scholarly journals Addressing a Northern Food Crisis: Process Evaluation of Nutrition North Canada

2016 ◽  
Vol 2 (2) ◽  
Author(s):  
Lauren Dawn Achtemichuk
Keyword(s):  
Food Insecurity ◽  
Process Evaluation ◽  
Program Implementation ◽  
Target Population ◽  
Healthy Foods ◽  
Journal Articles ◽  
Program Outcomes ◽  
Government Documents ◽  
Specific Implementation ◽  
Program Components

Inflated food costs are a contributing factor to food insecurity in isolated communities of Canada’s North. To increase the affordability and accessibility of healthy food in Northern communities, a federal government program Nutrition North Canada (NNC) offers retail-based subsidies on select nutritious foods shipped by air. In this paper, I integrate methods of process evaluation to determine whether or not the program components of NNC, such as the defined target population and subsidy design, are sufficient to achieve the intended program outcomes of increased affordability and accessibility of nutritious foods. A literature review drawing on government documents and journal articles outlines the setting of northern food insecurity and defines an inventory of NNC program components. Media articles published between 2011 and 2015 provide context and draw focus to specific implementation issues drawn from the NNC program. The process evaluation for this paper examines these documents for examples of inconsistency within the NNC program’s target, design, and structure that will affect successful program implementation and delivery. My results focus on inadequacies in the structure of the community eligibility target, subsidy design, and compliance reports. I conclude with recommendations on revising and strengthening these components, to ensure that the Nutrition North Canada program can reach its key goal of increasing the affordability and accessibility of healthy foods in isolated northern communities that do not have year-round marine and/or ground transport.

Approaches for Implementing Healthy Food Interventions in Settings With Limited Resources: A Case Study of Sodium Reduction Interventions in Emergency Food Programs Addressing Food Insecurity

2021 ◽  
pp. 089011712110561
Author(s):  
Karen Strazza ◽  
Julia Jordan ◽  
Kate Ferriola-Bruckenstein ◽  
Heather Kane ◽  
John Whitehill ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Healthy Food ◽  
Limited Resources ◽  
Washington County ◽  
Sodium Reduction ◽  
Healthy Foods ◽  
Structured Interviews ◽  
Key Stakeholders ◽  
Food Programs ◽  
Access To Healthy Foods

Purpose This study describes how recipients of the Centers for Disease Control and Prevention funded Sodium Reduction in Communities Program (SRCP) worked with emergency food programs to improve access to healthy food to address chronic conditions. Design SRCP recipients partnered with emergency food programs to implement sodium reduction strategies including nutrition standards, procurement practices, environmental strategies, and behavioral economics approaches. Setting SRCP recipients and emergency food programs in Washington County and Benton County, Arkansas and King County, Washington. Subjects SRCP recipient staff, emergency food program staff, and key stakeholders. Measures We conducted semi-structured interviews with key stakeholders and systematic review of program documents. Analysis Data were analyzed using effects matrices for each recipient. Matrices were organized using select implementation science constructs and compared in a cross-case analysis. Results Despite limited resources, emergency food programs can implement sodium reduction interventions which may provide greater access to healthy foods and lead to reductions in health disparities. Emergency food programs successfully implemented sodium reduction interventions by building on the external and internal settings; selecting strategies that align with existing processes; implementing change incrementally and engaging staff, volunteers, and clients; and sustaining changes. Conclusion Findings contribute to understanding the ways in which emergency food programs and other organizations with limited resources have implemented public health nutrition interventions addressing food insecurity and improving access to healthy foods. These strategies may be transferable to other settings with limited resources.

Exploring Inmate Reentry in a Local Jail Setting

2008 ◽  
Vol 58 (1) ◽  
pp. 124-146 ◽  
Author(s):  
Michael D. White ◽  
Jessica Saunders ◽  
Christopher Fisher ◽  
Jeff Mellow
Keyword(s):  
New York ◽  
New York City ◽  
Program Implementation ◽  
York City ◽  
Developmental Trajectories ◽  
Target Population ◽  
Program Completion ◽  
Local Jail ◽  
Research And Policy

Although prisoner reentry has taken center stage in correctional research and policy discussions, there has been little emphasis on reentry among jail populations. This paper examines a jail-based reentry program in New York City that begins while individuals are incarcerated and includes 90 days of postrelease services. This article explores these assumptions through an evaluation of a jail-based reentry program in New York City that begins while individuals are incarcerated and includes 90 days of postrelease services. To determine program impact, the authors compare samples of participants with nonparticipants and program completers with noncompleters. The groups are matched using developmental trajectories derived from group-based trajectory modeling, in addition to propensity score matching. Findings show that participants perform no better than nonparticipants over a 1-year follow-up, but those who stay engaged for at least 90 days of postrelease services experience significantly fewer (and slower) returns to jail. The findings regarding program completion are tempered by several methodological concerns, however. The article concludes with a discussion of how the study may offer insights for program implementation and operation with this target population.

