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Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi Jan 2023

Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi

Walden Dissertations and Doctoral Studies

Afghanistan is one of the remaining polio endemic countries in the world. Nearly one million children under 5 years of age have missed polio vaccination in Afghanistan from May 2018 until January 2021. This quantitative study used the socioecological model as the theoretical framework and secondary data analysis of the 2020 polio serosurvey (N = 1384) to investigate various risk factors such as gender, parental education, family origin (language/location), wealth, distance to nearest health facility, and number of polio vaccine doses on the level of antibodies (i.e., seroprevalence) against all three types of polioviruses in children of two age groups, …

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Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins Jan 2023

Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins

Walden Dissertations and Doctoral Studies

While anyone can be a victim of sexual violence, college-aged females between the ages of 18 and 21 are more likely to be victimized than any other group. Sexual violence continues to be a barrier to education, and colleges/universities make it challenging for students to report on campus. The purpose of this study is to explore the factors, intervention/prevention strategies, and policies/procedures used to address sexual violence on a university campus. The framework used was the ecological model, which focuses on factors and influences within the environment that affected individual behavior. The research questions focused on participants describing their experiences …

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Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White Jan 2023

Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White

Walden Dissertations and Doctoral Studies

This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …

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Examination Of The Association Between Poverty, Income, And Education Levels On Tuberculosis Prevalence In Nigeria: Rural Niger Delta Case Study, Nwinmene George Zarakpege Jan 2023

Examination Of The Association Between Poverty, Income, And Education Levels On Tuberculosis Prevalence In Nigeria: Rural Niger Delta Case Study, Nwinmene George Zarakpege

Walden Dissertations and Doctoral Studies

Despite the global decline in tuberculosis (TB) cases, the prevalence of TB in rural populations in Nigeria is rising. To date, poverty and low educational levels continue to affect treatment and other prevention strategies to eradicate the disease. The purpose of this cross-sectional study was to assess the association between poverty, educational levels, household structure and vaccination status on TB prevalence in rural Niger Delta, Nigeria. The theoretical framework for this study was the socio-ecological model. Data were obtained from residents of rural Niger Delta in Nigeria attending a teaching hospital in southern Nigeria. The relationship between the stated demographic …

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Differences In High School Student Athlete Perceptions Of Coach Leadership Behaviors, Clarissa Adams Jan 2023

Differences In High School Student Athlete Perceptions Of Coach Leadership Behaviors, Clarissa Adams

Walden Dissertations and Doctoral Studies

The dynamics between athletic coaches and their players have been widely studied with leadership as the focus. The problem was that there is limited literature on the differences in perceptions of high school student athletes regarding their coach’s leadership behaviors. The purpose of this group comparison study was to examine the differences in student athletes’ perceptions of their coach’s leadership behavior as measured by the Revised Leadership Scale for Sports scores between freshman, junior varsity, and varsity high school student athletes. Chelladurai’s multidimensional model of leadership was the theoretical foundation for this study. The invitation to the study with a …

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Maternal Folate Status And Risk Factors For Autism Spectrum Disorders, Michael M. Haniff Jan 2023

Maternal Folate Status And Risk Factors For Autism Spectrum Disorders, Michael M. Haniff

Walden Dissertations and Doctoral Studies

Autism spectrum disorders (ASD) are thought to be influenced by environmental, genetic, and maternal factors, including potential links to periconceptional folic acid. This quantitative case-control study, guided by the life course theory, explored the association of maternal risk factors (age, race, education, income, folate status, gestational diabetes, gestational hypertension, and MTHFR mutation) on the precipitation of ASD in offspring. The sample comprised 96 mothers of children with ASD and 143 mothers of children without ASD. Logistic regression analysis indicated no significant association between maternal folate status and ASD (OR = 1.00, 95% CI [1.000, 0.001], p = .755). Mothers with …

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Food And Income Insecurity And Academic Progress Among African American College Students During The Covid-19 Pandemic, Gloria Brown Moore Jan 2023

Food And Income Insecurity And Academic Progress Among African American College Students During The Covid-19 Pandemic, Gloria Brown Moore

Walden Dissertations and Doctoral Studies

The impact of food insecurity on minority college students is an ongoing concern that reached new importance during the COVID-19 pandemic. Although researchers have examined food insecurity among college students during COVID-19, they had not explored the role of coping responses among African American college students during the onset of the pandemic. The purpose of this study was to investigate coping responses as mediators between situational stressors (students’ experiences of food insecurity, residential changes, and changes in employment) and academic progress among African American college students during COVID-19. The instruments used for this study were the Brief COPE Inventory, Global …

