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Articles 1 - 30 of 94
Full-Text Articles in Medicine and Health Sciences
Self-Hypnosis And Volitional Control Of Finger Temperature Among Adults, Joseph Swope
Self-Hypnosis And Volitional Control Of Finger Temperature Among Adults, Joseph Swope
Walden Dissertations and Doctoral Studies
Raynaud's disease is a condition in which circulation to the hands becomes restricted, causing an uncomfortable sense of cold and occasionally injury. The cause of Raynaud's disease is unknown. Earlier studies have shown that hetero-hypnosis is effective in the treatment of Raynaud's disease. Cost and access to providers limit such a treatment's availability. Theories of hypnosis suggest that self-hypnosis underlies all hypnotic processes. This study examined the utility of self-hypnosis and focused attention on the volitional control of hand temperature. Forty-three adult participants ranging in age from 19 to 77 years with no hypnosis experience were randomly divided into 2 …
The Impact Of Personalization-Based Tailored Instructional Communications On College Student Persistence, Nichole Gibbs
The Impact Of Personalization-Based Tailored Instructional Communications On College Student Persistence, Nichole Gibbs
Walden Dissertations and Doctoral Studies
The low graduation rate of degree-seeking students at public community colleges is an important crisis facing communities across the United States. College satisfaction and withdrawal cognitions in students have been identified as key factors in college persistence by researchers. However, a review of the literature revealed no study in which a college-persistence intervention based on the personalization principle theory or using tailored messages has been conducted. The purpose of this study was to test the effectiveness of a college-persistence intervention, based on the personalization principle theory and Mashburn's theory, for students at a community college. This study used between-groups experimental …
Factors Affecting Cervical Cancer Screening Among African Women Living In The United States, Mosunmola Adeyemi
Factors Affecting Cervical Cancer Screening Among African Women Living In The United States, Mosunmola Adeyemi
Walden Dissertations and Doctoral Studies
More than half of the incidents and mortality rates from cervical cancer occur among minority groups, including immigrant women from continental Africa living in the United States. Although researchers have examined cervical cancer screening practices among minority populations, including Black women in Africa and in the United States, there are few studies on cervical cancer screening and associated risk factors, specifically among African women living in the United States. The purpose of this study was to investigate the association between selected factors and cervical cancer screening practices among African immigrant women living in the United States. Using the behavioral model …
A Sibling Case-Control Study Of Maternal Prenatal Body Mass Index As A Risk Factor For Autism Spectrum Disorder, Ruth Ann Hendrix
A Sibling Case-Control Study Of Maternal Prenatal Body Mass Index As A Risk Factor For Autism Spectrum Disorder, Ruth Ann Hendrix
Walden Dissertations and Doctoral Studies
The prevalence of autism spectrum disorder (ASD) is estimated to be one in every 150 births. While both genetic and postpartum environmental exposure have been linked to ASD, prenatal maternal weight has not been investigated. The objective of the study is to assess whether overweight or obesity at pregnancy is an important risk factor for the diagnosis of ASD in offspring. A case-control study was designed to answer this question using the public health ecosocial theory. The study population consisted of 70 mothers, who were recruited via the Internet using the viral expansion loop. Multiple logistic regression analysis was used …
Understanding Psychosocial Rehabilitation Workers' Perceptions Of Difficult Psychiatric Situations, James B. Arnold
Understanding Psychosocial Rehabilitation Workers' Perceptions Of Difficult Psychiatric Situations, James B. Arnold
Walden Dissertations and Doctoral Studies
Psychosocial rehabilitation (PSR) is a community-based service that addresses the challenges faced by people diagnosed as having psychiatric disabilities. While working with co workers and clients, PSR workers may harbor perceptions that could lower the effectiveness of their work and hinder recovery by their clients. Although cognitive-behavioral theory has suggested an association, research has not yet connected PSR worker attitudes about psychiatric situations to their feelings and behavior. In this nonexperimental factorial design, 196 PSR workers were surveyed about the frustrations presented by stressful interpersonal job situations using the Psychiatric Situations Scale to identify whether occupation (case workers, residential workers, …
