Feasibility and acceptability of using a web-based contraceptive support tool in a university health clinic

Abstract

Objective: To evaluate feasibility of integrating Bedsider.org, a web-based contraceptive decision support tool, at a university health clinic (UHC). Participants: Female students (ages 18–29) seeking contraceptive care at the UHC were enrolled in September 2015 (n?=?46). Methods: Providers recruited eligible patients during reproductive healthcare visits and introduced Bedsider. Surveys were administered immediately following the visit and a follow-up 2–4?weeks later. Electronic health records through 6?weeks post-enrollment were extracted. Results: Most patients had positive views toward Bedsider and appreciated receiving information during their UHC encounters. None were using long-acting reversible contraceptives (LARC) at enrollment. At follow-up, two patients self-reported IUD use. Among those recently sexually active, use of more effective contraceptive methods increased from 65% to 74%; 11% had initiated or were scheduled to receive a LARC. Conclusion: Bedsider can be feasibly integrated into UHC visits and may support women’s selection of more effective contraceptive methods, including LARCs.     

Balancing fidelity,contextualisation, and innovation: learning from an adaption of SASA! to prevent violence against women in the Dadaab refugee camp

ABSTRACT

This article focuses on SASA!, a community mobilisation approach that was developed in Uganda by Raising Voices, with the aim of preventing violence against women. SASA! proved effective in reducing intimate partner violence against women, and has since been used in over 25 countries worldwide. In this article, we draw on recent research into the International Refugee Committee’s implementation of SASA! in Dadaab, Kenya. In particular, we focus on how the refugee camp setting shapes the adaptation and delivery of the SASA! programme and explore the balance to be struck between fidelity to the SASA! methodology, and adaptations to make it suitable for use in this specific humanitarian context.     

The Community Well-Being Questionnaire: Theoretical Context and Initial Assessment of Its Reliability and Validity

The article presents the theoretical contextand the elements that underlie the developmentof the community well-being questionnaire. Italso discusses the reliability and validity ofthe questionnaire's scales by presentingresults from two studies carried out in urbanareas in the U.K., Ireland and Greece. Thescales assess satisfaction with the builtenvironment, environmental quality and services and facilities. They also measure personal safety, informal interaction,community spirit, income sufficiency, decisionmaking process and place attachment. Analysesshowed that they have high internal and goodtest-retest reliability. They also performwell, when subjected to factorial validity andconstruct validity assessments.     

Black widow spiders in an urban desert: Population variation in an arthropod pest across metropolitan Phoenix, AZ

The effects of urban disturbance are critical to understand, as the majority of the world??s population now resides in urban centers. For example, urbanization often leads to reduced species diversity at the expense of a few urban-adapted taxa. However, it remains unclear why some taxa thrive following human disturbance whereas others do poorly. The western black widow spider, Latrodectus hesperus, thrives in disturbed, urban habitat??often forming dense aggregations (i.e., infestations) relative to typical low-density, desert populations. We examined the population dynamics of ten black widow aggregations spread across metropolitan Phoenix, AZ, during the peak of the breeding season (June?CAugust). Here we show that prey abundance, female mass, web volume and population density exhibit minimal temporal variation across the breeding season, but that prey abundance, female mass and population density show significant spatial variation across the ten urban aggregations. Our measure of prey abundance and foraging success, the number of prey carcasses found in black widow webs, shared a strong positive relationship with female mass and population density, but not with web volume. Surprisingly, female mass, web volume and population density were not correlated with each other. The abiotic variables we measured at each site did a poor job of explaining black widow population parameters, although we did find a marginal trend for more recent developments to harbor denser black widow aggregations. Our findings support the generalization that urbanization heightens spatial variation, and we suggest that local urban prey abundance is influential in promoting urban infestations full of heavy, fecund female black widows. Studies of the population ecology of urban pests are necessary to identify the mechanisms allowing some species to thrive following human disturbance while much native biodiversity is lost following urbanization.     

Information sharing between the child welfare and behavioral health systems: Perspectives from four stakeholder groups

This qualitative study articulates the challenges, best practices, and facilitators to information sharing when addressing the behavioral health needs of children in out-of-home care. 13 interviews and nine focus groups were conducted to illuminate the perspectives of foster parents, mental health clinicians, provider agency social workers, and city-employed child welfare professionals. In total, 65 individuals participated in this qualitative study and data were analyzed using a modified grounded theory approach. Results indicate that challenges and best practices in cross-system information sharing articulated across the four stakeholder groups are attributed to variation in information accessibility, clarity in roles and protocols, ability in obtaining signatures for consent/release forms, and attitudinal differences towards collaboration. Implications to improve policy and practice are discussed.     

SOVA: Design of a Stakeholder Informed Social Media Website for Depressed Adolescents and Their Parents

Two moderated social media websites were designed for increasing likelihood for mental health treatment engagement for depressed adolescents (sova.pitt.edu) and for parents (wisesova.pitt.edu). This article describes iterative stakeholder interviews conducted with adolescents, young adults, parents, advocates, and clinicians and use of human computer interaction techniques to inform major design changes which: (a) underscored the role of online interaction to provide emotional support and information, (b) importance of anonymity, (c) desire to share positive media, and (d) need for frequent moderation. Future studies will examine acceptability and effectiveness of revised websites in helping depressed adolescents and their parents engage with treatment.     

Introduction to the Special Issue on Domestic Violence and the South Asian Community

This article includes a discussion of elder sexuality, beginning with the problem of categorizing elders. This is followed by considerations of elder sexual practices, physiology, and social-psychological factors in elder sexuality. The article concludes with recommendations for people working with elders in regard to their sexuality.     

Das coachingtool-spezifische Wirkfaktorenmodell

Effective factors differentiate between effective and less effective coachings and the effects of a coaching can be attributed to them. Because of that, their realization in coaching tools is interesting for researchers as well as practitioners who want to use coaching tools as effective as possible. The developed coaching tool specific effective factors model is derivated from the models of Greif and Grawe. It only contains effective factors which can be realized in coaching tools. It contains the effective factors goal-oriented self-reflection, goal-oriented problem-reflection, goal-clarifying, implementation-support, resources-activation and experience-activation.