scholarly journals Newborn Outcomes Among Veterans Utilizing VHA Maternity Benefits, 2016-2020

2021 ◽  
Author(s):  
Rebecca L Kinney ◽  
Laurel A Copeland ◽  
Aimee R Kroll-Desrosiers ◽  
Lorrie Walker ◽  
Valerie Marteeny ◽  
...  
Keyword(s):  
Preterm Birth ◽  
Low Birthweight ◽  
Women Veterans ◽  
Secondary Analysis ◽  
Well Being ◽  
Future Research ◽  
Veterans Health ◽  
Care Coordinator ◽  
Newborn Outcomes ◽  
Maternity Benefits

ABSTRACT Introduction Public Law 111-163 Section 206 of the Caregivers and Veteran Omnibus Health Services Act amended the Veterans Health Administration’s (VHA) medical benefits package to include 7 days of medical care for newborns delivered by Veterans. We examined the newborn outcomes among a cohort of women Veterans receiving VHA maternity benefits and care coordination. Materials and Methods We conducted a secondary analysis of phone interview data from Veterans enrolled in the COMFORT (Center for Maternal and Infant Outcomes Research in Translation) study 2016–2020. Multivariable regression estimated associations with newborn outcomes (preterm birth; low birthweight). Results During the study period, 829 infants were born to 811 Veterans. Mothers reported “excellent health” for 94% of infants. The prevalence of preterm birth was slightly higher in our cohort (11% vs. 10%), as were low birthweight (9%) deliveries, compared to the general population (8.28%). Additionally, 42% of infants in our cohort required follow-up care for non-routine health conditions; 11% were uninsured at 2 months of age. Adverse newborn outcomes were more common for mothers who were older in age, self-identified as non-white in race and/or of Hispanic ethnicity, had a diagnosis of posttraumatic stress disorder, or had gestational comorbidities. Conclusions The current VHA maternity coverage appears to be an effective policy for ensuring the well-being and health care coverage for the majority of Veterans and their newborns in the first days of life, thereby reducing the risk of inadequate prenatal and neonatal care. Future research should examine costs associated with extending coverage to 14 days or longer, comparing those to the projected excess costs of neonatal health problems. VHA policy should continue to support expanding care and resources through the Maternity Care Coordinator model.

scholarly journals Screening for Student Subjective Well-Being: An Analog Evaluation of Broad and Targeted Models

2018 ◽  
Vol 37 (6) ◽  
pp. 803-809
Author(s):  
Tyler L. Renshaw ◽  
Jeffrey S. Chenier
Keyword(s):  
Subjective Wellbeing ◽  
Secondary Analysis ◽  
Well Being ◽  
Future Research ◽  
Validity Evidence ◽  
Subjective Well Being ◽  
Academic Efficacy ◽  
Research And Practice ◽  
Middle Schoolers ◽  
Dependent Variables

This brief report presents a secondary analysis of responses to the Student Subjective Wellbeing Questionnaire (SSWQ) with a sample of urban middle-schoolers. Relative classification validity evidence was evaluated for two screening models derived from responses to the SSWQ: one based on the Overall Wellbeing Scale (OWS) and the other based solely on the Academic Efficacy Subscale (AES). Results from Bayesian t tests, using several school-reported outcomes as dependent variables, indicated evidence in favor of classification validity for both the OWS and AES screening models. Yet findings also show that the evidence for the AES model was stronger than that for the OWS model. Implications for future research and practice are discussed.

scholarly journals The Co-Development of Generativity and Well-Being into Early Late Life

2020 ◽  
Author(s):  
Erica Baranski ◽  
Jennifer Lodi-Smith ◽  
Elyse Ponterio ◽  
Nicky Newton ◽  
Michael Poulin ◽  
...  
Keyword(s):  
Rank Order ◽  
Secondary Analysis ◽  
Late Life ◽  
Well Being ◽  
Individual Variability ◽  
Individual Development ◽  
Future Research ◽  
Change Models ◽  
Demographic Covariates ◽  
Early Late

