Digital Commons Network^™

Evaluating A High School Mrsa Prevention Program: A Case Study, Jamie Henning

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

MRSA poses a significant health risk to athletes nationwide. This case study examines the application of an online training module to address knowledge gaps regarding Methicillin-resistant Staphylococcus aureus (MRSA) among key decision-makers for high school athletes. It reviews the development and initial evaluation of a web-based training program designed to empower decision-makers with the knowledge to prevent MRSA infection and respond to suspected cases. Program evaluation recommended expanding the training module to wrestling staff with improved evaluation methods while continuing implementation and effectiveness assessment for the football staff. Despite initial data quality limitations, the online training module evaluation offered valuable …

A Case Study In Program Evaluation: Evaluation Of A Mrsa Education Program, Kangai Miriti

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

Program evaluations provide a deeper understanding of program components to promote effective program implementation. This evaluation follows the CDC’s 6-step Framework for Program Evaluation in Public Health to evaluate a MRSA education program. This evaluation has been prepared to be presented to the Lexington- Fayette County Health Department.

A Case Study In Evaluation, Laura Nagle

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

The Lexington – Fayette County Health Department is proposing a comprehensive evaluation of programming focused on preventing MRSA infections among high school athletes within Fayette County Public Schools. This document describes the recommended evaluation process.

A Case Study In Program Evaluation, Kayla Shepherd

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

A program evaluation of a case study presented by the College of Public Health. This case study included a fictitious MRSA outbreak at a Kentucky high school football camp and the response of the Fayette County Public School System (FCPS) and the Lexington-Fayette County Health Department (LFCHD). Using the Centers for Disease Control and Prevention's Framework for Program Evaluation, I evaluated the Educational Infectious Disease Program designed by the FCPS and LFCHD. I provided recommendations to help improve the success of the program.

Team Up Against Overdose Deaths, Mary Elizabeth Pendergrass

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

This grant proposal describes a community collaboration strategy for reducing overdose deaths. Utilizing a Community Advisory Board, the goal of the project is to increase awareness, knowledge, and usage of the Good Samaritan Law to obtain emergency medical care.

A Case Study In Program Evaluation, Sydney Wilcoxson

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

Evaluation is a critical component of a successful evidence-based health promotion program or intervention. In public health, evaluations ensure that interventions are achieving their intended objectives, provide feedback on program strengths and weaknesses, and serve as a mechanism of accountability and transparency to stakeholders so that they know their invested resources are being utilized in the most efficient manner. Without evaluation, it would be much more difficult to understand how well the intervention is working, and communication between stakeholders would be significantly affected.

A recently confirmed Methicillin-resistant staphylococcus aureus (MRSA) outbreak on a Fayette County Public Schools (FCPS) high school …

Interprofessional Collaboration In A Lung Cancer Screening Learning Collaborative, Angela Fu

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

The primary purpose of this paper is to identify partners and levels of engagement through investigating participants of the Kentucky Lung Cancer Screening Learning Collaborative: Achieving Equity, which was led by the Kentucky Lung Cancer Education Awareness Detection Survivorship (KY LEADS^TM) Prevention and Early Detection team now known as the Quality Implementation of Lung Cancer Screening (QUILS^TM) group in collaboration with the Healthy Kentucky Initiative supported by UK HealthCare. A secondary objective was to identify and categorize organizational and system policies related to lung cancer and screenings. The six-session series focused on equity in lung cancer …

Adolescent Vaccination Rates And Pharmacists' Ability To Prescribe And Administer, Paul Jake Faulkner

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

Vaccines are arguably the most significant advancement in healthcare in the prevention of diseases. The CDC has created a series of recommendations to help guide providers and patients toward a healthier future with vaccines. These recommendations were adopted by the Health People Goals 2020 and 2030 to increase each state's rates of completing specific vaccination series by defined age thresholds. This capstone aims to assess if there is a correlation between vaccination rates and pharmacists; specifically to see if states that give less restrictions about vaccinating would have higher rates. It is also important to see if states with more …

Empirical Insights Into Survivorship Care: A Cross-Sectional Study Of Coc Accredited Hospitals In Kentucky, Amanda M. Beckett

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

ABSTRACT

Background:

Cancer survivorship care programs play a vital role in supporting cancer survivors and improving their quality of life. Understanding the landscape of survivorship and the potential barriers is key to optimizing care delivery.

