Digital Commons Network^™

“But The Trauma Did Not Fade Away” Childhood Sexual Abuse, Adolescent Pregnancy, And Rurality, Cynthia H. Mcniss

Electronic Theses and Dissertations

Childhood sexual abuse (CSA) and adolescent pregnancy are critical public health issues that intersect in complex ways, particularly in rural areas. Adolescents who have experienced CSA are at a significantly higher risk of becoming pregnant before the age of 19 compared to their peers without such a history (Madigan et al., 2014). Rurality is also associated with elevated rates of adolescent pregnancy due to various socio-economic and healthcare access challenges ("Rural Health Information Hub," 2024). This study employed a grounded theory approach to develop a comprehensive understanding of the social and psychosocial processes influencing the choices, actions, and decisions of …

“Know What I’M Sayin’?”: Advocating Hip-Hop As A Primary Source For Historical Scholarship, Christopher Smith

Electronic Theses and Dissertations

Rap, hip-hop’s most characteristic element, evolved from cultural practices combining in New York and spread across the United States in the latter half of the twentieth century. This thesis argues in favor of the use of rap as primary source material in future historical research. Authenticity has always surrounded hip-hop, making rap a window into artists’ perspectives. Storytelling traditions in rap’s roots allow for fiction’s use as a tool to discuss reality in lyrics. To demonstrate rap’s strengths as a primary source, the thesis examines Let’s Get Free, dead prez’s 2000 debut album. The song “They Schools” is dissected section-by-section …

Patient, Provider, And Health System Characteristics Leading To The Delivery Of Low Value Health Care Services And Outcomes Of An Intervention For Mitigating Low Value Care., Philip Ray Rohrer

Electronic Theses and Dissertations

The United States spends more on health care than any other country, and Medicare accounted for nearly one-quarter of total personal health care spending in 2019. Waste within the health care system in the United States is estimated to represent approximately 25% of total U.S. health care expenditures. Low value care includes health care services that provide little or no benefit to patients, have potential to cause harm, incur unnecessary costs to patients, or waste limited healthcare resources. Low value care is estimated to represent roughly 10% of total health care waste, or between $75.7 billion and $101.2 billion dollars …

Teachers’ Perception Of School Counselors’ Effectiveness When Supporting Middle-Level African American Males, Vanessa Dease

Electronic Theses and Dissertations

Six teachers representing three sites in a single school district shared their perceptions through interviews regarding school counselors' effectiveness when supporting African American middle-level males academically, socially, and emotionally. A reflexive thematic analysis guided this study with the help of the sociocultural and expectancy theories. As participants shared their perceptions through interviews, they answered the three research questions that guided the research. The research questions are: (a) What are teachers' perceptions of the effectiveness of school counselors in addressing the unique social and emotional needs of African American male students? (b) What do educators expect of school counselors regarding supporting …

Mapping Amis Mill In Rogersville, Tennessee In The 1780s Using Geophysical Methods And Remote Sensing, Amy Collins

Electronic Theses and Dissertations

Geophysics and remote sensing were used at the Amis Mill and Homesite to determine the location of structures during the 1780s. Areas of interest were surveyed using shallow geophysical and remote sensing techniques including the orchard, horse pasture, original kitchen on the east side of the house, the west side of the house, plowed field, store site, and cemetery. After analyzing the results of the geophysical surveys and remote sensing, 22 sites were chosen to test inside and outside potential features. A large rectangular feature, possibly a tavern with a cellar, was discovered. Four other features were identified, three of …

Service Provider Perceptions Of Systems Serving Individuals Experiencing Homelessness: A Needs Assessment And Strategic Plan In Johnson City, Tn, Opal Frye-Clark

Electronic Theses and Dissertations

This Integrated Learning Experience (ILE) investigates service providers' perceptions of Johnson City, Tennessee's homelessness services, aiming to inform a city-wide strategic plan for reduction. Employing a mixed-methods approach, the study gathered qualitative data through in-depth interviews with service providers in 2022 and quantitative data via a 2024 survey. The research focused on those directly involved in serving or significantly influencing the lives of individuals experiencing homelessness (IEH). Three key aims guided the investigation: (1) To analyze provider perspectives to identify community assets, opportunities, barriers, and unmet needs, informing a comprehensive needs assessment; (2) To refine these findings through SWOT analysis …

