Digital Commons Network^™

Mental Health Utilization Among Former Pregnant And Parenting Teen Mothers, Chana Danielle Campbell

Walden Dissertations and Doctoral Studies

Teen pregnancy and parenting at an early age can create numerous emotional stressors. Despite the documented need for mental health services among pregnant and parenting mothers, utilization rates of mental health services remain low. The purpose of this generic qualitative study was to explore the experiences of pregnant and parenting mothers who utilized mental health services. Bandura’s social learning theory was used to explore how the experiences, perceptions, learned behaviors, thoughts, and beliefs surrounding mental health services impacted teen mothers’ experiences with mental health utilization. One-on-one interviews were conducted with eight teen mothers or other young mothers who had given …

Succession Planning Strategies For Nonprofit Organizations, Chandler Campbell

Walden Dissertations and Doctoral Studies

Nonprofit organizations are cornerstones in the community that contribute to improving environments, communities, persons, and life overall. However, some nonprofit organization senior leaders lack the succession planning strategies, resources, and funding to continue serving as positive social change agents in the community. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore business strategies nonprofit leaders use for succession planning. The participants included three senior leaders in a nonprofit located in the northeastern region of the United States who have indirectly or directly implemented succession planning strategies. Data were collected through semistructured interviews, …

U.S. Navy Senior Enlisted Women Career Barriers To Success, Angela Campbell

Walden Dissertations and Doctoral Studies

Active-duty military, senior female enlisted leaders in grades E7-E9 are underrepresented in the Navy due to navigating organizational, social, and cultural barriers. The purpose of this qualitative transcendental phenomenology study was to explore the lived experiences of U.S. Navy retired senior enlisted women who served in pay grades E7-E9 in the United States, overcame career barriers, and achieved success in a male-dominated organization. This transcendental phenomenological study’s research questions focused on the experiences of U.S. Navy senior enlisted women who overcame career barriers and achieved career success in a male-dominated organization. The career resilience framework was used to assess the …

Educating Nurses On Mental Fatigue, Tawanna Ann Canty

Walden Dissertations and Doctoral Studies

Education correlates with nurse performance and avoiding mental fatigue. This project attempted to answer the question, “Educating nurses on mental fatigue will increase knowledge” focusing on educating rehabilitative nurses regarding mental fatigue. The project was guided by the Analysis, Design, Develop, Implement, and Evaluate model. Twenty rehabilitative nurses were administered a pretest consisting of 10 multiple-choice test questions. They received education on mental fatigue through PowerPoint presentations and handouts. After completing the education, participants were administered a posttest with the same 10 questions. An evaluation tool consisting of six questions was completed measuring an increase in knowledge after the posttest. …

Effective Onboarding Strategies To Increase Talent Retention, Mark L. Carpenter

Walden Dissertations and Doctoral Studies

Human resource (HR) leaders are concerned about the adverse effects of employee turnover on employees and organizational success. Without a successful introduction to the corporate culture, employees may be more likely to exit their positions, resulting in higher recruitment costs and lower productivity for companies. Grounded in social exchange theory, the purpose of this generic qualitative study was to explore onboarding strategies organizational HR leaders use to reduce employee turnover. The participants were six HR leaders at light manufacturing companies in the United States Midwest region who successfully reduced employee turnover. Data from semistructured interviews and publicly available documents were …

The Effect Of Employee Appreciation Methods On Job Satisfaction Of Higher Education Support Staff, Joanna Carter

Walden Dissertations and Doctoral Studies

Almost 80% of U.S. companies have an employee recognition program. Although there is a great deal of research on the factors that affect employees' job satisfaction in general, little is known about the effect of employee appreciation methods on support staff's job satisfaction within higher education institutions. The purpose of this quantitative study was to determine the effect of seven employee appreciation methods on the job satisfaction of support staff within higher education institutions. The study's theoretical framework consisted of Abraham Maslow’s theory of motivation, Victor Vroom’s expectancy theory, Frederick Herzberg’s motivation-hygiene theory, and Arne Kallenberg’s theory of job satisfaction. …

