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1.
Dev Psychopathol ; : 1-14, 2024 Mar 22.
Article in English | MEDLINE | ID: mdl-38516848

ABSTRACT

The body of scientific knowledge accumulated by the scholarly disciplines such as Developmental Psychopathology can achieve meaningful public impact if wielded and used in policy decision-making. Scientific study of how policymakers use research evidence underscores the need for researchers' policy engagement; however, barriers in the academy create conditions in which there is a need for infrastructure that increases the feasibility of researchers' partnership with policymakers. This need led to the development of the Research-to-Policy Collaboration model, a systematic approach for developing "boundary spanning" infrastructure, which has been experimentally tested and shown to improve policymakers' use of research evidence and bolster researchers' policy skills and engagement. This paper presents original research regarding the optimization of the RPC model, which sought to better serve and engage scholars across the globe. Trial findings shed light on ways to improve conditions that make good use of researchers' time for policy engagement via a virtual platform and enhanced e-communications. Future directions, implications, and practical guidelines for how scientists can engage in the political process and improve the impact of a collective discipline are also discussed.

2.
Am J Health Promot ; 38(3): 316-324, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37731286

ABSTRACT

PURPOSE: Although smoking cessation reduces the risk of all-cause mortality, evidence-based cessation treatments are underused. This study examined healthcare provider knowledge of evidence-based cessation treatments and associations between knowledge and clinical practice characteristics. DESIGN: Cross-sectional survey. SETTING: 2020 DocStyles. SUBJECTS: 1480 U.S. healthcare providers. MEASURES: Provider knowledge of availability of tobacco use disorder diagnostic criteria, clinical practice guideline availability, treatment efficacy, evidence-based counseling modalities, and medications approved by the U.S. Food and Drug Administration (FDA). ANALYSIS: Adjusted odds ratios (aORs), adjusted for personal and clinical practice characteristics. RESULTS: Less than half of respondents demonstrated high knowledge of availability of diagnostic criteria (36.8%), cessation treatment efficacy (33.2%), evidence-based counseling modalities (5.6%), and FDA-approved medications (40.1%). Significant differences were found between specialties: compared to internists, family physicians were less likely to have low knowledge of medications (aOR = .69, 95% CI = .53, .90) and obstetricians/gynecologists were more likely to have low knowledge of medications (aOR = 2.62, 95% CI = 1.82, 3.76). Overall, few associations between knowledge and clinical practice characteristics were identified. CONCLUSION: Most providers had low knowledge of the topics of interest, with little variation across clinical practice characteristics, indicating room for improvement. Efforts to improve provider knowledge of evidence-based treatments are an important component of a comprehensive approach to improving delivery and use of cessation interventions and increasing tobacco cessation.


Subject(s)
Smoking Cessation , Tobacco Use Cessation , Tobacco Use Disorder , Humans , Tobacco Use Disorder/therapy , Cross-Sectional Studies , Counseling , Health Personnel
4.
J Pers ; 2023 Nov 28.
Article in English | MEDLINE | ID: mdl-38014737

ABSTRACT

OBJECTIVE AND BACKGROUND: How do targets shape consensus in impression formation? Targets are known to play an outsized role in the accuracy of first impressions, but their influence on consensus has been difficult to study. With the help of the recently developed extended Social Relations Model, we explore the structure and correlates of individual differences in consensus (i.e., dissensus). METHOD: Across 3 studies, 187 photographs of targets were rated by 960 perceivers on personality and evaluative traits, as well as being coded for physical cues by trained coders. We explored the within-target consistency of consensus across traits, as well as its relationship to four categories of theoretically relevant correlates: expressiveness, normativity, positivity, and social categories. RESULTS: The tendency to make a consistent impression on others was broadly consistent across traits. High-consensus targets tended to be more expressive, had more normative physical cues, and were viewed more positively. CONCLUSIONS: At least in a first impression context, targets may play a unique role in predicting the consensus of personality judgments by providing perceivers with more information to work with, and making a negative impression on others may carry social costs.

