Social and Behavioral Sciences Commons^™

Targeted Federal Advocacy For Financial Stability: Recommendations For United Way Of The Bluegrass, Jefferson Abney, Lou Hurst

MPA/MPP/MPFM Capstone Projects

Advocacy refers to activities undertaken with the intent of influencing policy change. For nonprofit organizations, advocacy can be a critical aspect of furthering their mission. Successful advocacy requires a comprehensive, dynamic understanding of the needs and priorities of stakeholders, as well as an understanding of the political context in which the organization operates and the challenges and opportunities that context poses for its institutional goals. A policy agenda helps nonprofit organizations identify and communicate the most pertinent policy needs for consideration when making decisions around advocacy.

For this project, in response to a request from United Way of The Bluegrass …

Mortgage Lending Discrimination: Racial Differences In A Post-Covid Society, Zachary Owen

MPA/MPP/MPFM Capstone Projects

Researchers have studied the disparities of the mortgage lending process extensively, but their research fails to examine the process following the COVID-19 pandemic. Throughout the aftermath of the pandemic, home sale prices increased, interest rates rose, and rental costs skyrocketed. As such, the housing landscape changed drastically, and research must be conducted to assess new trends and relationships. In this report, I will estimate the relationship between applicant characteristics, such as race, debt-to-income ratio, and income and the outcome of their mortgage loan application and their expected credit score. Prior to COVID-19, Black and White applicants for mortgage loans were …

Public University Gift Management Policies: Building A Best Practice Guide, Cristin Costello

MPA/MPP/MPFM Capstone Projects

Currently, no consistent standards exist for how institutions of higher education should manage their non-endowed gift revenue. Good stewardship of gift funds is vital to ensuring the maintenance of donor relationships to create unions that bring further financial opportunities to universities for years to come. Public institutions, as recipients of government dollars, are especially vulnerable to the negative repercussions that could come with the scandal of misappropriated gift dollars. Overall cash donations to higher education have significantly increased in the past few decades as state appropriations fall short and the need to keep tuition rates stable increases. It is more …

Reforming Need: How Certificate Of Need Laws In North Carolina Can Be Reformed To Promote Rural To Regional Health Network Integration, Taylor Fulk

MPA/MPP/MPFM Capstone Projects

Across North Carolina, many rural hospitals are facing closures, staffing shortages, and financial turmoil. Many hospitals, such as Morehead Hospital in Eden, NC (now UNC Rockingham), have utilized mergers with larger regional networks (e.g., UNC Health, Duke, Novant, Atrium) to stabilize operations and preserve local access to care. (deBruyn, 2017). However, even after successful integration efforts to bring some rural hospitals into larger regional networks, Certificate of Need laws in North Carolina are preventing these smaller, rural integrated hospitals from expanding their service offerings, thereby driving up healthcare expenditures for residents. As a result, patients experience longer-than-normal travel times and …

Boys & Girls Clubs Of Greater Cincinnati Strategic Plan, Emily Yellman

MPA/MPP/MPFM Capstone Projects

After-school organizations nationwide, such as Boys & Girls Clubs, provide youth with out-of-school opportunities for academic and social-emotional learning. Strategic plans can help after-school organizations maximize their impact. This paper outlines a strategic plan for Boys & Girls Clubs of Greater Cincinnati, specifically to increase the number of members they serve on an average daily basis. The plan addresses both Club member recruitment and retention techniques, and includes specific action items, communication, and monitoring plans.

Talking About Cancer And Tobacco (Tact) Study With Lgbtq Patients And Their Care Providers, William Bowling

Theses and Dissertations--Psychology

Due to multilevel factors, including a high prevalence of tobacco use, the burden of some cancers is disproportionately higher in the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community than the general population. Evidence-based tobacco treatment delivery with high rates of tobacco cessation would be a powerful tool for secondary cancer prevention in the LGBTQ community, yet few studies have explored this issue. The current study aimed to 1) uncover both positive and negative aspects related to the lived experience and treatment of LGBTQ cancer survivors who use tobacco, 2) elucidate barriers and facilitators of tobacco treatment and cessation, and …

The Impact Of Victim Posttraumatic Stress Disorder (Ptsd) On Legal Decision-Making In A Rape Trial, Mary M. Levi