The current manuscript replicates and extends the few existing studies of generativity in later adulthood with regard to two aims: (1) to model individual differences in the development of generativity into early late life and (2) to quantify the relationship between development in generativity and development in well-being into late midlife and early older adulthood. Data from the Rochester Adult Longitudinal Study (RALS) are used to address these aims in a preregistered secondary analysis of existing RALS data (see https://osf.io/syp2u). Analyses quantify individual development of generativity in a sample of 284 RALS participants who completed the Loyola Generativity Scale (LGS; McAdams & de St. Aubin, 1992) and the Psychological Well-Being Scale (PWB; Ryff, 1989a) during the most recent two waves of the RALS (2000 – 2012). Both generativity and well-being demonstrated substantial rank-order stability and mean-level change as well as individual variability on both. Dual score change models showed a robust concurrent relationship between both constructs at the first assessment and meaningful correlated change between generativity and well-being over time. While demographic covariates were not associated with study findings, one of the most important limitations of the RALS is the racial and ethnic homogeneity of the sample that constrains generalizability to other racial and ethnic groups. Results are discussed in the context of our current understanding of the development and impact of generativity in later adulthood anddirections for future research in this area are identified.

How well is Canada serving the women who have served us?

2021 ◽  
Author(s):  
Linna Tam-Seto ◽  
Sonia Dussault
Keyword(s):  
Critical Review ◽  
Women Veterans ◽  
Well Being ◽  
Veterans Affairs ◽  
Future Research ◽  
Evidence Based

LAY SUMMARY The Veterans Affairs Canada Well-being Framework describes seven areas of well-being that contribute to a military member’s successful return to the civilian world. This perspective argues that, although there is a plethora of programs, services, and resources available to support military-to-civilian transition, they are currently inadequate to address the unique needs and experiences of servicewomen and women Veterans. In addition, of those programs, services, and resources that are aimed at supporting specifically women, there is little information indicating they consider women’s unique needs and experiences. Future research is required to encourage critical review of existing programs, resources, and services, or to create those based on evidence-based research.

Coordinating Care for Reproductive Health Malignancies in the Veterans' Health Administration: Promising Practices, Ongoing Challenges, and Future Research

2019 ◽  
Vol 37 (01) ◽  
pp. 032-042
Author(s):  
Kristina M. Cordasco ◽  
Jessica L. Moreau ◽  
Neetu Chawla
Keyword(s):  
Reproductive Health ◽  
Cancer Care ◽  
Health Care Systems ◽  
Women Veterans ◽  
Future Research ◽  
Veterans Health ◽  
Health Administration ◽  
Patient Centered ◽  
Research And Innovation ◽  
Evidenced Based

AbstractIn cancer care, communication and coordination across the cancer continuum is paramount for delivering effective, high-quality, patient-centered care. However, achieving optimally coordinated cancer care is inherently challenging, especially in the case of Veterans Administration (VA) care for women's reproductive health cancers. Given the relatively small number of women Veterans requiring care for reproductive malignancies, VA often must rely on community providers to deliver this care, necessitating coordination across two or more health care systems. Recently, VA has invested heavily in improving care for women Veterans through several initiatives and efforts. This article reviews VA's successes, challenges, and future opportunities in research and innovation in the context of care coordination across the cancer continuum (i.e., prevention and screening, diagnosis and treatment, survivorship care, palliative and supportive care) for women Veterans with reproductive health malignancies. We describe how coordination of VA care for reproductive health malignancies currently reflects a mix of successes that demonstrate use of strong evidenced-based practices and challenges, with solutions yet to be fully developed and implemented. We conclude that there are a multitude of opportunities for future research, interventions, and potential avenues for implementing innovative approaches to coordinate VA reproductive cancer care across the cancer continuum.