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The Reproductive Health Experienced By Female Shift Workers In The United States, Jessica Parsons Jan 2023

The Reproductive Health Experienced By Female Shift Workers In The United States, Jessica Parsons

Walden Dissertations and Doctoral Studies

Shift work has become a normalized part of the occupational schedule across all industries, where previous research has illustrated the detrimental effect on female reproductive health. The conceptual lens that this research used was based on shift work adaptation. Worker adaptability to shift work, through management of occupational and non-occupational demands, may be fundamental in reducing negative health outcomes associated with shift work. This descriptive qualitative study detailed the experiences of female shift workers in the United States to better understand the conditions, barriers, and perceptions of their reproductive health that lead to adaptive or maladaptive behavior amid a non-traditional …

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Lived Experiences Of Female Executives Leading During The Covid-19 Pandemic, Jane Loya Ryan Jan 2023

Lived Experiences Of Female Executives Leading During The Covid-19 Pandemic, Jane Loya Ryan

Walden Dissertations and Doctoral Studies

AbstractThis basic qualitative study was conducted to explore the authentic leadership experiences of women as they navigated through the COVID-19 pandemic, including the challenges they faced, the decisions they made, the lessons learned, and what they would do differently in the future. The conceptual framework used in this study was the role congruity theory of prejudice toward female leaders and humanistic motivation theory, which were used to examine the gender disparities that pose challenges for female leaders. The research involved conducting online conference interviews with nine individuals. Volunteers met the following selection criteria: identified as a female with five or …

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Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent Jan 2023

Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent

Walden Dissertations and Doctoral Studies

Many people brought into the U.S. criminal justice system have substance abuse problems that served as the primary or secondary catalyst for offending. To treat substance use disorder in these individuals, medication-assisted treatment (MAT) is being evaluated as a viable option in the criminal justice system. The purpose of this quantitative study was to evaluate the effectiveness of a MAT treatment program by reviewing existing data regarding offenders who were receiving the opioid antagonist naltrexone, other supplemental medications, and cognitive behavior therapy in a therapeutic community inside a correctional setting. Biological and social learning theoretical frameworks guided the study. Secondary …

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Spiritual Outreach Methods To Support Congregant Mental Wellness, Jacob Aaron Wiley Jan 2023

Spiritual Outreach Methods To Support Congregant Mental Wellness, Jacob Aaron Wiley

Walden Dissertations and Doctoral Studies

This qualitative case study was an exploration of the HOPE organization’s communication strategies for supporting its congregants spiritually and emotionally before, during the peak, and after peak of the COVID-19 pandemic. The goal was to understand the effectiveness of these efforts to inform communications strategies in the event of future disasters or other service disruptions given the importance of maintaining congregant’s spirituality levels, which are uniquely important for their mental health and sense of well-being. The conceptual framework was the Baldrige framework of excellence. Primary data were collected through semistructured interviews with five key leaders. Secondary data were gathered from …

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Food Insecure Single Mothers’ Perceptions In Accessing School Nutrition Programs During Covid-19, Deshona Williams Liburd Audain Jan 2023

Food Insecure Single Mothers’ Perceptions In Accessing School Nutrition Programs During Covid-19, Deshona Williams Liburd Audain

Walden Dissertations and Doctoral Studies

Global pandemics and natural disasters can cause basic human needs hardships. Being able to access adequate nutritious food is a fundamental basic human need. Food insecurity remains a dominant concern in underdeveloped countries prior to natural disaster and global pandemic. During the COVID-19 pandemic of 2020 low-income United States Virgin Islands single mothers’ dilemma was accessing available nutritious foods for their school-aged children through nutrition assistance programs. An interpretative phenomenological qualitative study was conducted to explore the types of lived experiences these single mothers faced. The social ecological model (SEM) was used as the conceptual framework for the study. The …

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African American Women’S Perceptions Of African American Men’S Preferences Of Female Body Size, Misty Withers Jan 2023

African American Women’S Perceptions Of African American Men’S Preferences Of Female Body Size, Misty Withers

Walden Dissertations and Doctoral Studies

Obesity is a chronic disease that is caused by unbalanced nutrition, sedentary lifestyles, and genetics. This research focused on the problem African American (AA) women face, which leads to a risk for diabetes, hypertension, heart disease, and various cancers. The inconsistency in the literature regarding additional factors related to obesity among AA women prompted this research. The purpose of this qualitative study was to gain a greater understanding of AA women’s perceptions of AA men preferences about female body sizes. The prototype willingness model was selected as the theoretical framework for this study to examine AA women’s discussions about their …

