Digital Commons Network^™

Purdue Pharma: Appalachia's Worst Nightmare, Malina C. Gaworski

Honors Theses

This thesis describes the legal implications of Purdue Pharma’s vital role that implicated them in the opioid crisis after their release of the renowned drug, OxyContin. Purdue Pharma released the infamous drug in 1995 and the world of drugs and addiction has never been the same. Thousands of oxycontin-related deaths, pharmacies and medical professionals found liable, and countless lawsuits against the powerful company. This research expands on these lawsuits, the implications of these against Purdue Pharma, and the improvements made in the pharmaceutical company to prevent a disaster such as the opioid crisis from repeating itself.

Examination Of The Impact Of The Opioid Epidemic In Appalachian Kentucky, Noah A. Stewart

Honors Theses

Rural crime and the Appalachian region have both been victims of bias. Rural crime is often a piece of studying criminology that is left lacking because of the preferred method of collecting data, drawing up theories, and more with more urban environments. The Appalachian region has long faced an infamous reputation for many things such as ignorance in its people, poverty rates, drug addiction, its backwardness in its culture, and many more long-established reasons. This research, however, is to hopefully shine a bright light on both the study of rural crime and the Appalachian region. With this study I have …

Mountain (Grand)Mamas: Grandparents Raising Grandchildren During The Opioid Epidemic In Appalachia American And Their Portrayal In Media, Rosemary P. Kelley

Honors Theses

Deep within the hills of Appalachia grandparents are stepping into the familiar role of parenting as many have become the primary caregivers for their grandchildren. These grandparent-headed households (GHHs), a form of kinship care, have increased largely in response to the opioid epidemic that has ravaged the region; children are often left in the care of grandparents as parents experience substance use disorders and, in turn, incarceration. According to the US Census Bureau, over seven million grandparents live with their own grandchildren; over 32 percent of which serve as caregivers and are responsible for these children. The impact of kinship …

A Pretest-Posttest Survey Study Of Parent Perceptions Of The Effectiveness Of Occupational Performance Coaching On Caregiver-Child Play Occupations, Hailee B. Lewis House

Occupational Therapy Doctorate Capstone Projects

Background: When the COVID-19 pandemic and telehealth was utilized, it was apparent that most client families did not have occupation-based play objects in the home due to having to drive 30 minutes to the closest store, difficulty affording toys, or did not know age-appropriate toys for their child.

Purpose: The study explored home program education strategies, and the relationships between store access, socioeconomic status, and parental education levels on having age-appropriate play-based occupational items in the home.

Theoretical Framework. Occupational Performance Coaching (OPC) is a coaching intervention that helps parents to recognize and implement changes for more successful occupational performance …

Kentucky Dental Health With Regards To Social Factors, John Pattison

Honors Theses

This honors thesis researched the current dental standing of Kentucky compared to the other US States in a variety of factors. The information collected was compared to the national average dental health and will be used to expand on the statewide education on dental health. A wide range of demographics were be surveyed from across the state to get the most accurate representation of the true population. The survey included questions regarding the participants background dental information and social statuses. Also included were questions regarding county of residence, income, race, age, gender, consumption of certain foods and drinks, status of …

Scope Of Homelessness In Kentucky, Shannon Elyse Catron

Online Theses and Dissertations

This paper is based on a data project that pulled together publicly available data from several sources to examine the scope of homelessness in the Commonwealth of Kentucky. The primary findings of the project conclude that there is a lack of data regarding counting homeless individuals, and that the available data should be examined to determine changes in the homeless population and demographics over time. Examining this data would also reveal the rate of progress in the number of counties that have began participating in the K-count since 2006. Increasing awareness about the topic and encouraging local governments to develop …

Asking Appalachia: Appalachian English In The Writing Classroom, Rachel Nicole Hampton

Online Theses and Dissertations

This thesis combines primary and secondary research in order to make an argument about the need for better educational practices for Appalachian students. A problem is first established that, because of how Appalachian people and their culture are represented in the media, negative stereotypes are spread about those from the region who are easily identified by their use of Appalachian English. Standard English is widely taught and students are encouraged to suppress their accent and dialect in order to mediate this. However, these practices allow no room for these students to use and embrace their own language. This thesis investigates …

Different Hollers, Different Outcomes: Differences In Health Outcomes Among Appalachian And Non-Appalachian Counties In Kentucky, Allexys Krasnopolsky, James N. Maples

Kentucky Journal of Undergraduate Scholarship

This study examines difference in health outcomes, health insurance, and doctor access between Kentucky’s Appalachian and non-Appalachian counties. Using 2018 data curated by the Robert Wood Johnson Foundation, this study analyzes differences in means in overall health outcomes, health insurance, and the number of primary care physicians at the county level for Appalachian and non-Appalachian counties in Kentucky .This study finds that persons living in Appalachian Kentucky counties have statistically-different and worse overall health outcomes, health insurance access, and physician access compared to those living in non-Appalachian Kentucky counties.

