Programs and Communities

Purpose: Implementation of a postpartum depression (PPD) screening while using evidence-based interventions to improve depressive symptoms, enhance breastfeeding (BF) self-efficacy, and strengthen the mother-infant dyad (MID).

Background and Significance: PPD is highly prevalent among women living in the United States and threatens the physical and psychological health of MIDs. Many of these women go undiagnosed and without treatment, further worsening symptoms and outcomes. This has inspired world healthcare leaders and organizations to address maternal mental health among postpartum women.

Methods: A 12-week evidenced-based project consisted of two-sets of participants including mothers and staff. A comprehensive maternal support program guided by an informational pamphlet (IP) and implementation of PPD screening using the Edinburgh Postnatal Depression Scale served as the two-part intervention for this project. Goals were to decrease PPD, enhance BF satisfaction, and strengthen the MID. Comprehensive maternal support encompasses interventions proven to meet the project goals and includes tailored BF education and care to maternal needs, social support by peer/family involvement, skin-to-skin contact during BF, emotion-regulation strategies, and availability of community resources.

Outcomes: The BSES-SF scores did result in statistical significance based on an alpha value of 0.10, t(3) = -2.98, p = .059, proving a positive effect was seen in breastfeeding self-efficacy post intervention. The results did not show statistical significance (t(3) = 0.60, p = .591) in regard to pre and post-depression scores. However, the mean pre-score (M =3.50, SD 3.11) did decrease post-intervention (M =2.75, SD 1.26) and exemplifies clinical significance.

Conclusion: The outcomes of this Quality-Improvement project showed improved scores for depression and BF self-efficacy post-intervention. This demonstrates the value in screening for PPD using a validated screening tool and instituting comprehensive maternal support guided by evidence-based practice in a community setting.

Antibiotics have contributed to the decline in mortality and morbidity caused by infections, but overuse may weaken effectiveness resulting in a worldwide threat. Antibiotic overuse is correlated with adverse events like Clostridium difficile infection, antimicrobial resistance, unnecessary healthcare utilization and poor health outcomes. Long term care facility (LTCF) residents are vulnerable targets for this phenomenon as antibiotics are one of the most commonly prescribed medications in this setting. Consequently, multiple organizations mandate strategies to promote antibiotic stewardship in all healthcare sites particularly LTCFs.

To address this global issue, this doctoral project utilized the Outcomes-Focused Knowledge Translation intervention framework to provide sepsis education, promoted use of an established clinical algorithm, and engaged a communication tool for nurses and the certified nursing assistants (CNAs) thus, improving antibiotic stewardship. The project was conducted in a 5-star Medicare-rated LTCF in Mesa, AZ with a convenience sample of 22 participants. The participants received a knowledge questionnaire and Work Relationship Scale pre- and post- intervention to determine improvement.

The results show that the education provided did not improve their knowledge with a p = 0.317 for nurses while p = 0.863 for CNAs over 8 weeks. Lastly, education provided did not improve the nurses’ Work Relationship p = 0.230 or for the CNAs p = 0.689. Though not statistically significant, the intervention tools are clinically significant. Additional research is needed to identify ways to determine barriers in implementing an antibiotic stewardship program.

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.

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.

The purpose of this project is to show how to develop research-based criteria and how to apply them to a specific product, Evernote's iOS mobile help tool. Initial research involved analyzing current usability research publications by performing the following steps: coding each sample for most frequent usability criteria, clarifying and simplifying each entry, reorganizing the content in each code for frequency, and combining each topic in the new organizational structure to create a single set of research-based usability guidelines. The new guidelines were used to evaluated Getting Started and Getting Started Guide from the perspective of a non-business, English-speaking, novice iOS user. The final step resulted in the following list of recommendations to improve the user experience: review and adjust the navigation design, reconsider the information design to ensure that it reflects the wide variety of users and platforms, adjust the visual design to meet cultural expectations and user needs, and edit content for clarity, word choice, and grammatical style.