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Perspectives Of Teachers On The Use Of Technology Within The Preschool Experience, Cynthia L. Basse Jan 2023

Perspectives Of Teachers On The Use Of Technology Within The Preschool Experience, Cynthia L. Basse

Walden Dissertations and Doctoral Studies

Due to the increased use of technology in people’s lives, digital media literacy has become increasingly more important in young children’s early experiences. When used appropriately, children discover how to use digital media in ways that enhance their learning, preparing them for the positive benefits of technology use across their lifetime. The problem investigated in this study is that preschool teachers reported they did not use technology within the preschool experience. The purpose of this study was to explore teachers’ perspectives on technology use within the preschool experience. The conceptual framework for this qualitative study was developmentally appropriate practice. The …

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Association Between Dietary Phytoestrogen Intake And Xenoestrogen Exposure And Estrogen-Dependent Cancers, Pisita Bolsue Jan 2023

Association Between Dietary Phytoestrogen Intake And Xenoestrogen Exposure And Estrogen-Dependent Cancers, Pisita Bolsue

Walden Dissertations and Doctoral Studies

The role of circulating estrogens and the impact of lifetime exposure to multiple sources of exogenous estrogens as factors in carcinogenesis were not well understood. Research showed conflicting results when dietary phytoestrogen (PE) intake and xenoestrogen (XE) exposure occurred independently and when co-exposed. The purpose of this quantitative cross-sectional study was to investigate the association between dietary PE intake and XE exposure and the development of estrogen-dependent cancers in an epidemiological context. The advanced model of the epidemiology triangle was the theoretical framework for the current study in which binary logistic regression was employed on secondary data from the 2003–2006 …

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Self-Efficacy Facilitated Sleep, Physical Activity, Towards Regulating Bmi Of Permanent 12-Hour Shift Registered Nurses, Veronica Brock Jan 2023

Self-Efficacy Facilitated Sleep, Physical Activity, Towards Regulating Bmi Of Permanent 12-Hour Shift Registered Nurses, Veronica Brock

Walden Dissertations and Doctoral Studies

Shift workers with obesity-related comorbidities have reduced health and lifespan. Registered nurses (RNs) are ranked fifth among the most obese professionals in the United States, according to recent studies. Researchers have not examined the relationship between self-efficacy, physical activity, sleep, and 12-hour night shift RNs despite demonstrating that self-efficacy inspires confident health habits in the general population. For this quantitative study, the social cognitive theory was applied to study the interrelationships among the independent variables, sleep self-efficacy, self-efficacy for physical activity, and body mass index (BMI), with multiple dependent demographic variables, quality and quantity of sleep, and the level and …

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Promoting Healthier Treatment Outcomes In Obese Cancer Patients Taking High Dose Methotrexate, Carly Dell'ova Jan 2023

Promoting Healthier Treatment Outcomes In Obese Cancer Patients Taking High Dose Methotrexate, Carly Dell'ova

Walden Dissertations and Doctoral Studies

Cancer and obesity rates continue to rise, creating enormous public heath burdens to the individual and at the national and global levels, reducing quality of life, and increasing spending. Moreover, the relationships between cancer and obesity are not well understood. A commonly used chemotherapy for several types of cancer is high dose methotrexate (HDMTX). Along with chemotherapy, especially at high doses, comes toxicity to specific organs and the entire body. However, limited research has been conducted on obese cancer patients as they are often excluded from clinical studies. Practitioners need to better understand how to dose these patients to provide …

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Understanding Urban Agriculture As A Food Insecurity Intervention In Jacksonville, Fl, Christopher George Eddis Jan 2023

Understanding Urban Agriculture As A Food Insecurity Intervention In Jacksonville, Fl, Christopher George Eddis

Walden Dissertations and Doctoral Studies

Food insecurity impacts economically disadvantaged communities around the world, including in the United States where over 41 million people experience issues of food insecurity in their daily lives. This lack of access to food can have a ripple effect on individuals and communities in multiple ways, including impacts on mental, physical, and social states of well-being and stability. Therefore, the purpose of this study is to increase the understanding of urban agriculture (UA) as a component of food insecurity assistance. This study focused on the experiences of food insecure individuals with various forms of UA, asking the research question, if …

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The Experiences Of Middle-Aged Women In An Online Weight-Loss Community, Holly Fields Jan 2023

The Experiences Of Middle-Aged Women In An Online Weight-Loss Community, Holly Fields

