scholarly journals Role of Context, Resources, and Target Population in the Fidelity of Critical Time Intervention

2016 ◽  
Vol 67 (1) ◽  
pp. 115-118 ◽  
Author(s):  
Stacey L. Barrenger ◽  
Liat S. Kriegel ◽  
Beth Angell ◽  
Jeffrey Draine
Keyword(s):  
Critical Time ◽  
Target Population ◽  
Critical Time Intervention

scholarly journals Critical Time Intervention to Facilitate Exiting Sex Work: Lessons Learned From a Fidelity Assessment

2021 ◽  
Author(s):  
Melissa Perri ◽  
Martine Shareck ◽  
Pearl Buhariwala ◽  
Maha Hassan ◽  
Patricia O’Campo
Keyword(s):  
Sex Work ◽  
Assessment Tool ◽  
Critical Time ◽  
Well Being ◽  
Target Population ◽  
Lessons Learned ◽  
Program Staff ◽  
Critical Time Intervention ◽  
Fidelity Assessment ◽  
Health And Well Being

Abstract IntroductionIndividuals who engage with sex work face barriers to maintaining overall health and well-being such as criminalization, stigmatization, and violence. An emerging approach to facilitating exiting sex work for individuals is through programs applying the Critical Time Intervention (CTI) model. CTI represents a time-limited practice that supports vulnerable individuals during periods of transition. The objectives of this study were to apply an existing CTI fidelity assessment to the sex work exiting program Exit Doors Here (EDH) to (1) report on the program’s fidelity and (2) discuss the effectiveness of CTI for supporting these groups. MethodsTo determine the applicability to the EDH of an existing fidelity assessment tool, we consulted with program staff through in person meetings. Staff highlighted areas for adaptation. We adapted the tool based on this feedback and used it to assess program fidelity by analyzing data from 8 participants’ CTI notes. Fidelity ratings were computed and interpreted according to established guidelines. ResultsConsultations with program staff resulted in adaptations to seven items out of the 12 comprising the fidelity assessment tool. The majority of adaptations surrounded the time-limited nature of CTI and unique needs of the program participants. In regards to the fidelity assessment using the adapted tool, half of the items were ideally implemented, one was well implemented, one was fairly implemented and two were respectively found to be poorly implemented and not implemented at all. Conclusions Difficulties in implementing selected program components with high fidelity can be attributed to specificities of the target population and to contextual factors, which are hard to control from a staff and program standpoint. This assessment reiterates the importance of considering such factors when developing and implementing programs aimed at improving the health and well-being of marginalized women such as those who engage in sex work.

scholarly journals Evaluation of the Effectiveness of Brazilian Community Restaurants for the Dimension of Low-Income People Access to Food

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2671
Author(s):  
Mateus Santana Sousa ◽  
Camila Silveira Silva Teixeira ◽  
Jamacy Costa Souza ◽  
Priscila Ribas de Farias Costa ◽  
Renata Puppin Zandonadi ◽  
...  
Keyword(s):  
Low Income ◽  
Formal Education ◽  
Average Energy ◽  
Secondary Data ◽  
Target Population ◽  
Service Capacity ◽  
The Public ◽  
The Government ◽  
Access To Food

This study aimed to evaluate the effectiveness of community restaurants (CRs), managed by the Government of the State of Bahia/Brazil, for the dimension of access to food. The study used secondary data obtained from the public opinion survey Profile of users of community restaurants in Salvador. The nutritional information was accessed through the analysis of CRs’ menus. Adequate effectiveness of access to food was considered when the CR served meals to 50% to 70% of the users considered the target audience (individuals served by the two CRs located in the city of Salvador/Bahia/Brazil). The participants (n = 1464; 778 as low-income individuals) were adult CR users from Salvador/Brazil. Most of the respondents were male, 40 to 54 years old, not white, had up to 9 years of formal education, without a partner, and living in the municipality of Salvador. The evaluated CRs are effective in serving 53.1% of the target population in their total service capacity. Meal provision only reached an estimated 0.7% of the socially vulnerable community in the district. The average energy value of the meal served by the CR units was 853.05 kcal/meal, with a mean energy density composition classified as average (1.15 kcal/g). The effectiveness of the evaluated community restaurants showed that these instruments were minimally effective in promoting access to food for the low-income population within their total daily service capacity, and the current quantity of these facilities was insufficient. However, these instruments stand out in the fundamental role of promoting the daily distribution of meals to the Brazilian population with the highest social vulnerability levels.

scholarly journals THE ROLE OF HEALTH LITERACY ON PROCESS AND OUTCOMES OF A DIABETES SELF-HELP INTERVENTION WITH KOREAN AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S406-S406
Author(s):  
Miyong T Kim
Keyword(s):  
Health Literacy ◽  
Glucose Control ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Self Care ◽  
Korean Americans ◽  
Target Population ◽  
Management Intervention ◽  
Underlying Mechanisms

Abstract The purpose of this study was to explicate the underlying mechanisms of the role of health literacy (HL) in diabetes management process involving a group of Korean Americans with type 2 diabetes mellitus (DM). We used data from a randomized clinical trial of an HL-focused diabetes self-management intervention (n = 250). A series of path analyses identified the level of self-efficacy and self-care skills as a significant mediator between HL and glucose control (HbA1C) and quality of life for the target population. In addition, education and acculturation were revealed as the most significant correlates of HL for this new immigrant group. Despite inconsistent empirical findings regarding the statistically significant effect of HL on glucose control, this study confirmed the apriority hypothesis that HL indirectly influences health outcome through mediators such self-care skills as self-efficacy. This study highlighted the importance of HL in chronic disease management for people with limited HL.