Graduation Rates Of Students With Disabilities At A Participating Southern University, Kelly Mitchell

Electronic Theses and Dissertations

The purpose of this non-experimental, correlational quantitative study was to compare the graduation rates of first-time, full-time students with disabilities to those of first-time, full-time students in the general population at the participating university. The sample used for analysis was full-time, first-time students entering between 2015 and 2020. Using archival data from the Disability Services database and the University's Banner system, four- and six-year graduation rates were compared. The original data set consisted of 22,070 students in the starting focus cohorts. After removing entering transfer students and students who enrolled in less than 15 credits for their entering semester, 8,337 …

East Texas Master Gardener Characteristics, Volunteer Choices, And Willingness To Answer Questions From The Public, Damon Gregory Grant

Electronic Theses and Dissertations

East Texas Master Gardener volunteers were asked to participate in an exploratory Qualtrics survey during the fall of 2023. This study examined the demographic characteristics, volunteer engagement choices, and challenges of Master Gardener volunteers in Texas A&M AgriLife Extension Service District 5, focusing on whether current training adequately prepares volunteers for public-facing roles. Findings showed that volunteers were primarily older, retired, well-educated, white females, favoring hands-on activities like garden demonstrations and fundraising over Help Desk question answering roles due to perceived inadequacies in knowledge. Over 80% indicated that mentorship and advanced training could improve their confidence in public interactions. Recommendations …

We’Re Not In Texas Anymore: Archaeological Investigations In Historic Dallas, Colorado, Tristan Newberry-Cushman

Electronic Theses and Dissertations

This work is the product of an archaeological investigation of the former townsite of Dallas, Colorado. Archival research, drone photography, shovel test pits (STPs), and a test excavation unit were employed to learn more about how the people of Dallas lived, and how they interacted with national systems. Probabilistic and purposive sampling were used to collect data, and both quantitative and qualitative analysis were performed. The goal of this research was to determine which theoretical model best explains how Dallas was connected to national cultural and economic systems.

Impact Of Diabetes Self-Management Education On Hemoglobin A1c Levels In The Rural Patient Population, Barbara Adomakomensah Sarpong

Electronic Theses and Dissertations

The global prevalence of type 2 diabetes is one of the greatest health threats in society, especially in the rural population. Rural healthcare data analysis has proved a need for type 2 diabetes control education. Despite the existence of helpful diabetes control interventions, rural diabetes patients still struggle to maintain healthy behaviors, with about 60% of the patients recording hemoglobin A1c levels above 9. Many suffer severe conditions (e.g., stroke, kidney failure, and heart attacks) because of poor management of the condition. The project examined the impact of diabetes self-management education on hemoglobin A1c levels in the rural patient population. …

The Lumbee Tribe And Mmiwg2s: How A Crisis Hides Behind Unreported Data, Daniel Oxendine

Electronic Theses and Dissertations

The Missing and Murdered Indigenous Women, Girls and Two-Spirit (MMIWG2S) crisis has existed since European settlers first came to the continent and has the potential to affect all Indigenous communities in the United States (Schilling 2018). Despite what federal data shows, I argue that the MMIWG2S crisis affects the Lumbee Tribe based on conversations on MMIWG2S that are coming from the Lumbee community. The primary objective of this thesis research project has been to conduct exploratory research through a case study to understand how the MMIWG2S crisis affects the Lumbee Tribe of North Carolina. I use the critical lenses of …

Rural Cervical Cancer Survivors’ Experiences Of Gender Roles: An Application Of Social Constructionism, Olivia K. Pointer

Electronic Theses and Dissertations

Rural cervical cancer survivors, or individuals with a form of cancer that originated in the cervix of the reproductive system, may be uniquely impacted by socially constructed gender roles. The present study utilized the term “females” to describe those who self-identify as having a cervix, which may include cisgender, transgender, intersex, and non-binary gender identities. Rural females have been indicated to hold salience in traditional gender expectations as partners, mothers, community members, and more, which may add survivorship complexity for cervical cancer survivors within this population by to attempting to fulfill gender roles to the pre-cancer level. Moreover, rural cervical …

