Source: IOWA STATE UNIVERSITY submitted to NRP
ZOONOTIC DISEASE PREVENTION TOOLS FOR RURAL VETERINARY PRACTICES
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1017248
Grant No.
2018-70024-28820
Cumulative Award Amt.
$243,500.00
Proposal No.
2018-05145
Multistate No.
(N/A)
Project Start Date
Sep 1, 2018
Project End Date
Aug 31, 2021
Grant Year
2018
Program Code
[VSGPE]- Veterinary Services Grant Program Education Grants
Recipient Organization
IOWA STATE UNIVERSITY
S. AND 16TH ELWOOD
AMES,IA 50011
Performing Department
VMPM
Non Technical Summary
Zoonotic diseases - diseases that are transmissible between animals and humans - are an under-recognized but important health risk for animals and humans in rural communities. The unique human-animal-environment interface found in these settings may lead to increased risks of acquiring a zoonotic disease. Exposures to sources of zoonotic disease - such as animals, animal environments, insect vectors, and wildlife - are common in rural communities. For both humans and animals, zoonoses can negatively impact physical health and productivity, food safety or public health, all of which affect the livelihood and sustainability of animal owners and their communities. These risks are often unknown or under-appreciated by animal owners, but most are preventable through increased awareness, animal health interventions, and simple precautions. Preventing these diseases protects the health of animals and humans, and helps to ensure the productivity and livelihood of individuals living in rural communities. Rural veterinarians play an essential public health role in their communities. They are knowledgeable about zoonotic disease risks and the necessary preventive measures. Having access to engaging and audience appropriate educational materials can help veterinarians effectively communicate these risks and strategies needed to protect animal health and human health in rural settings.This project will develop a toolbox of easily accessible client-based educational materials and a veterinary continuing education course to help veterinarians effectively communicate zoonotic disease risks and prevention strategies to clients and community members. Close collaboration with a Focus Group of currently practicing rural veterinarians to obtain input on topics and best tools to reach rural communities and clients. The goal of this project is to reduce zoonotic disease exposures in rural communities and help rural veterinarians build their practice through the use of a zoonotic disease prevention awareness strategy. The topic of zoonotic diseases provides an avenue to encourage animal health prevention programs, protect public health, strengthen client relationships, increase community involvement and integration, recruit new clientele, and promote the veterinary profession to future generations. These interactions will help strengthen rural veterinary practices in their community. Increasing awareness of these disease risks also serves to reduce exposures that are common in rural settings - thereby protecting animal health, public health, and food safety.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
9033910106033%
9033910117034%
9033910310033%
Goals / Objectives
The goals of this project are to reduce zoonotic disease exposures in rural communities and to help rural veterinarians build their practice through the use of a zoonotic disease prevention strategy.A continuing education course and a toolbox of educational resources will be developed to help veterinarians effectively communicate zoonotic disease risks and prevention strategies to clients and other community members. Veterinarians will be given information on communicating zoonotic disease risks. Training on how to use toolbox will also be developed. The topic of zoonotic diseases provides an avenue to encourage prevention programs, protect public health, strengthen client relationships, increase community involvement and integration, recruit new clientele, and promote the veterinary profession to future generations.The main objectives of this project are:- To provide veterinarians with continuing education on the impacts and prevention of zoonotic disease in rural communities- To develop effective educational resources and tools that veterinarians can use to convey zoonotic disease risks and prevention to clients and rural community members- To provide resources to help veterinarians deliver effective community outreach activities that will help them build their practice, improve their recognition in the community, and strengthen their practice- To promote the veterinary profession as a knowledgeable resource for zoonotic disease prevention and develop interest in the profession for young people in rural communities
Project Methods
A toolbox of engaging and easily accessible educational materials will be developed to help veterinarians effectively communicate zoonotic disease risks and prevention strategies to clients and other community members. These materials can be used in a variety of outreach situations, including displayed in veterinary practice waiting rooms to help initiate communication with clients, promotional segments for use on a practice's website or social media pages or for use as radio or newspaper advertisements, or as reference materials for clients to take home. The materials can also be distributed during community presentations (see below), or displayed in locations in town (e.g., feed store, sale barns).All of the materials developed for this project will be housed on a dedicated webpage on the CFSPH website for easy access and download. Web-based resources will be developed so that they are easily accessible and mobile friendly, allowing access via desktop or laptop computers, tablets or smartphones.Access data for the educational materials will be gathered using Google analytic data, including webpage usage/access, such as the number of downloads of the various educational tools. The continuing education course will have both an evaluation and assessment component. Course participants will be asked to complete a course evaluation upon completion of the course. Additional data that will be gathered from the course will be the number of participants enrolled, the number that completed the course (and obtained their certificate). All participants will also take a short pre-test prior to course access. A post-test will be administered after completion of the course. This data will provide some quantitative information of what was learned by course participants during the course/lesson.

