Medicine and Health Sciences Commons^™

Full Issue, Volume 10, Number 3, Journal Of Human Sciences And Extension

Journal of Human Sciences and Extension

No abstract provided.

Traditional And Virtual Hypertension Self-Management Health Education Program Delivered Through Cooperative Extension, Michelle Parisi, Ellie Lane, Cheryl J. Dye Dr., Rhonda Matthews, Danielle Mcfall, Ethan Bain, Windsor W. Sherrill

Journal of Human Sciences and Extension

Fewer than 25% of individuals in the United States with hypertension have controlled blood pressure (Centers for Disease Control and Prevention, 2021). Hypertension Management Program (HMP) adopted the Health Coaches for Hypertension Control^© (HCHC^©) curriculum and adapted it for delivery by Extension agents. Eight lessons with intermittent health coaching calls were delivered. Pre/post-participation surveys determined changes in knowledge and self-reported weight, systolic (SBP), and diastolic blood pressure (DBP). The pandemic forced a shift in methodology from in-person to virtual delivery, and results were compared. In both traditional and virtual programs, significant differences were found in weight, knowledge …

An Analysis Of Equity In Service Provided By The Snap-Ed Program: A Comparison Of Dietary Outcomes Among African American And White Participants In Louisiana, Matthew Greene, Rhiannon Kroeger, Samuel Stroope, Bailey Houghtaling, Denise Holson

Journal of Human Sciences and Extension

Structural racism has contributed to increased poverty, food insecurity, and obesity rates among African Americans relative to Whites. Nutrition education programs should therefore consider how well they serve this population. The objective of this investigation was to assess whether African American and White Supplemental Nutrition Assistance Program Education (SNAP-Ed) participants in Louisiana had comparable dietary behavior outcomes by conducting secondary data analysis of previous program evaluations from 2017-2018 and 2018-2019 among African American and White SNAP-Ed participants (n = 434). Variables measured included pre- to post-intervention changes in dietary behaviors (e.g., self-reported consumption frequency of fruit, vegetables, whole grains, low-fat …

What Does It Take: The Roles, Responsibilities, And Fidelity To Implement A Physical Activity In Public Healthtraining, Bryce T. Daniels, Samantha M. Harden, Anna Dysart, Laura E. Balis

Journal of Human Sciences and Extension

Cooperative Extension Service (Extension) Agents are tasked with incorporating physical activity promotion in their work. Physical activity training interventions rarely report specific structures (dose, content) and measures (fidelity, resource cost). The study’s purpose was to evaluate the feasibility and resource costs of Physical Activity in Cooperative Extension (PACE), a training to increase physical activity in public health competency. PACE is a virtual, 9-week, 18-hour general capacity-building training based on the Interactive Systems Framework. Fidelity was calculated as the proportion of objectives delivered as intended and total time to deliver core components. Resource cost was calculated as the time spent on …

Nudging To Health Training Acceptability By Food Pantry Personnel Supports Clients’ Healthier Food Choices, Kelly K. Kunkel, Aysegul Baltaci, Carolina De La Rosa Mateo, Sunghun Lim, Dianne Davis-Kenning

Journal of Human Sciences and Extension

Nudging to Health: Promoting Health Nudges at Your Food Pantry is a multi-pronged initiative designed for food pantry staff, directors, and volunteers committed to offering healthier choices to their clients. Participants receive the education, tools, resources, and technical assistance to make changes that will encourage healthful food selection among clients.

Helping Youth Escape Vapes: An Online Evaluation Of A Youth E-Cigarette Prevention Program, Adrienne M. Duke 7037295, Jessica Norton

Journal of Human Sciences and Extension

Electronic cigarette use during middle school and high school has become an alarming public health concern. Educating youth about the risks of using e-cigarettes through a prevention program can be instrumental in curbing the growing numbers. Our Extension team implemented a prevention program, Escape Vapes, which adapted three Stanford University Tobacco Toolkit units. This study is an evaluation of the program that 1,347 youth in grades 5 through 12 completed. Results from the online retrospective post-pretest indicate that participation in the program significantly increased knowledge about e-cigarettes. Overall, the results indicate that Escape Vapes is an effective prevention program for …

