Process and outcome evaluation of a community intervention for orphan adolescents in western Kenya.

Abstract:

:We conducted a 2-year pilot randomized controlled trial (N = 105) in a high HIV-prevalence area in rural western Kenya to test whether providing young orphan adolescents with uniforms, school fees, and community visitors improves school retention and reduces HIV risk factors. The trial was a community intervention, limited to one community. In this paper, we examined intervention implementation and its association with outcomes using longitudinal data. We used both quantitative and qualitative methods to evaluate the community-based model for orphan HIV prevention, with recommendations for future studies. Despite promising effects after 1 year, GEE analyses showed null effects after 2 years. Volunteer community visitors, a key element of the intervention, showed little of the expected effect although qualitative reports documented active assistance to prevent orphans' school absence. For future research, we recommend capturing the transition to high school, a larger sample size, and biomarker data to add strength to the research design. We also recommend a school-based intervention approach to improve implementation and reduce infrastructure costs. Finally, we recommend evaluating nurses as agents for improving school attendance and preventing dropout because of their unique ability to address critical biopsychosocial problems.

journal_name

J Community Health

authors

Hallfors DD,Cho H,Mbai I,Milimo B,Itindi J

doi

10.1007/s10900-012-9548-x

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1101-9

issue

5

eissn

0094-5145

issn

1573-3610

journal_volume

37

pub_type

杂志文章,随机对照试验
  • Perceived Parental Barriers to and Strategies for Supporting Physical Activity and Healthy Eating among Head Start Children.

    abstract::Despite the need for parents to support their children's healthy behaviors, knowledge of factors preventing parents from doing so is still rudimentary. This study primarily aimed to explore perceived parental barriers to and strategies for supporting physical activity and healthy eating among Head Start children. A se...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-015-0134-x

    authors: Ling J,B Robbins L,Hines-Martin V

    更新日期:2016-06-01 00:00:00

  • Barriers to cervical cancer screening among middle-aged and older rural Appalachian women.

    abstract::Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-012-9639-8

    authors: Studts CR,Tarasenko YN,Schoenberg NE

    更新日期:2013-06-01 00:00:00

  • Improving physician coverage of pneumococcal vaccine: a randomized trial of a telephone intervention.

    abstract::Improved pneumococcal vaccine (PPV) immunization for seniors is a national goal of the Medicare program. This study examined whether adding a simple telephone follow-up to an existing mailed physician performance feedback under the Medicare program would increase the impact on billed pneumococcal immunizations. Medica...

    journal_title:Journal of community health

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1023/b:johe.0000016715.91811.4b

    authors: Quinley JC,Shih A

    更新日期:2004-04-01 00:00:00

  • Breast Cancer Screening Among Korean Americans: A Systematic Review.

    abstract::Cancer is the leading cause of death for Korean Americans (KAs). Breast cancer (BC) is the most commonly occurring cancer among KA women, and its rate has been rapidly increasing. Low BC screening rates for KAs puts them at greater risk for late-stage breast cancer. We conducted a systematic review of the published li...

    journal_title:Journal of community health

    pub_type: 杂志文章,评审

    doi:10.1007/s10900-016-0258-7

    authors: Oh KM,Taylor KL,Jacobsen KH

    更新日期:2017-04-01 00:00:00

  • The impact of a lecture on AIDS on knowledge, attitudes and beliefs of male school-age adolescents in the Asir Region of southwestern Saudi Arabia.

    abstract::The aim of this study was to assess the levels of knowledge, attitudes and beliefs and AIDS among secondary school students in the Asir Region of Southwestern Saudi Arabia, and to assess the impact of a one-session AIDS education lecture given in some schools in the region during World AIDS Day, December 1992. An Arab...

    journal_title:Journal of community health

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF02260410

    authors: Abolfotouh MA

    更新日期:1995-06-01 00:00:00

  • Sun protection policies and practices at child care centers in Massachusetts.

