Corresponding Author

Stacy R. Stanifer PhD, APRN, AOCNS

College of Nursing, University of Kentucky, Lexington, Kentucky

University of Kentucky Center for Appalachian Research in Environmental Sciences (UK-CARES), Lexington, Kentucky

For further information, contact: Stacy R. Stanifer, PhD, APRN, AOCNS, College of Nursing, University of Kentucky, BREATHE, 2265 Harrodsburg Rd. Suite 202, Lexington, KY 40504; e-mail: srecke0@uky.edu.