Farmers' perceptions about exotic multipurpose fodder trees and constraints to their adoption

Many organizations in Ethiopia have for many years promoted exotic multipurpose fodder trees (EMPFT) for livestock feed and soil improvement. Despite the apparent benefits, the number of farmers planting these trees was low. The objectives were to elucidate farmers¿ perceptions about their use value, management practices and constraints to adoption in three districts representing annual (one wheat-based and one teff-based) and perennial (coffee-based) crop-livestock systems in the Ethiopian highlands. Data were collected from 235 farm households. Most farmers (95.3%) had awareness of EMPFTs and the principal information sources were development agents (75.3%). Over half of the farmers were motivated to plant EMPFTs for feed value. Motivation for other purposes depended on cropping system, vegetation cover and availability of alternative local fodder trees in the area. Farmers had positive perceptions about EMPFTs for their feed value and contribution to soil conservation. Current adopters had a mean number of 587 (SE ± 84) EMPFTs per farm. Major constraints to adoption of EMPFTs were agronomic problems, low multipurpose value, and land shortage. Majority of farmers (89.8%) were interested to either continue or begin fodder tree development. Of the interested respondents, 44.5% preferred local fodder trees whereas 55.5% preferred EMPFTs. We conclude that farmers are aware of use values of EMPFTs while perceived constraints suggest that introduction of EMPFTs need consideration of farmers multiple criteria, but also awareness of feeding fodder trees and resource availability. Moreover, current development approaches have to recognize the importance of involving the end-users at all stages through participatory approaches to enhance adoptio

To Use or Not to Use: The Design, Implementation and Acceptance of Technology in the Context of Health Care

Technology in general, and assistive technology in particular, is considered to be a promising opportunity to address the challenges of an aging population. Nevertheless, in health care, technology is not as widely used as could be expected. In this chapter, an overview is given of theories and models that help to understand this phenomenon. First, the design of (assistive) technologies will be addressed and the importance of human-centered design in the development of new assistive devices will be discussed. Also theories and models are addressed about technology acceptance in general. Specific attention will be given to technology acceptance in healthcare professionals, and the implementation of technology within healthcare organizations. The chapter will be based on the state of the art of scientific literature and will be illustrated with examples from our research in daily practice considering the different perspectives of involved stakeholders

Naar een integrale benadering van duurzame landbouw en gezonde voeding : visie van de Wetenschappelijke Raad voor Integrale Duurzame Landbouw en Voeding

Duurzame landbouw en gezonde voeding staan hoog op de maatschappelijke agenda. Aan beide uitdagingen wordt gewerkt en daarbij zijn diverse successen geboekt. Maar er zijn nog grote veranderingen nodig en sommige problemen zijn juist toegenomen. Hoewel landbouw en voeding nauw samenhangen worden beide vraagstukken nog vaak gescheiden aangepakt. De problemen met landbouw en voeding hebben diverse oorzaken. Volgens de Raad voor Integrale Duurzame Landbouw en Voeding is er één belangrijke maar onderbelichte oorzaak: dat voedselproductie goeddeels is losgemaakt uit zijn ecologische en sociale context. Daardoor zijn vitale relaties en interacties verloren gegaan

Towards an integral approach to sustainable agriculture and healthy nutrition : vision of the Scientific Council for Integral Sustainable Agriculture and Nutrition

Sustainable agriculture and healthy nutrition are high on the social agenda. Work is now being done to face both challenges, often with measurable success. However, huge changes are still needed and some problems have even been exacerbated. Although agriculture and nutrition are closely linked, both issues are often dealt with in isolation. The problems facing agriculture and nutrition have a range of different causes. According to the Council for Integral Sustainable Agriculture and Nutrition there is one important but underexposed cause: to a large extent, food production has been removed from its ecological and social context. As a consequence, vital relationships and interactions have been lost

Facilitating implementation of research evidence (FIRE): A randomised controlled trial and process evaluation of two models of facilitation informed by the promoting action on research implementation in health services (PARIHS) framework

