Digital Commons Network^™

Exploring Extension Agents' Understandings Of Local And Resilient Food Systems, Hannah Dankbar, Brooke Matusko

Journal of Extension

Currently, there is a focus on bolstering local food systems to support overall food system resilience. Local and resilient food systems, though related, are distinct concepts. Their use in food system development is complicated by varying interpretations. Data from a survey of North Carolina Extension agents, a group of food system practitioners, identified a range of definitions of these terms. The results underscore the complex landscape of local food system development and identify a need to build on conceptual understandings within the Extension community and establish shared understandings within food system development efforts.

Faculty Roles And Responsibilities Supporting Extension Health Initiatives: Suggestions To Maximize Campus-Field Partnerships, Christine A. Fruhauf, Maria Delgado, Sue Schneider

Journal of Extension

The past several decades of Extension scholarship have addressed topics related to creating pathways for stronger campus-field based connections. Several attempts have been made to support such efforts, including creating content-driven teams of research/teaching faculty and Extension professionals; state-wide tours where campus-based faculty and administrators visit with Extension staff in their county offices and in the field; and making new campus-based faculty and staff hires with a percentage of Extension appointments. Although these strategies have merit, addressing how these initiatives can support the goal of strengthening the work of campus- and field-based faculty to influence the mission of land-grant institutions …

From Data To Action: An Adaptable Crosstabs Template For Participatory Survey Data Analysis, Natalia Pinzon, Vikram Koundinya, William O'R Dowling, Ryan Galt

Journal of Extension

We present a practical and accessible template for quantitative survey data analysis designed for non-academic researchers in order to facilitate engagement from community collaborators. The template, created in Google Sheets, is mainly for computing cross-tabulations, but it also displays frequency distributions and p-values for determining statistical significance. The template allows collaborators to record their observations and questions, promoting an efficient yet interactive review process and fostering a democratic analysis environment. Based on our own experience using this template for a data party, we highlight its effectiveness in promoting collaborative data interpretation, decision-making, and the actionable use of survey findings.

Nature For New Minnesotans: A Minnesota Master Naturalist Program Connecting Adult English Language Learners To The Outdoors, Lucas Fitchen Rapisarda, Britt M. Forsberg

Journal of Extension

English language (EL) learners, many of whom are immigrants, face economic, social, and cultural constraints when accessing Extension programming. NFNM is an innovative program that seeks to address these constraints by developing and implementing place-based natural history curriculum for adult English language (EL) learners in the authors state. This article describes the program development process for NFNM and shares important lessons learned during the process.

Considering The Need For Congruence In Closing The Gap, Target 10: Reducing High Rates Of Adult Aboriginal Incarceration, Jane Anderson, Narelle Carroll, Boobaditj (Also Known As Phillip Ugle)

Journal of the Australian Indigenous HealthInfoNet

The federal and Western Australia (WA) state governments have made a national commitment to reducing high rates of Aboriginal adults held in incarceration, using, respectively, justice reinvestment and bureaucratic inclusion of Aboriginal representatives and organisations. This aspiration is also being pursued by an Aboriginal team who seek to establish a place-based Aboriginal justice support service in a WA regional town. The proposed service is underpinned by a combination of justice reinvestment and restorative justice principles and aims to use peer support workers who will effectively increase community agency in justice matters. This article examines congruence between federal, state and local …

From Oversight To Insight: Enhancing Vte Prophylaxis Through System-Level Improvements, Nehar Damle, Jessica Cobb, Jordan Feingold, Yunisse Gonzalez, Lamya Jaigirdar, Sheraz Qamar, Claire Ketchem

Health Equity and Quality Improvement (HEQI) Summit

Background

- Hospitalized patients – particularly those with prior venous thromboembolism (VTE), reduced mobility, severe sepsis, and operative procedures - are at significantly elevated risk for recurrent VTE events^1-4

- Although clinical evidence supports use of pharmacologic VTE prophylaxis in highrisk patients, gaps in delivery remain common (highlighted below):

• Miscommunication between managing teams
• Unclear documentation
• Lack of standardized peri-procedural protocols
• Challenges in care coordination

- Missed or delayed VTE prophylaxis represents a frequent and preventable threat to inpatient safety

- We present a near miss event involving a hospitalized patient with severe sepsis and history of pulmonary embolism within …

Utility Of Community Partnership And Sustainable Street Outreach, Daniel Lee, Hannah Klinghoffer, Mallika Kodavatiganti, Luke Benedict, Kelsey Van Housen, Ashley Wetzel, Lele Yang, Alisha Agarwal, Shane Nieves, Charlotte Harris, Jessica Lely, Vinh Dang, Ivel Morales, Md

