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Effects Of Maternal-Infant Golden Hour On Breastfeeding, Julina A. Wall-Penner, Katilyn Rasmussen, Madeline Suderman Mar 2024

Effects Of Maternal-Infant Golden Hour On Breastfeeding, Julina A. Wall-Penner, Katilyn Rasmussen, Madeline Suderman

SACAD: Scholarly Activities

Abstract

This study examines the effects of immediate maternal-infant skin-to-skin contact, and how those effects compare to mothers and babies who have delayed or skin-to-skin. Skin-to-skin contact, also known as “the golden hour”, is a remarkable practice that occurs immediately after birth. During this intimate bonding experience, the newborn is placed directly on the mother's chest, their tiny body nestled against her warm skin. Studies have shown numerous benefits from this practice. Breastfeeding success through early initiation is one the benefits this study focuses on. This cohort observational study is recommended to take place at Hays Medical Center with mothers …


2024 March 18 - Faculty Senate Agenda And Minutes, Faculty Senate, East Tennessee State University Mar 2024

2024 March 18 - Faculty Senate Agenda And Minutes, Faculty Senate, East Tennessee State University

Faculty Senate Agendas and Minutes

No abstract provided.


Nuevas Perspectivas En Educación Física, Recreación Y Deportes En La Universidad De Cundinamarca, Oscar Adolfo Niño Méndez, Jorge Leonardo Rodríguez Mora Mar 2024

Nuevas Perspectivas En Educación Física, Recreación Y Deportes En La Universidad De Cundinamarca, Oscar Adolfo Niño Méndez, Jorge Leonardo Rodríguez Mora

Ciencias del Deporte y la Educación Física

Este libro explora la investigación en Educación Física, Recreación y Deporte, enfocándose en cómo enfrentar los desafíos profesionales y prevenir el abandono de la actividad física. La Universidad de Cundinamarca organizó el IV Seminario de Actualización con expertos de varios países, en el contexto de la pandemia de COVID-19. Dividido en tres partes, el libro presenta investigaciones y experiencias profesionales, ponencias del seminario y talleres prácticos híbridos. Aborda temas como salud mental, actividad física, nutrición infantil y los efectos del ejercicio en la depresión y el estrés. Ofrece nuevas perspectivas y prácticas para educadores físicos frente a los desafíos de …


A Nutritional Intervention To Improve Body Composition In Adolescent Athletes, Michael Ryan, Rosemary E. Borgerding, Kimberly L. Oliver Mar 2024

A Nutritional Intervention To Improve Body Composition In Adolescent Athletes, Michael Ryan, Rosemary E. Borgerding, Kimberly L. Oliver

Journal of Athlete Development and Experience

This study assessed the effectiveness of a sports nutrition intervention designed to improve body composition in 25 high-school male athletes over a 12-week period. Employing a mixed-methods approach within a quasi-experimental one-group pretest-posttest design, the intervention integrated nutrition education with the provision of food. Quantitative results revealed significant reductions in body fat percentage and fat mass, and an increase in fat-free mass. Qualitative insights highlighted the untapped nutritional potential of adolescents and emphasized the importance of accessibility and simplicity in driving compliance. The findings suggest that targeted nutritional interventions can positively impact adolescent athletes' body composition. The study underscores the …


The Relationship Between Stress Mindset And Burnout In College Athletes, Amber M. Shipherd, Creighton Avery, Sarah Gomez, Kelly B. Renner Mar 2024

The Relationship Between Stress Mindset And Burnout In College Athletes, Amber M. Shipherd, Creighton Avery, Sarah Gomez, Kelly B. Renner

Journal of Athlete Development and Experience

High levels of stress can result in college athletes experiencing symptoms of burnout, and electing to terminate their sport participation. Research suggests there may be a relationship between athlete burnout and one’s view of stress (Avery et al., 2022). The purpose of this study was to examine the relationship between stress mindset and burnout in college athletes, while controlling for gender, coping self-efficacy, and perceived stress. College athletes (N = 118) completed measures of stress mindset, athletic burnout, coping self-efficacy, and perceived stress via online survey software. Non-parametric partial correlations were conducted to determine relationships between variables while controlling …


“Zero Preparation For Life After Sports”: Former College Athletes’ Use Of Tiktok To Express Transitioning Out Of Sport, Molly Harry, Sydney Hammit Mar 2024

