Digital Commons Network^™

Rural Caregivers: Identification Of Informational Needs Through Telemedicine Questions, Shoshana H. Bardach, Allison Gibson, Kelly Parsons, April Stauffer, Gregory A. Jicha

Sanders-Brown Center on Aging Faculty Publications

OBJECTIVES: The prevalence of Alzheimer's disease and associated disorders is increasing. Rural residents in the United States have less access to memory care specialists and educational and community resources than in other areas of the country. Over a decade ago, we initiated an interdisciplinary rural caregiving telemedicine program to reach Kentucky residents in areas of the state where resources for supporting individuals with dementia are limited. Telemedicine programs involve a short informational presentation followed by a question and answer session; programs are offered 4 times a year. The purpose of this study was to explore questions asked over 1 year …

Adolescents' Attitudes And Intentions To Use A Smartphone App To Promote Safe Driving, Caitlin N. Pope, Emre Sezgin, Simon Lin, Nichole L. Morris, Motao Zhu

Graduate Center for Gerontology Faculty Publications

Purpose

Designing effective driving safety interventions is imperative as traffic crashes are the leading cause of injury and death for adolescents. Using concepts from the Integrated Behavioral Model, we investigated adolescents' attitudes and intentions towards engaging in safe driving practices and using smartphone-based driving safety technology.

Methods

Two-hundred and seven adolescents aged 14–18 (M = 16.1, SD = 0.8) completed a safe driving survey. A path model testing the associations between individual scores of attitudes, perceived norms, and perceived behavioral control with intentions controlling for demographic covariates was conducted.

Results

Greater intentions to drive safely was associated with greater …

A Population-Based Investigation Of Health-Care Needs And Preferences In American Adults With Multiple Sclerosis, Chungyi Chiu, Malachy Bishop, Bradley Mcdaniels, Byung-Jin Kim, Lebogang Tiro

Early Childhood, Special Education, and Counselor Education Faculty Publications

Background: Comprehensive and effective multiple sclerosis (MS) health care requires understanding of patients’ needs, preferences, and priorities. Objective: To evaluate priorities of patients with MS for their MS care. Methods: Participants included 3003 Americans with MS recruited through the National MS Society and the North American Research Committee on Multiple Sclerosis patient registry. Participants completed a comprehensive questionnaire on aspects of their health-care experiences. Results: Participants identified the top 3 health-care priorities as (1) the affordability of MS health care, (2) ensuring that non-MS health-care providers have more education about MS and how it can interact with other conditions, and …

Reviewer Acknowledgments For 2019, F. Douglas Scutchfield Md, Erin N. Haynes, Erin Bouldin, Robert M. Shapiro Ii, Tim Marema, Charlotte S. Seidman

Journal of Appalachian Health

The Editorial Team extends a heart-felt “thank you” to those who have given their time and expertise in the past year to participate in this process with the Journal of Appalachian Health. We know that you have many competing pressures on your time, and that you are not financially compensated for the time you spend reviewing manuscripts. We hope that there are other forms of compensation that make the sacrifice worth the effort.

A Healthy Attitude: Rural Leaders In Tn County Organize To Address Well-Being In Appalachia, Tim Marema, Erin Bouldin

Journal of Appalachian Health

When it came to formal philanthropy, Grundy County was not on the map. That changed with the 2012 establishment of South Cumberland Community Fund, which serves the plateau portions of Grundy, Franklin, and Marion counties.

The Nuclear Legacy In Appalachia, Michele Morrone, Harold Perkins

Journal of Appalachian Health

Nestled in the rolling hills of Appalachia Ohio is a reminder of the role that the region played in winning the Cold War. For more than 40 years in rural Pike County, the 3,700-acre Portsmouth Gaseous Diffusion Plant (PORTS), or the “A-Plant” as the locals refer to it, enriched uranium for use in nuclear weapons. While the facility produced nuclear fuel for national security, it simultaneously exposed plant workers to chemicals and radiation and discharged pollution into the surrounding community. The A-Plant is now being demolished and the site repurposed. However, the site continues to affect the community as, for …

Appalachian Environmental Health Literacy: Building Knowledge And Skills To Protect Health, Anna G. Hoover, Annie Koempel, W. Jay Christian, Kimberly I. Tumlin, Kelly G. Pennell, Steven Evans, Malissa Mcalister, Lindell E. Ormsbee, Dawn Brewer

Journal of Appalachian Health

Environmental health literacy (EHL) is an emerging, multidisciplinary field that promotes understanding of how environmental exposures can affect human health. After discussing the regional relevance of environmental health knowledge and skills, this article describes three ongoing Appalachian projects that are focused on measuring and building EHL.

