The utility of rapid participatory appraisal for community assessment, diagnosis, and policy development

The selection of a model to guide the understanding and resolution of community problems is an important issue relating to the foundation of public health practice: assessment, policy development, and assurance. Many assessment models produce a diagnosis of community weaknesses, but fail to promote planning and interventions. Rapid Participatory Appraisal (RPA) is a participatory action research model which regards assessment as the first step in the problem solving process, and claims to achieve assessment and policy development within limited resources of time and money. Literature documenting the fulfillment of these claims, and thereby supporting the utility of the model, is relatively sparse and difficult to obtain. Very few articles discuss the changes resulting from RPA assessments in urban areas, and those that do describe studies conducted outside the U.S.A. ^ This study examines the utility of the RPA model and its underlying theories: systems theory, grounded theory, and principles of participatory change, as illustrated by the case study of a community assessment conducted for the Texas Diabetes Institute (TDI), San Antonio, Texas, and subsequent outcomes. Diabetes has a high prevalence and is a major issue in San Antonio. Faculty and students conducted the assessment by informal collaboration between two nursing and public health assessment courses, providing practical student experiences. The study area was large, and the flexibility of the model tested by its use in contiguous sub-regions, reanalyzing aggregated results for the study area. Official TDI reports, and a mail survey of agency employees, described policy development resulting from community diagnoses revealed by the assessment. ^ The RPA model met the criteria for utility from the perspectives of merit, worth, efficiency, and effectiveness. The RPA model best met the agencies' criteria (merit), met the data needs of TDI in this particular situation (worth), provided valid results within budget, time, and personnel constraints (efficiency), and stimulated policy development by TDI (effectiveness). ^ The RPA model appears to have utility for community assessment, diagnosis, and policy development in circumstances similar to the TDI diabetes study. ^

Stress and coping in African American grandparents who are raising grandchildren

Over the years, substantial increases have occurred in the number of children being raised by their grandparents. A small number of studies have reported that grandparents raising grandchildren experience an increase in stress due to the demands of caregiving. The primary objectives of this study were to: (1) determine the degree of stress in African American (AA) grandparents who are raising their grandchildren age 12 years or younger; (2) identify the variables pertaining to the demographic characteristics of the grandparent caregiver and characteristics of the caregiving situation; (3) identify the coping strategies reported by AA grandparents; and (4) identify the relative importance of demographic and situational variables pertaining to the grandparent caregiver and caregiving situation, and coping strategies in influencing the degree of stress experienced. ^ An exploratory, descriptive, cross sectional design was used to study stress and coping in 50 AA grandparents who ranged in age from 44–87 years (M = 63.12). Data were collected via one personal interview in January/February 2001 at area senior centers or churches which the grandparent attends in Harris County, Texas. Five home interviews were done as requested by grandparents. ^ The instruments used to measure stress and coping were the Parenting Stress Index developed by Abidin and Folkman and Lazarus' Ways of Coping Questionnaire. Results of the study found that the grandparents is this study were a highly stressed group. Ninety-four percent of the sample demonstrated a “clinically significant” level of stress. Situational variables associated with lower stress levels were use of counseling, use of special school programs such as tutoring and special education, and increased length of caregiving (>5 years). ^ The most frequently used coping strategies overall were seeking social support and positive reappraisal. Six coping strategies were significantly correlated to lower reported stress: positive reappraisal, accepting responsibility, confrontive coping, self-control, planful problem solving, and distancing. ^ The findings from this study have limited generalizability. Nonetheless, this study was useful in adding to the limited amount of literature on AA grandparents who are rearing their grandchildren. The results clearly suggest the need for affordable counseling, support groups, education related to available resources, stress management, and interventions that increase the use of coping strategies found to reduce perceived stress. Future research should investigate levels of stress in AA and other grandparent caregivers longitudinally, as well as focus on stress and coping in grandparents raising grandchildren with special needs. ^

Exploring professional orientations to community voice in professional practice settings: The IMAP process

