Source: UNIVERSITY OF NEBRASKA submitted to NRP
NEBRASKA AGRABILITY 2018-2022
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1017280
Grant No.
2018-41590-28718
Cumulative Award Amt.
$723,840.00
Proposal No.
2018-04241
Multistate No.
(N/A)
Project Start Date
Sep 1, 2018
Project End Date
Aug 31, 2022
Grant Year
2021
Program Code
[LQ]- AgrAbility
Recipient Organization
UNIVERSITY OF NEBRASKA
(N/A)
LINCOLN,NE 68583
Performing Department
Environmental, Ag & Occup Hlth
Non Technical Summary
Nebraska AgrAbility is a joint effort of the University of Nebraska-Lincoln (UNL) Extension and Easter Seals Nebraska (ESN). Staff from the two organizations address the functional, financial, and emotional needs of Nebraska's farmers and ranchers, or their family members, with disabilities. Through a collaborative and comprehensive program of education and assistance, Nebraska AgrAbility will continue to assist customers in returning to independent and productive agricultural producers.Individuals who experience disabilities, injuries and adverse health conditions encounter a variety of challenges. For Nebraska's farmers and ranchers, disabilities and chronic health conditions transform an active and independent lifestyle to one of uncertainty, dependence, and adaptation. In addition to the physical and emotional challenges of adjusting to a disability or serious health condition, farm and ranch families often face financial challenges. Those who want to remain in agricultural production may wonder how they can continue. Some may choose other careers because they are unaware of the resources, assistive technology and peer support available to them.Nebraska plans to increase the state's capacity to meet the needs of farmers and ranchers with disabilities by improving competencies through professional development at the National Training Workshop and other relevant national and regional training opportunities.Educational programs will build service capacity by providing those who work and live with agricultural producers with disabilities training about accommodating disabilities and preventing secondary injuries. Consumers, both youth and adults, willbe more aware of hazards and techniques to prevent disabilities. Recognition of arthritis as a compounding factor in return-to- work strategies and long-term treatment as well as the prevalence of back injury/pain or other chronic conditions will direct some educational efforts.Networking is imperative to the success of the Nebraska AgrAbility project. By initiating or maintaining open lines of communication with other entities and individuals, the service capacity will be expanded with the ultimate goal of better serving the needs of AgrAbility customers. Further, innovative solutions come from a strong network of those interested in the success of disabled agriculture producers.Assistance satisfies customers' needs and concerns that are often inadequately addressed by health care, agriculture, and government service providers. With guidance and expertise from AgrAbility staff, customers will be able to assess their current situations and create viable solutions for economic independence in production agriculture.The marketing of Nebraska AgrAbility is essential to the capacity-building, educational efforts, and expanding awareness of the program. One target audience will be veterans with disabilities who are returning to or starting in ag production.
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
7235310202075%
7235310302025%
Goals / Objectives
Program Area - EducationStaff goals in education are to increase the competence, confidence and comfort level of healthcare professionals, educators, businesses and state and federally led rehabilitation programs to understand rural farm culture and how to accommodate limitations of farmers and ranchers with disabilities. To educate rural Nebraskans, their family members, caregivers and the general public of the importance of preventing initial and secondary injuries, which could otherwise have lifelong impacts to the state's food, fuel and fiber industry.Objective 1.a: Increase the competency of health care professionals to provide relevant accommodations for farmers and ranchers with disabilities, while gaining greater awareness of Nebraska agricultural operations and farm culture.Objective 1.b: Increase the awareness of safety and worksite solutions related to farming or ranching with a disability amongst educators, agribusiness leaders, women and veteran farmers/ranchers and youth agriculture sectors.Objective 1.c: Increase the expertise of government service providers and rehabilitation service professionals to better relate to agricultural operations and improve return to work strategies for farmers and ranchers with disabilities.Objective 1.d: Increase the awareness of the general public about the inherent dangers of production agriculture and the resources available to prevent secondary injury and/or overcome barriers as a result of disability or health care condition.Objective 1.e: Appraise efficacy of AgrAbility educational efforts.Program Area - NetworkingNetworking is imperative to the success of the Nebraska AgrAbility project. By initiating or maintaining open lines of communication with other entities and individuals, the service capacity will be expanded with the ultimate goal of better serving the needs of AgrAbility customers. Further, innovative solutions come from a strong network of those interested in the success of disabled agriculture producers. These efforts encourage the sharing of information and services between AgrAbility and individuals or organizations not employed by AgrAbility.Objective 2.a:Increase the effective use of peer volunteers to enhance Nebraska AgrAbility's services to farmers and ranchers with disabilities.Objective 2.b: Build relationships with other agricultural, financial and disability businesses and organizations to increase the capacity of Nebraska AgrAbility and better serve customers. An advisory committee of individuals and agencies with a vested interest in agriculture and agriculture producers will build the service capacity of Nebraska AgrAbility by providing information and resources beyond the expertise of current staff. Innovative approaches to service will be available for customers.Objective 2.c: Create stronger relationships with special populations throughout the state to better reach underserved individuals with Nebraska AgrAbility services.Objective 2.d: Appraise the economic value of services rendered to AgrAbility and its customers.Program Area - Direct AssistanceAssistance satisfies customers' needs and concerns that are often inadequately addressed by health care, agriculture, and government