5.
Int Health ; 2023 Oct 17.
Article in English | MEDLINE | ID: mdl-37846645

ABSTRACT

As neglected tropical disease programs rely on participation in rounds of mass drug administration (MDA), there is concern that individuals who have never been treated could contribute to ongoing transmission, posing a barrier to elimination. Previous research has suggested that the size and characteristics of the never-treated population may be important but have not been sufficiently explored. To address this critical knowledge gap, four meetings were held from December 2020 to May 2021 to compile expert knowledge on never treatment in lymphatic filariasis (LF) MDA programs. The meetings explored four questions: the number and proportion of people never treated, their sociodemographic characteristics, their infection status and the reasons why they were not treated. Meeting discussions noted key issues requiring further exploration, including how to standardize measurement of the never treated, adapt and use existing tools to capture never-treated data and ensure representation of never-treated people in data collection. Recognizing that patterns of never treatment are situation specific, participants noted measurement should be quick, inexpensive and focused on local solutions. Furthermore, programs should use existing data to generate mathematical models to understand what levels of never treatment may compromise LF elimination goals or trigger programmatic action.

6.
J Econ Entomol ; 116(6): 2085-2094, 2023 12 11.
Article in English | MEDLINE | ID: mdl-37903057

ABSTRACT

Knowledge of specialty crop cultivars with resistance against insect pests is limited, and this may serve as a barrier to implementing host-plant resistance as part of an integrated pest management strategy. Carrot (Daucus carota L.) (Apiaels: Apiaceae)is a valuable specialty crop with a diversity of insect pests and cultivars that differ in physical and chemical qualities that influence insect pest preferences. To investigate the role of cultivar as a tool to reduce insect pest damage, we evaluated 7 carrot cultivars in replicated laboratory and field trials in IN and OH, USA in 2021. During June and July, we documented oviposition and feeding damage by the carrot weevil (Listronotus oregonenesis LeConte) (Coleoptera: Curculionidae) and used faunistic analysis to measure the abundance and diversity of foliar insect assemblages on each cultivar. We found no significant differences in oviposition and root damage across cultivars in the field, with mean cumulative egg scars ranging from 1.83 ±â€…1.40 in "Red Core Chantenay" to 5.17 ±â€…2.62 in "Cosmic Purple". However, there was a positive correlation between the cumulative number of egg scars and number of trichomes on petioles. Similarly, no-choice laboratory bioassays revealed no significant differences in mean cumulative egg scars, ranging from 5.00 ±â€…1.15 in "Red Core Chantenay" to 10.63 ±â€…1.02 in "Danvers 126". Predominant insect pests differed across cultivars, but Cicadellidae was common across all cultivars. Interestingly, only 1 beneficial insect family, Pteromalidae, was predominant across cultivars. This research highlights the impact of cultivar selection on the diversity and damage potential of insect pests in carrot production.


Subject(s)
Coleoptera , Daucus carota , Weevils , Animals , Cicatrix
7.
J Christ Nurs ; 40(4): 260-265, 2023.
Article in English | MEDLINE | ID: mdl-37653657

ABSTRACT

ABSTRACT: Faith community nurses can reduce loneliness and provide connection for homebound members of faith communities through promotion of letter writing. Undergraduate nursing students who were matched with members of their own faith community wrote letters to older adults for 10 weeks as a community service-learning project. Data from the UCLA Loneliness Scale pre- and post-intervention showed reduced loneliness and greater connection among recipients of the letters.


