HOW WHITE TEACHERS’ IDENTITY DEVELOPMENT TRANSLATES TO CLASSROOM INTERACTIONS WITH MINORITY STUDENTS

Historically, research on racial microaggressions has focused on adult populations within clinical as well as work environments. The literature is just beginning to examine microaggressions within the K-12 education system and with younger populations. It is important to assess how racial microaggressions are impacting high school students given that research has indicated that this population is experiencing racial injustices. The perpetration of racial microaggressions is the basis for students’ discriminatory experiences within these institutions. This work has recently become even more necessary given that the high school student population is becoming increasingly racially diverse while our teaching population has remained mostly White. The purpose of this study is to investigate how White educators’ White identity development translates to the racial microaggression commission in the classroom setting. This study took place across three public schools within the South United States. This study included five White educators and 25 of their non-White students. The educators were interviewed and a selection of their non-White students were surveyed. This data was then analyzed using Thematic Analysis (TA). TA was utilized to uncover where White educators were in their White identity development and to assess students’ experiences with racial microaggressions. This study explored White identity development using Helms’ (1990, 1995) White Identity Development model. Findings indicated that White educators were at various levels of their White identity development. The educators ranged from those who endorsed colorblind ideologies to those engaged in racial activism. The findings were structured into six overcharging themes: Adherence to Colorblind Attitudes, Initial Response to Emerging Awareness of Racism, Denigration of POC, Intellectual Understanding of Racism, Desire to Achieve a Nonracist Definition of Whiteness, Positive White Racial Identity. The student participants reported diverse experiences within the school setting. The results were organized into two overarching themes: Positive School Experiences and Negative School Experiences. Recommendations were offered for educator preparation programs, ongoing training for educations, as well as larger systemic alterations

Person-Environment Fit, Substance Use Attitudes, and Early Adolescent Substance Use

BACKGROUND: Adolescent substance use is a national health concern. While the literature is clear on the prevalence of substance use during the adolescent developmental period, a dearth of literature is available on the developmental contexts, particularly the influence of school factors, in which substance use occurs. OBJECTIVES: This study examined the intermediary role of substance use attitudes on the relationship between school racial composition and alcohol and marijuana use in a sample of sixth to eighth graders. METHODS: The sample consisted of 4228 middle school students (89% White; 53% female) in the Midwest. A moderated mediation analysis was conducted on the relationship between school racial composition, substance use attitudes, and substance use, with race as the moderator. RESULTS: Results indicated a significant relationship between the percentage of White or Black students in a school and alcohol or marijuana use and that this relationship was mediated by substance use attitudes. These relationships did not differ significantly by student race. Conclusions/Importance: Preliminary findings indicate the importance of considering school racial composition as a systems level risk or promotive factor for attitudes toward substance use as well as substance use outcomes

Parent Perceptions of a Novel Health Intervention for Neurodiverse Youth

Background: Children with all types of disabilities are more likely to be inactive due to a variety of factors. Children with neurodevelopmental challenges such as autism spectrum disorder (ASD) and/or mental health challenges such as anxiety and depression face unique barriers to exercise, including increased demands on parenting resources. Thus there is a critical need for interventions understand parental perspectives and address such barriers in neurodiverse youth. The aim of this study was to explore parental perceptions of a novel exergaming and virtual health coaching intervention targeting neurodiverse youth, including barriers and facilitators of their children’s engagement, in order to help tailor future interventions. Methods: Parents of three children taking part in formative research prior to a full intervention pilot were interviewed using a semi-structured interview guide. Phone interviews were recorded and transcribed without identifying information. Themes were identified during joint review of transcripts by two researchers using an adapted grounded theory approach. Results: Three parents of participants (1 middle school, 2 high school; 2 male) took part. Important barriers identified included easy frustration with gaming technology, feeling defeated by game avatars, burden of coordinating participation in the intervention, and desire for different types of games (non-sporting or non-dance). Parents felt strongly that participation had improved their children’s perceptions of exercise and overall exercise engagement. Suggestions for improvement included utilizing games without a competitive component, creating integrated intervention interface for parents, participants, and coaches, and using newer technologies (such as virtual reality). Conclusions: The home-based, school-supported GameSquad exergaming intervention shows potential to improve physical activity engagement in this population, however, barriers remain that should be addressed prior to upscaling. Modifications such as integrated intervention interfaces and more diverse gaming options would help improve intervention engagement and decrease parental burden