Development And Early Outcomes Of The Watauga Compassionate Community Initiative, North Carolina, Tim Marema, Erin Bouldin

Journal of Appalachian Health

Addressing adverse childhood experiences has become a public health imperative, and communities across the United States are working to develop and implement programs and policies to both prevent childhood trauma and support adults who experienced trauma as children. Here we describe the development of the Watauga Compassionate Community Initiative (WCCI) in Watauga, County, North Carolina.

Access To Autism Spectrum Disorder Services For Rural Appalachian Citizens, Angela Scarpa, Laura S. Jensen, Denis Gracanin, Sharon L. Ramey, Angela V. Dahiya, L. Maria Ingram, Jordan Albright, Alyssa J. Gatto, Jen P. Scott, Lisa Ruble

Journal of Appalachian Health

Background: Low-resource rural communities face significant challenges regarding availability and adequacy of evidence-based services.

Purposes: With respect to accessing evidence-based services for Autism Spectrum Disorder (ASD), this brief report summarizes needs of rural citizens in the South-Central Appalachian region, an area notable for persistent health disparities.

Methods: A mixed-methods approach was used to collect quantitative and qualitative data during focus groups with 33 service providers and 15 caregivers of children with ASD in rural southwest Virginia.

Results: Results supported the barriers of availability and affordability of ASD services in this region, especially relating to the need for more ASD-trained providers, …

Introduction To The New “Early Reports Of Innovation” Section, Erin Bouldin, Tim Marema

Journal of Appalachian Health

The Journal of Appalachian Health is introducing a new section this issue. While the journal is centralizing some of the best research and commentary on Appalachian health, the editorial team felt that practice-focused groups, organizations, and agencies may not be fully represented in the publication.

Barn-Raising On The Digital Frontier: The L.A.U.N.C.H. Collaborative, Bradford W. Hesse, David Ahern, Michele Ellison, Eliah Aronoff-Spencer, Robin C. Vanderpool, Karen Onyeije, Michael C. Gibbons, Timothy W. Mullett, Ming-Yuan Chih, Victoria Attencio, Grant Patterson, Jessica Boten, Christopher Hartshorn, Ben Bartolome, Katie Gorscak, Melanie Mccomsey, Alexandra Hubenko, Bin Huang, Corey Baker, Don Norman

Journal of Appalachian Health

A meta-analysis of oncology papers from around the world revealed that cancer patients who lived more than 50 miles away from hospital centers routinely presented with more advanced stages of disease at diagnosis, exhibited lower adherence to prescribed treatments, presented with poorer diagnoses, and reported a lower quality of life than patients who lived nearer to care facilities. Connected health approaches—or the use of broadband and telecommunications technologies to evaluate, diagnose, and monitor patients beyond the clinic—are becoming an indispensable tool in medicine to overcome the obstacle of distance.

Introducing The L.A.U.N.C.H. Collaborative, F. Douglas Scutchfield Md, Kevin Patrick

Journal of Appalachian Health

The L.A.U.N.C.H. Collaborative: Linking & Amplifying User-Centered Networks through Connected Health: A Demonstration of Broadband-Enabled Connected Health and Community-Based Co-Design brings together a group of organizations that are eager to use Appalachian Kentucky as a site for the development of a project aimed at creating an environment that addresses two of the nation’s major concerns about cancer. First, individuals who live in rural and remote areas are more likely to die of cancer than those who live in urban or suburban settings. And second, geographic obstacles hinder their ability to access evidence-based strategies that can prevent cancer or treat it …

