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Full-Text Articles in Arts and Humanities

A Mixed Method Study Of Diagnostic And Adaptive Functioning Challenges In African American Preschool-Aged Children With Autism Spectrum Disorders, Douglene Jackson Jan 2015

A Mixed Method Study Of Diagnostic And Adaptive Functioning Challenges In African American Preschool-Aged Children With Autism Spectrum Disorders, Douglene Jackson

Walden Dissertations and Doctoral Studies

Children with Autism Spectrum Disorder (ASD) are known to experience performance and participation challenges, with early diagnosis being critical for improved outcomes. Children from ethnic minority backgrounds tend to receive their diagnoses later, even when symptomatology is similar. This mixed methods study explored symptom severity, functional difficulties, and age at diagnosis for ASD and to describe the functional challenges encountered by preschool-aged children with ASD of African American descent. The International Classification of Functioning, Disability, and Health along with the Model of Human Occupation were the theories used for this study to conceptualize functional challenges and other potential factors. Research …


Health Care Seeking Behavior And Provider Responses For Hcv-Positive African Americans, Kathleen Susanna Bailey Jan 2015

Health Care Seeking Behavior And Provider Responses For Hcv-Positive African Americans, Kathleen Susanna Bailey

Walden Dissertations and Doctoral Studies

Of the 3.5 million persons infected with chronic HCV in the United States, the African American population is the largest racial group with chronic HCV. Disparities in access to care and treatment involve a complex set of individual, interpersonal, socioeconomic, and environmental factors that influence the course of HCV infection in the African American population, resulting in poorer outcomes and survival. Drawing upon both the theory of reasoned action and the theory of planned behavior, this study was conducted to determine whether the seeking of health care by HCV-positive African Americans and the responses of health care providers to HCV-positive …


The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray Jan 2015

The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray

Walden Dissertations and Doctoral Studies

Researchers and economists have argued that the economic and social stagnation of African Americans is the result of their lack of self-confidence, initiative, and commitment toward their own advancement. This qualitative study examined whether historical conditioning and personal experiences have created a hypersensitivity in this population to events triggering behaviors that mirror the success fearing personality when seeking social, economic, and political advancement. It used Zuckerman and Allison's fear of success scale to identify the range of success fearing in 30 African American men and women aged 35 years or more; this group was also interviewed regarding their lived experiences …


How Spiritual Values Correlate With Hospice Use For African Americans, Latrina Dion Frazier Jan 2015

How Spiritual Values Correlate With Hospice Use For African Americans, Latrina Dion Frazier

Walden Dissertations and Doctoral Studies

End of life hospice services have consistently been underused by African Americans. This disproportionate use of hospice has contributed to poor quality of life and a lack of cost-effective care for patients with terminal illness. Driven by the theory of reasoned action, the purpose of this quantitative study was to test associations between African Americans' perceptions of hospice, decisions to use hospice, and religiosity. A convenience sample of 154 African American adults was surveyed online. The survey instrument combined the AARP End of Life survey, Perception of Hospice survey, and the Religiousness Measure survey. The results of a multiple linear …


Quality-Of-Life Indicators For African American And European American Long-Term Survivors Of Early-Stage Breast Cancer, Cher De Rossiter Jan 2015

Quality-Of-Life Indicators For African American And European American Long-Term Survivors Of Early-Stage Breast Cancer, Cher De Rossiter

Walden Dissertations and Doctoral Studies

This meta-analysis investigated the difference in perceptions of health-related quality of life (HRQOL) among long-term early-stage breast cancer survivors (BCS). The comparison was between African American and European American women. Initial pilot searches suggested that enough studies existed for a meaningful meta-analysis of a BCS population at least 5 years post diagnosis. Only studies using the outcome measure HRQOL were included in the study; this yielded an initial sample of 212 study reports, with 56 reports entering the coding phase of the process. African American women were grossly underrepresented in this set of studies in comparison to the overall breast …