“Zero Preparation For Life After Sports”: Former College Athletes’ Use Of Tiktok To Express Transitioning Out Of Sport, Molly Harry, Sydney Hammit

Journal of Athlete Development and Experience

Every college athlete will transition out of competition and this transition is often tumultuous for athletes who have dedicated years to the sports they love. Despite these challenges, athletes are rarely given a platform to discuss their transition with peers experiencing a similar situation who can offer support. However, through social media, former college athletes are creating platforms to center their transition successes and struggles. Through the lens of Schlossberg’s Transition Theory (1981), this study used thematic analysis to examine transition experiences of former college athletes responding to a viral TikTok video. Comments (n = 869) demonstrated former athletes …


A Delphi Study To Explore Successful Implementation Of The International Baccalaureate Primary Years Programme From A Principal's Perspective, Hilary Reynolds Mar 2024

A Delphi Study To Explore Successful Implementation Of The International Baccalaureate Primary Years Programme From A Principal's Perspective, Hilary Reynolds

Dissertations

Purpose: The purpose of this Delphi study was to identify the essential elements needed to implement the International Baccalaureate Primary Years Programme (IB PYP) standards and practices from the perspective of elementary school principals who have successfully implemented the programme.

Methodology: This research study examined the essential elements needed for elementary schools as they transition to an IB PYP. This study illustrated the framework for the implementation of the study. Additionally, a description of the population, target population, and the sample used for the study was explored. The instrumentation, data collection procedures, and description of data analysis were then explained. …


Balancing The Medical, Psychiatric, And Ethical Considerations In The Inpatient Treatment Of Extreme Anorexia Nervosa: A Case Report, Carter A. Schulz, Carolyn A. Kennedy Mar 2024

Balancing The Medical, Psychiatric, And Ethical Considerations In The Inpatient Treatment Of Extreme Anorexia Nervosa: A Case Report, Carter A. Schulz, Carolyn A. Kennedy

Aesculapius Journal (Health Sciences & Medicine)

Introduction: Anorexia nervosa (AN) is a psychiatric illness characterized by restricted energy intake, intense fear of gaining weight, and a disturbance in body image. A 2011 meta-analysis estimated the mortality rate for anorexia nervosa to be over 5 times that of the general population, with one-fifth of deaths in AN patients being due to suicide. Treating this disease is notoriously difficult, and treatment is complicated by these patients’ characteristically poor insight.

Case summary: Here we present the case of a 37 year old woman who visited the ED with complaints of nausea and weakness; she was admitted due to hypoglycemia, …


Getting Out And Getting In: Assets And Barriers To Transitioning From Foster Care To Higher Education, Stacie K. Pettit, Ann Digirolamo Mar 2024

Getting Out And Getting In: Assets And Barriers To Transitioning From Foster Care To Higher Education, Stacie K. Pettit, Ann Digirolamo

National Youth Advocacy & Resilience Conference

Students in foster care have lower rates of college entry than same-grade peers. This presentation will share results on perceived barriers and facilitators to pursuing post-secondary education among youth and caregivers involved in foster care, sharing relevant resources and policies available to assist youth and families.


Assessing The Reliability, Internal Consistency, And Sensitivity Of A Nutrition Knowledge Questionnaire For Four-Year-Old Pre-K Children, Lin Wang, Karla Cortez, Brenda Rodriguez, Joseph Reyes, Moises Cisneros, Elizabeth Alanis, Zasha Romero, Lisa Michelle Belzer Salinas, Juan López Alvarenga, Roberto Treviño-Peña Mar 2024

Assessing The Reliability, Internal Consistency, And Sensitivity Of A Nutrition Knowledge Questionnaire For Four-Year-Old Pre-K Children, Lin Wang, Karla Cortez, Brenda Rodriguez, Joseph Reyes, Moises Cisneros, Elizabeth Alanis, Zasha Romero, Lisa Michelle Belzer Salinas, Juan López Alvarenga, Roberto Treviño-Peña

Research Symposium

Introduction: Assessing nutrition knowledge in four-year-olds, a developmental stage marked by limited attention spans and varying comprehension abilities, is challenging with traditional methods. A reliable test is pivotal for establishing a foundation for future health interventions. We evaluated a 13-question nutrition and healthy habits test in Pre-K4 children to assess reliability and sensitivity to detect differences.

