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The Effects of the $0.50-Debt Test on Fast Growth Texas School Districts:  A Case Study of Three Districts (open access)

The Effects of the $0.50-Debt Test on Fast Growth Texas School Districts: A Case Study of Three Districts

A three-district case study was conducted to determine the effects of the 50-cent debt test on fast-growth Texas school districts. The 50-cent debt test for Texas schools came into existence as part of Senate Bill 351 in 1991. Prior to the passing of Senate Bill 351, districts in Texas were limited to issuing 10% of their assessed valuation. Of the 75 school districts that currently meet the criteria to be considered a fast-growth district, 15 of the districts had an Interest and Sinking tax rate of $0.50 in 2014. Also, 33 of the 75 districts had an Interest and Sinking tax rate of $0.40 or higher in 2014. The 50-cent cap on the interest and sinking fund tax rate for districts is arbitrary and inefficient. The limit does not take into account a district's enrollment growth or the wishes of local taxpayers who might vote to authorize debt to build additional facilities or a higher tax rate to pay down debt sooner. Over the past 20 years, Texas voters have approved $96.7 billion of the $118.4 billion resulting in over 81% of funding sought for facilities being approved. The issuance of the approved bond authorization by these voters is governed …
Date: August 2018
Creator: O'Neal, Thomas Edward
System: The UNT Digital Library
An Exploratory Mixed Method Study of  Gender and Sexual Minority Health in Dallas: A Needs Assessment (open access)

An Exploratory Mixed Method Study of Gender and Sexual Minority Health in Dallas: A Needs Assessment

Gender and sexual minorities (GSM) experience considerably worse health outcomes than heterosexual and cisgender people, yet no comprehensive understanding of GSM health exists due to a dearth of research. GSM leaders in Dallas expressed need for a community needs assessment of GSM health. In response to this call, the Center for Psychosocial Health Research conducted a needs assessment of gender and sexual minority health in Dallas (35 interviews, 6 focus groups). Competency was one area highlighted and shared across existing research. Thus, the current study explored how competency impacts gender and sexual minorities' experience of health care in Dallas. We utilized a consensual qualitative research approach to analyze competency-related contents. The meaning and implications of emerging core ideas were explored. These findings were also used to develop a survey instrument.
Date: August 2018
Creator: Bonds, Stacy
System: The UNT Digital Library
Getting the College Experience: Exploring the Effect of the Residential Component of the Upward Bound Summer Program (open access)

Getting the College Experience: Exploring the Effect of the Residential Component of the Upward Bound Summer Program

Upward Bound is a federally funded program designed to help low-income and first-generation high school students become college graduates by providing them with academic enrichment, financial aid information, and relevant educational experiences. Many Upward Bound programs throughout the country include a 6-week summer program when participants stay in residence halls on a university campus. The Upward Bound program at the University of North Texas is one such program. The goals of this research project are to understand how the residential component of the summer program affects the experience of participants in Upward Bound and the possible benefits it may have towards meeting the overall goals of the program. Participant observation during the 2016 UNT Upward Bound summer program and interviews with participants, RAs, program alumni, and organizational leaders uncovered the ways in which the residential component benefits and enriches the experience of participation in Upward Bound.
Date: August 2018
Creator: Krehbiel, Riley M
System: The UNT Digital Library
Giving Texas Veterans a Voice: Traumatic Experience and Marijuana Use (open access)

Giving Texas Veterans a Voice: Traumatic Experience and Marijuana Use

Disabled veterans with post-traumatic stress disorder (PTSD) exist in a category separate from many civilians and soldiers. Their experiences land them in a category distinctly marked as atypical. The standard protocol to manage this atypical subject position is prescription drugs- a mark of the ill. In a distorted, post-war American society, what happens when veterans with PTSD refuse to be labeled as ‘sick,' ‘different,' or even ‘disabled'? This thesis explores the actions and intricacies of a community of veterans who advocate for medical cannabis to manage associated symptoms of PTSD. This group of veterans campaigns for individuality, both in medical treatment and in personal experience. Collaboratively, their experiential evidence indicates that none can be treated in the same fashion. After a year of participant observation and field work, it becomes apparent that their work both individualizes and unifies the veterans. This thesis details their experiences and the results of their activist campaign to demarcate themselves.
Date: August 2018
Creator: Berard, Amanda Kay
System: The UNT Digital Library
"Her Name Was" (open access)

