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Transitions towards sustainability are urgently needed to address the interconnected challenges of economic development, ecological integrity, and social justice, from local to global scales. Around the world, collaborative science-society initiatives are forming to conduct experiments in support of sustainability transitions. Such experiments, if carefully designed, provide significant learning opportunities for

Transitions towards sustainability are urgently needed to address the interconnected challenges of economic development, ecological integrity, and social justice, from local to global scales. Around the world, collaborative science-society initiatives are forming to conduct experiments in support of sustainability transitions. Such experiments, if carefully designed, provide significant learning opportunities for making progress on transition efforts. Yet, there is no broadly applicable evaluative scheme available to capture this critical information across a large number of cases, and to guide the design of transition experiments. To address this gap, the article develops such a scheme, in a tentative form, drawing on evaluative research and sustainability transitions scholarship, alongside insights from empirical cases. We critically discuss the scheme's key features of being generic, comprehensive, operational, and formative. Furthermore, we invite scholars and practitioners to apply, reflect and further develop the proposed tentative scheme – making evaluation and experiments objects of learning.

ContributorsLuederitz, Christopher (Author) / Schäpke, Niko (Author) / Wiek, Arnim (Author) / Lang, Daniel J. (Author) / Bergmann, Matthias (Author) / Bos, Joannette J (Author) / Burch, Sarah (Author) / Davies, Anna (Author) / Evans, James (Author) / König, Ariane (Author) / Farrelly, Megan A. (Author) / Forrest, Nigel (Author) / Frantzeskaki, Niki (Author) / Gibson, Robert B. (Author) / Kay, Braden (Author) / Loorbach, Derk (Author) / McCormick, Kes (Author) / Parodi, Oliver (Author) / Rauschmayer, Felix (Author) / Schneidewind, Uwe (Author) / Stauffacher, Michael (Author) / Stelzer, Franziska (Author) / Trencher, Gregory (Author) / Venjakob, Johannes (Author) / Vergragt, Philip J. (Author) / von Wehrden, Henrik (Author) / Westley, Frances R. (Author)
Created2016-09-03
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Background: People with diabetes are at greater risk for comorbid cardiovascular disease, end stage organ damage, disability, and early death. There is substantial evidence that individualizing self-care education, such as eating a healthy diet, greatly improves diabetes management. Objective: The purpose of this paper is to review the

Background: People with diabetes are at greater risk for comorbid cardiovascular disease, end stage organ damage, disability, and early death. There is substantial evidence that individualizing self-care education, such as eating a healthy diet, greatly improves diabetes management. Objective: The purpose of this paper is to review the outcomes of a diabetes education program offered to underserved women in the Southwestern United States. Methods: Four weekly nutrition classes were individualized and taught at a nonprofit organization in the southwest United States. Behavior change was measured using the Summary of Diabetes Self-Care Activities (SDSCA) tool. Classes were advertised via the center’s monthly class calendar and fliers. A total of nine participants (N=9) came to every class and took the SDSCA survey before and after class instruction. Results: Descriptive statistics and two 2-tailed t-tests with the critical value set at p<0.05 were used for data analysis. The participants were Hispanic women, most between the ages of 40-49, and had an income between $0-14,000. The mean difference between the variables of both general diet and specific diet pre and post-tests were significantly different from zero. The assumptions of normality and homogeneity were met. The results of both two-tailed paired sample t-tests were significant suggesting the means of general and specific diet pre-tests were significantly lower than the means of the general and specific diet post-tests. Discussion: The assumptions of normality and homogeneity were met and the results were significant. The pre-intervention scores for both categories were statistically significantly lower than the post-intervention scores for both categories. Thus, the desired outcome of helping clients within the organization modify, adapt, or change self-care behaviors related to diet was met.
Created2022-04-26
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Background and Objectives: Electronic cigarette use, known as vaping, among adolescents was declared a public health epidemic in 2018 and has acute and chronic health consequences. Healthcare providers (HCP) play a pivotal role as health-related educators, including counseling against vaping. Primary HCPs report a lack of adequate knowledge, confidence, and

Background and Objectives: Electronic cigarette use, known as vaping, among adolescents was declared a public health epidemic in 2018 and has acute and chronic health consequences. Healthcare providers (HCP) play a pivotal role as health-related educators, including counseling against vaping. Primary HCPs report a lack of adequate knowledge, confidence, and screening for adolescent vaping. Increasing HCP’s vaping awareness and knowledge may increase rates of adolescent vaping prevention screening and counseling. Rosswurm & Larrabee Model and Health Belief Model were utilized in project design and implementation. Methods: Primary HCPs (n = 8) that provide care to adolescents at a pediatric clinic in Phoenix, Arizona completed online pre- and post- education surveys measuring vaping knowledge before and after viewing an evidence based online educational video. Participation was voluntary, open to all clinic HCPs, and informed consent was provided before the intervention. Data analysis was completed with Intellectus Statistics using descriptive and inferential statistics. Results: Results of the paired samples t-test was significant based on "?=.05" , t(7) = -3.56, p = .009. The mean of the post-education survey (12.38) was significantly higher than the mean of the pre-education survey (9.62). Descriptive statistics found 85.71% of HCPs reported increased intent to counsel for vaping and 57.14% of HCPs reported increased implemented vaping counseling with their adolescent patients four-weeks post intervention. Conclusions: HCP vaping knowledge rates and vaping-related counseling and surveillance significantly increased after viewing the educational video. Implementing mandatory HCP vaping education training could increase adolescent vaping prevention interventions and counseling within primary care settings.
Created2022-04-26
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Description
Background/Objective: As a part of the Affordable Care Act of 2010, the Medicare Annual Wellness Visit (AWV) was intended to reduce health disparities and improve health outcomes through providing wellness visits for all Medicare recipients at no cost. However, adoption has been minimal since its inception, particularly in

