Lessons learned from ten years of distance learning outreach

Objective:The study tested the efficacy of providing distance learning with real-time videoconferencing to broaden high school student knowledge of health careers.Methods:A pilot program was tried out and extended over ten years to include other schools in four different time zones and the National Library of Medicine. Survey results, site visits, and continued school participation were used as effectiveness indicators. Student ratings, site visits, and ongoing discussions were used to evaluate critical factors in the program.Results:Nine program factors contributed to success.Conclusions:Synchronous communication can be effective for outreach to special populations given appropriate infrastructure, technology, program design, and implementation.     

Factors associated with successful and unsuccessful intervention with child abusive families

The authors conducted a treatment outcome study on 79 patients engaged in a program for maltreating parents. Treatment modalities included individual psychotherapy and counseling, group therapy, home visiting, and telephone advocacy with the duration of treatment ranging from 6 sessions to 36 months. On the basis of ratings by the primary therapist consensually validated by other staff, $\text{2}\text{3}$ of the sample demonstrated at least symptomatic improvement, whereas 28% improved significantly. Overall improvement was highly correlated with more subtle indices of childrearing, perception of the child, object relations, insight, and capacity for self-observation. The profiles of those maltreating parents who improved and those who did not emerged with respect to the impact of critical demographic, psychological, and therapeutic variables. Favorable outcomes were unlikely among parents who themselves had a history of maltreatment, who inflicted the more severe injuries, who entered the program involuntarily or who terminated against advice; while positive results were more prevalent in those parents with a less abusive childhood experience and who perceived a need for involvement in the program. Home visiting and advocacy appeared to enhance the potential for improvement.     

Black Faculty Facilitating Difficult Dialogues in the College Classroom: A Cross-Disciplinary Response to Racism and Racial Violence

The Urban Review - This article examines how three Black tenure-track faculty from different academic disciplines prioritized and facilitated discussions on racism and racial violence with graduate...     

Neurological impairment in maltreated children

The neurological competency of maltreated children was assessed by comparing physically abused children not known to have sustained serious head trauma, neglected children, and normally raised children from the same socioeconomic milieu. Each child underwent physical and neurological examinations including EEGs, supplemented by perceptual-motor tests devised to detect subtle evidence of neurological dysfunction. Obstetrical and developmental histories, as well as intelligence test protocols, were available. Blind ratings by a pediatric neurologist using all available information revealed significantly more impairment in the maltreated groups with more than 50% of the abused children in the moderate or severely impaired category. The complex relationship between the maltreating environment and neurological disorders in these populations is discussed including the need to routinely search for evidence of subtle neurological impairment when maltreatment is known or suspected.     

Improving the Validity and Reliability of a Health Promotion Survey for Physical Therapists

Purpose

Physical therapists (PTs) have a unique opportunity to intervene in the area of health promotion. However, no instrument has been validated to measure PTs’ views on health promotion in physical therapy practice. The purpose of this study was to evaluate the content validity and test-retest reliability of a health promotion survey designed for PTs.

Methods

An expert panel of PTs assessed the content validity of “The Role of Health Promotion in Physical Therapy Survey” and provided suggestions for revision. Item content validity was assessed using the content validity ratio (CVR) as well as the modified kappa statistic. Therapists then participated in the test-retest reliability assessment of the revised health promotion survey, which was assessed using a weighted kappa statistic.

Results

Based on feedback from the expert panelists, significant revisions were made to the original survey. The expert panel reached at least a majority consensus agreement for all items in the revised survey and the survey-CVR improved from 0.44 to 0.66. Only one item on the revised survey had substantial test-retest agreement, with 55% of the items having moderate agreement and 43% poor agreement.

Conclusions

All items on the revised health promotion survey demonstrated at least fair validity, but few items had reasonable test-retest reliability. Further modifications should be made to strengthen the validity and improve the reliability of this survey.Key Words: health promotion, physical therapy, validity, reliability     

Supporting (or not) the career development of culturally and linguistically diverse migrants and refugees in universities: insights from Australia

International Journal for Educational and Vocational Guidance - The present study used a mixed-methods approach to understand the challenges faced by Australian higher education institutions in...