Suchergebnisse

L'article décrit brièvement une série de facteurs politiques et économiques qui ont contribué à la montée du néo-conservatisme aux États-Unis. Il dresse un bilan critique des orientations économiques promues par l'administration Reagan, dénonce l'offensive dont l'État-providence est l'objet, souligne les liens qui existent entre la production de la pauvreté et les processus de restructuration économique. Il s'interroge sur l'ampleur du soutien populaire dont jouit l'administration Reagan et propose une série de stratégies susceptibles de prévenir le désastre économique et politique vers lequel s'acheminent les États-Unis.

The Cooperative Extension System translates research to practice and "brings the University to the people" throughout the U.S. However, the system suffers from program duplication and is challenged to scale-out effective programs. One program, Dining with Diabetes (DWD), stands out for its dissemination to multiple states. DWD is a community-based program aimed at improving diabetes management, nutrition, and physical activity behaviors. DWD was coordinated through a national working group and implemented by state Extension systems. A pragmatic, quasi-experimental study was conducted to determine the effectiveness of the national coordination model and the overall impact of DWD. Four states reported data representing 355 DWD participants. Significant differences were found in diabetes management behaviors and knowledge from pre to post- program. However, there were challenges with data analysis due to state differences in data management. We detail the transition from one state to a national workgroup, strengths and challenges of the national model, and implications for other Extension programs.