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A Swimming Program For Children With Autism Spectrum Disorders: Assessing Critical Parameters From Caregivers’ Perspectives, Abir K. Bekhet, Norah L. Johnson, Tana Karenke, Amy V. Van Hecke

College of Nursing Faculty Research and Publications

One in 54 individuals is diagnosed with autism spectrum disorders (ASD). Swimming can impact the physical and mental well-being of persons with ASD, which in turn may improve their caregivers’ well-being. The purpose of this qualitative evaluation study is to assess the necessity, acceptability, feasibility, fidelity, and beginning effectiveness of a 12-session swimming training program (STP) at an indoor university pool designed to teach persons with ASD how to swim, and to teach caregivers precautions for safety around water. Participants included 7 boys, and 3 girls with ASD [mean age 7.05 years (SD 1.17)] and their caregivers. Results indicated that …

State Of The University Annual Report - 2022-2023, Office Of The President, East Tennessee State University, University Marketing And Communication, East Tennessee State University

Office of the President State of the University Annual Report

No abstract provided.

Precision Medicine Approach To Alzheimer’S Disease: Rationale And Implications, Dale E. Bredesen, Kat Toups, Ann Hathaway, Deborha Gordon, Henrianna Chung, Cyrus Raji, Alan Boyd, Benjamin D. Hill, Sharon Hausman-Cohen, Mouna Attarha, Won Jong Chwa, Alexei Kurakin, Michael Jarrett

University Faculty and Staff Publications

The neurodegenerative disease field has enjoyed extremely limited success in the development of effective therapeutics. One potential reason is the lack of disease models that yield accurate predictions and optimal therapeutic targets. Standard clinical trials have pre-determined a single treatment modality, which may be unrelated to the primary drivers of neurodegeneration. Recent proof-of-concept clinical trials using a precision medicine approach suggest a new model of Alzheimer’s disease (AD) as a chronic innate encephalitis that creates a network insufficiency. Identifying and addressing the multiple potential contributors to cognitive decline for each patient may represent a more effective strategy. Here we review …

Can Gesture Input Support Toddlers’ Fast Mapping?, Lori G. Foran, Brenda L. Beverly, John Shelley-Tremblay, Julie M. Estis

University Faculty and Staff Publications

Forty-eight toddlers participated in a word-learning task to assess gesture input on mapping nonce words to unfamiliar objects. Receptive fast mapping and expressive naming for target object-word pairs were tested in three conditions – with a point, with a shape gesture, and in a no-gesture, word-only condition. No statistically significant effect of gesture for receptive fast-mapping was found but age was a factor. Two year olds outperformed one year olds for both measures. Only one girl in the one-year-old group correctly named any items. There was a significant interaction between gesture and gender for expressive naming. Two-year old girls were …

Physical Activity, Inflammation, And Physical Function In Older Adults: Results From The Health & Retirement Study, Jeanne L. Hlebichuk, Randall J. Gretebeck, Mauricio Garnier-Villarreal, Linda B. Piacentine, Maharaj Singh, Kimberlee A. Gretebeck

College of Nursing Faculty Research and Publications

Physical function declines with aging due to physical and biological changes. The biological process of aging has been associated with increases in systemic inflammation and a greater risk for chronic conditions. In older adults, physical activity aids in maintenance of function. However, the influence of inflammatory biomarkers and adiposity on physical activity and physical function needs to be further explored. Methods: A cross-sectional secondary data analysis from Wave 13 of the Health & Retirement Study (HRS) core biennial data and Venous Blood Study (VBS) was conducted. Structural equation modeling was used to establish the model and test the relationships. Results: …

Employee Engagement Strategies In Manufacturing Organizations In Nigeria, Mofoluwaso Ilevbare

Walden Dissertations and Doctoral Studies

Employee engagement is a major concern for business leaders in the manufacturing sector due to the constantly shifting labor market and the demanding nature of the manufacturing work environment. Manufacturing leaders who lack effective strategies to improve employee engagement risk losing valuable employees, which can pose significant threats to productivity and business profitability. Grounded in Kahn’s engagement and disengagement theory, the purpose of this qualitative multiple-case study was to explore strategies manufacturing leaders in Nigeria use to increase employee engagement. Using semi-structured interviews, company business reports, and employee survey action plans and reports, data were collected from eight manufacturing leaders …

Educators' Perspectives Of How To Support The Reading Needs Of Grade 3 Through Grade 6 Students With Low Ses Resources, Antoinette Laura Matthews

Walden Dissertations and Doctoral Studies

In an urban school district in a southwestern state, the problem investigated was that elementary educators are struggling to support the reading needs of Grade 3 through Grade 6 students from families having limited access to economic resources. Students with higher socioeconomic status (SES) outperform students with low SES backgrounds. Students with proficient reading skills demonstrate higher overall academic performance and more post-secondary opportunities. The purpose of this basic qualitative study was to investigate educators’ perspectives of why current reading interventions have not been successful for Grade 3 through Grade 6 students at the target site. Using Bandura’s social learning …