Changes In Student Behaviors And Policy Opinion Regarding E-Cigarettes At A Kentucky University From 2014 To 2018, Jason W. Marion, Alina Strand, Elliott Baldridge

EKU Faculty and Staff Scholarship

The behaviors and opinions regarding e-cigarette use and campus policies prohibiting vaping vary greatly among college students nationally. Kentucky is one of the four U.S. states with the highest tobacco use prevalence, and characterizing e-cigarette use, trends and policy opinions among Kentucky undergraduates may inform interventions. To characterize population-level differences in e-cigarette-related behaviors and policy opinions among undergraduates from 2014 to 2018, results from two cross-sectional surveys (2014 and 2018) from a public regional university in south-central Kentucky were analyzed. Students from randomly selected undergraduate general studies courses completed a 5-minute in-class survey. Data were obtained from 514 and 519 …

Perceptions Of Education Attainment In Rural And Appalachian Schools, Michael Estep

Online Theses and Dissertations

Today, education methods and strategies are ever changing. Educators and administrators of public schools are looking for the best methods and strategies. Appalachia is a region that is known by outsiders for its backwardness, violence, poverty, and hopelessness (Amerikaner, 2016). Counselors are the front-line workers and educators when discussing a student’s family, community, future, and plans. The plan for this study was to dive into the perceptions of counselors and what they see is a determining factor of a student’s choice of college or career technical education pathways. Testing data gives us only part of the information needed, but the …

Rethinking Rural Homelessness: A Comparison Of The Causes, Solutions, And Services For Persons Experiencing Homelessness In Appalachia Versus Urban Areas In The United States, Casey Frommeyer

Honors Theses

Although homelessness in urban areas has been analyzed extensively, there is little research and data on homelessness in rural areas, specifically in Appalachia. The goal of this research is to shed some light on rural homeless experiences by comparing them to their urban counterparts. Four people from organizations that work with persons experiencing homelessness were interviewed using a snowball sample and asked questions which compare the causes, services, and solutions for homelessness in rural and urban areas. Based on these interviews, it can be concluded that the issues people experiencing homelessness go through, such as mental health problems and stigma, …

Booked Up: An Appalachian Graphic Novel, Brandi K. Mills

Honors Theses

Booked Up is a graphic novel detailing a young Appalachian girl's life as a big sister with a maternal role, escapism through books, and desire to win a writing competition that can help her reach her goal of attending college.

The Importance Of Surface Mining As A Landscape Variable In Shaping Wild Bee Communities In Central Appalachian Forests, Amanda Sheryl Dunaway

Online Theses and Dissertations

Anthropogenic disturbance has led to widespread losses in biodiversity. Native bees (Hymenoptera, Apoidea) provide essential pollination services and have been declining in abundance dramatically in recent years. One potential cause of these declines is anthropogenic disturbance. Eleven sites were established in Southeastern Kentucky, U.S.A. where surface mining for coal is common. Data was analyzed using generalized linear mixed-effect models to detect the most important landscape scale variables, including mining, in shaping bee communities. Bee species richness was significantly lower on sites that contained surface mines, but abundance was similar between mined and unmined sites. The proportion of each nesting group …

Prison Siting In Appalachia: Carceral Expansion, Neoliberalism, And Environmental Harm, Macey Logan Hall

Online Theses and Dissertations

Since 1991, 14 state and federal prisons have been built in Appalachia with a recent proposal for a federal prison to be constructed in Letcher County, KY. Contradicting the narrative that Appalachia remains separated from the national economy, the ills of carceral growth are apparent throughout the region. This study examines the proposal to build a federal prison in Letcher County, KY. The purpose of this study is to gain further insight into the impact that the carceral state, including its promise of economic development, has on environmental harm and land exploitation in the region. The proposed federal prison would …

The Federal State And Hegemony: Politics In Floyd County, Kentucky And The Latter Years Of The War On Poverty, Riccardo Paolo D'Amato

Online Theses and Dissertations

The central question this thesis addresses is how increasing federal power impacted local peoples, both politicians and otherwise. Kentucky politics was an already convoluted subject of local interconnected patronage without adding even more possible connections. The War on Poverty did just that, adding more players to the ‘game’ of Kentucky politics through numerous influential programs. This thesis closely follows the later years of the War on Poverty in Floyd County specifically to discover what changes were created in the political and social spheres.

