Background: Smoking is a risk factor for lung cancers, and a myriad of other acute and chronic ailments. The purpose of this study was to predict initiation and sustenance of smoking cessation among smokers using a fourth-generation behavioral framework, multi-theory model (MTM) of health behavior change. Methods: A convenience sample of smokers from a shopping mall in rural, Appalachian Kentucky county was invited to participate in this cross-sectional study. A 38-item, face and content validated, MTM-based survey instrument was administered to the participants. Results: A total of 148 participants completed the study. The mean age of the participants was 35.53 (SD = 14.52) years. Most were male (58.1%) and Caucasian (95.9%). Participants reported smoking for an average of 16.45 (SD = 13.12) years. Participatory dialogue (β = 0.235, P = .003) and behavioral confidence (β = 0.305, P = .005) were significant predictors of intention for initiation for smoking cessation behavior. Emotional transformation (β = 0.319, P = .001) was a significant predictor of intention for sustenance for smoking cessation behavior. Discussion: Two of the MTM constructs for initiation and one of the MTM constructs for sustenance of change accounted for a moderate amount of variance in initiation and sustenance of smoking cessation behavior among community members in a rural, Kentucky county. MTM has utility for predicting both initiation and sustenance of smoking cessation behavior. Future interventions using MTM constructs should be developed for smoking cessation behavior change.

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Background: The opioid crisis continues to grow in the United States with 46,700 drug overdose deaths due to opioids in 2017 alone. Vet shopping, the practice of soliciting veterinarians for prescription medications, has been receiving national media attention in recent years. A 2014 review of Prescription Monitoring Drug Programs found less than 10 veterinary shoppers nationwide. Still much is unknown about the role of vet shopping and the opioid crisis. This study sought to understand the practice of vet shopping through the eyes of veterinarians practicing in Appalachian counties within the states of Kentucky, Tennessee, and Virginia, United States. Results: Fourteen veterinarians were asked a set of 13 questions related to vet shopping. Results indicated that 13 veterinarians in the study had heard of the phenomenon of vet shopping and eight veterinarians had personally encountered vet shopping in their practices. Qualitative analysis of the interviews identified six key themes including a need for interprofessional communication and how important a valid veterinary-client-patient-relationship is within the profession. Conclusions:The study hopefully sheds some light on the how often vet shopping is encountered in practice, concerns of veterinarians regarding vet shopping, and potential areas for improvement.

India has a rich cultural heritage of costume, art and crafts. Since decades highly developed civilizations continue to produce remarkable, eminent and ornate textiles with its distinct patterns, designs and motifs having different placements and layouts. However, escalating demands of consumers requires modication in the fashion industry with respect to design, motifs, colours, style and technique. Fashion designers used to take their inspiration from architectural buildings normally to create new clothing silhouettes. The researcher attempts to connect between 'fashion' and 'architecture', which can serve as fashion element for designers. The research attempts to document and digitize of the motifs of this architectural wonders. The purpose of the study was an attempt to interpret the technique of the beautiful inlay work of the Taj Mahal and its application to the textiles for high fashion garments. In process of designing various pictures of inlay work were documented which were classied into three categories, namely cut-away lattice, inlay and embossed carving.

Background and Hypothesis. The purpose of this study was to determine whether the initiation and sustenance of smoking cessation among smokers in the Appalachian region can be predicted using a newly proposed health behavior theory called the multi-theory model (MTM) of health behavior change. MTM may provide an innovative treatment plan for patients trying to quit smoking in order to improve cancer outcomes and decrease disparities in cancer outcomes in the Appalachian region. Smoking rates are 1.8 and 1.6 times greater in women and men, respectively, in Appalachian Kentucky than in the rest of the nation. MTM predicts health behavior change across cultures by proposing that health behavior change occurs in two stages: initiation of the behavior change and sustenance of the behavior change. This model has been validated for several other health behavior changes. The primary research question this study seeks to answer is: to what extent can MTM be used to predict quitting smoking and long-term sustenance of smoking cessation in current smokers? We hypothesized that MTM significantly predicts quitting smoking and long-term sustenance of smoking cessation in smokers. Research Methods. The study utilized a cross sectional design. IRB permission from the university was obtained to conduct the study. Investigators approached mall-goers at the Middlesboro Mall in Middlesboro, KY and asked current tobacco smokers to voluntarily participate in the study. In order to maintain anonymity, no identifiers or signatures were collected from the participants. Exclusion criteria included participants that were illiterate or who had poor vision. The survey instrument was a face and content valid 38 question assessment about the smokers' background and questions pertaining to the constructs of MTM. Data Analyses: Descriptive statistics were computed to summarize the data. In order to assess internal consistency reliability of the scales, Cronbach's alpha were computed. Confirmatory factor analyses were conducted on subscales to establish construct validity. Stepwise multiple regression analyses were performed to determine best possible predictors of initiation and sustenance of smoking cessation among people who were currently smoking. A p-value less than 0.05 was considered significant. Results: Data collection is complete and results are being complied and will be presented at the conference. Conclusion: This study aims to determine to what extent MTM can be utilized to explain quitting smoking and long-term sustenance of smoking cessation in smokers. In the interim, MTM appears to be a useful model for predicting health behavior change, and for designing interventions promoting smoking cessation in smoking patients. Citation Format: Falguni Patel, Richard W. Kim, Ghazal Ghafari, Bernhard Dietz, Vinayak K. Nahar, Manoj Sharma. Predicting initiation and sustenance to smoking cessation among smokers using multi-theory model (MTM) approach [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 5280.