service providers. With guidance and expertise from AgrAbility staff, customers will be able to better understand their current situations and make informed decisions that result in attaining viable solutions leading to economic independence in production agriculture.Objective 3.a: Provide Nebraska AgrAbility customers and others working on the same operation on-site assessments and assistance that will increase their ability to maintain employment in agriculture and to be more productive and independent.Objective 3.b: Increase professional competencies of Nebraska AgrAbility staff so that they are better able to serve customers and improve knowledge and skills in working with farmers and ranchers with disabilities.Objective 3.c:Conduct an evaluation with Nebraska AgrAbility customers to determine successes experienced following intervention.Program Area - MarketingMarketing of Nebraska AgrAbility is essential to the capacity-building, educational efforts, and expanding awareness of the program. Marketing is intended to make key audiences aware of Nebraska AgrAbility and its initiatives.Objective 4.a: Increase awareness of AgrAbility and the services offered among agricultural businesses and organizations through marketing activities, thus increasing the number of referrals of farmers and ranchers with disabilities to seek assistance from Nebraska AgrAbility and the collaborations formed to serve customers.Objective 4.b: Evaluate the impact of marketing efforts promoting AgrAbility.
Project Methods
Activity 1.a.1:Offer a comprehensive one day continuing education training titled "Rehabilitating Nebraska's Farmers and Ranchers" targeting health care professionals, especially OT/PTs, nurses and physicians serving rural Nebraska. This training incorporates information about farm culture, Nebraska agriculture, and rural environments, the impact of disability on farmers and ranchers and their families and familiarizes professionals with options for treatment strategies to improve functional outcomes and promote successful return to production agriculture. The curriculum being utilized has been approved for CEU's by the American Occupational Therapist Association and was originally drafted by Carla Wilhite, formerly of Oklahoma and Colorado AgrAbility and now Assistant Professor at the University of New Mexico. This curriculum has also been updated by our current instructor Dr. Christine Hutchinson, PT, DPT.Activity 1.a.2: Provide learning opportunities and fieldwork rotations for students entering or advancing in rural health care professions.Activity 1.b.1:Provide opportunities for educators, agribusiness leaders, women, Veterans and youth involved in agriculture to learn more about the AgrAbility program, disability and health conditions impacting Nebraska farmers and ranchers, assistive technology devices and tools, accident prevention/farm safety and demonstrated solutions for farmers and ranchers with disabilities which help them to remain actively involved in production agriculture.Activity 1.c.1:Develop an interactive training module to share electronically with entities that are involved in providing rehabilitation supports and return to work services for rural Nebraskans with disabilities.Activity 1.c.2:Create a VA Desk Reference GuideActivity 1.d.1: Develop and disseminate educational materials about common dangers on the farm, conditions most often experienced by farmers/ranchers and preventative measures that can be implemented to avoid secondary injury. Methods could include fact sheets, table tents or targeted social media posts. Topics may include but are not limited to: skin care/cancer, hydration, caregiver support, mental health rapid response, TBI and concentration, drug/alcohol use, sleep deprivation and fatigue impacts, nutrition, Parkinson's, MS, back injury, arthritis, lung hygiene, hearing loss and prevention, preventative care, health and wellness, diabetes, stroke prevention, proper seating and ATV safety.Activity 1.d.2:Use a variety of techniques to deliver safe behavior and Nebraska law information to audiences. This will include ATV awareness sessions that are customized programs and presentations to target those who use ATVs for agricultural purposes, individuals who are influential in children's activities, and all youth. Programs will utilize the ATV simulator and a variety of proven methods for teaching, based on the audience.Activity 1.e.1:Create and implement an evaluation tool for educational efforts. Determine 3 powerful questions to ask about any educational efforts. The participants will be given the opportunity to answer and comment on these questions.Activity 2.a.1:Maintain the network of Nebraska AgrAbility peer support volunteers who have been or will be trained and managed to provide confident and competent volunteers to support farmers and ranchers with disabilities.Activity 2.b.1:Maintain Nebraska AgrAbility Advisory Committee of 12-16 individuals interested in promoting the success of farmers and ranchers with disabilities.Activity 2.c.1:Work with state financial, agricultural, and governmental organizations to serve special populations, including veterans returning to the state in agricultural production.Activity 2.d.1:Staff will work with the Nebraska Department of Economic Development (NDED) to appraise the economic value of services rendered to AgrAbility and its customers.Activity 3.a.1:Provide on-site farm assessments and assistance to Nebraska farmers and ranchers with disabilities, including education about prevention of secondary injuries.Activity 3.a.2:Provide AgrAbility customers with technical assistance at their farm or ranch to determine appropriate adaptive technology options, to promote safe working practices and to secure funding, if needed.Activity 3.b.1: AgrAbility staff will attend the annual National AgrAbility Training Workshop, RESNA Conference and other relevant workshops and training.Activity 3.c.1:Determine the areas Nebraska AgrAbility wants to evaluate and create an evaluation tool to use evaluate the successes of the program.Activity 4.a.1:Update marketing materials to reflect 20+ years of serving farmers and ranchers with disabilities in Nebraska.Activity 4.a.2:Market the project through events where large numbers of farm families participate to promote AgrAbility and its services and disseminate materials to the public.Activity 4.a.3: Engage Peer Support and State Advisory Committee members to disseminate basic information about NE AgrAbility services throughout the state.Activity 4.a.4: Develop an annual plan for updating project web site and other social media sources.Activity 4.b.1:Evaluate the impact of the marketing plan used to promote AgrAbility in Nebraska.

