444 research outputs found

    Department of Managed Health Care

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    Using a Contextual Effects Measurement Approach to Understand the Influence of Community on Individual Behavior

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    A social organization perspective identifies processes operating in the community that may influence an individual’s behavior. To understand such processes, researchers can apply a contextual effects measurement approach, which is used to assess the influence of group-level effects on lower level outcomes. However, few community studies employ this approach. The purpose of this article is to present and evaluate the merits of the contextual effects measurement approach

    It\u27s in the Past

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    Papers Presented: The Backlash of WWII Fears by Katelyn Shykes Abstract: Powerful and radical racism on the California coast that was brought roughly around the same time that WWII anxiety had been brought closer to America, is what led to the harsh and inaccurate punishment that many Japanese-Americans faced after the bombing of Pearl harbor. Japanese-Americans were targeted and left stranded in a nation that now viewed them as a threat. As the only means of dealing with this reality, many Japanese-Americans who were once deemed trusted citizens were stripped of that privilege for no other reason than their race and left like prisoners behind barbed wire fences. Memory and Remembrance Abroad: Comfort Women Memorials in the United States by Meraleigh Randle Economy of the American South: Pre- and Post-Civil War by by Anthony Di Biasi Historic Cannibalism: Categories and Purposes by Bridget Scott-Shupe Bebop: The Evolution of a 1940s American Music by Taylor Benavide

    Training University Students About Autism Spectrum Disorder Through Outreach to School-Based Speech-Language Pathologists

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    Training preprofessional students about autism spectrum disorder (ASD) is crucial, particularly since students with ASD are represented on the caseloads of approximately 90% of school-based speech-language pathologists (SLPs). When this training can occur within the context of an outreach program, the results of such programming can be mutually beneficial for the individuals served as well as the students. Through the present program, six graduate students and four undergraduate students created materials for 15 SLPs working in the schools in a significantly underserved region of the United States. Students created nearly 800 materials for the SLPs to use in therapy with children with ASD. These included visual schedules and picture/icon cards and social stories. Students completed a survey and wrote a reflection paper about what they learned. Survey data from all participants indicated that the program met the needs of the SLPs and furthered students’ skills in creating materials and understanding more about the demands of working as an SLP in the schools. Implications for undergraduate and graduate training including increasing student knowledge and confidence as well as gaining student perspectives on the experience and collaboration are discussed. Future directions for extensions of this training program are proposed

    Racial and Ethnic Disparities in Teenage Pregnancy: Perspectives from Teens and Community Members in Connecticut

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    BACKGROUND: Teenage pregnancy has negative consequences for mother and baby, for example, high school drop out and low birth weight, respectively. Overall, Connecticut (CT) has one of the lowest teen pregnancy rates in the United States. However, a great disparity exists between whites and other ethnicities. Black teens are 4 – 5 times as likely to give birth than their white counterparts and Latino teens are 8 times as likely to give birth as white teens. Planned Parenthood of Southern New England (PPSNE) has identified this disparity and seeks the assistance of our research team in developing targets and programming to prevent teen pregnancies. METHODS: Teen focus groups and key informant interviews were used to examine barriers to teen birth reduction among ethnic minorities in three cities (Hartford, New London, and New Haven, CT). We develop ed an action plan for PPSNE that identifies potential barriers to preventing teenage pregnancy, identifies potential community partnerships , and includes population attributable risk estimation s to demonstrate potential decreases in teen pregnancy by race/ethnicity. RESULTS: Three focus group sessions were completed with a total of 22 adolescent participants (14 females and 8 males) between the ages of 15 and 21. Focus group respondents attributed teen pregnancy to desire for pregnancy, perceived invincibility, lack of knowledge/sexual education and family precedent. The teens indicated that a more substantial presence from peer educators and improved sex education in schools could have an impact on reducing teen pregnancy in minorities. Two key informant interviews with community organization staff members revealed overlapping themes of inadequate education, inadequate support to stay in school, and lack of support for pregnancy prevention programs. Overall, respondents had positive perceptions of Planned Parenthood. IMPLICATIONS: Results from this research will provide information to PPSNE regarding the necessary steps to design programs aimed at reducing disparities in teen birth rates in Connecticut. By focusing on Black and Latino teens, we hope to facilitate the development of culturally competent initiatives that result in the elimination of disparities surrounding teen births. Partnership development between PPSNE and community organizations can foster successful and sustainable programs in our populations of interest.https://elischolar.library.yale.edu/ysph_pbchrr/1038/thumbnail.jp

