Digital Commons Network^™

Policy Approaches To Address Childhood Obesity, Omoadoni Roseline Obielodan

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

Background: Childhood obesity continues to be a serious international public health concern. Unfortunately, there are limited treatment options for obesity. One notable intervention option is the University of Kentucky (UK) Pediatric high BMI clinic intervention for childhood obesity. The Clinic provides intervention for childhood obesity through healthy lifestyle habits. This intervention has been reported to be effective.

Even though there is evidence that public health policies that promote healthy behaviors would substantially reduce and prevent the alarming prevalence of childhood obesity, the state of Kentucky does not have well-established practical policies that promote healthy behaviors in children. Studies have shown …

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 …

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.

The Multi-Level Marketing Pandemic, Christopher G. Bradley, Hannah E. Oates

Law Faculty Scholarly Articles

Among the societal effects of the COVID-19 pandemic has been a sharp rise in the activities of multi-level marketing companies (MLMs). MLMs are business enterprises in which participants seek not only to sell products to friends, family, and social media contacts, but also to recruit them as MLM participants, with the promise of "building their own business from home."

False promises often pervade MLM sales pitches. Evidence shows that few participants see even a dollar of profit from their MLM work; the vast majority of recruits quickly abandon their MLM dreams and lose their investments. Yet the pitch has become …

Finding The Way Forward: Expectations For Interim Law Library Directors, Billie Jo Kaufman, James M. Donovan

Law Faculty Scholarly Articles

With almost 7 percent of all academic law libraries being headed by interim directors, this chapter seeks to fill a gap in the literature about what these leaders can expect.

Cannabis Use Rates And Modes Of Use In Kentucky, Gunnar Kennedy

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

ABSTRACT:

Background and Objectives:

The purpose of this study was to assess cannabis use rates and modes among people who use cannabis (PWUC) in the state of Kentucky in relation to socioeconomic, demographic, and geographic factors. Furthermore, this study compared Kentucky’s rates of use to other states and built a multivariable regression model to identify characteristics of individuals who use cannabis in Kentucky.

Methods:

For this cross-sectional descriptive analysis, we used 2020 data from the Kentucky Behavioral Risk Factor Surveillance System (BRFSS). We tabulated weighted responses to questions asking about frequency of cannabis use over the past 30 days, primary …

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 …

A Pathway For Inclusive Innovation In Pediatric Mental Health: Prevention And Intervention Using Technology, Kate Corinne Bennett

DSW Capstone Projects

It is no secret that access to quality healthcare is difficult for citizens to achieve in the United States. Racism, discrimination, and oppression further exist at the root of compounding social problems, including limits in minority access to mental health services. The COVID-19 pandemic has also exacerbated mental health problems for young children, especially those who are already underserved and at risk. For these reasons, it is imperative that the social work profession emphasizes innovative approaches to equitable treatment access, including a focus on early intervention and the use of technology. Product one of this capstone engages a systematic review …

Self-Care And Cultural Humility: Expanding The Practice Of Social Work Leaders, Donia Addison

DSW Capstone Projects

Social workers experience vicarious trauma, secondary traumatic stress, and compassion fatigue regularly. Well documented in the literature, self-care has the ability to assuage these negative consequences, as well as, positively impact retention rates, decrease burnout and increase the quality of services provided to clients. Despite a burgeoning of research on self-care and burnout over the last few decades, continued empirical research is necessary. This capstone project sought to add to the knowledge base on self-care and provide pragmatic recommendations for future research and social work practice.

This capstone project was comprised of three scholarly products and focused on fostering cultural …

The Inclusion Of Black Social Workers: More Than A Seat-Creating A Culture Of Belonging, Sallie J. Ingram

DSW Capstone Projects

The social work profession has been around for at least 12 decades. During most of this time, Black and White social workers have focused on issues affecting their own races. Unfortunately, social work has been found to have some of the same biases and stereotypes as the society that it serves. Therefore, three products were developed to provide research-based evidence on the importance of inclusion of Black social workers and how this inclusion will benefit social work, and the clients served.

