Breastfeeding interventions in Kansas: A qualitative process evaluation of program goals and objectives

Across the state of Kansas, eighteen public health departments received funding through the 2011 Breastfeeding Grant Initiative to start a breastfeeding intervention. The main objective of this study was to evaluate the progress toward program goals and objectives. This study was a process evaluation. Qualitative data were collected from recipient health departments at two time-points during the program year. Structured, open-ended questions were asked through telephone interviews. This study examined: (1) progress toward program goals and objectives, (2) problems encountered during implementation, and (3) evaluation measures employed to assess program impact. All health departments reported making significant progress toward program goals and objectives and reported successful collaboration with other healthcare providers. The use of breast pumps, educational classes, and professional training of staff were reported as providing the best outcome in the promotion of breastfeeding. The majority of respondents did not measure program impact. From a public health perspective, it is important that infants receive breast milk for the first six months of life. It appears that goals and objectives set a priori guided health departments with the administration of their breastfeeding program. Results may be used to enhance and sustain delivery of breastfeeding support programs in Kansas communities.     

Support for midwives – A model of professional supervision based on the recertification programme for midwives in New Zealand

Following a traumatic practice experience the physiological and psychological effects experienced by midwives are exacerbated as a result of dysfunctional health organisations and the counterproductive behaviours therein. It is suggested the stress experienced would have been reduced if support in the form of professional supervision had been available.The aim of this article is to demonstrate that professional supervision should be viewed as a competency requirement by the Midwifery Council of New Zealand and incorporated into the midwifery recertification programme. A model of professional supervision for midwives based on the recertification programme is introduced and the importance of reflection on practice emphasised. Providing support by means of professional supervision in the midwifery recertification programme, has the potential to make midwives feel valued, improve their job satisfaction, reduce violence in the workplace, aid in the attrition rate and improve the care for the childbearing woman.     

Expatriate contact with a local host: an intervention to increase social support

Social capital is a crucial factor for expatriates to employ as they cope with the demands of an international assignment. This longitudinal study used a mixed method approach to examine the social support benefits of expatriate contact with a local host. Western expatriates in the Netherlands were randomly divided into two groups: an experimental group (n = 33), that had contact with a Dutch host during 9 months, and a control group (n = 32) with no host. Qualitative methods such as interviews and diaries were included to shed light on the various types of social support that occurred. Results show that local hosts offered all four types of social support: social companionship, informational support, emotional support, and instrumental support. Furthermore, expatriates with a host increased their social capital; they received significantly more social support from host nationals than did those without a host. This study shows that HRD professionals may develop the social capital of expatriates by bringing them into contact with a local host, which can produce more social support from host nationals. Increased social capital may lead to a higher performance at both the individual and organisational levels.     

代际支持对老年人主观幸福感的影响--基于年龄组的差异性分析

本文从年龄组差异的角度分析了代际支持对老年人心理健康的影响。研究发现，在控制了客观健康状况等变量后，老年人的心理健康水平并非随着年龄增长呈现出下降趋势。其次，接受代际支持和给予代际支持都对老年人心理健康有着显著的促进作用。第三，对于不同年龄组来说，代际支持对老年人心理健康产生的效果既有共同点也存在着差异。相似之处在于充足的经济支持对65－74岁、75－84岁和85岁及以上这三个年龄组老人的心理健康都是有利的。然而，更突出的是这三个年龄组之间的相异点：对于65－74岁这一组别而言，老人与子女之间的经济交换最为频繁。这种经济上的互惠提升了老人的积极情绪、抑制了消极情绪的产生。就75－84岁的老年人来说，子女在日常照料的作用表现的十分显著。和子女共同居住、在生病时由子女照料的老人表现出更少的消极情绪。至于85岁以上的高龄老人，得到充足的情感支持对于提升主观幸福感的作用更为显著；最先和子女分享想法的老人有着更高的心理健康水平。因此就现实状况来看，当父母逐渐衰老，作为子女，应当更加关注对父母的日常照护和情感关怀。尤其是对于这些高龄老人，他们对子女的情感态度更为敏感；子女提供的充足的情感支持对其心理健康有着十分显著的促进作用。     

