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University of Kentucky

Theses/Dissertations

COVID-19

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Exploring Teachers’ Views Of The Nature Of Science And Their Beliefs And Understanding About Viruses And Covid-19: A Multiple Case Study Of Three Secondary Science Teachers At A Rural High School In The Southeastern United States, Jeffrey Chalfant Jan 2024

Exploring Teachers’ Views Of The Nature Of Science And Their Beliefs And Understanding About Viruses And Covid-19: A Multiple Case Study Of Three Secondary Science Teachers At A Rural High School In The Southeastern United States, Jeffrey Chalfant

Theses and Dissertations--Science, Technology, Engineering, and Mathematics (STEM) Education

Over the past several decades, science education reforms have called for students to develop appropriate views of the nature of science and have a comprehensive understanding of subject matter. Additionally, education research has demonstrated that teachers must have appropriate views of the nature of science and strong content knowledge as necessary conditions for appropriate instruction on the nature of science. However, research has consistently shown that teachers hold naïve or inadequate views of the nature of science. This is problematic as teachers are tasked with teaching science to students that is aligned with current education standards. Therefore, teachers need to …


Three Essays On The U.S. Beef Supply Chain: Production, Marketing, And Price Dynamics, Erdal Erol Jan 2023

Three Essays On The U.S. Beef Supply Chain: Production, Marketing, And Price Dynamics, Erdal Erol

Theses and Dissertations--Agricultural Economics

This dissertation contains three essays on select economic components of the U.S. beef industry. The first and second essays concentrate on the different economic problems in beef cattle production. The third essay evaluates the price dynamics and the impact of COVID-19 along the beef supply chain.

The first essay explores the economics of culling decisions in cow-calf operations in the U.S. with a novel application of a dynamic mathematical programming model. The results provide an optimal culling strategy under the base model and a range of optimal strategies that vary with respect to different components such as fertility probabilities, market …


Three Essays On Consumption Taxation In Indonesia, Partomuan Transparenter Juniult Jan 2023

Three Essays On Consumption Taxation In Indonesia, Partomuan Transparenter Juniult

Theses and Dissertations--Public Policy and Administration

Consumption taxes play a major role in revenue generation for many developing countries. They are also used to encourage or discourage certain consumption behaviors. However, the administrative aspects of implementing these taxes can create challenges for the tax authorities, and lead to distortions in taxpayer behavior. To overcome these challenges, efforts have been made to simplify policies and utilize technology to improve administration and compliance. My dissertation aims to provide empirical evidence on the effects of three consumption or commodity tax policy reforms in Indonesia. The dissertation consists of three essays as follows.

In my first essay, titled “The effect …


Supporting The Covid Freshmen: An Exploratory Study Of The Teaching Aspects That Supported The Executive Functioning Of Undergraduate Freshmen During Covid-19, Jennifer Lynn Pusateri Jan 2023

Supporting The Covid Freshmen: An Exploratory Study Of The Teaching Aspects That Supported The Executive Functioning Of Undergraduate Freshmen During Covid-19, Jennifer Lynn Pusateri

Theses and Dissertations--Education Sciences

Transitioning from high school to higher education is one of the most stressful times in a person’s life. But, for the undergraduate students who were freshmen during the fall of 2020 (in the middle of the COVID-19 pandemic), this predictable stress was compounded by additional stressors related to the pandemic. While there were undoubtedly many teaching factors that made learning more difficult during the pandemic, there were also many aspects of teaching that these freshmen found helpful. This exploratory study of secondary data sought to discover which aspects of teaching were most helpful to the COVID Freshmen (the students who …


Epidemiology Of Sars-Cov-2 Breakthrough Infections In Kentucky March 1st 2021 - December 31st, 2022, Harrison Hynes Jan 2023

Epidemiology Of Sars-Cov-2 Breakthrough Infections In Kentucky March 1st 2021 - December 31st, 2022, Harrison Hynes

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objective: Provide epidemiologic overview of SARS-CoV-2 breakthrough infections in Kentucky considering both demographic and geographic variables.

Background: We believe descriptive information of breakthrough cases for a defined population will provide public health practitioners with useful information relating to SARS-CoV-2 infection control and vaccination efforts.

