This presentation, given as part of a plenary symposium at the 8th World Congress on Promotion of Mental Health and Prevention of Mental and Behavioural Disorders gives an overview of how one area is trying to develop an approach to public mental health, finding frameworks and tools of use
This presentation, given as part of a plenary symposium at the 8th World Congress on Promotion of Mental Health and Prevention of Mental and Behavioural Disorders gives an overview of how one area is trying to develop an approach to public mental health, finding frameworks and tools of use
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
This presentation offers insight on how to build health equity.
Dr. Cory Neudorf
CMHO, Saskatoon Health Region
Assistant Professor at the University of Saskatoon
A Public Health Approach to Mental Health Care: Taking Transformation to ScaleMHTP Webmastere
This presentation was given by Kathryn Power, Director, Center for Mental Health Services at SAMHSA, at the May 13, 2008 Prevention Policy Summit. Transcript of Kathryn Power\'s opening remarks.
Marilyn Wise (Health Public Policy Centre for Health Equity Training and Evaluation) delivered the keynote address at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
She reflected on what she described as the 'system' of complex, multiple responses, that has evolved in Australia to contain HIV, and what we can learn from our successes in order to address the goals of the UN Political declaration on HIV and meet Australia's targets for HIV prevention and treatment.
An invited presentation to the The Compassion and Social Justice Lecture Series on Courageous Leadership in a Crisis
"This event explores the courage required when leading in a crisis and making important decisions without precedence. Given the global impact of COVID, leaders are being tested daily. Hear perspectives from two global leaders and learn from their courageous leadership during the historical HIV/AIDS crisis and the more current COVID pandemic."
Speakers:https://beholdvancouver.org/events/courageous-leadership-in-a-crisis
Addressing Health Care's Blindside in Albuquerque's South Side: Logic Model W...Practical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
The Longest Shadow: Lifelong Pervasive Impacts of Adverse Childhood Events (...Université de Montréal
Childhood adversity casts the longest shadow across the entire human life cycle with lifelong pervasive impacts. This presentation integrates three ways to investigate these issues using a mixed methods (quantitative and qualitative) approach: (1) retrospective quantitative epidemiological studies of Adverse Childhood Events (ACE) by Fellitti and associates and the Social Determinants of Health (SDH) headed by Marmot with the WHO; (2) quantitative child psychiatric epidemiology prevalence studies, focusing on Canadian studies in two provinces: the Ontario Child Health Study (OCHS) (Boyle, et al, 2019) and the Quebec Child Mental Health Survey (QCMHS) (Bergeron, et al, 2000); and (3) Bruner’s more qualitative narrative approach integrating work from developmental psychology and anthropology (Mattingly, et al., 2008).
After a brief overview of North American and worldwide comparisons in child psychiatric epidemiology whose populational surveys of 6-14 year old children show a worldwide average of 20% affected with mental health problems, the focus shifts to Canadian studies in Ontario and Quebec. A detailed portrait of the Quebec survey contrasts the overall Quebec population results of 15% prevalence of mental health problems in children versus the alarming rate of 60% in a sub-study of the disadvantaged neighborhood I have worked in for the last 20 years. This sub-study offers a complex portrait of the negative impacts of ACE and SDH.
My own sub-study of single parent families in the same disadvantaged neighborhood demonstrates that SDH are multifactorial and multigenerational, affecting both more intimate family attachments and broader social belonging. Informed by ACE, SDH and QCMS studies, our community-based child psychiatry program works on more complex and subtle social determinants affecting children’s lives: narrative resources based on the work of Jerome Bruner (Mattingly, et al., 2008), which are rich and nourishing when present yet lead to the impoverishment of affective and social capacities throughout the lifecycle in their absence. The presentation concludes with the need for translational research – from populational studies to community programs and clinical interventions.
This document was produced for a Webinar for the Association of Directors of Public Health (ADHP www.adph.org.uk ) on 27th April 2017 in partnership with Public Health England (PHE www.gov.uk/phe) Hertfordshire County Council (www.hertfordshire.gov.uk) and the Health Psychology in Public Health Network (HPPHN www.hppn.org.uk ).
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
This presentation offers insight on how to build health equity.
Dr. Cory Neudorf
CMHO, Saskatoon Health Region
Assistant Professor at the University of Saskatoon
A Public Health Approach to Mental Health Care: Taking Transformation to ScaleMHTP Webmastere
This presentation was given by Kathryn Power, Director, Center for Mental Health Services at SAMHSA, at the May 13, 2008 Prevention Policy Summit. Transcript of Kathryn Power\'s opening remarks.
