Community Clients Research Articles

What Do Community Doulas Think About the Future of the Doula Workforce?

Expanding access to doula care is a key strategy for improving the perinatal experiences and health outcomes of birthing people of color in the U.S. This study investigates the future of maternal healthcare in the U.S. from the perspective of doulas and highlights emerging technology and other opportunities related to strengthening the doula workforce. The study recruited community doulas from 12 unique U.S. states, ensuring at least half of the doulas predominantly served communities of color. Doulas (N = 26) participated in semi-structured, futures-oriented interviews that explored their experiences providing care during the COVID-19 pandemic and utilization of technology. A subset of doulas (n = 8) were engaged in interactive workshops where they envisioned alternative futures for doula care and childbirth. Interviews and workshops were analyzed using the Framework Method. The COVID-19 pandemic heightened technology use among doulas and increased client accessibility. Social media serves as a unique space for critical community building and client outreach. Doulas reported opportunities to strengthen and mobilize the future workforce: recognizing doula care as a reimbursable service by health insurers, utilizing doula collectives for community practice to decrease burnout, increasing emotional support for doulas, and instilling a chain of learning through mentorship. Futures thinking served as a valuable approach for doulas to illuminate the implications of present-day challenges and empowered doulas to design roadmaps toward better futures for doulas and maternal health. Doulas should be engaged as partners to hold a meaningful decision-making role when discussing policies, employment structures, emerging technology, and other aspects of doulas' positioning within the healthcare system.

Obtaining informed consent in veterinary clinical trials mini review.

In September 2023 the United States Food and Drug Administration (FDA) released draft guidance for comment about how informed client consent for companion animal clinical trials should be obtained. This guidance has the potential to substantially change how informed consent documents are written and presented to clients in the veterinary community. It provides specifics not only about how to obtain informed consent from owners but also the timeframe within which consent should be obtained, the formatting and language in the consent forms, and details on elements that are required to be in these consent forms. These changes will involve additional efforts by investigators to ensure compliance yet might lead to increased owner compliance and higher enrollment in clinical studies with subsequent benefits for all.

INTERPROFESSIONAL BEHAVIOURAL COUNSELLING; AN ESSENTIAL SKILL FOR OUR UNDERGRADUATE STUDENTS

INTRODUCTION Collaborative healthcare practices have positive impacts on dietary and physical activity behaviours (Patnode, et al., 2022). An immersive interprofessional work-integrated learning experience was developed for UOW Exercise Science and Rehabilitation(ExSc), and Dietetics and Nutrition(DNut) students, to appropriately prepare novice practitioners for significant growth in workforce interprofessional collaboration opportunities. METHOD Undergraduate(ExSc:n=47;DNut:n=48) students participated in an Interprofessional Education Workshop(IEW) aimed at improving understanding of interprofessionalism and behaviour counselling techniques. Students then formed into 46 pairs(ExSc:n=1+DNut:n=1) with each pair providing Interprofessional Behavioural Counselling(IBC) to a community client at two separate timepoints; Initial consultation and a 2-week Follow Up(FU). Student volunteers(n=38;ExSc:n=10,DNut:n=28) agreed to participate in the research phase, completing two surveys, Interprofessional Collaborative Competency Attainment Scale(ICCAS) & Students Perceptions of Interprofessional Clinical Education Revised(SPICE-R2) at two timepoints; immediately post IEW, and post FU. Additionally, volunteers(n=14;ExSc:n=3,DNut:n=11) participated in focus groupsfollowing IBC. Significance, set at (p<0.01) with mean score differences, and relative change (%) reported. RESULTS Participant responses(n=31) to ICCAS showed improvement across the five key areas of interprofessional practice; communication(0.8,23%), collaboration(1.1,32%), role and responsibilities(1.1, 33%), patient-centred care(1.2,36%), conflict-management and team-functioning(1.1,30%). Similarly, improvements in SPICE-R2 for patient outcomes(0.30,7%) and roles and responsibilities with collaborative-practice(0.67,17%), but not (p=0.06) for interprofessional teamwork and team-based practice. Focus groups indicated that students were confused pre-IBC about effective collaboration, specifically apprehension relating to perceived time constraints involved in having two professionals in one consultation. Conversely, post-IBC student’s reported increased confidence in adopting a collaborative approach, better understanding of scope of practice overlap and could see value in client outcomes following an interprofessional approach. CONCLUSION UOW will continue to embed interprofessional work integrated learning experiences in the future to improve understanding of collegial collaboration ensuring patient-centred care and best practice.

