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Martinez-Donate AP, Zumaeta-Castillo C, Yamasaki Y, Perez C, Martinez O, Hassrick EM, Ventimiglia J, Lazo-Elizondo M. Feasibility and acceptability of CRiSOL: A pilot peer-based intervention to address syndemic health issues afflicting Latino immigrants in the U.S. PLoS One 2023; 18:e0287248. [PMID: 37874795 PMCID: PMC10597517 DOI: 10.1371/journal.pone.0287248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 06/01/2023] [Indexed: 10/26/2023] Open
Abstract
Substance use, HIV/AIDS, domestic violence and mental health (SAVAME) are syndemic health issues that disproportionately burden Latinos in the U.S. Yet, there are limited evidence-based interventions to address these interrelated syndemic issues and their shared socio-ecological determinants. This study sought to test the feasibility and acceptability of CRiSOL, a peer-based, resilience-focused intervention to reduce the impact of the SAVAME syndemic on Latino immigrants. Fifteen Latino immigrant community leaders were recruited and trained to serve as health promotion agents in their naturally existing social networks. The training was implemented with high fidelity, received with high satisfaction by the peer leaders, and associated with significant improvements in their knowledge, leadership skills, and social capital. During an 8-month outreach phase, nine leaders remained active in the program and documented 825 one-on-one interactions with community members, during which they provided advice/counseling (52.2% of interactions), health information/education (32.5%), referrals to health and social services (38.5%), food aid (39.9%), and service navigation/assistance (10.2%). While future research must be conducted to establish the effectiveness of CRiSOL, findings from this pilot evaluation indicate the feasibility, acceptability, and high level of reach of this intervention and suggest significant potential to reduce the SAVAME syndemic burden in Latino communities.
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Affiliation(s)
- Ana P. Martinez-Donate
- Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, United States of America
| | - Claudia Zumaeta-Castillo
- Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, United States of America
| | - Yoshiaki Yamasaki
- The Philadelphia AIDS Consortium (TPAC)/World Health Care Infrastructures (WHCI), Philadelphia, Pennsylvania, United States of America
| | - Cristina Perez
- The Philadelphia AIDS Consortium (TPAC)/World Health Care Infrastructures (WHCI), Philadelphia, Pennsylvania, United States of America
| | - Omar Martinez
- College of Medicine, University of Central Florida, Orlando, Florida, United States of America
| | - Elizabeth McGhee Hassrick
- Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, United States of America
- A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, United States of America
| | - Jonas Ventimiglia
- A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania, United States of America
| | - Mariana Lazo-Elizondo
- Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, United States of America
- Urban Health Collaborative, Drexel University, Philadelphia, Pennsylvania, United States of America
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Wade L, Leahy AA, Babic MJ, Beauchamp MR, Smith JJ, Kennedy SG, Boyer J, Nathan N, Robinson K, Lubans DR. A systematic review and meta-analysis of the benefits of school-based, peer-led interventions for leaders. Sci Rep 2022; 12:21222. [PMID: 36481781 PMCID: PMC9732042 DOI: 10.1038/s41598-022-25662-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 12/02/2022] [Indexed: 12/13/2022] Open
Abstract
The aim of our systematic review and meta-analysis was to quantitatively synthesise the effects of school-based peer-led interventions on leaders' academic, psychosocial, behavioural, and physical outcomes. Eligible studies were those that: (i) evaluated a school-based peer-led intervention using an experimental or quasi-experimental study design, (ii) included an age-matched control or comparison group, and (iii) evaluated the impact of the intervention on one or more leader outcomes. Medline, Sportdiscus, Psychinfo, Embase, and Scopus online databases were searched on the 24th of October, 2022 which yielded 13,572 results, with 31 included in the narrative synthesis and 12 in the meta-analysis. We found large positive effects for leaders' attitudes toward bullying (d = 1.02), small-to-medium positive effects for leaders' literacy (d = 0.39), and small positive effects for leaders' self-esteem (d = 0.18). There were mixed findings for behavioural outcomes and null effects for physical outcomes. Notable limitations of this research are the inclusion of a relatively small number of studies, and high heterogeneity in those included. Our findings have the potential to inform educational practice, but also highlight the need for further research examining the mechanisms that might account for the observed effects. Our systematic review was prospectively registered with PROSPERO (CRD42021273129).