Background/Objective: As a part of the Affordable Care Act of 2010, the Medicare Annual Wellness Visit (AWV) was intended to reduce health disparities and improve health outcomes through providing wellness visits for all Medicare recipients at no cost. However, adoption has been minimal since its inception, particularly in rural populations Study Design: A top priority of a rural federally qualified healthcare organization (FQHC) was to improve utilization of the AWV due to a patient response well below the national average. A six-week trial was conducted that examined a patient information campaign combined with a strategic workflow that encouraged interoffice collaboration. Methods: The office staff of a pilot medical clinic was selected by the FQHC quality improvement committee as the project site. A Relational Coordination survey (RC) was administered before and after the intervention to determine if the intervention improved interoffice collaboration regarding the AWV. Descriptive questions were used to determine which aspects of the intervention proved useful. Reliability of the survey results was verified by a Crohnbach’s ? > 0.08. An independent samples t test was used with p value < 0.05 to determine statistical significance and confidence intervals. Results: The patient information brochure demonstrated improved patient understanding of the AWV from the office staff perspective as demonstrated by an independent samples t test comparing pre and post survey responses (t(32) = -4.14, p < .001, CI 95%). The RC survey results identified an area for collaborative for improvement between the front office and medical staff.
Created2022-04-29
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Description
Background and Purpose: Across the United States, there are low adherence rates of prenatal care visits, primarily among the low-income and ethnic populations. Inadequate prenatal care education contributes to low appointment adherence and missed prenatal care during their first trimester. The project aim is to assess the current use of paper-based prenatal education

Background and Purpose: Across the United States, there are low adherence rates of prenatal care visits, primarily among the low-income and ethnic populations. Inadequate prenatal care education contributes to low appointment adherence and missed prenatal care during their first trimester. The project aim is to assess the current use of paper-based prenatal education in a Federally Qualified Health Center (FQHC) in southwestern Arizona and inquire if patients would elect to engage in a phone application for prenatal education with appointment reminders. Approach/Methods: The Theory of Planned Behavior was the theoretical framework utilized to guide this project. The Quality Improvement (QI) project gathered information regarding patient technology use and accessibility as well as utilization of FQHC prenatal booklet, collected with a 13-question survey. A non-identifying demographic questionnaire was also distributed during the prenatal visit. Results: Survey responses indicated that patients find utility in prenatal education and appointment reminders provided through a phone application. Out of the total participants (n=23), only 18 had received the prenatal care booklet and completed the entire survey. 80% of participants expressed they would use the phone application while 84% find prenatal education on the phone helpful. In comparison, less than 28% of respondents planned to continue to use the prenatal booklet they were provided at the clinic during their pregnancy. Outcomes: There is potential in utilizing digital platform and appointment reminders at FQHC to improve appointment adherence and early entry to prenatal care. The results will be used to inform FQHC on decisions regarding continuing prenatal booklet use and integration of techbased education formatting.
Created2022-05-02
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Purpose: Patient portals are widely available online applications with many health-related tools that facilitate patient engagement and enhance communication with providers yet are highly underutilized. The purpose of this evidence-based practice (EBP) project was to explore an English and Spanish patient portal educational video's impact on patient engagement in a

Purpose: Patient portals are widely available online applications with many health-related tools that facilitate patient engagement and enhance communication with providers yet are highly underutilized. The purpose of this evidence-based practice (EBP) project was to explore an English and Spanish patient portal educational video's impact on patient engagement in a Federally Qualified Health Center (FQHC). The social cognitive theory underpins the project because patients' portal use behavior can change if changing their environmental factors in the clinic with educational videos. Methods: The Universities Institutional Review Board granted exempt approval to ensure human subject protection. The participants included bilingual adult patients in an FQHC who have access to the internet and email addresses who visited the center during the implementation period. The tablets in the patient rooms displayed the English and Spanish educational video on step-by-step instructions on accessing, using the patient portal, and the benefits of use. The information technology technician pulled aggregate data from the analytics component of the patient portal before and after the four-week implementation period. The data included total number of clinic patients, number of active portal users, number of monthly logins, and gender. The project facilitator used descriptive statistics to compare pre-and post-intervention analytics. Results: Active portal users increased by 0.22% and monthly logins increased by 390 logins. Only aggregate data was collected so the statistical significance was not calculated. Conclusion: This EBP project enhances knowledge on patient portal utilization's impact on patient engagement and may apply to current practice.
Created2022-04-29
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Extreme heat, a widespread environmental hazard, is experienced disproportionately by historically disinvested and marginalized communities in Tempe. The City of Tempe has thus identified the importance of preparing the City’s youth to move into positions of power within the community to prepare for a future of rising temperatures and climate

