ABSTRACT
Representation of diverse populations in health research enhances our ability to understand the factors that impact health, generalize results, implement findings, and promote social justice. The primary objective of the study was to understand the unique perspectives of frontline community health workers (CHWs) to identify actionable barriers and facilitators that may impact representation of diverse groups in health research. Focus groups with CHWs were conducted followed by thematic analysis. Results revealed five main themes: barriers/risks to research participation, facilitation of research, CHW roles, recommendations, and transparency. A novel finding was that some CHWs see themselves as both facilitators and gatekeepers. As facilitators, CHWs ensure their patient populations receive resources and benefit from being involved in research; as gatekeepers CHWs feel that they protect patient populations from experiencing further trauma, especially when engaging in research. Recognizing that in many communities there is a high reliance and trust with CHWs, can promote genuine and informed participation at all stages of research.
Subject(s)
Community Health Workers , Trust , Humans , Qualitative Research , Focus Groups , Health PromotionABSTRACT
Performing music in front of others can be stressful, even for experienced performers. The physiological effects of stress, namely, increases in cortisol and sympathetic nervous system activity, have been shown to have detrimental effects on cognition, particularly working memory. This study used an audition-like performance scenario to elicit a stress response in performers who differed in their degree of musical experience. We expected that participants with more musical experience would be better able to regulate their stress response, would report lower levels of anxiety, insecurity, and nervousness, and would show better working memory following the stressor, compared to participants with less musical experience. Although we did not find differences between more and less experienced performers in their sympathetic nervous system activity or their self-reported feelings of anxiety and nervousness, we did find some important differences: following the stressor, more experienced performers were less insecure, they showed better regulation of their cortisol response, and they demonstrated better working memory.
ABSTRACT
Humans are often exposed to music beginning at birth (or even before birth), yet the study of the development of musical abilities during infancy has only recently gained momentum. The goals of the present study were to determine whether young infants (ages four to seven months) spontaneously moved rhythmically in the presence of music, and whether the presence of visual information in addition to music would increase or decrease infants' movement. While nearly all infants moved in the presence of music, very few infants demonstrated rhythmic movement. Results revealed that, when visual information was present, and particularly when infants appeared to show focused attention toward the visual information, infants moved less than when only auditory information was present. The latter result is in agreement with most studies of sensory dominance in adults in which visual stimuli are dominant over auditory stimuli.