8 pages, Background:
Despite the growth of palliative care (PC), access to PC remains challenging for rural Americans living with chronic diseases. Given the demand and benefits of PC, a comprehensive view of PC access would inform policymakers in developing PC services in rural areas.
Objective:
This scoping review aimed to understand the barriers and facilitators to PC access in rural areas from the voices of service users and service providers during the past decade.
Methods:
A scoping literature review was conducted from 2010 to 2020 using MEDLINE, CINAHL, and PsychINFO databases. Results: Twenty-eight studies met inclusion criteria. Barriers to PC access in rural areas mostly arose in structural issues: (1) the inadequate knowledge and awareness of PC among both service users and providers and (2) the poorly structured PC system. Other barriers included communication gaps/challenges between providers and patients/families and cultural barriers. The facilitators mainly originated in patients/families’ connectedness with local providers and with other social networks such as friends.
Conclusions:
These findings highlight the need for funding support to increase provider competency, service availability and accessibility, and the public knowledge and awareness of PC in rural areas. A holistic and tailored PC model that standardizes care delivery, referral and coordination, including family caregiver support programs, can improve care access. Future practice and research are warranted to implement and evaluate innovative approaches, such as a coordinated community-based approach, to the successful integration of PC in rural communities.
16 pages, The U.S. Midwest is a major producer of grain, meat, dairy, eggs, and other major agricultural commodities. It has also been increasingly impacted by climate change-related extreme weather over the last decade as droughts, extreme rains, floods, and, most recently, a severe derecho have damaged crops, livestock, and livelihoods. Climate and agricultural scientists and other stakeholders are concerned that without major shifts away from degrading practices toward regenerative systems, long-term sustainability will be compromised. We used cumulative logistic regression to analyze data from a 2020 survey of 1,059 Iowa farmers to examine (1) how farmers are adapting to increasingly variable and extreme weather-related to climate change and (2) whether selected factors were associated with different kinds of adaptive (e.g., increased use of cover crops) or potentially maladaptive (e.g., increased use of pesticides) actions. Our results found that many farmers have been taking adaptive and maladaptive actions. Stewardship ethics, attitudes toward adaptive action, and integration in conservation-related networks were consistent, positive predictors of increases in adaptive practices. On the other hand, faith in crop insurance as a coping strategy, farm scale, and other factors were associated with some maladaptive actions, with several positive predictors of adaptation also being positive predictors of maladaptation, use of pesticides and drainage in particular. This research contributes to the growing literature on climate risk management and adaptation in agricultural landscapes by providing empirical evidence of the factors related to farmers' adaptive and maladaptive actions.
Benavidez, Justin R. (author), Ribera, Luis A. (author), and Thayer, Anastasia (author)
Format:
Paper
Publication Date:
2020
Published:
International
Location:
Agricultural Communications Documentation Center, Funk Library, University of Illinois Box: 201 Document Number: D11717
Notes:
Paper presented at the 2020 Agricultural and Applied Economics Association Annual Meeting, Kansas City, Missouri, July 26-28, 2020. 20 pages., Authors assessed the impact of tweets by U.S. President Donald Trump on agricultural commodity prices during the trade war with China. Results indicated tht days with high counts of tweets with keywords associated with the 2018-2019 trade war led to statistically significant structural breaks in the price series for hogs, corn, cotton, and soybeans.
14 pages., The 4-H Youth Development program prohibits all forms of discrimination which includes disability. 4-H Extension professionals provide the essential interface between Extension and the local community to create an inclusive environment for all youth, including those with disabilities, that is welcoming and accessible. Attitudes and self-efficacy for working with youth who have disabilities impact how well 4-
H delivers positive youth development programs. The purpose of this study was to determine state-wide 4-H Extension professionals’ attitudes, self-efficacy, and perceptions of inclusion toward youth with disabilities. In addition, the researchers sought to examine their use of a training program to better serve youth with disabilities. All 4-H Extension professionals in Ohio were surveyed (N = 135) with 71
responding (response rate of 53%). Results indicated the attitudes of Extension professionals for accepting of and feeling comfortable around youth with disabilities was overwhelmingly positive. They also perceived that youth with disabilities felt that they were included in 4-H activities. For self-efficacy,
4-H professionals reported they could effectively provide inclusive opportunities for youth with disabilities and adapt their level of instruction, take extra time, and pay attention to the needs of youth
with disabilities. However, about a third of the respondents somewhat or strongly agreed that their workload would increase by having youth with disabilities in their organization. The disability training program was used by over three-fourths of the 4-H professionals and helped them to engage with parents to learn more about their children with disabilities. The program also improved accommodations and
creating a more inclusive 4-H environment.