Marilyn Wise (Health Public Policy Centre for Health Equity Training and Evaluation) delivered the keynote address at the AFAO/NAPWA Gay Men's HIV Health Promotion Conference in May 2012.
She reflected on what she described as the 'system' of complex, multiple responses, that has evolved in Australia to contain HIV, and what we can learn from our successes in order to address the goals of the UN Political declaration on HIV and meet Australia's targets for HIV prevention and treatment.
An invited presentation to the The Compassion and Social Justice Lecture Series on Courageous Leadership in a Crisis
"This event explores the courage required when leading in a crisis and making important decisions without precedence. Given the global impact of COVID, leaders are being tested daily. Hear perspectives from two global leaders and learn from their courageous leadership during the historical HIV/AIDS crisis and the more current COVID pandemic."
Speakers:https://beholdvancouver.org/events/courageous-leadership-in-a-crisis
Addressing Health Care's Blindside in Albuquerque's South Side: Logic Model W...Practical Playbook
The Practical Playbook
National Meeting 2016
www.practicalplaybook.org
Bringing Public Health and Primary Care Together: The Practical Playbook National Meeting was at the Hyatt Regency in Bethesda, MD, May 22 - 24, 2016. The meeting was a milestone event towards advancing robust collaborations that improve population health. Key stakeholders from across sectors – representing professional associations, community organizations, government agencies and academic institutions – and across the country came together at the National Meeting to help catalyze a national movement, accelerate collaborations by fostering skill development, and connect with like-minded individuals and organizations to facilitate the exchange of ideas to drive population health improvement.
The National Meeting was also a significant source of tools and resources to advance collaboration. These tools and resources are available below and include:
Session presentations and materials
Poster session content
Photos from the National Meeting
The conversation started at the National Meeting is continuing in a LinkedIn Group "Working Together for Population Health" and Twitter. Use #PPBMeeting to provide feedback on the National Meeting.
The Practical Playbook was developed by the de Beaumont Foundation, the Duke University School of Medicine Department of Community and Family Medicine, the Centers for Disease Control and Prevention (CDC), and the Health Resources & Services Administration (HRSA).
The Longest Shadow: Lifelong Pervasive Impacts of Adverse Childhood Events (...Université de Montréal
Childhood adversity casts the longest shadow across the entire human life cycle with lifelong pervasive impacts. This presentation integrates three ways to investigate these issues using a mixed methods (quantitative and qualitative) approach: (1) retrospective quantitative epidemiological studies of Adverse Childhood Events (ACE) by Fellitti and associates and the Social Determinants of Health (SDH) headed by Marmot with the WHO; (2) quantitative child psychiatric epidemiology prevalence studies, focusing on Canadian studies in two provinces: the Ontario Child Health Study (OCHS) (Boyle, et al, 2019) and the Quebec Child Mental Health Survey (QCMHS) (Bergeron, et al, 2000); and (3) Bruner’s more qualitative narrative approach integrating work from developmental psychology and anthropology (Mattingly, et al., 2008).
After a brief overview of North American and worldwide comparisons in child psychiatric epidemiology whose populational surveys of 6-14 year old children show a worldwide average of 20% affected with mental health problems, the focus shifts to Canadian studies in Ontario and Quebec. A detailed portrait of the Quebec survey contrasts the overall Quebec population results of 15% prevalence of mental health problems in children versus the alarming rate of 60% in a sub-study of the disadvantaged neighborhood I have worked in for the last 20 years. This sub-study offers a complex portrait of the negative impacts of ACE and SDH.
My own sub-study of single parent families in the same disadvantaged neighborhood demonstrates that SDH are multifactorial and multigenerational, affecting both more intimate family attachments and broader social belonging. Informed by ACE, SDH and QCMS studies, our community-based child psychiatry program works on more complex and subtle social determinants affecting children’s lives: narrative resources based on the work of Jerome Bruner (Mattingly, et al., 2008), which are rich and nourishing when present yet lead to the impoverishment of affective and social capacities throughout the lifecycle in their absence. The presentation concludes with the need for translational research – from populational studies to community programs and clinical interventions.
This document was produced for a Webinar for the Association of Directors of Public Health (ADHP www.adph.org.uk ) on 27th April 2017 in partnership with Public Health England (PHE www.gov.uk/phe) Hertfordshire County Council (www.hertfordshire.gov.uk) and the Health Psychology in Public Health Network (HPPHN www.hppn.org.uk ).
https://utilitasmathematica.com/index.php/Index
Our Journal has a exploring partnerships and initiatives to provide training and resources to researchers, reviewers, and editors on issues related to JEDI in statistics. Journal has implemented rigorous editorial practices to ensure that published research adheres to JEDI principles.
