First Advisor

Cris Finn

Second Advisor

Patricia Cullen


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights

Document Type

Thesis - Open Access

Number of Pages

42 pages


Diaper need is a critical issue that often falls through the cracks of traditional assistance pathways. There are no state or federal programs that subsidize the cost of diapers. Some families must choose between food and diapers when finances fall short. This study employed a mixed methods approach and a cross-sectional design. Quantitative data was collected using the Program Sustainability Assessment Tool (PSAT), a 40-item multiple-choice survey instrument that assesses eight domains of sustainability. Nineteen individuals from The Nappie Project board, agency partners, community advisors, and volunteers received an email invitation to participate in the PSAT survey. The survey was analyzed as two separate groups, Current/Former Board Members and Community Partners/Advisors. Of the participants who completed the survey, two individuals participated in semi-structured interviews to provide further insight into the results of the survey. The lowest score for both groups was Funding Stability. The highest score for the Board was Environmental Support. The highest score for Community Partners was Communications. The greatest range for both groups was Strategic Planning. Three domains were found to be significantly different: Overall Sustainability, Partnerships, and Communications. All health care providers, especially those who engage with children, should be educated regarding diaper need. While policy was not addressed in this study, there is a great opportunity to advocate for diaper need among policymakers. Finally, sustainability is an increasingly important concept to many grant writers and funding agencies. This work may be applied to a variety of public health organizations to strengthen funding proposals.

Date of Award

Fall 2019

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

All content in this Collection is owned by and subject to the exclusive control of Regis University and the authors of the materials. It is available only for research purposes and may not be used in violation of copyright laws or for unlawful purposes. The materials may not be downloaded in whole or in part without permission of the copyright holder or as otherwise authorized in the “fair use” standards of the U.S. copyright laws and regulations.