The tension between technical experts and the populations they seek to serve is well established in the literature examining professional social problem solving. In this piece, I examine this tension as one between the distinct discursive worlds of technical expertise and community voice. I develop an analytic process, IMAP, for exploring this tension by looking at a wide variety of professional orientations around a relatively fixed concept of community voice. IMAP involves I&barbelow;dentifying social problem solvers, M&barbelow;apping social problem solvers' claims, A&barbelow;nalyzing professional orientations that arise from this mapping, and P&barbelow;redicting, diagnosing, and remediating conflicts. IMAP can be used by analysts external to social problem solving settings or by social problem solvers themselves. The use of IMAP by external experts poses questions of expert alignment with either of the discursive worlds. I examine two cases in public health practice settings: a mobile immunization service and the efforts of a foundation to improve health in an inner-city neighborhood. I develop four modal types that can be anticipated in social problem solving settings or, more specifically, in public health practice. Understanding of these “world views” can enhance mutual understanding between public health professionals and between public health professionals and the communities they seek to serve. IMAP might also address ongoing conflicts to clarify differences in unspoken normative commitments and the impact of these on social problem solving. I discuss implications of the research for public health practice and further research in the area. ^

Preservice Teacher Preparation in Meeting the Needs of Gifted and Other Academically Diverse Students

The issue of how to respond to the diverse academic needs of students is one of the central challenges of teaching. This project studied how preservice teachers develop an awareness of the needs of academically diverse learners and how they intend to implement and/or modify instruction to meet those needs. Participants all came from one university. As part of the design of the study, the participants were surveyed to investigate (a) their attitudes and beliefs towards academically diverse learners; (b) the teaching practices they would utilize in response to academic diversity in their classrooms; and (c) the confidence they have in their abilities to identify and address these various needs in their classrooms. Several strategies including activities to enhance creativity, cooperative learning, individual instruction, problem-solving activities, and projects were considered noteworthy for the ratings by the preservice teachers as appropriate for all students. Small differences were found based on the preservice teachers' year of placement in the School of Education, indicating that as students progress through this program, they may learn more about different techniques and when and for whom they are appropriate; however, differences across groups were not statistically significant. Results also indicated that across the different years in the program, preservice teachers did not have very high or very low confidence in addressing these issues in their own classrooms. Each grouping fell around the middle level of confidence.

Diagnosing the Prodromal State of Alzheimer's Disease

Mild Cognitive Impairment- Amnestic Subtype (MCIa) is a putative prodromal stage of Alzheimer’s Disease (AD) characterized by focal deficits in episodic verbal memory. Less is known about relative deficits in visuospatial learning, although there is ample evidence indicating involvement of the hippocampus in visuospatial learning, as well as hippocampal degeneration in early AD. The aim of this study was to better characterize the components of working memory dysfunction in people with MCIa to increase the ability to reliably diagnose this disease. Fifty-six elderly adults diagnosed with MCIa and 94 healthy elderly completed a hidden maze learning task. Results indicated similar functioning between groups on measures of reasoning, problem solving, and accuracy. However, MCIa subjects were less efficient at learning the hidden path, making more errors per second on average (Cohen’s d= -.78) and requiring a longer time to complete the maze (Cohen’s d=.77). The learning curve between the first two trials was four times as steep for healthy elderly compared to MCIa (slopes = 4.9 vs. 1.24, respectively), indicating that MCIa subjects exhibited relative difficulty in holding and making effective use of an internal spatial map in order to improve performance. Our results suggest that MCIa patients have focal deficits in visuospatial working memory, with relative preservation of functioning on other more global measures of cognitive functioning. This particular pattern of results may be specific to the amnestic variant of MCI.

The SureMath Approach to Success in Freshman Chemistry

The SureMath scheme is an alternate algebraic approach to "word problem" solving. It is used here in a freshman chemistry setting to aid students who need another method for solving chemistry problems.