The Naked Truth Of My Voice: Surveying The Soul Of An Aspiring Educator From Dusk To Dawn: An Arts-Based Auto-Criticism Inquiry, Siddharth Maan

Electronic Theses and Dissertations

This dissertation is based on auto-criticism, a new qualitative inquiry that combines educational criticism and arts-based research. It focuses on my own experiences as an aspiring educator who struggles with stuttering and public speaking anxiety. The study aims to describe, interpret, evaluate, and thematize my experiences of dealing with public speaking anxiety and stuttering before, during, and after classroom teaching. In addition, this dissertation highlights the potential contributions of auto-criticism as a methodology to qualitative research and higher education. I utilized journaling to document data. Photos and music were also used to enhance the understanding of my lived experiences and …

An Archaeological Exploration Of Fatty's Place And Its Contribution To Early Tourism In The Garden Of The Gods, Aaron Anthony Acosta

Electronic Theses and Dissertations

In the Garden of the Gods Park, east of Gateway Rocks, Edwin “Fatty” Rice owned and operated a business that sold curios and offered amenities to visiting tourists. Fatty’s Place was the only establishment of its kind to exist on the grounds of the park. However, not much recognition has been given to Rice’s contribution to tourism in the Garden. This thesis uses archaeological exploration, especially ground-penetrating radar, framed by place theory to shed light on Rice’s involvement in the advent of tourism within the park. By providing three narratives, Rice’s place as imagined, as remembered, and as built, the …

Promoting Community Responsive, Trauma-Informed Consultation Practices In Rural School Communities: A Mixed Methods Exploratory Sequential Approach, Elly Q. Maras

Electronic Theses and Dissertations

Rural youth are placed at greater risk for experiencing adverse childhood experiences, developing mental health disorders, and dying by suicide when compared with the general population. Due to a widespread need for better access to mental health treatment, many are left untreated. These concerns are often exacerbated by individual and systemic risk factors that are endemic to rural communities. Rural school districts are being asked to deliver mental health services to students, with school psychologists as key stakeholders. Though school psychologists are uniquely qualified to support this need, graduate programs typically do not provide adequate coursework and training on consultation …

Place And Placelessness: An Ecocritical Approach Towards The Mountain Imagery In Country Music, Siyuan Ma

Electronic Theses and Dissertations

Drawing upon cultural geographer Yi-Fu Tuan’s frame of place and placelessness, this ecocritical project explores how the mountain landscapes serve to construct regional, national, cultural, spiritual, religious, even racialized identities in various human societies. Using the U.S. country music as a primary example, I argue that what country music fundamentally draws from the imagery of the Appalachian Mountains is not the Anglo-Saxon ballad music or pastoral lifestyle of/from the mountains, but the powerful sense of place and placelessness (arguably only) the mountainous scenes are capable to provoke. This exploration serves to illuminate the commonalties between humanities of different cultures and …

Rhetorical Tapestries Of Water Injustice: The Framing Of (In)Access And (In)Justice In The Struggle For Water Security In The United States, Carla R. Richards

Electronic Theses and Dissertations

This dissertation argues that access to clean water is a fundamental human right and a cornerstone of environmental justice. It critiques existing communication and rhetorical scholarship for overlooking the environmental dimensions of water access and justice. This gap hinders progress toward equity for marginalized communities disproportionately burdened by water insecurity.

This project proposes a communication approach that prioritizes culturally relevant strategies to empower these communities in advocating for their environmental rights and health needs. By bridging the communication and environmental justice fields, this project equips communities with the tools to demand fair solutions. It ultimately calls for a transformative shift …

Chinese Tallow Long-Term Impact On Stand Dynamics In A Bottomland Hardwood Forest Following Vegetation Management, Nicklaus R. Langlois

Electronic Theses and Dissertations

Chinese tallow (Triadica sebifera (L.) Small) is an invasive tree known to have negative impacts on bottomland hardwood forests. Chinese tallow is proficient in reproducing and surviving in bottomland hardwood forests because it is more flood and shade tolerant than most native trees. The long-term effectiveness of Chinese tallow control is an important topic to research as only a few long-term studies of Chinese tallow control have been conducted. A 10-year re-measurement of 22 paired plots installed in 2012 on the Pineywoods Mitigation Bank near Diboll, Texas following herbicide treatments examined Chinese tallow and native tree stand structure. Each …

