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  1. Article ; Online: Using the Plan-Do-Study-Act Evaluation Framework to Improve the Recruitment of Women Experiencing Homelessness: Lessons Learned.

    Galvin, Annalynn M / Walters, Scott T / Lewis, Melissa A / Thompson, Erika L

    Family & community health

    2024  Volume 47, Issue 2, Page(s) 167–175

    Abstract: Background and objectives: Strategic recruitment is necessary to reach recruiting goals when conducting research with vulnerable and transient populations, such as postpartum women experiencing homelessness. The current study evaluated the recruitment ... ...

    Abstract Background and objectives: Strategic recruitment is necessary to reach recruiting goals when conducting research with vulnerable and transient populations, such as postpartum women experiencing homelessness. The current study evaluated the recruitment process for a qualitative study using the Plan-Do-Study-Act (PDSA) method.
    Methods: In a study conducting semistructured interviews about reproductive interconception care barriers and facilitators for local women who were recently pregnant and homeless in 2022, PDSA cycles were used to improve community organizations' assistance with identifying participants, facilitate screening and interviewing processes, and ensure participants were safeguarded.
    Results: Iterative PDSA cycles were conducted across a 20-week period. Ultimately, 12 women were interviewed, with increasing participant location and organizational assistance over time. Following 4 key lessons were identified: provide in-person and remote options for conducting data collection; include fair compensation that balances time versus study coercion; weigh feasibility versus importance of sample size with eligibility criteria; and support partnerships with organization connections.
    Conclusions: The PDSA method served as a parsimonious framework for evaluation. The lessons learned will help facilitate future recruitment efforts for this difficult-to-recruit and vulnerable population.
    MeSH term(s) Pregnancy ; Humans ; Female ; Ill-Housed Persons ; Qualitative Research ; Postpartum Period
    Language English
    Publishing date 2024-02-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 449879-3
    ISSN 1550-5057 ; 0160-6379
    ISSN (online) 1550-5057
    ISSN 0160-6379
    DOI 10.1097/FCH.0000000000000395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Relationship Between Valence and Arousal for Subjective Experience in a Real-life Setting for Supportive Housing Residents: Results From an Ecological Momentary Assessment Study.

    Nandy, Rajesh / Nandy, Karabi / Walters, Scott T

    JMIR formative research

    2023  Volume 7, Page(s) e34989

    Abstract: Background: The circumplex model of affect posits that valence and arousal are the principal dimensions of affect. The center of the 2D space represents a neutral state of valence and a medium state of arousal. The role of valence and arousal in human ... ...

    Abstract Background: The circumplex model of affect posits that valence and arousal are the principal dimensions of affect. The center of the 2D space represents a neutral state of valence and a medium state of arousal. The role of valence and arousal in human emotion has been studied extensively. However, no consistent relationship between valence and arousal has been established. Most of the prior studies investigating the relationship have been conducted in relatively controlled laboratory settings.
    Objective: Ecological momentary assessment (EMA) of affect from participants residing in permanent supportive housing was used to study the relationship between valence and arousal in real-life settings. The goal of this study was to explore the relationship between valence and arousal in a person's natural environment.
    Methods: Participants were recruited from housing agencies in Fort Worth, Texas, United States. All participants had a history of chronic homelessness and reported at least one mental health condition. A subset of participants completed daily (morning) EMAs of emotions and other behaviors. The sample comprised 78 women and 77 men, and the average age was 52 (SD 8) years. From the circumplex model of affect, the EMA included 9 questions related to the participant's current emotional state (happy, frustrated, sad, worried, restless, excited, calm, bored, and sluggish). The responses were used to calculate 2 composite scores for valence and arousal.
    Results: Statistical models uniformly showed a dominant linear relation between valence and arousal and a significant difference in the slopes among races. None of the other effects were statistically significant. Compared with previous studies, the effects were quite robust.
    Conclusions: Our findings may provide a window to the fundamental structure of affect. We found a strong positive linear relationship between valence and arousal at the nomothetic level, which may provide insight into a universal structure of affect. However, the study needs to be replicated for different populations to determine whether our findings can be generalized beyond the population studied here.
    Language English
    Publishing date 2023-01-25
    Publishing country Canada
    Document type Journal Article
    ISSN 2561-326X
    ISSN (online) 2561-326X
    DOI 10.2196/34989
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Homelessness in the Perinatal Period and Associations With Reproductive Interconception Care: 2016-2019 Pregnancy Risk Assessment Monitoring System.

