The objective of this action research was to evaluate the effectiveness of a six-month financial education intervention for Appalachian artists by measuring and observing changes in financial knowledge, financial self-efficacy, and financial behaviors and by assessing participants? perception of the program. By all measures, the financial…

This paper comparatively examines residents' attitudes toward the tourism economy across eight rural counties at varying tourism development stages within the Monongahela National Forest region, West Virginia. Nine hypotheses related to attitudes toward sustainable tourism, perceptions of regional collaboration, and perceived strengths,…

Rural Appalachia encompasses a region of the United States represented by unique cultural strengths and systemic challenges. To meet their students' career and college needs, school counselors working in rural Appalachia must understand the cultural nuances of the region. Consensual qualitative research (CQR) methodology revealed five domains and…

West Virginia's three state-funded medical schools enroll more medical students per capita than any other state in the country. Due to its large number of medical student slots, the state typically can offer all qualified West Virginians the opportunity to complete their medical education in the state. In the academic year of 2023-2024, 27 percent…

This study analyzed the risk of burnout for school counselors in rural Appalachia by surveying school counselors in West Virginia. The specific research questions delved into the areas that may predict a higher risk of burnout. These areas were clinical supervision, self-care engagement, levels of education, experience, caseloads, intensity of…

Increasing the health care work force is critical to underserved communities. Unfortunately, students in these areas lack accessibility to the clinical experiences needed to get an introductory understanding of careers in health care. Therefore, a health care experience (HCE) course was created for undergraduate students that included didactic…

For the growing worldwide economy to be successful, science, technology, engineering, or math (STEM) workers are needed. Once recruited to pursue a STEM major, the challenge is keeping these students on track. A large diverse workforce is needed in these fields, but past research has shown students from rural settings are disadvantaged when…

Background: Before the COVID-19 pandemic, telemedicine for healthcare delivery was uncommon. Medicare restricted routine fee-for-service reimbursements for rural patients, with payments made under restricted circumstances. In response to the pandemic, the Department of HHS amended the Coronavirus Preparedness and Response Supplemental…

The Appalachian region is a rural swath of mountainous terrain home to a historically distinct culture. The region's population suffers from a multitude of health issues and disparities. Notably, the region also experiences a major healthcare provider shortage despite the fact that states, like West Virginia, produce per capita, a high volume of…

A considerable body of research demonstrates that first-generation college students face greater obstacles to college retention, persistence and completion compared to their non-first-generation counterparts. However, the extant literature rarely explores rurality as a salient factor to understand these challenges. Even less visible in the…

J. Spenser Darden from West Virginia University clearly outlines how racism and placism intersect to make life more difficult for people of color who live in rural areas. He breaks down the direct impact of historic racist policies and ideas on the ways different groups of people are treated in the United States, and describes how placist ideas…

In this article, we reflect on our experience applying a framework for evaluating systems change to an evaluation of a statewide West Virginia alliance funded by the National Science Foundation (NSF) to improve the early persistence of rural, first-generation, and other underrepresented minority science, technology, engineering, and mathematics…

The present study investigates World Language (WL) teacher retention and the challenges and opportunities of teaching a WL in a rural state. Data came from ethnographic interviews conducted with 10 participants, current Spanish teachers teaching throughout West Virginia. Through thematic analysis, eight themes emerged: Lack of Exposure to Cultural…

This is the first of two reports exploring the relationship between coal activity and funding for elementary and secondary education in the Appalachian Region. In this first report, patterns in funding for elementary and secondary education are explored using annual data from 1995 to 2016. Counties that had some level of coal employment over this…

The Cooperative Extension system is uniquely positioned to lead rural community efforts to prevent obesity in early childhood. This article explores best practices in promoting healthy weights among young children and shares examples and resources relevant to Extension programming. The West Virginia (WV) Healthy Children Project aims to improve…