Community-Based Abstinence Education Project: Program Outcomes

Nursing Forum ◽  
2014 ◽  
Vol 50 (1) ◽  
pp. 37-50 ◽  
Author(s):  
Denise Nagle Bailey ◽  
Zane Robinson Wolf
2018 ◽  
Vol 14 (4) ◽  
pp. 443-461
Author(s):  
Timothy F. Marshall ◽  
Jay R. Groves ◽  
George P. Holan ◽  
Jonathan Lacamera ◽  
Shaloo Choudhary ◽  
...  

Objective. To evaluate the feasibility of disease-specific, community-based supervised exercise programs (CSEPs) to improve biometric and functional outcomes among persons with a variety of chronic medical conditions. Design. Feasibility, cohort study. Subjects were recruited through community placed flyers and provider offices. Exercise programs consisted of aerobic and resistance training that adhered to American College of Sports Medicine guidelines. A Wilcoxon signed rank test was used to assess program outcomes. Setting. Ten, community-based, medical fitness centers. Subjects. A total of 382 total participants. The number of participants in each CSEP ranged from 38 to 119. Individuals were 18 years of age or older and treated for various chronic medical conditions. Results. Varied by cohort, but generally consisted of ( a) favorable changes in body composition (  P < .05), ( b) significant improvements in submaximal exercise tolerance and functional outcome measures (  P < .05), and (3) significant increase in self-reported exercise behaviors (  P < .05). Conclusion. CSEPs improve outcomes in patients with chronic medical conditions and may be relevant within the continuum of care in outpatient rehabilitation medicine, particularly among bundled or value-based payment models. Further research is needed to evaluate outcomes from CSEPs versus controls.


2008 ◽  
Vol 2 (1) ◽  
pp. 69-86
Author(s):  
Suzanne Thomas

This paper discusses a community-based arts education project that develops partnerships between the university and cultural arts organizations. Collaboration is inspired between preservice teachers and multidisciplinary artists by engaging these two groups in the educational process. The author advocates the use of art as a heuristic tool for examining social worlds. She demonstrates how art as "connective aesthetic" creates sites for community collaboration and provides impetus for transformation and social change.


2007 ◽  
Vol 28 (3) ◽  
pp. 259-265 ◽  
Author(s):  
F. James Levinson ◽  
Jessica Barney ◽  
Lucy Bassett ◽  
Werner Schultink

Background Positive deviance is increasingly employed in international development activities to permit the utilization of proven local solutions. Including positive deviance methods in evaluation analysis, particularly in places like Bihar, India, where the rates of child underweight hover at 55%, can help identify project activities and household characteristics that affect key outcomes. These can, in turn, inform decision-making regarding the intensification of particularly promising activities. Objectives To apply positive deviance analysis to the Dular program in Bihar, a community-based nutrition program that seeks to improve the impact of India's Integrated Child Development Services on young children. Methods In order to assure that desired program outcomes were not dependent on higher economic status, the analysis isolated a subset of program beneficiaries—the poorest children with the best nutritional outcomes—and examined the behavioral and project factors that may have brought about positive results in this subgroup. The data for this analysis were drawn from a 2005 program evaluation with a sample of 1,560 children. Results The analysis found that positive deviant children with normal nutritional status in the poorest 50% of Dular households were introduced to complementary food almost 2 months earlier (7.18 vs. 9.02 months of age) than severely malnourished children, were more than twice as likely to use soap for handwashing after defecation (25.0% vs. 11.8%), and were more than seven times as likely to have literate mothers (25.0% vs. 3.5%). Conclusions The analysis suggests that programmatic efforts relating to these activities have been particularly effective and may well deserve increased investment.


2019 ◽  
Vol 39 ◽  
pp. 100974 ◽  
Author(s):  
Katherine Brownson ◽  
Elizabeth Guinessey ◽  
Marcia Carranza ◽  
Manrique Esquivel ◽  
Hilda Hesselbach ◽  
...  

2021 ◽  
pp. 109821402110160
Author(s):  
Marisol L. Meyer ◽  
Ceewin N. Louder ◽  
Guerda Nicolas

Intervention scientists have used program theory-driven evaluation to design, implement, and assess the success of intervention programs for decades. However, interventions often are designed without the input of the community for which they are intended. The lack of incorporation of community members’ voices that participate in various intervention programs and the de-emphasis of systemic influences on program outcomes may decrease the extent to which participants experience intended positive outcomes. This often leads to interventions that are irrelevant at best and harmful at worst. Theory of change and logic models are two forms of theory-driven evaluation that can be used in tandem to incorporate community voices into program design and implementation while attending to systemic influences on the program. The following paper presents a stage model process for creating and utilizing both a theory of change and logic model for community-based intervention programs aiming to work with ethnically and racially diverse and immigrant populations.


