Transforming Drug Addicts\u27 Lives: Restoration Christian Outreach Community (RCOC) In Northwest Mississippi

The National Institute on Drug Abuse reports on over 14,500 specialized drugtreatment facilities providing counseling, behavioral therapy, medication, case management, and other services to persons with substance-use disorders.1 Drug addiction is a complex disorder that can involve the individual\u27s family, work, school, and community involvement with pervasive consequences, so treatment typically involves many components, with the goal of addressing each facet affected by the disorder. Residential drug-treatment programs throughout the United States follow different treatment and rehabilitation models. In Mississippi, most drug-treatment programs are offered by the Department of Mental Health, Bureau of Alcohol and Drug Services. However, residential drug-treatment programs in northwest Mississippi do not incorporate Godly tools and leadership principles to address the increasing challenges of drug addiction. This dissertation addresses v faith-based treatment environments, servant leadership, and reintegration into spiritual and community life to determine the effectiveness of three residential drug-treatment programs around northwestern Mississippi aiming to understand the effectiveness of those programs and how they could better improve the lifestyles of Mississippi’s drug-addicted population. Based on the findings, I propose to establish a Restoration Christian Outreach Community (RCOC), a faith-based, holistic, drug-treatment program, planned for northwest Mississippi and designed to change each recovering individual’s social environment. The resulting artifact, entitled “Transforming Drug Addicts’ Lives in Northwest Mississippi: Restoration Christian Outreach Community (RCOC),” represents portions of a proposed facilitator’s manual for daily sessions at the RCOC Ministry. This artifact incorporates the Godly tools missing from many recovery programs, and may be used by others in outreach ministries and residential drug-recovery facilities as a holistic approach to healing

Improving Health and Wellness of Healthcare Staff

Health care providers face a high prevalence of burnout, which can lead to substance abuse, suicidiality, and overall poor health outcomes. Mindfulness meditation can greatly reduce burnout in healthcare professionals when practiced regularly. A guided meditation mobile application can increase feasibility and utilization by healthcare professionals with varying schedules. The objectives of this performance improvement project was to increase knowledge of burnout and promote health and wellness. A needs assessment identified increased self-care as a health priority to reduce burnout, as well as staff interest in meditation as an intervention. A database search utilizing CINAHL, PubMed, and PsychInfo was conducted to identify evidence based meditation interventions. A performance improvement project focusing on individual utilization of the UCLA Mindful app and a resource brochure were designed and implemented based on evidence and feasibility. Barriers to addressing the subject of health promotion in order to prevent burnout include: varying staff schedules, varying health professions, and evaluation of behavior change. This poster highlights the process by which the interventions, education, and the introduction of a guided meditation mobile application were implemented

Comparative effectiveness trial comparing MyPlate to calorie counting for mostly low-income Latino primary care patients of a federally qualified community health center: study design, baseline characteristics.

BackgroundPrimary care-based behavior change obesity treatment has long featured the Calorie restriction (CC), portion control approach. By contrast, the MyPlate-based obesity treatment approach encourages eating more high-satiety/high-satiation foods and requires no calorie-counting. This report describes study methods of a comparative effectiveness trial of CC versus MyPlate. It also describes baseline findings involving demographic characteristics and their associations with primary outcome measures and covariates, including satiety/satiation, dietary quality and acculturation.MethodsA comparative effectiveness trial was designed to compare the CC approach (n = 130) versus a MyPlate-based approach (n = 131) to treating patient overweight. Intervenors were trained community health workers. The 11 intervention sessions included two in-home health education sessions, two group education sessions, and seven telephone coaching sessions. Questionnaire and anthropometric assessments occurred at baseline, 6- and 12 months; food frequency questionnaires were administered at baseline and 12 months. Participants were overweight adult primary care patients of a federally qualified health center in Long Beach, California. Two measures of satiety/satiation and one measure of post-meal hunger comprised the primary outcome measures. Secondary outcomes included weight, waist circumference, blood pressure, dietary quality, sugary beverage intake, water intake, fruit and vegetable fiber intake, mental health and health-related quality of life. Covariates included age, gender, nativity status (U.S.-born, not U.S.-born), race/ethnicity, education, and acculturation.AnalysisBaseline characteristics were compared using chi square tests. Associations between covariates and outcome measures were evaluated using multiple regression and logistic regression.ResultsTwo thousand eighty-six adult patients were screened, yielding 261 enrollees who were 86% Latino, 8% African American, 4% White and 2% Other. Women predominated (95%). Mean age was 42 years. Most (82%) were foreign-born; 74% chose the Spanish language option. Mean BMI was 33.3 kg/m2; mean weight was 82 kg; mean waist circumference was 102 cm. Mean blood pressure was 122/77 mm. Study arms on key baseline measures did not differ except on dietary quality and sugary beverage intake. Nativity status was significantly associated with dietary quality.ConclusionsThe two treatment arms were well-balanced demographically at baseline. Nativity status is inversely related to dietary quality.Trial registrationNCT02514889 , posted on 8/4/2015

