Scholarly Work - Health & Human Development
Permanent URI for this collectionhttps://scholarworks.montana.edu/handle/1/2920
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Item Food Insecurity Experience: Building Empathy in Future Food and Nutrition Professionals(Elsevier, 2017-03) Harmon, Alison; Landolfi, Kara; Shanks, Carmen Byker; Hansen, Leanna; Iverson, Laura; Anacker, MelodyOBJECTIVE To assess changes in empathy in students completing a food insecurity experience. DESIGN Mixed methods; quantitative data from survey in years 1 and 2; qualitative data extracted from students\' workbooks in years 2-5. This study was conducted over 10 weeks annually for 5 years. SETTING Northwest US land-grant university. PARTICIPANTS Students enrolled in a community nutrition course who chose to complete the food insecurity exercise. Total included 58 students in quantitative analysis in years 1 and 2 and 119 in qualitative analysis, years 2-5. INTERVENTION(S) The intervention was a food insecurity experience in which participants spent no more than $3/d on food for 5 days ($15 total) while striving for a nutritious diet and reflecting on their experience. MAIN OUTCOME MEASURES Empathy scores measured by Likert scales; participant responses and reflections recorded in workbook journals. ANALYSIS Comparison of means across time using paired t tests (P < .05); coding and sorting themes from workbook journals. RESULTS Quantitative findings indicated that both classroom content and experiential exercises were important for enhancing empathy about food insecurity. Empathy scores increased from time I to time II and from time I to time III. Qualitative reflections among participants included terms such as guilt, empathy, compassion, and raised consciousness about food insecurity. CONCLUSIONS AND IMPLICATIONS Experiential and transformational learning to develop empathy can take place in a 5-day food insecurity experience during a typical university-level community nutrition course. This intervention can be tested for applications in other contexts.Item Built environment approaches: Extension personnel's preferences, barriers, and facilitators(Frontiers Media SA, 2022-10) Balis, Laura E.; Grocke-Dewey, Michelle U.Introduction: Interventions that modify the built environment can increase population physical activity levels and prevent chronic disease. The national Cooperative Extension System is poised to implement built environment approaches (i.e., pedestrian/bicycle infrastructure and enhanced access to physical activity spaces), but implementation strategies (i.e., methods or techniques to move research to practice) are needed to improve uptake. Effective implementation strategies address relevant barriers and capitalize on facilitators. The purpose of this study was to understand 1) barriers and facilitators to implementing built environment approaches in two state Extension systems, 2) preferences for built environment approaches, and 3) preferences for implementation strategies. Methods: A cross-sectional online survey was used to understand Extension personnel's preferences for and barriers and facilitators to built environment approaches through a mixed-methods study design. This work was informed by anthropological inquiry as the overall research philosophy, and by the Health Impact Pyramid, Leeman et al.'s classification of implementation strategies, and the Consolidated Framework for Implementation Research as the theoretical frameworks. The survey was distributed to eligible Extension personnel (n = 42) in two states. Quantitative data analysis consisted of numbers/proportions and Friedman tests. Qualitative analysis was completed through a rapid deductive approach to quickly produce actionable results. Results: Fourteen respondents (33%) completed the survey. Most had not implemented physical activity interventions in their communities or had implemented only individual-level interventions, though were interested in implementing built environment approaches. Benches, playground improvements, and crosswalks were the most desired approaches, while facilitation, assessing community strengths and needs, and technical assistance were desired implementation strategies. The most common barriers were relative priority and available resources; facilitators were external policy and incentives and implementation climate. Discussion: Extension personnel are receptive to built environment approaches and engaged with community coalitions. Yet, invested parties prefer individual-level interventions, and agents perceive a lack of resources for implementation. Implementation strategies that build capacity in both the Extension system and community coalitions may address these barriers through increasing relative priority and sharing existing resources. This work is a first step toward compiling implementation strategies to address relevant barriers to built environment approaches in community settings.Item Individual Muscle Contributions to the Acceleration of the Center of Mass During the Barbell Back Squat in Trained Female Subjects(Wolters Kluwer, 2023-08) Goodman, William