Theses and Dissertations--Psychology

Prior psychology and law research has investigated juror perceptions of victims and defendants with mental health issues. However, one factor that has yet to be fully examined empirically is how the presentation of a victim who developed a mental health disorder, such as posttraumatic stress disorder (PTSD), following a rape impacts legal decision-making. Understanding this impact is crucial considering over 36 million individuals in the United States report being a victim of rape in their lifetime, many of which report developing psychological disorders following the crime. Thus, the present study aimed to investigate how presenting mock jurors with victim testimony …

Unveiling Secrecy: A Qualitative Analysis Of The Breonna Taylor Grand Jury Proceedings, Taylor Bettis

Theses and Dissertations--Psychology

Grand juries have faced heightened scrutiny in recent decades following high-profile cases involving police use of lethal force against Black civilians. In 2020, Police officers killed Breonna Taylor while executing a search warrant at her home. Despite widespread public outcry, it remains unclear how prosecutors failed to indict the officers involved on charges directly related to her death. Guided by critical race theory, procedural justice, and theories of authority, the current project used reflexive thematic analysis to examine the Breonna Taylor grand jury proceedings. We identified two main themes: structural influences and narrative influences. Structural influences examine how prosecutorial authority, …

A Dual Process Model Perspective On Associations Between Parent And Offspring Problem Drinking, Karallyn E. Fitisone

Theses and Dissertations--Psychology

Parental problem drinking (PPD) is a well-established risk factor for adolescent alcohol use, yet the complex mechanisms involved remain underexplored. The present study addresses this critical gap by examining how PPD, parent emotion socialization, and emerging adult problem drinking are associated within the framework of the Dual Process Model of Substance Use. Participants were 2,036 undergraduates who completed an online survey assessing PPD, retrospective reports of parental reactions to their negative emotions in childhood, and students’ current levels of problem drinking, negative urgency, negative emotional reactivity, and emotion-regulation difficulties. Structural equation modeling was used to clarify the roles of emotion-related …

Recipient Experiences Of Donor-Funded College Scholarships: “I Don't Know What You Want To Know About Me. I Don't Know What I Know About You.”, Teresa Waddle Gotthardt

Theses and Dissertations--Educational Policy Studies and Evaluation

This qualitative study explores the experience of receiving donor-funded scholarship support facilitated through a higher education institution, especially when the recipient has interacted with the donor of the funding. This recipient-and-donor-interaction is common at American post-secondary institutions in the form of written thank you notes and attendance at donor recognition events. This research addressed the following questions: How do donor-funded scholarship recipients experience this funding? How do donor-funded scholarship recipients experience interaction with the donor of the scholarship? These questions were explored through in-depth semi-structured interviews with 23 recent alumni from five private universities and colleges who received donor-funded scholarships …

From Ads To Enrollment: Understanding How Targeted Marketing Affects College Choice, John W. Roberts

Theses and Dissertations--Educational Policy Studies and Evaluation

The purpose of this qualitative study is to explore the perceived impact of targeted marketing on college choice. Research on college choice is an established area of scholarship that explores the variables that are at work when a student chooses to attend a college or university. Given that the enrollment landscape for higher education continues to be competitive, colleges and universities are doing what they can to “stand out” among the competition in a crowded marketing and advertising space. And, as technology improves, segmenting and personalizing marketing to reach the right students at the right time is becoming more commonplace …

Breaking Ground On Self-Efficacy: A Qualitative Exploration Of Intimate Partner Violence Survivors’ Experiences With Therapeutic Horticulture, Rachel Marie Reeves

Theses and Dissertations--Sociology

This dissertation explores how participation in a Therapeutic Horticulture program may support the self-efficacy of survivors of Intimate Partner Violence. Through a thematic analysis of interviews with 45 women living at a domestic violence shelter in Lexington, Kentucky, this study investigates whether and how gardening activities contributed to participants’ belief in their abilities to shape outcomes in their lives.

Findings are organized around Bandura’s four sources of self-efficacy: enactive mastery experiences, vicarious experience, verbal persuasion, and physiological/affective states. These insights contribute to feminist criminology and trauma-informed care literature by illuminating the transformative potential of nature-assisted healing programs.

