Resident-Led Neighborhood Development to Support Health: Identifying Strategies Using CBPR

Evidence suggests that where people live, learn, work, and play affects a range of health outcomes for children and adults. Differential access to social, economic, and environmental supports puts some community members at greater risk, leading to disparities in health and well-being. The 2014 release of the For the Sake of All report highlighted persistent health disparities for African Americans in St. Louis, Missouri, and their social and economic impacts on the St. Louis region. This study extends this work by developing partnerships with community organizations and neighborhood residents to address health disparities. Community-based participatory research (CBPR) methods were utilized to engage partners in a 10-month research process to address community concerns that impact health. Seven community residents, neighborhood researchers, engaged in workshops to learn about the research process and used techniques to gather information to implement action strategies. Neighborhood researchers selected 14 vacant lots to implement their action plan, which included visions for repurposing the land into a community park, produced a report for dissemination, and organized a community action forum to communicate their findings. This study highlights a promising approach to promote healthy communities and health equity by empowering neighborhood residents using participatory methodologies.     

Building Meaningful Community Advocacy for Ethnic-based Health Equity: The RoAd4Health Experience

The pervasive failure of policies aimed at overcoming health inequities suffered by European Roma reflects the oppressive and impoverished living conditions of many ethnic minorities in the Western world. The multiple social inequities that Roma experience and the cumulative effect on their health prove that the failure of health policies that impact Roma must be attributed to their ameliorative nature. These policies legitimize the mechanisms of oppression that sustain inequities, fueling fatalistic attitudes toward minorities, while these minorities internalize the stigma and attempt to survive on the margins of society. This paper presents the RoAd4Health project, a community initiative in which academic researchers partnered with Roma communities to overcome health inequities. We present the multiple methods utilized for building meaningful advocacy, such as photovoice and asset mapping led by Roma agents of change. These methods provided the capacity to develop a local narrative of disparities, build alliances to gain capacity to respond to injustices, and take actions to promote social change. The results of effectively involving all significant stakeholders (i.e., community agents of change, residents, health and social care providers, Roma community grassroots organizations, and institutional actors) are discussed along with lessons learned.     

Examining the relationship between trait self-control and stress: Evidence on generalizability and outcome variability

Trait self-control has in several studies been found negatively linked to stress. These studies have, however, mostly relied on student and/or one-country samples. Study 1 investigated the generalizability of the relationship between trait self-control and stress through a four-country survey (N = 4097). The results showed consistently strong and negative relationships between trait self-control and stress across the four countries. Study 2 investigated the relationship between trait self-control and daily stress through a two-week diary study (N = 594; n_obs = 7880), showing that trait self-control was negatively related to daily stress and stress variability. Together, the two studies show that trait self-control’s negative link to stress generalizes beyond students and the United States.     

ERP and MEG correlates of visual consciousness: The second decade

The first decade of event-related potential (ERP) research had established that the most consistent correlates of the onset of visual consciousness are the early visual awareness negativity (VAN), a posterior negative component in the N2 time range, and the late positivity (LP), an anterior positive component in the P3 time range. Two earlier extensive reviews ten years ago had concluded that VAN is the earliest and most reliable correlate of visual phenomenal consciousness, whereas LP probably reflects later processes associated with reflective/access consciousness. This article provides an update to those earlier reviews. ERP and MEG studies that have appeared since 2010 and directly compared ERPs between aware and unaware conditions are reviewed, and important new developments in the field are discussed. The result corroborates VAN as the earliest and most consistent signature of visual phenomenal consciousness, and casts further doubt on LP as an ERP correlate of phenomenal consciousness.     

Sensory features of mental images in the framework of human actions

What determines the sensory impression of a self-generated motor image? Motor imagery is a process in which subjects imagine executing a body movement with a strong kinesthetic and/or visual component from a first-person perspective. Both sensory modalities can be combined flexibly to form a motor image. 90 participants of varying ages had to freely generate motor images from a large set of movements. They were asked to rate their kinesthetic as well as their visual impression, the perceived vividness, and their personal experience with the imagined movement. Data were subjected to correlational analyses, linear regressions, and representation similarity analyses. Results showed that both action characteristics and experience drove the sensory impression of motor images with a strong individual component. We conclude that imagining actions that impose varying demands can be considered as reexperiencing actions by using one’s own sensorimotor representations that represent not only individual experience but also action demands.     

Get healthy to marry or marry to get healthy?

This study tested selection and causal effects on the marriage‐health link by analyzing predictors of mortality through body mass index (BMI) and chronic illnesses (CI) on emerging adults (EA; N = 302) who were followed biannually for 8 years from the Panel Study of Income Dynamics. Results showed EA with unhealthy BMI's are more likely to marry and improve their BMI after marrying, substantiating selection and causal effects. Only the selection effect was substantiated for CI, whereby White EAs with CI were less likely to marry. Marriage appears to benefit overall health for EA, as findings suggest improved health behaviors after marriage. Future research should assess what health behaviors change during marriage for EA and if they help CI management.     

