Digital Commons Network^™

The Impact Of Supervisory Management On Extension Agent Job Satisfaction, Matt Benge, Amy Harder

Journal of Human Sciences and Extension

The relationship between a supervisor and his/her employee has a direct effect on the employee’s level of job satisfaction and decision to remain in the organization. Extension agent retention has been shown to increase when a positive relationship and supervisory support exist between an Extension agent and his/her supervisor. Herzberg’s Motivation-Hygiene Theory was used to examine relationships with and impacts of supervisor management on Extension agent job satisfaction. A census of Florida Extension agents were asked to describe their relationships with their County Extension Directors (CED). Significant positive relationships were found between agent job satisfaction and ratings of the hygiene …

Reading Nutrition Labels: A Predictor Of Health And Wealth?, Barbara O'Neill, Jing Jian Xiao, Karen Ensle

Journal of Human Sciences and Extension

This study explored relationships between the practice of reading Nutrition Facts labels on food products and the frequency of performance of 19 positive health and financial practices. Data were collected using an online survey with 3,361 observations that provided a simultaneous assessment of the participating individuals’ health and financial practices. Few publicly-available instruments of this type exist. The reliability of the overall scale used in this study was .845. Support was found for three hypotheses: there are differences in demographic characteristics between those who read Nutrition Facts labels and others and respondents who reported reading nutrition labels had both higher …

Guiding Diffusion Among Local Food Clientele: Recommendations For Extension Programming, Joy N. Rumble, Alexa J. Lamm, Keegan D. Gay

Journal of Human Sciences and Extension

The demand for local food has risen dramatically over the last decade, and many states have created brands to promote products grown within that state. However, the effect of state brands on consumer perceptions remains unknown. Extension agents serve as change agents and a bridge between science and the public to purvey information for adoption decisions. This study sought to determine if differences existed between consumers’ perceptions of food labeled local and food labeled Fresh from Florida to inform Extension programming. Florida residents (N = 530) were surveyed utilizing a between-subjects experimental design. Respondents were asked questions about their attitudes, …

The Five Love Languages Program: An Exploratory Investigation Points To Improvements In Relationship Functioning, Allison Nichols, Jane Riffe, Cheryl Kaczor, Ami Cook, Gwen Crum, Andrea Hoover, Terrill Peck, Rebecca Smith

Journal of Human Sciences and Extension

The authors describe an exploratory investigation of a relationship education program based on the Five Love Languages (5 LL) (Chapman, 2007), implemented by Extension educators in seven rural counties. Relationship assessments measured participant changes related to the quality of the primary relationship, belief in the future of the relationship, and partner empathy. Confidence in using the 5 LLs was also assessed. Two groups were compared, a “no booster” group that participated in didactic and final sessions and a “booster” group that received a book, tips, and reminders to practice the 5 LLs. Focus groups revealed how participants benefited. The results …

What Do We Know? Review Of U.S. Public Genetic Modification Literacy Reveals Little Empirical Data, Kathryn A. Stofer, Tracee M. Schiebe

Journal of Human Sciences and Extension

As genetic modification for food production has expanded, U.S. public discourse about the acceptance and regulation of use of these products has also expanded. Dissent is currently presumed to be widespread. However, assessments of public agricultural literacy around the technology alternatives are limited, especially in the context of food production versus medical genetic testing, about potential environmental risk and other reasons for dissent. Assessments also tend to focus on consumer knowledge in outdated deficit-model frameworks. In preparation for an assessment of U.S. adult public understanding of traditional breeding and genetic engineering technology, we reviewed existing agricultural literacy and science literacy …

Profitability, Engaging Delivery, And Trust: How Extension Professionals Can Optimize Farmer Adoption Of Climate-Related Adaptation Strategies, David C. Diehl, Nicole L. Sloan, Elder P. Garcia, Daniel R. Dourte, Sebastian Galindo-Gonzalez, Clyde W. Fraisse