Perceptions Of The Role Of Nurses In Providing Psychosocial Care For Patients With Cancer, Kerry Suzuki
Perceptions Of The Role Of Nurses In Providing Psychosocial Care For Patients With Cancer, Kerry Suzuki
Walden Dissertations and Doctoral Studies
Psychosocial care for patients with cancer is aimed at detection, diagnosis, treatment, and prevention of psychological distress (PD). PD is a universal clinical phenomenon experienced by at least 38% of patients with cancer, yet only10% are identified as having PD. Nurses are presumed providers of psychosocial care, yet no research examined what nurses perceive as their role in caring for patients with cancer, and whether nurses believe that providing psychosocial care to patients with cancer is within their role. Patient care that rests on assumptions is too precarious; nurses' role beliefs are critical in light of their impact on practice …
The Effectiveness Of Exercise And Nutritional Counseling On Decreasing Body Composition And Increasing Fitness Levels In Firefighters, Michelle R. Mcnear
The Effectiveness Of Exercise And Nutritional Counseling On Decreasing Body Composition And Increasing Fitness Levels In Firefighters, Michelle R. Mcnear
Walden Dissertations and Doctoral Studies
Cardiovascular disease is the leading cause of death in the United States; firefighters are at a greater risk for both the disease and death. Their exposure to stress, toxic fumes and smoke, unhealthy eating habits, excessive weight, and low levels of physical activity are all contributing risk factors to this disease. The purpose of this quantitative study was to determine the effectiveness of a multi-faceted program of exercise and nutritional counseling to decrease body fat composition and increase fitness levels nine months after initial implementation among a sample of 202 firefighters. Social learning theory was the theoretical foundation for the …
Patients' Perspectives On Discussing Complementary And Alternative Medicine Therapies With Conventional Doctors, Deborah A. Mcninch
Patients' Perspectives On Discussing Complementary And Alternative Medicine Therapies With Conventional Doctors, Deborah A. Mcninch
Walden Dissertations and Doctoral Studies
Currently, little is known about patients' perceptions and beliefs in discussing complementary and alternative medicine (CAM) with their conventional medical (CM) doctor. The purpose of this descriptive research was to show whether CAM-using patients have an interest in discussing CAM treatments with their CM doctor for comprehensive care as described by the health belief model (HBM) constructs of perceived susceptibility, perceived seriousness, and perceived benefits of taking action. A sample of 165 participants age 18 or older from 2 chiropractic clinics in the midwestern United States completed a Likert-scaled survey. The data were analyzed using descriptive statistics and multiple regression …
The Association Of Mentorships And Leadership Practices With Nursing Faculty Retention, Lisa M. Rettenmeier
The Association Of Mentorships And Leadership Practices With Nursing Faculty Retention, Lisa M. Rettenmeier
Walden Dissertations and Doctoral Studies
The lack of mentored relationships among nursing educators has the potential to negatively influence perceptions of leadership practices and could decrease the numbers of nursing faculty staying in academia. The purpose of this study was to investigate the perceptions of mentorships and leadership practices of nursing faculty teaching in academia. Watson's caring theory was the theoretical foundation to explain the congruence between mentored relationships, leadership practices, and the association with faculty retention. The first research question focused on differences between mentoring experience, assistance, and characteristics by mentor training type. Question two assessed the relationship between leadership practices by mentor training …
Knowledge Sharing And Competitiveness Of Professional Service Firms: A Case Study, Albert P. Cruz
Knowledge Sharing And Competitiveness Of Professional Service Firms: A Case Study, Albert P. Cruz
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that little action is taken to create the social aspects and social value of knowledge-sharing culture within organizations. There is a need for increased understanding of the behavioral side of knowledge management. The purpose of this study was to focus on knowledge sharing from a behavioral perspective. Knowledge management is defined as the accumulation, protection, and leverage of knowledge. This research study investigated the relationship between knowledge sharing and competitiveness and approached the field of knowledge management from the organizational, cultural, and behavioral perspectives. The research questions examined how knowledge workers described the …
