Digital Commons Network^™

Autonomous Self-Care: A Means To Mitigate Secondary Traumatic Stress Among Clinical Social Workers, Jessica Byrd

DSW Capstone Projects

Secondary traumatic stress (STS) negatively impacts the health of clinical social workers, thus, impairing their ability to provide quality services. The symptoms and consequences of STS have been discussed for decades and the conversation continues because STS is a prevalent and pervasive problem that effects social workers, clients, and organizations. For as long as STS has been recognized as a problem, self-care has been identified as a solution. Yet, clinical social workers underutilize self-care strategies to safeguard their mental, physical, and emotional well-being.

A systematic review of the literature review was conducted to explore, why self-care is underutilized among clinical …

Examining The Association Between Cervical Cancer Screenings, Health Care Access, And Socio-Demographics Among Women Of Urban/Rural Status In Kentucky, Madison Penix

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

Background: This study focuses on cervical cancer screening rates (e.g., Pap testing) among women of urban/rural status in Kentucky. Specifically, this study’s primary objective is to examine the association between cervical cancer screening rates and health care access among the women of interest. Secondarily, this study aims to identify which socio-demographic variables impact cervical cancer screening rates and health care access. The purpose of doing so is to better understand what disparities and barriers might be contributing to the suboptimal screening rates observed throughout Kentucky.

Methods: An empirical analysis utilizing secondary data from the 2020 Behavioral Risk Factor Surveillance Survey …

Implementation Of Farmers Markets In Bell County, Kentucky, Rachael Schmetzer

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

This proposal addresses the link between food insecurity and obesity through the implementation of farmers markets in Bell County, Kentucky as a way to increase access and consumption of fruits and vegetables in this rural, low-income community.

Increasing Physical Activity Rates Among High School Girls In Jefferson County, Kentucky, Haley Copeland

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

Obesity rates across the U.S. are increasing, especially among adolescent females. Physical activity rates have been associated with obesity and many related health outcomes. Regular physical activity can help adolescents improve their cardiorespiratory fitness, build strong bones, control their weight, and reduce depression ¹. It can also help reduce the risk of developing health conditions like heart disease, cancer, high blood pressure, osteoporosis, type II diabetes, and obesity ¹. Thus, physical activity among youth provides a risk factor to target, with the intention of eventually decreasing obesity rates.

Recommended physical education class CDC guidelines are not being met …

An Analysis Of The Differences In Health Outcomes And Socioeconomic Factors Between Veteran Smokers And Non-Smokers In Tobacco-Growing States, Jacob Hauser

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

Tobacco usage still remains the single most preventable cause of disease, disability, and death in the United States. Service members and veterans, especially those residing in tobacco-growing states, face higher levels of societal pressure to take up the habit compared to their civilian counterparts. This research investigates why this is the case, the differences in health outcomes, and the differences in socioeconomic factors between the veteran smoking and non-smoking populations before making policy recommendations to policymakers and stakeholders to address this problem.

An Analysis Of The Association Between Cognitive Decline And Geographic Residence Among Women Over 65 In The Southeastern United States, Christine Invergo

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

Abstract

Introduction: The United States is an increasingly aging nation, and aging increases the risk of cognitive decline. Information on the relationship between cognitive decline and geographic residence in the U.S. is limited. Available evidence suggests that rural residents tend to suffer persistent disadvantages in cognitive functioning when compared to sociodemographically similar urban peers. This analysis focused on women over 65 years of age living in the southeastern U.S. The primary objective of this analysis was to determine if there was a significant association between geographic residence and cognitive decline. A secondary objective was to explore variables of interest that …

Comparing Governmental Communication About Covid-19 Layered Protection Strategies In Taiwan, Kenya, And The United States: A Mixed-Method Analysis Of National Health Agency Websites, Cynthia Mofunanya

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

COVID-19 is a novel coronavirus caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It can result in severe respiratory damage. Different countries have recommended different combinations of protections during the COVID-19 pandemic. Various combinations of mitigation strategies or “layered protections” against coronavirus have also been communicated differently across nations. This mixed-methods content analysis seeks to compare COVID-19 mitigation information on three national health agency websites for Taiwan, Kenya, and the United States. Availability and navigability of information was examined for each mitigation strategy. The Web Resource Rating tool was used to assess the quality of the information about …

An Analysis Of The Association Between Cognitive Decline And Geographic Residence Among Women Over 65 In The Southeastern United States, Christine Invergo

