A Natural Experiment Created by Pandemic Restriction: Comparing In-Person, Hybrid, & Teletherapy Formats

The FL-REACH intervention for families in early stage post-dementia diagnosis was originally adapted from the REACH II program for use in an outpatient clinic. Pandemic restrictions forced an adaptation to a teletherapy format. The timing of changes allowed comparison of caregivers who participated in clinic (n=10), switched modalities mid-treatment (n=7), and participated as teletherapy (n=14). Groups were similar in age range, gender, and relationship, with both spouses and adult children participating. Participants in the fully online group were more likely than others to have high school or trade school education than to have graduated from college. All participants in the in-person and hybrid groups had incomes over $40,000/year, while 36% of the online sample had less household income, were more likely to be Hispanic-identifying (43% versus 6%), and had higher burden scores (M=41.43 versus M=32.56 in person, M=29.86 hybrid) and lower preparedness scores (M=19.86 versus M=22.90 in person, M=28.14 hybrid) at baseline (p<.05). The intervention proceeded with the same intervention dosage (8 hours total), and outcomes were essentially comparable, with all groups showing statistically significant improvement on measures of preparedness, burden, and risk. While in-person intervention helped strengthen relationships with the medical team, inclusion of family via telehealth provided opportunity for a more culturally responsive and inclusive engagement, although there remain questions regarding reasons for differences at baseline. Identification of differences in key outcomes for direct comparisons between in-person, hybrid, and teletherapy interventions are limited in the evidence base, making this a unique study at an important moment in time.

Emergency Remote Delivery—Rapid Resilience at a Trade School in the Utility Industry

This case describes the move to emergency remote delivery of classroom instruction at Northwest Lineman College (NLC), a private trade school focusing on educating the utility industry workforce. In particular, this case will describe the artifacts developed and critical design decisions the ad-hoc project team made to continue educating students in the Electrical Lineworker Programs at four locations across the USA at the start of the coronavirus crisis.

People with Different Educational Attainment in Washington, DC, USA have Differential Knowledge and Perceptions about Environmental Issues

We predicted that people’s knowledge and perceptions about the interconnectedness of natural resources, climate change, economics, and socio-cultural well-being would differ among demographic groups in Washington, DC, USA, so we conducted surveys to test that prediction. We collected demographic data from 455 participants and asked them 26 questions/statements related to natural resources, climate change, economics, and health. We selected education as the focal demographic category and participants were categorized based on their level of educational attainment: (1) completion of high school or less (hereafter “high school”); (2) some trade school or university education beyond high school up to and including completion of a trade school, two-, or four-year degree (hereafter “post-high school”); and (3) completion of a Master’s, professional, or doctoral degree (hereafter “advanced education”). Participants with advanced education reported the highest connection with nature and were more likely to report that their personal welfare depended on the natural community. Participants with the least education were more likely to believe that humans do not have much influence on natural resources and placed more trust in technology and human achievements to control nature and ensure that earth will not become unlivable. Participants with the least education were also more likely to express an interest in local environmental concerns over global, jobs over natural resources, and effects of degraded local natural resources on income, health, and the environment instead of on cultural/social practices, neighborhood aesthetics, and recreation.

Lwowska Kongregacja Kupiecka w okresie międzywojennym

Lviv Merchant Congregation in the interwar period In the interwar period, Lviv Merchant Congregation was undoubtedly one of the main organizations of the economic life in Eastern Lesser Poland. The importance of this organisation was visible in the increasing number of its members, who actually could count on the Congregation’s support in the difficult times of economic depression. Although Lviv Merchant Congregation did not last long, in comparison to its long-lasting Cracovian counterpart, it noted many significant successes. The most important was the establishment of the Trade School in Lviv, which would function for many years. Another success was the promotion of products offered by merchants from the Congregation. Last but not least, there was a cooperation between the Lviv Merchant Congregation and Trade and Industry Chamber (both of which consisted of the same members) which aimed at improving commerce in Lviv during the interwar period.