Progress 09/01/18 to 08/31/22

Outputs
Target Audience: The primary audience for the NE AgrAbilty project is farmers and ranchers with disabilities. Important secondary target audiences are individuals who help identify members of the primary audience, and individuals who provide assistance to members of the primary audience, including health care professionals, funding resources, vendors of assistive technology and equipment, and others. Consumers who promote safety and healthy lifestyles are a tertiary audience. Changes/Problems: VR is currently in an Order of Selection and has made priority areas to pull clients from. To overcome this problem, we have been identifying unused equipment to redistribute and have received NE State fundsfor AT. An AT fund has been created within Easterseals Nebraska and now has support financial support from the State of Nebraska. What opportunities for training and professional development has the project provided? Staff taught virtually at AgriMed Course in July 2022. Staff gave a presentation on Stress to the Nebraska Cattleman's Group. Fourteen workshops statewide "Communicating with Farmers Under Stress" for ag professionals Stress session for Ag- Ceptional Women's Conference and Women in Ag Conference Sleep Deprivation session for Women in Ag conference Program for communicating with producers having stress - for employees in 7 USDA FSA regions Progressive Ag Safety Day disability lessons for kids in several locations. How have the results been disseminated to communities of interest? An updated SRAP marketing brochure was distributed at various locations across the state as we promote AgrAbility. Referrals have come directly from news articles in local papers and state sources,TV and other media sources, as well as information requests for programming.Brochures placed with networking partners have brought a number of referrals to the project. The team is exploring radio spots and billboards for continued dissemination of information. Nebraska AgrAbility Facebook, Twitter, and Instagram pages continue to grow and be successful. A format has been developed for use with OT professional rotations and week-long fieldwork, including a new program with Nebraska Methodist College. The Clinical Contract was reviewed and updated in 2018 so students could begin in 2019. We now have students working with our program. They now work alongside the Easterseals team. Agribusinesses firms from across the state were contacted for quotes and supplied AT to AgrAbility clients. Promotional presentations have been given or booths promoting AgrAbility were available at the Husker Harvest Days, NRCS for Disability Awareness Month, Nebraska Community Foundation, FFA Career Pathways Conference, York Ag Expo, Advisory Board Meeting, Beginning Farmer/Rancher Group, ATP ReUse Group, Nebraska Occupational Therapy Association, Triumph of Ag, and State FFA Convention, reaching over 5,000 participants. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Total number of client contacts for the period where some degree of service was rendered 29. The fact that Nebraska VR is in "Order of Selecton" and the pandemic had an impact on services this year but the figure was higher than expected for the period. Client example: A young farmer overcomes a farm accident and succeeds with an incomplete spinal cord injury. With the financial assistance of Vocational Rehabilitation, the client is able to take care of his cattle again on his own with a skid steer, cattle working equipment, and side by side. We were also able to obtain state funding for Assistive Technology for our clients. The State of Nebraska has committed $400,000 over atwo years (2022-20223to purchase AT for our clients. We are on track to spend this funds down by the end of this year. Non-funding impacts: Our AgrAbility loaner trailer has been loaned out to several clients when requested. AgrAbility arranged for the relocation of additional donated equipment to other Nebraska AgrAbility client.

