Barreras y Soluciones: Lessons learned from integrating research‐based clinical techniques into a community agency serving low‐income Latinx immigrant families

2021 ◽  
Author(s):  
Jessica L. Borelli ◽  
Breana R. Cervantes ◽  
Hannah K. Hecht ◽  
Christina M. Marquez ◽  
Rosy DePrado ◽  
...  
Keyword(s):  
Low Income ◽  
Immigrant Families ◽  
Lessons Learned ◽  
Community Agency

Lessons Learned in Adapting Parent Training for Chinese Immigrant Families

2009 ◽  
Author(s):  
Anna S. Lau ◽  
Joey Fung ◽  
Lisa L. Liu ◽  
Omar G. Gudino ◽  
Lorinda Ho ◽  
...  
Keyword(s):  
Parent Training ◽  
Immigrant Families ◽  
Lessons Learned ◽  
Chinese Immigrant ◽  
Chinese Immigrant Families

scholarly journals Meeting the Challenges of Longitudinal Cluster-Based Trials in Schools: Lessons From the Chicago Trial of Positive Action

2016 ◽  
Vol 40 (4) ◽  
pp. 450-482 ◽  
Author(s):  
Kendra M. Lewis ◽  
David L. DuBois ◽  
Peter Ji ◽  
Joseph Day ◽  
Naida Silverthorn ◽  
...  
Keyword(s):  
Public Schools ◽  
Low Income ◽  
Urban Areas ◽  
Statistical Power ◽  
Student Mobility ◽  
Controlled Trial ◽  
Lessons Learned ◽  
Study Planning ◽  
Positive Action ◽  
Cluster Randomized

We describe challenges in the 6-year longitudinal cluster randomized controlled trial (CRCT) of Positive Action (PA), a social–emotional and character development (SECD) program, conducted in 14 low-income, urban Chicago Public Schools. Challenges pertained to logistics of study planning (school recruitment, retention of schools during the trial, consent rates, assessment of student outcomes, and confidentiality), study design (randomization of a small number of schools), fidelity (implementation of PA and control condition activities), and evaluation (restricted range of outcomes, measurement invariance, statistical power, student mobility, and moderators of program effects). Strategies used to address the challenges within each of these areas are discussed. Incorporation of lessons learned from this study may help to improve future evaluations of longitudinal CRCTs, especially those that involve evaluation of school-based interventions for minority populations and urban areas.

Using Formative Research to Inform a BCC Strategy to Increase Food Security and Dietary Diversity in Low-Income Rural Communities

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Turk T ◽  
◽  
Safdar NF ◽  
Hashmi S ◽  
Shah N ◽  
...  
Keyword(s):  
Literature Review ◽  
Nutrition Education ◽  
Low Income ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Current Knowledge ◽  
Formative Research ◽  
Lessons Learned ◽  
Attitudes And Practices ◽  
Kitchen Gardens

Background: Adequate nutrition is a public health priority, particularly in low-income rural areas where there is a high prevalence of malnutrition and stunting. Baluchistan is an arid desert and mountainous province with the worst health indicators in Pakistan. The objective of this research study was to identify current knowledge, attitudes and practices of vulnerable women with young children residing in remote areas of Baluchistan and assess their information needs to guide the development of a BCC nutrition strategy materials and activities. Methods: This study design incorporated formative research via eight focus group discussions with demand and supply-side program beneficiaries (n=124) to assess current nutrition knowledge, attitudes and beliefs toward kitchen gardens and proposed nutrition resources. Semi-structured interviews (n=16) were also conducted to provide program intelligence from key informants. A literature review supported the development of discussion agenda based on predominant behavioral theories. Data analysis was conducted with in vivo qualitative software coupled with grounded theory with qualitative findings triangulated. Results: The study identified important factors for the development of BCC resources and activities. Opportunities included effective nutrition education, improved income and livelihoods from kitchen gardens, women’s empowerment and gender equality. Challenges included traditional cultural practices, entrenched food preparation behaviour, environmental and infrastructural constraints. Conclusions: Lessons learned highlight the benefits of integrating formative research methods with a comprehensive literature review and behavioural theories for the development of BCC resources for nutrition programs in insecure and resource-constrained settings.

