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Prevention Project (prevention + project)
Selected AbstractsPreventing growth in amphetamine use: long-term effects of the Midwestern Prevention Project (MPP) from early adolescence to early adulthoodADDICTION, Issue 10 2009Nathaniel R. Riggs ABSTRACT Aim The aim of the current study was to examine the long-term effect of an early adolescent substance abuse prevention program on trajectories and initiation of amphetamine use into early adulthood. Design Eight middle schools were assigned randomly to a program or control condition. The randomized controlled trial followed participants through 15 waves of data, from ages 11,28 years. This longitudinal study design includes four separate periods of development from early adolescence to early adulthood. Setting The intervention took place in middle schools. Participants A total of 1002 adolescents from one large mid-western US city were the participants in the study. Intervention The intervention was a multi-component community-based program delivered in early adolescence with a primary emphasis on tobacco, alcohol and marijuana use. Measures At each wave of data collection participants completed a self-report survey that included questions about life-time amphetamine use. Findings Compared to a control group, participants in the Midwestern Prevention Project (MPP) intervention condition had reduced growth (slope) in amphetamine use in emerging adulthood, a lower amphetamine use intercept at the commencement of the early adulthood and delayed amphetamine use initiation. Conclusions The pattern of results suggests that the program worked first to prevent amphetamine use, and then to maintain the preventive effect into adulthood. Study findings suggest that early adolescent substance use prevention programs that focus initially on the ,gateway' drugs have utility for long-term prevention of amphetamine use. [source] Prospective prediction of children's smoking transitions: role of parents' and older siblings' smokingADDICTION, Issue 1 2006Jonathan B. Bricker ABSTRACT Aims To use a novel social epidemic probability model to investigate longitudinally the extent to which parents' and older siblings' smoking predict children's smoking transitions. Design Parents' and older siblings' smoking status was assessed when children were in 3rd grade (baseline). Three smoking transitions were assessed over the period of child/adolescent smoking acquisition (up to 12th grade): (1) transition from never smoking to trying smoking, (2) transition from trying to monthly smoking and (3) transition from monthly to daily smoking. Setting Forty Washington State school districts participating in the long term Hutchinson Smoking Prevention Project (HSPP). Participants and measurements Participants were the 5520 families for whom data on both parents' and older siblings' baseline smoking status, as well as on children's smoking transitions, were available. Findings The probability that a smoking parent influenced their child to make the first transition to trying smoking was 32% (95% CI: 27%, 36%); to make the second transition from trying to monthly smoking, 15% (95% CI: 10%, 19%); and to make the third transition from monthly to daily smoking, 28% (95% CI: 21%, 34%). The probability that an older sibling influenced a child to make the first transition to trying smoking was 29% (95% CI: 17%, 39%); to make the second transition from trying to monthly smoking, 0% (95% CI: 0%, 8%); and to make the third transition from monthly to daily smoking, 20% (95% CI: 4%, 33%). Conclusions In contrast to previous research, the results provide new evidence suggesting that family smoking influences both initiation and escalation of children's smoking. Results also quantify, in terms of probabilities, the importance of parents' and older siblings' smoking on children's three major smoking transitions. Parents' smoking, as well as older siblings' smoking, are important behaviors to target in preventing adolescents from making smoking transitions. [source] Changes in professional conceptions of suicide prevention among psychologists: using a conceptual modelJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 2 2002Maila Upanne Abstract This prospective follow-up study monitored the evolution of psychologists' conceptions of suicide prevention over the course of their participation in psychological autopsy studies that constituted the first phase of the National Suicide Prevention Project in Finland. Another purpose of the study was to consider the feasibility of an earlier suicide prevention model. Ideas on prevention were compared in two different situations and items were categorized using descriptive and conceptual criteria of prevention. They could be classified into a typology of four categories: care approach, cultural-educational approach, conditions approach, and critical approach. The follow-up suggested that the model is a feasible method for analysing conceptions of suicide prevention, and that it was possible to interpret conceptions in a theoretically