Walden Dissertations and Doctoral Studies

The obesity epidemic continues to be a public health crisis in the United States. The number of obese middle-aged women has risen dramatically over the past few decades. Despite multiple levels of support available, not all women are receiving the support they need to reduce overweight/obesity, as evidenced by the continuing rise in obesity. Using a qualitative phenomenological approach, this study examined middle-aged women's views on exercising, eating healthily, and social support in online weight-loss communities. For this study, the health belief model (HBM) and social learning theory (SLT) were used as conceptual frameworks to understand a person's behavioral intentions …

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Public School Elementary Teachers’ Perspectives On Levels Of Workplace Stress And Needed Supports, Rima S. Granados Jan 2023

Public School Elementary Teachers’ Perspectives On Levels Of Workplace Stress And Needed Supports, Rima S. Granados

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that public elementary school teachers in the United States have reported increasing levels of workplace stress. Teachers’ stress levels need to be studied and addressed because they affect students as well. The purpose of this basic qualitative study was to explore elementary public school K-3 teachers’ perspectives on their levels of workplace stress and institutional supports needed to reduce workplace stress. Coping-competence-context theory was the conceptual framework. Research questions explored elementary public school teachers’ perspectives on their levels of workplace stress, and their perspectives on the institutional supports needed to reduce workplace stress. …

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Associations Between Socioecological Factors And Breastfeeding Duration Among Obese Mothers In Mississippi, Maria Mercedes Miranda Porter Jan 2023

Associations Between Socioecological Factors And Breastfeeding Duration Among Obese Mothers In Mississippi, Maria Mercedes Miranda Porter

Walden Dissertations and Doctoral Studies

There is a growing obesity pandemic in the United States. Low breastfeeding duration rates and socioecological factors lead to obesity in the most southern states. Overweight and obese breastfeeding mothers have not been primarily studied. There is mixed information regarding duration of breastfeeding, BMI, and heart health, as well as a lack of quantitative analyses involving reducing obesity rates in mother-child dyads. The purpose of this quantitative cross-sectional study was to investigate whether there were any associations between breastfeeding duration and BMI, heart health problems, breastfeeding support, and eating and exercise among Mississippi overweight and obese postpartum women based on …

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The Cultural Diet Behaviors Of African Immigrants In California For Preventing Chronic Health Conditions Including Obesity, Jahswill Ukagumaoha Jan 2023

The Cultural Diet Behaviors Of African Immigrants In California For Preventing Chronic Health Conditions Including Obesity, Jahswill Ukagumaoha

Walden Dissertations and Doctoral Studies

AbstractAfrican immigrants to the United States face many challenges when diagnosed with obesity and other chronic health conditions. However, research concerning the role of cultural diets in preventing or ameliorating chronic health conditions including obesity has rarely focused on African immigrants. The purpose of this study was to explore the opinions, perceptions, and experiences of African immigrants on cultural diet preferences in the prevention of chronic health conditions, including obesity. Using the theory of assimilation and acculturation theory as a framework for the inquiry, the research questions focused on exploring the experiences, opinions, and perceptions of African immigrants concerning chronic …

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The Quality Of Life Of Menopausal Women With Polycystic Ovary Syndrome, Glendoria Stephens Jan 2023

The Quality Of Life Of Menopausal Women With Polycystic Ovary Syndrome, Glendoria Stephens

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a severe public and clinical health issue that puts a strain on health care resources and adversely affects the health of women throughout their life span. The syndrome has adverse reproductive and metabolic features linked to infertility, heart disease, cancer, diabetes, and psychological problems. The literature provides evidence that the quality of life (QoL) and psychological well-being of PCOS reproductive-age women is compromised due to comorbidities related to both the reproductive and metabolic features of the syndrome. Little research has been conducted to investigate the QoL of menopausal women ages 48–65 who were diagnosed with …

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Diabetes Self-Care Management Education For Advanced Practice Registered Nurses In Primary Care Setting, Rebecca Anne Griggs-Galyean Jan 2023

Diabetes Self-Care Management Education For Advanced Practice Registered Nurses In Primary Care Setting, Rebecca Anne Griggs-Galyean

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus is a preventable chronic condition that affects many members of the U.S. population. Diabetes is associated with comorbidities including cardiovascular disease, end-stage renal disease, hypertension, neuropathy, and lower limb amputations, leading to increased mortality. Patient self-care education has been shown to improve adherence to diabetes self-care (DSC) in the primary care setting. However, advanced practice registered nurses (APRN) in the local primary care setting lacked knowledge of DSC. Therefore, nursing knowledge of DSC was needed. The project question asked whether staff education on the use of the Association of Diabetes Care and Education Specialists 7 (ADCES7) …

