Heart and Shield Family Violence Prevention Program

Children exposed to domestic violence (DV) inadvertently learn behaviors that make them more likely to become victims and/or perpetrators later in life unless they learn skills to address childhood trauma. This article discusses how two rural community needs assessments identified that DV prevention was a high-priority issue, the effects of DV on youth mental and physical health, and the resulting Heart and Shield Family Violence Prevention Program, a Cooperative Extension program designed to strengthen family relationships and break the cycle of violence. Implications for practice include helping youth build healthy relationships, incorporating DV awareness training in staff/volunteer professional development, collaborating with community partners, and advocating for programs that teach positive parent-child interactions

Randomized Clinical Trial of Distraction for Infant Immunization Pain

Distraction has been shown to be an effective technique for managing pain in children; however, few investigations have examined the utility of this technique with infants. The goal of the current study was to investigate the effectiveness of movie distraction in reducing infants’ immunization distress. Participants were 136 infants (range = 1 to 21 months; M = 7.6 months, SD = 5.0 months) and their parents, all of whom were recruited when presenting for routine vaccinations. The parent-child dyads were randomly assigned to either a Distraction or Typical Care control condition. Infant and adult behaviors were assessed using a visual analog scale and a behavioral observation rating scale. Results indicated parents in the Distraction group engaged in higher rates of distraction than those in the Typical Care group, whereas there was no difference in the behavior of nurses in the Distraction and Typical Care groups. In addition, infants in the Distraction group displayed fewer distress behaviors than infants in the Typical Care group both prior to and during recovery from the injection. Findings suggest that a simple and practical distraction intervention can provide some distress relief to infants during routine injections

Building Capacity within Extension to Address Animal Agriculture in a Changing Climate

The Animal Agriculture in a Changing Climate project was formed to build capacity among Extension professionals and other livestock advisors to address climate change issues. We offer a case study of how a small team can build national capacity for new topics. We used a coordinated multiregional approach to leverage national efforts applied to locally relevant climatology, production systems, and climate issues. Key insights on overcoming challenges centered on (a) engaging audiences with local, historical trends and agricultural impacts, (b) beginning with adaptation, rather than mitigation of climate change, and (c) providing strategies for effectively communicating science during controversy. Program participants found the project valuable and substantially increased their ability and motivation to apply climate science

Cross-Regional Data Initiative for the Assessment and Development of Treatment for Neurological and Mental Disorders

Purpose: To describe and categorize detailed components of databases in the Neurological and Mental Health Global Epidemiology Network (NeuroGEN). Methods: An online 132-item questionnaire was sent to key researchers and data custodians of NeuroGEN in North America, Europe, Asia and Oceania. From the responses, we assessed data characteristics including population coverage, data follow-up, clinical information, validity of diagnoses, medication use and data latency. We also evaluated the possibility of conversion into a common data model (CDM) to implement a federated network approach. Moreover, we used radar charts to visualize the data capacity assessments, based on different perspectives. Results: The results indicated that the 15 databases covered approximately 320 million individuals, included in 7 nationwide claims databases from Australia, Finland, South Korea, Taiwan and the US, 6 population-based electronic health record databases from Hong Kong, Scotland, Taiwan, the Netherlands and the UK, and 2 biomedical databases from Taiwan and the UK. Conclusion: The 15 databases showed good potential for a federated network approach using a common data model. Our study provided publicly accessible information on these databases for those seeking to employ real-world data to facilitate current assessment and future development of treatments for neurological and mental disorders.</p