Progress 10/01/08 to 09/30/14
Outputs
Target Audience: Other professionals within the field Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided?
Nothing Reported
How have the results been disseminated to communities of interest?Peer reviewed journal articles What do you plan to do during the next reporting period to accomplish the goals?
Nothing Reported
Impacts
What was accomplished under these goals?
Objective 1: To determine the interactions of individual, family, community, and policy contexts on physical and mental health in diverse rural low-income families. Over 370 women with children under the age of 13 were interviewed across the states involved. Team members are continuing analysis of this data. Objective 2: To examine individual and family level characteristics which impact physical and mental health in diverse rural low-income families. Over 370 women with children under the age of 13 were interviewed across the states involved. Team members are continuing analysis of this data. Objective 3: To examine community contexts that impact family mental and physical health in diverse rural low-income families. A community level data set was compiled to correlate community level data to the indivdual level variables. Other team members are examining this data. Objective 4: To examine policies that impact family mental and physical health in diverse rural low-income families. No policies were examined by the Nebraska team. Objective 5: To examine the interactions of individual, family, community, and policy on mental and physical health in diverse rural low-income families. Nebraska faculty have submitted one journal article based on the data collected. Analysis of the data found that food insecurity and mother's depression were positively correlated wtih children's externalizing and internalizing behaviors. This suggests that intervenions for children's behavior need to focus on multiple family aspects as well as direct intervention with the child. Analyses by other team members has highlighted the importance of physical mental health in the lives of rural women. States involved in the project have continued with a subsequent project to further explore the realtionships of of health, poverty, and rural living status.
Publications
- Type:
Journal Articles
Status:
Under Review
Year Published:
2015
Citation:
Greder, K., Doudna, K., Sarver, S.L. (under review). Food Insecurity, Financial Distress, and Child Behavior: The Mediating Role of Maternal Depressive Symptoms. Submitted to: Journal of Rural Mental Health
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Progress 10/01/12 to 09/30/13
Outputs
Target Audience:
Nothing Reported
Changes/Problems:
Nothing Reported
What opportunities for training and professional development has the project provided?
Nothing Reported
How have the results been disseminated to communities of interest? Doudna, K., Greder, K., & Sarver, S. (2013). Household food insecurity, maternal depression, and internalizing and externalizing behaviors. National Council on Family Relations. Baltimore, MD. What do you plan to do during the next reporting period to accomplish the goals? Project is discontinuing.
Impacts
What was accomplished under these goals?
Data was collected from 346 women across 12 states.
Publications
- Type:
Conference Papers and Presentations
Status:
Accepted
Year Published:
2013
Citation:
Doudna, K., Greder, K., & Sarver, S. (2013). Household food insecurity, maternal depression, and internalizing and externalizing behaviors. National Council on Family Relations. Baltimore, MD.
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Progress 10/01/11 to 09/30/12
Outputs
OUTPUTS: The Nebraska team was primarily responsible for the cleaning and coding of the national data set. The national data set for NC1171, wave 1 consists of 436 participants. The data, syntax, and codebook are now available to all team members. The Nebraska team spent the year working extensively to help prepare the data set. The Nebraska team has also partnered with Dr. Leigh Ann Simmons, Duke University, to work on data analysis and Wave 2 interviews. Dr. Simmons interest and work in health at Duke will bring additional expertise to the team. Dr. Simmons is listed as a co-pi within the multi-state team governing guidelines. PARTICIPANTS: 3 PIs Dr. Susan Churchill Sarver Dr. Catherine Huddleston-Casas Dr. Leigh Ann Simmons 1 Graduate Student Jihyun Kim 7 Undergraduate Students Mackenzie Berg Melissa Border Mary Clark Nicolette Green Anastasia Jackson Maria Olvera Michaela Pafford TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.
Impacts
The completion of the Wave 1 data set will allow analysis and collaboration across all of the states. The inclusion of Dr. Simmons on the team will allow us to to explore more health related publications due to her expertise in this area.
