Current Funded Projects
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Health Promotion|Maternal and Child Health

A Hybrid Effectiveness-Implementation Trial of Go NAPSACC: A Childcare-Based Obesity Prevention Program

with PI Dianne Ward, University of North Carolina-Chapel Hill | R01HL137929

 

Childcare programs are an ideal setting for health promotion initiatives aimed at preventing childhood obesity. This study tests the effects of two sets of implementation strategies—Go NAPSACC Basic vs. Go NAPSACC Enhanced—on childcare centers’ use of best practices in nutrition and physical activity. Outcomes include indicators of quality of implementation (e.g., adoption, acceptability), center-level effects (nutrition and physical activity practices), and child-level effects (physical activity, BMI, waist circumference).

Other

Almost-Smooth Nonparametric Regression and Pattern Recognition

Richard Charnigo | W911NF-17-1-0040

 

Epidemiological (and other) studies often require creating mathematical formulae (i.e., functions) that represent a series of measured average responses (e.g., to an intervention) as well as calculating the area under that mean response function (e.g., if the function were plotted as curve on X-Y axes). Methods exist for creating functions and calculating the areas under smooth curves or significantly jagged curves.  “Almost smooth” curves, however, present mathematical and statistical challenges: treating them as either smooth or jagged very likely misrepresents the measured phenomenon they are meant to represent and imposes other limitations as well.  This project aims to create a new statistical methodology and provide the corresponding mathematical justification for nonparametric estimation of “almost smooth” mean response functions that overcome current limitations, will be more realistic, and be more broadly applicable.

Other

AOTA Evidence- Based Practice Project

Beth Hunter | 01-19

 

We are working with the American Occupational Therapy Association (AOTA) staff to manage and produce systematic reviews, practice guidelines, and other evidence-based publications geared toward occupational therapy. The aim is to assist AOTA as they begin to develop a systematic way for translating information from the evidence-based publications to the clinicians in practice.

Community-Based Participatory Research

Appalachians Together Restoring the Eating Environment (APPAL-TREE): Advancing Sustainable CBPR Interventions to Improve Healthy Diet in Rural Appalachian Children

Mark Swanson | U01MD01055603

 

In an effort to foster healthy diets, the Appalachians Together Restoring the Eating Environment (Appal-TREE) program works with community members to deliver a tested package of healthy diet interventions (water promotion, cooking classes, and expansion of the Summer Food Service Program) to Appalachian communities. Area youth are being engaged in social marketing as a means of promoting sustainable support for this intervention.

Health Promotion|Maternal and Child Health

Behavioral Parent Training for Families with Deaf and Hard of Hearing Preschoolers

| R01DC01695701

 

Children who are deaf and hard of hearing (DHH) exhibit disruptive behaviors at nearly twice the rate of typical-hearing children (likely due to communication challenges), but rarely receive evidence-based interventions to prevent or reduce them. This project systematically adapts an evidence-based parent training intervention to increase its acceptability and relevance for parents of young children who are DHH. We are assessing the effectiveness of the adapted intervention and its implementation with children and parents followed in hearing healthcare clinics across Kentucky.

Health Policy / Health Services Research

Center for Rural Health Research

| U1CRH30041

 