adequate manner. In addition, ideas could be compared with certain known theoretical models of prevention. The model could thus be used in further research and for practical purposes. Experiences of psychological autopsy studies definitely had an impact on the psychologists' views; conceptions altered towards emphasizing the care approach and individual risk factors. Nonetheless, the overall structure of the prevention paradigm remained multifactorial, stressing multistage influencing. Surprisingly, the priority of acute suicide risk as a preventive target did not increase. Promotive aims remained the most important aim category. Copyright © 2002 John Wiley & Sons, Ltd. [source] Family violence prevention programs in immigrant communities: perspectives of immigrant menJOURNAL OF COMMUNITY PSYCHOLOGY, Issue 7 2008Louise Simbandumwe The Strengthening Families in Canada Family Violence Prevention Project was aimed at engaging immigrant and refugee communities in family violence prevention. The project, which received support from the Community Mobilization Program, National Crime Prevention Strategy, involved a partnership of four community health and education organizations. The project had three streams: women's, youth, and men's. The women's and youth streams were composed of educational sessions on violence prevention. The third stream consisted of a qualitative research project examining immigrant and refugee men's views of family violence and their suggestions for prevention education. The authors present findings from this research and offer suggestions for future implementation of prevention programming for immigrant and refugee families. © 2008 Wiley Periodicals, Inc. [source] Public health projects for preventing the recurrence of neural tube defects in the United States,,BIRTH DEFECTS RESEARCH, Issue 11 2009Julianne S. Collins Abstract BACKGROUND: The recurrence risk for neural tube defects (NTDs) in subsequent pregnancies is approximately 3%, or 40 times the background risk. Prevention projects target these high-risk women to increase their folic acid consumption during the periconceptional period, a behavior which decreases their recurrence risk by at least 85%. This study surveyed birth defect surveillance programs to assess their NTD recurrence prevention activities and to identify components of intervention projects that might be implemented in states with limited resources. METHODS: In 2005, the National Birth Defects Prevention Network developed and distributed an online survey to primary state birth defects surveillance contacts for the purpose of gathering information on NTD recurrence prevention activities in the United States. RESULTS: Responses came from 37 contacts in 34 states and Puerto Rico. There were 13 active NTD recurrence prevention projects, four past projects, and three planned projects. Fifteen past and present projects recommended that women with a prior NTD-affected birth take 4.0 mg of folic acid daily, and four projects provided folic acid to the women. Reasons given for not having an NTD recurrence prevention project included staffing limitations (53%), lack of funds (47%), lack of priority (18%), and confidentiality/privacy concerns (6%). CONCLUSIONS: Only 15 states and Puerto Rico had or were planning NTD recurrence prevention projects. An NTD recurrence prevention project using minimal resources should consist of timely case ascertainment, educational materials, and mechanisms for disseminating these materials. Birth Defects Research (Part A), 2009. © 2009 Wiley-Liss, Inc. [source] Nebraska pollution prevention project: Engineering education through technical assistanceENVIRONMENTAL QUALITY MANAGEMENT, Issue 3 2003Bruce I. Dvorak First page of article [source] Healthy babies for mothers with serious mental illness: A case management framework for mental health cliniciansINTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, Issue 6 2008Yvonne Hauck ABSTRACT Women with a serious mental illness (SMI), notably schizophrenia, bipolar disorder, and personality disorders are considered high risk for adverse pregnancy and birth outcomes, which in turn, are associated with poor neurodevelopment in the child. Failure to access antenatal care, poor adherence with folate supplementation, an unhealthy lifestyle, and inappropriate health decisions can contribute to poor outcomes. Many women with SMI continue contact with mental health services while pregnant. This primary prevention project aimed to develop a framework for community mental health clinicians to improve the reproductive health outcomes for women with SMI. The consultation process involved discussions with key stakeholders, an environmental scan to determine current service delivery issues, a literature review, and individual and group interviews with community mental health clinicians, consumers, general practitioners, and midwives. Three key elements underpin the framework: early detection and monitoring of pregnancy, providing reproductive choices, and implementing a ,small known team approach' in the management of the