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AI for Life-Saving Communication with Vulnerable Populations Before and During Natural Disasters
No full textPerceptions and Behaviors in Gameplay A Qualitative Study of Self-Reported vs. Observed Engagement Through Gamification User Types Hexad Scale
No full textFactors Associated with Admission to a Doctor of Physical Therapy Program: A Single Program Review
No full textPurpose: The U.S. physical therapy workforce lacks diversity, largely influenced by healthcare program admission procedures that affect student diversity and, in turn, the profession itself.
Health care training programs are the main pipeline to increase representation in the physical therapy field. This study aimed to characterize applicants\u27 demographic and educational profiles applying to a single accredited Doctor of Physical Therapy program and examine factors associated with admission outcomes when considering race; investigate program-level factors associated with applicant diversity in a Doctor of Physical Therapy program, focusing on the role of non-academic application questions; and examine differences in cognitive metrics among applicants from various institutions, based on size and selectivity, when applying to a single accredited DPT program.
Methods: This retrospective descriptive study analyzed data from applicants to a U.S. Doctor of Physical Therapy program. Demographic details, including application questions, basic applicant information such as gender, race, and age, and applicant undergraduate information, such as the institution, were collected. Measures related to the applicant\u27s cognitive assessment, including grade point averages, Graduate Record Examination scores, professional reference scores, and admission outcomes, were also collected. Various statistical testing was conducted to answer each of the research questions.
Results: The main results found through these three research questions are that, first, pre-admission factors varied significantly between White and minority applicants. Second, three questions were significantly associated with minority status: multilingual fluency, self-identification as a disadvantaged applicant, and previous course failure. Lastly, institutional selectivity significantly predicted GRE scores, with more selective institutions yielding higher scores, and region also predicted OGPA, with applicants from the South achieving higher GPAs. However, both findings\u27 effect sizes were modest and limited in applicability.
Conclusion: There are several applications to these study findings. First, no significant changes to the cognitive admission variables should be made. Second, changes to non-cognitive admission variables should be considered. Third, this data is a baseline and needs to be further assessed and explored. Lastly, a shift is necessary to more outcomes-based admissions considerations versus the current metric-based admissions. With this shift, admissions-specific goals need to be established within the program\u27s strategic plan
The Place Speaks: Sacred & Artistic Genealogies of Appalachia
No full textJimmy Morrow was born March 6, 1955 in Raven Branch, a population area in rural Del Rio, Tennessee. His father, Albert Morrow, is remembered as a very devout man who raised his seven children in the church, and young Jimmy Morrow began preaching there when he was just six years old, soon after he received his first vision. Throughout his career, in which the Rev. Morrow was the founder and pastor of the Edwina Church of God in Jesus Christ’s Name, Morrow also preached at churches in Tennessee, Alabama, Georgia, South Carolina, and Kentucky. Alongside his work as a spiritual leader, Morrow compiled genealogies, collected photos, and documented local histories by hand, amassing one of the largest collections of information on Appalachian religious serpent handling in the world.
At the time of his passing on January 24, 2023, the Rev. Morrow had become known internationally for his strong faith and religious practices, as well as for his Appalachian folk art, and had been featured in documentary films, book publications, podcasts, and numerous articles. Reverend Jimmy Morrow is remembered as a kind man who never met a stranger, a wise community member who generously shared his knowledge and cared for his neighbors, and an impassioned self-taught artist who painted, made kudzu baskets, constructed dolls and stuffed figures, and built snake boxes to transport his wild-caught serpents.
In the spring of 2023, Dr. Rick Cary, Professor Emeritus at Mars Hill University, contacted the Reece Museum to gauge our interest in helping to preserve and share Jimmy Morrow’s artistic legacy following his sudden passing. Having known the Rev. Morrow for a number of years, Dr. Cary has been instrumental in the Reece Museum’s ability to collect and document the artworks, memories, and stories that keep Morrow’s spirit and his important connection to Appalachia alive. As Dr. Cary writes in his artist statement: “The late Rev. Jimmy Morrow was a placed person.”