Venturing In Limbo: Entrepreneurial Resourcefulness By The Forcibly Displaced., Sadek Showkat

Electronic Theses and Dissertations

Entrepreneurial resourcefulness is an overarching concept in the entrepreneurial process that has gained momentum among theorists and practitioners. Traditionally, entrepreneurial resourcefulness is theorized as a state—a behavior or trait—rather than a process. However, our understanding of this concept changes significantly when viewed through the lens of the lived experiences of forcibly displaced individuals. This dissertation presents a theoretical and empirical investigation of how these entrepreneurs pursue entrepreneurial resourcefulness through three interrelated essays. The first essay provides a problematizing review and introduces a novel typology (exogenous vs. endogenous) that captures the heterogeneity of the construction of entrepreneurial resourcefulness across …

Associations Of Natural Vegetation In Relation To Colorectal Cancer Hotspots And Colorectal Cancer Survival., Johnnie Newton

Electronic Theses and Dissertations

Background: Across Kentucky, county-level geographic disparities in colorectal cancer (CRC) incidence and outcomes exist. Given the heterogeneity of lifestyle, socioeconomic (SES), and environmental factors within a county, more granular approaches should be used to identify local areas with a high CRC burden and identify the area-level factors that may contribute to geographic disparities. Studies reported that living in greener areas is associated with beneficial health outcomes, including lower mortality. Despite growing evidence that natural vegetation (greenness) exposure is associated with increased physical activity and obesity, two well-known CRC risk factors, epidemiological studies investigating the association of residential greenness exposure with …

Coproduction Revisited: From Theory To Practice., Brenton Clarke Hereford

Electronic Theses and Dissertations

Coproduction, or the interaction of citizens with their public service provider, has been used in policy responses to a myriad of service delivery problems, especially policing. This dissertation uses a three-manuscript approach to revisit coproduction both as a theory and a practice. The first manuscript tracks the evolution of coproduction as a theory from three different disciplines: economics, urban theory, and public administration. In addressing the three disciplines, the manuscript explains what broadly united the coproduction literature and the differences that hindered the early development of the concept. It concludes with how the concept is used today, and how future …

Environmental Factors (Rurality, Distribution Of Prescribers, And Altitude) Of People Who Died By Suicide In Montana, 2013- 2022, Anne N. Brown

Electronic Theses and Dissertations

Introduction: Suicide is increasingly prevalent in rural areas across the United States, especially in the western Rocky Mountain states. The connection between suicide and rural residency is not well understood, nor is the relationship between the distribution of prescribers, altitude, and suicide. Purpose: This retrospective quantitative study aimed to describe the characteristics of individuals who died by suicide in Montana and investigate the associations among rurality, distribution of prescribers, altitude, and suicide rate. Methods: Montana suicide mortality data for 2013-22 was used to describe individual characteristics. A second dataset was created for each Zip Code Tabulation Area (ZCTA) level in …

Characterizing Groundwater Flow Across The Barrier Island-High Marsh Interface, Dean Michael Wrobel

Electronic Theses and Dissertations

The freshwater resources of barrier islands are influenced by a variety of hydrogeologic factors, which create unique regions of groundwater composition. Factors including evapotranspiration, geologic constraints, tidal forcing, and meteoric inputs influence subterranean flow creating a groundwater salinity gradient throughout the island-marsh setting which directly influences the spatial distribution of dominant vegetation on the island. Rising sea levels and variation in local climate may alter the hydrologic balance on barrier islands, potentially shifting salinity gradients and ecological baselines on short timescales. The intrusion of saltwater into the barrier island freshwater system could result in the shifting of ecotones and potential …

Removing The Deficit Lens: Determining Support For Hispanic Newcomer Families In Public School Based On Their Unique Needs And Experiences, Shauna Schubiger

