Social and Behavioral Sciences Commons^™

Eliminating Monitor Overuse (Emo) Type Iii Effectiveness-Deimplementation Cluster-Randomized Trial: Statistical Analysis Plan, Rui Xiao, Christopher P. Bonafide, Nathaniel J. Williams, Zuleyha Cidav, Christopher P. Landrigan, Jennifer Faerber, Spandana Makeneni, Courtney Benjamin Wolk, Amanda C. Schondelmeyer, Patrick W. Brady, Rinad S. Beidas, Enrique F. Schisterman

Social Work Faculty Publications and Presentations

Background: Deimplementing overused health interventions is essential to maximizing quality and value while minimizing harm, waste, and inefficiencies. Three national guidelines discourage continuous pulse oximetry (SpO₂) monitoring in children who are not receiving supplemental oxygen, but the guideline-discordant practice remains prevalent, making it a prime target for deimplementation. This paper details the statistical analysis plan for the Eliminating Monitor Overuse (EMO) SpO₂ trial, which compares the effect of two competing deimplementation strategies (unlearning only vs. unlearning plus substitution) on the sustainment of deimplementation of SpO₂ monitoring in children with bronchiolitis who are in room air.

Methods: …

Paternity And Child Welfare, Nafees Alam

Social Work Faculty Publications and Presentations

This theoretical and conceptual analysis, rooted and organized by frameworks and empirical literature, aims to explain biases against fathers in the United States’ family court system. Positive paternal involvement has been shown to be correlated with positive child outcomes, placing an emphasis not just on quantity, but quality as well. Despite these findings, fathers are societally expected to be less involved than mothers. Fathers are also in positions to be held financially hostage even when alternatives to pregnancy are legally accessible, suggesting that paternal financial contributions are viable substitutes for paternal involvement. The court of law and the court of …

Eight Characteristics Of Rigorous Multilevel Implementation Research: A Step-By-Step Guide, Rebecca Lengnick-Hall, Nathaniel J. Williams, Mark G. Ehrhart, Cathleen E. Willging, Alicia C. Bunger, Rinad S. Beidas, Gregory A. Aarons

Social Work Faculty Publications and Presentations

Background Although healthcare is delivered in inherently multilevel contexts, implementation science has no widely endorsed methodological standards defining the characteristics of rigorous, multilevel implementation research. We identify and describe eight characteristics of high-quality, multilevel implementation research to encourage discussion, spur debate, and guide decision-making around study design and methodological issues.

Recommendations Implementation researchers who conduct rigorous multilevel implementation research demonstrate the following eight characteristics. First, they map and operationalize the specific multilevel context for defined populations and settings. Second, they define and state the level of each construct under study. Third, they describe how constructs relate to each other within …

Post-Sport Male Athlete Nutrition And Mental Health, Nafees Alam

Social Work Faculty Publications and Presentations

This publication aims to bring to light the experiences of current and former adult male athletes and their nutrition and mental health. Although there is literature on female athlete nutrition, there is a general gap in literature on male athlete nutrition. Thus, we've decided to conduct a qualitative case study research design to begin studying this topic. The goal of this study was to collect, analyze, and disseminate data related to this topic in order to further research and hopefully set the table for quantitative studies on this topic in the future. We’ve collected detailed accounts from 5 current and …

Point/Counterpoint: Transgender Sport Participation Policy, Matt Moore, Nafees Alam

Social Work Faculty Publications and Presentations

I am looking forward to a spirited point/counterpoint regarding the NCAA (2022) policy on transgender sport participation. The NCAA Board of Governors voted in support of a sport-by-sport approach to transgender participation that preserves opportunity for transgender student-athletes while balancing fairness, inclusion, and safety for all who compete. The national governing bodies for each sport will determine policies for transgender participation (e.g., USA Swimming). The NCAA policy became effective in January. The policy requires transgender student-athletes to document sport specific testosterone levels beginning four weeks before their sport’s championship selections. In the 2022-2023 competition season, transgender student-athletes will need documented …

From Childhood Obesity Risk To Healthy Growth In The U.S.: A 10-Year Social Work Research & Policy Update, Brittany R. Schuler, Christian E. Vazquez, Nicole O'Reilly

Social Work Faculty Publications and Presentations

Childhood obesity is a major health issue and a prominent chronic health condition for children in the United States (U.S.), caused by a multitude of factors. Most existing models of childhood obesity prevention have not worked, yielding little to no effect on improving weight status or the proximal health behaviors most attributed to obesity risk: nutritional intake, physical activity, sedentary behaviors, and sleep. There is an urgent need for new approaches to prevent health disparities that are responsive to impacts of economic inequality on healthy child growth in marginalized populations. In this Short Commentary, a social justice update is …