Negative health effects on an unborn fetus have been related to cigarette smoking during pregnancy. Very little research examines stress, self-esteem, depression, and disordered eating in pregnant women who smoke. A study, Tennessee Intervention for Pregnant Smokers (TIPS), recruited pregnant women from five prenatal practices to help them quit smoking before giving birth. Using an expanded 5A’s (Ask, Advise, Assess, Assist, Arrange) model and motivational interviewing, the intervention was implemented by trained health educators over the course of 4 prenatal visits. Women in the study who successfully stopped smoking before delivery had significantly healthier infants than the women who did not. A subset of the sampled 1063 pregnant women with complete data on measures of interest will be analyzed for the current study. We hypothesize that the following factors will differ significantly among pregnant women who never smoked, women who smoked but quit prior to birth, and women who smoked and did not quit prior to birth: stress, as indicated by the stress subscale of the Prenatal Psychosocial Profile (PPP); self-esteem, as indicated by the self-esteem subscale of the PPP; depressive symptoms, as indicated by the Center for Epidemiologic Studies Depression Scale (CESD-10); and disordered eating, as indicated by the Eating Attitudes Test (EAT-26). Additionally, we hypothesize that the odds of pregnant women quitting smoking prior to birth will be predicted by stress, self-esteem, depressive symptoms, and disordered eating. One-way Analysis of Variance (ANOVA) tests will be conducted to compare scores on respective measures for the three groups based on smoking status. A logistic regression will be conducted to assess the degree to which aforementioned variables predict odds of smoking cessation in pregnant smokers. The implications of this research can be used to improve future intervention programs to reduce the adverse health effects of children born to mothers who smoke.

Abstract available through the Annals of Behavioral Medicine.

Climate change poses significant risks to the food system, directly impacting food security and disproportionately affecting vulnerable populations. This study examines the critical role of local municipalities in planning for the effects of climate change on food systems through the case of the New River Valley, located in Southwestern Virginia. This study utilizes a qualitative participatory research design, including semi-structured interviews and focus groups with both food system and municipality stakeholders in the New River Valley region. Guided by Stroh's Systemic Change Process, the study seeks to advance climate adaptation planning in the region through the implementation of the first stage of the process, called "building a foundation for change." This stage involves identifying key stakeholders, getting them involved in the process, and establishing common ground. Through facilitation, stakeholders build capacity for systems thinking with a focus on collaboration. The findings of this study will inform the ongoing efforts of the Blacksburg Sustainability Department in planning for climate change transformation at a local level. This research is significant in that it addresses the gap in the literature around how municipalities are planning for climate resiliency in the food system, provides insight into the use of interviews and focus groups to bridge the creative tension gap in collaborative problem-solving through a systems thinking approach, and informs policy decisions made by local government. This study's findings have the potential to inform community-engaged efforts to plan for climate change while envisioning a more resilient and fair food system. / Master of Science in Life Sciences / In this study, researchers explore how climate change affects our food system and the steps local communities can take to address these challenges, with a focus on the New River Valley in Southwestern Virginia. By using interviews and group discussions with various stakeholders, including those involved in the food system and local government, we aim to enhance climate adaptation planning in the region. To achieve this, we focus on "building a foundation for change," which involves identifying key stakeholders, getting them involved, and finding common ground for collaboration. Through this approach, we promote systems thinking and cooperation among stakeholders. The insights from this research will be valuable for the Blacksburg Sustainability Department as they work towards climate change resiliency at the local level. This study addresses a gap in the existing literature by examining how municipalities plan for climate resilience in the food system. It also sheds light on the benefits of using interviews and group discussions to foster creative problem-solving through a systems thinking perspective. The findings of this study can contribute to community efforts in planning for climate change, with a vision for a more vibrant and equitable food system. Climate change impacts us all and understanding how local communities can respond and adapt is essential for a sustainable future.

The growing older adult population has led to increased ageist tendencies among younger generations. Previous research suggests that ageism is associated with cognitive and physical decline among older adults. This mixed-methods research project examined changes in ageist perceptions among graduate student facilitators and undergraduate nutrition ambassadors after participating in a training that included information about healthy aging, addressing ageism, and communicating with older adults. Results from a secondary data analysis of pre-test/post-test data and thematic analysis of semi-structured interviews with facilitators of Socially Nutritious, a virtual nutrition education program for older adults, indicate that ageist perceptions decreased after the training, which was supported by positive experiences with intergenerational communication articulated by graduate student facilitators in the interviews. Training to address ageism and develop a positive perception of aging and intergenerational experiences sharing knowledge about foods and nutrition may decrease ageist beliefs among young adults.