Students’ Perceptions Of Justice: Application Of Sanctions, Guilt, And Responsibility In Campus Sexual Assault Cases, Diane R. Follingstad, Caihong R. Li, Jaspreet K. Chahal, Claire M. Renzetti

CRVAW Faculty Journal Articles

Despite growing attention to adjudication of campus sexual assault cases, little is known how students perceive “justice” for such cases. The present study examined whether victim, perpetrator, and assault characteristics influenced students’ perceptions of: whether a sanctionable violation occurred; the type of sanction to be applied; perceived severity of the sanction; proportion of guilt attributable to the victim and perpetrator; and level of responsibility of the victim and perpetrator. Fourteen factors pertaining to potential negative evaluation of rape victims were derived; thus, a non-factorial vignette survey design focusing only on each main effect was employed. 846 college students responded to …

Mentoring Multi-College Bystander Efficacy Evaluation – An Approach To Growing The Next Generation Of Gender-Based Interpersonal Violence Intervention And Prevention (Vip) Researchers, Ann L. Coker, Danielle Davidov, Heather M. Bush, Emily R. Clear

Obstetrics and Gynecology Faculty Publications

The Centers for Disease Control and Prevention provided funding (U01 CE002668) to evaluate bystander program efficacy to reduce gender-based violence on college campuses (Aim 1) and to create a mentoring network (Aim 2) for young campus-based researchers interested in violence intervention or prevention (VIP). While an evaluation of this mentoring program is ongoing, our purpose here was to document the strategies used to create, implement, and begin evaluation of this national multi-college mentoring network. As each public college was recruited into this evaluation named multi-college Bystander Efficacy Evaluation (mcBEE), each college was invited to nominate a researcher interested in receiving …

The Construction Of The American Catholic Church: Gender, Sexuality, And Patriotism In U.S. Catholic Media, 1917–1970, William Korinko

Theses and Dissertations--Gender and Women's Studies

This project explores the complex relationship between religion, culture, and politics in the United States during the twentieth century by examining a largely unexplored pocket of Roman Catholic pamphlet literature, as well as other forms of Catholic media, including newspapers, magazines, radio programs, and television shows. During the twentieth century Catholic media makers spent a considerable amount of energy speaking and writing about issues related to gender and sexuality, and they often did so in racially coded terms. In addition to making prescriptions of what was appropriate and moral sexual and gendered behavior, these media makers repeatedly made the case …

Judicial Elections, Public Opinion, And Their Impact On State Criminal Justice Policy, Travis N. Taylor

Theses and Dissertations--Political Science

This dissertation explores whether and how the re-election prospects faced by trial court judges in many American states influence criminal justice policy, specifically, state levels of incarceration, as well as the disparity in rates of incarceration for Whites and Blacks. Do states where trial court judges must worry about facing reelection tend to encourage judicial behavior that results in higher incarceration rates? And are levels of incarceration and racial disparities in the states influenced by the proportion of the state publics who want more punitive policies? These are clearly important questions because they speak directly to several normative and empirical …

Will "Social Distancing" Lead To Future "Research Distancing": A Reflection On Covid-19 Impacts On Alzheimer's Disease Research, Shoshana H. Bardach, Allison K. Gibson, Elizabeth K. Rhodus, Gregory A. Jicha

Sanders-Brown Center on Aging Faculty Publications

Coronavirus disease 19 (COVID-19) has dramatically altered everyday life, including the field of Alzheimer's disease (AD) research. This perspective article explores some of the ways in which COVID-19 has already impacted the field, anticipates some of the long-lasting effects, and explores strategies for addressing current and future needs. Areas of impact include study integrity, regulatory and industry issues, and participant engagement. Proposed strategies for addressing these challenges include analytic methods to deal with large degrees of missing data and development of patient-centered, user-friendly, remote data collection tools and assessments. We also highlight the importance of maintaining participant well-being as a …

Women Returning To Their Families And Communities After Incarceration: Their Needs, Concerns And Challenges, Julius Johnson

Theses and Dissertations--Community & Leadership Development

The voices of women in re-entry from prison have been muted for many decades. Prior research conducted on men and prison re-entry has been used to shape not only prisons but also the reentry process for women. It is because of this oversight that the gender-specific needs of women in the justice system have gone unnoticed. Once released, formerly incarcerated women face the almost impossible task of finding employment. Many women who find employment have found that their wages do not help them move out of poverty. Trying to find adequate housing becomes an issue not only because of their …

