Pregnancy nutrition knowledge and experiences of pregnant women and antenatal care clinicians: A mixed methods approach

Background

Dietary intake of pregnant women do not appear to meet the dietary recommendations. Nutrition knowledge and practices of pregnant women and their antenatal care clinicians are factors that may be influential on dietary intakes of pregnant women.

Fathers’ Perspectives on Strengthening Military Families: A Mixed Method Evaluation of a 10-Week Resiliency Building Program

A recent Institute of Medicine report on “The Assessment or Readjustment Needs of Veterans, Service Members, and Their Families” http://nationalacademies.org/hmd/Reports/2013/Returning-Home-from-Iraq-and-Afghanistan.aspx, (2013) underscored the need for effective support for military families with young children, and that effective engagement into existing services remains a challenge. This mixed-method study involved 14 fathers (previously deployed military) who engaged in the Strong Military Families Program, a resiliency-building group for families with young children. The purpose of this paper was twofold: first, to identify the efficacy of this brief intervention for reducing mental health symptomatology among previously deployed military fathers who completed the group, and second to better understand the perceptions and reflections of fathers who completed an effective symptom management program in order to fill the literature gap around this issue and guide future efforts at increasing engagement of this population. Pre- and post-group assessments were administered including depression and posttraumatic stress symptom ratings. Assessments also included interviews designed to elicit fathers’ expectations before the program and to capture their reflections after completion. Quantitative analyses examined changes in symptoms pre- to post-group, and qualitative analyses aimed to better understand fathers’ experiences and help guide future efforts to increase engagement of this population. A grounded theory approach was employed to analyze interview content, and two themes were identified reflecting a desire for (1) connection and (2) learning. The prominence of these themes both before and after group underscored the value of connection to others who shared experience and opportunity for learning effective parenting strategies. Corresponding quantitative analyses indicated a significant decrease in self-reported posttraumatic stress (p?<?.05) and trend level reduction in depression (p?<?.10), suggesting participation may contribute to more effective symptom management. Subgroup analyses contrasting the pre-group interviews of fathers who endorsed higher (n?=?9) versus lower (n?=?5) levels of symptoms revealed that those with greater symptomatology expressed more themes related to fear of committing to the program. Discussion will focus on effective outreach and engagement, and the need to align programs to the interests of previously deployed fathers of young children.     

On the effect of free vs. restricted interaction during the exploration of virtual environments

Exploration of a Virtual Environment (VE) might vary as well in applied technology as in the conceptual design. A conceptual difference of exploring style and navigation type relates to the degree of freedom a user possesses. It ranges from completely unrestricted to completely restricted navigation. To assess the impact of different exploration styles, an experiment was carried out. Four different styles were compared in a large-scale VE. The navigation of the participants was either free or restricted in various levels concerning motion and viewing direction. During the exploration, the participants memorized the location of flags, which represented special events at these locations. The participant's task was to memorize position and color of the flags. Subsequently, they marked the positions and colors of the flags in a map of the scene. The performance in this task was captured, as well as data about their amount of experienced simulator sickness and subjective workload. Additionally, balancing tests were administered to investigate in an objective measurement of simulator sickness. Each condition showed the same achievement in the memorizing task and the subjective workload. Furthermore, the measured high variance in simulator sickness symptoms overrode other effects. In the balancing tests a basic influence of exposure with VE was found. However, subsequent interviews with the participants showed that the personal impression of the efficiency of exploration method was highly individual. By finding and matching exploration methods to individual persons, benefit by using Virtual environments could be enhanced.     

Challenges Faced by Young Mothers with a Care History and Views of Stakeholders About the Potential for Group Family Nurse Partnership to Support Their Needs

Women with experience of being ‘looked after’ are more likely than their peers to become young mothers. There has been limited research investigating support for their needs. This study, embedded in a randomised trial of Group Family Nurse Partnership (gFNP), involved interviews with young mothers with care experience, Family Nurses delivering group gFNP, and health and social care professionals. This first qualitative study to explore the views of these varied stakeholders found consensus regarding young mothers’ social isolation and lack of trusting relationships but diversity in views about the potential of gFNP to meet their needs.     

Addressing the Needs of Adults and Children with Disabilities through Emergency Preparedness and Organizational Improvisation

The purpose of this qualitative study is to describe the experiences of fifteen organizational leaders and staff members who were responsible for caring for adults and children with disabilities during a 2014 winter storm. This study integrates the literature bases of emergency management and organizational improvisation. In response to this severe unexpected winter weather event, organizational leaders and staff members demonstrated creativity and flexibility in addressing the needs of clients, students, and patients, including adults and children with disabilities. The study concludes with reflections about emergency planning and organizational improvisation, practical implications, and a call to action to learn from these events and provide additional training and resources to individuals who may be in similar situations in the future.     

Latinos’ Changing Ethnic Group Representation From Elementary to Middle School: Perceived Belonging and Academic Achievement

This study examined the association between change in ethnic group representation from elementary to middle school and Latino students’ school belonging and achievement. The ethnic diversity of students’ middle school was examined as a moderator. Participants were 1,825 Latino sixth graders from 26 ethnically diverse urban middle schools. Hierarchical regression analyses showed that a change in ethnic representation toward fewer Latinos in middle school than elementary school was related to less perceived belonging and lower achievement in schools with low ethnic diversity. There were no mean differences as a function of declining representation in more diverse middle schools, suggesting that greater school diversity was protective. Findings highlight the importance of examining school ethnic context, especially across the middle school transition.     

The Impact of Historical Trauma and Mistrust on the Recruitment of Resource Families of Color

ABSTRACT

The Multiethnic Placement Act of 1994 and the Interethnic Adoption Provisions of 1996 (MEPA-IEP) require states to diligently recruit “potential foster and adoptive families that reflect the ethnic and racial diversity of children in the state for whom foster and adoptive homes are needed” (42 U.S.C. §622b(3)(9)). Nationally, 53% of the children in foster care and 55% of the children waiting to be adopted are children of color (Adoption and Foster Care Analysis and Reporting System, 2014). Recruitment of resource families of color has historically presented challenges. This article critically examines the diligent recruitment efforts of an urban county targeting Black/African American, Latino, and Native American communities through a critical race theory lens. Although there was an overall increase in resource families, the racial and ethnic representation of resource families to children in care within the county improved for Latinos yet declined for Black/African Americans and Native Americans. Theoretically, these results indicate that the historical mistrust of communities of color toward the child welfare system is a barrier to successful recruitment of resource families from these communities.     

Reports of Conferences,Institutes, and Seminars

ABSTRACT

This quarter's column reports on sessions from NASIG 2017: Racing to the Crossroads, held in Indianapolis, IN, June 8 to 11, and ALA Annual 2017: Transforming Our Libraries, Ourselves, which took place in Chicago, IL, June 22–27.