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

Abstract

Introduction: The United States is an increasingly aging nation, and aging increases the risk of cognitive decline. Information on the relationship between cognitive decline and geographic residence in the U.S. is limited. Available evidence suggests that rural residents tend to suffer persistent disadvantages in cognitive functioning when compared to sociodemographically similar urban peers. This analysis focused on women over 65 years of age living in the southeastern U.S. The primary objective of this analysis was to determine if there was a significant association between geographic residence and cognitive decline. A secondary objective was to explore variables of interest that …

Demographic Characteristics Of Individuals Needing Treatment For Substance Use Disorder, Amber Hill

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

Introduction:

While multiple options are available for the treatment of substance use disorders (SUD), 9% of individuals reported needing treatment within the last year for illicit drug or alcohol use, according to the 2020 National Survey for Drug Use and Health (NSDUH). Despite concerns about widespread disparities in healthcare access and outcomes, there are limited current data regarding demographic characteristics of individuals that need treatment. It is crucial to identify these characteristics from population-based data in order to develop and implement targeted public health interventions.

Methods:

The NSDUH is an annual, nationwide survey that collects data about substance use and …

Recharge Moments, Scott Keel

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

Abstract Title: Recharge Moments

Background: Recent articles from the CDC and other healthcare agencies have demonstrated the detrimental effects that the COVID-19 pandemic is having on the physical and mental health of the healthcare workforce. Unfortunately, they were less informative in regard to those working for local public health departments. Pre-pandemic and concurrent publications on mindfulness-based interventions have demonstrated the positive and protective effects mindfulness-based interventions can have on burnout prevention and resilience promotion. To gain a better understanding of how the current pandemic might be affecting the public health workforce and to assess whether mindfulness-based interventions would be helpful …

Increasing Initiations Of Communication For Students With Moderate And Severe Disabilities Using A Prompt Hierarchy, Ryan Elizabeth Queenan

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

The purpose of this study was to increase initiations of communication for high school students with moderate and severe disabilities using a prompt hierarchy in the context of environmental arrangements. A multiple probe across participants design was used to evaluate the effectiveness of implementing a prompt hierarchy with an environmental arrangement. The results showed that when using a prompt hierarchy in the context of an environmental arrangement were effective in increasing initiations of communication for high school students with moderate and severe disabilities.

Peer Supports Across Inclusive Environments, Lyndsay Mccullers

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

Peer-mediated interventions provide opportunities for students with disabilities to learn a variety of different skills and meet individualized goals. Peers can provide targeted social, behavioral, and academic supports to students with moderate and severe disabilities. One specific peer-mediated intervention is peer support arrangements. These interventions involve providing supports to students with disabilities in inclusive classrooms or other instructional contexts. These supports contain four key components: selection of students, training of peers, peer delivery of supports, and adult monitoring. When implemented with fidelity, peer support arrangements provide numerous benefits to both students with and without disabilities.

The Effectiveness Of Peer Training To Increase Communicative Responses By Peers With Disabilities, Amanda Landherr Taylor

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

Individuals with disabilities often have social and communication deficits which impact their development of social relationships. Therefore, individuals with disabilities need additional supports and interventions to gain appropriate social and communication skills. Research demonstrates that peer-mediated interventions are an effective way to help increase social interactions between students with disabilities and students without disabilities. There has been research to support that peers can successfully be taught how to use AAC devices and how to initiate and respond to peers with disabilities. Some of the positive effects of peer-mediated intervention include an increase in social communication skills, inclusion, and increased use …

Interdisciplinary Collaboration: Using A Rapid Coaching Intervention To Teach Parents Naturalistic Strategies To Teach Communication, Rose Campbell

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

In this study, a multi-component, rapid coaching intervention that included providing rationales, modeling, coaching during brief practice sessions, and performance-based feedback to train parents of children with communication delays to use naturalistic strategies during play. In addition, this study modeled successful interdisciplinary collaboration. A multiple baseline design across behaviors was used to evaluate the intervention and subsequent changes in the parent’s behavior. Results indicated that hat the rapid coaching model can be effective when it came to teaching parents how to implement naturalistic strategies. Additional data are needed before a definitive decision can be made regarding the effectiveness of the …

Comparison Of In-Person And Virtual Coaching Of Preservice Special Education Teachers, Sydney Green