"Her Name Was"

Her Name Was is an examination of the oppression of transgender people in a society that is built on the nominalization of cisgender people, those who gender matchers their sex assigned at birth, and how this oppression lends itself to violence. In the summer of 2015, the body of Shade Schuler, an African American transgender woman, was found in a field outside of Dallas, Texas. Ms. Shade is part of an alarming epidemic of escalating levels of targeted violence against the transgender community. This documentary pulls back the curtain as it captures the feelings and struggles of the transgender community as they attempt to navigate and survive in a cis dominating society.
Date: August 2018
Creator: Almendariz, Sergio E
System: The UNT Digital Library
The Hoboken War Bride: A Novel (open access)

The Hoboken War Bride: A Novel

The Hoboken War Bride is a work of historical fiction set in Hoboken, New Jersey during World War II. A young soldier named Daniel and an aspiring actress named Hildy marry days after meeting, though the marriage is doomed to fail. This young couple is not compatible. Daniel ships out to basic training the day after their hasty marriage, leaving Hildy behind with his family, the Anellos, who she quickly becomes attached to. Hildy is exposed to family in a way she had never lived with her own, embracing them even though she doubts she'll ever have a future with Daniel. When Daniel returns after the end of the war, the young couple try to make their marriage work, but it fails almost immediately. Both Hildy and Daniel struggle to pick themselves up after their divorce, finding themselves making choices they never thought they would when they were younger.
Date: August 2018
Creator: Riccardelli, Charlie Frank
System: The UNT Digital Library
The Impact of Teacher Professional Development on Student Achievement at a North Texas High School as Measured by End-of-Course Assessments in Algebra I and English Language Arts (open access)

The Impact of Teacher Professional Development on Student Achievement at a North Texas High School as Measured by End-of-Course Assessments in Algebra I and English Language Arts

The purpose of this study determined if a significant relationship existed between the amount of professional development that teachers participated in and the impact on the classroom instruction that followed. The goal was to study the effect that this had on student achievement in the State of Texas Assessment of Academic Readiness (STAAR) for English 1 and Algebra 1 for students at a large north Texas high school. Testing years for the study included the school years 2013-14, 2014-15, and 2015-16. Additional variables included the work in three areas of teacher professional development over the three-year period. Fourteen teachers, in two subjects, were studied in their implementation of classroom instruction. Particular attention was given to the instructional changes, and the number of hours of professional development in the areas of instruction, technology, and differentiation. Teachers were given opportunities to participate in 18 hours of professional development in all three areas in each of the three years. Teachers were then asked to incorporate the work that they completed each year into their day to day classroom instruction. The goal of the implementation of the professional development in addition to the curricular specifics regarding instruction of state standards was expected to produce …
Date: August 2018
Creator: Younkman, Freddy W
System: The UNT Digital Library
Influences on Latino Males' Enrollment in Four-Year Colleges (open access)

