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2023

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Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick Jan 2023

Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick

Walden Dissertations and Doctoral Studies

Autism is a disorder that is characterized by struggles with socialization anddevelopmental delays that often involve much guidance and support. The purpose of this study was to explain the experience of parents as they attempted to manage behaviors related to symptoms of autism during the worldwide quarantine prompted by COVID-19. This study aimed to close the gap in literature and explore to see if there were any concerns that could be addressed by future studies. The study was framed around Bowen’s theory, which addresses emotions within a family unit, and the interdependence theory, which addresses how humans thrive to be …


The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan Jan 2023

The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) has continued to be diagnosed in school-aged children at a high rate. Students with this diagnosis often display negative behaviors and poor academic performance, leading to the need for school-based interventions. Although the use of school-based interventions has shown to be moderately effective, the need to identify the student’s perspective is warranted. The purpose of this general qualitative study was to explore the effectiveness of therapeutic day treatment from the student’s perspective. While parents and teachers have found therapeutic day treatment useful, research to date from the student’s perspective is lacking. Vygotsky’s theory of cognitive …


Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade Jan 2023

Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade

Walden Dissertations and Doctoral Studies

Work-life balance (WLB) is employees’ ability to effectively manage between job obligations and everyday life activities involving family, health, and social life. Successful WLB has become increasingly important to healthcare administrators due to staff shortages and essentials of job performance, attendance, and satisfaction. The purpose of this quantitative study was to determine if there was a correlation between WLB, workplace stress, and employee workplace attendance. The two research questions were correlational; the dependent variable was workplace attendance, and the independent variables were workplace stress and WLB. The compensation theory served as the foundation for the study, in which both family …


Effects Of Social Determinants On Access To Care Among Patients With Diabetes In Florida, Nekeisha Latoya Walker Jan 2023

Effects Of Social Determinants On Access To Care Among Patients With Diabetes In Florida, Nekeisha Latoya Walker

Walden Dissertations and Doctoral Studies

Diabetes imposes a major burden on society, especially in the state of Florida, in the form of increased medical costs, lost productivity, early mortality, and intangible costs in the form of diminished quality of life. Access to diabetic care affects health administration in Florida by impacting the overall cost of treating the condition. Limited access to care can lead to an increased risk of complications resulting in a higher cost of treatment. The purpose of this quantitative study was to determine whether access to care dependent variables (access to doctors and length of time since last routine checkup) were associated …


A Phenomenological Study Of Executive Coaching For African American Leaders, Barrhonda White Jan 2023

A Phenomenological Study Of Executive Coaching For African American Leaders, Barrhonda White

Walden Dissertations and Doctoral Studies

African American leaders face inequalities in executive leadership development support such as executive coaching. This phenomenological qualitative study explored the lived experiences of African American leaders that worked with a leadership coach. The intention of the study was to gain insight into factors that led African American leaders to seek assistance from a leadership coach, preferences regarding leadership coach demographics, and goals from coaching. The theoretical foundation for this research was Self-Discrepancy Theory. The study utilized two research questions related to a) the lived experiences of African American leaders that work with, or have worked with, an executive coach, and …


Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett Jan 2023

Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett

Walden Dissertations and Doctoral Studies

Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …


Incorporating Usability Evaluation Into Iterative Development Of An Online Platform To Support Research Participation In Parkinson’S Disease: A Mixed Methods Protocol, Rebecca Chapman, Marie Louise Zeissler, Edward Meinert, Stephen Mullin, S Whipps, J Whipps, K Hockey, P Hockey, Camille B. Carroll Jan 2023

Incorporating Usability Evaluation Into Iterative Development Of An Online Platform To Support Research Participation In Parkinson’S Disease: A Mixed Methods Protocol, Rebecca Chapman, Marie Louise Zeissler, Edward Meinert, Stephen Mullin, S Whipps, J Whipps, K Hockey, P Hockey, Camille B. Carroll

School of Nursing and Midwifery

Abstract Introduction Many people with Parkinson’s (PwP) are not given the opportunity or do not have adequate access to participate in clinical research. To address this, we have codeveloped with users an online platform that connects PwP to clinical studies in their local area. It enables site staff to communicate with potential participants and aims to increase the participation of the Parkinson’s community in research. This protocol outlines the mixed methods study protocol for the usability testing of the platform. Methods and analysis We will seek user input to finalise the platform’s design, which will then be deployed in a …


African American Men’S Lived Experiences Of Stigma Regarding Use Of Mental Health Services, Leon M. Wilson Jan 2023

