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Item Deworming Program In Low-Income Nicaraguan School(2020-04-24) Collins, Angela J.Infection of soil-transmitted helminths (STH), commonly referred to as intestinal worms, are estimated to plague over 1.5 billion of the world’s most impoverished communities. Developing countries bear the largest burden of STH infections due to lack of access to clean water, safe housing, sanitation infrastructure, education and healthcare. In 2017, the director of the World Health Organization’s Neglected Tropical Diseases department, stated, “There is now global consensus that periodic, large-scale deworming is the best way to reduce the suffering caused by intestinal worms,” [1]. In addition, numerous studies have shown significant efficacy particularly among school-based deworming interventions. Therefore, in order to best steward the health and wellbeing of their students, as well as to comply with the World Health Organization’s recommendations, the Granada Christian Education Center (GCEC) ― a primary school located in one of the poorest areas of Nicaragua ― is requesting $1000 in funding to establish a school-based deworming program among their growing student body.Item Exploring diabetes management of low-income, Type 2 diabetics using a communication perspective(2016-07) Breidenbach, Mary Angela; Parrish-Sprowl, JohnIn this exploratory, qualitative study, the author examined the lived experiences of low-income type 2 diabetics around managing their diabetes. Semi-structured, individual interviews were conducted with volunteer participants from a Midwest student outreach clinic (N=14; 8 men, 6 women). Interviews were first analyzed using LUUUUTT model from the Coordinated Management of Meaning (CMM) theory for gaps between stories lived and stories told. Findings suggest that the lived experience of the majority of the participants had low social support and heightened stress around managing their diabetes. Using the Communication Complex framework, the patterns of interactions around these two tensions were analyzed to make suggestions for change.Item Factors affecting retention and compliance in a longitudinal study of connected, low income, urban, primiparous mothers(Office of the Vice Chancellor for Research, 2016-04-08) Beering, Amanda R.; Sun, Hui; Cummings, Shelby E.; Crodian, Jennifer S.; Dowden, Shelley D.; Zhang, Lingsong; Haas, David M.; Casey, Theresa M.; Ahmed, AzzaAbstract Background/Aims Longitudinal obstetrics studies are vital to our understanding of the physiological and social changes that occur during pregnancy and the early postpartum period in the mother and baby. Variables collected in a longitudinal obstetrics study were analyzed to identify factors affecting retention and compliance within a low-income, primiparous population. Methods Primiparous women were recruited for a prospective cohort longitudinal study. Two study arms were used. The first collected survey data on mood, sleep, and night time eating and actigraphic data for seven days during weeks 22 and 32 of gestation and one week postpartum. The second was identical but had an additional 24 hour sampling of saliva. In addition, breast fullness surveys were administered each day for the first five days postpartum. Pick up and drop off of study materials at the research site were required for each time point. Results Ninety-two women were recruited; 45% (n=41) were retained and compliant for the entire study. The majority of subjects (88%) had daily internet access, completed surveys on-line (81.4%), and preferred to receive text messages (93.5%) for study reminders over other methods of communication. Longitudinal time (P<0.001), increased number of reminders (P<0.001), and increased length of time to complete surveys (P<0.001) had a significant negative effect on study retention, whereas enrollment in the study arm with greater sampling and communication (P<0.001) and earning a higher percentage of available compensation (P<0.001) had a significant positive effect on study retention. Conclusions The high rate of daily internet access and preference for text messaging for primary means of communication with research staff suggests a high rate of smart-device technology use among young, urban-dwelling, low-income women. Designing studies that can be completed via internet and using text message reminders may be a preferable and practical means of conducting longitudinal obstetrics studies.