Methods: We obtained SARS-CoV-2 case data from the Kentucky Department for Public Health COVID-19 case repository, which mirrors National Electronic Disease Surveillance System (NEDSS) data. The study sample used for analysis comprised 147,000 individuals who tested positive for SARS-CoV-2 in Kentucky between the dates of March 1st, 2021 and December 31st, 2022. …


Changes In Severity Of Diabetes At Diagnosis Following The Onset Of The Sars-Cov-2 Pandemic, Annelise King Jan 2023

Changes In Severity Of Diabetes At Diagnosis Following The Onset Of The Sars-Cov-2 Pandemic, Annelise King

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

During the SARS-CoV-2 pandemic it was seen that diabetes was a risk factor for severe COVID-19. The objective of this study is to assess the severity of diabetes at diagnosis during the COVID-19 pandemic compared to pre-pandemic to see how the pandemic and SARS-CoV-2 infection impacted the severity of diabetes. This study used University of Kentucky electronic health records of 13,794 patients who developed diabetes. The majority of patients were female, white non-Hispanic, 65+, and living in an urban area. There were differences seen between the COVID-19 positive and negative cohorts in the DKA and HbA1c variables, with …


Covid-19 Vaccine Acceptance, Hesitancy, And Refusal Among Educators In Spring Of 2021, Jenifer O'Brien Jan 2023

Covid-19 Vaccine Acceptance, Hesitancy, And Refusal Among Educators In Spring Of 2021, Jenifer O'Brien

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

The COVID-19 pandemic provided unprecedented vaccine development and deployment. Educators were among the first non-healthcare occupations to become eligible for the vaccine, and were an early predictor of vaccine hesitancy especially among educated females. By the spring of 2021, 87% of teachers had received at least one dose of the COVID-19 vaccine. Among those who expressed hesitancy, no defining demographic factors were found. Those who expressed hesitancy commonly cited a rushed vaccine development process and fear of long term side effects as reasons against vaccination.


Did The Covid-19 Pandemic Cause A Learning Loss In Reading And Mathematics? Empirical Evidence Using 2022 Grade 8 Students In Kentucky., Tiyani Rodrigo Jan 2023

Did The Covid-19 Pandemic Cause A Learning Loss In Reading And Mathematics? Empirical Evidence Using 2022 Grade 8 Students In Kentucky., Tiyani Rodrigo

MPA/MPP/MPFM Capstone Projects

In 2020, most United States (U.S.) schools closed abruptly. Due to the pandemic, students and teachers were affected in multiple ways. Nearly three years post-pandemic, it is evident students lost in academic achievement. Lower academic performance may impact the future economy and labor force due to lower productivity. Therefore, understanding the causal impact COVID-19 had on academic achievement is vital to develop policy that will help mitigate the long-term impact. In this capstone, I will estimate the size and direction of the impact COVID-19 had on Mathematics and Reading skills for grade 8 students in Kentucky. Using a Difference-in-Differences (DiD) …


How The Increase In Remote Employees Due To Covid-19 Has Impacted Local Income Tax Revenues For U.S. Cities, Brian T. Pearson Jan 2023

How The Increase In Remote Employees Due To Covid-19 Has Impacted Local Income Tax Revenues For U.S. Cities, Brian T. Pearson

MPA/MPP/MPFM Capstone Projects

This research paper will discuss COVID-19’s impact on remote work and its effect on local income taxes for cities across the United States. The paper specifically will be looking into how the increase in remote workers has affected revenue and policy changes for local income taxes since the pandemic. Before the pandemic, most US citizens with jobs had to be on-site, but COVID-19 seems to have changed how businesses are operating for the foreseeable future. A lot of businesses across the country have shifted to having more of their employees working fully remote or partially remote (hybrid) schedules. This has …


Demand System Analysis Of Beer In The U.S. Market, Laxmi Devi Adhikari Jan 2022

Demand System Analysis Of Beer In The U.S. Market, Laxmi Devi Adhikari

Theses and Dissertations--Agricultural Economics

The onset of the COVID-19 pandemic has stimulated remarkable changes in consumer purchasing and consumption behavior of food and beverages. This inherently raises the question of what the demand for beer differentiated by brands in the U.S. during the pandemic is? To answer this question, we used the recent Nielsen scanner data and employed the Linear Approximated Almost Ideal Demand System (LA/AIDS) model to jointly estimate the demand for the five major brands: Budweiser, Coors, Corona, Heineken, and Miller, as well as remaining brands combined. Our results suggest the sales of Corona and Heineken increased during the pandemic. After controlling …


