Evaluating Fidelity to the National Extension Dining with Diabetes Program: Challenges and Opportunities

The objective of this study was to evaluate fidelity to the Dining with Diabetes (DWD) program. Data were gathered cross-sectionally in 2019 using class profile forms (i.e., checklists) containing items reflecting the core components of DWD: delivery personnel, curriculum, hands-on cooking, and goal setting. Fidelity was calculated as the proportion of core components completed as intended. Educators (N = 9) completed class profile forms for 10 complete DWD programs (i.e., all four classes). Fidelity to components of completed DWD programs and individual DWD classes was high (over 70% in each category). Overall, fidelity was high, and adaptations reported likely did not detract from effectiveness (e.g., a 2-hour class lasted 2.5 hours). However, the response rate was low and may not reflect those who deliver with lower fidelity. Assessing fidelity should be incorporated as a standard part of community-based diabetes management program evaluation; these data can inform changes to programs to make them more effective in the “real world.

Optical and geometrical characteristics of cirrus clouds over a Southern European lidar station

Optical and geometrical characteristics of cirrus clouds over Thessaloniki, Greece (40.6° N, 22.9° E) have been determined from the analysis of lidar and radiosonde measurements performed during the period from 2000 to 2006. Cirrus clouds are generally observed in a mid-altitude region ranging from 8.6 to 13 km, with mid-cloud temperatures in the range from −65° to −38°C. The cloud thickness generally ranges from 1 to 5 km and 38{%} of the cases studied have thickness between 2 and 3 km. The retrieval of optical depth and lidar ratio of cirrus clouds is performed using three different methods, taking into account multiple scattering effect. The mean optical depth is found to be 0.31±0.24 and the corresponding mean lidar ratio is 30±17 sr following the scheme of Klett-Fernald method. Sub-visual, thin and opaque cirrus clouds are observed at 3%, 57% and 40% of the measured cases, respectively. A comparison of the results obtained between the three methods shows good agreement. The multiple scattering errors of the measured effective extinction coefficients range from 20 to 60%, depending on cloud optical depth. The temperature and thickness dependencies on optical properties have also been studied in detail. A maximum mid-cloud depth of ~3.5 km is found at temperatures around ~−47.5°C, while there is an indication that optical depth and mean extinction coefficient increases with increasing mid-cloud temperature. A correlation between optical depth and thickness was also found. However, no clear dependence of the lidar ratio values on the cloud temperature and thickness was found

Optical properties of different aerosol types: seven years of combined Raman-elastic backscatter lidar measurements in Thessaloniki, Greece

We present our combined Raman/elastic backscatter lidar observations which were carried out at the EARLINET station of Thessaloniki, Greece, during the period 2001–2007. The largest optical depths are observed for Saharan dust and smoke aerosol particles. For local and continental polluted aerosols the measurements indicate high aerosol loads. However, measurements associated with the local path indicate enhanced aerosol load within the Planetary Boundary Layer. The lowest value of aerosol optical depth is observed for continental aerosols, from West directions with less free tropospheric contribution. The largest lidar ratios, of the order of 70 sr, are found for biomass burning aerosols. A significant and distinct correlation between lidar ratio and backscatter related Ångström exponent values were estimated for different aerosol categories. Scatter plot between lidar ratio values and Ångström exponent values for local and continental polluted aerosols does not show a significant correlation, with a large variation in both parameters possibly due to variable absorption characteristics of these aerosols. Finally for continental aerosols with west and northwest directions that follow downward movement when arriving at our site constantly low lidar ratios almost independent of size are found

Optical and geometrical characteristics of cirrus clouds over a mid-latitude lidar station

