise Participants, Lauren Elizabeth Falgout Jan 2021

Exploring Motivation To Adhere Among Crossfit Exercise Participants, Lauren Elizabeth Falgout

Walden Dissertations and Doctoral Studies

Lack of exercise and obesity are prominent social problems in the U.S. population. Therefore, understanding the experiences that promote or hinder motivation and exercise adherence is important. A total of 15 adult participants who engaged in CrossFit for a minimum of 6 months were recruited for this generic qualitative study using purposeful sampling methods. They responded to an invitation on a social media page for CrossFit participants. They shared their exercise adherence experiences and motivation through semi-structured qualitative interviews. Trustworthiness procedures included reflexive journaling, and member checking. Data analysis proceeded from transcript reading to working with broad themes and phrases …

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Phenomenological Study Of Parental Perceptions Regarding Components Of Early Home Reading, Shakiba Amini Mobaraki Jan 2021

Phenomenological Study Of Parental Perceptions Regarding Components Of Early Home Reading, Shakiba Amini Mobaraki

Walden Dissertations and Doctoral Studies

AbstractMany children struggle with developing their reading skills at the point of starting formal elementary school. Parents contribute to their children’s literacy development through early home reading engagement aimed at improving their children’s reading skills. Parental styles of literacy interactions are associated with their beliefs and perceptions regarding literacy development of children. Therefore, there was a need to understand parental perceptions regarding (a) the importance of child’s readiness for reading interactions, (b) the quality of parent-child reading activities, and (c) the importance of parental preferences regarding specific reading materials. The research questions focused on parents’ lived experiences regarding the values …

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Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu Jan 2021

Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu

Walden Dissertations and Doctoral Studies

AbstractAfrican American men have not been sufficiently at the center of research studies, especially when it comes to health. Most researchers have explored African Americans as a whole, and few have looked at African American men specifically, especially when it comes to their perceptions and ability to trust sources of health information. The purpose of this quantitative cross-sectional study was to examine the relationship between race and trust in health information sources, including the relationship between prostate cancer health outreach done through the internet and the acceptance of such information outreach among African American men. The theory of planned behavior …

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Parents' Perceptions Of And Reactions To Their Child's Intergroup Marriage, Theresa Aikens Jan 2021

Parents' Perceptions Of And Reactions To Their Child's Intergroup Marriage, Theresa Aikens

Walden Dissertations and Doctoral Studies

Researchers have found that parental support and acceptance are integral to the success of interracial romantic relationships (IRRs) and well-being of interracial romantic relationship participants (IRRPs). Research on couples involved in IRRs is prevalent, but researchers neglected to include the perspectives of the parents of the IRRPs. The lived experiences of parents of adult children involved in Black-White IRRs and their perceptions of societal reactions to the IRR were explored to better understand the mechanisms behind parental support or disapproval of IRRs. Bronfenbrenner's PPCT model of bioecological theory allowed for a focus on a parent's development within the parent-child relationship …

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Knowledge And Perceptions Of Antibiotic Resistance Stewardship Among Prehealth And Agriculture Students, Claudia Maria Da Silva Carvalho Jan 2021

Knowledge And Perceptions Of Antibiotic Resistance Stewardship Among Prehealth And Agriculture Students, Claudia Maria Da Silva Carvalho

Walden Dissertations and Doctoral Studies

The global threat of antibiotic resistant infection has resulted in health organizations to compile an antibiotic stewardship program, in which the education of current/future medical prescribers and farmers is central for the preservation of current and future antimicrobial treatments. The purpose of this study was to assess and compare the knowledge and perceived threat of antibiotic and antibiotic resistance, as well as the perceived benefit of antibiotic stewardship, among undergraduate students in biology and agriculture at a state university in Kansas. Framed by the health belief model, a cross-sectional study was conducted using a structured online survey of 136 undergraduate …

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Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers Jan 2021

Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers

Walden Dissertations and Doctoral Studies

AbstractOver the last 30 years, there has been an increase of grandparents who are raising grandchildren. Grandparents often need social services such as case management, legal services, counseling, adoption, and custody services. Although grandparents feel it is rewarding to raise their grandchildren, there are also challenges. Participatory action research was used as the method of study. Bronfenbrenner's ecological theory was used to guide the participatory action research. Participants included social workers and social service workers from various social service agencies in Atlanta, Georgia. This study aimed to understand grandparents' needs and how prepared social workers and social service workers are …

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Perceptions Of Effectiveness Of Eye Movement Desensitization And Reprocessing Treatment Intervention From Survivors Of Intimate Partner Violence, Laurinda Cumming Jan 2021

Perceptions Of Effectiveness Of Eye Movement Desensitization And Reprocessing Treatment Intervention From Survivors Of Intimate Partner Violence, Laurinda Cumming

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a national health care problem. This violence affects 10 million people on average in the United States every year. This research focused on the treatment resistance for PTSD, a severe and disabling condition. This qualitative descriptive study provided a purposeful sampling of female survivors’ lived experiences and perceived effectiveness of EMDR in treating PTSD symptoms as a result of IPV. Study participants were 7 females, 18 years or older, residing in the Southwestern United States. The theoretical framework of the self-efficacy model was used to look at how posttraumatic symptoms can be so severe from …

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The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier Jan 2021

The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating respiratory condition that leads to significant medial and financial burdens. For many patients with COPD, multiple socioeconomic factors contribute to health disparities, including income, education, employment status, and race/ethnicity. The purpose of this study was to examine the impact of SES and race/ethnicity on COPD patients. For this cross-sectional study, using secondary data analysis, the Social-Ecological Model (SEM), which discusses five levels of influence, was utilized. Data from over 3,222 participants aged 18 and over, living in Nevada were obtained from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) study. …

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Comparing Intrapartum Interventions By Family Medicine Physicians And Obstetricians/Gynecologists In An Urban Academic Medical Center, K. Mariah Chrans Jan 2021

Comparing Intrapartum Interventions By Family Medicine Physicians And Obstetricians/Gynecologists In An Urban Academic Medical Center, K. Mariah Chrans

Walden Dissertations and Doctoral Studies

In the United States, over the last four decades, medical interventions in labor were intended to be a rare practice, to be used only when the benefits of birth outweighed the risk to the pregnant individual and fetus. This study was conducted to compare obstetricians gynecologists and family medicine physicians (OB/GYNs and FMPs) in an urban academic medical setting and to identify if they were practicing in an evidence-based manner as recommended by their respecting professional bodies by assessing for (a) associations between provider type and intervention (such as induction and augmentation) and for (b) labor and delivery outcomes for …

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A Phenomenological Exploration Of The Leadership Development Experiences Of Black Women, Oresha Sharlene Greenidge Foster Jan 2021

A Phenomenological Exploration Of The Leadership Development Experiences Of Black Women, Oresha Sharlene Greenidge Foster

Walden Dissertations and Doctoral Studies

The leadership pathway for Black women has unique challenges and obstacles due to the double jeopardy of their race and gender. The lack of critical empirical work on the leadership development of Black women has left a gap in the understanding of how racial and gendered identities influence their development as successful leaders. This research was conducted to examine how Black women developed as leaders and how they made meaning of their leadership development experiences. A qualitative transcendental phenomenological study was conducted framed by concepts of intersectionality and gendered racism to produce a comprehensive description of the phenomenon of the …

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Drug-Resistant Neisseria Gonorrhoeae; Identification Of At-Risk Groups In Florida By Regional Variation, Scott August Herber Jan 2021

Drug-Resistant Neisseria Gonorrhoeae; Identification Of At-Risk Groups In Florida By Regional Variation, Scott August Herber

Walden Dissertations and Doctoral Studies

Neisseria gonorrhoeae has been on the rise in the State of Florida since 2013. Florida currently follows the Centers for Disease Control and Prevention guidelines for identifying those at-risk for gonorrhea and drug resistant gonorrhea infections. These groups are narrowly defined and do not consider the different population dynamics throughout the State. This study examined the question of who is at-risk for contracting drug resistant strains of gonorrhea in the eight different regions of Florida based on the prescribed use of last-line-of-antibiotic-defense. Florida’s Surveillance Tools and Reporting System provided 12 years of secondary data from 2007 to 2018. The data …

