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.

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 frequency of lifestyle behaviors
(nutrition and physical activity) associated
with lower incidence of chronic disease
 Study region: Appalachia

6.  Nursing Clinics of 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 volunteers from 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
◦ To identify 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 voucher study
 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
◦ Received NINR 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 Agriculture Driving 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 Resources Service 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 diet in 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