Past Participants Research Articles

Subjective Well-being (SWB) of Sport Event Participants: Causes and Effects

Amateur athletes invest a lot of effort, time, and money on participating in events such as marathons and bike races. The aim of the study is to explore whether this increases their subjective well-being (SWB). The study addresses both what contributes to SWB and the effects of SWB for participants in large-scale sport events. More than 7,000 sport event participants responded to surveys including measures of sociodemographics, participation in sport events, perceptions of quality and satisfaction of the event, behavioral intentions, and SWB. Building on theories of SWB and serious leisure, hypotheses linked to the causes and effects of SWB are explored. Results show that sociodemographics, past relational activities, and past event participation influence SWB. Furthermore, with higher SWB the sport event participants are more satisfied, perceive a higher quality, and are more likely to participate in future events. These are proposed to be effects of SWB. For sports clubs and event organizers the results help inform marketing efforts before, during, and after events. In particular, if participants with serious leisure careers are identified.

A Review of the NANN Research Summit Experience: Continuing to Promote a Platform for Research and Clinical Inquiry.

The NANN Research Summit has been providing a platform for neonatal scholarship and clinical inquiry for 15 years. As the discipline of nursing and nursing research continue to evolve, it is important to gain perspective on current trends and needs for areas of strength and growth. To evaluate participant outcomes of the NANN Research Summit and determine opportunities for improvement. A 9-question survey was sent to 90 past participants for the Research Summit years 2015-2019. Thirty-seven (41%) participants from 2015 to 2019 responded. Of those responding, 75% continued to pursue their presentation topic; 95% felt empowered to continue their research based on their Summit experience; 84% felt more comfortable presenting their research findings after attending; 84% felt confident in publishing research after attending the Summit, with 43% reporting publications. These accomplished results would not have been possible without Mead Johnson's support. In addition, 57% did not publish the work presented and 65% lacked continued mentorship. A redesigned Summit is presented to address the priorities for growth and alignment with continued emphasis on collegiality among neonatal nurse scholars. The redesigned Summit will promote continued clinical inquiry as a result of intentional focus on mentorship and development of scholarship. The data collected from this initial survey will continue to serve as the basis for future data collection. Continued evaluation of strengths and areas for growth including the number of publications and mentorship experience can lead to expansion of research for the Summit facilitators and participants.

The Pan African Thoracic Society Methods in Epidemiologic, Clinical and Operations Research Program: A story of success told through a history of publications

Objectives: Despite bearing a substantial burden of respiratory diseases, low- and middle-income countries in Africa contribute little to the research literature. Since 2007, the Pan African Thoracic Society’s Methods in Epidemiologic, Clinical, and Operations Research (PATS-MECOR) program has been working to strengthen capacity in lung health research in Africa. The aim of this study was to assess the research productivity of previous PATS-MECOR participants. Materials and Methods: A systematic review of publications attributed to past PATS-MECOR participants up until 2018 was carried out using a systematic search strategy based on their names on PubMed database. Results: A total of 210 participants drawn from 21 African countries attended PATS-MECOR between 2007 and 2016, of which more than three-quarters (76.7%) had ever published. Of the total 1673 included publications, 303 (12.7%) had multiple course attendees as coauthors. The median publication per published participant was 5 (IQR 2–13) articles. The percentages of the first author, second authors, or last authors publications were 371 (22.2%), 239 (14.3%), and 99 (5.9%), respectively. The top three journals published in were PLOS One 108 (6.6%), Lancet 80 (4.9%), and the International Journal of Tuberculosis and Lung Disease 52 (3.2%). The median citation of their publications was 11 (4–26). There was approximately a double-fold rise in the publication output of participants in their 1st year following attendance to PATS-MECOR compared to the year before the course (123, 68.0% vs. 58, 32.0%). Conclusion: The PATS-MECOR training program has been successful in research capacity building for African investigators as evidenced by a growing publication track record. There is a need to ensure sustainability and for increased collaboration and networking among the trained critical mass of researchers in the continent.