This project is now housed in the UK College of Nursing. The Center will produce research findings that are national in scope utilizing several existing nationally representative insurance claims and survey data sets. Our 5 propose projects include: 1. Evaluating Rural Hospital Contributions to the Rural Public Health System. This proposed project will first evaluate geographic variation in the delivery of core public health activities in rural communities and rural hospital contribution to those core public health activities. This study will then examine the association between rural public health systems and rural hospital charity care, or uncompensated care. 2. Variation in Scope of Practice and Medical Services Available at Family Physician Practices within Rural Areas. Using data collected during recertification examination registration of family physicians certified by the American Board of Family Medicine (ABFM), this project will examine the variation in scope of practice of family physicians and the services available in the primary practice site by degree of rurality and within rural categories by community level deprivation. Additionally, we will examine variation by Patient Centered Medical Home (PCMH) status. 3. Exploring the Impacts of HRSA’s Rural Health Network Outreach, Development and Planning program. HRSA has invested over $211 million in network planning, outreach and development grants between 2009 and 2015. This project will build upon an early evaluation that focused only on the planning projects by exploring the comprehensive impact of each of the four programs designed to spur collaborative behavior and improved and efficient access to health services. 4. Barriers and Disparities Associated with Pneumococcal Immunization among Rural Elderly Adults. This proposal seeks to identify the barriers and disparities associated with pneumococcal immunization among rural Medicare beneficiaries. The study will focus on the variation in the delivery of these immunizations based on patient demographics, comorbidities, and patient’s location using survey data from the Centers for Disease Control (CDC) Behavioral Risk Factor Surveillance System (BRFSS), and health claims data from two nationally representative large commercial health insurers. 5. The Impact of Medicaid Expansion on Rural Access to Substance Use Treatment. This project will examine how Medicaid expansion is associated with rural/urban variations in key indicators of substance use treatment access (e.g., past year use of formal and informal substance use treatment, the locations of substance use treatment, and perceived unmet need for substance use treatment). To address these questions, we will conduct analyses of the National Survey on Drug Use and Health (NSDUH).

Occupational Health|Other

Central Appalachian Region Educational Research Center

| T42OH010278

 

Building on the strengths of our education and research programs and responding to the need for innovative, coordinated occupational safety and health training in central Appalachia, the Central Appalachian Regional Education and Research Center (CARERC) is providing targeted instruction, training, and applied research while serving as a recognized source of knowledge and expertise.

Community-Based Participatory Research

Communities Actively Researching Exposure Study

Erin Haynes Kim Cecil, Cincinnati Children's Hospital Medical Center | R01ES02644601

 

Communities Actively Researching Exposure Study (CARES) is community-based participatory research (CBPR) with the goal of understanding the effect of manganese exposure on children’s health. Researchers at the University of Cincinnati and Cincinnati Children’s Hospital Medical Center are leading this research in collaboration with our partners at Children's Hospital of Pittsburgh, Marietta College, and Kent State University at East Liverpool and with the support of the communities in Marietta, Cambridge, and East Liverpool, Ohio.  The study has recently expanded into Southeast Side Chicago with partnership from University of Illinois-Chicago.  These studies are funded by the National Institutes of Environmental Health Sciences (NIEHS).

Community-Based Participatory Research

Community-Engaged Research and Action to Reduce Respiratory Disease in Appalachia

Steve Browning | R01ES024771

 

Residents of rural Appalachia have the nation's highest rates of respiratory disease (asthma, chronic obstructive pulmonary disease, etc.). This project is the first to (1) study the many factors—environmental, social, and behavioral—that may account for this health inequity, and (2) test an innovative approach to improve respiratory health. We draw on our long-standing partnerships with several community groups—a community research organization; a community coalition/advisory board; local media, health, education, faith organizations—to do an epidemiologic assessment, share the results, and then implement and evaluate an environmental public health strategy.

Other

COPD Patient Powered Research Network (PPRN) and Bronchiectasis Research Registry (BRR)

Steve Browning | No ID

 

Chronic obstructive pulmonary disease (COPD) affects over 12 million individuals in the US, is responsible for 800,000 hospitalizations per year, and recently became the US’s 3rd-leading cause of death. The disparities between clinical practice, treatment options described by efficacy studies, and survival rates make COPD ripe for patient-centered outcomes research. This project provides data analysis support for the COPD Patient Powered Research Network (PPRN). We are developing the data analysis plan for the COPD PPRN, generating reports and data analyses in response to partner requests and/or for use in scientific manuscripts. In addition, this contract supports similar services for analysis of baseline and longitudinal data for the Bronchiectasis Research Registry (BRR). Finally, analysis and data presentation for the Kentucky epidemiology of COPD report card is included in this work.

