scholarly journals The Impact of Group Drumming on Social-Emotional Behavior in Low-Income Children

2011 ◽  
Vol 2011 ◽  
pp. 1-14 ◽  
Author(s):  
Ping Ho ◽  
Jennie C. I. Tsao ◽  
Lian Bloch ◽  
Lonnie K. Zeltzer
Keyword(s):  
Youth Development ◽  
Low Income ◽  
School Counselor ◽  
Broad Band ◽  
Attention Problems ◽  
Emotional Behavior ◽  
Control Group ◽  
Social Emotional ◽  
Oppositional Defiant ◽  
The Impact

Low-income youth experience social-emotional problems linked to chronic stress that are exacerbated by lack of access to care. Drumming is a non-verbal, universal activity that builds upon a collectivistic aspect of diverse cultures and does not bear the stigma of therapy. A pretest-post-test non-equivalent control group design was used to assess the effects of 12 weeks of school counselor-led drumming on social-emotional behavior in two fifth-grade intervention classrooms versus two standard education control classrooms. The weekly intervention integrated rhythmic and group counseling activities to build skills, such as emotion management, focus and listening. The Teacher’s Report Form was used to assess each of 101 participants (n= 54 experimental,n= 47 control, 90% Latino, 53.5% female, mean age 10.5 years, range 10–12 years). There was 100% retention. ANOVA testing showed that intervention classrooms improved significantly compared to the control group in broad-band scales (total problems (P< .01), internalizing problems (P< .02)), narrow-band syndrome scales (withdrawn/depression (P< .02), attention problems (P< .01), inattention subscale (P< .001)), Diagnostic and Statistical Manual of Mental Disorders-oriented scales (anxiety problems (P< .01), attention deficit/hyperactivity problems (P< .01), inattention subscale (P< .001), oppositional defiant problems (P< .03)), and other scales (post-traumatic stress problems (P< .01), sluggish cognitive tempo (P< .001)). Participation in group drumming led to significant improvements in multiple domains of social-emotional behavior. This sustainable intervention can foster positive youth development and increase student-counselor interaction. These findings underscore the potential value of the arts as a therapeutic tool.

Impact of Medicaid expansion on pancreatic cancer care: A difference-in-difference analysis.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18567-e18567
Author(s):  
Ahmad Hamad ◽  
Mariam Eskander ◽  
Yaming Li ◽  
Oindrila Bhattacharyya ◽  
James L Fisher ◽  
...  
Keyword(s):  
Low Income ◽  
Early Stage ◽  
Ductal Adenocarcinoma ◽  
Control Group ◽  
Medicaid Expansion ◽  
Difference In Difference ◽  
Post Surgery ◽  
Number Of Patients ◽  
The Impact ◽  
Expansion Period

e18567 Background: The Affordable Care Act (ACA) increased insurance coverage for low-income individuals, which should potentially lead to better access to care and improved oncological outcomes. This study seeks to evaluate the impact of Medicaid expansion (ME) on care for pancreatic ductal adenocarcinoma (PDAC). Methods: Patients who were uninsured or on Medicaid and diagnosed with PDAC between 2004 and 2017 were queried from the National Cancer Database (NCDB). Two different expansion cohorts were included: early expansion states and 2014 expansion states. For early expansion states, the time period of pre-expansion was 2004-2009 and post-expansion was 2010-2017. As for the 2014 expansion states, the pre-expansion period was from 2004-2013 and post-expansion period was from 2014-2017. Patients in non-expansion states formed the control group. A difference-in-difference (DID) analysis was used to assess the association of ME with stage of diagnosis, treatment and survival for each expansion cohort. Results: In both early and January 2014 expansion states, there was an increase in overall Medicaid coverage (Early: DID = 0.29, 2014: DID = 0.37; P < 0.001), in particular for non-Hispanic Black and Hispanic Black patients (Non-Hispanic Black: Early: DID = 0.11, 2014: DID = 0.11; P < 0.001, Hispanic-Black: 2014: DID = 0.20; P = 0.003). There were no differences in early stage diagnosis (Early: DID = 0.02, 2014: DID = -0.02; P > 0.05). There was an increase in the number of patients receiving surgery (Early: DID = 0.05; P = 0.001, 2014: DID = 0.03; P = 0.029) but no difference in time to surgery among patients receiving surgery upfront (Early: DID = 1.75, 2014: DID = 0.38; P > 0.05). There was no difference in 30-day readmission post-surgery (Early: DID = 0.003; 2014: DID = -0.00007; P > 0.05) or 90-day mortality (Early: DID = -0.007, 2014: DID = -0.035; P > 0.05). Moreover, there was no difference in receipt of chemotherapy (Early: DID = 0.01, 2014: DID = 0.005; P > 0.05) or time to chemotherapy for patients receiving neoadjuvant chemotherapy (Early: Early: DID = 9.62, 2014: DID = 0.01; P > 0.05). Finally, there was no difference in receipt of palliative care among stage IV patients in both cohorts (Early: DID = -0.004, 2014: DID = 0.004; P > 0.05). Conclusions: This study suggests that after ME, PDAC patients were more likely to be insured and had increased access to surgical care. Future, studies should evaluate the implications of improved surgical access on clinical outcomes such as mortality.