Emplacing Deaths Of Despair Within The Rural Mortality Penalty: The Spatial Inequality Of Violent Death Across Rural America, Cameron A. Mcalister

Theses and Dissertations--Sociology

American life expectancy continues to diverge from most developed nations. Literature spanning several fields of scholarship has documented an uneven distribution of life expectancy between social groups and across geographic contexts. Frameworks such as “Deaths of Despair” and the rural mortality penalty describe the declining health trends among working class whites and rural America. But, conceptual development around these frameworks is still limited. This dissertation utilizes a rural sociological approach to bridging the gap between the Deaths of Despair framework and the rural mortality penalty by examining violent death patterns across diverse rural contexts. In doing so, I incorporate several …

Screening For The Unseen: Depression Detection Through Phq-9 And Provider Education In Pain Management, Veronica Shaw

DNP Projects

Background: Depression leads to significant economic and health burdens, causing 200 million lost workdays and costing employers $17 to $44 billion annually (CDC, 2022). It accounts for 4.3% of the global disease burden and is a leading cause of disability worldwide (WHO, 2021). Chronic pain, affecting 20.9% of United States adults, often exacerbates depression, creating a vicious cycle of physical and emotional suffering (Rikard et al., 2023). Despite the availability of effective treatments, depression is frequently missed in primary care settings, with 50% of cases undiagnosed (Hawkes, 2019). Addressing both depression and chronic pain through improved screening and holistic care …

Spanish-Speaking Interpreters’ Perspectives: How Latinx Immigrant Caregivers Navigate The Special Education Process, Lizeth B. Tomas Flores

Theses and Dissertations--Educational, School, and Counseling Psychology

The study examined the experiences of Spanish-speaking interpreters working with Latinx immigrant caregivers during the special education process, their perspectives on how caregivers and the IEP professional committee members participate in the process, aiming to gain a better understanding of how Latinx immigrant families navigate the special education process. Interpreters play a crucial role in the special education process for families from culturally and linguistically diverse backgrounds, as they facilitate the transmission of information between caregivers and special education teams. Interviews were conducted with six special education interpreters in a southwestern suburban school district in the United States. A qualitative …

An Examination Of The Effects Of School-Based Experiences On High-Achieving Black Female High School Students Using Photovoice 2.0, Kameron R. White Mcdaniel

Theses and Dissertations--Educational, School, and Counseling Psychology

This study used a youth-led participatory action research inquiry and Photovoice 2.0 methodology to investigate the school-based experiences of seven high-achieving black female students across two public high schools. The objectives of the project were to explore how high-achieving Black high school girls perceived their academic identity within their school setting, and to determine any school and/or classroom contextual factors that affected these participants' school-based learning experiences and outcomes. The demographic makeup of each school was also evaluated through qualitative analysis to consider if it served as a moderating variable in participants’ reported school-based experiences. It is through gained insight …

The Impact Of Whiteness Among Black College Students' Racial Identity, La'quida Reneé Smith

Theses and Dissertations--Educational, School, and Counseling Psychology

Although the impact of racism is well-documented in both conceptual and empirical research on the experiences of Black college students, some scholars have pointed out that many of the negative, race-based experiences these students face on college campuses extend beyond overt acts of racism (e.g., individual racism, institutional racism; Gusa, 2010; Hargons et al., 2022; Ingram & Wallace, 2019; Le et al., 2020; Smith et al., 2011; Tyler et al., 2022). Whiteness has been identified as an overt factor shaping the lived experiences of Black individuals (Leonardo, 2009; Matias, 2016; Tyler et al., 2022) and is, therefore, believed to impact …

We Know The Odds Aren't Ever In Our Favor: Toward An Understanding Of White Privilege Deprivation Amongst Black Individuals And The Initial Validation Of The White Privilege Deprivation Scale, Jennifer Burris

Theses and Dissertations--Educational, School, and Counseling Psychology

Social science scholarship acknowledges that disparities affecting Black people in the United States are rooted in historical race-based oppression (Black & Stone, 2005; Borell, Barnes, & McCreanor, 2018; Harrell, 2000; Mills, 1997). Yet little is understood about the ways Black people psychologically experience being denied the social privileges conferred upon Whites (i.e., White privilege). The belief that White privilege exists, along with the perceptions that Black people as a group are systematically deprived of benefits conferred upon Whites, could expose Black people to negative psychological and psychosocial experiences. As such, White privilege deprivation (the belief one is denied the social …

Pathways To Financial Wellness: Using Intersectionality Theory To Understand Black Women’S Financial Socialization, Courtney J. Wright

Theses and Dissertations--Educational, School, and Counseling Psychology

Black women experience high levels of financial vulnerability and consistently exhibit poor financial outcomes across the literature; however, few studies have investigated Black women’s financial socialization processes and outcomes. As a function of gendered racial marginalization, Black women occupy a unique standpoint that may influence their financial socialization experiences. Therefore, research that investigates Black women’s financial socialization and perceived financial capability, responsibility, and well-being is warranted.

