488 research outputs found
Process Evaluation in Action: Lessons Learned from Alabama REACH 2010
The CDC-funded Alabama Racial and Ethnic Approaches to Community Health (REACH 2010) project is designed to reduce and eliminate disparities in breast and cervical cancer between African American and white women in six rural and three urban counties in Alabama. In this manuscript, we report on the development, implementation, results, and lessons learned from a process evaluation plan initiated during the Phase I planning period of the Alabama REACH 2010 program. The process evaluation plan for Alabama REACH 2010 focused on four main areas of activity that coincided with program objectives: assessing coalition development, building community capacity, conducting a needs assessment, and developing a community action plan. Process evaluation findings indicated that progress made by Alabama REACH 2010 was due, in part, to evaluative feedback. We conclude that process evaluation can be a powerful tool for monitoring and measuring the administrative aspect of a complex, community-based health intervention
A Cluster Randomized Controlled Trial for a Multi-Level, Clinic-Based Smoking Cessation Program with Women in Appalachian Communities: Study Protocol for the Break Free Program
BACKGROUND: The cervical cancer burden is high among women living in Appalachia. Cigarette smoking, a cervical cancer risk factor, is also highly prevalent in this population. This project aims to increase smoking cessation among women living in Appalachia by embedding a smoking cessation program within a larger, integrated cervical cancer prevention program.
METHODS: The broader program, the Take CARE study, is a multi-site research collaborative designed to address three risk factors for cervical cancer incidence and mortality: tobacco use, human papillomavirus (HPV) infection, and cervical cancer screening. Break Free is a primary care clinic-based implementation program that aims to promote smoking cessation among female smokers in Appalachia by standardizing clinical practice protocols. Break Free includes: (1) implementation of a tobacco user identification system in the Electronic Health Record, (2) clinic staff and provider training on the Ask, Advise and Refer (AAR) model, (3) provider implementation of AAR to identify and treat women who want to quit smoking within the next 6 months, (4) facilitated access to cessation phone counseling plus pharmacotherapy, and (5) the bundling of Break Free tobacco cessation with HPV vaccination and cervical cancer screening interventions in an integrated approach to cervical cancer prevention. The study spans 35 Appalachian health clinics across 10 healthcare systems. We aim to enroll 51 adult female smokers per health system (total N = 510). Baseline and follow-up data will be obtained from participant (provider and patient) surveys. The primary outcome is self-reported 12-month point prevalence abstinence among enrolled patients. All randomized patients are asked to complete follow-up surveys, regardless of whether they participated in tobacco treatment. Data analysis of the primary aims will follow intent-to-treat methodology. Secondary outcomes will assess program implementation and cost effectiveness.
DISCUSSION: Addressing high tobacco use rates is critical for reducing cervical cancer morbidity and mortality among women living in Appalachia. This study evaluates the implementation and effectiveness of a smoking cessation program in increasing smoking cessation among female smokers. If results demonstrate effectiveness and sustainability, implementation of this program into other health care clinics could reduce both rates of smoking and cervical cancer.
Trial registration NCT04340531 (April 9, 2020)
Production properties of K*(892) vector mesons and their spin alignment as measured in the NOMAD experiment
First measurements of K*(892) mesons production properties and their spin
alignment in nu_mu charged current (CC) and neutral current (NC) interactions
are presented. The analysis of the full data sample of the NOMAD experiment is
performed in different kinematic regions. For K*+ and K*- mesons produced in
nu_mu CC interactions and decaying into K0 pi+/- we have found the following
yields per event: (2.6 +/- 0.2 (stat.) +/- 0.2 (syst.))% and (1.6 +/- 0.1
(stat.) +/- 0.1 (syst.))% respectively, while for the K*+ and K*- mesons
produced in nu NC interactions the corresponding yields per event are: (2.5 +/-
0.3 (stat.) +/- 0.3 (syst.))% and (1.0 +/- 0.3 (stat.) +/- 0.2 (syst.))%. The
results obtained for the rho00 parameter, 0.40 +/- 0.06 (stat) +/- 0.03 (syst)
and 0.28 +/- 0.07 (stat) +/- 0.03 (syst) for K*+ and K*- produced in nu_mu CC
interactions, are compared to theoretical predictions tuned on LEP measurements
in e+e- annihilation at the Z0 pole. For K*+ mesons produced in nu NC
interactions the measured rho00 parameter is 0.66 +/- 0.10 (stat) +/- 0.05
(syst).Comment: 20 p
Final NOMAD results on nu_mu->nu_tau and nu_e->nu_tau oscillations including a new search for nu_tau appearance using hadronic tau decays
Results from the nu_tau appearance search in a neutrino beam using the full
NOMAD data sample are reported. A new analysis unifies all the hadronic tau
decays, significantly improving the overall sensitivity of the experiment to
oscillations. The "blind analysis" of all topologies yields no evidence for an
oscillation signal. In the two-family oscillation scenario, this sets a 90%
C.L. allowed region in the sin^2(2theta)-Delta m^2 plane which includes
sin^2(2theta)<3.3 x 10^{-4} at large Delta m^2 and Delta m^2 < 0.7 eV^2/c^4 at
sin^2(2theta)=1. The corresponding contour in the nu_e->nu_tau oscillation
hypothesis results in sin^2(2theta)<1.5 x 10^{-2} at large Delta m^2 and Delta
m^2 < 5.9 eV^2/c^4 at sin^2(2theta)=1. We also derive limits on effective
couplings of the tau lepton to nu_mu or nu_e.Comment: 46 pages, 16 figures, Latex, to appear on Nucl. Phys.