    abstract::We assessed the relationship between sun protection policies and practices at child care centers in Massachusetts. We hypothesized that centers with sun protection policies were more likely to have regular sun protection practices in place compared to centers without these policies. We conducted a telephone survey wit...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-005-7283-2

    authors: Kenfield SA,Geller AC,Richter EM,Shuman S,O'Riordan D,Koh HK,Colditz GA

    更新日期:2005-12-01 00:00:00

  • Success of an EMR-Driven Postpartum Intervention to Improve HPV Vaccination Rates.

    abstract::Human papillomavirus vaccination (HPV) remains low in the United States. The inpatient postpartum setting provides an innovative opportunity to vaccinate eligible patients. This study evaluated two different interventions to improve HPV vaccination rates in hospitalized postpartum patients: a nurse based protocol and ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-019-00755-1

    authors: Park SK,Holschneider CH,Chen J,Saleeby E,Singhal R

    更新日期:2020-06-01 00:00:00

  • Disparities in end of life care for elderly lung cancer patients.

    abstract::The objective of this study was to examine geographic and race/ethnic disparities in access to end of life care among elderly patients with lung cancer. The study sample consisted of 91,039 Medicare beneficiaries with lung cancer who died in 2008. The key outcome measures included the number of emergency room visits, ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-014-9850-x

    authors: Nayar P,Qiu F,Watanabe-Galloway S,Boilesen E,Wang H,Lander L,Islam M

    更新日期:2014-10-01 00:00:00

  • Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions.

    abstract::Universal health coverage requires an adequate health workforce, including community health workers (CHWs) to reach rural communities. To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community hea...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-015-0110-5

    authors: Shelley KD,Belete YW,Phiri SC,Musonda M,Kawesha EC,Muleya EM,Chibawe CP,van den Broek JW,Vosburg KB

    更新日期:2016-04-01 00:00:00

  • Characteristics of US counties with no mammography capacity.

    abstract::Access to screening mammography may be limited by the availability of facilities and machines, and nationwide mammography capacity has been declining. We assessed nationwide capacity at state and county levels from 2003 to 2009, the most recent year for which complete data were available. Using mammography facility ce...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-012-9562-z

    authors: Peipins LA,Miller J,Richards TB,Bobo JK,Liu T,White MC,Joseph D,Tangka F,Ekwueme DU

    更新日期:2012-12-01 00:00:00

  • Corporate Philanthropy Toward Community Health Improvement in Manufacturing Communities.

    abstract::Virtually all large employers engage in corporate philanthropy, but little is known about the extent to which it is directed toward improving community health. We conducted in-depth interviews with leaders of corporate philanthropy from 13 of the largest manufacturing companies in the US to understand how giving decis...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-017-0452-2

    authors: McHugh M,Farley D,Maechling CR,Dunlop DD,French DD,Holl JL

    更新日期:2018-06-01 00:00:00

  • Clinic Workload, the Quality of Staff Relationships and Diabetes Management in Community Health Centers Catering to Latino and Chinese Patients.

    abstract::We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients with type 2 diabetes a...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-016-0280-9

    authors: Vargas Bustamante A,Martinez A,Chen X,Rodriguez HP

    更新日期:2017-06-01 00:00:00

  • Primary care, private physicians, and public health personnel: a conflict in expectations.

    abstract::The elimination of categorical grants and their replacement by block grants provides public health departments the opportunity to integrate their services and provide general primary care to the underserved. While some may consider this an opportunity long overdue such a change may generate considerable conflict with ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01326552

    authors: Kirkman-Liff BL,Kaluzny AD

    更新日期:1982-01-01 00:00:00

  • Primary medical care for elderly patients. Part II: Results of a survey of office based clinicians.

    abstract::Evidence of the degree of fit between the special needs of the elderly and the service mix and payment level of ambulatory services offered under the Medicare program is presented in this second part of a two-part study of geriatric office care. Results from interviews with a focus group of 60 practicing clinicians, i...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01321539

    authors: Fahs MC,Muller C,Schechter M

    更新日期:1989-07-01 00:00:00

  • Medication use in community-residing older adults in Taiwan: a comparison between conventional and complementary and alternative medications.

