Treatment‐as‐usual in effectiveness studies: What is it and does it matter?

Andrée Löfholm C, Brännström L, Olsson M, Hansson K. Treatment‐as‐usual in effectiveness studies: What is it and does it matter? A hallmark of an evidence‐based practice (EBP) is the systematic appraisal of research related to the effectiveness of interventions. This study addressed the issue of interpreting results from effectiveness studies that use treatment‐as‐usual (TAU) as a comparator. Using randomised controlled studies that evaluate the effectiveness of multisystemic therapy as an illustrative example, we show that TAU includes a wide variety of treatment alternatives. Estimated treatment effects on recidivism suggest that TAU seems to contain a greater variation in underlying risk than experimental conditions, supporting the hypothesis that the content of TAU could affect outcomes. Implications for the realisation of an EBP are discussed.     

Negotiating cultural values and expectations within the public child welfare system: A look at familismo and personalismo

This paper examines, from the perspective of parents and child welfare workers, how cultural values and expectations are integrated and negotiated in public child welfare cases. The study focuses on the experiences and interactions of Mexican families with the public child welfare system in Southern California. Grounded theory is used to complete the content analysis. Findings indicate that workers' efforts to provide culturally congruent services are limited by organizational structural factors. Consistent with the value of personalismo, parents stress the importance of a good relationship with their worker and the implications to their case. Specific recommendations to enhance service delivery include (1) developing services models that are informed by families served; (2) developing/providing ongoing training and evaluation to ascertain if services are in fact culturally competent; and (3) promoting a change in child welfare policy that reflects the diverse needs of families.     

Immigration Policies and Social Determinants of Health: Is Immigrants’ Health at Risk?

The purpose of this study was to examine the impact of immigration legislation on Latino immigrants within the social determinants of health framework to understand the impact of such legislation on the immigrant’s health. While the socio-political climate in California is geared towards more pro-integration immigration policies, findings indicate that immigrants still experiences poor treatment in the form of microaggressions, horizontal discrimination, and institutional discrimination. This poor treatment may be an indication of residual anti-immigrant sentiment that remains in the state as well as a spillover effect from the anti-immigrant legislation being passed in neighboring states or national rhetoric. The findings overlap with four domains of the social determinants of health framework including economic stability, education, health and access to care, and social and community context. Implications for practice, policy and research are discussed.     

Latent Tuberculosis Infection Screening Acceptability among Migrant Farmworkers

Latent tuberculosis (TB) infection is routinely diagnosed using the tuberculin skin test (TST). New methods of detection more specific than TST such as QuantiFERON TB Gold In‐Tube (QFT‐GIT) have been developed but evidence remains limited on their acceptability among migrant farmworkers. This article examined the acceptability of screening tests among migrant farmworkers working on the Arizona‐Mexico border. We conducted a cross‐sectional survey of migrant farmworkers via questionnaire. Of 83 participants interviewed, 53 (63.9%) believed that TB was a serious disease that could result in death and 59 (71.1%) considered TB a health concern in their community. Sixty‐four participants (77.1%) rated QFT‐GIT test as performing better than TST. Our study demonstrates preference for QFT‐GIT results over TST, and highlights migrant farmworkers’ considering themselves at risk of TB and TB as a health concern. Policies that create easy access and culturally appropriate, affordable healthcare for this vulnerable population should be encouraged.     

Who knows what? Reconfiguring the governance and the capabilities of the supply chain between physical and digital processes in the fashion industry

Abstract

On the basis of an exploratory multiple-case qualitative longitudinal study in the fashion industry, this article describes how digital technologies enabled choices among different types of supply chain governance. In doing so, this study responds to calls for governance-oriented longitudinal explorations and suggests an alternative path of governance choices in which the digital technologies become the platform that allows a dynamic discourse between outsourcer and outsourcee. Our results show that, when firms decide to leverage their performances through the adoption of information technology, they need to define their knowledge transfer capacities in order to adopt the appropriate type of governance model. With this article, we contribute to the global value chain literature adding to the knowledge transfer dimension.     

Early and Middle Adolescents' Reasoning About Moral and Personal Concerns in Opposite‐sex Interactions

This study examined how adolescents coordinate personal and moral concerns in reasoning about opposite‐sex interactions. Sixty‐four early and middle adolescents (Ms = 12.74, 16.05 years) were individually interviewed about two hypothetical situations involving opposite‐sex interactions (commenting on appearance, initiating a date), presented in four conditions that varied the salience of personal vs. moral concerns. Overall, participants viewed opposite‐sex interactions as harmless and acceptable in personal conditions, but as moral concerns became more salient, they were viewed more negatively, as less contingent on the target's response, and as entailing humiliation, coercion, and victimization. Age differences occurred primarily in reasoning about conditions entailing mixed‐personal and moral concerns. Implications for adolescents' understanding of harassment and victimization are discussed.     

Les réseaux de PME en Argentine : une voie alternative ?

Do small businesses in Argentina really form “local networks of production” similar to those in Italy? Institutional, regional (public or private) networks of support for small businesses are identified along with the strategies of various parties and the sorts of agreements worked out between them. A survey of small business networks in four areas chosen for the variety of their output and for their positions in the market and in the chain of production shows that regional networks lack consolidation, except in the Mendoza area, where small businesses, big firms, universities and private as well as public institutions function in an “integrated” network. — Special issue: Latin America.     

College Freshmen at Risk—Social Problems at Issue: An Exploratory Study of a Texas/Mexico Border Community College*

Objective. The objective of this article is to explore the factors that place college freshmen at risk of dropping classes in mid‐semester. Methods. Data for this study are from interviews done with 283 male students and 281 female students using a questionnaire that was developed from an initial focus group with 130 students. Results. The findings indicate that many of the explanations for dropping a class are not caused by the performance of the faculty member teaching the course and are also not correlated to the lack of institutional commitment to student development. Conclusion. These results suggest that peer influence is strong at the freshman‐college level and that a multitude of problems, many external to academics, is exerting a significant influence on students' decision to withdraw prematurely from college credit courses.