Subject(s)
Education, Nursing, Baccalaureate , Homebound Persons , Students, Nursing , Humans , Aged , Learning , Writing
8.
J Glob Health ; 13: 04060, 2023 Jul 21.
Article in English | MEDLINE | ID: mdl-37475599

ABSTRACT

Background: Diarrhoea is the second most common cause of death among children under the age of five worldwide. The World Health Organization (WHO) recommends treating diarrhoea with oral rehydration therapy, intravenous fluids for severe dehydration, and zinc supplements. Antibiotics are only recommended to treat acute, invasive diarrhoea. Rising antibiotic resistance has led to a decrease in the effectiveness of treatments for diarrhoea. Methods: A systematic literature review in PubMed, Web of Science, and EMBASE was conducted to identify articles relevant to antibiotic-resistant childhood diarrhoea. Articles in English published between 1990 to 2020 that described antibiotic resistance patterns of common pathogens causing childhood diarrhoea in low- and middle-income countries were included. The studies were limited to papers that categorized children as 0-5 years or 0-10 years old. The proportion of isolates with resistance to major classes of antibiotics stratified by major WHO global regions and time was determined. Results: Quantitative data were extracted from 44 articles that met screening criteria; most focused on children under five years. Escherichia coli isolates had relatively high resistance rates to ampicillin and tetracycline in the African (AFR), American (AMR), and Eastern Mediterranean Regions (EMR). There was moderate to high resistance to ampicillin and third generation cephalosporins among Salmonella spp in the AFR, EMR, and the Western Pacific Region (WPR). Resistance rates for ampicillin, co-trimoxazole, and chloramphenicol for Shigella in the AFR started at an alarmingly high rate ( ~ 90%) in 2006 and fluctuated over time. There were limited antibiotic resistance data for Aeromonas, Yersinia, and V. cholerae. The 161 isolates of Campylobacter analysed showed initially low rates of fluoroquinolone resistance with high rates of resistance in recent years, especially in the Southeast Asian Region. Conclusions: Resistance to inexpensive antibiotics for treatment of invasive diarrhoea in children under ten years is widespread (although data on 6- to 10-year-old children are limited), and resistance rates to fluoroquinolones and later-generation cephalosporins are increasing. A strong regional surveillance system is needed to carefully monitor trends in antibiotic resistance, future studies should include school-aged children, and interventions are needed to reduce inappropriate use of antibiotics for the treatment of community-acquired, non-invasive diarrhoea. Registration: This systematic review was registered in Prospero (registration number CRD42020204004) in August 2020.


Subject(s)
Anti-Bacterial Agents , Developing Countries , Child , Humans , Child, Preschool , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Ampicillin , Diarrhea/drug therapy , Diarrhea/epidemiology , Cephalosporins , Drug Resistance, Microbial
9.
J Econ Entomol ; 116(4): 1391-1397, 2023 08 10.
Article in English | MEDLINE | ID: mdl-37300369

ABSTRACT

Spotted-wing Drosophila, Drosophila suzukii, is an economically important pest of small fruits worldwide. Currently, the timing of management strategies relies on detection of adult flies captured in baited monitoring traps; however, identifying D. suzukii in trap catch based on morphology can be challenging for growers. DNA-based diagnostic methods such as loop-mediated isothermal amplification (LAMP) have the potential to improve D. suzukii detection. This study evaluated a LAMP assay as a diagnostic tool to discriminate between D. suzukii and closely related drosophilid species found commonly in monitoring traps in the Midwestern United States. Targeting the mitochondrial cytochrome oxidase I (COI) gene, we found the LAMP assay accurately detected D. suzukii with as little as 0.1 ng/µl of DNA at 63 °C for 50 min. Under these optimal incubation conditions, D. suzukii could be discriminated from D. affinis and D. simulans consistently, when specimens collected from liquid monitoring traps were tested independently. Compared to other DNA-based diagnostic tools for D. suzukii, LAMP offers unique benefits: DNA extraction is not required, testing occurs at one temperature in less than 1 h, and positive results are visible as a colorimetric change from pink to yellow. The LAMP assay for D. suzukii can reduce reliance on morphological identification, enhance the adoption of monitoring tools, and improve accuracy of detection. Further optimization can be conducted to evaluate the accuracy and sensitivity of results when a mixture of DNA from both D. suzukii and congener flies are tested in a single LAMP reaction.