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Affiliation(s)
- Levi Wade
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Angus A. Leahy
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Mark J. Babic
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Mark R. Beauchamp
- grid.17091.3e0000 0001 2288 9830School of Kinesiology, University of British Columbia, Vancouver, BC Canada
| | - Jordan J. Smith
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Sarah G. Kennedy
- grid.1029.a0000 0000 9939 5719School of Health Sciences, Western Sydney University, Penrith, NSW Australia
| | - James Boyer
- grid.461941.f0000 0001 0703 8464New South Wales Department of Education, Sydney, NSW Australia
| | - Nicole Nathan
- Hunter New England Population Health, Wallsend, NSW Australia ,grid.266842.c0000 0000 8831 109XSchool of Medicine and Public Health, The University of Newcastle, Callaghan, NSW Australia ,grid.413648.c Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - Katie Robinson
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia
| | - David R. Lubans
- grid.266842.c0000 0000 8831 109XCentre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, University Drive, Callaghan, NSW 2308 Australia ,grid.413648.c Active Living Research Program, Hunter Medical Research Institute, New Lambton Heights, NSW 2305 Australia ,grid.9681.60000 0001 1013 7965 Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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Prestigious Youth are Leaders but Central Youth are Powerful: What Social Network Position Tells us About Peer Relationships. J Youth Adolesc 2019; 49:631-644. [PMID: 31301026 DOI: 10.1007/s10964-019-01080-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Accepted: 07/02/2019] [Indexed: 10/26/2022]
Abstract
Measures of social network position provide unique social and relational information yet have not been used extensively by researchers who study peer relationships. This study explored two measures-social network prestige and social network centrality-to improve conceptualization of their similarities, differences, and meaning within a peer relationships context. Prestige and centrality were computed from friendship nominations (N = 396 6th graders; 48% girls; 49% White) and participants nominated peers on several social indicators (e.g., aggressive, popular). Two example classroom networks were examined to visually depict social network position. Associations between measures of social network position and social indicators were examined using correlations and latent profile analysis. Latent profile analysis identified three profiles based on the social indicators, which differentially related to prestige and centrality. Overall, prestigious youth were generally well-liked, prosocial, and leaders, whereas central youth were powerful and aggressive. The results strengthen the conceptualization of these network-based measures, allowing them to be more readily used by peer relationships researchers to understand youth's interaction patterns and behaviors.
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Dudovitz RN, Wong MD, Perez-Aguilar G, Kim G, Chung PJ. Update on How School Environments, Social Networks, and Self-Concept Impact Risky Health Behaviors. Acad Pediatr 2019; 19:133-134. [PMID: 30287394 PMCID: PMC6401257 DOI: 10.1016/j.acap.2018.09.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2018] [Revised: 09/03/2018] [Accepted: 09/25/2018] [Indexed: 01/10/2023]
Affiliation(s)
- Rebecca N Dudovitz
- Department of Pediatrics, UCLA Children's Discovery and Innovation Institute (RN Dudovitz and PJ Chung); Department of Pediatrics, UCLA David Geffen School of Medicine (RN Dudovitz, MD Wong, G Kim, and PJ Chung).
| | - Mitchell D Wong
- Department of Pediatrics, UCLA David Geffen School of Medicine (RN Dudovitz, MD Wong, G Kim, and PJ Chung); Department of Internal Medicine, General Internal Medicine and Health Services Research (MD Wong)
| | | | - Grace Kim
- Department of Pediatrics, UCLA David Geffen School of Medicine (RN Dudovitz, MD Wong, G Kim, and PJ Chung)
| | - Paul J Chung
- Department of Pediatrics, UCLA Children's Discovery and Innovation Institute (RN Dudovitz and PJ Chung); Department of Pediatrics, UCLA David Geffen School of Medicine (RN Dudovitz, MD Wong, G Kim, and PJ Chung); Department of Health Policy and Management, Fielding School of Public Health (PJ Chung), University of California, Los Angeles; RAND Corporation (PJ Chung), Santa Monica, Calif
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Cipriano LE, Zaric GS. Cost-effectiveness of naloxone kits in secondary schools. Drug Alcohol Depend 2018; 192:352-361. [PMID: 30321745 DOI: 10.1016/j.drugalcdep.2018.08.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 08/02/2018] [Accepted: 08/04/2018] [Indexed: 11/26/2022]
Abstract
BACKGROUND We seek to identify conditions under which a plan by the Toronto District School Board (TDSB) to equip high schools with naloxone kits would be cost-effective. METHODS We developed a decision-analytic model to evaluate the costs, benefits, and cost-effectiveness of a school-based naloxone program. We estimated model inputs from the medical literature and used Toronto-specific sources whenever available. We present our results varying both the expected total number of opioid overdoses per year across all 112 TDSB high schools and the effectiveness of a school-based naloxone program in reducing mortality. RESULTS A school naloxone program likely costs less than CAD$50,000 per quality-adjusted life-year gained if the overdose frequency is at least once each year and it reduces opioid poisoning mortality by at least 40% (from 10% to <6.0%) or if the overdose frequency is at least two per year and the program reduces mortality by at least 20% (from 10% to <8.0%). The results are sensitive to the intensity and cost of staff training, the lifetime costs and life-expectancy of overdose survivors, and the probability of an overdose being fatal in the absence of a school naloxone program. CONCLUSIONS School naloxone programs are relatively inexpensive, but that does not ensure that they are a cost-effective use of resources. While potentially cost-effective, if the risk of an overdose in a Toronto high school is low, then other programs aimed at improving the health and wellbeing of students may be better use of limited resources.
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Affiliation(s)
- Lauren E Cipriano
- Ivey Business School, Western University, London, ON, N6G 0N1, Canada; Department of Biostatistics and Epidemiology, Schulich School of Medicine and Dentistry, Western University, London, ON, N6A 5C1, Canada.
| | - Gregory S Zaric
- Ivey Business School, Western University, London, ON, N6G 0N1, Canada; Department of Biostatistics and Epidemiology, Schulich School of Medicine and Dentistry, Western University, London, ON, N6A 5C1, Canada
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