Date
4-29-2026
Department
School of Health Sciences
Degree
Doctor of Philosophy in Health Sciences (PhD)
Chair
Karen Parker-Davidson
Keywords
Nutritional awareness, student behavioral outcomes, food additives, hypertension prevention, rural health disparities, elementary education, Social Cognitive Theory, Health Belief Model, Ecological Systems Theory, processed foods, Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, Oppositional Defiant Disorder (ODD), nutrition education policy reform, school health programs, dietary behavior, nutrition policy reform
Disciplines
Medicine and Health Sciences
Recommended Citation
Espree, Shante Monique, "A Qualitative Case Study Exploring the Relationship Between Nutritional Awareness, Behavioral Outcomes, and the Prevention of Early Risk Factors of Hypertension and Cardiovascular Disease in Elementary School Students: Perceptions of Parents and Educators in Hull-Daisetta Independent School District" (2026). Doctoral Dissertations and Projects. 8256.
https://digitalcommons.liberty.edu/doctoral/8256
Abstract
The purpose of this case study was to explore the relationship between nutritional awareness and observed behavioral outcomes among elementary school students, with a secondary focus on how these factors may contribute to early risk indicators for hypertension and cardiovascular disease. This study was situated within Hull-Daisetta Independent School District (ISD), Texas and centered on the perspectives of both parents and educators. The theory guiding the study was the Social Cognitive Theory (Bandura, 1986) as it emphasizes the role of observational learning, social influence, and behavior change in health-related interventions. This framework supported the exploration of how nutritional awareness shapes student behavior in the classroom, as well as broader health habits that may influence long-term cardiovascular outcomes.
Data was collected through semi-structured interviews with parents and educators, as well as optional questionnaires to supplement qualitative findings. Thematic analysis was used to identify patterns in participants’ perceptions, with the goal of understanding how nutritional awareness was connected to student behavioral and health outcomes in a rural education environment.
