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Appalachia Health Research
This document provides a biography for Frances Hardin-Fanning, a nursing professor at the University of Kentucky. It outlines her background growing up in rural Appalachia, her research focusing on improving nutrition and reducing chronic disease in the region, and her publications, funded projects, and student mentoring in this area.
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Appalachia Health Research
- 1. Frances Hardin-Fanning, PhD,RN University of Kentucky College of Nursing
- 2. Breathitt County,Kentucky native Parents have owned small grocery store since 1965 Participated in Cooperative Extension activities Noted food accessibility problems as a child, progression of food inaccessibility over years
- 3. Improve frequencyof lifestyle behaviors (nutrition and physical activity) associated with lower incidence of chronic disease Study region: Appalachia
- 6. Nursing Clinicsof North America (2008) Published review on the mechanisms by which a plant-based diet is associated with decreased risk of cardiovascular disease Journal of Gerontological Nursing (2011) Published clinical recommendations for use of polyunsaturated fatty acids as immunomodulators in older adults Co-authors Terry Lennie, PhD, RN & Gilbert Boissonneault, PhD
- 7. Recruited volunteersfrom ten Appalachian churches Cross-sectional study to analyze dietary habits and biomarkers of cardiovascular disease Healthy volunteers Fish consumption was associated with lower inflammation
- 8. 2011 ◦ Toidentify predisposing, reinforcing and enabling factors associated with eating a plant-based diet in a rural Appalachian food desert with disproportionately high rates of cardiovascular disease Funded by 2010 James S. Brown Graduate Student Award for Research in Appalachia University of Kentucky Department of Sociology
- 9. 2011 ◦ Cost ◦Difficulty of preparation ◦ Family attitudes toward food ◦ Limited access to healthy foods ◦ Difficulty changing personal habits ◦ Limited knowledge of the health benefits of foods ◦ Difficulty determining how to incorporate healthy foods into meals
- 10. 2011 ◦ Cost ◦Difficulty of preparation ◦ Family attitudes toward food ◦ Limited access to healthy foods ◦ Difficulty changing personal habits ◦ Limited knowledge of the health benefits of foods ◦ Difficulty determining how to incorporate healthy foods into meals
- 11. Grocery voucherstudy Grocery store surveillance ◦ 2013 American Public Health Association Public Health Nursing Junior Investigator Award Feasibility pilot in Breathitt County ◦ USDA Cooperative Extension collaboration with UK College of Agriculture Satellite Farmers Markets ◦ 2013 Southeastern Kentucky United Way Community Research Award ◦ 2014-15 William & Elizabeth Morgan Community Health Research Award
- 12. 2014-2015 ◦ ReceivedNINR Mentored Patient-Oriented Research Career Development Award to pilot intervention in six Central Appalachian counties ◦ REACH Project - Rural Eating and Cooking Healthy Adair Breathitt Casey Lawrence Morgan Wayne
- 13. Creative AgricultureDriving Excellent Transitions (CADET) ◦ Collaboration with Kentucky Department of Juvenile Justice Indoor Policies of Outdoor Lightning (IPOOL) ◦ Appalachia ◦ Research Match Public Health RN-BSN Experiential Learning
- 14. Health ResourcesService Administration ◦ Medic Veterans to BSN Option ◦ 3 year funding to develop, implement and evaluate option for returning veterans to earn BSN degree ◦ Mentoring/development of DNP Project Director ◦ Gruggs, A. B. & Hardin-Fanning, F. (September 2015). Transitioning medics into the nursing profession. University of Pittsburgh School of Nursing Conference -- The Veteran’s Journey to Achieving Wellness: Successful Reintegration into Civilian Life