W.; Helms, Eric; Graham, David F.Goodman, WW, Helms, E, and Graham, DF. Individual muscle contributions to the acceleration of the centre of mass during the barbell back squat in trained females. J Strength Cond Res XX(X): 000–000, 2023—The squat is used to enhance performance and rehabilitate the lower body. However, muscle forces and how muscles accelerate the center of mass (CoM) are not well understood. The purpose was to determine how lower extremity muscles contribute to the vertical acceleration of the CoM when squatting to parallel using 85% one-repetition maximum. Thirteen female subjects performed squats in a randomized fashion. Musculoskeletal modeling was used to obtain muscle forces and muscle-induced accelerations. The vasti, soleus, and gluteus maximus generated the largest upward accelerations of the CoM, whereas the muscles that produced the largest downward acceleration about the CoM were the hamstrings, iliopsoas, adductors, and tibialis anterior. Our findings indicate that a muscle's function is task and posture specific. That is, muscle function depends on both joint position and how an individual is interacting with the environment.Item Perceived stress, stressors, and preferred stress management strategies among western agricultural producers(American Psychological Association, 2023-05) Grocke-Dewey, Michelle U.; Brennan, Alison; Freeman, Brenda; Weas, Heather; Gutheil, Jessica; Stallones, Lorann; McMoran, DonChronic stress is associated with adverse physical, emotional, and social health outcomes such as increased rates of chronic disease, anxiety, behavioral inhibition, and well-being. In the United States, farmers and ranchers experience some of the highest levels of these adverse health outcomes. This study presents data from the Western Region Agricultural Producer Stress Survey, a survey tool designed to better understand these stressors and desired mitigation techniques. A sample of 767 agricultural producers participated in a survey that gauged their perceived stress levels, sources of stress, desired stress management topics, and preferred methods of receiving information. Workload, financial worries, and lack of time presented as the top stressors. Women averaged higher levels of both perceived stress and stressor pileup than men. Interest in stress management topics also differed significantly by gender and age, with men more interested in parenting classes and support groups, and younger producers more interested in nutrition/cooking classes. The most preferred methods for receiving information were online options. Data suggest that, on average, producers across the Western region of the United States are experiencing a medium level of stress. While this is concerning, producers expressed interest in learning more about a variety of topics to help them manage their stress and improve their well-being. Better understanding of agricultural producers’ preferences for stress management topics, as well as their preferred dissemination methods, is critical in terms of providing this often underserved population with appropriate mental health assistance.Item Food insecurity among households with children during the early months of the COVID-19 pandemic(Lyson Center for Civic Agriculture and Food Systems, 2023-06) Houghtaling, Bailey; Haynes-Maslow, Lindsey; Andress, Lauri; Hardison-Moody, Amnie; Grocke-Dewey, Michelle U.; Holston, Denise; Patton-Lopez, Megan; Pradhananga, Nila; Prewitt, T.; Shanks, Justin; Webber, Eliza; Byker Shanks, CarmenUnderstanding impacts of the COVID-19 pandemic among households with children is necessary to design appropriate public health responses that protect food and nutrition security. The objective of this research was to understand predictors of food insecurity during the COVID-19 pandemic among households with at least one child (<18 years), including whether foods reported as out-of-stock were associated with the likelihood of food insecurity. An online survey using validated measures and open-ended questions was distributed to a convenience sample in five states—Louisiana, Montana, North Carolina, Oregon, and West Virginia—during the early months of the COVID-19 pandemic (April through September of 2020). Predictors of food insecurity (race/ethnicity, age, marital status, education, federal nutrition assistance program participation, number of adults and children in the household, rurality, and missing foods when shopping) among households with children during the COVID-19 pandemic were modeled using logistic regression (p < 0.05, a priori). To further illuminate household experiences during this time, two researchers independently coded open-ended survey question data using inductive and deductive approaches to construct themes. Households with children had increased odds of experiencing food insecurity during the COVID-19 pandemic if they had the following characteristics: Hispanic ethnicity; age between 25 and 44 years; additional adult household members; economic hardship; SNAP/WIC participation; being widowed, divorced, or separated; and reporting foods not available when shopping. Participants