Other

Creating the Online “Journal of Appalachian Health” with a Focus on the Social and Economic Determinants of Health and Health Equity in Appalachia

Major health disparities in Appalachia arise from inequities in upstream determinants of health, including poverty, education, housing, jobs, and the impact of extractive industries. Disparities remain despite major efforts to improve the health of Appalachian people. Currently, no single published source contains information about current research and other knowledge regarding Appalachian health, and this is a potential contributor to continuing health disparities. We are creating the Journal of Appalachia Health, an open-access, on-line, peer-reviewed journal. Our goal is to provide research findings to those in the region who can use it in their work, including actionable information and knowledge in the various domains of health determinants that underlie disparities in Appalachia. In addition to establishing the journal, our work seeks to insure the financial, economic, and technologic sustainability of the publication for the long term.

Substance (SUD) / Opioid (OUD) Use Disorder

Data-Driven Responses to Prescription Drug Misuse in Kentucky

Svetla Slavova | 2017-PM-BX-K026

 

This project aims to strengthen collaborations, data-sharing, and decision-making of regulatory and law enforcement agencies and public health researchers and officials in their efforts to reduce prescription drug misuse and diversion as well as illicit drug use. We are evaluating the impact of relevant sections of Kentucky Revised Statute 218A.202 (which requires KY courts to forward drug conviction data to the KASPER electronic monitoring system), educating prescribers and dispensers on these KASPER data, evaluating changes in gabapentin prescribing and diversion, and analyzing existing and new data sets for identification of drug abuse.

Substance (SUD) / Opioid (OUD) Use Disorder

DBH KIPRC Needs Assessment- KORE Grant Assessment

Terry Bunn | PON27291700002889

 

Kentucky is among the top ten states with the highest opioid-related overdose deaths. The Kentucky Injury Prevention and Research Center and collaborators are assessing and revising the Commonwealth’s comprehensive Opioid State Strategic Plan (OSSP). To accomplish this, we are utilizing existing needs assessment data for identifying, preventing, and treating opioid use disorder as well as capacity assessment data (including number and location of treatment and recovery support centers). Key elements of OSSP will be the identification of gaps in evidence-based treatment availability and shortfalls of treatment and recovery service capacity. The OSSP will contain performance measures as well as strategies; activities; and short-, intermediate-, and long-term outcome goals.

Injury Prevention

Department of Public Health University of Kentucky Injury Prevention FY 2019

Susan Pollack | SC7281900000104

 

Childhood injury prevention remains a public health priority in Kentucky. Working through the Kentucky Injury Prevention Research Center (KIPRC), this project provides the Department of Public Health’s Child Fatality Review/Injury Prevention Program as well as local injury prevention coalitions, local public health departments, safety advocacy groups, and others with professional development and technical assistance and consulting service for education, public health programming, policy initiatives, surveillance, risk factor analysis, direct interventions, and evaluations. The program’s goal is to assist these other agencies and organizations more effectively address childhood injury problems at the community level.

Substance (SUD) / Opioid (OUD) Use Disorder

Enhanced State Surveillance of Opioid-Involved Morbidity and Mortality

Terry Bunn and Svetla Slavova | NU17CE924880

 

In 2014 Kentucky had the 4th highest drug overdose mortality rate in the US, with 1,077 drug overdose deaths. Recent legislative initiatives to improve opioid prescribing practices may have led to reductions in drug overdoses involving historically common prescription drugs such as oxycodone, oxymorphone, and hydrocodone. At the same time, however, abuse of other drugs such as heroin and fentanyl is increasing. We are developing strategies and activities that will: (1) Establish enhanced surveillance systems for opioid drug overdose in KY; (2) Engage key stakeholders in development of a dissemination plan to maximize impact of the enhanced surveillance; (3) Contribute to the development of nationwide enhanced surveillance of opioid overdose through collaboration with the CDC and other Enhanced State Surveillance for Opioid-Involved Morbidity and Mortality grantees.

