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3.
J Clin Epidemiol ; 106: 60-69, 2019 02.
Article in English | MEDLINE | ID: mdl-30342969

ABSTRACT

BACKGROUND AND OBJECTIVES: Sharing individual participant data (IPD) among researchers, on request, is an ethical and responsible practice. Despite numerous calls for this practice to be standard, however, research indicates that primary study authors are often unwilling to share IPD, even for use in a meta-analysis. This study sought to examine researchers' reservations about data sharing and to evaluate the impact of sending a data-sharing agreement on researchers' attitudes toward sharing IPD. METHODS: To investigate these questions, we conducted a randomized controlled trial in conjunction with a Web-based survey. We searched for and invited primary study authors of studies included in recent meta-analyses. We emailed more than 1,200 individuals, and 247 participated. The survey asked individuals about their transparent research practices, general concerns about sharing data, attitudes toward sharing data for inclusion in a meta-analysis, and concerns about sharing data in the context of a meta-analysis. We hypothesized that participants who were randomly assigned to receive a data-sharing agreement would be more willing to share their primary study's IPD. RESULTS: Results indicated that participants who received a data-sharing agreement were more willing to share their data set, compared with control participants, even after controlling for demographics and pretest values (d = 0.65, 95% CI [0.39, 0.90]). A member of the control group is 24 percent more likely to share her data set should she receive the data-sharing agreement. CONCLUSIONS: These findings shed light on data-sharing practices, attitudes, and concerns and can be used to inform future meta-analysis projects seeking to collect IPD, as well as the field at large.


Subject(s)
Information Dissemination/methods , Research Personnel/psychology , Adult , Aged , Biomedical Research , Female , Health Records, Personal , Humans , Information Dissemination/ethics , Internet , Male , Middle Aged , Network Meta-Analysis , Surveys and Questionnaires
4.
J Adolesc Health ; 56(2): 130-8, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25620298

ABSTRACT

Teen childbearing is affected by many individual, family, and community factors; however, another potential influence is state policy. Rigorous studies of the relationship between state policy and teen birth rates are few in number but represent a body of knowledge that can inform policy and practice. This article reviews research assessing associations between state-level policies and teen birth rates, focusing on five policy areas: access to family planning, education, sex education, public assistance, and access to abortion services. Overall, several studies have found that measures related to access to and use of family planning services and contraceptives are related to lower state-level teen birth rates. These include adolescent enrollment in clinics, minors' access to contraception, conscience laws, family planning expenditures, and Medicaid waivers. Other studies, although largely cross-sectional analyses, have concluded that policies and practices to expand or improve public education are also associated with lower teen birth rates. These include expenditures on education, teacher-to-student ratios, and graduation requirements. However, the evidence regarding the role of public assistance, abortion access, and sex education policies in reducing teen birth rates is mixed and inconclusive. These conclusions must be viewed as tentative because of the limited number of rigorous studies that examine the relationship between state policy and teen birth rates over time. Many specific policies have only been analyzed by a single study, and few findings are based on recent data. As such, more research is needed to strengthen our understanding of the role of state policies in teen birth rates.


Subject(s)
Birth Rate , Health Policy , Pregnancy in Adolescence , Sex Education , Adolescent , Female , Humans , Pregnancy , State Government , United States
5.
J Adolesc Health ; 54(5): 499-507, 2014 May.
Article in English | MEDLINE | ID: mdl-24525227

ABSTRACT

PURPOSE: This systematic review provides a comprehensive, updated assessment of programs with evidence of effectiveness in reducing teen pregnancy, sexually transmitted infections (STIs), or associated sexual risk behaviors. METHODS: The review was conducted in four steps. First, multiple literature search strategies were used to identify relevant studies released from 1989 through January 2011. Second, identified studies were screened against prespecified eligibility criteria. Third, studies were assessed by teams of two trained reviewers for the quality and execution of their research designs. Fourth, for studies that passed the quality assessment, the review team extracted and analyzed information on the research design, study sample, evaluation setting, and program impacts. RESULTS: A total of 88 studies met the review criteria for study quality and were included in the data extraction and analysis. The studies examined a range of programs delivered in diverse settings. Most studies had mixed-gender and predominately African-American research samples (70% and 51%, respectively). Randomized controlled trials accounted for the large majority (87%) of included studies. Most studies (76%) included multiple follow-ups, with sample sizes ranging from 62 to 5,244. Analysis of the study impact findings identified 31 programs with evidence of effectiveness. CONCLUSIONS: Research conducted since the late 1980s has identified more than two dozen teen pregnancy and STI prevention programs with evidence of effectiveness. Key strengths of this research are the large number of randomized controlled trials, the common use of multiple follow-up periods, and attention to a broad range of programs delivered in diverse settings. Two main gaps are a lack of replication studies and the need for more research on Latino youth and other high-risk populations. In addressing these gaps, researchers must overcome common limitations in study design, analysis, and reporting that have negatively affected prior research.


Subject(s)
Adolescent Behavior , Health Promotion/organization & administration , Pregnancy in Adolescence/prevention & control , Risk-Taking , Sexually Transmitted Diseases/prevention & control , Adolescent , Community Health Services/organization & administration , Female , Humans , Male , Pregnancy , Pregnancy in Adolescence/statistics & numerical data , Risk Factors , Sexual Behavior , Sexually Transmitted Diseases/epidemiology
6.
Child Dev Perspect ; 4(2): 131-137, 2010 Jul 15.
Article in English | MEDLINE | ID: mdl-23750178

ABSTRACT

The experience of race-based discrimination may place African American youth at risk for substance use initiation and substance use disorders. This article examines the potential of parental racial socialization-a process by which parents convey messages to their children about race-to protect against the impact of racial discrimination on substance use outcomes. Focusing on stress as a major precipitating factor in substance use, the article postulates several possible mechanisms by which racial socialization might reduce stress and the subsequent risk for substance use. It discusses future research directions with the goal of realizing the promise of racial socialization as a resilience factor in African American and ethnic minority youth mental health.

7.
J Consult Clin Psychol ; 73(6): 1045-55, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16392978

ABSTRACT

This article describes a school-based study designed to promote social competence and reduce aggressive behavior by strengthening children's skills in processing social information and regulating emotions. Three successive cohorts of 3rd graders (N = 548) from 2 schools participated. In 2000-2001, children received a routine health curriculum; in 2001-2002, students received the Making Choices: Social Problem Solving Skills for Children (MC) program; and in 2002-2003, children received MC supplemented with teacher and parent activities. Compared with children in the routine condition, children in both MC conditions were rated lower on posttest social and overt aggression and higher on social competence. Moreover, they scored significantly higher on an information-processing skills posttest. The findings suggest that prevention programs can strengthen social- emotional skills and produce changes in aggressive behavior.


Subject(s)
Aggression , Mental Processes , Social Perception , Teaching , Violence/prevention & control , Child , Cohort Studies , Female , Humans , Male
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