Programs and Communities

Background: Healthcare providers are encouraged to prepare their practice to effectively manage the care of mild to moderate adolescent depression. Cost-effective screening, diagnostic, and newly developed pediatric primary care depression management guidelines have been established. To integrate guidelines into practice, primary care providers (PCPs) must document effectively to ensure a complete treatment plan is in place in the patient’s electronic health record (EHR).

Intervention: Elements from a flowsheet were implemented into the EHR to promote thorough assessment and documentation of care delivered to adolescents with depression.

Methods: An initial chart review was completed on patients diagnosed with depression. An updated depression template was implemented within the EHR for six weeks. A follow-up chart review was completed post-intervention to determine if documentation of elements from the adolescent depression guidelines improved after the EHR update. Pre-intervention and post- intervention surveys were delivered to PCP’s to understand their perspective on adolescent depression management.

Outcomes: The chart review revealed that baseline PHQ-9 screenings were documented in 91% (n=43) of the charts reviewed in the pre-intervention timeframe. Only 78% (n=7) of the charts reviewed during post-intervention included PHQ-9 screenings. Early intervention treatment options documented in the pre-intervention timeframe included education 100% (n=47), medication prescriptions 53% (n=25), and psychotherapy referrals 18% (n=18). During post- intervention, education 100% (n=9), medication prescriptions 78% (7), and psychotherapy referrals 22% (n=7) were documented by the PCPs.

Recommendation: The quality improvement project focused heavily on documentation completed over a one year pre-intervention timeframe compared to a six-week post-intervention timeframe. Further evaluation and chart review over the next year will provide a more adequate comparison of documentation within primary care practice.

The purpose of this project was to evaluate the State Bar of New Mexico's (SBNM) new podcast series, SBNM is Hear. The podcast was initially developed as a member outreach tool and a new platform for professional development and survey questions were developed to gauge the podcast’s effectiveness in these two areas. An electronic survey was deployed to active members of the SBNM through email. Respondents were asked questions regarding their demographics, whether they had listened to the series, and what content they would like to hear in the future. The survey resulted in 103 responses, of which 60% indicated that they had not listened to the podcast. The results showed that listenership was evenly divided between generations and that more females listened to at least one episode. The open-ended responses indicated that the two cohorts of respondents (listeners and non- listeners) viewed the podcast a potential connection to the New Mexico judiciary. Future recommendations include conducting an annual survey to continue to understand the effectiveness of the podcast and solicit feedback for continued growth and improvement

As the impact of technology on daily life continues to grow, online learning platforms for primary, secondary, post-secondary, and professional institutions find ways to:

1. Connect peers and instructors through digital communication.
2. Engage users more fully in learning.
3. Provide access to resources that enhance deep-impact education.

Online learning platforms, or learning management systems (LMS), are used to connect instructors and students through synchronous and asynchronous engagement tools, provide space for the transfer of resources and ideas, and track progress. However, these platforms were designed with more mainstream purposes - and more digitally savvy - users in mind.

Adult learning programs (with members ages 50+) currently have no online learning and sharing platform specifically designed to fit the needs and desires of their users. Despite the multitude of barriers to successful use, adult learning programs recognize the need to engage with members digitally and are seeking an online learning platform centered around their users.

This project, utilizing best practices in technical communication and mixed methods user experience research, broadens the boundaries of communication design by creating an online learning platform prototype specifically for adults ages 50+ through the lens of information design, content management, and user experience outcomes.

For more than 50 years, my aunt was a professional chef and baker who catered hundreds of events and owned a bakery before retiring. Her recipes have never been formally documented and are rarely shared because only she knows them. The purpose of the cooking website content strategy was to document five decades’ worth of my family’s recipes and write a cooking website content strategy report that will be used in the future to create the cooking website. Creating the website preserves the recipes and provides a resource that can be cited and referred to by future generations of my family. The cooking website applied project consists of a website content strategy report, including a social media strategy and website designs, documented recipes and oral histories, content audit, and content analysis.

This report aims to provide The Arts Partnership, an arts-based non-profit organization in the Fargo, ND-Moorhead, MN area, with recommendations on improving its “Connecting the Dots” weekly e-newsletter. The research was conducted using three separate channels – a quantitative survey of the current e-newsletter recipients, a qualitative coding exercise to uncover themes in each e-newsletter, and an analysis of the top-clicked links in each e-newsletter. The original research, combined with information gleaned from the literature review, results in seven recommendations The Arts Partnership can implement into its current program. These recommendations include reducing the amount of HTML in each e-newsletter to avoid SPAM traps, keeping the email as scannable as possible, maintaining its subscriber base to eliminate waste, ensuring its e-newsletters are mobile-responsive, improving the subject line of the e-newsletters, and finally, considering using a different email program that provides more features The Arts Partnership can use to continue to improve its newsletters.

The purpose of this applied project was to research potential methods for conducting performance and evaluation observations on users of Positive Train Control (PTC) and recommend the most effective measures of performance (MOPs) and measures of efficiency (MOEs) of those users. I conducted a study to collect and analyze what data could be observed and examined most effectively to produce causal explanations of behaviors when utilizing the PTC system. This study was done through literature review, interviews of PTC users and trainers, and through direct observations as I rode on trains watching crews interact with the system. Additionally, I researched several studies on human computer interface (HCI) usability studies of various software applications. Based upon the results, I recommend that direct-participant observations be employed and apply both the system and individual MOPs and MOEs identified in the report to track user’s proficiency. The data collected from these observations can be centralized and used to identify behavioral trends, drive corrective actions, create future policies as well as training content. These observations will address the need to have structured observations which allow observers to focus undistracted on the specific behaviors that affect train operations. This database would also identify employees that may need additional or refresher training.

The WaterSim America is an interactive iPad game app included with the exhibition that takes users through several scenarios and asks them to make decisions about how their town’s water supply should be distributed among a variety of user groups, including townspeople, farming, industry, and energy. The purpose of this applied project was to design user personas which will be used by the developers at Arizona State University’s (ASU) Decision Center for a Desert City (DCDC) to improve the Smithsonian’s WaterSim America app (SWSA) that they designed for the new Smithsonian Institute’s Water Ways Traveling Exhibition (SWWTE) and to recommend improvements to the app. To do this, I created a contextual inquiry with select SWWTE user groups in Alabama, Florida, and Georgia to observe the app in the context of use. The primary goal of this research was to observe potential users engaging with the app and then interview them about their experiences with the app. Based on the research, I offer six recommendations to improve the educational value of the WSAA. This report includes the research methods of this study, participants’ feedback and seven user personas based on the research.