Methods:

The primary purpose of this cross-sectional study was to explore existing cancer survivorship care programs offered by Commission on Cancer (CoC) accredited hospitals in Kentucky. Data from the Markey Cancer Affiliate Network (MCCAN) from 2022 through 2023 was analyzed. Variables included hospital characteristics such as rural code, types of survivorship services offered, and reported barriers to these services.

Results:

Analysis of n=19 CoC facilities …

Mccovid Campaign – A Social Media Implementation To Decrease Vaccine Hesitancy In Rural Counties, Harper Ford

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

This capstone will explore the challenges of vaccine hesitancy, a continuously rising problem in the public health field. The focus is primarily on rural millennials in McCracken County, Kentucky. The study identifies key factors contributing to vaccine hesitancy including misinformation, trust issues, and the rapid development of the covid-19 vaccine. To address the above concerns the study proposes a targeted social media campaign using the health belief model to increase COVID-19 vaccine uptake through Facebook ads targeting millennials. The campaigns utilize the leverage of local insights and real-time data to enhance engagement and reduce hesitancy, focusing on adapting strategies based …

Improving Black Maternal Outcomes In Christian County, Ky: A Social Marketing Approach To Perinatal Provider Change, Ariel A. Arthur

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

Compared to other states in the country, Kentucky has historically poor population health outcomes. While the statewide maternal mortality rate is 16.1 per 100,000 live births, this statistic belies the stark racial disparities that exist. In 2018, the pregnancy-related death rate for Black women was 40.2 per 100,000 live births compared to 13.1 for White women. This pattern is persistent even after controlling for socioeconomic status, prenatal care, and other protective factors. Research shows that institutional and interpersonal racism when receiving obstetric care contributes to poor childbirth and postpartum outcomes for Black women. Additionally, geography and rural status may compound …

Implementation Of A Postpartum Depression Program In A Rural Kentucky County, Abby Cecil

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

This paper aims to describe the process of implementing a Postpartum Depression (PPD) prevention program in low-income women residing in rural communities. The paper describes the process of recruiting women in this population, where and how the program will be integrated into an existing clinic, and how the program will be sustained. PPD is a significant global public health problem that can be prevented and treated. The ROSE program (Reach Out, Stay Strong, Essentials for new mothers) is a series of classes that provide informational and social support to prevent PPD. This evidence-based program has been previously successful in reducing …

Increasing Hpv Vaccination In Two Appalachian Counties, Autumn Rice

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

In response to the Funding Opportunity Announcement (FOA), the evidence-based Making Effective HPV Vaccine Recommendations training program will be implemented in the Southeast Kentucky AHEC region over the course of three years. The implementation of the Making Effective HPV Vaccine Recommendations program has three specific aims:

Aim 1: Effectively implement and deliver the Making Effective HPV Vaccine Recommendations program to immunization providers in the Southeast Kentucky AHEC region

Aim 2: Increase provider self-efficacy for making strong recommendations for HPV routinely

Aim 3: Increase the number of recommendations for the HPV vaccine among adolescents of Bell and Harlan Counties in Kentucky …

Using Naturalistic Language Interventions To Increase Expressive Communication Of Aac Users With Autism, Kacey Eaton

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

This study's purpose was to use naturalistic language interventions to increase the communication rate via alternative and augmentative communication during play with young children with autism. A nonconcurrent multiple baseline design was used to evaluate the effectiveness of a combination of naturalistic language interventions when implemented during 10-minute play sessions within the participants resource classroom. Naturalistic language interventions utilized include aided language modeling, environmental arrangements, naturalistic time delay, and language expansions. Results indicated that naturalistic language interventions are effective in increasing expressive communication via AAC with children with autism.

How Important Is Parental Involvement And Engagement In Preschool, Emilee M. Dixon

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to evaluate preschool classrooms’ parental engagement throughout the school year. Specifically, the study aims to assess if parents felt they received information to support their child's development, if the school offered engagement opportunities, and if the parents believed that engagement impacted their child. Research studies have shown or indicated that parental engagement is a key component to a child’s success. This study highlights the importance of parental involvement and engagement for children in preschool. The study involves reviewing a survey to gain a better understanding of when, how, and why parental involvement and engagement …

Group Vs. Individual Video Modeling For Acquisition Of Pilates For Individuals With Disabilities, Brittany Rounce