Methods: Calculations included Cronbach's alpha, kappa coefficient, McNemar analysis by item, and Bland-Altman plots for test-retest differences. Mixed model regression assessed the questionnaire's sensitivity by sex and association with age. Item response theory (IRT) models were employed, generating latent abilities for students and individual …


March 5, 2024 Ereporter, University Of Alabama At Birmingham Mar 2024

March 5, 2024 Ereporter, University Of Alabama At Birmingham

eReporter (campus newsletter)

No abstract provided.


Supporting Justice-Impacted Students: Recommendations For Elgin Community College, Ginger M. Reynolds, Emily Rusca, Dania Ibrahim Mar 2024

Supporting Justice-Impacted Students: Recommendations For Elgin Community College, Ginger M. Reynolds, Emily Rusca, Dania Ibrahim

Reports, Analyses, and other Publications

No abstract provided.


Defusing Escalating Situations, Louis Lamont Fletcher Phd, David Allen Watson Mar 2024

Defusing Escalating Situations, Louis Lamont Fletcher Phd, David Allen Watson

National Youth Advocacy & Resilience Conference

The Executive Director of Facilities and Operations and the Director of Safety and Security for a Colorado School district with 28,000 students will share tools, techniques, and experiences with conflict resolution. The presenters will outline the recognizable precursors to conflict, the importance of the individual's initial reaction, and provide tools to facilitate de-escalation. This interactive presentation provides relevant tools to de-escalate conflicts between peers, supervisors and subordinates, teachers and students, teachers and parents, school security officers and students, superintendents and board members, and school districts and community members.


Adolescents With Eating Disorders Due To Bullying, Avery Page Mar 2024

Adolescents With Eating Disorders Due To Bullying, Avery Page

South Carolina Association for Middle Level Education Journal

Bullying is a strong predictor of eating disorders. Adolescent girls are more susceptible to developing eating disorders due to social media, developmental changes, and societal pressure for unattainable perfection. Adolescent advocates have an important role in addressing this issue and providing support for students.


Maine Career Exploration: Interim Evaluation Report, Sydney Brown, Julia Bergeron-Smith Mppm, Msw, Sarah Goan, Madison Burke, Becky Wurwarg Mar 2024

Maine Career Exploration: Interim Evaluation Report, Sydney Brown, Julia Bergeron-Smith Mppm, Msw, Sarah Goan, Madison Burke, Becky Wurwarg

Publications

The Maine Career Exploration (MCE) Program is a two-year pilot initiative designed to connect young people with Maine’s economy through hands-on, age-appropriate career exploration experiences. Launched in 2022 with funding from Governor Janet Mills’ Jobs and Recovery Plan, the program seeks to provide meaningful paid work experiences, expand career exploration programming in schools and communities, and create sustainable infrastructure to support long-term career readiness opportunities across the state. Managed by the Maine Department of Economic and Community Development, the initiative invests in three main areas: the Maine Children’s Cabinet Career Exploration Pilot Project, the Maine Department of Education’s Extended Learning …


Nebline, March/April 2024 Mar 2024

Nebline, March/April 2024

NEBLINE Newsletter Archive from Nebraska Extension in Lancaster County

Seven Garden Gaffes to Avoid This Year by Sarah Browning

Youth Advance Health Equity with Community-Based Research by Emily Gratopp

Recipe of the Month: Crunchy Kohlrabi Salad by Emily Gratopp

GROBigRed Virtual Learning Series

Garden Guide: Things to Do This Month

2024 Lincoln Early Childhood Conference

2024 Chemigation Training

Corn Yield Challenge for 4-H and FFA Members

Lancaster County Ag VIP Awards

4-H Teens Work Together to Lead the Lock-In

4-H Horse/Livestock Judging Teams at Nationals

Heart of 4-H Volunteer Award: Sheridan Swotek and Kim Bowen

4-H Club Gives Youth With Disabilities Opportunity to Show Lambs

4-H Rabbit Show, March …


Voices From Grenada: An Impact Evaluation Of A Community-Academic Partnership., Sade Richardson Mar 2024

Voices From Grenada: An Impact Evaluation Of A Community-Academic Partnership., Sade Richardson

Doctor of Social Work Capstone Projects

The purpose of this study was to evaluate the impact of the community-academic partnership between the University of Michigan School of Public Health Office of Public Health Practice and the Grenadian community. Five key informant interviews were conducted to analyze the partnership from the perspectives of the community partners in Grenada to understand the strengths, challenges, and existing opportunities, specifically within the context of a global collaboration.

