LAIR: Lenoir-Rhyne Academic Institutional Repository
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Social-Emotional Learning: Evaluating the Impact of SEL Programs on Teachers' Well-Being and Student Outcomes
No full textBackground: Educator well-being and social-emotional competency play an important role in creating healthy, supportive learning environments in Title I schools. Even with the growing emphasis on student SEL, limited research explores how adult SEL training impacts teacher well-being and classroom climate in underserved school communities. The purpose of this study was to evaluate the impact of implementing a SEL framework module training series on Title I teachers.
Methods: A mixed-methods approach was used, involving pre–post surveys, reflective activities, and qualitative feedback from educators in a Wake County Public School.
Results: Results indicated no statistically significant changes in major and minor infractions, or overall school climate following SEL implementation; however, unexcused absenteeism significantly increased from pre- to post-intervention. Coding data suggested that while teachers grew in their SEL strategies and perceived personal benefits, these early-stage improvements did not show in the in-student behavior or school climate.
Conclusion: These findings suggest that SEL implementation may require a longer time frame to produce noticeable results. Continued research is needed to evaluate the long-term impact of adult SEL training on teacher well-being and student functioning in Title I settings
Supporting the Academic and Mental Health Needs of First-Generation Students: An Exploration of Library Services, Outreach, and Mental Health Advocacy in Fostering the Success of First-Generation Students", a chapter in the publiciation Student Success Librarianship: Critical Perspectives on an Evolving Profession
No full textThis chapter will examine the unique opportunities and challenges experienced by first-generation students (FGS), how academic libraries can best serve this population to foster their academic success, and strategies for outreach and cross-campus collaborations. As a second career librarian with extensive experience as a master’s level clinical psychologist, I will also discuss the mental health struggles that FGS may face along with ways in which academic libraries can raise awareness of mental illness and reduce the stigma of seeking treatment
Increasing ASCVD Screening Within Primary Care
Get PDFCardiovascular disease (CVD) is the leading cause of death worldwide, with early detection rates not rising. Within primary care, an Atherosclerotic Risk Calculator is an evidence-based method of reducing the morbidity and mortality within a population
A Comprehensive Approach to Decreasing E-cigarette Use Among Adolescents
Get PDFBackground: E-cigarettes have transformed into a public health epidemic, especially within the adolescent population. Effective interventions are needed to educate adolescents about the risks of vaping and strengthen their refusal skills.
Purpose: The primary objective of the quality improvement (QI) project was to assess the impact of the Childhood Approach to Child Health (CATCH) My Breath program on adolescents’ knowledge, refusal abilities, and perceptions of e-cigarettes using pre- and post-surveys to evaluate changes.
Method: This QI project implemented the CATCH My Breath program, in a private school setting to assess its impact on adolescent vaping prevention. Pre- and post- surveys measured changes in students’ knowledge, refusal skills, and attitudes analyzed using a two-tailed Wilcoxon signed-rank test.
Intervention: A single instructor implemented the CATCH My Breath program during freshman seminar classes, aiming to enhance students’ knowledge, refusal skills, and attitudes toward vaping.
Results: There were no statistically significant differences in knowledge (p=.564) or refusal skills (p=.751) after the program, but there was a significant difference in attitudes about vaping (p= .009) as students had a less negative attitude about vaping after the intervention.
Conclusion: This project highlights the need for enhanced vaping prevention strategies, emphasizing interactive and sustained educational approaches to effectively influence adolescents’ knowledge, refusal skills, and attitudes toward e-cigarettes
Implementing the 5-2-1-0 Healthy Habits Toolkit for Enhanced Detection and Management of Childhood Obesity: A Quality Improvement Project in a Pediatric Clinic
No full textBackground
The rate of childhood and adolescent obesity in the United States has increased by 9.09% from 11.5% [10.1% - 13%] in 1990 to 20.6% [16.9% - 24.4%] in 2022 (World Health Organization, 2024). Additionally, 99% of children lack a diagnosis related to being overweight or obese as screening measures are not being used appropriately (Guardi et al., 2020).