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

Traditionally, university supervisors have provided coaching to special education preservice teachers after direct observations of sessions within the classroom. As a result of the COVID-19 pandemic, many public school districts in the United States enforced visitor restriction policies that made face-to-face observations difficult or impossible. When faced with this challenge, university supervisors were forced to consider alternative ways to provide feedback. Many questioned whether virtual coaching was as effective as in-person coaching in increasing teacher behaviors. Presently, there are limited studies that suggest one delivery method is more effective or efficient than the other. This study used a Repeated Acquisition …

A Retrospective Within-Session Analysis Of Interview Informed Synthesized Contingency Analyses For The Purposes Of Quality Improvement Within A University-Based Clinic, Amy Wolfe

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

Functional analysis (FA) is a tool practitioners can utilize to identify the function of challenging behavior. An interview informed contingency analysis (IISCA) is a variation of a FA. In an effort to improve patient care within a university-based clinic, a within-session analysis of the first test condition of an IISCA was conducted to determine if a shorter assessment yield results similar to the full IISCA. An alternating treatments design was used to evaluate differentiated rates of challenging behavior across conditions for eleven client cases at the university-based clinic. A single test session was enough to determine the function of challenging …

The Effects Of Mand-Model Within Shared Reading Activity On Naming Emotions, Paige Nicole Owens

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

There is a need for social communication skills to be explicitly taught to people with intellectual disabilities and complex communication needs. The use of naturalistic language interventions is an evidenced based practice shown to increase social communication skills in learners with disabilities. In addition, these interventions have proven successful when embedded into a storybook reading format. There is limited evidence when using both strategies to teach the skill of naming emotions. The purpose of this study was to determine the effectiveness of a mand-modeling procedure, during storybook reading, to teach middle schoolers with moderate and severe disabilities to name emotions …

An Overview Of Functional Communication Training For Registered Behavior Technicians, Christopher Dollinger

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

Functional Communication Training (FCT) is an intervention involving the differential reinforcement of an alternative response (DRA), in which an appropriate communicative response (e.g., asking for a break) is reinforced while the behavior targeted for decrease (e.g., hitting to get out of work) has reinforcement withheld in its presence. Individuals who work as registered behavior technicians (RBT), under the supervision of a board-certified behavior analyst (BCBA), may implement FCT daily. With that being said, many individuals who choose to work as an RBT may not have as deep of an understanding of the concepts and principles of applied behavior analysis (ABA) …

Increasing Accuracy In Police Report Writing, Zachary Greene

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

The current alternative thesis project consisted of creating an online learning course intended to increase the accuracy with which preservice and in-service police officers write police incident reports. The online course consists of 6 separate modules and utilizes principles of applied behavior analysis (ABA) to assist the learner in understanding and applying the content of the modules. Specifically, components of interactive computer training (ICT), consisting of video modeling, voice over narration, interactive activities, and self-pace module design were implemented in the design of the learning course. Opportunities throughout the course allow the learner to self-reflect, self-assess, and receive feedback.

Comparing Self-Delivered To Instructor-Delivered Reinforcement During Vocational Instruction For Students With Intellectual Disability Using Video Activity Schedules, Katherine Elise White

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

In this study, an adapted alternating treatments design was used to compare the effectiveness of teaching vocational task when using self-delivered reinforcement versus instructor-delivered reinforcement while using video prompting. Participants consisted of four high school students who had been diagnosed with intellectual disabilities. Results indicated that instructor delivered reinforcement was slightly more effective at teaching a vocational task for 2 of the 4 participants. The results of the other 2 participants indicated that both forms of reinforcement delivery were similarly effective.

Teaching Children To Use Interaction Strategies With Their Younger Siblings That Are Minimally Verbal, Abby Rucker

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

Children that are minimally verbal often lack same- or near-age peer interaction outside of the home environment. This study attempted to bridge that gap by training older siblings of minimally verbal children to use interaction strategies during play sessions. Through this, researchers were able to examine both the fidelity of use of the trained interaction strategies as well as their effect of the younger siblings’ communication skills.

Improving Writing Skills With Kindergarten Students Using Embedded Learning Opportunities In Dramatic Play, Samantha Tabor

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

How do kindergarten teachers meet the required instructional mins, get students to reach mastery of common core standards, and embed learning opportunities in play? Teachers will need to focus on creating environments that foster creativity, problem-solving, and will help their individual students grow academically, socially, and emotionally (Cress & Holm, 2017). There are very few studies that discuss embedding learning opportunities for kindergarten students using kindergarten common core standards. There are no current studies that address kindergarten teachers using embedded learning opportunities to increase kindergarten writing skills as outlined by common core standards. This study focused on just that: Do …