Family preservation services are intended to prevent the out-of-home placement (into foster care or some other alternative arrangement) of children and youth in families at risk of maltreating them. An Ecological Systems perspective of these families might suggest that a family’s context (represented by the variables of poverty, agency services, family history, and individual/caretaker characteristics) must be considered as an over-arching influence in families’ risk and outcomes. The purpose of this cross-sectional secondary data analysis study was to identify layered factors that distinguish family preservation cases in Richmond, VA that experience removal or subsequent abuse or neglect from those that do not, in order to make recommendations about how services can be better directed to support families in caring for their children and youth. Using Hierarchical Discriminant Function Analysis, this research project evaluated the “predictive” values of the external conditions and internal characteristics of family recipients of the Richmond, Virginia Department of Social Services corollary to family preservation services on the outcomes of (a) successful case closure, (b) out-of-home placement during services, and (c) child maltreatment after case closure. Contextual factors (poverty), Agency factors (number of services and ratio of concrete services), Family factors (history of placement, chronicity of maltreatment, abuse risk score, and neglect risk score), and Individual/Caretaker factors (caretaker substance abuse, caretaker mental health, and family structure) were investigated. The findings of this study showed that poverty, agency characteristics, and family characteristics each directly explained substantial amounts of variance among the outcomes and that poverty, provision of concrete services, and a family history of foster care placement best distinguished among families experiencing these different outcomes. These findings highlight the need of family preservation programming to directly address conditions of poverty in abuse and neglect risk, and suggest that the services provided to the families need better targeting to families’ needs. Recommendations based on this study include the development of a theory-based, local-evidence-based model of services for family preservation services at the agency for which the research was conducted.

This research assessed the perceived and actual roles of Faith-Based Organizations (FBOs) in their community and in working with offenders and their families in relation to the Criminal Justice System (CJS). Additionally, the research study evaluated this issue on the local level in an attempt to ascertain whether FBOs still do what they have historically been perceived to do or whether their involvement with the CJS has shifted in any way. Particularly, the research study also examined perceptions of staff members from FBOs regarding services and support provided for families of offenders. The sample was selected using a combination of convenience and snowball sampling. Group sizes ranged from 2-5 participants. A total of 14 participants interacted in the focus groups. Each focus group lasted approximately one hour. All focus groups were recorded using a digital audio recording device, and transcriptions of the focus groups were prepared. The transcripts were prepared using a combination of edited and intelligent transcription techniques. Researchers reviewed the transcriptions for recurring themes. Twenty-four initial themes were generated. Researchers then reviewed the themes for redundancy which resulted in 10 themes being identified. The transcripts were then coded based on the 10 revised themes. These themes focused on issues related to the perceived and real roles of FBOs in relation to the Criminal Justice System. As expected, the researchers found that FBO programming difficulties and concerns (f = 65) and misperception and lack of church involvement in the lives of offenders and the CJS (f = 50) were the most recurring themes. Miscommunication and lack of connection between the CJS and community was found to be the third most recurring theme (f = 15), followed closely by lack of reunification of offenders with their families (f = 14). Perceptions of participants such as clergy and mental health practitioners confirmed the researcher’s expectations that offenders often express deep anxiety and concern over being separated from their families. Thus, current programming efforts may reflect a lack of emphasis on services designed to rejoin offenders with their families or reintegrate them in family systems based on participants’ perceptions. Analysis of the data is ongoing. Researchers will return to the data to further discuss theme coding and to determine if additional themes emerge. All identified themes will be further assessed for inter-rater reliability.

This thesis uses qualitative ethnographic research methods to present a case study that explores the multiplicity of meanings and representations that are attached to the Old Deery Inn & Museum in Blountville, Tennessee. Within the community, the Inn functions as a center for cultural memory, with the physical structure itself acting as an artifact that holds community identity. This community narrative contrasts with the official narrative used by tourism entities that markets the Inn as a part of the Appalachian region, situating the Inn within a complex and intricately constructed identity of place that is shaped by lived experiences as well as perceived cultural markers. By unraveling the narratives, this study unpacks the ways that the Inn’s various identities figure into the development of current interpretation and management efforts, and the way that this locally important historical site fits into the larger narrative of tourism marketing in East Tennessee.