scholarly journals Adaptação da "Critical Time Intervention" para o contexto brasileiro e sua implementação junto a usuários dos centros de atenção psicossocial do município do Rio de Janeiro

2011 ◽  
Vol 16 (12) ◽  
pp. 4635-4642 ◽  
Author(s):  
Maria Tavares Cavalcanti ◽  
Maria Cecília de Araújo Carvalho ◽  
Elie Valência ◽  
Catarina Magalhães Dahl ◽  
Flávia Mitkiewicz de Souza
Keyword(s):  
Rio De Janeiro ◽  
Critical Time ◽  
Critical Time Intervention ◽  
De Se

A Reforma Psiquiátrica Brasileira propõe um modelo de atenção baseado na implantação de uma rede comunitária no qual os Centros de Atenção Psicossocial (CAPS) detêm papel fundamental. Neste artigo são apresentados os resultados do estudo piloto que visou adaptar para o contexto brasileiro a "Critical Time Intervention" (CTI) e testar sua viabilidade com pessoas com transtornos do espetro esquizofrênico em tratamento nos CAPS do município do Rio de Janeiro. O desenho da pesquisa incluiu três fases inter-relacionadas. A primeira consistiu em trabalho de campo qualitativo e quantitativo. Esta fase incluiu o mapeamento das características sociodemográficas, clínicas e de utilização de serviços dos usuários dos CAPS, bem como conhecer as necessidades concretas dos participantes do estudo. A segunda fase consistiu na tradução do manual clinico da CTI para incluir as adaptações feitas para o seu uso no Brasil, oriundas dos dados coletados na primeira fase, bem como o treinamento de profissionais de nível médio para atuarem como agenciadores da CTI. A terceira fase consistiu na implementação da intervenção adaptada em um grupo de pacientes com transtornos do espectro esquizofrênicos matriculados nos CAPS, mas com dificuldade de se inserir no tratamento.

scholarly journals Use of Peer Staff in a Critical Time Intervention for Frequent Users of a Psychiatric Emergency Room

2016 ◽  
Vol 67 (5) ◽  
pp. 479-481 ◽  
Author(s):  
Ilana R. Nossel ◽  
Rufina J. Lee ◽  
Abby Isaacs ◽  
Daniel B. Herman ◽  
Sue M. Marcus ◽  
...  
Keyword(s):  
Emergency Room ◽  
Critical Time ◽  
Psychiatric Emergency ◽  
Psychiatric Emergency Room ◽  
Frequent Users ◽  
Critical Time Intervention

scholarly journals Percepción de los entrenadores de alto rendimiento de atletismo: caracterización de su perfil polifacético (Perception of high performance track and field coaches: characterization of their multifaceted profile)

Retos ◽  
2015 ◽  
pp. 42-47
Author(s):  
Angeles Filgueira Perez
Keyword(s):  
High Performance ◽  
Target Population ◽  
Track And Field ◽  
Personal Qualities ◽  
High Level ◽  
Almost All ◽  
Methodological Aspects ◽  
The Ideal

En el presente estudio se ha tratado de obtener una aproximación al perfil ideal del entrenador de alto rendimiento en atletismo. En el mundo del deporte de alta competición, el entrenador debe desarrollar funciones de maestro, técnico y líder, lo cual hace difícil delimitar sus competencias (conocimientos, habilidades y cualidades personales). Por tanto, la principal motivación de este trabajo es establecer el papel que debe desempeñar el entrenador para la preparación física, técnica, táctica, psicológica y moral del deportista de alto nivel. Para ello, se ha considerado como población objeto de estudio al conjunto de entrenadores de alto rendimiento que en el momento de la investigación estuviesen activo, ya que interesaba realizar este estudio desde su propia perspectiva. Los datos recogidos forman parte de una investigación más amplia, llevada a cabo mediante encuesta, para la que se diseñó un cuestionario de 78 preguntas en el que se abarcaban tres temas: el perfil del entrenador y del deportista, así como la figura del formador de entrenadores en el Practicum. En este trabajo nos centramos en el primer tema y el análisis de la información obtenida nos permite concluir que la que práctica totalidad de los entrenadores de atletismo consideran necesario dominar con precisión los aspectos técnico-metodológicos. Además, consideran que su ética profesional debe estar regida por los principios de autonomía y beneficencia, de modo que valores como la honestidad y la justicia deben primar en el desarrollo de sus funciones.Abstract: In the current study, we have tried to get an approximation of the ideal profile of high performance coaches in athletics. In the high-level sports world, the coach must develop the role of teacher, technician and leader,  which makes it difficult to delimit  his/her competencies (knowledge, skills and personal qualities). Therefore, the main motivation of this work is to define the role that the coach plays in relation  to the physical, technical, tactical, psychological and moral preparation of elite athletes. Keeping this aim as an objective, we have considered as the target population the high performance coaches who are active at the time of the investigation, since we were interested  in knowing their own perspective. The data that was collected is a part of a wider investigation, conducted by a survey, for which we designed a questionnaire of 78 questions divided on three topics: the profile of the coach and the athlete, as well as the figure of the coach educator in the Practicum. In this work, we focus on the first topic and the analysis of the information that we obtained allows us to conclude that almost all the track and field coaches find it necessary to dominate the technical and methodological aspects. They also consider that professional ethics must be governed by the principles of autonomy and care that values   like honesty and justice must prevail in the performance of their work.

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