Examining participant perceptions of the UCSF school of pharmacy master preceptor program

IntroductionThe University of California San Francisco School of Pharmacy faculty created the Master Preceptor Program (MPP) to instill best practices in clinical precepting, leadership and professional development, and interprofessional education (IPE). Graduates of the program are encouraged to mentor colleagues at affiliated sites. This study aimed to explore MPP participants' perceptions about the program and to collect general feedback. MethodsA descriptive qualitative study of MPP participants who completed the program between 2017 and 2019 was conducted. Semi-structured interviews and focus groups were used to collect general programmatic feedback and examples of skill implementation. All encounters were conducted and recorded online via Zoom. Three investigators independently analyzed transcripts for codes related to key programmatic areas using conventional content analysis. ResultsTen of 14 past MPP participants participated. Themes included confidence and skills gained in clinical teaching, self-reflection and network opportunities supporting professional and leadership development, and a need for structured expectations and deliverables. Participants noted several benefits of the MPP on clinical teaching, such as improving confidence and adopting teaching techniques, structural and organizational skills, and a learner-centered approach. Participants also mentioned programmatic offerings that improved leadership and professional development, such as networking opportunities in the MPP and at conferences. Participants did not mention IPE in their responses. ConclusionsAll participants recognized the MPP as an effective training program to enhance clinical precepting skills, leadership, and professional development. Program structure and intentional incorporation of IPE skills are areas of improvement for future cohorts.

Impact of summer healthcare diversity camp on students' interest and pursuit of healthcare careers

IntroductionThe diversity of the United States population has increased drastically, yet minority enrollment in healthcare schools continues to be low. The annual Healthcare Diversity Summer Camp for underserved minority high school students with an interest in a future healthcare career was created to expose students to pharmacy, nursing, and dental medicine. MethodsCamp participants completed pre- and post-surveys before and after attending the summer camp over four years to assess students' knowledge and confidence in pursuing a career in the healthcare field. Additionally, past participants were surveyed to assess academic progression following the completion of the camp. ResultsA total of 70 students completed both pre- and post-surveys during camp participation. Results were analyzed using descriptive statistics and paired t-test analysis. Post-survey results showed statistically significant improvement in comparison to pre-survey results. Of the past participants contacted, all except two are pursuing a healthcare-related degree. ConclusionsThis camp was effective in increasing students' interest and awareness of nursing, pharmacy, and dental careers. The profound majority of participants that declared the intention of pursuing a career in healthcare showcases its impact. This interdisciplinary program can serve as a model pipeline program for healthcare institutions nationwide.

Short-term international dental experiences in undergraduate dental students at an Australian university.

Learning through international experience has been well documented in USA literature, yet not well explored in Australia. The aim of this study is to understand Australian dental students' experiences and perceptions of international dental experience by: (i) capturing past participation; (ii) identifying potential interests for participants who have not been on a trip and (iii) ascertaining perceived benefits of the trip/s. A 19 question paper survey was distributed to 310 eligible undergraduate dental students of The University of Queensland (UQ). An online counterpart survey was created via Google Forms and promoted on relevant Facebook groups targeted at current dental students of UQ. A total of 203 of the 310 eligible UQ undergraduate dental students responded to the distributed paper and electronic surveys making the response rate 65.5%. A total of 13 undergraduate respondents participated in an international experience trip. The majority of respondents who had not participated in an international dental experience trip were interested in participating in one. Education (84.6%) and improved dental skills (84.6%) were the most reported perceived benefits by the students who had participated in an international dental experience. A majority of respondents were interested in participating in international dental experiences. Despite this, only 1 in 15 respondents had participated in an international dental experience. Further exploration of this concept is needed; however, dental schools within Australia could potentially explore integration of international short-term dental experiences into formal curricula in the future.

Teaching a Man to Fish: An Evaluation of a Chronic Disease Management Men's Cooking Class.