Publications

  • Type: Websites Status: Published Year Published: 2022 Citation: https://agrability.unl.edu


Progress 09/01/20 to 08/31/21

Outputs
Target Audience: The primary audience for the NE AgrAbilty project is farmers and ranchers with disabilities. Important secondary target audiences are individuals who help identify members of the primary audience, and individuals who provide assistance to members of the primary audience, including health care professionals, funding resources, vendors of assistive technology and equipment, and others. Consumers who promote safety and healthy lifestyles are a tertiary audience. Changes/Problems: VR is currently in an Order of Selection and has made priority areas to pull clients from. To overcome this problem, we have been identifying unused equipment to redistribute and exploring options to do development to raise funds for AT. An AT fund has been created within Easterseals Nebraska and now has support from the State of Nebraska Client visits have also been changeddue to the COVID Pandemic, but procedures have been put in place to conduct visits virtually or on site if needed. What opportunities for training and professional development has the project provided? Staff taught virtually at AgriMed Course in July 2020 and plan to again in 2021 Staff gave a presentation on Stress to the Nebraska Cattleman's Group. Fourteen workshops statewide "Communicating with Farmers Under Stress" for ag professionals Stress session for Ag-Ceptional Women's Conference and Women in Ag Conference Sleep Deprivation session for Women in Ag conference Program for communicating with producers having stress - for employees in 7 USDA FSA regions Progressive Ag Safety Day disability lessons for kids in several locations. How have the results been disseminated to communities of interest? An updated SRAP marketing brochurewasdistributed at various locations across the state as we promote AgrAbility. Referrals have come directly from news articles in local papers and state sources,TV and other media sources, as well as information requests for programming.Brochures placed with networking partners have brought a number of referrals to the project. The team is exploring radio spots and billboards for continued dissemination of information. Nebraska AgrAbility Facebook, Twitter, and Instagram pages continue to grow and be successful. A format has been developed for use with OT professional rotations and week-long fieldwork, including a new program with Nebraska Methodist College. The Clinical Contract was reviewed and updated in 2018 so students could begin in 2019. We now have students working with our program. They now work alongside the Easterseals team. Agribusinesses firms from across the state were contacted for quotes and supplied AT to AgrAbility clients. Promotional presentations have been given or booths promoting AgrAbility were available at the Husker Harvest Days, NRCS for Disability Awareness Month, Nebraska Community Foundation, FFA Career Pathways Conference, York Ag Expo, Advisory Board Meeting, Beginning Farmer/Rancher Group, ATP ReUse Group, Nebraska Occupational Therapy Association, Triumph of Ag, and State FFA Convention, reaching over 5,000.? What do you plan to do during the next reporting period to accomplish the goals? Networking - Continue to explore further means of funding work of the rehabilitation specialists through entities that work with Nebraskans with disabilities. A 3-year service agreement has been secured with NE Vocational Rehabilitation Services to provide NE VR clients with rural rehabilitation assessment services and continues to grow with no issues or challenges. A similar agreement on a yearly basis has been secured with the NE Commission for the Blind. This will help support future AgrAbility efforts and could potentially double the available project staff to provide AgrAbility services in coming years. Assistance - maintain the use of the temporary AT program, including the use of our machinery access lift available to serve the needs of farmers with temporary disabilities and those waiting assessment results.

Impacts
What was accomplished under these goals? Total number of client contacts for the period where some degree of service was rendered.............27 The fact that Nebraska VR is in "Order of Selecton" and the pandemic had an impact on servicesthis year but the figure was higher thanexpected for the period. Client example:A young farmer overcomes a farm accident and succeeds with an incomplete spinal cord injury. With the financial assistance of Vocational Rehabilitation, the client is able to take care of his cattle again on his own with a skid steer, cattle working equipment, and sideby side. We were also able to obtain state funding for Assistive Technology for our clients. The State of Nebraska has committed $400,000 over the next two years to purchase AT for our clients. Non-funding impacts: Our AgrAbility loaner trailer has been loaned out to several clients when requested. AgrAbility arranged for the relocation of additional donated equipment to otherNebraska AgrAbility client.