Perspectives Of Close Relatives In Pediatric Palliative Care: A Grounded Theory Approach, Janelle Marie Feyh
Perspectives Of Close Relatives In Pediatric Palliative Care: A Grounded Theory Approach, Janelle Marie Feyh
Walden Dissertations and Doctoral Studies
Pediatric palliative care has recently become a priority in the healthcare field and is implemented at the time of diagnosis rather than days or weeks before the child's death. Social constructivism theory in which humans generate meaning from their experiences was utilized as a general framework to determine the impact of pediatric palliative care on close relatives. The purpose of this grounded theory study was to generate a substantive theory that explains how close relatives such as grandparents, aunts, and uncles of a child with cancer experience palliative care. The participants of the study included close relatives of children in …
Spirituality And Depression In Parents With Children In Oncology Or Hematology Treatment, Kurt D. Soell
Spirituality And Depression In Parents With Children In Oncology Or Hematology Treatment, Kurt D. Soell
Walden Dissertations and Doctoral Studies
The psychological burden of cancer treatment affects not only child patients but also their parents. There is extensive literature on the positive influence of spirituality on the cancer patient. But there is a gap in the literature on the potential healing influence of spirituality on the parent of the cancer or hematology patient. The purpose of this study was to examine the relationship between spirituality and parents' levels of depression and anxiety during their child's hematological or oncology treatment. Using the transtheoretical model of change, a purposive sample of 48 parents of children undergoing cancer or hematology treatment completed a …
Effects Of A Web-Based Decision Aid On African American Men's Prostate Screening Knowledge And Behavior, Beverly Layton
Effects Of A Web-Based Decision Aid On African American Men's Prostate Screening Knowledge And Behavior, Beverly Layton
Walden Dissertations and Doctoral Studies
African American men have the highest prostate cancer occurrence and deaths of any population, yet many are unaware of screening opportunities or prognoses if diagnosed with the disease. The focus of this study was to learn whether a web-based prostate health education decision aid would increase prostate cancer knowledge, declared intention to be screened, and the likelihood of scheduling a prostate-specific antigen (PSA) test. The transtheoretical model of behavior change served as the theoretical framework for the study to assess readiness to adopt new behaviors. A total of 128 African American men between the ages of 40--65 without a history …
Acceptance And Usage Of Electronic Health Record Systems In Small Medical Practices, Ritu Tannan
Acceptance And Usage Of Electronic Health Record Systems In Small Medical Practices, Ritu Tannan
Walden Dissertations and Doctoral Studies
One of the objectives of the U.S. government has been the development of a nationwide health information infrastructure, including adoption and use of an electronic health records (EHR) system. However, a 2008 survey conducted by the National Center for Health Statistics indicated a 41.5% usage of the EHR system by physicians in office-based practices. The purpose of this study was to explore opinions and beliefs on the barriers to the diffusion of an ERH system using Q-methodology. Specifically, the research questions examined the subjectivity in the patterns of perspectives at the preadoption stage of the nonusers and at the postadoption …
Attachment, Parentally Bereaved Adolescents, And High School Outcomes In A Large Inner-City High School, Silvana Amar
Attachment, Parentally Bereaved Adolescents, And High School Outcomes In A Large Inner-City High School, Silvana Amar
Walden Dissertations and Doctoral Studies
U.S. and world communities face the challenges of understanding how children grieve and of giving them sufficient social and educational support. Inner-city minority adolescents have not been represented well in the bereavement and attachment literature. The purpose of the quantitative study was to use the attachment theory to understand the impact of parental bereavement on these adolescents. Data were collected using the Adult Attachment Interview (AAI), the Piers-Harris Children's Self- Concept Scale (2nd ed.), and school records. MANOVAs were used to analyze the influence of attachment organization, bereavement status, and gender on self-concept and academic and behavioral functioning in school. …
Gatekeeper Suicide Prevention Training And Its Impact On Attitudes Toward Help Seeking, John Angelo Cascamo Jr.
