Embedded Game Design as a Method for Addressing Social Determinants of Health

ABSTRACT

This paper, describes the design, development, and evaluation of The Test, a theory-based mobile game prototype designed to promote HIV testing by providing information and influencing motivations, and behavioral intentions among YMSM. The Test was designed using embedded design, first described by Kaufman & Flanagan (2015), which diverges from traditional “educational game” design strategies by mixing on-message content with nonfocal content, in an attempt to make the overall experience more approachable and engaging. One challenge of embedded design is that it targets attitudes and actions that are not always proximate to a particular behavior. Games with embedded content forgo explicit takeaways, and their possible distal effects present a challenge to traditional tests of efficacy. The benefit of embedded design, however, is that its holistic or ecological design approach (which considers feelings, emotions, affects, social relations, and connections to broader communities) stands in close alignment with the social-ecological model.     

Teacher supervision and evaluation challenges: Canadian perspectives on overall instructional leadership

This inquiry focuses on the overall instructional leadership approaches used by exemplary principals in three high performing Canadian provinces to overcome three persistent obstacles to effective teacher supervision and evaluation: (a) the management challenge, (b) the complexity challenge, and (c) the learning challenge. Analysis of data collected from interviews, focus groups, observations, field notes, documents, artifacts, and reflective research journals yielded the following four assertions: (a) Shared, distributed, and collective approaches to overall instructional leadership deepen and widen impact. (b) Effective supervision and evaluation are part of a career-long continuum of practice that fosters teacher growth while ensuring quality teaching. (c) There are multiple learning pathways to effective overall instructional leadership. (d) Policy contexts that place teacher supervision and evaluation practice within a broader conception of overall instructional leadership are beneficial.     

Asking queer(er) questions: epistemological and methodological implications for qualitative inquirers

This collection of distinct scholarly essays deliberatively turns to queer experience and theorizing as a resource for constructing vibrant qualitative research designs. Queer theory offers a breadth of epistemological and methodological possibilities for qualitative projects that are too frequently overlooked for many reasons. These reasons include frequently strict association of queer theory with queer research topics and researchers, as well as a concurrent reluctance to interrogate the representational needs of heterosexist culture served by the metaphor of the ‘closet.’ Queer theory also compels inquiry that takes up the unique circumstances of queer subjects. Locating educational inquiry within globally complex socio-historical dynamics and a post-Obergefell/post-2016 election U.S. context, this article poses multiple trajectories through which various scholars explore queer(er) qualitative inquiry in educational studies. These perspectives invite researchers to rethink qualitative inquiry designs through engagement with the queer, inclusive of research topics not initially perceived to be queer.     

Developing a web-based toolkit for new mothers about postpartum pelvic floor health in collaboration with a professional medical association

Background:Few electronic resources are available for new mothers with concerns about changes in their pelvic floor following childbirth. Patients may struggle when seeking authoritative information regarding pelvic floor conditions online given the sensitivity of the topic as well as the inadvertent connection to obscene or demeaning content found online. A health sciences librarian partnered with the Motherhood and Pelvic Health Study, an interdisciplinary research group, to provide expert searching skills for a particularly challenging health condition that patients struggle to find useful information on.Case Presentation:A custom rubric was developed to evaluate existing information products, which included criteria for cultural sensitivity, conflicts of interest, and other red flags. This evaluation process enabled the research team to identify top-tier evidence-based materials that were culturally congruent. This collaborative evaluation process led to the creation of a web-based toolkit resource for new mothers concerned about changes in their pelvic floor. The toolkit connects women to pertinent information on a national health organization''s patient portal, supplemented by videos created by the team to serve as models of communication for women and health care providers.Conclusion:When developing a web-based resource, health sciences libraries can partner with research teams to find, evaluate, and disseminate information. Culturally congruent toolkits such as this one can improve access to health information and lead to improved health outcomes. To ensure that the information highlighted in toolkits is both culturally congruent and authoritative, research teams should form advisory committees and partner with relevant professional medical associations.     

