Telemedicine for patient education

Abstract

A telemedicine project was conducted to explore the delivery of childbirth preparation classes originating at a large regional hospital to a remote site at a small rural hospital. Over six months, three series of classes were included in the project, with twenty‐four participants at the originating site and twenty participants at the remote site. A two‐way, audio/video teleconferencing system with multiple cameras and monitors was employed for instruction. A registered nurse taught the class and a site facilitator assisted at the remote site. Evaluation of the project was done through surveys, interviews, and observations. The classes were well received by project participants at both sites. Principal advantages cited were increased availability of the programs, improved attendance, and convenience to rural participants. The principal disadvantages cited focused on technical problems, particularly audio quality.     

Family process and peer deviance influences on adolescent aggression: longitudinal effects across early and middle adolescence

Beginning in sixth grade at an average age of 11.9 years, 416 adolescents and their parents participated in 4 waves of data collection involving family observations and multiple‐reporter assessments. Ecological theory and the process‐person‐context‐time (PPCT) model guided the hypotheses and analyses. Lagged, growth curve models revealed that family hostility and peer deviance affiliation predicted adolescent aggression in the subsequent year. Family warmth played only a minor role in protecting against adolescent aggression. In hostile or low‐warmth families, peer deviance affiliation linked to a declining aggression trajectory consistent with the arena of comfort hypothesis. The longitudinal findings suggest a nonadditive, synergistic interplay between family and peer contexts across time in adding nuance to understanding the adolescent aggression.     

Open Access Journals in College Library Collections

Students and scholars can take full advantage of Open Access journals only if libraries make them available through mechanisms that are familiar to patrons. This study examines the extent to which American liberal arts colleges have provided access to Open Access journals through their journal title lists (Serials Solutions, Ex Libris, etc.) and their online public access catalogs (OPACs). While 57 percent of the colleges provide access to at least 90 percent of the journals in our sample, 20 percent of the colleges provide access to fewer than 20 percent of the journals. Large and high-impact journals are especially likely to appear in libraries' catalogs and journal lists. There is no systematic trend by publication fee status or country of publication, however. The study concludes with a discussion of the strategies libraries can use to select Open Access journals and add them to their collections.     

Fostering an Adolescent-Centered Community Responsive to Student Needs: Lessons Learned and Suggestions for Middle Level Educators

Young adolescents have unique basic and developmental needs. Middle level educators are best able to reach and teach young adolescents when they understand students’ needs and when the school environment, including its organizational structures and teacher practices, are responsive to these needs. Findings from a recently conducted qualitative case study indicate that middle level organizational structures, coupled with active, hands-on teacher practices, helped educators promote an adolescent-centered community where students felt cared for and perceived learning as both fun and educational. We highlight lessons learned from the study, including the importance of being responsive to student needs and promoting an adolescent-centered community. We then suggest ways middle level educators can foster such responsive communities in their own schools through maximizing the use of organizational structures and implementing active, hands-on teacher practices.     

Using video self-modelling to increase active learning responses during small-group reading instruction for primary school pupils with social emotional and mental health difficulties

Effectiveness of a video self-modelling (VSM) intervention was examined with primary schoolchildren who attended a full-time special education programme for pupils with social emotional and behavioural difficulties and who exhibited inappropriate behaviour during small-group reading instruction. A randomised multiple-probe baseline design was used in this study in four subjects with a follow-up phase 6 weeks after intervention. Four children aged 10 were videotaped during reading instruction to determine levels of active learning and behavioural difficulties. Intervention took place at the teacher’s desk or table 3–5 minutes immediately before the child’s designated time for reading group instruction. During intervention, the children were shown carefully selected brief segments of their own video that had been recorded during the previous session. Results indicated VSM was an effective intervention for increasing active learning responses and for reducing behavioural difficulties during reading instruction. Optimum results were maintained for more than 8 weeks after intervention. These results support VSM as an effective antecedent intervention and add to the growing body of evidence-based practices for elementary school pupils who have social emotional and mental health difficulties.     

English language learners with reading-related LD: linking data from multiple sources to make eligibility determinations

Results are reported for an exploratory study of eligibility decisions made for 21 Spanish-speaking English language learners (ELLs) with learning disabilities (LD) and no secondary disabilities who received special education support in reading. Eligibility determinations by an expert panel resulted in decisions that differed significantly from those of school multidisciplinary teams. The panel agreed that some students appeared to have reading-related LD (n = 5) but also identified students that they believed had disabilities, but not necessarily reading-related LD (n = 6). Another group of students (n = 10) had learning problems that the panel believed could be attributed to factors other than LD or for whom substantive additional data would be required to validate eligibility. Issues associated with referral, assessment, and eligibility determinations for ELLs are discussed, and recommendations for improving practice are offered, with an emphasis on the importance of linking data from multiple sources when deciding whether ELLs qualify for special education.     

Animal cruelty by children exposed to domestic violence

OBJECTIVE: The first objective of this study was to determine if children exposed to domestic violence were significantly more likely to be cruel to animals than children not exposed to violence. The second was to determine if there were significant age and gender differences between children who were and were not cruel to animals. METHOD: A community sample of 47 mothers with two children and a history of domestic violence were compared to a matched sample of 45 mothers with two children who did not have such a history. RESULTS: Children exposed to domestic violence were significantly more likely to have been cruel to animals than children not exposed to violence. The age and gender of children who were cruel to animals did not differ from children who were not cruel to animals. However, exposed children cruel to animals were significantly older than non-exposed children cruel to animals. CONCLUSION: Animal cruelty by children is correlated with exposure to domestic violence.