Medicine and Health Sciences Commons^™

Changes In Consumer Market Preference And Purchase Frequency In Response To The Covid-19 Pandemic, Sean Thomas Dial

Masters Theses & Specialist Projects

Research literature throughout 2020 indicate consumer behavioral changes in response to the systemic effects of the global COVID-19 pandemic, but these studies investigate transient adaptations in consumer behaviors during the early quarantine period of the pandemic. This study intends to investigate lasting or permanent changes in consumer market preference and purchase frequency between BAM and online retail due to the effects of the pandemic. The principal investigator designed a survey for participants to estimate purchase frequencies and market preferences for apparel, electronics, groceries, and general purchases before and after the pervasive effects of the pandemic (N = 1195; n = …

An Application Of The Interpersonal Psychological Theory Of Suicide In College-Age Survivors Of Sexual Assault, Ava Katherine Fergerson

Masters Theses & Specialist Projects

Sexual victimization is a pervasive public health concern that disproportionately affects college students and results in severe mental and physical health risks for survivors. Despite low prevalence rates in the general population, a national study found that 33% of survivors of rape reported suicidal ideation, and 13% actually made a suicide attempt (Kilpatrick et al., 1992). Although it is clear that survivors of sexual violence are at increased risk for suicide, knowledge is largely limited to epidemiological studies. Few studies have integrated theories of suicide to understand how and why this population is at such elevated risk for suicidal thoughts …

Effects Of Bingocize® On Overall Physical Activity, Functional Performance, Blood Glucose Level, Sleep Quantity, And Quality Among Older Adults In Assisted-Living Facilities, Sepehr Rassi

Masters Theses & Specialist Projects

Bingocize® has been established as an effective falls prevention exercise program for older adults, but its effects on older adults residing in assisted-living facilities have not been examined. The purpose of this investigation was to assess the effects of Bingocize® on overall physical activity level, functional performance, blood glucose level, sleep quantity and quality in older adults who live in assisted-living facilities. Participants (N = 13; mean age 86.23 ± 3.90) were asked to participate in Bingocize® while wearing activity trackers (Fitbit Charge 3 HR) for 10 weeks. The activity trackers were used to assess the average number of steps …

Is Physical Activity During Late Pregnancy Related To Infant Body Composition At Birth?, Brenna Menke

Masters Theses & Specialist Projects

Exercise is typically regarded as having a positive impact on maternal and infant health. However, the relationship between maternal physical activity and infant body composition is unclear. The aim of this project was to determine how a physically active lifestyle during late pregnancy influences infant anthropometrics at birth. Pregnant women (34-39 weeks gestation) with low-risk pregnancies were given the Pregnancy Physical Activity Questionnaire (PPAQ) and an accelerometer to wear on their non-dominant wrist for seven consecutive days. Approximately 24-48 hours after delivery, infant body composition was assessed utilizing air displacement plethysmography at the patients’ bedside. Fifty-five pregnant women participated (age: …

Metabolism During Pregnancy And Postpartum: How Does It Change And What Factors Influence It?, Kristin Yoho

Masters Theses & Specialist Projects

PURPOSE: Pregnancy is a physically impactful process in a woman’s life. During this time, a woman will gain weight and research has shown that many women will retain some extra weight after delivery. Because of this, recovery in the postpartum period is pivotal to avoiding the implications of weight retention. The postpartum period is vastly understudied in both the research and medical communities and this gap between pregnancy and postpartum research needs to be bridged. Therefore, the purpose of this study was to investigate metabolic changes from pregnancy to postpartum and to study how factors such as sleep and breastfeeding …

Effects Of Evidence-Based Materials And Access To Local Resources On Physical Activity During Pregnancy, Kolbi Edens

Masters Theses & Specialist Projects

Physical activity (PA) during pregnancy has been shown to be safe and effective for improving maternal and infant health; however, only 23% of pregnant women exercise in accordance with guidelines. PURPOSE: To determine if the distribution of evidence-based educational resources as well as access to community resources will increase PA levels as well as knowledge/beliefs about PA during pregnancy. METHODS: Participants (8-12 weeks) completed assessments concerning their activity levels, as well as knowledge/beliefs regarding PA, during pregnancy. Next, participants were randomly assigned to either an intervention (IG) or control group (CG). The IG received educational information regarding PA during pregnancy, …

