Learnings from Large-Scale, Population-Level Implementation of Parenting Support

2017 ◽  
pp. 419-421
Author(s):  
Trevor G. Mazzucchelli
Keyword(s):  
Large Scale ◽  
Best Practice ◽  
Systems Approach ◽  
Positive Impact ◽  
Population Level ◽  
The United States ◽  
Parenting Support ◽  
Scale Population ◽  
The Many ◽  
Learning Principles

There is considerable evidence supporting the efficacy and effectiveness of parenting interventions based on social learning principles for a range of social, emotional, and health problems, involving different types of families and through a variety of delivery systems. The challenge now is “going to scale” in order to have a positive impact at a population level. This chapter introduces three best practice exemplars that have taken place in the United States, Ireland, and Australia, where a full multilevel systems approach to parenting support has been applied and evaluated. These applications provide important lessons regarding the barriers and facilitators that can influence an initiative’s success and degree of impact. By illustrating how these approaches have involved different populations, behavioral targets, evaluation designs, and means of assessing outcome, they also hint at the many possibilities that are available in future dissemination efforts.

Making Large-Scale Population-Level Implementation Work

2017 ◽  
pp. 357-358
Author(s):  
Matthew R. Sanders
Keyword(s):  
Clinical Supervision ◽  
Large Scale ◽  
Population Level ◽  
Population Based ◽  
P System ◽  
Triple P ◽  
Implementation Framework ◽  
Parenting Support ◽  
Measurement Tools ◽  
Scale Population

The successful large-scale implementation of the Triple P system of evidence-based parenting support requires a comprehensive implementation framework based on principles of implementation science to ensure programs can be scaled and deployed with fidelity. This section provides an overview of a range of factors that might influence the scalability of an intervention. Chapters outlining the Triple P Implementation Framework and system for training and accrediting professionals are discussed. However, any population-based approach needs a strong communications campaign to ensure that parents are aware of the programs, have a pathway to access the program, and are motivated to do so. Having reliable and valid measurement tools to assess outcomes at a population level is particularly important to ensure that policy-driven investments in parenting are achieved. Finally, an innovative model of clinical supervision using peer mentoring is discussed as a way of promoting competent program use.

Accidental Sustainability

2017 ◽  
Author(s):  
Geoffrey Jones
Keyword(s):  
Large Scale ◽  
Negative Impact ◽  
Positive Impact ◽  
Organic Food ◽  
The United States ◽  
Air Travel ◽  
Business Leaders ◽  
Natural Beauty ◽  
And Diffusion ◽  
Whole Foods

This chapter examines the scaling and diffusion of green entrepreneurship between 1980 and the present. It explores how entrepreneurs and business leaders promoted the idea that business and sustainability were compatible. It then examines the rapid growth of organic foods, natural beauty, ecological architecture, and eco-tourism. Green firms sometimes grew to a large scale, such as the retailer Whole Foods Market in the United States. The chapter explores how greater mainstreaming of these businesses resulted in a new set of challenges arising from scaling. Organic food was now transported across large distances causing a negative impact on carbon emissions. More eco-tourism resulted in more air travel and bigger airports. In other industries scaling had a more positive impact. Towns were major polluters, so more ecological buildings had a positive impact.

scholarly journals Implementation of a Rapid Entry Program Decreases Time to Viral Suppression Among Vulnerable Persons Living With HIV in the Southern United States

2018 ◽  
Vol 5 (6) ◽  
Author(s):  
Jonathan Colasanti ◽  
Jeri Sumitani ◽  
C Christina Mehta ◽  
Yiran Zhang ◽  
Minh Ly Nguyen ◽  
...  
Keyword(s):  
United States ◽  
Viral Suppression ◽  
Hiv Transmission ◽  
Positive Impact ◽  
Population Level ◽  
The United States ◽  
Clinic Visit ◽  
Art Initiation ◽  
Persons Living With Hiv ◽  
Sex With Men

Abstract Background Rapid entry programs (REPs) improve time to antiretroviral therapy (ART) initiation (TAI) and time to viral suppression (TVS). We assessed the feasibility and effectiveness of a REP in a large HIV clinic in Atlanta, Georgia, serving a predominately un- or underinsured population. Methods The Rapid Entry and ART in Clinic for HIV (REACH) program was implemented on May 16, 2016. We performed a retrospective cohort study with the main independent variable being period of enrollment: January 1, 2016, through May 15, 2016 (pre-REACH); May 16, 2016, through July 31, 2016 (post-REACH). Included individuals were HIV-infected and new to the clinic with detectable HIV-1 RNA. Six-month follow-up data were collected for each participant. Survival analyses were conducted for TVS. Logistic and linear regression analyses were used to evaluate secondary outcomes: attendance at first clinic visit, viral suppression, TAI, and time to first attended provider visit. Results There were 117 pre-REACH and 90 post-REACH individuals. Median age (interquartile range [IQR]) was 35 (25–45) years, 80% were male, 91% black, 60% men who have sex with men, 57% uninsured, and 44% active substance users. TVS decreased from 77 (62–96) to 57 (41–70) days (P < .0022). Time to first attended provider visit decreased from 17 to 5 days, and TAI from 21 to 7 days (P < .0001), each remaining significant in adjusted models. Conclusions This is the largest rapid entry cohort described in the United States and suggests that rapid entry is feasible and could have a positive impact on HIV transmission at the population level.