Publications
- Bice-Wigington, T. & Huddleston-Casas, C. (2012). Influencing Self-Reported Health among Rural Low-Income Women through Health Care and Social Service Utilization: A Structural Equation Model. Journal of Family Social Work, 15(5), pp. 417-434. Simmons, L.A., Huddleston-Casas, C.A., Morgan, K. & Feldman, D. (2012). A mixed methods study of management of health conditions in rural low-income families: Implications for health care policy in the USA. Rural and Remote Health, 12 (2): 1879 (online).
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Progress 10/01/10 to 09/30/11
Outputs
OUTPUTS: One doctoral student completed her dissertation during the past year. Tiffany Bice-Wigington, April 2011, Understanding mesosystemic influences on reported health among rural low-income women: A structural equation analysis. PARTICIPANTS: Principal Investigators Dr. Susan Churchill Sarver Dr. Catherine Huddleston-Casas 3 Graduate Students Tiffany Wigington (graduated May 2011, now Texas PI) Jihyun Kim Youn Ah Jung 7 Undergraduate Students Mackenzie Berg Melissa Border Mary Clark Nicolette Green (graduated December 2010; still involved as volunteer) Anastasia Jackson Maria Olvera Michaela Pafford (graduated August 2011; still involved as volunteer) The community contact for this project works with the Central Nebraska Community Service. She serves as a contact for recruiting participants and will be involved in qualitative interviews in Phase 2 of the project. TARGET AUDIENCES: The target audiences for this project include applied researchers, extension educators, and policymakers concerned with rural women's health. PROJECT MODIFICATIONS: The project timeline has been expanded in order to accommodate the needs of the various states and to respond to community contact input.
Impacts
Data management leadership: Data management provided by PIs at the University of Nebraska has resulted in a standardized quantitative data collection across multiple states with their own project personnel. Work has continued with UNL BOSR to ensure timely collection of quantitative data. Specific accomplishments include: creation of codebook, creation of syntax for standardized measures, creation of process of cleaning state data. The time and leadership provided by UNL has allowed other states to focus efforts on data collection. The work conducted at UNL will allow the full data set to accessed more quickly by all the states for analysis and dissemination. A total of 10 states and 380 data files have been compiled. Dissemination: Representatives of state-level agencies in charge of rural health services expressed interest in learning more about Personalized Health Planning among low-income rural populations and how to implement it in their own states. Dissemination at APHA led to professional consulting sessions between Dr. Simmons, lead author, and state agency representatives from Tennessee and New Mexico. Officials in Tennessee were in the process of creating a new medical records system. As a result of consultation with Dr. Simmons, Tennessee proposed a change in their medical records data that would allow Personalized Health Plans to be incorporated into the development of the new medical records system. New Mexico sought information for implementation of Personalized Health Planning in New Mexico's Indian Health Services. The doctoral student on this project has secured a tenure-track position in Texas and is now a PI on the multi-state project representing her institution in Texas. Her involvement and work with the project in Nebraska was central to her career development and involvement in the full multi-state project.
Publications
- Simmons, L.A., Huddleston-Casas, C., & Morgan, K. (2010), Is coverage enough The health care experiences of rural low-income women. Presented at the annual meeting of the American Public Health Association, November 9, 2010.
- Simmons, L.A., & Huddleston-Casas, C. (2010). Personalized health planning: A roadmap for primary care in rural communities. Presented at the annual meeting of the American Public Health Association, November 10, 2010.
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Progress 10/01/09 to 09/30/10
Outputs
OUTPUTS: The Nebraska team received a subcontract for data collection from the University of Massachusetts. Churchill, S.L. & Huddleston-Casas, C. (2008-2013). Interactions of individual, family, community, and policy contexts on the mental and physical health of diverse rural low-income families. North Central Region Multi-state Project NC1171. Funding amount: $60,000. Churchill, S.L. & Huddleston-Casas,C.A. (2010). Core Health Messages: A Strategy to Improve the Health and Well-Being of Rural, Low-Income Families. USDA: NIFA. $1,220. PI: Sheila Mammen, University of Massachusetts PARTICIPANTS: Tiffany Wigginton a PhD level graduate assistant in CYAF has assisted in multiple aspects of the project and is currently completing her dissertation using data from the project. TARGET AUDIENCES: Not relevant to this project. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.
