SACM - United States of America
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9668
Browse
83 results
Search Results
Item Restricted PERSON-CENTERED KIDNEY CARE AND TRANSITION TO DIALYSIS: AN INVESTIGATION FROM SAUDI ARABIA(Saudi Digital Library, 2027-01-01) Alfahad, Abdulrahman Abdulmuslih S; Toles, Mark P; Almutary, Hayfa; Crandell, Jami; Ya-Ke “Grace” Wu; LeBlanc, MathewThis dissertation examines Person-Centered Care (PCC) in patients with Advanced chronic kidney disease (CKD) on dialysis in Saudi Arabia. It aims to advance PCC research and inform practical applications through five main objectives: (a) characterize Patient-Reported Outcomes (PROs) in CKD; (b) describe patient engagement among adult non-dialysis CKD patients; (c) identify population characteristics, including emotional and informational support, associated with patient engagement; (d) examine the relationship between patient engagement and health-related outcomes; and (e) characterize patient experiences during the transition to dialysis and identify factors that facilitate unplanned dialysis initiation. Chapter 2 findings of a scoping review of studies conducted in Saudi Arabia, which identified literature gaps, particularly in the standardized measurement of PROs, non-individual or environmental factors relate to patient-reported outcomes, and the underrepresentation of non-dialysis CKD patients in research. Chapter 3 reports the findings of a cross-sectional study of 128 patients which found that most participants scored the lowest engagement level. Key predictors of low engagement were low education level, low emotional and informational support. Chapter 4 reports findings from a qualitative study exploring the reasons that patients often initiate dialysis under emergency or unplanned circumstances. Through in-depth interviews with 18 patients who experienced unplanned dialysis initiation, findings characterize a range of individual, social, and healthcare system factors that contributed to unplanned dialysis initiation. The findings from this dissertation identifies actionable strategies to enhance person-centered and value-based care. The studies collectively highlight the urgent need for improved pre-dialysis care, including earlier nephrology care, integration of multidisciplinary teams, and proactive engagement of patients. Future research should prioritize designing and evaluating structured pre-dialysis programs that promote timely planning and smooth transitions to dialysis, incorporating elements such as patient education, self-management support, and activation strategies. At the policy and practice level, embedding routine PRO measurement, strengthening patient-provider communication, and tailoring care to patients’ social and emotional needs are essential to optimizing CKD care and aligning it with Saudi Arabia’s Vision 2030 healthcare transformation.7 0Item Open Access UNDERSTANDING REPEAT USE AND WORD-OF-MOUTH IN RESTAURANT RESERVATION APPS: AN INTEGRATED UTAUT2 AND USES & GRATIFICATIONS APPROACH(Saudi Digital Library, 2025-07-16) Alhaidar, Maher; Joung, DavidThis study explores the technological and psychological factors influencing users’ repeat use and word-of-mouth (WOM) behavior regarding restaurant reservation apps in Saudi Arabia. By integrating the Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) with the Uses and Gratifications (U&G) Theory, the research develops a comprehensive framework to assess how constructs such as performance expectancy, effort expectancy, hedonic motivation, price-saving orientation, societal pressure, and various gratification types shape e-satisfaction and usage intention. A cross-sectional survey of 485 Saudi app users was conducted, and the data were analyzed using confirmatory factor analysis (CFA) and structural equation modeling (SEM). The findings indicate that both technological and gratification-driven constructs significantly impact e-satisfaction and usage intention, which, in turn, positively influence repeat use intention and WOM behavior. This study advances hospitality and technology adoption literature by offering a context-specific model that bridges functional, emotional, and social motivations. Practically, it offers valuable insights for app developers, marketers, and hospitality professionals aiming to enhance user experience, drive retention, and foster digital engagement.20 0Item Restricted Smart Online Education Platform(Saudi Digital Library, 2025-05-16) Alhotan, Zyad; Christine, KeriganThis thesis presents FHM, an innovative online design education platform tailored for Saudi and Arab learners. Bridging a critical gap in the regional e-learning landscape, FHM integrates four core elements: Arabic-first bilingual instruction, structured mentorship and