• Internet addiction: implications and assessment education for providers

      See, Marie Nicole (University of Alaska Anchorage, 2017-12-01)
      The proliferation of internet accessibility and electronic devices has allowed problematic internet use or internet addiction (IA) to explode worldwide in the past two decades. Popular Applications such as gaming, pornography, gambling, and social media are wildly popular internet pastimes with resulting high abuse potential. Social, occupational, fiscal, and interpersonal problems have been reported, as have high levels of co-morbid mental illnesses. In 2013, the American Psychiatric Association (APA) added Gambling Disorder to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the first behavioral addiction recognized by the APA. In light of the mounting evidence supporting IA as a serious threat to mental health, an IA educational webinar was developed for providers (nurse practitioners and physicians) to increase knowledge and screening for IA in the clinical setting.
    • Keep it Local: Resources for Farmers' Market Vendors

      Wedin, Alisa (University of Alaska Anchorage, 2015-03-31)
      Farmers’ markets are growing in Anchorage, Alaska and across the nation. Many of these markets sell more than produce and include non-produce farm goods, baked goods, cooked foods, craft items, and other products. Farmers’ markets provide a low-cost and low-risk opportunity for people to start their businesses. One way to support these new businesses is to provide these microentrepreneurs with the information and skills they need to succeed. This project describes the process undertaken to develop the Keep it Local program, a series of resources designed to provide information and teach participants the skills necessary to be successful at a farmers’ market. I developed a website to provide information related to general business and specific topic related to different types of vendors including farmers, food vendors, and craft vendors. Several classes were offered, including Business Basics, Growing for Market, Booth Basics, and Tips and Tricks: Expert Advice. Participant feedback from the workshops was positive. I offer recommendations to improve upon and expand the current program to support farmers’ markets throughout the state.
    • Knowledge and Perception of Coronary Artery Disease in High-Risk Women

      Kottsick, Summer (University of Alaska Anchorage, 2014-11-17)
      Background: Coronary artery disease (CAD) is the leading cause of death in America and kills more women each year than all other cancers combined. While women’s level of awareness of heart disease has increased, they often do not perceive their risk of heart disease accurately, nor do they understand the importance of adopting heart-healthy behaviors to reduce risk. Objective: By implementing a combination of counseling from a health care provider and computer-based tailored education, this project aimed to test the effectiveness of using the Go Red for Women™ Heart CheckUp as an educational intervention for high-risk women to increase the accurate perception of risk, improve CAD knowledge, and increase intent to make behavioral changes. Methods and Discussion: Twenty-one women with a history of CAD, myocardial infarction, percutaneous transluminal coronary angioplasty, or coronary artery bypass grafting completed the Go Red for Women™ Heart CheckUp tool and rated their perception of risk from CAD and belief that they could change their risk both before and after the tool. There was an increase in perception of risk and belief in change after the tool. Qualitative data showed participants were educated about CAD. Conclusion: The Go Red for Women™ Heart Check-up tool was shown to be useful in educating high-risk women about their cardiac risk and in promoting heart-healthy behaviors.
    • Learning Group Formation Factors in a Career and Technical Education Networking Program

      Plunkett, George R. (University of Alaska Anchorage, 2014-04)
      Team based learning based on the transformation of permanent student groups into powerful learning teams is widely and successfully used as an instructional strategy in postsecondary career and technical education. Failure of groups to reach the learning team status is a major learning drawback of this approach. Factors affecting the transformation of groups to teams are applied consistently to the whole class, with the exception of group formation and membership. Career and technical education populations differ from other postsecondary populations and examination of group formation factors may result in improvement of student results.
    • LED Traffic Signal Luminous Intensity Degradation: A Preliminary Data Analysis

      Quinonez, Michael Alejo (University of Alaska Anchorage, 2020-12-01)
      Light emitting diodes (LEDs) have replaced a high amount of incandescent lights in the past couple decades. LEDs, when they degrade keep bright even though they fall outside of the required specification values determined by the Institute of Traffic Engineers 2005 traffic signal specification. The purpose of this research study is to take measurements of various traffic signals in both Anchorage Alaska and Fairbanks Alaska to determine the rate of decay over their years of installment. This was done by visiting 34 intersections combined and using a spectroradiometer to measure for luminance which then converted to a luminous intensity value by applying the ITE guidelines of conversion. Results confirm what was expected that traffic signals show a trend as they do degrade at an increase the longer they are out on deployment. A hypothesis testing of means was one of the methods applied to prove this theory. LEDs do degrade over time, however it is important to find the trends so that department of transportations and engineers can make the safest and cost effective decision as to when to replace a LED traffic signal.
    • The Legalities of Caring for Homeless Youth

