Matching Items (13)

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Utilizing a Logic Model Framework to Develop a Conceptual Model for Community Garden Implementation in the U.S.

Description

Community gardens have wide-reaching potential for addressing public health issues. However, of the thousands of gardens located in the United States, many lack rigorous planning and encounter crippling obstacles, like

Community gardens have wide-reaching potential for addressing public health issues. However, of the thousands of gardens located in the United States, many lack rigorous planning and encounter crippling obstacles, like disinterest from community members, soon after implementation. This study created a processual typology to summarize steps in the implementation process for existing gardens described within peer-reviewed, academic journals and offers recommendations for more sustainably planning future garden projects up to ten years in advance. A systematic review was conducted to identify descriptions of community gardens in peer-reviewed, academic literature. A general logic model was used as a basic structure and themes for each step (inputs, activities, outputs, short/long term outcomes, impacts, and methods of evaluation) were summarized from the included studies to construct a processual typology for evaluating community garden implementation in the United States. This typology was then used to assess a case study of a garden in Des Moines, Iowa, which generated the author's interest in conducting this research after assisting with that space through an AmeriCorps community health program. Results showed that existing gardens shared common attributes and could be categorized according to one of two speeds of implementation ("regular" or "accelerated") and according to one of three types of organizational structure ("grassroots," "externally-organized," or "externally-managed"). The typology was assessed for limitations from having been based on a systematic review of only peer-reviewed, academic articles and, referring to its themes, was used to construct a logic model for a hypothetical community garden project. The processual typology developed in this study is limited in its power to summarize all existing community gardens but offers a first step toward informing the creation of logic models for future projects in order to improve sustainability and attain more funding.

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Created

Date Created
  • 2017-05

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Barriers and Implementation of Evidence-Based Practices in Alcohol Treatment Settings

Description

The purpose of this literature review is to examine barriers to the implementation of evidence-based practices (EBPs) for alcohol treatment and approaches to facilitate adoption of EBPs in alcohol treatment

The purpose of this literature review is to examine barriers to the implementation of evidence-based practices (EBPs) for alcohol treatment and approaches to facilitate adoption of EBPs in alcohol treatment settings. Although EBPs represent the most effective forms of treatment, many treatment centers continue to use treatments that lack an empirical foundation. Examining current research on implementation barriers allows for a more complete understanding of factors that may prevent treatment centers from adopting EBPs, and a categorization of EBP implementation strategies and rates of adoption may aid programs seeking to utilizes EBPs. This literature review is also designed to inform a future study of EBP implementation in treatment centers in the greater Phoenix area, which will ultimately serve as a resource to individuals seeking EBPs in the local community. Research on barriers conveyed that there are two types of barriers: global and EBP specific. At the global level, there are core barriers that must be addressed before successful implementation is possible. These barriers include organization and staff barriers. EBP specific barriers should be attended to after global barriers have been addressed. Research on implementation strategies conveys that multipronged approaches are the most effective, and should focus on addressing global barriers. Treatment centers that have successfully implemented EBPs provide valuable information to the development of new implementation strategies. Lastly, research on rates conveys the implementation of EBPs is increasing over time, however the research in this area has many limitations that must be addressed in future research to determine realist rates.

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Created

Date Created
  • 2018-12

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BARRIERS AND FACILITATORS TO IMPLEMENTATION IN STATE-RUN SYSTEMS FOR SERIOUS MENTAL ILLNESS: A CASE STUDY

Description

The presence of evidence-based programs (EBPs) in serious mental illness (SMI) titled populations have been an important subject within clinical implementation research in recent years. The SMI population represents 24%

The presence of evidence-based programs (EBPs) in serious mental illness (SMI) titled populations have been an important subject within clinical implementation research in recent years. The SMI population represents 24% of incarcerated persons, as well as has the highest rates of homelessness, sexual and physical abuse victimization, unemployment, and suicide; thus, this population presents specific challenges over other commonly studied implementation populations. Despite some advances, most existing literature has yet to take into account that many SMI titles individuals receive services through state-run systems. To build upon this gap in research and practice, a qualitative case study was performed on the barriers and facilitators to implementation in a state-run organization providing services solely to a large SMI population in the state of Arizona. Results indicate that what appears to be important about this population is not so much specific barriers that other populations do not encounter, but how barriers or facilitators are related. Important implementation barrier relationships were between organization and standardization and measurement, and between communication and attitudes. For facilitators, accountability and approach to service appeared to be interrelated. Researchers hypothesize that these distinct barriers and facilitators may be present due to the high presence of court-mandated individuals and limits of service depth and breadth in a state-run system.

