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U.S. Rural And Frontier Stakeholders’ Use Of Storytelling To Advocate For Competency Development, Aliza Ruby Quinlan Aug 2026

U.S. Rural And Frontier Stakeholders’ Use Of Storytelling To Advocate For Competency Development, Aliza Ruby Quinlan

Walden Dissertations and Doctoral Studies

Although rural advocacy is widely recognized as important to community change, the experiences of rural and frontier advocates, particularly in regard to their use of storytelling to support skill acquisition, relational trust, and asset-focused advocacy competencies, have been understudied. The purpose of this constructivist grounded theory qualitative study was to understand how rural and frontier community advocates describe their experiences and how sharing lived experiences may inform advocacy competency development. Semistructured interviews were conducted with nine advocates across the Pacific Northwest region of the United States, including caregivers, health care professionals, educators, nonprofit leaders, and individuals with lived experience working …


Community-Based Research: Key Considerations For Researchers And Community Partners When Collaborating, Bothwell Piason, Kathleen A. Fox Aug 2026

Community-Based Research: Key Considerations For Researchers And Community Partners When Collaborating, Bothwell Piason, Kathleen A. Fox

The Qualitative Report

Community-based research (CBR) is a research orientation that emphasizes equitable engagement in the process of knowledge production, though researchers and community partners may navigate collaborative partnerships with differing expectations, priorities, and understandings of success. Extant research has demonstrated that successful CBR partnerships can benefit both researchers and community partners, yet little is known about how both groups simultaneously conceptualize successful collaboration across diverse partnership contexts. In this study, we ask: What considerations do researchers and community partners identify as important when engaging in community-based research partnerships? Drawing on semi-structured interviews with 10 university researchers and 10 community partners engaged in …


Beyond A Little Italy: Italian Community Formation In Washington, D.C., Kathleen P C Millander Aug 2026

Beyond A Little Italy: Italian Community Formation In Washington, D.C., Kathleen P C Millander

Graduate Masters Theses

This thesis examines the development of the Italian immigrant community in Washington, DC, from the early nineteenth century through the beginning of the Second World War. Unlike the dense ethnic enclaves that characterized Italian settlement in many American industrial and port cities, Washington never developed a recognizable Little Italy. Nevertheless, Italians in the nation's capital constructed a cohesive community through social, religious, familial, and economic networks that connected a geographically dispersed population.

Drawing on extensive original archival research, including oral histories, personal memoirs, parish records, newspapers, and manuscript collections, this thesis reconstructs the experiences of Washington's Italian immigrants and their …


“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne Aug 2026

“When I’M Not Heard, I Feel Like I Don’T Matter”: Advancing Equity In Disability Policy Through Critical Participatory Action Research With People With Intellectual Disability, Cris Marchionne

Student Theses

People with intellectual disability deserve a system that offers flexible, timely, and person-centered support — one that is innovative, sustainable, and holistic in enabling them to live fulfilling lives. This qualitative study, grounded in Critical Participatory Action Research (CPAR), examines how people with intellectual disability experience participation in decision-making within New York State's disability service system. By centering lived experience, the study identifies factors that facilitate or hinder participation in decision-making and examines structural, social, and policy-related barriers that limit agency. Through six focus groups and a Photovoice project with self-advocates receiving OPWDD services, participants described systemic barriers that limited …


Beyond Boundaries: Unlocking Positive Social Change Through Shared Expertise, Sigifredo Castell Britton Aug 2026

Beyond Boundaries: Unlocking Positive Social Change Through Shared Expertise, Sigifredo Castell Britton

Journal of Social Work in the Global Community

Societal progress thrives through the dynamic interplay of diverse disciplines, each contributing unique insights to advance positive change. Interdisciplinary collaboration plays a crucial role in addressing complex social challenges by combining the strengths of various fields. This article explores the historical evolution, theoretical foundations, and practical applications of interdisciplinary collaboration to foster positive social change. The discussion provides definitions of key terms, such as societal progress and positive social change, within distinct ideological and contextual frameworks. It makes use of these to clarify the direction of positive change in different societal settings. Historical and contemporary examples, such as Bolivia’s social …


How Planning For Engineering Instruction Supported Culturally Responsive-Sustaining Pedagogy For Prek–12 Teachers, Kristen V. Napolitano, Amanda M. Gunning, Meghan E. Marrero Aug 2026