Within this dual-manuscript style dissertation, the first manuscript investigates the sources, content, and methods of Black women’s family financial socialization messages. Using a critical-constructivist research paradigm and Reflexive Thematic Analysis for data analysis, findings …

Effects Of Ethanol And Neuropeptide-Y Signaling On Neurogenic Markers In The Hippocampus, Cassidy Taylor Leibold

Theses and Dissertations--Psychology

According to the National Survey of Drug Use and Health in 2023, 28.9 million people over the age of 12 in the United States meet criteria for an Alcohol Use Disorder (AUD). AUDs result in a range of both social and behavioral consequences, caused by damage to the central nervous system. The hippocampus is a brain structure that undergoes cellular changes in the presence of ethanol, thus causing structural and functional damage. Impairments in neurogenesis, or the production of new neurons, due to ethanol exposure result in decreased plasticity and consequently memory impairments. The mechanisms of these ethanol-induced decreases in …

Resilience After Prenatal Substance Exposure: Exploring The Role Of Cumulative And Specific Protective Factors In Predicting Toddlerhood Temperament Profiles, Anjeli Elkins

Theses and Dissertations--Psychology

Objective

Prenatal exposure to common substances, including nicotine, marijuana, cocaine, methamphetamine, opiates, and alcohol, has been linked to a wide range of psychiatric disorders and neurodevelopmental impairments. Identifying protective factors that may improve temperament profiles in toddlers who have experienced prenatal substance exposure may protect against these adverse outcomes and is crucial for developing targeted early interventions.

Methods

Participants (n=92; Mage = 28.7 years; 47.0% White) were biological mothers of toddlers (Mage = 22.6 months) with prenatal substance exposure. Mothers responded to an online survey that gathered information on substance use during pregnancy, proposed perinatal protective factors, and child temperament. …

Responses To Tobacco Use Screening And Tobacco Cessation Assistance Offers Among Rural And Ubran Cancer Survivors At An Nci-Designated Comprehensive Cancer, Abigayle Feather

Theses and Dissertations--Psychology

Smoking after cancer diagnosis is associated with poor outcomes while smoking cessation can improve quality of life and promote survival. Although there are calls for equitable tobacco treatment delivery in cancer and other healthcare settings, disparities in tobacco-related disease burden persist. In the context of an outpatient cancer center’s population-based tobacco treatment program, this study examines the association between cancer survivors’ rural and Appalachian residence and 1) current tobacco use status, 2) decision to decline cessation assistance, and 3) reason for declining assistance. A cross-sectional, retrospective analysis was conducted using electronic health record data from 16,839 adults (64.04% female, 88.49% …

Multidimensional Health Outcomes In Lgbtq+ Older Adults In The United States: Individual And Community-Level Protective Factors, Emily P. Lapidus

Theses and Dissertations--Psychology

Despite a lifetime of systematic barriers, LGBTQ+ individuals age into late adulthood, likely due to various protective factors. Guided by the Iridescent Life Course Framework (ILCF; Fredriksen-Goldsen & Muraco, 2019), I analyzed unique protective factors at two levels: (1) individual psychological factors (i.e., resilience, identity management) and (2) community-level factors (i.e., LGBTQ+ community connectedness, social support). Health was operationalized as mental health, physical health, and health-promoting behaviors. The present study accounted for covariates (i.e., financial barriers to healthcare, felt subjective age discrepancy, lifetime discrimination). I hypothesized that both stronger individual and community factors would be associated with better physical and …

"We Talk About It At The Dinner Table": Parent Discussions Of Identity And Politics In Diverse Adoptive Families In The United States, Abigail L. Moore