scholarly journals Exploring the Association Between Electronic Wearable Device Use and Levels of Physical Activity Among Individuals With Depression and Anxiety: A Population Level Study

2021 ◽  
Vol 3 ◽  
Author(s):  
Henry Onyeaka ◽  
Joe Firth ◽  
Valentine Enemuo ◽  
Chioma Muoghalu ◽  
John Naslund ◽  
...  
Keyword(s):  
Physical Activity ◽  
United States ◽  
Large Scale ◽  
Population Level ◽  
The United States ◽  
Individual Characteristics ◽  
Activity Levels ◽  
Depression And Anxiety ◽  
Related Factors ◽  
Cross Sectional

Aim: The present study aimed to investigate the cross-sectional association between self-reported use of electronic wearable devices (EWDs) and the levels of physical activity among a representative sample of adults with depression and anxiety in the United States.Methods: For this cross-sectional study, data were pooled from the Health Information National Trends Survey 2019. A sample of 1,139 adults with self-reported depression and anxiety (60.9% women; mean age of 52.5 years) was analyzed. The levels of physical activity and prevalence of EWD utilization were self-reported. The chi-square tests were used to compare individual characteristics through the use of EWDs. Multivariable logistic regression was employed to investigate the association between EWDs and physical activity levels while adjusting for sociodemographic and health-related factors.Results: From the 1,139 adults with self-reported depression and anxiety, 261 (weighted percentage 28.1%) endorsed using EWD in the last year. After adjusting for covariates, the use of EWDs was only significantly associated with a higher odds of reporting intention to lose weight (OR 2.12; 95% CI 1.04, 4.35; p = 0.04). We found no association between the use of EWDs and meeting the national weekly recommendation for physical activity or resistance/strength exercise training.Conclusion: About three in 10 adults suffering from depression and anxiety in the United States reported using EWDs in the last year. The current study findings indicate that among people living with mental illness, EWD use is associated with higher odds of weight loss intent suggesting that EWDs may serve as an opening for the clinical interactions around physical health through identifying patients primed for behavior change. Further large-scale studies using randomized trial designs are needed to examine the causal relationships between EWDs and the physical activity of people with mental health conditions.

scholarly journals Reliability of the NIH toolbox cognitive battery in children and adolescents: a 3-year longitudinal examination

2020 ◽  
pp. 1-10
Author(s):  
Brittany K. Taylor ◽  
Michaela R. Frenzel ◽  
Jacob A. Eastman ◽  
Alex I. Wiesman ◽  
Yu-Ping Wang ◽  
...  
Keyword(s):  
Large Scale ◽  
Intraclass Correlation ◽  
Temporal Stability ◽  
Correlation Coefficients ◽  
Population Level ◽  
Clinical Applications ◽  
Intraclass Correlation Coefficients ◽  
Scale Population ◽  
Longitudinal Examination

Abstract Background The Cognitive Battery of the National Institutes of Health Toolbox (NIH-TB) is a collection of assessments that have been adapted and normed for administration across the lifespan and is increasingly used in large-scale population-level research. However, despite increasing adoption in longitudinal investigations of neurocognitive development, and growing recommendations that the Toolbox be used in clinical applications, little is known about the long-term temporal stability of the NIH-TB, particularly in youth. Methods The present study examined the long-term temporal reliability of the NIH-TB in a large cohort of youth (9–15 years-old) recruited across two data collection sites. Participants were invited to complete testing annually for 3 years. Results Reliability was generally low-to-moderate, with intraclass correlation coefficients ranging between 0.31 and 0.76 for the full sample. There were multiple significant differences between sites, with one site generally exhibiting stronger temporal stability than the other. Conclusions Reliability of the NIH-TB Cognitive Battery was lower than expected given early work examining shorter test-retest intervals. Moreover, there were very few instances of tests meeting stability requirements for use in research; none of the tests exhibited adequate reliability for use in clinical applications. Reliability is paramount to establishing the validity of the tool, thus the constructs assessed by the NIH-TB may vary over time in youth. We recommend further refinement of the NIH-TB Cognitive Battery and its norming procedures for children before further adoption as a neuropsychological assessment. We also urge researchers who have already employed the NIH-TB in their studies to interpret their results with caution.