Barriers to enrolment of clients into community client led anti-retroviral therapy delivery (CCLAD) in selected health facilities in Kasese district, Uganda.

Community Client Led Anti-retroviral therapy Delivery (CCLAD) Model has been associated with increased community participation and ownership, which leads to better treatment outcomes with reduced workload and increased client satisfaction of health services. To explore the barriers to enrolment of eligible clients into CCLAD in selected health facilities in Kasese District, Uganda. Analytical cross-sectional study utilizing mixed method approach was conducted among 384 PLWHIV attending public health facilities of Kasese District. Sampling was done by simple random sampling method. Data was collected using researcher-administered questionnaire method and interview guide. Most of the respondents 253(65.9%) had not yet enrolled into CCLAD. This was due to some client-related factors such as non-disclosure of HIV sero-status (p=0.040), person to whom HIV sero-status was disclosed to (p=0.009), not having ever heard about CCLAD (p=0.000), incorrect description of CCLAD (p=0.000), limited knowledge of advantages of CCLAD (p=0.000) or disadvantages of CCLAD (p=0.003). Other barriers were; failure to have access to organizations or groups that support PLWHIV to get treatment (p=0.025) and duration of ART refills [AOR=1.637, 95% CI (0.820 - 3.270)]. Adoption of CCLAD model among PLWHIV in Kasese District is still low.

Deep hanging out, mixed methods toolkit, or something else? Current ethnographic practices in US anthropology

AbstractWe use a mix of qualitative and quantitative analyses to examine 1354 survey responses from members of the American Anthropological Association about their practice and teaching of cultural anthropology research methods. Latent profile analysis and an examination of responses to open‐ended survey questions reveal distinctive methodological clustering among anthropologists. However, two historical approaches to ethnography remain prominent: deep hanging out and a mixed methods toolkit, with the former remaining central to the practice and teaching of all forms of contemporary cultural anthropology. Further, many anthropologists are committed to advancing research methods that account for power imbalances in fieldwork, such as through community‐based and participatory approaches. And a substantial number also teach a wider array of methods and techniques that open new career pathways for anthropologists. Overall, our study reveals a core set of ethnographic practices—loosely, participant‐observation, informal interviews, and the experiential immersion of the ethnographer—while also highlighting the great breadth of cultural anthropological research practice and pedagogy. The findings presented here can help inform how current and future anthropological practitioners and educators position themselves to meet the ever‐changing demands of community members, funders, clients, collaborators, and students.

Iterative evaluation of mobile computer-assisted digital chest x-ray screening for TB improves efficiency, yield, and outcomes in Nigeria.

Wellness on Wheels (WoW) is a model of mobile systematic tuberculosis (TB) screening of high-risk populations combining digital chest radiography with computer-aided automated detection (CAD) and chronic cough screening to identify presumptive TB clients in communities, health facilities, and prisons in Nigeria. The model evolves to address technical, political, and sustainability challenges. Screening methods were iteratively refined to balance TB yield and feasibility across heterogeneous populations. Performance metrics were compared over time. Screening volumes, risk mix, number needed to screen (NNS), number needed to test (NNT), sample loss, TB treatment initiation and outcomes. Efforts to mitigate losses along the diagnostic cascade were tracked. Persons with high CAD4TB score (≥80), who tested negative on a single spot GeneXpert were followed-up to assess TB status at six months. An experimental calibration method achieved a viable CAD threshold for testing. High risk groups and key stakeholders were engaged. Operations evolved in real time to fix problems. Incremental improvements in mean client volumes (128 to 140/day), target group inclusion (92% to 93%), on-site testing (84% to 86%), TB treatment initiation (87% to 91%), and TB treatment success (71% to 85%) were recorded. Attention to those as highest risk boosted efficiency (the NNT declined from 8.2 ± SD8.2 to 7.6 ± SD7.7). Clinical diagnosis was added after follow-up among those with ≥ 80 CAD scores and initially spot -sputum negative found 11 additional TB cases (6.3%) after 121 person-years of follow-up. Iterative adaptation in response to performance metrics foster feasible, acceptable, and efficient TB case-finding in Nigeria. High CAD scores can identify subclinical TB and those at risk of progression to bacteriologically-confirmed TB disease in the near term.

