Digital Commons Network^™

University Of Kentucky Healthcare Community Engagement Program Strategic Plan, Madison Fyffe

MPA/MPP/MPFM Capstone Projects

Strategic planning is an essential tool in providing direction to an organization through analysis of its current state and ideal future, and development of strategic goals. The University of Kentucky HealthCare’s community engagement program is a robust program within the department of Brand Strategy, tasked with serving all 120 Kentucky counties and over 150 local, state, and national organizations through health education, event sponsorship, and promotional resources. In its current state, a strategic plan to guide and track performance does not exist. This capstone aims to develop a strategic plan through the assessment of strategic planning theory, stakeholder analysis, and …

Employer Incentivized Cancer Screenings In Kentucky: A Case Study, Addison Dumes, Sophia Freeman, Megan Latiff

MPA/MPP/MPFM Capstone Projects

Kentucky has some of the highest mortality rates for colon, breast, cervical and lung cancer in the United States, according to the Center of Disease Control. Our Client, The Foundation for a Healthy Kentucky, is seeking to lower these rates by increasing employer driven cancer screenings. Previous studies show many states have been successful in implementing programs to motivate employees to participate in preventative screenings. Through individual interviews with Kentucky employers, this study aims to answer what factors affect the best practices and perceived barriers amongst employers with health and wellness programs to increase the rate of preventative breast, cervical, …

Impact Of The Availability And Affordability Of Childcare On The Economy, Valentina Osunmade, Cameron French

MPA/MPP/MPFM Capstone Projects

Kentucky's workforce participation rates are among the lowest in the nation, thus underscoring the urgent need to strengthen and sustain its workforce (Aull, 2023). One significant barrier for many families in the workforce is the lack of accessibility and affordability of childcare. The Child Care Assistance Program (CCAP) in Kentucky aims to alleviate this burden for low-income families. Despite the program's importance, no prior study has examined the direct impact of CCAP enrollment on workforce participation in Kentucky. This research addresses this gap by conducting a multiple regression analysis using aggregate data from the Kentucky Center for Statistics, the US …

Venture Capital & State Policy: A Mixed Methods Approach For Identifying And Understanding “Bright Spots”, David Durman Ii, Cole Wilson

MPA/MPP/MPFM Capstone Projects

The relationship between the availability of venture capital at the state level and state policy is largely unexplored in research. To expand the understanding of this subject, the aim of this paper is to determine what states are performing greater than would be expected in the area of venture capital availability and examine the nature of policy in those states in order to glean insights in regard to policy improvement. To that end, the researchers developed a multiple regression model to identify overperforming states, then performed an examination of policy within the states identified and contacted subject matter experts within …

Lexington Black Prosperity Initiative: Addressing Lexington’S Equity Gap, Kinsleigh Smith, Jason Schubert

MPA/MPP/MPFM Capstone Projects

The equity gap between Black Americans and white Americans is a persistent social issue. This equity gap presents itself in a variety of measures – wealth accumulation, homeownership, healthcare, educational achievement, financial stability, and more. Locally, the Lexington Black Prosperity Initiative, a program of the Blue Grass Community Foundation, is primarily focused on strengthening Lexington’s Black community and closing this equity gap. The initiative was established in 2020. As the Lexington Black Prosperity Initiative enters its fourth year of operations, they are seeking to expand their reach within the community by enacting long-lasting and sustainable programs that will work to …

City Beautification And Homelessness: Differing Priorities Of Cities Considered Beautiful And Ugly, Katia Davis

MPA/MPP/MPFM Capstone Projects

The downtown area of a city is often considered the economic hub where people come together as a society to engage in consumerism, recreation, and build relationships. Cities use the downtown area to showcase the beauty and appeal of the area to attract new residents or retain current residents. One thing that affects many downtown areas is the presence of visible homelessness. Homelessness is often seen as an unsightly issue that affects local businesses, residents, and tourism. Local governments can choose to push the homeless presence out of downtown or create an environment that helps those in need. This paper …

Advancing The Understanding Of Successful Technology Implementation Factors Within State Dots: A Maturity Model Perspective, Amit Tripathi, Roy Sturgill, Gabriel Dadi, Hala Nassereddine, Alexa Mitchell

