Supporting Child and Family Wellbeing through Nature during the Pandemic

The global pandemic of COVID-19 poses many unprecedented challenges on our way of life. Since the introduction of social distancing measures as one of our biggest weapons in slowing the spread of disease and mitigating the effects on the health services, other challenges have been introduced. One of these is the challenge of supporting and maintaining wellbeing in children and families. A way to achieve this is through maintaining our contact and connection with the non-human natural world. Regular contact with the natural world has been found to have benefits for our mental and physical health. The aim of this paper is to identify how families can gain the benefits of nature engagement, in the instances where the access might be limited or non-existent  Whilst we are able to identify a number of opportunities and mechanisms for nature contact and connection to promoting family wellbeing there are some methodological challenges remaining, given that a significant number of research papers exploring the affective influence of nature contact and connection focuses on adults. We also identify a number of areas where research would be beneficial to better understand the mediating influences on wellbeing from nature contact and connection

Education and Learning Opportunities (NVP 2014, Report 3)

With support and collaboration from the W.K. Kellogg Foundation through the America Healing initiative,  researchers at the University of Michigan are leading the National Voices Project (NVP) from 2011-2016. The central goals of the NVP are to examine the sourcesof racial/ethnic inequity and other disparitiesfor children in the United States today and identify interventions that address disparities effectively.The NVP offers an unprecedented perspective on community-level opportunities for children throughout the country, in the domains of health and nutrition, education and learning, and economic security – through the eyes of adults whose occupations and volunteer work affect such opportunities. In other words, the NVP reflects the perceptions of individuals throughout the United States who are in a position to improve children's opportunities inthe future. We generally use the word "children" throughout the report to describe children from age 0-18 years, unless otherwise noted.Previous reports for NVP 2014 focused chiefly on respondent characteristics and findings regarding health,  healthcare, and nutrition. This report for NVP 2014 will center on findings related to children's education and learning

Health, Nutrition and Healthcare Availability (Survey 2, Report 2)

With support and collaboration from the W.K. Kellogg Foundation through the America Healing initiative, researchers at the University of Michigan are leading the National Voices Project (NVP) from 2011-2015. The central goals of the NVP are to examine the sources of racial/ethnic inequity and other disparities for children in the United States today, identify interventions that address disparities effectively, and inform the public dialogue about racial healing and racial equality. The NVP offers a fresh perspective on community-level opportunities for children throughout the country, in the domains of health and nutrition, education, and economic security -- through the eyes of adults whose work and volunteer efforts affect such opportunities. In other words, the NVP reflects the perceptions of individuals throughout the United States who are in a position to improve children's opportunities in the future. The questionnaire for NVP Survey 2 was developed by the National Voices Project team at the University of Michigan, with input from WKKF collaborators. We examined how individuals who work or volunteer with children view opportunities for education, health and healthcare, and economic well-being related to children and adolescents. Many of the questions were identical to questions fielded for NVP Survey 1 in 2011, to facilitate comparisons of responses across these different samples and over time. New questions in NVP Survey 2 centered on respondents' perceptions of segregation and inequities in the communities they know best, and on respondents' awareness about efforts to bridge racial/ethnic inequities in those communities

A comparison of the initial orthotic effects of functional electrical stimulation and ankle-foot orthoses on the speed and oxygen cost of gait in multiple sclerosis

Foot drop affects walking in people with multiple sclerosis (pwMS). This study compares the initial orthotic effects of two treatments for foot drop: ankle-foot orthoses (AFO) and functional electrical stimulation (FES), on the speed and oxygen cost of walking in MS. Method and materials: Seventy-eight pwMS were randomised to receive AFO or FES (ODFS PACE (OML, Salisbury, UK)). Participants completed the 25-ft walk test (25ftWT) and 5-min self-selected walk test (5minSSWT), from which oxygen cost was determined, with and without their device. Between-, within- and sub-group analyses (based on baseline walking speed of <0.8 m/s (slow) or ≥0.8 m/s (fast)) were undertaken. Results: No significant differences between baseline measures were observed. The AFO group walked significantly slower than the FES group (5minSSWT, p = 0.037, 0.11 m/s). The AFO group walked significantly slower with than without AFO (25ftWT, p = 0.037), particularly in the fast-walking group ( p = 0.011). The slow-walking FES group walked significantly faster with FES than without (25ftWT; p = 0.029, 5minSSWT; p = 0.037). There were no differences in the fast-walking FES group or in the oxygen cost for either device. Conclusion: AFO reduced walking speed, particularly in fast walkers. FES increased walking speed in slow, but not fast walkers

Education and Learning Opportunities (Survey 2, Report 3)

With support and collaboration from the W.K. Kellogg Foundation through the America Healing initiative, researchers at the University of Michigan are leading the National Voices Project (NVP) from 2011-2016. The central goals of the NVP are to examine the sources of racial/ethnic inequity and other disparities for children in the United States today, identify interventions that address disparities effectively, and inform the public dialogue about racial healing and racial equality.The NVP offers a fresh perspective on community-level opportunities for children throughout the country, in the domains of health and nutrition, education, and economic security – through the eyes of adults whose work and volunteer efforts affect such opportunities. In other words, the NVP reflects the perceptions of individuals throughout the United States who are in a position to improve children?s opportunities in the future.NVP Survey 1 was conducted in November-December 2011. NVP Survey 2 was fielded in August-September 2012. NVP Survey 2 differed from NVP Survey 1 in two key respects: 1) NVP Survey 2 included an oversample in communities included in the "Place Matters" initiative led by the Joint Center for Political and Economic Studies, a fellow grantee of the W.K. Kellogg Foundation. The oversample included sufficient numbers of responses to permit the NVP team to analyze differences across 6 specific "Place Matters" counties, and 2) Questions were asked in greater depth about efforts at community levels about bridging efforts to address racial/ethnic inequities.