Intent and impact: Connecting multicultural and social justice counselor training to community client experiences

AbstractLimited studies examine the impact of multicultural counseling and training conceptual models on the experiences of community clients. The Community Counseling, Education, and Research Center (CCERC) model is designed to meet community client needs for counseling services and training needs of counseling students through multiculturalism, love ethic, and trauma sensitivity. A thematic analysis of client responses about their experience of the model revealed that counseling was validating, positive, meaningful, and helpful. Implications and recommendations for future research are provided.

Stigma toward people living with Human Immunodeficiency Virus: Insights from Anti-Retroviral Therapy clients in north-eastern Ghana

Stigma toward People Living with Human Immunodeficiency Virus (PLHIV) remains a public health concern in Ghana and beyond. Whereas several studies have associated Anti-Retroviral Therapy (ART) services with stigma, the specific forms, and key drivers of stigma towards ART clients in poverty-stricken settings have not been exhaustively explored. Based on a case study of ART clients in the Upper East Region, this study explores the specific forms and the main drivers of stigma towards ART clients. We employed a qualitative research approach in the collection and analysis of the data. Purposive sampling was used to select the ART facilities and staff, and a convenient sampling procedure was employed to select the ART clients to participate in semi-structured key informant interviews. Barriers such as lack of knowledge, cultural norms, and a weak enabling environment were found to drive ‘public stigma’ and ‘self-stigma’ towards ART clients in the region. The former manifests in gossip, finger-pointing, insults, mockery, avoidance, and refusal of employment; while self-stigma was shown in a ‘feeling of guilt’, ‘self-isolation’, ‘excessive thinking’, ‘fear of insults’, and ‘fear of death’. These may lead to adverse health outcomes and loss of livelihoods. Therefore, we advocate the immediate and strict implementation of existing policies and legislation that aim to eliminate HIV-induced stigma in communities. Within this implementation framework, the Ghana Health Service, the Ghana AIDS Commission, the Christian Health Association of Ghana, and Non-Governmental Organizations (NGOs) in health are entreated to employ culturally appropriate education to increase awareness of the effectiveness of ART and promote the adoption of accepting attitudes towards ART clients in communities. We also recommend the conduct of a large-scale mixed methods research to identify specific forms of stigma encountered by ART clients in the country to inform the (re)design and implementation of ART anti-stigma policies and programmes.

Evaluating Antiretroviral Therapy Service Delivery Models Through Lot Quality Assurance Sampling in Central Uganda.