Civil Engineering Faculty Publications

In an effort to improve the security, dependability, and quality of infrastructure systems, the implementation of complex transportation construction and maintenance projects is essential. Building upon a previous study that identified six crucial factors for effectively implementing new and emerging technologies in the State Department of Transportations (DOTs), this research aims to comprehensively explore six critical factors using a maturity model perspective. DOTs have shown increasing interest in adopting emerging and wireless technologies, as evident in various Federal Highway Administration Every Day Counts initiative. This study employs a mixed-methods approach, using survey responses from DOT personnel to evaluate the relative …

On Generative Models And Joint Architectures For Document-Level Relation Extraction, Aviv Brokman

Theses and Dissertations--Statistics

Biomedical text is being generated at a high rate in scientific literature publications and electronic health records. Within these documents lies a wealth of potentially useful information in biomedicine. Relation extraction (RE), the process of automating the identification of structured relationships between entities within text, represents a highly sought-after goal in biomedical informatics, offering the potential to unlock deeper insights and connections from this vast corpus of data. In this dissertation, we tackle this problem with a variety of approaches.

We review the recent history of the field of document-level RE. Several themes emerge. First, graph neural networks dominate the …

Difs And Bayescluster: Novel Methods For Single_Cell Rna Sequencing Analysis, Kun Liu

Theses and Dissertations--Statistics

Single-cell RNA sequencing (scRNA-seq) has transformed our understanding of cellular heterogeneity and gene expression dynamics. Despite its potential, the inherent noise and sparsity of scRNA-seq data pose significant challenges in clustering cells into biologically meaningful groups. This dissertation addresses these challenges through two novel methodologies aimed at enhancing the accuracy and robustness of scRNA-seq data analysis.

First, we introduce the Differential Feature Selection (DIFS) framework, designed to improve the identification of differential features in scRNA-seq data. DIFS employs a two-stage marker identification process. In the first stage, a modified Dip Test is used to filter and identify genes with significant …

Receipt Of Follow‑Up Care Plans On Colorectal Cancer Screening Among Breast, Prostate, And Lung Cancer Survivors, Meng-Han Tsai, Malcolm S. Bevel, Sydney E. Andrzejak, Justin X. Moore

Behavioral Science Faculty Publications

Purpose Our study aimed to examine whether receipt of follow-up care plans is associated with greater guideline-concordant CRC screening stratified by breast, prostate, and lung cancer survivors.

Methods We used data from years 2016, 2018, and 2020 of the Behavioral Risk Factor Surveillance System on 3339 eligible treatment-utilizing cancer survivors with complete treatment. We performed descriptive statistics and multivariable logistic regression to examine the mentioned association.

Results We observed that 83.9% of breast and 88.2% of prostate cancer survivors with follow-care plans received CRC screening (p-value < 0.001). The lowest CRC screening use was observed among lung cancer (70.8%). In multivariable analysis, receipt of follow-up care plans was strongly associated with greater odds of receiving CRC screening in breast (OR, 2.67; 95% CI: 1.71–4.16) and prostate (OR, 3.81; 95% CI: 2.30–6.31) cancer survivors. Regardless of provider type, 84 to 88% reduced likelihood of receipt of CRC screening when they received follow-up care plans among lung cancer survivors. Among those without follow-up care plans, breast (OR, 0.29; 95% CI: 0.09–0.92) and lung (OR, 0.05; 95% CI: 0.01–0.25) cancer survivors who received care from general practices were less likely to receive CRC screening compared to those who received care from non-general practices.

Conclusions Receipt of follow-up care plans was associated with greater CRC screening use in …

A Case Report On A Women’S Residential Substance Use Program In A Rural And Urban Setting, Deborah Winders Davis, Yana Feygin, Madeline Shipley, Tiffany Cole Hall, Chaly Downs, Stephanie Hoskins, Natalie Pasquenza, Scott D. Duncan, Liza M. Creel

Biostatistics Faculty Publications

Purpose To describe program characteristics and outcomes of a residential substance use recovery program serving pregnant and parenting women in a rural and urban location.

Description This assessment of administrative records from April 1, 2020 through March 31, 2022, included women in a rural (n = 140) and urban (n = 321) county in Kentucky.

Assessment This retrospective case study used descriptive and non-parametric analyses to assess the population and examine differences between locations, race, and ethnicity for women served. Logistic regression tested predictors of goal achievement by community. Of 461 women served, 65 (14.1%) delivered a baby while in …

Health Care For People Who Are Incarcerated: Teaching Third-Year Medical Students About Rights, Challenges, And Avenues Of Advocacy, Anna-Maria South, Kelsey N. Karnik, Sara Hieneman, Anthony A. Mangino, Michelle R. Lofwall

Biostatistics Faculty Publications

Introduction: Incarcerated patients are a vulnerable patient population with unique barriers to health care that physicians in every specialty encounter. Current medical school curricula lack universal education on health care for incarcerated people.