Influences on Latino Males' Enrollment in Four-Year Colleges

The purpose of this study was to explore characteristics that influence Latino male students' enrollment in four-year colleges. This study utilized a mixed-methods approach and acquired information specifically pertaining to the high school Latino male population. Participants for the study included Latino male high school students in Grades 9-12, parents of Latino male high school students in Grades 9-12, and counselors of high school students in Grades 9-12. The study was conducted across two campuses. Data for student and parent participants were obtained through an online survey questionnaire and counselor data was obtained through face-to-face semi-structured interviews. The results of this study reveal that there are influential characteristics that contribute to Latino males' potential enrollment in college. Of the data obtained from student participants, 70.2% of participants on Campus 1 and 90.5% of participants on Campus 2 planned on attending college. Responses from parent surveys found that 85.8% of parents had expectations for their Latino male student to attend college. Through the semi-structured focus group interviews, it was found that the school district and campuses in which the study was conducted had several procedures or processes in place to positively encourage Latino male student enrollment in four-year colleges. Results of …
Date: August 2018
Creator: Jones, Victor Jerrell
System: The UNT Digital Library
Knowledge, Attitudes and Practices of Teachers on the Use of Technology Applications with Children: A Survey of PK-5 Teachers in a South Texas Region (open access)

Knowledge, Attitudes and Practices of Teachers on the Use of Technology Applications with Children: A Survey of PK-5 Teachers in a South Texas Region

This quantitative methods study explored the knowledge, attitudes and practices of PK-5 teachers on the use of technology applications in the classroom. The Texas State Board of Education has set in place standards for technology applications that require the use of technology applications across all grades. Likewise, the American Academy of Pediatrics (AAP) published new guidelines on the use of technology by children. However, it is the responsibility of teachers to implement and embed these standards, while also paying attention to the recommendations of the AAP. I developed a survey that provided demographic information, and included 12 items to measure the knowledge, attitudes and practices of teachers of technology applications in the classroom. Participants included 251 PK-5 teachers from three different districts in a South Texas region. Multiple regressions were conducted for each of the constructs produced by a factor analysis. Knowledge and attitudes presented no statistically significant results from individual teacher characteristics, but there were statistically significant differences on attitudes by districts. The regression analysis for practice reported a statistically significant difference between teachers that held a master's degree and those who did not. I conclude that technology applications implementation in the PK-5 classrooms is still developing and evolving, …
Date: August 2018
Creator: Prishker, Nydia
System: The UNT Digital Library
Meaning in Life and Psychological Wellness among Latino Immigrants: Role of Attachment, Belongingness, and Hope (open access)

Meaning in Life and Psychological Wellness among Latino Immigrants: Role of Attachment, Belongingness, and Hope

Guided by attachment theory and principles of positive psychology, a conceptual model was developed depicting the direct and indirect effects of attachment insecurity, state hope, belongingness, and meaning in life on wellness indicators (i.e., life satisfaction, physical health, and depression) of first generation Latino immigrants in the U.S. Specifically, the present study proposed that the effects of attachment insecurity on Latino immigrants' wellness would be mediated by two tiers of factors. The first tier consisted of state hope (i.e., general state hope, spiritual state hope, mastery state hope) and sense of belonging (i.e., general belongingness; connectedness with mainstream/ethnic community), which represented individual-level and relational factors, respectively, salient in Latino culture. Greater attachment insecurity was hypothesized to contribute to a compromised MIL and poorer wellness by decreasing state hope and sense of belongingness. A total of 352 first-generation Latino immigrants from Texas participated in this study. The exploratory factor analysis on the Experiences in Close Relationships Scale revealed a two-factor factor structure that is different from the two factors of adult attachment typically found with American samples (i.e., anxiety and avoidance). The emerged two factors represent anxious-distancing attachment and comfort-seeking attachment. Results from structural equation modeling analysis showed adequate model fit …
Date: August 2018
Creator: Shelton, Andrew Jonathan
System: The UNT Digital Library
Mental Illness Stigma, Parent-Child Communication, and Help-Seeking of Young American Adults with Immigrant Parents (open access)

Mental Illness Stigma, Parent-Child Communication, and Help-Seeking of Young American Adults with Immigrant Parents