Effects Of Bingocize® On Quality Of Life, Fall Risk, And Health Knowledge In Community-Dwelling Older Adults, Alyssa Kathryn Dispennette

Masters Theses & Specialist Projects

Quality of life (QOL) is an important aspects of overall well-being in older adults. QOL is associated with functional, physical, and psychological health; all of which can be improved with increased physical activity. A high fall risk is associated with low physical function and QOL. One in four older adults experiences a fall each year, making it necessary to focus public health interventions towards decreasing fall risk and improving QOL in older adults. Bingocize® is a health promotion program designed to promote health, health knowledge, physical activity, and social engagement among older adults. The purpose of this study was to …

Clinical Measurement Of Problem Solving In Children With Autism, Megan Nicole Martin

Masters Theses & Specialist Projects

The current study examined verbal and non-verbal problem skills in twenty-seven male children 10-16 years of age, twelve with autism and fifteen children who were neurotypical. The goal of this study was to assess problem solving abilities of children with autism when compared to gender and age matched peers. The twenty-seven participants completed two assessments of the Rapid Assessment of Problem Solving and one online assessment of Raven’s Standard Progressive Matrices. Results of this study showed a .92 reliability of the RAPS for all twenty-seven participants. Correlation between the RAPS and RPM was .419 for all participants. The results of …

Assessment Of Ergonomics In Indian Dental Practice: A Workplace Analysis, Divya Gadde

Masters Theses & Specialist Projects

Dental practice requires unique working conditions such as prolonged working hours, strained body postures and laborious, high finesse dental techniques. However, it can be more efficiently performed by the application of ergonomics, rather than physically forcing the worker's body to fit the job. Posture is highly influenced by factors such as inadequate working level, incorrect patient positioning, and poor visual comfort. In order to eliminate musculoskeletal disorders it is necessary to control these and other factors, and design the human work environment to be more ergonomic. The aim of this study was to assess ergonomics within Indian dental practice and …

Consumer Knowledge, Perception And Attitudes Of Unlabeled Genetically Modified Foods Of An Educated Population In The State Of Kentucky, Aldious A. Waite

Masters Theses & Specialist Projects

Genetically modified (GM) foods technology is a novel idea for improving food and crop production, but the supposed health risk of GM foods, such as possible negative long-term health effects to humans, animals and the environment, have provoked the European Union to create assessment protocols to monitor and regulate the safety of GM foods and crops. This research investigates the perception and attitudes of unlabeled GM foods of the WKU faculty and staff. A survey was administered via WKU Qualtrics, and chi-square tests were performed to see how the benefits and disadvantages of GM foods may affect the purchasing decisions …

Investigating The Motivation Factors Of Food Choice During The Transition Of High School Into College Life Among College Students Attending Western Kentucky University, Yu-Hsuan Chen

Masters Theses & Specialist Projects

Most individuals with chronic diseases, such as cardiovascular disease, stroke, cancer, and type 2 diabetes, were diagnosed in their late adulthood. The fact that these chronic diseases is a consequence of long-term unhealthy behaviors is often ignored. The unhealthy behaviors are often traced back to the young adulthood (age 18-25). Some young adults may participate in unhealthy behaviors, such as unhealthy diet, under the perception that they are “still young”. However, it is often overlooked that once a habit is established, it is difficult to eliminate or modify it. Furthermore, the awareness that the development of the chronic disease is …

Pharmacy-Based Barriers To Adolescent Access To Over-The-Counter Emergency Contraception In Kentucky, Zona Josephine Ascensio

Masters Theses & Specialist Projects

Since June of 2013, Plan B and its generics have been available over-the-counter without age restriction nationwide. Even so, pharmacy-based economic, physical, and staff-associated barriers still exist, potentially leading adolescent customers to fail to obtain emergency contraception (EC) in a sufficiently timely manner to prevent pregnancy. This study explores these pharmacy-based barriers to EC in the state of Kentucky focusing on comparisons of urban and non-urban pharmacies and chain and private pharmacies. Using a secret-shopper survey technique, the researcher called 220 Kentucky pharmacies acting as a 15-year-old girl seeking information about EC. Among other findings, a logistic regression analysis revealed …

