The purpose of this study was to explore perceptions of poaching within the Southern Appalachian Region. To date, little research has been conducted on the general topic of poaching and no studies have focused on this Region. Several research questions were pursued, including perceptions of poacher motivations, methods and concern regarding apprehension and punishment. The study gathered data through qualitative interviews with 27 conservation officers and outdoorsmen located in Southern Appalachia to address these questions. Results provided useful information regarding the unique characteristics of the poaching problem within the Region, which are discussed in detail. Implications and directions for future research are also covered.

The photographer discusses work in Blue-Collar Backroads, a Master of Fine Arts thesis exhibit held at downtown Tipton Gallery from February 1st through February 18th, 2022. The exhibit consists of 17 archival inkjet prints selected from the artist’s two-year exploration of rural backroads as a vehicle for creating images. Using aesthetic traditions of large-format film photography, the photographer poses questions of identity, place, memory, and the intentional pursuit of meditative practices in art. Non-photographic influences are listed, including Claire Wellesley-Smith and Elizabeth Catte. Photographic influences include Joel Sternfeld, Rachel Boillot, William Christenberry, and Mike Smith. A catalog of the exhibit is included at the end of this thesis.

Forgiveness and mindfulness have both been associated with a variety of salutary health-related outcomes. Though thought to be related to one another, very little empirical work has examined the association of forgiveness and mindfulness, including in the context of health. Consistent with theory regarding the forgiveness-health association and the definition of health behavior, we hypothesized that mindfulness would play a role in the relationship between forgiveness and health. Cross-sectional mediation-based analyses were conducted on data collected from a sample of 368 undergraduate students in southern Appalachia. Participants were 73.64% female and 88.32% Caucasian, with an average age of 21.62 years. Mindfulness played a role in the association of forgiveness of self, forgiveness of others, and forgiveness of situations with physical health status, somatic symptoms, mental health status, and psychological distress. In the context of the forgiveness-health association, mindfulness may play a primary role for forgiveness of others and largely a secondary role for forgiveness of self and forgiveness of situations. The role of mindfulness may be explained by the (un)forgiveness-energy hypothesis, such that forgiveness may allow energy to be invested in mindful processes. Religious/spiritual diversity may impact the association of forgiveness and mindfulness. As this study may be the first to examine mindfulness as a health behavior and only the second empirical study to explicitly examine the association between forgiveness and mindfulness, more research is needed to understand the relationships among forgiveness, mindfulness, and health.

Forgiveness and mindfulness have both been associated with a variety of salutary health-related outcomes. Though thought to be related to one another, very little empirical work has examined the association of forgiveness and mindfulness, including in the context of health. Consistent with theory regarding the forgiveness-health association and the definition of health behavior, we hypothesized that mindfulness would play a role in the relationship between forgiveness and health. Cross-sectional mediation-based analyses were conducted on data collected from a sample of 368 undergraduate students in southern Appalachia. Participants were 73.64% female and 88.32% Caucasian, with an average age of 21.62 years. Mindfulness played a role in the association of forgiveness of self, forgiveness of others, and forgiveness of situations with physical health status, somatic symptoms, mental health status, and psychological distress. In the context of the forgiveness-health association, mindfulness may play a primary role for forgiveness of others and largely a secondary role for forgiveness of self and forgiveness of situations. The role of mindfulness may be explained by the (un)forgiveness-energy hypothesis, such that forgiveness may allow energy to be invested in mindful processes. Religious/spiritual diversity may impact the association of forgiveness and mindfulness. As this study may be the first to examine mindfulness as a health behavior and only the second empirical study to explicitly examine the association between forgiveness and mindfulness, more research is needed to understand the relationships among forgiveness, mindfulness, and health.

Purpose: Some of the most significant mental health concerns among US adults are depression, anxiety, substance abuse, and intimate partner violence. These concerns represent an ever-growing portion of the primary care population, especially in rural areas. However, few studies have examined factors influencing screening and treatment of these concerns by primary care providers, particularly in Appalachia. This study explores barriers and facilitators to mental health screening and treatment among women at a rural, primary care clinic in Appalachia. Methods: Eighteen patients and 4 providers were interviewed face-to-face. Thematic analysis was used to identify emergent themes. Findings: Patients identified 3 barriers (stigma, lack of support, and lack of education) and 2 facilitators (integrated care and positive experiences with providers). Providers identified 4 barriers (operational barriers, mental health competence, predicted patient reactions, and patient attitudes) and 3 facilitators (clinic characteristics, provider characteristics, and patient and provider education). Generally, patients focused more on individual and social factors influencing mental health service use, while providers were more aware of training gaps, logistical factors at the clinic, and systemic issues within the larger health care system. Both participant types emphasized specific interpersonal qualities and the importance of integrated services. Conclusions: Screening and treatment may be influenced by the availability and advertisement of integrated services, institutional support, strong patient-provider relationships, and provider training and experience. For rural south central Appalachia women, limited mental health resources may make these factors even more salient.

Child overweight has reached an epidemic level throughout the United States. A total of 65 primary care providers in southern Appalachia were surveyed to understand current issues in addressing child overweight in rural primary care practice. The study shows that while providers realized the importance of child overweight intervention, many were not ready and did little to address child overweight in their practices. The providers' skill levels in addressing child overweight were generally less than sufficient. Common barriers to child overweight treatment included lack of parental motivation and involvement, lack of supportive services, and lack of clinician time. In conclusion, rural primary care is facing many challenges in addressing child overweight. However, with more training in behavioral intervention skills and through establishing a family-based intervention and a group visit approach, primary care providers could play a more active role in the fight against the epidemic of child overweight.

Twenty sheets total. Sheet one includes a street and building index. Scale: 1 inch = 50 feet / https://dc.etsu.edu/rare-maps/1209/thumbnail.jpg

Twenty sheets total. Sheet one includes a street and building index. Scale: 1 inch = 50 feet / https://dc.etsu.edu/rare-maps/1210/thumbnail.jpg

Twenty sheets total. Sheet one includes a street and building index. Scale: 1 inch = 50 feet / https://dc.etsu.edu/rare-maps/1211/thumbnail.jpg

Twenty sheets total. Sheet one includes a street and building index. Scale: 1 inch = 50 feet / https://dc.etsu.edu/rare-maps/1212/thumbnail.jpg