Social and Behavioral Sciences Commons^™

Sustainable Deimplementation Of Continuous Pulse Oximetry Monitoring In Children Hospitalized With Bronchiolitis: Study Protocol For The Eliminating Monitor Overuse (Emo) Type Iii Effectiveness-Deimplementation Cluster-Randomized Trial, Nathaniel J. Williams

Social Work Faculty Publications and Presentations

Background: Methods of sustaining the deimplementation of overused medical practices (i.e., practices not supported by evidence) are understudied. In pediatric hospital medicine, continuous pulse oximetry monitoring of children with the common viral respiratory illness bronchiolitis is recommended only under specific circumstances. Three national guidelines discourage its use for children who are not receiving supplemental oxygen, but guideline-discordant practice (i.e., overuse) remains prevalent. A 6-hospital pilot of educational outreach with audit and feedback resulted in immediate reductions in overuse; however, the best strategies to optimize sustainment of deimplementation success are unknown.

Methods: The Eliminating Monitor Overuse (EMO) trial will compare two …

Required Sample Size To Detect Mediation In 3-Level Implementation Studies, Nathaniel J. Williams, Kristopher J. Preacher, Paul D. Allison, David S. Mandell, Steven C. Marcus

Social Work Faculty Publications and Presentations

Background: Statistical tests of mediation are important for advancing implementation science; however, little research has examined the sample sizes needed to detect mediation in 3-level designs (e.g., organization, provider, patient) that are common in implementation research. Using a generalizable Monte Carlo simulation method, this paper examines the sample sizes required to detect mediation in 3-level designs under a range of conditions plausible for implementation studies.

Method: Statistical power was estimated for 17,496 3-level mediation designs in which the independent variable (X) resided at the highest cluster level (e.g., organization), the mediator (M) resided at the intermediate …

Practice Note: Using Yoga For Emotional Regulation In Intermediate School Teenagers, Nafees Alam

Social Work Faculty Publications and Presentations

Background: This paper examines techniques used in yoga, including breathing techniques, various forms of meditation and physical postures that can impact youth diagnosed with emotional and behavioral disorders (EBD) learning to regulate their emotions to enhance their academic performance. Methods: The intervention was administered to teens at an intermediate public school for six weeks. Seventeen participants were chosen by mental health counselors and worked together with a yoga facilitator to better serve teens struggling with emotional regulation. Results: Pre- and post-tests show that meditation was the overall preferred technique chosen by students as a method to aid with emotional regulation. …

Christian Mindfulness And Mental Health: Coping Through Sacred Traditions And Embodied Awareness, Veronica L. Timbers, Jennifer C. Hollenberger

Social Work Faculty Publications and Presentations

Mindfulness is increasingly implemented as a tool in mental health practice for coping and self-care. Some Christians worry that these practices might be in conflict with their own tradition, while other Christian contexts are reclaiming the contemplative aspects of the faith. Though clinicians are not trained to teach on religious topics and ethically must avoid pushing religion onto clients, conceptualization and research extend the benefits of mindfulness practices for religious clients. This paper will discuss the evidence for using mindfulness in mental health treatment and connect mindfulness to the Christian tradition. The authors explore how intentional awareness and embodiment of …