How Planning For Engineering Instruction Supported Culturally Responsive-Sustaining Pedagogy For Prek–12 Teachers, Kristen V. Napolitano, Amanda M. Gunning, Meghan E. Marrero

Journal of Pre-College Engineering Education Research (J-PEER)

With the wide adoption of the Next Generation Science Standards across the United States and an increased focus on growing a diverse engineering workforce, learning to teach precollege engineering has become more important than ever. Yet limited precollege engineering certification pathway exists, leaving preK–12 teachers to integrate engineering with few resources or professional learning support. In high-need districts, where teachers are already underresourced and stretched thin, engineering may not make its way into the classroom at all. As a result, access to engineering and other STEM opportunities is disproportionately low among Black and Brown and/or low-income students in these communities, …


Early Childhood Access To Language Acquisition Services In Arizona, Kendra Benedict, Wendy Steuerwald, Najwa Ghattas, Cheryl Johnson Aug 2026

Early Childhood Access To Language Acquisition Services In Arizona, Kendra Benedict, Wendy Steuerwald, Najwa Ghattas, Cheryl Johnson

Journal of Early Hearing Detection and Intervention

This investigation reviewed existing services and gaps for young children who are deaf or hard of hearing (DHH) in Arizona and explored community-based approaches to improve access to language development resources. The study was conducted in two phases, each focusing on different approaches for language acquisition based on surveys of parents and providers. Phase I, completed in 2024, addressed listening and spoken language (LSL) as a methodology for language acquisition while Phase II, completed in 2025, focused on the use of American Sign Language (ASL). Findings from Phase I surveys found that 63% of parents reported using LSL as the …


Journal Of Early Hearing Detection And Intervention: Volume 11 Issue 1, Pages 1-80 Aug 2026

Journal Of Early Hearing Detection And Intervention: Volume 11 Issue 1, Pages 1-80

Journal of Early Hearing Detection and Intervention

No abstract provided.


The Dual Impact Of Professional And Community Interventions On Recidivism, Anjelika M. Dillard Aug 2026

The Dual Impact Of Professional And Community Interventions On Recidivism, Anjelika M. Dillard

Master of Arts in Human Services

This capstone project evaluates the effectiveness of professional and community interventions in reducing criminal recidivism and facilitating successful community reintegration for justice-involved individuals. Grounded in the Risk-Need-Responsivity (RNR) model, Desistance Theory, and Trauma-Informed Care frameworks, this study synthesizes contemporary behavioral health and criminological literature to examine how institutional programming and post-release community support interact to foster long-term behavioral change. The findings demonstrate that while evidence-based institutional treatments—such as Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and targeted vocational training—provide essential foundations for cognitive restructuring and skill acquisition, institutional programming alone is insufficient to prevent re-offending. Long-term desistance depends on an …


Evaluating Administrative Strategies For Implementing Emergency Response Policies: A Public Administration Approach To Active Shooter Incidents, Christopher J. Ferro Aug 2026

Evaluating Administrative Strategies For Implementing Emergency Response Policies: A Public Administration Approach To Active Shooter Incidents, Christopher J. Ferro

Doctoral Dissertations and Projects

The purpose of the proposed study is to address the persistent problem of ineffective implementation of emergency response policies for active shooter incidents within public agencies. Despite the development of numerous laws, public policies, and preventive measures aimed at mitigating such incidents, challenges remain in how such policies are administered and executed by public administrators. The proposed study will examine the administrative processes and strategies that shape how relevant policies are implemented and evaluated for effectiveness. The research will incorporate a qualitative design by examining case studies of successful and unsuccessful active shooter incident responses, conducting semi-structured interviews with public …


Local Farming Sustainability Nongovernment Organization’S Perceived Driving Forces For A Crisis Management Plan, Nthonoki Cynthia Tsepe Aug 2026

Local Farming Sustainability Nongovernment Organization’S Perceived Driving Forces For A Crisis Management Plan, Nthonoki Cynthia Tsepe

Walden Dissertations and Doctoral Studies

Nongovernmental organizations (NGOs) operate in increasingly volatile environments characterized by financial uncertainty, political pressures, and climate-related disruptions; however, many lack formalized crisis management systems. The absence of structured crisis governance exposes organizations to operational instability, financial risk, and reputational damage. The purpose of this qualitative force field analysis study was to explore a local farming sustainability NGO’s perceived driving and restraining forces for developing a formal crisis management plan. Guided by Burnett’s crisis management model and Lewin’s force field analysis framework, data were collected from nine organizational leaders involved in governance and operational decision making. Round 1 included open-ended online …