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Created

Date Created
  • 2015-05

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Performance Metrics of US Renewable Energy Initiatives

Description

This study was conducted to better understand the making and measuring of renewable energy goals by the federal government. Three different energy types are studied: wind, solar, and biofuel, for

This study was conducted to better understand the making and measuring of renewable energy goals by the federal government. Three different energy types are studied: wind, solar, and biofuel, for two different federal departments: the Department of Defense and the Department of Energy. A statistical analysis and a meta-analysis of current literature will be the main pieces of information. These departments and energy types were chosen as they represent the highest potential for renewable energy production. It is important to understand any trends in goal setting by the federal government, as well as to understand what these trends represent in terms of predicting renewable energy production. The conclusion for this paper is that the federal government appears to set high goals for renewable energy initiatives. While the goals appear to be high, they are designed based on required characteristics described by the federal government. These characteristics are most often technological advancements, tax incentives, or increased production, with tax incentives having the highest priority. However, more often than not these characteristics are optimistic or simply not met. This leads to the resetting of goals before any goal can be evaluated, making it difficult to determine the goal-setting ability of the federal government.

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Agent

Created

Date Created
  • 2015-05

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Physician Assistant Utilization in the Emergency Department Increases Satisfaction Scores

Description

As a medical scribe working in an Emergency Department (ED) at Banner Gateway Medical Center (BGMC), the researcher was able to identify how the work flow and satisfaction of those

As a medical scribe working in an Emergency Department (ED) at Banner Gateway Medical Center (BGMC), the researcher was able to identify how the work flow and satisfaction of those in the ED would decrease when there were no Physician Assistants (PA's) being utilized during specific shifts. As for other shifts where PA's were on shift and were being utilized, the work flow would drastically increase, more patients would be seen in less time and the satisfaction of the researchers co-workers would increase. This paradigm of how PA's are implemented brought the researcher to understand the overall success of having Physicians Assistants in partnership with Physicians, consulting physicians and management in the ED. The researcher conducted a five-month long analyses of how implementation of Physician Assistants in the ED could effect overall satisfaction. The researcher looked at the satisfaction of the PAs themselves, attending physicians, nurses, nursing assistants, ED manager, ED director, ED co-director and the patients themselves. The researcher collected questionnaires, conducted interviews and retrieved data from Banner Health Services for the year 2014 to compare her data. The researcher conducted the study both at Banner Gateway Medical Center (BGMC) Emergency Department and also at Banner Baywood Medical Center (BBMC) ED. In comparison of the data collected from BGMC ED to BBMC ED resulted in a significant difference in overall satisfaction based on implementation. Although both emergency departments are owned by the same Banner corporation and only a few miles apart in distance, they implement Pas differently. The difference in the implementation did prove to effect the overall satisfaction. BGMC ED employees as well as manager and patients were more satisfied than those of BBMC ED. Some of the noted differences were that BBMC PAs see more patients per hour, they see higher acuity patients, are less compensated, are placed further apart from their attending physicians and other staff in the ED, there is minimal communication, PAs feel there voice is not heard and they feel pushback on feedback with no plan for improvement. BGMC PAs reported overall increase in satisfaction as compared to BBMC because of the increased communication, placement of PAs within the ED is closer to attending physicians and other staff, they see lower acuity patients, are better compensated and monthly meetings on improvements that can be made and the PAs feel their voice is being heard. Productivity scores for BGMC ED PAs were 1.71 patients per hour as compare to BBMC ED which was 1.86 patients per hour. BBMC PA patient satisfaction on average was 60.6 as compared to BGMC where the PA average satisfaction was 67.8.

