Reducing Sexual Risk among Racial/ethnic-minority Ninth Grade Students: Using Intervention Mapping to Modify an Evidenced-based Curriculum

Background: Racial/ethnic-minority 9th graders are at increased risk for teen pregnancy, HIV, and STIs compared to their White peers. Yet, few effective sexual health education programs exist for this population. Purpose: To apply IM Adapt—a systematic theory- and evidence-based approach to program adaptation—to modify an effective middle school sexual health education curriculum, It’s Your Game…Keep It Real! (IYG), for racial/ethnic-minority 9th graders. Methods: Following the six steps of IM Adapt, we conducted a needs assessment to describe the health problems and risk behaviors of the new population; reviewed existing evidence-based programs; assessed the fit of IYG for the new population regarding behavioral outcomes, determinants, change methods, delivery, and implementation; modified materials and activities; planned for implementation and evaluation. Results: Needs assessment findings indicated that IYG targeted relevant health and risk behaviors for racial/ethnic-minority 9th graders but required additional focus on contraceptive use, dating violence prevention, active consent, and access to healthcare services. Behavioral outcomes and matrices of change objectives for IYG were modified accordingly. Theoretical methods and practical applications were identified to address these behavioral outcomes, and new activities developed. Youth provided input on activity modifications. School personnel guided modifications to IYG’s scope and sequence, and delivery. The adapted program, Your Game, Your Life, comprised fifteen 30-minute lessons targeting determinants of sexual behavior and healthy dating relationships. Pilot-test data from 9th graders in two urban high schools indicate promising results. Conclusion: IM Adapt provides a systematic theory- and evidence-based approach for adapting existing evidence-based sexual health education curricula for a new population whilst retaining essential elements that made the original program effective. Youth and school personnel input ensured that the adapted program was age-appropriate, culturally sensitive, and responsive to the needs of the new population. IM Adapt contributes to the limited literature on systematic approaches to program adaptation

Internet of robotic things : converging sensing/actuating, hypoconnectivity, artificial intelligence and IoT Platforms

The Internet of Things (IoT) concept is evolving rapidly and influencing newdevelopments in various application domains, such as the Internet of MobileThings (IoMT), Autonomous Internet of Things (A-IoT), Autonomous Systemof Things (ASoT), Internet of Autonomous Things (IoAT), Internetof Things Clouds (IoT-C) and the Internet of Robotic Things (IoRT) etc.that are progressing/advancing by using IoT technology. The IoT influencerepresents new development and deployment challenges in different areassuch as seamless platform integration, context based cognitive network integration,new mobile sensor/actuator network paradigms, things identification(addressing, naming in IoT) and dynamic things discoverability and manyothers. The IoRT represents new convergence challenges and their need to be addressed, in one side the programmability and the communication ofmultiple heterogeneous mobile/autonomous/robotic things for cooperating,their coordination, configuration, exchange of information, security, safetyand protection. Developments in IoT heterogeneous parallel processing/communication and dynamic systems based on parallelism and concurrencyrequire new ideas for integrating the intelligent “devices”, collaborativerobots (COBOTS), into IoT applications. Dynamic maintainability, selfhealing,self-repair of resources, changing resource state, (re-) configurationand context based IoT systems for service implementation and integrationwith IoT network service composition are of paramount importance whennew “cognitive devices” are becoming active participants in IoT applications.This chapter aims to be an overview of the IoRT concept, technologies,architectures and applications and to provide a comprehensive coverage offuture challenges, developments and applications

Information and communication technology solutions for outdoor navigation in dementia

INTRODUCTION: Information and communication technology (ICT) is potentially mature enough to empower outdoor and social activities in dementia. However, actual ICT-based devices have limited functionality and impact, mainly limited to safety. What is an ideal operational framework to enhance this field to support outdoor and social activities? METHODS: Review of literature and cross-disciplinary expert discussion. RESULTS: A situation-aware ICT requires a flexible fine-tuning by stakeholders of system usability and complexity of function, and of user safety and autonomy. It should operate by artificial intelligence/machine learning and should reflect harmonized stakeholder values, social context, and user residual cognitive functions. ICT services should be proposed at the prodromal stage of dementia and should be carefully validated within the life space of users in terms of quality of life, social activities, and costs. DISCUSSION: The operational framework has the potential to produce ICT and services with high clinical impact but requires substantial investment

Deployment of assisted living technology solution platform using smart body sensors for elderly people health monitoring.

Many of the Ambient Assisted Living Technologies (AALT) available in the market to the end-users with long term health condition have no common inter-operational protocol. Each product has its own communication protocols, different interfaces and interoperation which limits their solution reliability, flexibility and efficiency. This paper presents assisted living platform solution for elderly people with long term health condition based on wireless sensors networking technology. The system includes multi feedback sensor arrangements for monitoring, such as: blood pressure, heart rate and body temperature. Each sensor has been integrated with the necessary near real time embedded and wireless protocols that allow data collection, transfer and interoperate in ad-hoc bases. The data will be communicated wirelessly to central data base system and shared though cloud network. The collected data will be processed and relevant intelligent algorithms will be deployed to ensure certain actions taken place when health condition warnings arise. These warnings to be communicated to relevant carer, General Practitioner (GP) and health authority to take the necessary action and steps to handle such end user health condition warnings. The proposed solution system will provide the flexibility to analyse most of the health conditions based on near real time monitoring technology. It will enable the population of elderly with long term health condition to manage their daily life activities within multiple environments i.e. from their comfort home, care centres and hospitals. The data and information will be treated with high confidentiality to ensure end-users integrity and dignity have been maintained.N/