Beyond The Deficit Lens: Black Family Literacy As Social, Cultural, And Historical Practice: Implications For Literacy Teacher Education, Tasean D. Baldwin Aug 2026

Beyond The Deficit Lens: Black Family Literacy As Social, Cultural, And Historical Practice: Implications For Literacy Teacher Education, Tasean D. Baldwin

The Reading Professor

Literacy education in the United States has long centered on standardized English and formal classroom instruction. While intended as a universal benchmark, this approach systematically overlooks and delegitimizes the rich literacy history and traditions rooted in Black families and communities. Through the application of frameworks such as New Literacy Studies, Gee's Theory of Discourse Communities, Yosso's Community  Cultural Wealth model, and Critical Race Theory, this article reframes Black family literacy through a social, cultural, and historical lens. It is forged and perpetuated by resistance to racial oppression, through the intergenerational exchange of knowledge, and oral traditions within the community. This …


Beyond The Indicators: Community-Defined Sustainability In Bario, Sarawak, Rhonwyn Hagedorn Aug 2026

Beyond The Indicators: Community-Defined Sustainability In Bario, Sarawak, Rhonwyn Hagedorn

Capstone Collection

This study examines how Kelabit community members in Bario, Sarawak, Malaysian Borneo define and practice sustainability within community-based tourism (CBT), and how these local understandings align with or diverge from the United Nations Sustainable Development Goals (SDGs). The study used a thematic analysis drawing on fifteen semi-structured interviews with Kelabit community members, supplemented by tourist questionnaires and document analysis of online tourism materials. Four themes emerged: sustainability as collective stewardship; community decision-making and collaboration; cultural identity as the core of tourism; and equity, participation, and the limits of growth. Findings suggest that Kelabit community members hold a holistic, relational, and …


Shape: A Photovoice Study Exploring Student And Educator Perceptions Of School Built Environments, Megan L. Jester, Dawn Loraas, Cian L. Brown, Madelynn Henderson Aug 2026

Shape: A Photovoice Study Exploring Student And Educator Perceptions Of School Built Environments, Megan L. Jester, Dawn Loraas, Cian L. Brown, Madelynn Henderson

International Nursing Research Congress (INRC)

Background: School buildings shape daily experiences, well-being, and professional satisfaction for those who work and learn within them. Schools are increasingly primary access points for student health services.1 Teaching in public schools ranks among the most stressful occupations, driving burnout and turnover.2 As these groups spend most days in schools, the built environment serves as a crucial social determinant of health.3 Factors like extreme temperatures, poor air quality, and noise pollution impact health outcomes4-6, creating barriers to learning.7 Limited nurse-driven research exists on how building attributes impact well-being. Spatial Habits Advance Personal Excellence examines …


Listening, Learning, Accommodating: A Critical Look At Inclusive Research Help, Michelle Lee, Laura Beane, Kristina Lang, Jillian Speck, Kristina Clement Aug 2026

Listening, Learning, Accommodating: A Critical Look At Inclusive Research Help, Michelle Lee, Laura Beane, Kristina Lang, Jillian Speck, Kristina Clement

Faculty Articles

Research consultations continue to be a valuable means of connecting with users and supporting their research needs. As we’ve received an increasing number of research consultations where one or more accommodations have been requested, the Kennesaw State University Libraries have been exploring ways to provide accommodations in research consultations. Since there is a lack of research on this specific facet of research consultations, this literature review focuses on the related topics of assistive technology in libraries, accommodations in library services and spaces, and library anxiety to show how these topics relate to providing accommodations in research consultations. The objective of …


Children Second Dialect Acquisition In North America, Iqbal Nurul Azhar, Mohammad Halili Aug 2026

Children Second Dialect Acquisition In North America, Iqbal Nurul Azhar, Mohammad Halili

Bahasa dan Seni: Jurnal Bahasa, Sastra, Seni, dan Pengajarannya

This article aims to examine the causes, social contributing factors, and the linguistic consequences of Second Dialect Acquisition (SDA henceforth) in children in North America, drawing on relevant articles. For children growing up in a monolingual region but then must live in a new space, acquiring second dialect can pave them to improve their communication skills, adjust their social and identity belonging. Yet why, how, and the linguistic consequence of SDA require further studies. We used the thematic synthesis in reviewing the existing related literature based on three steps: article identification, selection, and analysis. Six causes of SDA were found: …