scholarly journals Health Outcomes of an Integrated Behaviour-Centred Water, Sanitation, Hygiene and Food Safety Intervention–A Randomised before and after Trial

2020 ◽  
Vol 17 (8) ◽  
pp. 2648 ◽  
Author(s):  
Tracy Morse ◽  
Elizabeth Tilley ◽  
Kondwani Chidziwisano ◽  
Rossanie Malolo ◽  
Janelisa Musaya
Keyword(s):  
Low Income ◽  
Diarrhoeal Disease ◽  
Control Group ◽  
Food Hygiene ◽  
Children Under Five ◽  
Under Five ◽  
Cluster Group ◽  
Point Reduction ◽  
Before And After ◽  
The Impact

Diarrhoeal disease in children under five in low income settings has been associated with multiple environmental exposure pathways, including complementary foods. Conducted from February to December 2018 in rural Malawi, this before and after trial with a control used diarrhoeal disease as a primary outcome, to measure the impact of a food hygiene intervention (food hygiene + handwashing) relative to a food hygiene and water, sanitation and hygiene (WASH) intervention (food hygiene + handwashing + faeces management + water management). The 31-week intervention was delivered by community-based coordinators through community events (n = 2), cluster group meetings (n = 17) and household visits (n = 14). Diarrhoeal disease was self-reported and measured through an end line survey, and daily diaries completed by caregivers. Difference-in-differences results show a 13-percentage point reduction in self-reported diarrhoea compared to the control group. There were also significant increases in the presence of proxy measures in each of the treatment groups (e.g., the presence of soap). We conclude that food hygiene interventions (including hand washing with soap) can significantly reduce diarrhoeal disease prevalence in children under five years in a low-income setting. Therefore, the promotion of food hygiene practices using a behaviour-centred approach should be embedded in nutrition and WASH policies and programming.

Effects of a modular teacher coaching program on child attention problems and disruptive behavior and on teachers’ self-efficacy and stress

2020 ◽  
Vol 41 (6) ◽  
pp. 543-568
Author(s):  
Charlotte Hanisch ◽  
Ilka Eichelberger ◽  
Stefanie Richard ◽  
Manfred Doepfner
Keyword(s):  
Behavior Problems ◽  
Problem Behavior ◽  
Disruptive Behavior ◽  
Externalizing Behavior ◽  
Attention Problems ◽  
Medium Effect ◽  
Control Group ◽  
Severe Problem ◽  
Functional Behavior ◽  
Oppositional Defiant