Positive Youth Development Measurement Toolkit: A Practical Guide for Implementers of Youth Programs

Positive youth development (PYD) is an approach that aims to build and support the competencies, skills and abilities of youth so that they are empowered to reach their full potential. Building the assets and skills of young people has been shown to improve outcomes for youth in high-income countries. But what does PYD look like in programs for youth in low- and middle-income countries (LMICs)? What are appropriate tools and considerations for measuring PYD outcomes in LMICs?Under the USAID-funded, Making Cents International led YouthPower Learning project, ICRW, Khulisa Management Services, University of Melbourne, and University of Washington, have developed a PYD Measurement Toolkit.This toolkit is geared toward helping program implementers, researchers and funders integrate PYD principles into program monitoring and evaluation, and to adjust and improve program performance. The toolkit provides a framework for measuring PYD, resources and references for implementers and evaluators, illustrative PYD indicators that can be applied across multiple sectors and information on major considerations for adapting measures cross-culturally

A Tailored Smart Home for Dementia Care

Dementia refers to a group of chronic conditions that cause the permanent and gradual cognitive decline. Therefore, a Person with Dementia (PwD) requires constant care from various classes of caregivers. The care costs of PwDs bear a tremendous burden on healthcare systems around the world. It is commonly accepted that utilising Smart Homes (SH), as an instance of Ambient Assisted Living (AAL) technologies, can facilitate the care, and consequently improve the quality of PwDs well-being. Nevertheless, most of the existing platforms assume dementia care is a straight application of standard SH technology without accommodating the specific requirements of dementia care. A consequence of this approach is the inadequacy and unacceptability of generic SH systems in the context of dementia care. Contrary to most of the existing SH systems proposed for dementia care, this study considers the specific requirements of PwDs and their care circle in all development steps of an SH. In addition, it investigates how utilising novel design and computing approaches can enhance the quality of SHs for dementia care. To do so, the requirements of dementia care stakeholders are collected, analysed and reflected on in an SH system design. Extensions and adaptation of existing frameworks and technologies are proposed to implement a prototype based on the resulting design. Finally, thorough evaluations and validation of the prototype are carried out. The evaluations by a group of stakeholders show the suitability of the proposed methodology and consequently the resulting prototypes for reducing dementia care difficulties as well as its potential for deployment in the real-world environment

An intelligent medical care solution for elderly people with long term health condition based on wireless sensors network technology

Older Adults are facing serious difficulties, on a regular basis, to manage their own daily life activities. To live independently and have a good quality of life is quite a challenge, since the majorly of them have long term health condition diseases. Health services providers across EU, informal and formal carer plays major roles in providing the necessary services and support. Diseases on this society are one of the leading causes of death, from which thousands of people die every year. Many of the non-communicable diseases can be prevented by tackling associated risk factors. The cost of treatment of such diseases in the EU is estimated to be over 70% of the Health Service budget. Treatment includes home-care, medication, consultation and many other relevant services. However, these services are still not adequate, due to the lack of implemented technology that enable the older adults to manage their daily life activities independently, taking medications, receive the necessary health services on time, which, in many cases leads to loss of lives and waste of NHS resources. Daily life activities management and telehealth remote monitoring system is one of the potential innovative approaches, to improve the older adult’s quality of life, help live independently, improve NHS services, sustain its economic growth and improve social development. It is a rapidly developing concept where daily life activities, health condition, medical information is transferred through interactive data, and audiovisual media and shared between services provider, informal and formal carer. This paper presents the initial outcomes of the ongoing research program that is planned to develop an Integrated Assisted Living Technology (ALT) multi-functional case driven wireless ad-hoc management system of the daily life activities of older adults using smart sensors and actuators, 3d-video, audio, radio frequency identification and wireless technology, combined with secure cloud and semantic data engineering

Feasibility Study: Social Protection in South Central Somalia

In recent years, there has been a growing recognition by policy makers and the international development community that longer-term social protection programming has the potential to reduce poverty and inequality and serve as a foundation upon which, viable livelihoods can be built. In many countries, specially those that are frequently affected by climatic and conflict hazards, this has led to calls for a shift in approach away from interventions thatsimply address the symptoms of household vulnerability towards those which deal with the causes. For more than two decades Somalia has lurched from one humanitarian crisis to another. This debate around the potential of social protection is therefore particularly acute, as years of humanitarian programming seem to have had little impact on increasing household resilience to shocks. Furthermore, the country still ranks 165 out of the 170 countries included in the UN's Human Development Index, and number one on the US Fund for Peace 'Failed State Index'.A consortium of agencies working in Somalia commissioned this study: Adeso, ACF, DRC and Save the Children. The study is intended to further the discussion on the rationale and practicalities of social protection in South Central Somalia, and to serve as a starting point for the debate around moving away from short-term responses towards longer-term social protection interventions by these agencies, and others.The report comprises six parts: Part 1 describes the political economy in South Central Somalia and highlights some key challengesfor humanitarian actors; Part 2 defines the general concept of social protection and looks at the global evidence of the impact of social protection; Part 3 looks at social protection programs in African countries (particularly those in the Somalia region), and also in fragile states; Part 4 looks at current social protection mechanisms in South Central Somalia; Part 5 describes the actions that are currently needed before humanitarian programming can become predictable, and Part 6 summarizes the way forward, including recommendations and the conclusions from the study