Journal of Human Sciences and Extension

This study examined Extension professionals’ perspectives on how to optimize the chances that farmers will adopt climate adaptation strategies designed to minimize risks associated with climate variability and climate change. In-depth interviews were conducted with Extension professionals in four southeastern states (Alabama, Florida, Georgia, and South Carolina). Responses were coded and analyzed, resulting in three recommendations. First, focus on profitability and issues of immediate concern to farmers. Second, use engaging delivery methods, especially field trials conducted under realistic conditions. Third, build trust with farmers, primarily by focusing on research-based information. This study has practical implications for how Extension professionals should …

A Qualitative Evaluation To Improve The Co-Parenting For Successful Kids Program, Jeong-Kyun Choi, Holly Hatton-Bowers, Anna Burton, Gail Brand, Linda Reddish, Lisa M. Poppe

Journal of Human Sciences and Extension

Programs aiming to help parents are often challenged in analyzing open-ended survey questions from large samples. This article presents qualitative findings collected from 1,287 participants with a child 5 years of age or younger who completed the program evaluation for the Co-Parenting for Successful Kids online program, a 4-hour education course developed by the University of Nebraska Extension. Qualitative content analysis revealed that participants found the program useful for improving their co-parenting communication skills. Participants suggested areas for improvement such as additional information for helping children cope, conflict resolution strategies, handling legal issues, and understanding how divorce impacts children based …

The Benefits Of Family Science Education: The Male Perspective, Michael R. Langlais, Sylvia Asay, Anthony Walker, J. Mitchell Vaterlaus

Journal of Human Sciences and Extension

The majority of university family science courses are predominantly comprised of women. Because family science classes are centered on information and concepts relevant for both men and women, it is important to understand gendered experiences to promote healthy family and romantic relationships. Not only would men benefit from these classes, but increasing male enrollment in family sciences courses will help promote gender diversity in higher education. The current study used qualitative analyses to examine the perceptions of male undergraduate students concerning the benefits of taking family science courses. Male undergraduates from three midsize universities in the Midwestern and Western United …

Factors Contributing To The Retention Of Senior 4-H Members: From The Youth Perspective, Stacey Ellison, Amy Harder

Journal of Human Sciences and Extension

Of the almost six million youth reported as 4-H members in 2014, only 610,161 were listed as students in grades 9–12, compared to 1,941,406 in grades 4–8. This great disparity has been a long-held concern of 4-H professionals. Identifying both barriers to and contributing factors for continued 4-H membership is critical in understanding membership trends. This study employed the theoretical framework of Ajzen’s Theory of Planned Behavior (TPB) to uncover such barriers and contributing factors. Qualitative analysis showed that a desire to terminate 4-H membership during the middle school grades was common, yet perceived behavioral control among 4-H members had …

Guided Goal Setting: A Feasible Obesity Prevention Behavior Change Strategy For Low-Income Parents With Young Children, Mical K. Shilts, Stephanie L. Sitnic, Lenna Ontai, Marilyn S. Townsend

Journal of Human Sciences and Extension

To reduce the risk of pediatric obesity, behaviorally-focused parental education is needed. This study examined the feasibility of guided goal setting in a pediatric obesity prevention intervention for low-income parents of young children. Parents from Head Start participated in a six-week nutrition, activity, and parenting intervention that included guided goal setting (N = 47). At each session, data were collected on goal selection, effort, and attainment. Pre- and postintervention data were collected on nutrition, activity, and child feeding behaviors (n = 24). A subset of parents completed in-depth interviews (n = 20). Parents reported a high level of goal effort …

Bringing Work-Life Balance To Extension, Dhruti Patel

Journal of Human Sciences and Extension

Throughout its one hundred plus years of history, the Cooperative Extension System has experienced many changes. Since its beginning, the Extension System has revolutionized nonformal educational approaches and outreach methods. However, these changes have also created issues such as role ambiguity, work-life conflict, work-life spillover, burnout, stress, and work-life imbalance among Extension professionals. There are very few currently existing publications that identify present day work-life balance issues in Extension. Most of such information is dated and irrelevant to current workings of Extension. To give more in-depth insights on this subject, a number of well-established theories, such as compensation, spillover, inter-role …