Product One was a systemic literature review focused on answering the research question of whether or not the social …

The Underlying Issue: Acknowledging The Impact The Race-Based Bias Of Some White Teachers Poses For Black Adolescents, Cerenity Leavell-Barker

DSW Capstone Projects

Current literature fails to assess the race-based bias of some white teachers and its impact on the school-to-prison pipeline. The actions of some white teachers due to unconscious or conscious race-based bias can increase race-based stress experienced by Blacks students and lead to racial trauma. Racial trauma is a traumatic experience that can alter this stage of development and have significant impact on the academic achievement of Black adolescents and influence behaviors perceived as negative. The purpose of this capstone is to enhance awareness and knowledge on the traumatic impact the race-based bias of some white teachers poses for Black …

The Impact Of Bias And Historical Racial Trauma On Black Girls’ Education: Using Theory To Better Understand Benefits, Angela Fisher-Williams

DSW Capstone Projects

ABSTRACT OF CAPSTONE

Implicit biases are among the most unfair discriminating microaggressive habits; Black students face within the compulsory educational system. However, college institutions are not sufficiently preparing social work students to work with this marginalized group to help manage these needs through diversity training courses. The researcher wrote a synthesis paper that synthesized two theories, the Critical Race Theory (CRT) and Post Traumatic Slave Syndrome (PTSS). This research will determine if social work students who take part in diversity training embedded in their coursework could better prepare social workers for the field. This research employed a descriptive design while …

Leadership & Innovation: The Keys To Solving Wicked Social Problems, Kaye Mooney

DSW Capstone Projects

Social work leaders must utilize unique leadership styles and innovative activities to enhance human well-being and meet the basic needs of all people (NASW, 2008). Social work leaders must value and actively seek input from all people, strengthening the solutions' chance to work. Wicked social problems (WSP) plague our country, especially among marginalized groups. We must utilize a new combination of social work leadership styles to resolve WSP.

The capstone project presents significant social work leadership and social innovation findings. First, a systematic literature review synthesized how transformational, anti-oppressive, and ubuntu leadership styles impact social service organizations. The conceptual paper …

Assessing Veterans For Acquired Suicide Capability: Blocking The Intersection Of Desire And Ability, Jennifer Schneider

DSW Capstone Projects

The purpose of the capstone project was to identify a procedure to increase the number of lethal means safety encounters occurring with the veteran population. Ultimately, the capstone had a dual focus to address this goal, as the systematic literature review focused on a research question separate from the remaining papers.

The systematic literature review asked, “what are veterans’ perspectives of discussing firearm safety with healthcare providers?” Through the review process, and the utilization of a meta-ethnography approach, two third-order constructs were formulated. These constructs identified that veterans view the provider as responsible for trust and rapport development, in addition …

Disproportionality In School Discipline: The Use Of Critical Race Theory And Attachment Theory Interventions In Action, Phaecia Ward

DSW Capstone Projects

Two primary focuses of schools have been to educate and keep children safe. Although exclusionary discipline practices are and should be the last resort for dealing with safety in schools, research indicates that preschool-aged children are being expelled or suspended at rates that are at least three times that of children in grades K-12.

The central problem is why are Black children being disciplined disproportionately in early childhood settings? What are the identified risk factors because of exclusionary discipline for children in their early years? What are the identified protective factors that can be employed to help prevent the statistics …

Vicarious Trauma In The Black Community Due To Police Brutality And Aggressive Policing: How Social Work Clinicians Can Understand And Mitigate The Problem, Sharrion Brown

DSW Capstone Projects

Police brutality and aggressive policing impacts the Black community. Social media and new outlets allow visuals of police brutality and aggressive policing to be shared rapidly. This form of second-hand exposure can cause trauma. The purpose of this study is to explore the adverse mental health outcomes in the Black community due to police brutality and aggressive policing and find ways that social work clinicians can understand and mitigate the problem. This study was conducted because when Black people seek therapeutic services, they are often met with clinicians who invalidate their racial trauma and racial experiences due to second-hand exposure …

Huddle Implementation In The Perioperative Setting, Tina Thomas

DNP Projects

Background: Communication is essential for safe and effective patient care. In the perioperative setting, information sharing is critical to care coordination. Lack of communication between caregivers can lead to medical errors. Evidence shows that huddles lead to increased communication, satisfaction, and engagement between team members resulting in better patient outcomes. Huddles are short, less than 10-minute gatherings that focus on the daily schedule, identify potential obstacles, explain unique needs, and discuss preceding day issues.