Evaluation Of Preschool Life Skills (Pls) Program To Teach Social Skills In A Preschool Class, Zhenying Jiang

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

The purpose of the study was to evaluate the effectiveness of a Tier 2 PLS program on increasing critical social skills (i.e., requesting for attention, framed requesting for materials and assistant, and delay and denial tolerance) and decreasing problem behaviors for the participants with risk of delay in social domain. A multiple probe across behaviors design replicated across participants was employed. The intervention terminated due to the end of school year before skill 3 could be introduced. Two of three participants met criteria for two taught skills, while one participant did not acquire all skills. Decrease of problem behavior accompanied …

The Effects Of System Of Least Prompts On Preschool Children’S Play Skills, Hailey D. Helton

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

This research study utilized a multiple probe design to teach pretend play skills while embedding the system of least prompts teaching strategy during pretend play. Four preschool-aged children with and without disabilities participated in the study. When the system of least prompts was embedded within pretend play, play skills increased.

Teaching The Picture Exchange Communication System Phases I-Ii To Preschool Students With Disabilities, Olivia Kelly

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

The purpose of the study was to evaluate the effectiveness of teaching the PECS protocol to preschool students with disabilities using the PECS Phases I-II. A multiple probe across participants design was used to conduct the study and evaluate the effectiveness of the training on the PECS Phases I-II. The results of the study demonstrated that teaching the PECS protocol using picture cards of preferred items was effective in the preschool setting to teach preschool students with moderate to severe disabilities to independently travel to a PECS book and exchange a picture request with the investigator.

Coaching And Training Paraprofessionals To Implement Communication Strategies In The Classroom With Students With Disabilities, Andrea Grace Antoniewicz

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

The purpose of this project was to evaluate the effects of a training and coaching intervention on increasing paraprofessionals use of communication strategies to increase the participation between students with disabilities and paraprofessionals. Students with CCN struggle to interact with peers and communicate appropriately, and therefore need guided instruction by adults. To encourage interactions across contexts, paraprofessionals must first learn how to use communication strategies. This skill also was chosen to extend our knowledge on coaching paraprofessionals to use different communication strategies to promote communication with students with ESN and CCN.

Teaching Social Communicative Intents To Elementary Aged Students Through The Use Of Aided Language Modeling, Kaitlyn Yvette Kousins

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

The purpose of this study was to extend the research of using aided language modeling as an intervention with elementary aged students with extensive support and complex communication needs. A multiple probe design across participants was used to determine if there is a functional between an aided language modeling intervention and improvements in contextually relevant initiations (i.e., requests and comments) between children with extensive support and complex communication needs. The results showed that using aided language modeling within play-based sessions was effective in teaching social communicative intents to students with extensive support and complete communication needs.

Negotiating Islam: Debating Authority And Ethnoreligious Authenticity Among Iranian Americans In The U.S. South, Erfan Saidi Moqadam

Theses and Dissertations--Anthropology

This dissertation examines the flexibility of Quranic exegesis in accommodating self-defined Muslims’ agency in the predominantly Christian society of the United States. This is a project to study Islam not from the perspective of an explicit ideology articulated by clerics, intellectuals, scholars and elites on scriptural texts, but rather one that focuses on Muslims’ readings of scripture and practices of Islam(s), reconstructed in their lived experiences. During fourteen months of ethnographic research in four cities in urban and rural areas in the U.S. South with Iranian Muslims, interlocutors were found to be engaged in a particular kind of relationship with …

Toxic Public Goods, Brian L. Frye

Law Faculty Scholarly Articles

Everybody loves public goods. After all, they are a perpetual utility machine. Obviously, we want as many of them as possible. But what if the consumption of a public good actually decreases net social welfare? I refer to this kind of public good as a "toxic public good." In this essay, I discuss three kinds of potential toxic public goods: trolling, pornography, and ideology, and I reflect on how we might make the production of toxic public goods more efficient.

The Ties That Bind: The Relationship Between Law Firm Growth And Law Firm Survival, Alan J. Kluegel

Law Faculty Scholarly Articles

For the better part of the twentieth century, law firms hired, trained, and grew through a stable and predictable pattern: hire new law school graduates, monitor and evaluate their work, and pick promising attorneys from among their ranks and elevate them to partner. Rinse, lather, repeat. A combination of professional norms and organizational inertia made this approach the dominant method of growth among large corporate law firms until changes in legal market broke down these customary practices, ushering in a new era of lawyer mobility. Now, it has become commonplace for lawyers to leave for greener pastures as more law …