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Implementation Of International Society For Technology In Education Standards In Elementary School Teachers’ Pedagogical Science Practices, Rochelle Anne Mccoy Jan 2021

Implementation Of International Society For Technology In Education Standards In Elementary School Teachers’ Pedagogical Science Practices, Rochelle Anne Mccoy

Walden Dissertations and Doctoral Studies

This study addressed the problem of whether elementary school teachers are consistently implementing the International Society for Technology in Education (ISTE) standards in their pedagogical practices of teaching science. It was evident that half of all teachers in the United States do not consistently implement technology into their instruction. The purpose of this study was to understand elementary school teachers’ perceptions about how teachers are using the three selected ISTE standards during their pedagogical practices when teaching elementary science in order to maximize learning. The technology acceptance model was the conceptual framework used in this study. The research questions focused …

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Parental Perceptions Of Inclusion Of Autism Spectrum Disorder Students In The Educational Process, Robin Waltman Jan 2021

Parental Perceptions Of Inclusion Of Autism Spectrum Disorder Students In The Educational Process, Robin Waltman

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) is a complex biological disorder that encompasses a wide range of symptoms and varies in degree of severity. Parents and caregivers rely on programs offered by school districts that encourage parental participation in the educational process and have differing views on inclusion in educational decisions. The purpose of the current study was to ascertain the views of parents of children with ASD regarding their inclusion in the educational process. The research question addressed the lived experiences and perceptions of parents of students with and ASD regarding their inclusion in the educational process. A case study methodology …

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Teachers’ Opinions Of Coteaching, Tashina White Jan 2021

Teachers’ Opinions Of Coteaching, Tashina White

Walden Dissertations and Doctoral Studies

Georgia’s College and Career Ready Performance Index for 2014-2016 showed that students with disabilities (SwD) did not meet performance targets when taught in co-taught inclusion classrooms with both general education teachers (GET) and special education teachers (SET) in the classrooms. The purpose of this study was to determine the differences in teacher opinions of co-taught inclusion classrooms and their ability to teach SwD between GET and SET. The theoretical basis for this study was Johnson and Johnson’s cooperative learning theory. A sample of 88 elementary, middle, and high school teachers completed the Opinions Relative to Integration of Students with Disabilities …

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Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed Jan 2021

Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed

Walden Dissertations and Doctoral Studies

Counselor education and supervision (CES) doctoral students face various challenges throughout their doctoral journey. A quantitative, correlational study was conducted to determine if there is a predictive relationship between the independent variables of perceived social support and phase of program (core courses, internship, or dissertation) and dependent variables general health, somatic symptoms, anxiety/insomnia, social dysfunction, and severe depression in PhD CES students (N = 73). The goal of the study was to contribute to a greater understanding of the general health of CES PhD students. Self-Determination theory and basic psychological need theory were applied as the theoretical framework of this …

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The Impact Of Obesity, Race, Age, Education, Income, And Healthcare Coverage On Cervical Cancer Screening Among Mississippi Women, Henrietta Tamika Ross Jan 2021

The Impact Of Obesity, Race, Age, Education, Income, And Healthcare Coverage On Cervical Cancer Screening Among Mississippi Women, Henrietta Tamika Ross

Walden Dissertations and Doctoral Studies

The human papilloma virus is the necessary agent in the development of cervical cancer. It is through screening exams like the Papanicolaou (Pap) test that cervical changes can be identified, and cervical cancer can be diagnosed in the early stage of cancer. The Pap test has aided in decreasing the rate of cervical cancer and the morbidity of cervical cancer. However, cervical cancer rates and mortality rates from cervical cancer are still the highest among women in Mississippi. Additionally, obesity rates among those who reside in Mississippi are the second highest in the United States. The purpose of this quantitative …

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