2,238 research outputs found

    Predictors of Involvement in Head Start Services Among Diverse Immigrant Families

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    Nearly 86% of Head Start preschools serve non-English speaking families. The Head Start preschool program has been shown to increase academic proficiencies in children entering kindergarten and has been particularly successful in helping immigrant children entering the U.S. education system. Family involvement in their child’s education as early as preschool has been correlated with positive academic and behavioral outcomes throughout childhood. Given the importance of Head Start services for immigrant families, this study seeks to better understand variables associated with involvement in Head Start among immigrant families. Data was collected from a diverse sample of immigrant and U.S. born families to better understand what factors influence a family member’s level of involvement in their Head Start program (n = 196). Participating parents and caregivers were from 17 different countries and completed surveys regarding a variety of demographic information, caregiver’s level of satisfaction in Head Start services, and caregiver’s level of involvement in Head Start services. Results indicate a family’s language and birthplace have no significant relationship with a family’s level of involvement in their child’s education. Rather, a family’s satisfaction in the services provided by the school shows the strongest associations with a family’s involvement in services. Demographic variables associated with involvement in a child’s education include a caregiver’s level of education and a caregiver’s relation to the child. Findings indicate that caregivers with low educational attainment and in non-traditional families may be in need of targeted intervention focused on increasing levels of satisfaction in services

    Multi-Wavelength Observations of the HBL Object 1ES 1011+496 in Spring 2008

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    In the spring of 2008 MAGIC organised multi-wavelength (MWL) observations of the blazar 1ES 1011+496. 1ES 1011+496 is a high-frequency peaked BL Lac object discovered at VHE gamma-rays by MAGIC in spring 2007 during an optical outburst reported by the Tuorla Blazar Monitoring Programme. MAGIC re-observed the source during the 2008 MWL campaign which also included the Mets\"ahovi, KVA, Swift and AGILE telescopes. This was the first MWL campaign on this source that also included VHE coverage. MAGIC observed 1ES 1011+496 from March 4th to May 24th 2008 for a total of 27.9 hours, of which 20 h remained after quality cuts. The observations resulted in a detection of the source a ~7 sigma significance level with a mean flux and spectral index similar to those during the discovery. Here we will present the results of the MAGIC observations of the source in combination with contemporaneous observations at other wavelengths (radio, optical, X-rays, high energy gamma-rays) and discuss their implications on the modelling of the spectral energy distribution.Comment: 4 pages, 5 figures, contribution to the 32nd ICRC, Beijing 201

    Health status of Medicare-enrolled autistic older adults with and without co-occurring intellectual disability: An analysis of inpatient and institutional outpatient medical claims

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    Little is known about the extent to which the healthcare needs of autistic older adults with intellectual disability differ from autistic older adults without intellectual disability. We conducted a cross-sectional retrospective cohort study of Medicare claims data from 2016 to 2017 to compare the prevalence of physical and mental health conditions among autistic older adults (age 65+ years) with intellectual disability (N=2054) to autistic older adults without intellectual disability (N=2631). Medicare claims data consisted of records from inpatient hospitalizations and institutional outpatient visits (i.e. visits to hospital outpatient departments, rural health clinics, renal dialysis facilities, outpatient rehabilitation facilities, Federally Qualified Health Centers, and community mental health centers). Examination of the largest between-group differences revealed that autistic older adults with intellectual disability had 350% greater odds of epilepsy (odds ratio=4.5, 95% confidence interval=3.9–5.2), 170% greater odds of osteoporosis (odds ratio=2.7, 95% confidence interval=2.3–3.2), and 100% greater odds of gastrointestinal conditions (odds ratio=2.0, 95% confidence interval = 1.8–2.2) but 80% lower odds of attention deficit disorders (odds ratio = 0.2, 95% confidence interval = 0.1–0.3), 70% lower odds of substance use disorders (odds ratio=0.3, 95% confidence interval=0.2–0.4), and 60% lower odds of suicidal ideation or intentional self-injury (odds ratio = 0.4, 95% confidence interval = 0.3–0.6). These findings highlight the importance of developing tailored health management strategies for the autistic older adult population as a function of intellectual disability status.Title page, Scientific abstract, Lay abstract, Manuscript, References, Tables, Supplemental Table

