Are brief behavioral parenting group interventions effective in rural communities? A feasibility study in Central Appalachia.

2021 ◽  
Author(s):  
Dane C. Hilton ◽  
Chantel M. Weisenmuller ◽  
Scott A. Fields ◽  
Jessica L. Luzier ◽  
Beth Bloom Emrick
Keyword(s):  
Rural Communities ◽  
Feasibility Study ◽  
Group Interventions ◽  
Central Appalachia

scholarly journals A Feasibility Study on the Use of an Atmospheric Water Generator (AWG) for the Harvesting of Fresh Water in a Semi-Arid Region Affected by Mining Pollution

2019 ◽  
Vol 9 (16) ◽  
pp. 3278
Author(s):  
Julio Mendoza-Escamilla ◽  
Francisco Hernandez-Rangel ◽  
Pedro Cruz-Alcántar ◽  
María Saavedra-Leos ◽  
Josefa Morales-Morales ◽  
...  
Keyword(s):  
Rural Communities ◽  
Fresh Water ◽  
Feasibility Study ◽  
New Technologies ◽  
Water Shortage ◽  
Mining Area ◽  
Climatic Conditions ◽  
Production Costs ◽  
Human Consumption ◽  
Atmospheric Water

Worldwide, the shortage of fresh water has increased exponentially due to population growth and contamination of available water, especially in water tables that provide water for general consumption. One of the main pollutants of water is arsenic (As), present in the environment and in most mining/metallurgical processes, which is a major health risk, especially as a carcinogen. In the region of Matehuala, San Luis Potosi (SLP), Mexico, a highly productive mining area, arsenic concentrations of 138.1 mg/kg have been found in soils—6.2 times higher than what is allowed in domestic soils, while in water it is reported up to 158 mg/L, exceeding permissible limits for human consumption. In addition to As pollution, the region suffers from water shortage both in the city and in rural communities. Therefore, it is necessary to explore new technologies to provide the population with fresh water. This paper presents a feasibility study on the use of an atmospheric water generator (AWG) to capture fresh water in the region of Matehuala, SLP. The region was found to have the necessary environmental conditions to use AWGs, with an annual average relative humidity (RH) of approximately 60%. Using a mathematical model of a dehumidifier, water harvesting can be evaluated under the region’s prevailing climatic conditions. The month with lowest harvest was found to be January, with 0.89 to 3.6 L/day, while the month with largest harvest was August at 3.9 to 18 L/day and water production costs of 0.0093 and $ 0.038 USD/L, respectively. The study concludes that the use of AWGs would help alleviate water shortages, thus benefiting marginalized people or communities, preserving ecosystems and the environment.

scholarly journals Using Mobile Health Tools to Engage Rural Underserved Individuals in a Diabetes Education Program in South Texas: Feasibility Study (Preprint)

2019 ◽  
Author(s):  
Zenong Yin ◽  
Janna Lesser ◽  
Kristi A Paiva ◽  
Jose Zapata Jr ◽  
Andrea Moreno-Vasquez ◽  
...  
Keyword(s):  
Rural Communities ◽  
Feasibility Study ◽  
Mobile Health ◽  
Education Program ◽  
Financial Incentives ◽  
Diabetes Education ◽  
South Texas ◽  
Self Management ◽  
Study Participants

