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2022

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Manufacturing Managers’ Strategies To Implement Successful Change, Simon Mendy Jan 2022

Manufacturing Managers’ Strategies To Implement Successful Change, Simon Mendy

Walden Dissertations and Doctoral Studies

Approximately 70% of successful reengineering implementations and process design change initiatives within organizations fail to achieve expected results. Business leaders in manufacturing organizations are concerned that the low success rate hurts process improvement, business growth, and survival. Grounded in Lewin’s three-step model of change, the purpose of this qualitative multiple case study was to explore strategies manufacturing managers use to implement and maintain reengineering and design change initiatives. Participants were four managers who successfully implemented and maintained reengineering and process design change initiatives in the south region of the United States. Data were collected from face-to-face semistructured interviews and various …

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Special Education Challenges In Transitioning To Online Learning In Wyoming During The Covid-19 Pandemic, Elizabeth Merritt Jan 2022

Special Education Challenges In Transitioning To Online Learning In Wyoming During The Covid-19 Pandemic, Elizabeth Merritt

Walden Dissertations and Doctoral Studies

When the COVID-19 pandemic occurred, education had unexpected impacts, including the closure of schools and the disruption of learning for students. Students with disabilities experienced increased challenges related to these impacts. The problem was to understand the challenges of secondary special education teachers and parents to meet the individualized needs of students with disabilities when transitioning from in-classroom to online learning during the COVID-19 pandemic in Wyoming. The purpose of this basic qualitative study was to examine the challenges of secondary special education teachers and parents during the transition from in-classroom to online learning for students with disabilities and identify …

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Motivational Communication Strategies For Virtual Teams, Monica Metri Jan 2022

Motivational Communication Strategies For Virtual Teams, Monica Metri

Walden Dissertations and Doctoral Studies

Organizational leaders may not communicate effectively to motivate their virtual teammembers to achieve goals. Leaders who lack communication strategies to motivate virtual team members can lead to dissatisfied employees and increased timelines to achieve project goals for their organization. This may adversely impact the accurate and timely achievement of goals, reducing profits and thereby, shareholder returns. Grounded in Herzberg's two-factor theory, the purpose of this multiple case study was to explore leaders' communication strategies to motivate virtual team members to achieve project goals. The participants consisted of eight virtual team leaders in the northeastern United States who successfully implemented communication …

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The Relationship Between Length Of Stay, Hospital Characteristics, And Cost Of Care In Acute Care Hospitals In The U.S., Maria Mikhataykina Jan 2022

The Relationship Between Length Of Stay, Hospital Characteristics, And Cost Of Care In Acute Care Hospitals In The U.S., Maria Mikhataykina

Walden Dissertations and Doctoral Studies

Rising healthcare costs make access to healthcare less accessible for many individuals. Hospital administrators, payer stakeholders, and patients are concerned with rising healthcare costs, as many patients may be hindered from receiving quality health care. Grounded in complex adaptive systems theory, the purpose of this quantitative correlation study was to examine the relationship between inpatient hospital (a) LOS, (b) bed size, (c) location, (d) region, (e) control/ownership, and cost of care. The participants were community hospitals participating in the Nationwide Inpatient Sample (NIS) data collection tool of the Healthcare Cost and Utilization Project. The results of the multiple linear regression …

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The Relationship Between Team Engagement And Physician Engagement, Lynne Miles Jan 2022

The Relationship Between Team Engagement And Physician Engagement, Lynne Miles

Walden Dissertations and Doctoral Studies

AbstractWhile physician engagement has previously been shown to be related to both turnover and burnout, there are no studies that focus primarily on the relationship between the physician and team. The purpose of this quantitative study was to examine the relationship between team engagement and physician engagement. The theoretical framework used to guide this research study is the neoclassical organizational theory. The secondary data source was from an engagement survey taken by employed team members and physicians. The independent variable is team engagement. The dependent variable is physician engagement. The instrument for the study is valid and reliable and was …