Measuring Child, Parent, and Family Outcomes at Individual and Population Levels

2017 ◽  
pp. 395-404
Author(s):  
Alina Morawska ◽  
Matthew R. Sanders
Keyword(s):  
Best Practice ◽  
Population Level ◽  
Parenting Intervention ◽  
Triple P ◽  
Evidence Based ◽  
Individual Child ◽  
Parenting Support ◽  
Family Outcomes ◽  
The Common ◽  
Over Time

The hallmark of evidence-based approaches to parenting support is the systematic, comprehensive, and continuing measurement of outcomes, over time, across individuals and groups. The chapter beings by describing the typical targets of parenting intervention (e.g., child behavior and adjustment; parenting behavior and self-efficacy) as well as less frequently assessed, more distal, intervention targets (e.g., parent adjustment, couple relationships). The common types of assessments and best practice approaches to assessment are described. In particular, approaches to measuring individual child, parenting, and family outcomes, as well as approaches to measuring population-level outcomes are detailed. Finally, commonly used approaches to assess the effects of Triple P are outlined.

scholarly journals Tourist Shoppers’ Evaluation of Retail Service: A Study of Cross-Border Versus International Outshoppers

2015 ◽  
Vol 42 (3) ◽  
pp. 392-419 ◽  
Author(s):  
Piyush Sharma ◽  
Ivy S. N. Chen ◽  
Sherriff T. K. Luk
Keyword(s):  
Large Scale ◽  
Word Of Mouth ◽  
Positive Impact ◽  
Mainland China ◽  
The United States ◽  
Purchase Intentions ◽  
Cross Border ◽  
Retail Service ◽  
Managerial Implications ◽  
Repeat Purchase

This article extends the concept of customer perceived value (CPV) to the tourist outshopping context and explores the differences in antecedents and outcomes of CPV between cross-border and international outshoppers. A large-scale field survey in Hong Kong with cross-border outshoppers from mainland China and international shoppers from four Western countries (Australia, Canada, the United Kingdom, and the United States) shows that perceived product quality, risk, and value for money have a stronger effect on CPV for cross-border outshoppers, and employee service quality and lifestyle congruence for international outshoppers. CPV also has a stronger positive effect on satisfaction, word of mouth, and repeat purchase intentions for cross-border outshoppers, whereas satisfaction has a stronger positive impact on word of mouth and repeat purchase intentions for international outshoppers. We discuss the conceptual contribution and managerial implications of our findings for international retailers, researchers, and tourism organizations.

scholarly journals Screening for multi-drug-resistant Gram-negative bacteria: what is effective and justifiable?

2020 ◽  
Vol 38 (S1) ◽  
pp. 72-90 ◽  
Author(s):  
Niels Nijsingh ◽  
Christian Munthe ◽  
Anna Lindblom ◽  
Christina Åhrén
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Resistance ◽  
Large Scale ◽  
Population Level ◽  
Gram Negative Bacteria ◽  
Drug Resistant ◽  
Gram Negative ◽  
Screening Programs ◽  
Scale Population ◽  
Current Screening

AbstractEffectiveness is a key criterion in assessing the justification of antibiotic resistance interventions. Depending on an intervention’s effectiveness, burdens and costs will be more or less justified, which is especially important for large scale population-level interventions with high running costs and pronounced risks to individuals in terms of wellbeing, integrity and autonomy. In this paper, we assess the case of routine hospital screening for multi-drug-resistant Gram-negative bacteria (MDRGN) from this perspective. Utilizing a comparison to screening programs for Methicillin-Resistant Staphylococcus aureus (MRSA) we argue that current screening programmes for MDRGN in low endemic settings should be reconsidered, as its effectiveness is in doubt, while general downsides to screening programs remain. To accomplish justifiable antibiotic stewardship, MDRGN screening should not be viewed as a separate measure, but rather as part of a comprehensive approach. The program should be redesigned to focus on those at risk of developing symptomatic infections with MDRGN rather than merely detecting those colonised.

scholarly journals Bayesian probabilistic forecasting with large-scale educational trend data: a case study using NAEP

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
David Kaplan ◽  
Mingya Huang
Keyword(s):  
United States ◽  
Large Scale ◽  
Population Level ◽  
The United States ◽  
The State ◽  
Probabilistic Forecasting ◽  
Term Trend ◽  
Trend Data ◽  
Long Term Trend

AbstractOf critical importance to education policy is monitoring trends in education outcomes over time. In the United States, the National Assessment of Educational Progress (NAEP) has provided long-term trend data since 1970; at the state/jurisdiction level, NAEP has provided long-term trend data since 1996. In addition to the national NAEP, all 50 states and United States jurisdictions participate in the state NAEP assessment. Thus, NAEP provides important monitoring and forecasting information regarding population-level academic performance of relevance to national and international goals. However, an inspection of NAEP trend reports shows that relatively simple trend plots are provided; and although these plots are important for communicating general trend information, we argue that much more useful information can be obtained by adopting a Bayesian probabilistic forecasting point of view. The purpose of this paper is to provide a Bayesian probabilistic forecasting workflow that can be used with large-scale assessment trend data generally, and to demonstrate that workflow with an application to the state NAEP assessments.

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