Background: The PARIHS framework proposes that successful implementation of research evidence results from the complex interplay between the evidence to be implemented, the context of implementation and the facilitation processes employed. Facilitation is defined as a role (the facilitator) and a process (facilitation strategies/methods). Empirical evidence comparing different facilitation approaches is limited; this paper reports a trial of two different types of facilitation represented in the PARIHS framework. Methods: A pragmatic cluster randomised controlled trial with embedded process evaluation was undertaken in 24 long-term nursing care settings in four European countries. In each country, sites were randomly allocated to standard dissemination of urinary incontinence guideline recommendations and one of two types of external-internal facilitation, labelled Type A and B. Type A facilitation was a less resource intensive approach, underpinned by improvement methodology; Type B was a more intensive, emancipatory model of facilitation, informed by critical social science. The primary outcome was percentage documented compliance with guideline recommendations. Process evaluation was framed by realist methodology and involved quantitative and qualitative data collection from multiple sources. Findings: Quantitative data were obtained from reviews of 2313 records. Qualitative data included over 332 hours of observations of care; 39 hours observation of facilitation activity; 471 staff interviews; 174 resident interviews; 120 next of kin/carer interviews; and 125 stakeholder interviews. There were no significant differences in the primary outcome between study arms and all study arms improved over time. Process data revealed three core mechanisms that influenced the trajectory of the facilitation intervention: alignment of the facilitation approach to the needs and expectations of the internal facilitator and colleagues; engagement of internal facilitators and staff in attitude and action; and learning over time. Data from external facilitators demonstrated that the facilitation interventions did not work as planned, issues were cumulative and maintenance of fidelity was problematic. Implications for D&I Research: Evaluating an intervention - in this case facilitation - that is fluid and dynamic within the methodology of a randomised controlled trial is complex and challenging. For future studies, we suggest a theoretical approach to fidelity, with a focus on mechanisms, as opposed to dose and intensity of the intervention

A realist process evaluation within the Facilitating Implementation of Research Evidence (FIRE) cluster randomised controlled international trial: An exemplar

Trial Registration: Current Controlled Trials ISRCTN11598502Background Facilitation is a promising implementation intervention, which requires theory informed evaluation. This paper presents an exemplar of a multi-country realist process evaluation that was embedded in the first international randomised controlled trial evaluating two types of facilitation for implementing urinary continence care recommendations. We aimed to uncover what worked (and did not work), for whom, how, why and in what circumstances during the process of implementing the facilitation interventions in practice. Methods This realist process evaluation included theory formulation, theory testing and refining. Data were collected in 24 care home sites across four European countries. Data were collected over four time-points using multiple qualitative methods: observation (372 hours), interviews with staff (n=357), residents (n=152), next of kin (n=109) other stakeholders (n=128), supplemented by facilitator activity logs. A combined inductive and deductive data analysis process focused on realist theory refinement and testing. Results The content and approach of the two facilitation programmes prompted variable opportunities to align and realign support with the needs and expectations of facilitators and homes. This influenced their level of confidence in fulfilling the facilitator role, and ability to deliver the intervention as planned. The success of intervention implementation was largely dependent on whether sites prioritised their involvement in both the study and the facilitation programme. In contexts where the study was prioritised (including release of resources) and where managers and staff support was sustained, this prompted collective engagement (as an attitude and action). Internal facilitators’ (IF) personal characteristics and abilities, including personal and formal authority, in combination with a supportive environment prompted by managers triggered the potential for learning over time. Learning over time resulted in a sense of confidence and personal growth, and enactment of the facilitation role, which resulted in practice changes. Conclusion The scale and multi-country nature of this study provided a novel context to conduct one of the few trial embedded realist informed process evaluations. In addition to providing an explanatory account of implementation processes, a conceptual platform for future facilitation research is presented. Finally a realist informed process evaluation framework is outlined, which could inform future research of this nature.The research leading to these results has received funding from the European Union's Seventh Framework Programme (FP7/2007-2013) under grant agreement n° 223646. The funder had no role in designing, conducting, or interpreting study findings.https://implementationscience.biomedcentral.com/articles13pubpub13

Latent variables and route choice behavior

In the last decade, a broad array of disciplines has shown a general interest in enhancing discrete choice models by considering the incorporation of psychological factors affecting decision making. This paper provides insight into the comprehension of the determinants of route choice behavior by proposing and estimating a hybrid model that integrates latent variable and route choice models. Data contain information about latent variable indicators and chosen routes of travelers driving regularly from home to work in an urban network. Choice sets include alternative routes generated with a branch and bound algorithm. A hybrid model consists of measurement equations, which relate latent variables to measurement indicators and utilities to choice indicators, and structural equations, which link travelers' observable characteristics to latent variables and explanatory variables to utilities. Estimation results illustrate that considering latent variables (i.e., memory, habit, familiarity, spatial ability, time saving skills) alongside traditional variables (e.g., travel time, distance, congestion level) enriches the comprehension of route choice behavior