Gatekeeper Suicide Prevention Training And Its Impact On Attitudes Toward Help Seeking, John Angelo Cascamo Jr.
Walden Dissertations and Doctoral Studies
Gatekeeper Suicide Prevention Trainings such as Question Persuade and Refer (QPR) are used to increase suicide awareness and teach participants basic suicide intervention skills. Previous researchers showed that QPR training increases knowledge of suicide risk factors and increases participants' willingness to intervene with individuals at risk of suicide. It was hypothesized that completion of QPR would also increase positive attitudes toward the utilization of mental health services and that this outcome would be more pronounced among male participants. The examination of attitudes was rooted in the theoretical framework of Ajzen's theory of planned behavior. The Inventory of Attitudes toward Seeking …
A Test Of An Evolutionary Theory Of Adiposity Gain Induced By Long Sleep In Descendants Of European Hunter-Gatherers, Oleksiy Chadyuk
A Test Of An Evolutionary Theory Of Adiposity Gain Induced By Long Sleep In Descendants Of European Hunter-Gatherers, Oleksiy Chadyuk
Walden Dissertations and Doctoral Studies
Researchers have identified inadequate sleep duration as one of the factors contributing to global obesity. The purpose of this study was to test a hypothesis deduced from a new sleep-duration-based evolutionary theory claiming that sleep extension in response to lengthening night duration in early fall evolved into a behavioral marker of an approaching winter; this adaptive trait was theorized to produce adiposity gain in White men in response to sleep extension. The hypothesis was that White Americans would show a greater increase in the age-adjusted fat mass index per unit of sleep duration compared to that of Black Americans. Data …
The Influence Of Hiv Stigma And Disclosure On Psychosocial Behavior, James Minson
The Influence Of Hiv Stigma And Disclosure On Psychosocial Behavior, James Minson
Walden Dissertations and Doctoral Studies
Human Immunodeficiency Virus (HIV) remains a serious public health issue, and many social factors are involved in virus transmission and treatment. The current conceptualization of how HIV status disclosure and perceived stigma of HIV diagnosis interact is undeveloped. This study was based on social cognitive theory and tested hypothesized positive relations between HIV serostatus disclosure, social support, and self-efficacy. In addition, self-rated HIV stigma was examined as a potential mediating variable. Participants were 109 HIV positive, mostly White gay men recruited via an online bulletin board. They completed the medical outcomes study social support survey, the general self-efficacy scale, the …
Patient Adherence To Oral Oncolytics, Holly Sansoucie
Patient Adherence To Oral Oncolytics, Holly Sansoucie
Walden Dissertations and Doctoral Studies
Oral oncolytics continue to come to market at an unprecedented pace. Traditionally, chemotherapy was delivered in the controlled environment of the infusion suite; however, with the increasing use of oral oncolytics, the burden of administration and monitoring has shifted to the patients and/or their caregiver. This paradigm shift, from intravenous chemotherapy to oral chemotherapy, has created new challenges in cancer care. Despite the seriousness of their diagnosis, oncology patients are not always adherent to these requirements. Oncology nurses have always taken the lead in patient education, yet that lead has mostly been in the context of intravenous chemotherapy. There is …
Discrete Trial Instruction: Comparing The Abbreviated Performance Feedback And Lecture Test Models, Tammy J. Dobbs
Discrete Trial Instruction: Comparing The Abbreviated Performance Feedback And Lecture Test Models, Tammy J. Dobbs
Walden Dissertations and Doctoral Studies
Growing media attention and a high diagnosis rate of autism places significant demand on the service industry to provide qualified staff to work with individuals who have autism. Discrete trial instruction (DTI) is one of the most sought-after treatment approaches for those individuals. However, there is a gap in research regarding the efficacy of training methods for those who train direct staff to implement DTI. This quantitative study used an applied behavior analysis basis, deriving from foundations of behavior theory, to compare the abbreviated feedback form (AFF) to the lecture test model (LTM) to understand which will improve direct staff's …
A Case Study Of Primary Healthcare Services In Isu, Nigeria, Raymond Ogu. Chimezie
A Case Study Of Primary Healthcare Services In Isu, Nigeria, Raymond Ogu. Chimezie