African American Men’S Lived Experiences Of Stigma Regarding Use Of Mental Health Services, Leon M. Wilson

Walden Dissertations and Doctoral Studies

AbstractAfrican American men are disproportionately more likely to live with untreated mental health challenges; the incidence of mental illness in African Americans is, per capita, 30% higher than among non-Hispanic Whites. African American men experience significant barriers and deterrents to psychological help seeking, which are primarily due to internalized stigma. The purpose of this qualitative phenomenological study was to explore and describe African American men’s experiences that influenced internalized stigma regarding seeking and using traditional mental health services. The theoretical framework included the theory of social stigma and minority stress theory. Nine purposively selected African American men from the Mid-Atlantic …


Nonprofit Leader Strategies For Revenue Growth And Financial Sustainability, William David Woods Jan 2023

Nonprofit Leader Strategies For Revenue Growth And Financial Sustainability, William David Woods

Walden Dissertations and Doctoral Studies

Nonprofit leaders must ceaselessly endeavor to become more entrepreneurial by accumulating strategies for growing organizational revenue and promoting financial sustainability when charitable contributions cannot fund their business operations. The failure to obtain charitable contributions can lead to nonprofit closure. Grounded in behavioral portfolio theory, the purpose of this qualitative single case study was to explore strategies a leader of a small Wisconsin nonprofit used to increase revenue and financial sustainability when charitable contributions were insufficient to finance business operations. Data collection included semistructured interviews; organizational documents and reports; financial records and reports; social media; and internet reports. Data were analyzed …


Retrospective Student Accounts Of Teacher Burnout Behaviors That Impact Social-Emotional Development, Erika Young Jan 2023

Retrospective Student Accounts Of Teacher Burnout Behaviors That Impact Social-Emotional Development, Erika Young

Walden Dissertations and Doctoral Studies

Teachers are the stability of the classroom where students are learning, making connections with peers, and preparing for their future. Teachers who are burnt out could make this difficult for some students. This qualitative, narrative study addressed the problem of discovering how teacher burnout behaviors impact social and emotional development among six public high school students through student retrospective stories. The theoretical foundation for this research was Bandura’s reciprocal determinism. Data were gathered through six semi-structured interviews and analyzed by thematic analysis, which provided four themes: 1) Variability in the impact of teacher burnout behavior, 2) The ways teacher burnout …


Conditioned Reinforcement By Stimuli Correlated And Uncorrelated With A Schedule Of Food Reinforcement, Lillian L. Skiba-Thayer Jan 2023

Conditioned Reinforcement By Stimuli Correlated And Uncorrelated With A Schedule Of Food Reinforcement, Lillian L. Skiba-Thayer

Graduate Theses, Dissertations, and Problem Reports (ETD)

A conditioned reinforcer derives its function from a relation to an established reinforcer. Respondent views suggest that a stimulus acquires reinforcing properties because it is positively correlated with an established reinforcer. Alternatively, the information hypothesis suggests that a stimulus acquires reinforcing properties because it reduces uncertainty about the likelihood of an established reinforcer. Observing response procedures have been used to evaluate the function of stimuli positively correlated (S+), negatively correlated (S-), and uncorrelated (S1, S2) with established reinforcers such as food (with animals) or money (with humans). Verbal instructions have been shown to alter the extent to which correlated and …


Social Workers’ Growth, Identity, And Professional Quality Of Life After Adverse Childhood Experiences, Hope Beavers Jan 2023

Social Workers’ Growth, Identity, And Professional Quality Of Life After Adverse Childhood Experiences, Hope Beavers

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) have been linked to long-term impairments involving neurobiological and epidemiological functions and increased risk for mental and physical health challenges. Many social workers have experienced a high number of ACEs, which increases risks for problems involving wellness, employment instability, and secondary traumatic stress (STS). However, the impact of total ACEs on social workers’ identity, growth, and professional quality of life (PQL) is less known. Using a correlational cross-sectional design, this quantitative study involved examining the impact of total ACEs on posttraumatic growth (PTG), event centrality, and PQL (in terms of burnout, STS, and compassion satisfaction) for …


Predictive Effects Of Length Of Treatment And Type Of Dialysis On African Americans’ Quality Of Life, Latoya Benjamin Jan 2023

Predictive Effects Of Length Of Treatment And Type Of Dialysis On African Americans’ Quality Of Life, Latoya Benjamin