Other

FY 2019 UK Heart Disease and Stroke Program

Paula Arnett | PON27281800001694

 

The UK Research Foundation provides services to support the Chronic Disease Prevention Branch, including work with Heart Disease and Stroke Prevention (HDSP) Programs and Behavioral Risk Factor Surveillance (BRFSS) Program related to Cancer, Diabetes, and Asthma. The UK also provides technical assistance to augment the adoption and use of Health Information Technology and health information exchange to implement quality improvement processes for population-focused identification and management of hypertension and diabetes through the Kentucky Regional Extension Centers.

Genetic Studies

Genomic Association Study of Lipid Response to Fenofibrate and Dietary Fat

Donna K. Arnett | R01HL091357

 

People differ in the ways their bodies process dietary fats and in the ways they respond to drugs meant to lower elevated blood lipids (such as cholesterol and triglycerides, factors that can increase the risk of cardiovascular disease). By studying the building blocks of lipids and the chemicals that lipids are broken down into, this project seeks to determine which genetic factors influence people's blood lipid concentrations after eating a high-fat meal or after taking a lipid- lowering drug. Ultimately, this research may help doctors more accurately assess people's risk of cardiovascular disease and more effectively prescribe drugs to prevent disease.

Maternal and Child Health

HANDS Program Evaluation FY 2019

This program provides epidemiological support and consultation for maternal and child health issues. We insure that the evaluation plan developed for the Maternal and Early Childhood home visitation (MIECHV) grant is completed and complies with all federal funding agency requirements for reporting and analysis. We evaluate obstetric-related approaches to the prevention of Neonatal Abstinence Syndrome, a major public health priority for maternal and child health.

Health Policy / Health Services Research

Hospital Response to Medicare Readmission Penalties

Teresa M. Waters | R01HS023783

 

The novelty of the Medicare Hospital Readmission Reduction Program’s (HRRP) financial penalties in hospital reimbursement make investigation of the Program’s impact a critical policy priority. This study examines the impact of the HRRP by focusing on which hospitals are getting penalties—considering both penalty size and scope—and how readmission rates are changing over time. Using hierarchical generalized linear models, we are also examining the impact of the HRRP on Medicare readmission rates targeted by the program and looking for evidence of spillover effects on other readmission rates (e.g., similar conditions, non-Medicare readmissions).

Genetic Studies

HyperGEN: Genetics of Left Ventricular Hypertrophy

Donna K. Arnett | R01HL055673

 

Black people tend to have an enlarged left ventricle (the heart chamber that pumps oxygenated blood throughout the body) more commonly than those in other race groups, putting them at greater risk for having potentially fatal cardiovascular diseases. Enlarged left ventricles are caused, at least in part, by a person's genes. This study seeks to discover which genetic factors may cause an enlarged left ventricle; this may ultimately lead to new diagnoses and treatments to help lower cardiovascular disease risk in blacks.

Health Policy / Health Services Research

Impact of Medicare Value Programs on Inpatient Quality Indicators (IQID) and Patient Safety Indicators

Teresa M. Waters | R01HS025148

 

The penalties and bonuses assessed under Medicare's current hospital Pay for Performance (P4P) programs focus an unprecedented amount of attention on a limited set of performance metrics; this narrow and intense emphasis may create unintended consequences for areas that lie outside the focus of these programs. We are using the Agency for Healthcare Research and Quality’s inpatient quality indicators and patient safety indicators to assess how the P4P programs may have affected a range of quality and safety areas, especially areas outside the focus of the programs. Our timely analyses will identify and quantify potential unintended effects of the Hospital Readmission Reduction Program, the Hospital Acquired Condition Reduction Program, and the Hospital Value Based Purchasing program on areas and populations outside the focus of these programs.