International audienceOptical and geometrical characteristics of cirrus clouds over Thessaloniki, Greece (40.6°, 22.9°) have been determined from the analysis of lidar and radiosonde measurements performed during the period from 2000 to 2006. Cirrus clouds are generally observed in a mid altitude region ranging from 7 to 12 km, with mid-cloud temperatures in the range from ?65° to ?25°C. A seasonality of cirrus geometrical and temperature properties is found. The cloud thickness ranges from 0.85 to 5 km and 37% of our cases have thickness between 2 and 3 km. The retrieval of cloud's optical depth and lidar ratio is performed using three different methods, taking into account multiple scattering effects. The mean optical depth is found to be 0.3±0.24 and the corresponding mean lidar ratio is 28±17 sr. Sub-visual, thin and opaque cirrus clouds are observed at 7.5%, 51% and 42.5% of the measured cases respectively. The multiple scattering errors of the measured effective extinction coefficients range from 20% to 60% depending on cloud optical depth. A comparison of the results between the three methods shows good agreement. In addition we present the advantages and limitations of each method applied. The temperature and thickness dependencies on optical properties have also been studied in detail. A maximum mid-cloud depth of ~3 km is found at temperatures around ~?45°C while there is an indication that optical depth increases with increasing thickness and mid-cloud temperature. No clear dependence of the lidar ratio values on the cloud temperature and thickness was found

Beyond Evaluation: Using the RE-AIM Framework for Program Planning in Extension

Extension professionals need to apply sound frameworks to program planning and evaluation in order to demonstrate strong population health impact and value. Pragmatic application of the RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework addresses the who, what, when, where, how, and why of a program\u27s implementation. This article suggests pragmatic questions and example applications for each of the RE-AIM dimensions specifically for Extension professionals. This adapted RE-AIM tool can help Extension practitioners in all disciplines better plan and evaluate their programs and demonstrate the public value of Extension

Goat Yoga: Preliminary Implications for Health, Agriculture, and 4-H

Goat yoga, an event that combines yoga and interactions with goats, may serve as a cross-initiative program that can promote both health and agriculture. This article describes the potential impact of goat yoga and the results of a pilot program. Adult attendees of the pilot event completed a questionnaire assessing knowledge of and intentions to be involved with yoga, goats, and 4-H. Participants increased their knowledge of each area and indicated intentions to use goat products and to visit the goat barn at the county fair. Future work is needed to establish effects of goat yoga within Extension, and, if successful, embed these practices at a large scale

Beginning With the End in Mind: Contextual Considerations for Scaling-Out a Community-Based Intervention

Introduction: A number of effective physical activity programs for older adults exist, but are not widely delivered within community settings, such as the Cooperative Extension System. The purpose of this paper was to determine if an evidence-based intervention (EBI) developed in one state Extension system could be scaled-out to a new state system.Methods and results: The RE-AIM (reach, effectiveness, adoption, implementation, maintenance) framework was used to guide an iterative evaluation of three translational stages. Stage 1: Before program adoption, Extension health educators were surveyed and interviewed to assess physical activity programming perceptions and factors that may influence their decision to attend training or deliver the program in practice. Results indicated that a virtual, scalable training protocol would be necessary and that training needed to include hands-on instruction and be catered to those who were less confident in physical activity program delivery. Stage 2: Training attendees were surveyed pre- and post-training on factors related to the adoption-decision making process and contacted post-training to assess program delivery status. Training did not influence perceptions of the program, intent to deliver, or confidence in delivering the program. Stage 3: During program implementation, the program was evaluated through the RE-AIM framework by surveying across three key stakeholder groups: (1) program participants, (2) potential delivery personnel, and (3) Extension administrators. Findings indicate that the program has the potential to reach a large and representative proportion of the target audience, especially in rural areas. However, adoption and implementation rates among Extension health educators and community partners were low and data collection for effectiveness, implementation, and maintenance was a challenge.Conclusion: Overall, the results indicate initial struggles to translating and evaluating the program in a large, rural state. Implications for practice include making system-level changes to increase physical activity program adoption rates among Extension health educators and improve data collection and program evaluation through this community-based organization. More work is needed to identify infrastructure support and capacity to scale-out EBIs

What Does It Take: The Roles, Responsibilities, and Fidelity to Implement a Physical Activity in Public HealthTraining

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 each implementation strategy and responsibility and total time spent delivering PACE. Fidelity was 93% (39/42 planned objectives delivered as intended). PACE required 183 hours to implement, with session delivery (45 hours) and participant communication (40 hours) requiring the most time. Overall, time spent included 37 hours per delivery team member and 18 hours per PACE participant. The personnel time spent was within the standard time spent on other Extension training protocols and perceived as feasible. Fidelity to session components was high and easy to track. Future work should determine the scalability and sustainability of PACE within Extension nationally