Walden Dissertations and Doctoral Studies

Individuals on dialysis often face challenges with the management of their health, resulting in low health-related quality of life (HRQOL), but the extent of this impact has not been fully examined. The purpose of this quantitative cross-sectional study was, having accounted for relevant demographic variables such as age, gender, family history, employment status, to examine the effects of length of time for treatment and type of dialysis on HRQOL in African American end-stage renal disease (ESRD) patients. This study was guided by the socioecological model. Secondary data from 2016 to 2021 was obtained from the Chronic Renal Insufficiency Cohort (CRIC) …


Qualitative Assessment Of Psychological Safety And Ethics In Corrections Officers, Gary Robert Breig Jan 2023

Qualitative Assessment Of Psychological Safety And Ethics In Corrections Officers, Gary Robert Breig

Walden Dissertations and Doctoral Studies

AbstractIn this qualitative study, I explored psychological safety, team learning, and ethical and moral perception among correctional officers that worked in the prison industry. Former officers provided data by participating in an open-ended question interviews. I used a phenomenological approach to gather information from former officers about their psychological safety experience and their ethical and moral perceptions. Participants gave insight into their training and their work as individuals and as teams exploring individual and team psychological safety and ethical and moral perception while interacting with each other in the prison workplace. Research questions were about officer preparation, officer collaboration quality, …


Strategies To Increase Volunteer Retention In Protestant Churches, Anthony David Brown Jan 2023

Strategies To Increase Volunteer Retention In Protestant Churches, Anthony David Brown

Walden Dissertations and Doctoral Studies

Church leaders utilize volunteers as the primary human capital to accomplish organizational goals. However, volunteer retention is an ongoing global challenge for church leaders, and unless addressed, leaders will be hindered in achieving church goals. Grounded in the job embeddedness conceptual framework, the purpose of this qualitative, multiple-case study was to explore strategies some church leaders used to retain volunteers to accomplish organizational goals. Three leaders from different Protestant churches in the Southwest United States participated in the study. Data were collected from semistructured interviews, internal church documents, and publicly accessible information. Data were analyzed using thematic analysis, and six …


Understanding Experiences Of Racial Microaggressions Among African American Women In Cross-Racial Supervision, Nicole Daley Jan 2023

Understanding Experiences Of Racial Microaggressions Among African American Women In Cross-Racial Supervision, Nicole Daley

Walden Dissertations and Doctoral Studies

Racial microaggressions are statements that occur in everyday life that are regarded as instances of subtle or unintentional discrimination against members of a racial or ethnic minority. For African Americans, racial microaggressions are feelings of denigration and exclusion. Racial aggressions experienced by African American women in clinical counseling profession (counseling, psychology, social work, mental health) supervision have not been well-studied. Interpretative phenomenological analysis was used in this qualitative study to explore African American women supervisees' experience of racial microaggressions in cross-racial supervision. Intersectionality theory and identity negotiation theory were used to guide the development and analysis plan. Semistructured, audio-recorded interviews …


The Experience Of African American Gay Fathers Raising A Child With Autism, Andrew Davis Jan 2023

The Experience Of African American Gay Fathers Raising A Child With Autism, Andrew Davis

Walden Dissertations and Doctoral Studies

Research found on the experience of parenting children with autism spectrum disorder (ASD) focused on the experiences of mothers, with much of the research about fathering centering around the experiences of White fathers, mostly heterosexual, with some attention to the experiences of gay White fathers. This study filled the gap by exploring the experiences of African American (AA) gay fathers raising a child diagnosed with ASD. The purpose of this descriptive qualitative study was to explore the lived experiences and understand how these fathers access resources for their child and the barriers they deal with. Bowen’s family system theory guided …


Relational Turbulence And Identity Gaps Amongst Committed Consensually Non-Monogamous Partners, R. E. Purtell Jan 2023

Relational Turbulence And Identity Gaps Amongst Committed Consensually Non-Monogamous Partners, R. E. Purtell

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this dissertation was to investigate relational turbulence processes and test Relational Turbulence Theory’s (RTT) first five propositions in a sample of 528 committed consensually non-monogamous (CNM) partners as they are experiencing the transition of their committed partner adding a new sexual or romantic partner other than themselves. CNM relationships are those in which at least one partner has multiple sexual and/or romantic relationships with the consent of all parties involved. Generally, the first five propositions of RTT were supported. Specifically, self uncertainty and partner uncertainty positively predicted relationship uncertainty, which in turn predicted biased cognitive appraisals, and …


Effects Of Aripiprazole Alone And In Combination With D-Amphetamine On Probability Discounting In Sprague-Dawley Rats, Paige Currie Jan 2023

Effects Of Aripiprazole Alone And In Combination With D-Amphetamine On Probability Discounting In Sprague-Dawley Rats, Paige Currie