This study examined a mediational model of mental illness stigma, parent-child communication about mental health concerns, and help seeking attitudes/behaviors among young adults with at least one immigrant parent while considering the possible moderating effect of acculturation gap. The primary goal of this study was to examine whether the acculturation gap changed the relation between mental illness stigma and communication about personal mental health concerns with immigrant parents, which in turn could become a significant predictor of their help-seeking attitudes, as well as a barrier to seeking professional mental health services. Findings provided support to the direct and indirect effects of mental illness stigma through communication about mental health concerns on attitudes about help-seeking. The acculturation gap hypothesized to be a possible moderator for the stigma-communication about mental health concerns relationship among young adult ABCI was found to be significant for ABCI with a low mainstream culture acculturation gap. Discussion on the findings, limitations of the study, future research directions, and counseling implications are addressed.
Date: August 2018
Creator: Bismar, Danna
System: The UNT Digital Library
The Relationship among Select School Variables and 8th Grade African American Male Academic Achievement (open access)

The Relationship among Select School Variables and 8th Grade African American Male Academic Achievement

This study was designed to investigate the correlational relationship between four school elements listed on the Texas Academic Progress Report (TAPR) and the academic achievement of 8th grade African American male students. Data for this study was provided from the Texas Education Agency's (TEA) Office for Public Information Requests. The study included four independent variables: percent of socioeconomically disadvantaged students, average years of teachers' experience, attendance rate and average class size in mathematics. The dependent variable was the 8th grade African American males' performance on the mathematics STAAR exam. The study examined scores from the mathematics STAAR exam for the years 2012-2014. The sample population included 1,540 schools and 47,169 individual test results. The results of the correlational analysis indicate that none of the independent variables were correlated to each other, but each of the independent variables had a statistically significant correlation with the dependent variable at the p < .05 level. The study also sought to explore the variance in academic achievement that could be explained by the four independent variables when used as a model. The results of the simple multiple regression suggest that not only were the results statistically significant at the p < .01 level, but …
Date: August 2018
Creator: Bowser, Jimmy Lee, Jr.
System: The UNT Digital Library
Response to Intervention (RTI) and Promising Practices:  What Works at the Secondary Level (open access)

Response to Intervention (RTI) and Promising Practices: What Works at the Secondary Level

The primary focus of RtI has been at the elementary school level. However, over the past few years there has been a shift, and RtI has been expanding to secondary schools. Through this expansion, it is unclear if RtI has been effectively implemented at the secondary level. The ultimate goal for any school implementing change is institutionalization or sustainability. Therefore, this qualitative case study examined the institutionalization or sustainability of RtI systems in one high school. This study was designed to deepen the understanding of secondary RtI and to add to the literature on RtI at the secondary level. The purpose was to understand how one secondary school addressed the complexity and uniqueness of the secondary environment while sustaining RtI practices. The participants in this study shared several research-based practices that they believed assisted struggling students to become academically successful. The findings regarding RtI practices and implementation were supported by researchers whose works were analyzed in the literature review. The study concluded that understanding the phases of change, the three major forces which influenced change and a clear, well thought out plan are vital components to success.
Date: August 2018
Creator: Little, Regena Ann
System: The UNT Digital Library
Retail District Evolution: An Exploration of Retail Structure and Diversity, a Case Study in Denton, Texas (open access)

Retail District Evolution: An Exploration of Retail Structure and Diversity, a Case Study in Denton, Texas

It is well established that national retail chains impact small, single location retail businesses in terms of revenue generation, retail structure, retail type diversity, and location. This study examines the retail structure and diversity of five retail districts in the City of Denton, Texas. The analysis focuses on one central business district (CBD), one traditional retail strip center (University Drive, also known as US HWY 380), one special retail district (Fry Street District), one traditional enclosed shopping mall and associated development (Golden Triangle Mall), and one power retail center (Denton Crossing). The empirical foundation for the investigation is a historical business database covering years 1997 to 2010, obtained from Info Group's Reference USA. This Reference USA database includes location, industry, and status (single versus chain location) information for each business. Retail diversity and evenness were measured for each of the five retail districts using the Simpson's Diversity Index and the Simpsons Measure of Evenness, leading to specification of the differences that exist in retail structure and diversity among the districts. Golden Triangle Mall and Denton Crossing were primarily chain location in composition while Fry Street District, the CBD, and University Drive were primarily single location in composition. Across all years, …
Date: August 2018
Creator: Bova, Joshua Paul
System: The UNT Digital Library
Social Vulnerability and Bio-Emergency Planning: Identifying and Locating At-Risk Individuals (open access)

