Digital Commons Network^™

Comparison Of The Kentucky Nutrition Education Program Healthy Eating Index Pre- And Post- Test Data For 2012-2013, Corey Joe Shepherd

Theses and Dissertations--Nutrition and Food Systems

Nutrition education has become a topic of significant concern in today’s society. An area prominent in the interest of nutrition is the battle against food security. Programs like the Supplemental Nutrition Assistance Program – Education (SNAP-Ed) is helping to improve its participants’ food security by providing nutrition education. Kentucky SNAP-Ed participants were asked to complete a survey and a 24-hour food recall to evaluate their knowledge in the following areas: Healthy Eating Index (HEI) scores, food resource management and nutrition practices. Each participant completed an average of 7-12 nutrition education lessons throughout the year. To graduate from the program participants …

Beyond Telling: A Phenomenology Of Adoptive Parents' Adoption Communication Openness With Early Adolescents, Jane D. Samuel

Theses and Dissertations--Family Sciences

Despite calls for increased Adoption Communication Openness (ACO) within the adoptive family, research indicates that families still struggle to accomplish the recommended elements and levels of openness. What could be holding families back from this key process? Three focus groups comprised of 17 adoptive parents of early adolescents (aged 10-14) who were age 0-2 at the time of placement were thematically coded. This inductive analysis revealed the complexity rooted in being —sometimes successfully and sometimes not—communicatively open. Four key themes emerged painting a vivid and rich picture of: a) the breadth and depth of this experience; b) the work entailed; …

Evaluating The Experiences Of Fcs Cooperative Extension Agents Use Of Policy, Systems And Environmental Strategies To Reduce Obesity In Rural Counties, Jordan Lynn Bressler

Theses and Dissertations--Nutrition and Food Systems

High rates of obesity are seen across the country with rural areas disproportionately affected. Based on the socio-ecological model, policy, system, and environmental approaches targeted at the population level have the potential to create more sustainable health behavior change than individual level approaches. Historically, the Cooperative Extension Service (CES) has provided direct education related to healthy eating and active living in response to high obesity rates. Utilizing the resources and infrastructure of the CES, the Centers for Disease Control challenged CESs across the country to implement PSE strategies in counties with obesity rates greater than 40% through the CDC 1416 …

Developmental Sequelae In Language, Empathy, Self-Control, And Psychopathy From Infancy To Middle Adolescence, Magda Javakhishvili

Theses and Dissertations--Family Sciences

The present empirical work aims to discern the underlying mechanisms of purported developmental links among several key human characteristics including language skills, self-control, empathy, and psychopathic traits. Accordingly, three interrelated studies are carried out testing the longitudinal associations of various kinds (e.g., direct, indirect, bidirectional) among these constructs. All three studies are conceptually framed in consideration of the extant research and relevant theories. They employ the data set provided by the National Institute of Child Health and Human Development of Early Child Care and Youth Development Study of N = 1,364 children followed from infancy through middle adolescence.

Study 1 …

Promotion Of Fruit And Vegetable Intake Through Recipe Card Distribution And Sampling At Farmers’ Markets Throughout Kentucky, Umaima Sidra Afsheen Syeda

Theses and Dissertations--Nutrition and Food Systems

The Center for Disease Control and Prevention (CDC) reports indicate that 8% and 6.3% of Kentuckians consume enough fruits and vegetables, respectively. The Plate It Up! Kentucky Proud (PIUKP) project is a recipe-development project that aims to boost produce consumption by incorporating local fruits and vegetables. The purpose of this study was to implement promotional strategies using PIUKP recipes at farmers’ markets and determine their effects on consumers’ intent of purchasing and preparing the produce. The study was conducted at nine farmers’ markets across Kentucky (n=300) in collaboration with Cooperative Extension agents/assistants.