Impacts
The original project was approved by IRB and the adjustments made in response to pilot testing results were made in collaboration with an IRB representative. Accomplishments/Outputs: Given the time committed to pilot testing and making necessary adjustments, sampling and data collection in Nebraska is forthcoming. However the following progress has been made: 1. County Selection & Visit by team members 2. Multiple contacts with Community Contact Impacts: Impact of County Selection--currently unknown--however, we believe the impact of choosing the county we selected will be increased chances of accessing hidden populations not usually represented in research on rural Nebraska families Impact of County Visit--learned of county resources and physical accessibility of such resources. Also learned of the high likelihood that potential recruits will be Spanish speakers and that we should be prepared to collect data in both English and Spanish Impact of County Contact Identification--we have been able to build rapport and trust with our community contact and communicate our research goals and how we see them as beneficial to the community The Nebraska team has implemented Standardized Recruitment Procedures across all states and provided IRB Templates and responded to multiple requests for assistance with state-specific IRB issues. The Nebraska team is seen across the project as key players. Executive Decision-Making--Participate in a series of NC1171 Executive Board conference calls to report on status of centralized RDS implementation including BOSR readiness, pilot sample recruitment process, and sampling approach adjustments resulting from pilot sample recruitment testing Our work has: (1) ensured methodological rigor across all participating states (2) streamlined IRB approval process across multiple institutions with separate IRB requirements. We have helped to move the multi-state project from design phase to data collection phase The Nebraska team has worked closely with BOSR to finalize the programming needed to ready the quantitative protocol for field disk distribution and the interviewer Training Materials which each state will use Impact of Quantitative Protocol Field Disks--Enhances methodological rigor by minimizing interviewer error in the data 2. Interviewer Training Materials--Enhances methodological rigor by minimizing interviewer error in the data 3. Field Disk Distribution Procedure--Ensures secure transmission of data from site of collection to site of storage. Attended the annual meeting of NC1171 held October 13-15, 2010 in Nashville, TN. The executive board objectives for the meeting were accomplished specifically by the Nebraska team: 1. bring member states up to date on sampling recruitment adjustments 2. due to changes made in response to pilot testing results, bring member states up to date on screening & enrollment adjustments 3. due to changes made in response to pilot testing results, bring member states up to date on field disk procedures
Publications
- No publications reported this period
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Progress 10/01/08 to 09/30/09
Outputs
OUTPUTS: This first year of the NC1171 project has focused on the development of the national protocol and the establishment of infrastructure at the state and multi-state level to manage data collection and data analysis. This planning stage is critical to the success of the project and has been based on the researchers' previous experience with NC223. The team at the University of Nebraska has provided leadership on the development of the quantitative protocol for NC1171. In this role, the NE team has coordinated the research goals of the multi-disciplinary team of Principal Investigators from 19 states and located and secured standardized instruments to assess individual, family, and community-level factors associated with mental and physical health outcomes. The NE team has contracted with the Bureau of Sociological Research (BOSR) at UNL to assist NC1171 with computer programming so that data collection across the country will be standardized via scripted computer assisted interviewing. BOSR has been contracted to conduct the screening of all potential participants for the multi-state project. Both of these strategies will ensure consistency in the final data set. The NE team has served and continues to serve as the liaison between BOSR at UNL and each institution participating in NC1171. NC1171 has adopted Respondent Driven Sampling as our sampling methodology and the NE team has taken leadership in training the national team of the methodological merits of RDS. Working with BOSR, the NE team has established the protocol for screening potential participants and enrolling them in the study by developing a standardized sample criteria and sampling approach across all participating states down to employing the exact same language/word choice across the country. The NE team presented the protocol and training for the process of Respondent Driven Sampling (RDS) to the