Prediction of Neutrino Fluxes in the NOMAD Experiment
The method developed for the calculation of the flux and composition of the
West Area Neutrino Beam used by NOMAD in its search for neutrino oscillations
is described. The calculation is based on particle production rates computed
using a recent version of FLUKA and modified to take into account the cross
sections measured by the SPY and NA20 experiments. These particles are
propagated through the beam line taking into account the material and magnetic
fields they traverse. The neutrinos produced through their decays are tracked
to the NOMAD detector. The fluxes of the four neutrino flavours at NOMAD are
predicted with an uncertainty of about 8% for nu(mu) and nu(e), 10% for
antinu(mu), and 12% for antinu(e). The energy-dependent uncertainty achieved on
the R(e, mu) prediction needed for a nu(mu)->nu(e) oscillation search ranges
from 4% to 7%, whereas the overall normalization uncertainty on this ratio is
4.2%.Comment: 43 pages, 20 figures. Submitted to Nucl. Phys.
Search for nu(mu)-->nu(e) Oscillations in the NOMAD Experiment
We present the results of a search for nu(mu)-->nu(e) oscillations in the
NOMAD experiment at CERN. The experiment looked for the appearance of nu(e) in
a predominantly nu(mu) wide-band neutrino beam at the CERN SPS. No evidence for
oscillations was found. The 90% confidence limits obtained are delta m^2 < 0.4
eV^2 for maximal mixing and sin^2(2theta) < 1.4x10^{-3} for large delta m^2.
This result excludes the LSND allowed region of oscillation parameters with
delta m^2 > 10 eV^2.Comment: 19 pages, 8 figures. Submitted to Phys. Lett.
Inclusive production of and mesons in charged current interactions
The inclusive production of the meson resonances ,
and in neutrino-nucleus charged current interactions has been
studied with the NOMAD detector exposed to the wide band neutrino beam
generated by 450 GeV protons at the CERN SPS. For the first time the
meson is observed in neutrino interactions. The statistical
significance of its observation is 6 standard deviations. The presence of
in neutrino interactions is reliably established. The average
multiplicity of these three resonances is measured as a function of several
kinematic variables. The experimental results are compared to the
multiplicities obtained from a simulation based on the Lund model. In addition,
the average multiplicity of in antineutrino - nucleus
interactions is measured.Comment: 23 pages, 14 figures, 8 tables. To appear in Nucl. Phys.
A Study of Strange Particles Produced in Neutrino Neutral Current Interactions in the NOMAD Experiment
Results of a detailed study of strange particle production in neutrino
neutral current interactions are presented using the data from the NOMAD
experiment. Integral yields of neutral strange particles (K0s, Lambda,
Lambda-bar) have been measured. Decays of resonances and heavy hyperons with an
identified K0s or Lambda in the final state have been analyzed. Clear signals
corresponding to K* and Sigma(1385) have been observed. First results on the
measurements of the Lambda polarization in neutral current interactions have
been obtained.Comment: Accepted for publication in Nuclear Physics B as a rapid
communicatio
Search for the exotic resonance in the NOMAD experiment
A search for exotic Theta baryon via Theta -> proton +Ks decay mode in the
NOMAD muon neutrino DIS data is reported. The special background generation
procedure was developed. The proton identification criteria are tuned to
maximize the sensitivity to the Theta signal as a function of xF which allows
to study the Theta production mechanism. We do not observe any evidence for the
Theta state in the NOMAD data. We provide an upper limit on Theta production
rate at 90% CL as 2.13 per 1000 of neutrino interactions.Comment: Accepted to European Physics Journal
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