Digital Commons Network^™

Correlates Of Transactional Sex Among Black Men And Women Who Misuse Opioids, Shemeka Thorpe, Paige Orphé, Gabriella Pitcher, Kendall Mccleod, Natalie Malone, Danelle Stevens-Watkins

Kinesiology and Health Promotion Faculty Publications

The rise in opioid misuse coincides with increased sexually transmitted infection (STI) and HIV incidence. Transactional sex is an under-researched phenomenon among Black Americans who misuse opioids, and may increase their risk of STI or HIV transmission. Given the disproportionate impact of the opioid epidemic on Black Americans and the risks associated with opioid misuse, the current study aims to investigate sociostructural factors, history of violence, and sexual risk factors associated with transactional sex among Black men and women. A sample of n = 375 Black adult Kentuckians reporting opioid misuse completed a survey including transactional sex, sociostructural, violence history, …

Program Evaluation Case Study: Infectious Disease Reporting Training Program Evaluation, Emily Sekkath Veedu

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

The Lexington-Fayette County Health Department (LFCHD) has developed an educational program aimed at Fayette County Public Schools (FCPS) health and athletics staff members to ensure timely reporting and action in the event of an infectious disease outbreak (4). The program was implemented after a methicillin-resistant staphylococcus aureus (MRSA) outbreak occurred in a Kentucky community, with a high school football team presenting several of the cases (4). It was noted by a school nurse that many people attending an informational session lacked knowledge regarding infection control, suggesting a need for intervention in this community. I have evaluated this program in the …

Recent Trends In Stimulant Prescribing In Kentucky, 2021-2023, Jordan Shannon

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

Abstract

Introduction

Prescription stimulants have a long history of clinical use dating as far back as the 1930s. In the United States stimulant prescribing rates have steadily climbed over the last 3 decades. The primary objective is to describe recent (2021-2023) prescribing trends of stimulant medications in the Commonwealth of Kentucky

Methods

Prescription data collected from Kentucky’s prescription drug monitoring (PDMP) database known as the Kentucky All Schedule Prescription Electronic Reporting System (KASPER). Annual and quarterly trends in stimulant prescribing between 2021-2023 were calculated, examined by age, sex, and geographic location.

Results

Stimulant prescribing increased by ~15% where the majority …

Implementation Of Unit-Based Preceptor Orientation: The Effects On Perceived Orientee Competence And Self-Confidence Of The Precepting Cvicu Nurse, Laura K. Marcum

DNP Projects

Purpose: The purpose of this study was to assess how unit-specific preceptor training impacted the perceived readiness of new graduate nurses, self-confidence of preceptors, and the correlated job satisfaction.

Background: The nurse attrition rate is resulting in inexperience at the bedside. Nursing inexperience leads to lower quality patient care. If improving the efficiency of training and education can improve perceived readiness, then in turn we can increase the longevity of our new nurses. Improving the longevity of nurses has significant implications on the budget of each hospital, the patient outcomes, and the staff’s resulting job satisfaction.

Methods: New graduate nurse …

Say No To Drugs: Nonpharmacologic Interventions For Preventing Delirium In Critically Ill Patients Intubated & Sedated In A Pediatric Icu, Jessica C. Ellzey

DNP Projects

Background. Delirium is an acute clinical syndrome that is characterized by features of disrupted arousal, attention, cognition, sleep, and perception. Delirium is a well-documented phenomenon in critical care settings in both adult and pediatric populations, particularly among patients with length of stay greater than or equal to 48 hours. Delirium has multiple adverse effects, including increased mortality rate, prolonged duration of mechanical ventilation, higher reintubation rates, prolonged intensive care unit (ICU) admission, prolonged hospital admission, short- and long-term cognitive impairment, and posttraumatic stress disorder. There are currently no accepted guidelines or FDA approved medications to treat ICU delirium in the …

Evaluating Healthcare Workers’ Knowledge, Attitudes, And Practices Regarding Language Access Services In The Clinical Setting, Rachel Archibald

DNP Projects

Background: Barriers to accessing and understanding healthcare can place patients with low English proficiency at an increased risk of poor health outcomes. Language-based inequities in healthcare exist due to lack of interpretation and translation services available, lack of healthcare workers’ knowledge of resources, and/or perceptions that these services require too much time or effort. Failing to address barriers affecting this population leaves them vulnerable in the healthcare setting.

Purpose: The purpose of this DNP project was to educate nurses, providers, and staff on an inpatient unit at a rural hospital of the language interpretation resources available, best practices for implementation, …

Evaluating The Effect Of Sleep Hygiene Education On Sleep Quality Among First-Year College Students, Caroline Lowe Cunningham

DNP Projects

Abstract

Background: The American Academy of Sleep Medicine recommends college students should get seven to nine hours of sleep each night. Only one-third currently meet this recommendation. Poor sleep negatively affects academic performance, mood, and interpersonal relationships. Sleep hygiene is recommended to improve sleep quality and quantity.

