3 research outputs found
2009 Governor's Conference on the Management of the Illinois River
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Previous issue date: 2009-10-20Opening Remarks / Kimberly St John – Plenary 1: 12 Years of Implementing the Integrated Management Plan / Bob Kustra – Plenary 2: Water Law and Court Interpretation / Robert Beck, Donald Uchtmann, and Albert Ettinger – A Decade of Progress Associated with Agricultural Practices / Jon Hubbert – Success with Controlling Erosion / Alan Gulso – Water Quality in Illinois / Paul Terrio – Ecosystem Services: Some Basic Concepts / Steven E. Kraft – The Economics of Ecosystems / Sabrina L. Shaikh – The Illinois River Now in 3-D / Randy Vogel – Local Actions Deliver National Results / Brad McMillan – Strategies for Sustainable Unwanted Medicine Collection Programs: In Communities, In the Classroom, and Beyond / Elizabeth Hinchey Malloy and Robin Goettel – Stormwater Education and Outreach by a Nonprofit / Michael Brown – Illinois Rural Stream Stabilization and Enhancement / Don Rosenboom – Alternative and Costs of Reducing Agricultural Nutrient Losses to Surface Water / Dennis McKenna – Advancements in Agricultural Technology Associated with Precision Farming / Doug Thompson – Alternative Land Uses: Emerging Ecosystem Service Markets / Keith Oswald – Large River Ecosystem Restoration and Monitoring: How the Past Paves the Way for the Future on the Upper Mississippi River System / Marvin Hubbell – Farming for Ecosystem Services: Research and Policy to Make it Happen / Scott Swinton – Using Social Information to Guide Outreach Activities in the LaMoine River Watershed / Linda Prokopy – Stormwater Utilities: A Source of Funding for Stormwater Management Issues / Mike Hall – How to Protect Shorelines on $25 or Less a Day / Tom Ryan – Channel Maintenance and Sediment Management on the Illinois Waterway / Nicole Manasco – Sediment Management of the Waterways as an Ecological Resource / Mike Demissie – Sediment Quality and Beneficial Use Options / John Marlin – Community and Environmental Benefits of Parks and Recreation / Laura Payne – Greenways and Trails Planning: People, Pathways, and Profits / George Bellovics – Lake Decatur Sustainability – Economics, Environment, and Quality of Life / Keith Alexander – Water Level Fluctuation in the Illinois River and Effects in Floodplain Management and Wetlands / Rip Sparks – Illinois’ Lake Michigan Diversification Management: Have we Fulfilled Out Great Lakes Memorandum of Understanding Commitments / Dan Injerd – Emiquon: A Fish Biologist’s Input / Rob Hilsabeck – Habitat Restoration: NRCS Perspectives / David Hiatt – Waterbird and Wetland Monitoring at Emiquon Preserve / Josh Stafford – Habitat Restoration at Emiquon: A Partner’s Perspective / Troy Hythecker – Middle Mississippi River Regional Corridor: Lessons Learned from a Collaborative Planning Study / Brian Johnson – Implementing Community Development Strategies and a Vision for Economic Growth / Mayor Robert Eschbach, Reed Wilson – Water and Sediment Monitoring in the Illinois River Basin / Timothy Straub – Sediment Movement in the Illinois River Basin / Mike Demissie – Channel Stability and Ecosystem Restoration and Assessments / Laura KeeferOpe
Piloting Digital Navigators to Promote Acceptance and Engagement With Digital Mental Health Apps in German Outpatient Care: Protocol for a Multicenter, Single-Group, Observational, Mixed Methods Interventional Study (DigiNavi)
No full textBackgroundIn Germany, patients often have to wait several months for psychotherapeutic treatment. Digital therapeutics (DTx) offer a promising approach for timely mental health support, but their use remains limited. Digital navigators (DNs) are specially trained medical assistants who support other health care professionals (HCPs) in selecting and using DTx. This can improve digital health literacy, increase engagement, and reduce the burden on HCPs.
ObjectiveThe DigiNavi study is the first pilot study that aims to test the feasibility of implementing DNs in general practice and outpatient psychiatric care in Germany.
MethodsThis mixed methods study took place at six study sites (three psychiatric outpatient clinics, three general practices) in Germany. In the prestudy, patients and HCPs participated in semistructured interviews and focus groups concerning their acceptance and expectations of DNs (phase I). The Harvard Digital Navigator Training (HDNT) was adapted, and medical assistants were trained as DNs (phase II). During the intervention, 8 patients per site (N=48) diagnosed with a mental disorder were recruited via convenience sampling and supported by DNs in using DTx for mental health for 12 weeks (phase III). Patients’ (N=48) and HCPs’ (N=18) digital health literacy, digital and technical literacy, readiness and ability to change, and clinical symptom severity were assessed before and after 12 weeks of DTx prescription and support by DNs. Patient engagement with the DiGAs (usage duration and intensity) was measured after the intervention. Quantitative data were analyzed using a pre-post design. Finally, qualitative interviews were conducted with HCPs, patients, and DNs to explore their experiences with DNs, including perceived implementation barriers.
ResultsThe study received funding in July 2024. The prestudy including 35 participants was conducted from August to October 2024. HDNT adaptation and DN training were conducted from October to December 2024. Recruitment and quantitative baseline data collection started in December 2024, and 48 participants were enrolled by the end of March 2025. The intervention study ended in June 2025. Result dissemination and the development of strategies for the long-term implementation of DNs into the German health care system are planned until September 2025. We hypothesize that the provision of support by DNs will enhance patients’ and HCP’ digital and technical literacy, patient engagement with DiGAs, and readiness and ability to change. In addition, patients’ mental health is expected to improve after the end of the intervention.
ConclusionsThis is the first study to examine the feasibility and effects of DNs in German health care. The study will provide significant insights into the acceptability and feasibility of human-facilitated competency development for mental health apps in multiprofessional health care teams and their patients. The successful implementation of DNs can promote the use of DTx in Germany and thus enhance access to and the provision of health care for individuals affected by a mental disorder.
Trial RegistrationGerman Clinical Trial Register DRKS00034327; https://drks.de/search/en/trial/DRKS00034327; ClinicalTrials.gov NCT06575582; https://clinicaltrials.gov/study/NCT06575582
International Registered Report Identifier (IRRID)DERR1-10.2196/6765
A REVIEW AND AN ANNOTATED BIBLIOGRAPHY OF STUDIES OF SOIL CONSERVATION PROGRAMS, PRACTICES AND STRATEGIES
No full textThis paper provides a brief synthesis of articles, papers and studies concerned with soil conservation programs, practices and strategies and their effects on income and water quality. The emphasis is on publications during the 1970's to help bring researchers up to date on some of the current literature.Land Economics/Use,