Graduate Theses, Dissertations, and Problem Reports (ETD)

Pharmaceuticals are helpful tools in aiding individuals with psychiatric diagnoses. Sometimes, the drug’s side effects can be more severe than the initial problem. Maladaptive behaviors, like pathological gambling, overeating, and substance abuse, are important to consider during the prescription of different pharmaceuticals, particularly those used to treat Attention-Deficit/Hyperactivity Disorder (ADHD) and autism spectrum disorder (ASD). Individuals with these diagnoses are often prescribed: stimulants, like d-amphetamine (d-AMP; for symptoms associated with ADHD), and antipsychotics, like aripiprazole (ARI; for symptoms associated with ASD). These drugs in combination could influence maladaptive behavior, including risky choice (probability discounting). The present study …


Anxiety Risk Factors And Social Isolation Among Young Adults, Jennifer Clancy Jan 2023

Anxiety Risk Factors And Social Isolation Among Young Adults, Jennifer Clancy

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic is a public health concern that impacted the world. Increased feelings of loneliness and social isolation during the pandemic were reported to be associated with those seeking help for symptoms of anxiety and depression. Though symptoms of anxiety have been associated with social isolation, research is limited on the association between the anxiety risk factors and social isolation among young adults in the United States. Using the socioecological model, the association between social isolation (dependent variable) with financial stress, health anxiety, and perceived impact of COVID-19 (independent variable), and the influence of gender, race, and household status …


Nurses’ Perception Of Facilitators And Barriers To The Community College Faculty Role, Hallie Roselie Coppi Jan 2023

Nurses’ Perception Of Facilitators And Barriers To The Community College Faculty Role, Hallie Roselie Coppi

Walden Dissertations and Doctoral Studies

There is an increased nursing faculty shortage throughout the United States (U.S.) which can have a significant impact on student enrollment in nursing programs. The purpose of this descriptive qualitative study, which was guided by Herzberg’s two-factor theory, was to explore perceptions of nursing faculty about their role in community college associate degree nursing (ADN) programs in the western U.S. Data were collected via in-depth semi-structured interviews with 14 nurse educators to gain insights regarding experiences with role transition, work expectations, and plans in academia. Transcribed interview data were thematically analyzed to reveal seven overarching themes which were motivation, role …


Effect Of Drug Medi-Cal Organized Delivery System Access To Substance Use Disorder Treatment, Ana Y. Davies Jan 2023

Effect Of Drug Medi-Cal Organized Delivery System Access To Substance Use Disorder Treatment, Ana Y. Davies

Walden Dissertations and Doctoral Studies

Drug addiction, mental health disorders, and homelessness has impacted communities nationwide increasing mortality and morbidity and is a public health threat. But access to substance use treatment has been a problem due to the lack of the ability by many to pay for services. This observational quantitative research design utilized administrative secondary data collected between July 2017 and June 2022. The key variables are Insurance Status, Number of Admissions, and Successful Discharges in outpatient substance use treatment. The purpose of the study and research questions involved evaluating the effects Drug Medi-Cal (DMC) Organized Delivery System program by analyzing program admissions …


The Effect Of Face Interpretation Training On Social Anxiety Symptoms, Grace L. Wheeler Jan 2023

The Effect Of Face Interpretation Training On Social Anxiety Symptoms, Grace L. Wheeler

Graduate Theses, Dissertations, and Problem Reports (ETD)

According to cognitive models of social anxiety disorder (SAD), individuals place excessive importance on gauging others’ reactions (e.g., facial expressions) to their social performance. Facial interpretation bias modification (FIBM) was developed to shift interpretations of ambiguous faces. The current study uses FIBM to test whether face interpretation is causally related to SAD symptoms in an unselected adult sample. Participants (N=139) were randomized to 1 of 3 conditions (positive, negative, accurate) in a single-session, online study. Pre- and post- intervention measures of face interpretation and SAD were completed. In line with hypotheses, individuals in the positive condition interpreted faces more positively …


Effects Of Development On Hpa Function Following Pubertal Stress, Brittany D. Elliott Jan 2023

Effects Of Development On Hpa Function Following Pubertal Stress, Brittany D. Elliott

Graduate Theses, Dissertations, and Problem Reports (ETD)