Une intervention dans un EPHAD. L’animation réciproque de la discussion

This article deals with an intervention system aimed at instituting in the organization of work the dialogical conflict on the quality of work envisaged as a means of specifically developing organizational resources to develop health at work. It shows, through the creation of a new function, the “job referent”, and the institution of an organizational device, the instance of dialogue on the job (IDM), how can the hierarchical division of the work to transform the organization. It also offers a possible way of development in the practice of clinical activity intervention. It is based on an intervention carried out since 2014 in a public medico-social establishment with nursing assistants and medico-psychological aids from the EHPAD and the nursing home for disabled adults in this structure. The article presents how the initial work of co-analysis of the activity of professionals in cross-self-confrontation made it possible to establish on the one hand, the function of the work collective as a means of action in the organization and on the other hand, deliberative and decision-making bodies on the profession. To present the results of this intervention.     

Facial expression recognition in the wild,by fusion of deep learnt and hand-crafted features

In spite of the recent advancements in the field of deep learning based techniques for facial expression recognition, the efficiency of the state-of-the-art recognition methods in the wild scenarios, remains a challenge. The main reason behind the less efforts made for handling wild scenarios is two-folds: very less and varying levels of cues available to identify the distinguishable patterns of features (spatial and temporal) and non-availability of a big dataset to train a deep learning model. Recently, a huge dataset called AffectNet is introduced in the literature providing enough base to apply a deep learning model to train. This paper proposes an efficient combination of hand crafted and deep learning features for facial expression recognition in the wild. We use facial landmark points as hand-crafted features and XceptionNet for the deep learned features. We experiment with XceptionNet and Densenet propose the use of XceptionNet as it performs better compared to DenseNet, when applied on wild scenarios. The proposed fusion of the hand-crafted and XceptionNet features outperforms the state-of-the-art methods for facial expression recognition in the wild.     

Feeling states of people experiencing depression,anxiety, or comorbid depression and anxiety symptoms during a multi-day charity cycling ride: An ecological momentary assessment study

ObjectiveRegular exercise has substantial benefits for mental health. The way people feel during exercise impacts motivation. This study investigated whether experiencing depression, anxiety or comorbid depression and anxiety symptoms impacted feeling state responses throughout a charity cycling ride.DesignTo achieve this aim, we conducted an ecological momentary assessment study of feeling states (via Pleasant and Negative Affect Schedule items) across a multi-day cause-based cycling event.MethodMultivariate and univariate generalized linear mixed models was applied to test how affective and self-conscious emotional experiences changed across time and whether feeling state change differed between people experiencing depression, anxiety, or comorbid depression and anxiety symptoms.ResultsFor people experiencing depression symptoms, positive feelings decreased and negative feelings increased throughout the event. People experiencing anxiety symptoms had initially elevated negative feeling states that decreased across the event. For people experiencing comorbid depression and anxiety symptoms, changes in pride mirrored that of people experiencing only depression symptoms (decrease from initially high levels); whereas changes in guilt mirrored that of people experiencing only anxiety symptoms (initially high levels that decreased throughout event).ConclusionsThese findings demonstrate that depression and anxiety symptoms put people at risk for having negative affective and emotional experiences during exercise events and that these effects are further complicated when depression and anxiety symptoms co-occur. Exercise events and interventions must consider how to mitigate the potentially demotivating impacts that negative affective judgments can have on motivation for future exercise participation of people experiencing depression and/or anxiety symptoms.     

Motivation and physical activity levels in bariatric patients involved in a self-determination theory-based physical activity program

ObjectiveThis study examines the associations between pre-to post-intervention changes in motivation and physical activity (PA) levels of bariatric patients involved in a 6-month postoperative PA program based on self-determination theory (SDT). We also explore the extent to which patients’ perception of autonomy support and basic psychological need satisfaction during the program were associated with changes in their motivation to exercise.MethodForty patients were assigned to a motivational PA intervention (MPAI-G) or to a control group (CG). Both groups completed questionnaires assessing the variables of interest and wore GT3X accelerometers before surgery and after the program.ResultsThirty-two participants (78.1% female) completed all measures and were included in the present analyses. CG showed greater increases in integrated (d = −1.60, 95% CI [−2.40, −0.81]) and identified regulation (d = −0.75, 95% CI [−1.47, −0.03]) than MPAI-G. However, the MPAI-G experienced increases in introjected regulation (d = 1.95, 95% CI [1.11, 2.79]) and greater decreases in external regulation (d = −1.00, 95% CI [−1.74, −0.27]) than CG, which were associated with decreases in sedentary activity and increases in light and total PA. Oppositely to the CG, amotivation decreased in the MPAI-G (d = −2.98, 95% CI [−3.98, −1.97]) and it was related to increases in light and total PA. Changes in exercise motivation were associated with perceived autonomy support and basic psychological need satisfaction during the program.ConclusionThe SDT-based PA program gave rise to greater changes in controlled forms of motivation and amotivation than in autonomous motivation in post-bariatric surgery patients.