Browsing by Author "Edwards, Ashley"

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    Assessing On-Farm Produce Safety Risks: General Practices
    Understanding on-farm produce safety risks is essential for all farms who grow, harvest, pack, hold and/or ship fruits and vegetables. Assessing the general practices of a farm operation is the second step to developing and implementing best practices to reduce those risks and reduce potential produce contamination. This publication is the second in a series of seven factsheets to assist farmers in creating a food safety program
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    Assessing On-Farm Produce Safety Risks: Harvest Stage
    Understanding on-farm produce safety risks are essential for all farms who grow, pack, harvest, hold and/or ship fruits and vegetables. Identifying risks that may be associated on the farm during the harvest stage, is the fifth step to developing and implementing best practices to reduce those risks and reduce potential produce contamination. This publication is the fifth in a series of six publications to assist the industry in creating a food safety program
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    Assessing On-Farm Produce Safety Risks: Performing a Hazard Analysis
    Bardsley, Cameron; Vallotton, Amber; Edwards, Ashley; Strawn, Laura K. (2021)
    Understanding on-farm produce safety risks is essential for all farms who grow, harvest, pack, hold and/or ship fruits and vegetables. The first step to developing and implementing best practices to reduce risks and reduce potential produce contamination is to perform a hazard analysis, where producers identify risks that may be associated on their farm. This publication is the first in a series of seven factsheets to assist farmers in creating a food safety program
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    Assessing On-Farm Produce Safety Risks: Post-Harvest Handling Stage
    Understanding on-farm produce safety risks are essential for all farms who grow, pack, harvest, hold and/or ship fruits and vegetables. Developing and implementing best practices to reduce risks and reduce potential produce contamination during the post-harvest handling stage is critical. This publication is the sixth in a series of seven factsheet publications to assist farmers in creating a food safety program.
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    Assessing On-Farm Produce Safety Risks: Pre-Plant Stage
    Understanding on-farm produce safety risks is essential for all farms who grow, harvest, pack, hold and/or ship fruits and vegetables. Identifying risks that may be associated on the farm during the pre-plant stage is the third step to developing and implementing best practices to reduce those risks and reduce potential produce contamination. This publication is the third in a series of seven factsheets to assist farmers in creating a food safety program
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    Assessing On-Farm Produce Safety Risks: Preparing for GAP Certification
    Understanding on-farm produce safety risks is essential for all farms who grow, harvest, pack, hold and/or ship fruits and vegetables. After a farmer has developed and implemented best practices to reduce risks and contamination during each stage, they are ready to prepare for a GAP audit and certification. This publication is the seventh in a series of seven factsheets to assist farmers in creating a food safety program.
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    Assessing On-Farm Produce Safety Risks: Production Stage
    Understanding on-farm produce safety risks are essential for all farms who grow, harvest, pack, hold and/or ship fruits and vegetables. Identifying risks that may be associated on the farm during the production stage is the fourth step to developing and implementing best practices to reduce those risks and reduce potential produce contamination. This publication is the fourth in a series of seven factsheet publications to assist farmers in creating a food safety program
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    Practice facilitation to promote evidence-based screening and management of unhealthy alcohol use in primary care: a practice-level randomized controlled trial
    Huffstetler, Alison N.; Kuzel, Anton J.; Sabo, Roy T.; Richards, Alicia; Brooks, E. M.; Lail Kashiri, Paulette; Villalobos, Gabriela; Arias, Albert J.; Svikis, Dace; Bortz, Beth A.; Edwards, Ashley; Epling, John W.; Cohen, Deborah J.; Parchman, Michael L.; Winter, Jonathan; Wessler, Patricia; Yu, Timothy J.; Krist, Alex H. (2020-05-20)
    Background Unhealthy alcohol use is the third leading cause of preventable death in the United States. Evidence demonstrates that screening for unhealthy alcohol use and providing persons engaged in risky drinking with brief behavioral and counseling interventions improves health outcomes, collectively termed screening and brief interventions. Medication assisted therapy (MAT) is another effective method for treatment of moderate or severe alcohol use disorder. Yet, primary care clinicians are not regularly screening for or treating unhealthy alcohol use. Methods and analysis We are initiating a clinic-level randomized controlled trial aimed to evaluate how primary care clinicians can impact unhealthy alcohol use through screening, counseling, and MAT. One hundred and 25 primary care practices in the Virginia Ambulatory Care Outcomes Research Network (ACORN) will be engaged; each will receive practice facilitation to promote screening, counseling, and MAT either at the beginning of the trial or at a 6-month control period start date. For each practice, the intervention includes provision of a practice facilitator, learning collaboratives with three practice champions, and clinic-wide information sessions. Clinics will be enrolled for 6–12 months. After completion of the intervention, we will conduct a mixed methods analysis to identify changes in screening rates, increase in provision of brief counseling and interventions as well as MAT, and the reduction of alcohol intake for patients after practices receive practice facilitation. Discussion This study offers a systematic process for dissemination and implementation of the evidence-based practice of screening, counseling, and treatment for unhealthy alcohol use. Practices will be asked to implement a process for screening, counseling, and treatment based on their practice characteristics, patient population, and workflow. We propose practice facilitation as a robust and feasible intervention to assist in making changes within the practice. We believe that the process can be replicated and used in a broad range of clinical settings; we anticipate this will be supported by our evaluation of this approach. Trial registration ClinicalTrials.gov, ClinicalTrials.gov Identifier: NCT04248023, Registered 5 February 2020.