RESUMO
In this direct replication of Mueller and Oppenheimer's (2014) Study 1, participants watched a lecture while taking notes with a laptop (n = 74) or longhand (n = 68). After a brief distraction and without the opportunity to study, they took a quiz. As in the original study, laptop participants took notes containing more words spoken verbatim by the lecturer and more words overall than did longhand participants. However, laptop participants did not perform better than longhand participants on the quiz. Exploratory meta-analyses of eight similar studies echoed this pattern. In addition, in both the original study and our replication, higher word count was associated with better quiz performance, and higher verbatim overlap was associated with worse quiz performance, but the latter finding was not robust in our replication. Overall, results do not support the idea that longhand note taking improves immediate learning via better encoding of information.
Assuntos
Aprendizagem , Microcomputadores , HumanosRESUMO
Recent initiatives have focused on the dissemination of evidence-based policy, systems, and environmental (EBPSE) strategies to reduce health disparities. Targeted, community-level efforts are needed to supplement these approaches for comparable results among Asian Americans and Native Hawaiians and Pacific Islanders (NHPIs).The STRIVE Project funded 15 Asian American and NHPI community-based organizations (CBOs) to implement culturally adapted strategies. Partners reached more than 1.4 million people at a cost of $2.04 per person. CBOs are well positioned to implement EBPSE strategies to reduce health disparities.
Assuntos
Asiático , Serviços de Saúde Comunitária/organização & administração , Planejamento Ambiental , Abastecimento de Alimentos , Política de Saúde , Acessibilidade aos Serviços de Saúde , Atividade Motora , Havaiano Nativo ou Outro Ilhéu do Pacífico , Características Culturais , Prática Clínica Baseada em Evidências , Feminino , Humanos , Masculino , Objetivos Organizacionais , Estados UnidosRESUMO
Emphasis has increased recently on disseminating high-impact, population-wide strategies for the prevention of chronic diseases. However, such strategies are typically not effective at reaching Asian Americans, Native Hawaiians, Pacific Islanders, or other underserved communities. The objectives of this article were to 1) present the methods of the Strategies to Reach and Implement the Vision of Health Equity program in which 15 community-based organizations in the United States and the Pacific region implemented evidence-based policy, systems, and environmental improvements in their local communities and 2) provide recommendations for using these tailored approaches in other communities and geographic locations. Further support is needed for organizations in tailoring these types of population-wide strategies. Implementing population health improvements should be adapted to maximize effectiveness to decrease chronic diseases in these populations and ultimately eliminate racial/ethnic health disparities.
Assuntos
Asiático , Doença Crônica/prevenção & controle , Política de Saúde , Havaiano Nativo ou Outro Ilhéu do Pacífico , Redes Comunitárias , Conhecimentos, Atitudes e Prática em Saúde , Acessibilidade aos Serviços de Saúde , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde/etnologia , Humanos , Administração em Saúde Pública , Estados UnidosRESUMO
BACKGROUND: Recent public health initiatives include policy, systems, and environmental (PSE) strategies with the aim of improving community health. These high-impact, population-wide strategies provide opportunities for multisector coalitions to engage and inform the implementation process to ultimately reach underrepresented communities, like Asian Americans and Pacific Islanders (AAPIs). OBJECTIVES: The purpose of this article is to discuss (1) the objectives of "Reaching Asian Americans through Innovative and Supportive Engagement," (RAISE) a multisector coalition (2) describe the process in which the coalition was engaged in, and (3) share lessons learned that can inform future partnerships with various sectors that reach AAPI communities that are highly diverse and in geographically dispersed areas. METHODS: Asian Services In Action, a community-based organization in Cleveland, Ohio recruited 10 member organizations to participate in a multisector coalition to identify, plan and implement a PSE strategy reaching AAPIs. LESSONS LEARNED: Key lessons learned include: the need to navigate competing priorities for member organizations; the value in creating a space where racial/ethnic diversity and cultural adaption are discussed; and the importance of creating a shared learning community for coalition members. CONCLUSIONS: As the public health landscape shifts toward effectively improving community health through PSE strategies, it is vital that multisector coalitions are included to potentially have the greatest impact in health overall and to increase community engagement and buy-in.