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

This study presents findings from an alternating treatment design investigation into the efficacy of group versus individual video modeling in facilitating the acquisition of Pilates techniques among individuals with disabilities. The study aimed to assess how these different instructional modalities influenced participants' learning outcomes. The research involved a detailed analysis of two participants, with a focus on observing any variations in their response patterns during the acquisition phase. Through systematic data collection and analysis, the study evaluated the effectiveness of group versus individual Pilates video modeling. The results revealed distinct responses within the participant group, with one individual exhibiting differential …

Child Language And Happiness Behaviors: Evaluating The Effects Of Caregiver Coaching, Ashlen Grubbs

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Caregivers of young children who have or are at risk for disabilities may struggle supporting their child’s language development. This study used a tailored rapid coaching intervention to teach a caregiver different naturalistic language interventions that can be used with their child during play. Evidence-based naturalistic skills for increasing child communication were chosen to teach the caregiver based on baseline levels of skills. The purpose of this study was to evaluate the effectiveness of a tailored RCI (training and coaching) with caregivers of children with developmental disabilities. Like other studies, this study involved evaluating child-level communication but extended child measures …

Training Paraprofessionals In The Implementation Of Aided Language Modeling With Individuals With Intellectual Disabilities And Ccn, Julianne Hill

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this research is to train special education paraprofessionals in the implementation of Aided Language Modeling (ALM) through a coaching program. A single-case multiple probe design across three paraprofessional/student dyads was used to analyze data. Coaching procedures included a single 20-minute training workshop with the researcher between baseline and intervention and post-session conversations after each intervention trial. The research took place in a public school in the southeastern United States. The school was located outside of a metropolitan area in a suburban school district. The study took place to answer the following questions: (1) With the implementation of …

Pixels Or People: A Comparison Of The Differenital Effects Of Animated And Human Video Models On Exercise Behaviors For Hgh School Students With Intellectual Disability, Jade Alexis Fulkerson

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Individuals with intellectual disabilities, with or without autism spectrum disorder, often require structured programming to facilitate acquisition of skills. Video modeling, an evidence-based strategy, offers a promising avenue for skill instruction. While research has demonstrated the effectiveness of human-modeled video interventions, limited research has been conducted into the efficacy of animated models. Addressing this gap, the present study employed an alternating treatments design to compare the effectiveness of human and animated models in teaching exercise behaviors to high school students with intellectual disabilities, with or without autism spectrum disorder. Results revealed variability among participants: one individual exhibited superior performance with …

Comparison Of Video Modeling And In-Vivo Language Instruction In Preschool, Jessah Marlee Hughes

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Early communication and language development in young children is critically important and those identified as having a language delay, would benefit from intervention. There is a rise in screen time exposure in young children, with some watching variations of popular evidence-based practices (time delay, video modeling, etc.) Most notably, Ms. Rachel is an early childhood learning YouTube sensation. This study seeks to compare the effectiveness and efficiency of video modeling and time delay in the differential use of early sentences during play-based activities.

Supporting Children’S Eating Behavior In A Preschool Classroom, Olajumoke Leshi

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Food selectivity, commonly observed in young children, has a significant effect on their health outcomes, and this poses a major challenge for parents and caregivers. This proposed study aims to investigate the effectiveness of a teaching package comprising prompting, shaping, and reinforcement strategies in enhancing exploratory eating behaviors among preschool children displaying food selectivity in a classroom setting. The study seeks to answer the research question: does the delivery of a teaching package consisting of prompting, shaping, and reinforcement result in an increase in exploratory eating behaviors (touch, smell, taste) by young children displaying food selectivity? This study will use …

The Effects Of A Stay-Play-Talk Intervention On Social Communicative Acts For Elementary Aged Children With And Without Disabilities, Mackenzie Loar

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to examine the effectiveness of the Stay-Play-Talk (SPT) intervention for increasing the rate of peer interactions among elementary-aged students who display social deficits or delays in a free-time small group setting. Peermediated instruction (PMI) is used to teach typically developing peers’ ways to interact with and help learners with disabilities acquire or increase social skills by increasing social opportunities within natural environments. With PMI, peers are systematically taught ways of engaging learners with disabilities in social interactions (Neitzel, 2008). PMIs are designed to support target children without interrupting the natural interactions between peers. One …

Differential Effects Of Criteria For Increasing Delay Intervals In Progressive Time Delay, Kai O'Neill

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of the study was to compare the differential effects of response independent and response-dependent criteria used to determine when to increase to the next delay interval in the progressive time delay (PTD) procedure. An adapted alternating treatments design was used to evaluate the relative efficiency of three variations of the PTD procedure when teaching expressive word identification to first-grade children with moderate to severe intellectual or developmental disabilities, language impairments, and reading deficits. All three PTD variations consisted of increasing the delay interval in 1-s increments from 0s to 4s. The three PTD variations compared included (a) a …