An Assessment Of Canning Practices Among Food Preservation Workshop Participants During Covid-19 In Texas, Jenna D. Anding

Journal of Human Sciences and Extension

Interest in home food preservation has continued through the COVID-19 pandemic. This study assessed home food preservation practices among individuals attending workshops delivered primarily through distance technology. Two hundred eighty (280) participants completed a survey that assessed methods of food preservation and sources of information and recipes that had been utilized within the previous 12 months. Of those participating, 148 had recently canned food, and 90 of those individuals reported using one or more unsafe methods of food preservation, such as processing vegetables with a boiling water bath canner, open kettle, or oven canning. The internet was the most popular …

Factors Influencing Mental Health Outcomes Of University Personnel During The Covid-19 Pandemic, Rebecca C. Holland, Melissa K. Kossman, Leslie W. Oglesby, Morgan R. Eckenrod, Abigail S. Willis, Anna K. Porter

Journal of Public Health in the Deep South

Background: Previous research links the COVID-19 pandemic to negative effects on physical and mental health; however, little is known about how those effects can be mitigated. Additionally, college campuses experience mental health issues regularly, which were heightened during the pandemic. Purpose: The purpose of this study was to describe the current status of mental health within a university community and identify factors associated with excessive worry during the COVID-19 pandemic, such as mental health, resilience, grit, and other demographic factors. Methods: A questionnaire examining five domains (demographics, COVID-19 distancing behaviors, physical, mental, and social and economic health) was created, validated, …

Racial Ethnic Disparities In Functional Limitations And Depression Symptoms During The Covid-19 Pandemic, Hui Liew

Journal of Public Health in the Deep South

Purpose: This study seeks to examine how the impacts of physical and mental comorbidities and functional limitations on depressive symptoms vary by the major racial ethnic groups (i.e. Whites, Blacks, and Hispanics).Methods: The empirical work of this is based on the United States using data from the 2020 Health and Retirement Study (HRS) COVID-10 Project.Results: Findings suggest that physical and mental comorbid conditions, functional limitations and depressive symptoms co-occur more commonly than expected for all racial ethnic groups. Females fare worse than males in terms of functional imitations (for all racial ethnic groups) and depressive symptoms (Whites only). Education has …

Formative Research To Inform Covid-19 Vaccine Education In Mississippi, Mmesoma I. Okafor

Journal of Public Health in the Deep South

Background. Coronavirus Disease 2019 (COVID-19) vaccine rates in Mississippi are below the national average. Vaccine hesitance is particularly high among rural adults in Mississippi.Purpose. To investigate community members’ beliefs about the COVID-19 vaccine and perceived barriers and enablers of vaccination to inform the development of vaccine education materials.Methods. We conducted in-depth interviews with 20 adult community members in the Appalachian region of Mississippi. Interview notes were analyzed using thematic analysis.Results. Major themes identified were related to barriers and enablers of COVID-19 vaccination. Barriers included safety concerns such as a fear of side effects, fertility issues, death, and distrust of governing …

Enhancing Environmental Cleaning And Disinfection Practices In Diverse Healthcare Settings During The Covid19 Pandemic, Alaina Herrington

Journal of Public Health in the Deep South

PROBLEM: Inadequate cleaning and disinfection practices in the healthcare setting create an environment in which infectious pathogens can linger for days or even weeks on high-touch surfaces, presenting an increased risk of infection transmission to healthcare workers and patients. PURPOSE: This project assembled a group of stakeholders to develop and implement an evidence-based intervention to improve environmental cleaning practices and protocol compliance in three diverse healthcare settings.METHOD: The National League for Nursing (NLN) Jeffries Simulation Theory was used to guide this project by providing an organized sequence for developing and implementing a simulation-based intervention to train healthcare workers on established …

The Effect Of The Covid-19 Pandemic On Calls To The Mississippi Poison Control Center, Jenna Davis, Laura Lee Beneke, Michael B. Marlin, David Vearrier

