Evaluating Youth Development Programs: Progress and Promise.

Advances in theories of adolescent development and positive youth development have greatly increased our understanding of how programs and practices with adolescents can impede or enhance their development. In this paper the authors reflect on the progress in research on youth development programs in the last two decades, since possibly the first review of empirical evaluations by Roth, Brooks-Gunn, Murray, and Foster (1998). The authors use the terms Version 1.0, 2.0 and 3.0 to refer to changes in youth development research and programs over time. They argue that advances in theory and descriptive accounts of youth development programs (Version 2.0) need to be coupled with progress in definitions of youth development programs, measurement of inputs and outputs that incorporate an understanding of programs as contexts for development, and stronger design and evaluation of programs (Version 3.0). The authors also advocate for an integration of prevention and promotion research, and for use of the term youth development rather than positive youth development.

Invited commentary: Promotion and prevention in youth development: two sides of the same coin?

This commentary uses the contributions of the 4-H Study of Positive Youth Development as a chance to reflect on the progress of the past two decades and suggest important tasks for the future. Meaningful advances in theory now set the stage for needed work on measurement, evaluation, and understanding of contextual processes. The commentary ends with a plea for an integration of the research and programmatic approaches of promotion and prevention in order to study youth development and implement youth programs.

Utility of a child abuse screening guideline in an urban pediatric emergency department.

BACKGROUND: Previous studies have found racial and socioeconomic status bias in the way clinicians screen for and detect child abuse in patients presenting to the emergency department. We hypothesized that implementing a guideline for screening would attenuate this bias. METHODS: An algorithm for child abuse screening in patients younger than 1 year presenting with fractures was developed for a pediatric trauma center emergency department. Data were collected 1.5 years before and after implementation of the algorithm to investigate implementation success. Data were compared before and after the implementation of the algorithm using χ and univariate logistic regression analysis. RESULTS: The characteristics of patients with fractures were similar before and after the algorithm implementation. Implementation of the algorithm was related to a significant increase in algorithm required screenings: skeletal survey (p < 0.001), urinalysis (p < 0.001), and transaminase levels (p < 0.001). The racial composition of those screened did not change after the implementation of the protocol. Children with government-subsidized or no insurance were more likely to be screened for child abuse via skeletal survey before the algorithm implementation compared with those with private insurance (odds ratio, 2.7; 95% confidence interval, 1.2-6.0; p = 0.017). This relationship did not exist after the algorithm implementation (odds ratio, 1.2; 95% confidence interval, 0.56-2.46; p = 0.66). Final determination of child abuse was related to insurance status both before and after the algorithm implementation. CONCLUSION: A child abuse screening algorithm was successfully implemented in an urban trauma center. After implementation, screening was no longer associated with socioeconomic status of the patient's family, although final determination of child abuse still was. Additional research is needed to determine utility of unbiased screening on patient outcomes. LEVEL OF EVIDENCE: Therapeutic study, level IV.

Does the amount of participation in afterschool programs relate to developmental outcomes? A review of the literature.

Contrary to the findings from previous reviews we found little support for the general notion that greater amounts of participation in afterschool programs was related to academic, behavioral, or socio-emotional outcomes. However, some relationships did emerge depending on how participation was conceptualized and measured, and the methodology used to assess the relationship between participation and outcomes. For example, some benefits occurred when participants with high levels of participation were compared to non-participants, not when they were compared to other program participants. Several suggestions are offered to improve future research on the relationship between aspects of participation and developmental outcomes.

Hearing evaluation in pediatric patients treated at the hospital following head injury.

The purpose of this study was to assess the results of a hearing evaluation protocol among 130 pediatric patients with a head injury. Sixteen of these patients failed an audiology evaluation. Ten were thought to have failed based on congestion/middle ear dysfunction, while 6 patients had temporary or permanent hearing loss thought to be related to their injury. The majority who failed because of their injury had temporal bone fractures and abnormal visual ear examination results. More research on trauma-related hearing loss following various types of head injuries and skull fractures in pediatric patients of varying ages is needed.