Substance (SUD) / Opioid (OUD) Use Disorder

Kentucky Communities and Researchers Engaging to Halt the Opioid Epidemic - CARE2HOPE

April Young with Hannah Cooper, Emory University | UG3 DA044798

 

Opioid misuse and related harms (e.g., hepatitis C virus infection, overdose, HIV infection) are spreading from cities to rural areas in the US. These epidemiologic shifts are crises that rural public health systems have yet to meet, and a wide “implementation chasm” exists for drug-related health services in rural areas. Kentucky—a predominately rural state acutely affected by these drug-related epidemics—is starting to close this chasm by mounting an unprecedented expansion of syringe service programs (SSPs). This study is a first step toward establishing the next generation of implementation science to enhance the effectiveness of this new wave of rural SSPs.

Occupational Health

Kentucky Occupational Safety and Health Surveillance Expanded Program

Terry Bunn | U60OH008483

 

When workers have injury prevention knowledge, injuries will decrease and the economic costs of injuries will decrease because there will be fewer worker compensation claims. This project seeks to advance this goal by 1) identifying industries, occupations, and worker populations at high risk for work injuries and illnesses; 2) identifying risk factors, trends, and emerging issues related to occupational injury and illness; and 3) identifying gaps in and improving occupational injury and illness surveillance systems.

Injury Prevention|Substance (SUD) / Opioid (OUD) Use Disorder

Kentucky Prescription Drug Overdose Prevention Program

Terry Bunn | NU17CE002732

 

Kentucky had the 2nd highest 2013 drug overdose fatality rate in the US, with 23.7 drug overdose fatalities per 100,000 population, more than quadruple the 2009 rate. In conjunction with the Kentucky Injury Prevention and Research Center, we are using three approaches to address this public health emergency: (1) Enhancing and maximizing Kentucky’s prescription drug monitoring program’s (KASPER) use and effectiveness. We will make KASPER easier to use and expand it by adding multi-source drug overdose and nonfatal prescription drug overdose surveillance. (2) Implementing community interventions.  Among other initiatives, we will provide technical assistance to high-burden counties, enhance local health departments’ use of surveillance data, and train law enforcement in the use of naloxone. 3) Conducting policy evaluation. We will perform cost-benefit analysis of regulations that require KASPER and of the law requiring decedent substance testing when no other cause of death has been established.

Injury Prevention

Kentucky Violence and Injury Prevention Program

Ashley Bush | NU17CE924846

 

In 2014, Kentucky had the 5th highest unintentional injury fatality rate and 12th highest motor vehicle fatality rate in the US. The intentional injury fatality rate was 17% higher and traumatic brain injury (TBI) fatality rate was 23% higher than overall US rates. The Kentucky Violence and Injury Prevention Program’s (KVIPP) goal is to decrease such morbidity and mortality rates through implementation, evaluation, and dissemination of evidence-based intervention programs. The KVIPP aims to: (1) Educate Kentucky Department of Public Health (KDPH) leaders about approaches to injury and violence prevention (IVP); (2) Coordinate communication and collaboration among KDPH and external partners in IVP programs; (3) Enhance the KY injury plan; (4) Implement evidence-based IVP strategies; (5) Develop a reflection and evaluation process; (6) Enhance surveillance to capture IVP data; (7) Disseminate surveillance and evaluation data to stakeholders to inform quality improvements.

Injury Prevention

Kentucky Violent Death Reporting System

Sabrina Brown | NU17CE002601

 

Tracking and reporting violent deaths falls into the purview of public health professionals. For this project, the Kentucky Department for Public Health, police, coroners, medical examiners, UK Department of Epidemiology, and the Kentucky Injury Prevention and Research Center are collaborating to augment Kentucky’s Violent Death Reporting System (KVDRS). Improvements will expand data collection and allow more advanced data analysis to be performed. In addition to linking intimate partner violence historical data and emergency department data to the KVDRS, we are also streamlining data collection, making the KVDRS more sustainable, improving data quality, and expanding data dissemination.