Subject(s)
Drosophila , Insect Control , United States , Animals , Midwestern United States , Fruit
10.
Prev Chronic Dis ; 20: E45, 2023 06 01.
Article in English | MEDLINE | ID: mdl-37262328

ABSTRACT

INTRODUCTION: Although current cigarette smoking among US adults decreased from 42.4% in 1965 to 12.5% in 2020, prevalence is higher among certain racial and ethnic groups, including non-Hispanic American Indian and Alaska Native (AIAN) adults. METHODS: We examined trends in current cigarette smoking prevalence, population estimates, and relative disparity among US adults (aged ≥18 y) between 2011 and 2020 by using data from the National Health Interview Survey. SAS-callable SUDAAN was used to obtain prevalence and population estimates, and relative disparity was calculated on the basis of findings in the literature. Trends were significant at P < .05. RESULTS: From 2011 to 2020, linear decreases in prevalence and population estimates were observed for non-Hispanic White (20.6% to 13.3%; 32.1 million to 20.7 million), non-Hispanic Black (19.4% to 14.4%; 5.1 million to 4.0 million), and Hispanic (12.9% to 8.0%; 4.2 million to 3.3 million) adults. For non-Hispanic AIAN adults, prevalence remained around 27%, and a linear increase in the population estimate was observed from 400,000 to 510,000. Relative disparity did not change across racial and ethnic categories. CONCLUSION: Linear decreases have occurred between 2011 and 2020 for non-Hispanic White, non-Hispanic Black, and Hispanic adults who smoke, but the number of non-Hispanic AIAN adults who currently smoke has increased by 110,000, and relative disparities persist. To reduce racial and ethnic disparities in smoking, understanding how factors at multiple socioecologic levels impact smoking and helping to inform paths to equitable reach and implementation of tobacco control interventions for all population groups are needed.


Subject(s)
Cigarette Smoking , Ethnicity , Health Status Disparities , Adult , Humans , Black or African American , Cigarette Smoking/epidemiology , Hispanic or Latino , United States/epidemiology , White , American Indian or Alaska Native
11.
Implement Sci ; 18(1): 12, 2023 05 05.
Article in English | MEDLINE | ID: mdl-37147643

ABSTRACT

BACKGROUND: While prior work has revealed conditions that foster policymakers' use of research evidence, few studies have rigorously investigated the effectiveness of theory-based practices. Specifically, policymakers are most apt to use research evidence when it is timely, relevant, brief, and messaged appropriately, as well as when it facilitates interactive engagement. This study sought to experimentally evaluate an enhanced research dissemination intervention, known as the SciComm Optimizer for Policy Engagement (SCOPE), implemented during the COVID-19 pandemic among US state legislators. METHODS: State legislators assigned to health committees and their staff were randomized to receive the SCOPE intervention. This involved providing academic researchers with a pathway for translating and disseminating research relevant to current legislative priorities via fact sheets emailed directly to officials. The intervention occurred April 2020-March 2021. Research language was measured in state legislators' social media posts. RESULTS: Legislators randomized to receive the intervention, relative to the control group, produced 24% more social media posts containing research language related to COVID-19. Secondary analyses revealed that these findings were driven by two different types of research language. Intervention officials produced 67% more COVID-related social media posts referencing technical language (e.g., statistical methods), as well as 28% more posts that referenced research-based concepts. However, they produced 31% fewer posts that referenced creating or disseminating new knowledge. CONCLUSIONS: This study suggests that strategic, targeted science communication efforts may have the potential to change state legislators' public discourse and use of evidence. Strategic science communication efforts are particularly needed in light of the role government officials have played in communicating about the pandemic to the general public.


Subject(s)
COVID-19 , Humans , Pandemics , Communication , Policy , Research
12.
Ecology ; 104(5): e4036, 2023 05.
Article in English | MEDLINE | ID: mdl-36944538