Methods: We developed an interactive workshop to provide third-year medical students at the University of Kentucky with information about delivering care outside of dedicated carceral settings to individuals who are incarcerated. The workshop included education on the demographic characteristics and medical conditions present in these populations along with understanding incarcerated persons’ rights to health care and how to interact with them and the associated jail/prison workforce often …

Investigating The Impact Of Leaderboards, Badges, And Ebucks On High School English Language Learners’ Cognitive Engagement, Self-Efficacy And Intrinsic Motivation Toward Reading In English, Omar J. Almamoori

Theses and Dissertations--Curriculum and Instruction

This study examines the impact of gamification elements, in particular leaderboards, badges, and eBucks, on the cognitive engagement (CE), intrinsic motivation (IM), and self-efficacy (SE) of English Language Learners (ELLs) at a high school in the Southeastern United States. The investigation, conducted during optional weekly readings, utilizes a mixed methods design to investigate the effects of gamification on ELLs' learning experiences. Through pre-post surveys and semi-structured interviews, data was collected to assess the gamified intervention's impact. Utilizing a one-way covariate analysis (ANCOVA) in IBM SPSS Statistics (version 29), the study evaluates the effect of gamification while controlling for grade, gender, …

Enrollment Management Leadership Response To System Changes: Case Study, Christopher R. Jensen

Theses and Dissertations--Educational Leadership Studies

While the impact of government funding for institutions of higher education has been researched extensively, little research looks at the impact of students as a funding source. This is important because students are one of the greatest contributors to higher education budgets. Within the Commonwealth of Kentucky, there has been a decline in high school graduates as well as state funding since the Great Recession in 2008.

This study uses systems theory as a theoretical framework to help understand the dynamic relationship between the external environment and institutions of higher education, as well as frame how leadership at regional institutions …

Onboarding New Administrators At Noblesville Schools, Janae Mobley

Theses and Dissertations--Educational Leadership Studies

While many organizations invest in their leaders when onboarding them for their new role; oftentimes this process can be overlooked in the K-12 school setting when it comes to school administrators. As a result, this study focuses on analyzing the needs of new school administrators and how to better support them in their role when transitioning to a new district or from the classroom. This study utilizes Mixed-Methods Action Research methodology to assess and address the needs of new school administrators at Noblesville Schools, a K-12 public school district in Hamilton County, Indiana.

Leadership Strategies And Multi-Frame Thinking Of Rural School Superintendents’ During Periods Of Crisis, Steven J. Moses

Theses and Dissertations--Educational Leadership Studies

This dissertation examined the leadership strategies used by rural, public-school superintendents in the Central Appalachian region of Eastern Kentucky during and following the flood of 2022 that was considered a natural disaster. The context of this study was framed by a 1 in 1000-year flooding event that devastated school districts and communities in Eastern Kentucky. The geographic boundaries of this study were limited to school districts that were part of counties identified as “Appalachian” by the Appalachian Regional Commission (ARC). In addition, school districts in this study were also identified as rural by the National Center for Education Statistics (NCES) …

The Influence Of Independent Secondary School Heads On Shaping Organizational Culture, Ian D. Macphail

Theses and Dissertations--Educational Leadership Studies

This dissertation examined the experiences and connections between head of school leadership and culture in small, independent boarding schools in New England. This study was the result of the participation of eight heads of school from eight separate institutions, engaging in semi-structured interviews. All of the schools were secular in their practice, all-gender, and had a formal dormitory-based boarding program. Each school enrolled 400 or fewer students, focusing the impact of these leaders on a tighter, interactional lens. This study explored a relatively under-researched area of K-12 education and used exploratory, qualitative methods to gather the stories of these formal …

Mc Means Mentor The Child: Examining School-Based Hip-Hop Clubs For Youth Empowerment, Leadership Development, And Capacity For Change, Daniel Wolford