Urine Electrolyte Excretion In A Hypertensive Population Of East Africans, Aiste Dobrovolskaite

Masters Theses & Specialist Projects

Chronic noncommunicable diseases (NCDs) are the largest contributor to mortality rates worldwide including in low- and middle- income countries (LMICs) which already suffer from high rates of infectious disease. Among the four major NCDs that cause 38 million deaths annually, cardiovascular disease (CVD) causes 17.5 million of these annual deaths. The primary risk factor of CVD is hypertension. Kenya, a developing country in Sub-Saharan Africa, has a high rate of hypertension with low (2.6%) management rates. Prior research from our lab has identified a population of Kenyans with a high prevalence of hypertension that is not statistically correlated with typical …

Attachment As Affirmation To Inhibit Health Risk Information Avoidance, Elizabeth C. Mccrary

Masters Theses & Specialist Projects

Previous research on information avoidance has revealed that people choose to avoid negative health information, but that this effect is interrupted by self-affirmation (Howell & Shepperd, 2013). The current study aimed to contribute to the field’s understanding of the conditions under which self-affirmation reduces information avoidance by using a unique affirmation: secure attachment figures. I hypothesized that activating a secure attachment would serve as the affirmation necessary for participants to choose to view their risk information for a fictitious enzyme deficiency. However, when given a choice, participants in both the experimental and control conditions chose to view this information. At …

Beliefs And Practices Related To Community Water Sources: "The Specialness Of Springs", Anita Kay Westhues

Masters Theses & Specialist Projects

The practice of gathering water from community springs in Kentucky constitutes a rich and complex research setting for the study of folklore beliefs and practices. Local knowledge construction, nostalgia as an evaluative process, contested views about purity and impurity, the protection and retention of a “public commons,” and the crisis which ensues when infrastructure maintenance and the delivery of safe drinking water are no longer guaranteed to communities, are all relevant to this vernacular practice. My thesis explores these topics, informed by fieldwork I conducted in nine Kentucky counties, which included formal and informal interviews with individuals who have used …

Concentration Levels Of Pm2.S And Pm 10 Paper Dust In A Book Production Facility, Blake J. Cvengros

Masters Theses & Specialist Projects

Concentration levels of PM2.5 and PM10 paper dust were measured in a book production facility using a quantitative single subject study. Dust concentration data was collected in three processes of a book manufacturing facility; paper recycling, the digital pressroom and the digital bindery. Data was collected using the DustTrak DRX 8533 Aerosol Monitor, focusing on particulate sizes of PM2.5 and PM10. The data was used to determine if paper dust in the book production industry reached concentration levels that could have negative respiratory health effects on surrounding employees and to determine which process within the studied facility had the highest …

Suicidal Ideation In Patients Hospitalized For Emergency Medical Treatment Related To Physical Trauma: Effects Of Posttraumatic Stress And Depression, Erin E. Carney

Masters Theses & Specialist Projects

Survivors of physical trauma may be at increased risk for developing suicidal ideation and behavior both during and after their inpatient hospitalization for medical treatment of wounds. It remains to be understood why a population hospitalized for nonpsychiatric reasons may ultimately develop a desire to take their own life. The current study sought to answer this question by hypothesizing that symptoms of posttraumatic stress (PTS) and depression during the recovery period individually mediated the relationship between physical pain and suicidal ideation. Researchers assessed these relationships in 246 patients who were receiving emergency medical treatment for wounds associated with a physically …

Selection Of Pathogen Surrogates And Fresh Produce Safety: Implications For Public Health And Irrigation Water Quality Policy, Ethan Givan

Masters Theses & Specialist Projects

Foodborne illness continues to be a substantial public health issue in the United States, with fresh produce being one of the leading causes of outbreaks. Understanding routes of contamination of fresh produce and how pathogens survive on plant surfaces is paramount in improving food safety and reducing risk to public health. The objectives of this study were to select environmental E.coli isolates as pathogen surrogates of Salmonella typhimurium and E.coli O157:H7, assess lettuce plant contamination by spray irrigation water, and evaluate a common industry quality control (QC) E.coli strain (ATCC 25922). Selections of E.coli surrogates were made utilizing biofilm and …

