After-school programs play an increasing role in providing developmental and social skills through extra-curricular activities. Adolescents are most likely to engage in delinquent behavior during unsupervised after-school hours. Different after-school programs are available, both community-based and faith-based programs have risen in number in response to the need of children to have a safe environment with adult supervision. This study is interested in comparing after-school programs that are faith-based to community-based and see if any similarities or differences exist within each other. The purpose of this thesis was to contribute to the existing literature on after-school programs in two ways. First, this research will provide a brief history of after-school programs and a discussion of the types of programs. Second, this study will compare and contrast the various goals, structure, and performance of a community-based program and a faith-based program. Through in-person interview, a comparison will be drawn on organizational structure, activities, source and funding, goals and objectives, and outcomes of each program.

Diabetes is a serious health threat that disproportionately affects Hispanics of Puerto Rican heritage. Current evidence supports diabetes prevention programs to change health behaviors in people who are at risk and thus prevent the development of type 2 diabetes. However, few interventions exist for Hispanics, and even fewer have been designed for Puerto Rican adults. A literature review of community-based diabetes prevention programs involving at-risk Hispanics was conducted using a cultural sensitivity framework to determine the state of the science and identify gaps in knowledge regarding diabetes prevention for Puerto Ricans. An integrated theoretical framework was developed using constructs from the extended parallel process model (perceived severity and susceptibility) and social cognitive theory (self-efficacy) to design program components aimed to educate and motivate positive dietary behavior change in Puerto Rican adults. The two key components were a diabetes health threat message and dietary skill building exercises that incorporated spirituality and relevant faith practices, and were culturally-tailored for Puerto Ricans. A pretest-posttest, concurrent mixed methods design was used to test the impact and evaluate feasibility of a diabetes health threat message and skill-building exercises in a sample of Puerto Rican adults. A total of 24 participants enrolled in the study and attended six-weekly meetings that included baseline data collection, a health threat message, dietary skill building exercises, focus group interviews, posttest data collection, and an end-of-study potluck gathering. All of the study participants were Puerto Rican and a majority were female (70.8%), with a mean age of 55.5 years (SD 13.71). Most had a family history of diabetes (n = 21, 87.5%) and believed they were at-risk for the disease (n = 16, 66.7%). Using Wilcoxon matched-pairs signed rank test, significant increases or improvements were found in perceptions of diabetes severity (p < .01), dietary self-efficacy (p = .002), and dietary patterns (p = .02) at posttest in comparison to baseline. Spearman's rank correlations found moderate to strong relationships between the following variables: perceived severity and weight (rs = -.44, p = .03), dietary self-efficacy and dietary patterns (rs = .43, p = .04), dietary self-efficacy and fasting blood glucose levels (rs = - .45, p = .03), and American acculturation and weight (rs = .51, p = .02). The qualitative themes that emerged contributed to our understanding of participants' perspective relative to the health threat message, dietary skill building exercises, and the importance of cultural relevance and spirituality. The data support feasibility of this faith-based intervention that had an attendance rate of 58% and no loss of sample due to attrition. Diabetes prevention interventions for at-risk Puerto Ricans adults that incorporate a faith-based, culturally-tailored health threat message and dietary skill building exercises may help educate those who are at-risk and motivate lifestyle behavior change to prevent the development of diabetes. Further faith-based, culturally-tailored diabetes prevention research is indicated for Puerto Rican adults.

This study examines the relationship between government funding and faith-based nonprofit organizational development and professionalization. By conducting an online survey of 1,632 executive directors at Habitat for Humanity affiliates in the United States, followed by telephone and email interviews with selected leaders from the organization, this mixed-method case study examined the organizational tensions, opportunities, bureaucratization, and professionalization of a religiously-based nonprofit as it transitioned from primarily private funding to broad acceptance of public monies. Habitat for Humanity provided an excellent prospect for this research, as the organization announced one year before the study began that its 27-year tradition of not seeking or accepting government funding (with the exception of grants for infrastructure) would change in July 2006. The study utilized Barry Dym and Harry Hutson's stages of organizational development, particularly their concept of professionalization, as an analytical framework for the study, with particular emphasis on the potential effects government funding may have on Habitat's organizational structure. The study suggested a close relationship between increasing professionalization at the organization's national office and the decision of national leadership to allow local affiliates to pursue government funding for construction. In addition, survey and interview data indicated that this change has been accompanied by a corresponding decrease in emphasis on religious mission, or at least a less conservative (and in some cases more pluralistic) approach to religious aims, than was evident in a 1995 International Partner training session in which the researcher participated. / Ph. D.