Nutritional Status In Critical Care Of Covid-19 Patients, Dolph Lewis Davis Iii Jan 2022

Nutritional Status In Critical Care Of Covid-19 Patients, Dolph Lewis Davis Iii

Theses and Dissertations--Nutrition and Food Systems

Critical care nutrition is a poorly researched, and such a sudden pandemic event requiring manipulation of nutritional status via propofol-induced sedation for mechanical ventilation is potentially impactful on patient outcomes. This paper seeks to provide context to the impact of critical care protocols on the nutritional status of obese patients suffering from COVID-19.


Describing And Predicting Preprocedural Anxiety In Patients Scheduled For Advanced Gastrointestinal Endoscopy During The Covid-19 Pandemic, Dawn Profit Jan 2022

Describing And Predicting Preprocedural Anxiety In Patients Scheduled For Advanced Gastrointestinal Endoscopy During The Covid-19 Pandemic, Dawn Profit

Theses and Dissertations--Nursing

Advanced gastrointestinal endoscopy includes a group of specialized procedures and interventions that are being performed more frequently with little attention given to a patient’s preprocedural anxiety issues. Preprocedural anxiety is an anticipated problem with any surgery or invasive procedure and if sustained or experienced excessively, is associated with negative clinical factors and complications.

In the beginning of 2020, the United States was met with a global pandemic caused by the coronavirus SARS-CoV-2, termed COVID-19. There were recommendations to decrease medical procedural case volume in order to slow the spread of the virus, protect staff and patients from getting the virus, …


Establishment And Verification Of A Sars Cov2 Antibody Detection Assay Comparing Venous And Mitra Samples, Stephen C. Mayer Jan 2022

Establishment And Verification Of A Sars Cov2 Antibody Detection Assay Comparing Venous And Mitra Samples, Stephen C. Mayer

Theses and Dissertations--Medical Sciences

During the COVID-19 pandemic in 2020, the need for highly-specific, wide-spread, and rapid serological testing surged. In this study, we showed very strong positive correlation between venous blood collection and Mitra home sampling kits for the detection of anti- spike IgGs using an in-house ELISA protocol (based on a protocol from Mt. Sinai). This study demonstrates the utility of using at-home, patient-centric testing to enhance the sero-surveillance methods currently in place for viral tracking and monitoring.


Covid-19, Chronic Stress, And Adolescent Mental Health, Corina Barker Jan 2022

Covid-19, Chronic Stress, And Adolescent Mental Health, Corina Barker

DSW Capstone Projects

The COVID-19 pandemic has had an undeniable impact on adolescent mental health. Though not considered to be high risk when it comes to physically contracting the virus itself, adolescents have shown to be significantly impacted by the indirect effects of the pandemic. Because of the unique and formative time, this is in their lives, adolescents are already vulnerable to the impact of social stressors. Risk factors associated with the COVID-19 pandemic such as social isolation, disruption in routine, uncertainty, fear, and chronic stress have all proven to have a profound negative impact on adolescent mental health and overall well-being. It …


Disparities In Uptake Of The Primary Sars-Cov-2 Vaccine Series In A Southern Indiana Vaccine Clinic, Cassidy Padgett Jan 2022

Disparities In Uptake Of The Primary Sars-Cov-2 Vaccine Series In A Southern Indiana Vaccine Clinic, Cassidy Padgett

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objective: COVID-19 is a potentially severe respiratory disease caused by infection from the SARS-CoV-2 virus. COVID-19 was first discovered in 2019 and vaccines against the virus began development in early 2020. COVID-19 vaccines are effective at preventing severe illness, hospitalizations, and death from SARS-CoV-2 infection. Clark Memorial Health is a 236-bed community health system located in southern Indiana. As one of the first four hospitals in the state of Indiana to receive the Pfizer-BioNTech’s COVID-19 vaccine in December of 2020, this health system led the area in vaccine administration. Prior to the emergency use authorization (EUA) of the COVID-19 vaccines, …