scholarly journals Process Evaluation of Internet-Based Cognitive Behavioral Therapy Intervention for Informal Caregivers

2021 ◽  
Vol 8 ◽  
Author(s):  
Ieva Biliunaite ◽  
Evaldas Kazlauskas ◽  
Robbert Sanderman ◽  
Gerhard Andersson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Process Evaluation ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Group Discussion ◽  
Informal Caregivers ◽  
Target Population ◽  
Evaluation Study ◽  
Cognitive Behavioral ◽  
Delivery Mode

Background: Informal caregivers are individuals who provide care for ill, frail, or otherwise dependent family members, siblings, or friends. Due to the caregiving demands, informal caregivers are known to experience negative mental health symptoms, such as stress or anxiety. Interventions based on Internet-based Cognitive Behavioral Therapy (ICBT) principles have been previously found to be effective for different populations and could also be considered as a plausible support option for informal caregivers. However, findings regarding effectiveness alone might not be sufficient for informing about the overall feasibility of the intervention.Objective: The aim of this process evaluation study was to evaluate the feasibility of a previously developed ICBT intervention for informal caregivers in Lithuania. More specifically, we evaluated the suitability of the intervention in relation to its content and delivery mode.Methods: Two studies were conducted. Study 1 consisted of participant evaluations of an 8-week, 8-module long therapist supported ICBT intervention. Evaluations for the Study 1 were retrieved from previously unused data, obtained from pilot testing of the intervention in which 63 informal caregivers took part. The evaluations contained of qualitative data (participant comments), as well as quantitative data (evaluations of each of the sessions). The Study 2 was an online stakeholder focus-group discussion conducted via Zoom. Eight stakeholders took part in the discussion, among whom there were social workers, medical professionals as well as individuals with caregiving experience themselves. Data were analyzed using descriptive statistics, thematic analysis, and data coding.Results: Results of the Study 1 showed that most of the pilot randomized controlled trial participants evaluated content and format of the intervention positively. These results were complemented by the findings in the Study 2, in which stakeholders evaluated the intervention as suitable and promising. In addition, stakeholders made certain suggestions for improving the intervention's usability for the informal caregivers. This included improving the instructions, providing with more guidance, and considering personalization options.Conclusion: The process evaluation helped to evaluate the feasibility of the ICBT intervention for informal caregivers in Lithuania from the two perspectives: users and stakeholders. Our findings suggest that the intervention is suitable for the target population.

scholarly journals THE EFFECTIVENESS OF THE BOARDING TEACHER PROFESSIONAL DEVELOPMENT PROGRAM: AN APPROACH OF PROCESS EVALUATION

2018 ◽  
Author(s):  
Friyatmi
Keyword(s):  
Professional Development ◽  
Teacher Professional Development ◽  
Process Evaluation ◽  
Program Implementation ◽  
Development Program ◽  
Evaluation Study ◽  
Professional Development Program ◽  
State University ◽  
Teacher Professional ◽  
Research Questions

This study aimed to evaluate the effectiveness of the implementation of the boarding Teacher Professional Development Program (PPG SM-3T) in State University of Padang (SUP). This research was an evaluation study using a part of the CIPP model, namely the process evaluation. The research questions for this study were 1) how is the effectiveness of the implementation of PPG SM-3T boarding program? 2) what are the weaknesses in implementing the PPG SM-3T boarding program in SUP? Data in this study were collecting using questionnaires and interview techniques. Informants of this study were the participants of the PPG SM-3T PSU and managers program. The data were analyzed using descriptive statistic techniques. The results of this study revealed that all over management of program implementation was considered less effective by the participants. The weaknesses of the program implementation are as follows. 1) The boarding education programs was less-organized, causing some programs were not function properly and often the schedule were not followed strictly; (2) Lack of coordination between the management and weakness supervision/controlling manager on the boarding activities resulted in less well executed program. (3) Meals service agent were less professional, resulting in the low quality and less variation food being served to the participants.

scholarly journals Parents’ and Early Childhood Educators’ Perceptions on Movement and Learning Program Implementation

2021 ◽  
Vol 18 (22) ◽  
pp. 11913
Author(s):  
Myrto F. Mavilidi ◽  
Sue Bennett ◽  
Fred Paas ◽  
Anthony D. Okely ◽  
Spyridoula Vazou
Keyword(s):  
Physical Activity ◽  
Early Childhood ◽  
Program Implementation ◽  
Online Survey ◽  
Early Childhood Educators ◽  
Activity Levels ◽  
Learning Program ◽  
Home Based ◽  
Potential Benefits ◽  
Program Components