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Experiences Of Adult College Learners As They Acquire Digital Literacy Skills, Albani L. Milton-Smith Jan 2022

Experiences Of Adult College Learners As They Acquire Digital Literacy Skills, Albani L. Milton-Smith

Walden Dissertations and Doctoral Studies

A substantial barrier to learning for adult college students over the age of 50 is technology literacy. These students may not have the digital skills required for college, which is a disadvantage for social, educational, and career development. The purpose of this basic qualitative study was to explore the learning supports and types of learning required for digital literacy development of undergraduate college students over 50 attending 4-year institutions. Data sources included interviews with 12 participants over the ages of 50 from six 4-year colleges. After the interviews were completed, six of the 12 students participated in two focus group …

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Effective, Efficient, And Fair Conduct In Fire Department Special Assignment Selection Procedures, Eric Mitchell Jan 2022

Effective, Efficient, And Fair Conduct In Fire Department Special Assignment Selection Procedures, Eric Mitchell

Walden Dissertations and Doctoral Studies

The client agency’s special assignment promotions do not have transparent recruitment processes, resulting in artificial barriers within the noncompetitive ranks. The purpose of this professional administrative study was to explore the limitations associated with artificial barriers to the noncompetitive opportunities within fire departments and whether the removal of the barriers would add to job satisfaction. Data were collected from interviews with ten firefighters ranging from captains to chiefs in competitive and noncompetitive positions within the client agency. The findings from coding and thematic analysis indicated artificial barriers are present in the client agency and are classified as political, constraining systems …

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Influence Of Gender, Age, And Ethnicity On Student-To-Teacher Bullying In Community Colleges, Keira Mitchell Jan 2022

Influence Of Gender, Age, And Ethnicity On Student-To-Teacher Bullying In Community Colleges, Keira Mitchell

Walden Dissertations and Doctoral Studies

Student-to-teacher bullying occurs in higher education, including community colleges. The purpose of this quantitative cross-sectional study was to determine whether community college instructors’ self-reported experiences of student incivility/bullying, aggression, and unwanted sexual attention varied based on their gender and ethnicity while controlling for age. The theory of humiliation, which explains that victims experience unjustified treatment from a bully who chooses to humiliate them, was used to guide the study. The independent variables were gender and ethnicity, the covariate was age, and the dependent variables were frequency of student incivility/bullying, aggression, unwanted sexual attention, and levels of distress instructors would feel …

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Housing Discrimination, Social Isolation Or Exclusion Among Gypsies In Romania, Simina Moldovan Jan 2022

Housing Discrimination, Social Isolation Or Exclusion Among Gypsies In Romania, Simina Moldovan

Walden Dissertations and Doctoral Studies

Housing discrimination against Gypsies is a problem that has received little attention in the research literature. The purpose of this ethnographic case study was to explore and document the extent to which Gypsies in one location in Romania experience housing discrimination because of local policies and if any cultural factors are influencing the way Gypsies are perceived or treated by the local government and police. The conceptual framework for this study was based on the narrative policy framework and self-categorization theory in the context of a diverse cultural environment and a developing democracy. The study was guided by three research …

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Cognition, Neurocognitive Disorder, Psychotropic Group Of Medication, And Fall Among Canadians Aged 65+ Years, Victoria Elaki Momoh Jan 2022

Cognition, Neurocognitive Disorder, Psychotropic Group Of Medication, And Fall Among Canadians Aged 65+ Years, Victoria Elaki Momoh