There is limited data on the effects of cooking classes on male participants. The LiveWell Chronic Disease Management program's Men's Cooking Class (MCC) aims to help participants gain skills and confidence with food to manage chronic diseases more independently and improve their health. This paper evaluates whether, and how, the program is effective in achieving its goals.A qualitative process was used to collect data from past program participants. Data collection included telephone interviews conducted with a sample of 27 past MCC attendees and a focus group held with a subsample of seven participants. Thematic analysis was performed on collected data.Five major themes emerged, including (i) practical and applicable content, (ii) kinesthetic teaching and learning, (iii) catering to the interests of participants, (iv) tailoring to the demographic, and (v) enjoyment and engagement. Findings indicate the current LiveWell MCC program is effective in meeting its goals. The themes identified are aspects of the program that contribute to this effectiveness.The thematic findings indicate areas in which to continuously adapt and monitor the effectiveness of this program and serve as recommendations for other programming. Further research on the long-term impact of MCC for self-management of chronic disease is needed.

Predicting Young Adults’ Intentions and Involvement in Alcohol-Influenced Aquatic Activity

Globally, alcohol consumption is a public health issue and a risk factor for drownings among young adults. While studies have identified a prominence of alcohol in youth drownings, little is known about the factors that influence young adults’ involvement in alcohol-influenced aquatic activity. The current study aimed to identify the predictors of young adults’ intention to participate, and past participation, in alcohol-influenced aquatic activity. A reliable and valid survey, informed by the Theory of Planned Behavior, was distributed to young adults (aged 18-24 years) educated in the UK and Australia. Cumulative odds ordinal logistic regressions with proportional odds were conducted to establish predictors. Overall, 182 participants completed the survey. Subjective norms (Wald χ2 (2) = 8.43, p = .015), cognitive attitudes (Wald χ2 (2) = 6.40, p = .041) and previous involvement (χ2 (1) = 8.98, p = .003) were significant predictors of intention, whilst the influence of friends (Wald χ2 (2) = 10.99, p = .004) and intention (Wald χ2 (2) = 10.80, p = .005) were significant predictors of behavior. Practitioners should enhance risk awareness and norm perceptions in prevention programs to encourage informed decision making in social aquatic situations.

Long-Term Consequences of Major Extremity Trauma: A Pilot Study.

Limited data are available on the longer-term physical and psychosocial consequences after major extremity trauma apart from literature on the consequences after major limb amputation. The existing literature suggests that although variations in outcome exist, a significant proportion of service members and civilians sustaining major limb trauma will have less than optimal outcomes or health and rehabilitation needs over their life course. The proposed pilot study will address this gap in current research by locating and consenting METRC participants with the period of 5-7 years postinjury, identifying potential participation barriers and appropriate use of incentives, and conducting the follow-up examination at several data collection sites. The resulting data will inform the primary objective of refining and developing specific hypotheses to determine the design, scope, and feasibility of the main long-term consequences of major extremity trauma. Three METRC enrollment centers will contact past participants to achieve the goal of completing an interview, select patient-reported outcomes, perform a medical record review, and conduct an in-person clinic visit that will consist of a physical examination, blood draw, and x-ray of the study injury area. If successful, it will be possible to design studies to further examine these effects and develop future therapeutic interventions.

The Proposal Preparation Program: A Group Mentoring, Faculty Development Model to Facilitate the Submission and Funding of NIH Grant Applications.

