The Savvy Caregiver Program: Impact of an Evidence-Based Intervention on the Well-Being of Ethnically Diverse Caregivers

This article reports on the impact of the Savvy Caregiver Program (SCP) on English-speaking caregivers of Hispanic, Black/African American, and Asian/Pacific Islander descent. Caregivers completed a questionnaire prior to study enrollment, at 6 and 12 months postenrollment. Caregivers in all 3 ethnic groups showed more caregiver competence, reduced depression, greater tolerance for care recipients’ memory problems, better management of their overall situation, and improved perception of that situation 6 months and 12 months post-enrollment. The study demonstrates that in the sample studied the SCP was as effective in helping ethnically diverse caregivers as it has shown to be with Caucasian caregivers.     

Power and perceptions in participatory monitoring and evaluation

This paper examines the assumptions that commonly underpin the design of participatory monitoring and evaluation (PM&E) within development programmes through the examination of a case study of a large rural development programme in Uganda. This case study reveals a mismatch between programme assumptions and participant perceptions, which stymied the implementation of PM&E. In this case, PM&E was based on the assumptions that programme and participant goals were compatible, participants were willing to volunteer and engage themselves for the greater good of their communities, and information sharing and communication was fairly free and open. However, farmers within the programme felt that the bureaucratic and accountability requirements of the programme were not their concern, and were acutely aware of power differences between farmers and programme officials, and between farmers of varying status. The key lesson to be drawn from this case is the need for a heightened awareness of power dynamics and political factors in the design of PM&E.     

Child Characteristics,Parenting Stress,and Parental Involvement: Fathers Versus Mothers

This study examined variations in the relationships among child characteristics, parenting stress, and parental involvement. Participants were 100 two‐parent families with preschool‐aged children. Self‐report and interview data were collected to measure parental involvement, as well as perceptions of child temperament and parental stress. Analyses revealed significant, yet somewhat different, associations between child temperament and parental stress for mothers and fathers. More significant associations were found between perceptions of child temperament and involvement for fathers than for mothers. The associations between child temperament and parental stress and involvement differed on the basis of child and parent gender. Results are discussed in terms of future research on father involvement, as well as programs designed to encourage fathers to assume more active parental roles.     

A humanistic approach to the study of rural populations

Rural areas appear as zones under pressure, either for development or decline. As such, they are in a state of metamorphosis, with many emergent places. Drawing on experience from lowland England, this paper will argue that positivist techniques of analysis are inadequate to cope with the experiences of these places and the contrasting relationships of their residents. While more traditional approaches may describe some aspects of the mechanics of change and the resultant spatial and social structure, they have consistently neglected the evolving subjective relationship between the rural settlement and its inhabitants. Drawing on the theoretical stance of symbolic interactionism and the methodology of participant observation, the paper shows that a humanistic approach is valuable on two levels: practically, in allowing more detailed observation and the detection of phenomena inaccessible to other approaches, and theoretically, in aiding our understanding of the nature of the rural experience. Various examples of this are discussed.     

Racial diversity in the suburbs: how race-neutral responses to demographic change perpetuate inequity in suburban school districts

Suburbs across the US are experiencing dramatic demographic shifts, yet there is little research available on how suburban school districts are dealing with these changes. In this article, we examine the discourses surrounding race and demographic change in three suburban school districts that have been undergoing rapid demographic changes and which contain demographically distinct areas within their district boundaries. Utilizing a critical discourse analysis (CDA) approach, we analyze how the policy context (federal and state) frames actors’ discourses and understandings of race, paying particular attention to the political and institutional factors affecting school policy. We illustrate how the discourse, in turn, is related to the actions (or inactions) taken by district and school leaders to respond to demographic change. We conclude the article by discussing policy implications and potential challenges districts may face in the future if efforts to purposively address racial changes continue to be avoided.     

Involvement of Ministries of Health in Health Service Coverage Decisions: Is England an Aberrant Case?

This article examines the involvement of ministries of health in making health service coverage decisions in Denmark, England, France and Germany. The study aims to inform debate in England about the feasibility of reducing perceived ministerial and bureaucratic ‘interference’ in decisions affecting the National Health Service, based on interviews with senior government officials and other health system stakeholders. Ministries of health differ in their involvement in health system governance and coverage decisions (‘the benefits package’), reflecting differences in institutional arrangements. In all four countries, organizations at arm's length or independent from government are either involved in providing technical advice to the ministry of health or have been mandated to take these decisions themselves. However, ministries of health occasionally intervene in the decision‐making process or ignore the advice of these organizations. The Department of Health in England is not an aberrant case, at least in relation to coverage decisions. Indeed, ministries of health in Denmark and France play a larger role in making these decisions. Public pressure, often amplified by the media, is a shared reason for ministerial and ministry involvement in all four countries. This dynamic may thus limit the feasibility of attempts to further separate the NHS from both the Department of Health and wider political pressures.