Social Vulnerability and Bio-Emergency Planning: Identifying and Locating At-Risk Individuals

In 2006, the United States Congress passed the Pandemic All-Hazards Preparedness Act (PAHPA) which mandated that all emergency preparedness planning shall address at-risk populations. Further, in 2013, the reauthorization of this act, known as PAHPRA, defined at-risk individuals as "children, older adults, pregnant women, and individuals who may need additional response assistance." This vague definition leaves emergency managers, planners, and public health officials with the difficult task of understanding what it means to be at-risk. Further, once identified, the geographic location of at-risk individuals must be obtained. This research first uses the concept of social vulnerability to enhance the understanding of what it means to be "at-risk." Then, by comparing two data disaggregation techniques, areal weighted interpolation and dasymetric mapping, I demonstrate how error of estimation is affected by different scenarios of population distribution and service area overlap. The results extend an existing framework of vulnerability by stratifying factors into quantifiable and subjective types. Also, dasymetric mapping was shown to be a superior technique of data disaggregation compared to areal weighted interpolation. However, the difference in error estimates is low, 5 percent or less in 72 percent of the test cases. Only through local collaboration with community entities can emergency …
Date: August 2018
Creator: Richardson, Brian T
System: The UNT Digital Library
Subjective Efficiencies: Water Use, Management and Governance in the North Platte Natural Resources District (open access)

Subjective Efficiencies: Water Use, Management and Governance in the North Platte Natural Resources District

The North Platte Natural Resources District (NPNRD) is one of 23 quasi-governmental organizations in the state of Nebraska that are organized by river basin and are responsible for the management of groundwater. Conversely, the state's surface water is governed by the Nebraska Department of Natural Resources under the system of prior appropriation. This study uses Foucauldian neoliberal governmentality and a contrasting theory of 'meandering' to explore the conflicting beliefs, perceptions and values that form the foundations of different notions of 'efficiency' as it pertains to water use and management in NPNRD while a political ecology lens is used to situate local perceptions within the regional context of the Platte River Basin. Study findings ultimately point to the remaining 'disintegration' of water governance despite the state's efforts to create legislation that seeks to merge ground and surface water management in practice.
Date: August 2018
Creator: Miller, Elizabeth
System: The UNT Digital Library
Use of Bio-Product/Phase Change Material Composite in the Building Envelope for Building Thermal Control and Energy Savings (open access)

Use of Bio-Product/Phase Change Material Composite in the Building Envelope for Building Thermal Control and Energy Savings

This research investigates the bio-products/phase change material (PCM) composites for the building envelope application. Bio-products, such as wood and herb, are porous medium, which can be applied in the building envelope for thermal insulation purpose. PCM is infiltrated into the bio-product (porous medium) to form a composite material. The PCM can absorb/release large amount of latent heat of fusion from/to the building environment during the melting/solidification process. Hence, the PCM-based composite material in the building envelope can efficiently adjust the building interior temperature by utilizing the phase change process, which improves the thermal insulation, and therefore, reduces the load on the HVAC system. Paraffin wax was considered as the PCM in the current studies. The building energy savings were investigated by comparing the composite building envelope material with the conventional material in a unique Zero-Energy (ZØE) Research Lab building at University of North Texas (UNT) through building energy simulation programs (i.e., eQUEST and EnergyPlus). The exact climatic conditions of the local area (Denton, Texas) were used as the input values in the simulations. It was found that the EnergyPlus building simulation program was more suitable for the PCM based building envelope using the latent heat property. Therefore, based on the …
Date: August 2018
Creator: Boozula, Aravind Reddy
System: The UNT Digital Library
Vietnamese Students' Translanguaging in a Bilingual Context: Communications within a Student Organization at a US University (open access)