The findings highlighted the benefits of community-based collaboration, considerations for partnership design, and opportunities for education, practice, policy, research, and leadership. The organizations spoke highly of the partnership, underscoring their desire for expanded …


Trans-Disciplinary Communication In Collaborative Co-Design For Knowledge Sharing, James Lipuma, Cristo León Mar 2024

Trans-Disciplinary Communication In Collaborative Co-Design For Knowledge Sharing, James Lipuma, Cristo León

STEM for Success Resources

Explore the transformative power of Trans-Disciplinary Communication in Collaborative Co-Design for effective knowledge sharing.

Rights
All content in this magazine is licensed under a Creative Commons Attribution License. Attribution-Non-Commercial-Non-Derivatives 4.0 International (CC BY-NC-ND 4.0).


Communities Of Practice To Facilitate Change In Health Professions Education: A Realist Synthesis, Gemma Jenkins, Claire Palermo, Alexander M. Clark, Leesa Costello Mar 2024

Communities Of Practice To Facilitate Change In Health Professions Education: A Realist Synthesis, Gemma Jenkins, Claire Palermo, Alexander M. Clark, Leesa Costello

Research outputs 2022 to 2026

Background: Communities of practice could contribute to transformations in health professions education to meet complex and emerging challenges. However, little is known about the underlying mechanisms of communities of practice in this setting, and how context influences outcomes. Objective: To understand when, why and how communities of practice with health professions education faculty work to facilitate higher education change. Design: A realist synthesis according to the RAMESES standards and steps described by Pawson and colleagues. Review methods: Early scoping of the literature informed the development of an initial program theory to describe underlying assumptions about how communities of practice in …


Socio-Economic Integration Strategies Of “Former Rwandan Refugees” In Yaoundé, Cameroon., Michèle Mc Signé Feb 2024

Socio-Economic Integration Strategies Of “Former Rwandan Refugees” In Yaoundé, Cameroon., Michèle Mc Signé

Journal of Critical Global Issues

This research is entitled The Socio-economic Integration Strategies of “former Rwandan refugees” in Yaoundé, Cameroon. This is an analysis of immigrants who were once under international protection. The presence of former Rwandan refugees in the city of Yaoundé dates back to the time of the 1994 Rwandan genocide. With the advent of the cessation clause in 2018, we are faced with individuals who must find ways of coping with the new realities. Based on the assimilation and integration of immigrant, this study analyzes the integration strategies of former Rwandan refugees. This integration is facilitated by a social context described as …


Alternative Education Center Teachers' Experiences With Identifying Dyslexia Characteristics In Students: A Phenomenology, Natasha P. Peoples Feb 2024

Alternative Education Center Teachers' Experiences With Identifying Dyslexia Characteristics In Students: A Phenomenology, Natasha P. Peoples

Doctoral Dissertations and Projects

This phenomenological study explore the experiences of 10 participants teaching at a North Texas alternative education center, focusing on identifying dyslexia characteristics. The research is grounded in self-efficacy theory and phonological deficit theory, which both contribute to understanding lifelong effects of reading difficulties, particularly dyslexia. Self-efficacy theory emphasizes task-specific beliefs, while phonological deficit theory underscores the importance of accurate letter sound representation for a strong alphabetic foundation. Employing a phenomenological approach, the study gathers participants' perceptions, employing a triangulation method for data collection through interviews, questionnaires, and document analysis. Data analysis followed Moustakas' modification of the Van Kaam method to …


“It’S Been A Long And Terrible Day”: Doctoral Students’ Experience Of Stress And Coping, Orianna D. Carvalho, Yarisbel Melo Herrera, Jiangping Cai, Mardoche W. Telusma, Qingyu Yang, Brenda Santos, Jacquelyn Potvin, Bobby Gondola, Elizabeth-Ann Rando Viscione, Jodi Sutherland Charvis, Joise Garzon, Hayley Lindsey, Aradhana Aradhana, Annemarie Vaccaro Dr. Feb 2024

“It’S Been A Long And Terrible Day”: Doctoral Students’ Experience Of Stress And Coping, Orianna D. Carvalho, Yarisbel Melo Herrera, Jiangping Cai, Mardoche W. Telusma, Qingyu Yang, Brenda Santos, Jacquelyn Potvin, Bobby Gondola, Elizabeth-Ann Rando Viscione, Jodi Sutherland Charvis, Joise Garzon, Hayley Lindsey, Aradhana Aradhana, Annemarie Vaccaro Dr.

