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"Undeniably, Unequivocally, We're Here": Black Mothers' Journeys to Advocacy in Navigating Health and Early Intervention Systems
"Undeniably, Unequivocally, We're Here": Black Mothers' Journeys to Advocacy in Navigating Health and Early Intervention Systems
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105641
- ISBN
- 9798265480118
- DDC
- 362
- 서명/저자
- Undeniably, Unequivocally, Were Here: Black Mothers Journeys to Advocacy in Navigating Health and Early Intervention Systems
- 발행사항
- [Sl] : University of California, Los Angeles, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 244 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-06, Section: B.
- 주기사항
- Advisor: Clark, Lauren.
- 학위논문주기
- Thesis (N.P.)--University of California, Los Angeles, 2025.
- 초록/해제
- 요약Black children experience significant delays in developmental disability diagnosis and access to early intervention services. Despite having similar or higher prevalence rates of developmental disabilities, Black children often receive diagnoses later than their White counterparts, often past the critical birth-to-age-three period of optimal brain development. These delays can lead to negative developmental trajectories and poorer long-term health and academic outcomes.Using constructivist grounded theory methodology, this study relied on interviews with 17 Black mothers of children ages 11 months to 5 years with developmental delays or disabilities in California. An integrated theoretical framework included symbolic interactionism, early relational health, critical race theory, and public health critical race praxis. Data collection occurred from April 2023 to October 2024, with analysis including constant comparison, process coding, focused coding, and theoretical coding techniques.Results were developed and refined to form the Grounded Theory of the Transformative Process of Black Mothers of Children 0-5 years with Developmental Differences Gearing Up to Advocacy for Quality Care and Resources. The process is composed of five interconnected categories: (1) coming to an awareness of child's needs, (2) grappling with ableism, (3) intersecting identities of race, culture, disability, and socioeconomic status, (4) gearing up to advocacy, and (5) building resilience. Transformations were catalyzed by experiences of feeling disrespected or dismissed, encountering systemic flaws, and witnessing their children endure neglect or violence within health care and early intervention systems. Through this process, mothers had to combat ableism, manage self-blame, and balance their employment with packed therapy schedules.Intersecting identities shaped mothers' experiences, as race, culture, disability, and socioeconomic status simultaneously affected the quality of care their children received and resulted in disparities in their access to services. Findings highlighted the burden on Black mothers to learn to advocate for equitable care and services, illustrating systemic inadequacies in early intervention systems. Black Mothers developed resilience by shedding internalized ableism, combating societal ableism, leaning on spirituality, and building supportive communities. These findings have implications for improving provider training, implementing home visits by public health professionals, creating culturally appropriate assessments, and reforming policies to ensure that all children have equitable access to timely, quality developmental screenings, referrals, and services.
- 일반주제명
- Disability studies
- 일반주제명
- Pediatrics
- 일반주제명
- Nursing
- 일반주제명
- Developmental psychology
- 일반주제명
- Black studies
- 키워드
- Black children
- 키워드
- Disparities
- 기타저자
- University of California, Los Angeles Nursing 0597
- 기본자료저록
- Dissertations Abstracts International. 87-06B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■006m o d
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■020 ▼a9798265480118
■035 ▼a(MiAaPQ)AAI32397737
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a362
■1001 ▼aWatts, Cherisse Erika.
■24510▼a"Undeniably, Unequivocally, We're Here": Black Mothers' Journeys to Advocacy in Navigating Health and Early Intervention Systems
■260 ▼a[Sl]▼bUniversity of California, Los Angeles▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a244 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-06, Section: B.
■500 ▼aAdvisor: Clark, Lauren.
■5021 ▼aThesis (N.P.)--University of California, Los Angeles, 2025.
■520 ▼aBlack children experience significant delays in developmental disability diagnosis and access to early intervention services. Despite having similar or higher prevalence rates of developmental disabilities, Black children often receive diagnoses later than their White counterparts, often past the critical birth-to-age-three period of optimal brain development. These delays can lead to negative developmental trajectories and poorer long-term health and academic outcomes.Using constructivist grounded theory methodology, this study relied on interviews with 17 Black mothers of children ages 11 months to 5 years with developmental delays or disabilities in California. An integrated theoretical framework included symbolic interactionism, early relational health, critical race theory, and public health critical race praxis. Data collection occurred from April 2023 to October 2024, with analysis including constant comparison, process coding, focused coding, and theoretical coding techniques.Results were developed and refined to form the Grounded Theory of the Transformative Process of Black Mothers of Children 0-5 years with Developmental Differences Gearing Up to Advocacy for Quality Care and Resources. The process is composed of five interconnected categories: (1) coming to an awareness of child's needs, (2) grappling with ableism, (3) intersecting identities of race, culture, disability, and socioeconomic status, (4) gearing up to advocacy, and (5) building resilience. Transformations were catalyzed by experiences of feeling disrespected or dismissed, encountering systemic flaws, and witnessing their children endure neglect or violence within health care and early intervention systems. Through this process, mothers had to combat ableism, manage self-blame, and balance their employment with packed therapy schedules.Intersecting identities shaped mothers' experiences, as race, culture, disability, and socioeconomic status simultaneously affected the quality of care their children received and resulted in disparities in their access to services. Findings highlighted the burden on Black mothers to learn to advocate for equitable care and services, illustrating systemic inadequacies in early intervention systems. Black Mothers developed resilience by shedding internalized ableism, combating societal ableism, leaning on spirituality, and building supportive communities. These findings have implications for improving provider training, implementing home visits by public health professionals, creating culturally appropriate assessments, and reforming policies to ensure that all children have equitable access to timely, quality developmental screenings, referrals, and services.
■590 ▼aSchool code: 0031.
■650 4▼aDisability studies
■650 4▼aPediatrics
■650 4▼aNursing
■650 4▼aDevelopmental psychology
■650 4▼aBlack studies
■653 ▼aBlack children
■653 ▼aDevelopmental disability
■653 ▼aDevelopmental screening
■653 ▼aDisparities
■653 ▼aEarly intervention
■653 ▼aIntellectual disability
■690 ▼a0201
■690 ▼a0767
■690 ▼a0569
■690 ▼a0620
■690 ▼a0325
■71020▼aUniversity of California, Los Angeles▼bNursing 0597.
■7730 ▼tDissertations Abstracts International▼g87-06B.
■790 ▼a0031
■791 ▼aN.P.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17360936▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