Cultural Differences in Parenting.docxRunning Head CULTURAL D.docxdorishigh
Cultural Differences in Parenting.docx
Running Head: CULTURAL DIFFERENCES IN PARENTING
3
CULTURAL DIFFERENCES IN PARENTING
Name:
Paper Title:
Course Title:
Instructor's Name:
Date:
Annotated Bibliography
Chang, M. (2007). Cultural differences in parenting styles and their effects on teens' self-esteem, perceived parental relationship satisfaction, and self-satisfaction (Doctoral dissertation, Carnegie Mellon University).
This resource looks at the influence different types of parenting may have on children. Using a study involving 156 teenagers from New Jersey, the research determines this effect on teenagers’ self-esteem and overall satisfaction with themselves and their parents. In many cases, a parent’s role in their relationship with their children plays a huge part in their development. The results of the research showed that there was no significant disparity between race and parenting but there was significant difference indicating a huge difference in parenting between races.
Chao, R., & Kanatsu, A. (2008). Beyond socioeconomics: Explaining ethnic group differences in parenting through cultural and immigration processes. Applied Development Science, 12(4), 181-187.
This study examines culture and socioeconomic factors in understanding the difference in monitoring, behavioural control and warmth. Some of the variables of this study include the education and employment levels of parents, the number of siblings in a home and homeownership among many others. The study was conducted on 591 European Americans, 123 African Americans, 1614 Asian Americans and 597 Latino students in 9th grade. Differences were found between different groups and explained as factors of ethnicity and nationality.
Ho, C., Bluestein, D. N., & Jenkins, J. M. (2008). Cultural differences in the relationship between parenting and children's behaviour. Developmental psychology, 44(2), 507.
The study in this paper observed the relationship between ethnicity and children’s affinity for aggression and emotional problems. Data from 14990 children were collected and analysed and an association was noted between parental harshness and aggression in children. However, the relationship between parental harshness with the emotional problems of the child did not differ with regards to different ethnic groups.
Shapka, J. D., & Law, D. M. (2013). Does one size fit all? Ethnic differences in parenting behaviours and motivations for adolescent engagement in cyberbullying. Journal of youth and adolescence, 42(5), 723-738.
This paper was important because it brings a modern problem which is cyberbullying on adolescents and its association to different ethnic groups. Parenting behaviours and their effect on cyber aggression were explored. Adolescents completed self-report questionnaires about their engagement in cyberbullying, perceptions of their parents’ behaviours about their online activities, their motivations for cyberbullying, as well as several other releva.
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Social Capital and Fear of Crime: A Test of Organizational Participation Effe...AJHSSR Journal
Fear of crime has been a major research topic over the past several decades, due in part to the
growing awareness that the consequences of fear reach beyond feelings of personal anxiety, and also because it
affects people from all strata of life. Although a plethora of research has been conducted on the subject in the
Western world, however, there remains a paucity of such study in developing countries like Nigeria. Thus, this
study has as its primary objective to examine the effect of organizational participation on fear of crime in
Nigerian context. To test this, the study used data from Afrobarometer Round 6, 2015-2016 on the quality of
democracy and governance in Nigeria. To achieve the objective of the study, several analyses were conducted.
Specifically, the study utilized descriptive statistics and correlation. The finding indicates that organizational
and community groups participation in Nigerian does not allay fear of crime in the neighborhood and at home.
CALIFORNIA LUTHERAN UNIVERSITYINSTITUTIONAL REVIEW BOARDAP.docxhumphrieskalyn
CALIFORNIA LUTHERAN UNIVERSITY
INSTITUTIONAL REVIEW BOARD
APPLICATION TO USE HUMAN PARTICIPANTS IN RESEARCH
Before completing this application, please review Procedures for Obtaining Institutional Approval for the Use of Human Participants, available at http://www.callutheran.edu/irb/
Instructions: Complete all sections below. Incomplete applications will be returned. Be sure to attach all relevant material, including informed consent documents, instruments, interview protocols, and letters of approval from sites, as applicable.
1. Investigator’s NameNina Kuzniak
Department School of Management MPPA Program
Phone 702.332.3606 Email [email protected]
IRB Training Certificate Number & Date 02/20/12
#872431
Students: Application must be submitted by your faculty sponsor.