Publications

  • Type: Websites Status: Published Year Published: 2020 Citation: https://agrability.unl.edu


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

Outputs
Target Audience: The primary audience for the NE AgrAbilty project is farmers and ranchers with disabilities. Important secondary target audiences are individuals who help identify members of the primary audience, and individuals who provide assistance to members of the primary audience, including health care professionals, funding resources, vendors of assistive technology and equipment, and others. Consumers who promote safety and healthy lifestyles are a tertiary audience. Changes/Problems: VR is currently in an Order of Selection and has made priority areas to pull clients from. To overcome this problem, we have been identifying unused equipment to redistribute and exploring options to do development to raise funds for AT. An AT fund has been created within Easterseals Nebraska. Client visits have also been delayed due to the COVID Pandemic, but procedures have been put in place to conduct visits virtually or on site if needed. What opportunities for training and professional development has the project provided?Staff will teach virtually at AgriMed Course in July 2020. Staff gave a presentation on Stress to the Nebraska Cattleman's Group. Fourteen workshops statewide "Communicating with Farmers Under Stress" for ag professionals Stress session for Ag-Ceptional Women's Conference and Women in Ag Conference Sleep Deprivation session for Women in Ag conference Program for communicating with producers having stress - for employees in 7 USDA FSA regions Progressive Ag Safety Day disability lessons for kids in Franklin. How have the results been disseminated to communities of interest? Priority-Marketing: The SRAP marketing brochure was completely revised and updated with a new look and up to date information. These are distributed at various locations across the state as we promote AgrAbility. Referrals have come directly from news articles in local papers and state sources,TV and other media sources, as well as information requests for programming.Brochures placed with networking partners have brought a number of referrals to the project. Disseminated stress management fliers - 300, and the wallet resource cards for stress - 300. Nebraska AgrAbility Facebook, Twitter, and Instagram pages continue to grow and be successful. The facebook page has 676 followers reaching almost 1000 people a week. The Twitter page has 244 followers reaching almost 3000 impressions per month. The Instagram Page has 155 followers reaching almost 1000 likes per month. The Nebraska AgrAbility web site has been updated and expanded to include more valuable information for visitors. A format has been developed for use with OT professional rotations and week-long fieldwork, including a new program with Nebraska Methodist College. The Clinical Contract was reviewed and updated in 2018 so students could begin in 2019. One professional rotation student from Creighton University participated this year for 8 weeks. She worked alongside the Easterseals Rural Rehabilitation Specialists as they visited AgrAbility clients and wrote new information for Mental Health education in agriculture. Agribusinesses firms from across the state were contacted for quotes and supplied AT to AgrAbility clients. Promotional presentations have been given or booths promoting AgrAbility were available at the Husker Harvest Days, NRCS for Disability Awareness Month, Nebraska Community Foundation, FFA Career Pathways Conference, York Ag Expo, Advisory Board Meeting, Beginning Farmer/Rancher Group, ATP ReUse Group, Nebraska Occupational Therapy Association, Triumph of Ag, and State FFA Convention, reaching over 6,700 people, reaching over 6,000 people. What do you plan to do during the next reporting period to accomplish the goals? Networking - Continue to explore further means of funding work of the rehabilitation specialists through entities that work with Nebraskans with disabilities. A 3-year service agreement has been secured with NE Vocational Rehabilitation Services to provide NE VR clients with rural rehabilitation assessment services and continues to grow with no issues or challenges. A similar agreement on a yearly basis has been secured with the NE Commission for the Blind. This will help support future AgrAbility efforts and could potentially double the available project staff to provide AgrAbility services in coming years. Assistance - maintain the use of the temporary AT program, including the use of our machinery access lift available to serve the needs of farmers with temporary disabilities and those waiting assessment results.

Impacts
What was accomplished under these goals? Total number of client contacts for the period where some degree of service was rendered.............32 Total Submissions to VR for funding:.........$312,365.00 Total Authorized..........................................$134,521.00 The fact that Nebraska VR is in "Order of Selecton" had an impact on our approval rate this year but the figure was higher than I expected for the period. A Southwest Nebraska rancher and ranch wife, who has a left leg amputation and mobility limitations, was assessed by Nebraska AgrAbility at the ranch and referred to Nebraska VR Services. Recommendations to VR included a utility vehicle for mobility and an overhead bulk feed bin to eliminate the task of scooping cubes and delivering them to the cow herd in 5-gallon buckets. Her husband restored a pickup mounted feed box to deliver the cubes. Nebraska VR authorized these Nebraska AgrAbility recommendations and the assistive technology was purchased and is currently in use. A 55-year-old South Central Nebraska cash grain farmer with extreme left side muscle weakness and mobility limitations as a result of a stroke was assessed at the farm by Nebraska AgrAbility and referred to Nebraska VR services. Nebraska AgrAbility recommended a remote controlled sliding door operation system for his machine shed as well as a bracket to allow one-handed operation of a Grasshopper mower for weed and grass mowing around the farmstead. A Nebraska AgrAbility on-call staff engineer designed and built the bracket and a local fabricator built a grab handle and a step for access to the lawn mower. The door opener was authorized and funded by VR Services and the lawn mower items were supplied to the farmer at no cost. A 70 year old farmer, in Southeast Nebraska overcame a cerebral vascular accident with help from Nebraska AgrAbility.His limitations included mobility around the farm and access to his machine shed. With the help of VR he was able to get an Overhead Doors installed in his Machine Shed and a side by side for mobility around the farm. Non-funding impacts: Our AgrAbility loaner trailer lift was located to a south central Nebraska farmer when her lift was damaged so she could continue field preparation work for planting. AgrAbility arranged the relocation of a flatbed person lift for machinery access, and a pickup, to a western Nebraska farmer from a northeast Nebraska farmer who had retired. AgrAbility loaned a power wheelchair to a south central Nebraska farmer upon his return home from the hospital. AgrAbility arranged for the relocation of a donated accessible van from a deceased AgrAbility client to a western Nebraska AgrAbility client. AgrAbility arranged for the location of a house entry ramp to a central Nebraska farmer when he came home from a rehabilitation center.