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Agent

Created

Date Created
  • 2015-05

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Patient Education on Diabetes Mellitus in Rural India

Description

In India, the number of people with diabetes continues to grow rapidly, and those living in rural areas are directly affected by limited resources and provider accessibility resulting in insufficient

In India, the number of people with diabetes continues to grow rapidly, and those living in rural areas are directly affected by limited resources and provider accessibility resulting in insufficient self-care knowledge. This creative project focuses on how leaflet handouts were used to implement patient education on self-care management for patients with diabetes living in the rural outskirts of New Delhi, India. Implementation was done in pop up clinics in rural villages of the outskirts of New Delhi as well as through a volunteer-run free clinic in the town of Faridabad. Leaflet components included diet, exercise, medication information, signs of hypoglycemia, and a celebrity segment. The content and layout of the leaflets were based on concepts from Bandura’s Social Cognitive Theory as well as critically appraised literature. Results were comparable to the literature review in that they demonstrated knowledge deficit of foot care, medication adherence, and health status. Overall, the implementation of the leaflets greatly assisted in patient education with complete language barrier, as well as proved to be sustainable after six months.

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Agent

Created

Date Created
  • 2020-05

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From Zero Tolerance to Restorative Justice: Implementing Restorative Justice in a High School System

Description

Implementation of large-scale initiatives within educational systems can present many challenges, particularly when the initiative is non-linear and relies on deep understanding rooted in a restorative mindset. This study examined

Implementation of large-scale initiatives within educational systems can present many challenges, particularly when the initiative is non-linear and relies on deep understanding rooted in a restorative mindset. This study examined implementation of restorative justice within one large, primarily urban school district in the United States. Through a mixed methods approach, data was collected from three personnel levels of the organization: district leadership, school leadership, and school staff members and applied a sensemaking framework to examine the flow of information and understanding within and among organizational levels. To accomplish this investigation, both qualitative and quantitative data were collected. First, interview data was collected from district and school level leaders to inform supportive leadership actions and organizational structures and also to understand challenges that leaders faced when working to implement restorative justice within a district and across a school campus. Next, school staff members participated in a survey to provide deeper understanding regarding their confidence in implementing restorative justice practices, their perceptions of school and district level administrative support, and the alignment of their beliefs and actions with tenets of restorative justice. Finally, results were analyzed and compared across levels of the organization to provide a summary of findings and recommendations for ongoing and expanded implementation at the school at the focus of the study and across other schools within the district.

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Agent

Created

Date Created
  • 2020

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Comparison of Video and Audio Rating Modalities for Assessment of Provider Fidelity to a Family-Centered, Evidence-Based Program

Description

The current study assessed whether the interrater reliability and predictive validity of fidelity ratings differed significantly across the modalities of audio and video recordings. As empirically supported programs are moving

The current study assessed whether the interrater reliability and predictive validity of fidelity ratings differed significantly across the modalities of audio and video recordings. As empirically supported programs are moving to scale, attention to fidelity, the extent to which a program is delivered as intended, is essential because high fidelity is needed for positive program effects. Consequently, an important issue for prevention science is the development of feasible and acceptable methods for assessing fidelity. Currently, fidelity monitoring is rarely practiced, as the typical way of measuring fidelity, which uses video of sessions, is expensive, time-consuming, and intrusive. Audio recording has multiple advantages over video recording: 1) it is less intrusive; 2) equipment is less expensive; 3) recording procedures are simpler; 4) files are smaller so it takes less time to upload data and storage is less expensive; 5) recordings contain less identifying information; and 6) both clients and providers may be more willing to have sensitive interactions recorded with audio only. For these reasons, the use of audio recording may facilitate the monitoring of fidelity and increase the acceptability of both the intervention and implementation models, which may serve to broaden the scope of the families reached and improve the quality of the services provided. The current study compared the reliability and validity of fidelity ratings across audio and video rating modalities using 77 feedback sessions drawn from a larger randomized controlled trial of the Family Check-Up (FCU). Coders rated fidelity and caregiver in-session engagement at the age 2 feedback session. The composite fidelity and caregiver engagement scores were tested using path analysis to examine whether they predicted parenting behavior at age 3. Twenty percent of the sessions were double coded to assess interrater reliability. The interrater reliability and predictive validity of fidelity scores and caregiver engagement did not significantly differ across rating modality. However, caution must be used in interpreting these results because the interrater reliabilities in both conditions were low. Possible explanations for the low reliability, limitations of the current study, and directions for future research are discussed.