Theses and Dissertations--Educational Leadership Studies

This dissertation examined the relationship between students in a school-based hip-hop club and their ability to develop leadership capabilities through club activities. This study followed a hip-hop club at an urban high school in the Midwest to better understand how hip-hop spaces impact youth participants. The participants included four current members of the club and three alums, all of whom were African American. This study used qualitative methods through heuristic inquiry to understand the phenomenon of hip-hop clubs. Data collection methods included session notes, musical creations, semi-structured interviews, and a Microsoft Teams group chat. Additional heuristic data was collected through …

Answering The Call Of Late Registration, Brooke Justice

Theses and Dissertations--Educational Leadership Studies

The topic of late registration in higher education is a term that must be clearly defined to properly compare and contrast academic success metrics. A standard definition for late registration has yet to be agreed upon. For the purposes of this mixed methods action research study, late registration is enrollment in a course 10 days preceding the beginning of the course.

Review of registration data at Southcentral Kentucky Community and Technical College uncovered a disparity between student academic performance of those who registered on time and those who registered late. The institution’s heightened focus on academic performance reflects the performance-based …

Distributed Leadership In International Schools Across The Asia Pacific: A Sequential Explanatory Study, Robert A. Appino

Theses and Dissertations--Educational Leadership Studies

This explanatory study examined how distributed leadership is practiced in international schools. This included looking at principals’ readiness to practice a distributed perspective of leadership, how they practice leadership, the opportunities for teacher leadership, and the relationship between distributed leadership practices and school innovation and improvement. Principals have increasingly adopted distributed leadership, sharing responsibilities with others, in response to COVID-19 (Azorin, Harris, & Jones, 2020). However, this response was not by design but to survive (Harris & Jones, 2020). The demands of the pandemic left leaders stretched more than ever, and adopting distributed leadership practices was essential (Harris & Jones, …

Shaping College Habitus: An Exploration Of The Effect Of The Social/Spatial Construction Of First-Year Classes On The Habitus Of Low-Income, Working-Class Rural Students, Joshua R. Mcconnell Parsons

Theses and Dissertations--Educational Policy Studies and Evaluation

Low-income, working-class (LI/WC) students entering spaces of higher education often face completely new social and cultural fields that do not match their prior experiences, requiring them to construct new conceptualizations of their habitus within those spaces—the way they internalize and interact with the world. However, a dearth of research exists on how these students’ conceptualizations of the social and physical spaces that make up their actual classroom and academic experiences play a role in how they come to form their new identities or habitus. This in-depth qualitative analysis of students’ habitus formation leverages Doreen Massey’s theoretical framework of critical spatiality …

The Co-Curriculum Of College Student Employment: Perspectives From Supervising Practitioners, Brittany Begley Wildman

Theses and Dissertations--Educational Policy Studies and Evaluation

College student employees are not only serving the overall mission of their institutions, but also developing career readiness skills through daily interactions while at work. In this study, I explore the perceptions of the supervisors of student employees as both managers and student affairs professionals. Through one-on-one interviews with supervisors, discussing their interactions with students, I explore the implicit and explicit curricula they provide to their students using a curriculum analysis framework. I then compare the resulting learning outcomes against those identified in industry standards. The supervisors described supporting student employees' personal development during the student employment experience as well …

An Evaluation Of Statistical Approaches Within A Higher Education Research Framework: How Does Online Distance Learning Impact Student Outcomes?, Nathaniel P. Wilson

Theses and Dissertations--Educational Policy Studies and Evaluation

Appropriate methodology choices are of the utmost importance in research, particularly in measurement and education research. When higher education administrators and researchers study topics related to student outcomes, choosing a statistical approach that produces unbiased estimates is of primary concern. Additionally, studying student outcomes in the context of nationally representative samples provides valuable insights into the state of higher education in the U.S. When examining these data, it is critical that the nested structure be taken into consideration prior to making methodological decisions.

The purpose of the following manuscripts is to demonstrate how education researchers can develop, implement and evaluate …

Dialogue Over Data: An Interview Study Of Evaluators At Institutions Accredited By Aaqep, Laura Mirochna

Theses and Dissertations--Education Sciences

The university supervisor’s role is to evaluate student teachers during the field experience process. The processes for onboarding and evaluation of university supervisors vary widely at universities in the United States but are determined, in part, by the data collection requirements of the programmatic accreditation process. An interview study was done to show how different schools are onboarding and evaluating their university supervisors and collecting evaluation data for AAQEP as the programmatic accreditor. The overarching research question is: RQ1: What is the process for onboarding and evaluating university supervisors, if any is used? The study's results indicate that AAQEP does …