- 15. Hardin-Fanning, F. &Wiggins, A. (February 2016). “Food Costs are Higher in Counties with Poor Health Rankings” 2016 Southern Nursing Research Society Conference Podium Presentation Hardin-Fanning, F., Rayens, M. K. & Wiggins, A. (December 2015) Food cost disparities in low income communities. National Institutes of Health 8th Annual Conference on the Science of Dissemination and Implementation. Washington, DC Hardin-Fanning, F. & Rayens, M. K. Self-efficacy and subjective norms are associated with fruit and vegetable consumption in Appalachia. (October, 2015). Appalachian Translational Research Conference, Charleston, WV Hardin-Fanning, F. & Witt, C. (October 27, 2015). Factors impacting the success of satellite farmers markets in rural Appalachia. Southern Ohio Medical Center Nursing Research Conference Brendamour, B., Wiggins, A., Rayens, M.K. & Hardin-Fanning, F. (April 2015). “Food accessibility trends and health in America’s counties” 2015 National Council on Undergraduate Research Conference
- 16. Carney, A., Gokun,Y. & Hardin-Fanning, F. (February 2014) "Cost Difference of Foods Contributing to Cardiovascular Disease and Risk Reducing Foods" 2014 Southern Nursing Research Society Conference Hardin-Fanning, F. & Gokun, Y. (February 2014) "Factors Associated with Grocery Voucher Redemption for Healthy Food " 2014 Southern Nursing Research Society Conference Hardin-Fanning, F. & Gokun, Y. (November 2014) Income is not associated with healthy food purchasing via grocery voucher in a rural, impoverished county. Podium Presentation, American Public Health Association Annual Conference, New Orleans, LA
- 17. Hardin-Fanning, F.(November 2013) Supplemental Nutrition Assistance Program Participation (SNAP) and food cost in rural Appalachia. Podium Presentation, American Public Health Association, Boston, MA Hardin-Fanning, F. (May 2013) Food cost disparities in rural Appalachia. Poster Presentation, Appalachian Translational Research Network Conference, Columbus, OH *Hardin-Fanning, F. (February 2013). “Overall Nutritional Quality Index and food cost in an Appalachian food desert.” Podium Presentation at the 27th Southern Nursing Research Society Conference, San Antonio, TX
- 18. Hardin-Fanning, F.& Ricks, J. (2015- in press). Attitudes, social norms, and perceived behavioral control factors influencing participation in a cooking skills program in rural Central Appalachia. Global Health Promotion. xx Hardin-Fanning, F. & Rayens, M. K. (2015) Food cost disparities in rural communities. Health Promotion & Practice, 16(3), 383-91. Hardin-Fanning, F. & Gokun, Y. (2014) Gender and age are associated with healthy food purchases via grocery voucher redemption. Journal of Rural & Remote Health, 14(3), 2830. Hardin-Fanning F. (2013) Adherence to a Mediterranean diet in a rural Appalachian food desert. Journal of Rural and Remote Health, 13(1), 2293
- 19. Hardin-Fanning, F.& Rayens, M. K. (2015 – in process). Planned behavior is associated with fruit and vegetable consumption in rural Appalachia. Journal of Rural Health Hardin-Fanning, F., Adegboyega, A. O. & Rayens, M. K. (2015 – in review) Youth’s perceptions of a gardening activity at a juvenile justice center. Behavioral Science & the Law Hardin-Fanning, F. & Wiggins, A. T. (2015 – in review). Food costs are higher in counties with poor health rankings. Journal of Cardiovascular Nursing
- 20. Undergraduate Interns/Students ◦Smoking Cessation Meaningful Use Mandates ◦ LGBT Access to Care ◦ Six student publications from undergraduate research class Nursing Graduate Student * ◦ Interventionist for NINR-funded study Communications Graduate Student ◦ Health Coach Relationships with Participants in Cooking Classes Health Behaviors Graduate Student (Medical School) * ◦ Physical Activity Barriers Survey on Research Match Undergraduate Lynn Garman Au Scholarship Student * ◦ Community Service Project in Appalachia
- 21. Improved dietin rural Appalachia Increased student engagement in community projects and research Decreased barriers to healthy living Additional collaborations with community partners Research funding benefits local citizens