Spiritual Care Visits During Palliative Care Predicting Discharge Location, Saundra Denise Casey

Walden Dissertations and Doctoral Studies

AbstractSpiritual care has an important role in the caring of terminally ill patients and their families. However, there is little research demonstrating the relationship between spiritual care in palliative settings and discharge location of terminally ill patients. This study addressed spiritual care as a part of the palliative care services. A total of 186 records were reviewed from the spiritual care department at a hospital in Michigan. Kirkpatrick and Shaver’s attachment theory was used to evaluate the relationship between palliative care and discharge location. The research questions addressed the relationship between spiritual care visits, gender, age, religion, primary diagnosis, and …

Lived Experiences Of College-Educated African American Males During Police Interactions In Central Kentucky, Lawerence Eric Charles

Walden Dissertations and Doctoral Studies

Recent high-profile incidents involving police interaction with Black citizens have increased community outrage and racial divisions between police and African Americans. Despite previous research on relations between African Americans and police, little literature has focused on the lived experiences of college-educated African American males when interacting with police. In the study 12 participants were interviewed. The analytical approach was grounded theory, which identified seven themes that most of the men had in common. One shared lived experience expressed the need for collaborative and inclusive policies that prevent bias, police brutality, and wrongful arrest and detention of the African American community. …

Managerial Strategies To Improve Warehouse Safety Culture, Rasheen J. Chatmon

Walden Dissertations and Doctoral Studies

An unsuccessful safety program can negatively affect warehouse efficiency, profitability, and reputation. To provide a safe work environment, warehouse leaders need guidance on establishing policies and training to ensure that all employees are adequately trained and understand the safety expectations of the organization. Grounded in high-reliability organization theory, the purpose of this qualitative single-case study was to explore managerial strategies to improve the warehouse safety culture. The participants were five warehouse managers who demonstrated the ability to successfully improve their organization's safety culture. Data were collected through virtual semistructured interviews and reviews of organizational documentation. The data were analyzed using …

Effect Of Detention Facilities Toward Juvenile Delinquency And Exposure To Criminalization, Calvin Clark

Walden Dissertations and Doctoral Studies

AbstractDetention facility settings present opportunities and risks in relation to violent extremism. Criminalization as the main concern would increase the crime rates in the United States while allowing the formation of terrorist groups on U.S. soil. The purpose of this quantitative cross-sectional study was to investigate the relationship between juveniles’ experiences in detention centers and their exposure to criminalization. The study was guided by social control theory, narrative theory, and differential opportunity theory. Data were collected using a survey of 15 juvenile detention officers. Results of correlation analyses indicated a significant relationship between detention experience and increased exposure to criminalization …

African American Women And Social Support Networks To Overcome The Strong Black Woman Schema And Depression, Teia Jelisia D. Clements

Walden Dissertations and Doctoral Studies

Mental illness disorders within the United States are on the rise. Researchers have indicated that African Americans are less likely to seek mental health compared to European Americans. The purpose of this basic qualitative study was to understand how social support networks influence African American women between the ages of 25 and 50 in addressing the strong Black woman (SBW) schema and depression. A conceptual framework consisting of the SBW collective theory guided the study. A purposive sample of 16 African American women who use social support networks to address the SBW schema and depression was obtained through flyers posted …

Adverse Childhood/Adolescent Experiences And Risk Of Recruitment Into Sex Trafficking, Shwana Coleman

Walden Dissertations and Doctoral Studies

Human trafficking victims are negatively impacted by the process of coercion, kidnapping, and forced sexual interactions. Previous research studies showed that sex trafficking impacts victims’ mental health. The purpose of this quantitative study was to investigate whether adverse childhood/adolescent experiences (i.e., substance abuse, psychological abuse, and physical abuse) influence recruitment to sex trafficking in the United States and whether age acts as a moderator. The health belief model provided the theoretical framework for the study that includes data from 2010–2015 collected by the Polaris Project, a global sex trafficking database. Convenience sampling was done to delineate the study variables and …

'Ice In The Family': Exploring The Experiences Of Close Family Members When Another Family Member Is Using Methamphetamine: A Longitudinal Qualitative Study, Douglas Greg Gordon, Kylie Russell, Tracey Coventry

Medical Papers and Journal Articles

Objective: To explore the experiences of close family members when another family member is using methamphetamine and how the family member responds over time.