Journal of Graduate Education Research

Research has shown that graduate students experience a host of stressors as they navigate higher education. This study was a participant-generated visual method (PGVM) project with 14 doctoral students from one research university in the northeastern United States. The purpose of this study was to illuminate doctoral students’ experiences as the world was progressing toward a post-pandemic reality. Data sources included visual image solicitation, a focus group interview, and individual memoing over one semester. Several themes emerged, including stressors related to working while in graduate school, finances, and social challenges. This study offers insights to graduate programs seeking to reduce …


University Students' Wellbeing: A Case Study Of An International Private University In Egypt, Alia Attia Feb 2024

University Students' Wellbeing: A Case Study Of An International Private University In Egypt, Alia Attia

Theses and Dissertations

Wellbeing is a crucial topic that is gaining increasing attention in higher education and should be taken into careful consideration. This is a qualitative case study, using a phenomenological approach, which explores the phenomenon of student wellbeing in an international private university in Egypt. Data was collected through semi-structured individual interviews with a total of fourteen participants: eight purposefully selected students who have taken part in wellbeing programs, initiatives, or events at the American University in Cairo (AUC), as well as six faculty/staff members, leaders, mentors, or coaches in the field were interviewed. In addition to the interviews, conversations were …


Self-Compassion And Body Image Inflexibility As Mediators Of Outcomes In A Residential Eating Disorder Sample, Julie M. Petersen, Jennifer L. Barney, Leila K. Capel, Mercedes G. Woolley, Tera Lensegrav-Benson, Benita Quakenbush-Roberts, Michael P. Twohig Feb 2024

Self-Compassion And Body Image Inflexibility As Mediators Of Outcomes In A Residential Eating Disorder Sample, Julie M. Petersen, Jennifer L. Barney, Leila K. Capel, Mercedes G. Woolley, Tera Lensegrav-Benson, Benita Quakenbush-Roberts, Michael P. Twohig

Psychology Faculty Publications

Eating disorders are serious mental health conditions that are accompanied by negative health outcomes, high mortality rates, impaired functioning, and comorbid mental health conditions. Despite many empirically supported interventions for eating disorders, it remains one of the most challenging mental disorders to treat, as individuals often struggle to maintain treatment gains. One method of improving our understanding of effective eating disorder treatment is to identify important processes of change to target during therapy. The aim of the current study was to test two candidate mediators of disordered eating symptom change during residential treatment: self-compassion and body image inflexibility. In the …


The Current - Volume 34 Issue 9, Nova Southeastern University Feb 2024

The Current - Volume 34 Issue 9, Nova Southeastern University

Student Newspapers

No abstract provided.


A Longitudinal Look At Student Attitude, Perceived Competence, And Fitness Test Performance Of Elementary Students, Risto Marttinen, Kevin Mercier, Jung Yeon Park, Kelly L. Simonton, Erin Centeio, Kevin Andrew Richards, Kathleen Wilson Feb 2024

A Longitudinal Look At Student Attitude, Perceived Competence, And Fitness Test Performance Of Elementary Students, Risto Marttinen, Kevin Mercier, Jung Yeon Park, Kelly L. Simonton, Erin Centeio, Kevin Andrew Richards, Kathleen Wilson

International Journal of Physical Activity and Health

The purpose of this study was to assess relationships between students’ attitudes toward physical education (PE), their perceived competence toward PE, and their fitness test performance, as well as how these relationships change over time. Measurements were conducted with validated instruments across five time points during two school years with fourth and fifth grade students across ten schools (n = 636, 48% = female). This study was developed to address a need for examining how attitudes and perceived competence change over time. Descriptive statistics and latent growth models were run with the variables of interest to investigate four research …


Protective Factors Of Low Bone Mineral Density: An Examination Between Two Samples Of Premenopausal Women, Charlene Norgan Radler, Christine M. Florez, Colin Wilborn, Lem Taylor, Ariane Hollub Secrest Feb 2024

