Objective/backgroundGuatemala’s indigenous Maya population has one of the highest rates of childhood stunting in the world. The goal of this study was to examine the impact of an intensive, individualised approach to complementary feeding education for caregivers on feeding practices and growth over usual care.DesignAn individually randomised (1:1 allocation ratio), parallel-group superiority trial, with blinding of study staff collecting outcome data.SettingRural Maya communities in Guatemala.Participants324 children aged 6–24 months with a height-for-age Z score of less than or equal to −2.5 SD were randomised, 161 to the intervention and 163 to usual care.InterventionsCommunity health workers conducted home visits for 6 months, providing usual care or usual care plus individualised caregiver education.Main outcomes measuresThe main outcome was change in length/height-for-age Z score. Secondary outcomes were changes in complementary feeding indicators.ResultsData were analysed for 296 subjects (intervention 145, usual care 151). There was a non-significant trend to improved growth in the intervention arm (length/height-for-age Z score change difference 0.07(95% CI −0.04 to 0.18)). The intervention led to a 22% improvement in minimum dietary diversity (RR 1.22, 95% CI 1.11 to 1.35) and a 23% improvement in minimal acceptable diet (RR 1.23, 95% CI 1.08 to 1.40) over usual care.ConclusionsComplementary feeding outcomes improved in the intervention arm, and a non-significant trend towards improved linear growth was observed. Community health workers in a low-resource rural environment can implement individualised caregiver complementary feeding education with significant improvements in child dietary quality over standard approaches.Clinical trial registration numberNCT02509936. Stage: Results
As the final paper within this special issue on Internationalization in School and Educational Psychology, this paper documents broad perspectives about internationalization from multiple school and educational psychologists who have worked in various contexts (e.g., in different professional roles and geographic locations). Based upon three core questions that contributors responded to, the paper systematically integrates all perspectives according to two primary categories: Strengths or Positive Indicators and Considerations, Concerns, and Needs. The former category is discussed with respect to three themes that emerged from contributors’ responses: (1) internationally focused scholarship, (2) presence and work of international organizations, and (3) study abroad, exchange, and international collaboration. The category pertaining to concerns and needs was also thematically summarized according to three topics: (1) power, paternalism, and neoliberalism, (2) paucity of critical dialogue and research, and (3) linguistic and financial barriers to internationalization. From the shared perspectives, concluding remarks are presented in the context of how the discipline can continue discourse and activities that, through internationalization, help to offer more equitable opportunities for professionals in the field and the communities they work to support.
Clinical supervision is an essential mechanism for training psychologists internationally. But although it is performed globally, scholarship has primarily addressed it through the lens of Western supervision practices. The authors of this manuscript aspired to an alternative lens, that of enlightened globalization (Kim and Park in Korea J 44(2):30-51, 2007), to compare supervision practices in the U.S. and six countries that have been less studied-
In April 2005, the International Association for Marriage and Family Counseling’s yearly Distinguished Speakers series at the American Counseling Association Conference featured a presentation on family counseling with Mestizo/Latino immigrants. A panel composed of Latino counseling professionals representing varied Mestizo backgrounds discussed their personal and professional experiences surrounding the Mestizo/Latino diaspora. This article discusses population definitions, contextual variables, and demographics regarding Mestizos/Latinos, along with life transition issues and ethnic-heritage themes. A psychohistorical approach to family counseling is presented, and illustrative vignettes, including personal anecdotes by the conference presenters/authors, are provided. Recommendations for practice are offered.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.