Why Teach With Pbl? Motivational Factors Underlying Middle And High School Teachers’ Use Of Problem-Based Learning, Huei-Chen Lee, Margaret R. Blanchard

Interdisciplinary Journal of Problem-Based Learning

This quantitative study examined factors underlying middle and high school teachers’ choices about whether to use problem-based learning (PBL). Survey items measured respondents’ perceived competence, autonomy, and relatedness, and the value and costs they placed on implementing PBL. Teachers who have taught with PBL (n = 126) had significantly more formal PBL professional development, higher levels of perceived competence and value for this pedagogy, perceived more support from peers, and perceived lower costs than did the non–PBL use teachers (n = 30). Findings highlight the importance of formal PBL professional development in increasing teachers’ intention to implement PBL …

Developing Clinical Reasoning Skills In Teacher Candidates Using A Problem-Based Learning Approach, Terry L. Goodin, Nancy G. Caukin, Heather K. Dillard

Interdisciplinary Journal of Problem-Based Learning

In 2013, the Educational Leadership Department at Middle Tennessee State University (MTSU) implemented a redesign of the teacher preparation program to transition from a traditional on-campus model to one delivered both on-campus and in off-campus school sites while using a problem-based learning method. This new program closely follows the medical school model of residency experiences coupled with problem-based learning events. This article describes the problembased learning process used in this program, comparing it with the early versions of medical school problem-based learning that encouraged the development of “clinical reasoning” skills. Similarities and differences are highlighted, along with key components of …

The Influence Of Body Mass Index On Survival And Length Of Stay In Patients With Septic Shock, Yasir Jawaid, Waseem Ahmed, Damir Kusmic, Aman Ajmeri, Kanaan Mansoor, Cristie Mannino, Thomas Judge, Larry E. Carter, Akash V. Ajmera

Marshall Journal of Medicine

Background: Obesity is one of the most widespread epidemics of our time. In fact, currently 65.7% of US adults age 20 and older are overweight, while 30.6% are obese. It has been well-established that obesity has numerous adverse effects on long-term health, however the specific effect on patients treated for sepsis and septic shock is unclear. Body Mass Index (BMI) is a measure of total body fat content and surrogate marker for obesity. In our study, we aimed to identify if BMI was an independent risk factor for poor survival or increased length of stay (LOS) in patients with sepsis. …

Perceptions Of Specialties And Primary Care Careers: Findings From West Virginia Medical Student And Resident Focus Groups, April L. Vestal, Laura Boone, Robert Walker, A. Brianna Sheppard, Dakota Morris, Ashley J. Noland

Marshall Journal of Medicine

The purpose of this study was to improve the understanding of how perceptions of practicing specific medical specialties contribute to career decisions. Participants included medical students and residents from training programs in West Virginia. Focus groups were conducted between September 2013 and February 2015. Thematic content analysis of focus group interviews was used to identify phrases indicating perceptions of person- versus technique-oriented personality medical specialties.

“Self-focused” and “other-focused” themes emerged within person-oriented comments. Factors affecting “self”, including work/life balance and salary and practice environment, made certain specialties more appealing. Technique-oriented comments included working in a hospital setting, performing technical procedures, …

Optimizing Quality Of Care By Patient Satisfaction For The Department Of Orthopaedics - A Survey Study, Milad Modarresi, Ammar Qureshi, Rodrigo Aguilar, Meghan Anderson, Felix Cheung

Marshall Journal of Medicine

Introduction: Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) has provided a standardized survey method in order to evaluate the patient’s satisfaction on the care they are provided. While overall patient satisfaction is clearly a multidimensional concept, the HCAHPS survey covers 8 domains of health care. This study tries to identify and establish the main determinants to patient’s level of satisfaction during their visit to Cabell Huntington Hospital Orthopaedics department.