The consumers’ impression of the sample was positively …

The Interactive Effect Of A Text Message Intervention And Connectivity Among Rural Adolescents, Kara Coldiron

Theses and Dissertations--Nutrition and Food Systems

Social cohesion among peers profoundly influences decision making during adolescence. Despite this, the current research is very limited concerning the association of social cohesion and intimacy among rural adolescent peers with dietary intake and weight outcomes. This is problematic because social cohesion could be an unknown contributing factor in obesity among rural adolescents. The purpose of this study was to investigate how social cohesion and intimacy among rural adolescents in Kentucky and North Carolina affects the outcomes of a text message intervention aimed at improving fruit, vegetable, fast food and sugar sweetened beverage intake. Additionally, to determine if social cohesion …

Pilot Study Of Text Message Nudges As A Way To Improve Weight Loss Outcomes, Madison Copher

Theses and Dissertations--Nutrition and Food Systems

Weight loss programs for women are on the rise, including both face to face and online programs. However, current research is limited on the process measures and content which produce adherence and the largest outcomes. With obesity on the rise in the United States, it is important to understand out health coaches can strengthen their programs to better support the obese population in their weight loss journey. The purpose of this pilot study was to develop and test the acceptability of text message nudges among women participating in an online weight loss program; determine how dose may be associated with …

The Utilization Of Technology As An Approach To Improve Meal Planning And Dietary Intake, Alexa Lauren Kuziel

Theses and Dissertations--Nutrition and Food Systems

The prevalence of obesity is rising in the United States and one factor that contributes to it is the lack of cooking at home and planning out meals. Since text messaging is now a main avenue of communication, it could be used to motivate people to plan out their meals and cook at home instead of consuming fast food. Current research on how weekly nudges might relate to peoples’ goals about meal preparation and dietary intake is very limited. The purpose of this study was to examine if sending weekly nudges, focusing on specific dietary goals, improves meal planning and …

A Comparison Of Post-Concussion Neurocognitive Test Results Of Recently Concussed High School Athletes To Their Neurocognitive Baseline Test Results Prior To Returning To Play, Karen Powers

DNP Projects

PURPOSE: In 2017, an estimated 2.5 million U.S. high school students reported having suffered at least one concussion while participating in sports or physical activity during the previous year. The purpose of this study is to evaluate the incidence of concussion among high school athletes and compare the athletes’ post-injury neurocognitive function to their baseline test results prior to returning to play.

METHODS: A retrospective records review of neurocognitive test scores of high school athletes during the June 2017 – June 2018 sport season was conducted. The records of 696 high school athletes were reviewed, including 30 post-injury test scores. …

Evaluation Of The Effectiveness Of A System Based Nurse Manager Collaborative Council On Work Engagement, Psychological Empowerment, And Value, Stacy Colligan

DNP Projects

BACKGROUND: Nurse Managers often do not receive direct acknowledgment for their accomplishments or have input into the facility wide decisions which directly impact them. Currently there are no known shared governance programs tailored to the nurse manager level.

PURPOSE: To determine the impact of a system shared governance model on nurse manager’s work engagement, psychological empowerment, and inclusion.

METHOD: A pretest and posttest design was utilized to determine the impact of shared governance participation for nurse managers. Spreitzer’s psychological empowerment scale and the Ultrech “Work and Well-being” instrument, in addition to some Likert scale and open-ended descriptive questions, were included …

Evaluation Of Provider Use Of The 2017 American College Of Cardiology/American Heart Association Guidelines For Diagnosis And Management Of White Coat Hypertension, Lauren Marie Louden

DNP Projects

BACKGROUND: White coat hypertension (WCH) is described as an anxiety-provoked, elevated in-office blood pressure reading, combined with a normal blood pressure reading outside of the clinic setting. This condition is often misdiagnosed as hypertension and can result in unnecessary antihypertensive treatment. PURPOSE: The purpose of this project was to determine provider adherence to the 2017 American College of Cardiology/American Heart Association hypertension guidelines for appropriate diagnosis and treatment of patients with white coat hypertension. METHODS: A retrospective chart review was performed on 100 randomly selected medical records of patients from an urban primary care practice diagnosed with an elevated blood …

Studying The Graduate Record Examinations' Ability To Predict Student Success As Measured By Graduate Grade Point Averages, Brenton A. Floyd

MPA/MPP/MPFM Capstone Projects

The Graduate Record Examination (GRE) is the most widely used graduate level admission test in the world, yet conflicts exist across the findings of many studies of the ability of the GRE to predict the success test takers will have as graduate students or in professional life. Additionally, most of the studies that exist on the GRE’s ability to predict graduate student success use data from a previous version of the GRE that may not be applicable to the current version, thus rendering their use for policy making among makers of admission decisions limited and flawed. These studies also tend …