BACKGROUND Access to diabetes education and resources for diabetes self-management is limited in rural communities, despite higher rates of diabetes in rural populations compared with urban populations. Technology and mobile health (mHealth) interventions can reduce barriers and improve access to diabetes education in rural communities. Screening, Brief Intervention, and Referral to Treatment (SBIRT) and financial incentives can be used with mHealth interventions to increase the uptake of diabetes education; however, studies have not examined their combined use for diabetes self-management in rural settings. OBJECTIVE This two-phase Stage 1 feasibility study aimed to use a mixed methods design to examine the feasibility and acceptability of an mHealth diabetes education program combining SBIRT and financial incentives to engage rural individuals. METHODS In Phase 1, we aimed to develop, adapt, and refine the intervention protocol. In Phase 2, a 3-month quasi-experimental study was conducted with individuals from 2 rural communities in South Texas. Study participants were individuals who attended free diabetes screening events in their community. Those with low or medium risk received health education material, whereas those with high risk or those with a previous diagnosis of diabetes participated in motivational interviewing and enrolled in the 6-week mHealth Diabetes Self-Management Education Program under either an unconditional or aversion incentive contract. The participants returned for a 3-month follow-up. Feasibility and acceptability of the intervention were determined by the rate of participant recruitment and retention, the fidelity of program delivery and compliance, and the participant’s satisfaction with the intervention program. RESULTS Of the 98 screened rural community members in South Texas, 72 individuals met the study eligibility and 62 individuals agreed to enroll in the study. The sample was predominately female and Hispanic, with an average age of 52.6 years. The feedback from study participants indicated high levels of satisfaction with the mHealth diabetes education program. In the poststudy survey, the participants reported high levels of confidence to continue lifestyle modifications, that is, weight loss, physical activity, and diet. The retention rate was 50% at the 3-month follow-up. Participation in the intervention was high at the beginning and dissipated in the later weeks regardless of the incentive contract type. Positive changes were observed in weight (mean -2.64, SD 6.01; <i>P</i>&lt;.05) and glycemic control index (-.30; <i>P</i>&lt;.05) in all participants from baseline to follow-up. CONCLUSIONS The finding showed strong feasibility and acceptability of study recruitment and enrollment. The participants’ participation and retention were reasonable given the unforeseen events that impacted the study communities during the study period. Combining mHealth with SBIRT has the potential to reach individuals with need to participate in diabetes education in rural communities.

scholarly journals Using Mobile Health Tools to Engage Rural Underserved Individuals in a Diabetes Education Program in South Texas: Feasibility Study

10.2196/16683 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e16683
Author(s):  
Zenong Yin ◽  
Janna Lesser ◽  
Kristi A Paiva ◽  
Jose Zapata Jr ◽  
Andrea Moreno-Vasquez ◽  
...  
Keyword(s):  
Rural Communities ◽  
Feasibility Study ◽  
Mobile Health ◽  
Education Program ◽  
Financial Incentives ◽  
Diabetes Education ◽  
South Texas ◽  
Self Management ◽  
Study Participants

Background Access to diabetes education and resources for diabetes self-management is limited in rural communities, despite higher rates of diabetes in rural populations compared with urban populations. Technology and mobile health (mHealth) interventions can reduce barriers and improve access to diabetes education in rural communities. Screening, Brief Intervention, and Referral to Treatment (SBIRT) and financial incentives can be used with mHealth interventions to increase the uptake of diabetes education; however, studies have not examined their combined use for diabetes self-management in rural settings. Objective This two-phase Stage 1 feasibility study aimed to use a mixed methods design to examine the feasibility and acceptability of an mHealth diabetes education program combining SBIRT and financial incentives to engage rural individuals. Methods In Phase 1, we aimed to develop, adapt, and refine the intervention protocol. In Phase 2, a 3-month quasi-experimental study was conducted with individuals from 2 rural communities in South Texas. Study participants were individuals who attended free diabetes screening events in their community. Those with low or medium risk received health education material, whereas those with high risk or those with a previous diagnosis of diabetes participated in motivational interviewing and enrolled in the 6-week mHealth Diabetes Self-Management Education Program under either an unconditional or aversion incentive contract. The participants returned for a 3-month follow-up. Feasibility and acceptability of the intervention were determined by the rate of participant recruitment and retention, the fidelity of program delivery and compliance, and the participant’s satisfaction with the intervention program. Results Of the 98 screened rural community members in South Texas, 72 individuals met the study eligibility and 62 individuals agreed to enroll in the study. The sample was predominately female and Hispanic, with an average age of 52.6 years. The feedback from study participants indicated high levels of satisfaction with the mHealth diabetes education program. In the poststudy survey, the participants reported high levels of confidence to continue lifestyle modifications, that is, weight loss, physical activity, and diet. The retention rate was 50% at the 3-month follow-up. Participation in the intervention was high at the beginning and dissipated in the later weeks regardless of the incentive contract type. Positive changes were observed in weight (mean -2.64, SD 6.01; P<.05) and glycemic control index (-.30; P<.05) in all participants from baseline to follow-up. Conclusions The finding showed strong feasibility and acceptability of study recruitment and enrollment. The participants’ participation and retention were reasonable given the unforeseen events that impacted the study communities during the study period. Combining mHealth with SBIRT has the potential to reach individuals with need to participate in diabetes education in rural communities.