Place And Digital Space, Suraj Chaudhary

Theses and Dissertations--Philosophy

The intersection of philosophies of space and technology is a fecund area of inquiry that has received surprisingly little attention in the philosophical literature. While the major accounts of space and place have not considered complexities introduced by recent technological developments, scholarship on the human-technology relationship has virtually ignored the spatial dimensions of this interaction. Place and Digital Space takes a step in addressing this gap in literature by offering an original, phenomenological account of place and using this framework to analyze digitally mediated spaces. I argue that places are continually evolving, internally heterogenous, and spatially distinct meaningful wholes with …

The Relationship Of Self-Esteem On Pornography Viewership And Relationship Satisfaction In German Couples, Trenton Mcclure

Theses and Dissertations--Family Sciences

The Relationship of Self-Esteem on Pornography Viewership and Relationship Satisfaction in German Couples. The current study aimed to examine the relationship between husbands’ and wives’ perceptions of self-esteem and relationship satisfaction as mediated through the frequency of pornography viewership at the individual and dyadic level. Using the VSA model, this study utilized the pairfam dataset, which is a nationally representative German sample. Data from 369 participants were analyzed using three structural equation models; a combined male and female anchor model, a male only anchor model, and a female only anchor model. This current study found that males’ and females’ self-esteem …

“We Had Become Trailer People”: Stigma, Social Boundary Making, And The Story Of The American Mobile Home Park, Katie M. Founds

Theses and Dissertations--Sociology

Mobile homes and mobile home parks—still most often called trailer parks in common vernacular—occupy a particularly stigmatized position in American culture. A symbolic stand-in for a host of social ills, from bad hygiene and broken families to drug use and loose morals, mobile homes offer affordable housing at a social cost, branding their residents as likewise deficient. This piece of material culture did not come into being with such negative meanings attached. The process of becoming a symbol of stigma is an historical one, a story of meaning making in the midst of cultural shifts and changing norms. Since appearing …

Thrown Together: Credit Union And Commercial Bank Regulation And Competition In The Consumer Finance Industry, 1960-2015, Grace Cale

Theses and Dissertations--Sociology

This project seeks to assess whether there are meaningful differences between the stability of the Credit Union and Consumer Banking industries before the 1980s, and how both industries’ stability had been affected by subsequent political-economic changes. I also sought to assess if deregulation would make credit union behave at risk levels similar to banks. I initially observed that there was a strong inverse correlation between credit union size and failures, which I argue could be explained by regulatory change. This claim was strengthened by the observation that credit unions had benefitted from certain key forms of deregulation, they were still …

It’S Not Just Sunday School: Young Children, Race/Ethnicity, And Gender In Three Homogeneous Protestant Sunday Schools, Henry James Zonio

Theses and Dissertations--Sociology

Current sociological approaches to examining the lives of children approach children as active agents and participants in their socialization. Further, children are considered experts witnesses and interpreters of their own experiences. In the cases of race and gender socialization, interpretive reproduction has been used as a framework to examine how children construct and act on meanings of race and gender. While these interpretive studies illuminate how children interpret and reproduce meanings of race and gender, they do not explicate how children appropriate meanings from their cultural milieu. Consequently, these studies do not consider ways the larger culture enables and constrains …

Studying The Longest ‘Legal’ U.S. Same-Sex Couples: A Case Of Lessons Learned, Esther D. Rothblum, Kimberly F. Basalm, Ellen D. B. Riggle, Sharon S. Rostosky, Robert E. Wickham

Political Science Faculty Publications

We review methodological opportunities and lessons learned in conducting a longitudinal, prospective study of same-sex couples with civil unions, recruited from a population-based sample, who were compared with same-sex couples in their friendship circle who did not have civil unions, and heterosexual married siblings and their spouse. At Time 1 (2002), Vermont was the only US state to provide legal recognition similar to marriage to same-sex couples; couples came from other US states and other countries to obtain a civil union. At Time 2 (2005), only one US state had legalized same-sex marriage, and at Time 3 (2013) about half …