ABSTRACT

Climate change models often assume similar responses to temperatures across the range of a species, but local adaptation or phenotypic plasticity can lead plants and animals to respond differently to temperature in different parts of their range. To date, there have been few tests of this assumption at the scale of continents, so it is unclear if this is a large-scale problem. Here, we examined the assumption that insect taxa show similar responses to temperature at 96 sites in grassy habitats across North America. We sampled insects with Malaise traps during 2019-2021 (N = 1041 samples) and examined the biomass of insects in relation to temperature and time of season. Our samples mostly contained Diptera (33%), Lepidoptera (19%), Hymenoptera (18%), and Coleoptera (10%). We found strong regional differences in the phenology of insects and their response to temperature, even within the same taxonomic group, habitat type, and time of season. For example, the biomass of nematoceran flies increased across the season in the central part of the continent, but it only showed a small increase in the Northeast and a seasonal decline in the Southeast and West. At a smaller scale, insect biomass at different traps operating on the same days was correlated up to ~75 km apart. Large-scale geographic and phenological variation in insect biomass and abundance has not been studied well, and it is a major source of controversy in previous analyses of insect declines that have aggregated studies from different locations and time periods. Our study illustrates that large-scale predictions about changes in insect populations, and their causes, will need to incorporate regional and taxonomic differences in the response to temperature.


Subject(s)
Insecta , Lepidoptera , Animals , Temperature , Insecta/physiology , Ecosystem , Acclimatization
13.
Pers Soc Psychol Bull ; : 1461672231156029, 2023 Feb 27.
Article in English | MEDLINE | ID: mdl-36846889

ABSTRACT

Implicit measures of attitudes have classically focused on the association between a social group and generalized valence, but debate exists surrounding how these associations arise and what they can tell us about beliefs and attitudes. Here, we suggest that representations of oppression, which relate positively to implicitly measured prejudice but negatively to explicitly measured prejudice, can serve to decrease the predictive validity of implicit measures through statistical suppression. We had participants complete a Black-White implicit association test (IAT) and an IAT measuring representations of oppression, and find that oppression-related representations statistically suppress the relation between IAT scores and explicit attitudes, such that accounting for these representations increases the total amount of variance explained by implicit measures. We discuss the implications of this work both for practical matters around use of the IAT and for theoretical debates on the conceptualization of valence in implicit attitudes.

14.
J Pers ; 91(6): 1277-1293, 2023 12.
Article in English | MEDLINE | ID: mdl-36588151

ABSTRACT

OBJECTIVE: The past two decades have established that people generally have insight into their personalities, but less is known about how and why self-knowledge might vary between individuals. Using the Realistic Accuracy Model as a framework, we investigate whether some people make better "targets" of self-perception by behaving more consistently in everyday life, and whether these differences have benefits for psychological adjustment. METHOD: Using data from the Electronically Activated Recorder (n = 286), we indexed self-knowledge as the link between self-reports of personality and actual daily behavior measured over 1 week. We then tested if consistency in daily behavior as well as psychological adjustment predicted stronger self-knowledge. RESULTS: We found that behaving more consistently in everyday life was associated with more accurate self-reports, but that psychological adjustment was not. CONCLUSIONS: Analogous to interpersonal perception, self-knowledge of personality might be affected by "target-side" factors, like the quality of information provided through one's behavior. However, unlike being a good target of interpersonal perception, self-knowledge does not seem to be related to psychological adjustment.


Subject(s)
Interpersonal Relations , Personality , Humans , Personality Disorders , Self Concept , Social Perception
15.
Geriatr Nurs ; 50: 260-261, 2023.
Article in English | MEDLINE | ID: mdl-36446660

ABSTRACT

Older adults living in long term care (LTC) facilities may experience increased isolation and loneliness. This was compounded with the Coronavirus Disease 2019 (COVID-19) pandemic. Loneliness and isolation increase the risk for physical, psychological, and social decline. This case report discusses the effect of a letter writing initiative on feelings of loneliness and connection in a long-term care resident. Personalized care is the standard in the long-term care setting and letter writing between two people can contribute to personalized meaningful care as evidenced by the example provided. Further research is needed to explore social connection and loneliness and methods to combat these issues with a personalized approach for different populations within LTC facilities.