Objectives: This project aimed to evaluate the effectiveness of huddles on employee satisfaction, engagement, and communication of healthcare workers while also determining if huddles were …

Evaluating The Use Of A Diet Screening Tool For Diabetes And Weight Management In Primary Care, Christie Mcbride

DNP Projects

Background: Type 2 diabetes mellitus is a prominent disease and leading cause of death in the nation. Many complications can develop when glucose levels are poorly controlled. When patients receive education and support in diabetes self-management, including individualized dietary interventions, it leads to improved glycemic control.

Purpose: The purpose of this quality improvement (QI) project was to evaluate the incorporation of a diet recall tool, Starting the Conversation (STC), in the standard care for diabetic patients with abnormal body mass index (BMI). The study aimed to examine: (1) patient opinion of the intervention and (2) healthcare provider satisfaction with use …

Examining The Impact Of A Protein Intervention To Improve Outcomes In Frail Perioperative Candidates: A Feasibility Study, Anna M. Rose

DNP Projects

Background: Frailty is a syndrome or grouping of clinical characteristics that collectively increases one’s vulnerability to acute and external health stressors. Higher rates of frailty are present in oncology surgical patients and is a predictor of postoperative complications, as well as increased morbidity and mortality. Long- and short-term survival of surgical oncology patients is worse in frail patients than robust patients. Prehabilitation interventions during the planning phase of surgical intervention may serve to mitigate already known health concerns prior to inflicting the stressor that is surgical intervention.

Purpose: To measure the feasibility of an educational prehabilitative nutritional intervention aimed at …

Characterizing The Internal Porous Structure Of Equine Proximal Sesamoid Bones Subjected To Race Training Using Fast Fourier Transforms, Joseph Erik Davis

Theses and Dissertations--Biomedical Engineering

The equine racing industry is one of the main proponents in Kentucky’s economic infrastructure. In this industry there has come a need to investigate the nature of the proximal sesamoid bone (PSB). Breakdowns involving the PSBs are the leading cause in racehorse deaths in the industry, with still little known about what causes this bone to fracture. This study seeks to shed insight by investigating the internal structure of the PSB. Using microCT scanning, the internal porous structure was captured. From there, noticeable differences in the pores were noticed and quantified using fast Fourier transform (FFT) analysis.

The dominant peak …

Adapting Through Organizational Change In Capital Projects Organizations, Mahmoud El Jazzar

Theses and Dissertations--Civil Engineering

Organizational change can be defined as an alteration of a core aspect of an organization’s operation, structure, or culture. Previous research on organizational change mainly has focused on different types of technical changes, such as alternative project delivery methods and strategies to adopt the design-build approach successfully. Also, previous studies have focused on the project level changes instead of organizational level responses. Here I show using a proposed change model and performing thematic, and analysis, that there exist common responses, and challenges across different types of capital projects organizations studied. The results show that responses to change will differ as …

Sewer Vapor Intrusion Pathway: Simulation Of Indoor Piping Systems And Operation Of Aroma-Voc Gas Analyzer, Hong Cheng Tay

Theses and Dissertations--Civil Engineering

Vapor Intrusion (VI) is a transport phenomenon that occurs when contaminants migrate from sub-surface sources into indoor spaces. Sewer tunnels, plumbing connections, and piping infrastructures can be important contributors to an increased potential of VI in a site, which results in indoor concentrations of volatile organic compounds (VOC). In the present work, the topic of sewer VI pathways were investigated through a prototype made from various types of indoor plumbing pipe fittings. This prototype simulates indoor piping systems and determine whether air and VOC were escaping through the pipe fittings. Moreover, this study is the first effort to use a …

