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At least 1,621 records · Page 90Linked to original sources
PubMed2003

Sociocultural contexts of adolescent sexual behavior in rural Hanover, Jamaica.

PURPOSE: To investigate sexual behavior of adolescents in rural Hanover, Jamaica, and to elucidate the cultural contexts of this behavior. METHODS: Focus group discussion (FGD) sessions with 73 out-of-school young adolescents aged 15 to 18 years, recruited from health centers, as well as community-based organizations through the Social Development Commission (SDC) in Hanover, a local youth and community development organization, within the Ministry of Local Government, Youth and Community Development. The discussions focused on the adolescents' knowledge of sex and sexual risks, perceived vulnerability to sexual risks, use of protection, self-efficacy, and societal expectations. Data were analyzed, using the content analysis technique. RESULTS: Analyses of transcripts revealed the existence of different sexual scripts for males and females. Whereas females are culturally restrained, abstinence is less desirable for males. Both male and female adolescents expressed the view that the family was an important part of an adolescent's life, and has a strong influence on adolescent sexual behavior. Perception of vulnerability to HIV/AIDS and other sexually transmitted infections, and knowledge of sexual risks among the adolescents was low, and often erroneous. CONCLUSIONS: The results show that sexual attitudes and behavior of adolescents in the study setting are shaped by cultural and gender norms that impose different standards on males and females.

Adolescent↗
PubMed1984

A residency program in community pharmacy practice.

As pharmacists increase their involvement in patients' drug therapy, the lack of opportunity for advanced clinical and administrative training becomes more critical, particularly for community pharmacists. To assist in the postgraduate development of community pharmacists, the faculty of pharmaceutical sciences at the University of British Columbia began a residency program in community pharmacy practice in June 1981. Modeled on the successful hospital pharmacy residencies, the program goals are to provide advanced clinical training in ambulatory patient care, and detailed and practical management training, and to develop pharmacists with skill in clinical teaching who will participate in the undergraduate programs of the faculty. The 12-month residency includes guided self-study and a series of practica in areas of therapeutics, management, drug information, clinical and teaching skill, professional service, and continuing education. These practica are served mainly in clinical practice settings such as community pharmacies, clinics, physicians' offices, and teaching hospitals. The residency has demonstrated its value and viability. Growing interest in such programs, and the success of this program in particular, should encourage the development of similar programs in Canada.

British Columbia↗
PubMedDate not supplied

Developing a comprehensive, community-based asthma education and training program.

The Community Asthma Prevention Program (CAPP) is a comprehensive, community-based asthma education and training program focused on the prevention of asthma exacerbations in the pediatric/adolescent population. Details of starting a community-based education program are described. The asthma class series is taught for 5 hours, delivered in 1-hour sessions once each week. Programs are held in schools, daycare centers, churches, and community centers. Classes are conducted simultaneously in separate rooms with parents being taught by a health educator and children taught by a peer educator. To date, 774 parents and 570 children have completed the community classes. The retention rate of participants who complete the 5-week program is 80%. The train-the-trainer model is used for training community members such as parents, teens, school nurses, daycare providers, and foster care workers to provide the community with many members who are trained in asthma education. Strategies used to obtain support and promote program visibility and use in the targeted community are presented.

Adolescent↗
PubMed2003

The development and evaluation of a community attachment scheme for first-year medical students.

This paper describes the development over 14 years of a Community Attachment Scheme for First Year Medical Students in Sheffield, together with feedback from tutors and students. The scheme involves pairs of students visiting families expecting a baby or experiencing an illness. The families are identified by general practitioners who act as tutors together with a behavioural scientist for groups of eight to 10 students. The scheme provides first-year students with practical experience of sociology and psychology in terms of family dynamics and illness behaviour. Assessment is part of the degree examination, and involves a written assignment on the family, together with tutors' assessments. The development of the attachment scheme took place in three phases, which are described together with feedback from tutors and students, as well as changes in methods of assessment. The basis of the Community Attachment Scheme has been self-directed problem-based learning in small groups with continuous assessment, and these principles have now extended to the rest of the medical curriculum in Sheffield, of which the Community Attachment Scheme is an integral part.

Community Medicine↗
PubMed2002

Innovation in social policy: collaborative policy advocacy.

In a time of policy devolution, social workers have a unique opportunity to develop a significant voice in constructing state social welfare policy. This article examines a method of collaborative policy advocacy led by social work researchers, practitioners, advocates, and students. It is illustrated with a five-year project to reduce wealth inequality through community economic development. Researchers brought expertise in ideas and analysis to real-world applications. Social work practitioners brought essential "on the ground" expertise. Students brought much-needed assistance and a fresh perspective to the social policy process. Advocates, working in social welfare advocacy organizations, bridged these perspectives and provided experience in policy advocacy. Working with coalition partners, social workers successfully placed asset-based community economic development strategies on the state agenda and were instrumental in passage of innovative legislation. The article demonstrates that the policy-making process is open to influence by social workers, especially if they come prepared with innovative and promising ideas about long-standing social issues. Social workers can and should take the lead and become significant actors in state policy development.