Doing nonbinary gender: The occupational experience of nonbinary persons in the environment

Understanding the effect of the environment is fundamental to grasping the occupational experiences of nonbinary individuals. Current research in occupational science addresses the occupations of the transgender population but often fails to distinguish between the binary and nonbinary experience. There is an absence of occupational science research that solely focuses on the nonbinary experience. This study focuses on nonbinary individuals and aims to illuminate the environmental factors that support or hinder occupational engagement for nonbinary individuals. Using a descriptive qualitative research design, we conducted two interviews per participant and photo-elicitation. Data analysis resulted in three themes: binary environments and safe spaces, navigating binary spaces through doing gender and avoiding unsafe spaces, and undoing gender through occupation. These themes capture the experience of occupations within the environment for nonbinary people involved doing, being, and becoming nonbinary gender. Each of these responses depended on how safe and welcoming the environment was perceived to be. Our findings illuminate that the process of doing nonbinary gender is a reciprocal relationship between the person, their occupations, and the environment, and support the complex nature of occupation for diverse populations that fall outside the dominant binary culture

Supporting Initial Teacher Education Students Assessment Literacy and Capability Development

Recent curricular reform in Ireland has utilised classroom-based assessments as part of the national assessment strategy at the junior level in post-primary education. This calls for teachers to exercise their judgement in relation to their pupils' capability which is recorded for the certified national award of the Junior Cycle Profile of Achievement (JCPA). Ensuring effective assessment in this regard requires the development of assessment literacy and capability in the teaching cohort which starts on the continuum of teacher development at the initial teacher education (ITE) phase. Teacher judgement in assessment is reliant on multiple factors that impact on the assessment outcome. It is therefore important to design components of ITE programmes that provide opportunity to strategically develop this capability for implementation in practice. The case study presented in this paper presents an initial analysis of the practices and experiences of (n=87) Initial Teacher Education (ITE) students as they engage in a peer assessment activity that is part of an assessment literacy and capability development strategy on a technology education ITE programme. This was facilitated through the use of Adaptive Comparative Judgement sessions (ACJ). In these sessions, the participants engaged in the establishment of assessment criteria and implemented them in the holistic assessment of peers' work through the ACJ method along with providing formative feedback and making a summative judgement of the quality of the work. The findings present the usefulness of ACJ in providing pre-service teachers a space to develop assessment literacy and capability through the active and experiential learning approach taken

Evaluation of the educational impact of a special study module on maritime medicine for medical undergraduate students

Background: The hazardous occupation of seafaring brings many unique medical challenges. Despite its international nature, maritime medicine does not typically form a part of undergraduate medical studies. A unique and innovative, optional student-selected module (SSM) ‘maritime medicine’ was offered to medical students. A key objective was to develop students’ attitudes to maritime medicine and increase their awareness of the discipline and its specialised nature.Aim: The aim of this study was to assess qualitatively and quantitatively the educational impact of the maritime medicine SSM and to improve the module content and design for future academic years.Materials and methods: Students’ perceived relevance and knowledge before and after the module was assessed using a Likert-based questionnaire. Comparison was made with controls in the post module100 multiple choice question (MCQ) paper. Qualitative feedback was obtained from semi-structured focus student discussion groups and the questionnaire’s free comments section.Results: A significant increase in perceived knowledge was seen between pre and post module p < 3.45 × 10–10, matched with the module students performing significantly better than controls in the end-of-module MCQ paper (p < 8.99 × 10–20). Qualitative analysis revealed 5 main themes: teaching methods, appreciation of non-academic instructors, appreciation of maritime medicine unique requirements, timetabling and enjoyment.Conclusions: This unique and innovative maritime medicine module harnessed local expertise and raised the awareness and profile of maritime medicine among undergraduate medical students. It was very well received and had a significant educational impact. Practical teaching methods were highly valued by students, with these areas also performing best in quantitative analysis

Knowledge, attitudes and beliefs of parents regarding fever in children: a Danish interview study

Aim: Fever and febrile illness are some of the most common conditions managed by parents. The aim of this study was to examine the knowledge, attitudes and beliefs of parents around fever in children under five years of age. Methods: Between July and August 2014, a convenience sample of parents was invited to participate in this study in Copenhagen, Denmark. Results were analysed thematically using a constant comparison method. Results: Twenty-one parents participated in the study. Five themes emerged from the data: parental concern, help-seeking behaviour, parental knowledge, parent fever management practices and initiatives. Parents used a range of information sources to obtain their knowledge on management of fever; however, due to issues of trust with these sources, reassurance was often sought from healthcare practitioners. There was a desire amongst most parents for initiatives to be introduced which provide general information on how to manage fever in children. Conclusion: Parents were very concerned when their child was febrile and instigated practices obtained from accessible information sources. This study has identified a need for specific and reliable information initiatives to be introduced as a means of reducing parental concern and ensuring evidence-based strategies for managing a child with fever