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1.
Matern Child Health J ; 22(Suppl 1): 123, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30155581

RESUMO

The article "A Mixed Methods Evaluation of Early Childhood Abuse Prevention Within Evidence-Based Home Visiting Programs", written by M. Matone, K. Kellom, H. Griffis, W. Quarshie, J. Faerber, P. Gierlach, J. Whittaker, D. M. Rubin and P. F. Cronholm, was originally published electronically on the publisher's internet portal (currently SpringerLink) on 31 May 2018 without open access. With the author(s)' decision to opt for Open Choice the copyright of the article changed on 27 July 2018 to

2.
Matern Child Health J ; 22(Suppl 1): 79-91, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29855837

RESUMO

Objectives In this large scale, mixed methods evaluation, we determined the impact and context of early childhood home visiting on rates of child abuse-related injury. Methods Entropy-balanced and propensity score matched retrospective cohort analysis comparing children of Pennsylvania Nurse-Family Partnership (NFP), Parents As Teachers (PAT), and Early Head Start (EHS) enrollees and children of Pennsylvania Medicaid eligible women from 2008 to 2014. Abuse-related injury episodes were identified in medical assistance claims with ICD-9 codes. Weighted frequencies and logistic regression odds of injury within 24 months are presented. In-depth interviews with staff and clients (n = 150) from 11 programs were analyzed using a modified grounded theory approach. Results The odds of a healthcare encounter for early childhood abuse among clients were significantly greater than comparison children (NFP: 1.32, 95% CI [1.08, 1.62]; PAT: 4.11, 95% CI [1.60, 10.55]; EHS: 3.15, 95% CI [1.41, 7.06]). Qualitative data illustrated the circumstances of and program response to client issues related to child maltreatment, highlighting the role of non-client caregivers. All stakeholders described curricular content aimed at prevention (e.g. positive parenting) with little time dedicated to addressing current or past abuse. Clients who reported a lack of abuse-related content supposed their home visitor's assumption of an absence of risk in their home, but were supportive of the introduction of abuse-related content. Approach, acceptance, and available resources were mediators of successfully addressing abuse. Conclusions for Practice Home visiting aims to prevent child abuse among high-risk families. Adequate home visitor capacity to proactively assess abuse risk, deliver effective preventive curriculum with fidelity to caregivers, and access appropriate resources is necessary.


Assuntos
Pessoal Técnico de Saúde/psicologia , Maus-Tratos Infantis/prevenção & controle , Família/psicologia , Serviços de Assistência Domiciliar/organização & administração , Visita Domiciliar/estatística & dados numéricos , Poder Familiar/psicologia , Pais/educação , Avaliação de Programas e Projetos de Saúde/métodos , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Comportamento Materno , Pennsylvania , Pesquisa Qualitativa , Estudos Retrospectivos , Adulto Jovem
3.
Scand J Med Sci Sports ; 24(4): e254-9, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24330073

RESUMO

This study aimed to observe the incidence rates of hamstring strain injuries (HSIs) across different competition levels and ages during the Penn Relays Carnival. Over a 3-year period, all injuries treated by the medical staff were recorded. The type of injury, anatomic location, event in which the injury occurred, competition level, and demographic data were documented. Absolute and relative HSI (per 1000 participants) were determined, and odds ratios (ORs) were calculated between sexes, competition levels, and events. Throughout the study period 48,473 athletes registered to participate in the Penn Relays Carnival, with 118 HSIs treated by the medical team. High school girls displayed lesser risk of HSI than high school boys (OR = 0.55, P = 0.021), and masters athletes were more likely than high school- (OR = 4.26, P < 0.001) and college-level (OR = 3.55, P = 0.001) athletes to suffer HSI. The 4 × 400-m relay displayed a greater likelihood of HSI compared with the 4 × 100-m relay (OR = 1.77, P = 0.008). High school boys and masters-level athletes are most likely to suffer HSI, and there is higher risk in 400-m events compared with 100-m events.


Assuntos
Músculo Esquelético/lesões , Corrida/lesões , Entorses e Distensões/epidemiologia , Atletismo/lesões , Adolescente , Adulto , Fatores Etários , Aniversários e Eventos Especiais , Criança , Feminino , Humanos , Masculino , Corrida/classificação , Fatores Sexuais , Coxa da Perna , Adulto Jovem
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