Literacy Hubs: Human-Centered, Coordinated Approach Towards Advancing Adult Literacy In A Community, Alexandria M. Marzolf Aug 2026

Literacy Hubs: Human-Centered, Coordinated Approach Towards Advancing Adult Literacy In A Community, Alexandria M. Marzolf

Masters Projects

Low adult literacy skills have been a pervasive and persistent challenge in the United States for more than a century. One in five adults (21%) possesses low literacy skills (National Center for Education Statistics, 2026), a finding consistent with statistics reported by the National Literacy Institute (2024). Despite decades of educational reform, many adults continue to experience limited access to coordinated, community-based literacy support. The purpose of this master's project was to develop a community-based Literacy Hub framework designed to increase access to adult literacy learning opportunities through coordinated partnerships and community engagement. An extensive review of educational research, community …


Improving Diabetes Self-Management Through A Partnership Between Clinical Providers And Community Educators In Appalachian Communities, Soghra Jarvandi, Lydia Hoskins, Karen Carver, Andrew May Aug 2026

Improving Diabetes Self-Management Through A Partnership Between Clinical Providers And Community Educators In Appalachian Communities, Soghra Jarvandi, Lydia Hoskins, Karen Carver, Andrew May

Journal of Appalachian Health

Introduction: The burden of diabetes is an increasing public health challenge, especially in the Appalachian Region.

Purpose: This study assessed the impact of a community-based diabetes education program on glycemic control.

Methods: Health Extension for Diabetes (HED) is a 4-month diabetes education program offered by Extension educators in collaboration with clinical providers. Participants’ data were collected via phone interviews at baseline and after completing the program. Assessments included self-reported HbA1c, socio-demographics, diabetes knowledge, self-efficacy, and self-management behaviors. Data were analyzed by SAS software using paired analyses.

Results: Of the 105 participants in the program, 87 (83%) completed the post-assessment. Among …


Anatomiya Ng Karinderya: An Exploration On The Reflected Filipino Cultural Values On The Visual Identity Of Carinderias In Cavite, Dan Gabriel V. Bagadiong, Ellaine Marie L. De Castro, Miriam Joan C. Generoso, Ej Jimenez, Fernando R. Lacson Aug 2026

Anatomiya Ng Karinderya: An Exploration On The Reflected Filipino Cultural Values On The Visual Identity Of Carinderias In Cavite, Dan Gabriel V. Bagadiong, Ellaine Marie L. De Castro, Miriam Joan C. Generoso, Ej Jimenez, Fernando R. Lacson

DLSU Arts Congress Conference Proceedings

This study explored Filipino cultural values reflected in the visual identity of carinderias and examined their sociocultural and psychological significance within Filipino society. Known for serving lutong bahay (home-cooked meals), carinderias have long been embedded in Filipino culture, embodying values such as bayanihan (community spirit), kapwa (shared identity), and resilience while fostering community connections through food. Grounded in the framework of Pantayong Pananaw, the study investigated how these cultural and psychological values shape the identity and perception of carinderias. Focusing on selected small carinderias in Cavite, the research analyzed their cultural relevance, visual identity, and sociopsychological dimensions. Findings revealed …


Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari Aug 2026

Lessons From Tanzania’S Ujamaa For Smart Settlements In Nepal: Social Justice And Economic Development, Keshav Bhattarai, Ambika P. Adhikari

Himalayan Research Papers Archive

Nepal’s constitutional commitment to a “socialism-oriented” state places social justice, equitable access to resources and housing, and protection of marginalized populations at the center of national development discourse. However, persistent landlessness, informal settlements, unemployment, youth outmigration, and unequal access to infrastructure reveal a significant gap between constitutional aspirations and socioeconomic realities.