Promouvoir la santé mentale : Les expériences de jeunes en centre d’hébergement

This qualitative study used the enhanced critical incident technique to explore the experiences of youth who are living in residential childcare facilities and identified key influences on their mental health during the transition into adult life. Participants were 8 youth (aged 16 to 18; 6 European Canadian, 2 Aboriginal Canadian) who engaged in individual semistructured interviews. Analyses of transcribed interview transcripts revealed that numerous themes in the areas of internal processes, interpersonal relationships, and impact of social contexts have the potential to influence in unique ways the mental health of youth who are living in residential care.Pour mener cette étude qualitative, on a eu recours à la technique améliorée d’analyse d’incident critique pour explorer les expériences vécues par des jeunes vivant dans des centres d’hébergement et de soins pour enfants, ce qui servit à définir les facteurs-clés influençant leur santé mentale durant leur transition vers la vie adulte. Les participants étaient 8 jeunes (de16 à 18 ans; 6 Canadiens d’origine européenne, 2 Canadiens d’origine autochtone) qui se sont prêtés à des entrevues individuelles semi-dirigées. Les analyses des transcriptions d’entrevues révèlent que de nombreux thèmes touchant les processus internes, les relations interpersonnelles et les effets des contextes sociaux peuvent influencer considérablement la santé mentale des jeunes qui vivent en centre d’hébergement

The Effect of Impulsivity and Drinking Motives on Alcohol Outcomes in College Students: A 3-year Longitudinal Analysis

Objective: Substance use is a public health concern and cross-sectional studies have found that impulsivity and drinking motives influence substance use in emerging adults. Despite these findings, longitudinal studies with nuanced measures of impulsivity and drinking motives are needed. Participants: The current study investigated the three-year relationship between impulsivity-related traits, drinking motives, sex, and drinking outcomes in a sample of 509 college students (47.47% male; 81% White). Methods: The effects of impulsivity traits and drinking motives on problematic drinking outcomes were evaluated using linear mixed effects models. Results: The results confirmed the hypothesized relationship between traits of impulsivity, drinking motives, and alcohol outcomes over time. Further, sex significantly interacted with drinking motives longitudinally in its relationship with alcohol use outcomes. Conclusions: These results indicate that intervention efforts may need to be tailored to specific individual attributes to target direct correlates of alcohol use behavior to increase effectiveness

Comorbidities, symptoms and end-of-life medication use in hospitalised decedents before and during the COVID-19 pandemic: a retrospective regional cohort study in Ottawa, Canada

Objective To compare comorbidities, symptoms and end-of-life (EoL) palliative medication (antisecretories, opioids, antipsychotics and sedatives) use among decedents before and during the COVID-19 pandemic.Design In a retrospective cohort study, decedent records in three acute care hospitals were abstracted, generating a prepandemic (November 2019–February 2020) group (pre-COVID) and two intrapandemic (March–August 2020, wave 1) groups, one without (COVID-ve) and one with COVID-19 infection (COVID+ve). Control group decedents were matched 2:1 on age, sex and care service (medicine/intensive care unit (ICU)) with COVID+ve decedents.Setting Three regional acute care teaching hospitals in Ottawa, CanadaParticipants Decedents (N=425): COVID+ve (n=85), COVID-ve (n=170) and pre-COVID (n=170).Main outcome measures Data were abstracted regarding demographics, admission comorbidities and symptoms, and EoL medication use; opioid doses were standardised to parenteral morphine equivalent daily dose (MEDD), and the predictors of upper quartile MEDD in the last 24 hours of life were examined in multivariable logistic regression with adjusted ORs (aORs) and 95% CIs.Results The prevalence of dementia (41% vs 28% and 26%, p=0.03), breathlessness (63.5% vs 42% and 47%, p<0.01), cough (40% vs 27% and 19%, p<0.01) and fever (54% vs 9% and 13.5%) was higher in COVID+ve versus pre-COVID and COVID-ve groups, respectively. The median (IQR) of MEDD over the last 72 hours of life was 16.7 (9–36.5) vs 13.5 (5.7–21.8) and 10.5 (5.3–23.8) for COVID+ve versus pre-COVID and COVID-ve groups, respectively, (p=0.007). Male sex, COVID+ve grouping, ICU death and high-flow nasal cannula use predicted upper quartile MEDD dose, aORs (95% CIs): 1.84 (1.05 to 3.22), 2.62 (1.29 to 5.3), 5.14 (2.47 to 10.7) and 1.93 (1.05 to 3.52), respectively. COVID+ve group decedents used highest lorazepam and propofol doses.Conclusions COVID-19 decedents, particularly those in ICU, required higher EoL opioid and sedating medication doses than matched prepandemic or intrapandemic controls. These findings should inform and guide clinical practice