Social and Behavioral Sciences Commons^™

The Drugs/Violence Nexus: Theory Testing And Behavioral Health Factors Among Justice-Involved Appalachian Women, Grant Victor

Theses and Dissertations--Social Work

This study examined the relationship between drug use and violence among justiceinvolved women in Appalachian Kentucky. Goldstein’s (1985) conceptual framework was used as a theoretical guide in formulating the drugs and violence relationships. Therefore, three types of drug use and violence relationships were explored, including: 1) psychopharmacological violence; economic-compulsive violence; and 3) systemic violence. Although these drug-related violence typologies have been investigated, little research has been devoted to rural justice-involved women. Moreover, to date no studies have examined how these drug/violence relationships might be associated with behavioral health factors. Ergo, there were three aims of the current study. First, to …

Tanglewood Trail Walking And Voucher Program, Kelci Marie Mchugh

Theses and Dissertations--Nutrition and Food Systems

Rural Appalachian populations have greater rates of obesity and chronic diseases attributed to lesser consumption of fruits and vegetables (F/V) and physical inactivity. Barriers to F/V consumption and physical activity include poor access and affordability. To help overcome these barriers, a community-initiated walking and farmers market F/V voucher program was implemented.

Participants were encouraged to walk (1.2 miles roundtrip) to the local farmers market to redeem a $10 voucher which could only be spent on F/V. The 16-week program (June – Sept) included 121 participants. Data was analyzed by creating two groups, low-engagers and high-engagers that differed significantly in the …

The Effect Of An Emotional Intelligence Training Program On Use Of A Transformational Leadership Style Among Nurse Managers, Audrey Frias

DNP Projects

Background: Leaders with high levels of emotional intelligence have been associated with transformational leadership styles, which have been found to directly impact leader effectiveness. Emotional intelligence training has been deemed the most effective method for improving nurse manager emotional intelligence and transformational leadership by providing participants with the tools they need to be successful.

Conceptual Framework: Transformational leadership was used as the conceptual framework for this study and is defined as ‘‘a leadership process that is systematic, consisting of purposeful and organized search for changes, systematic analysis, and the capacity to move resources from areas of lesser to greater productivity …

A Survey Of Providers And Patients Assessing The Need For And Use Of Prevention Practitioners To Combat Obesity In The Primary Care Setting, Amanda R. Lyons

DNP Projects

Purpose: The overall aim of this project was to gather information from two groups of stakeholders, providers and patients, on the feasibility of implementing prevention practitioners in the primary care system to address overweight and obesity.

Methods: This study utilized a quantitative descriptive design through the use of electronic surveys. Provider surveys were explained and presented during a monthly provider meeting. Patient flyers were posted in exam rooms and surveys were accessible through a provided link and QR code.

Results: Providers (N=10) agreed that they saw a need for the use of a prevention practitioner (Mean=4.44, SD=.88) as well as …

An Evaluation Of Preexisting Psychiatric Diagnosis: Patient Outcomes In An Intensive Care Setting, Nicole R. Ryan

DNP Projects

Abstract

BACKGROUND: Mental health is a state of well-being in which an individual is able to acknowledge ability levels, cope with the normal stresses of life, be a productive member of society and contribute to the community. An important consideration for DNP prepared nurses is implementing principles of the Collaborative Care Model as a guiding framework to improve access to evidence-based mental health care in a medical care setting.

PURPOSE: The purpose of this DNP project was to examine the demographic, clinical and treatment characteristics of patients with both medical and psychiatric diagnoses admitted to an Intensive Care Unit (ICU) …

Screen Time And The Effects On Attention Deficit Hyperactivity Disorder, Cassandra Starks

DNP Projects

PURPOSE: The purpose of this project is to determine if an educational intervention with families decreased overall screen time use in school-aged children with attention-deficit/hyperactivity disorder (ADHD).