Walden Dissertations and Doctoral Studies

Despite the high incidence of fall among the elderly in residential care, this problem has been minimally explored and reported. This study examined the association between (cognitive performance, dementia, four groups of psychotropic medication-hypnotics, antidepressants, antianxiety medication, and antipsychotics) and fall among Canadian elderly in residential care. A multi–variate logistic regression was used for the analysis. The Social Cognitive Theory was used to interpret the findings of an analysis on 180,231 Canadian residents from 2018–2019. Cognitive performance at intact level (OR=1.114, p<0.001), cognitive performance at moderate level (OR=1.192, p<0.001), dementia diagnosis (OR=1.075, p<0.001), antipsychotics (OR=2.571, p<0.001), antidepressants (OR =1.486, p<0.001) and antianxiety prescription (OR=3.284, p<0.001) increased the odds ratio of fall. However, cognitive performance at severe level (OR=0.898, p<0.001), no dementia diagnosis (OR=0.001, p<0.001) and hypnotics prescription (OR=0.389, p<0.001) decreased the odds ratio of fall. Findings indicate that cognitive performance at the intact and moderate levels, antianxiety, antipsychotic and antidepressant medications and dementia were strong predictors of fall among the elderly in residential care in Canada. A limitation of the study was that the dataset used captured data from 7 out of 13 Canadian provinces and territories therefore, limiting external validity. The potential positive social change impact of this study is that it would guide caregivers, enhance fall prevention practices and decrease fall occurrence in this population.

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Secondary Teachers’ Perspectives On Social Media Use With Students During The Covid-19 Pandemic, Janene Medina Mondragon Jan 2022

Secondary Teachers’ Perspectives On Social Media Use With Students During The Covid-19 Pandemic, Janene Medina Mondragon

Walden Dissertations and Doctoral Studies

AbstractThis study addressed the problem that teachers used social media inconsistently with their students during the COVID-19 pandemic. During the COVID-19 pandemic, the research state’s public education department suggested utilizing social media to communicate with students through remote learning. Traditionally, teachers have struggled with using social media with students. The purpose of this basic qualitative study was to explore secondary teachers’ perspectives on using social media with their students in the research state during the COVID-19 pandemic. Vygotsky’s theory of sociocultural learning and Jenkin’s convergence culture theory made up the conceptual framework of this study. The research questions addressed secondary …

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The Factors Urban African American Men Perceive As Preventing Early Prostate Cancer Screening, Joel Mongo Jan 2022

The Factors Urban African American Men Perceive As Preventing Early Prostate Cancer Screening, Joel Mongo

Walden Dissertations and Doctoral Studies

Prostatic carcinoma, or prostate cancer, is the leading cause of death among adult males in the United States. The highest rate of prostate cancer is found in males of African American ethnicity, as males within this cohort are 50% more likely to develop prostate cancer than other ethnicities. African Americans men are 1.6 times more likely to develop prostate cancer and 2.4 times more likely to die from it than Caucasians. The purpose of this qualitative study was to examine the perceptions of urban African American men about factors that prevent them from seeking and receiving prostate cancer screening, and …

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School Lunch Timing And Student Body Mass Index, Megan Monteith Jan 2022

School Lunch Timing And Student Body Mass Index, Megan Monteith

Walden Dissertations and Doctoral Studies

Obesity continues to be a leading public health issue in the United States. Many chronic diseases are associated with obesity, including hypertension, diabetes, and several forms of cancer. There are multiple known contributing factors to obesity; however, historically, there has been little research focusing on time of day eating as a possible risk factor for obesity, especially childhood obesity. Childhood obesity is a significant risk factor for adult obesity. Obese children and adolescents are five times more likely to be obese in adulthood. The theoretical foundation for this study was the social ecological model. In this secondary correlational analysis using …

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Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar Jan 2022

Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar

Walden Dissertations and Doctoral Studies

Nurse Practitioners (NPs) across Canada continue to endure the escalating demands of increasing patient workloads, the deficiency of inadequate resources, and the paucity of leadership support. The ongoing exposure to these and other challenges often contributes to a complex work environment that may result in compassion fatigue (CF). CF can be operationally defined as a state of exhaustion and dysfunction because of prolonged exposure to compassion stress and all that it evokes. The need for education and prevention of CF is critical as the prevalence of CF is on the rise. Guided by Watson’s Theory of Human Caring and Benner’s …