Electronic Theses and Dissertations

The purpose of this mixed methods study is to better understand the diverse needs of Latine newcomer families relocating to the United States and enrolling in a southeastern elementary school. Specifically, this study gathered and analyzed the unique experiences of these families immigrating into the U.S. to fully comprehend what they have been through to arrive here and how schools can help their families become involved in their children’s education. In K-12 education, there is a void which exists regarding who these families are and the need to humanize their journeys. This lack of research can be exacerbated by the …

A Descriptive Study: Aging In Place In The Rural Southeastern United States, Dama G. Cooley

Electronic Theses and Dissertations

Older Americans will soon outnumber children and younger adults. In 2022, there were 58 million older adults. By 2050, older adult numbers will grow to 82 million, and by 2060, 100 million. The National Institute on Aging calls for ongoing research on the impact that a historically large aging population will have on health, well-being, and quality of life. A key concern is how to meet needs while decreasing costs associated with institutional long-term care.

Most of these elders reside in the community and wish to live in their homes throughout their lives, but they will experience an increased need …

A Comparison Of Maxent Models For Aedes Aegypti Species Distribution In South America Utilizing Different Bioclimatic And Environmental Variables, Matthew Beer

Electronic Theses and Dissertations

Aedes aegypti is the principal vector for dengue transmission across large areas of the world. Understanding where this critically important vector lives is paramount to preventing the continued expansion of dengue globally. Using 1981-2010 bioclimatic (bioclim) variables, as well as additional environmental variables and elevation data, multiple MaxEnt models were constructed for Ae. aegypti within the South American continent to identify ecologically important variables and areas of persistent high suitability. All models had acceptable AUC scores (> 0.70), indicating accurate model fitting. Annual mean precipitation and temperature were found to be important model variables; however, when added, humidity became the …

Food Insecurity And Self-Rated Health Of Older Adults In Appalachia, Sarah Kelley

Electronic Theses and Dissertations

Food insecurity is prevalent in the United States. Although older adults experience food insecurity at lower-than-average rates, this population is vulnerable to the nutrition and health related implications. Food insecurity is tied to both a diminishment of diet quantity and quality, and is associated with incidence of chronic disease, loss of functional status, and quality of life. This survey seeks to fill a gap in research by looking into the prevalence of food insecurity among older adults in Northeast Tennessee, associations between food insecurity and self-rated health, and associations between food insecurity and geographical limitations.

An Exploratory Study Of Flora Poaching In Central Appalachia, Mckinley Bowers

Electronic Theses and Dissertations

The purpose of this study was to explore perceptions of flora poaching among conservation officers, park rangers and botanists within Central Appalachia. Though some work has sought to understand poaching in other forms, such as animal poaching, little is known regarding the poaching of plants. This is especially true within the Appalachian Region. Several research questions were explored in this study, including the types of flora being poached, the characteristics of poachers, poaching tactics utilized, and deterrence measures that are currently in place. Data were collected through semi-structured interviews with 20 individuals working in the field. Findings contribute to the …

Dengue And Climate Change: Assessing Potential Future Areas Of Concern For Transmission In The United States, Matthew Beer

Electronic Theses and Dissertations

Background: Global climate change severely impacts human life, particularly health, as rising temperatures and extreme weather affect physical and mental well-being. Climate change can also alter the risk factors and epidemiology of infectious diseases, notably vector-borne diseases (VBDs), including those transmitted by mosquitoes. The Aedes mosquito, responsible for dengue, poses a significant threat due to its prevalence vector. Dengue prevention lacks effective methods beyond vector control, and the current vaccine has limitations, emphasizing the need for intensified research and prevention strategies to mitigate the expanding dengue burden worldwide. The goal of these studies was to establish a novel risk index …

Evidence Of Climatic Influence On Subsistence Strategies At Sage Hen Springs, Nevada, Andrew Rogers

Electronic Theses and Dissertations

Models of settlement patterns in the northwest Great Basin describe a decrease in residential mobility, intensified use of upland spring ecozones, and an increase in diet breadth during the Middle and Late Archaic. Here, I present data collected from the Sage Hen Springs site in northwestern Nevada during a Phase II testing project conducted by the BLM and an analysis of these data focusing on patterns of subsistence and mobility strategies throughout the Archaic. Results of this analysis support existing models of lifeways in the northwest Great Basin at the small scale and point to climatic factors as influences on …