scholarly journals Equitable Growth and Poverty Alleviation: Lessons Learned from Korean Experience

2005 ◽  
Vol 6 (1) ◽  
pp. 1-34
Author(s):  
Chanyong Park ◽  
Khalid Ikram
Keyword(s):  
Economic Growth ◽  
Income Inequality ◽  
Development Strategy ◽  
Low Income ◽  
Land Reform ◽  
Lessons Learned ◽  
Absolute Poverty ◽  
Assistance Program ◽  
Rapid Economic Growth ◽  
The Government

This case study analyzed how Korea achieved rapid economic growth with i.t1ere-JSing equity and poverty aJlcviarion. Korean GDP per capita increased 110 times and absolute poverty rate dccn.:ased from 48.3 percent to 9.8 percent l:x:tween 196 l and 2001. Ir is true to say in rhe Korean case that the most efiecrive measure in reduction of the absolute pwerty level has been to make the economic pie biggcr. It is called growth-firsr~istrihution-larcr principle and brought abJut economic success hy overcoming a sc:vere shortage of natural endowments. TI1e Korean government prioritized certain development-led industries in order to accelerate economic μ;ro\\•th. It was called '"imbalanced development strate,gy" and assessed as being more effective than "balanced development strategy" within the limited budget for ernnomic development. Although income inequality became aggravated Jue to the grmvrh-first polity and imbalanced strate,gy, the sizl' of the economic pie increased drastically. The income levels of middle and low income households increased to such an extent that much income inequality could l:x: rolernted. le can be said that in Korea. rapid economic growth raised welfare levels during rhe period between the l 960s and the 1990s even as income inequality worsened. Korea ran into serious economic difficulties in late 1997. The poverty rates rose sharply from 7.67 rercem in 19'-)7 to 14.28 pen:ent in ·19'-)8. TI1e Korean govemrnenr w1dertook various anti-poverty programs designed to ease the impan of ma-.s lay-offS by implementing a new public assistance program and expanded the coverage of sx·ial insuranu.c:. In addition, hwnan resource development programs \Vere intrOOuced thar enhanced the access of the vulnerable class to the labor market by laying stress on labor welfare, raking mea,ures to protect irregtUar employees, and extending the application of the minimum wage system to all industries. Thanks to these efforts of the government, the p.>verty rates have decreased since 1999. 1bis study has led us to six tentative but useful lessons learned from the Korean success to lx applied to ocher developing countries: establishment of a clear objective of development and. the cornmirmenr of authorities; r,crn.ptive sdt·ction of rtprcscntative kx:omotive engines for rapid economic gro¥.-th and properly designed management; lx.'St investment in human rt'Source development; fair land reform and rural development; job creation and expansion of employment; and building-up of country's capacity to implement plans and projects expeditiously within budgeted costs.

scholarly journals Two cases of cholera O1 in South Batinah, Oman, April 2019: lessons learned

2019 ◽  
Vol 41 ◽  
pp. e2019033
Author(s):  
Zayid K. Al Mayahi ◽  
Nasser Al-Shaqsi ◽  
Hamid A. Elmutashi ◽  
Ali Al-Dhoyani ◽  
Azza Al Hattali ◽  
...  
Keyword(s):  
Infection Control ◽  
Low Income ◽  
Lessons Learned ◽  
Control Measures ◽  
Care Level ◽  
Middle Income ◽  
Primary Care Level ◽  
Middle Income Countries ◽  
Infection Control Measures ◽  
Detection Point