full multi-state team at the annual meeting in October. The specific activities which the NE team has accomplished to produce the overall outputs include: review of multiple survey instruments, creation of procedures for RDS for all states, consultation with NC1171 team members, consultation with BOSR, creation of protocol database, creation of screening instrument, template for IRB submission for all states, creation of in-person interviewing protocol, review of computer programming for in-person interviewing, creation of database to track participants and RDS sampling procedures. In addition, the NE team submitted two external grants related to the multi-state project. The reviewer feedback from the two grants submitted was positive and these grants will be revised and resubmitted as appropriate. Huddleston-Casas, C.A. (MPI), Simmons, L.A. (MPI), & Churchill, S.L (co-PI). (2009). "Neuroreguation, parenting, and depression risk transmission in rural mother-child dyads." National Institutes of Health: $887,522. Submitted: 4/30/09 Simmons, L.A. (MPI), Huddleston-Casas, C.A. (MPI), & Churchill, S.L.(co-PI). (2009). "Social Networks, depression, and help-seeking among rural women." National Institutes of Health: $947,760. Submitted: 4/30/09 PARTICIPANTS: Susan L. Churchill - Co-PI Cathey Huddleston-Casas - CoPI Maureen Todd - Graduate Assistant Tiffany Wingington - Graduate Assistant Christina Higgins - Graduate Assistant Collaboration by NE PIs with Bureau of Sociological Research (BOSR) - Amanda Richardson, Julia McQuillan. Working with BOSR, the NE team has established the protocol for screening potential participants and enrolling them in the study by developing a standardized sample criteria and sampling approach across all participating states down to employing the exact same language/word choice across the country. The NE team presented the protocol and training for the process of Respondent Driven Sampling (RDS) to the full multi-state team at the annual meeting in October. TARGET AUDIENCES: Not relevant to this project. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.
Impacts
Knowledge generated from scientifically rigorous research about the influence of individual, family, and community factors on the health outcomes of rural low income families is critical to efforts to improve the health outcomes of this often over-looked and understudied population. Historically, the research conducted by the multi-state research team (NC223 and NC1011) has been recognized as pioneering, but has suffered from a lack of standardization and compromised methodological rigor. The standardization of protocol instruments and data collection methodology has elevated the methodological rigor of the study. The work of the NE team this year impacts the overall project and its long-term success by changing the knowledge and actions of the full multi-state project. The careful planning of the protocol and infrastructure established within the research team will ensure that the data management of the full multi-state project will proceed smoothly. A lesson learned from the team's participation in NC223 was the difficulty in maintaining a reliable data collection across multiple states. The computer-assisted interviewing and central screening of participants proposed and managed by the NE team will ensure that the final data is reliable and valid. In addition, the process will facilitate the compilation of the dataset so that researchers may access, analyze, and publish more quickly. (Previous projects had an enormous lag time before the dataset was accessible to the full team.) At the annual multi-state meeting, the NE team (PIs, graduate students, and BOSR consultants) were congratulated for the time and detail committed to the protocol and data management aspects. The multi-state team concurred that the overall reliability and validity of the project has been enhanced by the work of the NE research team. The creation of the IRB template and the careful documentation of the survey instruments by the NE team will allow the entire multi-state project to easily prepare grants and later journal articles. (This was also a weakness in the previous project.) As a result of the excellent contributions made by members of the NE team, the University of Nebraska-Lincoln has become a prominent member of the multi-state research team and the leadership we have provided is recognized. An email sent out by the Chairwoman after the annual meeting of NC1171 demonstrates this: "...I would like to, once again, thank...Susan and Cathey for the tremendous amount of work that they did on the protocol before, during & after the meeting...Amanda and BOSR for the training - Susan and Cathey for brilliantly suggesting BOSR...Much remains to be done and there will be many bumps along the way, however, I am confident that we will have another successful project..." (Sheila Mammen, University of Massachusetts, Amherst)
Publications
- No publications reported this period
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