This thesis’ findings are based in a contextualized reading of local and foreign newspapers, letters to Representative …

Bible Belt Gays: Insiders-Without, Bernadette Barton

The Chautauqua Journal

During a Spring 2012 visit to a university nestled in the Appalachian Mountains, my hosts introduced me to an openly gay Episcopalian priest active in a variety of local progressive causes, including gay rights issues. While enjoying a buffet luncheon of Indian food, I learned that Father “Joe” (all the names are changed) had lived many years in Central Kentucky and we knew several people in common. After a run-through of our personal connections, Father Joe shared other tidbits of his life story, including that he had not been raised Episcopalian. He explained, “I grew up in a fundamentalist family …

Not Without A Fight-Final Draft 14 June 2018, Richard E. Day

EKU Faculty and Staff Scholarship

Public schooling for the children of the Cumberland Plateau in Southeastern Kentucky had historically lagged far behind the rest of the Commonwealth. Despite being surrounded by rich resources, poverty among the citizens reigned throughout the Appalachian region as proper facilities and qualified teachers were had to come by. Differences between poor country schools and their gleaming counterparts in the city were long noted but little was done to provide equity for rural students. It took a nine-year political fight and a Kentucky Supreme Court decision to reverse these conditions. This chapter chronicles the political battle which pitted a small group …

Fish Populations In A Changing World, Christine Booker

Honors Theses

Freshwater ecosystems in North America face many threats including habitat degradation, fragmentation, and hydrological changes to the river system. This is especially obvious in Southern Appalachia region, which is a hotspot for freshwater biodiversity. Large inputs of sediment from coal mining and nutrients from agriculture degrade water quality. Dams and other stream modifications have led to changes in the habitat and hinder migration. Numerous native and endemic species have small isolated populations that are threatened by extinction. Recovery rates of species depend on numerous factors, including abiotic and biotic ecosystem factors and the natural history of the species. Species like …

Waterparks' Impact On Rural Communities In Eastern Kentucky, Stephen M. Sims

Online Theses and Dissertations

As many rural communities are searching for ways to increase their local economy, several of these communities have begun to turn their attention to the tourism industry. By turning their attention to the tourism industry, they are searching for ways to increase tourism in hopes of bringing in additional revenue that is needed for revitalizing many of these communities. These rural communities are "focused on maximizing individual spending, and providing products and experiences as an incentive to tourists to stay longer and return on repeat visits" (Briedenhann & Wickens, 2004, p. 72). Also, waterparks, as well as amusement parks and …

Student Perceptions Of The Honors Program At An Appalachian Community College, Melissa Renee Helton

Online Theses and Dissertations

Gifted students in the United States are often underserved. Collegiate honors programs are a proven way to provide for gifted students' special needs. Many gifted students attend community colleges, and these institutions have a set of challenges to starting and maintaining thriving honors programs, including accusations of elitism and lack of resources. Community colleges in Appalachia have an additional set of challenges to face, including high proportions of first generation students, rurality, and poverty. Efforts for thriving honors programs need to be effective and efficient at meeting gifted students' needs, but there is little research on the programs at these …

A Correlative Study Of Epidemiological Mortality And Morbidity Rates: Appalachian Vs Non-Appalachian Counties Within Kentucky, Nicholas E. Vossenberg, Lindsay Calderon

Honors Theses

In this study, differences in mortality rates were statistically analyzed between Kentucky Appalachian County Populations (KACP) and Kentucky Non-Appalachian County Populations (KnACP) for 2013. Health – risk factors and socio – economic conditions were also assessed to determine if they put KACP at a higher risk of the five most common causes of death in Kentucky. Estill County, a KACP, was also specifically examined for its mortality and health – risk factor rates. By examining the 2013 database provided by the Kentucky Department for Public Health (KDPH) and the Center for Disease Control and Prevention (CDC), it was determined that …

Family Factors And School, Michael Pierce

Honors Theses

One of the most overwhelming issues at Eastern Kentucky University is academic retention. In 2013, Eastern had a four-year graduation rate of 23.5%. Each university has a goal to keep academic retention as high as possible. EKU has one of the highest rates of enrollment from students of the Appalachian region, an area of Kentucky that is diverse both ecologically and culturally than other regions of the state. EKU is also known among its students for being a “suitcase school,” a college or university that is active Monday through Friday, but is quiet on Saturday and Sunday due to students …

Assessing The Effectiveness Of Safety Training Provided To Corrections Personnel In Appalachia, Ali K. Al Yammahi

Online Theses and Dissertations

The context of the study was assessment of whether corrections officers in Appalachia are receiving adequate health and safety training who attended health and safety trainings sessions provided by the OSHA Training Institute and Education Center on the campus of Eastern Kentucky University. Participants included in the study were corrections officers who have been working in corrections for a minimum of two years. Participants were required to be working in Appalachian corrections during distribution of the questionnaire. Participants were selected by using convenience and snowball sampling procedures. The questionnaire was sent on 4 separate occasions, 10 of the expected 30 …