In Christianity, there are two major perspectives of how one attains eternal life: by faith in Jesus Christ alone, or by necessary additional works/ordinances, such as baptism, or obedience to commandments. Though beliefs about salvation may reasonably be thought to have an influence on mental health and behavior, research on the subject has been slow to accumulate. This project examined the association between beliefs about salvation and mental health, as well as whether this association is mediated by other variables, including Religious Involvement, Scrupulosity, and Perfectionism. A sample of 1,556 Protestants/Evangelicals and Latter-day Saints (who generally hold distinct views about salvation) completed a survey assessing beliefs about salvation and other religious and mental health variables (including Well-Being, Anxiety, and Depression). A scale assessing beliefs about salvation was generated for use with this sample and evaluated by exploratory factor analysis. A correlation matrix indicated beliefs about salvation did not have significant relationships with most variables, with the exception of religious Legalism (negative correlation with Faith, positive correlation with Works). This broadly contradicts theoretical data suggesting potential deficits due to beliefs about salvation by faith alone (e.g., lack of religious involvement) or by additional works (e.g., higher perfectionism). A mediation model was also tested, showing significant path strength between Faith/Works and Legalism; other significant paths were observed between the mediating variables and mental health variables (especially Spiritual Transcendence and Well-Being). Implications for future research on the cognitive dimension of religion are discussed.

Vad gäller sambandet mellan KASAM och psykiskt välbefinnande tyder tidigare forskning på en starkt positiv korrelation. Forskning som bedrivits avseende den religiösa trons påverkan på det psykiska välbefinnandet har däremot konstaterat både positiva och negativa samband. Studiens frågeställningar ämnar bland annat att undersöka korrelationen mellan psykisk hälsa och KASAM, religiös tro samt bakgrundsvariablerna ålder, kön och födelseland. Urvalet bestod av 86 deltagare i Sverige och data samlades in via enkäter. En Pearson-korrelationsanalys kunde påvisa signifikanta positiva samband mellan KASAM och psykiskt välbefinnande samt mellan religiös tro och psykiskt välbefinnande. En hierarkisk regressionsanalys påvisade att variationen i psykisk hälsa till störst del kunde förklaras av KASAM, samt att en mindre procent kunde förklaras av bakgrundsvariablerna och religiös tro. Utifrån studiens resultat kan det sammanfattas att både KASAM och religiös tro är faktorer som har en effekt på den psykiska hälsan. Dessa kan hävdas agera likt ett skyddsnät gentemot psykisk ohälsa.

The purpose of this case study is to demonstrate the effectiveness of an Advanced Practice Nurse in providing spiritual and nursing care within a faith community setting. The study will describe the process of developing a Parish Nurse program using a Nurse Practitioner to offer wholistic health care to parishioners. It will also illustrate the collaborative process of developing a free health center within a faith based organization, using the Nurse Practitioner to manage the health center and deliver health care services. In order to demonstrate the need for parish nurse care, the case study used an anonymous survey to provide insight into the health status of the congregation, as well as to determine perceived needs of parishioners. Excerpts from the researcher's journal and audio-taped interviews of parishioners and key leaders within the community was used to express congregants' experiences of receiving parish nurse care, and to convey the need for a free community health center in the target population. A utilization review was conducted to demonstrate the profile of the patients who have accessed the services of the health center. The findings revealed three commons themes of parish nurse care; presence, spiritual support, and health care liaison. The study also revealed parishioners had an expedited referral process and improved patient provider relationships. Additional findings determined that the free health center was able to be operated by many of the members of the faith based organization, and was effective in managing chronic conditions such as hypertension and diabetes. Advanced Practice Nurses who are Parish Nurses have an opportunity to practice in a more wholistic manner, and offer advanced level care to parishioners and the community at large to improve health outcomes.

This dissertation explores the passage of the Federal Funding Accountability and Transparency Act of 2006 (FFATA) through John Kingdon’s (2003) Multiple Streams Theory. A policy analysis of the FFATA was conducted adapting Bardach’s Eightfold Path to Effective Problem Solving (2005) to explore the effectiveness of the FFATA. The dissertation focused on the attempt of the FFATA to account for the acceptable disbursement and use of disaster recovery payments and the ability of faith based initiatives to provide relief without compromising the separation of church and state principle through a coupling event. Additionally, this research sought to determine if faith based initiatives created a greater risk in awarding Stafford Act’s Public Assistance Grant Funds in the Gulf Coast after Hurricane Katrina. The study found the FFATA is not successfully meeting its goals and objectives in disaster recovery situations as it relates to Public Assistance Grants after Katrina because it fails to trace federal funding to the actual recipient of the grant. To determine if faith based initiatives created a greater risk in awarding Public Assistance Grant Funds after Katrina, 75 reports published by Office of Inspector General on Hurricane Katrina were reviewed to determine which types of compliance issues auditors have found with entities receiving federal funding under this grant program. Ordinary Least Squares (OLS) regression analysis and document analysis was performed on the collected data. Data showed that public entities have a higher percentage of questioned costs in comparison to faith based organizations. Content analysis revealed that 100 percent of public entities still spent the money on some other public purpose, but not necessarily a disaster-related purpose as required by federal rules specific to the PA Grant Program. Faith based organizations were more likely to have a violation of federal rules where the money ultimately was not traceable, indicating a greater risk of faith based organizations to violate the separation of church and state principle.

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