Assuntos
Asiático , Pesquisa Participativa Baseada na Comunidade/organização & administração , Promoção da Saúde/métodos , Humanos , Ohio , Avaliação de Programas e Projetos de SaúdeRESUMO
The Fanconi anemia proteins participate in a canonical pathway that repairs cross-linking agent-induced DNA damage. Cells with inactivated Fanconi anemia genes are universally hypersensitive to such agents. Fanconi anemia-deficient hematopoietic stem cells are also hypersensitive to inflammatory cytokines, and, as importantly, Fanconi anemia macrophages overproduce such cytokines in response to TLR4 and TLR7/8 agonists. We questioned whether TLR-induced DNA damage is the primary cause of aberrantly regulated cytokine production in Fanconi anemia macrophages by quantifying TLR agonist-induced TNF-α production, DNA strand breaks, crosslinker-induced chromosomal breakage, and Fanconi anemia core complex function in Fanconi anemia complementation group C-deficient human and murine macrophages. Although both M1 and M2 polarized Fanconi anemia cells were predictably hypersensitive to mitomycin C, only M1 macrophages overproduced TNF-α in response to TLR-activating signals. DNA damaging agents alone did not induce TNF-α production in the absence of TLR agonists in wild-type or Fanconi anemia macrophages, and mitomycin C did not enhance TLR responses in either normal or Fanconi anemia cells. TLR4 and TLR7/8 activation induced cytokine overproduction in Fanconi anemia macrophages. Also, although TLR4 activation was associated with induced double strand breaks, TLR7/8 activation was not. That DNA strand breaks and chromosome breaks are neither necessary nor sufficient to account for the overproduction of inflammatory cytokines by Fanconi anemia cells suggests that noncanonical anti-inflammatory functions of Fanconi anemia complementation group C contribute to the aberrant macrophage phenotype and suggests that suppression of macrophage/TLR hyperreactivity might prevent cytokine-induced stem cell attrition in Fanconi anemia.
Assuntos
Reagentes de Ligações Cruzadas/farmacologia , Anemia de Fanconi/imunologia , Macrófagos/imunologia , Fator de Necrose Tumoral alfa/biossíntese , Animais , Polaridade Celular , Células Cultivadas , Dano ao DNA , Proteína do Grupo de Complementação C da Anemia de Fanconi/fisiologia , Histonas/análise , Humanos , Imidazóis/farmacologia , Macrófagos/efeitos dos fármacos , Camundongos , Mitomicina/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Receptores Toll-Like/fisiologiaRESUMO
Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) experience a large burden from certain chronic disease-related risk factors. The STRIVE Program funded four AANHPI community-based organizations (CBOs) to implement culturally adapted community gardens and farmers' markets to increase access to healthy foods. Key CBO informant interviews were conducted to understand processes and lessons learned.
Assuntos
Asiático , Abastecimento de Alimentos , Promoção da Saúde/organização & administração , Havaiano Nativo ou Outro Ilhéu do Pacífico , Disparidades nos Níveis de Saúde , Humanos , Estados UnidosRESUMO
Working in small businesses has been identified as a key factor for low coverage rates in immigrant communities. In this study, we identify specific cultural and socioeconomic predictors of Asian Americans who work in small businesses to identify subgroups at a greater disadvantage than others in obtaining health insurance. Logistic regression models were fitted using a sample of 3,819 Asian American small business owners and employers extracted from pooled 20052012 California Health Interview Survey data. We found that individuals with low income levels, Korean Americans, U.S.-born South Asian and Southeast Asian (other than Vietnamese) Americans, immigrants without citizenship (particularly those lacking a green card), and individuals with limited English proficiency had higher odds of lacking coverage. The odds of being uninsured did not differ between small business owners and employees. Based upon these key findings, we propose several strategies to expand coverage for Asian Americans working in small businesses and their most vulnerable subgroups.