The purpose of this mixed methods study was to examine the impact of administrative support on staff mental health. Research questions were created for this research study and were investigated throughout its design and implementation. This research study involved participation from three district-approved schools: one elementary, one middle, and…

Purpose: We assess whether school start times predict the engagement and achievement outcomes of middle grades students. Our focus on middle grades is important because biological changes in sleep often begin when adolescents are in middle school and because middle school is a time when more students struggle academically. Research…

During such an unprecedented time of the largest public health crisis, the COVID-19 pandemic, nursing students are of the utmost concern regarding their psychological and physical well-being. It is important to identify and establish influences and associations within multilevel factors, including the effects of the COVID-19 pandemic on…

Individual differences in the quality of early experiences with primary caregivers have been reliably implicated in the development of socioemotional adjustment and, more recently, physical health. However, few studies have examined the development of such associations with physical health into the adult years. To that end, the current study used…

The Roadmap presents county-level data and rankings on 20 indicators of wellness across five domains: economic development, physical health, mental health and safety, education inputs, and education outcomes. We believe these five domains capture the interconnected conditions and resources that are necessary for a child to succeed, both inside and…

Rural populations are a cornerstone of American society, both in terms of the healthcare workforce and patient populace. This study was designed to examine how healthcare providers in eastern North Carolina experience rural clinical practice and to gain a general understanding of their access to relevant continuing medical education. The study was…

This literature review is intended to provide an overview of the current research literature on the effects of early secondary school start times on student outcomes and to help inform decisions regarding options for future Wake County Public School System (WCPSS) start times. Even though research shows that getting sufficient sleep is critical…

Current research on special education teacher burnout focused on the external contextual experiences leading to burnout rather than the innermost dimensions of the cognitive processes by which special education teachers experience burnout. Therefore, the purpose of this transcendental phenomenological research study was to explore how K-12 special…

Background: Compared with other occupations, long-haul truck drivers (LHTD) engage in excessively unhealthy behaviors and experience disproportionately poor health outcomes. Health promotion efforts targeting LHTDs focus on improving individual-level behaviors; however, this occupation is replete with adverse work organization characteristics,…

Background Little is known about risk factors associated with poor health among employees with COPD [chronic obstructive pulmonary disease] living in Central Appalachia. Purpose: Determine variability in health distress based on risk factors, including race and income, among employees with COPD from Central Appalachian U.S. States. Methods:…

The objective of this study was to examine the construct validity and bias of a child health interview (CHI) instrument to assess young children's food and activity preferences. A quantitative study examining the construct validity and bias of a young child health interview instrument using confirmatory factor analysis (CFA) and multi-group CFA…

The link between health and learning is clear: healthy, active and well-nourished children are more likely to attend school, be ready to learn and stay engaged in class. Yet far too many students--particularly low income students and students of color--spend their days in buildings with unhealthy air, have limited opportunities for physical…

This paper summarizes the development and evaluation of an assessment instrument for children ages 7-12. The CHILD CARRE measure is a semi-structured interview with 7 domains. Children from the USA and Argentina (N = 134) completed baseline and follow-up assessments. Substance use occurred at an average age of 8. Almost 33% of the children were…

"The Status of Women in North Carolina: Health & Wellness" is the second in a series of four publications on women's status in North Carolina. Good health, access to health services, and the ability to live in a safe environment are critical to the economic security and overall well-being of North Carolina women. While poor health…

Background: Schools are important sites for interventions to prevent childhood obesity. This study examines how variables measuring the socioeconomic and racial composition of schools and counties affect the likelihood of obesity among third to fifth grade children. Methods: Body mass index data were collected from third to fifth grade public…