    Galvin, Annalynn M / Lewis, Melissa A / Walters, Scott T / Thompson, Erika L

    Public health reports (Washington, D.C. : 1974)

    2023  , Page(s) 333549231204658

    Abstract: Objectives: Women experiencing homelessness have higher rates of unintended pregnancy than stably housed women and may benefit from reproductive interconception care. How reproductive interconception care differs between women who did and did not ... ...

    Abstract Objectives: Women experiencing homelessness have higher rates of unintended pregnancy than stably housed women and may benefit from reproductive interconception care. How reproductive interconception care differs between women who did and did not experience perinatal homelessness is not known. We estimated prevalence ratios of reproductive interconception behaviors among US women experiencing homelessness during the perinatal period.
    Methods: We used data from the 2016-2019 Pregnancy Risk Assessment Monitoring System to calculate the prevalence of 5 reproductive interconception care outcomes: attending a maternal postpartum checkup, participating in a conversation with a health care provider about birth intervals, receiving family planning counseling, obtaining a prescription for short-acting contraception, and having a long-acting reversible contraceptive inserted. We used complex survey weights, stratified by perinatal homelessness, and converted adjusted logistic regression odds ratios between housing status and outcome variables to adjusted prevalence ratios (aPRs) and 95% CIs.
    Results: Among participants, approximately 2.4% (weighted percentage; unweighted 2953 of 100 706) experienced homelessness sometime in the 12 months before their children were born; the majority were non-Hispanic (83.2%) and White (69.4%), were not married (82.2%), and had public health insurance (56.8%). Perinatal homelessness was significantly associated with a lower prevalence of attending a postpartum maternal visit (aPR = 0.90; 95% CI, 0.87-0.94) and a higher prevalence of having a conversation about birth intervals with their health care providers (aPR = 1.13; 95% CI, 1.03-1.21).
    Conclusions: Findings suggest that improving attendance at postpartum visits and evaluating birth interval conversations may strengthen interconception care practices while contextualizing social determinants such as housing stability. Improving uptake of postpartum visits may reduce unintended pregnancy, short birth intervals, and adverse birth outcomes in future pregnancies among women experiencing homelessness.
    Language English
    Publishing date 2023-11-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 120953-x
    ISSN 1468-2877 ; 0033-3549
    ISSN (online) 1468-2877
    ISSN 0033-3549
    DOI 10.1177/00333549231204658
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Clinician's Guide to Evaluating and Developing eHealth Interventions for Mental Health.

    Ondersma, Steven J / Walters, Scott T

    Psychiatric research and clinical practice

    2020  Volume 2, Issue 1, Page(s) 26–33

    Abstract: Objective: This review aimed to examine key information regarding technology-delivered interventions for patients with mental health and/or substance use disorders and to provide support for efforts by psychiatrists and other mental health professionals ...

    Abstract Objective: This review aimed to examine key information regarding technology-delivered interventions for patients with mental health and/or substance use disorders and to provide support for efforts by psychiatrists and other mental health professionals in recommending applications or helping to develop new technology-delivered interventions.
    Methods: The authors reviewed existing information about the appraisal, development, and evaluation of technology-delivered interventions (eHealth interventions).
    Results: High-level guidance is available for clinicians who want to evaluate eHealth applications for their patients. Clinicians should be familiar with existing models of eHealth intervention development and with traditional as well as unique elements in the evaluation of efficacy for these approaches. However, existing intervention development models have not been empirically validated, and only one includes empirical optimization as an inherent part of its process.
    Conclusions: Because of the proliferation of eHealth interventions, mental health professionals should bring to this area the same level of content knowledge, understanding of development and evaluation processes, and rigorous skepticism as they do for pharmacotherapy and therapist-delivered behavioral interventions.
    Language English
    Publishing date 2020-09-09
    Publishing country United States
    Document type Journal Article
    ISSN 2575-5609
    ISSN (online) 2575-5609
    DOI 10.1176/appi.prcp.2020.20190036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: What's theory got to do with it: measuring effects of theory on lifestyle behaviors and weight in the Better Me Within Randomized Trial.

    Dodgen, Leilani / Kitzman, Heather / Spence, Emily / Mamun, Abdullah / Walters, Scott T / Cervantes, Diana

    American journal of health education

    2023  Volume 54, Issue 2, Page(s) 86–98

    Abstract: Background: Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience greater prevalence of chronic diseases and fewer benefits ... ...