described mainly negative changes to dietary patterns and practices as a result of the COVID-19 pandemic. They also described food security challenges and ideas for improving food security. Consistent with other data collected and analyzed during the height of the COVID-19 pandemic, this study contributes findings that emphasize the need for enhanced public health responses and emergency preparedness measures that protect food and nutrition security. Because of the increased short- and long-term consequences including exposure to adverse circumstances, impaired learning, risks to mental health, and poor health outcomes, ensuring an adequate food supply is especially important for households with children.Item Scaffolding collective agency curriculum within food-systems education programs(Frontiers Media SA, 2023-05) Jordan, Nicholas R.; Valley, Will; Donovan, Dennis; Clegg, Daniel J.; Grossman, Julie; Hunt, Natalie; Michaels, Thomas; Peterson, Hikaru; Rogers, Mary A.; Sames, Amanda; Stein, MaryCollective agency (CA) can be defined as the shared understanding, will, and ability of a heterogenous group to take action and work together toward a common goal. We are motivated by the premise that CA is central to meeting the challenges inherent to 21st century food systems. These challenges include maintaining sustainable agricultural production and meeting nutritional needs of a growing population while protecting the climate, wildlife, soil, air and water quality, and enhancing equity, inclusion and justice for those who work in or engage with these systems. Given the importance of CA in food systems, university programs focused on food systems must address it. To date, despite many calls for higher education to build skills in CA, implementation has been minimal. Single courses addressing CA exist in some program-level curricula, but we know of no previous efforts in food-systems degree programs to systematically cultivate CA across their curriculum through scaffolding, i.e., interconnection and integration of learning activities across courses, so as to enhance their complementarity and impact. We (a consortium of university faculty building food systems curricula, located at University of British Columbia, Montana State University, and University of Minnesota) developed our approach to teaching CA through an action-research process, conducted during 2019–2022. In this paper, we report on our process and outline an emergent conceptual model of a curriculum for CA that can be embedded within broader, program-level food systems curricula. We describe its elements and share our experiences in implementing these elements. We conclude by describing current efforts to further develop CA curricula in the context of food-systems degree programs.Item The Importance of the Food System For Rural Vitality and Livelihoods In the US Northern Great Plains(Brandon University, 2023-03) Ebel, Roland; Thornton, AlexandraThe geopolitical U.S. Northern Great Plains encompass the state areas of Montana, Nebraska, North Dakota, South Dakota, and Wyoming. While other parts of the United States have seen considerable outmigration from rural areas, this region has widely maintained its rural population due to favorable employment, education, food security, and relatively low poverty levels. Currently, the expansion of large-scale agriculture, often poor food environments, and demographic trends, as well as external factors such as climate change, may affect population densities, livelihoods, and the vitality of the rural U.S. Northern Great Plains. We suggest a strong role of the food system in shaping these developments. For our study, we processed socio-economic and food-system-related data from demographic databases in descriptive statistics to explore the impact of the food system on demographic and socio-economic parameters. Specifically, we present data on how selected parameters of demography, employment, education, poverty, agriculture, food security, food accessibility, and health have changed during the past four decades in the U.S. Northern Great Plains, specifically its rural parts. We later discuss how these changes may contribute to future demographic and livelihood developments. We aim to offer our readers an understanding of the complex and interacting developments affecting rural residents of the U.S. Northern Great Plains and the important role the food system plays in the present and future of the region.Item Women’s longitudinal social media behaviors and experiences during a global pandemic(Informa UK Limited, 2023-03) Vaterlaus, J. Mitchell; Spruance, Lori A.; Patten, Emily V.This longitudinal mixed-methods study explored women’s (n = 124) lived experiences with social media in the United States during the COVID-19 pandemic. Women completed surveys at two points in time (March 2020 and April 2021). Follow-up interviews were also conducted with 33 women in April 2021. A longitudinal qualitative approach was used to identify three themes: (a) social media “works as an echo chamber,” (b) connection and community, and (c) information and misinformation overload. Women