For women, two of the greatest risk factors for affective disorders are adversity experienced during puberty and later becoming pregnant. We have created a translationally relevant mouse model where we address these complex risk factors. Previously, we discovered that pregnant mice (dams) that experienced chronic variable stress (CVS) during puberty display a blunted hypothalamic-pituitary-adrenal (HPA) response when exposed to an acute stressor. Interestingly, this alteration only first becomes apparent during pregnancy, which is a sensitive period for these effects due to normative neuroendocrine changes. Further investigation of the mechanisms underlying this dysfunction revealed altered gene expression in the paraventricular nucleus …


Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim Jan 2023

Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim

Walden Dissertations and Doctoral Studies

The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …


Evaluation Of Renewal During Differential Reinforcement With Asymmetrical Choices And A Context Fading Mitigation Technique, Kacey R. Finch Jan 2023

Evaluation Of Renewal During Differential Reinforcement With Asymmetrical Choices And A Context Fading Mitigation Technique, Kacey R. Finch

Graduate Theses, Dissertations, and Problem Reports (ETD)

Successful clinical behavior analytic treatment often results in decreases in challenging behavior and increases in appropriate behavior. These reductions in challenging behavior are often achieved by implementing differential reinforcement of alternative behavior (DRA; Petscher et al., 2009). One variation of DRA to decrease challenging behavior is differential reinforcement with asymmetrical choices, which are two or more concurrently available response options associated with differential outcomes (Fisher & Mazur, 1997; Kestner et al., 2023). However, responding that was previously reduced sometimes reemerges. Specifically, renewal is the reemergence of a previously reduced response following a context change. The first two experiments evaluated renewal …


Understanding The Relationship Between Landscape Characteristics And Public Preferences: A Case Study In A Proposed Appalachian Geopark Project In Southern West Virginia, United States, Ganga Nakarmi Jan 2023

Understanding The Relationship Between Landscape Characteristics And Public Preferences: A Case Study In A Proposed Appalachian Geopark Project In Southern West Virginia, United States, Ganga Nakarmi

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this dissertation was to understand the relationship between landscape characters and public preferences in the proposed Appalachian Geopark (pAGP) in southern West Virginia, United States (U.S.). This region was well-known for industrial activities such as coal mining logging and railways during the 1800s. With the diminishing industrial activities, the region was left behind with degraded environmental factors including landscapes and an economically challenged society. Because of these conditions, there is a need to develop this region without further damaging the lands and implement proper land management policies and practices. Understanding characteristics of those lands from the past …


Rather Than To Seem: Black And Indigenous Narratives In A Stormy, Swampy South, Jennifer Denise Peedin Jan 2023

Rather Than To Seem: Black And Indigenous Narratives In A Stormy, Swampy South, Jennifer Denise Peedin

Graduate Theses, Dissertations, and Problem Reports (ETD)

I examine the narratives of the South that have been historically overlooked, ignored, or hidden in order to establish a dominant narrative of the region. The narratives examined here are by southern Black and Indigenous authors who restore lost knowledge and offer histories that help complete the South culturally and ecologically. The conceptual methodology develops from LeAnne Howe’s tribalography which explains that Indigenous people create stories and histories that transform the space around them and offer an understanding of the world around us. Another methodology used is Anthony Wilson’s ecocritical swamp studies; each chapter analyzes a narrative centered around a …


First-Generation College Graduates’ Perceptions Of Participating In Required Academic Advising Sessions For Degree Completion, Frances Paige Fowler Jan 2023

First-Generation College Graduates’ Perceptions Of Participating In Required Academic Advising Sessions For Degree Completion, Frances Paige Fowler

Walden Dissertations and Doctoral Studies

Many first-generation students enter college underprepared, leading them to face challenges that include failure to persist to degree completion. Empirical literature informs how academic advising programs help students persist to degree completion; however, a literature gap exists related to how regularly required academic advising programs influence students to persist to degree completion. This basic qualitative study provides insight into the perceptions of first-generation college graduates regarding how their regularly required academic advising sessions helped them to persist to degree completion. The conceptual framework is Tinto’s theory of student retention, which addresses students’ academic and social integration. Eight first-generation college graduates …


Epistemological Insecurity In The Anthropocene, Dustin Purvis Jan 2023

Epistemological Insecurity In The Anthropocene, Dustin Purvis

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation analyzes how increased mainstream awareness of climate change and other complex environmental phenomena transforms some of the basic tools we use to understand the world, including notions of agency, evidence, and causality. More specifically, this project highlights numerous contemporary literary and cultural narratives that formally and thematically depict impromptu systems of action and comprehension developed by humans confronting the unique forms of information overload that result from damaged and rapidly changing environments. Following critics like Ulrich Beck, Rob Nixon, and Stacy Alaimo, I suggest our current era of ecological instability and destructive environmental practices dictate what I refer …