• Examining the sustainability potential of a multisite pilot to integrate alcohol screening and brief intervention within three primary care systems.

      King, Diane; Hanson, Bridget (Oxford Academic, 1/23/2018)
      The U.S. Preventive Services Task Force recommends that clinicians adopt universal alcohol screening and brief intervention as a routine preventive service for adults, and efforts are underway to support its widespread dissemination. The likelihood that healthcare systems will sustain this change, once implemented, is under-reported in the literature. This article identifies factors that were important to post implementation sustainability of an evidence-based practice change to address alcohol misuse that was piloted within three diverse primary care organizations. The Centers for Disease Control and Prevention funded three academic teams to pilot and evaluate implementation of alcohol screening and brief intervention within multi clinic healthcare systems in their respective regions. Following the completion of the pilots, teams used the Program Sustainability Assessment Tool to retrospectively describe and compare differences across eight sustainability domains, identify strengths and potential threats to sustainability, and make recommendations for improvement. Health systems varied across all domains, with greatest differences noted for Program Evaluation, Strategic Planning, and Funding Stability. Lack of funding to sustain practice change, or data monitoring to promote fit and fidelity, was an indication of diminished Organizational Capacity in systems that discontinued the service after the pilot. Early assessment of sustainability factors may identify potential threats that could be addressed prior to, or during implementation to enhance Organizational Capacity. Although this study provides a retrospective assessment conducted by external academic teams, it identifies factors that may be relevant for translating evidence-based behavioral interventions in a way that assures that they are sustained within healthcare systems.
    • Expanded Brownfields Program Supports Redevelopment in Alaska

      UAA Justice Center (Justice Center, University of Alaska Anchorage, 2018-07-16)
      The Environmental Protection Agency’s Brownfields Program support the redevelopment of property which may have contaminants from prior use. Anchorage, Mat-Su Borough, and Kodiak Island Borough are current recipients of Brownfields funds. This year Congress increased grant limits under the Brownfields Program and expanded eligibility requirements. Alaska Native villages and corporations that received a contaminated facility from the U.S. government under the Alaska Native Claims Settlement Act (ANCSA) are now eligible for Brownfields grants.
    • Expanded View of Recidivism in Alaska

      Valle, Araceli (Justice Center, University of Alaska Anchorage, 2018-01-16)
      This article describes findings on recidivism over an eight-year period for individuals released from Alaska Department of Corrections facilities in 2007. These findings emerged from the Alaska Results First (RF) analysis released by Alaska Justice Information Center (AJiC) in October 2017. In general, the RF findings corroborate previous analyses which examined recidivism patterns one to three years after release, but by following offenders for eight years, AJiC is expanding our understanding of recidivism patterns in Alaska for a large group of offenders, beyond any prior study.
    • The Experience of Informal Caregivers for Persons with Metastatic Cancer Perceptions of Support

      Fossler, Erica (University of Alaska Anchorage, 2014-12-01)
      Purpose/Objectives: To investigate the experience and perceptions of support of caregivers for persons with advanced cancer. Research Approach: A qualitative descriptive approach using focus groups to explore the caregiver experience. Setting: An outpatient oncology infusion center in southcentral Alaska. Participants: 14 adult caregivers of persons with stage IV cancer. Methodologic Approach: Participants attended one of two focus groups. They were asked to share their experiences as informal caregivers. Focus groups were digitally recorded and transcribed verbatim for analysis. Krueger’s method for content coding and data analysis was used to identify themes (1998). Findings: Key themes that emerged during data analysis included internal stressors such as emotional and psychological distress, and external stressors of needed financial support and nutritional information, suggesting the stated need of a more comprehensive care approach. Conclusions: Participants recognized needs but did not feel they were supported in accessing resources. The experience of caregiving was often abrupt in onset in this population and the overwhelming amount of information they received did not include enough information on the act of caregiving or the resources available. Implications for Nursing: Advanced practice nurses are instrumental in identifying and addressing caregiver needs. As patient educators and advocates, they provide education and resource support to both the patients and the caregivers in an effort to minimize caregiver exhaustion.
    • An Exploration of Experiences and Outcomes of Alaska Native Graduates of Mt. Edgecumbe High School