Analyzing The Presence Of State-Run Retirement Plans For Private Sector Employees, Ruthann Froberg

MPA/MPP/MPFM Capstone Projects

State-run retirement plans for non-covered private sector employees are a rapidly growing area of state policy. Since 2010, the majority of states in the U.S. have moved to either examine, enact, or implement these plans. This policy intends to increase private savings in an effort to reduce future reliance on public assistance and Social Security. Despite the current public policy interest, there is a lack of research evaluating the impact of plans or common state characteristics that are associated movement in this policy area. This capstone focuses on answering the latter question. Using state-level demographic, pension, welfare, and policy data, …

The Effect Of State-Level Constitutional Debt Limitations On The Costs Of Capital, Micah Johnson

MPA/MPP/MPFM Capstone Projects

Forty-five states have adopted some form of constitutional limitation on their own legislature’s ability to issue debt and raise capital. Eleven states have more than one such limitation. It seems intuitive to assume that constitutional strictures on a state’s ability to manage its fiscal policy would affect that state’s standing in the market, and it seems equally safe to assume that different combinations of the various forms of debt limitation would lead to varying effects in the market from state to state. However, the specific effects arising from the various constitutional provisions have proven to be difficult to measure. This …

Procure-To-Pay Software In The Digital Age: An Exploration And Analysis Of Efficiency Gains And Cybersecurity Risks In Modern Procurement Systems, Drew Lane

MPA/MPP/MPFM Capstone Projects

Procure-to-Pay (P2P) softwares are an integral part of the payment and procurement processing functions at large-scale governmental institutions. These softwares house all of the financial functions related to procurement, accounts payable, and often human resources, helping to facilitate and automate the process from initiation of a payment or purchase, to the actual disbursal of funds. Often, these softwares contain budgeting and financial reporting tools as part of the offering. As such an integral part of the financial process, these softwares obviously come at an immense cost from a set of reputable vendors. In the case of government, these vendors mainly …

Impact Of Prescription Opioid Access Restrictions On Alcohol-Induced Mortality In Kentucky, Changwe Park

MPA/MPP/MPFM Capstone Projects

Prescription drug monitoring programs (PDMPs) are state policy tools to combat risky opioid prescribing. Since 2012, several states began to mandate PDMP use. As mandating use laws have settled down, evaluating potential adverse events becomes possible.

In this study, I focus on alcohol-induced mortality as a potential unintended consequence via substituting alcohol for prescription opioids, since alcohol and opioids are often concurrently misused as a part of pain self-management. Therefore, the aim of this study is to analyze the unintended consequences of prescription opioid access restrictions on alcohol-induced mortality.

I compare the alcohol-induced mortality among adults during pre- and post-revision …

Martin School Alumni Survey, Carl Sims

MPA/MPP/MPFM Capstone Projects

The Martin School of Public Policy and Administration is subject to reaccreditation from the Network of Schools of Public Policy, Affairs, and Administration (NASPAA) every seven years. To initiate the reaccreditation process, the Martin School must conduct a programmatic self-study that analyzes the program’s mission, governance, faculty, students, competencies, resources, and communication. The self-study is beneficial not only for the purpose of reaccreditation but also can better inform the school’s strategic planning process

To assist in providing the self-study relevant data, the Martin School can solicit information from its alumni. Alumni data can be used to establish how well the …

Evaluating Ways To Reduce Errors In Medication Reconciliations Performed By Nurses In A Rural Hospital Setting, Kalen T. Freeman

MPA/MPP/MPFM Capstone Projects

Medication reconciliation, also known as “med recs”, are an important part of a patient’s care during their hospitalization. A med rec is when hospital personnel generate a list of the medications the patient takes at home. Med recs are vital in the hospital admission process because home medications need to be restarted at appropriate times to fully care for the patient. Also, mistakes in a home medication list can lead to serious consequences in the patient’s health. This study focuses on med recs being performed at Marcum and Wallace Hospital in Irvine, Kentucky. More specifically, the study explores the different …