Background: Methamphetamine use has widespread implications and harms for both people who use the drug and those that live with them. While there is a significant representation in the literature relating to family members of people who use drugs or alcohol, there are limited studies specifically considering family members experiences of methamphetamine use. Families have been shown to have both positive and negative impacts on people using drugs, but less is known on the impact on …

Treatment Integrity And Differentiation In The Very Early Rehabilitation In Speech (Verse) Trial, Emily Brogan, Natalie Ciccone, Erin Godecke

Research outputs 2014 to 2021

Background:

Key elements of treatment fidelity include treatment integrity (adherence to the treatment protocol) and treatment differentiation (the difference in treatment ingredients in the control and intervention groups). The Very Early Rehabilitation in SpEech (VERSE) trial established treatment fidelity at the macro level for key components of therapy.

Aims:

To complete a detailed analysis of treatment integrity and differentiation at the utterance level of a therapeutic interaction.

Methods:

This was an observational study of therapy videos collected as part of the VERSE trial. Participants were people with aphasia in the very early phase of recovery post stroke (n = 44) …

Performance Capital: Retailing Myth, Identity, And The Practices Of Governance, Richard Sherwin

Other Publications

No abstract provided.

The Role Of Processing Efficiency In Cognitive Outcomes Of Pediatric Cancer Survivors, Julie A. Trapani

All ETDs from UAB

Pediatric cancer and cancer-related treatments may disrupt brain development and maturation, placing survivors at risk for cognitive late effects. Identifying distinct patterns in outcomes across cancer types has been challenging, which has limited the implementation of systematic neurocognitive screening protocols. Emerging research indicates that processing efficiency (PE) impairment, or inefficient neural processing as measured by working memory (WM) and processing speed (PS) abilities, is a frequently reported but poorly defined cognitive late effect in survivors of both primary central nervous system (CNS) cancers and cancers of non-CNS origin. This dissertation attempts to 1) review and conceptualize PE skills in pediatric …

Prevalence And Phenotype Of Autism Spectrum Disorder Within Pitt Hopkins Syndrome, Helen Kay Root

All ETDs from UAB

Pitt Hopkins Syndrome (PTHS) is an extremely rare genetic disorder which has been described as closely associated with autism spectrum disorder (ASD). While individuals with PTHS have been observed to exhibit symptoms that closely mirror ASD (de Winter et al., 2016; van Balkom et al., 2012; de Pontual et al., 2009; Sweatt, 2013), there have been few studies which have specifically examined ASD-like symptomatology in this population. The current study aims to build understanding regarding the developmental and ASD-specific profile of individuals with PTHS using in-person, observational and elicited standardized assessment measures. Participants included 10 individuals with PTHS aged 2-12 …

Understanding The Impact Of Hospital Price Transparency Initiatives On Consumer Decision-Making To Purchase Healthcare Services, Neel Pathak

All ETDs from UAB

This study examined the influence of hospital list price information on individuals' decision-making to purchase healthcare services. The study collected quantitative data from 550 individuals by administering a hospital price transparency survey. Findings indicate that awareness of hospital list prices and quality outcomes metrics was high, but utilization rates were relatively low among survey participants. Demographic variations were explored with respect to the awareness and utilization of hospital list prices. Quality outcomes and recommendations from friends, family, and physicians emerged as the most important attributes influencing decision-making to purchase healthcare services whereas hospital list prices and social media had a …

Mechanisms Linking The Circadian Clock To Cardiac Physiology, Lamario J. Williams

All ETDs from UAB

Rationale: Cardiovascular disease continues to be the leading cause of death in America. Many aspects of both cardiovascular physiology (e.g., blood pressure, heart rate) and pathophysiology (e.g., myocardial infarctions, sudden cardiac death) exhibit time-of-day dependent fluctuations (termed diurnal variations). Circadian clocks consist of transcriptional feedback cascades directly modulating expression of genes involved in processes such as metabolism, signaling, and ion transport. Interestingly, genetic deletion of a core circadian clock component in the heart (cardiomyocyte-specific Bmal1 knockout mice) leads to chronic induction of the transcriptional repressor E4 Promoter-Binding Protein 4 (E4BP4) associated with early-onset dilated cardiomyopathy, metabolic inflexibility, and electrophysiologic disturbances. …