There is currently limited evidence on parents’ and early childhood educators’ perspectives on implementing programs that combine cognitive and motor tasks in early childhood. An online survey was distributed across Australia through social network platforms and emails at preschool centres, asking 65 parents of preschool children and early childhood educators about their preferences on program delivery, duration, and mode. Responses from the survey were evaluated in order to develop and pilot a 4 week home-based (n = 5 parents) and a 6 week school-based program (n = 5 educators) including cognitively engaging physical activity, requesting parents’ and educators’ perspectives, respectively, about the program components. Results from the online survey showed a preference for programs with online (e.g., video-based) compared to traditional delivery (e.g., books), emphasising the potential benefits on children’s physical activity levels, sleep, and cognitive function. However, after piloting the program, educators preferred to use the book version instead of the video. This program has the potential to become part of daily regular practice. Barriers reported include logistics issues (i.e., book size), connectivity issues with internet, and the need for varying activities.

Abstract W P274: Characterizing The “Universe” Of Transitional Care Programs For Stroke Survivors In The United States

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Mahshid Abir ◽  
Barbara G Vickrey ◽  
Paul Koegel ◽  
Joseph P Broderick ◽  
Robert Suter ◽  
...  
Keyword(s):  
Transitional Care ◽  
Initial Step ◽  
The United States ◽  
Annual Number ◽  
Stroke Survivors ◽  
Fee For Service ◽  
Program Outcomes ◽  
Rehabilitation Care ◽  
Number Of Patients ◽  
Program Components

This study’s purpose is to characterize the range of TC programs for stroke survivors in a national sample of healthcare facilities in the U.S., as an initial step toward ultimately associating those characteristics with TC program outcomes. Hospitals in the following networks were invited to complete an electronic survey: The National Institute of Neurological Disorders and Stroke’s Neurological Emergencies Treatment Trials network and StrokeNet, the American Heart Association’s Get With The Guidelines hospitals, and the Michigan Health & Hospital Association. The survey inquired whether the facilities have stroke TC programs, program description, number of patients seen annually, facility type, and healthcare context. Out of 82 respondents, 65 hospitals reported a TC program, and 17 did not have such programs. Respondents include facilities from all five U.S. geographic regions. The 42 facilities that reported the annual number of patients served, served between 48.0-1974.0 patients (median 426.0, inter-quantile range 245.0-840.0). Of the facilities that reported hospital type, 23 (57.5%) are academic, 7 (17.5%) are academic affiliates, and 10 (25%) are community. Of the 25 facilities that reported the healthcare setting in which the TC program is delivered, 12 (48%) are delivered in a fee-for-service, 6 (24%) in integrated delivery system, 3 (12%) in traditional primary care, and 1 (4%) in a patient-centered medical home. TC program components reported (in descending order of frequency) include: Support services, call-backs, transitional planning, inpatient physical rehabilitation, care coordination, neurology follow up, telemedicine, home visits, anytime access. Of the 61 facilities that provided information regarding the TC program components 33 (51%) have one, 15 (23%) have two, 8 (12%) have three, and 5 (8%) have four components. This survey found substantial heterogeneity in TC programs. A standardized definition of TC program components is not available, hence the necessary first step in studying comparative effectiveness of TC programs is building a taxonomy of TC program components. This will enable analysis of the most effective TC programs, and ultimately guide improving the TC experience and outcomes for stroke survivors.

scholarly journals Leadership and Peer Counseling Program: Evaluation of Training and Its Impact on Filipino Senior Peer Counselors

2019 ◽  
Vol 16 (21) ◽  
pp. 4108 ◽  
Author(s):  
Carandang ◽  
Shibanuma ◽  
Kiriya ◽  
Vardeleon ◽  
Marges ◽  
...  
Keyword(s):  
Program Implementation ◽  
Well Being ◽  
Target Population ◽  
Peer Counseling ◽  
Future Research ◽  
Subjective Well Being ◽  
Post Intervention ◽  
Group Discussions ◽  
Peer Counselors ◽  
Senior Volunteers