scholarly journals Community Social Polarization and Change: Evidence from Three Recent Studies

World ◽  
2020 ◽  
Vol 1 (1) ◽  
pp. 20-33
Author(s):  
Max Stephenson ◽  
Beng Abella-Lipsey ◽  
Lara Nagle ◽  
Neda Moayerian
Keyword(s):  
Rural Communities ◽  
Economic Decline ◽  
Small Communities ◽  
Ongoing Work ◽  
Central Appalachia ◽  
Political Forces ◽  
Widespread Belief ◽  
Zero Sum ◽  
Political Economic

This review article analyzes three major recent books (written by Robert Wuthnow, Arlie R. Hochschild, and James and Deborah Fallows, respectively) concerning ongoing political, economic and social change in United States’ rural communities to probe differing frames and claims among them. We contend these works together point to vital social and political forces that must receive increased attention if the communities they treat are to address the challenges confronting them successfully. Thereafter, we briefly and illustratively underscore the significance of these authors’ arguments using our own ongoing work in two small communities confronting catastrophic economic decline and social fissuring in Central Appalachia. Overall, we argue that an analytical approach that combines elements of Wuthnow’s sensitivity to demographic and scalar polarization and divides, coupled with Hochschild’s emphasis on opportunities to instill and call on empathetic imagination in development efforts, could assist these rural communities’ residents to understand more fully the dynamics at play within them and to craft strategies aimed at addressing those challenges. In particular, we contend that the Fallowses’ call for pragmatic interventions and partnership building must be accompanied by long-term efforts to overcome the fear engendered by the view that rural community life constitutes a consumerist zero-sum game, and the accompanying widespread belief in those jurisdictions that scapegoating and explicit or implicit racialized hierarchies represent reasonable responses to such anxieties.

scholarly journals Pickleball for Inactive Mid-Life and Older Adults in Rural Utah: A Feasibility Study

2021 ◽  
Vol 18 (16) ◽  
pp. 8374
Author(s):  
Paige Wray ◽  
Callahan K. Ward ◽  
Cindy Nelson ◽  
Sandra H. Sulzer ◽  
Christopher J. Dakin ◽  
...  
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Feasibility Study ◽  
Positive Response ◽  
Vertical Jump ◽  
Good Adherence ◽  
Barriers To Exercise ◽  
Perceived Pain ◽  
The Impact

Many diseases, disabilities, and mental health conditions associated with aging can be delayed or prevented through regular exercise. Several barriers to exercise, many of which are exacerbated in rural communities, prevent mid-life and older adults from accessing its benefits. However, recently, a racquet sport named pickleball has become popular among older adults, and it appears to overcome some of these barriers. We conducted a feasibility study to evaluate the impact of a six-week pickleball intervention on measures of muscle function, cognitive function, perceived pain, and cardio-metabolic risk, as well as several psychosocial factors contributing to adherence in sedentary rural participants. Participants improved their vertical jump, cognitive performance, and reported a decrease in self-reported pain, suggesting improved physical and cognitive health across the sample. Participants also reported high levels of satisfaction and demonstrated good adherence over the duration of the study. Perhaps of greatest value was the overwhelmingly positive response from participants to the intervention and follow-up interviews reporting a desire to continue pickleball play beyond the study period. Overall, pickleball appears to be a promising intervention to, (1) elicit functional- and cognitive-related improvements, and (2) motivate mid-life and older adults to adhere to exercise sufficiently long to benefit their health.

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