Publications

  • Type: Websites Status: Published Year Published: 2019 Citation: https://agrability.unl.edu


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

Outputs
Target Audience: The primary audience for the NE AgrAbilty project is farmers and ranchers with disabilities. Important secondary target audiences are individuals who help identify members of the primary audience, and individuals who provide assistance to members of the primary audience, including health care professionals, funding resources, vendors of assistive technology and equipment, and others. Consumers who promote safety and healthy lifestyles are a tertiary audience. Changes/Problems:Plans for assistive technology and modifications have been submitted to VR (NE Vocational Rehabilitation)in the amount of $0.00.VR is currently in an Order of Selection and has made priority areas to pull clients from. To overcome this problem, we have been identifying unused equipment to redistribute and exploring options to do development to raise funds for AT. What opportunities for training and professional development has the project provided?Priority-Education: Staff taught a session titled AgrAbility at the annual AgriMed Course held in Omaha, Nebraska and at the LEAD Workshop held in Grand Island, Nebraska reaching over 100 people. Easterseals and Extension staff members attending trainings about Mental Health First Aid. 7 Nebraska AgrAbility project staff attended the National Training Workshop in Lincoln, NE. Nearly 200 educational brochures about stretching to prevent musculoskeletal disorders and 200 about Stressing Less on the Farm/Ranch were distributed to farmers, ranchers, and their families. Lessons have been presented at 3 safety days and two after-school programs, reaching approximately 677 students. Priority - Networking: 15 peers and volunteers assisted with outreach and support this year, with 3-4 referrals coming directly from their efforts.Several new clients were contacted by trained Peer Supporters.15 peers staffed an informational/educational booth at Husker Harvest Days. The advisory committee continues to meet yearly for networking, resource-sharing and program direction. One OT Doctoral candidate from Creighton University did her last field rotation with AgrAbility Staff.She has since graduated and will be employed as Doctor of Occupational Therapy in a rural Nebraska community. Partnerships in the form of contract service agreements were continued with VR Services and Nebraska Commission for the Blind and Visually Impaired. The VR contract has been extended for 3 years. Agribusiness firms from across the state were contacted for quotes and supplied AT to AgrAbility clients. How have the results been disseminated to communities of interest?Priority-Marketing: The SRAP marketing brochure was completely revised and updated with a new look and up to date information. These are distributed at various locations across the state as we promote AgrAbility. Referrals have come directly from news articles in local papers and state sources,TV and other media sources, as well as information requests for programming.Brochures placed with networking partners have brought a number of referrals to the project. Nebraska AgrAbility Facebook, Twitter, and Instagram pages continue to grow and be successful.The facebook page has 676 followers reaching almost 1000 people a week.The Twitter page has 244 followers reaching almost 3000 impressions per month. The Instagram Page has 155 followers reaching almost 1000 likes per month. The Nebraska AgrAbility web site has been updated and expanded to include more valuable information for visitors. A format has been developed for use with OT professional rotations and week-long fieldwork, including a new program with Nebraska Methodist College.The Clinical Contract was reviewed and updated in 2018 so students could begin in 2019.One professional rotation student from Creighton University participated this year for 8 weeks.She worked alongside the Easterseals Rural Rehabilitation Specialists as they visited AgrAbility clients and wrote new information for Mental Health education in agriculture. Agribusinesses firms from across the state were contacted for quotes and supplied AT to AgrAbility clients. Promotional presentations have been given or booths promoting AgrAbility were available at the Women in Ag Conference, Ag-Ceptional Women's Conference, Nebraska Occupational Therapy Conference, Basset Ranch Expo, Husker Harvest Days, Gateway Farm Expo, Buffalo Bill Ranch Expo, Nebraska State Fair, Governor's Ag Conference, AgrAbility National Training Workshop, and State FFA Convention, reaching over 6,700 people, reaching over 6,000 people. What do you plan to do during the next reporting period to accomplish the goals?Networking - Continue to explore further means of funding work of the rehabilitation specialists through entities that work with Nebraskans with disabilities. A 3-year service agreement has been secured with NE Vocational Rehabilitation Services to provide NE VR clients with rural rehabilitation assessment services and continues to grow with no issues or challenges. A similar agreement on a yearly basis has been secured with the NE Commission for the Blind. This will help support future AgrAbility efforts and could potentially double the available project staff to provide AgrAbility services in coming years. Assistance - maintain the use of the temporary AT program, including the use of our machinery access lift available to serve the needs of farmers with temporary disabilities and those waiting assessment results.SPECIAL EMPHASIS IS BEING PLACED ON UNUSED OR RETIRED ASSISTIVE TECHNOLOGY TO PLACE IT WHERE IT CAN BE BEST UTILIZED.AGRABILITY STAFF ATTEND QUARTERLY MEETINGS WITH ATP, "ASSISTIVE TECHNOLOGY PARTNERSHIP", TO CREATE AWARENESS OF UNUSED ASSISTIVE TECHNOLOGY ITEMS AND PLACE THOSE ITEMS WHERE THEY ARE NEEDED.