Subject(s)
COVID-19 , Loneliness , Humans , Aged , Loneliness/psychology , Long-Term Care , Skilled Nursing Facilities , Writing
16.
J Nurses Prof Dev ; 39(6): 306-309, 2023.
Article in English | MEDLINE | ID: mdl-35486853

ABSTRACT

The provider unit involved in this project was based in a university setting within a school of nursing and serves both the university nursing faculty and nurses within the community. To support effective online content design principles, usability, a connection to the content, and a method for participants to provide sound feedback, a nurse planner for the unit and an instructional designer in the university collaborated to transition nursing professional development activities to an online format utilizing a learning management system. Virtual learning is viable and a potentially effective option to provide interactive and innovative professional development.


Subject(s)
Education, Nursing, Baccalaureate , Learning , Humans , Education, Nursing, Baccalaureate/methods , Faculty, Nursing
17.
Trop Med Infect Dis ; 7(10)2022 Sep 28.
Article in English | MEDLINE | ID: mdl-36288014

ABSTRACT

Background: Ghana joined the Global Programme to Eliminate Lymphatic Filariasis (GPELF), established in the year 2000, with the aim of eliminating the disease as a public health problem through annual mass treatment of entire endemic populations. Since 2001, the country has implemented mass drug administration (MDA) in endemic districts, with great reductions in the population at risk for infection. However, in many districts, the elimination programme is faced with the presence of hotspots, which may be due in part to individuals not taking part in MDA (either intentionally or unintentionally) who may serve as reservoirs to sustain transmission. This paper compares the LF-related perceptions among individuals who regularly take the MDA drugs and those who seldom or never take part in the MDA in the Ahanta West Municipality of Ghana to determine community acceptable ways to implement an intervention aimed to track, engage, and treat individuals who regularly miss MDA or to test individuals who intentionally refuse MDA and treat them if positive for LF. Methods: This was a mixed method study employing questionnaire surveys and focus group discussions (FDG) for data collection. Survey participants were randomly selected from the 2019 treatment register to stratify respondents into treated and non-treated groups. FGD participants were selected purposively such that there are at least two non-treated persons in each discussion session. Results: Over 90% of the respondents were aware of the disease. Poor hygiene/dirty environment was wrongly reported by most respondents (76.8%) as the causes. MDA awareness was very high among both treated (96.9%) and non-treated (98.6%) groups. A low sense of vulnerability to LF infection was evident by a reduction in the number of people presenting clinical manifestations of the disease in communities. Slightly more, 65 (29.0%) of the non-treated group compared to the 42 (19.4%) treated group reported ever experiencing adverse effects of the MDA drugs. Barriers to MDA uptake reported in both groups were poor planning and implementation of the MDA, lack of commitments on the part of drug distributors, and adverse drug reactions. About 51% of the non-treated group reported never taking the drugs even once in the last five years, while 61% among the treated group took the MDA drug consistently in the past five years. Respondents in both groups believed that, when engaged properly, most non-treated persons will accept to take the drug but insisted community drug distributors (CDDs) must be trained to effectively engage people and have time for those they will be engaging in dialogue. The chiefs emerged as the most influential people who can influence people to take MDA drugs. Conclusions: The reduction in risk perception among respondents, adverse reactions and the timing of MDA activities may be influencing MDA non-participation in the study area; however, respondents think that non-treated individuals will accept the interventions when engaged properly by the CDDs.