    The feasibility and effects of eye movement training for visual field loss after stroke: a mixed methods study

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    Acknowledgements The author(s) would like to thank the designers of all included scanning training tools for providing free access during this study. They wish to note that MyHappyNeuron is designed for a general population, and a version specifically for healthcare use (HappyNeuron Pro) is also available. We would also like to thank the low vision centres and rehabilitation officers involved in this study Funding This study was funded by the Stroke Association (UK) by way of a Junior Research and Training Fellowship held by the lead author (TSA JRTF 2011/02). MCB, AP and the NMAHP Research Unit are funded by the Scottish Government Health and Social Care Directorates. The views expressed here are those of the authors and not necessarily those of the funders.Peer reviewedPublisher PD

    Training Students Through a Community Outreach Program to Support Families of Children with Autism Spectrum Disorder

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    This outreach program involved training eight graduate and 19 undergraduate students to create evidence-based communication supports for families of children with autism spectrum disorder (ASD) within the context of a two-course sequence on ASD. During the training program, ten families in rural Appalachia benefited from our services. Student and family satisfaction data with the outreach program was highly positive. Undergraduate and graduate university students participating in the program met or partially met 97% of their goals set at the beginning of each semester. Undergraduate students’ self-ratings of their own knowledge about material covered in the course were significantly higher than their confidence in applying their knowledge about the materials. Thematic analyses of students’ comments about their experiences revealed that the hands-on experience and opportunities to create materials and collaborate with each other were among the aspects of the program they liked most. The value of outreach programs to foster training of undergraduate and graduate students through community connections will be discussed

    Using Video Modeling to Teach Complex Play Sequences to a Preschooler with

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    Abstract: The identification of efficient teaching procedures to address deficits in imaginative play skills, which are commonly seen in children with autism, is a challenge for professionals who are designing treatment programs. In the present study, video modeling was used to teach play skills to a preschool child with autism. Videotaped play sequences included both verbal and motor responses. A multiple-baseline procedure across three response categories (having a tea party, shopping, and baking) was implemented to demonstrate experimental control. No experimenter-implemented reinforcement or correction procedures were used during the intervention. Results indicated that the video modeling intervention led to the rapid acquisition of both verbal and motor responses for all play sequences. This procedure was shown to be an efficient technique for teaching relatively long sequences of responses in relatively few teaching sessions in the absence of chaining procedures. In addition, the complex sequences of verbal and motor responses were acquired without the use of error-correction procedures or explicit experimenter-implemented reinforcement contingencies

    Differential Reinforcement of Alternative Behavior Increases Resistance to Extinction: Clinical Demonstration, Animal Modeling, and Clinical Test of One Solution

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    Basic research with pigeons on behavioral momentum suggests that differential reinforcement of alternative behavior (DRA) can increase the resistance of target behavior to change. This finding suggests that clinical applications of DRA may inadvertently increase the persistence of target behavior even as it decreases its frequency. We conducted three coordinated experiments to test whether DRA has persistence-strengthening effects on clinically significant target behavior and then tested the effectiveness of a possible solution to this problem in both a nonhuman and clinical study. Experiment 1 compared resistance to extinction following baseline rates of reinforcement versus higher DRA rates of reinforcement in a clinical study. Resistance to extinction was substantially greater following DRA. Experiment 2 tested a rat model of a possible solution to this problem. Training an alternative response in a context without reinforcement of the target response circumvented the persistence-strengthening effects of DRA. Experiment 3 translated the rat model into a novel clinical application of DRA. Training an alternative response with DRA in a separate context resulted in lower resistance to extinction than employing DRA in the context correlated with reinforcement of target behavior. The value of coordinated bidirectional translational research is discusse
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