Effects Of Covid Prevention And Control Policies In Kentucky Schools During The Fall 2020 Semester, Ciaran Allen-Guy Jan 2022

Effects Of Covid Prevention And Control Policies In Kentucky Schools During The Fall 2020 Semester, Ciaran Allen-Guy

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Schools are reopening or have already reopened while implementing precautions intended to reduce the transmission of COVID-19. However, evidence on the effects of these strategies or their benefits relative to each other in the school environment is indirect or lacking. This study investigated the effects of some of these strategies as employed by Kentucky schools in the fall 2020 semester using a linear mixed effects regression model using publicly available fall 2020 school incidence data, survey data from school staff, and Kentucky Department of Education data on school faculty and primary enrollment.


The Measurement Of The Impact Of Well-Being Resources On Moral Distress And Burnout Following The Covid-19 Pandemic In Front-Line Nurse Leaders, Benjamin Hughes Jan 2022

The Measurement Of The Impact Of Well-Being Resources On Moral Distress And Burnout Following The Covid-19 Pandemic In Front-Line Nurse Leaders, Benjamin Hughes

DNP Projects

Background: Due to the COVID-19 pandemic, there is significant burnout among front-line nursing staff. Little literature has been published about the measurement of burnout among front-line nursing leaders, such as nurse managers and directors, nor the interventions used to help with this ever-growing issue among this group. Since the pandemic began, there have been many resources identified to help front-line staff members with burnout, but none specifically looking at what has worked or been utilized by front-line nursing leaders.

Purpose: The purpose of this project was to describe what well-being resources were identified as being effective in decreasing moral distress …


Covid-19 And Advanced Course Enrollment: Kentucky High Schools, Jessica Thomas Jan 2022

Covid-19 And Advanced Course Enrollment: Kentucky High Schools, Jessica Thomas

MPA/MPP/MPFM Capstone Projects

In Kentucky governments, districts, and schools made decisions about school closures and mode of learning that would impact community health as well as student achievement. Within those schools, students themselves were also making decisions that could impact their futures academically. In spring 2020, students were choosing their courses for the following year. Vast uncertainty about what the 2020/2021 school year would look like had the potential to impact those decisions. Disruptions to spring 2020 classes could also impact whether a student felt they had learned the prerequisite skills needed to pursue advanced coursework. This study found that advanced course enrollment …


Effect Of Trust And The Covid-19 Pandemic On Nonprofit Collaboration With Food Insecurity Services In Kentucky, Aaron Brewer Jan 2022

Effect Of Trust And The Covid-19 Pandemic On Nonprofit Collaboration With Food Insecurity Services In Kentucky, Aaron Brewer

MPA/MPP/MPFM Capstone Projects

Food insecurity in Kentucky is at a crisis point. As a result of the COVID-19 pandemic and recent natural disasters, it has only gotten worse. Nonprofit organizations that focus on food insecurity are fighting to fill the gap between federal and state programs but still struggle to find enough resources as demand grows. In order to help achieve their strategic missions, organizations often engage in collaboration with one another. The COVID-19 pandemic fundamentally changed the landscape of many services and businesses across the world and certainly in Kentucky. Food insecurity organizations were faced with new challenges because of the health …


Factors Associated With Lifestyle Modification For Type 2 Diabetes Self-Management And Prevention, Leigh Anne Koonmen Jan 2021

Factors Associated With Lifestyle Modification For Type 2 Diabetes Self-Management And Prevention, Leigh Anne Koonmen

Theses and Dissertations--Nursing

Diabetes is the seventh leading cause of death in the United States, affecting roughly 13% of U.S. adults aged 18 years or older. Type 2 diabetes accounts for 90-95% of all diabetes cases and is characterized by the progressive development of insulin resistance leading to sustained elevated blood glucose levels. Management of type 2 diabetes includes risk-reduction strategies and continuous medical care to prevent the development of complications.