This article examines lessons Nepal can draw from Tanzania’s experience with Ujamaa, the African socialist development model initiated by President Nyerere in 1967. Using comparative policy analysis, published research, official documents, and exploratory field observations from selected Tanzanian locations, including the capital and villages in the Iringa Region, the …


Cultivating Young Naturalists: Developing A Junior Master Naturalist 4-H Special Interest Club In Cook County, Il, Matthew M. Stinson Aug 2026

Cultivating Young Naturalists: Developing A Junior Master Naturalist 4-H Special Interest Club In Cook County, Il, Matthew M. Stinson

Capstone Projects – Politics and Government

This capstone researches the development, implementation, and evaluation of a Junior Master Naturalist (JMN) 4-H Special Interest (SPIN) Club, a pilot environmental education program for high-school students in South Suburban Cook County, Illinois. Through a partnership among University of Illinois Extension – Serving Cook County, the Forest Preserves of Cook County, and the Friends of the Forest Preserves, JMN addressed two goals: increasing 4-H participation and engagement among high-school aged youth and encouraging high-school aged participation in local forest preserves spaces. Grounded in research on positive youth development, 4-H youth development, and environmental education, the program provided hands-on, place-based learning …


A Strategic Research Project Exploring An African American Church’S Engagement In Public And Nonprofit Healthcare Partnerships, Josephine Louise Evans Aug 2026

A Strategic Research Project Exploring An African American Church’S Engagement In Public And Nonprofit Healthcare Partnerships, Josephine Louise Evans

Transformations

This Strategic Research Project examines how churches engage in public and nonprofit healthcare partnerships to address community health disparities and strengthen congregational well-being. Guided by organizational leadership principles and supported by frameworks such as the Social Ecological Model, change theory, and systems thinking, the study explores the perceptions, experiences, and decision-making processes of pastoral leaders involved in cross-sector collaboration. Using a mixed-methods design, the research analyzes qualitative insights from leadership interviews alongside quantitative data on community health trends to identify facilitators, barriers, and perceived effectiveness of these partnerships. Findings reveal that trust building, cultural competence, shared mission alignment, and resource …


Exploring The Situation Of Health Literacy Promotion To Delay Kidney Disease Progression In Older Adults With Chronic Kidney Disease: A Convergent Parallel Mixed-Method Study, Kritanon Janthasri, Ladawan Panpanit, Khanitta Nuntaboot Aug 2026

Exploring The Situation Of Health Literacy Promotion To Delay Kidney Disease Progression In Older Adults With Chronic Kidney Disease: A Convergent Parallel Mixed-Method Study, Kritanon Janthasri, Ladawan Panpanit, Khanitta Nuntaboot

Journal of Health Research

Background: Health literacy (HL) is crucial for delaying chronic kidney disease (CKD) progression, yet evidence on HL promotion among older adults with early-stage CKD is limited. This study examines HL level and explores the situation of HL promotion for delaying kidney progression among older adults with CKD.

Methods: A convergent parallel mixed-methods design was employed. The quantitative phase, 297 older adults with CKD complete a questionnaire. The qualitative phase, 50 participants then took part in interviews to explore their experiences. Quantitative data were analyzed using descriptive statistics, and qualitative data through content analysis. Findings were integrated to identify …


When The Road Leads You Home: A Self-Study Of An Appalachian Return Migrant Educator, Brianna Gerstner Aug 2026

When The Road Leads You Home: A Self-Study Of An Appalachian Return Migrant Educator, Brianna Gerstner

Theses and Dissertations

This study explores one Appalachian educator's beliefs and judgments about her students' literacy practices after returning to her Appalachian hometown to teach at her alma mater. Upon her return, she experienced discomfort with the thoughts she had about her Appalachian students, recognizing that they reinforced stereotypes. Through the S-STEP process, the educator identifies her beliefs and judgments of her students, the teaching practice she engaged in over time, and the changes in her beliefs and judgments during a community literacy project. This period of critical self-study lasted 3 months, and the educator intentionally engaged in culturally sustaining pedagogy. Findings revealed …


Jing (敬) And Respect, Wenyang Gao Aug 2026

Jing (敬) And Respect, Wenyang Gao

Comparative Philosophy

Jing (敬) is often translated as “respect”. Some scholars argue for a “perception of worth” reading, conceiving jing as a deontic normative attitude akin to “respect” in the Western tradition. Others propose a “directing attention” reading, holding that jing is a virtue. This article clarifies the meaning and normative structure of jing, arguing that it has three dimensions:  (1) a state of mind characterized by seriousness, (2) an intentional, respectful feeling, and (3) respectful conduct aligned with ritual propriety (Li禮). While the “directing attention” reading correctly identifies jing as a virtue, insisting that jing does …