      Frone, Audrey (University of Alaska Anchorage, 2016-03-01)
      Homelessness is an ever-present social and economic issue worldwide that affects the healthcare field. The United States Housing and Urban Development (U.S. HUD) (2015) reported that there were 578,424 homeless people in the United States during the 2014 Point in Time count. Almost one quarter of that number was children under the age of 18 and 10% were ages 18-24 years (National Alliance to End Homelessness (NAEH), 2015). Alaska has a higher rate of homelessness at 24.3 per 10,000 people compared to the national average of 18.3 per 10,000 people (NAEH, 2015). Although there is a decreasing rate of homelessness in the United States, Alaska has experienced an increase of 1.73% from 2012-2013 and a 4.06% increase from 2013-2014 (NAEH, 2013 & 2014). Homeless youth were reported to be 10.9% of the Alaskan homeless population (NAEH, 2015). The purpose of this project was to educate Alaskan healthcare providers on the legalities of caring for homeless youth. A webinar, with continuing education units, was developed and made available online to Alaskan healthcare providers. The focus of the educational presentation was on common situations healthcare providers are confronted with when seeing homeless youth in a clinic and if parental or guardian consent should be obtained. Evaluation was conducted via pre and post webinar testing to measure knowledge change. The pre and post webinar testing showed that all participants had an increase in knowledge and interpretation of healthcare situations that involved the minor consent law.
    • Local Calibration of the Highway Safety Manual for Four-Leg Stop-Controlled Intersections in Alaska

      Moll, Thomas P. (University of Alaska Anchorage, 2016-12-01)
      The Highway Safety Manual developed methodologies for consistently predicting accident rates that are useful in any location. These predictive accident rates can be adjusted to more closely match the reported accident rates in local areas by calculation of a calibration factor. In order to develop a calibration factor for four-leg stop-controlled intersections in Alaska, a sample of over 200 intersections was selected for analysis. From this sample, two groups of intersections meeting the criteria of four-leg stop-controlled intersections were selected. Information regarding site conditions, reported accident rates and physical characteristics was collected for each of the intersections included in the two study groups. A calibration factor for each group was calculated in accordance with Chapter 12 of the Highway Safety Manual. The findings of this report were calibration factors of 2.60 for the group of 22 intersections, and 2.34 for the group of 48 intersections. These values are far above the assumed calibration factor of 1.0 proving that calibration is necessary for accurate accident prediction rates when using the Highway Safety Manual. This report investigated the calibration factor for a single type of roadway facility in Alaska. However it can be inferred from the wide disparity between the assumed Highway Safety Manual calibration factor and the calculated calibration factors in this report that calibration factors should be calculated for each type of intersection and roadway element when using the Highway Safety Manual’s predictive methods.
    • Male Urinary Incontinence: A Critical Appraisal of the Literature With Practice Recommendations

      Forcht, Deborah J. (University of Alaska Anchorage, 2017-05-01)
      Urinary Incontinence (UI) is a debilitating medical condition that affects individuals’ quality of life. People with this condition describe decreased enjoyment of sexual activity, as well as increased risk of experiencing depression, and anxiety. Data show that incontinence is less prevalent in men than women, which may explain the dearth of studies focusing specifically on men. As men age, their rate of suffering from UI increases from 4.8% at ages 19 to 44 to over 21% by the age of 65 years. Additionally, men who suffer from permanent UI are more likely to be institutionalized compared to those without UI and have increased risk for suicide, infections, falls, social isolation, loss of independence and may suffer from life-altering fractures. For many patients, UI may be reversible with medical intervention. A critical appraisal of UI literature found many non-surgical male UI treatments that were effective. The evidence-based information was utilized to provide primary care providers with up to date male-specific interventions for UI.
    • Management of Pain During Intrauterine Device Insertion