community engagement, project-based learning with feedback loops, and adaptive pathways aligned with industry needs. The project combines cultural relevance with modern technology to empower Arab creatives through personalized, skill-driven education. Research, branding, UX/UI, motion design, and print deliverables were strategically developed to create a cohesive educational ecosystem. FHM directly supports Saudi Arabia’s Vision 2030 by fostering local creative talent and enhancing access to world-class design learning rooted in cultural identity.15 0Item Embargo Impact of Culinary Destination and Service Performance: Expectation Confirmations, Satisfaction, Trust, and Consumer Revisit Intention(Saudi Digital Library, 2025-07-08) Almasoud, Abdullah Mohammed Abdullah; Joung, David (Chair); Choi, Eun Kyong; Berezina, Katerina; Balkin, RichardPurpose- The dissertation addresses a critical gap in understanding post-dining consumer behavior within a culinary tourism destination at the BLVD RUH CITY destination. It explores how visitors' perceptions of food consumption value, specifically price, taste/quality, interaction, prestige, emotional, and epistemic, influence their perception of the culinary destination's image and their evaluations of restaurant service performance in the culinary destination. The study further examines how these evaluations affect expectation confirmation, influencing key post-dining outcomes, including satisfaction, trust, and revisit intention. Design/Methodology- The study employs an empirical research design supported by a causal-explanatory framework. Data were collected via an online survey and analyzed using a two-step covariance-based structural equation modeling (CB-SEM) approach. The first phase involved confirmatory factor analysis (CFA) to validate the measurement model, followed by CB-SEM to test the hypothesized structural relationships. The research model is grounded in the Theory of Consumption Values (TCV), Expectation Confirmation Theory (ECT), and the trust component of Commitment-Trust Theory (CTT). Demographic variables were included as control variables to obtain more nuanced insights into visitor behavior. Findings- The study revealed that epistemic value and taste/quality value positively influenced the image of a culinary tourism destination, while emotional, interaction, price, and prestige values did not significantly affect image formation. However, price, taste/quality value, epistemic, and emotional influences had a positive impact on evaluations of service performance. The image of a culinary tourism destination and service performance significantly affected expectation confirmation, which subsequently influenced satisfaction and trust. Ultimately, satisfaction and trust were recognized as crucial predictors of the intention to revisit, confirming the interconnected roles of these concepts in shaping post-dining loyalty in culinary tourism. Practical Implications- The findings offer targeted guidance for restaurant managers, destination marketers, and tourism planners by identifying the food-related values that influence visitor perceptions, service evaluations of restaurants, and behavioral outcomes. Emphasizing taste/quality, as well as epistemic value, can effectively shape a strong destination image, while taste/quality, price, epistemic value, and emotional value can enhance perceptions of restaurant service. Aligning the actual dining experience with visitors’ expectations encourages expectation confirmation, satisfaction, trust, and loyalty. The study’s model provides a framework for improving culinary tourism experiences through better service design, enhanced expectation confirmation, and consistent quality delivery across touchpoints in the destination. Originality/Value- This study is among the first to synthesize three established theories (TCV, ECT, and CTT) into a single, empirically tested model, offering a novel conceptual contribution to marketing, consumer behavior, tourism, and hospitality. It enhances the theoretical literature's understanding of how food-related consumption values, the image of a culinary tourism destination, perceived restaurant service performance, expectation confirmation, satisfaction, and trust interact to shape revisit intention. Furthermore, it enhances empirical research in the underexplored Middle Eastern context by validating this research model in Riyadh, Saudi Arabia, at the BLVD RUH City destination, thereby strengthening the cross-cultural applicability of consumer behavior frameworks.33 0Item Restricted The Impact of Educational Context on the Academic and Social Outcomes of Students with Intellectual Disabilities Who Moved from Inclusive to Segregated Classrooms in Saudi Arabia(Saudi Digital Library, 