Rethinking Methodological Frameworks In Qualitative Comparative Migration Policy Research, Afag Javadova Aug 2026

Rethinking Methodological Frameworks In Qualitative Comparative Migration Policy Research, Afag Javadova

The Qualitative Report

Capturing the nuanced dynamics of sub-national migration policy requires methodological frameworks that integrate multiple sources of evidence while remaining attentive to context-specific processes. Such approaches are well-suited to tracing interactions among policy actors and institutions within evolving, locally embedded systems of comparative policymaking. This study examines why municipalities operating under similar macro-level conditions pursue divergent policy trajectories in migration governance and demonstrates the analytical rigor and explanatory power of qualitative thematic analysis in accounting for this variation. Drawing on policy documents, archival records, and media sources from Toronto, San Francisco, and Wellington, it employs a hybrid inductive–deductive coding approach to …


Characterizing Microplastics In Flood Sediments After Hurricane Helene In Asheville, North Carolina, Abigail Sgan Aug 2026

Characterizing Microplastics In Flood Sediments After Hurricane Helene In Asheville, North Carolina, Abigail Sgan

All Theses

Microplastics are contaminants of emerging concern whose ubiquity across natural environments results in their involvement in many kinds of natural processes, including transportation and deposition in natural systems. The purpose of this thesis is to characterize microplastics and determine the mechanisms that affect their distribution, transport, and sequestration within known Hurricane Helene flood deposits in fluvial and Southern Appalachian wetland environments after Hurricane Helene in Asheville, North Carolina. Four fluvial and four Southern Appalachian wetland environments were sampled after Hurricane Helene. Samples collected in fluvial environments were taken as grab samples from surficial sandy flood deposits left behind by flooding …


The Evolution Of The Modern Library Brand: Transforming Community Engagement Into Sustainable Revenue, Slone Williams Aug 2026

The Evolution Of The Modern Library Brand: Transforming Community Engagement Into Sustainable Revenue, Slone Williams

Georgia Library Quarterly

This article examines the development of the Cobb Library Shop, an e-commerce initiative launched by the Cobb County Public Library to generate sustainable funding through brand engagement. Built on a modest startup budget, the shop integrates a multichannel sales strategy and leverages internal talent to create a scalable, community-centered retail model.

The project achieved a full return on investment within 14 days and continues to demonstrate steady revenue expansion. By combining entrepreneurial practices with public service values, this case study highlights how libraries can diversify funding streams, enhance community engagement, and establish a replicable model for revenue-generating library systems.


Empowering Future Educators: How Service-Learning Shapes Teacher Candidate Self-Efficacy And Understanding Of Book Access, Nancy F. Hulan, Morgan S. Major Aug 2026

Empowering Future Educators: How Service-Learning Shapes Teacher Candidate Self-Efficacy And Understanding Of Book Access, Nancy F. Hulan, Morgan S. Major

Reading Horizons: A Journal of Literacy and Language Arts

Literacy rates are historically low in areas where access to books is limited. Thus, students with limited exposure to books prior to school pose a unique challenge to teachers, who often feel unprepared to teach students from underserved populations. To help remedy this, teacher candidates need preparation that builds their abilities to provide both access to books and quality literacy instruction for students who live in poverty. The study described in this article investigated the impact of literacy-related community engagement on teacher candidates’ self-efficacy, their understanding of book access, and their perceptions of teachers’ roles in providing book access. Participants …


Equity In Healthcare: Exploring The Viability Of Reparations As A Means To Address Racial Health Inequities, Invest In The Community, And Bestow Reconciliation For African Americans, Alesia A. Smith Aug 2026

Equity In Healthcare: Exploring The Viability Of Reparations As A Means To Address Racial Health Inequities, Invest In The Community, And Bestow Reconciliation For African Americans, Alesia A. Smith

All Dissertations

Racial health inequities remain among the most persistent forms of health disparity in the United States, despite decades of policy efforts to eliminate them. African Americans, in particular, continue to experience disproportionately poor health outcomes rooted in generations of institutional racism and in inequities in the social determinants of health, income, wealth, education, housing, and access to care, disparities that the COVID-19 pandemic further exposed and intensified. These enduring, structurally produced harms strengthen the case for reparative investment as a potential intervention.

The purpose of this qualitative study was to examine whether reparations, framed as a community-based investment in health, …