Health Equity and Quality Improvement (HEQI) Summit

Background

• 14,088 individuals experience homelessness (IEH) across the state of Pennsylvania, with over 50% concentrated in Pittsburgh and Philadelphia¹
• In late 2021, only 4 medical school programs existed that conducted street outreach to support individuals experiencing homelessness in Pennsylvania before the pandemic.² None existed at the undergraduate level.
• Street outreach has been linked to increased motivation of IEH to seek services by removing stigma via positive, nonjudgmental relationships.^3,4

Visiting Medical Student Stipends In The Us | An Analysis Of Equity Within Physiatry, Ashley Otto, Do, Mbs, Jeffrey Gray, Md, Summer Nestorowicz, Md, Adrian Oppong, Md, Ms, Oluseye Raymond, Md, Andrew Walrond, Md, Alexis Tingan, Md, Marisa Moreta, Do

Health Equity and Quality Improvement (HEQI) Summit

Introduction & Aims

Health inequities are ubiquitous throughout medicine especially pertaining to accessibility, affordability, and availability. These challenges disproportionately affect minorities- both patients and providers alike [3,4]. Patient outcomes have been shown to improve when treated by physicians of similar backgrounds [3,4,7]. The journey to improve outcomes begins with pre-residency rotations; medical students who can complete audition rotations have an increased opportunity to matriculate into said residency program. Physical Medicine & Rehabilitation (PM&R), like many specialties, is disproportionately represented by men and Caucasians [1,5, 8] with the greatest drop in URM representation occurring between applicants and residents [Escalon]. This project …

The Effect Of Targeted Outreach To Improve Cpap Adherence In Patients With Socioeconomic Disparities, Henry Ideker, Md, Ethan Zheng, Ba, Stephen White, Md, Ritu Grewal, Md

Health Equity and Quality Improvement (HEQI) Summit

Introduction

• Continuous positive airway pressure (CPAP) is first line treatment for obstructive sleep apnea (OSA) in adults given its high efficacy; however, it is limited by poor patient compliance
• Socioeconomic disparities are known to be associated with significantly worse health outcomes and adherence to therapy¹
• Area deprivation index (ADI) is a validated tool that highlights populations with high socioeconomic disparities on a neighborhood level.² Prior research in our department in 2022 demonstrated significantly worse CPAP adherence in OSA patients with higher ADI scores.³
• Initial CPAP use has been shown to predict long-term adherence, and strategies to maximize …

Framing The Future: A Community Health Analysis Of The Pee Dee Region, Stephen Borders, Jean Anton, Rian Fontaine, Donielle Phillips, Treyton Ringer, Jessica Robinson, Caitlin Thompkins

Public Health

This report presents a comprehensive, data-driven analysis of community health across South Carolina’s Pee Dee region, encompassing Florence, Darlington, Chesterfield, Marlboro, Marion, and Dillon Counties. Using tract-level data from CDC PLACES, the U.S. Census, and the National Provider Identifier registry, it assesses chronic health conditions, health behaviors, and social determinants of health. The analysis incorporates the South Carolina Healthy Communities Index (SCHCI) and a Suitability Analysis to identify the region’s most disadvantaged communities. The findings highlight persistent disparities, particularly in rural counties, where high rates of poverty, chronic disease, and unmet basic needs intersect with limited access to care. Despite …

“Invisible Populations”: A Policy Brief Approach To Address Housing Data Needs In Vulnerable Communities, Kristin E. Moser

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: Dependent adult children with severe mental illness (ASMI) living with aging parents have been an increasing population over decades due to lack of supportive housing and services in the community. ASMI living with aging parents is a high-risk group for housing instability and future homelessness. Local Problem: A limited amount of literature and data exist to determine the size and needs of the population of ASMI living with aging parents. A collaboration with University of San Francisco (USF) and non-profit, Solutions for Supportive Homes (S4SH) of San Mateo County (SMC) formed to disseminate information and quantify the “invisible …

'We Owe, You Know, The World Our Perfection': How The Neurodiversity Paradigm Informs Autistic Women's Self-Perceptions, Katybeth Adamo

UNLV Theses, Dissertations, Professional Papers, and Capstones

This qualitative, phenomenological study examines how autistic women characterize and interpret their experiences, beliefs, and self-perceptions within the framework of the neurodiversity paradigm. Guided by a social constructivist epistemology, this study explores the complex intersections between autistic women’s experiences of diagnostic processes, gendered socialization, and identity formation in autistic women. Through semi-structured interviews with ten autistic women, themes emerged around gender differences between autistic men and women, external versus internal self-perception, diagnostic age and self-perception, sensory overload and its consequences, and the journey from feeling othered to finding one’s place socially. Findings suggest that delayed diagnosis and persistent societal pressures …