Tuition Revenue Distribution Models In Higher Education: An Exploration Of Alternative Tuition Funding Methods At The University Of Kentucky, Megan A. Bowles

MPA/MPP/MPFM Capstone Projects

State appropriations for higher education have been volatile during the past decade. While some states have seen improvements in state appropriations since the last recession, other states have seen continued declines. For public colleges and universities facing these consistent decreases in appropriations they have had to develop alternative methods for revenue generation. One of the most common changes to a university’s revenue model is by increasing their tuition and fee rates. Public colleges and universities can increase their own tuition and fees, within the boundaries of state oversight boards like the Council on Postsecondary Education (CPE). This is a big …

Everybody’S Working (But The Weakened): An Assessment Of Medicaid Work Requirements And Their Administrative Burdens, Samuel Misleh

MPA/MPP/MPFM Capstone Projects

Although Medicaid work requirements are currently halted in both Arkansas and Kentucky, this analysis utilizes the data available to make an assessment and estimate of what Kentucky’s Medicaid enrollment will look like if work requirements similar to those Arkansas had are ever implemented. The relative severity of the administrative burden of such requirements provide a tool for comparison, and a difference-in-differences analysis of the change in Medicaid enrollment between Arkansas and West Virginia, a state that has not implemented and currently has no plans to implement Medicaid work requirements, provide the bases for this estimate. After coding the work requirements …

Does The Emission Trading System Reduce Greenhouse Gas Emissions & Coal Consumption And Lead To An Increase In Renewable Energy? – Evidence From Oecd Member Countries, Pilmu Ryu

MPA/MPP/MPFM Capstone Projects

The Emission Trading System (ETS) on greenhouse gas (GHG) is a climate change policy well-known as a market-based mitigation mechanism. However, policymakers have faced strong opposition of many stakeholders and failed to persuade them in the process to introduce the ETS. Objective evidence on ETS impact not only provides information to policymakers but also may help alleviate controversy between stakeholders and policymakers. Also, empirical results on ETS will be able to contribute to the theoretical economic study of cap-and-trade. In this context, this research aims at empirical analyses of ETS impact with regard to GHG emissions, coal consumption, and renewable …

Impact Of Area-Under-The-Curve Monitoring For Vancomycin On Incidence Of Acute Kidney Injury In Orthopedic Patients, Kelli R. Keats

MPA/MPP/MPFM Capstone Projects

Vancomycin is an antibiotic used regularly in hospitals across the world. The most concerning adverse effect of vancomycin is its documented effect on kidney function. This study examines the impact of two dosing strategies of vancomycin on patients’ kidney function at the University of Kentucky Albert B. Chandler Medical Center. It specifically focuses on patients on the orthopedic service because these patients traditionally receive higher doses of vancomycin for longer periods of time due to the severity of their infections, which puts them at an increased risk of vancomycin-induced nephrotoxicity compared to other patients.

This study will serve as a …

The Local Government Financial Response To Natural Disasters In Kentucky, Lucas Taulbee

MPA/MPP/MPFM Capstone Projects

This study seeks to estimate the effect of disasters on the total receipts and total spending of county governments in Kentucky. In addition to estimating the effects of disasters on total receipts and total spending, this study also seeks to estimate the effects of disasters on specific categories of revenue (taxes, intergovernmental, etc.) and spending (transportation, recreation, general government, etc.). These effects are estimated using data on county budgets for 2007 through 2017 from the Kentucky Department for Local Government (DLG) and data on disaster declarations and public assistance grants from FEMA.

The principle findings of this study suggest that: …

Relative Competitive Abilities, Intersexual Overyielding, And Population Sex Ratio Changes In A Bryophyte, Zachary Stanley

Theses and Dissertations--Biology

Unequal sex ratios are widespread in dioecious plants and understanding their cause is important to understanding fundamental aspects of their population dynamics, and yet what causes biased sex ratios in plants is still poorly understood. Competition experiments have been used in plants to predict the outcome of species interactions, but they have rarely been used to help explain sex ratio bias. This study used a response surface competition design to measure the relative competitive abilities of the sexes of the bryophyte Marchantia inflexa (a thallus liverwort of Marchantiaceae) to predict the outcome of competition before the onset of sexual reproductive …

A Study Of Unemployment And Underemployment In Clinical Music Therapy, Christopher A. Kelley

Theses and Dissertations--Music

Music therapy has been an established health profession for over 60 years serving a diverse population in different settings. Researchers studied the effects of burnout, career longevity, job satisfaction, and workforce analysis of clinical music therapy; however, no studies exist on the prevalence of unemployment and underemployment in clinical music therapy. The purpose of this study was to determine the prevalence of unemployment and underemployment in clinical music therapy.