This study evaluated the effectiveness and responsiveness of differentiated Human Immunodeficiency Virus (HIV)/Acquired Immuno-Deficiency Syndrome (AIDS) service delivery models (DSDMs) implemented to enhance antiretroviral therapy (ART) access and outcomes for patients while addressing Tuberculosis (TB)-HIV integration, focusing on four of the five DSDMs currently implemented in Uganda. A descriptive cross-sectional survey was conducted in eight districts of central Uganda using Lot Quality Assurance Sampling approach from 7th to 23rd March 2023. We randomly sampled 2668 patients who have been on ART for at least 1 year in a Facility-Based Individual Management (FBIM) model or in a non-FBIM DSDM for at least one year. Data were collected through patient interviews and review of records in ART and DSDM registers as well as ART cards. We analyzed the data in proportions, comparing the selected ART outcome and responsiveness indicators between Community Client Led ART Distribution (CCLAD), Community Drugs Distribution Point (CDDP) and Fast-Track Drug Refill (FTDR) DSDMs with the standard care (FBIM) model. The ART outcome variables include patients retained in the 1st line of the ART regimen, patients in World Health Organization clinical stage 1 during the last facility visit, patients who had no CD4 request during the past 12 months, viral load suppression, ART adherence, and patients who reported that they did not experience HIV/AIDS-related symptoms in the past 6 months. The variables on TB care include screening for TB using the intensified case finding form and patients tested positive for TB. Responsiveness variables include the perceived; travel time for ART refill, travel distance for ART refill, convenience and flexibility during ART refill, cost of travel for ART refill, fear of being seen at ART refill point, waiting time before service, adequacy of service time, crowding and risk of infections, social support, ability to address ART treatment challenges, HIV status disclosure and barriers to access. Non-overlap in 95% confidence interval in indicator proportion between non-FBIM DSDM and FBIM means a statistically significant difference in proportion, or otherwise non-significant. Higher proportions of ART patients in the CCLAD and CDDP DSDMs adhered to ART, had suppressed viral load, and a lower TB prevalence than those in FBIM model. Additionally, more CCLAD and CDDP clients reported shorter travel time and distance to access ART than their counterparts in the FBIM model. Compared to FBIM model, higher proportions of those in CCLAD and CDDP also reported flexibility in ART refill scheduling, reduced transport costs, fewer privacy concerns, less HIV/AIDS-related stigma, shorter waiting times, more efficient services, decreased congestion at ART pickup sites, enhanced peer support, improved problem-solving assistance, and increased HIV status disclosure. The FTDR model outperformed FBIM in proportions with fewer requests for CD4 testing, viral load suppression, as well as proportions of clients who reported; shorter travel time, lower transportation cost, decreased privacy concerns, shorter waiting time, and efficient service provision. Compared to both CDDP and FTDR, the FBIM had a higher proportion of clients remain on the first-line ART regimen. Community-based DSDMs show responsiveness to clients' needs without compromising the effectiveness of ART care for patients. Although FTDR also demonstrates high effectiveness and responsiveness for clients on ART, there is potential for further improvement. Planners and implementers of ART programs should consider both demand- and supply-side innovations to sustain the continuation of DSDMs.

Integrated Health and Social Care In A Woman's Shelter and Multi-Service Agency

Introduction: Evidence exists demonstrating that integrated health and social care (IHSC) can support enhanced care for highly vulnerable and marginalized population groups. One such group are homeless women. Street Haven (SH) is a multi-service women’s agency that serves homeless women who suffers from the intersection of critical health, social and financial disadvantages living in one of the poorest urban neighbourhoods in Toronto, Canada. SH provides shelter, supported housing, addictions treatment and training support services. Over the past ten years, client acuity has increased the health and social care needs of vulnerable women. The pandemic has exacerbated this. Clients have experienced chronic homelessness which is connected to trauma. They also suffer from mental illness conditions, and chronic diseases including respiratory illnesses, and gastro-intestinal illness, and diabetes. Street Haven has engaged in integrated health and social care (IHSC) to ensure that more comprehensive care can respond to the increasing client care complexity. 
 Approach: IHSC coordination with community partners have been undertaken in order to address unmet health and social care. Within the SH shelter services, partnerships with primary health care partners, hospital services and community-based crisis and mental health teams have been established. As a result, a primary care physician and psychiatrist can be accessed once weekly on site by clients. Homeless women are then attached to a physician and psychiatrist while accessing SH services. In addition, when clients experience crisis, community-based outreach mental health and crisis teams are dispatched by other organizations to SH locations. The SH addiction treatment residence services also integrate with psychiatry services with a community clinical services agency and with the community crisis team to introduce crisis and psychiatric supports for addiction service clients. Lastly, SH works with community policing to ensure that women who exhibit behaviours stemming from crisis, may have benefit of community policing services that provide SH and client with protection while offering crisis supports at the same time. They help to divert clients from hospital and correctional services.
 Results: IHSC enables SH to better meet the needs of its highly complex client base within its premises. Several benefits of the IHSC include the identification of unmet health and social care needs of our clients including psychiatric and mental health needs and management of chronic diseases and medication prescription needs; enhanced client community engagement through the referral and coordination of services with community health and social care partner agencies; minimization of crisis events on SH premise sites; and minimizing utilization of acute car and correctional services. The competencies that are absent in the organization are available due to IHSC.
 Lessons Learned: IHSC can act as a lever for women’s shelter and addiction treatment services to provide more comprehensive health and social care services. IHSC is crucial considering the austerity in government program funding in Toronto and Ontario. IHSC is another means to better serve marginalized, homeless and impoverished women to ensure that they have more equitable access to health and social care services especially where there is a gender-bias against women’s services in Toronto. 