Substance (SUD) / Opioid (OUD) Use Disorder

Novel Methods for Research on Young Rural Opioid Users at Risk of HIV, HCV & OD

April Young with Hannah Cooper, Emory University | R21 DA042727

 

Epicenters of non-medical prescription opioid (NMPO) use, heroin use, and related harms (e.g., HIV infection, hepatitis C virus infection, drug overdoses) in the US are shifting from cities to rural areas; rural young adults are bearing the brunt of these epidemiologic transitions. This study lays the foundations for a new generation of high-impact multilevel research on how risk environments influence such things as NMPO and heroin use; the transition from oral to injectable opioids; and HIV, hepatitis C, and overdose risk among young adults in multiple US rural counties. Such research will inform the next generation of rural intervention strategies.

Substance (SUD) / Opioid (OUD) Use Disorder

Peer-Based Retention of People Who Use Drugs in Rural Research - PROUD-R2

April Young with Philip Korthuis, Oregon Health & Science University | U01 TR002631

 

Optimal strategies for recruiting and retaining people with opioid use disorder for clinical research in rural America remain unknown. The Peer-based Retention Of people who Use Drugs in Rural Research (PROUD-R2) study leverages the national Rural Opioids Initiative infrastructure, which has sites in rural Oregon and Appalachian Kentucky and Ohio, and partnerships with three Clinical and Translational Science Award sites and the National Institute on Drug Abuse’s Clinical Trials Network, to test an innovative, peer-based strategy to improve research participation and retention of people who use drugs in rural communities.

Genetic Studies

Pleiotropy GWAS of Alzheimer’s Disease

David Fardo | 570551

 

Although each neurodegenerative disease (ND) has distinct pathological features, some features are shared among NDs, such protein aggregation in the brain. This suggests that genetic studies that combine NDs may identify pleiotropic (i.e., one gene having multiple effects) genetic risk factors which may not have been identified in studies of individual NDs. The goal of this study is to identify genes with apparent effects in both late-onset Alzheimer’s disease (AD) and other NDs. We are using both hypothesis-free, genome-wide, genotype-phenotype association analyses to discover novel pleiotropic genes as well as more targeted analyses that examine biological pathways implicated in a particular ND to identify those pathways that might be shared across NDs. By combining genetic analyses of AD with other NDs, we will identify pleiotropic genetic risk factors which may provide targets for pharmaceutical intervention not only in AD but possibly for NDs with similar pathologic features.

Health Policy / Health Services Research

Providing Technical Assistance and Direction for RWJF's Systems for Action Research Program

| 75708

 

The Systems for Action program works to expand scientific knowledge about how to align delivery and financing systems across health and social sectors in ways that improve population health, promote health equity, and achieve efficiencies in resource use. In the current phase of the project, we are: (1) Reviewing, selecting, and launching new extramural research projects; (2) Enhancing opportunities for communication, collaboration, and synergy among extramural and intramural (i.e., UK) investigators; (3) Identifying, synthesizing, and disseminating findings; (4) Educating policy and practice stakeholders in ways of using evidence from the studies; (5) Continuing and expanding intramural research that addresses priorities not addressed by extramural grantees; (6) Working with RWJF and the national advisory committee to develop priorities for future research.

Substance (SUD) / Opioid (OUD) Use Disorder

Role of Social Media and Mobile Apps in Sexual and Drug Co-Usage Networks of MSM

April Young | R03DA039740

 

Optimizing intervention strategies to minimize HIV risk in the era of social networking is a public health priority. This study examines overlaps in the sexual and drug co-usage networks of men who have sex with men (MSM). Using data collected in a mid-sized city in the southern US, we are overlaying information about sexual partnerships that have been facilitated by the use of social networking applications (“apps,” e.g., Grindr, Scruff, etc.) to determine the association between app use and spatial and network-level patterns of HIV risk behavior. This allows us to identify high-risk spatial locations and network structures. This information will be critical to identifying how best to reach MSM using combined geo-targeted, network-driven, and web/app-based approaches for intervention.