In the years following our initial meeting, Reece Museum staff have had the privilege of connecting with Mrs. Pamela Morrow, who was married to Jimmy for 49 years. The wounds of her loss are still fresh, but over time she has begun sharing stories about her community and her observations of the Rev. Morrow’s art-making practice. Mrs. Morrow recalls that he created his paintings from spiritual visions and messages from God. He would not paint while seated or standing—he only painted on his knees, on the concrete porch of his home in Del Rio, Tennessee. She describes his paintings as “gifts of the Spirit” and fondly remembers, “Jimmy painted what God showed him.”
Over the course of four or five visits, Mrs. Morrow and Dr. Cary guided us through the Edwina Church of God in Jesus Christ’s Name, which the Morrows founded in 1993. Albert Morrow, Jimmy’s father, bought the land from Pamela’s family and donated it to the church. The Morrows and the church members built the church and the adjacent cabin, which held an amassed archive of the Rev. Morrow’s paintings, baskets, and dolls. The vast majority of Morrow’s visionary artworks that we viewed featured depictions of animals, mountainous landscapes, or collected histories related to the Cocke County area.
As we took our trips to Newport to spend time with Mrs. Morrow and Dr. Cary, we invited faculty and community members to join us, including Dr. Jennifer Axsom Adler, an ETSU Professor who specializes in American Religious History. Her interest in Jimmy’s artwork encouraged an academic collaboration unlike any project that the museum had undertaken in recent years. Using her developed course syllabus for Religion in Appalachia, Dr. Adler worked with us to compile a list of approximately 200 artifacts in the permanent collection that pertained directly to the course objectives. Following intensive artifact research conducted by the students in the course, they each developed an exhibition proposal that applied their research and findings in a practical and professional museum setting. Several of the students showed an interest in Morrow’s artworks in particular, as they had never experienced anything like them before.
This exchange proved to be incredibly beneficial for all parties involved. Using the museum’s permanent collection bolstered Dr. Adler’s course offerings, the students received hands-on, professional experience in the form of course credits, and the museum received well-researched, written deliverables that are now published in online artifact entries, with credits given to the students who produced the research. Dr. Adler and several of her students contributed to the facilitation of The Place Speaks and have continually inspired new ideas and approaches to interpreting and appreciating Jimmy’s art.https://dc.etsu.edu/reece-exhibit-pubs/1004/thumbnail.jp
Obesity and Mental Health in U.S. Children and Adolescents: Understanding Access Through Social Determinants
No full textObesity is a public health concern in the United States (U.S), with 14.7 million children aged 2-19 years suffering from this condition in 2022. Obesity presents co-occurring health conditions such as mental health (anxiety, depression) and physical disabilities. In 2022, approximately 3.3 million children and adolescents in the U.S. had some form of disability; as it relates to mental health conditions during the period 2021-2023, adolescents aged 12-17 years had higher prevalence of anxiety and depression when compared to children 6-11 years. These co-occurring conditions, results in increased health care expenditure, and poor quality of life for children and adolescents across the U.S. This study has several objectives: 1) conduct a scoping review of available evidence on barriers to mental health care for obese children aged 6 to 17 with physical disabilities, identifying related gaps; 2) examined household mental health and social determinants of health factors on the mental health status of obese children and adolescents; 3) explore the intersection between accessible housing and mental health outcomes in obese children across Appalachian states (North Carolina, Tennessee, and Virginia), and provide recommendations for policy and practice based on identified gaps. This multi-method study employed 1) a scoping review, adhering to the PRISMA ScR guidelines; 2) a cross-sectional analysis of data from the 2022-2023 National Survey of Children’s Health using logistic regression models, and a policy analysis highlighting similarities and gaps between state housing policies, and their implications on population outcomes. The scoping review analyzed 10 articles and revealed barriers to mental health access for obese children with physical disabilities. These barriers, although not exhaustive included, stigma, lack of providers, lack of provider knowledge and training, and family resources. The quantitative study revealed 16% of obese children and adolescents had either anxiety or depression, approximately 4% were physically disabled, 18% had parent with poor mental health and 14% lived in neighborhoods with poor quality housing. The policy analysis highlighted gaps in accessible housing between the three states (North Carolina, Tennessee, and Virginia), including difference in financing of accessible housing, and compounding vulnerabilities evident in increasing mental health burden within the population of children and adolescents. Efforts should be made to improve family level supports, increase mental health screenings for children with obesity or physical disabilities, and supports for renters for accessible modifications to improve mental health outcomes for children and adolescents with obesity and co-occurring physical disabilities