The Sound Of Leadership: The Self-Leadership Strategies Of Local Activist Musicians, John Hill

Theses and Dissertations--Education Sciences

Within this dissertation I focused on the examination of local activist musicians’ self-leadership strategies and the method in which they lead social change movements. Additionally, I sought to increase the understanding of charismatic leadership, self-leadership strategies of local activist musicians, and the method in which local activist musicians lead social movements. To my knowledge, no published studies have explored local activist musicians’ self-leadership strategies. Therefore, this study is significant because I (a) explored a term which lacks a unifying definition, charismatic leadership, (b) provided theoretical foundations for activist musicians and social change, and (c) explored the self-leadership strategies of …

The Development Of A Couple Observational Coding System For Computer-Mediated Communication, Martha S. Rackets

Theses and Dissertations--Family Sciences

Many romantic couples integrate text and computer-mediated communication (CMC) into their relationship dynamics, both for general relationship maintenance and for complex dynamics such as problem solving and conflict. Romantic couple dynamics are interactional, dynamic, and sequenced in nature, and a common method for studying interactions of this nature is observational analyses. However, no behavioral or observational coding systems exist that are able to capture text-based transactional couple communication. The main purpose of this dissertation was to develop an observational coding system that can be used to assess sequenced computer- mediated, text-based communication that takes place between romantic partners. This process …

Loneliness During Mass Social Distancing: An Exploratory Qualitative Study Of Loneliness In College Students During The Covid-19 Pandemic, Madeline Williams

Lewis Honors College Capstone Collection

The COVID-19 pandemic has created a unique environment to study loneliness in college students. Loneliness has a deeply rooted history in psychology and sociology where both attempt to explain it as either a lack of physical contact, a discrepancy in one’s actual quality or type of relationships and the quality or type of sought-after relationships, or as an emotional reaction to social factors. One way that psychologists have attempted to quantify loneliness is with the UCLA loneliness scale. Previous research has focused on the conceptualization and definition of loneliness, social stress theory regarding studying mental health, and the strength of …

Race-Related Stress, Resiliency, And Relationship Quality In Black Couples, Melinda Murdock

Theses and Dissertations--Family Sciences

Scholars have historically explained Black marriage patterns of instability and dissolution based on White middle-class models that ignore cultural factors and maintain a narrative of dysfunction. The current study examines resilience in Black couples by exploring mediation effects of attribution and dyadic coping processes on race-related stress and relationship quality. The present study used individual data from 131 middle-income Black couples residing in the South, who self-reported on stress, coping, and relationship quality via online survey. Dyadic Coping was predicted to mediate the relationship between Race-related Stress, Attribution, and Relationship quality. Results indicated that individuals who experienced greater stress from …

Street Musicians, Soundscapes And Hearing The State In Urban Public Spaces Of Istanbul, Lacin Tutalar

Theses and Dissertations--Geography

This study explores street musicians’ routines and associations with public space in Istanbul, Turkey between 2014 and 2016, a period which corresponds to a new, more conservative routine in the aftermath of a time of political contention in 2013. The study overall takes up a rhythmanalytical perspective, following the cultural geography’s interest based on Henri Lefebvre’s use of the term. I contribute to that interest by paying attention to changes in the composition of an urban public in Istanbul through a mix of institutional (e.g. bureaucratic, capitalist and religious) and corporeal (e.g. tourists, musicians, young people, audience, street maintenance, refugees, …

Is Secondhand Discrimination Harmful For The Mental Health Of Black Americans? Findings From A Community Epidemiological Study, Myles Moody

Theses and Dissertations--Sociology

In recent years, there has been a growing concern about not only the deleterious health effects of direct experiences of racism, but also how individuals are affected by others’ experiences of racism. It has been firmly established that direct exposure to discrimination can negatively impact the mental health of Black Americans and other minorities. But there is a dearth of empirical evidence that may answer the question of how indirect experiences of racism affects health. The purpose of this study is threefold: 1) to examine the social distribution of personal and vicarious experiences of discrimination among Black adults, 2) to …