Director Follow-Up Of Early Childhood Educator Professional Development, Katherine Jordan

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Research has shown follow-up to be an important component for professional development (PD) to result in teacher behavior change. However, PD rarely includes follow-up support. This pilot study used multiple methods to determine the feasibility of Head Start (HS) directors providing teachers PD follow-up support. Two aspects of feasibility were examined. Practical feasibility was based on whether the directors could master the procedure for providing PD follow-up support and whether they had time to provide PD follow-up support. Social validity feasibility was measured as the acceptability of the procedures and the likelihood of directors continuing to use the protocol prescribed …

Multi-Tiered Professional Development System To Increase Paraprofessional Use Of Behavior Specific Praise, Lauren Phillips

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

To further support learning in self-contained settings, it is crucial for both teachers and paraprofessionals to implement effective classroom and behavior management strategies. Behavior specific praise (BSP) is one strategy that has been taught to teachers and used in general education classrooms to increase positive student outcomes (Gage et al., 2017) In this study, we used a multi-tiered system for professional development to increase paraprofessionals’ rate of BSP in a self-contained special education setting during one-to-one instructional activities. The results of this study indicated that Tier 1 professional development was sufficient for the paraprofessionals, and it not only increased paraprofessionals’ …

Trauma And Parenting: Are There Unintentional Effects?, A'Tora Hill

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The goal in conducting this study was to explore the effects of trauma across generations, if any were to be confirmed. This study, specifically, aimed to investigate whether parents reported having dealt with trauma and if their trauma had any impact on the way they parent their children. Research has shown that parents who have endured trauma take on different parenting styles and techniques than those who have not endured trauma. This study highlights the effects of trauma on those who encounter it as well as how it may transcend through generations through a survey. A key outcome of this …

Enhancing Aac Models In Elementary Classrooms: The Impact Of Training And Coaching Peers In Aided Language Modeling, Caitlyn Harris

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of this study was to investigate the impact of training and coaching neurotypical peers on aided language modeling (ALM), specifically in their ability to provide increased and effective models on a peer’s augmentative and alternative (AAC) device. The neurotypical peers received training and coaching to apply the strategy while interacting with an AAC user during social break times in a third-grade general education classroom. A multiple-probe design across participants was implemented to assess the impact of the peer training and coaching intervention. The results showed that this intervention was effective in increasing the frequency of ALMs provided by …

The Effects Of Hierarchical Training On The Emergence Of Emotion-Related Metaphors In Autistic Children, Katherine Lynch

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Recently, research on derived relational responding has increased in volume, along with the publication of assessments, curricula, and textbooks on this topic. The allure of engineering derived relations due to purported accelerated learning makes this topic interesting to researchers and practitioners. Recent reviews have examined types of verbal operants, and specific relational frames studied in this body of literature, but there is scarcity in terms of the instructional procedures and variations thereof, and there is little available to focus on single case design (SCD) evaluations of these procedures. Hierarchical training (HT) to produce derived relations between arbitrary stimuli has shown …

More Than Censorship: The Harm Of Libricide, James M. Donovan

Law Faculty Scholarly Articles

Libricide, although often deemed an extreme instance of censorship, is altogether different. Censorship involves the suppression of particular books due to alleged inappropriate content; libricide refers to the intentional destruction of entire libraries. Understanding the differing motives recognizes that the library is more than the books it contains, and is instead an institution rooted in its history of selection and use by the local community. Over time, the library reflects the users’ identity, a reminder that any aggressor would wish to eliminate when the goal is pacification by erasure of a population’s memory and history. Prerequisites for an act of …

Tools Do Not Create: Human Authorship In The Use Of Generative Artificial Intelligence, Michael D. Murray

Law Faculty Scholarly Articles

Artistic tools, from brushes to complex algorithms, don’t create art; human artists do. The advent of generative AI tools like Midjourney, DALL-E, and Stable Diffusion has blurred this understanding, causing observers to believe these tools are the authors of the artworks they produce, even so far as to imagine that the artworks are “created” by the AI in the copyright sense of the word. Not so.

The U.S. Copyright Office recently issued guidance on the copyrightability of works produced using generative AI tools. The Office has accepted the narrative that AI tools perform the steps of authorship, conceiving of the …