Lifestyle is a major contributing factor to morbidity and mortality rates in the United States. Preventative health behaviors, such as engaging in physical activity, maintaining a healthy weight, and following a healthy …


Essays On The Role Of Policies In Major Public Health Issues, Anh Le Jan 2021

Essays On The Role Of Policies In Major Public Health Issues, Anh Le

Theses and Dissertations--Economics

This dissertation explores the role of policy on health outcomes and behaviors that relate to major public health concerns. Essay 1 and Essay 2 investigate the effects of Medicaid expansions on substance-use outcomes. Essay 3 examines the impacts of school reopenings in Texas on COVID-19 and mobility outcomes.

Essay 1 studies the effect of the Affordable Care Act Medicaid expansion. Using State Drug Utilization Data 2011-2017, I find that the Medicaid expansion is associated with an increase of 40-60 Medicaid-paid opioid prescriptions per 1,000 people aged 19–64. However, the results suggest that post-expansion prescriptions are, on average, shorter or prescribed …


Remote Supported Communication For Adults With Chronic Aphasia: A Serendipitous Study, Allie Hopper Jan 2021

Remote Supported Communication For Adults With Chronic Aphasia: A Serendipitous Study, Allie Hopper

Theses and Dissertations--Communication Sciences and Disorders

Supported communication is defined as anything that improves access to or participation in communication events or activities (King, Simmons-Mackie, & Beukelman, 2012). This thesis describes the results of a study that took place when a training program to provide graduate students in Communication Sciences and Disorders (CSD) with “hands on” experience in providing supported communication to persons with chronic aphasia (PWA) was interrupted by the outbreak of Coronavirus-19 and switched to a remote delivery format to fulfil service and training obligations to the PWA and the CSD graduate students respectively. The study (1) describes the actions taken to covert a …


The Use Of Distraction: Doomscrolling, Losing Time, And Digital Well-Being In Pandemic Space-Times, Jacob Saindon Jan 2021

The Use Of Distraction: Doomscrolling, Losing Time, And Digital Well-Being In Pandemic Space-Times, Jacob Saindon

Theses and Dissertations--Geography

In the space-times of the COVID-19 global health crisis, how have our relationships with smartphones changed? How do popular discourses designate mundane engagements with digital technologies as healthy or unhealthy, and how are these notions of wellness practiced? This thesis draws upon an online survey of smartphone users residing in Kentucky, and a review of marketing, journalistic, and academic literature to establish current understandings of ‘digital well-being’. The paper then analyzes interviews with Kentucky smartphone users who were asked to track their screen time for a one-week period. This project reveals normative conceptions of well-being and the role of smartphone …


A Qualitative Examination Of The Agency Of Women In Their 30s And 40s Who Use Dating Applications, Tera Buerkle Jan 2021

A Qualitative Examination Of The Agency Of Women In Their 30s And 40s Who Use Dating Applications, Tera Buerkle

Theses and Dissertations--Family Sciences

The use of dating applications (apps) to find romantic and sexual partners is widespread across age groups, however, there is a paucity of research on dating apps with those in middle adulthood. Sexual script theory suggests that women’s agency (i.e. the ability to act in one’s own best interest) may be impacted by expectations from an inherently sexualized context, such as dating apps. Feminist theory contends that women’s agency is complicated by gender socialization due to the imbalance of power in society that greatly favors men. In this study seventeen women aged 30 to 49 completed in-depth semi-structured interviews, and …


Exploring Health And Risk Information Seeking In The Context Of Covid-19: Testing The Comprehensive Model Of Information Seeking And Risk Information Seeking And Processing Model As Competing Explanatory Models, Xianlin Jin Jan 2021

Exploring Health And Risk Information Seeking In The Context Of Covid-19: Testing The Comprehensive Model Of Information Seeking And Risk Information Seeking And Processing Model As Competing Explanatory Models, Xianlin Jin

Theses and Dissertations--Communication

Facing a pandemic caused by a novel coronavirus (COVID-19), the public feels uncertainty and fear. To cope with the pandemic and reduce uncertainty, the public needs accurate and prompt information. By theoretically and empirically comparing the Comprehensive Model of Information Seeking (CMIS) and the Risk Information Seeking and Processing Model (RISP), this dissertation aims to unpack the core mechanism of health and risk information seeking. Built on the two models, the author proposed an Integrated Model and explored which variables are the significant predictors of health and risk information seeking.