Walden Dissertations and Doctoral Studies
Access to primary medical care and prevention services in Nigeria is limited, especially in rural areas, despite national and international efforts to improve health service delivery. Using a conceptual framework developed by Penchansky and Thomas, this case study explored the perceptions of community residents and healthcare providers regarding residents' access to primary healthcare services in the rural area of Isu. Using a community-based research approach, semistructured interviews and focus groups were conducted with 27 participants, including government healthcare administrators, nurses and midwives, traditional healers, and residents. Data were analyzed using Colaizzi's 7-step method for qualitative data analysis. Key findings included …
The Impact Of Company Grade Officer Self-Sacrificial Behavior On Subordinate Assessments Of Leader Charisma, Danjel Bout
The Impact Of Company Grade Officer Self-Sacrificial Behavior On Subordinate Assessments Of Leader Charisma, Danjel Bout
Walden Dissertations and Doctoral Studies
Newly commissioned officers in the U.S. Army are taught to lead their soldiers from the front and to voluntarily make personal sacrifices in the service of the nation. Although this facet of military culture is seen as critical to the integrity of the force, there are few research studies describing the impact of leader self-sacrifice in the U.S. Army. Research evolving from the transformational leadership literature indicates that civilian leaders who engage in self-sacrificial behavior are viewed as more charismatic than their counterparts and that this perception is particularly pronounced in crisis situations. The current study extended this research to …
Drills And Exercises As Interventions To Improve Public Health Emergency Response, Donna Beth Knutson
Drills And Exercises As Interventions To Improve Public Health Emergency Response, Donna Beth Knutson
Walden Dissertations and Doctoral Studies
The 2001 destruction of the World Trade Center and the subsequent anthrax attacks highlighted the inability of an antiquated public health system in the United States to respond effectively to emergencies. Little documentation exists to define how public health agencies can improve performance. The overarching research question was the extent to which drills and exercises improve performance in public health emergencies. Adult learning theory and deliberate practice theory were explored in this context. The research data were from 50 state public health departments, which were required to report performance information to the U.S. Centers for Disease Control and Prevention. The …
The Relationship Between Emotional Intelligence And Literacy Achievement Of Secondary Students, David P. Jones
The Relationship Between Emotional Intelligence And Literacy Achievement Of Secondary Students, David P. Jones
Walden Dissertations and Doctoral Studies
Proficiency in language arts and communication skills is essential to success in the global workforce. Most states assess students in language arts literacy (LAL) through standardized tests that assess a student's ability to read, interpret literature, and write expressively. Although educational reformers strive to improve the foundations that prepare students in literacy, reforms have not fully incorporated the theory of emotional intelligence (EI), which explains a student's ability to use, understand, perceive, and manage their emotions in order to think critically, make decisions, and solve problems. Although it is not known whether EI directly correlates to literacy, emotional skills are …
Effect Of Stress, Emotional Lability And Depression On The Development Of Pregnancy Complications, Servitje, Estibalitz Laresgoiti Servitje
Effect Of Stress, Emotional Lability And Depression On The Development Of Pregnancy Complications, Servitje, Estibalitz Laresgoiti Servitje
Walden Dissertations and Doctoral Studies
Chronic stress and other emotional factors may have relevant impacts on pregnancy outcomes because they are related to neuroendocrine changes that lead to alterations in immunomodulation during pregnancy. In this quantitative prospective cross-sectional study, the relationship of emotional lability, depression, and stress during pregnancy and the development of preterm labor, preeclampsia, placental abruption, and low birth weight for gestational age babies was examined. Additionally, social support scores were compared to levels of stress/anxiety, depression, and emotional lability in pregnant women. Two hundred and forty two pregnant women who received prenatal services at the National Institute of Perinatology in Mexico City …