18.
JAMA Health Forum ; 3(3): e220099, 2022 03.
Article in English | MEDLINE | ID: mdl-35977288

ABSTRACT

Importance: Prisons and jails are high-risk environments for COVID-19. Vaccination levels among workers in many such settings remain markedly lower than those of residents and members of surrounding communities. The situation is troubling because prison staff are a key vector for COVID-19 transmission. Objective: To assess patterns and timing of staff vaccination in California state prisons and identify individual-level and community-level factors associated with remaining unvaccinated. Design Setting and Participants: This cohort study used data from December 22, 2020, through June 30, 2021, to quantify the fractions of staff and incarcerated residents who remained unvaccinated among 23 472 custody and 7617 health care staff who worked in roles requiring direct contact with residents at 33 of the 35 prisons operated by the California Department of Corrections and Rehabilitation. Multivariable probit regressions assessed demographic, community, and peer factors associated with staff vaccination uptake. Main Outcomes and Measures: Remaining unvaccinated throughout the study period. Results: Of 23 472 custody staff, 3751 (16%) were women, and 1454 (6%) were Asian/Pacific Islander individuals, 1571 (7%) Black individuals, 9008 (38%) Hispanic individuals, and 6666 (28%) White individuals. Of 7617 health care staff, 5434 (71%) were women, and 2148 (28%) were Asian/Pacific Islander individuals, 1201 (16%) Black individuals, 1409 (18%) Hispanic individuals, and 1771 (23%) White individuals. A total of 6103 custody staff (26%) and 3961 health care staff (52%) received 1 or more doses of a COVID-19 vaccine during the first 2 months vaccines were offered, but vaccination rates stagnated thereafter. By June 30, 2021, 14 317 custody staff (61%) and 2819 health care staff (37%) remained unvaccinated. In adjusted analyses, remaining unvaccinated was positively associated with younger age (custody staff: age, 18-29 years vs ≥60 years, 75% [95% CI, 73%-76%] vs 45% [95% CI, 42%-48%]; health care staff: 52% [95% CI, 48%-56%] vs 29% [95% CI, 27%-32%]), prior COVID-19 infection (custody staff: 67% [95% CI, 66%-68%] vs 59% [95% CI, 59%-60%]; health care staff: 44% [95% CI, 42%-47%] vs 36% [95% CI, 36%-36%]), residing in a community with relatively low rates of vaccination (custody staff: 75th vs 25th percentile:, 63% [95% CI, 62%-63%] vs 60% [95% CI, 59%-60%]; health care staff: 40% [95% CI, 39%-41%] vs 34% [95% CI, 33%-35%]), and sharing shifts with coworkers who had relatively low rates of vaccination (custody staff: 75th vs 25th percentile, 64% [95% CI, 62%-66%] vs 59% [95% CI, 57%-61%]; health care staff: 38% [95% CI, 36%-41%] vs 35% [95% CI, 31%-39%]). Conclusions and Relevance: This cohort study of California state prison custody and health care staff found that vaccination uptake plateaued at levels that posed ongoing risks of further outbreaks in the prisons and continuing transmission from prisons to surrounding communities. Prison staff decisions to forgo vaccination appear to be multifactorial, and vaccine mandates may be necessary to achieve adequate levels of immunity in this high-risk setting.


Subject(s)
COVID-19 , Prisons , Adolescent , Adult , COVID-19/epidemiology , COVID-19 Vaccines/therapeutic use , Cohort Studies , Female , Humans , Male , Middle Aged , Vaccination , Young Adult
20.
Holist Nurs Pract ; 36(4): 192-197, 2022.
Article in English | MEDLINE | ID: mdl-35708555

ABSTRACT

Compounded by the COVID-19 pandemic, both loneliness and isolation are a growing concern for the older adult population. An intergenerational holistic exchange, Cardinals CARE (Cardinals, Adopt, Residents for Engagement), was developed as a way to connect older adults in long-term care facilities (LTCFs) with nursing students while demonstrating the meeting of student service learning outcomes. Students shared correspondence with residents in LTCFs for a 10-week period, sending mail weekly in the form of letters, artwork, crafts, an appropriate joke, or anything to encourage engagement. Jean Watson's Theory of Transpersonal Caring was used as a framework for the project. Students (n = 109) participating in the program provided interaction with 734 residents in 11 LTCFs in 3 counties. Students utilized reflective journaling to demonstrate the meeting of service learning outcomes and described the power of connection and the opportunity to provide holistic care. A result of the project was the intergenerational connectedness showcasing the reciprocal nature of the CARE project. Further research is needed to build an evidence base for the use of such interaction to promote connection and combat loneliness.


Subject(s)
COVID-19 , Students, Nursing , Aged , COVID-19/epidemiology , COVID-19/prevention & control , Humans , Loneliness , Pandemics , Physical Distancing
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