Cholera represents an ongoing threat to many low-income and middle-income countries, but some cases of cholera even occur in high-income countries. Therefore, to prevent or combat cholera outbreaks, it is necessary to maintain the capacity to rapidly detect cholera cases, implement infection control measures, and improve general hygiene in terms of the environment, water, and food. The 2 cases, 1 imported and 1 secondary, described herein are broadly indicative of areas that require improvement. These cases were missed at the primary health care stage, which should be the first detection point even for unusual diseases such as cholera, and the absence of strict infection control practices at the primary care level is believed to contribute to secondary cases of infection. This report also encourages countries to ensure that rapid diagnostic stool tests are available to enable quick detection, as well as to provide information to people travelling to areas where cholera is endemic.

scholarly journals Recruitment and Retention Strategies for Community-Based Longitudinal Studies in Urban, Minority Neighborhoods: Lessons Learned from the PARCS Study (Preprint)

2020 ◽  
Author(s):  
Emily B Ferris ◽  
Katarzyna Wyka ◽  
Kelly R. Evenson ◽  
Joan M Dorn ◽  
Lorna Thorpe ◽  
...  
Keyword(s):  
Longitudinal Studies ◽  
Low Income ◽  
Lessons Learned ◽  
Natural Experiments ◽  
Retention Strategies ◽  
Recruitment And Retention ◽  
Four Dimensions ◽  
Evaluation Approach ◽  
Measurement And Evaluation ◽  
The Impact

UNSTRUCTURED Longitudinal, natural experiments provide an ideal evaluation approach to better understand the impact of built environment interventions on community health outcomes, particularly heath disparities. As there are many recruitment and retention challenges inherent to the design of longitudinal, natural experiments, adaptive and iterative recruitment and retention strategies are critical to the success of a study. This paper documents lessons learned from the Physical Activity and Redesigned Community Spaces (PARCS) Study. The PARCS Study, while ongoing, has developed several approaches to improve the recruitment and retention protocols by prioritizing the following four dimensions: 1) building trust with communities; 2) adapting the study protocol to meet participants’ needs and to reflect their capacity for participation; 3) operational flexibility; and 4) measurement and evaluation systems. These strategies may help researchers more successfully recruit and retain participants, particularly in low-income, minority neighborhoods, into longitudinal studies.

Toward the Development of a Unified Process and Methodology Guide for Environmental Justice Analysis in Planning and Programming

2021 ◽  
pp. 036119812110288
Author(s):  
Eliot Benman ◽  
David Aimen
Keyword(s):  
Environmental Justice ◽  
Low Income ◽  
Transportation Planning ◽  
Technical Assistance ◽  
Planning Process ◽  
Lessons Learned ◽  
Metropolitan Planning Organizations ◽  
South Central ◽  
Planning Organizations ◽  
Analytical Approaches

Federal Environmental Justice directives require transportation agencies responsible for planning and programming federal funds, including state departments of transportation and metropolitan planning organizations (MPOs), to identify and address disproportionately high and adverse human health and environmental impacts on minority and low-income populations. Despite issuance of federal and state guidance and training programs, many MPOs nationwide continue to seek clarity on effective environmental justice (EJ) approaches and procedural considerations. The South Central Pennsylvania Unified EJ Process and Methodology study was a year-long effort undertaken by a consortium of MPOs in Pennsylvania Department of Transportation (PennDOT) District 8 to identify a unified and replicable approach to implementing EJ in transportation planning. PennDOT, Federal Highway Administration PA Division, and Federal Transit Administration Region III provided technical assistance and support to the effort. The consortium engaged a technical assistance consultant to facilitate a collaborative process to identify a process framework, a set of analytical methodologies, and effective strategies for advancing EJ in the regional transportation planning process. The study demonstrated a model for convening regional, state, and federal partners to reach consensus around an effective EJ process and methodology. This paper provides an overview of the study process, findings related to the concerns of the participating MPOs, and a brief description of the recommended analytical approaches. The paper discusses lessons learned during the course of the study and considers additional work required to further enhance the EJ process.