pregnant client. Specific modules within the framework focus upon establishing a professional support network, assessing the risk of pregnancy, the early detection of pregnancy, monitoring during pregnancy, preparing for birth, and planning for the postnatal period. Implementation of the framework has the potential to significantly improve obstetric and neonatal outcomes for this high-risk group. [source] Empowerment to participate: a case study of participation by indian sex workers in HIV preventionJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 4 2006Flora Cornish Abstract The popularity of ,participation' and ,empowerment' in international development discourse is not matched by sophisticated conceptualisation of these terms. Critics have argued that their vagueness allows ,participation' and ,empowerment' to be used indiscriminately to describe interventions which vary from tokenism to genuine devolving of power to the community. This paper suggests that conceptualising empowerment and participation simply in terms of a scale of ,more or less' participation or ,more or less' empowerment does not capture the qualitatively different forms of empowerment that are necessary for different activities. Instead, the paper conceptualises participation in terms of concrete domains of action in which people may be empowered to take part. An ethnographic case study of a participatory HIV prevention project run by sex workers in Kolkata illustrates the argument. Four domains of activity in which sex workers may participate are distinguished: (1) participating in accessing project services; (2) participating in providing project services; (3) participating in shaping project workers' activity; (4) participating in defining project goals. To be empowered to participate in each domain depends upon a different set of resources. Asking the question ,empowerment to do what?' of health promotion projects is proposed as a way of facilitating appropriate project design. Copyright © 2006 John Wiley & Sons, Ltd. [source] Sexuality and Safer Sex: The Issues for Lesbians and Bisexual WomenJOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 4 2001FAAN, Patricia E. Stevens RN Nursing interventions to help women reduce their risk of contracting HIV must be designed from an in-depth understanding of the complex sociocultural patterns of sexuality in particular communities and among specific subgroups. Objective: In this data collection phase of a community-based HIV prevention project, the objective was to understand HIV risk-taking and HIV risk-reduction activities of lesbians and bisexual women. Design: Qualitative field study. Setting: Data were collected in women's bars and dance clubs and at selected lesbian/bisexual community events in San Francisco. Participants: Interviews were conducted with 1,189 racially diverse, socially and sexually active lesbians and bisexual women. Results: Inductive content analysis produced two themes: realities of sexual behavior and sexual expressions and their meanings. Realities of sexual behavior included an assumption that women who have sex with other women cannot get HIV, a lack of familiarity with HIV prevention strategies, inconsistent practice of safer sex with men and/or women, and the negative effect of alcohol or drug use on safer sex efforts. Sexual expressions and their meaning included trust in monogamy, a sense that safer sex practices detracted from intimacy and eroticism, the difficulty of negotiating sexual behaviors with men or women, and dealing with partner resistance to safer sex practices. Conclusions: Specific recommendations for practice are the need for nurses to understand the range and diversity of women's sexual behaviors, to develop skills in conducting inclusive sexual histories, and to develop a comprehensive approach to sexual health. [source] Public health projects for preventing the recurrence of neural tube defects in the United States,,BIRTH DEFECTS RESEARCH, Issue 11 2009Julianne S. Collins Abstract BACKGROUND: The recurrence risk for neural tube defects (NTDs) in subsequent pregnancies is approximately 3%, or 40 times the background risk. Prevention projects target these high-risk women to increase their folic acid consumption during the periconceptional period, a behavior which decreases their recurrence risk by at least 85%. This study surveyed birth defect surveillance programs to assess their NTD recurrence prevention activities and to identify components of intervention projects that might be implemented in states with limited resources. METHODS: In 2005, the National Birth Defects Prevention Network developed and distributed an online survey to primary state birth defects surveillance contacts for the purpose of gathering information on NTD recurrence prevention activities in the United States. RESULTS: Responses came from 37 contacts in 34 states and Puerto Rico. There were 13 active NTD recurrence prevention projects, four past projects, and three planned projects. Fifteen past and present projects recommended that women with a prior NTD-affected birth