      Hirshberg, Diane; DelMoral, Brit (Center for Alaska Education Policy Research, University of Alaska Anchorage, 2009-04-01)
      In Alaska’s schools, indigenous1 students are the most at risk of any ethnic group of failing to thrive; they drop out more frequently, are less likely to graduate, and generally have lower educational attainment than non-Native students(Martin and Hill, 2009). Indeed, the situation appears to be worsening. The dropout rate of Alaska Native students living in all areas of Alaska besides Anchorage has risen from 0.7 percent in 1996 to 3.3 percent in 2001 (Goldsmith et al. 2004). Dropout rates among all Native students in Alaska increased from 5 percent to almost 10 percent between 1998 and 2001, while the dropout rate among non-Native students increased from about 3 percent to 5 percent (ibid). In addition, low test scores are preventing many students from graduating from high school—almost half of Alaska Native students are not passing the reading section of the High-School Graduation Qualifying Exam. The educational system in Alaska is failing to provide Alaska Native students the skills necessary either for postsecondary academic work or success in the job market, if that is what they desire. However, one secondary school, Mt. Edgecumbe High School, a boarding school located in Southeast Alaska that serves predominately rural and Alaska Native students, has produced students that consistently outperform their peers, both indigenous and nonNative. The reputation of the school has been strong for decades, based on both historic and recent accomplishments of its alumni. However, the experiences of recent alumni at the school and their professional and educational attainment after high school had not been looked at systematically for a number of years. This paper is the result of a study conducted by the authors on recent graduates of Mt. Edgecumbe High School (MEHS), at the suggestion of school administrators. Our case study attempts to capture the educational, social, and cultural experiences of the students while they attended the boarding school, and the impacts the school has had on their lives. With this research we hope to inform the decisions o f policymakers and educators, indigenous and non-Native alike, regarding rural secondary schooling options in Alaska for indigenous children across the state.
    • An Exploration of Experiences and Outcomes of Alaska Native Graduates of Mt. Edgecumbe High School

      Hirshberg, Diane; DelMoral, Brit (Institute of Social and Economic Research, University of Alaska Anchorage, 2009-04)
      In Alaska’s schools, indigenous1 students are the most at risk of any ethnic group of failing to thrive; they drop out more frequently, are less likely to graduate, and generally have lower educational attainment than non-Native students(Martin and Hill, 2009). Indeed, the situation appears to be worsening. The dropout rate of Alaska Native students living in all areas of Alaska besides Anchorage has risen from 0.7 percent in 1996 to 3.3 percent in 2001 (Goldsmith et al. 2004). Dropout rates among all Native students in Alaska increased from 5 percent to almost 10 percent between 1998 and 2001, while the dropout rate among non-Native students increased from about 3 percent to 5 percent (ibid). In addition, low test scores are preventing many students from graduating from high school—almost half of Alaska Native students are not passing the reading section of the High-School Graduation Qualifying Exam. The educational system in Alaska is failing to provide Alaska Native students the skills necessary either for postsecondary academic work or success in the job market, if that is what they desire. However, one secondary school, Mt. Edgecumbe High School, a boarding school located in Southeast Alaska that serves predominately rural and Alaska Native students, has produced students that consistently outperform their peers, both indigenous and non- Native. The reputation of the school has been strong for decades, based on both historic and recent accomplishments of its alumni. However, the experiences of recent alumni at the school and their professional and educational attainment after high school had not been looked at systematically for a number of years. This paper is the result of a study conducted by the authors on recent graduates of Mt. Edgecumbe High School (MEHS), at the suggestion of school administrators. Our case study attempts to capture the educational, social, and cultural experiences of the students while they attended the boarding school, and the impacts the school has had on their lives. With this research we hope to inform the decisions o f policymakers and educators, indigenous and non-Native alike, regarding rural secondary schooling options in Alaska for indigenous children across the state.
    • Exploration of Why Alaskans Use Complementary Medicine: A Focus Group Study

      Heafner, Jessica (University of Alaska Anchorage, 2014-01-01)
      Purpose: To explore why Alaskans choose to pursue complementary medicine as a healthcare option. Design: Qualitative Descriptive. Method: A purposive convenient recruitment methodology was used to recruit project participants. Focus groups were conducted to collect the research data. Findings: Five themes were identified that highlighted why participants use complementary medicine: 1) dissatisfaction, 2) effective, 3) holistic, 4) relationship focused, and 5) a personal journey
    • Exploratory Spatial Analyses of Sexual Assaults in Anchorage