Faculty Sponsor’s Name Dr. Haco Hoang
Department Global Studies
Phone 805.493.3433
Email [email protected]
2. Project Title Analyzing the effectiveness of current K-12 sex education curriculum at meeting the needs of diverse sexual identities
3. Category of Research (check one):
· Institutional Research, Intended for Possible Publication
· Proposal Already Approved by Another Institution (attach documentation)
· Modification of a Proposal Already Approved by CLU IRB
· All-inclusive Application* for Research Conducted by Students in a Graduate Course NOT to include Masters theses or Doctoral dissertations (specify title)________________________________
· All-inclusive Application* for Research Conducted by Students in an Undergraduate Course (title)__________________________________
· Doctoral Dissertation
· Master’s Thesis, Honors Thesis, or Capstone Project
· Student Individualized (Independent) Study Project
· Action Research Project
· Other____________________________________________________
*Instructor must collect Class Project Approval Form from each student for his/her records.
4. Review Category Requested
___Exempt Status ___Expedited Review ___Full Board Review
Include justification for Exempt Status or Expedited Review. (See Procedures for Obtaining Institutional Approval for Research, available at http://www.callutheran.edu/irb/, for a discussion of the criteria for each category).
5.Methodology and Research Objectives
Describe and justify the proposed methodology: Sections should include; Background: cite related literature that roots the study in unanswered conceptual, theoretical, or practical issues; Research objectives: describe what you hope to accomplish with this study; Methods: describe the proposed methodology. Be sure that the methodology will permit the research/educational objectives to be met.
DO NOT paste elements of a thesis proposal. This section should be brief but clear, allowing the committee to understand the why, what, and how of your project.
Sex education has been a topic of interest in political agendas for the better part of the 20th century, experiencing deep investment from advocacy groups with ties to ...
Institutional Ethnography as a Method to Understand the Career and Parental L...ADVANCE-Purdue
This paper will present the initial analysis of the ADVANCE-Purdue Institutional Ethnography Parental Leave Study. This study seeks to understand how Purdue University’s parental leave policy is working to meet the career and life goals of our STEM faculty and staff members. Through the analysis of the experiences of diverse participants, ranging from administrators, faculty, and staff members directly related to the enacting or administration of the leave, we seek to identify the disconnects between the policy’s procedures and the lived experience of the implementation and administration of it. The experiences of these key agents can be means of positive transformation for the success of other employees and the whole institution. Our data comes from 12 interviews of STEM faculty and staff members in the time period of 2009-2010. Interviews covered the participants’ experiences in comprehending and enacting parental leave policy, its procedures, and the effect of its implementation in their personal and career lives. We will present common themes we have identified and we will discuss it using the structuration theory and institutional ethnography. Structuration theory was developed by Anthony Giddens in the 1970s and explains the dynamics of complex social systems. Under this theory, social systems exist only because of the reproduction of their structures (rules, resources, and relations) by human agents. D. Smith’s institutional ethnography is a research method that helps us identify disconnects between policy documents, its rules, procedures, and the people who interact with them in order to support positive institutional change.
Running Head LITERATURE REVIEW1LITERATURE REVIEW6.docxwlynn1
Running Head: LITERATURE REVIEW 1
LITERATURE REVIEW 6
Literature review
Literature review
The literature review aims to examine and evaluate the opinions, suggestions and assertions of different scholars about the overspending and overconsuming nature of millennials on materialistic items. The review takes a multi-disciplinary approach where the contribution of economics, psychology and adolescence studies are put into perspective. Moreover, the review seeks to examine and evaluate how the scholars relate to culture and area of origin of the millennials with their characteristics of overspending and overconsuming the materialistic items which they feel are necessary, but they are not required for survival.
Tania Modesto Veludo-de-Oliveira, Marcelo Augusto Falciano and Renato Villas-Boas Perito (2014) through a research study assessed the mediating and moderating roles of the credit card usage comparing the compulsive buying behaviour in relation to anxiety and distrust, retention-time and power-prestige. They found that the millennials with high levels of anxiety showed increased compulsive buying and hence misuse of credit cards. Tania Modesto Veludo-de-Oliveira, Marcelo Augusto Falciano and Renato Villas-Boas Perito (2014) notes that the finding of their research indicated non-significant mediation of credit card usage with regard to distrust effects on compulsive buying behaviour. Additionally, the levels of credit card usage did not reduce as a result of the price sensitivity of the millennials. The price sensitivity showed an over-spending effect when related to power-prestige and retention time.