Navigating Missed Visits In Hiv Primary Care: Exploring Risk Factors Associated With Missed Visits, Jiaying Hao

All ETDs from UAB

The HIV care continuum is a public health model that outlines the steps or stages people with HIV go through from diagnosis to achieving and maintaining viral suppression. Retention in care, a key component of the HIV care continuum, is critical in achieving good health outcomes for people with HIV (PWH) and preventing HIV transmission. Consistent HIV care is essential for the health of PWH as a part of retention in care. De-spite no standard measure for retention in care to PWH, the missed (no-show) vis-its/appointments is one of the most commonly used methods for evaluating retention in HIV care. …

An Exploration Of The Mental Health Experiences Of Young Women With Diminished Ovarian Reserve, Brittany M. Woods

All ETDs from UAB

Infertility is a reproductive disease resulting in the inability to conceive. One in six individuals will experience infertility in their lifetime. Diminished ovarian reserve (DOR) reduces the quantity and/or quality of a female's oocyte pool and is a known cause of infertility. Although this occurs during normal ovarian aging in the late 30s and early 40s, DOR can also impact younger women, increasing their risk for psychological distress from an unexpected diagnosis. The purpose of this dissertation is to develop a deeper understanding of the mental health experiences of young women with DOR through the generation of three manuscripts. Manuscript …

Mediation Analysis Using Marginalized Zero-Inflated Poisson Model, Andrew Sims

All ETDs from UAB

Mediation analysis has become exponentially more popular over the last decade as researchers are interested in establishing mechanistic pathways for intervention. Standard statistical methods emphasize quantifying and testing whether a specific exposure impacts a particular health outcome. Mediation analysis addresses the question ‘How is the exposure causing the outcome?’ by examining the extent to which an intermediate variable, called a mediator, influences the relationship between an exposure and an outcome. While multiple mediation strategies exist, the counterfactual approach to mediation allows for mediation effects to be estimated directly with nonlinearities and interactions. The counterfactual approach allows for the effect of …

The Costly Performance Of Strength: An Exploration Of Mental Health Treatment Utilization Among Black Women In The Deep South, Amber N. Martin

All ETDs from UAB

Introduction: Strength is indoctrinated into the cultural tapestry of Black women, dating back to slavery, and passed down through intergenerational socialization. The incessant need for Black women to be strong diminishes their psychological health leading to poorer quality of life. Further, historical injustices and unethical practices in mental healthcare continue to perpetuate the need for Black women to perform in strength. The performance of strength is one explanation for the grave mental health disparities among Black women offering an opportunity to better understand their mental health needs. This project aims to center Black women within the cultural contextualization of the …

Understanding Attitudes, Subjective Norms, And Intent Of Covid-19 Vaccine Hesitancy And Refusal Among African Americans In The United States Using The Theory Of Reasoned Action, Deandrea Lashay Martinez

All ETDs from UAB

COVID-19 vaccine hesitancy and vaccine refusal contributed to many African Americans not receiving the COVID-19 vaccine. The reasons for vaccine hesitancy and vaccine refusal were unclear by sociodemographic factors (income, gender, education, and age) among African Americans. This research explored attitudes, subjective norms, and intent of COVID-19 vaccine hesitancy and vaccine refusal among African Americans in the United States using the Theory of Reasoned Action. The two research questions were (1) Among African Americans, do age, income, gender, and education factors remain stable across three study cohorts in differentiating subjects who are COVID-19 vaccine hesitant versus refusal from 2020–2022? (2) …

Converging Crises: The Spanish Flu And Wwi's Influence Within Egon Schiele's Oeuvre, Mclean Boone

