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

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

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

Move More, Sit Less: Applying the Physical Activity Guidelines for Americans to Extension Programs

Extension enhances the lives of Americans by translating research-based information related to existing needs into programming that is practical and accessible to the general public. Evidence clearly indicates that physical activity is correlated to positive health outcomes, but despite this conclusion, the majority of Americans do not meet the recommendations for physical activity. The 2nd Edition of the Physical Activity Guidelines for Americans provides guidance for Extension professionals to implement physical activity interventions. We recommend training and technical assistance strategies based on the Interactive Systems Framework to integrate physical activity promotion into all Extension areas

Effect of P-glycoprotein modulation with cyclosporin A on cerebrospinal fluid penetration of doxorubicin in non-human primates

PURPOSE: P-glycoprotein (Pgp) is a transmembrane drug efflux pump that is expressed in multidrug-resistant cancer cells and in a variety of normal tissues, including brain capillary endothelial cells which comprise the blood-brain barrier. We studied the effects of the Pgp inhibitor, cyclosporin A (CsA), on the cerebrospinal fluid (CSF) penetration of the Pgp substrate, doxorubicin, in non-human primates. METHODS: The animals received doxorubicin alone (2.0 mg/kg i.v. over 60 min) or doxorubicin (1 mg/kg i.v. over 60 min) and CsA (loading dose 4.0 mg/kg i.v. over 2 h, followed by continuous infusion of 12 mg/kg per day over 48 h). Plasma and CSF were collected over 48 h and the doxorubicin concentration was measured by reverse-phase high-pressure liquid chromatography (HPLC) with fluorescence detection (detection limit 5 nM). A two-compartment model was fitted to the plasma concentration-time data. RESULTS: Pgp was demonstrated to be present in the epithelium of the choroid plexus by immunohistochemical methods, indicating that CSF drug penetration could be used as a surrogate for blood-brain barrier penetration. Steady state whole blood CsA concentrations, which were measured with a fluorescence-polarization immunoassay (TDX) that detects both CsA and its metabolites, ranged from 551-1315 microg/l at 24 h. The clearance of doxorubicin in four animals was reduced by 34%, 38%, 45% and 49% when given with CsA. The doxorubicin concentration in the CSF was <5 nM in all animals, both after doxorubicin alone and doxorubicin with CsA. CONCLUSIONS: The Pgp inhibitor, CsA, at a concentration that alters systemic clearance of doxorubicin, does not appear to significantly increase the CSF penetration of doxorubicin

Investigating the quality of modeled aerosol profiles based on combined lidar and sunphotometer data

In this study we present an evaluation of the Comprehensive Air Quality Model with extensions (CAMx) for Thessaloniki using radiometric and lidar data. The aerosol mass concentration profiles of CAMx are compared against the PM2.5 and PM2. 5−10 concentration profiles retrieved by the Lidar-Radiometer Inversion Code (LIRIC). The CAMx model and the LIRIC algorithm results were compared in terms of mean mass concentration profiles, center of mass and integrated mass concentration in the boundary layer and the free troposphere. The mean mass concentration comparison resulted in profiles within the same order of magnitude and similar vertical structure for the PM2. 5 particles. The mean centers of mass values are also close, with a mean bias of 0.57 km. On the opposite side, there are larger differences for the PM2. 5−10 mode, both in the boundary layer and in the free troposphere. In order to grasp the reasons behind the discrepancies, we investigate the effect of aerosol sources that are not properly included in the model's emission inventory and in the boundary conditions such as the wildfires and the desert dust component. The identification of the cases that are affected by wildfires is performed using wind backward trajectories from the Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model in conjunction with satellite fire pixel data from MODerate-resolution Imaging Spectroradiometer (MODIS) Terra and Aqua global monthly fire location product MCD14ML. By removing those cases the correlation coefficient improves from 0.69 to 0.87 for the PM2. 5 integrated mass in the boundary layer and from 0.72 to 0.89 in the free troposphere. The PM2.5 center of mass fractional bias also decreases to 0.38 km. Concerning the analysis of the desert dust component, the simulations from the Dust Regional Atmospheric Model (BSC-DREAM8b) were deployed. When only the Saharan dust cases are taken into account, BSC-DREAM8b generally outperforms CAMx when compared with LIRIC, achieving a correlation of 0.91 and a mean bias of −29.1 % for the integrated mass in the free troposphere and a correlation of 0.57 for the center of mass. CAMx, on the other hand, underestimates the integrated mass in the free troposphere. Consequently, the accuracy of CAMx is limited concerning the transported Saharan dust cases. We conclude that the performance of CAMx appears to be best for the PM2.5 particles, both in the boundary layer and in the free troposphere. Sources of particles not properly taken into account by the model are confirmed to negatively affect its performance, especially for the PM2. 5−10 particles.The authors would like to acknowledge the EU projects MACC-III (Monitoring Atmospheric Composition and Climate – III, grant agreement no. 633080) and MACC-II project (Monitoring Atmospheric Composition and Climate – Interim Implementation, grant agreement no. 283576). The simulated results presented in this research paper have been produced using the EGI and HellasGrid infrastructures. The ACTRIS-2 project from the European Union’s Horizon 2020 research and innovation programme under grant agreement no. 654109 is gratefully acknowledged. The authors would also like to acknowledge the support provided by the Scientific Computing Center at Aristotle University of Thessaloniki throughout the progress of the work on air quality forecasting. BSC-DREAM8b simulations were performed on the Mare Nostrum supercomputer hosted by Barcelona Supercomputing Center-Centro Nacional de Supercomputacion (BSC-CNS). S. Basart wants to acknowledge the CICYT project (CGL2013-46736). Elina Giannakaki acknowledges the support of the Academy of Finland (project no. 270108).Peer ReviewedPostprint (published version