Elkins (2017) examines how millennials spend their money in comparison with their parents. In support of a report from Charles Schwab, Elkins (2017) notes that the millennials spending is triggered by conveniences and comforts which makes them spend more than other generations. The study outlines pricey coffee, dining out and taxis as some of the comforts and conveniences on which the millennials overspend. In continuity, the study notes that approximately 60% of millennials spend money on purchasing clothes which they don’t necessarily require. Despite the over-spending and the over-consuming characteristics, the Charles Schwab report found out that the millennials are more planning-oriented than other generation groups including their parents. This note is in contradiction with the Elkins (2017) views that the millennials are falling short on savings due to the influence of over-spending.
Life’s core attitudes are largely influenced and locked in by the age of 5. This is an agreement brought forward by psychologists starting from the era of Sigmund feud going forward. In addition to contending with the agreement, Mauldin (2016) notes the historical living of the childhood influences the conclusion made by Neil Howe and William Strauss that a person's attitudes form in early childhood and the shaping of those attitudes. T.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Demystifying the Measurement of Complex Social Constructs: Assessing Social Capital Across Sectors WILLIAM STORY and TIM FRANKENBERGER
1. Will Story, PhD, MPH
Department of Community and
Behavioral Health
University of Iowa College of Public Health
Tim Frankenberger, PhD
TANGO International
CORE Group Global Health Practitioner Conference
Portland, OR
May 18, 2016
2. Reviewed the approaches to creating valid and
reliable measures of complex social constructs.
Examined the design of social capital
assessment tools and discovered how the tools
have been used in development programs.
Compared various assessment tools for
measuring social capital and discussed how to
adapt them for wider use in population-based
surveys.
3. A social mechanism, phenomenon, or
category created and developed by society
A perception of an individual, group, or idea
that is 'constructed' through cultural or social
practice
A proposed attribute of a person (or group of
people) that often cannot be measured
directly, but can be assessed using a number
of indicators (i.e., latent variable)
4. The construct must be carefully defined and
delineated before it can be measured
Single measure
With or without a scale
Multiple measures
Additive score
Factor score
Continuous, ordinal, dichotomous
5. Validity:The accuracy of a measurement
The degree to which the measures in your project
reflect the theoretical constructs on which those
measures are based.
Reliability:The consistency of a measurement
The degree to which a measure would give you the
same result over and over again, assuming the
underlying phenomenon is not changing.
7. Translation validity
Focus on whether the operationalization is a good
reflection of the construct
Criterion-related validity
Examine whether the operationalization behaves
the way it should given your theory of the
construct
(Trochim and Donnelly, 2008)
8. Expert review: Assess whether the survey questions
are appropriate for measuring social capital
Suggestions from peer-reviewed literature (De Silva et al.,
2006); independent review by social capital expert; and
final review by our research team from ICDDR,B
FGDs and cognitive interviews: Explore what people
know about social capital and examine how
respondents formulate their answers
We conducted four FGDs and 32 cognitive interviews
consisting of 18 structured survey questions followed by
scripted verbal probes
(Story et al., 2015)
9.
10. Internal consistency
Homogeneity of multiple items within an
instrument or specific domain
Inter-rater reliability
Extent that two or more observers agree with one
another
Test-retest reliability
Extent that the same results are obtained on
repeated administrations of the same instrument
(Trochim and Donnelly, 2008)
11. Five dimensions of community capacity were
used to develop a survey instrument:
leadership, resources, problem assessment,
connections and networks, and community
attitudes
The initial scale with 41 items had a
Cronbach's alpha coefficient of 0.89
indicating good internal consistency and this
was evident over all four communities
(Lovell et al., 2014)
12. Trochim,W. M. K., & Donnelly, J. P. (2008).The research methods
knowledge base. Mason,OH: Cengage Learning or
http://www.socialresearchmethods.net/kb/
Story,W.T.,Taleb, F.,Ahasan, S.M., & Ali, N.A. (2015).Validating the
measurement of social capital in Bangladesh:A cognitive approach.
Qualitative Health Research, 25(6), 806-819.
De Silva, M. J., Harpham,T.,Tuan,T., Bartolini, R., Penny, M. E., & Huttly,
S. R. (2006). Psychometric and cognitive validation of a social capital
measurement tool in Peru andVietnam. Social Science & Medicine, 62,
941–953.
Lovell, S.A., Gray, A.R., Boucher, S.E. (2014). Developing and validating a
measure of community capacity:Why volunteers make the best
neighbors. Social Science and Medicine, 133, 261-268.