      Booysen, Debra (University of Alaska Anchorage, 2016-05-01)
      Increased use of intrauterine contraception is desirable to achieve safe, highly effective, long-acting, and reversible means to prevent unintended pregnancy. For most women, intrauterine device (IUD) contraception is a viable option for protection from an unplanned pregnancy. Fear of pain during insertion is one barrier to IUD use. The aim of this project was to identify best practice evidence for different types of interventions for the management of pain during IUD insertion. Evidence for pain management strategies was critically appraised, and the most recent information synthesized into evidence-based recommendations to promote point-ofcare decisions.
    • A Manual to Improve Efficiency in Contractor-Supplied Quality Control on Asphalt Heavy Civil Construction Pojects on State of Alaska-Owned Roads

      Robson, Alena (University of Alaska Anchorage, 2015-05-01)
      The State of Alaska requires contractors to follow specific quality standards for heavy civil asphalt construction projects. Contractors face financial and scheduling risks if these standards are not addressed effectively and in conformance with necessary criteria. Contractors must complete project work to meet customer requirements and conform to quality standards efficiently and cost effectively. Doing so ensures that the State of Alaska’s quality standards are met and contractors’ financial and schedule targets can be achieved with the most efficient use of scarce resources. Currently, there is an indirect cost savings to the contractor to perform QC in a specific manner because it reduces or in some cases eliminates rework. The desired state is to directly save money by applying efficient quality control methods. This project produced a manual that describes best practices and quality control procedures that can be applied by heavy civil asphalt construction contractors to meet necessary SOA quality standards in a more timely, cost effective and efficient way. The correct application of this manual should result in a savings of 1% on the bid cost per asphalt ton.
    • Math Anxiety in Pre-Licensure Nursing Students: a Pilot Study

      Lindley, Margaret K. (University of Alaska Anchorage, 2015-04-16)
      Background Math anxiety is a common phenomenon among nursing students. A review of the literature has revealed that math anxiety interferes with student cognition which could ultimately lead to patient harm. The purpose of this project is to determine if a basic math tutorial affects levels of math anxiety in pre-licensure students at the University of Alaska Anchorage (UAA). Methods Thirty-five students were randomly assigned to an experimental or control group. Math anxiety was measured with the Abbreviated Math Anxiety Rating Scale (AMARS). The experimental group participated in a math tutorial while the control group quietly waited outside of the classroom. Results There is no evidence that the math tutorial was useful in reducing math anxiety. Conclusions Both groups of participants had a decrease in math anxiety, yet it is uncertain how significantly the math tutorial (Appendix E) affected their math anxiety levels.
    • Maximum Footprint, Minimum Space: A Guide to Small-Lot Residential Accessory Building Construction

      Conner, Edward Michael (University of Alaska Anchorage, 2020-12-01)
      Short of reading several chapters of building codes that lack diagrams, helpful descriptions or layman’s glossary of terms, homeowners are without a starting point when constructing an accessory structure such as a shed, fence or deck on their property. This project evaluated industry best practices, analyzed areas of misunderstanding or misapplication of Municipality of Anchorage (MOA) regulations, and developed a user-friendly pamphlet to reference for design and construction of accessory buildings on shared residential lots. Key stakeholder interviews and community surveys were conducted throughout project planning and execution phases to identify knowledge gaps and pain points. Employing and adapting the pamphlet while constructing a shed that purposefully maximized dimensional limits set forth by MOA and homeowner’s association (HOA) regulations for small residential lots produced a succinct, yet comprehensive guide. Thorough research and site surveys identified a lack of understanding of building code terminology coupled with minimal HOA oversight which ultimately led to structures built too close to others, in violation of zoning easements, and even those that create safety hazards by blocking utility shut-off access. The final academic deliverable is an instructional guide that streamlines the planning process by supplementing building code legalese with detailed diagrams on how to properly position structures, acts a risk mitigation instrument by highlighting common legal exposures, identifies fixed constraints in layman’s terms and underscores hazards common to building accessory structures.
    • Measures of Effect: Near Miss Reporting on Construction Site Injuries

      Mckay, Brian (University of Alaska Anchorage, 2013-05-01)
      A large petrochemical construction project implemented a near miss management program during a phase of heavy construction. The consequent 966% increase in near misses being reported resulted in marginal decreases in reported first aid cases, but also resulted in a significant decrease in OSHA recordable injuries. The correlation statistics between near miss rates and first aid cases were r(30)= -­‐ 0.212, p = 0.05 (exact) and between near miss rate and OSHA recordable injuries r (30)= -­‐ 0.342, p < .05, revealing a significant but moderate inverse effect between the rate at which near misses are reported and OSHA recordable injuries. While construction remains one of the world’s most demanding and dangerous occupations, this practicum research has identified an effective counter measure toward decreasing occupational injuries on construction sites. This report includes details about the project, the near miss program and reports the use of a modified version of the Eindhoven Error Classification scheme operationalized for use on construction specific error types.
    • Medical Respite for the Homeless: Barriers and Facilitators to Implementation in The Municipality of Anchorage

