. Urban farmers markets as a strategy to increase access to and consumption of fresh vegetables among SNAP and non-SNAP participants: Results from an evaluation. Journal of Agriculture, Food Systems, and Community Development, 8(2), 93-105. https://doi
Introduction
We evaluated the effectiveness and feasibility of implementation of a multicomponent, multi-trigger (MCMT) intervention through a public health department in a high risk population of African American children.
Methods
This was a pragmatic quasi-experimental pretest–posttest study. The population consisted of African American children enrolled in Medicaid and Children’s Medical Services who had poorly controlled asthma. The MCMT intervention included 4 educational sessions and home asthma trigger reduction. Parents reported outcomes at baseline and at 1 to 3 months, 6 months, and 12 months after the MCMT intervention. Analysis used the McNemar χ
2
test and Student
t
test for paired observations. Data were collected during 2014 through 2016 in Augusta, Georgia.
Results
The number of children with asthma that was assessed as well controlled increased from 4 to 17 out of 20 (
P
< .001). Compared with baseline, at 12 months parents reported fewer days of school missed (6.4 vs 4.2,
P
= .01), fewer emergency department visits (1.7 vs 0.6,
P
= .02) and fewer hospitalizations (0.59 vs 0.18,
P
= .05). The most common environmental interventions were dust mitigation, getting a mattress or pillow protector, and cockroach mitigation.
Conclusion
An MCMT intervention in high risk African American children with poorly controlled asthma administered through the health department was associated with significant improvements in asthma control, days of school missed, and emergency department visits. Broader implementation of these strategies is warranted.
Background: On college campuses, sexual violence (or sexual assault) is at epidemic proportions. As many as one in four college women experience sexual assaults, most of which are not reported, likely due to the adverse reactions stemming from social norms and attitudes about rape. To prevent sexual violence on college campuses, the multi-level factors influencing it necessitate implementation of a holistic approach channeled at all levels. The present multi-method study assessed the feasibility and effectiveness of a peer educator (PE)-facilitated program implemented as part of a comprehensive sexual assault prevention program in three small Georgia colleges.Methods: Student participants (N=128) were questioned on their attitude toward rape myths, intention to rape, and likelihood to intervene in a potential rape situation. Paired t-tests for pre-/post-test scores assessed statistical differences in mean levels of outcomes at the data collection points. In addition, a qualitative assessment explored the feasibility of implementing, on campus, a long-duration program for prevention of sexual violence.
Results:The findings indicated that, after exposure to the program, participants demonstrated decreased rape myth beliefs and intention to commit rape and an increased likelihood to intervene in a potential rape situation. In addition, apart from attaining regular student attendance in the 10-week sessions of the program, implementation of the "One on Four & Beyond" program proved to be feasible.
Conclusions:This preliminary, multi-approach study suggests the effectiveness of a school PE-facilitated prevention program as a component of a comprehensive approach in reducing sexual violence on campus. Future studies are necessary to enhance understanding of the impact of the program.
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