Protective Factors Of Low Bone Mineral Density: An Examination Between Two Samples Of Premenopausal Women, Charlene Norgan Radler, Christine M. Florez, Colin Wilborn, Lem Taylor, Ariane Hollub Secrest

International Journal of Exercise Science: Conference Proceedings

While minimal longitudinal data exists to support osteoporosis screening among premenopausal women, an increasingly modernized society may contribute to modifiable osteoporosis risk factors including poor nutrition and low physical activity. Evaluation of bone mineral density (BMD) and body composition differences in populations with varied levels of physical activity is of importance. PURPOSE: The purpose of the current research was to determine if there is a difference across body composition measurements including total lean mass, body mass index (BMI), and BMD among a subset of physically active premenopausal women (ACTIVE) at a small, southern Christian university compared to premenopausal women …


The Caloric Cost Of Self-Paced Exercise In Full Body Tabata, Treadmill Running Tabata, And Continuous Running, Austin Dunn, James R. Rowe Feb 2024

The Caloric Cost Of Self-Paced Exercise In Full Body Tabata, Treadmill Running Tabata, And Continuous Running, Austin Dunn, James R. Rowe

International Journal of Exercise Science: Conference Proceedings

Weight management via exercise is critical in both athletic and general populations. It is unclear what modality of exercise elicits the greatest caloric efficiency. PURPOSE: To compare the energy expenditure of three different exercise regimens when performed at a self-selected pace. METHODS: Recreationally active men (n=3) and women (n=4) performed 3 separate exercise bouts at a self-selected pace: total body Tabata (TBT), treadmill running Tabata (TRT), and continuous running (CONT) in a counterbalanced manner with at least 48h between bouts. Trials consisted of a 10-minute rest period, 5-minute warmup, 25-minute exercise bout, and a 25-minute recovery period. TBT consisted …


The Ability Of Cardiac Autonomic Modulations Stress Index To Independently Predict Vo2max In Cardiometabolically Healthy Individuals, Leticia C. De Souza, Ricardo Torres, Chris Wynveen, Leroy Bolden, Tomas Chapman-Lopez, Leslee Funderburk, Jeffrey S. Forsse Feb 2024

The Ability Of Cardiac Autonomic Modulations Stress Index To Independently Predict Vo2max In Cardiometabolically Healthy Individuals, Leticia C. De Souza, Ricardo Torres, Chris Wynveen, Leroy Bolden, Tomas Chapman-Lopez, Leslee Funderburk, Jeffrey S. Forsse

International Journal of Exercise Science: Conference Proceedings

Cardiac autonomic modulation (CAM) is crucial for heart health, mediated by the sympathetic and autonomic systems (SAS). The link between CAM and aerobic exercise underscores the importance of aerobic fitness assessments in optimizing training to enhance performance. Heart rate variability (HRV) assesses CAM in various healthy populations, with the Stress Index (SI) identified as key in determining the SAS regulation involvement in performance and recovery outcomes. The SI may provide a quick and non-invasive metric to assess aerobic performance. PURPOSE: To determine if the SI can accurately predict aerobic performance via VO2max in healthy individuals free of metabolic …


Understanding Health-Resource Needs To Mitigate Barriers Toward Healthy Lifestyles In Rural Communities, Esther P. Kim, Claire C. Baetge, Megan Mcclendon, Katelyn Murphy, Miquela Smith, Mikayla Cole, Mark D. Faries Feb 2024

Understanding Health-Resource Needs To Mitigate Barriers Toward Healthy Lifestyles In Rural Communities, Esther P. Kim, Claire C. Baetge, Megan Mcclendon, Katelyn Murphy, Miquela Smith, Mikayla Cole, Mark D. Faries

International Journal of Exercise Science: Conference Proceedings

Understanding the specific resources that support the ability to live a healthy lifestyle in rural communities can help to improve future interventions and decrease the prevalence of chronic diseases. Though, the research discussing the perceived health-related barriers prevalent in rural communities is limited. PURPOSE: To evaluate perspectives of rural adults on the most influential health-related resources needed to improve healthy behaviors throughout rural communities in Texas, with the intent to further help meet the immediate health needs of the communities. This evaluation was a part of a statewide project, Community Conversations on Health, in partnership with the Texas …