Senior volunteers represented a significant, mostly untapped lay resource of informal social care. In this study, we evaluated the effectiveness of the training program on improving senior volunteers’ competency toward peer counseling, and explored its impact on their well-being after three months of the program implementation. We conducted a pre- and post-intervention analysis among 60 senior volunteers aged 60–82 years. They participated in 40 h of training and performed weekly peer counseling home visits for three months. We evaluated the program using survey questionnaires, trainer observation and debriefing, and focus group discussions. After the training, peer counselors showed a significant improvement (p < 0.001) in knowledge (17.1 versus 22.3) and skills (17.0 versus 17.9). All of them met the minimum required passing level of 70% for the knowledge test, and their overall performance was satisfactory as rated by two independent trainers. After three months, peer counselors showed a significant improvement (p < 0.001) in their subjective well-being (d = 0.69) and depressive symptoms (d = −0.67). Filipino senior volunteers could be trained to serve as peer counselors in their communities. This program improved their competency and well-being. Future research is warranted to determine whether the provision of counseling by them will affect the health outcomes of the target population.

scholarly journals Modified Directly Observed Therapy for Antiretroviral Therapy: A Primer from the Field

2007 ◽  
Vol 122 (4) ◽  
pp. 472-481 ◽  
Author(s):  
Kathy Goggin ◽  
Robin J. Liston ◽  
Jennifer Adelson Mitty
Keyword(s):  
Antiretroviral Therapy ◽  
Program Implementation ◽  
Staff Training ◽  
Target Population ◽  
Directly Observed Therapy ◽  
Federally Funded ◽  
Target Populations ◽  
Sufficient Detail ◽  
Minimum Requirements ◽  
Efficacy Studies

Modified directly observed therapy (mDOT), in which a portion of total doses of a medication regime is ingested under supervision, has demonstrated efficacy as an intervention to assist patients in maintaining adherence to complicated antiretroviral therapy (ART). Although findings are favorable, existing efficacy studies fail to provide sufficient detail to guide others who wish to implement mDOT interventions. The aim of this article is to provide a primer for practitioners and researchers who wish to implement mDOT interventions. Drawing on the experience of 10 federally funded research projects, we provide guidance on critical questions for program implementation, including: who should be targeted, length/duration/content/location/tapering of sessions, staffing, incentives, and approaches to data collection. In addition, guidance on staff training and minimum requirements for mDOT interventions is offered along with real-world examples of mDOT interventions. mDOT is feasible and easily adapted to many settings and target populations. Interventions should match the specific needs of the target population and setting and be flexible in terms of design and delivery. mDOT should be considered among the spectrum of adherence interventions.

Eat Smart! Workplace Cafeteria Program Evaluation of the Nutrition Component

2006 ◽  
Vol 67 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Jody Dawson ◽  
John J. M. Dwyer ◽  
Susan Evers ◽  
Judy Sheeshka
Keyword(s):  
Program Implementation ◽  
Eating Habits ◽  
Design Method ◽  
Eating Behaviour ◽  
Hospital Staff ◽  
Observational Research ◽  
Healthy Foods ◽  
Staff Members ◽  
Before And After ◽  
Nutrition Component

Purpose: The nutrition component of the Eat Smart! Workplace Cafeteria Program (ESWCP) in a hospital was evaluated. We assessed staff’s frequency of visits to and purchases in the hospital cafeteria, attitudes about the program, short-term eating behaviour change, and suggestions to improve the ESWCP. Methods: Questionnaires were sent to hospital staff members who were not on leave (n=504). Dillman’s Tailored Design Method was used to design and implement the survey. Four mail-outs were used and yielded a 51% response rate. Results: Eighty-seven percent of respondents visited the hospital cafeteria at least once a week in an average seven-day week, and 69% purchased one to five meals or snacks there each week. Eighty-six percent of respondents said that they were aware of the hospital’s program. Notices on cafeteria tables were the primary method of learning about the program (67%). Reported program benefits included increased knowledge about healthy eating, convenience of having healthy foods in the cafeteria, and increased energy. Conclusion: Many respondents were aware of the program, provided positive comments about it, and reported positive changes in eating habits. However, future observational research is warranted to note foods served and sold before and after program implementation, as well as to examine whether results can be generalized to other settings.

Publishing journal articles

2018 ◽  
Author(s):  
Alicia O'Cathain
Keyword(s):  
Qualitative Research ◽  
Process Evaluation ◽  
Qualitative Data ◽  
Journal Article ◽  
Journal Articles ◽  
Evaluation Data ◽  
Qualitative Process Evaluation ◽  
Key Issues ◽  
Publishing Journal

The focus of this chapter is on reporting the qualitative research in peer-reviewed journal articles. Researchers may publish the qualitative data in a standalone journal article, or combine quantitative and qualitative process evaluation data in the same article, or combine the qualitative and RCT research in the same article. Writing these articles can be challenging, even when focusing solely on the qualitative research. Researchers need to consider the number of articles to be published from the whole study, the focus of each article, selecting a journal, and communicating implications for the RCT. Guidance is offered on the key issues to report in journal articles that focus solely on the qualitative research undertaken with an RCT.

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