Journal of Public Health in the Deep South

Background: The COVID-19 pandemic has the potential to change human exposure patterns to potentially hazardous substances including cleaning products and pharmaceuticals. Purpose: To characterize the effects of the COVID-19 pandemic on calls received at the Mississippi Poison Control Center during the pandemic as compared to pre-pandemic years. Methods: We queried the Mississippi Poison Control Center Toxicall database for total calls, calls related to bleach, disinfectants, and hand sanitizers, calls related to ivermectin exposures, calls related to hydroxychloroquine exposures, calls related to COVID-19, and suspected suicide calls. Results: During the COVID-19 pandemic increases were seen in calls for exposures to disinfectants …

American Indians And Covid-19: Morbidity And Mortality Disparities Among Indigenous Populations In The Rural South, Leslie Musshafen, Thomas E. Dobbs, Aaron Robinson, Thomas Wyatt, Michael Puskarich, Richard Summers, Seth Lirette, Caroline Compretta

Journal of Public Health in the Deep South

Background The COVID-19 pandemic has highlighted health inequities among indigenous populations, with those in rural settings facing compounded barriers.Purpose To investigate morbidity and mortality experiences among hospitalized, COVID-19+ American Indian adults from rural and urban settings.Methods The described cross-sectional study used retrospective discharge data from the University of Mississippi Medical Center and Hennepin County Medical Center. Adults (≥ age 18) admitted from January 1, 2020 to August 8, 2021with a COVID-19 diagnosis and known race were included.Results A total of 3,659 inpatients met inclusion criteria. Among adults hospitalized with COVID-19 at the University of Mississippi Medical Center, American Indians (n=73) …

Designing A Community Engaged Training Program For African American And Latinx Communities On Covid-19 In South Mississippi: Results From Qualitative Focus Groups Exploring Community Member Perceptions, Susan Mayfield-Johnson Phd, Mches, Tanya Funchess, Charkarra Anderson-Lewis, Erica Thompson, Sandra Melvin, Mireya Alexander, Kierra Melvin, Samaria Lowe

Journal of Public Health in the Deep South

Objective: The purpose of this study was to explore attitudes and perceptions on COVID awareness and education among African American and Latinx community members and stakeholders in South Mississippi through qualitative methods. Design: Virtual focus groups were conducted in Forrest, Hancock, Harrison, Hinds, and Jackson Counties through Zoom meetings. Community residents and stakeholders (N=56 total) participated. Zoom meetings were audio and video recorded, transcribed, and analyzed utilizing thematic analysis. A demographic survey was also administered. Results: Knowledge about COVID 19, vaccines, attitudes towards and beliefs about preventing COVID-19, intentions to prevent COVID-19, information seeking on COVID-19 preventative behaviors, and impact …

Relying On Young Ambassadors To Bolster Covid-19 Study Recruitment And Participation, Traci Hayes, Wendy White

Journal of Public Health in the Deep South

In June 2020, young adults comprised 20% of the COVID-19 cases and asymptomatic individuals were seen as “carriers” taking the virus into their homes and social settings. As with many health issues, the minority population was dealing with worse health outcomes. African Americans young adults were not excluded from this circumstance. In Mississippi, the group had some of the highest rates of COVID-19 in the state. Additionally, some young people across Mississippi were expressing that they felt unengaged and left out of the discussions on COVID-19. These concerns prompted the research project, Young Adults Against COVID-19 (YAACOV), a project under …

Student Response To Covid-19: An Academic Interprofessional Case Study, Elizabeth Franklin

Journal of Public Health in the Deep South

The impact of the COVID-19 pandemic presented challenges for academic medical centers in each of their tripartite mission areas of education, health care, and research. For students, in-person classes and clinical rotations were temporarily suspended in the spring of 2020. Educational and clinical leaders at the University of Mississippi Medical Center, located in Jackson, Mississippi, immediately identified how students could continue training by volunteering in numerous interdisciplinary pandemic relief efforts. They could also be rewarded with academic credit hours by completing an online course focused on principles of disaster management and document volunteer hours. The purpose of this case study …

Book Review – The Art Of Being Indispensable At Work: Win Influence, Beat Overcommitment, And Get The Right Things Done, Eric Killian