13. What complex social constructs are you
currently trying to measure?
What have you done (or can you do) to assess
the validity and reliability of these
constructs?
14. What is social capital?
Household social capital and socioeconomic
inequalities in child undernutrition:
Evidence from rural India
The effects of social capital on resilience:
Evidence from Ethiopia
15. A broad term including social relationships,
networks, and values that facilitate collective
action for mutual benefit
Theories of social capital tend to be
dichotomized into two forms: structural and
cognitive
Structural:What people do as measured by
individuals’ actions and behaviors
Cognitive: How people feel as measured by
individuals’ attitudes and perceptions
(Woolcock, 1998; Harpham et al., 2002; Krishna & Shrader, 2000)
16. A survey-based approach is commonly used to
measure specific components of social capital
Structural social capital
Group membership/involvement
Informal social relationships
Collective action
Cognitive social capital
Trust (generalized or interpersonal)
Social cohesion
(Harpham et al., 2002; Narayan & Cassidy, 2001)
17. Bonding: social ties that connect similar people (e.g., a
religious or ethnic group), build in-group loyalty, and
provide resources
Bridging: social ties that connect dissimilar people (e.g.,
a social movement, different demographic groups) and
are more ideal for accessing external assets and
information
Linking: social ties to people of power in a society (e.g.,
health care providers, school teachers, and government
officials), who can help leverage resources, ideas, and
information
(Szreter &Woolcock, 2004)
18. William T. Story, PhD, MPH
Department of Community and
Behavioral Health
University of Iowa College of Public Health
Richard M. Carpiano, PhD, MA, MPH
Department of Sociology
School of Population and Public Health
University of British Columbia
CORE Group Global Health Practitioner Conference
Portland, OR
May 18, 2016
19. 3.1 million annual deaths among
children under the age of five due
to undernutrition
Strong association between child
nutrition status and household
wealth persists in the developing
world
Social capital can potentially be
used by the poor as a primary
means of protection against risk
and vulnerability
(Black et al. 2013; Boyle et al. 2006; Carroll 2001; Story 2013)
20. India is home to the largest number of under-
nourished children globally
42.5 % of children below the age of 5 years are
underweight for age (highest in South Asia)
Two-thirds of the population is rural, which leads
to greater disparities in access to resources
Prior studies have shown unequal access to
social capital and differential associations
between social capital and health
(Ramachandran 2014; Story 2014;Vikram et al. 2012; De Silva et al. 2007)
21. 1) How does household SES
shape access to bonding,
bridging, and linking social
capital?
2) If these social capital forms
are accessed, how are their
influences on child
underweight shaped by
household SES?
22. SES and Possession of Social Capital
H1a – Opportunity Hoarding Explanation:
Higher household SES is associated with higher
odds of bonding, bridging, and linking social
capital
H1b – Coping Explanation: Lower household SES
is associated with higher odds of membership in
bonding organizations
(Wright 2009; Cattell 2001; Altschuler, Somkin, andAdler 2004)
23. SES as a Moderator of Social Capital and Child
Underweight
H2a – Resource Substitution Explanation: Social
capital demonstrates a stronger reduction in the odds
of child underweight in lower (versus higher) SES
households.
H2b – Fundamental Cause Explanation: Social
capital demonstrates a stronger reduction in the odds
of child underweight in higher (versus lower) SES
households.
(Uphoff et al. 2013; Carpiano 2006; Story 2014; Carpiano, Link, and Phelan 2008)
24. Data source
2005 India Human Development Survey (IHDS)
Analytic sample
9,008 children under the age of 5
6,753 households
1,347 rural villages
Unit of analysis
Children within households within villages
(Desai et al. 2005)
25. Child underweight
Below -2 standard
deviations from the median
weight-for-age of the
international reference
population
Binary variable where 1 =
Underweight
(Fishmann et al., 2004)
26. Household SES
Index of 30 dichotomous items reflecting asset
ownership and housing quality
Bonding ties (e.g., religious or caste groups)
Bridging ties (e.g., women’s groups, saving and
credit groups, youth groups)
Linking ties
Doctor or nurse
Teacher or principal
Government officer
27. Exploratory factor analysis was used to
validate the components of social capital in
the IHDS
6 factors were identified and explained 82.6%
of the total variance in the 15 social capital
questions
3 of those factors (bonding, bridging, and
linking social capital) were used in this study
28. Multilevel logistic regression analysis was used
to estimate:
The overall association between SES, social capital
and child underweight adjusting for individual,
household, and village characteristics
The variation in child underweight between
households and communities
Interactions between each social capital variable
and household SES were examined using the
margins command in Stata 13.0
(Ai and Norton 2003)
29. Adjusted odds ratios (95% confidence intervals) of possessing each form of household social
capital as predicted by household assets after controlling for other household and village
characteristics.