Sports participation and juvenile delinquency: the role of the peer context among adolescent boys and girls with varied histories of problem behavior.

In a study of 1,344 urban adolescents, the authors examined the relation between participation in organized sports and juvenile delinquency. They compared youth who participated in sports to those who only participated in nonathletic activities and to those who did not participate in any organized activities. They also examined the indirect relations between sports and delinquency via 2 peer-related constructs-deviant peer affiliations and unstructured socializing. Finally, they examined the extent to which gender and prior externalizing problems moderated the direct and indirect relations between sports participation and delinquency. The authors found that the odds of nonviolent delinquency were higher among boys who participated in sports when compared to boys who participated only in nonathletic activities but not when compared to boys who did not participate in any organized activities. Deviant peer affiliations and unstructured socializing mediated the relation between sports participation and boys' nonviolent delinquency. Moreover, prior externalizing problems moderated the mediated path through peer deviance. The authors did not, however, find direct, mediated, or moderated relations between sports and boys' violent delinquency nor between sports and girls' violent or nonviolent delinquency.

Patterns of adolescents' participation in organized activities: are sports best when combined with other activities?

Although many adolescents participate in sports and other types of organized activities, little extant research explores how youth development outcomes may vary for youth involved in different combinations of activities. The present study uses the Child Development Supplement of the Panel Study of Income Dynamics, a large, nationally representative sample, to compare activity patterns of adolescents ages 10-18 years (n = 1,711). A cluster analytic technique revealed 5 activity clusters: sports-focused, sports plus other activities, primarily school-based activities, primarily religious youth groups, and low activity involvement. Activity patterns were examined in conjunction with 5 categories of youth development outcomes, including competence (e.g., academic ability), confidence (e.g., self-concept of ability), connections (e.g., talking with friends), character (e.g., externalizing behavior problems), and caring (e.g., prosocial behavior). Results showed that those who participated only in sports had more positive outcomes compared with those who had little or no involvement in organized activities, but less positive outcomes compared with those who participated in sports plus other activities.

Adolescents' participation in organized activities and developmental success 2 and 8 years after high school: do sponsorship, duration, and intensity matter?

Using data from the National Education Longitudinal Study, the authors examined relations between educational, civic, and occupational success in young adulthood and the duration and intensity of participation in organized activities during high school. They also examined these relations as a function of sponsorship (i.e., school- vs. community-sponsored organized activities). They found that youths who participated in organized activities for 2 years demonstrated more favorable educational and civic outcomes in young adulthood than those who participated for 1 year. More intensive participation was also associated with greater educational, civic, and occupational success in young adulthood--particularly among youths who participated in activities for 2 years. Educational attainment often mediated the relations between temporal measures of participation and young adult civic and occupational outcomes. With the exception of analyses examining occupational success, findings varied little as a function of sponsorship. Of note, analyses revealed that both temporal measures of participation were positively associated with young adult outcomes as many as 8 years after high school.

Does the neighborhood context alter the link between youth's after-school time activities and developmental outcomes? A multilevel analysis.

This article examines links between different measures of after-school time activity participation (5 specific activities and breadth) on youth's developmental outcomes (anxiety/depression, delinquency, and substance use) over 6 years and whether these links are moderated by neighborhood-level variables. The sample (N=1,315) of 9- and 12-year-old youth was drawn from the Project on Human Development in Chicago Neighborhoods (PHDCN), a multilevel, longitudinal study of youth from 80 Chicago neighborhoods. Findings revealed that different types of activities and patterns of participation over time were associated with outcomes for youth and that, to some extent, these outcomes varied with neighborhood characteristics. In brief, sports participation was associated with fewer anxious/depressed symptoms, higher average delinquency scores, and increased substance use-both average scores and growth over time. Participation in the arts and student government were negatively associated with average substance use and attenuated increases in usage over time. Participation in community-based clubs was positively associated with youth's anxiety/depression in violent neighborhoods only, whereas church groups were protective against substance use in nonviolent neighborhoods. The direction of the influence of breadth of participation was nonlinear for delinquency such that delinquency scores were highest among youth who engaged in an average number of activities.