This article describes the University of Minnesota Medical School Proposal Preparation Program (P3). P3 is designed to develop grant-writing skills for assistant professors preparing their first K- or R-series application to the National Institutes of Health (NIH). Three 4-month P3 cycles are conducted annually. For each cycle, a cohort of around 10 assistant professor participants and 5 regular faculty mentors meet for ten ~2-hour group sessions. Participants receive iterative oral and written feedback on their proposals in development within a small, interdisciplinary, group mentoring setting providing structure, accountability, guidance, and support. Between sessions, 1 peer and 1 mentor are assigned (on a rotating basis) to critique each participant's developing application. The sessions include a brief mentor-led presentation on a particular grant section followed by discussion of each participant's application conducted by the assigned reviewers. The cycle concludes with a mock NIH review session, in which each participant is matched with a University of Minnesota faculty content expert who critiques their completed application using NIH guidelines. In a survey sent to all past P3 participants as of 2018 (n = 194), 88% of respondents reported having submitted their P3-developed NIH grant, and 35% of these submitters reported funding success. A separate analysis of institutional data for all past P3 participants as of 2016 (n = 165) showed that 73% submitted at least 1 NIH proposal since completing P3 and that 43% of these had acquired NIH funding, for a combined total of $193 million in funding awarded. The estimated rate at which participants obtained funding for their P3-developed grant application (~35%) exceeds the national annual NIH grant funding rates (~20%) by approximately 50%. This article provides the practical information needed for other institutions to implement a P3-like program and presents a cost-benefit analysis showing the advantages of doing so.

Recruitment Challenges and Strategies for Multimodal Intervention Trials

Determining ways to improve hip fracture recovery in older adults is important, however recruitment of this target population into clinical trials is challenging. Multimodal interventions that target multiple mechanisms of recovery may improve outcomes, but each component presents unique recruitment barriers. While exercise interventions have been shown to be beneficial for hip fracture recovery, offering exercise following completion of conventional physical therapy can be viewed as a burdensome time commitment. Hormone replacement therapy may hold promise for overcoming anabolic resistance, but concern about adverse side effects can also deter participation. STEP-HI is a multisite trial testing whether exercise and testosterone can improve hip fracture recovery in older women. In this talk, recruitment barriers experienced in STEP-HI and strategies employed to overcome these barriers will be discussed. Strategies include: partnering with hospitals, skilled nursing facilities and orthopedic surgeons. providing talks and education materials; and featuring past participant testimonials in recruitment materials.

Education in Palliative and End-of-Life Care-Pediatrics: Curriculum Use and Dissemination

ContextThe majority of seriously ill children do not have access to specialist pediatric palliative care (PPC) services nor to clinicians trained in primary PPC. The Education in Palliative and End-of-Life Care (EPEC)-Pediatrics curriculum and dissemination project was created in 2011 in response to this widespread education and training need. Since its implementation, EPEC-Pediatrics has evolved and has been disseminated worldwide. ObjectivesAssessment of past EPEC-Pediatrics participants’ (“Trainers”) self-reported PPC knowledge, attitudes, and skills; use of the curriculum in teaching; and feedback about the program's utility and future direction. MethodsFrom 2011 to 2019 survey of EPEC-Pediatrics past conference participants, using descriptive and content analyses. ResultsAbout 172 of 786 (22% response rate) EPEC-Pediatrics past participants from 59 countries across six continents completed the survey. Trainers, including Master Facilitators (MFs), used the curriculum mostly to teach interdisciplinary clinicians and reported improvement in teaching ability as well as in attitude, knowledge, and skills (AKS) in two core domains of PPC: communication and pain and symptom management. The most frequently taught modules were about multimodal management of distressing symptoms. Trainers suggested adding new content to the current curriculum and further expansion in low-medium income countries. Most (71%) reported improvements in the clinical care of children with serious illnesses at their own institutions. ConclusionEPEC-Pediatrics is a successful curriculum and dissemination project that improves participants’ self-reported teaching skills and AKS's in many PPC core domains. Participating clinicians not only taught and disseminated the curriculum content, they also reported improvement in the clinical care of children with serious illness.

Risk Factors for Increased Online Gambling during COVID-19 Lockdowns in New Zealand: A Longitudinal Study.