Leaving my religion: Understanding the relationship between religious disaffiliation,health, and well-being

Religious disaffiliation—leaving the religious tradition in which one was raised for no religious affiliation in adulthood—has become more common in recent years, though few studies have examined its consequences for the health and well-being of individuals. We use an innovative approach, comparing the health and subjective well-being of religious disaffiliates to those who remain affiliated using pooled General Social Survey samples from 1973 through 2012. We find that religious disaffiliates experience poorer health and lower well-being than those consistently affiliated and those who are consistently unaffiliated. We also demonstrate that the disadvantage for those who leave religious traditions is completely mediated by the frequency of church attendance, as disaffiliates attend church less often. Our results point to the importance of the social processes surrounding religious disaffiliation and emphasize the role of dynamics in the relationship between religious affiliation and health.     

Lurking Behavior in Online Psychosocial Discussion Forums: Theoretical Perspectives and Implications for Practice

Improving outcomes of telebehavioral psychoeducation requires rethinking program design when delivered wholly or partially for self-directed participation. Discussion forum participation often follows the “90-9-1 Rule” where 90% of participants lurk, rather than contribute content. A theoretical perspective on the behavior can help explain its adaptive functions, as well as the threats that this behavior poses to the lurker. Implications for practice require program redesign that actively links individual skills training and group-based discussion. The proposed linking design can synergize individual and group participation to support the development of mutual aid, as well as greater interaction with psychoeducation content and materials.     

Coping and Helping to Cope: Perspectives of Children of Palestinian Political Detainees

This qualitative study investigates how children of Palestinian political detainees in Israeli detention cope with their fathers' absences. Researchers conducted 16 semi‐structured interviews with children, mostly aged 15 and older in the West Bank. Three themes are discussed that emerged from the interview data: how children cope with their sadness; the children's perspectives on community support; and older children's support to siblings and parents. Practitioners can support children by providing counselling to mothers and organising interventions, which give children the opportunity to connect. It is important that the agency of the older children is taken into account and built upon.     

Social insurance and children: The relationship between Social Security,economic well-being,and family context among child recipients

The relationship between social insurance, which provides families protection against certain risks, and child economic security is understudied. Using the 2004 Survey of Income and Program Participation (SIPP) matched to Social Security Administration benefit records, this article investigates the economic welfare effects of the child component of the US Social Security program. We examine how the poverty rate of child beneficiaries would change, absent Social Security income, and how heavily the family incomes of these children rely on it, by family characteristics. Our findings reveal that Social Security plays an important role in mitigating economic insecurity among children deprived of a wage-earning parent through disability, death, or retirement. Family structure, earnings, and employment status are identified as key factors moderating the effect of Social Security on child recipients’ financial circumstance.     

Experiences of adolescent mothers in Costa Rica and the role of parental support

ABSTRACT

Adolescent pregnancy is often thought of as a social problem, one that can cause the adolescent mother hardship, including poverty, low-educational attainment, and housing instability. Although much research has been conducted about adolescent pregnancy in the developed world, less has considered adolescent pregnancy in the developing world. This qualitative study focuses on women who were impoverished in Costa Rica who had been pregnant in adolescence. The goal of the study was to gain a better understanding of the lived experiences of the mothers, as well as the kinds of support they received during and after the pregnancy. The research sample consisted of 22 female participants who were impoverished and had experienced an unintended pregnancy in adolescence. The key finding from this study was that parental support was the most important factor in mitigating adolescent experiences of stress and negative feelings about their choices related to the pregnancy. The study has implications for the understanding of the experiences of women who are vulnerable with respect to adolescent pregnancies in Latin America and for Latina migrants to the United States.