Transference and client attachment to therapist in psychodynamic psychotherapy.

Although there are theorized connections between client transference and their attachment to their therapists (Bowlby, 1969/1982), limited empirical research exists examining their association over the course of psychotherapy. We thus examined the association between positive and negative transference and client attachment to therapist across the course of open-ended psychodynamic psychotherapy for 49 cases with doctoral student therapists and adult community clients who had at least 32 sessions. Using a Bayesian multilevel structural equation model framework, results indicated that client secure attachment increased and avoidant-fearful attachment decreased across the course of psychotherapy. For clients with higher preoccupied-merger attachment at the beginning of therapy, therapists perceived more fluctuation in negative transference over time than for clients with other attachment styles. Implications for research, practice, and therapist training are offered. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Addressing disparities in Pre-exposure Prophylaxis (PrEP) access: implementing a community-centered mobile PrEP program in South Florida

BackgroundPre-exposure prophylaxis (PrEP) for HIV prevention is highly effective, but disparities in PrEP access remain considerable, particularly among Black and Latino men who have sex with men (MSM). To address this, the University of Miami Mobile PrEP Program was created, offering mobile HIV prevention/PrEP services in areas throughout South Florida where HIV incidence is high and PrEP access is geographically limited. Using a community-centered participatory approach, the program strategized and executed expansion into the Liberty City neighborhood of Miami. This study qualitatively assessed factors affecting Mobile PrEP implementation as perceived by community stakeholders, clients, and program staff.MethodsForty-one in-depth interviews were conducted with 21 Mobile PrEP clients, 10 key informants from local health organizations, and 10 program staff. Interview questions queried perceived organizational and positional barriers and facilitators to mobile clinic implementation. Service satisfaction, setting preferences, social factors, and likelihood of recommending Mobile PrEP were also assessed. A thematic content analysis was performed using the Consolidated Framework for Implementation Research (CFIR) taxonomy as the guiding constructs for the analysis.ResultsParticipant statements indicated that providing no-cost services, convenient location, program-covered rideshares, individualized patient navigation, and a community-centric approach to patient care, which included staff members with shared lived experiences to increase positive interactions and renewed trust among poorly served communities, were facilitators of PrEP access and intervention uptake. The importance of program familiarization with the community before implementation, particularly for Black and African American communities, who may experience unique barriers to accessing sexual healthcare was strongly emphasized by participants.ConclusionsThe Mobile PrEP intervention was found to be an acceptable and accessible mode of HIV/STI preventive care. The importance of pre-implementation community engagement and preparation is emphasized. Future research is needed to refine understanding of the intervention’s components and evaluate implementation determinants in other highly impacted neighborhoods.

Retraction of Gupta et al. (2018).