Progress 09/01/18 to 08/31/20

Outputs
Target Audience:The principal target audience for this project is rural veterinarians in the United States. A secondary audience is individuals living in rural communities - more specifically, veterinary clientele (both current and prospective) that have interactions with rural veterinarians. This includes producers, farm employees as well as rural community groups, such as livestock or poultry associations, or youth agriculture programs (e.g., FFA, 4-H). Targeting these audiences is important, as they are the most at-risk for exposure to zoonotic diseases of livestock and poultry species due to their frequent contact with livestock and poultry and the unique human-animal-environmental interface found in rural community settings. Zoonotic diseases are an under-recognized but important health risk for animals and humans in rural communities. Rural veterinarians play an essential public health role in their communities. They are knowledgeable about zoonotic disease risks and the preventive measures needed to protect animal health and human health. The topic of zoonotic diseases provides an avenue to encourage prevention measures to protect animal and human health, but it can also strengthen client relationships, increase veterinary involvement and integration with the community, recruit new clientele, and promote the veterinary profession to future generations. Many busy practitioners lack the resources or time to develop engaging and effective educational materials or presentations. Having readily available educational resources such as handouts, clinic posters, quick reference tables or prepared presentations can help to increase communication about the risks of zoonotic diseases on the health of animals and people. Changes/Problems:Disseminaion of the educational materials was anticipated for the last half of the project year; however, given the personal and economic impacts the COVID pandemic had on veterinarians and veterinary clinics, it was decided to temporarily postpone distribution and advertisement of the materials. With practice closures, restricted interactions of veterinary personnel with clients, and limitations on group gatherings due to the pandemic in early 2020, the use of the materials by veterinarians would have been impossible or limited during this time. A no-cost extension was approved and received in August 2020. Re-openings did not begin until April of 2021 and were not consistent across states. In addition, the animal production crises resulting from the pandemic throughout 2020 and 2021 posed priority issues affecting animal health and welfare, and were of utmost importance to practitioners, leaving little time or interest in an educational campaign. These unprecedented factors greatly prohibited the delivery and evaluation of the client-focused materials during this project timeframe. These events contributed to the decision to offer the continuing education course multiple times to provide information not only about zoonotic disease prevention but the educational resources available. The CFSPH will continue to promote the materials available as more opportunities become available. As an example, the resources developed for this project were presented to participants (i.e., extension veterinarians) at the 2021 Applied Animal and Public Health Research and Extension Symposium on October 24, 2021. What opportunities for training and professional development has the project provided?Continuing Education Course for Veterinary Personnel on Zoonotic Disease Prevention in Rural Communities: To assure that rural veterinarians and their staff feel confident in conveying specific preventive measures for important zoonotic diseases, a web-based continuing education course focusing on the communication of risk and prevention was developed, reviewed, and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACEĀ®) for continuing education credit approval. The Zoonoses: Protecting Animal and Human Health in Rural Communities continuing education course was offered for free on three occasions - May, June, and July of 2021. Total course registration was 2,540 participants, with 1,109 (44%) completing the course. In all, 5,545 continuing education credits were provided through this course. The use of a web-based learning platform allows for easy access, around the clock availability, as well as mobile friendly (e.g., smartphone access) functionality. This course fills a need for easily accessible professional education. How have the results been disseminated to communities of interest?A flyer promoting the continuing education course was disseminated to more than 250 veterinary professional associations and organizations on 3 separate occasions (for each course offering in May, June, and July). Outreach that encouraged distribution of the course offerings included State Animal Health Officials, State Public Health Veterinarians, veterinary medical associations and organizations, including the American Association of Swine Veterinarians, the American Association of Beef Practitioners, the American Association of Poultry Veterinarians, the American Association of Extension Veterinarians, the U.S. Animal Health Association and commodity group list serves. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? During the project period, the recruitment and engagement of a rural veterinarian Focus Group was used to obtain input on zoonotic education resource needs, which guided the creation of materials. Members provided insightful and valuable feedback during the educational resource development to ensure we created materials useful for the target audience. Another goal of the project was to provide veterinarians with continuing education on the impacts and prevention of zoonotic diseases in rural communities. Time and financial constraints often make obtaining continuing education difficult for rural practitioners. The Zoonoses: Protecting Animal and Human Health in Rural Communities continuing education course was developed using a web-based learning platform for delivery to ensure easy access and around the clock availability for practitioners' busy schedules. The course content was available in multiple formats (i.e., podcast, audio, PDF) to accommodate various learning styles. The course was approved for five (5) continuing education credits for veterinarians and veterinary technicians by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE) program. The course allowed practitioners to review and refresh their knowledge of zoonotic diseases, learn effective ways to communicate disease prevention with clients, and filled a need for easily accessible professional education. The course was advertised to more than 250 veterinary professional associations and organizations, including State Animal Health Officials, State Public Health Veterinarians, and veterinary medical associations and organizations for distribution. The course was offered for free in May, June, and July of 2021, and resulted in 2,540 registrants. The May registration filled to capacity in 48 hours of release of the course advertisement. The course had a successful 44% completion rate (1,190 participants). In all, 5,545 continuing education credits were provided. Registrants included veterinarians, veterinary technicians, veterinary, undergraduate and graduate students, federal and state governmental officials, and various animal health, public health and human healthcare professionals from all 50 U.S. states, and outside the United States (15%). Lecture podcasts were provided for free access through web-based outlets including Spotify, Apple Podcasts, Google Chrome, Audible, and others. Over 70 podcast episodes were downloaded during the May-August course offering period. The course included both an evaluation and assessment (pre- and post-survey) component. The course was well received. Course evaluation data indicated an overall course rating of 8.9 out of 10 (10=excellent). Over all three offerings of the course, it received a 5.3 out of 6 (6=exceptional) for providing information on zoonotic diseases of agricultural animals, and 85% of those completing the course indicated they would be highly likely or likely to refer the course to a colleague. Feedback on what was liked best about the course included the review of diseases, the approach to discussing prevention, and the organization of the material. Pre- and post-survey results indicated some knowledge of zoonotic diseases prior to taking the course. This was expected given the targeted audience; however, the assessments related to delivery and communication of the topic, suggested increased confidence in communicating with clients about zoonotic diseases after course completion, and increased likelihood of displaying zoonotic disease awareness and prevention materials, providing resources to clients, participating in community outreach, and using tools for social media. This information is primarily qualitative, but does suggest potential for dissemination of materials and information to clients and the community. A third goal of the project was to develop educational resources for rural veterinarians to use with clients and in their community to raise awareness and promote prevention on the risks and prevention of zoonotic diseases of livestock and poultry. Focus Group feedback indicated many did not have readily-available, client-based materials available on zoonotic disease risks and prevention, and having graphically engaging tools focused on prevention and specific species would be useful. More than 55 new resources on zoonotic disease awareness and prevention were developed for this project. Materials included informational handouts, infographic posters, and promotional messaging for clinic websites and social media outreach. This large library of resources provides diversity in formats to allow for integration in a wide range of practice settings and approaches for communicating with clients. Additionally, five community presentation slide decks were developed to help veterinarians effectively communicate zoonotic disease risks and prevention in their community. This outreach opportunity not only helps veterinarians increase community involvement and integration, but helps promote the veterinary profession to future generations, and provides an avenue to encourage animal health prevention programs and recruit new clientele, thereby building their veterinary practices in rural communities. All materials developed for this project are available for free access on a dedicated web page on the Center for Food Security and Public Health website at https://www.cfsph.iastate.edu/zoonoses/. Access data collected for the resources from the dedicated website was gathered using Google analytic data. In 2021, the cattle zoonotic disease table and cattle disease summary chart was downloaded 641 and 406 times, respectively. From April through August, 777 Stay Safe posters, and 587 of the prepared community PowerPoint slide decks were downloaded. The species disease and prevention tables and disease summary charts were downloaded 1050 and 923 times, respectively, during the same period. Overall, the response to the availability of the free continuing education course indicated this is an important topic of interest to veterinary personnel. Additionally, an increase in resource downloads following course offerings suggests this may be one useful way to disseminate information about the available resources to the targeted audience. One of the hopes for the project was to have the rural veterinarian Focus Group "use" materials in their community and provide feedback on the success or challenges that resulted. However, the occurrence of COVID-19 in early 2020, its resulting business shut downs (including veterinary clinics), and limitation of in-person interactions or gatherings (e.g., community presentations), followed by the strain of production crises in early 2021, resulted in limited availability and opportunities for practitioners to implement the materials. For this reason, the continuing education course was offered on multiple occasions to expand outreach during this unprecedented time. Therefore, dissemination and data collection was greatly impacted for this project.