Participants who completed an anonymous online survey (n = 1,240) were board-certified music therapists who provided information on their current employment status. Results showed that the prevalence of unemployment among …

Long-Term Land Management Practices And Their Effect On Soil Health And Crop Productivity, Thomas Joseph Muratore Jr.

Theses and Dissertations--Plant and Soil Sciences

Agricultural intensification reliant on monocrops could change soil health in a way that does not support maximum crop productivity. Twenty-nine-year-old no-till field plots at the University of Kentucky Spindletop research farm showed a significant reduction in corn yields from continuous corn plots compared to those from plots in various types of rotation. The objective of this study was to determine what role soil microbes might play in yield reduction and how management and time effects microbial community structure. Samples were collected from the following treatments: continuous corn (CC), continuous soybean (SS), a 2-year corn/soybean rotation (CCSS), Corn in rotation with …

Effects Of Multisensory Stop Signals On Sensitivity To Alcohol-Induced Disinhibition In Drinkers With Adhd, Alexandra R. D'Agostino

Theses and Dissertations--Psychology

Multisensory environments facilitate behavioral functioning in humans. The redundant signal effect (RSE) refers to the observation that individuals respond more quickly to stimuli when information is presented as multisensory, redundant stimuli rather than as a single stimulus presented to either modality alone. Our studies show that the disinhibiting effects of alcohol are attenuated when stop signals are multisensory versus unisensory. The present study expanded on this research to test the degree to which multisensory stop signals could also attenuate the disinhibiting effects of alcohol in those with attention-deficit hyperactivity disorder (ADHD), a clinical population characterized by poor impulse control. The …

Body Processing And Attentional Patterns In Infancy, Rachel Lynn Jubran

Theses and Dissertations--Psychology

Bodies provide important social information, and adults benefit from this information by recognizing and responding appropriately to bodies. Body recognition is enabled by the fact that human bodies are defined by parts, such as the limbs, torso, and head, arranged in a particular configuration. To understand the development of social cognition, it is important to analyze and document how infants come to recognize bodies. Infants are sensitive to distortions to the global configurations of bodies by 3.5 months of age, suggesting an early onset of body knowledge. It was unclear, however, whether such sensitivity indicates knowledge of the location of …

Evaluating Kentucky State Pension Plans In The 2000s And Best Practices Moving Forward, Sarah Alegria

MPA/MPP/MPFM Capstone Projects

The Commonwealth of Kentucky sponsors three different pension retirement systems. This includes Kentucky Employee Retirement System, Teacher’s Retirement System, and Kentucky’s Judicial Form of Retirement System. Kentucky has one of the worst funded pension retirement plans and is currently facing shortfalls of about $43 billion (PEW, 2013). Between 1998-2008, Commonwealth of Kentucky’s legislators made many detrimental policy decisions that negatively affected its Pension Retirement System. The most impacting includes:

• Enhancements of Benefits in the Nineties
• Changing Final Compensation from the average of five-years to the average of three-years
• Mandated Yearly Cost of Living Adjustments (COLA)
• Not requiring the State to …

Two Cultures, One Identity: Biculturalism Of Young Mexican Americans, Janela Aida Salazar

Theses and Dissertations--Community & Leadership Development

The purpose of this study was to explore the daily life of the younger generation of Mexican Americans through a phenomenology design. Specifically, in regard to how the culture-sharing pattern of biculturalism is reflected in their lives and the way they construct their bicultural identity. The study utilized rich qualitative data to paint a clear and descriptive picture of the internal process of biculturalism within eight Mexican American college students. Ultimately, the data analysis aimed to collect and reflect their voices and the stories. This was done through three distinct data methods that complemented each other: interviews (oral), photo elicitation …