This thesis investigated the restoration of mauri (life-force) to Ōkahu Bay, Auckland New Zealand. Ōkahu Bay is part of the land and waters of Ngāti Whātua Ōrākei, a Māori hapū (sub-tribe). Ngāti Whātua Ōrākei has been driving the restoration, restoring Ōkahu Bay based on their worldview, visions, and concerns. This vision and control of the restoration process allows them to bring in the hapū in sustainable engagement and have the long-term vision and commitment necessary for self-determination. However, while there has been progress with projects and improved decision-making authority, hapū members are still not seeing their whānau (family) swimming in and caring for Ōkahu as much as they would like. Interviewees wanted to see an explicit focus on encouraging hapū members to use the bay, such as more educational programs and water-based activities, and continued efforts to improve water quality. Shellfish populations have also not recovered after a decade of monitoring due to structural aspects such as existing stormwater pipes. Changing these requires Auckland City Council to make stronger commitments to supporting Ngāti Whātua’s restoration. Overall, this investigation showed that in this restoration, a clean environment is essential to build community and a community is essential to build a clean environment. This community-driven restoration, while not perfect, has great potential to truly reconnect people with their environments, decolonize the land and the people, and create thriving ecosystems and people that benefit themselves, their communities, and the wider Auckland community.

This dissertation project seeks to address the sociological processes, dynamics, and mechanisms inflecting how and why U.S. society reproduces a sexually dimorphic, binary gender structure. The project builds upon the work of sociologists of gender on the doing gender framework, intersectional feminist approaches to identity formation, and hegemonic masculinity and relational theories of gender. In a 2012 article in Social Science and Medicine presenting contemporary concepts in gender theory to the health-oriented readers of the journal, R. W. Connell argues that much public policy on gender and health relies on categorical understandings of gender that are now inadequate. Connell contends that poststructuralist theories highlighting the performativity of gender improve on the assumption of a categorical binary typical in public policy, but they ignore the insights of sociological theories emphasizing gender as a structure comprising emotional and material constraints of the complex inter-relations among social institutions in which performances of gender are embedded. According to Connell, it is the task of social scientists to uncover “the processes by which social worlds are brought into being through time – the ontoformativity, not just the performativity, of gender.” This project explores the ontoformativity of gender in consideration of Patricia Hill Collins’ concept of the four domains of power. According to Collins, matrices of domination are intersecting and interlocking axes of oppression including but not limited to race/ethnicity, class, gender, sexuality, nation, age, ability, place, and religion that reproduce social inequalities through their interoperation in the cultural, interpersonal, structural, and disciplinary domains of power. West and Zimmerman contrast gender as an axis in the matrix of oppression with site-specific roles, arguing that gender is a master status that is omnirelevant to all situations such that a person is assessed in terms of their competences in performing activities as a man or a woman. The doing gender approach has been accused of theorizing gender as an immutably monolithic social inequality. This project seeks to explicate the dynamics of gender ideology by probing its weaknesses in the interpersonal and cultural domains of power. As Collins and coauthor Sirma Bilge posit, for people oppressed along axes of gender, race/ethnicity, class, age, place, ability, and other binaries that constrain their actions in the structural and disciplinary domains of power, “the music, dance, poetry, and art of the cultural domain of power and personal politics of the interpersonal domain grow in significance.” Each of the three components of the dissertation project addresses a facet of mechanisms and processes of the interpersonal and cultural domains of power in (re)producing the binary gender structure in U.S. society. Paper #1, titled, “Integrating Black Feminist Thought into Canonical Social Change Theory,” explicates how people in marginalized social locations mount definitional challenges to their received classifications in the cultural domain of power by rejecting the consciousness of the oppressor and wielding rearticulated collective identity-based standpoints as contextually attuned technologies of power to recast historical narratives. Paper #2, with teenaged co-researcher Emma Draper, titled “Ordering Gender: Interactional Accountability and the Social Accomplishment of Gender Among Adolescents in the U.S. South,” maps how youth theorize interactional accountability processes to binary gender expectations in the interlocking social institutions of medicine, the family, schools, and peer social networks. Paper #3 is a book proposal comprising an introductory chapter. The book will tell the story of how young feminist arts-activists challenge the binary gender structure through resistance in the cultural and interpersonal domains.

This qualitative study examines the challenges that community health workers or Promotores face when implementing their programs to produce better outcomes in the Latino community. Data collection was derived from five local promotores with an adequate knowledge base of expertise in promotores programs. Study themes focused on how promotores implement their programs, the challenges they face and providing professional and personal insight on working with the Latino community. Present day research emphasizes that promotores or the community health worker model approaches have been promoted as a strategy to address health disparities experienced by Latino communities in the U.S. These programs have been implemented in an effort to improve the health of Latino families and bring awareness to public health issues. However, not much is known about the challenges that they face when implementing these interventions. Study results indicated five emerging themes pertaining to the challenges that promotores face when implementing their programs and include: mental health stigma, recruitment, funding barriers, and lack of evaluation. Finally, suggestions for further research on promotores and the Latino community are discussed.