METHODS: This study was a single group pre-test, post-test interventional study design. The sample population consisted of the parents/guardians of 30 school-aged children diagnosed with ADHD (5-12 years) recruited from the University of Kentucky Developmental and Behavioral Pediatrics Clinic between November 2019 and February 2020. Parents completed a survey about their child’s daily screen time exposure (tablets/cell phones, laptops/computers, video games, and television) and were educated how screen time can exacerbate ADHD symptoms, …

Essays On Institutions And Development, Andrew Jonelis

Theses and Dissertations--Economics

The essays in this dissertation examine how political institutions affect economic development. In the first essay, I examine how executive control of the legislature shapes the time horizon of governing politicians and its effect on economic growth. The second essay examines how border changes over the past two centuries have provided different areas within modern countries with different institutional histories and how this affects the geographic concentration of economic activity. For the final essay, I examine whether elections have an effect on macroeconomic volatility when controlling for the democratic nature of the regime.

Essays On Child Well-Being And The Social Safety Net, Cody N. Vaughn

Theses and Dissertations--Economics

This dissertation consists of three essays examining the role of two particular social safety net programs, the Temporary Assistance for Needy Families (TANF) program and the Supplemental Nutrition Assistance Program (SNAP), on the well-being of children from disadvantaged households. While the impact of these programs on the adults and parents of the household have been studied extensively, less is known about their effect on children. This is true for both their immediate impact on child well-being and any long-run impacts on children who grow up under these programs. Given the demonstrated importance of child well-being on later life adult outcomes, …

The Distributional And Countercyclical Effects Of Public Capital Investment In Transportation Infrastructure, Matthijs B. Schendstok

Theses and Dissertations--Economics

While the long run productivity of federal highway infrastructure spending has been well researched, their short run effects and effects on income inequality. This dissertation explores those under-researched unconventional effects.

In the first chapter, I investigate the effects of federal infrastructure grants on income inequality. I find that grants reduce inequality in both recipient and neighboring states. The reduction is driven by greater income among the bottom three income quintiles. I explore two mechanisms using person level data and find that the reduction in inequality is attributable to higher income for low-skilled workers and workers working in low-skilled industries.

In …

The Effects Of Natural Resource Dependence And Democracy On The Incremental Budgeting Theory And Punctuated Equilibrium Within A Budgetary Context, Barrak Ghanim Algharabali

Theses and Dissertations--Public Policy and Administration

I contribute to the literature by providing additional factors that could affect the incremental budgeting theory and punctuated equilibrium theory (PET) within a budgetary context. Because of the fluctuation in the price of natural resources, I argue that dependence on natural resources could lead to less stable budgets than ones not dependent on natural resources. I also argue that democracy is another source that leads to stability in the budget, relative to countries that are not democratic. I theorize that countries with no democracy and heavy dependence on natural resources will have budgets with more volatility than the rest of …

Three Essays On Municipal Structure And Government Fiscal Management Outcomes, Wenchi Wei

Theses and Dissertations--Public Policy and Administration

This dissertation aims to reclassify municipal structures of the U.S. municipalities and investigates the effect of municipal structures on government fiscal management outcomes, including fiscal conditions and fiscal slack balances. This dissertation is comprised of four chapters. The first chapter briefly introduces, and each of the remaining three is an independent research article. The second chapter investigates seven essential structural characteristics of the U.S. municipalities and constructs a municipal structure political-administrative index. It then examines the determinants of municipal structures on a political-administrative dimension. The empirical results show that municipal structure choices are statistically significantly associated with citizens’ socioeconomic and …

Consumer Embarrassment – A Meta-Analytic Review And Experimental Examination, Alexander H. Ziegler

Theses and Dissertations--Marketing and Supply Chain

This dissertation consists of two essays that discuss the influence of embarrassment on consumers. In the first essay, I examine consumers’ coping responses to embarrassment in a meta-analytic review. In essay two, I utilize an experimental approach to investigate the impact of embarrassing encounters on unrelated consumers who merely observe the situation.

