Central Appalachia experiences disproportionate rates of poverty. Historical exploitation has resulted in a lack of trust in others. Appalachia Service Project (ASP) utilizes interpersonal interactions as a way to market their free home repair services to a hesitant region. This study is an extension of a qualitative project about the link between housing repairs and health. The purpose is to highlight the impact that positive interaction with ASP has on willingness to receive assistance through service organizations in rural East Tennessee. Twenty-eight phone interviews were recorded through Zoom and thematic analysis was done using NVivo software. Twenty-four (86%) of those interviewed increased in their willingness to receive assistance based on their positive experience. Themes included being treated with dignity and respect, quality time, the intergenerational interface, reciprocity, and being spiritually uplifted. Further research is suggested regarding the affect religious communities, honor culture, rurality, and industrial ties have on willingness to receive assistance.

Staff management research in group home settings has involved direct observation of staff performance during pre-treatment and treatment conditions. Collecting accurate research data is crucial to analyze treatment effects; however, reactivity to being observed has been cited as a limitation in several studies. The current study evaluated the use of a tactile prompt, self-monitoring, and feedback to increase positive interaction in a group home setting. Direct support professional staff were trained on the purpose and use of the MotivAider which provided tactile prompts to remind them to engage in positive client interaction. Reactivity was assessed by having a confederate observe staff positive interaction when the supervisor was present and when the supervisor was absent. The effects of supervisor presence were evaluated using an alternating treatment within a multiple baseline across participants' research design. Results showed that 2 of 4 participants increased positive interactions only when a supervisor was present and 2 other participants increased positive interaction only after receiving feedback.

Parent-Child Interaction Therapy is a probably efficacious, evidenced-based treatment, which has been proven to decrease problem behaviors of children, as well as improve parent-child interactions. The first phase is the Child-Directed Interaction (CDI), which allows the child to lead the play session, while parents are taught to interact without giving demands, asking questions, or providing criticism. According to the DSM-IV-TR, Reactive Attachment Disorder is a rare diagnosis. Many attachment therapists indicate that traditional approaches to treatment have not been demonstrated as being effective with these children. This study will examine the CDI phase of Parent- Child Interaction Therapy as a potential treatment option for children diagnosed with Reactive Attachment Disorder.

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