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1.
Health Promot Pract ; 19(4): 581-589, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29052450

RESUMO

Scholars have increasingly emphasized the importance of using evidence-based programs to promote health and prevent disease. While theoretically and empirically based programs may be effective in carefully controlled conditions, many fail to achieve desired outcomes when implemented in real-world settings. Ensuring high-quality implementation of health promotion programs is critically important as variation in implementation is closely associated with program effectiveness. The purpose of this article is to present methods used to document and assess the implementation of the Youth Empowerment Solutions (YES) program. We collected process evaluation data on 25 YES groups from 12 schools over a period of 4 years. The evaluation assessed four key aspects of delivery: fidelity, dose delivered, dose received, and program quality. We found wide variations in delivery for some measures, while others were more consistent across groups. These indicators of program delivery provided a strong basis for evaluating program implementation, taking actions to improve it, and ultimately, deepening understanding of program effectiveness. The study suggests a model for using multiple methods to collect and analyze data about aspects of program delivery to guide future implementations.


Assuntos
Educação em Saúde/organização & administração , Promoção da Saúde/organização & administração , Poder Psicológico , Estudantes/estatística & dados numéricos , Adolescente , Criança , Humanos , Avaliação de Processos em Cuidados de Saúde , Avaliação de Programas e Projetos de Saúde/métodos , Instituições Acadêmicas/organização & administração
2.
Am J Community Psychol ; 58(3-4): 410-421, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27709632

RESUMO

Empowerment-based strategies have become widely used method to address health inequities and promote social change. Few researchers, however, have tested theoretical models of empowerment, including multidimensional, higher-order models. We test empirically a multidimensional, higher-order model of psychological empowerment (PE), guided by Zimmerman's conceptual framework including three components of PE: intrapersonal, interactional, and behavioral. We also investigate if PE is associated with positive and negative outcomes among youth. The sample included 367 middle school youth aged 11-16 (M = 12.71; SD = 0.91); 60% female, 32% (n = 117) white youth, 46% (n = 170) African-American youth, and 22% (n = 80) identifying as mixed race, Asian-American, Latino, Native American, or other ethnic/racial group; schools reported 61-75% free/reduced lunch students. Our results indicated that each of the latent factors for the three PE components demonstrate a good fit with the data. Our results also indicated that these components loaded on to a higher-order PE factor (X2  = 32.68; df: 22; p = .07; RMSEA: 0.04; 95% CI: .00, .06; CFI: 0.99). We found that the second-order PE factor was negatively associated with aggressive behavior and positively associated with prosocial engagement. Our results suggest that empowerment-focused programs would benefit from incorporating components addressing how youth think about themselves in relation to their social contexts (intrapersonal), understanding social and material resources needed to achieve specific goals (interactional), and actions taken to influence outcomes (behavioral). Our results also suggest that integrating the three components and promoting PE may help increase likelihood of positive behaviors (e.g., prosocial involvement); we did not find an association between PE and aggressive behavior. Implications and future directions for empowerment research are discussed.


Assuntos
Poder Psicológico , Ajustamento Social , Comportamento Social , População Urbana , Adolescente , Criança , Feminino , Humanos , Controle Interno-Externo , Masculino , Michigan , Avaliação de Processos e Resultados em Cuidados de Saúde , Problemas Sociais/prevenção & controle , Problemas Sociais/psicologia , Teoria Social , Socialização
3.
J Interpers Violence ; 33(12): 1893-1908, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-26701997

RESUMO

This study investigated the role of present and future time perspectives, and their relationships with subjective norms and beliefs regarding violence, in predicting violent behaviors among urban middle school students in the Midwestern United States. Although present time perspective covaried with subjective norms and beliefs, each made a unique prediction of self-reported violent behaviors. Future time perspective was not a significant predictor when accounting for these relationships. In addition, present orientation moderated the relationship between subjective norms and beliefs and rates of violent behaviors; those with higher present orientations exhibited stronger associations. We replicated this pattern of results in data from new participants in a subsequent wave of the study. Interventions that explicitly address issues related to time perspective may be effective in reducing early adolescent violence.


Assuntos
Comportamento do Adolescente/psicologia , Violência/psicologia , Violência/estatística & dados numéricos , Adolescente , Criança , Feminino , Humanos , Masculino , Michigan , População Urbana/estatística & dados numéricos
4.
Adolesc Med State Art Rev ; 22(3): 581-600, xiii, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22423465

RESUMO

The limited success of youth violence prevention interventions suggests that effective prevention needs to address causes at multiple levels of analysis and empower youth in developing and implementing prevention programs. In this article, we review published studies of youth violence prevention efforts that engage youth in developing or implementing violence prevention activities. The reviewed studies suggest the promise of youth empowerment strategies and the need for systematic outcome studies of empowerment programs. After reviewing empowerment theory applied to youth violence prevention programs, we present a case study of the Youth Empowerment Solutions (YES) for Peaceful Communities program. YES engages middle-school youth in an after-school and summer program that includes a culturally tailored character development curriculum and empowers the youth to plan and implement community improvement projects with assistance from adult neighborhood advocates. The case study focuses on outcome evaluation results and presents evidence of the YES program effects on community-level outcomes (eg, property improvements, violent crime incidents) and on individual-level outcomes (eg, conflict avoidance, victimization). The literature review and the case study suggest the promise of engaging and empowering youth to plan and implement youth violence prevention programs.


Assuntos
Delinquência Juvenil/prevenção & controle , Poder Psicológico , Mudança Social , Violência/prevenção & controle , Adolescente , Criança , Humanos , Michigan , Estudos de Casos Organizacionais , Desenvolvimento de Programas , Planejamento Social , Estados Unidos , Adulto Jovem
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