Qualitative Analysis Of The Influence Of Military Culture On The Resocialization Of Combat Veterans, Kyle N. Rodgers

UNLV Theses, Dissertations, Professional Papers, and Capstones

The researcher conducted in-depth interviews with 25 combat-experienced Veterans of the Global War on Terror who fit an operational definition of successful resocialization. How do successfully resocialized combat Veterans compare with combat Veterans who became involved with the criminal justice system? Utilizing a snowball method to identify each participant, the most significant finding from these interviews was that two factors seem to differentiate the civilian and military group styles the most, which were the overwhelming importance of purpose and tribe in the lives of combat Veterans. This confirmed the hypothesis that the most significant difference between the civilian and military …

Routine Activity Theory And The Severity Of Terrorist Act, Yiwei Song

UNLV Theses, Dissertations, Professional Papers, and Capstones

Terrorist incidents have increased dramatically in the past several decades, leading to significant casualties and property damage worldwide. While prior studies grounded in lifestyle exposure theory have explored how victim demographics, lifestyle, and routine activities influence the likelihood of victimization, this study applies Routine Activity Theory to examine whether increased guardianship in the form of target security reduces the severity of terrorist incidents. Using data from 15,138 terrorist incidents in 2015 from the Global Terrorism Database (GTD), this study investigates the relationship between offender motives, target security, and the severity of attacks, measured by fatalities, injuries, and property damage. Furthermore, …

Looking Back, Looking Forward: Contextualizing Historical Bioarchaeological Accounts With Contemporary Social Issues, Katharine Chiyono Woollen

UNLV Theses, Dissertations, Professional Papers, and Capstones

The very existence of women has been taken for granted throughout history. Their domestic roles are viewed as biologically fixed, resulting in a general lack of information recorded or researched relating to their lived experiences, life histories, and narratives. Instead, it is the history of white men that has been standardized as the norm, creating visible gaps in our understanding of women’s experiences. Additionally, the majority of existing literature centers on female reproduction, their roles as mothers, and violence enacted against women. While this information contributes towards a greater understanding of women’s experiences in bioarchaeological investigations, these data often lack …

Foster Children’S Repeated Disruptions: A Qualitative Analysis Of Stakeholder Insights On Failed Permanency In Foster Care., Teresa Marie

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study examines factors contributing to failed permanency outcomes in the foster care system, focusing on adoptions, guardianships, and reunifications. Using strain theory as a framework, this research examines the systemic pressures and institutional barriers within dependency courts, which mirror punitive aspects of the criminal justice system. Expanding strain theory to include a meso-level analysis, the study explores how organizational practices, resource distribution, and inter-agency collaboration influence permanency outcomes. A qualitative approach utilizing semi-structured interviews with judges, attorneys, social workers, district attorneys, and healthcare professionals provides an in-depth understanding of stakeholder perspectives. This research offers actionable recommendations to address systemic …

Misidentified Bodies And Missing Data: Exploring Forensic Disempowerment And Skeletal Narratives Of Transgender And Gender-Diverse Individuals In The United States, Taylor M. Flaherty

UNLV Theses, Dissertations, Professional Papers, and Capstones

The bodies of transgender and gender-diverse (TGD) individuals represent a physical nexus of contempt and scrutiny. In the United States (U.S.), TGD people experience disproportionate levels of violence and premature death, contributing to a persistent epidemic of harm. Institutionalized anti-TGD biases have reinforced systemic neglect, leading to the routine exclusion of TGD individuals from research, data collection, and historical archives. The absence of state or federal initiatives to track mortality trends and risk factors among this population further exacerbates their systematic erasure. In particular, forensic scientists have traditionally relied on dichotomous indicators of sexual expression which may fail to account …

Unmasking Masculinities In Counseling: From Conformity To Connection, Kyle R. Rose

Dissertations, 2020-current

This dissertation explored the entanglements of professional counseling and masculinities across three manuscripts, to contribute to (1) healthier forms of gender expression within and beyond the spectrum of masculinities for individuals, (2) the counseling profession’s role in transforming hegemonic masculinity within communities, and (3) larger movements to subvert the patriarchy throughout society. The first manuscript is a conceptual article that presented the Relational Cultural Privileged Identity Counseling (RCPIC) model, an integrative framework designed to help counselors address hegemonic masculinity within the therapeutic relationship. Drawing from Relational-Cultural Theory (RCT) and Privileged Identity Exploration (PIE), this model provided a roadmap for compassionate …