Author(s):  
Stefania Moramarco ◽  
Giulia Amerio ◽  
Jean Kasengele Chipoma ◽  
Karin Nielsen-Saines ◽  
Leonardo Palombi ◽  
...  

Background: Evaluation of nutrition programs is essential to guarantee the effectiveness of community-based management of acute malnutrition (CMAM). Methods: The Rainbow Project Supplementary Feeding Programs (SFPs) in Zambia were evaluated between years 2015-17, following implementation of new recommendations based on previous evaluations (years 2012-14). Outcomes of the program were compared with International Standards and with those of 2012-14. Cox proportional risk regression analysis was performed to identify predictors of mortality and defaulting. Results: Data for 900 under age 5 years malnourished children (48.8% male; mean age 19.7months &plusmn;9.9) were analyzed. Rainbow 2015-17 program outcomes met International Standards, for general malnutrition or stratified moderate acute malnutrition (MAM) and severe acute malnutrition (SAM). When comparing with 2012-14 outcomes, better performance was noted: mortality rates were reduced by half (5.6% vs 3.1%, p = 0.01; for SAM: 12.4% vs 6.7%, p = 0.006), with significant improvement in average weight gain and mean length of stay (p&lt;0.001), and increased awareness of HIV status (+30%; p &lt; 0.001). HIV infection (5.5; 1.9&ndash;15.9), WAZ &lt; &minus;3 at baseline (4.6; 1.3&ndash;16.1) and kwashiorkor (3.5; 1.2&ndash;9.5) remained the major predictors of mortality. Conclusion: The effectiveness of the Rainbow SFPs for child malnutrition treatment and prevention in Zambia has significantly improved after evaluation and implementation activities, with impressive outcomes which resulted in a 50% reduction in mortality.


2017 ◽  
Vol 27 (Suppl 1) ◽  
pp. 321 ◽  
Author(s):  
Meg Skizim ◽  
Nick Harris ◽  
Claudia Leonardi ◽  
Richard Scribner

<p class="Pa7"><strong>Purpose: </strong>A community-academic partner­ship was developed to assess community needs and restructure a variety of commu­nity-based programs that provide services to underserved communities in New Orleans, Louisiana.</p><p class="Pa7"><strong>Methods: </strong>The community and academic partners utilized five phases to assess com­munity needs and restructure programs: 1) meetings; 2) narrowing the scope of community programs; 3) data collection and analysis; 4) emphasizing target programs; and 5) improving sustainability through grant submissions and grant development training.</p><p class="Pa7"><strong>Results: </strong>Survey data were collected and analyzed pre- and post-community-academic partnership between November 2014-November 2016 in New Orleans, Louisiana. The data supported the need for community-based programs run by a community organization known as the Dillard University Office of Community and Church Relations (OCCR). The survey results showed that community members expressed interest in: screenings for chronic diseases, such as diabetes; attending exer­cise classes at local churches; attending fi­nancial management workshops; and health fairs run by the community organization. In the future, screenings, workshops, health fairs, as well as exercise and diet programs, will take place at all churches participating in the community-based, umbrella program, Churches in Unity program.</p><p class="Pa7"><strong>Conclusion: </strong>A formal community-academic partnership, involving the assignment of an academic liaison, restructured programs for a community partner to better serve the needs of a community that is at-risk for a multitude of obesity-related health problems faced by underserved communities.</p><p class="Pa7"><em>Ethn Dis.</em> 2017;27(Suppl 1):321-328; doi:10.18865/ed.27.S1.321.</p>


1992 ◽  
Vol 17 (3) ◽  
pp. 170-178 ◽  
Author(s):  
Paul L. Beare ◽  
Susan J. Severson ◽  
Evelyn C. Lynch ◽  
Donna Schneider

Community-based employment, widely accepted as the major goal for most persons with moderate to severe disabilities, has yet to be fully realized at the local agency level. This paper describes a successful model of supported employment developed by a single small agency previously providing services as a segregated day activity center in a small midwestern city. Included is discussion of the service agency, program methodology, barriers to successful community-based employment along with the manner in which they were overcome, and program outcomes. Included in these outcomes is a current community employment rate of 80% and increased income for workers along with increased community integration. Several recommendations for practice are made from both administrative and programming standpoints.


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