Publications


    Progress 09/01/19 to 08/31/20

    Outputs
    Target Audience:The principal target audience for this reporting period was rural veterinarians in the United States. Additionally, a secondary audience are individuals living in rural communities. More specifically, veterinary clientele (both current and prospective) that would have interactions with rural veterinarians. This also include rural livestock and poultry community groups, such as livestock associations, youth ag programs (e.g., FFA, 4-H). The selection of these audiences is important as they are the most at-risk for exposure to zoonotic diseases of livestock and poultry species due to the unique human-animal-environmental interface found in rural community settings. Changes/Problems:Efforts to disseminate the educational materials was anticipated for this last half of the project year; however, given the personal and economic impacts the COVID pandemic has had on veterinarians and veterinary clinics, it was decided to temporarily postpone distribution and advertisement of the materials. With practice closures, restricted interactions of veterinary personnel with clients, and limitations on group gatherings due to the pandemic, the use of the materials by veterinarians would have been impossible or limited during this time. These factors would have greatly impacted any evaluation of the materials. As a result, a no-cost extension was requested and received for this project. Efforts to disseminate and evaluate the materials will occur in this extended year of the project. What opportunities for training and professional development has the project provided?Continuing education course for veterinary personnel on zoonotic disease prevention in rural communities: To assure that rural veterinarians and their staff feel confident in conveying specific preventive measures for important zoonotic diseases, content for a web-based continuing education course focusing on the communication of risk and prevention was drafted in Year 1. During this project period, materials were internally reviewed by CFSPH veterinarians. Refinement and graphic development are underway. The course will be subsequently shared with the Focus Group for comment. After review, the materials will be revised and refined and the course will be submitted for RACE approval, and made available on the resource website. The use of a web-based learning platform allows for easy access, around the clock availability, as well as mobile friendly (e.g., smartphone access) functionality. How have the results been disseminated to communities of interest?Dissemination of materials and evaluation will occur in the next reporting period of this project What do you plan to do during the next reporting period to accomplish the goals?- Continued consultation and engagement with the recruited rural veterinarian Focus Group - Populate and promote dedicated webpage to house and provide free-access to all materials for download - Promote the availability of materials via various veterinary medical association, organizations and list servs - Evaluate access and use of materials housed on webpage - Complete web programming in the learning management system (i.e., Moodle) to provide delivery and tracking of course completion and issuing continuing education credit earned. - Obtain RACE approval for the continuing education course - Advertise the continuing education course to rural veterinarians and veterinary technicians - Evaluate and assess the enrollment and effectiveness of the course