Poc@Fwcd: A Critical Discourse Analysis Of Black@ Instagram In K-12 Independent Schools, Chaka Cummings

Theses and Dissertations--Educational Policy Studies and Evaluation

The summer of 2020 saw many aspects of American society deal with the racial reckoning that arose in the wake of the deaths of Ahmaud Arbery, Breonna Taylor, and George Floyd. Their murders sparked outrage, protests, and calls for action and change in the United States through a critical examination of race relations across numerous facets of society. Structures such as educational institutions were called to perform this critical examination much in the same way that cities and industries were. A catalyst in the calls for change came from students through their utilization of social media platforms.

This study is …

The Impact Of Dual Credit Participation On Graduation & Excess Hours, Erin Mulligan-Nguyen

Theses and Dissertations--Educational Policy Studies and Evaluation

The interest and participation in dual credit programs and courses has grown over the past several decades, especially within Texas; however, there is a lack of research that shows how the participation in dual credit programs and courses has impacted leading and lagging student success metrics once they enroll at a post-secondary institution.

The purpose of this study was to examine the impact dual credit participation had on six-year graduation rates and exceeding excess hours at a public four-year regional university in South Texas. The researcher used a non-experimental quantitative study with ex-post facto student data. The study examined leading …

De Aquí, Y De Allá: Education, Culture, And Identity Development Of Transnational Latinas, Elizabeth Harris-Medina

Theses and Dissertations--Educational Policy Studies and Evaluation

De Aquí, y De Allá: Education, Culture, and Identity Development of Transnational Latinas This ethnographic case study examines the experiences of three transnational Latina women, descendants of families from Degollado, Jalisco, Mexico, exploring how their migration history and educational backgrounds influence their life trajectories. Focusing on these three women, the study aims to better understand their challenges and inform the development of resources to support their success in the U.S. education system. Using ethnographic interviews and Ecological Systems Theory, the research highlights how places and social systems shape views and life paths, offering insights into how best to support these …

Student Loan Debt: Exploring The Economic Influences On Federal Student Loan Default For Students That Attended Public, Two-Year Institutions, Brian Perry

Theses and Dissertations--Educational Policy Studies and Evaluation

Over the past 30 years, a shift occurred in higher education that saw more of the burden for paying for postsecondary education placed on students. Combined with rising tuition and fees, this has led students to take on increasing amounts of student debt. Despite the historic rise in student loans, surprisingly little attention has focused on those students who default on their student loans. Additionally, the academic literature on student loans has predominately focused on traditional students at four-year institutions, despite the fact that nearly half of all undergraduates attend public two-year institutions. Finally, those studies that include economic factors …

Data In Higher Education: Exploring The Collection, Interpretation, And Utilization Of Information For Institutional Decision-Making Around Diversity, Equity, And Inclusion, Terri Berkley

Theses and Dissertations--Educational Policy Studies and Evaluation

This study investigates how higher education institutions in the Appalachian region collect, assess, and utilize data to inform diversity, equity, and inclusion (DEI) initiatives and broader institutional transformations. It focuses on understanding how data influences policy reforms, operational practices, and cultural shifts within these institutions. Through a mixed-methods approach—comprising surveys, semi-structured interviews, and focus groups—the study examines the perspectives of key stakeholders, including DEI administrators, non-DEI administrators, and executive-level leaders.

The research identifies how institutional roles and positionality shape stakeholders' engagement with data and their ability to implement DEI-informed strategies. Key findings highlight discrepancies in data access, interpretation, and application, …

Increasing Expectations For Entry: Analyzing Changes In Labor Market Entry-Level Education Requirements Over Time With Potential Implications For Credential Or Degree Inflation And Returns-To-Education, William Nicholas Grinstead

Theses and Dissertations--Educational Policy Studies and Evaluation

The dissertation asks the following question: Have occupations increased academic degree requirements over time?

The literature review provides background on the origin and criticisms of the concept of a “knowledge economy.” It addresses economic “signaling theory” and sociologic “credentialism.”

The methodology relies on a trend analysis using the Bureau of Labor Statistics (BLS) Occupational Outlook Handbook and the occupations’ Standard Occupational Classification (SOC) system and its predecessor the Dictionary of Occupational Titles (DOT). In order to address whether occupations have increased academic degree requirements over time, this dissertation will compare entry-level education requirements for BLS SOC occupations that today are …