      Rosay, André B.; Langworthy, Robert H. (Justice Center, University of Alaska Anchorage, 2004-04)
      Using data on the locations of sexual assaults reported to the Anchorage Police Department in 2000 and 2001, the authors used Exploratory Spatial Data Analysis techniques to (1) identify the locations where sexual assaults were concentrated and (2) examine the correlates of these spatial concentrations. In both analyses, the authors also examined differences between white and Native victimizations. The spatial concentrations of sexual assault victimizations vary significantly by race, as do the correlates of the respective spatial concentrations. The authors conclude that there is a relationship between assault locations and bar locations, but that the relationship far from perfect and the question of whether there is a causal mechanism exists remains unknown. Nonetheless, successful interventions to prevent sexual assaults must involve bars; but targeting bars will be both inefficient and insufficient for fully addressing the problem of sexual assault prevention in Anchorage.
    • An Exploratory Study of Changes Accompanying the Implementation of a Community-Based, Participatory Team Police Organizational Model

      Angell, John E. (Michigan State University, 1975)
      This exploratory research examines the attitudes of citizens, police clientele, and police in an area where a decentralized, participatory (collegial) team police operation has been implemented, and compares these attitudes with those in a similar neighborhood policed by a classical organizational structure and traditional procedures. The Team Police Model of this study consisted basically of 15 generalist police officers who, with the participation of local citizens, were responsible for defining police goals, priorities and procedures and providing all police services in a precisely defined, low-economic, minority, residential area of Holyoke, Massachusetts for a test period of approximately nine months. The Team used collegial methods for decisionmaking and task forces for performing management functions. The Team followed a "service", rather than "law enforcement" operational philosophy. The control neighborhood was policed by an organization arrangement which was in general consistent with Classical tenets as stated by Max Weber. A traditional "law enforcement" philosophy was used in the Classical neighborhood. The basic assumption underlying this study was police effectiveness in crime prevention and order maintenance is dependent on a supportive public. The primary problem researched was whether public and clientele attitudes toward the police were more supportive in the Team Police than a Classical Police area. Of secondary concern was the impact of the Team Police experiment on police officers attitudes. Perhaps the most important conclusion to be derived from this study is that, contrary to conventional wisdom, the collegial Team Police Model as implemented in this project did not have a negative impact on any variable investigated. The positive impact of the project on most variables supports the value of further research with a community-based, collegial team organizational structure for police services.
    • Exploring the Link between Visits and Parole Success: A Survey of Prison Visitors [manuscript]

      Schafer, N. E. (Exploring the Link between Visits and Parole Success: A Survey of Prison Visitors [manuscript], 1992-08-13)
      An exploratory survey of visitors to two men's prisons finds that the visitors differ in some significant ways from prisoners' families previously described in the literature. The results raise some questions about the correlation that has been established between visits and post-release success and provoke suggestions for in-depth research into visitor/prisoner relationships.
    • Expungement and Limiting Public Access to Alaska Criminal Case Records in the Digital Age

      Armstrong, Barbara; Periman, Deborah (Justice Center, University of Alaska Anchorage, 2015-06-15)
      A criminal record results in a number of different barriers to reentry into the community for former offenders. These barriers — also called collateral consequences — can be mitigated by reducing the extent to which criminal records are visible to employers, landlords, and others. This article provides an overview of the complexity involved in limiting public access to criminal records, processes adopted in other states, and recent legislative proposals and current options in Alaska.
    • The Extralegal Forum and Legal Power: The Dynamics of the Relationship — Other Pipelines