The author recruited 729 adult participants and analyzed 394 completed …


Impact Of Mental Health And Financial Status Of Essential And Non-Essential Workers That Continued Working Outside The Home During The Spring 2020 Covid-19 Shutdown, Adrianne Deveira Jan 2021

Impact Of Mental Health And Financial Status Of Essential And Non-Essential Workers That Continued Working Outside The Home During The Spring 2020 Covid-19 Shutdown, Adrianne Deveira

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objective: A global pandemic caused businesses in the United States to shutdown based on essential vs. non-essential criteria. There has been a lot of research discussing the impact of the shutdown on healthcare frontline workers. Little is known about other essential and non-essential workers, that continued working outside the home during the shutdown. The purpose of this paper is to examine the financial and mental health issues encountered by essential and non-essential workers that continued working outside the home during the Spring 2020 shutdown.

Methods: Snowball sampling of an online survey that was available from May 8 – June 6, …


The Fiscal Impact Of Covid-19: A Study Of Five States, Jacob Jansen Jan 2021

The Fiscal Impact Of Covid-19: A Study Of Five States, Jacob Jansen

MPA/MPP/MPFM Capstone Projects

The COVID-19 pandemic has taken its toll on states’ coffers due to declining revenues and in response state budget authorities have taken action to adjust budgets in order to maintain proper financial balance. At the end of fiscal year 2020 on June 30, 2020, budget authorities in 46 states likely found themselves straining to make sure their state’s bottom line was not grossly negative. That strain has since continued into fiscal year 2021, which started the day after. As revenues appear to be on the rise again and the financial hardships lessened, an evaluation of the responses to the pandemic’s …


Effects Of Covid-19 On Sports Program Offerings At Ncaa Division I Institutions, Jason Schlafer Jan 2021

Effects Of Covid-19 On Sports Program Offerings At Ncaa Division I Institutions, Jason Schlafer

MPA/MPP/MPFM Capstone Projects

COVID-19 on Sports Program Offerings at NCAA Division I Institutions 2 Executive Summary In the past 40 years, the cost of operating a competitive college athletics department that competes for an institution within a Power Five conference the highest level of intercollegiate competition- has risen drastically. Concurrently, opportunities to compete at the highest level have expanded, especially for women who now outnumber men in Division I athletics competition. As COVID-19 constrained revenue, five institutions from Power Five conferences have discontinued 23 sports programs to date. This paper addresses how decision makers determine which sports programs to eliminate and offers recommendations …


Communication Strategies’ Impact On Finances At Kentucky Higher Education Institutions During The Covid-19 Pandemic, Jacob Most Jan 2021

Communication Strategies’ Impact On Finances At Kentucky Higher Education Institutions During The Covid-19 Pandemic, Jacob Most

MPA/MPP/MPFM Capstone Projects

Kentucky public higher education institutions faced a financial cliff with the onset of the COVID-19 pandemic (Capilouto, 2021 Jan.). Campuses across the state closed in spring 2020, with the list of unknowns outnumbering the knowns by a significant margin (Monday, E., Blanton, J., and Kiser, K., 2021). In the face of an unknown future, administrations at Kentucky institutes of higher education relied upon communication strategies more than ever to outline Universities’ plans for reopening, reinvented operational plans, outlining contingencies, and fulfilling an invaluable role in efforts to test, contact trace and eventually vaccinate campus and broader community populations. This project …


The Impact Of Covid-19 On Worksite Wellness Programs, Marilyn S. Campbell Jan 2020

The Impact Of Covid-19 On Worksite Wellness Programs, Marilyn S. Campbell

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Introduction: Worksite wellness programs are popular employer offerings as of the last few decades. The COVID-19 pandemic has caused major shifts in behavior since these programs have been implemented. The purpose of this study was to see how the pandemic has affected various offerings within a university worksite wellness program.

Methods: This study is a secondary analysis of a university worksite wellness program, and it compares participation in the various offerings in response to the COVID-19 pandemic by evaluating 2019 participation (pre-pandemic) to 2020 participation (including onset of the pandemic and after). This worksite wellness program, which is available to …