Methods: Data was collected from surveys handed in 3 consecutive months; June, July and August of 2013. Sixteen questions were selected from HCAHPS that were appraised to be relevant …

Predicting Adverse Outcomes In End Stage Renal Disease: Machine Learning Applied To The United States Renal Data System, Zeid Khitan, Alexis D. Jacob, Courtney Balentine, Adam N. Jacob, Juan R. Sanabria, Joseph I. Shapiro

Marshall Journal of Medicine

We examined machine learning methods to predict death within six months using data derived from the United States Renal Data System (USRDS). We specifically evaluated a generalized linear model, a support vector machine, a decision tree and a random forest evaluated within the context of K-10 fold validation using the CARET package available within the open source architecture R program. We compared these models with the feed forward neural network strategy that we previously reported on with this data set.

Applying A Research Ethics Review Processes In Rural Practice-Based Research, Adam D. Baus, Tracy L. Hendershot, Martha Cook Carter, Laura K. Boone

Marshall Journal of Medicine

Introduction: Partnering with rural primary care in practice-based research allows researchers access to a vital segment of the health care sector and a window into some of the most vulnerable, high-risk, high-need patient populations. The readiness for rural primary care to fully embrace research partnerships, however, is often tempered by ethical questions in conducting research in close-knit settings. This research provides practices with a refined decision support tool for evaluating the fit of research opportunities for their unique practices.

Materials and Methods: A two-phase effort was conducted to glean insight from currently available literature on ethical considerations in practice-based research …

Outcomes Of Transcutaneous Aortic Valve Replacement Among High Risk Wv Sample Population., George M. Yousef, Julia Poe, Cameron Killmer, Basel Edris, Jason Mader, Ellen A. Thompson, Daniel Snavely, Silvestre Cansino, Joseph I. Shapiro, Mark A. Studeny

Marshall Journal of Medicine

Introduction:Transcatheter aortic valve replacement (TAVR) is a relatively new strategy for replacing the aortic valve. We elected to review our early experience to see if we could identify clinical characteristics at baseline or immediately following the procedure that would predict death within one year.

Methods:Charts for all patients assigned to receive TAVR procedure at St Mary’s medical center, Huntington, West Virginia between April, 2013 till November, 2016 were identified and reviewed. A total of seventy-two (72) cases were included.

Results: All cause mortality rate at index hospitalization, 30 days, and 12 months was 5.6%(N=4), 6.9%(N=5), 19.4%(N=14) respectively. Stroke …

Nadolol In Pregnancy: A Medical Student’S Reflection On Her Pregnancy, Rebecca King-Mallory, Shawndra Barker, Kaitlin Mcgrogan, Adam M. Franks

Marshall Journal of Medicine

Hypertension is a common concern during pregnancy. Beta-blockers are one potential treatment, but third trimester exposure has correlated with an increased risk of perinatal events. Nadolol, a nonselective beta blocker, has properties that differ from those of its selective counterparts, including longer half-life, decreased protein binding, and renal excretion in the unchanged form. There is very limited data on the use of nadolol during pregnancy, and its safety has not been completely evaluated. This case study documents the perinatal outcomes of nadolol use throughout a medical student’s pregnancy and explores the experience in obtaining and undergoing medical care.

Diagnosis Of A Centronuclear Myopathy Case In Appalachia 20 Years From Symptom Onset., Christopher Burrell, Zachary Wilson, Dominika Lozowska

Marshall Journal of Medicine

Dynamin 2 (DMN2) mutations cause centronuclear myopathy (CNM) and Charcot Marie Tooth (CMT). Herein we discuss the details of a patient's case of adult onset CNM. We also highlight the unique features of this case with regards to the importance of electromyography (EMG), muscle biopsy and genetic testing in identifying CNM, as well as potential for improving outcomes by having a high index or suspicion and emphasizing better access to healthcare in underserved areas.

Ignorance Is Not An Option, Tamela J. White

Marshall Journal of Medicine

Health literacy is a vital component in the design of public health interventions. Public understanding of health literacy and its role in attaining down stream and outcomes is not only a necessity but a moral mandate.

Leaving A Legacy, Jay Lakhani

Marshall Journal of Medicine

No abstract provided.