      Conn, Stephen (Institute of Social, Economic and Government Research, University of Alaska, Fairbanks, 1974-02-26)
      Diverse groups — e.g., Brazilian squatters, Navajos, village Eskimos and Indians — look to special forums to resolve disputes outside the formal legal system. These forums are employed because they accept disputes as defined by their clients and offer remedies based upon these conceptualizations. Formal agents of the law in their environments cannot do this. When these forums are extralegal (without formal legal authority to act) and are located in an environment where the formal legal process has the theoretical capacity to intervene in the disputes, they must tap into authentic lines of power to maintain their credibility with their constituents. Legal power is not usually formally delegated without defined limits upon its use. Because extralegal forums often must be free from the constraints of particular norms and processes, in order to correctly define and remedy disputes, extralegal forums seek borrowed power through special relationships with formal agents of legal power. Then they reapply it to meet the needs of their constituents. This paper describes the ways to study these relationships and their likely impact upon an informal forum. The author suggests a way of viewing extralegal dispute resolution in a given community against the larger matrix of relationships between the formal and informal legal process. He draws upon his field work in Brazilian squatter colonies, Navajo Indian communities, and rural Athabascan and Eskimo villages in Alaska.
    • Factors Influencing Success of Wind-Diesel Hybrid Systems in Remote Alaska Communities: Results of an Informal Survey

      Fay, Ginny; Udovyk, Nataliya (Institute of Social and Economic Research, University of Alaska Anchorage, 2011-10)
      In 2008 the Alaska State Legislature created and funded the Renewable Energy Fund. As a result of this available funding, the number of wind-diesel hybrid power systems is increasing dramatically in rural Alaska. Development, integration, and operation of complex wind technologies in remote, rural communities are challenging. With multiple communities in Alaska installing and operating these systems, it is important to understand the factors that influence successful completion, operation and long-term maintenance of projects (Fay, Schwoerer and Keith 2010; Colt, Goldsmith and Wiita 2003). As of fall 2011, over $107 million has been spent constructing wind projects in 27 communities (Alaska Energy Authority 2011). The majority of these systems were built since 2008 and utilized $50.8 million in appropriations from the REF by the Alaska legislature (Fay, Crimp and Villalobos-Melendez 2011) This report summarizes the findings of an informal survey conducted on the most important characteristics of a successful wind-diesel hybrid power project in small remote rural communities. The survey was done to help guide socioeconomic research in Alaska on community capacity under a U.S. Department of Energy project entitled “Making Wind Work for Alaska: Supporting the Development of Sustainable, Resilient, Cost-Effective Wind-Diesel Systems for Isolated Communities”.
    • Fairbanks Gang Assessment

      Parker, Khristy; McMullen, Jennifer; Rosay, André B.; Daniels, Shea (Justice Center, University of Alaska Anchorage, 2010-05)
      The Justice Center at University of Alaska Anchorage partnered with the Fairbanks Gang Reduction and Intervention Network (GRAIN) to perform a thorough assessment of the gang problem in Fairbanks following the protocol outlined by the Office of Juvenile Justice and Delinquency Prevention (OJJDP)’s Comprehensive Gang Model. Law enforcement data show that there are at least 12 active gangs in the Fairbanks North Star Borough, with the percentage of crime reported to law enforcement attributable to gangs (2007-2009) varying from a low of 4.3% in 2007 to a high of 7.2% in 2008. The complete assessment, contained in this report, includes a review of community demographic data, law enforcement data, student and school data, and community perceptions data.
    • Faith-based motivation for health behavior change: a pilot of the Daniel Plan in a small, rural Alaskan community

      Williams, Anna J. (University of Alaska Anchorage, 2017-05-01)
      Motivating patients to make beneficial lifestyle changes such as improved diet and exercise habits is a challenging but important role for Nurse Practitioners. This project addressed this problem by exploring one promising method for motivating patients, that of faith-based interventions. The Daniel Plan, a previously successful faith-based, six-week small group study was implemented in a small, rural Alaskan community. Data collection included biometric measurements and self-report questionnaires on nutrition and physical activity. All those who completed the study lost weight and improved their diet and exercise habits. Participants reported that the group setting and the spiritual focus were most effective in facilitating their positive changes. These results support previous evidence that faith-based wellness interventions should be considered as a valuable tool for facilitating health behavior changes. They also indicate the importance of incorporating spirituality assessments into the care of patients as a potential way of motivating them to make such changes. More specifically, this project identified that the Daniel Plan was an effective program to recommend to those patients who identify with Biblical teachings.
    • Fate Control and Human Rights: The Policies and Practices of Local Governance in America's Arctic