Temple Food As a Sustainable Tourism Attraction: Ecogastronomic Buddhist Heritage and Regional Development in South Korea

2020 ◽  
Vol 4 (4) ◽  
pp. 209-222
Author(s):  
Anne H.J. Lee ◽  
Geoffrey Wall
Keyword(s):  
South Korea ◽  
Regional Development ◽  
Participant Observation ◽  
Sustainable Tourism ◽  
Well Being ◽  
Future Research ◽  
Rich Description ◽  
Food Programs ◽  
Ongoing Development ◽  
Narrative Interpretation

This research explores Buddhist heritage-based tourism in South Korea. It examines temple food experiences provided in tandem with templestay programs that emphasize the Buddhist cooking tradition and share aspects of traditional Buddhist culture with visitors. Based primarily on participant observation, this ecologically friendly form of tourism is described and the ongoing development of temple food programs is documented. A "person-centric" perception is adopted from two perspectives: an emphasis on the holistic well-being of individual visitors, and the importance of a specific person in the provision of tourism experiences. Rich description and narrative interpretation are used to explain the phenomenon and provide a foundation on which future research can be grounded.

Computer-Mediated Communication and Mental Health

2020 ◽  
pp. 78-110
Author(s):  
Adrian Meier ◽  
Emese Domahidi ◽  
Elisabeth Günther
Keyword(s):  
Mental Health ◽  
Computer Mediated Communication ◽  
Well Being ◽  
Future Research ◽  
Mediated Communication ◽  
Disciplinary Boundaries ◽  
Emerging Trends ◽  
Computer Mediated ◽  
The Relationship ◽  
Systematic Database

The relationship between computer-mediated communication (e.g., Internet or social media use) and mental health has been a long-standing issue of debate. Various disciplines (e.g., communication, psychology, sociology, medicine) investigate computer-mediated communication in relation to a great variety of negative (i.e., psychopathology) and positive (i.e., well-being) markers of mental health. We aim at charting this vast, highly fragmented, and fast growing literature by means of a scoping review. Using methods of computational content analysis in conjunction with qualitative analyses, we map 20 years of research based on 1,780 study abstracts retrieved through a systematic database search. Results reveal the most common topics investigated in the field, as well as its disciplinary boundaries. Our review further highlights emerging trends in the literature and points to unique implications for how future research should address the various relationships between computer-mediated communication and mental health.

New Territories of Positive Life-Span Development: Wisdom and Life Longings

2009 ◽  
pp. 170-184
Author(s):  
Susanne Scheibe ◽  
Ute Kunzmann ◽  
Paul B. Baltes
Keyword(s):  
Life Span ◽  
Personal Growth ◽  
Expert Knowledge ◽  
Well Being ◽  
Positive Development ◽  
Future Research ◽  
Life Span Development ◽  
Life Orientation ◽  
New Concepts ◽  
The Life Course

In search for concepts that help understand how individuals strive for growth and perfection within the boundaries and constraints of human lives, we describe theory and research on the concepts of wisdom, or expert knowledge about human nature and the life course, and Sehnsucht (life longings), the recurring and strong desire for ideal (utopian), alternative states and expressions of life. Both represent relatively new concepts on the agenda of lifespan research, originating from an interest in identifying major topics of public and humanist discourse about the potentials and constraints of life-span development and finding ways to measure them with the methods of normative psychological science. Despite their complexity and multiple meanings, progress has been made in the theory-driven operationalization of wisdom and life longings, allowing new insights into their ontogenesis and role for positive development. Emerging research shows that wisdom and life longings do not directly promote a hedonic life orientation or happiness: neither the insight that life is incomplete (wisdom) nor the experience of this incompleteness (life longings) is compatible with feelings of unequivocal joy and pleasure. Yet, there is emerging evidence that they contribute to other aspects of positive development, emphasizing personal growth, meaning, and the aligning of one's own and other's well-being. We suggest that future research should focus on the links of wisdom and life longings with multiple developmental outcomes and the possible interplay of both concepts in promoting positive development.

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