All ETDs from UAB

This thesis investigates the effect of the converging crises of WWI and the Spanish Flu in on the last artworks of Egon Schiele, and argues that these two events precipitated a shift in the artist’s theme, aesthetic, and technique in these 1918 artworks. Before his death from the Spanish Flu in late October, 1918, Schiele managed to produce nearly thirty paintings in the last two years of his career. While many scholars have discussed Schiele’s art in the context of personal maturation, I argue instead that Schiele’s aesthetic shift towards naturalism symbolized new modes of exploring ideas of life and …

Intent-To-Treat Versus Per Protocol Analysis Of A Crossover Feeding Trial: Effect Of Dietary Sodium On Obstructive Sleep Apnea, Gabrielle Gloston

All ETDs from UAB

Obstructive sleep apnea (OSA) is a common form of sleep disordered breathing that leads to poor daytime functioning. It is strongly associated with hypertension (HTN) and apneic events in individuals with OSA can drive blood pressure (BP) surges at night. Treating OSA with continuous positive airway pressure (CPAP) has led to reductions in day- and nighttime BP and treatment of HTN has also been reported to have beneficial effects on OSA severity. Dietary sodium has long been implicated in HTN and dietary sodium restriction improves BP levels. Recently, dietary sodium restriction was found to reduce OSA severity in men with …

Impact Of Covid-19 On A Smoking Cessation Intervention: A Look At Recruitment And Retention, Elizabeth S. Hawes

All ETDs from UAB

While smoking prevalence rates have declined in the general population over the past 50 years, persons in the criminal legal population have disproportionally high rates of smoking. Previous research suggests that smoking cessation interventions and campaigns have missed targeting this population. Due to the COVD-19 pandemic, many ongoing clinical trials had to rapidly shift to using remote trials, including our smoking cessation trial with the criminal legal population. The purpose of this secondary analysis was to compare recruitment rate, study adherence, retention, NRT adherence, and quit attempts for participants who completed the study as planned (In Person), after implementation of …

Adverse Childhood Experiences And Chronic Low Back Pain In Adulthood: Roles Of Emotion Regulation And Socioeconomic Status, Pavithra Andrea Thomas

All ETDs from UAB

Adverse childhood experiences (ACEs) can have profound deleterious effects on physical health and psychological functioning in adulthood. ACEs may be a social determinant of chronic pain development and severity in adulthood; however, little research to date has investigated the psychological processes that might underlie this association. Emotion regulation, an established transdiagnostic risk factor underlying psychopathological conditions, may be a potential mediator of the relationship between ACEs and pain. Lower socioeconomic status is associated with greater risk of ACEs and poor chronic pain outcomes, yet research has not clarified the role of subjective versus objective determinants of socioeconomic factors within these …

Correlates Of Life Space Mobility, Driving Frequency And Exposure Amon Older Blacks/African Americans And Whites With Diabetes, Henrietta Armah

All ETDs from UAB

Diabetes mellitus is one of the most common chronic diseases among older adults, affecting all aspects of daily living including restricted life space mobility, driving and building relationships outside of the home. The aim of this study was to investigate the covariate-adjusted associations of cognitive functioning, depressive symptoms, amount of support received and satisfaction with support with life space mobility, driving frequency and driving exposure among Blacks/African Americans and Whites with diabetes. The study used a representative sample of 247 older adults aged 65 and above from the University of Alabama at Birmingham (UAB) Diabetes and Aging Study of Health …

Enhancing Community Resiliency With Big Data And Machine Learning: Property Damage And Flood Forecasting During Hurricanes, Mujungu Lawrence Museru

All ETDs from UAB

Globally, coastal communities face significant vulnerability to the risks and impacts of flooding. This study addresses two critical aspects of flood management: enhanced flood damage assessment and coastal flooding prediction. Traditional flood damage modeling techniques have limitations, and the availability of comprehensive datasets is limited. The first part addresses these challenges. Multivariable machine learning models are applied to enhance flood damage assessment. A comprehensive dataset is developed by combining the Alabama property dataset with the National Flood Insurance Program (NFIP) claims dataset from Hurricane Katrina. Spatial varying datasets are added to enhance the comprehensiveness of NFIP dataset and oversampling techniques …