Reports the retraction of "Client laughter in psychodynamic psychotherapy: Not a laughing matter" by Shudarshana Gupta, Clara E. Hill and Dennis M. Kivlighan Jr. (Journal of Counseling Psychology, 2018[Jul], Vol 65[4], 463-473). The following article is being retracted (https://doi.org/10.1037/cou0000272). This retraction is at the request of coauthors Kivlighan and Hill after the results of an investigation by the University of Maryland Institutional Review Board (IRB). The IRB found that the study included data from between one and four therapy clients of the Maryland Psychotherapy Clinic and Research Laboratory (MPCRL) who either had not been asked to provide consent or had withdrawn consent for their data to be included in the research. Gupta was not responsible for obtaining and verifying participant consent but agreed to the retraction of this article. (The following abstract of the original article appeared in record 2018-33326-005.) We studied 814 client laughter events nested within 330 sessions nested within 33 clients nested within 16 therapists at one community clinic in which doctoral student therapists provided psychodynamic psychotherapy to adult community clients. Each laughter event in Sessions 1 to 5 and 16 to 20 was rated for cheerfulness, politeness, reflectiveness, contemptuousness, and nervousness. Across all clients, there was an average of about one laughter even per session. The average laughter event lasted 3.5 seconds, and was characterized primarily by politeness and reflectiveness. Overall amount of client laughter and the characteristics of client laughter did not change across sessions. Most of the variance in the laughter characteristics was at the session level, with less variance attributable to clients and therapists. When client attachment avoidance was high, laughter was less cheerful and more contemptuous. When client attachment anxiety was high, laughter was more nervous. Sessions with more reflective laughter were evaluated more positively by clients, and therapists whose clients had more reflective laughter had more positive client session evaluations. Furthermore, within a therapist's caseload, clients with the most nervous and contemptuous laughter evaluated sessions most positively. Implications are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Community Buy-in and Client Engagement in a Produce Prescription Program

Community Buy-in and Client Engagement in a Produce Prescription Program

Effects of Reality Therapy on Drug Cravings and Mental Health of Clients of Therapeutic Community Centers

Background: Substance abuse disorders are associated with serious medical and psychiatric problems. Besides the undesirable side effects following drug-assisted treatment in drug abusers, sudden discontinuation of drug use can cause unpleasant symptoms. This study investigated the impact of reality therapy (RT) on drug cravings and mental health among clients of therapeutic community (TC) centers in Ahvaz City, Iran, in 2022. Methods: This quasi-experimental study adopted a pre-test-post-test design with a control group. The study population consisted of all clients of TC centers of Ahvaz in 2022. Of whom 40 clients were selected as the sample using convenience sampling. In the next step, they were randomly assigned into the experimental and control groups (20 subjects in each group). The data were collected by using the desires for drug questionnaire (DDQ) and the general health questionnaire 28 (GHQ-28). The subjects in the experimental group attended eight 90-minute sessions of RT, whereas those in the control group received no intervention. The obtained data were analyzed using analysis of covariance. The significance level of all tests was considered to be ≤0.05. Results: RT significantly affected drug cravings and mental health of the clients of TC centers (P<0.001). Conclusion: Based on the study findings, RT is recommended for reducing drug cravings and improving mental health of people undergoing drug rehabilitation.

The Role of Organizational Culture in the Implementation of Personal Hygiene

Organisational culture is a system that continues to process in an organizational environment. The culture inherent in the organizational environment requires a long stage to become a thing that binds all elements in the organization. In nursing, organizational culture plays a vital role as a device that regulates the behaviors of nurses in carrying out their responsibilities. One of the most fundamental responsibilities is fulfilling the personal hygiene needs of inpatient clients. The c pandemic to post-pandemic conditions emphasized the need for personal hygiene as one of the essential items for the entire community and inpatient clients in hospitals. Implementing a right on target, effective and efficient personal hygiene is indispensable for a hospital to maintain service quality and increase client satisfaction. The extent to which organisational culture contributes to improving the quality of nursing services in carrying out actions to fulfil personal hygiene needs for clients needs to be investigated further. The results of this study can be a positive input for elements of hospital management to determine the direction of policies related to the implementation of nursing actions to meet the personal hygiene needs of clients. This study uses a qualitative method with a phenomenological approach. Determination of participants using purposive sampling, the number of participants is seven people, and data collection using in-depth interviews. Three themes were identified in this research, namely (1) Support System; (2) Teamwork; (3) Motivation. The effectiveness of the implementation of PH for clients must be distinct from the individual elements of the nurses themselves and the most excellent support from hospital management, both in appealing to and providing the facilities needed to improve service quality.
 Keywords: Organizational Culture, Personal hygiene, Quality of service

Patients’ Perceptions and Factors Influencing Utilization of Community Clients Led antiretroviral therapy model of care among stable PLHIV: a Case Study of Mulago ISS Clinic, Kampala, Uganda