Recent research investigating changes in gambling behaviors during periods of COVID-19 social restrictions, such as enforced lockdowns, are somewhat limited by methodology, being generally cross-sectional in nature and with participant samples recruited via online panels. The present study overcame these limitations via a secondary analysis of data collected in 2012 and 2015 from a New Zealand (NZ) longitudinal gambling study, with questions related to gambling behaviors due to COVID-19 lockdown periods included in an additional data collection, of participants who had previously scored as a risky gambler, during 2020/21. Almost one-quarter of online gamblers increased their gambling during lockdown with this most likely to be on overseas gambling sites, instant scratch card gambling and Lotto. The only sociodemographic risk factor for increased online gambling was higher education. Behavioral risk factors included being a current low risk/moderate risk/problem gambler, a previously hazardous alcohol drinker or past participation in free-to-play gambling-type games. These past behaviors could act as trigger points for health services or family and friends to monitor a person’s gambling behaviors during lockdown, or future stressful periods when usual terrestrial gambling opportunities are curtailed or unavailable, and to support safer gambling practices.

Health impacts of a scale-up of supervised injection services in a Canadian setting: an interrupted time series analysis.

In response to a dramatic rise in overdose deaths due to injection drug use, there was a rapid scale-up of low-threshold supervised injection services (SIS), termed 'overdose prevention sites' (OPS), in Vancouver, Canada in December 2016. We measured the potential impact of this intervention on SIS use and related health outcomes among people who inject drugs (PWID). Segmented regression analyses of interrupted time series data from two community-recruited prospective cohorts of PWID from January 2015 to November 2018 were used to measure the impact of the OPS scale-up on changes in SIS use, public injection, syringe sharing and addiction treatment participation, controlling for pre-existing secular trends. Vancouver, Canada. Of 745 PWID, 292 (39.7%) were women, 441 (59.6%) self-reported white ancestry and the median age was 47 years (interquartile range = 38, 53) at baseline. Immediate (i.e. step level) and gradual (i.e. slope) changes in the monthly proportion of participants who self-reported past 6-month SIS use, public injection, syringe sharing and participation in any form of addiction treatment. Post OPS expansion, the monthly prevalence of SIS use immediately increased by an estimated 6.4% [95% confidence interval (CI) = 1.7, 11.2] and subsequently further increased by an estimated 0.7% (95% CI = 0.3, 1.1) per month. The monthly prevalence of addiction treatment participation immediately increased by an estimated 4.5% (95% CI = 0.5, 8.5) following the OPS expansion, while public injection and syringe sharing were estimated to immediately decrease by 5.5% (95% CI = 0.9, 10.0) and 2.5% (95% CI = 0.5, 4.6), respectively. Findings were inconclusive as to whether or not an association was present between the intervention and subsequent gradual changes in public injection, syringe sharing and addiction treatment participation. Scaling-up overdose prevention sites in Vancouver, Canada in December 2016 was associated with immediate and continued gradual increases in supervised injection service engagement and immediate increases in related health benefits.

Can we improve clinical trial design in Alzheimer’s disease? The participants point of view

AbstractBackgroundPivotal to clinical trial success is the recruitment and retention of participants. To improve both, it is important to know which trial features increase willingness to enroll and are appreciated by participants. We examined experiences of trial participants, and their suggestions on how to optimize clinical trial design.MethodIn this mixed‐methods study, we included participants via the Dutch Brain Research Center (11 different international sponsor‐initiated Alzheimer’s disease trials). An online study‐specific questionnaire was distributed among current and past participants addressing four topics; participant’s motives to enroll, experienced burden, preferred frequency of visits, and attitudes towards participation. Subsequently, we organized three focus groups to gain more in‐depth understanding of negative and positive aspects of trial design. Audio recordings from focus group interviews were transcribed verbatim and analysed by thematic content analysis by two independent raters.ResultsThe questionnaire was completed by 71 participants (age 69±6.5, 54% female, 19 cognitively normal, 19 Mild Cognitive Impairment (MCI), and 33 Alzheimer’s dementia). To benefit future generations was most frequently (34%) reported as a motive for enrolment, Figure 1. The lumbar puncture (40%) and memory assessments (15%) were most often experienced as being of high burden. The most frequently mentioned features to increase the likelihood and willingness to enroll were a low probability to get allocated to the placebo group (27%), and the possibility to obtain personal test results (21%). Negative trial experiences according to focus group participants (N=12, 8 cognitively normal, 4 MCI) included the themes ‘not obtaining their own results during or at the end of a clinical trial’ and ‘no follow up enquiries after participating in the trial’. Among the positive aspects were ‘professionalism’, ‘accuracy’ and ‘empathy of research staff’.ConclusionOur findings provide input for how priorities of participants can be used in clinical trial design to optimize recruitment and ensure trial success. Relevant factors include expectation management and careful planning of high burden assessments, provision of individual feedback and prioritizing professionalism and empathy throughout conduct of the trial. Thus selection of experienced and well‐equipped trial centres is a key component.