Symptoms of attention-deficit/hyperactivity and oppositional defiant disorder are associated with a multitude of psychosocial developmental risks, e.g. academic underachievement. Various cognitive behavioral interventions have proven to be effective in reducing problem behavior in school settings. Drawing on this previous work and on our parent-focused preventive and therapeutic programs, we developed the school-based coaching for elementary school teachers of children with attention deficits or disruptive behavior problems (SCEP). Based on functional behavior assessment, SCEP addresses teachers of children with severe externalizing behavior problems in an individualized modular manner. It consists of a one-day training course and fortnightly one-to-one or team-coaching sessions. We analyzed the effects of SCEP in a within-subject control group design ( N = 60), with student attention problems and rule-breaking behavior during class as the primary outcome measure. SCEP was found to reduce problem behavior during lessons, with small to medium effect sizes ( d = 0.42–0.6). After the intervention, teachers reported changes in their use of praise and felt more confident managing the class ( d = 0.58). The results of SCEP are discussed in light of multi-tiered preventive approaches that suggest extensive individualized interventions based on functional behavior analysis for children with severe problem behavior.

Participant Perceptions of Character Concepts in a Physical Activity–Based Positive Youth Development Program

2016 ◽  
Vol 38 (5) ◽  
pp. 481-492 ◽  
Author(s):  
Shaina Riciputi ◽  
Meghan H. McDonough ◽  
Sarah Ullrich-French
Keyword(s):  
Physical Activity ◽  
Youth Development ◽  
Positive Youth Development ◽  
Low Income ◽  
Character Development ◽  
Development Program ◽  
Structured Interviews ◽  
Low Income Families ◽  
The Impact

Physical activity–based positive youth development (PYD) programs often aim to foster character development. This study examined youth perspectives of character development curricula and the impact these activities have on their lives within and beyond the program. This case study examined youth from low-income families in a physical activity–based summer PYD program that integrated one character concept (respect, caring, responsibility, trust) in each of 4 weeks. Participants (N = 24) included a cross section of age, gender, ethnicity, and past program experience. Semi-structured interviews were analyzed using inductive thematic analysis and constant comparative methods. Thirteen themes were grouped in four categories: building highquality reciprocal relationships; intrapersonal improvement; moral reasoning and understanding; and rejection, resistance, and compliance. The findings provide participant-centered guidance for understanding youth personal and social development through physical activity in ways that are meaningful to participants, which is particularly needed for youth in low-income communities with limited youth programming.

scholarly journals The Impact of the Revised WIC Food Package on Maternal Nutrition During Pregnancy and Postpartum

2019 ◽  
Vol 188 (8) ◽  
pp. 1493-1502 ◽  
Author(s):  
Rita Hamad ◽  
Akansha Batra ◽  
Deborah Karasek ◽  
Kaja Z LeWinn ◽  
Nicole R Bush ◽  
...  
Keyword(s):  
Low Income ◽  
Maternal Nutrition ◽  
Temporal Trends ◽  
Dietary Quality ◽  
Sensitivity Analyses ◽  
Control Group ◽  
Food Package ◽  
Pregnancy And Postpartum ◽  
Before And After ◽  
The Impact

Abstract The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides nutritional support for pregnant and postpartum women and young children. The typical food package provided to recipient families was revised in October 2009 to include more whole grains, fruits, vegetables, and low-fat milk. Little is known about whether these revisions improved nutrition among women during this critical period of the life course. We conducted a quasiexperimental difference-in-differences analysis, comparing WIC recipients (“treatment” group) before and after the WIC policy change, while accounting for temporal trends among nonrecipients (“control” group). We examined nutritional outcomes among a cohort of 1,454 women recruited during pregnancy in 2006–2011 in Memphis and surrounding Shelby County, Tennessee. We found improvements in several measures of dietary quality and nutrient intake during pregnancy, although these did not persist into the postpartum period. Results were robust to numerous sensitivity analyses. At a time when federal WIC funding is threatened, this study provides some of the first evidence of the benefits of recent WIC revisions among low-income women.