A Systems Approach for Sustainably Reducing Childhood Diarrheal Deaths in Developing Countries

2016 ◽  
pp. 1208-1227
Author(s):  
Monica Gray
Keyword(s):  
Developing Countries ◽  
Low Income ◽  
Systems Approach ◽  
Developed Countries ◽  
Lessons Learned ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
Health Crisis ◽  
Industrialized Nations ◽  
Sub Saharan

Diarrhea is the second leading cause of death and is the major cause of malnutrition in children under age 5 worldwide. More than 50 percent of the cases occur in developing countries, particularly in sub-Saharan Africa and Southeast Asia. Open defecation, substandard fecal disposal systems, and contaminated water supplies are the typical causes of diarrheal diseases. This public health crisis in low income countries mirrors the experiences of today's industrialized nations two centuries ago. The lessons learned from their sanitary evolution can be instructive in charting a sustainable path towards saving the lives of almost 2 million children annually. In this chapter a case study of Cuba's sanitary reformation is also presented to showcase successes, similar to those of developed countries, within a developing country and economically challenging context.

Don't Forget About Us

2021 ◽  
pp. 126-140
Author(s):  
Rayshawn L. Eastman ◽  
April Eddie ◽  
Kelli Johnson
Keyword(s):  
Minority Students ◽  
Low Income ◽  
First Generation ◽  
Underrepresented Students ◽  
Lessons Learned ◽  
Social Challenges ◽  
Education Professionals ◽  
Racial Minority Students ◽  
Diverse Student ◽  
Higher Education Professionals

Through narratives, this chapter explores the perspectives of three higher education professionals who served diverse student bodies during a pandemic. Detailing their experiences, the authors address efforts made to support underrepresented students during a pandemic. The effects of COVID-19 were vast and even more impactful for underrepresented students. The challenges of taking classes during a pandemic, combined with the known social challenges of 2020, made for an unforgettable period of time. This chapter addresses lessons learned, best practices, and suggestions for supporting students during a pandemic. The authors define underrepresented students as first-generation, LGBT+, low-income, and ethnic/racial minority students.

scholarly journals LESSONS LEARNED FROM SAVVY EXPRESS: A FEASIBILITY STUDY OF A PSYCHODUCATIONAL INTERVENTION FOR CARE PARTNERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S285-S286
Author(s):  
Maria P Aranda ◽  
Debra Cherry
Keyword(s):  
Asian American ◽  
Low Income ◽  
Depressive Symptomatology ◽  
Lessons Learned ◽  
Post Intervention ◽  
Care Partners ◽  
Post Test ◽  
English Speaking ◽  
Caregiver Interventions ◽  
Future Work

Abstract An increasing number of families, funders, and community providers seek very brief psychosocial caregiver interventions, yet the evidence for such condensed interventions is not established. Based on the Savvy Caregiver Program, we explored the feasibility, acceptability, and outcome trends for a condensed 3-session version titled, Savvy Express. Based on a single-group, pre- and post-test intervention design, we examined post-intervention and 3-month data on 116 English-speaking racially and ethnically diverse care partners caring family members with Alzheimer’s disease and related dementias. 41% of the sample was non-Latino white and comprised of Latinas, African Americans and Asian American/API. Most care partners were either adult children or spouses caring for someone with AD or other dementia. Over 80% were college educated. Two of three participants completed all 3 classes. Our findings indicate significant improvements in caregiver levels of depressive symptomatology and anxiety, competence, management of the situation, reduction of expectations, making positive comparisons, and reactivity to the family member’s memory behavior. Upwards of 90% would recommend the program to other caregivers. Savvy Express is a brief caregiver intervention with high acceptability and feasibility. Improvements in care partner psychosocial outcomes signal a promising practice to reduce the burden of caregiving. A major focus of the paper focuses on barriers and facilitators to uptake of the study procedures and intervention with community-based partners. Future work is needed to establish the efficacy of Savvy Express across a longer observation period, and with less educated, low-income participants, and limited English-speaking families.

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