Exploring the Promises and Perils of Integrated STEM Through Disciplinary Practices and Epistemologies

Growing interest in integrated science, technology, engineering, and mathematics (iSTEM) education has been promoted as one way to increase innovation capacity, support future employment, and enhance learning outcomes in K-12 education throughout the USA. Existing efforts to construct iSTEM curricula have largely focused on finding points of integration among commonly shared disciplinary practices, but these efforts have not explicitly accounted for the distinct epistemologies of the disciplines. In this study, we critically examined the concept of iSTEM by conducting a thematic analysis of K-12 STEM learning standards documents to identify cross-cutting themes among the practices of the various disciplines. We then analyzed these themes using disciplinary epistemologies in order to highlight some promises and perils of an integrated approach to STEM education. We identified eight cross-cutting themes: communicating, investigating, modeling, using tools, working with data, making sense of problems or phenomena, solving problems, and evaluating ideas or solutions. Through our analysis of practices and epistemologies, we discuss the promises of iSTEM, including fewer learning standards, enhanced epistemic fluency, increased diversity and inclusion in STEM, and opportunities to challenge settled and siloed disciplinary knowledge. We also discuss potential perils, which consist of conflation and/or exclusion of various STEM practices and epistemologies. We urge continued examination of iSTEM with an eye toward the epistemic implications.

     

“Make the Education of the Youths Our Own Education”: Plato's Laches,a Dialogue for Educators

Through an exegesis of the dramatic elements of Plato's Laches, Brandon Buck and Rachel Longa argue that it is an especially valuable text to read with practicing and preservice teachers. Buck and Longa show how the dialogue illustrates three essential aspects of what education means and involves. First, they show how the dialogue foregrounds the often-obscured role of philosophical inquiry in addressing educational questions. Second, they show how the depiction of aporia in the Laches underscores the importance of uncertainty for the persistence of humanistic conversation, and thus for substantial engagement with core educational questions. Finally, they interpret Socrates to suggest that participation in humanistic conversation is not merely an incidental aspect of education as a profession, but rather precisely what it means to be an educator. In sum, Buck and Longa argue that the Laches illustrates the core idea that in order to educate at all, we must be deeply involved in the very questions that characterize humanistic conversation.     

Changes in Cardiorespiratory Responses and Kinematics With Hippotherapy in Youth With and Without Cerebral Palsy

Purpose: The purpose of this study was to characterize pelvic displacement and cardiorespiratory responses to simulated horseback riding and walking in youth with cerebral palsy and to compare responses to youth without cerebral palsy before and after 8 weeks of hippotherapy. Method: Eight youth with cerebral palsy (M_age = 10 ± 4 years; M_height = 137 ± 24 cm; M_weight = 32 ± 16 kg) and 8 youth without cerebral palsy (M_age = 11 ± 2 years; M_height = 149 ± 14 cm; M_weight = 48 ± 15 kg) underwent a hippotherapy intervention. Participants completed simulated horseback riding at an intensity approximating a fast walk (0.65 Hz) and walked on a treadmill (1 mph, 0% grade) before and after hippotherapy. Pelvic displacement along the anterior-posterior, vertical, and medial-lateral axes, heart rate, oxygen consumption, ventilation, and blood pressure were measured at rest and during steady-state exercise in both exercise modes. Results: Kinematics and cardiorespiratory responses were similar between the 2 groups during simulated horseback riding (p > .05 for all) before the intervention. Significantly greater cardiorespiratory responses were observed in the youth with cerebral palsy compared with the group without cerebral palsy while walking before and after the intervention (p < .05, effect sizes 26% to 237% greater). Eight weeks of hippotherapy did not alter responses, but anecdotal improvements in gait, balance, posture, and range of motion were observed in those with cerebral palsy. Conclusion: These results contribute to our understanding regarding the efficacy of hippotherapy as an intervention to improve functional abilities in those with cerebral palsy.     

DVD sales and the R-rating puzzle

In the last decade, attendance at movie theaters has been relatively stagnant, while sales of digital versatile discs (DVDs) have grown dramatically. In this paper, we look at the factors determining sales of individual DVDs in the United States. Using data on new motion pictures released on DVD between 2006 and 2008, we find the demand for new DVDs is price-inelastic and that DVD sales are counter-cyclical. We find that previous box office success has strong positive effects on DVD sales. Production budget also has a positive effect on DVD sales, albeit indirectly through its effect on box office revenues. Critical acclaim has significant positive effects on both box office revenue and DVD sales, but the effect is smaller in regard to DVDs. There is some evidence to suggest that DVD sales are higher for movies with more sexual content and more violent content and lower for movies with more profanity, but these effects are indirect through the changes in the box office of these movies. We find that sales of R-rated DVDs are not as dependent upon critical acclaim as movies of other ratings, and are thus less risky for movie studios to produce. Our findings provide another explanation for the R-rating puzzle.