The impact of 3-year and 4-year undergraduate programs on university students: the case of Hong Kong

2017 ◽  
Vol 29 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Daniel T.L. Shek ◽  
Lu Yu
Keyword(s):  
Hong Kong ◽  
General Education ◽  
Youth Development ◽  
Positive Impact ◽  
Undergraduate Curriculum ◽  
Degree Program ◽  
Control Group ◽  
School Year ◽  
The Impact ◽  
Better Than

Abstract The undergraduate curriculum structure in Hong Kong was changed from 3 years to 4 years starting from the 2012–2013 school year, with the extra year of study primarily devoted to general education study. At The Hong Kong Polytechnic University (PolyU), the General University Requirements (GUR) has been designed in response to this change. In this study, the question of whether the development of students in the 4-year program was better than that of the 3-year program was examined via a static group comparison design. The treatment group was Year 3 students of the 4-year undergraduate degree program (n=566) whereas the control group comprised Year 3 students of the 3-year degree program (n=290). Measures on empathy, positive youth development, and student engagement were used as indicators of student holistic development. While the mean age of students in the 3-year program was higher than that of the 4-year program, students in the 4-year program performed better than the students of the 3-year program on several indicators of desired graduate attributes. Bearing in mind the limitations of the static comparison group design, the present study provides support for the positive impact of GUR at PolyU on students of the 4-year undergraduate curriculum.

Obesity Prevention Program in Childcare Centers: Two-Year Follow-Up

2016 ◽  
Vol 31 (6) ◽  
pp. 502-510 ◽  
Author(s):  
Ruby A. Natale ◽  
Sarah E. Messiah ◽  
Lila S. Asfour ◽  
Susan B. Uhlhorn ◽  
Nicole E. Englebert ◽  
...  
Keyword(s):  
Obesity Prevention ◽  
Low Income ◽  
Negative Slope ◽  
Control Group ◽  
Healthy Children ◽  
Unhealthy Food ◽  
Healthy Weight ◽  
Obese Children ◽  
Childcare Centers ◽  
The Impact

Purpose: To assess the impact of an early childhood obesity prevention intervention “Healthy Caregivers–Healthy Children” (HC2) on dietary patterns and body mass index percentile (PBMI) over 2 school years. Design: Randomized controlled trial. Setting: Childcare centers. Participants: Low-income families. Intervention: Intervention centers (N = 12) received HC2 which consisted of (1) menu modifications, (2) a healthy eating and physical activity curriculum for children, and (3) a parent curriculum for healthy meal preparation, reinforced through a role-modeling curriculum. Control centers (N = 16) received an injury prevention/safety intervention. Measures: Child PBMI and parent report of child’s consumption of fruits/vegetables and unhealthy food. Analysis: Confirmatory factor analysis verified the psychometric properties of factor scores for children’s consumption of fruits/vegetables and unhealthy food. Growth curve analysis assessed the impact of HC2 on change in consumption of fruits/vegetables and unhealthy food and PBMI over 2 school years. Results: Children in the intervention group (n = 754) had a negative slope (β = −1.95, standard error [SE] = 0.97, P = .04), indicating less increase in PBMI versus control children (n = 457). Stratified analyses showed that obese children in the intervention arm had a significantly higher increase in fruit/vegetable consumption versus control group obese children (β = 0.24, SE = 0.08, P = .003). Conclusion: The HC2 intervention resulted in the maintenance of healthy PBMI over 2 preschool years among low-income multiethnic children. These findings support efforts to implement healthy weight programs in the childcare setting.

To Understand Is to Forgive: Learning a Simple Model of Appraisal Leads to Emotion Knowledge Transfer and Enhances Emotional Acceptance and Empathy

2019 ◽  
Vol 57 (2) ◽  
pp. 906-940 ◽  
Author(s):  
Ilya Lyashevsky ◽  
Melissa Cesarano ◽  
John Black
Keyword(s):  
Simple Model ◽  
Knowledge Transfer ◽  
High School Graduates ◽  
Emotional Reactions ◽  
Control Group ◽  
Emotion Knowledge ◽  
Social Emotional ◽  
Emotional Acceptance ◽  
System A ◽  
The Impact

Social emotional learning (SEL) is an increasingly important area of study that aims to develop skills critical for healthy social functioning. Despite SEL’s growing ubiquity, little attention has been paid to how to achieve SEL knowledge transfer. One promising approach is to teach a model of the emotion system. A randomized control study was conducted with a sample of U.S. high school graduates (n = 303) to test this SEL methodology. The impact of a 1-hour online intervention involving learning a simple model of appraisal was tested. As predicted, the experimental groups rated their own and others’ emotional reactions as significantly less blameworthy than the control group did, signaling emotion knowledge transfer and greater empathy and emotion acceptance. These results are discussed.