take 4.0 mg of folic acid daily, and four projects provided folic acid to the women. Reasons given for not having an NTD recurrence prevention project included staffing limitations (53%), lack of funds (47%), lack of priority (18%), and confidentiality/privacy concerns (6%). CONCLUSIONS: Only 15 states and Puerto Rico had or were planning NTD recurrence prevention projects. An NTD recurrence prevention project using minimal resources should consist of timely case ascertainment, educational materials, and mechanisms for disseminating these materials. Birth Defects Research (Part A), 2009. © 2009 Wiley-Liss, Inc. [source] Falls risk assessment, multitargeted interventions and the impact on hospital fallsINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 5 2004Heather McFarlane-Kolb RN BN(Hons) There is an urgent need for inquiry to validate existing scales in the accurate assessment of falls risk. Moreover, where fall prevention projects have targeted specific risk factors of falling, such as cognitive impairment, few have measured the impact of their intervention on fall outcomes. A comparative design compared and described differences in falls data within and between two study cohorts before and after a multitargeted intervention was introduced. A cut-off score of , 50 using the Morse Scale was a good baseline indicator for accurate identification of fall risk and outcomes verify that the modified Morse Falls Scale, in combination with other risk factors, more accurately profiled fall risk among this population. Fall incidence among the intervention cohort did not increase significantly despite a rise in the number of hospital admissions and a significantly higher reported fall risk potential. [source] Canadian Policy on Human Trafficking: A Four-year Analysis1INTERNATIONAL MIGRATION, Issue 4 2005Jacqueline Oxman-Martinez ABSTRACT This article introduces readers to Canadian Government policy and practice surrounding human trafficking since the adoption of the United Nations (UN) Protocol on Trafficking in 2000. After offering an overview of the UN Protocol, the article reviews and critically analyses Canada's efforts in the three key areas of the Protocol: prevention of human trafficking, protection of trafficking victims, and the prosecution of traffickers. Since the beginning of our research, progress has been made in Canadian policy responses. The Government began by developing and implementing its tools for the prosecution of traffickers, thereby responding to most of the prosecution recommendations of the UN Protocol. Different government agencies are also coordinating their efforts to implement prevention projects, both in source countries and at home, including awareness-raising campaigns, education campaigns, and policy development collaborations. However, the more structural elements of prevention have yet to be adequately addressed. Finally, without shifting their basic border control framework, Canadian government agencies are in the process of improving the protection of trafficking victims who are intercepted in law enforcement operations or who come forward for help. These protection measures would be strengthened further if migrants' rights were explicitly protected by law, something that has failed to occur given recent prioritization of crime and security. The formal protection of victims, as implemented to some degree in several European and American policies, is introduced for comparison. The article concludes with the remaining challenges that face Canadian policy makers, particularly in terms of shifting away from current focus on crime and security to the protection and promotion of the human rights of trafficking victims. LA POLITIQUE CANADIENNE EN MATIÈRE DE TRAITE DES ÊTRES HUMAINS : UNE ANALYSE SUR QUATRE ANS Cet article présente au lecteur la politique et la pratique du gouvernement canadien en matière de traite des êtres humains depuis l'adoption, en 2000, du Protocole additionnel à la Convention des Nations unies contre la criminalité transnationale organisée visant à prévenir, réprimer et punir la traite des personnes, en particulier des femmes et des enfants. Après avoir présenté le Protocole dans son ensemble, l'article examine et analyse de façon critique l'action du Canada dans trois domaines essentiels du Protocole : la prévention de la traite, la protection des victimes et la punition des trafiquants. Depuis le début de notre recherche, le Canada a fait un pas en avant dans les mesures politiques adoptées. Le gouvernement a commencé par élaborer et mettre en oeuvre des mécanismes pour punir les trafiquants, donnant de ce fait suite à la plupart des recommandations du protocole des Nations unies en la matière. Par ailleurs, différents organes de l'État coordonnent leurs efforts pour mettre en place des projets de prévention, tant dans les pays d'origine que sur le territoire canadien, avec des campagnes de sensibilisation et d'éducation, et des collaborations en matière d'élaboration des politiques. Il reste néanmoins à trouver une solution adéquate aux aspects les plus structurels