      Dietrick, Beatriz E. (University of Alaska Anchorage, 2014-07)
      By bridging the gap between the discharge of a homeless individual from the hospital to a state of improved health, medical respite (MRs) programs have been shown to contribute to improved health outcomes and decreased healthcare costs. The question does not appear to be whether a MR program would benefit the Anchorage community, rather, what is the perceived need, how can we best implement this intervention, and what form would it take? The purpose of this project therefore was to explore answers to these questions through identification of barriers and facilitators to the implementation of MR services for the homeless in the Municipality of Anchorage. Data was collected through a series of semi-structured interviews with key informants. Reported barriers and facilitators were encompassed by 12 themes and classified according to the framework of Grol and Wensing (2004). The greatest number of barriers were identified within the social context level, while the most facilitators were perceived at the organizational context level. The process of reaching out to community leaders and key informants through the course of this project has contributed to an improved understanding of barriers and facilitators, provided recommendations for implementation, and has engaged key individuals in the MR discussion.
    • Metabolic Syndrome Screening in Seriously Mentally Ill Patients: A Quality Improvement Project

      Moreno, Annabel (University of Alaska Anchorage, 2016-12-01)
      Seriously mentally ill patients who are taking second-generation antipsychotics have a high risk of metabolic complications, including obesity, diabetes mellitus type II, hypertension, and hyperlipidemia. Guidelines to screen for metabolic syndrome were established by the American Diabetes Association, American Psychiatric Association, American Association of Clinical Endocrinologists, and North American Association for the Study of Obesity (Clark, 2004). Compliance with implementing the guidelines to screen and monitor for metabolic syndrome vary from regular monitoring to little or none. This quality improvement project provided an educational intervention on screening and monitoring for metabolic syndrome in patients who were seriously mentally ill. The educational interventions were attended by 21 psychiatric-mental health nurse practitioners. After the educational intervention was completed, there was significant improvement in provider knowledge as well as motivation to screen and monitor patients taking second-generation antipsychotic medications for metabolic syndrome. Education may motivate mental health providers to increase the use of metabolic screening guidelines for patients taking second-generation antipsychotic medications potentially improving long term outcomes for this patient population.
    • A Methodology for the Prioritization of Invasive Plant Management in Alaska

      Blackburn, Brianne N. (University of Alaska Anchorage, Project Management Department, 2014)
      The control of invasive, non-native plants is of increasing concern in ecosystem management as invasive plant species are found to be threatening natural resources through the disruption of biodiversity, habitat structure, and ecosystem processes across the world. State Government leadership in invasive plant management policy is required to ensure efforts are coordinated and cost effective. As resources for managing invasive plants are limited, the need to evaluate and rank non-native species is a primary concern before expensive management is attempted so that the most threatening species may be addressed first. An objective, repeatable and clearly defined methodology for prioritizing invasive plant management within Department of Natural Resources, Division of Agriculture (DOA) was developed. The development process reviewed literature on the philosophy of decision analysis and various case studies in its application to natural resource projects and act as a guide for the development of an initial process framework. Subject matter experts were engaged to develop the decision criteria using a Delphi survey technique to collect information on experts’ current priorities and tolerances for invasive plants. The final product includes a process diagram, a summary worksheet, and a detailed record of the evaluation decision, rationale, and supporting resources.
    • Navigation Paths to Adoption Through the Alaska Foster Care System: A Resource Guide for Potential Adoptive Parents