Purpose: The purpose of this DNP project was to determine the effect of implementing a sleep hygiene educational intervention in classes intended for first-year college students at the University of Kentucky.

Methods: This quasi-experimental project utilized the Pittsburg Sleep Quality Index to assess participants’ sleep before an in-person sleep hygiene education and after …

Rural And Urban Clinician Views On Covid- 19’S Impact On Substance Use Treatment For Individuals On Community Supervision In Kentucky, Carrie B. Oser, Maria Rockett, Sebastian Otero, Evan Batty, Marisa Booty, Rachel Gressick, Michele Staton, Hannah K. Knudsen

Center on Drug and Alcohol Research Faculty Publications

Background The COVID-19 pandemic produced system-level changes within the criminal legal system and community-based substance use disorder (SUD) treatment system with impacts on recovery efforts. This study examines rural and urban clinicians’ perspectives of COVID-19 on SUD treatment delivery for people on community supervision.

Methods Virtual qualitative interviews were conducted between April and October 2020 with 25 community supervision clinicians employed by Kentucky’s Department of Corrections (DOC), who conduct assessments and facilitate community-based treatment linkages for individuals on probation or parole. Transcripts were analyzed in NVivo using directed content analysis methods.

Results Clinicians were predominantly white (92%) and female (88%) …

Scales For Participant Alliance With Recovery Coach (Sparc): Initial Development And Pilot Test, Amanda Fallin-Bennett, Martha Tillson, J. Matthew Webster, Carrie B. Oser, Jennifer Edwards Becan, Kevin Knight, Jeremy Byard, Michele Staton

Center on Drug and Alcohol Research Faculty Publications

Recovery coaches are individuals with lived experience with recovery from substance use disorder who typically engender a greater sense of trust than found with other types of healthcare providers. However, there currently are no validated tools that measure the connection between recovery coaches and their participants. The purpose of this study was to describe the initial development of the Scales for Participant Alliance with Recovery Coach (SPARC) to measure recovery coach connection or alliance, including initial psychometric analyses. Measurement development began with five scales of the Client Evaluation of Self Treatment (treatment participation, treatment satisfaction, rapport, peer support, and social …

Exploring Elementary Teachers’ Self-Efficacy And Propensity For Teaching Stem, Ashley Wilkirson

Theses and Dissertations--Science, Technology, Engineering, and Mathematics (STEM) Education

The following research is conducted in the interest in exploring self-efficacy (or the lack of) in pre- and in-service elementary school teachers when it comes to teaching STEM. In order to explore the issue of self-efficacy for STEM in elementary schools, it comes to defining what STEM education is and what self-efficacy is. These definitions guide research collected in building these future and current teachers’ self-efficacy, with factors ranging from resources available, pre-service training, professional development, content area knowledge, pedagogical knowledge, perceptions of teaching STEM, and opportunities to collaborate with other teachers were listed as some of the reasons. These …

Examining High School Mathematics Teachers' Research-Based Instructional Practices And Their Relationship To Students' Learning Outcomes: A Convergent Parallel Mixed-Method Study, Isiaka Busari

Theses and Dissertations--Science, Technology, Engineering, and Mathematics (STEM) Education

This convergent parallel mixed-methods study examines the relationship between high school mathematics teachers' research-based instructional practices and students' learning outcomes in Algebra 1 classrooms at a high school in a central region of a Southern U.S. State. The research addresses improving mathematics proficiency in the United States, where national performance remains below average. Guided by psychological and social constructivism, the study involved three Algebra 1 teachers and 171 students. Data were collected through classroom observations using the Mathematics Classroom Observation Protocol for Practices (MCOP²), teacher interviews, and student pre-and post-tests. Quantitative data from tests and MCOP² were …

Exploring Teachers’ Views Of The Nature Of Science And Their Beliefs And Understanding About Viruses And Covid-19: A Multiple Case Study Of Three Secondary Science Teachers At A Rural High School In The Southeastern United States, Jeffrey Chalfant

Theses and Dissertations--Science, Technology, Engineering, and Mathematics (STEM) Education

Over the past several decades, science education reforms have called for students to develop appropriate views of the nature of science and have a comprehensive understanding of subject matter. Additionally, education research has demonstrated that teachers must have appropriate views of the nature of science and strong content knowledge as necessary conditions for appropriate instruction on the nature of science. However, research has consistently shown that teachers hold naïve or inadequate views of the nature of science. This is problematic as teachers are tasked with teaching science to students that is aligned with current education standards. Therefore, teachers need to …

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, …

Functions Of Translanguaging Practices And Teachers’ And Students’ Perceptions Of Translanguaging In Esl Universities, Dongyang Yuan

Theses and Dissertations--Curriculum and Instruction

Integrating research on both linguistic and semiotic resources of translanguaging practices, this research was carried out using a case study design to understand how translanguaging was used by both ESL teachers and adult language learners in the ESL setting, what functions translanguaging performs, and how teachers and students understand their translanguaging practice. Nine adult ESL learners at the intermediate level and an ESL teacher participated in this research. Data sources included observations, interviews, field notes, and reflective journals. Discourse analysis was used to analyze the transcription of observations and interviews. Results showed that participants used various forms of translanguaging, including …

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 …

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 …

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, …

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 …

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.

