The importance of systems thinking,context, and inclusion when studying the feasibility of expanding the FoodShare (SNAP) outreach program to rural communities of Northern Wisconsin

Evaluators often neglect to question whether a program has been appropriately designed for a new context prior to a feasibility study’s commencement. In this paper, we document the results of a case study that closely examined context when determining the feasibility of implementing a FoodShare outreach program in rural northern Wisconsin. Using community-based participatory mixed methods, we examine how stakeholder engagement led to both study refinement and a more comprehensive understanding of community food security based on contextual factors and systems thinking. Lessons learned when conducting feasibility studies from this perspective are provided to improve evaluation practice.     

Bioecological Implications of Narrative Exposure Therapy in Low‐Resource Settings: Individual,Family, Community,and Socio‐Political Contexts

Traumatic stress can have detrimental effects on individuals, families, and communities. Narrative exposure therapy (NET) is an evidence‐based intervention for decreasing individuals’ post‐traumatic stress disorder (PTSD) symptoms and has been tested in some of the most challenging contexts, such as in post‐conflict refugee camps. Although the focus of NET is on reducing individual PTSD symptoms, the impact of NET can be seen beyond the individual level. The purpose of this paper is to examine some of the ecological implications of using NET with trauma‐affected populations in low‐resource settings. We describe the implications of NET at the family, community, and sociopolitical levels using several case examples. Finally, we outline limitations and future directions for improving the delivery of NET in settings with limited resources.     

Eliciting children’s recall regarding home life and relationships

Abstract

Child interviews form an important component of custody evaluations. Yet, research on children’s responses to questions about home life and relationships is lacking. In the present study, children (N?=?47) aged 6 to 10?years were interviewed about their daily routines and family relationships. Responses to four categories of questions were compared: open and specific questions about routines, and negative and positive aspects of family relationships. Responses were coded for amount of information, informativeness, topic pertinence, and refusals to answer. Results suggested that questions about everyday routines and relationships elicit relevant and informative responses from children. It is suggested that interviewers begin with open-ended questions regarding daily routines to structure family law interviews with children.     

A population sample registry for public health survey investigations: methods,lessons, and successes

Public health relies on sample surveys to monitor the health of populations and investigate factors that contribute to population health and illness. Such investigations require surveying individuals who are selected in ways that support statistical inference to the population. Faced with rising costs and declining participation, survey researchers are exploring economical ways to recruit samples that validly represent larger populations. The current report describes an innovative resource, the Colorado Adult Population Sample–Survey Research Registry, which maintains survey access to respondents from a probability-based state health survey. We describe recruitment and retention strategies, explore representativeness, report several studies that used the registry, and discuss future directions.     

Meningococcal serogroup B outbreak response University of Wisconsin-Madison

A meningococcal serogroup B (MenB) outbreak at a large public university prompted an emergency response to immunize undergraduates. Objective: To report on a successful meningococcal serogroup B (MenB) vaccine clinic response at a large public university. Methods: We assembled the team leaders to write this case report. Results: Activation of the emergency plan and points of dispensing required cooperation of many units on campus under the leadership of university health officials with support from Centers for Disease Control and Prevention, state division of public health and the city-county health department. Significant efforts to provide consistent messages to students and parents regarding the outbreak and the availability of the MenB vaccines were made. Volunteers were recruited to staff the clinics alongside university healthcare providers. Over 22,000 doses of vaccine were administered. Conclusion: We report our experience and lessons learned which may be helpful to universities in preventing and responding to disease outbreaks.     

Health insurance literacy: A mixed methods study of college students

Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students’ knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.     

The self as the locus of morality: A comparison between Charles Taylor and George Herbert Mead's theories of the moral constitution of the self

This paper provides a critical comparison of two leading exponents of the relationship between morality and selfhood: Charles Taylor and George Herbert Mead. Specifically, it seeks to provide an assessment of the contribution each approach is able to make to a social theory of morality that has the self at its heart. Ultimately, it is argued that Taylor's phenomenological account neglects the significance of interaction and social relations in his conceptualisation of the relationship between morality and self, which undermines the capacity of his framework to explain how moral understandings and dialogic moral subjectivity develop in a world of shared meaning. I then argue that Mead's pragmatist interactionist approach overcomes many of the flaws in Taylor's framework, and offers a grounded conceptualisation of the relationship between self and morality that is able to provide a basis for a properly social account of moral subjectivity.     

重大突发公共卫生事件中的中小企业多维度社会责任问题探索

企业承担必要的社会责任是企业自身伦理道德的内在要求。肺炎疫情这一重大突发公共卫生事件给中国及世界经济造成了极大的冲击和影响，这就更需要中小企业在这个特殊时期肩负起更大的社会责任。梳理了企业社会责任的相关文献，并从社会、员工、消费者、供应商等维度研究了中小企业在重大突发公共卫生事件时期应当承担的社会责任。     

习近平关于人民健康重要论述的思想内涵与实践价值研究

人民健康是人民福祉之本、强国建设之基。习近平关于人民健康重要论述基于“健康中国”战略和全面建成小康社会的 时代背景下，针对突发公共卫生事件应急管理能力滞后以及传染病等问题，系统阐述了习近平把人民群众生命安全和身体健 康放在第一位；以人民为中心，以健康为根本的思想；大卫生、大健康新理念；人民健康是最大的生产力；人民健康是全面的健 康以及习近平关于新冠肺炎防控的思想内涵。通过研究习近平关于人民健康重要论述的实践价值，有利于推进国家治理体系 和治理能力现代化，更好地应对国内出现的重大疫情，实现“健康中国2030”战略，维护国家安宁与国际稳定，更好地体现中国 防疫经验的世界意义。     

基于OBE理念的学前教育专业实践教学体系构建与实施

高校学前教育专业实践教学在教师教育改革、学前教育改革以及师范类专业认证深入开展的时代背景下,面临实践教学培养目标不清晰、实践教学内容滞后于幼儿园实际、实践教学环节缺乏整合以及实践教学评价随意单一等问题,基于OBE“产出导向”理念,构建以培养学生保教实践能力为核心的实践教学目标体系、“三级循环式”内容体系和保障体系。在实施过程中,倡导理论教学与实践教学并行、加强校地深度合作和开展专业实践活动,以期促进学生保教实践能力的提升和学前教育专业实践教学效果的提高。