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Optimal Domotic Systems Based On Archival Data Trend Analysis, Bettina Yvette Moore Jan 2022

Optimal Domotic Systems Based On Archival Data Trend Analysis, Bettina Yvette Moore

Walden Dissertations and Doctoral Studies

Domotics is the integration of technology into building systems. Due to the rapid growth in the use of domotic systems in recent years, the industry is struggling to establish consistency and standardization. The purpose of this archival-based qualitative case study was to identify current trends and patterns in scholarly domotic research to create an instrument to evaluate domotic systems and domotic interrelationships using bibliometric searches. The facilities management and modeling system provided the framework for the study. Archival research data were examined to identify trends and patterns in domotic research and provide visualization of domotic relationships through technology trajectory mapping …

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Veteran Defendant Reasons For Opting Out Of Veterans' Treatment Court, Delilah A. Moore Jan 2022

Veteran Defendant Reasons For Opting Out Of Veterans' Treatment Court, Delilah A. Moore

Walden Dissertations and Doctoral Studies

Veterans’ treatment courts (VTCs) are problem-solving courts created to address the specific treatment needs of veteran defendants. Consistent with general strain theory, the stressors of military service can lead to negative emotions that have been linked to criminality. Despite the favorable results of studies on the efficacy of VTCs to reduce recidivism, participation is voluntary, and not all eligible candidates elect to participate. The purpose of this study was to discover why defendants choose to opt out. Understanding the barriers to participation is critical for VTC actors charged with providing treatment to as many veterans as possible. A qualitative study …

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Financial Recordkeeping Strategies For Small Businesses, Dominique Latrice Moore Jan 2022

Financial Recordkeeping Strategies For Small Businesses, Dominique Latrice Moore

Walden Dissertations and Doctoral Studies

Small retail business owners with inadequate record-keeping strategies struggle with the success of their businesses. Business owners who do not have the requisite financial knowledge may not have the skills required to manage the financial affairs of their business. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to investigate strategies small retail business owners use to adopt financial record-keeping strategies to sustain a small retail business beyond 5 years. Data were collected from a review of organizational artifacts and semistructured interviews with three retail small business owners who successfully adopted financial record-keeping …

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Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan Jan 2022

Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan

Walden Dissertations and Doctoral Studies

Heart failure (HF), the leading hospital admission diagnosis for military veteran patients discharged from a Department of Veterans Affairs (VA) hospital, is more common in patients residing in rural than urban areas. Primary care managers prioritize reducing readmissions for HF as up to 80% of health care costs for HF, projected to increase to $69.7 billion annually by 2030, incur during hospitalizations. Underpinned in Andersen’s behavioral model of health services use, the purpose of this quantitative ex post facto correlational study was to examine the relationship between residence rurality, home telehealth enrollment, and bed days of care for military veteran …

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Effects Of Posttraumatic Stress Disorder For U.S. Women Veterans, Bobbi N. L. Mount, Phd Jan 2022

Effects Of Posttraumatic Stress Disorder For U.S. Women Veterans, Bobbi N. L. Mount, Phd

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore the lived postdeployment experiences of U.S. women veterans with posttraumatic stress disorder (PTSD) and their perception of the impact their diagnosis had on their immediate families. The theoretical framework was Heider’s causal attribution theory. The first two research questions directly addressed the purpose of the study, and the third research question addressed each participant’s experience with accessing mental healthcare services. NVivo was used to transcribe, code, and analyze data derived from semistructured interviews with six U.S. women veterans who were diagnosed with PTSD by a licensed mental health professional postdeployment. …

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Exploring Challenges School Social Workers Face When Advocating Services For Childhood Trauma And Abandonment, Danielle Mozie Jan 2022

Exploring Challenges School Social Workers Face When Advocating Services For Childhood Trauma And Abandonment, Danielle Mozie