A Framework For Clinical Healthcare Process Design: Investigating Applicability To Lean, Samuel Blake Ellsworth

Masters Theses & Specialist Projects

Healthcare delivery is a process-driven sequence of patient care treatments and services. A prescribed method for process design is required in order for healthcare organizations of the future not just to innovate, but to safely provide highly-reliable patient care. Some healthcare organizations have established the utilization of lean methodologies as a tool for process improvement. Other philosophies and methods such as Six-Sigma have also been introduced into hospitals to guide quality. Many of these efforts have provided theories or perspectives of quality improvement without being firmly connected to a model of application relative to clinical process design, process formulation, or …

Using The Theory Of Planned Behavior To Explain Physical Activity Among College Students, Ese B. Aghenta

Masters Theses & Specialist Projects

The health benefits of physical activity include improved cardiovascular health, reduced rates of diabetes and other metabolic diseases, weight maintenance and improved bone and mental health (United States Department Health & Human Services (2008). According to the American College Health Association National College Health Assessment (ACHA-NCHA, 2013), only 20.0% of college students in the United States meet this recommendation. The Theory of Planned Behavior (TPB) attempts to explain the intention to perform behaviors that are not under an individual’s complete volitional control and has been highly utilized in predicting intention and performance of physical activity (Courneya, Nigg & Estabrooks, 1998). …

Structure Matters: Examining Illness Behavior Using Parsons's Sick Role, Angela D. Byrd

Masters Theses & Specialist Projects

Although Talcott Parsons’s sick role theory, as described in 1951 in The Social System, has been severely criticized for its inapplicability to chronic illnesses, a portion of the theory is still a relevant and necessary factor in terms of understanding and treating chronic illness today. Using data from the 2012 National Health Interview Survey, this study looks at the individual effects of sex, age, race, cohabitation, education and region of residence on the likelihood of chronically ill patients considering themselves limited in their amount or kind of work as an indicator of sick role adaptation. Results show statistically significant relationships …

Factors Influencing The Decision And Ability To Seek Health Services Among Hiv/Aids Patients In Tanzania, Savitri Grover

Masters Theses & Specialist Projects

Understanding the barriers to treatment for individuals with HIV/AIDS in developing countries could have a major impact on their ability to seek healthcare services. The purpose of this study is to quantitatively analyze the effect of daily activities and structural factors, which act as barriers to seeking health services for individuals living with HIV/AIDS in Tanzania.

The study is based on the hypothesis that (1) Individuals living with HIV/AIDS who face both personal and structural barriers have poor health compared to those not facing the barriers. (2) Individuals living with HIV/AIDS demonstrate different decisions and abilities to seek health services …

Inter-Method Comparison Of Us Epa Analytical Methods 507 And 508.1 To Test For Atrazine In Kentucky Drinking Water, Jonathan Suhl

Masters Theses & Specialist Projects

This study examined United States Environmental Protection Agency (US EPA) methods 507 and 508.1; analytical methods used to test drinking water for Atrazine. Additionally, this study examines the seasonal variation of Atrazine in Kentucky drinking water. Atrazine is a triazine herbicide used to control and inhibit the growth of broad leaf and grassy weeds. Atrazine’s ability to be transported to community drinking water supplies makes it a significant public health issue, as it has been linked to myriad negative health endpoints ranging from endocrine disruption to various forms of cancer, including stomach and ovarian cancer. To date, there is little …

Impact Of Stress Management On Learning In A Classroom Setting, Pankaj Mandale

Masters Theses & Specialist Projects

Stress is an important feature of the lives of college students and can impact negatively on learning. The effectiveness of an in-class stress management intervention for improving course content retention was tested with a cross-over design in two introductory graduate biostatistics classes. Each class met one day per week for the duration of the semester, and was taught by the same instructor, following the same syllabus. A pretest duplicating items on the midterm and final exam was administered to all students at the first class meeting. Identical midterm and final exams were administered in both classes. During the first half …

Religiosity, Spirituality And Attendance At Religious Services Among Recreational Drug Users: A Sub-Analysis Of The Drugnet Survey, Sohini Dhar