In the first essay, the meta-analysis is guided by findings in the literature that demonstrate embarrassment can both promote and detract from consumer well-being. However, despite being investigated for decades, little is known about how consumers cope with embarrassing situations, and when and why consumers respond in positive …

Social Networks, Identity, Health, And Quality Of Life Among Older Gay And Lesbian Individuals In Rural Environments, Marc Aaron Guest

Theses and Dissertations--Gerontology

The goal of this dissertation was to explore aging lesbian and gay individuals living in rural communities, in terms of their social networks and the relationships between these networks, identity, health, and quality of life. Guiding the study were three overarching questions. Using a multi-method design, the research was grounded within a socio-ecological context and focused on how structural systems create pathways for health and are affected by social position (intersectionality). Participants (n=25) were recruited from Kentucky (n=20), West Virginia (n=3), and Tennessee (n=2). Thirteen participants self-identified as gay and twelve as lesbian. Findings highlight the complexity of the aging …

Making Experts: An Ethnographic Study Of “Makers” In Fablabs In Japan, Vaughn M. Krebs

Theses and Dissertations--Anthropology

“Makers” around the world cohere in a digital and physical network of technology hobbyists. “Makers" are open-source hardware enthusiasts who use machines like 3D printers and laser cutters - manufacturing tools that have only recently become accessible to laypeople - to make things. “Makers" share a vision for a world where everyone would be able to make almost anything, supplanting top-down economic systems and channels of production. This ethnographic research examines a subset of the “maker” community: “makers” in “FabLabs” in Japan. These “FabLabs” are small workshops that house the machines that “makers” need and make them open to the …

Resilience And Adaptation In A World System Periphery: Long-Term Perspectives From The Lake Atitlan Basin, Highland Guatemala 600 Bc – 1600 Ad, Gavin R. Davies

Theses and Dissertations--Anthropology

The Lake Atitlan Basin of highland Guatemala boasted fertile soils and was rich in natural resources, making it an attractive area for permanent settlement. However, the region lacked a number of important items, such as salt, cotton, and obsidian, all of which had to be obtained through trade. Good agricultural land was also scarce in certain parts of the lake and the steep hillslopes were easily eroded, making it necessary for communities to maintain access to emergency supplies of corn. Lake Atitlan’s communities were therefore highly dependent on exchanges with neighboring groups who occupied contrasting ecological zones, especially those in …

The Role Of Place In Community Cooperative Food Markets In Lexington, Kentucky, Emily Rodes Spencer

Theses and Dissertations--Community & Leadership Development

Food justice movements focus on providing communities with local, sustainable, culturally appropriate, healthy food while empowering local economic systems that allow for autonomy of both producers and consumers (Caruso, C., 2014; Cadieux, K., 2015; Hayes, C. & Carbone, E., 2015). However, current food justice movements often price out and leave behind large portions of the population. Research has shown that engagement with local food systems contribute to feelings of place attachment and a sense of place (Solin, J., 2017; Alkon, A., 2011). The purpose of this study was to explore the relationship between volunteers at two alternative, cooperative community food …

Social Workers’ And Teachers’ Feelings Of Self-Efficacy In Dealing With School Bullying, Sharon Lynn Simmons

Theses and Dissertations--Social Work

Bullying continues to be a serious problem in schools. School social workers and teachers face challenges daily to deal with bullying. This author examined school social workers’ and teachers’ perceptions about their feelings of efficacy to deal with bullying and what may account for those feelings in a population of 71 teachers and 26 social workers employed in Kentucky schools. Research was gathered using a self-report, electronic survey consisting of subscales of the Teachers’ Attitudes about Bullying Questionnaire (Beran, 2005), the School Bullying Questionnaire (Nicolaides, Toda & Smith, 2002), the Toronto Empathy Questionnaire (Spreng, McKinnon, Mar & Levine, 2009) and …

Evaluating Water Management Policy In Saudi Arabia Using A Bilevel, Multi-Objective, Multi-Follower Programming Approach, Jawad Alhashim

Theses and Dissertations--Agricultural Economics

Over the past five decades, the Saudi government has adopted many agricultural policies aimed to: achieve self-sufficiency of food, increase the participation of the agricultural sector in the economy, and reduce the consumption of irrigation water. Due to conflicts among government objectives and the incompatibility of farmers' objectives with those of some agricultural policies, the government has not been able to fully achieve its objectives.