2025-06-10) Althiab, Mshael D; Ryndak, DianeThis study explores the academic and social outcomes of female students with mild intellectual disabilities (ID) in Saudi Arabia (SA) who transitioned from elementary comprehensive inclusive classrooms (ECICs) to middle self-contained classrooms (MSCCs). Framed within Bronfenbrenner’s Ecological Systems Theory and the Social Model of Disability, the research investigates how educational context, family involvement, and systemic expectations influence the experiences and development of students with ID. Drawing on six emergent themes organized into two overarching categories, the findings highlight that ECICs provided students with meaningful access to age/grade level general education (GE) academic content, opportunities for peer collaboration, opportunities to develop strong social relationships, and high expectations and inclusive teaching practices that led to positive outcomes. In contrast, the shift to MSCCs was associated with curtailed access to age/grade level GE curriculum, lower instructional quality, fewer social interactions with age/grade level peers, diminished expectations, and limited support structures. Family engagement and geographical context further influenced students’ educational experiences, with families in suburban areas experiencing more barriers to advocacy and inclusion. The study underscores the positive impact of inclusive practices in elementary GE classrooms and the importance of sustaining those inclusive practices throughout educational experiences. It also calls for alignment between policy, pedagogy, services, community awareness, and family advocacy. Recommendations are offered for improving inclusive education in SA, with a focus on enhancing teacher training, family-school collaboration, and equitable access to inclusive GE for all students.8 0Item Restricted INTEGRATING LEARNER-CENTERED TEACHING PRACTICES WITH SAUDI ARABIA’S NATIONAL CURRICULUM IN EARLY CHILDHOOD EDUCATION: A MIXED METHODS STUDY(Saudi Digital Library, 2025-06-26) Alibrahim, Alae; GRACE JEPKEMBOI, COMMITTEE CHAIR JULIE PAUL FLANNERY, COMMITTEE CO-CHAIR JENIFFER PONDER KELLY HILL MARIAH WEBERThis study explores how early childhood educators in Northern Saudi Arabia implement learner-centered teaching (LCT) within the framework of the National Curriculum. Employing an explanatory sequential mixed-methods design, the research first collected quantitative data via a survey of 260 teachers, followed by qualitative data through interviews with eight participants. The integrated findings offer a comprehensive understanding of how LCT is practiced in early childhood education. The findings reveal that educators generally recognize the benefits of LCT, particularly in fostering independent learning, critical thinking, and active student participation. Teachers reported using strategies such as open-ended questioning, collaborative learning, and activity-based instruction to support diverse learning needs. However, several barriers hindered full implementation, including large class sizes, limited resources, insufficient professional development, and inconsistent administrative support. Qualitative insights highlighted teachers’ efforts to adapt the National Curriculum in ways that align with student interests and inquiry-based approaches. Many educators view the curriculum as flexible and capable of accommodating child-centered methods. Despite the availability of training opportunities, professional development was often voluntary, leaving gaps in teachers’ preparedness for effective LCT integration. Support mechanisms such as peer collaboration, both online and in-person training, and administrative facilitation of experiential learning activities were also noted. Nevertheless, the inconsistency in access to these supports points to the need for more structured and mandatory professional development programs. Overall, the study underscores both the promise and challenges of implementing learner-centered teaching in early childhood education in the region. While teachers are conceptually aligned with LCT principles, practical constraints and limited institutional backing hinder their ability to apply these methods consistently. These findings suggest a need for policy enhancements that prioritize resource allocation, compulsory teacher training, and structural support to promote meaningful adoption of LCT across early childhood settings.16 0Item Restricted The Impact of Privacy Awareness on Sharenting and Privacy Management Practices Among Saudi Parents(Kent State University, 2025) alnemre, Afnan; Hollenbaugh, Erin; Egbert, NicholeIn the digital age, parents frequently engage in the practice of sharenting—sharing their children's photos and information on social media—raising concerns