de la prévention. Enfin, sans s'éloigner du cadre fondamental du contrôle des frontières, les services gouvernementaux canadiens améliorent actuellement la protection des victimes de la traite interceptées lors d'opérations de police ou qui viennent demander de l'aide. Ces mesures de protection seraient davantage renforcées si les droits des migrants étaient explicitement inscrits dans la loi, ce qui n'est pas le cas en raison de la priorité accordée à la répression de la criminalité et à la sécurité. La protection formelle des victimes, telle que mise en oeuvre jusqu'à un certain point par des mesures appliquées en Europe et aux États-Unis, est présentée à titre de comparaison. Les conclusions de cet article exposent les défis auxquels restent confrontés les décideurs canadiens, à savoir moins insister sur la répression de la criminalité et la sécurité pour s'occuper davantage de la protection et de la promotion des droits fondamentaux des victimes de la traite. POLÍTICA CANADIENSE RELATIVA A LA TRATA DE PERSONAS: UN ANÁLISIS CUADRIENAL Este artículo presenta las políticas y prácticas del Gobierno canadiense en torno a la trata de personas desde la adopción, en 2000, del Protocolo de las Naciones Unidas relativo a la trata de personas. Tras hacer un repaso del Protocolo de las Naciones Unidas, este artículo examina y analiza críticamente los empeños del Canadá en tres esferas clave del Protocolo: prevención de la trata de personas, protección de las víctimas de la trata, y enjuiciamiento de los traficantes. Desde que se iniciara este estudio se han observado progresos en las respuestas políticas canadienses. El Gobierno comenzó desarrollando y llevando a la práctica sus instrumentos para la sanción y enjuiciamiento de los traficantes, respondiendo así a la mayoría de las recomendaciones de enjuiciamiento que contiene el Protocolo de las Naciones Unidas. Varias instituciones gubernamentales también coordinan sus esfuerzos con miras a la puesta en práctica de proyectos de prevención, tanto en los países de origen como en el Canadá, incluyendo campañas de concienciación, campañas educativas y colaboraciones con miras al desarrollo de políticas. Sin embargo, aún quedan por encarar los elementos más estructurales de la prevención. Finalmente, sin salir del marco básico de control de fronteras, las instituciones gubernamentales canadienses están tratando de mejorar la protección de las víctimas de la trata interceptadas en operaciones de aplicación de la ley o que se presentan a las autoridades con miras a solicitar ayuda. Si se aspira a proteger explícitamente por ley los derechos de los migrantes, habrá que reforzar las medidas de protección, algo que no figura entre las prioridades establecidas recientemente con relación al ámbito delictivo y de seguridad. Con fines comparativos, se presenta la protección oficial que brindan a las víctimas las políticas europeas y americanas. Este artículo concluye con los desafíos que tienen ante sí los formuladores de políticas canadienses, particularmente en cuanto al cambio del centro de atención actual en materia de actividades delictivas y de seguridad hacia la protección y promoción de los derechos humanos de las víctimas de la trata. [source] Public health projects for preventing the recurrence of neural tube defects in the United States,,BIRTH DEFECTS RESEARCH, Issue 11 2009Julianne S. Collins Abstract BACKGROUND: The recurrence risk for neural tube defects (NTDs) in subsequent pregnancies is approximately 3%, or 40 times the background risk. Prevention projects target these high-risk women to increase their folic acid consumption during the periconceptional period, a behavior which decreases their recurrence risk by at least 85%. This study surveyed birth defect surveillance programs to assess their NTD recurrence prevention activities and to identify components of intervention projects that might be implemented in states with limited resources. METHODS: In 2005, the National Birth Defects Prevention Network developed and distributed an online survey to primary state birth defects surveillance contacts for the purpose of gathering information on NTD recurrence prevention activities in the United States. RESULTS: Responses came from 37 contacts in 34 states and Puerto Rico. There were 13 active NTD recurrence prevention projects, four past projects, and three planned projects. Fifteen past and present projects recommended that women with a prior NTD-affected birth take 4.0 mg of folic acid daily, and four projects provided folic acid to the women. Reasons given for not having an NTD recurrence prevention project included staffing limitations (53%), lack of funds (47%), lack of priority (18%), and confidentiality/privacy concerns (6%). CONCLUSIONS: Only 15 states and Puerto Rico had or were planning NTD recurrence prevention projects. An NTD recurrence prevention project using minimal resources should consist of timely case ascertainment, educational materials, and mechanisms for disseminating these materials. Birth Defects Research (Part A), 2009. © 2009 Wiley-Liss, Inc. [source] |