    Abstract Background: Knowing which theoretical constructs work best to design effective interventions is essential for populations with increased disease burden. African American women (AAW) experience greater prevalence of chronic diseases and fewer benefits from weight loss interventions compared to White women.
    Purpose: To examine how theoretical constructs were associated with lifestyle behaviors and weight outcomes in the Better Me Within (BMW) Randomized Trial.
    Methods: BMW used a tailored diabetes prevention program implemented in churches among AAW with BMI ≥ 25. Regression models assessed relationships between constructs (self-efficacy, social support and motivation), and outcomes (physical activity (PA), calories, and weight).
    Results: Among 221 AAW (mean (SD) age 48.8 years (11.2); mean weight 215.1 pounds (50.5), several significant relationships were found including an association between change in motivation for activity and change in PA (p=.003), and change in motivation for diet and weight at follow-up (p=<.001).
    Discussion: The clearest relationships emerged for PA with motivation for activity and weight management social support demonstrating significance in all models.
    Translation to practice: Self-efficacy, motivation and social support show promise to promote changes in PA and weight among church-going AAW. Opportunities to keep engaging AAW in research are essential for eliminating health inequities in this population.
    Language English
    Publishing date 2023-02-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2041109-1
    ISSN 2168-3751 ; 1932-5037 ; 1055-6699
    ISSN (online) 2168-3751
    ISSN 1932-5037 ; 1055-6699
    DOI 10.1080/19325037.2022.2163007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Reproductive Interconception Care Among Women Recently Pregnant and Homeless: A Qualitative Analysis.

    Galvin, Annalynn M / Akpan, Idara N / Lewis, Melissa A / Walters, Scott T / Thompson, Erika L

    Health education & behavior : the official publication of the Society for Public Health Education

    2023  Volume 51, Issue 2, Page(s) 302–310

    Abstract: Reproductive interconception care provided at maternal postpartum visits may help reduce unintended pregnancies and elongate birth intervals for women experiencing homelessness. To improve interconception care uptake, this qualitative study aimed to ... ...

    Abstract Reproductive interconception care provided at maternal postpartum visits may help reduce unintended pregnancies and elongate birth intervals for women experiencing homelessness. To improve interconception care uptake, this qualitative study aimed to identify barriers and facilitators to reproductive interconception care from the perspectives of women who were recently pregnant and homeless. A semi-structured interview guide and demographic survey were developed based on epidemiological findings, Information-Motivation-Behavioral Skill framework components, and a review by community health workers for content validity. After conducting 12 interviews with women recently pregnant and homeless in a local continuum of care in 2022, audio-recorded interviews were transcribed, iteratively coded using
    MeSH term(s) Pregnancy ; Female ; Humans ; Preconception Care ; Postpartum Period ; Pregnancy, Unplanned ; Contraception ; Qualitative Research ; Ill-Housed Persons
    Language English
    Publishing date 2023-10-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1362906-2
    ISSN 1552-6127 ; 1090-1981
    ISSN (online) 1552-6127
    ISSN 1090-1981
    DOI 10.1177/10901981231204583
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Delta-8, Delta-10, HHC, THC-O, THCP, and THCV: What Should We Call These Products?

    Rossheim, Matthew E / LoParco, Cassidy R / Henry, Doug / Trangenstein, Pamela J / Walters, Scott T

    Journal of studies on alcohol and drugs

    2023  Volume 84, Issue 3, Page(s) 357–360

    Abstract: The 2018 U.S. Federal Agriculture Improvement Act ("Farm Bill") resulted in what some have called a "legal loophole" in cannabis regulation. As different types of cannabis products proliferate, so has the terminology used to attempt to categorize them. ... ...

    Abstract The 2018 U.S. Federal Agriculture Improvement Act ("Farm Bill") resulted in what some have called a "legal loophole" in cannabis regulation. As different types of cannabis products proliferate, so has the terminology used to attempt to categorize them. This article presents a variety of potential descriptors to encourage dialogue about the language used to classify the multitude of psychoactive cannabinoid products that have grown in popularity since the passage of the 2018 Farm Bill. Our recommended term for these products is
    MeSH term(s) Humans ; Dronabinol ; Cannabinoids ; Cannabis ; Hallucinogens
    Chemical Substances Dronabinol (7J8897W37S) ; Cannabinoids ; Hallucinogens
    Language English
    Publishing date 2023-03-14
    Publishing country United States
    Document type Editorial
    ZDB-ID 2266450-6
    ISSN 1938-4114 ; 1934-2683 ; 1937-1888 ; 0096-882X
    ISSN (online) 1938-4114 ; 1934-2683
    ISSN 1937-1888 ; 0096-882X
    DOI 10.15288/jsad.23-00008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Development and evaluation of an online vocational program for veterans with legal convictions and psychiatric illness.