Health Policy / Health Services Research

Rural & Underserved Health Research Center

| U1CRH30041

 

The Rural & Underserved Health Research Center seeks to expand the breadth of knowledge available about the organization, coordination, strategizing, and efficiency of health services and policies in impoverished and underserved rural communities, with the ultimate goal of reducing inequities in care and improving population health in rural areas. Each year the center undertakes four new projects in cooperation with the Federal Office of Rural Health Policy. Current and past projects include investigations of the impact of rural hospital closures on use of emergency services; barriers and disparities in pneumococcal vaccination; the impact of Medicaid expansion on rural-urban variations in access to substance use treatment; variations in scope of practice and medical services available at family physician practices in rural areas; predictors of buprenorphine prescribing by rural family physicians; variations in rural-urban mental health treatment use and unmet treatment need; individual and policy-modifiable correlates of substance use, depression, and suicide among metropolitan and non-metropolitan adults; lung diseases among coal miners; rural-urban differences in access to psychiatric partial hospital programs; serious mental illness and access to care among rural and urban adults; Medicare beneficiaries’ access to preventive services; and the association of occupation with mental illnesses and death by suicide.

Other

Rural Cancer Prevention Center

Richard Crosby | U48DP005014

 

Reducing cancer incidence and mortality rates, especially in under-served rural populations, remains a public health priority. Our efforts continue the cancer prevention programs of the University of Kentucky Prevention Research Center (PRC), the only PRC dedicated to cancer prevention in rural Appalachia. We conduct community-based cancer prevention research and are extending our programs to other regions of Appalachia using sustainable dissemination and implementation models.

Health Promotion|Injury Prevention

Southeast Center for Agricultural Health and Injury Prevention- Outreach

Mark Swanson | U54OH007547

 

In an effort to transform agricultural occupational safety and health practices, the Southeast Center for Agricultural Health and Injury Prevention along with regional stakeholders and trans-disciplinary teams of highly qualified investigators have developed an integrated, mutually reinforcing package of research, translation, prevention/intervention, and education projects aimed at improving agricultural health and safety outcomes.  

Occupational Health

Southeast Center for Agriculture Health and Injury Prevention

| U54OH007547

 

The Southeast Center for Agricultural Health and Injury Prevention at the University of Kentucky (UK) proposes to continue serving as a NIOSH Agricultural Center for 2011-2016. The Center, founded in 1992, is one of seven Centers of excellence in the UK College of Public Health. Our location on a land-grant campus allows substantive trans-disciplinary collaboration within this renewal from disciplines including agriculture, public health, epidemiology, engineering, education, social work, communications, economics, nursing, medicine, and Cooperative Extension. We propose 9 projects: 3 are comprehensive R01 research; 2 are R18 prevention/intervention; 1 is an ROS education/translation project, and 3 are R18 education/translation projects. The application includes an administrative/planning core and separate strategic plans for outreach, pilot/feasibility studies, and evaluation. The Center's theme, "Trans-disciplinary approaches to agricultural safety and health in the Southeast," is further distinguished by our emphasis on serving limited resource and vulnerable farm populations while addressing persistent and emerging agricultural occupational safety concerns. The region served by the Center will continue to be the 10 southeastern states of AL, FL, GA, KY, MS, NC, SC, TN, VA and WV. With this renewal, the Southeast Center expects to have a substantial impact on the following priorities: Hispanic farmworker safety and work organization; tractor overturns; cancer incidence in farmers/cancer surveillance; hazards in aquaculture; the personal, operational, and societal costs of injuries and the cost-effectiveness of prevention; safety communication in the logging industry; nurses' education, service, and clinical practice in farm safety and health; graduate education in agricultural occupational safety and health, and Native American farm safety. While projects are based in our 10-state region, each holds wider relevance as well as real potential for national impact. The Center benefits from a strong institutional commitment and support from 9 colleges within the University of Kentucky system at the Lexington campus. The Center also enjoys substantive collaboration with researchers at Auburn University, Wake Forest University, the Northeast Center for Agricultural & Occupational Health, and diverse grassroots stakeholders.