      Kimmel, Mara (Duke University School of Law, 2014-12-01)
      The loss of territoriality over lands conveyed under the Alaska Native Claims Settlement Act had adverse impacts for Alaskan tribal governance. Despite policy frameworks that emphasize the value of local governance at an international, regional, and statewide level, Alaskan tribes face unique obstacles to exercising their authority, with consequences for both human development and human rights. This Article examines how territoriality was lost and analyzes the four major effects of this loss on tribal governance. It then describes two distinct but complimentary strategies to rebuilding tribal governance authority that rely on both territorial and non-territorial authority.
    • Feasibility Analysis of the Service Design for the Geotourism Program in the Lake Camp Area of Alaska

      Paulus, Peggy D. (University of Alaska Anchorage, 2015-05-01)
      Alaska, in all its majestic and awe inspiring beauty, has an abundance of culture, wildlife and scenery to offer to residents and non-residents. Tourism is a vital contributor to the economic benefit to the State of Alaska. Many of the existing tour programs, although contribute to the local economy, do not facilitate rural community growth or support. There is much untapped potential for tourism programs in rural communities that can be beneficial to the local communities while preserving the cultural, natural and geographical wonders. This report is a feasibility analysis for a geotourism program in the Camp Lake area of Southwest Alaska. This report demonstrates the possible sustainability of a service concept for such a geotourism program.
    • The Feasibility of Adopting an Evidence-Informed Tailored Exercise Program within Adult Day Services: The Enhance Mobility Program.

      King, Diane; Faulkner, S.A.; Hanson, Bridget (Taylor & Francis Group, 11/29/2017)
      This article uses the RE-AIM framework to evaluate the feasibility of implementing Enhance Mobility (EM), a tailored, evidence-informed group exercise and walking program for older adults with dementia, into an adult day services center. Participant physical performance outcomes were measured at baseline and 8 months. Program staff were interviewed to understand implementation challenges. Participant outcomes did not change significantly, though gait speed improved from limited to community ambulation levels. Implementation challenges included space reallocation and adequate staffing. Adopting EM in adult day services is feasible, and has potential to reach older adults who could benefit from tailored exercise.
    • Feasibility of Thermosyphons to Impede the Progress of Coastal Permafrost Erosion Along the Norther Coastline of Alaska

      Zottola, Jason (University of Alaska Anchorage, 2016-05-01)
      This study seeks to investigate the feasibility of installing thermosyphons at Drew Point, Alaska to mitigate thermally-induced coastline erosion. Portions of the northern Alaska coastline have been receding at increasing rates and putting in peril infrastructure, environmental habitats, and small villages. Slowing or eliminating the erosion would prevent emotional village relocations and costly infrastructure maintenance and relocations. Climate and soil data from Drew Point and Barrow, Alaska are used as input variables in a numerical modeling software program to determine accurate soil thermal properties to be used in a thermosyphon design. Generalized cost considerations are presented and it is determined that thermosyphons may be an effective mitigation strategy to combat coastal erosion, however, future additional modeling could optimize a design and provide for refinements in the cost analysis.
    • Federal Spending in Alaska: Running Out of Steam?

      Goldsmith, Oliver Scott (Institute of Social and Economic Research, University of Alaska Anchorage, 2012-05)
      After nearly a decade of explosive growth, federal spending in Alaska has turned flat, except for the temporary boost from the stimulus package—the American Recovery and Reinvestment Act—that pumped more than $2.2 billion into the state economy in 2009 and 2010. (Shown in black in the figure below.) Total federal spending in Alaska was $11.2 billion in 2009 and $10.9 billion in 2010, compared with about $9.4 billion in 2008. But without the stimulus funds, federal spending in 2009 and 2010 would have been no higher than in the previous four years. Alaska was first among the states in per capita stimulus funds, with more than $3,000 per capita, or nearly four times the national average. Spending is no longer growing for either defense or grants—the largest categories of federal dollars coming into the state. Still, the special characteristics that have historically kept Alaska near the top of the state rankings for federal funds per capita will continue to guarantee a strong role for federal dollars in the economy. Here we discuss the composition of federal spending in Alaska, comparing it with spending in other states, and also review stimulus spending and provide examples of the importance of federal funds to particular sectors of the state economy. In an appendix, we correct a serious reporting error in data from the U.S. Department of Commerce on federal spending in Alaska. Because of the difficulties in sorting out temporary stimulus spending in 2009 and 2010—and because of errors in federal data for those years—2008 spending provides the best picture of recent federal spending in Alaska.