Perceptions of participants and staff of implementing a physical activity program in rural primary care

Addressing the lack of physical activity (PA) in rural adults is vital because of the role it plays in the risk for many chronic diseases. The purpose of the study was to explore the feasibility of conducting a 12-week intervention utilizing a Fitbit to increase PA behavior in inactive rural adults recruited from a primary care clinic. Semi-structured interviews were conducted with study participants (n=10) and a focus group was held with nurses (n=7) from the primary care clinic. Data were analyzed using the process of immersion/crystallization. Participants and nurses both felt the program had a positive impact on PA and that the program was needed in the community. Study participants most often reported their favorite part of the study was being able to track their activity as well as the goal setting. However, study participants reported barriers to continued participation in PA related to a lack of time and ability to be active in cold weather. Further, nursing staff reported barriers in regard to a lack of resources (staffing and money) These barriers need to be examined further and addressed in order to implement a sustainable PA program that can be maintained through a primary care clinic.     

The echo chamber is overstated: the moderating effect of political interest and diverse media

ABSTRACT

In a high-choice media environment, there are fears that individuals will select media and content that reinforce their existing beliefs and lead to segregation based on interest and/or partisanship. This could lead to partisan echo chambers among those who are politically interested and could contribute to a growing gap in knowledge between those who are politically interested and those who are not. However, the high-choice environment also allows individuals, including those who are politically interested, to consume a wide variety of media, which could lead them to more diverse content and perspectives. This study examines the relationship between political interest as well as media diversity and being caught in an echo chamber (measured by five different variables). Using a nationally representative survey of adult internet users in the United Kingdom (N?=?2000), we find that those who are interested in politics and those with diverse media diets tend to avoid echo chambers. This work challenges the impact of echo chambers and tempers fears of partisan segregation since only a small segment of the population are likely to find themselves in an echo chamber. We argue that single media studies and studies which use narrow definitions and measurements of being in an echo chamber are flawed because they do not test the theory in the realistic context of a multiple media environment.     

社会性别视角下少数民族妇女在边疆生态治理中的作用分析——基于对怒江傈僳族的调查

本文在对国内外以社会性别视角进行的生态研究进行梳理的基础上，深入分析了历史上中缅边境北段怒江峡谷中以傈僳族为主体的少数民族妇女在地方民族社会发展进程中为当地生态平衡所做的重要贡献。同时，对在社会转型和边疆农业女性化的现实背景下傈僳族妇女在与生态环境互动的诸多细节进行了深入的调研分析，进而认为妇女与环境的关系必须要放在具体的经济和社会发展的语境中阐释，环境治理中应为少数民族妇女提供发挥能动性的平台，并强调社会性别分析对边疆生态环境治理的积极意义，以及少数民族妇女在边疆地区生态安全的建设过程中所发挥的独特而重要的作用。     

Students’ health engagement and affective relations in Danish upper secondary school

To increase our understanding of the dynamics of young people’s embodied engagement in health, this article analyses Danish upper secondary school students’ understandings and practices of health and the role of the school environment in these dynamics. Participatory, visual and narrative data were collected during fieldwork with 37 students aged 16–17. Deleuze and Guattari’s philosophy of the body is applied to analyse the affective relations and emerging body-health assemblages within the students’ school life, which generated force and vitality (here conceptualised as health). Through becoming within sensuous, social and political body-health assemblages, the students attempted to curb school stress, sustain social belonging in an individualistic school environment and both reproduce affirming power discourses and subvert their territorialisation. The study proposes an analytical shift in perspective on young people’s health away from an individualistic ‘components approach’ towards a relational understanding, and suggests that students’ health at school relates to collectivity, quality, rhythm and co-produced engagement, rather than individuality, quantity, rules and performance, which increasingly characterise Danish health discourse and school policy.     

The importance of systems thinking,context, and inclusion when studying the feasibility of expanding the FoodShare (SNAP) outreach program to rural communities of Northern Wisconsin

Evaluators often neglect to question whether a program has been appropriately designed for a new context prior to a feasibility study’s commencement. In this paper, we document the results of a case study that closely examined context when determining the feasibility of implementing a FoodShare outreach program in rural northern Wisconsin. Using community-based participatory mixed methods, we examine how stakeholder engagement led to both study refinement and a more comprehensive understanding of community food security based on contextual factors and systems thinking. Lessons learned when conducting feasibility studies from this perspective are provided to improve evaluation practice.     

Assessing emotional and social health using photographs: An innovative research method for rural studies and its applicability in a care-farming program for youth

A framework for assessing photographs for the emotional and social health of young people (SHAPE) is described and tested, within the context of a rural program. Two independent raters assessed the photographs of participants. To assess inter-rater reliability, Cohen’ K and Kendall’s W were calculated. The two reviewers’ assessments of photographs were in agreement. The assessment of emotional/behavioural display showed 82% agreement. Agreement between reviewers’ judgements of proxemics (W = .866), interaction (W = .722), engagement (W = .932) and overall impression (W = .804) were all significant (p < .005). The method yielded results indicating that participants found gardening immediately engaging but their approach to equines exhibited a change from fascination to confidence during the program. The visual-diary method is a useful and sensitive method for research: where resources are limited; to complement traditional measures; for use with people who lack appropriate verbal communication or literacy skills to complete questionnaires; young children; other underrepresented groups.     

Educational gradient of health in rural China

The aim of this paper is to examine whether and how rural residents’ educational attainment is associated with their self-rated health in China. Taking advantage of the National Exercise Facility Survey that was collected between December 2015 and March 2016, we find that educational attainment has a significant and positive correlation with self-rated health, net of the effects of age, gender, and geographical region. This correlation is mediated by factors such as perceived importance of exercise and healthy lifestyle. Relatively, people’s cognitive knowledge about health-related information and material resource access fail to play a significant mediating role. The findings highlight the non-material and non-cognitive attributes of educational attainment in shaping the gradient of health in the rural setting of China. Interventions that expand formal education to the mass and optimize teaching contents may offer an effective means to balance the health gradient.     

改革开放 40 年我国农村法治进展与展望

改革开放 40 年来,我国农村法治建设取得了前所未有的成就,具有中国特色的农业农村法律体系基本成型,涉农法律实施机制日益完善,农村社会守法共荣的法治观念明显增强。 以促进农业产业发展、农村建设和农民权益保护为主要目标的农业农村法律体系,和以权利调整、农业补贴、农业市场准入为主要手段的农业农村法律调控机制,成为推进我国农村改革和农业产业调整的重要力量。 面向新时代,需充分发挥农村法治在乡村振兴中的保障作用,并从立法、执法、司法、守法各个环节全方位推进我国农业农村现代化建设。