Qualitative findings of a randomized control trial of OnTrack the Game for young people with psychosis (Preprint)

2021 ◽  
Author(s):  
Samantha Elizabeth Jankowski ◽  
Kathleen Ferreira ◽  
Franco Mascayano ◽  
Effy Donovan ◽  
Reanne Rahim ◽  
...  
Keyword(s):  
New York ◽  
Randomized Control Trial ◽  
Qualitative Interviews ◽  
New York State ◽  
Role Playing ◽  
Pathways To Care ◽  
First Episode ◽  
Future Research ◽  
Dissemination And Implementation ◽  
Randomized Control

BACKGROUND Several studies have shown the benefits of coordinated specialty care (CSC) for individuals with first episode psychosis (FEP), yet pathways to care are marred by lack of knowledge, stigma, and difficulties with treatment engagement. Serious games or video interventions may provide a way to address these factors. OBJECTIVE This study focuses on qualitative results of a randomized control trial (RCT) comparing OnTrack>An Online Role-Playing Game (OTG) to recovery videos (RV) on engagement, stigma, empowerment, hope, recovery, and understanding of psychosis in clients receiving CSC. Clinicians were also interviewed regarding their perceptions of the interventions and suggestions for improvement. METHODS 16 clients ages 16-30 with FEP attending a CSC program in New York State and 9 clinicians participated in the qualitative interviews. Interviews were analyzed using the rapid identification of themes from audio recordings (RITA) method. RESULTS For clients, themes included relatability of game content, an increased sense of hope and the possibility of recovery, decreased self and public stigma, increased understanding of the importance of social support, and increased empowerment in the OTG group. Clinicians had a preference for RV and provided suggestions for dissemination and implementation. CONCLUSIONS Themes emerged which may help inform future research in this area particularly regarding dissemination and implementation of OTG/RV. CLINICALTRIAL ClinicalTrials.gov ID # NCT03390491

scholarly journals Utilization and Payments of Office-Based Physical Rehabilitation Services Among Individuals With Commercial Insurance in New York State

2016 ◽  
Vol 96 (2) ◽  
pp. 202-211 ◽  
Author(s):  
Xinliang Liu ◽  
William J. Hanney ◽  
Michael Masaracchio ◽  
Morey J. Kolber
Keyword(s):  
New York ◽  
Health Care Professionals ◽  
Physical Therapists ◽  
New York State ◽  
Physical Rehabilitation ◽  
Future Research ◽  
Rehabilitation Services ◽  
Research Database ◽  
York State ◽  
Commercial Insurance

BackgroundLimited research exists on the utilization and payments of physical rehabilitation services, especially among individuals with commercial insurance.ObjectiveThis study aimed to characterize the utilization and payments of office-based physical rehabilitation services among nonelderly individuals with commercial insurance from New York State.DesignThis was a retrospective descriptive study with a cross-sectional design.MethodsA cohort of 1.8 million individuals in the 2012 Truven Health MarketScan Research Database was constructed for review. A total of 109,821 unique patients who received any type of physical rehabilitation provided by physical therapists, chiropractors, and physicians in the office setting were included for analyses.ResultsPhysical therapists provided the largest proportion of physical rehabilitation services (54.5%), followed by chiropractors (27.5%) and physicians (18.0%). Six out of 100 individuals used physical rehabilitation services in 2012. The mean annual payment of physical rehabilitation per patient was $820 (median=$323). Women and older individuals were more likely to use rehabilitation services and have higher annual utilization and payments. For the 5 most common physical rehabilitation services, payment rates for chiropractors were the highest and those for physical therapists were the lowest, with payment rates for physicians in between.LimitationsThis study was based on commercial insurance claims data from one state.ConclusionsFindings from this study recognize that rehabilitation services are delivered by various types of health care professionals and the payment rates vary across provider specialties in New York State. Of particular interest is that although physical therapists provide the largest proportion of services, their payment rates are lower than the rates for chiropractors and physicians. Future research should assess regional variations and explore interprovider cost-effectiveness in delivering these interventions.

scholarly journals MAPPING COLLABORATION RELATIONSHIPS IN AGE-FRIENDLY COMMUNITIES INITIATIVES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S923-S924
Author(s):  
Althea Pestine-Stevens
Keyword(s):  
New York ◽  
Qualitative Interviews ◽  
Community Change ◽  
Complete Analysis ◽  
Future Research ◽  
Network Nodes ◽  
Upstate New York ◽  
Visual Maps ◽  
Collaborative Community ◽  
Advance Research

Abstract Age-friendly initiatives (AFIs) convene stakeholders throughout a community to improve social and built environments for long lives. Despite rapid growth in AFIs worldwide, research on how AFIs operate, sustain, and impact their communities has been slow to develop. This poster presents a new social network analysis (SNA) survey instrument, which can be used to advance research on AFIs by identifying key relationships and activities that drive collaborative community change processes. The survey asks a representative from each organizational member of an AFI coalition to select “partner” organizations with whom they have worked on AFI goals. Respondents then select from a list of activities in which they engage with each partnering organization. The questions regarding collaboration activities were developed based on theories of inter-sectoral and community-wide collaboration, SNA studies of collaboration in health prevention networks, and qualitative interviews with leaders of an established AFI coalition in Upstate New York. This tool was administered with respondents from 18 organizations comprising the New York coalition. Administration of the pilot indicated that the questions were acceptable and feasible for participants to complete. Analysis of the data through SNA software (UCINET) yielded visual maps to understand dimensions of the AFI’s inter-organizational network. Local government offices and nonprofits emerged as central network nodes for connecting stakeholders. Findings also indicated denser networks around lower-intensity collaboration activities, such as sharing information, relative to higher-intensity activities, such as sharing financial resources. Implications of the tool for future research on the development of AFIs across diverse community contexts are discussed.

