Thesis (M.S.)--West Virginia University, 2003. / Title from document title page. Document formatted into pages; contains vii, 58 p. Vita. Includes abstract. Includes bibliographical references (p. 37-38).

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Thesis (Ph. D.)--University of Wisconsin, 1961. / Extension Repository Collection. Typescript (photocopy). eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 91-94).

Thesis (M.A.)--West Virginia University, 2005. / Title from document title page. Document formatted into pages; contains ix, 191 p. : ill. (some col.), col. map. Includes abstract. Includes bibliographical references (p. 111-116).

The Cooperative Extension System has focused on nutrition education for low-income families for approximately 29 years via the Expanded Food and Nutrition Education Program (EFNEP). In response to the need for a comprehensive economic evaluation of EFNEP, Virginia Cooperative Extension (VCE) was awarded a grant from the Cooperative State Research, Education and Extension Services, United States Department of Agriculture (CSREES, USDA) to conduct a cost benefit analysis (CBA) of nutrition education programs, with emphasis on EFNEP. Virginia EFNEP served as the pilot program to test the evaluation procedure. This study is a part of the CBA of Virginia EFNEP. The purpose is to calculate the indirect tangible benefits derived from participation in EFNEP. The indirect tangible benefits are classified as 1) delaying productivity loss due to mortality and 2) avoiding productivity loss due to morbidity. This study also uses sensitivity analysis to evaluate the effects of two critical assumptions pertaining to retention of dietary behaviors and to incidence rate of diseases in the low-income population. Finally, the discount rate is analyzed via sensitivity calculations. There were two major conclusions drawn from this study. First, the indirect benefits accounted for more than $1 million of the total benefit generate by EFNEP. Second, the sensitivity analyses support the positive outcome (i. e., positive return on every dollar invested) derived from the CBA of Virginia EFNEP. / Master of Science

The Hampton Roads region of southeast Virginia is largely defined by its abundant water resources. These water resources are also a source of unique issues for the region. Specifically, water quality challenges related to the Chesapeake Bay and recurrent flooding are the major concerns. Green infrastructure (GI) has emerged in recent years as an alternative to traditional stormwater conveyance and detention focused systems. GI practices focus on integrating infiltration, evapotranspiration, and other components of the water cycle into more conventional stormwater management systems. These systems provide several positive benefits, including local water quality and quantity control, community revitalization, and various public health benefits. In addition, GI implementation has seen strong levels of support from the Cooperative Extension System, with Extension faculty and staff around the U.S. supporting local municipalities through GI research, promotion, and program development. Despite widespread interest, GI has been slow to be adopted due to various barriers to its implementation. This study sought to identify the major barriers to the implementation of GI practices in Hampton Roads by conducting a needs assessment. Municipal stormwater staff were invited to participate in an online survey aimed at identifying the most significant barriers in the region. At the same time, local staff with Virginia Cooperative Extension (VCE) were interviewed to explore their potential to become involved in promoting GI adoption in Hampton Roads. Survey respondents and interview participants found common ground in identifying costs, funding, and maintenance issues as the most significant barriers to GI implementation in Hampton Roads. In addition, VCE staff were found to be well suited to support widespread GI adoption in the region, having familiarity with the GI concept and access to unique resources in the form of knowledgeable Master Gardener volunteers and connections to Virginia Tech. Recommendations for VCE involvement in promoting GI in Hampton Roads include conducting cost studies, developing and hosting maintenance training programs, and taking advantage of partnerships to identify and obtain funding from diverse sources. By focusing on these widely acknowledged challenges at the regional scale, VCE can support GI implementation throughout all of Hampton Roads. / Master of Science / Hampton Roads is a region with a history and economy tied to its local waters. Today, the region is facing significant challenges related to these waters, including frequent flooding impacts on residents and pollution control needs for the nearby Chesapeake Bay. Green infrastructure (GI), a relatively new approach to managing water in cities, could help local governments address these challenges. Virginia Cooperative Extension (VCE), an organization formed through a partnership between federal and local governments and land grant universities in Virginia, seeks to meet community needs through community outreach and educational programs. As a community-centered organization with a history of advancing environmental education, VCE may also be an important partner for municipalities in Hampton Roads interested in adopting GI practices. To identify the barriers to GI in Hampton Roads and the potential role of VCE in addressing them, a needs assessment of municipalities in the region with stormwater permits was conducted. Based collected documents, surveys of municipal staff, and interviews with VCE personnel, three major barriers to GI adoption were identified. Permitted municipalities in Hampton Roads are uncertain of GI costs, have limited funds to support GI practices, and lack the knowledge and resources needed to maintain GI practices over time. VCE can help municipalities address these challenges using its many resources. Through its connection to Virginia Tech and Virginia State University, VCE can help in developing cost research studies for Hampton Roads. As an educational organization, VCE can also help municipalities win funding for GI projects that they would otherwise not have access to. Finally, local Virginia Tech faculty at the Hampton Roads Agricultural Research and Extension Center and experienced Master Gardener volunteers can work to develop GI maintenance training resources for maintenance staff throughout the region. With its strong background, expert knowledge, and existing connections in the region, VCE can play an important role in addressing the GI adoption challenges in Hampton Roads.

