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11.
Katherine A. Hirchak PhD MHPA Melanie Nadeau PhD MPH Angel Vasquez PhD Alexandra Hernandez-Vallant MS Kyle Smith Cuong Pham MD Karen Anderson Oliver PhD Paulette Baukol BS Karen Lizzy CDP Racquel Shaffer CPC Jalene Herron MS Aimee N. C. Campbell PhD Kamilla L. Venner PhD The CTN- Collaborative Board 《American journal of community psychology》2023,71(1-2):174-183
American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention. 相似文献
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Jessica T. Campbell Malia Piazza Amanda N. Gesselman 《Social and Personality Psychology Compass》2023,17(10):e12839
The stressors of the global COVID-19 pandemic have led to an increased need for support. For adults, romantic relationships often represent an environment of emotional support and stability; as such, attitudes toward—and particularly the importance of—romantic relationships may have shifted as a result of the pandemic. The present cross-sectional study explores how U.S. transgender (n = 99) and cisgender people (n = 1886) report whether they have perceived a change in their feelings about the importance of long-term romantic structures (i.e., committed relationships, monogamy, cohabiting with a romantic partner, and marriage) as a result of the COVID-19 pandemic. Results found that transgender people reported a more positive perceived change in importance placed on all four romantic items relative to cisgender people. Different forms of stress (e.g., social, financial, health) associated with the COVID-19 pandemic may have contributed to an increased need, and subsequent desire, for social connection and support in the form of romantic relationships among transgender individuals to a greater extent than cisgender individuals, perhaps in part due to the additional layers of stress transgender people must navigate. Results are discussed through the lens of the minority stress framework. 相似文献
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Matthew G. Hile Donna M. Campbell Bagher B. Ghobary Marcie N. Desrochers 《Behavior research methods》1993,25(2):195-198
The development of expert and decision support systems requires the collection, organization, codification, and storage of a body of specialized knowledge. The development, using reconstructive methods, of two such knowledge bases, the first containing the current scientific literature and the second containing an expert’s knowledge, is described for an automated decision support system, the Mental Retardation-Expert. This system provides practitioners with assistance in the treatment of aggressive, self-injurious, and destructive behaviors displayed by individuals with mental retardation or developmental disabilities. The average interobserver reliability of the expert knowledge base ranged from 92.5% to 95.0% when calculated across four clinicians’ assessments of 31 abstracted cases. 相似文献
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Procurement of organs from non-heart-beating cadaver donors raises concerns. Standards for optimal patient care during withdrawal of life-sustaining therapy are evolving and continue to be debated and studied. Consensus on specific procedures and methods has not been attained, however, and protocols for the procurement of organs from patients following the withdrawal of life-sustaining therapies may compromise the evolving standards and harm the patient and the attendant family. In addition, there is little evidence to suggest that such protocols will significantly increase the number of organs procured. "Non-heart-beating cadaver" protocols that do not give comprehensive attention to optimal patient/family care at the time of withdrawal of life-sustaining therapy ought not to be endorsed. 相似文献
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Cris M. Sullivan Rebecca Campbell Holly Angelique Kimberly K. Eby William S. Davidson II 《American journal of community psychology》1994,22(1):101-122
Presented the 6-month follow-up findings of an experimental intervention designed to provide postshelter advocacy services
to women with abusive partners. The intervention involved randomly assigning half the research participants to receive the
free services of an advocate, 4 to 6 hours per week, for the first 10 weeks postshelter. One hundred forty-one battered women
were interviewed about their experiences immediately upon their exit from a domestic violence shelter: 95% of the sample were
interviewed 10 weeks thereafter (postintervention), and 93% were successfully tracked and interviewed 6 months later. At the
6-month follow-up, participants in both groups reported increased social support, increased quality of life, less depression,
less emotional attachment to their assailants, and an increased sense of personal power. Although women in both groups reported
some decrease in physical abuse over time, there were no statistically significant differences between those with and those
without advocates, and abuse continued to be a problem for many women. Those who were still involved with their assailants
continued to experience higher levels of abuse and had been more economically dependent upon the men prior to entering the
shelter. Women who had worked with advocates continued to report being more satisfied with their overall quality of life than
did the women in the control group.
The authors thank the Editor and anonymous reviewers for their helpful comments. Thanks also to all present and past staff
of the Community Advocacy Project, who helped in data collection and analyses. This work was supported by National Institute
of Mental Health Grant 1R01 MH 44849. 相似文献