Vietnamese Students' Translanguaging in a Bilingual Context: Communications within a Student Organization at a US University

Today linguistic hybridity is often conceptualized as translanguaging. The present study of translanguaging was a linguistic ethnography, which meant investigating cultural issues as well as linguistic practices. The focus was on bilingual speakers of Vietnamese and English, two "named" languages that differ considerably in morphology, syntax, and orthography. This study, conducted over four and a half months, was situated in the Vietnamese Student Organization of a U.S. university, and it included 37 participants. The research was intended to answer two questions: what forms of translanguaging did these bilinguals use? and what reasons did they provide for instances of translanguaging? In capturing the language use of this community, my role was participant-observer, which entailed observing and audio-recording conversations in three kinds of settings: group meetings, social gatherings, and Facebook communications. Additional insights came from discourse-based interviews, focused on instances of translanguaging by 10 individuals. In the group meetings and Facebook conversations, it was conventional for the major language to be English, whereas in the social gatherings it was Vietnamese. My attention in analyzing these interactions was on patterns of translanguaging that occurred within sentences and those occurring outside sentence boundaries. Overall, most translanguaging occurred intra-sententially, as single words from one language …
Date: August 2018
Creator: Nguyen, Dung Thi
System: The UNT Digital Library
"World Life" (open access)

"World Life"

During this time of interest and uncertainty in immigration, a foreigner seeking an education, home, and career wonders how welcoming America really is. This documentary film focuses on how the organization known as World Life is involved in helping international students in terms of language, accommodation, and religion. It follows an organization that is willing to open up and welcome them into the community.
Date: August 2018
Creator: Ingabire, Cyuzuzo
System: The UNT Digital Library
Access to Health Care and Rates of Mortality and Utilization for the Elderly in Rural America (open access)

Access to Health Care and Rates of Mortality and Utilization for the Elderly in Rural America

The aging experience of men and women in rural America is different than that of their urban counterparts. In this study, I identified key disparities in access to health care, mortality, and utilization of health care that result from geographic location. Foundational theories are discussed to illustrate that disparities can originate from historical societal behaviors. Secondary data and literary reviews create a combined qualitative and quantitative approach to explore the rural/urban divide, concluding that the potential for increased disparities as the aging population grows is very real and rural residents remain vulnerable to a poor(er) aging experience. Recommendations for policy and practice, as well as additional research, are made to address the conclusion.
Date: May 2018
Creator: Johnson, Barbara Ann
System: The UNT Digital Library
Association of College and Career Readiness Indicators on Hispanic College Enrollment and Postsecondary Resiliency (open access)

Association of College and Career Readiness Indicators on Hispanic College Enrollment and Postsecondary Resiliency

This investigation was a post-hoc, quantitative analysis of secondary academic performance and participation choices of Hispanic students. Three years of longitudinal student-level data was collected to examine the likelihood of college enrollment based on college and career readiness (CCR) factors. At the time of the study, CCR was defined as qualifying exam scores, credit for at least two advanced/dual enrollment courses, or enrollment in a career and technology education (CTE) coherent sequence of courses. Research participants (N = 803) consisted solely of Hispanic high school graduates from the 2014 cohort. Frequency statistics indicate 45.5% (n = 365) attended an institute of higher education (IHE) within 2 years of high school graduation. Findings reveal Hispanic females were more likely than Hispanic males to meet CCR indicators as well as postsecondary resiliency outcomes. Analysis of chi-square tests of independence suggests a moderately strong association exists between CCR indicators and postsecondary participation among high school graduates. Differences were found in terms of gender and postsecondary enrollment, x^2(6) = 24.538, p < .001. Differences were also found in terms of type of IHE and postsecondary resiliency, x^2(3) = 34.373, p < .001. More Hispanic CCR graduates enrolled at 2-year and 4-year IHE than expected …
Date: May 2018
Creator: Parker, Patricia
System: The UNT Digital Library
The Biogeographic Distribution of Caddisflies (Insecta: Trichoptera) within the South-Central United States (open access)