Reduced avian predation on an ultraviolet-fluorescing caterpillar model

2022 ◽  
Vol 154 ◽  
Author(s):  
Chapin Czarnecki ◽  
Rea Manderino ◽  
Dylan Parry
Keyword(s):  
New York ◽  
United States Of America ◽  
New York State ◽  
Field Studies ◽  
Future Research ◽  
Predator Prey ◽  
Uv Fluorescence ◽  
Uv Reflectance ◽  
Plasticine Models ◽  
Fluorescent Paint

Abstract Many caterpillars exhibit patterns of ultraviolet (UV) fluorescence, although its purpose is unclear. We used realistic plasticine models of a fluorescing caterpillar species, the Polyphemus moth, Antheraea polyphemus (Lepidoptera; Saturniidae), adorned with fluorescent paint treatments and unpainted controls to quantify bird predation in two hardwood forested regions of New York State, United States of America. In separate field studies, significantly more birds struck deployed model caterpillars that had no UV fluorescence. More strikes on unpainted and clear paint treatments suggest paint itself did not impact predation, whereas similar predation attempts on bird and human-visible fluorescent dummies suggest that UV fluorescence and not UV reflectance was responsible for the observed effect. A second study found the dummy’s location on the tree was also important, but the low number of bird strikes limited analyses. Although our results do not identify a mechanism, fluorescence may function to deter or avoid predation. Our study contributes to a growing body of work investigating the importance of UV patterns in arthropods and highlights a potentially fruitful area of future research on predator–prey relations.

Heart Check: The Development and Evolution of an Organizational Heart Health Assessment

2002 ◽  
Vol 17 (2) ◽  
pp. 132-153 ◽  
Author(s):  
Thomas Golaszewski ◽  
Brian Fisher
Keyword(s):  
New York ◽  
Organizational Support ◽  
Assessment Tool ◽  
New York State ◽  
Health Assessment ◽  
Reliability And Validity ◽  
Nutrition Support ◽  
Future Research ◽  
Heart Health ◽  
Cross Sectional

Purpose. The purpose of this article is to document the development, testing, and application of an organizational assessment tool used to measure employer support for heart health. Additional information is presented on its future research and applications plan. Design. This article represents the pooling of results from multiple studies using a variety of designs, including pilot tests, cross-sectional analyses, and quasi-experiments. Setting. Worksites covering the spectrum of employers across industry types and size, and throughout all of New York State. Subjects. Over 10,000 New York employees and 1000 New York employers are represented in the multiple phases of this research. Measures. Heart Check is a 226-item inventory designed to measure such features in the worksite as organizational foundations, administrative supports, tobacco control, nutrition support, physical activity support, stress management, screening services, and company demographics. Additional side studies used professional judgments and behavioral surveys. Results. As an assessment tool Heart Check shows evidence for reliability and validity. Applications of the instrument show characteristics that define high-scoring companies, quasi standards for New York employers, and, when applied during interventions, positive changes in organizational support levels. Conclusions. A relatively inexpensive, easy-to-use, and metrically tested instrument exists for measuring the construct of organizational support for employee heart health. The instrument shows promise as part of a system to enhance heart health through public health-based interventions in the workplace.

scholarly journals Outcomes Associated With Adapting a Research-Supported Treatment for Children With Behavior Disorders

2019 ◽  
Vol 30 (1) ◽  
pp. 74-83
Author(s):  
Mary C. Acri ◽  
Lindsay A. Bornheimer ◽  
Emily K. Hamovitch ◽  
Kate Lambert
Keyword(s):  
New York ◽  
New York State ◽  
Attitude Scale ◽  
Future Research ◽  
Evidence Based ◽  
Adaptation Process ◽  
Provider Attitudes ◽  
York State ◽  
Oppositional Defiant ◽  
Adaptation Processes

Purpose: The aims of this study are to describe an adaptation process of a research-supported treatment (RST) for children with oppositional defiant disorder and to examine provider attitudes toward RSTs prior to and following this process. Method: Providers from 14 agencies in New York State delivered the adapted RST, following training. Attitudes toward RSTs were measured by the Evidence-Based Practice Attitude Scale at baseline and posttest. Results: Openness toward RSTs decreased from baseline to posttest. The majority of providers reported modifications to the structure and process of the intervention. Discussion: To improve the uptake and usability of RSTs in practice, future research must further address adaptation processes and their relationships to attitudes toward RSTs.

