Use of Semi-Structured Interviews to Explore Competing Demands in a Prostate Cancer Prevention Intervention Clinical Trial (PCPICT)

In this paper we report on findings from the first known study using qualitative methods to explore factors influencing physicians’ participation in an ongoing federally-funded prostate cancer chemoprevention clinical trial. We sought to identify ways to improve collaboration between researchers and physicians and enhance the success of future projects and employed purposive sampling to recruit physician/investigators who were involved or invited to participate in the trial. Using the data from open-ended semi-structured interviews, we examined patterns in their languaging and created themes. We found that individual and structural factors served as barriers and facilitators to participation. Willingness and desire to participate in the trial (individual factors) were not always enough to result in actual participation due to practice environment (structural) constraints. Our research provides a better understanding of the complex intersection of factors in this setting and through our findings we extend the theory of competing demands into the arena of prostate cancer prevention clinical trials, moving the science towards solutions to current challenges in recruitment to this type of trial

Environmental and societal factors affect food choice and physical activity: Rationale, influences, and leverage points

Dietary and physical activity behaviors that affect health are influenced by a wide variety of forces; changes in these behaviors require interventions and commitment to action at multiple levels.l.2 Education-based obesity-prevention strategies (e.g., mass-media promotion of healthy foods and promotion of healthy physical activity habits through schools) are viewed as the most useful and the most feasible to im~lementIm.~p licit in these strategies is the focus on the individual? Education-based strategies have met with limited long-term success in changing behavior: however, perhaps owing to a general lack of supporting environmental modifications. There is increasing recognition of the importance of the environment in shaping behavior, yet strategies that focus on changing environmental factors are much less familiar, and may therefore require partnerships with relevant sectors outside traditional health domains. As described in greater detail by Economos et al.: partnerships among researchers, educators, government, and industry have demonstrated success in smoking reduction at the population level. Interventions such as taxation and advertisement regulations have been instrumental in promoting smoking cessation in the United States and are used by agriculture and agribusiness interests to promote specific food consumption patterns. Similar models of collaborations or interventions may be successful in changing food intake and physical activity, and may potentially result in such desirable outcomes as prevention and reduction of obesity.6 It is important to appreciate the interaction among multiple environmental factors and that complex behavior changes are dependent on different influences at different levels. In Working Group 11, we took on the task of identifying broader contextual, environmental, societal, and policy variables that may improve our understanding of people's eating and physical activity behaviors and may lead to new directions for influencing shifts in behavior. Ecologic models of behavior, and most health promotion models, specify that health behaviors be influenced by biologic, demographic, psychological, sociaYcultura1, environmental, and policy variables. However, the research base that identifies specific important environmental and policy variables is very limited.'.""' Nevertheless, there are several reasons that support the need to identify environmental and policy influences on physical activity and eating behaviors

GNSI Decision Brief: Hunger as a Weapon

Overview Maslow’s hierarchy of needs places physiological needs as the foundation of all others.i The needs of food, water, and shelter are referred to as objects indispensable to survival (OIS). A person will think of little else until these basic needs are met, hence the power OIS have over populations. The concept of hunger as a weapon dates to the beginning of written history with Homer’s Iliad describing the siege of Troy. In war, military leaders often consider foodstuffs as it relates to their war effort while analyzing ways to use this basic need against their foe. As the quote attributed to Napoleon goes, “an army marches on its stomach.” Russian’s scorched earth policy during Napoleon’s 1812 invasion would lead to his Grande Armée’s defeat from lacking access to provisions from the countryside. This brief will examine the methods of starvation that militaries have used and continue to use in warfare. It will also explore how the United States and its allies can build resilient food supply chains to withstand crises and conflict.https://digitalcommons.usf.edu/gnsi_decision_briefs/1001/thumbnail.jp

Anthropological perspectives on the challenges to monitoring and evaluating HIV and AIDS programming in Lesotho

This article focuses on how numerous international nongovernmental organisations (INGOs) have stepped forward to provide services related to HIV and AIDS prevention and treatment in Lesotho. We highlight some widely recognised challenges associated with the INGO approach and describe how people working in that sector in Lesotho experience similar challenges, focusing especially on weak or inadequate monitoring and evaluation (M&E). Partially in response to such weaknesses, Lesotho is implementing its \u27Partnership Framework to Support Implementation of the Lesotho National HIV and AIDS Response.\u27 A major goal for this initiative is to strengthen procedures and methods for M&E. Through examination of a partnership that the authors are cultivating with Catholic Relief Services in Lesotho, we discuss some ways that anthropologists can contribute to formulating M&E processes and procedures that can provide sound measures of outcomes and have the potential to inform programme development. Copyright © NISC Pty Ltd

Farm2Fork: Use of the Health Belief Model to Increase Fresh Fruit and Vegetable Intake Among Food Pantry Participants

Farm2Fork was designed using the Health Belief Model (HBM) to increase fruit and vegetable consumption by food pantry participants. The program included weekly produce distribution in conjunction with nutrition education. Surveys were conducted at program start and after 4 months. Seventy-seven participants completed pre- and post-surveys. All HBM constructs significantly improved: food security level (p = .0005), produce access (p = .0005), health value (p = .0005), and self-efficacy (p = .0005). Fruit intake increased 0.09 servings (p = .0005) and vegetable intake increased 0.75 servings (p = .0005). This study shows the effectiveness of a program guided by the HBM for increasing fruit and vegetable intake in food pantry participants