AROUSAL, FATIGUE AND MENTAL PERFORMANCE: THE EFFECTS OF FASTING ON COGNITION

This study examined the effects of skipping breakfast on selected aspects of children's cognition, specifically their memory (both immediate and one week following presentation of stimuli), mental tempo, and problem solving accuracy. Test instruments used included the Hagen Central/Incidental Recall Test, Matching Familiar Figures Test, McCarthy Digit Span and Tapping Tests. The study population consisted of 39 nine-to eleven year old healthy children who were admitted for overnight stays at a clinical research setting for two nights approximately one week apart. The study was designed to be able to adequately monitor and control subjects' food consumption. The design chosen was the cross-over design where randomly on either the first or second visit, the child skipped breakfast. In this way, subjects acted as their own controls. Subjects were tested at noon of both visits, this representing an 18-hour fast.^ Analysis focused on whether or not fasting for this period of time affected an individual's performance. Results indicated that for most of the tests, subjects were not significantly affected by skipping breakfast for one morning. However, on tests of short-term central and incidental recall, subjects who had skipped breakfast recalled significantly more of the incidental cues although they did so at no apparent expense to their storing of central information. In the area of problem-solving accuracy, subjects skipping breakfast at time two made significantly more errors on hard sections of the MFF Test. It should be noted that although a large number of tests were conducted, these two tests showed the only significant differences.^ These significant results in the areas of short-term incidental memory and in problem solving accuracy were interpreted as being an effect of subject fatigue. That is, when subjects missed breakfast, they were more likely to become fatigued and in the novel environment presented in the study setting, it is probable that these subjects responded by entering Class II fatigue which is characterized by behavioral excitability, diffused attention and altered performance patterns. ^

THE DEVELOPMENT OF COMMUNITY COMPETENCE THROUGH A NEIGHBORHOOD ORGANIZATION (LOS ANGELES, MEXICAN-AMERICAN)

This investigation focused on how people cope with the demands of their environment in a competent manner. It sought to assess the effects of learning competent coping behaviors on self-reported well-being. The study chose a community-evolved, organized effort on the part of a group of neighborhoods to build competence in the Mexican-American community of East Los Angeles. This network was a citizen-action organization called the United Neighborhoods Organization. UNO was selected because it concentrated on developing community leaders by using spiritual beliefs and family values as shared community resources. Neighborhood leaders were encouraged to engage in risk-taking and confrontation maneuvers. They were also taught problem-solving skills and provided with social support.^ A survey instrument was developed to assess sociodemographic characteristics, acculturation history and status, willingness to engage in risk-taking and confrontation and self-perceived general well-being. The study relied on eight months of daily participant-observation of the organization, the East Los Angeles environment and the interaction between the two. At the end of the observation period, a sample of 150 UNO participants were given the survey questionnaire as was a matched group of 150 non-UNO participants who were ELA residents.^ The study sample was mostly women, in their middle age years who had lived in the area from 5 to more than 30 years. Significantly more single persons were found in the UNO group. The sample was almost equally divided into English and Spanish speaking respondents. Acculturatively almost all the sample fell in the Very Mexican and Mostly Mexican types. The survey found a trend of association between participating in UNO and reporting feeling well. A statistically significant association was found among UNO participants between taking risks and reporting feeling well, regardless of a tendency for all the sample to minimize risk. A trend was seen for married UNO participants to report feeling well. Slightly more UNO participants were willing to engage in confrontation and a substantial proportion of the participants who were confronters reported feeling well in comparison to their counterparts. Ethnic pride was positively associated with participation in UNO and showed a trend in the expected direction with reported self-perceived well-being. ^

Association of coping styles & adolescent substance use

Adolescent substance use is a serious public health concern with long-lasting consequences. Although specific coping behaviors have been associated with adolescent substance use, less is known about the role of multidimensional coping styles that account for both positive and negative coping behaviors. This study examined the association of coping styles and substance use (alcohol, marijuana, and other illicit drugs) of 1,019 ethnically diverse high school students. Coping styles were categorized by high or low negative coping behaviors (e.g. distraction, social withdrawal, self-criticism, blame others, wishful thinking, resignation, and negative emotional regulation) and high or low positive coping behaviors (e.g. cognitive restructuring, problem-solving, social support, and positive emotional regulation). My hypothesis that high positive coping, regardless of the use of negative coping behaviors, would be protective against substance use was rejected. Logistic regression analyses controlling for age, gender, race, and parent education indicated that adolescents who relied primarily on adaptive coping were 45-67% less likely to report lifetime or past year substance use than any other coping style. However, mixed copers (i.e. high in both positive and negative coping behaviors) were 2 to 3 times as likely to report substance use than their adaptive coping counterparts.^

