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Browsing by Subject "Appalachia"
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Item The Mountain Maternal Health League and the changing politics of birth control in Kentucky, 1936-1949(2017-04) Holly, Jenny M.; Robertson, Nancy; Schneider, William; Schultz, JaneIn 1936, Clarence J. Gamble, heir to the Proctor & Gamble fortune, established the Mountain Maternal Health League (MMHL) in Berea, Kentucky. Gamble had a strong interest in testing the effectiveness of simple birth control methods as a means to reduce the birth rate of impoverished and rural people and he would fund the organization for nearly six years as an experiment to test a jelly-and-syringe method of birth control in rural Kentucky. After his financial support ended, however, the organization continued. The women activists who worked with Gamble shifted the organizational focus, models of operation, and available methods to accommodate changing perspectives and expanding communities.Item Program ACTIVE: Cognitive Behavioral Therapy to Treat Depression in Adults With Type 2 Diabetes in Rural Appalachia(Springer, 2017-08) de Groot, Mary; Doyle, Todd; Averyt, Jennifer; Medicine, School of MedicineHigh rates of type 2 diabetes (T2DM) and depression exist in rural Appalachia with limited access to psychotherapeutic treatment. No manualized cognitive behavioral therapy (CBT) treatment materials exist that are culturally tailored for individuals in this region with T2DM. We describe the development of the Program ACTIVE CBT intervention for use with adults with T2DM and depression by mental health providers in rural Appalachia. Qualitative and quantitative methods were used to test the feasibility and acceptability of Program ACTIVE. Intervention materials were rated at the 6th-7th grade reading level. Key informant interviews evaluated materials as culturally sensitive and accessible. Participants indicated high levels of satisfaction with therapy (94%), support from their therapist (86%), and usefulness of therapy and depression improvement (80.3%). Program ACTIVE was found to be a feasible and acceptable culturally tailored manualized CBT treatment for adults with T2DM and depression living in rural Appalachia. Implementation of these materials on a regional scale needs to be assessed.