The Biogeographic Distribution of Caddisflies (Insecta: Trichoptera) within the South-Central United States

Through the use of natural history records, published literature, and personal sampling (2011-2016) a total of 454 caddisfly species represented by 24 families and 93 genera were documented from the south-central United States. Two Hydroptilidae species were collected during the 2011-2016 collection efforts that are new to the region: Hydroptilia scheringi and Mayatrichia tuscaloosa. Eightteen species are endemic and 30 are considered species of concern by either federal or state agencies. The majority of each of these groups is Hydroptilidae, or microcaddisflies. Trichoptera community structure, by minimum number of species, was analysed in conjunction with large-scale geographical factors to determine which factor illustrated caddisfly community structure across the region. Physiographic provinces compared to other geographic factors analyzed best-represented caddisfly communities with a minimum of 10 or more species. Statistically, Hydrologic Unit Code 4 (HUC 4) was the most significant geographical factor but low number of samples representing this variable rendered it less representative of caddisfly community structure for the study area.
Date: May 2018
Creator: Perry, Heather Ann
System: The UNT Digital Library
Changes in Student Borrowing at Private Not-for-Profit Four-Year Institutions in the United States (open access)

Changes in Student Borrowing at Private Not-for-Profit Four-Year Institutions in the United States

Trends in tuition and financial aid policy have increased the number of students who borrow for higher education and the aggregate debt students acquire. Most research on student borrowing over the years has analyzed the effects of borrowing and the prospects of indebtedness on individual students' choices and persistence. However, dynamics at the institutional level such as the need to ensure a stable flow of resources may accelerate or slow down student borrowing. Drawing on resource dependence theory, this study examined changes in student borrowing at private not for profit four year institutions in the US to identify trends and implications. A fixed effects regression analysis was applied to panel data from the Delta Cost project and the National Association of College and University Business Officers. Analytical focus was on the financial and enrollment characteristics of private not for profit four-year institutions, the relationship between these characteristics and student borrowing, and whether these relationships are stable or change over time. Findings revealed that the financial and enrollment characteristics of private not for profit institutions during the study period were characterized by gradual variation. The results also revealed that most of the financial characteristics were predictive of student borrowing and that …
Date: May 2018
Creator: Namalefe, Susan A.
System: The UNT Digital Library
A Comparison of Major Factors that Affect Hospital Formulary Decision-Making by Three Groups of Prescribers (open access)

A Comparison of Major Factors that Affect Hospital Formulary Decision-Making by Three Groups of Prescribers

The exponential growth in medical pharmaceuticals and related clinical trials have created a need to better understand the decision-making factors in the processes for developing hospital medication formularies. The purpose of the study was to identify, rank, and compare major factors impacting hospital formulary decision-making among three prescriber groups serving on a hospital's pharmacy and therapeutics (P&T) committee. Prescribers were selected from the University of Texas, MD Anderson Cancer Center which is a large, multi-facility, academic oncology hospital. Specifically, the prescriber groups studied were comprised of physicians, midlevel providers, and pharmacists. A self-administered online survey was disseminated to participants. Seven major hospital formulary decision-making factors were identified in the scientific literature. Study participants were asked to respond to questions about each of the hospital formulary decision-making factors and to rank the various formulary decision-making factors from the factor deemed most important to the factor deemed least important. There are five major conclusions drawn from the study including three similarities and two significant differences among the prescriber groups and factors. Similarities include: (1) the factor "pharmacy staff's evaluation of medical evidence including formulary recommendations" was ranked highest for all three prescriber groups; (2) "evaluation of medications by expert physicians" was ranked …
Date: May 2018
Creator: Spence, James Michael
System: The UNT Digital Library