Exploring the Use of an Image-Based Approach to Assessing Nutrition Behaviors

Formative evaluation was conducted for the Personal Health Behaviors Overview (PHBO) survey to evaluate nutrition behaviors with image-based questions in low-income populations. Forty-nine low-income adults from nutrition education classes were invited to participate with n = 42 included in the analysis. Participants completed the PHBO survey while an interviewer recorded observations. Upon completion, participants were asked questions regarding each PHBO survey item. Most participants completed the survey in an average of 4 minutes. The majority said the photographs of food made it easier to answer questions. Less than half indicated that the visuals depicting frequency made questions easier. While participant responses were aligned with the aims of the PHBO question being asked, some suggestions were offered for improvements of photographs. While this formative evaluation research indicates additional validation is necessary before use of these PHBO questions, the image-based simple question technique is a possible solution for efficient and effective nutrition assessments in low-income, limited literacy populations

Taking the Leap: Exploring a Theory of Program Innovation

Innovation in Extension is often referred to as something tangible, such as a new resource or technique or new concepts. However, these things result from a program innovation process. In this article, we elaborate a grounded theory of how this process unfolds in the context of Extension. Through analysis of data from a national survey of practitioners from innovative programs, a panel presentation, and interviews with faculty at the University of Minnesota, we describe seven factors that influence what prompts innovation and how the process tends to unfold. We synthesize a capitals-based conceptual model and discuss implications for diagnosing and strengthening program innovation

Financial Professionals: Articulating their Roles and Delivery Methods in Financial Education

Financial education is an approach financial professionals use with their clients to build effective money management skills across the life cycle. Financial professionals conceptualize and identify their role in providing financial education in various ways. This study used a triangulation mixed methods design from a 2013 national survey to understand how financial professionals articulate their role and to determine the delivery methods used when working with clients. The survey was first included in the analysis piloted with nine financial professionals, followed by a revised survey sent to memberships of various professional organizations resulting in 251 responses. When financial professionals were asked about the financial delivery method used with their clients, their response indicated it depended on the context of the client and the content of their financial concerns. Therefore, findings suggest that the process or relationship between the practitioner and client must have elements of flexibility and adaptability woven into their delivery method based on what the client brings to the session and/or workshop

Targeted Food Marketing to Youth: Engaging Professionals in an Online Environment

The use of technology provides unique ways to create an engaged online community of learning for professionals that can be integrated into existing and future Extension programming. The Targeted Food Marketing to Youth online professional development course uses strategies and tools to create and support an engaged online community

Advancing Methodology: From Mapping to Mobile Messaging Campaign

This article describes the progression of the Health Insurance Literacy (HIL) Action Team’s efforts from the initial charge by the Extension Committee on Organization and Policy (ECOP) of identifying priorities for Cooperative Extension health programming to developing and testing a national mobile messaging campaign designed to change health insurance knowledge, confidence, and behaviors of millennials. It highlights relevant empirical literature, summarizes the results of a national pulse online survey administered to Extension professionals and how they were applied to this project, reviews the Design Thinking and concept mapping process, and describes the development and testing of mobile messages. Anticipated outcomes of the mobile messaging campaign are discussed. Sources of data are the national pulse online survey along with insights gleaned from Extension professionals who participated in workshops, an eXtension Design-a-thon, and responses to a survey of millennials about experiences using health insurance, social media, and texting. This effort contributes to advancing Extension’s capacity to deliver programming related to health insurance education in innovative and effective ways

Long-term restenosis rate of eversion endarterectomy on the internal carotid artery.

OBJECTIVES: The eversion endarterectomy of the internal carotid artery was introduced in Hungary in 1991. The aim of this study was to define the long-term restenosis rate of this procedure. PATIENTS AND METHODS: Between 1991 and 1993, 171 operations, on 151 patients, were performed by single surgeon: with long-term follow up of 109 patients, which included annual physical and ultrasound examinations. Restenosis rate and plaque morphology were defined. Survival and patency rate were analysed by life-tables. RESULTS: The combined perioperative stroke morbidity and mortality rate was 0.8%. The 5-year patient survival rate was 85%, the recurrent stenosis free rate was 88% at 5 years. Only 9% of the patients had carotid restenosis of more than 70% during this period. Ultrasound plaque morphology showed calcification in one case. Two patients had re-operations, with plaque histology showed myointimal hyperplasia in each case. CONCLUSIONS: Our results for restenosis are compare favourably with the 2-34% restenosis rate reported in the literature. Ultrasound and histological findings suggest that atherosclerosis does not play a significant role in the development of restenosis after the eversion carotid endarterectomy

Mechanical Intestinal Obstruction From Pseudocyst Bezoar Following Internal Drainage of Traumatic Pancreatic Pseudocyst

A unique case of intraluminal mechanical small-intestinal obstruction occurring from a bezoar of organized debris that extruded from a post- traumatic pancreatic pseudocyst following Roux-en-Y cystojejunostomy is presented. Although an apparently unusual complication, it is one that should be considered in any patient experiencing incomplete cyst drainage or intestinal obstruction following an internal drainage procedure for pancreatic pseudocyst

Bridging Research to Practice: An Innovative Approach to Sharing Extension's Work

There is increasing competition for research-informed and trusted information online. Since Wikipedia is so prominent, it is an innovative opportunity for Extension to increase the rigor of Wikipedia articles by adding our research and education citations to make our work more discoverable and accessible

Dollars Works 2: The Evolution of a Financial Literacy Program

Dollar Works 2 is a comprehensive personal financial education program to help individuals and families strengthen their skills, better manage their personal finances, and make sound decisions about money. This article chronicles the evolution of a curriculum to enhance and modify materials to improve learning and meet the needs of multiple audiences resulting in effective programming