Masters Theses & Specialist Projects

This study is a sub-analysis ofthe previously collected cross-sectional DRUGNET survey data. The sample included 1,178 current users of illicit drugs and 389 former users. This study was delimited to U.S. citizens, aged 18 years and older, who completed the DRUGNET survey (n =1,567). DRUGNET was a descriptive online survey of self - reported attitudes and behaviors among a group of adult, self - identified drug users (i.e., not drug abusers). The purpose of the sub-analysis was to explore the importance of religion, spirituality, and religious service attendance in the context of an otherwise normal healthy adult life. Moreover, it …

The Lyme Disease Spirochete, Borrelia Burgdorferi, In Tick Species Collected From Raccoons (Procyon Lotor) And Opossums (Didelphis Virginiana) Trapped In The Warren And Barren Counties Of South Central Kentucky, Kristina Tackett

Masters Theses & Specialist Projects

The incidence of tick-borne zoonoses such as Ehrlichiosis, Rocky Mountain Spotted Fever, and Lyme disease has steadily increased in the southeastern United States in recent years. According to the Centers for Disease Control and Prevention (CDC), the southeastern states accounted for 1,200 of the 27,000 total cases of Lyme disease reported in the U.S. in 2007. Although Ixodes scapularis is the most commonly recognized vector for the Lyme disease spirochete Borrelia burgdorferi, Dermacentor variabilis (a common vector for Rocky Mountain Spotted Fever) also has been shown to be a viable host for this pathogen. The purpose of the present …

An All-Terrain Vehicle Safety Educational Program: Is It Effective In Improving Attitudes, Safety Knowledge, And Behaviors In Adolescents Ages 12 To 18?, Kim Elaine Young Vickous

Masters Theses & Specialist Projects

All terrain vehicles (ATVs) are a popular source of recreation. For some rural adolescents, ATVs are frequently used for agricultural work. Whether for work or recreation, many adolescents operate ATVs improperly either from a lack of knowledge, poor judgment or they engage in risky behaviors resulting in injuries and fatalities.

The Kentucky Department of Agriculture (KDA) has devoted resources to provide ATV safety programs to educate adolescents statewide. However, there are no known studies evaluating the effectiveness of this KDA intervention. Therefore, a pilot study was proposed to determine the effectiveness of The KDA ATV safety program in improving ATV …

Socioeconomic Determinants Of Hiv Status In Kenya, Kimberly Fletcher

Masters Theses & Specialist Projects

The spread of Human Immunodeficiency Virus (HIV) is one of the greatest threats to stability and development in Kenya. The country's infection rate is estimated between seven and eight percent, making it one of the highest in the world. Several studies have been done that examine subpopulations such as truck drivers, sex workers, and migrants. However, to date there is little research that examines who, across the country, is contracting HIV. Kenya's 2003 Demographic and Health Survey includes data that make it possible to determine which groups have the highest odds of being infected. The question of who is contracting …

Characteristics Of Marijuana Users Compared To Multiple Drug Users, Swateja Nimkar

Masters Theses & Specialist Projects

This study examines drug use behavior in a self-described sample of users. Comparisons are made between subjects whose only illicit drug use is marijuana and those who use both marijuana and other drugs. Data are from the DRUGNET study (1996, 1998, 1999), a multi-panel study conducted over the internet from 1996 - 1998. This sample was predominately white, male, young, and college educated. The majority of respondents were employed with incomes in the $50,000 - $60,000 (USD) range. A subset of respondents to the DRUGNET survey was selected for this analysis. Respondents had to be at least 18 years of …

Factors Affecting Condom Use Among College Students, Amar Kanekar

Masters Theses & Specialist Projects

The absence of consistent and correct usage of condoms increases the risk of STI's and HIV/AIDS. However, most studies done to date across the nation indicate a low usage of condoms among college students. In fall of 2004, the National College Health Assessment was administered to a random sample of students at a state comprehensive university in south central Kentucky. Findings revealed that among the sexually active students, approximately half never used condoms during vaginal intercourse. Further among students engaging in anal sex, an alarmingly high proportion --95%- reported never using condom during this act. These findings along with differences …