      Duttle, Tashina (University of Alaska Anchorage, 2016-12-01)
      Alaska has a higher than national average rate of adoption from foster care. While just over 20% of children in foster care nationally are discharged from state custody through adoption Alaska has nearly 30% of foster children discharged from state custody through adoption. There are a number of programs and resources available for foster parents and families interested in adopting through foster care in Alaska. However, there lacks a comprehensive single-point reference guide to explore the various paths. This research was conducted to identify resources available for families interested in learning about paths to adopt from foster care in Alaska as well as what gaps are perceived by families who have begun the process of adopting through foster care. A literature review was conducted and specific adoption program information was reduced to a synopsis or flowchart to generally outline each path to adoption through foster care. The final outcome of the project was a resource guide that outlines basic requirements to adopt through foster care and a number of programs to do so. The paths covered by this guide are the ACRF Adoption Learning Path, Legal-Risk Adoptions, OCS Recruitment of Legally Free Children, Wendy’s Wonderful Kids, ACRF PARKA Program, Alaska Adoption Exchange, and Tribal and ICWA Adoption.
    • Needs Assessment for a Patient Centered Medical Home Model of Care at the Providence Alaska Cancer Center

      Rosiecki, Jeremy (University of Alaska Anchorage, 2015-12-01)
      In order to better understand the needs of cancer patients and allocate resources, the Providence Alaska Cancer Center requested a needs assessment for an oncology focused patient centered medical home (PCMH). A PCMH allows for coordinated and comprehensive care through the use of a teamwork model that centers on the primary care physician. The Providence Alaska Cancer Center staff randomly selected the records of 200 cancer patients between 2010 and 2011, using the cancer tumor registry. Data were analyzed to answer four specific questions that addressed the 1) presence of a Primary Care Physician (PCP), 2) number and type of comorbidities, 3) cancer diagnosis and 4) insurance status impacted emergency room utilization. Individuals tended to utilize the emergency room more if they 1) had a PCP, 2a) had three or more comorbidities, 2b) were diagnosed with hyperlipidemia, chronic obstructive pulmonary disease (COPD) or hypertension, 3) were diagnosed with an “other” cancer as opposed to breast, lung or gynecological cancers or 4) had federal insurance. These data in particular show expected trends such as patients who have more medical complications have higher emergency room utilization rates than patients with less complicated medical history and that certain comorbidities (hyperlipidemia, hypertension and chronic obstructive pulmonary disease) may be predictors of emergency room utilization. These trends may allow providers to create more specialized treatment and care plans for patients at greater risk of emergency room utilization.
    • Needs Assessment for an Adult Day Service Center in Sitka Alaska

      Knuth, Carole L. (University of Alaska Anchorage, 2014-08)
      An adult day service center (A.D.S.C.) provides a coordinated program of professional and compassionate services for adults in a community-based safe group setting primarily during day-time hours. The Senior population (those age 60 and older) in Sitka, Alaska is growing. Options for functionally impaired Seniors wishing to remain home are limited. It was unknown if an A.D.S.C. would be a desirable resource to support the growing Senior population as data did not exist. In collaboration with community partners, a needs assessment for an A.D.S.C. in Sitka was undertaken. Surveys of Seniors, family caregivers and health care providers were administrated from May 2013 through January 2014. The results showed that most people are aware of A.D.S.C. and desire one in Sitka; Seniors wish to remain at home; Seniors and family caregivers would use the service; health care providers would refer to an A.D.S.C.; and most Seniors have funds for services.
    • Non-profit Fundraising Event Plan

      Forner, Carolyn S. (University of Alaska Anchorage, 2016-05-01)
      This project conducts applied research through a fundraising project for the Alaska Institute for Justice (AIJ). Founded in 2005, AIJ is a non-profit agency that provides legal services to immigrants and refugees. It represents people fleeing persecution in their home countries as well as domestic violence and human trafficking crime victims. It provides the only low-fee services of its kind in the state, helping community members who are often isolated, low-income, vulnerable to abuse, and with few other avenues to gain legal representation. AIJ also operates a statewide language interpreter center that provides immigrant and refugee expertise to numerous state and federal agencies dedicated to health care, social services, and law enforcement. The AIJ fundraising project will analyze the effectiveness of project management tools used during planning and execution of a new fundraiser event plan. The project will also apply literature reviews and interviews to assess AIJ’s and other mature Anchorage area non-profits’ familiarity with project management tools and to provide recommended project management tools to improve organizational efficiency. The project’s products include an event plan that consists of immigrant speaker performances and a silent auction. The deliverables are an event checklist and continuity documents to help AIJ repeat this fundraising event annually. In addition, the project will deliver publicity tasks designed to increase awareness of the AIJ mission, expand AIJ’s donor base, and increase its annual donor revenue.