Investigation Of Pfas Exposure Risks In Kentucky Using Mapping Tools, Sweta Ojha

Theses and Dissertations--Civil Engineering

Per- and polyfluoroalkyl substances (PFAS), a group of environmentally-persistent compounds, are environmentally ubiquitous and challenging to remediate. Several studies show that PFAS are detected in drinking water systems when sampling is conducted, making human exposure via drinking water an important health consideration. This research: 1) develops a mapping tool for prioritizing sampling locations; 2) establishes a method for making GIS data and meta(data) in the mapping tool accessible; 3) fosters decision making by integrating knowledge brokering and the alignment interest and influence matrix (AIIM). The tool developed is this research is a geospatial and statistical PFAS hot-spot screening model that …

Understanding The Differences Between Industry Objectives And Institutional Learning, Kristen Schell

Theses and Dissertations--Civil Engineering

To combat understaffing in the construction industry, it is necessary to employ the best candidates possible. By identifying the most desirable skills in a construction employee from an industry perspective, institutional learning can better prepare graduates for the construction workforce. Currently there exists an information gap in the objectives of the construction industry and institutional learning. This gap produces graduates, professors, and employers with expectations that do not align. Reducing this gap will aid in the success of hiring recently graduated construction students who can meet the ever-changing demands of the industry. Construction students who are fresh out of college …

Optimizing The Potential Of Highway Safety Investment, Riana Tanzen

Theses and Dissertations--Civil Engineering

Highway safety management aims to prevent crashes and reduce the resulting frequency and severity within the limit of available resources. The identification of potentially hazardous sites and investment on safety treatments have been fundamental to fulfill this goal. However, having many highway safety improvement projects in hand, safety professionals need to evaluate several different alternatives and allocate the limited funds to the ones that would provide the highest return on investment. Hence, prioritizing the safety projects based on their potential to achieve the greatest safety benefit is crucial. Ineffective prioritization can distribute funds to locations with less potential for improvement …

A Computational Exploration Of The Scandate Cathode Surface, Shankar Miller-Murthy

Theses and Dissertations--Chemical and Materials Engineering

The exact surface configuration of scandate cathodes has been a point of contention for the materials community for a long time. Without proper understanding of it and the related structures and emission mechanisms, scandate cathodes remain patchy and unreliable emitters. Thus, density functional theory techniques were applied to various potential surface arrangements and found that there are several low-energy surfaces with low work functions that incorporate a scandium interlayer between tungsten and oxygen or otherwise have a scandium-on-tungsten structure. Furthermore, it was discovered that adding a monolayer of scandium directly to a tungsten surface is surprisingly favorable, thermodynamically. While none …

Green-Route Synthesis Of Halide Perovskite Materials And Their Optoelectronic Properties, Xiaobing Tang

Theses and Dissertations--Chemical and Materials Engineering

Colloidal semiconductor quantum dots (QDs), also called as nanocrystals (NCs), are a class of functional materials with extraordinary properties, which are different from their bulk counterparts and benefit from their exclusive quantum confinement (size) effect. Semiconductor exhibits the quantum confinement effect when the characteristic size of the semiconductor is comparable to or smaller than the de Broglie wavelength of the electron wave function and/or the exciton Bohr diameter of the bulk semiconductor. In recent years, metal halide perovskite NCs, as next-generation semiconductor materials for lighting and display, have aroused a wide attention due to their excellent optoelectronic properties. However, traditional …

Gorgeous Gorgeous Girls, Chioma Ezeano

Theses and Dissertations--English

Gorgeous Gorgeous Girls is a feminist collection. These are short stories that circumnavigate the peculiarities of Nigerian women. Each story takes a specific lens into the lives of the average Nigerian women, their daily survivals, their daily struggles—how these women examine life and existence. Through these variegated means, the stories ponder how societal ideologies, societal demands affect these women, especially the average Nigerian woman living beyond the poverty threshold. Each character wrestles, questions what it means, what it takes to survive struggles. They interrogate sexuality, mental health, immigration, capitalism, what it means to be a full human, people capable of …