Injury Prevention

State Injury Prevention Program FY 2019

Terry Bunn | PON27281800001713

 

The Indicator-Based Information System (IBIS) for public health was developed to meet recognized public health assessment needs. IBIS comprises a web-based, public access network of standardized health and environmental data repositories and a set of open source software applications that allow web-based queries of IBIS data. In collaboration with the Kentucky Injury Prevention Research Center, we maintain the information technology infrastructure necessary to continue to transmit Kentucky public health data via IBIS to the National Environmental Public Health Tracking Network. IBIS can be used, for example, to tabulate vital statistics, track progress on Healthy People 2020 goals, and display data for local communities. The newest IBIS version provides improved mapping and local-level data, which is critical to displaying public health information in spatial format.

Other

Strengthening and Enhancing the National Health Security Preparedness Index's Measures, Methodologies, and Stakeholder Engagement and Use

| 75376

 

The National Health Security Preparedness Index is a unique resource for tracking state and national capabilities that protect people from adverse health consequences caused by disasters, disease outbreaks, and other large-scale hazardous events. Since October 2014, the University of Kentucky has worked with the Robert Wood Johnson Foundation to expand the content and enhance the methodological rigor and functionality of the Index, and to disseminate and translate the Index broadly for use in improving health and healthcare systems. Because health security is a responsibility shared by many different stakeholders in government and society, the Index combines measures from more than 50 sources and multiple perspectives to offer a broad view of preparedness. We aggregate large volumes of data from national household surveys, medical records, safety inspection results, and surveys of health agencies and facilities in order to produce composite measures of health security for each U.S. state and the nation as a whole each year. The Index reveals strengths as well as vulnerabilities in the protections needed to keep people safe and healthy in the face of disasters, and it tracks how these protections vary across the U.S. and change over time.

Health Promotion|Maternal and Child Health

Systematically Adapted Delivery of the Family Check-U in Underserved Communities

| R34MH10666103

 

Early childhood disruptive behavior problems lead to significant costs to families and society but can be reduced with parent behavioral training interventions. To increase the public health impact of these interventions, their feasibility, accessibility, and acceptability in high-need, underserved communities must be insured. This pilot project systematically adapts and pilot-tests the delivery model of an existing effective parent training intervention for implementation in rural Appalachia, a region with many documented health disparities, high levels of poverty, and shortages of mental health providers.

Injury Prevention

Traumatic Brian Injury Trust Fund

Shannon Beaven | SC 725 1900000203

 

Analysis of data on the incidence of traumatic and acquired brain and spinal cord injury is critical to developing and refining prevention treatment services for both children and adults. To this end, the Kentucky Injury Prevention and Research Center is establishing and maintaining a confidential registry of traumatic and acquired brain and spinal cord injuries. Registry entries are generated from data derived from hospitals and emergency departments.

Other

UK HIV/AIDS Epidemiologist and Research Analyst FY2019

Tisha Johnson | PON2 728 1800002127

 

This project is collecting, reviewing, analyzing, and reporting on the incidence and prevalence of HIV/AIDS infection within KY as mandated by law; these data provide the basis for planning, implementing, and evaluating prevention and control programs. Investigators are responsible for interpretating laws, regulations, policies, and procedures for the HIV/AIDS program to insure compliance with state and federal disease reporting requirements.