scholarly journals Outcomes of a Weight Loss Intervention to Prevent Diabetes Among Low-Income Residents of East Harlem, New York

2019 ◽  
Vol 46 (6) ◽  
pp. 1073-1082 ◽  
Author(s):  
Victoria L. Mayer ◽  
Nita Vangeepuram ◽  
Kezhen Fei ◽  
Emily A. Hanlen-Rosado ◽  
Guedy Arniella ◽  
...  
Keyword(s):  
New York ◽  
Weight Loss ◽  
Low Income ◽  
Diabetes Prevention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Oral Glucose ◽  
East Harlem ◽  
The Impact

There is a need for diabetes prevention efforts targeting vulnerable populations. Our community–academic partnership, the East Harlem Partnership for Diabetes Prevention, conducted a randomized controlled trial to study the impact of peer led diabetes prevention workshops on weight and diabetes risk among an economically and racially diverse population in East Harlem, New York. We recruited overweight/obese adults from more than 50 community sites and conducted oral glucose tolerance testing and completed other clinical assessments and a health and lifestyle survey. We randomized prediabetic participants to intervention or delayed intervention groups. Intervention participants attended eight 90-minute peer-led workshop sessions at community sites. Participants in both groups returned for follow-up assessments 6 months after randomization. The main outcomes were the proportion of participants who achieved 5% weight loss, percentage weight loss, and change in the probability of developing diabetes over the next 7.5 years according to the San Antonio Diabetes Prediction Model. We enrolled 402 participants who were mainly female (85%), Latino (73%) or Black (23%), foreign born (64%), and non-English speaking (58%). At 6 months, the intervention group lost a greater percentage of their baseline weight, had significantly lower rise in HbA1c (glycated hemoglobin), decreased risk of diabetes, larger decreases in fat and fiber intake, improved confidence in nutrition label reading, and decrease in sedentary behavior as compared with the control group. Thus, in partnership with community stakeholders, we created an effective low-resource program that was less intensive than previously studied programs by incorporating strategies to engage and affect our priority population.

A Controlled Trial of a Quit and Win Contest

2005 ◽  
Vol 20 (2) ◽  
pp. 117-126 ◽  
Author(s):  
Ellen J. Hahn ◽  
Mary Kay Rayens ◽  
Todd A. Warnick ◽  
Costel Chirila ◽  
Robert T. Rasnake ◽  
...  
Keyword(s):  
Treatment Group ◽  
Tobacco Use ◽  
Low Income ◽  
Controlled Trial ◽  
Community Support ◽  
Self Report ◽  
Control Group ◽  
Media Campaign ◽  
Urine Cotinine ◽  
The Impact

Purpose. To evaluate the impact of a state-of-the-art Quit and Win contest on tobacco quit rates at 3, 6, and 12 months after the 30-day quit period. Design. Quasi-experimental with a volunteer sample of 494 Quit and Win contest registrants (treatment group) and 512 randomly selected tobacco users not exposed to the promotional media campaign (control group). Intervention included a 30-day quit period to be eligible for large cash prizes; provider advice via weekly mailings; online and telephone quit assistance; media campaign; and community support. Setting. Community-based intervention in Kentucky. Subjects. A total of 1006 adult tobacco users. Measures. Quit rates were measured using 7-day point prevalence for tobacco use. Urine cotinine measurements confirmed self-reported quitting. Results. Treatment group participants were significantly more likely than controls to experience quitting during the 1-year follow-up, as determined by both self-report and urine confirmation. After adjusting for baseline differences in demographics, tobacco use, and stage of change, those in the treatment group had 2.6 times the odds of reporting quitting in the postintervention period and 5.3 times the odds of experiencing quitting confirmed by urine cotinine, relative to controls. Women, minorities, and low-income tobacco users had equal odds of quitting as men, whites, and those with higher incomes. Conclusions. That the contest was minimally intensive and yielded a relatively high quit rate demonstrates the potential effectiveness of the intervention.

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