Theses and Dissertations--Psychology

Parents discussing identity and politics with their diverse adolescents can be protective against experiences of political stress and negative outcomes (Anderson, 2023). Identity discrepancies between parents and adolescents may complicate these conversations (McCrimmon et al., 2024). However, this research often only focuses on only one identity (e.g., race or gender; Mendez, 2022). Because negative political climates affect multiple identities simultaneously (Kassing et al., 2021), the current study explores political conversations in diverse, adoptive family contexts with varying (un)shared identities. Through reflexive thematic analysis (Braun & Clarke, 2021), 7 major themes were developed. Results suggest that identity discrepancies may underlie a …

Associations Between Queer Parent Family Socialization And Adolescent Outcomes Among Diverse Lgbtq+ Parent Families In The U.S., Nita U. Kulkarni

Theses and Dissertations--Psychology

Queer parent family socialization refers to the way LGBTQ+ parents talk with their children about what it means to be queer in society, how to handle discrimination, and ways to have pride in their family’s identity. This construct has been linked with positive well-being outcomes in children, and this study used a strengths-based, mixed- methods framework informed by Minority Stress Theory and intersectionality to examine how queer parent family socialization related to several adolescent well-being outcomes, namely internalizing behaviors, social competence, and adaptive coping. Participants recruited across two projects were 191 queer parents with an adolescent and 114 adolescents with …

Living With Flying Colors: Associations Among Lgbtq+ Identity, Religiosity, Spirituality, Community, And Overall Well-Being Among Lgbtq+ Older Adults, Madison T. Diomede

Theses and Dissertations--Psychology

Experiences of discrimination and prejudice place LGBTQ+ individuals in older adulthood (i.e., 55 years old and older) at risk for poor overall well-being. This risk can be especially salient in the Southern and Midwestern U.S., where LGBTQ+ individuals enjoy fewer legal protections than in the Northeast and Western regions of the U.S. In defiance of these odds, LGBTQ+ individuals in older adulthood cultivate overall well-being through psychological-level constructs, like LGBTQ+ identity affirmation, and community-level constructs, LGBTQ+ community connection. Yet, little research has examined these avenues of strength among LGBTQ+ individuals in older adulthood. Guided by Iridescent Life Course Theory and …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

Exploring The Effects Of Transcranial Direct Current Stimulation Of The Right Inferior Frontal Gyrus On Inhibitory Control In Posttraumatic Stress Disorder, Colton Rippey

Theses and Dissertations--Psychology

Background: The right inferior frontal gyrus (rIFG) is implicated in stop signal reaction time (SSRT) performance – a common measure of inhibitory control – and emotional expression and control. Individuals with posttraumatic stress disorder (PTSD) exhibit poorer stop SSRT performance, which is associated with rIFG hypoactivity. Neuromodulation of the rIFG with transcranial direct current stimulation (tDCS) can significantly improve inhibitory control and reduce fearful responding to threatening stimuli. Research has yet to test the effects of multifocal tDCS targeting the rIFG on inhibitory control or emotional reactivity in individuals with PTSD.

Methods: The current study aims to examine the impact …

Relationship Between Anticipated Stress And Individuals’ Health-Related Behaviors, Julie Parsons

Theses and Dissertations--Psychology

Prior work in assessing the relationship between stress and health behaviors has identified the complex and multi-directional nature of these relationships. However, minimal work has assessed the possible relationships between stress anticipation and health behaviors such as diet, physical activity, and sleep outcomes in individuals. This work seeks to address this gap by conducting a daily diary study assessing within-person associations between stress anticipation and health behaviors over the course of a week. We hypothesized that daily stress anticipation would be negatively associated with dietary scores, physical activity engagement reports, sleep quality, and sleep duration while being positively correlated with …

Interparental Conflict And Sibling Relationship Quality In Emerging Adulthood: An Emotional Security Perspective, Courtlyn A. Fields

Theses and Dissertations--Psychology

Sibling relationships are among the earliest lifelong relationships and have been found to be protective against family dysfunction and positive adjustment outcomes. Yet research on sibling relationships remains limited. The current study aims to expand understanding of sibling relationship quality in emerging adulthood through the application of Emotional Security Theory (EST). EST provides a framework for understanding how adult sibling relationships may be impacted by childhood experiences of destructive interparental conflict. A sample of 1222 undergraduates with siblings completed an online survey. Participants retrospectively reported on interparental conflict and emotional security in childhood, and reported on their current emotion regulation, …