Optical and microphysical characterization of aerosol layers over South Africa by means of multi-wavelength depolarization and Raman lidar measurements

© 2016 The Author(s). Published by Copernicus Publications on behalf of the European Geosciences Union. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( https://creativecommons.org/licenses/by/3.0/ ), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.Optical and microphysical properties of different aerosol types over South Africa measured with a multi-wavelength polarization Raman lidar are presented. This study could assist in bridging existing gaps relating to aerosol properties over South Africa, since limited long-term data of this type is available for this region. The observations were performed under the framework of the EUCAARI campaign in Elandsfontein. The multi-wavelength PollyXT Raman lidar system was used to determine vertical profiles of the aerosol optical properties, i.e. extinction and backscatter coefficients, Ångström exponents, lidar ratio and depolarization ratio. The mean microphysical aerosol properties, i.e. effective radius and single scattering albedo were retrieved with an advanced inversion algorithm. Clear differences were observed for the intensive optical properties of atmospheric layers of biomass burning and urban/industrial aerosols. Our results reveal a wide range of optical and microphysical parameters for biomass burning aerosols. This indicates probable mixing of biomass burning aerosols with desert dust particles, as well as the possible continuous influence of urban/industrial aerosol load in the region. The lidar ratio at 355 nm, the lidar ratio at 532 nm, the linear particle depolarization ratio at 355 nm and the extinction-related Ångström exponent from 355 to 532 nm were 52 ± 7 sr; 41 ± 13 sr; 0.9 ± 0.4 % and 2.3 ± 0.5, respectively for urban / industrial aerosols, while these values were 92 ± 10 sr; 75 ± 14; 3.2 ± 1.3 % and 1.7 ± 0.3 respectively for biomass burning aerosols layers. Biomass burning particles are larger and slightly less absorbing compared to urban / industrial aerosols. The particle effective radius were found to be 0.10 ± 0.03 μm, 0.17 ± 0.04 μm and 0.13 ± 0.03 μm for urban/industrial, biomass burning, and mixed aerosols, respectively, while the single scattering albedo at 532 nm were 0.87 ± 0.06, 0.90 ± 0.06, and 0.88 ± 0.07 (at 532 nm), respectively for these three types of aerosols. Our results were within the same range of previously reported values.Peer reviewedFinal Published versio

Validation of CALIPSO space-borne-derived attenuated backscatter coefficient profiles using a ground-based lidar in Athens, Greece

We present initial aerosol validation results of the space-borne lidar CALIOP -onboard the CALIPSO satellite- Level 1 attenuated backscatter coefficient profiles, using coincident observations performed with a ground-based lidar in Athens, Greece (37.9° N, 23.6° E). A multi-wavelength ground-based backscatter/Raman lidar system is operating since 2000 at the National Technical University of Athens (NTUA) in the framework of the European Aerosol Research LIdar NETwork (EARLINET), the first lidar network for tropospheric aerosol studies on a continental scale. Since July 2006, a total of 40 coincidental aerosol ground-based lidar measurements were performed over Athens during CALIPSO overpasses. The ground-based measurements were performed each time CALIPSO overpasses the station location within a maximum distance of 100 km. The duration of the ground–based lidar measurements was approximately two hours, centred on the satellite overpass time. From the analysis of the ground-based/satellite correlative lidar measurements, a mean bias of the order of 22% for daytime measurements and of 8% for nighttime measurements with respect to the CALIPSO profiles was found for altitudes between 3 and 10 km. The mean bias becomes much larger for altitudes lower that 3 km (of the order of 60%) which is attributed to the increase of aerosol horizontal inhomogeneity within the Planetary Boundary Layer, resulting to the observation of possibly different air masses by the two instruments. In cases of aerosol layers underlying Cirrus clouds, comparison results for aerosol tropospheric profiles become worse. This is attributed to the significant multiple scattering effects in Cirrus clouds experienced by CALIPSO which result in an attenuation which is less than that measured by the ground-based lidar