Impacts
What was accomplished under these goals? 54 clients have been served June 1, 2018 through May, 2019.Of those 54 clients 25 were new clients and 24 were continuing cases or re-opened cases.AgrAbility is currently serving two visually impaired clients referred to AgrAbility from Nebraska Commision for the Blind and Visually Impaired.Although each client reports some type of impact, the following show specific ways AgrAbility services increased client productivity or independence. A 68-year old farmer rancher from Buffalo county who lost his lower left leg in an ATV accident in August of 2017 was served by AgrAbility.His farm assessment showed that his primary work limitations were outdoor mobility, cattle gate access to his pastures, and the need for a method of controlling noxious weeds in his pastures.An assessment and recommendations report was submitted to Nebraska VR in the amount of $12,060 for this assistive technology.A utility vehicle, some tube steel gates, cable winch gate closers, and a 12-volt utility vehicle tank sprayer were funded by Nebraska VR. A male farmer from Northeast Central Nebraska who is affected by degenerative joint disease was served during this period.His limitations include mobility, working cattle and putting in posts.As a result of his on-farm assessment he was able to find funds within his community to help buy a new cattle working chute that requires less physical effort to operate allowing him to continue working effectively.He is applying for loans to be able to get his other equipment. Plans for assistive technology and modifications have been submitted to VR (NE Vocational Rehabilitation)in the amount of $0.00.VR is currently in an Order of Selection and has made priority areas to pull clients from.5 farmer/veterans have been served this year. Temporary Equipment previously purchased through grants has been fully utilized this year, with both the lift and ramping currently in use by clients waiting approval of plans.Three electric wheelchairs were donated to AgrAbility by the family of a deceased client and relocated. McGill Quality of Life Evaluation continued with data submitted from 8 new pre-service surveys and 2 matched post-surveys submitted.

Publications

  • Type: Websites Status: Published Year Published: 2018 Citation: https://agrability.unl.edu