Past Instability, Future Consequences: Evaluating The Relationship Between Pre-Incarceration Housing Status And Rearrest In The Paroled Population Of Colorado From 2013-2023, Sarah E. Maynard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Paroled individuals re-enter society at a disadvantage with an increased risk of housing instability, mental and physical health concerns, and difficulty finding gainful employment. Houselessness places a significant burden on parolees and may increase their risk of rearrest. This retrospective study aimed to evaluate the association between pre-incarceration housing status and rearrest among non-violent parolees (n=23,786) in Colorado from 2013-2023. The Sequential Intercept Model was used as a framework to identify the point in the criminal justice process that rearrest occurred and to identify opportunities for new intercepts (e.g., housing interventions). Descriptive statistics were calculated, and logistic regression with estimated …

Capturing The Intersection Of Black-American, Muslim Males And Education: Exploring Their Attitudes, Perceptions, And Lived Experiences Within An Islamic Consciousness, Kirk A. Talib-Deen

UNLV Theses, Dissertations, Professional Papers, and Capstones

This dissertation explored the lived realities of Black-American, Muslim males and their attitudes, perceptions, histories, and endurances toward higher learning in America. It attempted to join and contribute to the more significant, historical, and extant conversations and literature on Black-American males and education, as well as their successes and failures. This dissertation adds to the dearth of literature on the intersection of Black-American, Muslim males, and education, and using jazz as an epistemological way of navigating and organizing the content, the research works to uncover, locate, and define an Islamic consciousness. While negating racist histories concomitant with the American narrative …

The Mindful Officer: Enhancing Officer Mental, Physical, And Social Wellness Through Resilience Training, Tanya Dudinskaya

UNLV Theses, Dissertations, Professional Papers, and Capstones

The issue of mental health among the U.S. population has gained national attention, with numerous wide-scale initiatives aimed at providing resources for the public. However, certain professional populations encounter unique challenges in their occupation and often lack specific support for their mental and physical health needs that stem from long-term exposure to unpredictable stressors. One population facing these issues is law enforcement. Police officers regularly experience chronic stress related to their job demands, as they manage high-pressure situations and exposure to significant trauma, all while being under increased public scrutiny in recent years. Previous research has highlighted the effects of …

The Voices Of Black Motherscholars: Navigating Academia, Motherhood, And Beyond, Danae Peterson

Masters Theses, 2020-current

The experiences of Black women in academia are shaped by the intersection of multiple, often conflicting identities. As mothers and scholars, Black women navigate the complex terrain of competing responsibilities, societal expectations, and institutional barriers, all while striving to achieve personal and professional aspirations. This daily balancing act is complicated by the compounded effects of racism and sexism in academia, coined as misogynoir (Bailey, 2018). Misogynoir, a specific form of anti-Black racist misogyny, manifests through stereotyping, marginalization, and invisibility affecting Black women’s ability to thrive in academic spaces that were not designed with them in mind (Patton & Njoku, 2019). …

Community Engaged Research To Optimize Cancer Prevention Strategies: A Look At Amplifying Voices Within Community Based Organizations To Impact Cancer Outcome In Utah, Crystal Y. Lumpkins, Denise Elbert, April Barber-Law, Olamide Comfort Ogundare, Queenie Mckenzie Aydelott, Sandra Buabeng, Whitney Maxwell, Kim Kaphingst

Utah Conference on Community Engagement

Black Americans (BA) continue to experience cancer disparities nationally and regionally. Although only 2% of BA reside in the state of Utah, this population shoulders a larger cancer burden. Further, BA women have one of the highest incidence of breast cancer and also an increased risk for other cancers (e.g. colon). The cancer burden and changing demographics within the state warrant focus on these under-represented groups as those moving within the area are increasing. This project details Community-Engaged Research (CEnR) between the University of Utah, the Huntsman Cancer Institute and a community advisory board (CAB) who have collaborated on cancer …

Mutual Teaching, Learning, And Action In Community-Engaged Research, Polly Parkinson, Fawn Groves, Emma Mecham, Amy Wilson-Lopez

Utah Conference on Community Engagement

As USU’s Electrified Transportation Planning Team looked ahead to deploying technical pilot projects near Utah population centers, the team prioritized local community engagement for purposes of trust-building and dialogue. This poster highlights participatory community research designed to build from local knowledge, operate through local partnerships, refine responsive approaches, and disseminate results within the community. In continuing responsiveness, the team developed and disseminated a relevant workforce resource booklet and currently supports two local community organizations as they stand up a collaborative model of career training, coupled with childcare, to open low-barrier pathways into electrified transportation-related careers.