To accomplish its goals the government, or decision maker needs to understand the farmer, or follower, reaction when s/he adopts a new decision. The dissertation aims to build a model that achieves government goals of …

Ambulance Service Ownership And Management: How It Affects Quality Of Service Delivery For Medicare Patients, Sookti Chaudhary, Kenneth R. Troske, Suzanne Troske, Alison Davis

Institute for the Study of Free Enterprise Working Papers

This study investigates how ownership and/or management affects ambulance services across the United States. We investigate whether ambulance quality, measured by patient transportation time, varies by organization type. We estimate the effect of ownership structure on response time variables using data from the National EMS Information System (NEMSIS) for the years 2010–2015, the most comprehensive data set on emergency medical services. Focusing on ground transportation (as opposed to air and water transportation) and on Medicare-eligible (age 65 years and older) patients, we find that, on average, ambulance services owned by fire departments respond faster than those managed by other types …

The Interactive Effect Of A Text Message Intervention And Connectivity Among Rural Adolescents, Kara Coldiron

Theses and Dissertations--Nutrition and Food Systems

Social cohesion among peers profoundly influences decision making during adolescence. Despite this, the current research is very limited concerning the association of social cohesion and intimacy among rural adolescent peers with dietary intake and weight outcomes. This is problematic because social cohesion could be an unknown contributing factor in obesity among rural adolescents. The purpose of this study was to investigate how social cohesion and intimacy among rural adolescents in Kentucky and North Carolina affects the outcomes of a text message intervention aimed at improving fruit, vegetable, fast food and sugar sweetened beverage intake. Additionally, to determine if social cohesion …

Shyness In The Classroom: A Study In Nonverbal Communication Codes, Nora E. Radway

Theses and Dissertations--Communication

This study examined the experiences of shy, introverted, and apprehensive students in the college classroom. This study was framed by multiple goals theory to discover how these students use nonverbal communication to achieve their task, identity, and relational goals in the classroom. Shy, introverted, and apprehensive students face challenges in the classroom especially when asked to verbally participate or give presentations that their more outgoing classmates may not face. Participants (N = 16) participated in focus groups where they discussed their experiences, perceptions, and feelings about participation in their college courses. Results showed that these students do experience apprehension …

Nurse-Led Positive Psychology Intervention Is Feasible In Patients With Heart Failure, Erin Taylor

DNP Projects

Introduction:  Prevalence of heart failure (HF) in the US is projected to rise 46% by 2030, resulting in more than 8 million people with HF.  Negative psychologic states including depression and pessimism (negative future expectations) have been linked with poor cardiovascular outcomes, including HF.  Despite the fact that optimism (positive future expectations) and other positive affective states have been associated with superior outcomes, there has been little focus on interventions designed to increase positive psychological states in patients with HF.

Objective: To test the acceptability and feasibility of a nurse-led positive psychology intervention, Best Possible Self (BPS).

Methods: A convenience …

Assessing The Model Fit Of Multidimensional Item Response Theory Models With Polytomous Responses Using Limited-Information Statistics, Caihong Rosina Li

Theses and Dissertations--Education Sciences

Under item response theory, three types of limited information goodness-of-fit test statistics – M₂, M_ord, and C₂ – have been proposed to assess model-data fit when data are sparse. However, the evaluation of the performance of these GOF statistics under multidimensional item response theory (MIRT) models with polytomous data is limited. The current study showed that M₂ and C₂ were well-calibrated under true model conditions and were powerful under misspecified model conditions. M_ord were not well-calibrated when the number of response categories was more than three. RMSEA₂ and RMSEA_C2 are …

The Influence Of Patient-Provider Interaction, Self-Concept, And The Socio-Physical Environment On Pelvic Exam Seeking Behavior, Anxiety, And The Health Care Experience, Julie Lasslo

Theses and Dissertations--Education Sciences

Regular gynecological screenings are critical for women in promotion of health and preventing diseases like cervical cancer. Despite the importance of such examinations, many women fail to adhere to recommended screening protocols. As a result, women experience an increased disease risk. The current study examined the relationship between patient-provider communication quality, skill, and empathy on pelvic exam seeking behavior and exam-related anxiety and satisfaction. Additionally, negative self-concept, perceived poor genital self-image, and various elements of the socio-physical clinic environment were explored to better understand their impact on a women’s care seeking behavior.