    abstract::Older adults are at risk of problems of medication use including underuse, overuse, and misuse. The purposes of this study were to investigate the prevalence of the use of conventional and complementary and alternative medications (CAM) in older adults and to explore which factors related to their medication use. For ...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-014-9934-7

    authors: Li IC,Kuo HT,Sin MK,Liu CT

    更新日期:2015-04-01 00:00:00

  • Gender differences on osteoporosis health beliefs and related behaviors in non-academic community Chinese.

    abstract::Osteoporosis represents the major public health concern worldwide. The purpose of this study was to assess osteoporosis beliefs and actual performance of osteoporosis preventive behaviors in non-academic community Chinese population and to explore whether the differences exist in community females and males. A cross s...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-013-9795-5

    authors: Zhang YP,Xia RY,Zhang B,Zhang F,Zhao XS,Zhang LL,Li H

    更新日期:2014-06-01 00:00:00

  • Health related quality of life in a rural area with low racial/ethnic density.

    abstract::The purpose of this study was to compare the self-reported quality of life of racial/ethnic minorities and Caucasians living in a rural, northern New York county, where 94% of the population is Caucasian. Participants completed a 79-item survey online and in-person assessing health status, health-related quality of li...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-011-9422-2

    authors: Bonnar KK,McCarthy M

    更新日期:2012-02-01 00:00:00

  • Chumnguh thleum: understanding liver illness and hepatitis B among Cambodian immigrants.

    abstract::Cambodian immigrants are over 25 times more likely to have evidence of chronic hepatitis B infection than the general US population. Carriers of HBV are over 100 times more likely to develop liver cancer than non-carriers. Liver cancer incidence is the second leading cancer for Cambodian men and the sixth for Cambodia...

    journal_title:Journal of community health

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10900-010-9277-y

    authors: Burke NJ,Do HH,Talbot J,Sos C,Svy D,Taylor VM

    更新日期:2011-02-01 00:00:00

  • A Community-Based Intervention for the Detection of Chagas Disease in Barcelona, Spain.

    abstract::Chagas disease (CHD) has become a challenge in Spain due to the high prevalence of immigrants coming from endemic areas. One of the main difficulties for its control and elimination is its underdiagnosis. The identification and integral treatment of CHD are key to increasing rates of diagnosis, overcoming psycho-socia...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-019-00684-z

    authors: Gómez I Prat J,Peremiquel-Trillas P,Claveria Guiu I,Choque E,Oliveira Souto I,Serre Delcor N,Sulleiro E,Espasa M,Pastoret C,de Los Santos JJ,Ouaarab H,Albajar Viñas P,Ascaso Terren C

    更新日期:2019-08-01 00:00:00

  • Isolation of Gram-Positive, Antibiotic-Resistant Bacteria from Tactile Mobile Phones in a Northwestern Mexican City.

    abstract::The widespread use of touch-screen mobile devices renders them potential fomites for the transmission of bacterial pathogens among users of different ages. The objectives of the present research were to isolate bacteria from mobile phones, perform molecular and phylogenetic identification, and determine the antibiotic...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-020-00829-5

    authors: Campista-León S,Garcia-Guerrero JT,Olimón-Andalón V,Peinado-Guevara LI

    更新日期:2020-10-01 00:00:00

  • Community based organizations addressing South Asian American health.

    abstract::Addressing the health needs of all Americans is central to the public health agenda in the US. Although some progress has been made in documenting health disparities among South Asians living in the US, more attention is needed to fully understand how communities are addressing the health needs of this community. Comm...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-010-9256-3

    authors: Chaudhary N,Vyas A,Parrish EB

    更新日期:2010-08-01 00:00:00

  • Results of a community-university partnership to reduce deadly hazards in hardwood floor finishing.

    abstract::A community-university partnership used community-based participatory research (CBPR) to design, implement, and evaluate a multi-cultural public health campaign to eliminate flammable products and reduce use of products high in volatile organic compounds (VOCs) in hardwood floor finishing in Massachusetts. Leading par...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-011-9357-7

    authors: Azaroff LS,Nguyen HM,Do T,Gore R,Goldstein-Gelb M

    更新日期:2011-08-01 00:00:00

  • Seroprevalence of Hepatitis B Infection Among a Population of Blood Donors in the Kpandai District of Northern Ghana: A Five-Year Retrospective Study from 2014 to 2018.