about privacy and its implications for identity theft and other risks. This phenomenon has significant impacts on the violation of children’s privacy and their psychological and social well-being. Guided by communication privacy management (CPM) theory, this study aimed to identify the role of privacy awareness and religiosity in sharenting and privacy management practices among Saudi parents, using a quantitative approach and relying on a survey as a data collection method, N =139 were collected from Saudi parents. The findings revealed that extrinsic religiosity demonstrated positive relationship with all sharenting dimensions self-control, social behaviors and implications also with boundary linkages and boundary permeability in CPM. Also, intrinsic religiosity has a negative correlation with boundary permeability, while the study does not find a relationship between intrinsic religiosity and all sharenting dimensions. Additionally, there was a significant negative correlation between privacy awareness and boundary ownership in CPM. Moreover, the study has shown gender differences in sharenting behavior, showing that mothers post more pictures of children. This research aspires to inform initiatives promoting privacy-conscious digital practices among parents and aims to support the development of child protection policies in Saudi Arabia to safeguard children's online privacy.26 0Item Restricted The Influence of Snapchat Consumption on Saudi Women’s Self- Perception and its Relation to The Desire to Change Their Appearance: A Quantitative Approach Applying Cultivation and Social Comparison Theory(The University of Southern Mississippi, 2025-05) Meer, Hebattollah; Maxwell, LindseyThis dissertation examined Saudi women’s exposure to Snapchat content related to cosmetic procedures, including news and content creators, and its impact on their self-perception, including self-esteem, body satisfaction, perception of beauty standards, and desire to change appearance through cosmetic procedures. This study utilized cultivation and social comparison theory as theoretical groundings. An online questionnaire was distributed among Saudi women (N=307) which was analyzed using multiple statistical tests, including correlation, regression, and mediation analysis, found causal relationships and statistical significance between the variables. The findings revealed that the amount of time spent consuming news about cosmetic procedures led to a low level of self-esteem among Saudi women, but the exposure to content creators, regardless of the amount of viewing, also had an impact. The findings also indicated that consuming both news and creators’ content related to cosmetic procedures on Snapchat led to an increase in achieving beauty ideals and, thus, the desire to change appearance by undergoing cosmetic procedures. In particular, the amount of viewing of the creator’s content had an impact on both previous dependent variables. Also, it found that social comparison behavior mediated the relationships as it led to a negative impact on Saudi women’s self-esteem and body satisfaction but raised the desire to reach more beauty norms and the desire for change. However, no mediation for religiosity was observed between the variables. Keywords: Content creators, Cultivation theory, Media consumption, Saudi Arabia, Self-perception, Social comparison theory, Snapchat12 0Item Restricted The Impact of Disability on Intimate Partner Violence Experienced by Saudi Married Women in Jeddah, Kingdom of Saudi Arabia(The Catholic University of America, 2025) Khan, Hanady; Eileen A. Dombo, DirectorExperiencing a disability in human functioning and intimate partner violence (IPV) have both been recognized as critical impediments to the human well-being of women around the world, including the Kingdom of Saudi Arabia (KSA). However, although some research exists on disability and IPV separately, no previous study has examined the connection between these two impediments in the KSA. This study investigates two research areas: (1) whether there is a significant association between the level of disability and IPV in adult Saudi married women in the KSA, receiving help from Family Protection Organizations (FPOs ), and (2) whether married women with disabilities (MWWD) compared to married women without disabilities (MWWOD), significantly differ in their level of IPV. Based on prior research, the study controls the possible influence of women’s and their husbands’ age, education, and household income. The study is supported by feminist theory, as women’s experiences with disability and IPV are culturally embedded in KSA’s struggles of marginalization of women. The study defines disability based on difficulties in human functioning related to physical