Contributors

Agent

Created

Date Created
  • 2019

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FrozenNode: Static Linking of Node.js Applications

Description

Web applications are ubiquitous. Accessible from almost anywhere, web applications support multiple platforms and can be easily customized. Most people interact with web applications daily for social media, communication, research,

Web applications are ubiquitous. Accessible from almost anywhere, web applications support multiple platforms and can be easily customized. Most people interact with web applications daily for social media, communication, research, purchases, etc. Node.js has gained popularity as a programming language for web applications. A server-side JavaScript implementation, Node.js, allows both the front-end and back-end to be coded in JavaScript. Node.js contains many features such as dynamic inclusion of other modules using a built-in function named require which dynamically locates and loads code.

To be effective, web applications must perform actions quickly while avoiding unexpected interruptions. However, dynamically linked libraries can cause delays and thus downtime, because dynamically linked code must load multiple files, often from disk. As loading is one of the slowest operations a computer performs, seeking from disk can have a negative impact on performance which causes the server to feel less responsive for users. Dynamically linked code can also break when the underlying library is updated. Normally, when trying to update a server, developers will use test servers. However, if the developer accidentally updates a library in a dynamically linked system, it may be incompatible with another portion of the program.

Statically linking code makes it more reliable and faster (to load) than dynamically linking code. The static linking process varies by programming language. Therefore, different static linkers need to be developed for different languages. This thesis describes the creation of a static linker, called FrozenNode, for the popular back-end web application language, Node.js. FrozenNode resolves Node.js applications into a single file that does not rely on dynamic libraries. FrozenNode was built on top of Closure Compiler to accurately process JavaScript. We found that the resolved application was faster and self-contained yielding significant advantages over the dynamically loaded application. Furthermore, both had the same output.

Vulnerabilities in web applications can be found using static analysis tools, however static analysis tools must reason about dynamically linked application. FrozenNode can be used to statically link a Node.js application before being used by a JavaScript static analysis tool.

Contributors

Agent

Created

Date Created
  • 2018

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Identifying the role of policy networks in the implementation of habitat conservation plans

Description

Conflict over management of natural resources may intensify as population growth, development, and climate change stress natural systems. In this dissertation, the role of policy networks implementing Habitat Conservation

Conflict over management of natural resources may intensify as population growth, development, and climate change stress natural systems. In this dissertation, the role of policy networks implementing Habitat Conservation Plans (HCPs) is examined. As explored here, policy networks are groups that come together to develop and implement terms of HCPs. HCPs are necessary for private landowners to receive Incidental Take Permits (ITPs) from the U.S. Fish and Wildlife Service (USFWS) if approved development activities may result in take of threatened or endangered species. ITPs may last up to 100 years or more and be issued to individual or multiple landowners to accomplish development and habitat conservation goals within a region.

Theoretical factors in the implementation and policy network literatures relevant to successful implementation of environmental agreements are reviewed and used to examine HCP implementation. Phase I uses the USFWS Environmental Conservation Online System (ECOS) database to identify characteristics of policy networks formed to implement HCPs within the State of California, and how those networks changed since the creation of HCPs in 1982 by amendment of the 1973 Endangered Species Act. Phase II presents a single, complex, multiple-party HCP case selected from Phase I to examine the policy network formed, the role of actors in this network, and network successes and implementation barriers.

This research builds upon the implementation literature by demonstrating that implementation occurs in stages, not all of which are sequential, and that how implementation processes are structured and executed has a direct impact on perceptions of success.

It builds upon the policy network literature by demonstrating ways that participation by non-agency actors can enhance implementation; complex problems may better achieve conflicting goals by creating organizational structures made up of local, state, federal and non-governmental entities to better manage changing political, financial, and social conditions; if participants believe the transaction costs of maintaining a network outweigh the benefits, ongoing support may decline; what one perceives as success largely depends upon their role (or lack of a role) within the policy network; and conflict management processes perceived as fair and equitable significantly contribute to perceptions of policy effectiveness.

Contributors

Agent

Created

Date Created
  • 2015