Community Participation↗
PubMedDate not supplied

Rural case management for stroke: the development of a community-based screening and education program.

This article describes the evolution of a Community-Based Stroke Risk Screening and Education Program at a 400-bed regional medical center located in southeastern Alabama. The author outlines the implementation of a case management-oriented program developed to target the specific high-risk populations residing in this rural area. Retrospective chart reviews were used to identify a large discrepancy between patient-recognized onset of stroke symptoms and the actual time it took for the patient to present to the Emergency Department (ED). A performance improvement goal was initiated to increase community awareness of stroke warning signs, stroke risk, and prevention. Summaries of the research process, design, and outcome data overwhelmingly indicated a positive correlation between stroke education and ED presentation time.

Adult↗
PubMedDate not supplied

Developing and evaluating community-based services through participatory action research: two case examples.

Occupational therapy has a strong history of embracing concepts of client empowerment. However there is limited literature in the field on how to achieve empowerment, or on how to extend empowerment to the level of the community and social groups and services within it. This article discusses how concepts and strategies of participatory action research, an extension of empowerment theory, can be used to inform service development and evaluation in occupational therapy. The participatory action research approach is illustrated using two case examples of participatory action research programs for persons with chronic fatigue syndrome and individuals with autoimmune deficiency syndrome (AIDS). A critical analysis of the application of this approach to research and practice is provided. Finally, the paper identifies key principles of participatory action research that can be used to guide occupational therapy services and empower both individuals and communities.

Acquired Immunodeficiency Syndrome↗
PubMed1993

Prevention of alcohol-related accidents in the community.

This paper establishes a conceptual and operational basis for development of community prevention programs to reduce alcohol-related accidents. A public health perspective of accidents is proposed as the philosophical basis for local prevention interventions in which accidents are viewed as system problems (system outputs, if you will) not simply problems caused by a few alcohol-dependent individuals. Since there are no examples of controlled community prevention research projects (trials) which have demonstrated a reduction in community-level alcohol-related accidents, such controlled trials are needed in the future. An example of one being developed by the Prevention Research Center, Berkeley, CA is provided. Without such controlled trials, prevention research will be unable to demonstrate that such accidents can actually be reduced. This paper explores the applications of a public health perspective to the prevention of alcohol-involved accidents at the community level including a conceptual model of alcohol-involved trauma and suggested design, alternative local interventions, possible outcome measures, and phases for community prevention of alcohol-related accidents.

Accident Prevention↗
PubMed1979

The extent, nature, and utility of evaluating consumer satisfaction in community mental health centers.

Evaluating consumer perceptions is a recent development in community mental health. The authors surveyed the 504 federally funded community mental health centers to discover the extent to which they assessed consumer satisfaction, the methods used to collect data, and the utility of the results. Of the 366 centers that responded, 48% had gathered consumer feedback in the previous 18 months, and most others planned to initiate such evaluations within a year. Methods of conducting the studies were extremely diverse. Respondents felt the results were useful and shared them primarily with agency personnel, rather than with outside funders, fellow agencies, or clients. The authors conclude that community mental health centers are evaluating consumer satisfaction more frequently than in the recent past, but this movement has not yet developed clear, standardized methods. Until evaluators consolidate their efforts this evaluation strategy will continue to have limited utility.

Community Mental Health Centers↗
PubMed1999

Community participation in the recruitment and retention of rural doctors: methodological and logistical considerations.

Two Queensland rural communities with histories of poor general practitioner (GP) recruitment and retention participated in a process aimed at developing broadly based community action plans to recruit and retain GPs. Despite their very different physical and social characteristics, the two communities developed many similar objectives and strategies, which had the possibility of being implemented more widely. The community participation process can be both time- and cost-effective if consideration is given to a variety of methodological and logistical issues. The process is a means by which communities, Divisions of General Practice, government, academic institutions and others can work together to recruit and retain medical practitioners.

Community Participation↗
PubMed1983

Primary health care in Southeast Asia: attitudes about community participation in community health programmes.