Journal of Human Sciences and Extension

With new technology, constant change, uncertainty, and virtual teams, getting things done at work is tougher and more complex than ever. Finding your place amid the collaboration revolution working with everyone across silos and various platforms can feel like we are in a no-win cycle in urban Extension environments. However, there is always the indispensable go-to person, or in our case organization—urban Extension, that thrives on many working relationships, maintains a positive attitude of service, demonstrates creativity and tenacity, and strives to get the right things done. This review will share information on how urban Extension professionals can continue to …

Book Review – Lean Impact: How To Innovate For Radically Greater Social Good Review & Implications For Engaged Programming, M.C. "Molly" Immendorf

Journal of Human Sciences and Extension

The book “Lean Impact: How to Innovate for Radically Greater Social Good” outlines ways to infuse innovation techniques learned from the private start-up sector into sectors traditionally working to make a societal change that may be funded through governmental agencies and grants. These techniques are also applicable to the Land-Grant Cooperative Extension System (CES) through combining them with engaged programming practices and CES best practices and the tools and methods of the Extension Foundation’s Impact Collaborative in urban programs and beyond.

Foreword, Mary A. Ruemenapp, Katherine Williams

Journal of Human Sciences and Extension

No abstract provided.

Full Issue, Volume 10, Issue 2, Julie Fox, Donna J. Peterson, Scott Cummings

Journal of Human Sciences and Extension

No abstract provided.

Extension Engagement With Urban Communities: Editors’ Introduction To The Urban-Themed Issue Of Jhse, Julie Fox, Donna J. Peterson, Scott R. Cummings

Journal of Human Sciences and Extension

This introductory article for the special issue of the Journal of Human Sciences and Extension (JHSE) highlights respectful Extension research and engagement with dynamic urban communities. Like the 2017 urban-themed issue of JHSE, the intent is not to diminish the importance of rural and suburban Extension engagement but to better understand unique experiences of Extension in urban communities. The 35 contributing authors represent a range of geographic and programmatic viewpoints. Insights shared

• demonstrate that diversity in our cities is multidimensional;
• reinforce the importance of culturally relevant engagement;
• address issues of access, equity, inclusion, and a sense of belonging;
• highlight the …

Visualizing Diversity: Spatial Data As A Resource Enabling Extension To Better Engage Communities, Justin Krohn, Jacqueline Davis-Manigaulte, Christopher Fulcher, Jennifer Sarah Tiffany

Journal of Human Sciences and Extension

Effective Extension programming relies on engaging people of all races, ethnicities, and cultures. Extension educators sometimes struggle with how best to engage communities that are not “traditional” program audiences. Centering data visualization on the strength of Black, Latino/Hispanic, Asian, Native American, and other potentially marginalized communities can assist Extension’s work to engage diverse staff, program participants, and advisory board members. For example, using maps to understand what languages people speak at home strengthens the connections between Extension programs and community participants and can inform staff recruitment and advisory board composition. However, maps of aggregated areas like counties can mask socioeconomic …

Strengthening Urban Food Systems Through Extension Programming And Community Engagement: A Case Study Of New Brunswick, New Jersey, Cara L. Cuite, Lauren B. Errickson

Journal of Human Sciences and Extension

Cooperative Extension (Extension) can, and in many cases already does, engage in well-rooted partnerships with urban audiences. Yet, it is important to recognize that there are many layers to the diversity that exists within urban audiences– there is no single “urban community.” This article presents a case study of food security programming in New Brunswick, New Jersey, including collaborations between Rutgers Cooperative Extension and multiple community organizations to illustrate important considerations for engaging in urban Extension initiatives. Specifically, challenges exist in identifying urban audiences, including those who are hidden, especially as the demographics of city residents can vary greatly within …

Cooperative Extension In Urban America: Place-Based Approaches For Improving Health, Dawn Burton, Latoya O'Neal, Erin Yelland, Suzanne Stluka, Rodger Rennekamp

Journal of Human Sciences and Extension

While the bulk of Cooperative Extension’s (Extension) historical work has been with rural populations, its future work should also address the needs of those living in urban areas. The opportunity to live a long and healthy life is paramount among those needs. Cooperative Extension’ National Framework for Health Equity and Well-Being (Framework) provides a roadmap by which Cooperative Extension can help ensure that all people have that opportunity. The central premise of the Framework is that future work of Extension must include but extend beyond the promotion of healthy behaviors to place-based approaches for improving conditions in which people live, …