Passed to Fail? Predicting the College Enrollment of GED® Passers

2017 ◽  
Vol 68 (1) ◽  
pp. 3-23
Author(s):  
Rachael J. Rossi ◽  
Corey Bunje Bower
Keyword(s):  
Community College ◽  
New York ◽  
College Enrollment ◽  
Basic Education ◽  
Adult Basic Education ◽  
New York State ◽  
College Attendance ◽  
Demographic Variables ◽  
Future Research ◽  
Data Set

Utilizing a data set of over 900,000 enrollees in adult basic education programs in New York State between 2005 and 2013, we examine the college enrollment of GED® passers. Upon enrollment in an adult basic education program, participants were asked whether they wanted to attend college after completion; almost 13,000 students both indicated a desire to attend college and subsequently passed the GED exam. Roughly half of these students reported attending college within 12 months. We use logistic regression to predict which students attended college based on a number of demographic variables and proximity to a community college. Counter to prior research, we find that none of these variables are practically significant predictors of college attendance. Students of different races who are and are not employed, receiving public assistance, single parents, and living close to a community college (among other factors) are virtually equally likely to attend college. We discuss other possible explanations and recommend that future research examine noncognitive and other factors.

Lack of Association of Elder Mistreatment With Mortality

2021 ◽  
Author(s):  
Karl Pillemer ◽  
David Burnes ◽  
David Hancock ◽  
John Eckenrode ◽  
Tony Rosen ◽  
...  
Keyword(s):  
New York ◽  
Family Relationships ◽  
New York State ◽  
Adult Mortality ◽  
Population Based ◽  
Support Service ◽  
Future Research ◽  
Elder Mistreatment ◽  
Covariate Data

Abstract Background Prior research is limited and inconsistent on the degree to which elder mistreatment (EM) is associated with mortality. This study uses data from a 10-year, prospective, population-based study of EM to determine the adjusted effects of EM on older adult mortality, after controlling for other health and socioeconomic covariates. Methods The New York State Elder Mistreatment Prevalence Study conducted a random-sample telephone survey of older adults (n = 4 156) in 2009 (Wave 1). The current study employs EM and covariate data from Wave 1 and data on mortality status through Wave 2 (2019). EM was operationalized both as experiencing EM and as severity of EM. The survey measured overall EM and separate subtypes (emotional, physical, and financial abuse, and neglect). Results The hypothesis was not supported that abused and neglected older people would have higher rates of death over the study. Individuals who were victims of EM were no more likely to die over the following 10 years, compared with those who were not mistreated, after controlling for covariates. Furthermore, the severity of EM, as measured by the frequency of mistreatment behaviors, also was not associated with mortality risk. Conclusions The finding that self-reported EM did not raise the risk of earlier death in this sample is encouraging. Future research should work to identify factors that may moderate the relationship between EM and mortality, such as social support/isolation, quality of family relationships, or involvement with formal support service systems.

scholarly journals An Exploration of Psychosocial Pathways of Parks’ Effects on Health: A Qualitative Study

2018 ◽  
Vol 15 (8) ◽  
pp. 1693 ◽  
Author(s):  
Ewelina M. Swierad ◽  
Terry T. K. Huang
Keyword(s):  
New York ◽  
New York City ◽  
Culturally Diverse ◽  
Qualitative Data ◽  
Qualitative Interviews ◽  
Future Research ◽  
Health And Wellbeing ◽  
Human Need ◽  
Multiple Levels ◽  
Improve Health

Urban green space has been positively associated with psychological and physical health. However, the linkage between exposure to parks and health outcomes remains unclear. The current study examined the meanings that people assign to city parks, as a way to understand the pathways by which parks exert their effects on health. We conducted qualitative interviews with twenty culturally diverse residents in New York City. Thematic analysis was performed on the qualitative data. Results showed that all themes identified were related to parks fulfilling a basic human need for connection to (1) family, loved ones, and friends; (2) community and neighborhood; (3) self; and (4) nature. Based on these data, we proposed a human-centered framework for future research and interventions aimed at catalyzing parks as a vehicle to improve health and wellbeing. A human-centered approach emphasizes targeting the deep-seated needs and values of those we seek to engage and for whom health promotion and disease prevention efforts are designed. Our study shows that park transformations need to incorporate careful considerations of the human need for connection on multiple levels, so that park usage and its consequent health benefits may be optimized.

LATs in the United States

2020 ◽  
pp. 37-51
Author(s):  
Cynthia Grant Bowman
Keyword(s):  
United States ◽  
New York ◽  
Qualitative Interviews ◽  
New York State ◽  
The United States ◽  
York State ◽  
Survey Statistics

This chapter presents the findings of my 2016 surveys of LATs in New York State and nationally and my qualitative interviews with LATs in the United States and England, which support many of the findings of the literature from other countries and diverge from them in certain respects. The survey statistics show that living apart is as common here as in Europe, with couples displaying similar arrangements and interactions. Data about economic interrelationship of the partners and mutual caregiving differ somewhat from those reported in previous studies.

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