Providing improved access to farmers markets and other local food outlets for low-income audiences is an increasingly popular nutrition intervention strategy to promote consumption of fresh fruits and vegetables and address obesity. The USDA encouraged more farm to fork initiatives and efforts to connect low-income populations with fresh and healthy, local foods through farmers markets through the implementation of the Supplemental Nutrition Assistance Program Nutrition Education (SNAP-Ed) provisions of the Healthy, Hunger-Free Kids Act of 2010. The purpose of this research was to assess the perceived barriers to farmers market access and strategies for overcoming those barriers for low-income individuals and families participating in Cooperative Extension nutrition programming. Data collection procedures included a survey of SNAP-Ed and the Expanded Food and Nutrition Education Program (EFNEP) program assistants, focus group discussions with SNAP-eligible individuals, and a photo elicitation study with mothers of young children. Results from these studies provide insight on how to structure program assistant trainings to encourage the inclusion of an optional farmers market orientation lesson in SNAP-Ed and EFNEP curricula; low-income individuals' perception of healthy food, access to and perception of local foods, benefits and barriers to shopping at farmers markets, and the impact of local foods on diet quality; and how to address perceived barriers through Cooperative Extension nutrition programming for the SNAP-Ed and ENFEP target population of SNAP-eligible mothers of young children. Working with farmers markets is an opportunity to form greater synergy between the arms of Extension (Family and Consumer Sciences, Community Viability, Agriculture and Natural Resources, and potentially 4-H) related to supporting local food systems while forming collaborative relationships with local farmers markets and community members. / Ph. D.

The study is an interpretative analysis of Virginia Cooperative Extension that examined the mission of the agency, as defined through its history and enabling acts of legislation. The study investigated how the mission has evolved during the eighty-four years of its existence. The study used the intent and context of the federal Smith-Lever legislation of 1914 as its benchmark to discover what the desired and anticipated outcomes were for Cooperative Extension by the original patrons of the legislation. Subsequent legislative acts at both the state and federal levels, as well as actions by the executive branch of government, were studied to discover if and when the mission of cooperative extension has changed and to identify the political, economic, and social factors that influenced the changes. The study incorporated accepted methods of historical research and included the review and analysis of both primary and secondary sources of information. Interviews of key leaders who have influenced the policy position of Virginia Cooperative Extension over the past thirty years were conducted. The data gathered by the study were analyzed and presented to highlight major themes that could have influenced critical policy issues that have confronted Virginia Cooperative Extension. The conclusion is that the mission of extension is two fold: (1) to provide education that could lead to increased economic opportunity and, (2) to enhance the quality of life enjoyed by Virginia’s citizens. Three critical attributes are identified that relate to the ability of Virginia Cooperative Extension to fulfill its mission: (1) access to research-based information, (2) a strong presence in local communities, and (3) a capacity to provide timely responses to emerging issues. / Ph. D.

