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Description
Objective
Health care transition (HCT) for adolescents without special health care needs in the primary care setting has received inadequate attention, as represented by national surveys, when compared to adolescents with special health care needs. Barriers to transition such as lack of knowledge and preparation have been known to hinder HCT despite the knowledge gap and weak evidence related to non-special needs adolescent transition. Application of anticipatory guidance education related to care transition may improve transition readiness scores of adolescents without special health care needs.
Methods
Utilizing Meleis’ transition theory with the Plan-Do-Study-Act framework, a quasi-experimental study was conducted comparing transition readiness scores between baseline and intervention groups of adolescents 14 years or older attending their well checks at a small pediatric primary care site. The intervention consisted of two videos developed from Got TransitionTM's (n.d.) Six Core Elements for specific adolescent age ranges.
Results
Statistical analysis reveals that the subgroup and overall transition readiness scores for both age groups, 14-15 and 16-18 years of age, when comparing the baseline groups to the intervention groups, have mixed significance (p = .419, p = .074, respectively). However, when asking the respondents about their understanding of the transition process and their role in that process, 75% and 62.5%, respectively, at minimum agreed the intervention was helpful.
Conclusion
The findings were mixed, indicating the educational videos did have a short-term impact on adolescent transition readiness scores for the 16-18 years old group only. Future focus on long-term follow up throughout the adolescent period may yield better data.
ContributorsJones, Benjamin Keith (Author) / Bay, Sarah (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-28
Description
Greater cross-disciplinary collaboration between the fields of sustainability and clinical psychology could lead to improved outcomes for both. Moreover, some forms of mental disorder, such as PTSD and Moral Injury, constitute serious challenges that require the attention of sustainability’s interdisciplinary, systems-focused, solutionsoriented approach. My research frames the impacts of combat-related psychological trauma on military veterans as a sustainability problem according to criteria put forward by Arnim Wiek’s Transformational Problem Solving framework. I also provide a review of studies demonstrating the treatment benefits of agricultural therapy for veterans diagnosed with PTSD or symptoms associated with Moral Injury. I then describe my own efforts investigating the connection between trauma and sustainability using survey measurements, interviews, and participant observation onsite at Growing Veterans farm in Mt. Vernon, Washington. The results strongly suggest that sustainable agricultural can be of powerful clinical benefit to traumatized veterans and that sustainable behaviors and values in general increased as trauma symptoms decreased. More broadly, the project indicates that slight shifts in how we approach solution formulation and how we articulate and disseminate sustainability messages could have profound positive effects on the sustainability’s success.
ContributorsGabriele, Adam (Author) / Hirt, Paul (Contributor) / Cloutier, Scott (Contributor) / Valdez, Herendira (Contributor)
Created2018-03-27