166 research outputs found

    Summary Cultural Competency Initiative in the Greater Kansas City Region 2009-2013

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    The Cultural Competency Initiative (CCI) was designed and launched by the REACH Healthcare Foundation to increase the understanding and practice of cultural competency within nonprofit health and human service organizations in the foundation's six-county service area, with the ultimate goal of reducing disparities in health among poor and minority populations. This report provide a summary of the CCI and the lessons learned from 2009 through 2013. This summary is based on three formal evaluation reports prepared by the evaluator of the initiative, review of initiative meeting minutes and other documents, and interviews with the evaluator, the technical assistance provider, the funders, Steering Committee members and grantees

    Is Collective Efficacy Age Graded? The Development and Evaluation of a New Measure of Collective Efficacy for Older Adults

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    Objectives. Community processes are key determinants of older adults' ability to age in place, but existing scales measuring these constructs may not provide accurate, unbiased measurements among older adults because they were designed with the concerns of child-rearing respondents in mind. This study examines the properties of a new theory-based measure of collective efficacy (CE) that accounts for the perspectives of older residents. Methods. Data come from the population-based Chicago Neighborhood Organization, Aging and Health study (N = 1,151), which surveyed adults aged 65 to 95. Using descriptive statistics, correlations, and factor analysis, we explored the acceptability, reliability, and validity of the new measure. Results. Principal component analysis indicated that the new scale measures a single latent factor. It had good internal consistency reliability, was highly correlated with the original scale, and was similarly associated with neighborhood exchange and disorder, self-rated health, mobility, and loneliness. The new scale also showed less age-differentiated nonresponse compared to the original scale. Discussion. The older adult CE scale has reliability and validity equivalent to that of the existing measure but benefits from a more developed theoretical grounding and reduced likelihood of age-related differential nonresponse

    Spontaneous Motor Entrainment to Music in Multiple Vocal Mimicking Species

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    SummaryThe human capacity for music consists of certain core phenomena, including the tendency to entrain, or align movement, to an external auditory pulse [1–3]. This ability, fundamental both for music production and for coordinated dance, has been repeatedly highlighted as uniquely human [4–11]. However, it has recently been hypothesized that entrainment evolved as a by-product of vocal mimicry, generating the strong prediction that only vocal mimicking animals may be able to entrain [12, 13]. Here we provide comparative data demonstrating the existence of two proficient vocal mimicking nonhuman animals (parrots) that entrain to music, spontaneously producing synchronized movements resembling human dance. We also provide an extensive comparative data set from a global video database systematically analyzed for evidence of entrainment in hundreds of species both capable and incapable of vocal mimicry. Despite the higher representation of vocal nonmimics in the database and comparable exposure of mimics and nonmimics to humans and music, only vocal mimics showed evidence of entrainment. We conclude that entrainment is not unique to humans and that the distribution of entrainment across species supports the hypothesis that entrainment evolved as a by-product of selection for vocal mimicry

    Matching donations without crowding out? Some theoretical considerations, a field, and a lab experiment

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    Is there a way of matching donations that avoids crowding out? We introduce a novel matching method where the matched amount is allocated to a different project, present some simple theoretical considerations that predict reduced crowding out or crowding in (depending on the degree of substitutability between the two projects) and present evidence from a large-scale natural field experiment and a laboratory experiment. Similar to findings in the literature, conventional matching for the same project results in partial crowding out in the field experiment and, as predicted, crowding out is reduced under the novel matching scheme. The lab experiment provides more fine-tuned evidence for the change in crowding and yields further support for the theory: the novel matching method works best when the two projects are complements rather than substitutes

    Adapting Conservation Easements to Climate Change

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    First Things First: Creating the Conditions and Capacity for Community-Wide Reform in an Urban School District

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    Documents the strategies and activities of the First Things First initiative from the preparatory phase of the initiative through the first year of implementation in Kansas City and reports on its early results

    PSS13 INCREMENTAL COST-UTILITY ANALYSIS OF DEXAMETHASONE INTRAVITREAL IMPLANT FOR THE TREATMENT OF MACULAR EDEMA FOLLOWING RETINAL VEIN OCCLUSION

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    Community Innovation Network Framework: A Model for Reshaping Community Identity

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    The REACH Healthcare Foundation created its Rural Health Initiative to encourage the development of innovative strategies to improve access to health care and reduce health inequities in three rural counties in Missouri and Kansas. The intent was to develop a systematic, sustainable, and coordinated approach to community change that would increase the odds of breaking through the persistent barriers to health care access for the rural poor and medically underserved in these counties. This article discusses the foundation’s original approach to the initiative and how it adjusted that approach in response to its rural partners’ experiences. It reflects on the challenges encountered in rooting the four conditions and capacities of community change and innovation – supports for implementation; foundational structures; skills and processes; and community engagement – into the work of community health improvement. The article also describes lessons learned and new roles for funders interested in assisting communities that are seeking to deepen and extend capacity and innovation and forge a new identity

    Evaluating Summer Flounder Spatial Sex-Segregation in a Southern New England Estuary

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    Marine fish species can exhibit sex-specific differences in their biological traits. Not accounting for these characteristics in the stock assessment or management of a species can lead to misunderstanding its population dynamics and result in ineffective regulatory strategies. Summer Flounder Paralichthys dentatus, a flatfish that supports significant commercial and recreational fisheries along the northeastern U.S. shelf, expresses variation in several traits between the sexes, including growth and habitat preference. To further understand these patterns, 1,302 Summer Flounder were collected and sexed in 2016 and 2017 from fisheries-independent surveys conducted in Rhode Island state waters. Female flounder were more prevalent in shallow waters (15 m) from May through September. The probability of a collected flounder being female was evaluated with generalized linear models and covariates representing depth, temperature, month, year, and TL. Summer Flounder were more likely to be female at larger sizes, in shallower waters, and late in the season. When compared with landings data in the recreational fishery over the sampling period, the results suggest that nearly all flounder harvested in the sector were female. This work provides further evidence for and characterization of Summer Flounder sex-segregation and highlights, for management purposes, the importance of considering fine-scale spatial dynamics in addition to broader distribution patterns. The fitted model represents an effective first step toward understanding the implications of an aggregated fishing effort for disproportionate removals of male or female flounder and for exploring resulting consequences for regional spawning stock biomass and stock resiliency
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