    Impacts
    What was accomplished under these goals? Work during this reporting period primarily involved the refinement and graphic development of the project material drafts from Year 1. Planning and web programming for the continuing education course and educational resource web page were initiated. - Client-focused educational resources on zoonotic disease risks and prevention: Resources include educational handouts on zoonotic disease transmission, exposure risk areas, and prevention, as well as disease specific handouts were revised, and refined, and graphically developed in an engaging style and format. - Community-focused educational materials: Five species specific zoonoses awareness presentations (PowerPoints) for use by rural veterinarians in their community and two zoonotic disease intervention and prevention posters have been drafted, and developed into a graphically engaging style and format and are under internal review. - Veterinary practice promotional messaging: A series of short practice promoting message segments have been drafted as social media widgets, advertisement graphics, and practice website images. - Rural veterinarian-focused educational resources: Several species specific disease reference charts and tables have developed and graphically formatted in a useful style for quick reference. A training guide for rural veterinarians on ways to use the educational resources has been drafted and is under internal review. Continuing education course for veterinarians: See "opportunities for training and professional development" for additional information

    Publications


      Progress 09/01/18 to 08/31/19

      Outputs
      Target Audience:The principal target audience for this reporting period was rural veterinarians in the United States. Additionally, a secondary audience are individuals living in rural communities. More specifically, veterinary clientele (both current and prospective) that would have interactions with rural veterinarians. This also include rural livestock and poultry community groups, such as livestock associations, youth ag programs (e.g., FFA, 4-H) The selection of these audiences is important as they are the most at-risk for exposure to zoonotic diseases of livestock and poultry species due to the unique human-animal-environmental interface found in rural community settings. Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided?Continuing Education Course for Veterinary Personnel on Zoonotic Disease Prevention in Rural Communities: To assure that rural veterinarians and their staff feel confident in conveying specific preventive measures for important zoonotic diseases, content for a web-based continuing education course focusing on the communication of risk and prevention has been drafted. Review and comment by the project's rural veterinarian Focus Group will be obtained, prior to submission to the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACEĀ®) for continuing education credit approval. How have the results been disseminated to communities of interest?Dissemination of materials and evaluation will occur in the next reporting period of this project What do you plan to do during the next reporting period to accomplish the goals?-Obtain RACE approval for the continuing education course -Advertise the continuing education course to rural veterinarians -Evaluate and assess the enrollment and effectiveness of the course -Develop veterinary practice promotional messaging tools (e.g., short key messages to be used by practices for their website or social media outlets -Develop training guide to help rural veterinary practitioners effectively use the client communication tools -Develop species specific zoonotic disease community awareness educational presentations. -Develop a dedicated webpage to house and provide free-access to all materials for download -Evaluate access and use of materials housed on webpage

      Impacts
      What was accomplished under these goals? Work during this reporting period primarily involved the research and development of project materials that will be disseminated and evaluated in the second year of the project. Communication with and surveys to the rural veterinarian Focus Group were used throughout the development process to obtain critical feedback on topics, needs and focus areas for the proposed continuing education curriculum, and the client- and community-focused educational materials. Recruitment of rural veterinarian Focus Group: Efforts were made to recruit several practicing rural veterinarians to serve as the project's Focus Group and provide practical input and suggestions for the development of the project materials and resources. Members of this Focus Group were representative of the much larger audience that will be targeted in the second year of the project - livestock and poultry veterinarians practicing in the rural United States. Input from this group was essential to ensure materials developed were perceived as useful and practical for veterinarians in rural settings. -The Focus Group consists of 130 participants from 33 states. -Over half graduated in the last 20 years; 38% in the last 8 years -20 receive or have received funds from the Veterinary Medicine Loan Repayment Program (VMLRP) Provide veterinarians with continuing education on the impacts and prevention of zoonotic diseases in rural communities: See "opportunities for training and professional development" for additional information Client-Focused Zoonotic Disease Prevention Tools and Resources: Multiple educational resources for use by rural veterinarians to assist in communication with client and communities on the risk and prevention of zoonotic diseases in rural farm settings. These include materials on diseases transmission and risk as well as disease specific handouts.

      Publications