    LePage, James P / Walters, Scott T / Cipher, Daisha J / Crawford, April M

    Evaluation and program planning

    2023  Volume 97, Page(s) 102254

    Abstract: Purpose: We describe the development and pilot evaluation of an online vocational rehabilitation program, the About Face Online System (AFOS), for veterans with a history of felony convictions and either mental illness and/or substance use disorders.: ...

    Abstract Purpose: We describe the development and pilot evaluation of an online vocational rehabilitation program, the About Face Online System (AFOS), for veterans with a history of felony convictions and either mental illness and/or substance use disorders.
    Method: Phase One was the development and acceptability testing of the online system. Phase Two was a small, randomized trial comparing the likelihood of obtaining employment among people using the AFOS, compared to people receiving a self-directed hardcopy manual, after 6 months.
    Results: In Phase One, 17 veterans provided feedback as the system was being developed. The final system allows veterans to receive education on vocational reintegration skills, watch short videos describing the techniques, and communicate with a vocational staff member via chat features. Veterans found the AFOS to be as acceptable as a hardcopy manual that covered similar material. In Phase Two, 38 veterans with a history of felony convictions and either mental illness or substance use disorder were randomized to receive the AFOS or a hardcopy manual. After 6 months, people randomized to the AFOS were more likely to obtain employment than people randomized to the hardcopy manual.
    Conclusion: An online vocational program may help veterans who cannot attend traditional in-person vocational services to successfully obtain employment.
    MeSH term(s) Humans ; Veterans ; Program Evaluation ; Mental Disorders ; Rehabilitation, Vocational/methods ; Employment ; Substance-Related Disorders/rehabilitation
    Language English
    Publishing date 2023-02-08
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2013444-7
    ISSN 1873-7870 ; 0149-7189
    ISSN (online) 1873-7870
    ISSN 0149-7189
    DOI 10.1016/j.evalprogplan.2023.102254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Driving Under the Influence of Alcohol, Cannabis, and Delta-8 THC: Perceived Likelihood, Risk Perceptions, and Behaviors.

    LoParco, Cassidy R / Olsson, Sofia E / Greene, Kaylin M / Berg, Carla J / Walters, Scott T / Zhou, Zhengyang / Rossheim, Matthew E

    Journal of psychoactive drugs

    2024  , Page(s) 1–10

    Abstract: Driving under the influence (DUI) of alcohol or cannabis poses public health risks. Little is known about DUI of Delta-8 THC, a newer cannabis product. Using 2022 survey data among 189 U.S. adults ages 18-25 (58.73% male, 59.26% non-Hispanic White), ... ...

    Abstract Driving under the influence (DUI) of alcohol or cannabis poses public health risks. Little is known about DUI of Delta-8 THC, a newer cannabis product. Using 2022 survey data among 189 U.S. adults ages 18-25 (58.73% male, 59.26% non-Hispanic White), multivariable logistic regression examined substance-specific (alcohol, cannabis, Delta-8) DUI perceived likelihood and risk in relation to past-year DUI among those with past-year use of each. Overall, 72.49% reported past-year alcohol use, 50.53% cannabis, and 22.46% Delta-8. Among those reporting past-year use of each respective substance, 33.58% reported DUI of alcohol, 32.63% cannabis, and 57.14% Delta-8. On average, participants had the same DUI perceived likelihood ("somewhat unlikely") across substances and perceived alcohol DUI as riskiest. Higher alcohol DUI perceived likelihood and lower perceived risk were associated with alcohol-related DUI. Greater cannabis-related perceived likelihood (but not risk) was associated with cannabis-related DUI. Neither Delta-8 DUI perceived likelihood nor risk were associated with Delta-8 DUI. In sum, perceived DUI likelihood for alcohol, cannabis, or Delta-8 tended to be similar. Among those with past-year use of each, the proportion of DUI was highest for Delta-8. Interventions should target DUI-related perceived likelihood and promote protective behavioral strategies that reduce substance-specific DUI risk.
    Language English
    Publishing date 2024-04-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392405-1
    ISSN 2159-9777 ; 0279-1072
    ISSN (online) 2159-9777
    ISSN 0279-1072
    DOI 10.1080/02791072.2024.2339506
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book: Talking with college students about alcohol

    Walters, Scott T. / Baer, John Samuel

    motivational strategies for reducing abuse

    2006  

    Author's details Scott T. Walters ; John S. Baer
    Keywords Alcoholism/Prevention ; College students/Alcohol use ; Counseling in higher education
    Subject code 378.19784
    Language English
    Size XII, 212 S. : graph. Darst.
    Publisher Guilford
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT014549441
    ISBN 1-59385-222-3 ; 978-1-59385-222-1
    Database Catalogue ZB MED Medicine, Health

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