Exploring former NCAA Division I college athletes’ experiences with post-sport physical activity: A qualitative approach

Researchers have found that former collegiate athletes (FCAs) exhibit unfavorable changes in physical and mental health later in life, which may be exacerbated by physical inactivity following retirement from college sport. Despite past sports training, FCAs are as active or less active than non-athlete alumni, with some not meeting the current Physical Activity (PA) Guidelines for Adults. Researchers suggest promoting PA in FCAs to prevent future health concerns (e.g., worsening body composition, physical function, depression). Prior to intervention development, a deeper understanding of FCAs’ experiences with PA post-sport and program characteristics they consider effective is warranted. Seventeen insufficiently active former National Collegiate Athletic Association Division I athletes participated in semi-structured interviews exploring their experiences with post-sport PA and perceptions of effective program characteristics. Using Consensual Qualitative Research Procedures, five domains were constructed. This manuscript overviews the first three of these domains, which pertain to participants’ experiences with post-sport PA: (a) transitional lifestyle shifts that affected PA behavior; (b) barriers affecting PA choices and behavior post-sport; and (c) enablers affecting PA choices and behavior post-sport. All FCAs discussed needing a break to physically and mentally recover following sports retirement. Participants identified similar barriers to being active (e.g., time constraints, resource availability) following this break to those reported by non-athletic populations. Furthermore, FCAs prioritized activities they enjoyed, were influenced by past sports participation, and made them “feel” healthy and included in a group. Translating cognitive-behavioral strategies utilized to enhance sports performance may be viable in promoting PA maintenance in this population post-sport-retirement. Lay summary: Seventeen former college athletes (FCAs) participated in semi-structured interviews exploring their experiences with physical activity (PA) post-sport and perceptions of PA promotional factors. Recognizing barriers, enablers, and transitional experiences regarding PA represents a critical step in developing effective PA interventions for FCAs. IMPLICATIONS FOR PRACTICE Former Division I college athletes indicated their population is susceptible to similar PA barriers faced by non-athletic adult populations. Cognitive behavioral strategies demonstrated to be efficacious in other adult populations may benefit FCAs. Many cognitive behavioral strategies used to enhance sports performance for athletes in college are applicable to PA promotion outside of sport. Mental performance consultants (MPCs) who work with this population may consider transferring the use of these strategies to focus on PA promotion in athletes transitioning out of sport. Former Division I athletes indicated completing exercise over general PA to attain long-term health benefits, but lacked solid goals that could guide their behavior. Focusing on cognitive-behavioral strategies that maintain exercise behavior may be the most viable way to improve long-term health and activity levels. As such, multi-disciplinary teams involving MPCs and exercise professionals may be warranted.

Voter turnout in direct democracy: A joint analysis of individual, referendum and community factors