Opportunities and Barriers Related to Income (Survey 2, Report 4)

Led by researchers at the University of Michigan, the National Voices Project is an effort to bring the perspectives of thousands of people in communities across the United States to the national dialogue about opportunities and barriers for children related to race/ethnicity. The National Voices Project conducts major national surveys twice each yearamong adults who work and volunteer on behalf of children. These surveys focus on racial/ethnic disparities at the community level that affect children?s health, education, and economic security.NVP Survey 1 was conducted in November-December 2011. NVP Survey 2 was fielded in August-September 2012.The final eligible sample for NVP Survey 2 included 2,311 adults from 48 states and D.C. NVP Survey 2 differed from NVP Survey 1 in two key respects: 1) NVP Survey 2 included an oversample in communities included in the "Place Matters" initiative led by the Joint Center for Political and Economic Studies, a fellow grantee of the W.K. Kellogg Foundation. The oversample included sufficient numbers of responses to permit the NVP team to analyze differences across 6 specific "Place Matters" counties, and 2) Questions were asked in greater depth about efforts at community levels about bridging efforts to address racial/ethnic inequities.

Education and Learning Opportunities (NVP 2013, Report 3)

With support and collaboration from the W.K. Kellogg Foundation through the America Healing initiative,  researchers at the University of Michigan are leading the National Voices Project (NVP) from 2011-2016. The central goals of the NVP are to examine the sources of racial/ethnic inequity and other disparities for children in the United States today and identify interventions that address disparities effectively.The NVP offers an unprecedented perspective on community-level opportunities for children throughout the country, in the domains of health and nutrition, education and learning, and economic security – through the eyes of adults whose occupations and volunteer work affect such opportunities. In other words, the NVP reflects the perceptions of individuals throughout the United States who are in a position to improve children's opportunities in the future. We generally use the word ?children? throughout the report to describe children from age 0-18 years, unless otherwise noted.Report #3 for NVP 2013 focuses on findings related to children's education and learning

Opportunities and Barriers Related to Income (NVP 2013, Report 4)

With support and collaboration from the W.K. Kellogg Foundation through the America Healing initiative, researchers at the University of Michigan are leading the National Voices Project (NVP) from 2011-2016. The central goals of the NVP are to examine the sources of racial/ethnic inequity and other disparities for children in the United States today and identify interventions that address disparities effectively.The NVP offers an unprecedented perspective on community-level opportunities for children throughout the country, in the domains of health and nutrition, education and learning, and economic security – through the eyes of adults whoseoccupations and volunteer work affect such opportunities. In other words, the NVP reflects the perceptions of individuals throughout the United States who are in a position to improve children's opportunities in the future. We generally use the word "children" throughout the report to describe young children from age 0-8 years, and "teens" for children ages 13-18 years old.Report #4 for NVP 2013 focuses chiefly on findings on children's and teens' health, education and learning, andeconomic opportunities related to income

Reducing health inequalities through general practice: protocol for a realist review (EQUALISE).

INTRODUCTION: Healthcare organisations recognise the moral imperative to address inequalities in health outcomes but often lack an understanding of which types of interventions are likely to reduce them. This realist review will examine the existing evidence on the types of interventions or aspects of routine care in general practice that are likely to decrease or increase health inequalities (ie, inequality-generating interventions) across cardiovascular disease, cancer, diabetes and chronic obstructive pulmonary disease. METHODS AND ANALYSIS: Our realist review will follow Pawson's five iterative stages. We will start by developing an initial programme theory based on existing theories and discussions with stakeholders. To navigate the large volume of literature, we will access the primary studies through the identification of published systematic reviews of interventions delivered in general practice across the four key conditions. We will examine the primary studies included within each systematic review to identify those reporting on inequalities across PROGRESS-Plus categories. We will collect data on a range of clinical outcomes including prevention, diagnosis, follow-up and treatment. The data will be synthesised using a realist logic of analysis. The findings will be a description and explanation of the general practice interventions which are likely to increase or decrease inequalities across the major conditions. ETHICS AND DISSEMINATION: Ethics approval is not required because this study does not include any primary research. The findings will be integrated into a series of guiding principles and a toolkit for healthcare organisations to reduce health inequalities. Findings will be disseminated through peer-reviewed publications, conference presentations and user-friendly summaries. PROSPERO REGISTRATION NUMBER: CRD42020217871