components (with vision, hearing, cognition, communication, self-care, upper body function, and mobility), and emotional components (with anxiety and depression). This definition was developed by the Washington Group on disability statistics in the U.S. It has also been recognized internationally and used by the KSA to collect data on population disability levels in 2017. In the study, disability is operationally examined as a total summated score and as physical and emotional disability components. This study defines and examines IPV as consisting of four different forms of violence (emotional, physical, and sexual violence, and controlling behaviors) and total summated violence. The IPV behaviors are measured by a standardized questionnaire of the World Health Organization’s Violence Against Women Instrument (WHO VAWI) that has been used in KSA. Methodologically, the study applies a cross-sectional non-experimental correlational research design, with a purposive sample of 100 recruited Saudi-born adult (age 18 years or older) married women receiving services from one of three FPOs in Jeddah, KSA. The study research ethics were approved by the Institutional Review Board at The Catholic University of America. All data were anonymously provided through a structured paper and pencil survey questionnaire by consented adult Saudi married women at FPOs during 2024. The data were analyzed by the SPSS Version 28 statistical software. Descriptive results found that in the recruited sample, 50% of the adult Saudi women had disability (and of these, 70% had mild level and 30% moderate level disability). In addition, in the sample of 100 women, 57% reported mild IPV, 17% had moderate IPV, and 26% had severe to very severe IPV. Out of the four possible types of violence (emotional, physical, sexual, controlling behaviors), 38% of women had at least one type of IPV, and 62% had 2-4 types of IPV. The results of MRA revealed that women’s total disability difficulties significantly, positively, and strongly predicted their level of total IPV, showing that higher total disability scores were significantly correlated with higher scores of total IPV, explaining about 87 % variance in IPV. Binary LR revealed that MWWD were nearly twice as likely to experience moderate to severe IPV compared to MWWOD. Although some of the control variables were implicated in bivariate analyses, none significantly predicted IPV in multivariate analyses. Additionally, the two-factor MRA model of disability revealed that the physical disability total score was a much stronger predictor of IPV, as it accounted for around 74% of the total variance in IPV, whereas emotional disability accounted for only around 13% of total IPV variance; control variables had no effect. Further comparing the mean IPV by disability revealed that MWWD had a significantly higher mean of total IPV when compared to the mean of the total IPV in MWWOD. Similarly, MWWD also had significantly higher mean IPV scores for emotional, physical, and controlling behaviors of IPV when compared to such mean IPV scores of MWWOD. No such difference was found for sexual IPV comparison. Also, none of the control variables had any impact on these analyses. Findings from this study may allow social workers and human rights activists to become more knowledgeable about the challenges facing Saudi MWWD with IPV, as such knowledge may help to establish more effective interventions and protection policies in KSA and create directions for future research. Study limitations and additional practice and policy implications are discussed.64 0Item Restricted The Impact of Media Specialists' Credibility on Interaction and Trust of the Saudi Public: A Study on Saudi Users of the 𝕏 Platform(Virginia Commonwealth University, 2025) Alshareef, Maha; Song, BaobaoThis study investigates the influence of media specialists on the 𝕏 platform regarding public knowledge and engagement in Saudi Arabia, focusing on credibility, trust, and audience interaction. A survey of 314 Saudi users revealed that perceived credibility significantly drives content consumption and engagement. Additionally, frequent interaction with and reliance on media specialists for information was associated with higher knowledge acquisition. The study underscores the importance of strategic content creation, audience engagement, and analytics while addressing challenges such as misinformation. By implementing trust-building strategies, media specialists can help foster well-informed digital communities. This research extends the concept of credibility theory to social media and offers practical insights; however, limitations include reliance on self-reported data and a focus exclusively on Saudi 𝕏 users, which may restrict broader applicability.9 0