significantly decreased their social media behaviors focused on connecting with others, active engagement with COVID-19 content (e.g., creating a personal post, liking a post), and passive engagement with COVID-19 content (e.g., reading a post) between March 2020 and April 2021.Item Identifying sensory drivers of liking for plant‐based milk coffees: Implications for product development and application(Wiley, 2022-12) Chung, Yi‐Lin; Kuo, Wan‐Yuan; Liou, Bo‐Kang; Chen, Po‐Chuan; Tseng, Yu‐Chuan; Huang, Rui‐Yu; Tsai, Mei‐ChuThe global plant-based product market is growing rapidly, and plant-based milks show promising potential in the coffee beverage sector. This study aimed to identify sensory drivers of liking of plant-based milk coffees for guiding the development of plant-based products with competitive advantages over dairy milk coffees. Twelve coffee samples were prepared with plant-based (oat, soy, almond, and coconut) and dairy (cow) milk. Quantitative descriptive analysis was used to generate sensory attribute terms for the 12 samples. Check-all-that-apply (CATA) questions were given to consumers to evaluate the sensory profiles and consumer acceptance of the 12 samples. Correspondence analysis and cluster analysis of the CATA results from 80 consumers showed that the oat and soy milk coffee samples were closer to what the consumers perceived as “typical” milk products, while the coconut and almond milk coffee samples were closer to the “flavored” milk products. Partial least squares regression results revealed that the attributes smooth, milky, and thick were important drivers of liking for the milk coffee samples. On the contrary, rancid oil, greasy, astringent, and rice bran were the major sensory attributes lowering the panelists’ acceptance of the milk coffee samples. The majority of consumers (53.5%) were “dairy milk lovers,” who specifically liked the dairy milk coffee sample and had low acceptance for the plant-based milk coffee samples. There was also a group of consumers (46.2%) classified as “plant-based milk coffee lovers.” They enjoyed coffees prepared with a wide range of milks (both dairy and nondairy milks) and represent high-potential consumers for plant-based milk coffee products.Item Built environment approaches: Extension personnel's preferences, barriers, and facilitators(Frontiers Media SA, 2022-10) Balis, Laura E.; Grocke-Dewey, Michelle U.Introduction: Interventions that modify the built environment can increase population physical activity levels and prevent chronic disease. The national Cooperative Extension System is poised to implement built environment approaches (i.e., pedestrian/bicycle infrastructure and enhanced access to physical activity spaces), but implementation strategies (i.e., methods or techniques to move research to practice) are needed to improve uptake. Effective implementation strategies address relevant barriers and capitalize on facilitators. The purpose of this study was to understand 1) barriers and facilitators to implementing built environment approaches in two state Extension systems, 2) preferences for built environment approaches, and 3) preferences for implementation strategies. Methods: A cross-sectional online survey was used to understand Extension personnel's preferences for and barriers and facilitators to built environment approaches through a mixed-methods study design. This work was informed by anthropological inquiry as the overall research philosophy, and by the Health Impact Pyramid, Leeman et al.'s classification of implementation strategies, and the Consolidated Framework for Implementation Research as the theoretical frameworks. The survey was distributed to eligible Extension personnel (n = 42) in two states. Quantitative data analysis consisted of numbers/proportions and Friedman tests. Qualitative analysis was completed through a rapid deductive approach to quickly produce actionable results. Results: Fourteen respondents (33%) completed the survey. Most had not implemented physical activity interventions in their communities or had implemented only individual-level interventions, though were interested in implementing built environment approaches. Benches, playground improvements, and crosswalks were the most desired approaches, while facilitation, assessing community strengths and needs, and technical assistance were desired implementation strategies. The most common barriers were relative priority and available resources; facilitators were external policy and incentives and implementation climate. Discussion: Extension personnel are receptive to built environment approaches and engaged with community coalitions. Yet, invested parties prefer individual-level interventions, and agents perceive a lack of resources for implementation. Implementation strategies that build capacity in both the Extension system and community coalitions may address these barriers through increasing relative priority and sharing existing resources. This work is a first step toward compiling implementation strategies to address relevant barriers to built environment approaches in community settings.