    Partnerships between deaf people and hearing dogs (PEDRO) : Effectiveness and Cost-Effectiveness of Receiving a Hearing Dog on Mental Well-Being and Health in People With Hearing Loss: Protocol for a Randomized Controlled Trial

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    Background People with hearing loss, particularly those who lose their hearing in adulthood, are at increased risk of social isolation, mental health difficulties, unemployment, loss of independence, risk of accidents, and impaired quality of life. In the United Kingdom (UK), a single third sector organisation provides hearing dogs, a specific type of assistance dog trained to provide sound support to people with hearing loss. These dogs may also deliver numerous psychosocial benefits to recipients. This has not previously been fully investigated. Objective To evaluate the impact of a hearing dog partnership on the lives of individuals with severe or profound hearing loss. Methods and Analysis A two-arm, randomised controlled trial conducted within the UK, with 162 hearing dog applicants, aged 18 years and over. Participants will be randomised 1:1 using a matched-pairs design to receive a hearing dog sooner than usual (intervention arm – Arm B) or to receive a hearing dog within the usual timeframe (comparator arm – Arm A). In the effectiveness analysis, the primary outcome is a comparison of mental wellbeing six-months after Arm B have received a hearing dog (Arm A: not yet received hearing dog), measured using the Short Warwick Edinburgh Mental Wellbeing Scale. Secondary outcome measures include the PHQ-9, GAD-7 and WSAS. An economic evaluation will assess cost-effectiveness including health-related quality-adjusted life years using the EQ-5D-5L and social-care-related-quality-adjusted life-years. Participants will be followed up for up to two years. A nested qualitative study will investigate the impacts of having a hearing dog and how these impacts come about. Results The study was funded by the National Institute for Health Research’s School for Social Care Research. Recruitment commenced in March 2017 and is now complete. 165 participants were randomised. Data collection will continue until January 2020. Results will be published in peer-reviewed journals and at conferences. A summary of the findings will be made available to participants. Ethical approval was received from the University of York’s Department of Social Policy and Social Work Research Ethics Committee (reference SPSW/S/17/1). Conclusions The findings from this study will provide, for the first time, strong and reliable evidence on the impact of having a hearing dog on people’s lives in terms of their quality of life, well-being and mental health. Trial registration The trial has been retrospectively registered International Standard Randomised Controlled Trial Number (ISRCTN) 36452009; https://doi.org/10.1186/ISRCTN36452009. Trial status: Ongoing

    Support needs and barriers to accessing support:Baseline results of a mixed-methods national survey of people bereaved during the COVID-19 pandemic

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    BACKGROUND: The COVID-19 pandemic is a mass bereavement event which has profoundly disrupted grief experiences. Understanding support needs and access to support among people bereaved at this time is crucial to ensuring appropriate bereavement support infrastructure. AIM: To investigate grief experiences, support needs and use of formal and informal bereavement support among people bereaved during the pandemic. DESIGN: Baseline results from a longitudinal survey. Support needs and experiences of accessing support are reported using descriptive statistics and thematic analysis of free-text data. SETTING/PARTICIPANTS: 711 adults bereaved in the UK between March and December 2020, recruited via media, social media, national associations and community/charitable organisations. RESULTS: High-level needs for emotional support were identified. Most participants had not sought support from bereavement services (59%, n = 422) or their General-Practitioner (60%, n = 428). Of participants who had sought such support, over half experienced difficulties accessing bereavement services (56%, n = 149)/General-Practitioner support (52%, n = 135). About 51% reported high/severe vulnerability in grief; among these, 74% were not accessing bereavement or mental-health services. Barriers included limited availability, lack of appropriate support, discomfort asking for help and not knowing how to access services. About 39% (n = 279) experienced difficulties getting support from family/friends, including relational challenges, little face-to-face contact and disrupted collective mourning. The perceived uniqueness of pandemic bereavement and wider societal strains exacerbated their isolation. CONCLUSIONS: People bereaved during the pandemic have high levels of support needs alongside difficulties accessing support. We recommend increased provision and tailoring of bereavement services, improved information on support options and social/educational initiatives to bolster informal support and ameliorate isolation
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