scholarly journals A mixed-method evaluation of the adoption and implementation of the College Alcohol Intervention Matrix among prevention experts: a study protocol

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Ashley C. Helle ◽  
Kenneth J. Sher ◽  
Joan Masters ◽  
Karla Washington ◽  
Kristin M. Hawley

Abstract Background Risky drinking among college campuses has been a long-standing concern and there have been dedicated efforts to develop evidence-based prevention and treatment strategies (EBSs) to decrease alcohol use and increase healthy behaviors among college students. Further, the College Alcohol Intervention Matrix (CollegeAIM) was developed as a tool with accompanying resources, to assist institutions of higher education in selecting EBSs that are appropriate and a good fit for their campuses. However, the CollegeAIM tool and selection of prevention strategies from stakeholders’ perspectives has yet to be evaluated. This study protocol describes the methodology for a research project evaluating CollegeAIM from an implementation science perspective using the Exploration, Preparation, Implementation, and Sustainment framework. Methods The aims of this study will be accomplished with a mixed-method design comprised of reviews of strategic planning documents, quantitative surveys and interviews with prevention experts, and focus groups to identify key components of a decision-support program for prevention experts to support the use of CollegeAIM. Participants are members of the multi-site Missouri Partners in Prevention coalition to reduce risky substance use on college campuses across the state. Discussion The results of this study will provide key information to support the development of additional supportive tools for campuses that can improve their selection and implementation of EBSs that fit the needs of their respective campuses. This work is important to further advance the implementation and sustainment of extant EBSs for risky college alcohol use.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Morgane Guillou-Landreat ◽  
Antoine Dany ◽  
Jean Yves Le Reste ◽  
Delphine Le Goff ◽  
Amine Benyamina ◽  
...  

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Sophia E. Chambers ◽  
David S. Baldwin ◽  
Julia M. A. Sinclair

Background Alcohol-related presentations to acute hospitals in the UK are increasing, but little is known of the clinical characteristics or natural history of this patient group. Aims To describe the clinical characteristics, drinking profile and trajectory of a cohort of patients with alcohol use disorder (AUD) attending hospital, and explore participant perspectives of the impact of hospital attendance on their relationship with alcohol. Method We conducted a mixed method, prospective, observational cohort study of patients with AUD seen in an acute hospital. Participants were interviewed with a range of questionnaires at baseline and followed up on at 6 months. A subsample also completed in-depth qualitative interviews. Results We recruited 141 patients; 132 (93.6%) were followed up at 6 months and 26 completed qualitative interviews. Of the 141 patients, 60 (42.6%) stated the index hospital episode included the first discussion of their alcohol use in a secondary care setting. Most rated discussion of their alcohol use in hospital as ‘very positive’ or ‘positive’ (102/141, 72.3%), but lack of coordinated care with community services undermined efforts to sustain change. At 6 months, 11 (7.8%) patients had died, but in those who survived and completed assessment (n = 121), significant and clinically meaningful improvements were seen across a range of outcomes, with 55 patients (45.5%) showing a favourable drinking outcome at 6 months. Conclusions Patients with AUD have high levels of morbidity and mortality, yet many made substantial changes following intervention in hospital for their alcohol use. Prospective trials need to identify the effect of alcohol care teams in optimising this ‘teachable moment’ for patients.


2021 ◽  
pp. 147490412110317
Author(s):  
Rory Mc Daid ◽  
Emer Nowlan

Despite an increase in ethnic diversity within the state, the Irish teaching workforce remains starkly mono-ethnic. This article is based on an analysis of data generated through a sequential explanatory mixed method research project involving questionnaire responses from 240 migrant teachers and subsequent focus group with a selection of teachers. Findings suggest that migrant teachers are slow to engage in the formal accreditation process, and face considerable challenges when they do. This reflects not only practical difficulties, but also narrow discourses of who can legitimately be recognised as a teacher in Ireland. This in turn is linked to cultural arbitraries highlighted through the research, such as a requirement to be able to teach through the Irish language in primary school and a requirement to be registered to teach in primary or post-primary schools only. In exploring these barriers, we draw broadly on Bourdieu and Passeron’s (1990) work, which understands teachers as pedagogic agents, imbued with pedagogic authority through formal processes of accreditation and selection. These processes involve the imposition of cultural arbitraries which legitimate certain languages, content or stances over others. Recommendations include revisions to the registration process to take previous teaching experience into account.


BMJ Open ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. e002381 ◽  
Author(s):  
Virginia Mumford ◽  
David Greenfield ◽  
Reece Hinchcliff ◽  
Max Moldovan ◽  
Kevin Forde ◽  
...  

Hematology ◽  
2007 ◽  
Vol 2007 (1) ◽  
pp. 304-310 ◽  
Author(s):  
Rafael Fonseca

AbstractIt is clear that the clinical heterogeneity of multiple myeloma (MM) is dictated, in large part, by disease biology, predominantly genetics.1 As novel therapeutics have emerged, and augmented our treatment armamentarium against the disease, it is increasingly important to introduce a risk-adapted approach for the optimal management of patients.2 The selection of ideal candidates for high-dose chemotherapy with stem cell support (HDT) and maintenance will undoubtedly have to include baseline knowledge of the genetic nature of the individual. The limited duration of responses after HDT for patients with t(4;14)(p16;q32), t(14;16)(q32;q23) and 17p13 deletions highlight the need to develop a risk-adapted treatment strategy.3–5 Novel ways of determining outcome such as the use of gene expression profiling have demonstrated differentiating capabilities not previously observed.6 Likewise, the order of introduction of novel therapeutic agents (during induction and in the relapsing patient) will be potentially directed by similar information. As we have previously stated, MM is not only multiple but also “many.”7 Accordingly, treatment strategies will be tailored based on risk determination, genetic composition and host features.


2013 ◽  
Vol 5 (2) ◽  
pp. 69-83 ◽  
Author(s):  
Ruth Fassinger ◽  
Susan L. Morrow

Various research methods can be appropriate for social justice aims. Quantitative, qualitative, and mixed-method approaches offer different kinds of strengths in advancing a social justice agenda. This article recaptures and expands upon the ideas presented by the authors of this special issue, recommending best practices in research for social justice in the following areas: (a) cultural competence and the role of the researcher(s); (b) formulating the focus of the research; (c) selection of the underlying paradigm and research method/design; (d) the research team: formation, process, and issues of power; (e) power and relationship with research participants; and (f) data gathering, analysis, and reporting.


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