Extreme heat, a widespread environmental hazard, is experienced disproportionately by historically disinvested and marginalized communities in Tempe. The City of Tempe has thus identified the importance of preparing the City’s youth to move into positions of power within the community to prepare for a future of rising temperatures and climate uncertainty, specifically as it relates to intergenerational community resilience. The City’s long-term Cool Kids, Cool Places, Cool Futures project plans to accelerate the City’s existing climate action by activating and empowering local youth as change agents in the co-creation of cooler, more equitable, and healthier futures. This MSUS project aims to develop strategies for the youth and the city that work together to advocate for and implement youth-designed and neighborhood-focused climate action projects in the Escalante and Victory Acres neighborhoods. The envisioned solution for this project is the creation of a dual strategy to connect youths’ visions for the future of Tempe with the City’s capacity (resources, funding, etc.) to adequately implement them. To complete this, the MSUS team facilitated a visioning workshop for local youth at McClintock High School to brainstorm potential climate action projects. As a result of this workshop, an action guide was then developed by the MSUS team with strategies to help jumpstart these youth-designed projects, highlighting the necessary social and physical assets and infrastructures needed for the projects to succeed. In turn, the City received a report outlining how they can best support the youth in the realization of these action projects. Both of these strategy guides will be used in parallel to begin the implementation of the climate action projects in the Fall of 2022.

ContributorsKarr, Camrynne (Author) / Sweis, Fayrooz (Author) / Hernandez Gil, Yaritza (Author) / Provencher, Krisandra (Author) / Acevedo, Valeria (Author)
Created2022-05
Description

The production and consumption of goods is a global phenomenon that has significant social and environmental impacts and challenges. In 2016, the International Labor Organization (ILO) estimated that 25 million people were victims of forced labor. Forced labor is defined as “work that is involuntary and subject to penalty.” It

The production and consumption of goods is a global phenomenon that has significant social and environmental impacts and challenges. In 2016, the International Labor Organization (ILO) estimated that 25 million people were victims of forced labor. Forced labor is defined as “work that is involuntary and subject to penalty.” It is a subset of modern slavery, and is a complex problem that affects all three pillars of sustainability. Fair labor, on the other hand, is voluntary, requires fair compensation, and is free from penalty. With one in five jobs tied to global supply chains, it is vital that companies and organizations are committed to sustainability within the supply chain (Thorlakson et al., 2018). One critical aspect of this commitment includes a focus on fair labor practices.

ASU’s Trademark Licensing Department currently utilizes third-party vendors to verify that any licensed product, those marked with an ASU logo or trademark, have been sourced and produced under fair labor conditions. Our project focuses on steps that can be taken to elevate fair labor practices across the ASU supply chain for both licensed and unlicensed products. The Fair Labor Solutions Team has developed two primary deliverables: an overarching report and a fair labor problem identification presentation with a script to act as an education tool for ASU staff. The report contains the following elements: a landscape analysis of fair labor, ASU’s current procurement practices, a collection of exemplary case studies, and a tiered vision towards transformational change. Our team understands that ensuring fair labor throughout the ASU supply chain is not a linear process. The goal of our deliverables is to offer a strong foundation for the university's transition to sustainable procurement.

ContributorsFalsone, Paul (Author) / Goethe, Emma (Author) / Hartland, Kate (Author) / LoPiccolo, Ali (Author) / Whitler, Grace (Author) / Vo, Asya (Author)
Created2022-05
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Sustainable purchasing is the integration of sustainability criteria into procurement processes and decisions. A critical element of this is ensuring fair labor practices such as safe working conditions, appropriate pay for work, and the absence of forced labor and child labor. Enforcing fair labor standards throughout the supply chain is

Sustainable purchasing is the integration of sustainability criteria into procurement processes and decisions. A critical element of this is ensuring fair labor practices such as safe working conditions, appropriate pay for work, and the absence of forced labor and child labor. Enforcing fair labor standards throughout the supply chain is challenging. Working directly with the final vendor is not enough as finished products involve multiple inputs and activities from extraction to end use and many associated suppliers. Unfair and forced labor practices are especially prevalent in countries with poor labor laws and lack of enforcement. Reporting and verifying labor practices for these suppliers can be time-consuming and expensive. Moreover, ensuring that a final vendor's products and services observe sustainability standards does not mean that all the suppliers involved in product creation steps observe fair and equitable labor practices. Third-party certifications are helpful, but not always accurate. ASU wishes to (1) strengthen its purchasing practices to increase assurances that sourced products follow fair labor practices across the supply chain of vendors and suppliers, and (2) create scalable solutions that can be implemented at other universities.

ContributorsFalsone, Paul (Author) / Goethe, Emma (Author) / Hartland, Kate (Author) / LoPiccolo, Ali (Author) / Whitler, Grace (Author) / Vo, Asya (Author)
Created2022-05