“I’M Going To Live My Life Freely”: Authenticity As An Indicator Of Belonging Among Urban Latinx Lgbtq+ Youth, Maru Gonzalez, Bianka M. Reese, Tania Connaughton-Espino

Journal of Human Sciences and Extension

While there is a growing body of scholarship on the experiences of LGBTQ+ youth in school and community settings, less is known about Latinx LGBTQ+ youth specifically. In response, this phenomenological study examined the experiences of eight Latinx LGBTQ+ youth relative to school and community belonging, with a specific focus on urban environments, using intersectionality and minority stress frameworks, and Lee and Robbins’ operational definition of belongingness. Three overarching themes emerged from the data: (a) navigating challenges, (b) the importance of an inclusive climate, and (c) thriving through adversity. Further, authenticity was identified as an additional indicator of belonging among …

Accessibility And Inclusion As An Approach To Enhancing Local Extension Programs, S. Dee Jepsen, Laura Akgerman, Karen Funkenbusch, Jessie Calero, Heather Kelejian

Journal of Human Sciences and Extension

Providing accessible learning opportunities and inclusive programs are critical to Extension’s mission. Creating inclusive environments is more than consideration for individuals’ personal identity. Using principles of Inclusion, Diversity, Equity, and Accessibility (IDEA) is an approach to intentionally build community and create new opportunities for education and growth. The Americans with Disabilities Act is a federal law requiring businesses and events to be accessible to individuals with disabilities. The Rehabilitation Act of 1973 states, “no qualified individual with a disability may be discriminated against in any program or activity receiving federal financial assistance.” The legislation applies to Extension buildings, programs, and …

Reconceptualizing Youth Sparks: A Sociocultural Approach To Co-Designing Programs For Somali Youth, Joanna A. Tzenis

Journal of Human Sciences and Extension

The 4-H Youth Development Program has a long history of fostering positive youth outcomes. Recently, attention and resources have been invested in the development of a program model (i.e., the 4-H Thriving Model) that theorizes the program elements that lead to positive outcomes (Arnold, 2018). Less attention, however, has been given to the program design process by which and with whom 4-H programs are designed and implemented. This matters because a lack of a community-engaged design process may lead to outcomes disconnected from community self-interests or to the exclusion of youth who might view the program as irrelevant to their …

Documentary Review – Two Roles In Urban Community Revitalization: Julian Price The Philanthropist And Cooperative Extension, Susan A. Kelly

Journal of Human Sciences and Extension

Julian Price used his inherited wealth to revitalize downtown Asheville, North Carolina. This documentary review reflects on his passion for community, and the concepts he believed would bring the city back from decay. Some of those same community development practices are successfully used across the country by Extension professionals to assist urban communities in revitalization. Examples of Extension programs and techniques are provided throughout this review about an inspiring documentary about a man looking for purpose and finding it by transforming a troubled downtown with his generosity.

Fostering A Sense Of Belonging In Urban Extension For Internal And External Stakeholders, Ramona Madhosingh-Hector, Linda M. Seals

Journal of Human Sciences and Extension

In urban areas, the communities are as diverse as the issues, and different educational and engagement strategies must be deployed to support urban Extension clientele. Urban communities must connect with and feel a sense of “belonging” with Extension–this connection can strengthen Extension’s presence and value proposition to urban constituents. This study found that although Extension was engaged in efforts to support belonging, its efforts were hampered by a lack of collaboration and commitment to supporting a system-wide effort to change the culture. Intentionality, emotional intelligence, and dialogue were presented as strategies to foster a sense of belonging for Extension personnel …

Futuring Perspectives And Practices For Urban Extension, Julie Fox, Solomon Garner

Journal of Human Sciences and Extension

Extension is well-positioned to engage strategically with urban communities now and in the future. A century of collaboration and proven impact provides Extension with a valuable foundation focused on relevant service accessible to all people; applied science and co-discovery; respectful and inclusive engagement; and commitment to community well-being. An exploration of the literature on the future, from the Extension perspective and from external viewpoints, informs a contemporary approach to focus on the future of urban Extension. An interplay of Extension professionals with diverse community stakeholders and dynamic technologies bridges past perspective and current context with practical methods to address the …