192 research outputs found

    Editorial: Building Healthy Academic Communities in this Post-Pandemic Brave New World

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    Insight into Sexual Risk Reduction for College-Entering Males Reacting to Gender-Tailored Role Play Scenarios

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    Background: College represents a time of independent decision making, increased exposure to substances, and new, less supervised, opportunities for sexual behaviors and new partners. Despite the high prevalence of sexual risk behaviors in adolescent males pursuing higher education, there are still limited evidence-based interventions for sexually transmitted infections (STI), human immunodeficiency virus (HIV), and pregnancy prevention tailored for this population. Aim: The aim of this study was to gain insight into the perspectives of males on role play situations used in a sexual risk reduction program tailored for adolescent girls to obtain feedback on creating effective prevention programs for males. Methods: We conducted a focus group with males entering college. We analyzed the transcribed data to assess the relevance, realism, and utility of role-playing and to gain insight into the participant’s communication styles and approaches to risk reduction. Results: Four major themes were identified using conventional content analysis: (1) Non-verbal responses and “the vibe” are the go ahead for consent for sex, (2) Jokes and excuses are common communication skills used for risk reduction, (3) Prevention of pregnancy is more of a concern than STI or HIV prevention, and (4) Being gaslighted regarding mental health issues by girls was not uncommon. Conclusions: Findings from this pilot study can help inform sexual risk reduction intervention programming for males entering new environments such as the college-setting

    Intrapreneurs: Essential to Building Healthy Academic Communities

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    Background: Intrapreneurialism is emerging as a powerful force for enhancing organizational transformation and viability in a post-pandemic world. It is the enfranchisement and empowerment of people, liberating them to engage their enterprising talent in the service of creating value for the benefit of the organization (Yashin-Shaw, 2018). Aim: For the purposes of this article, the notion of a healthy academic community refers to the long-term viability, robustness, and relevance of the institution. Being able to foster future success in the face of exponential change is a hallmark of a resilient organization (Duchek, 2020). In this sense, a healthy academic community is one where the institution and its stakeholders can thrive in the face of unprecedented disruptive change and unexpected conditions by adapting appropriately (Burnard, Bhamra, & Tsinopoulos, 2018). The traditional form and function of higher education are being challenged as new technologies are democratizing access to knowledge, learning, and credentialing. A diversity of higher education options have emerged for students beyond the traditional university (Marshall, 2018). Such challenges can pose an existential threat to universities.   Results: How can academic communities thrive in the face of these rapid changes? The answer is to liberate and engage the enterprising talent of staff, students, faculty, and the extended community associated with the institution, whether local or global, physical or virtual. Enterprising employees, who think and act like entrepreneurs, are called intrapreneurs. Conclusion: By embracing and supporting intrapreneurs at all levels, academic communities will be well placed to flourish in the new post-pandemic world

    Editorial: The Broad Lens for Healthy Academic Communities: A Focus on LGBTQIA+

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    Experiencing Audio Recorded Research (EARR): Giving Voice to Qualitative Poster Presentations

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    Qualitative research emphasizes and honors the words of participants in an effort to generate meaning and knowledge, yet participants’ voices are rarely heard beyond data collection and analysis. We explore the potential to share participants\u27 voices when disseminating research through audio - enhanced poster presentations. Technological advancements in multimedia could revolutionize poster presentations, especially for qualitative research. We describe the history of audio guides and how they can be applied to the dissemination of qualitative research. We also introduce the Experiencing Audio Recorded Research (EARR) Model to facilitate designing a multisensory approach to qualitative data dissemination through integrating audio technology into presentations

    Modeling Count Outcomes from HIV Risk Reduction Interventions: A Comparison of Competing Statistical Models for Count Responses

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    Modeling count data from sexual behavioral outcomes involves many challenges, especially when the data exhibit a preponderance of zeros and overdispersion. In particular, the popular Poisson log-linear model is not appropriate for modeling such outcomes. Although alternatives exist for addressing both issues, they are not widely and effectively used in sex health research, especially in HIV prevention intervention and related studies. In this paper, we discuss how to analyze count outcomes distributed with excess of zeros and overdispersion and introduce appropriate model-fit indices for comparing the performance of competing models, using data from a real study on HIV prevention intervention. The in-depth look at these common issues arising from studies involving behavioral outcomes will promote sound statistical analyses and facilitate research in this and other related areas

    Adolescents in Scotland: Challenges and Opportunities for Sexual Risk Reduction

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    Sexually transmitted infections, HIV, and unplanned pregnancy challenge the health of Scottish teens. We conducted focus groups with teens (ages 16-19 years) recruited from an urban youth cafe in Edinburgh and assessed sexual risk-taking and protective behaviors. A trained facilitator, using a semi-structured interview guide, led the groups. We taped and transcribed data verbatim for coding and theming. The teens revealed similar concerns despite differences in gender and/or sexual histories. Despite school-based sex education, sex was rarely discussed with peers or adults outside classrooms; the ability to practice communication and negotiation skills was minimal. Much risky behavior occurred in public spaces and was often linked to drug or alcohol intake. There was a glaring lack of teen planning for, or contemplating, future adult lives. Findings highlight the challenges these teens faced in practicing safer sex and limited opportunities to tailor intervention strategies to address the cultural realities of their lives

    The effectiveness of interventions to change six health behaviours: a review of reviews

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    Background: Several World Health Organisation reports over recent years have highlighted the high incidence of chronic diseases such as diabetes, coronary heart disease and cancer. Contributory factors include unhealthy diets, alcohol and tobacco use and sedentary lifestyles. This paper reports the findings of a review of reviews of behavioural change interventions to reduce unhealthy behaviours or promote healthy behaviours. We included six different health-related behaviours in the review: healthy eating, physical exercise, smoking, alcohol misuse, sexual risk taking (in young people) and illicit drug use. We excluded reviews which focussed on pharmacological treatments or those which required intensive treatments (e. g. for drug or alcohol dependency). Methods: The Cochrane Library, Database of Abstracts of Reviews of Effectiveness (DARE) and several Ovid databases were searched for systematic reviews of interventions for the six behaviours (updated search 2008). Two reviewers applied the inclusion criteria, extracted data and assessed the quality of the reviews. The results were discussed in a narrative synthesis. Results: We included 103 reviews published between 1995 and 2008. The focus of interventions varied, but those targeting specific individuals were generally designed to change an existing behaviour (e. g. cigarette smoking, alcohol misuse), whilst those aimed at the general population or groups such as school children were designed to promote positive behaviours (e. g. healthy eating). Almost 50% (n = 48) of the reviews focussed on smoking (either prevention or cessation). Interventions that were most effective across a range of health behaviours included physician advice or individual counselling, and workplace- and school-based activities. Mass media campaigns and legislative interventions also showed small to moderate effects in changing health behaviours. Generally, the evidence related to short-term effects rather than sustained/longer-term impact and there was a relative lack of evidence on how best to address inequalities. Conclusions: Despite limitations of the review of reviews approach, it is encouraging that there are interventions that are effective in achieving behavioural change. Further emphasis in both primary studies and secondary analysis (e.g. systematic reviews) should be placed on assessing the differential effectiveness of interventions across different population subgroups to ensure that health inequalities are addressed.</p
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