Planning And Facilitating Hybrid Meetings To Support Relationality During Coalition Building, Luettamae Lawrence, Maureen Boyle, Moira Ross

Utah Conference on Community Engagement

Hybrid events where communities are connected through both in person and online spaces have simultaneously grown in popularity and gotten a bad reputation. While hybrid events have been around for decades, they gained significant traction with the onset of the COVID-19 pandemic to increase accessibility for attendees to accommodate diverse needs. Although hybrid events can be beneficial to many, they are not simple to execute. With the increase in hybrid events has come frustration with the low quality interactions between in person and online attendees leading to isolation, technology challenges, and low productivity. We argue the positive affordances of hybrid …

Collaborating For Change Based On Evidence: How To Employ Community-Engaged Assessment & Solution-Building, Jayme Walters, Teresa Larsen, Luettamae Lawrence, Dorothy Wallis

Utah Conference on Community Engagement

Communities across Utah are facing many significant challenges that adversely affect the well-being of their residents. Economic disparities, including lack of affordable housing and food insecurity, are impacting every aspect of life. Mental and physical health issues are also on the rise, especially among vulnerable populations (e.g., LGBTQ, BIPOC, rural). Environmental problems, such as poor air quality and limited water supply, stand to cause unprecedented harm to the state. As leaders, government agencies, nonprofits, and residents take on these issues, among others, community-engaged methods that promote generating context-specific evidence and developing sustainable solutions are critical for improving resident well-being.

This …

"Bridging Research, Outreach, And Care: Advancing Community-Driven Cancer Solutions", Rachel M. Ceballos Phd​, Angie Fausett Agnp-C, Dnp​, Allison Foust Mha, Mches​

Utah Conference on Community Engagement

"This panel will provide an overview of Huntsman Cancer Institute’s (HCI) collaborative efforts to enhance cancer care through innovative community outreach and local treatment programs, with a specific focus on rural outreach and care. Panelists will discuss HCI’s approach to fostering partnerships with community champions, integrating regional outreach through initiatives like the Mountain West Cancer Collaborative (MWCC), and expanding local treatment options to increase accessibility and equity in care, especially in rural areas. By highlighting how these initiatives align with HCI’s mission to reduce cancer disparities, the panel will emphasize strategies for improving cancer prevention, treatment, and survivorship in underserved …

Strengthening Community Health Through Dementia Listening Sessions, Raven Albertson

Utah Conference on Community Engagement

"This session explores innovative strategies for strengthening community health through dementia listening sessions and engagement, equipping community partners with the knowledge to make informed decisions regarding dementia care and support. Participants will gain insights into effective partnership-building, impactful dementia education delivery, and strategies for fostering meaningful community involvement through community listening sessions and collaboration. Through a live listening session workshop, attendees will participate in interactive discussions, inform efforts in Utah communities, and acquire practical tools to drive sustainable, community-led improvements in dementia care and support."

Asking About Gender Identity In Pediatric And Adolescent Gynecology Clinic: Patient, Family And Provider Perspectives (The Reflective Study), Madeline Ross, Hariye Sema Baghaki, Hannah Suffian, Lauren Roth, Jeanette Higgins, Tazim Dowlut-Mcelroy

Research Days

Background

The provision of medical and psychosocial support requires the identification of gender diverse individuals in health care settings. However, in primary care settings, some adolescents and parents expressed that gender identity screening (GIS) was offensive and clinicians expressed that GIS negatively affected their workflow. We sought to assess the acceptability and feasibility of GIS in Pediatric and Adolescent Gynecology (PAG) clinics of a large tertiary care children’s hospital in the United States (US) Midwest.

Methods

A GIS survey developed in the US West Coast was modified with permission. After IRB approval, the anonymous single-site cross-sectional survey was administered to …

Community Strategy For Equitable Home Electrification, Alyson Bergomi, Kelbe Goupil, Kevin Emerson

Utah Conference on Community Engagement

Between 2021-2023, Utah Clean Energy collaborated with four community partners to develop the Community Strategy for Equitable Home Electrification. This involved developing an understanding of the barriers and challenges to home electrification, creating a vision statement for equitable home electrification, developing four high-priority solutions to the barriers to home electrification, and creating several action steps for each solution, all based on community input. This document is intended to inform and guide the design and implementation of programs and policies related to home efficiency and electrification that are intended to expand access for low-income and disadvantaged communities.