A total of 350 women 19 through 80 …

Studying The Graduate Record Examinations' Ability To Predict Student Success As Measured By Graduate Grade Point Averages, Brenton A. Floyd

MPA/MPP/MPFM Capstone Projects

The Graduate Record Examination (GRE) is the most widely used graduate level admission test in the world, yet conflicts exist across the findings of many studies of the ability of the GRE to predict the success test takers will have as graduate students or in professional life. Additionally, most of the studies that exist on the GRE’s ability to predict graduate student success use data from a previous version of the GRE that may not be applicable to the current version, thus rendering their use for policy making among makers of admission decisions limited and flawed. These studies also tend …

Analysis Of The Performance Of The Korean Government’S R&D Subsidy For Small Businesses, Soonjae Kwon

MPA/MPP/MPFM Capstone Projects

Investment in Research and Development (R&D) is one of the most significant governmental activities. Many countries including Korea continue the R&D investment in various fields such as defense, environment, and medical care. In addition, the Korean government has a plan to significantly expand R&D investment for small businesses because the growth of small businesses is considered as an important factor for economic development such as new job creation. Since the government budget is a finite resource in which various departments compete for the budget, the budget increase of a program can be justified when the government grants lead to better …

Cognition, Repetitive Thought, And Systemic Inflammation In The Midlife In The United States Study, Elana M. Gloger

Theses and Dissertations--Psychology

Segerstrom et al. (2017) found that more repetitive thought (RT) was related to lower interleukin-6 (IL-6), in older adults at average IQ. This study aimed to replicate and extend this finding in midlife adults, with a daily measure of RT, and additional inflammatory biomarkers. 153 participants were drawn from the Midlife in the United States (MIDUS) Refresher project; ages 25-70 (M = 45.07, SD = 10.96), 50.3% female, and 83% Caucasian. Cognition was assessed via the Brief Test of Adult Cognition by Telephone, biological data via fasted blood draw, and RT data were collected as part of the National …

Posttraumatic Stress And Risky Sex In Trauma-Exposed College Students: The Role Of Personality Dispositions Toward Impulsive Behavior, Jessica Flores

Theses and Dissertations--Psychology

Posttraumatic stress disorder (PTSD) has been linked to heightened engagement in risky sexual behavior (RSB) across diverse samples, and impulsivity has been postulated as a potential linkage (Weiss et al., 2012). Limited information has been published on the role that impulsivity can play in strengthening the relationship between PTSD and RSB in college students. The current study examined the moderating role of impulsivity dispositions: negative/positive urgency, (lack of) perseverance, sensation seeking, and (lack of) premeditation on the association between PTSD symptoms and past-year RSB among a sample of 221 undergraduate students (77.4% female) with at least one DSM-5 defined traumatic …

Measuring Glutamate And Oxygen In Brain Reward Circuits In Animal Models Of Cocaine Abuse And Decision-Making, Seth Richard Batten

Theses and Dissertations--Psychology

Drug-specific reward and associated effects on neural signaling are often studied between subjects, where one group self-administers drug and a separate group self-administers a natural reinforcer. However, exposure to drugs of abuse can cause long-term neural adaptations that can affect how an organism responds to drug reward, natural reward, and their reward-associated stimuli. Thus, to isolate drug-specific effects it is important to use models that expose the same organism to all of the aforementioned. Multiple schedules provide a means of dissociating the rewarding effects of a drug from the rewarding effects of food within a single animal. Further, drug users …

Evaluating Kentucky State Pension Plans In The 2000s And Best Practices Moving Forward, Sarah Alegria

MPA/MPP/MPFM Capstone Projects

The Commonwealth of Kentucky sponsors three different pension retirement systems. This includes Kentucky Employee Retirement System, Teacher’s Retirement System, and Kentucky’s Judicial Form of Retirement System. Kentucky has one of the worst funded pension retirement plans and is currently facing shortfalls of about $43 billion (PEW, 2013). Between 1998-2008, Commonwealth of Kentucky’s legislators made many detrimental policy decisions that negatively affected its Pension Retirement System. The most impacting includes:

• Enhancements of Benefits in the Nineties
• Changing Final Compensation from the average of five-years to the average of three-years
• Mandated Yearly Cost of Living Adjustments (COLA)
• Not requiring the State to …