Walden Dissertations and Doctoral Studies

School social workers focus on the growth and development of school-age youth by connecting students with resources in the school and community. One population that school social workers provide services for is youth with childhood traumatic backgrounds. This population may have increased behavioral problems, absenteeism, and lower academic achievement. The purpose of this generic qualitative study was to better understand what challenges school social workers face when advocating services for school-aged youth experiencing trauma due to neglect from being abandoned. Bronfenbrenner’s ecological system theory was the conceptual framework. Ten licensed master social workers employed as school social workers in the …

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Perceptions Of Hiv Testing Among African-Born Immigrants In Washington State, Phoebe Kirigo Mugo Jan 2022

Perceptions Of Hiv Testing Among African-Born Immigrants In Washington State, Phoebe Kirigo Mugo

Walden Dissertations and Doctoral Studies

African born immigrants (ABIs) face challenges associated with HIV testing. As a result, many ABIs are not tested for HIV, and this population is among some of the most diagnosed at late stages of HIV/AIDS. The purpose of this qualitative phenomenological study was to explore and seek to understand the lived experiences of ABI adults ages 25 to 49 living in Washington State. I gathered data to gain their perceptions of HIV testing through in-depth interviews. The study was informed by the health belief model, which helped to understand the complex nature of healthcare-seeking behaviors among this population and how …

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A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa Jan 2022

A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is characterized by high blood glucose levels (hyperglycemia) resulting in susceptibility to viral infections such as hepatitis B viral infections. The purpose of this doctoral quality improvement (QI) project was to train primary care providers (PCPs) and their medical assistants at the project site’s clinic on implementing the recommended Centers for Disease Control and Prevention (CDC) guidelines for hepatitis B vaccination with the aim of improving vaccination rates for diabetic patients 18 years and older. The first practice-focused question addressed the evidence-base supporting the QI training of PCPs to improve awareness on implementing the recommended CDC guidelines. The …

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Perceived Impact Of Empowerment Through Agricultural Entrepreneurship Among Nigerian Graduate Youth, Jonathan Musa Jan 2022

Perceived Impact Of Empowerment Through Agricultural Entrepreneurship Among Nigerian Graduate Youth, Jonathan Musa

Walden Dissertations and Doctoral Studies

Youth unemployment is a concern in the developing world due to lack of industries to absorb youth. This gemeric qualitative study involved exploring Nigerian graduates of entrepreneurship training in agriculture and their empowerment experiences involving pursuing a related career. The study centered on elimination of poverty from an interdisciplinary perspective. The critical social theory and resilience theory were used as conceptual frameworks. The study included 10 trainee interviews via convenience sampling who worked on an agricultural farm and involved obtaining open-ended data concerning their experiences. Data analysis in the study involved a manual process and Microsoft word was used for …

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Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi Jan 2022

Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi

Walden Dissertations and Doctoral Studies

Failure of most rural-based nongovernmental organizations (NGOs) in Tanzania to accomplish their mission objectives effectively is a challenge that impacts most of the rural population. Researchers have yet been able to establish what resource development strategies could help rural-based NGOs accomplish their mission objectives. The purpose of this study was to examine resource development measures and management activities currently implemented by local NGOs in a rural district of Tanzania for mission achievement. The resource dependence perspective was applied to frame the research questions on what resource development measures and management activities support the local rural-based NGOs to achieve their mission …

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Predictors Of Perceived Anxiety Disorder Stigma In Adults With Anxiety Disorders, Dr. Shawn Nabors Jan 2022

Predictors Of Perceived Anxiety Disorder Stigma In Adults With Anxiety Disorders, Dr. Shawn Nabors

Walden Dissertations and Doctoral Studies

Licensed professional counselors strive to eliminate systemic barriers to mental health treatment. Perceived anxiety disorder stigma may be a barrier to mental health treatment for those who are affected by this type of stigma. This quantitative correlational study examined whether factors such as age, gender, and level of education predict perceived anxiety disorder stigma in a population of adults in the U.S. who had been diagnosed with anxiety disorders as measured by the Generalized Anxiety Stigma Scale (GASS). Goffman's theory of social stigma served as the theoretical framework for this study. An existing data set of 82 adults diagnosed with …