Teacher Perception Of Principal Leadership Practices: Impacting Teachers' Sense Of Self-Efficacy In Rural Appalachia Kentucky, Brandon Lee Hibbard

Online Theses and Dissertations

The purpose of this study was to determine if a significant relationship existed between principal leadership practices, as perceived by teachers, and teacher’s sense of self-efficacy. The target population was rural Appalachian teachers that worked for a principal that had been in administration for at least three consecutive years. This study utilized teacher responses from a survey consisting of the Teachers’ Sense of Efficacy Scale (TSES, Tschannen-Moran & Woolfolk-Hoy, 2001) and the Leadership Practice Inventory – observer (LPI, Kouzes & Posner, 2003).

Results from the survey categorized levels of self-efficacy for teachers based on the works of Tschannen-Moran and Woolfolk-Hoy …

Factors That Affect Developmental Education In Rural Appalachia, Erin Leigh Reasor

Online Theses and Dissertations

This dissertation depicts the lives of ten students who are enrolled in developmental education courses at a rural community college in Appalachian Mountains. They share their home life, life experiences and struggles faced; however, they want to better themselves and that motivation keeps them going. This study is important study due to the fact little qualitative research has been conducted in the past reflecting the lives of the Appalachian student. Also, this dissertation provides a historical background of developmental education and how it plays an essential role in community colleges. The problem is that students are coming to college unprepared …

Breastfeeding Initiatives In Rural Kentucky: An Action Research Approach To Improving Public Health, Mallory D. Ratliff

Occupational Therapy Doctorate Capstone Projects

Breastfeeding offers numerous benefits for mother and baby and should be considered a priority for the health of communities as opposed to a parenting choice (American Academy of Pediatrics, 2012). Occupational therapists have a place in breastfeeding support, public health promotion, and guiding performance patterns (Pitonyak, 2014).

This study sought to identify what occupational therapists within the medical and community systems could offer stakeholders involved in breastfeeding support and neonatal care. Action research methods were utilized to allow stakeholders in a rural community in Kentucky to decide what objectives could benefit their area. A series of three focus groups were …

The Persistence Of Place In Appalachia: The Phenomena Of Post-Death Migration, 1930-1970, Marjorie Fey Farris

Online Theses and Dissertations

The research for this paper has been over forty years in the making as I first read the obituaries of deceased Kentuckians in state and local newspapers beginning in 1972. A pattern became clear that Kentuckians who had left their mountains and moved to northern industrial cities in order to find work as the coal fields played out and after the Great Depression often returned, or were returned after death, to their birthplaces for burial. Further investigation revealed that the religious beliefs that were deeply embedded in so many mountaineers' lives played a large part in their desire to have …

Local Color's Finest Hour: Kentucky Literature At The Turn Of The Twentieth Century, Brian Clay Johnson

Online Theses and Dissertations

This thesis takes into consideration literature created by various authors during the period 1890 to 1910, the turn of the twentieth century. This thesis looks specifically at the works produced during that time period by authors from Kentucky, living in Kentucky, or with strong ties to the state. The texts themselves illustrated these ties, as they all focused on or related to Kentucky at the time.

The data that was gathered for this thesis came directly from the writings themselves. In order to research the appropriate authors and the works they produced, the author read all of the materials discussed …

The Effect Of Appalachian Regional Dialect On Performance Appraisal And Leadership Perceptions, Amie Sparks Ball

Online Theses and Dissertations

Speakers of Appalachian English face unique difficulties in the workplace. Long-held stereotypes of Appalachian English speakers can lead to unfair presumptions about a person's competence and professionalism. Previous research has shown stereotyping on the basis of non-standard dialect can affect recruitment and hiring decisions made by employers. The present study addresses the possibility that these biases extend beyond the hiring process by investigating the impact of Appalachian regional dialect on performance appraisal, perceptions of leadership potential, promotion potential, status perceptions, and solidarity perceptions.

Cooperative Extension Nutrition Education Program: Outreach To Southeast Kentucky Families In Poverty, S. Brooke Jenkins-Howard, Laura Stephenson, Mark Mains

PRISM: A Journal of Regional Engagement

The University of Kentucky Cooperative Extension Service provides community engagement and outreach efforts for Kentucky families living in poverty as part of the land grant mission. Food security is a primary concern for those with limited resources and income. To address food availability and nutrition concerns of these families, Cooperative Extension delivers researched-based educational programming through the Expanded Food and Nutrition Education Program (EFNEP). EFNEP is a federally funded program that works to improve the quality of life of families living in poverty through education and behavior modifi cation. The EFNEP program uses a community-based outreach approach where food and …