Characteristics Associated With Facebook Use and Interest in Digital Disease Support Among Older Adults With Atrial Fibrillation: Cross-Sectional Analysis of Baseline Data From the Systematic Assessment of Geriatric Elements in Atrial Fibrillation (SAGE-AF) Cohort

Background Online support groups for atrial fibrillation (AF) and apps to detect and manage AF exist, but the scientific literature does not describe which patients are interested in digital disease support. Objective The objective of this study was to describe characteristics associated with Facebook use and interest in digital disease support among older patients with AF who used the internet. Methods We used baseline data from the Systematic Assessment of Geriatric Elements in Atrial Fibrillation (SAGE-AF), a prospective cohort of older adults (≥65 years) with AF at high stroke risk. Participants self-reported demographics, clinical characteristics, and Facebook and technology use. Online patients (internet use in the past 4 weeks) were asked whether they would be interested in participating in an online support AF community. Mobile users (owns smartphone and/or tablet) were asked about interest in communicating with their health care team about their AF-related health using a secure app. Logistic regression models identified crude and multivariable predictors of Facebook use and interest in digital disease support. Results Online patients (N=816) were aged 74.2 (SD 6.6) years, 47.8% (390/816) were female, and 91.1% (743/816) were non-Hispanic white. Roughly half (52.5%; 428/816) used Facebook. Facebook use was more common among women (adjusted odds ratio [aOR] 2.21, 95% CI 1.66-2.95) and patients with mild to severe depressive symptoms (aOR 1.50, 95% CI 1.08-2.10) and less common among patients aged ≥85 years (aOR 0.27, 95% CI 0.15-0.48). Forty percent (40.4%; 330/816) reported interest in an online AF patient community. Interest in an online AF patient community was more common among online patients with some college/trade school or Bachelors/graduate school (aOR 1.70, 95% CI 1.10-2.61 and aOR 1.82, 95% CI 1.13-2.92, respectively), obesity (aOR 1.65, 95% CI 1.08-2.52), online health information seeking at most weekly or multiple times per week (aOR 1.84, 95% CI 1.32-2.56 and aOR 2.78, 95% CI 1.86-4.16, respectively), and daily Facebook use (aOR 1.76, 95% CI 1.26-2.46). Among mobile users, 51.8% (324/626) reported interest in communicating with their health care team via a mobile app. Interest in app-mediated communication was less likely among women (aOR 0.48, 95% CI 0.34-0.68) and more common among online patients who had completed trade school/some college versus high school/General Educational Development (aOR 1.95, 95% CI 1.17-3.22), sought online health information at most weekly or multiple times per week (aOR 1.86, 95% CI 1.27-2.74 and aOR 2.24, 95% CI 1.39-3.62, respectively), and had health-related apps (aOR 3.92, 95% CI 2.62-5.86). Conclusions Among older adults with AF who use the internet, technology use and demographics are associated with interest in digital disease support. Clinics and health care providers may wish to encourage patients to join an existing online support community for AF and explore opportunities for app-mediated patient-provider communication.

Education influences knowledge about environmental issues in Washington, DC, USA

ABSTRACTWe predicted that demographic differences in Washington, DC’s population would influence people’s knowledge and perceptions about the interconnectedness of natural resources, climate change, economics, and socio-cultural well-being, so we conducted surveys over three years to test that prediction. We collected demographic data from 455 participants and asked them 26 questions/statements related to natural resources, climate change, economics, and health. We selected education as the focal demographic category and participants were categorized based on their level of educational attainment: 1) completion of high school or less (hereafter “high school”); 2) some trade school or university education beyond high school up to and including completion of a trade school, two-, or four-year degree (hereafter “post-high school”); and 3) completion of a Master’s, professional, or doctoral degree (hereafter “advanced education”). Answers to 14 of the 26 survey questions were dissimilar across educational groups. People with advanced education reported the highest connection with the natural community and were more likely to report that their personal welfare depended on the natural community. Participants in the high school group were more likely to believe that humans do not have much influence on natural resources and placed more trust in technology and human achievements to control nature and ensure that earth will not become unlivable. Compared to those with education beyond high school, those with a high school education were more likely to express an interest in local environmental concerns over global, jobs over natural resources, and effects of degraded local natural resources on income, health, and the environment instead of on cultural/social practices, neighborhood aesthetics, and recreation. The results suggest ways in which educational information and engagement in environmental issues should be targeted for stakeholders of different educational background in order to increase knowledge and build effective partnerships that find solutions for environmental problems.

Utah Valley University: A Continuing Culture of Transformation

Utah Valley University is a large, regional, open-admission institution with growing enrollments and changing demographics. It has a history of transformation and change, beginning as a trade school in 1941 and evolving to a university in 2008. This article illustrates how the university has engaged in on-going strategic planning to anticipate and effectively manage threats and opportunities. The article begins with background information and statistics about the university and the Woodbury School of Business, explains how the university has leveraged its elective Carnegie classification as a community engaged institution, and shares examples of transformations in teaching and learning to enable student success. It then illustrates how the university’s Woodbury School of Business has paralleled the directions of the university to build capacity among its faculty for engaged learning and pedagogical innovations. The article ends with a summary of key outcomes and thoughts on the sustainability of transformation.