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Relationship Between Childhood Trauma, ,Adverse Childhood Experiences, And Self-Management Of Type 1 And Type 2 Diabetes, Deserie J. Otoole Jan 2023

Relationship Between Childhood Trauma, ,Adverse Childhood Experiences, And Self-Management Of Type 1 And Type 2 Diabetes, Deserie J. Otoole

Walden Dissertations and Doctoral Studies

AbstractPoorly controlled diabetes is the result of lack of self-care, which contributes to complications, ill quality in life, the rise in health care costs, and early death. The purpose of this quantitative, nonexperimental study was to examine the extent to which diabetes type (Type 1 and Type 2), childhood trauma, and adverse childhood experiences predict diabetes self-management (glucose management, dietary control, physical activity, health care use, total self-management). Contemporary trauma theory suggests that early childhood trauma results in negative health-related consequences in adulthood. Standard multiple regression analyses showed that (a) higher levels of physical neglect and emotional abuse predicted poorer …

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Relationship Between Food Insecurity, Depression, And Race/Ethnicity Among U.S. Adults Aged 60–69 Years, Patrick E. Crandon Jan 2023

Relationship Between Food Insecurity, Depression, And Race/Ethnicity Among U.S. Adults Aged 60–69 Years, Patrick E. Crandon

Walden Dissertations and Doctoral Studies

Abstract Food insecurity (FI) and depression among older populations in the United States are public health concerns. Although FI has declined in the United States, it is a psychosocial stressor prevalent among the growing population of adults over 60. It is unknown to what extent FI contributes to depression among racial/ethnic minorities in this population. The purpose of this quantitative cross-sectional study was to examine the relationships between FI and race and depression among U.S. adults aged 60–69 years when adjusting for other variables. The social-ecological model was used to understand the interplay between individual and environmental factors that may …

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Health Education Practices For Middle Eastern Women With Polycystic Ovary Syndrome, Walaa Daffaalla Jan 2023

Health Education Practices For Middle Eastern Women With Polycystic Ovary Syndrome, Walaa Daffaalla

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a complex women’s health condition that reduces women’s quality of life, leading to health complications, such as menstruation issues, infertility, insulin resistance, risk of type 2 diabetes, depression, anxiety, emotional stress, being overweight or obese, and more. Research on PCOS has focused on the etiology and complications in women from different ethnicities. But limited research has explored the experiences and perspectives of Middle Eastern (ME) women in the United States with PCOS related to PCOS health education. The purpose of this qualitative study was to explore the perspectives and experiences of ME women of reproductive …

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Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison Jan 2023

Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison

Walden Dissertations and Doctoral Studies

The human papillomavirus (HPV) is a leading domestic and global sexually transmitted disease. The purpose of this secondary quantitative, cross-sectional study is to investigate if there is an relationship between the rate of oral HPV-oropharyngeal squamous cell carcinoma (OPSCC) and race, exposure to smoking cigarettes (tobacco), risky sexual behavior, and participation in oral sex of male-to-male contact vs. male-to-female contact. The social cognitive theory grounded this study. The University of Alabama at Birmingham cancer database population supplied the study’s sample size of 337 males greater than 18 years of age with a diagnosis of OPSCC. I conducted descriptive analyses using …

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Improving Self-Efficacy Of Primary Care Providers With Assessment Of Diabetic Peripheral Neuropathy, Kimberly Paddock Farr Jan 2023

Improving Self-Efficacy Of Primary Care Providers With Assessment Of Diabetic Peripheral Neuropathy, Kimberly Paddock Farr

Walden Dissertations and Doctoral Studies

AbstractDiabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes. DPN contributes to significant pain, debility and injury to diabetic patients. The majority of diabetic patients are managed in the primary care practice (PCP) setting. A local chapter of a nurse practitioner association identified a lack of knowledge of current evidence-based guidelines for effective screening and assessment of DPN in the PCP environment. The practice-focused question for this project was to determine if an educational intervention on evidence-based screening and assessment would improve nurse practitioner’s knowledge with DPN screening and diagnosis in PCP. Mezirow’s transformative theory of …

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Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy Jan 2023

Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy

Walden Dissertations and Doctoral Studies

According to recent studies, the consumption of ultra-processed food is a major issue that leads to fatal outcomes within the United States, which is relevant because this type of food has become more accessible over the years. Using data from the National Health And Nutrition Examination Survey III (NHANES III), previous researchers found that frequent consumption of ultra-processed foods was associated with greater chances of all-cause mortality in U.S. adults, but little research has focused on factors that can impact ultra-processed food consumption, such as food environment. The purpose of this quantitative longitudinal study was to examine the effect of …

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