Patients’ Perceptions and Factors Influencing Utilization of Community Clients Led antiretroviral therapy model of care among stable PLHIV: a Case Study of Mulago ISS Clinic, Kampala, Uganda

The Impact of Insider Researcher Trainees in Recruiting and Retaining Latinx in an Outdoor Health Promotion Research Study

Latinx represent the second largest ethnic group in the USA and remain significantly underrepresented in research studies. Efforts to better include Latinx make use of community-engaged research (CEnR) approaches, peer-navigators, and cultural humility training for research teams. While these efforts have led to slight increases in Latinx participation, studies to identify strategic practices for better inclusion of Latinx participants are needed. The objective of this study was to qualitatively examine factors leading to successful recruitment and retention of Latinx participants in the Promoting Activity and Stress Reduction in the Outdoors (PASITO) intervention. For this intervention, 99 low-income Latinx clients in a local community were contacted and 52 participants were recruited (53%). All were retained in the 3-month intervention. Of these, 12 were interviewed within 6 months of the close of PASITO by bi-cultural and bi-lingual non-research staff. They conducted one-on-one structured telephone interviews. Of the twelve participants, three (25%) were men, nine (75%) were women, and the mean age was 43.7 (SD = 8.7). Four critical themes for the recruitment and retention of Latinx populations emerged from the interviews: (1) importance of insider researchers; (2) sense of community and belonging; (3) responsive programming; and (4) health-promoting activities. These findings support the significant role insider researchers can play, and social identity theory provides a useful framework for understanding the role of insider researchers in recruiting and retaining Latinx, and likely other minoritized groups, in clinical studies. Insider researchers possess the skills, training, community cultural wealth, in-depth understanding of their communities, and structural competencies that position them to carry out more inclusive studies to address the needs of marginalized communities and advance science.

Gender-Responsive Probation During the COVID-19 Pandemic: Learning from Justice-Involved Women and Their Supervising Officers

ABSTRACT In the Spring of 2020, the COVID19 pandemic forced community corrections agencies to adapt their day-to-day processes for supervising individuals and maintaining public safety. These forced adaptations allowed the authors to explore how these changes (i.e., tele-supervision) impacted women and those who supervised them at a probation agency in a large metropolitan county in a Western U.S. state. To date, limited research surrounds how COVID-related adaptations impacted gender-responsive, or women-centered, community supervision caseloads. To address this gap in the literature, the current study utilizes a qualitative approach to explore the experiences of 17 community corrections staff and clients on gender-responsive probation supervision during the pandemic. Their narratives suggest both positive outcomes (e.g., accessibility, reducing tendencies to over-supervise) and challenges (e.g., accountability, lacking a relational component) with tele-supervision and tele-treatment models. It is critical to utilize the lived experiences of those directly impacted by COVID-related changes, including community corrections staff and clients, to help shape gender-responsive supervision moving forward.

A Mathematics Pipeline to Student Success in Data Analytics through Course-Based Undergraduate Research

This paper reports on Data Analytics Research (DAR), a course-based undergraduate research experience (CURE) in which undergraduate students conduct data analysis research on open real- world problems for industry, university, and community clients. We describe how DAR, offered by the Mathematical Sciences Department at Rensselaer Polytechnic Institute (RPI), is an essential part of an early low-barrier pipeline into data analytics studies and careers for diverse students. Students first take a foundational course, typically Introduction to Data Mathematics, that teaches linear algebra, data analytics, and R programming simultaneously using a project-based learning (PBL) approach. Then in DAR, students work in teams on open applied data analytics research problems provided by the clients. We describe the DAR organization which is inspired in part by agile software development practices. Students meet for coaching sessions with instructors multiple times a week and present to clients frequently. In a fully remote format during the pandemic, the students continued to be highly successful and engaged in COVID-19 research producing significant results as indicated by deployed online applications, refereed papers, and conference presentations. Formal evaluation shows that the pipeline of the single on-ramp course followed by DAR addressing real-world problems with societal benefits is highly effective at developing students' data analytics skills, advancing creative problem solvers who can work both independently and in teams, and attracting students to further studies and careers in data science.