Methods
The 5-2-1-0 Healthy Habits Toolkit (Appendix A) was implemented in a pediatric clinic for children at or above the 95th weight percentile. A random sample of 35 children (ages 5–12) completed a 10-question survey with their provider to identify obesity-related factors. A three-month pre-intervention chart review established baseline practices, followed by a three-month post-intervention review to assess changes in obesity education, assessment, and management.
Results
Post-intervention analysis showed a slight increase in documented obesity education (98.46% vs. 98.36%, p = .028) among 35 children. Obesity management orders also rose (37.14% vs. 21.31%) but remained underutilized, with 62.86% of post-intervention participants still lacking orders.
Conclusion
The 5-2-1-0 Healthy Habits Toolkit effectively improved documentation of obesity education in pediatric primary care offices, but further efforts are needed to increase the use for obesity management orders. The toolkit’s simplicity and efficiency make it a valuable tool for ensuring appropriate documentation and treatment plans for obese pediatric patients
Reducing Medically Unnecessary Primary Cesarean Section Rates
Get PDFCesarean sections (c-sections) are the most crucial and effective method of delivery to prevent maternal and neonatal morbidity and mortality. Although a c-section is necessary in many cases, such as malpresentation of the fetus, arrest of cervical dilatation or fetal descent, fetal distress, or maternal health, the overuse of this method of delivery could impact maternal and neonatal morbidity and mortality, if completed unnecessarily. C-section rates are increasing worldwide and have become a public health concern (Parveen et al., 2021)
Anxiety Medication Adherence Using the (SCAARED) Tool in Primary Care
Get PDFBy using the Screen for Adult Anxiety Related Disorders (SCAARED) tool in primary care, providers will be able to effectively prescribe the appropriate medication regimen, potentially enhancing patient adherence to their anxiety medication (University of Pittsburgh, n.d.).
Background. This quality improvement project was warranted due to an increase in patient medication nonadherence among behavioral health patients within the primary care setting.
Purpose. The overall aim of the project was to implement the SCAARED tool in the primary care setting, in hopes to identify those with an anxiety disorder and initiate appropriate treatment. The primary aim was to increase screening of anxiety using the SCAARED tool. The secondary aim was to identify appropriate treatment to control anxiety disorders based upon their SCAARED tool score. The final aim was to measure the overall adherence to their treatment plan. Methods. A screening intervention which is designed to evaluate specific types of anxiety (e.g., anxiety associated with somatic/panic/agoraphobia, generalized anxiety, separation anxiety, and social anxiety) was implemented. A chosen clinical site for the implementation was a primary care office in a rural community.
Results. Descriptive statistics were used to describe the sample. A paired samples t-test was used to compare the SCAARED tool scores pre and post intervention. Nonparametric inferential and descriptive statistics were used to describe if the appropriate treatment was prescribed, and if the patient adhered to their medication regimen
Length of Hospital Stay in relation to COPD Patients that Actively Smoke and those that have Quit
Get PDFThis study analyzed the length of stay for patients that came into the hospital for a COPD exacerbation and focused on whether there was a difference between current smokers and former smokers. Smoking has a profound impact on the quality of health for patients and the continual usage of smoking can exacerbate the effects of chronic diseases. This issue could lead to increased costs for the patient and possible mortality.
The study used a retrospective chart review in a facility that was in the Western North Carolina region. A total of 60 participants were included, with 30 current smokers at time of admittance and 30 former smokers that had quit at least a month before admittance. The data was then organized using a secure Excel spreadsheet with the variables of age, sex, race, smoking status and length of hospital stay. This data was entered into the Statistical Package for the Social Sciences (SPSS), for analysis and interpretation
Perceptions of the Army Combat Fitness Test
No full textThis study provides soldier and coach perceptions of the Army Combat Fitness Test (ACFT) as it pertains to the challenges of training for and administration of the ACFT. This study also addresses potential solutions to these challenges moving forward