Organizational Ties LinkingTies
Bonding Bridging Medical School Government
Household
assets
1.07***
(1.04-1.10)
1.07***
(1.05-1.09)
1.10***
(1.07-1.12)
1.10***
(1.07-1.12)
1.16***
(1.12-1.20)
* p<0.05; ** p<0.01; *** p<0.001
Note: n=7,568 households within 1,379 villages; Each cell represents a separate model. Each
model controls for all household-, and village-level independent variables.
30. H1a – Opportunity Hoarding Explanation:
Higher household SES is significantly
associated with greater odds of bonding,
bridging, and linking social capital.
H1b – Coping Explanation: Our findings do
not support the hypothesis that lower
household SES is associated with greater odds
of membership in a bonding organization.
31.
32. H2a – Resource Substitution Explanation:
Poorer households with ties to bridging
organizations and school personnel are less
likely to have an underweight child compared
to poorer households without such ties.
H2b – Fundamental Cause Explanation:
Wealthier households with a medical tie are
less likely to have an underweight child
compared to wealthier households without a
medical tie.
33. One cannot assume that a social capital
strengthening initiative will be equally
beneficial to all members of society
Socially excluded households must be given
special attention
Future research should assess equity in the
delivery and utilization of social capital
strengthening interventions
34. Interventions should continue to promote
social ties to bridging organizations,
especially among poorer households
Need to better understand the pathways
through which bridging ties lead to better
child nutrition by exploring organizational
strategies related to better child feeding and
treatment seeking practices
35. Social connections to medical professionals
are insufficient to reduce disparities in child
nutrition
Access to a doctor or nurse must be
combined with sufficient household
resources to rehabilitate malnourished
children
36. Social ties to teachers and principals may have
an impact beyond the effect of formal education
It is important to identify what aspects of the
education system are helping to eliminate
socioeconomic disparities in child nutrition
Are children and their parents establishing new
social connections to help improve the overall
health and well-being of their household?
37. The effects of social capital on
resilience: Evidence from Ethiopia
Tim Frankenberger
May 18th, 2016
Core Group Global Health Practitioner
Conference
38. Importance of Social Capital
• Previous research demonstrates that the extent
and application of social capital strongly
influences community level resilience.
• Disasters may sometimes enhance social capital
because they activate or give rise to
neighborhood associations and collective
organizations that can be used to disseminate
vital information, provide community members
with a voice, and afford leverage to assist in
taking control of rebuilding efforts.
39. *Aldrich 2012; Wilson 2012; Magis 2010; Elliott et al. 2010
Figure Source: Reproduced with permission from Aldrich (2012, p. 34) in Frankenberger, T., Mueller M., Spangler
T., and Alexander S. October 2013. Community Resilience: Conceptual Framework and Measurement Feed the
Future Learning Agenda. Rockville, MD: Westat.
40. Hypotheses to be Tested
• Households with greater levels of social capital (bonding,
bridging, and linking) achieve greater levels of food security
than those with less social capital, all else equal.
• Households with greater levels of social capital (bonding,
bridging, and linking) are able to recover better than those
with less social capital, all else equal
• For a given level of exposure to shocks, households with
more social capital report fewer negative impacts of shocks
than households with less social capital, all else equal.
41. Empirical Evidence
• This presentation will examine empirical
evidence from several studies focused on
measuring resilience
• Pastoralist Areas Resilience Improvement and
Market Expansion (PRIME) program in
Ethiopia
42. Studies: PRIME
• Pastoralist Areas Resilience
Improvement through Market
Expansion
– USAID Ethiopia Feed the Future
– Project goals:
– increase household incomes
– enhance resilience
– Improve climate change adaptive capacity
• Program beneficiaries
– pastoralists, non-pastoralists, and other
– Geographic location
– 2 areas in Ethiopia (Borena and Jijiga)
– Data
– Baseline (2013)
– Interim monitoring data (2014 – 2015, 6
months)
43. Samples from Project areas
Project area
# of
households
# of
communities
PRIME
Jijiga 1398 32
Borena 1744 41
44. Methodology
• In order to measure the impact social capital has on
resilience, indices were created for bonding, bridging and
linking social capital.