    abstract::Hepatitis B virus (HBV) infection is an infectious disease that is specific to the liver, causing both acute and chronic hepatitis. This study determined the trend of HBV infection among blood donors in the Kpandai District Hospital from January 2014 to December 2018. Retrospective analysis of donor profiles for a per...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-020-00862-4

    authors: Bawah AT,Kinanyok S,Abaka-Yawson A,Mwintumah B,Ngambire LT,Darko R,Hamid AM

    更新日期:2020-12-01 00:00:00

  • Abraham Lincoln and the insanity plea.

    abstract::A confederate civilian physician shot and killed a white Union officer who was drilling Negro troops in Norfolk, Virginia. With no question as to guilt, President Abraham Lincoln decided to have a medical expert conduct a professional sanity/insanity examination. Documentation indicates that legal and political factor...

    journal_title:Journal of community health

    pub_type: 传,历史文章,杂志文章

    doi:10.1007/BF02260380

    authors: Spiegel AD

    更新日期:1994-06-01 00:00:00

  • Home-based Health Risk Appraisal and screening program.

    abstract::In an effort to improve Health Risk Appraisals and to induce individuals to change their lifestyles, comprehensive evaluations and counseling sessions were carried out for 476 participants of an experimental preventive care program (1984). Nurse practitioners interviewed participants in their homes and collected infor...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/BF01321479

    authors: Acquista VW,Wachtel TJ,Gomes CI,Salzillo M,Stockman M

    更新日期:1988-04-01 00:00:00

  • Rural veterans' perspectives of dual care.

    abstract::The purpose of this study was to develop an in-depth understanding of the barriers and enablers of effective dual care (care obtained from the Veterans Health Administration [VHA] and the private health system) for rural veterans. Telephone interviews of a random sample of 1,006 veterans residing in rural Nebraska wer...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-012-9583-7

    authors: Nayar P,Apenteng B,Yu F,Woodbridge P,Fetrick A

    更新日期:2013-02-01 00:00:00

  • Smallpox and New York City's smallpox hospital.

    abstract::Threatened use of the smallpox virus in bioterrorist attacks recently prompted national concerns in the United States. Smallpox, the "speckled monster," was known in antiquity. In 1856, New York City opened its first hospital devoted to caring for victims of smallpox. Essentially, the hospital isolated and quarantined...

    journal_title:Journal of community health

    pub_type: 历史文章,杂志文章

    doi:10.1007/s10900-005-5519-9

    authors: Spiegel AD,Kavaler F,Kucinski KM

    更新日期:2005-10-01 00:00:00

  • Michigan Diabetes Outreach Networks: a public health approach to strengthening diabetes care.

    abstract::This study describes a statewide public health approach to strengthen diabetes care; evaluates diabetes-related processes of care for individuals enrolled in the Michigan Diabetes Outreach Network (MDON) program; and, examines MDON in the context of priorities for diabetes care and public health policy. Organizational...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1023/a:1005148831739

    authors: Krein SL,Klamerus ML

    更新日期:2000-12-01 00:00:00

  • Brand name logo recognition of fast food and healthy food among children.

    abstract::The fast food industry has been increasingly criticized for creating brand loyalty in young consumers. Food marketers are well versed in reaching children and youth given the importance of brand loyalty on future food purchasing behavior. In addition, food marketers are increasingly targeting the Hispanic population g...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1007/s10900-008-9119-3

    authors: Arredondo E,Castaneda D,Elder JP,Slymen D,Dozier D

    更新日期:2009-02-01 00:00:00

  • Village-based primary health care in the Central Highlands of Vietnam.

    abstract::This paper describes the first year of an ongoing village health care and economic development project in the Krong Buk district of Dak Lak province in Vietnam's Central Highlands. The project serves 21 villages with a total population of just over 15,000. Most belong to ethnic minority groups. Physicians from the pro...

    journal_title:Journal of community health

    pub_type: 杂志文章

    doi:10.1023/a:1026589131476

    authors: Barrett B,Ladinsky J,Volk N

    更新日期:2001-02-01 00:00:00