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

Outputs
Target Audience: The primary audience for the NE AgrAbilty project is farmers and ranchers with disabilities. Important secondary target audiences are individuals who help identify members of the primary audience, and individuals who provide assistance to members of the primary audience, including health care professionals, funding resources, vendors of assistive technology and equipment, and others. Consumers who promote safety and healthy lifestyles are a tertiary audience. Changes/Problems: VR is currently in an Order of Selection and has made priority areas to pull clients from. To overcome this problem, we have been identifying unused equipment to redistribute and exploring options to do development to raise funds for AT. An AT fund has been created within Easterseals Nebraska. Client visits have also been delayed due to the COVID Pandemic, but procedures have been put in place to conduct visits virtually or on site if needed. What opportunities for training and professional development has the project provided?Staff will teach virtually at AgriMed Course in July 2020. Staff gave a presentation on Stress to the Nebraska Cattleman's Group. Fourteen workshops statewide "Communicating with Farmers Under Stress" for ag professionals Stress session for Ag-Ceptional Women's Conference and Women in Ag Conference Sleep Deprivation session for Women in Ag conference Program for communicating with producers having stress - for employees in 7 USDA FSA regions Progressive Ag Safety Day disability lessons for kids in Franklin. How have the results been disseminated to communities of interest? Priority-Marketing: The SRAP marketing brochure was completely revised and updated with a new look and up to date information. These are distributed at various locations across the state as we promote AgrAbility. Referrals have come directly from news articles in local papers and state sources,TV and other media sources, as well as information requests for programming.Brochures placed with networking partners have brought a number of referrals to the project. Disseminated stress management fliers - 300, and the wallet resource cards for stress - 300. Nebraska AgrAbility Facebook, Twitter, and Instagram pages continue to grow and be successful. The facebook page has 676 followers reaching almost 1000 people a week. The Twitter page has 244 followers reaching almost 3000 impressions per month. The Instagram Page has 155 followers reaching almost 1000 likes per month. The Nebraska AgrAbility web site has been updated and expanded to include more valuable information for visitors. A format has been developed for use with OT professional rotations and week-long fieldwork, including a new program with Nebraska Methodist College. The Clinical Contract was reviewed and updated in 2018 so students could begin in 2019. One professional rotation student from Creighton University participated this year for 8 weeks. She worked alongside the Easterseals Rural Rehabilitation Specialists as they visited AgrAbility clients and wrote new information for Mental Health education in agriculture. Agribusinesses firms from across the state were contacted for quotes and supplied AT to AgrAbility clients. Promotional presentations have been given or booths promoting AgrAbility were available at the Husker Harvest Days, NRCS for Disability Awareness Month, Nebraska Community Foundation, FFA Career Pathways Conference, York Ag Expo, Advisory Board Meeting, Beginning Farmer/Rancher Group, ATP ReUse Group, Nebraska Occupational Therapy Association, Triumph of Ag, and State FFA Convention, reaching over 6,700 people, reaching over 6,000 people. What do you plan to do during the next reporting period to accomplish the goals? Networking - Continue to explore further means of funding work of the rehabilitation specialists through entities that work with Nebraskans with disabilities. A 3-year service agreement has been secured with NE Vocational Rehabilitation Services to provide NE VR clients with rural rehabilitation assessment services and continues to grow with no issues or challenges. A similar agreement on a yearly basis has been secured with the NE Commission for the Blind. This will help support future AgrAbility efforts and could potentially double the available project staff to provide AgrAbility services in coming years. Assistance - maintain the use of the temporary AT program, including the use of our machinery access lift available to serve the needs of farmers with temporary disabilities and those waiting assessment results.

Impacts
What was accomplished under these goals? Total number of client contacts for the period where some degree of service was rendered.............32 Total Submissions to VR for funding:.........$312,365.00 Total Authorized..........................................$134,521.00 The fact that Nebraska VR is in "Order of Selecton" had an impact on our approval rate this year but the figure was higher than I expected for the period. A Southwest Nebraska rancher and ranch wife, who has a left leg amputation and mobility limitations, was assessed by Nebraska AgrAbility at the ranch and referred to Nebraska VR Services. Recommendations to VR included a utility vehicle for mobility and an overhead bulk feed bin to eliminate the task of scooping cubes and delivering them to the cow herd in 5-gallon buckets. Her husband restored a pickup mounted feed box to deliver the cubes. Nebraska VR authorized these Nebraska AgrAbility recommendations and the assistive technology was purchased and is currently in use. A 55-year-old South Central Nebraska cash grain farmer with extreme left side muscle weakness and mobility limitations as a result of a stroke was assessed at the farm by Nebraska AgrAbility and referred to Nebraska VR services. Nebraska AgrAbility recommended a remote controlled sliding door operation system for his machine shed as well as a bracket to allow one-handed operation of a Grasshopper mower for weed and grass mowing around the farmstead. A Nebraska AgrAbility on-call staff engineer designed and built the bracket and a local fabricator built a grab handle and a step for access to the lawn mower. The door opener was authorized and funded by VR Services and the lawn mower items were supplied to the farmer at no cost. A 70 year old farmer, in Southeast Nebraska overcame a cerebral vascular accident with help from Nebraska AgrAbility.His limitations included mobility around the farm and access to his machine shed. With the help of VR he was able to get an Overhead Doors installed in his Machine Shed and a side by side for mobility around the farm. Non-funding impacts: Our AgrAbility loaner trailer lift was located to a south central Nebraska farmer when her lift was damaged so she could continue field preparation work for planting. AgrAbility arranged the relocation of a flatbed person lift for machinery access, and a pickup, to a western Nebraska farmer from a northeast Nebraska farmer who had retired. AgrAbility loaned a power wheelchair to a south central Nebraska farmer upon his return home from the hospital. AgrAbility arranged for the relocation of a donated accessible van from a deceased AgrAbility client to a western Nebraska AgrAbility client. AgrAbility arranged for the location of a house entry ramp to a central Nebraska farmer when he came home from a rehabilitation center.

Publications

  • Type: Websites Status: Published Year Published: 2019 Citation: https://agrability.unl.edu