Virginia Cooperative Extension's Family Nutrition Program (FNP), which includes EFNEP and SNAP-Ed, works to help limited-resource families across the state make informed food-choices. Virginia Cooperative Extension (VCE) lacks open-access physical activity resources representing individuals with varying weights, races, and ethnicities. In 2015, an integrated research-practice partnership was initiated for the development of an evidence-based physical activity resource for peer educators employed by FNP to use. The video suite, Move More, Virginia!, was created as open-access and includes demographically diverse individuals, representative of FNP clients. Study I determined client perceptions of physical activity and preferences for new resources. Study II identified FNP peer educators' perceptions of physical activity, their resource needs, and intent to use Move More, Virginia! resources. Both studies involved quantitative and qualitative data through surveys and focus groups. Formative data collected in Study I revealed the prominent themes related to clients (n=12) were physical activity facilitators (n= 100 meaning units (MU)) and physical activity barriers (n=77 MU). In Study II, peer educator responses(n=15) led to the emergence of four themes related to physical activity itself: barriers to incorporating physical activity within FNP (n=189 MU), physical activity facilitators (n=106), current delivery of physical activity (n=102 MU), and physical activity barriers (n= 16 MU). When prompted to share video specific feedback, the top theme was positive video feedback (n = 115 MU). Identified themes and subthemes provide deeper understanding of the organizational culture within FNP as thoughts, perceptions, and barriers to incorporating physical activity into FNP curriculum are highlighted. / Master of Science

The National Diabetes Prevention Program (National DPP) was established by Congress in 2010, with a focus on disseminating the evidence-based Lifestyle Change Program (LCP). This 12-month program consists of 26 lessons covering various topics related to goal setting, tracking food and physical activity, motivation, and support groups. Many organizations, including Cooperative Extension (CE), have adopted this program. In the first study conducted by the Virginia Cooperative Extension (VCE), the outcomes of the prediabetes LCP were examined across different age groups and delivery modalities. It was found that distance learning LCPs had slightly higher enrollment levels compared to in-person programs (51% vs. 49%). Moreover, participants aged 60 and older had a significantly higher attendance rate in the distance learning program. The VCE LCP resulted in 49 participants (35%) achieving at least a 5% weight loss, with 29 of them being 60 years or older. When considering the program delivery method, a higher percentage of individuals enrolled in distance learning programs (53%) achieved at least a 5% weight loss. Additionally, 86 participants (62%) engaged in an average of 150 minutes of physical activity per week, with a higher percentage in the in-person programs (64%) and among those aged 60 and older (67%). In Study 2, the distance learning LCP implementation fidelity was evaluated across five states, along with its association with program outcomes. The evaluation tool assessed structural and instructional implementation components. The results indicated that certain structural components directly influenced increased physical activity among participants. Additionally, the coaches' preparedness for the sessions directly impacted participants' weight loss. In addition to implementation fidelity, age was identified as an independent factor affecting weight loss percentage and attendance. Overall, the findings from both studies underscore the significance of effective implementation fidelity to program design in achieving desired health outcomes. The LCP shows promise as an intervention for individuals at risk of developing type 2 diabetes and can be effectively implemented through both in-person and distance learning methods by Cooperative Extension programs nationwide. / Doctor of Philosophy / The prevalence of diabetes and prediabetes in the United States is a significant concern. The Centers for Disease Control (CDC) reported that around 34.2 million people in the U.S. have diabetes, with approximately 96 million adults having prediabetes in 2022. Lifestyle changes, such as increasing physical activity and losing weight, can reduce the risk of prediabetes progressing to diabetes. In response, the CDC established the National Diabetes Prevention Program (National DPP) in 2010, focusing on an evidence-based Lifestyle Change Program (LCP). The LCP is a 12-month program covering various topics and has been adopted by organizations like Cooperative Extension (CE). Two studies were conducted to assess the effectiveness and implementation of the LCP. The first study, carried out by the Virginia Cooperative Extension (VCE), compared outcomes of distance learning and in-person LCPs among adults of different ages. It found slightly higher enrollment levels in distance learning programs and observed a higher attendance rate among participants aged 60 and older in the distance learning program. The study showed that the VCE LCP resulted in a 35% weight loss for 49 participants, with 59% of them being 60 years or older. Distance learning programs also had higher success rates in achieving a 5% weight loss and 150 minutes of physical activity per week. The second study evaluated the implementation fidelity of the distance learning LCP conducted by Cooperative Extension in five states. It found that certain program components, both structural and instructional, directly influenced participants' physical activity levels. The preparedness of coaches for the sessions significantly impacted weight loss outcomes. In addition to implementation fidelity, age was identified as an independent factor affecting weight loss and attendance. Both studies underscore the importance of effective program implementation fidelity to program design in achieving desired health outcomes. The findings support the LCP as a promising intervention for individuals at risk of developing type 2 diabetes. It highlights its effectiveness through both in-person and distance learning methods implemented by Cooperative Extension programs nationwide.