A Change Of Character? Exploring The Possible Effects Of Non-Tenure Track Faculty At Liberal Arts Colleges, Robert Brown

Theses and Dissertations--Educational Policy Studies and Evaluation

Research on liberal arts colleges (LACs) has yet to consider possible effects of using Non-Tenure Track Faculty (NTTF) on the character of LACs. LACs are characterized by their strong academic ethos, collegial faculty-student relationships, all at a sanctuary-like setting. Tenure Track Faculty (TTF) and administrators at three LACs were interviewed in a case study format at an urban, suburban, and rural LAC to consider whether NTTF are affecting the character of such institutions. NTTF, especially when full-time faculty, support the academic ethos, foster strong student faculty relationships, and help maintain the sanctuary like setting. NTTF use by change agents is …

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 …

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 …

Working To Learn And Learning To Work: A Comparative Exploration Of Federal Work-Study Program Implementation Across Kentucky Colleges And Universities, Alexandria Wasson

Theses and Dissertations--Educational Policy Studies and Evaluation

The Federal Work-Study (FWS) program aims to connect low-income college students with paid campus employment and career opportunities. Institutions also benefit, as they are supplied with a federally subsidized workforce to staff essential entry-level jobs. However, this well-intentioned financial aid program is affected by a lack of uniform guidance at a national level. Hard working financial aid professionals, in tandem with other college and university administrators, are empowered to make FWS decisions that afford some students opportunities for advancement and constrain other students from reaching their potential.

The purpose of this study is to learn about the design and implementation …

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 …

Effects Of Unilateral Lower Limb Suspension On Quadriceps’ Structure And Contractile Function, Eve N. Elmore

Theses and Dissertations--Kinesiology and Health Promotion

BACKGROUND: Muscle unloading such as bed rest or space flight decreases strength and cross-sectional area concomitant with a slow-to-fast fiber type shift, of anti-gravitational muscles such as the quadriceps. Diffusion tensor imaging (DTI) quantifies tissue anisotropic properties such as Fractional Anisotropy, Mean Diffusivity, Axial Diffusivity, and Radial Diffusivity, as well as muscle volume, fascicle length, and physiological cross-sectional area, and has recently been adapted to assess skeletal muscle structure. In skeletal muscle, anisotropic properties correlate with muscle fiber type and contractile function and may be responsive to unloading-induced atrophy.

PURPOSE: To assess the changes in quadriceps’ size, anisotropy, and contractile …

Influence Of Deception Of Task Duration On The Sex-Specific Physiological, Neuromuscular, And Affective Responses To Rpe-Clamp Cycle Ergometry, Pasquale Succi

Theses and Dissertations--Kinesiology and Health Promotion

Several theories exist to explain the interaction of sensory afferent feedback and efferent feedforward signals on the generation of a rating of perceived exertion (RPE) which influence endurance exercise pacing and performance. Within these theories, exists the premise that the expected duration of exercise plays a role within the generation of an individual’s RPE and their endurance performance. Previous work has demonstrated equivocal findings of this influence, while other research has suggested potential differences between males and females. However, an RPE-clamp model, where the external workload is modulated to maintain a constant perceptual intensity, has not previously been used to …

The Psychosocial Aspects Of Rest, Morgan Findley

Theses and Dissertations--Kinesiology and Health Promotion

Past research in sport sciences has focused primarily on “rest” from a physical perspective, while giving limited focus to the psychosocial perspective (Eccles & Riley, 2014; Eccles et al., 2022). One major development on psychosocial rest emerged with the pioneering model introduced by Eccles and Kazmier (2019); however, further research is needed to test this proposed model with other sport/performance populations. Therefore, this study aimed to assess the model's generalizability and investigate the perceived frequency of psychosocial rest by athletes throughout their season. To accomplish this, 67 female university athletes completed an online survey comprised of questions representative of the …

An Investigation Of Body Image And Eating Behaviors In Former Ncaa Heptathletes, Claire Bailey

Theses and Dissertations--Kinesiology and Health Promotion

Research consistently supports associations between body image dissatisfaction and disordered eating pathologies in collegiate athletes (e.g., Reel & Voelker, 2012; Sundgot-Borgen, 1994). More specifically, female NCAA athletes report feeling torn between peak performance body composition and body fat levels fitting ideal feminine standards (Beckner & Record, 2016; Carson et al., 2020). Examining track and field, most event groups hold a lean-promoting perspective. However, heptathletes warrant further investigation due to the multifaceted and contradictory nature of events. Specifically, heptathletes encounter complex pressures training for a wide range of physical demands, which can create confusion in expected body types (Heazlewood et al., …