(88) An Exploration of Self-Reliance in Rural Appalachia

Objective: A strong preference for relying on personal resources over outside support has occasionally been associated with poor health outcomes. However, self-reliance is a core value in Appalachian culture. This suggests... [ view full abstract ]

Objective: A strong preference for relying on personal resources over outside support has occasionally been associated with poor health outcomes. However, self-reliance is a core value in Appalachian culture. This suggests that scientific and Appalachian communities may be referring to disparate constructs when evaluating self-reliance. The present study analyzes qualitative data to explore Appalachians’ experience of self-reliance.

Approach: Interviewers moderated eight focus groups of rural Appalachians (n = 70) in discussions on resilience. Four of these groups comprised adult caregivers (n = 49), with adolescents in the remaining four (n = 21). Individual cognitive interviews (n = 24) were also performed. Participants received $25 gift cards. All procedures received IRB approval. 

Results: Analyses are currently in progress and will apply grounded theory analysis to review transcripts and identify key themes.