The Effect Of Phytoestrogen Chemoprevention Of Prostate Cancer, Ruel Slyfield Michelin
The Effect Of Phytoestrogen Chemoprevention Of Prostate Cancer, Ruel Slyfield Michelin
Walden Dissertations and Doctoral Studies
Prostate cancer (CaP) remains the most commonly diagnosed cancer and second leading cause of cancer mortality among men in several ethnic groups in the United States. Lower CaP incidence among Asian men has been attributed to increased intake of soy derived phytoestrogens (SDPs); however, its association has not been extensively explored in U.S. men. The purpose of this study was to determine the effect size of serum prostate specific antigen (sPSA) and serum estradiol (sE2) following dietary SDP intervention. The study was based on an original conceptual model that aims to avert early prostate tissue damage through identification of critical …
Wage Equality Among Internationally Educated Nurses Working In The United States, Sat Ananda Hayden
Wage Equality Among Internationally Educated Nurses Working In The United States, Sat Ananda Hayden
Walden Dissertations and Doctoral Studies
Discrimination against immigrants based on country of origin, gender, or race is known to contribute to wage inequality, lower morale, and decrease worker satisfaction. Healthcare leaders are just beginning to study the impact of gender and race on the wages of internationally educated nurses (IENs). Grounded in Becker's theory of discrimination, this cross-sectional study examined nursing wages for evidence of wage inequality among IENs working in the United States using secondary data collected in the 2008 quadrennial National Sample Survey of Registered Nurses. Ordinary least square regression coupled with the Blinder-Oaxaca wage decomposition was used to analyze the wages of …
Impact Of Nutrition Education On Student Learning, Lydia Singura
Impact Of Nutrition Education On Student Learning, Lydia Singura
Walden Dissertations and Doctoral Studies
A goal of schools is to provide students with practical nutritional information that will foster healthy lifelong behaviors. Unfortunately, students at one school were found to have difficulty grasping basic nutritional information and practical health-related skills. There remains an important gap in current literature regarding strategies to improve students' understanding of nutrition education material. The purpose of this study was to investigate the benefits of a 4-week nutrition intervention unit in the Foods I classes consisting of 82 male and female students in Grades 9-12. Constructivist teaching methods were implemented to provide students with both information and valuable skills, which …
The Influence Of Community Support Services In Reducing Potentially Preventable Readmissions, Camille Rose Bash
The Influence Of Community Support Services In Reducing Potentially Preventable Readmissions, Camille Rose Bash
Walden Dissertations and Doctoral Studies
Recently, the Centers for Medicare and Medicaid Services (CMS) ranked all hospitals based on Medicare readmission rates for heart attacks, heart failure, and pneumonia. CMS offered subsidies to hospitals ranked in the 4th quartile to develop community support services to reduce the problem of potentially preventable readmissions (PPRs). CMS cited 4 of the 5 hospitals in Prince George's County in the 4th quartile. The purpose of this quantitative research study was to investigate the relationship between community support services and the reduction of PPRs in Prince George's County. The Evans and Stoddart field model of health and well-being guided this …
Religious-Base Social Relationship And The Psychological Well-Being Of The Elderly: Gender And Race Variations, Eugene C. Uche
Religious-Base Social Relationship And The Psychological Well-Being Of The Elderly: Gender And Race Variations, Eugene C. Uche
Walden Dissertations and Doctoral Studies
More people in the United States are approaching retirement age, a trend which has resulted in increased study on life satisfaction and psychological well-being of the elderly. Previous researchers have focused on the relationship between religious social support and life satisfaction; however, there remains a gap in the literature regarding how race and gender may influence this association. Knowledge of interactions between religiosity, gender, and race will enable counselors working with different groups of religiously inclined clients to develop and implement religious-based interventions specific to their clients. Guided by the social ecological model, the purpose of this study was to …