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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% of incarcerated persons, as well as has the highest rates of homelessness, sexual and physical abuse victimization, unemployment, and suicide;

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.
ContributorsLokey, Savannah Brittany (Author) / Anne, Mauricio (Thesis director) / Berkel, Lady (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2015-05
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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 two different federal departments: the Department of Defense and the Department of Energy. A statistical analysis and a meta-analysis of

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.
ContributorsStapleton, Andrew (Co-author) / Charnell, Matthew (Co-author) / Printezis, Antonios (Thesis director) / Kull, Thomas (Committee member) / Barrett, The Honors College (Contributor) / Chemical Engineering Program (Contributor) / Department of Supply Chain Management (Contributor)
Created2015-05
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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 in the ED would decrease when there were no Physician Assistants (PA's) being utilized during specific shifts. As for other

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.
ContributorsApplegate, Lauren Mckenzie (Author) / Kashiwagi, Dean (Thesis director) / Coursen, Cristi (Committee member) / Kashiwagi, Jacob (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2015-05
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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 disinterest from community members, soon after implementation. This study created a processual typology to summarize steps in the implementation process

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.
ContributorsOlivas, Elijah Taylor (Author) / Magaña, Lisa (Thesis director) / Martínez, Airín (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
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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 settings. Although EBPs represent the most effective forms of treatment, many treatment centers continue to use treatments that lack an

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.
ContributorsStottlemyre, Rachael Lynn (Author) / Corbin, William (Thesis director) / Hartman, Jessica (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
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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 self-care knowledge. This creative project focuses on how leaflet handouts were used to implement patient education on self-care management for

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.
ContributorsLozano, Angela Maria (Author) / Rascon, Aliria (Thesis director) / Crawford, Daniel (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05