La literatura como medio para desarrollar las habilidades sociales en jóvenes sordos

El presente trabajo es producto de la tesis doctoral titulada La generación de mundos de ficción en jóvenes sordos. La literatura como herramienta para el desarrollo del pensamiento creativo y del Proyecto de investigación: Estrategias pedagógico-didácticas para el desarrollo y aprendizaje de las habilidades sociales en escuelas públicas de enseñanza común y especial del gran Mendoza, dirigido por el Dr. Benito Parés.2 En dicho trabajo se pone en evidencia cómo a través de espacios de literatura se desarrollan las habilidades sociales de autoafirmación, entre otras, tal como la autoestima y la confianza en uno mismo a partir de la utilización de técnicas de creatividad literaria. En esta investigación nos interesó indagar respecto de las posibilidades de los jóvenes sordos para generar textos de ficción que permitieran desarrollar el pensamiento divergente, y pudimos advertir también, las habilidades sociales que se ponen en juego ante las tareas solicitadas a dichos jóvenes. A partir de las propuestas de trabajo realizadas por las Personas Sordas que participaron del proyecto, observamos por un lado el cambio de actitud frente a la tarea y por otro las manifestaciones de placer al realizar las actividades propuestas. En relación con los resultados, pudimos apreciar la presencia de habilidades sociales de autoafirmación, resolución de problemas, comunicacionales, de expresión de emociones y sentimientos entre otras, como consecuencia del trabajo con textos literarios.

El concepto de paradigma en la Archivística como problema epistemológico

Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

El concepto de paradigma en la Archivística como problema epistemológico

Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

El concepto de paradigma en la Archivística como problema epistemológico

Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

El concepto de paradigma en la Archivística como problema epistemológico

Se plantea la discusión sobre la cientificidad de la Archivística desde la perspectiva kuhniana. Se realiza una reseña histórica de la disciplina, mencionando sus principales logros teóricos. Se analizan diversos intentos propuestos por autores para dotar de fundamentos epistemológicos al área. Las posturas estudiadas para este análisis son aquellas que proponen un enfoque desde la perspectiva de Thomas Kuhn. Se observa en la literatura el uso del concepto paradigma como modelo de análisis para el fundamento epistemológico de la disciplina. Se analizan las problemáticas surgidas a partir su introducción, notando que con su aplicación se incurre en una mudanza de niveles de análisis epistémicos. Como consecuencia, resulta dificultoso esclarecer las pretensiones de cientificidad de la Archivística. Se presenta como primera interrogante la posibilidad de articular el desarrollo histórico de la Archivística con la existencia de paradigmas; y en segundo término se plantea si los paradigmas identificados en la literatura pueden ser considerados como tales, o si se trata de teorías que han adquirido cierto grado de organización. Se afirma que la cientificidad y madurez disciplinar se determina mediante la asunción de una tradición exitosa de resolución de problemas, ya que los intentos exitosos terminan consolidando el campo de investigación.

Competence Monitoring in Project Teams by using Web based portfolio management systems

This paper reports a learning experience related to the acquisition of project management competences. Students from three different universities and backgrounds, cooperate in a common project that drives the learning-teaching process. Previous related works on this initiative have already evaluated the goodness of this multidisciplinary, project-based learning approach in the context of a new educative paradigm. Yet the innovative experience has allowed the authors to define a rubric in order to measure specific competences in project management. The study shows the rubric’s main aspects as well as competence acquisition evaluation alternatives, based in the metrics defined. Key indicators and specific reports obtained from data base fields in the web tool will support this work. As a result, new competences can be assessed, such ones like teamwork, problem solving, communication and leadership. Final goal is to provide an overall competence map to the students at the same time they improve their skills.