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …

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. …

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 …

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 …

Beliefs Of Higher Education Online Faculty Regarding The Integration Of Multimedia, Kimberly Diane Hoyt

Walden Dissertations and Doctoral Studies

Integration of multimedia resources in higher education curricula continues to be a concern for today’s teachers, especially in identifying effective, efficient, and engaging resources that provide individualized instruction and meet a variety of learning needs. However, there was a gap in the literature regarding teachers' beliefs about multimedia integration within the context of adult learning in online higher education. The purpose of this basic qualitative study was to explore the benefits and challenges higher education online teachers experienced when integrating multimedia resources into their courses. The research question explored the beliefs of higher education online instructors about their experiences when …

Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang

Walden Dissertations and Doctoral Studies

The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …

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 …

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 …

Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory

Walden Dissertations and Doctoral Studies

Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …

The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly

Walden Dissertations and Doctoral Studies

The purpose of this research was to describe the experiences of Latina police officers working in a patrol function. Latina officers working in law enforcement agencies must contend with an agency that is traditionally male and White, leaving these officers with the need to navigate territory that has, historically, not taken their needs into account. In an age where police agencies are attempting to better serve the public, the need for officers that fit minority demographic characteristics is necessary if police agencies are to continue legitimizing their space in modern American society. This research addressed some of the issues that …

Identity Negotiations Of A Mexican Transnational In The Rio Grande Valley: Crossing The Border Daily, Xiaodi Zhou, David Martinez-Prieto

Bilingual and Literacy Studies Faculty Publications

This narrative case study examines the cultural affiliations of one transnational US-born Mexican American college student, and her various intersecting veins of identity. The aim was to capture the bordered existence in the many criteria of her being. Her linguistic identity, pop culture identity, spiritual identity, as well as her general cultural affiliations are examined as intersecting rays of influence. Utilizing Anzaldúa’s (2012) bordered identity as theoretical grounding for her partitioned selves, along with Bakhtin’s (1986) notion of cultural and linguistic dialogue, we analyzed the complexities in this one bicultural, bilingual young woman venturing into adulthood. This study sheds light …

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

Many individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …

Career Progression: Narrative Study Of Impediments Affecting Army Female Officer Advancement From Major To Lieutenant Colonel, Jeremia M. Van

Walden Dissertations and Doctoral Studies

AbstractQualitative narrative inquiry was used to understand the accounts and experiences of female officers in the United States Army that were once stationed in South Korea, who did not advance to the rank of lieutenant colonel. In today’s military, female officers still face many challenges during their advancement from Major to Lieutenant Colonel, relative to their male counterparts. The specific problem is the underrepresentation of female majors in the Army who compete for promotion to the lieutenant colonel rank. The researcher explored the experiences of 14 female Army officers that served in South Korea and sought out promotions from the …

The Effects Of Vesico-Vaginal Fistula In The Lives Of Women In Southeastern Nigeria, Chioma Esther Amutaigwe

Walden Dissertations and Doctoral Studies

Vesico-vaginal fistula (VVF) is a maternal health problem faced by women in developing countries. VVF is one of the most devastating consequences of prolonged obstructed labor and is still prevalent in resource-poor countries like Nigeria where fertility is high, the status of women is low, and obstetric services are often inadequate. The objective of this study was to enrich our understanding of the effects of VVF as it relates to women’s experiences in southeastern Nigeria. I adopted the Transactional Model of Stress and Coping in this study; this theory posits that people, when contending with any kind of stressors, are …

Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro

Walden Dissertations and Doctoral Studies

Abstract Sexually transmitted infections or diseases (STIs/STDs) acquired through sexual activities lead to compromised sexual health. The adolescent population is at high risk of acquiring STIs/STDs due to their lack of knowledge. The gap in practice was that the nurse practitioners (NPs) were deficient in standard of care; adolescent patients lacked consistent evaluation, education, or documentation of the education in their medical records. The practice-focused question focused on the evaluation of the effectiveness of a quality improvement (QI) initiative that incorporated the use of the American Association for Pediatrics screening and Center for Disease Prevention and Control (CDC) treatment guidelines …

When Intercepting Moving Targets, Mid-Movement Error Corrections Reflect Distinct Responses To Visual And Haptic Perturbations, Pablo Gonzalez Polanco, Leigh A. Mrotek, Kristy A. Nielson, Scott A. Beardsley, Robert A. Scheidt

Biomedical Engineering Faculty Research and Publications

We examined a key aspect of sensorimotor skill: the capability to correct performance errors that arise mid-movement. Participants grasped the handle of a robot that imposed a nominal viscous resistance to hand movement. They watched a target move pseudo-randomly just above the horizontal plane of hand motion and initiated quick interception movements when cued. On some trials, the robot's viscosity or the target's speed changed without warning coincident with the GO cue. We fit a sum-of-Gaussians model to mechanical power measured at the handle to determine the number, magnitude, and relative timing of submovements occurring in each interception attempt. When …