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Competency-Based E-Learning Module For Nurses In A Multi-Service-Line Surgical Unit, Exequiel P. Naculangan Jan 2022

Competency-Based E-Learning Module For Nurses In A Multi-Service-Line Surgical Unit, Exequiel P. Naculangan

Walden Dissertations and Doctoral Studies

Negative patient outcomes have been attributed to surgery-related complications. A gap was identified in an acute care unit in southern Texas because postoperative surgical complications were above acceptable rates. The purpose of this Doctor of Nursing Practice project was to educate staff nurses on the provision of evidence-based postsurgical care. This doctoral project was conducted to determine whether completion of a learning module would increase nurses’ level of knowledge in acute postoperative care. The project was grounded on Knowles’s adult learning theory and the Dreyfus model of skill acquisition. Learning material using competency-based education was developed using the analyze, design, …

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Self-Efficacy And Perceived Susceptibility As Predictors Of Condom Use Among African American Males, Karla Nash Jan 2022

Self-Efficacy And Perceived Susceptibility As Predictors Of Condom Use Among African American Males, Karla Nash

Walden Dissertations and Doctoral Studies

AbstractHuman immunodeficiency virus (HIV/AIDS) is a disease that claims lives on a global scale, and correct condom use reduces the likelihood of infection by 10 to 20 times. African-American males are at increased risk for contracting HIV/AIDS compared to the general population. The purpose of this quantitative study was to determine the relationship between self-efficacy, susceptibility, and condom use in Californian African-American men using the health belief model as a theoretical guide. One hundred and five African American men between the ages of 18 and 35 years were recruited through local barber shops, sports and recreation centers, churches, and social …

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Strategies For Differentiating The Curricula For Online Gifted Students: A Delphi Study, Joy Nehr Jan 2022

Strategies For Differentiating The Curricula For Online Gifted Students: A Delphi Study, Joy Nehr

Walden Dissertations and Doctoral Studies

Educators must meet the needs of the growing online gifted learner population to ensure these students are being appropriately challenged and are receiving the education they deserve. Current gifted education literature does not address the strategies for differentiating the curriculum for online gifted students. The study participants were teachers with at least 5 years’ experience working online or working with gifted students. The purpose of this qualitative study was to determine the best strategies for teachers to use to differentiate the curricula for this population. The theoretical frameworks used were Ward’s differential education and Tomlinson’s differentiated instruction methods. Both theories …

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Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels Jan 2022

Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is a growing epidemic and is the sixth-leading cause of death in the United States. Individuals with AD often have comorbidities due to the aging process. There is a lack of research on comorbidities as associated risk factors for AD. The leading hypothesis indicates that cardiovascular health issues, environmental exposure, social isolation, and amyloid-beta plaques influence cognitive health and are associated with AD. This study, guided by Finch and Kulminski’s AD exposome, is a caveat to explore a patient’s physical history of cardiovascular health, modifiable behavior, social isolation, and an AD diagnosis. Participants provided health information collected …

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Disparities In The Lanterman Developmental Disabilities Services Act, Helen Grace Neri Jan 2022

Disparities In The Lanterman Developmental Disabilities Services Act, Helen Grace Neri

Walden Dissertations and Doctoral Studies

Culturally and linguistically diverse populations in the developmental disability system suffer from socioeconomic and social services disparities. Efforts to address the disparities issue included enacting Welfare and Institutions Code 4519.5 § (e), (f), (g), and (h), also known as the Lanterman Developmental Disabilities Services Act or the disparities law. The law mandated monitoring of developmental disability system expenditures and allocated funding to the regional centers and community-based organizations to assist with implementing activities to address the disparity. Schneider and Ingram’s and Jun’s theories of social construction framed the inquiry as to how the law impacted considerations of the social construction …

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