Although community participation in health has become a major plank in WHO's Primary Health Care platform, comparatively little concrete programme data has been collected which helps to define its potentials and problems. In an effort to expand knowledge in this area, a study of three Church-related community health programmes in Southeast Asia was undertaken. All three programmes have the stated goal of 'having the community take responsibility for its own health care' and as a concrete step in this direction, have developed training programmes for community health workers (CHWs). Starting about the same time, 1973-1975, they provide data for comparative examination of the development of community participation. As part of the study, a questionnaire was designed to elicit information from three categories of programme participants (the medical professionals, the community development workers and the CHWs) in community health programmes. It sought to discover their attitudes about the objectives of community health programmes; impact and measurements of success of these programmes; the role of health services; the role of medical professionals and community development workers in community health programmes; the role and training of community health workers; and financing community health programmes. The hypothesis of the investigation was that all three categories of programme participants in one programme share attitudes distinct from participants in the other two programmes. Although, due to technical reasons, it was not possible to test this hypothesis, the survey produced other conclusions.(ABSTRACT TRUNCATED AT 250 WORDS)

Asia, Southeastern↗
PubMedDate not supplied

Exploring and developing a college's community of interest: an appreciative inquiry.

This study examined what the Commission on Collegiate Nursing Education identifies as a college of nursing's internal and external "community of interest." Using "appreciative inquiry" in this study of a college campus, we examined the parts of the historical past that the community believed should be maintained, its vision of excellence for the college, the ways in which the vision could be realized, and its part in fulfilling the expectations of a shared, co-created vision. Investigators collected data using a self-developed, one-on-one interview and focus-group format and analyzed the data using content analysis. The findings suggest that the community shared values of preserving the college's past and of its vision for the college's future. However, it differed in the means of putting its co-created vision into practice and in defining its contributions in realizing the vision it created for the college.

Administrative Personnel↗
PubMed1994

Developing an effective adult nutrition screening tool for a community hospital.

OBJECTIVE: To develop a sensitive and specific nutrition screening tool that conforms to the requirements of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and is effective in any given hospital population. DESIGN: A two-step prospective evaluation was performed in two unrelated community hospitals to determine the effectiveness of a current nutrition screening tool, and to develop a new, more sensitive tool that permits efficient use of available personnel. STATISTICAL ANALYSES: Standard calculations for sensitivity, specificity, positive predictive value, and negative predictive value were used to compare the results of various screening methods with those of full nutrition assessments. Stepwise discriminant analysis was used to determine specific parameters that contributed to the diagnosis of malnutrition and to derive a predictive equation based on these parameters. METHODS: In part 1, 100 patients admitted consecutively were evaluated using a subjective screening tool; the results were compared with those from full nutrition assessment of the same patients. Stepwise discriminant analysis identified three parameters most closely related to malnutrition, and a multivariant equation relative to nutrition risk was derived. In part 2, 151 randomly selected adult medical and surgical patients were evaluated at admission with the same screening tool used in part 1. Additionally, prealbumin level was determined on admission. The results of the screening, the discriminant analysis equation from part 1, and both methods incorporating the prealbumin level were compared with the results of a full nutrition assessment. RESULTS: In part 1, discriminant analysis identified total lymphocyte count, percentage weight loss, and serum albumin level as the three best indicators of malnutrition. A multivariant equation incorporating these objective parameters was derived. In part 2, the equation yielded better sensitivity and specificity results than other screening methods. Inclusion of prealbumin level did not improve screening methods. CONCLUSIONS: The revised screening tool described can be used as the basis of an effective screening program that meets the proposed JCAHO nutrition care standards.

Adult↗
PubMed1989

Giving wellness a spiritual workout. Two model programs emphasize the development of self-reliance.

Many hospitals, corporations, and communities have developed wellness programs to help people maintain a healthy life-style. Today's wellness doctrine reflects modern medical thinking that, to achieve optimal human potential, a person must enjoy physical, mental, emotional, and spiritual well-being. Most wellness programs, however, concentrate on the physical; few take into account spiritual well-being. Wellness programs developed by the Boulder County YMCA, Longmont, CO, and the University of Maryland, College Park, were based on an interpretation of a model suggested by Carl Jung that defines spirituality as the development of self-reliance. According to Jung, the constituents of self-reliance include awareness, inner faith, self-worth, humility, patience, acceptance, and self-confidence. He suggested that the absence of any one of these could cause a breakdown in a person's belief system and lead to a spiritual crisis. These programs trained participants to recognize the importance of their spiritual well-being and to find practical ways to improve it. Key components were a stress management course; workshops in confidence building and values clarification; and classes, lectures, and workshops that emphasize the integration of spiritual and physical well-being.

Colorado↗
PubMed1987

Life-span development of institutionalized and community-based mentally retarded persons, revisited.

Life-span development of adaptive behavior of 30,749 mentally retarded individuals residing in California and being served by the California Department of Developmental Services was studied. The estimated life-span trends differed somewhat from those reported in an earlier investigation (Eyman & Arndt, 1982.) We used a larger sample and a more appropriate model and found different growth curves in adaptive behavior over levels of retardation, contrary to the Eyman and Arndt findings. Moreover, when cross-sectional vs. semi-longitudinal growth curves were compared, the degree of similarity of the two types of curves was a function of level of retardation. Evidence on the need for large sample life-span studies based on at least 6 to 8 years follow-up was presented.

Activities of Daily Living↗