A “Post” Pandemic(S) Village Check-In: Pulse Checks And Recommendations For A Hard Re-Set In Education, Jarvais J. Jackson, Alesia Mickle Moldavan, Anne Valauri

Elementary & Special Education: Faculty Publications

Utilizing the lens of the “pandemic as portal” (Roy, 2020; Souto-Manning, 2021) and the need for a “hard re-set” (Ladson-Billings, 2021) of our current education system, this literature synthesis engages with head, health, and home to consider what a new normal could look like as we take a “village check-in” of each area. For head, we consider the systemic barriers to equitable academic achievement that have long been in place for Black and Brown students. When considering health, we look at the impact of the pandemic on teacher well-being and how this may impact their ability to teach effectively and …

Role Play: Actualizing The Iep Meeting For Pre-Service Teachers, Courtney A. Toledo

Elementary & Special Education: Faculty Publications

Teacher preparation programs provide numerous teaching and learning opportunities for pre-service teachers; however, participating in an Individualized Education Program (IEP) meeting is not an experience that can be guaranteed. Leading and participating in IEP meetings are a responsibility that all special education teachers will be held accountable for, but many pre-service teachers will never be able to observe a real IEP meeting before entering the field. In this qualitative case study, the researcher utilizes a simulated IEP meeting to provide pre-service teachers with experience in participating in an IEP meeting prior to entering the profession. The case study method is …

The Relationships Between Flow, Mathematics Self-Efficacy, And Mathematics Anxiety Among International Undergraduate Students In The United States, Samah Abduljabbar

Dissertations

Problem

A worldwide problem, math anxiety is defined as an anxious state with an unpleasant feeling of tension characterized by fear of failing to achieve mathematics targets. Psychologically, math anxiety involves anxiety, tension, discomfort, nervousness, fear, shock, and insecurity. Math anxiety has been perceived as a key influencer of reduced math achievement, and avoidance of math-related careers. On the other hand, abilities, flow, interests, and psychological conditions contribute to student mathematics success. Belief in one's ability to perform a specific task boosts self-efficacy, which has been studied widely as a predictor of student academic performance. When students are interested in, …

Job Stress And Spiritual Well-Being As Correlates Of Quality Of Life Among K-12 Administrators In Seventh-Day Adventist Schools In The North American Division, John Allen Chen

Dissertations

Problem and Purpose

Research shows that K-12 administrators experience a great deal of stress. This is also true of Adventist principals (Ledesma, 2011). Some suggest improved spirituality and quality of life can alleviate or manage stress. This study examines the interrelationship between job stress, spiritual well-being, and quality of life among principals in SDA elementary and secondary schools.

Conceptual Framework and Research Design

Three major constructs guided this study: job stress, spiritual well-being, and quality of life. I theorized that higher stress would negatively correlate with quality of life and spiritual well-being. The literature shows that not all principals experience …

The Correlation Between Childhood Sexual Abuse, Intimate Partner Violence, And Sexual Revictimization On North America Emerging Adult Females' Romantic Relationship Satisfaction With Spiritual Well-Being And Post-Traumatic Growth As Mediators, Sara C. Ward

Dissertations

Problem

Emerging adulthood is a time of great adjustment, in both personal and relational terms. One of emerging adulthood's most important developmental tasks includes the excitement of intimate romantic relationships (Shulman & Connolly, 2013). These intimate romantic relationships can involve sexual as well as emotional intimacy (Fisher, 2006). When there has been sexual abuse in childhood, the perception of self and others is maladaptive and damaging, increasing one's chance of experiencing sexual revictimization and intimate partner violence (Williams et al., 2010). This can greatly influence romantic relationship satisfaction. There are very few references to strength- based trauma mediators in the …

Religiosity, Family Sexual Communication & Gender As Predictors Of Attitudes Toward Oral Sex Among College/University Students In The United States, Antoinette Napier

Dissertations

Purpose

The purpose of this study was to investigate whether religiosity, family sexual communication and gender were predictors of attitudes toward oral sex among college/university students in the United States.

Method

Participants completed several surveys, which measured participants' personal religiosity, family sexual communication, and attitudes toward oral sex. A path analysis model was used to analyze the relationship between the proposed variables.

Results

The path analysis hypothesized model resulted in a poor fit for the data. The model was respecified by removing three items which showed weak beta weights. The respecified model produced a good fit for the data. The …

Improving Intravenous Catheter Insertion Success In Difficult Access Patients, Heidi Berry

Doctor of Nursing Practice Projects

Around one in every nine Emergency Department (ED) patients have Difficult Intravenous Access (DIVA) and 25% of ED patients will require more than one attempt (Fields et al., 2014a). Failed insertion attempts contribute to decreased patient satisfaction, care delays, and financial losses. The freestanding ED affiliated with a multi-state, not-for-profit healthcare system in an urban community had difficulty with first-attempt Peripheral IV (PIV) insertion success in identified patients. The target population was the clinical staff of the freestanding ED which included Registered Nurses and Paramedics. The objective outcome was to enhance personal knowledge of PIV catheter insertion in difficult-access patients …