• The bonding social capital index is based on eight yes/no
questions about whether the household would be able to
give or receive help from relatives or non-relatives in their
community.
• The bridging social capital index is based on eight similar
yes/no questions, but about giving and receiving help from
relatives or non-relatives living outside their community.
45. Methodology
• The linking social capital index measures the
amount of information received from
government agents (i.e., rural development
agents and government/political officials).
• The index also measures households’ access
to services generally provided by the
government and the quality of those services
46. Methodology
• All three forms of social capital are composite measures
based on multiple other measures.
• In many of these cases Principal Components Analysis
(PCA) or polychoric factor analysis were used to validate
each form of social capital.
• Simply put, these techniques reduce a set of “input”
variables that are hypothesized to be related to one
another.
• Three indices were constructed using this technique
47. Methodology
• The dependent variable Household food
security is the inverse of an experiential
indicator of food insecurity, the Household
Food Insecurity Access Scale (HFIAS).
• The HFIAS is an index constructed from the
responses to nine questions regarding
people’s experiences of food insecurity in the
previous four weeks
48. Methodology
• The dependent variable, recovery takes into
account households’ ability to recover from
climatic, conflict, and/or economic shocks using a
4-point likert scale.
• The dependent variable HH shock impact is an
index which takes into account if a household
experienced a shock within the last 12 months,
how many times they experienced a shock with in
the last 12 months, and how severe the impact of
the shock was on income and food consumption.
51. Food Security Results for PRIME
Table 1. Relationship between social capital and household food security for PRIME baseline
Indicators
Jijiga Borena
Coefficient Elasticity Coefficient Elasticityn n
Social capital
Bonding
social capital
0.005 0.030 1236 0.072 *** 0.732 1566
Bridging
social capital
0.015 0.057 1253 0.054 *** 0.402 1624
Linking social
capital
0.025 0.105 1253 -0.005 -0.029 1624
NOTES: Stars represent statistical significance at the 0.01 (***), 0.05 (**) and 0.1 (*) levels.
52. Food Security Summary
• Bonding and bridging social capital are
significantly associated with increased food
security in Borena but not in Jijiga
53. Recovery Results for PRIME
Table 2. Relationship between social capital and recovery for PRIME baseline
Indicators
Jijiga Borena
Coefficient Elasticity Coefficient Elasticityn n
Social capital
Bonding
social capital
0.009 *** 0.212 1127 0.005 *** 0.152 1430
Bridging
social capital
0.007 *** 0.110 1146 -0.002 * -0.041 1476
Linking social
capital
0.043 *** 0.757 1146 0.004 0.073 1476
NOTES: Stars represent statistical significance at the 0.01 (***), 0.05 (**) and 0.1 (*) levels.
54. Recovery Summary
• In both Jijiga and Borena bonding and bridging
social capital enabled households to recover
• Linking social capital was important for
recovery in Jijiga but not Borena
55. Shock Impact Results for PRIME
Table 3. Relationship between social capital, asset index, and number of shocks on shock exposure for
PRIME baseline
Jijiga Borena
Indicators
Only
bonding
social
capital
Only
bridging
social
capital
Only
linking
social
capital
Only
bonding
social
capital
Only
bridging
social
capital
Only
linking
social
capital
(A) (B) (C) (A) (B) (C)
Social capital
Bonding
social capital -0.011
***
-0.008
***
Bridging
social capital -0.011
***
0.012
***
Linking
social capital 0.000 0.004
Asset index 0.002 -0.002 -0.006 -0.015
*
-0.032
***
-0.020
***
Number of
shocks 3.564
***
3.558
***
3.563
*
*
* 3.611
***
3.599
***
3.592
***
Number of
observations
1324 1351
1352
1618 1618
1618
NOTES: Stars represent statistical significance at the 0.01 (***), 0.05 (**) and 0.1 (*) levels.
56. Shock Impact Summary
• Bonding and bridging social capital help
mitigate the effect of shocks in Borena and
Jijiga
• Linking social capital does not have an effect
in either Jijiga or Borena
57. Conclusions
• Social capital appears to have a positive effect on food
security, helps households recover and mitigates the
effect of shocks across the different data sets
• Thus social capital appears to be critical to resilience
• Wealthier households appear to receive the benefits of
social capital more than poorer households
• Social capital can be used up in the early phases of a
prolonged covariate shock and its downstream effects
58. Review the three social capital assessment
tools individually.
In your groups discuss the following:
How might you adapt one or more of these tools
for use in your own programs?
What barriers might you face when trying to
measure social capital?
How will you overcome those barriers?