The Future Of Personalized Care: Humanism Meets Artificial Intelligence, Darshana T. Shah

Marshall Journal of Medicine

Another exciting year for the Marshall Journal of Medicine has passed, giving us the opportunity to both reflect on the accomplishments of the past year and summarize recent developments. The readership distribution of the Marshall Journal of Medicine spans the globe, including over 169 countries and 32,000 plus downloads. We continue to expand our scope by incorporating new submission categories such as “At the ‘Heart’ of Healthcare” and “Machine Learning in Rural Health.” This issue particularly propels us forward with a focus on the humanism of health care.

Patriotism? No Thanks!, Madhu Suri Prakash

Occasional Paper Series

Patriotic fever reigned supreme in my son’s fifth grade classroom in the public elementary school he had attended since kindergarten. It was in a middle-sized university town in the United States.

Framed photos of each student flouting the flag with patriotic pride announced his teacher’s curriculum and pedagogy. Mrs. ABZ’s message, at least as experienced by my son and me, was “Do or die!” You either subscribe to her patriotic philosophy of education, or you die as a legitimate and valued member of the class.

The school principal accepted that this was unpalatable, undemocratic, inappropriate, unjust and mis-educative—to say the …

A Love-Hate Relationship: Personal Narratives Of Pride And Shame As Patriotic Affects, Mark E. Helmsing

Occasional Paper Series

The Office of Alumni Relations for George Mason University—in Fairfax, Virginia, where I teach—is located centrally on the campus. The exterior of the building faces a busy walkway, displaying in vinyl lettering the official slogan of the university’s alumni association: “once a Patriot, always a Patriot.” This motto refers to the university’s Patriot mascot and implies that once a person joins the university as a student, that person becomes a Patriot and will forever remain a Patriot, which, the alumni office presumably hopes, will result in feelings of goodwill that prompt generous financial contributions from alumni donors.

In considering the …

Patriotism To People In Diaspora Is Love Of Humanity, Ming Fang He

Occasional Paper Series

Patriotism is always contested. It is even more contested for people in diaspora. Diaspora (in Greek, διασπορά – “a scattering [of seeds]”) refers to the movement of a population sharing common ethnic identity who are either forced to leave or voluntarily leave their indigenous or ancestral lands and become residents in areas often far removed from their former homes (He, 2010).

In a broader sense, diaspora refers to the situations when indigenous peoples, immigrants, and emigrants are forced to leave or voluntarily leave their tribes, native lands, territories, communities, or countries due to such reasons as imperialism, colonialism, political persecution, …

Constructed Patriotism; Shifting (Re)Presentations And Performances Of Patriotism Through Curriculum Materials, Nina Hood, Marek Tesar

Occasional Paper Series

What does it mean to be patriotic? How are notions of patriotism (re)presented and performed in curriculum materials? In attempting to answer these questions, we contend that it is necessary to move beyond the word patriotic as an isolated concept to explore it in relation to specific temporal, geographic, political, economic, and institutional contexts. Patriotism, or to be patriotic, is conceptualized and means something quite different—and manifests differently—in different eras and in different countries.

We utilize curriculum materials and documents as a lens through which to explore different conceptions and manifestations of patriotism as they pertain to the education of …

Patriotism, Race, And The Militarization Of Citizenship, Jenna Christian

Occasional Paper Series

The visual essay emerges from 2.5 years of ethnographic and arts-based research on the politics of race, citizenship, and military recruiting among Latinx youth in Texas. The essay juxtaposes two examples of how the military intersects with racialized constructions of a patriotic citizen: 1) the case of Colin Kaepernick kneeling during the national anthem at NFL football games, and 2) the role of military-run Junior Reserve Officers’ Training Corps programs in teaching citizenship. Through the two cases, the essay challenges readers—and educators—to attend to how patriotism is linked to both white supremacy and militarization within the United States.

This Is About Us: Drama Workshop As Patriotic Education, Samuel J. Tanner

Occasional Paper Series

For 15 years, I was a drama teacher in two large urban high schools in Minnesota. My classes were designed with the belief that theatre requires the downplaying or even sacrifice of the individual for the success of the collective. Yes, these classes involved practices that helped students rehearse basic tools of performance but, more importantly, they required participants to work together as a group. Each semester-long class ended with a theatrical production written, produced, and performed by the students for audiences of their peers. Careful not to impose my vision on the content of their productions, I worked to …