AbstractIn the context of an ever growing importance and usage of referendums around the globe, this article provides a comprehensive approach to analyse the determinants of participation in direct democratic votes. In the absence of conclusive empirical evidence about which factors drive direct democratic participation, studies tend to adopt election‐specific findings and assume the determinants of electoral turnout to equally apply for referendums. Yet, a strict empirical test of these numerous determinants in a referendum context is still missing. By examining aspects stemming from both election‐specific and referendum‐specific contexts, this article aims to first test the applicability of common electoral theories of turnout for direct democratic participation and second to analyse the relevance of each factor when simultaneously examined with other contextual and individual factors. This holistic approach represents reality as adequate as possible, that is, to consider various factors that may simultaneously influence the individual decision to vote. Next to individual variables, the analysis particularly focuses on two contextual levels, the community a person lives in and factors linked to a given referendum. The discussion and joint analysis of competing factors addresses the problem of underspecified turnout models, which commonly prevents a detailed assessment of the relative importance of the determinants of turnout. The study uses registered data from the canton of Geneva, Switzerland, which provides official information about individual participation across 43 referendums in 45 communities. We match this individual data with referendum‐related factors, such as campaign intensity and importance of the issues at stake, and community‐level variables, such as wealth and urbanization. The results of our multilevel, cross‐classified models show significant context‐related effects, stemming mainly from the referendum and less from the community level. Still, the main driver of direct democratic participation is individual determinants, in particular citizens' past participation record.

Examining Truth and State-Sponsored Media Campaigns as a Means of Decreasing Youth Smoking and Related Disparities in the United States.

To analyze the impact of Truth and state-sponsored anti-tobacco media campaigns on youth smoking in the United States, and their potential to reduce tobacco-related health disparities. Our study included data from the 2000-2015 Monitoring the Future study, an annual nationally representative survey of youth in 8th (n = 201 913), 10th (n = 194 468), and 12th grades (n = 178 379). Our primary exposure was Gross Rating Points (GRPs) of Truth or state-sponsored anti-tobacco advertisements, from Nielsen Media Research. Modified Poisson regression was used to assess the impact of a respondent's GRPs on smoking intentions, past 30-day smoking participation, and first and daily smoking initiation. Additive interactions with sex, parental education, college plans, and race/ethnicity were used to test for differential effects of campaign exposure on each outcome. Greater campaign exposure (80th vs. 20th GRP percentile) was associated with lower probabilities of smoking intentions among 8th graders, smoking participation among 8th and 12th graders, and initiation among 8th graders. Greater exposure was associated with a greater reduction in the likelihood of smoking participation among 10th and 12th grade males than females; 10th and 12th graders with parents of lower education versus those with a college degree; and 12th graders who did not definitely plan to go to college relative to those who did. Media campaign exposure was associated with a lower likelihood of youth smoking behaviors. Associations were more pronounced for groups disproportionately affected by smoking, including youth of lower socioeconomic status. Media campaigns may be useful in reducing smoking disparities and improving health equity. Few recent studies have investigated the impact of anti-tobacco media campaigns on youth smoking and their potential to reduce tobacco-related health disparities in the United States. We found media campaigns-specifically state-sponsored media campaigns-reduced the likelihood of several smoking outcomes among youth, with some evidence that they mitigate disparities for disproportionately affected groups.

National 4-H Congress: A Retrospective Evaluation

National 4-H Congress is an example of a programmatic effort designed to help youth develop various life skills. For this study, demographic, event satisfaction, and application of knowledge data were collected from 2,154 past Congress participants. Findings revealed that the majority of participants were satisfied or very satisfied with their Congress experience, and 63% of the respondents had used information gained from the event. Continued efforts to ensure future delegations represent the diversity of 4-H are encouraged, along with continued evaluation of event satisfaction levels and the extent to which life skills are developed and retained.

Nutrition and diet quality of food at home by Supplemental Nutrition Assistance Program (SNAP) status

We use the data from the four NHANES surveys conducted from 2007 to 2014 to compare the nutrition and diet quality of food at home (FAH) of current SNAP participants with that of two types of past participants—more recent and less recent—and with that of eligible non-participants. We investigate the three outcome measures of FAH diet quality: the USDA Healthy Eating Index (HEI), an index based on nutrient profiling, and a measure of calorie density. We also examine HEI components and consider selected healthy/unhealthy foods. Our estimates suggest that SNAP participation does not drive FAH diet quality. In particular, we find no evidence that current SNAP participants have a lower FAH nutrition or diet quality when compared to other groups that have participated in SNAP at more or less recent times in the past.