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This evaluation research examined the relationship between program process and program outcome, specifically, youth engagement in the national 4-H Council Health Rocks! program and their program outcomes. Based on program evaluation surveys completed after the program by participants, youths' engagement in the program was associated with their gains in knowledge and skills about substance use, and personal assets related to avoiding risks. When youth participants find a program interesting, are actively engaged in the program, and find the program staff friendly, they benefit more from the program. Findings underscore the importance of engaging curriculum and friendly staff to the success of extension or afterschool youth programs. The evaluation method may offer an example of balancing rigor of evaluation design and feasibility of implementing an evaluation.

The dual objective of subsidized employment programs is to support employers and low-income job seekers. However, few studies of these programs have examined employer perspectives or reflected critically on the role of soft skills in relationships between employers and subsidized employees. This qualitative study examined employer perspectives on soft skills, drawing on the concept of fit from the person-in-environment perspective, as framed by personnel psychology, to interpret the findings. Employers emphasized the importance of motivation, self-presentation, and interpersonal skills. They described the effect of these characteristics and behaviors on workplace interactions, as they sought employees whose similarity offered a supplementary fit. The findings suggest recommendations for improving subsidized employment programs, as well as implications for social work education and research.

Ten percent of the world's population depends on the ocean for a readily accessible source of protein and employment. Coastal ecosystems and the communities that rely upon them are facing extreme challenges of increases in ocean pollution, loss of habitat, ocean warming, and changes in ocean productivity. With the whole system under mounting pressure, governments need to scale down food security analyses to the coastal community level to avoid overseeing rising levels of food insecurity. This paper provides an alternative view and analysis of food security at both a national and community level taking into account these marginalised communities. The results propose a refined definition of marine food security and new quantitative methods to measuring direct and indirect reliance on fish within developing countries. Application of this concept and methods reveals that aggregated national statistics mask the extreme levels of dependence on fish for food security in coastal communities within Kenya and Madagascar. The Comoros, Mauritius, Mozambique, and Somalia appear to be the most vulnerable to increasing sea surface temperature, population, and fluctuation in total catch and will be severely affected by a changing Western Indian Ocean from a national, community, and individual perspective. Overall, the study highlights that governments need to disaggregate fisheries data and redefine measurements of food security to more accurately reveal the severity of the potential marine food insecurity crisis at hand.

Ten percent of the world's population depends on the ocean for a readily accessible source of protein and employment. Coastal ecosystems and the communities that rely upon them are facing extreme challenges of increases in ocean pollution, loss of habitat, ocean warming, and changes in ocean productivity. With the whole system under mounting pressure, governments need to scale down food security analyses to the coastal community level to avoid overseeing rising levels of food insecurity. This paper provides an alternative view and analysis of food security at both a national and community level taking into account these marginalised communities. The results propose a refined definition of marine food security and new quantitative methods to measuring direct and indirect reliance on fish within developing countries. Application of this concept and methods reveals that aggregated national statistics mask the extreme levels of dependence on fish for food security in coastal communities within Kenya and Madagascar. The Comoros, Mauritius, Mozambique, and Somalia appear to be the most vulnerable to increasing sea surface temperature, population, and fluctuation in total catch and will be severely affected by a changing Western Indian Ocean from a national, community, and individual perspective. Overall, the study highlights that governments need to disaggregate fisheries data and redefine measurements of food security to more accurately reveal the severity of the potential marine food insecurity crisis at hand.

Conceivably all doctoral students experience a degree of uncertainty and anxiety while pursuing their degree, yet the decision to use qualitative methods in a dissertation can be fraught with additional burdens. These may include identifying supplementary coursework, locating supportive faculty, and frequently justifying methodological choices. This article seeks to illuminate the experiences of qualitatively oriented social work doctoral students in the United States as they negotiate these challenges. Personal narratives of four current and recent doctoral students who have incorporated qualitative methods into their education are presented and analyzed for common themes. The themes that emerge from these narratives include early exposure to qualitative methods and a commitment to methodological pluralism, as well as experiences with encountering biases, additional costs, and the challenges of translating the methodologies of other disciplines. Recommendations are presented to encourage dialogue about qualitative research in social work doctoral education.

Background and Purpose: Military and veteran suicide rates exceed those found in the general population. Veterans often reject patient identities, creating barriers to care for mental health within the clinical sector and a mandate for prevention programs. The purpose of this study was to offer a postintervention process evaluation of one peer-led resilience program offered to military veterans of Iraq and Afghanistan at three sites in 2013. Methods: Secondary analysis of survey data collected involved mixed-methods analysis of open and closed-ended questions. In total, the research team reviewed 52 electronic survey responses; participant response rate was 48.1%. Results: Descriptive data analysis found that all participants rated Just Roll With It Bootcamp content as "somewhat useful" (17.9%) or "very useful" (82.1%). Qualitative analysis of open-ended questions found that content was perceived as valuable by participants. Emergent themes included: health practices, social support, and participant quality of life or satisfaction. Comments also informed four subthemes which included: meditation/mindfulness, nutrition, physical practice, and the seminars' physical environment. Conclusion: Culturally-informed prevention programs that emphasize social support, physical movement, and peer-leadership have a vital role to play in working to prevent suicide by promoting quality of life for veterans.

Background: Patient involvement in decision-making plays a prominent role in improving the quality of healthcare. Despite this, shared decision-making is not routinely implemented. However, electronic assessment tools that capture patients' history, symptoms, opinions and values prior to their medical appointment are used by healthcare professionals during patient consultations to facilitate shared decision-making. Objective: To assess the effectiveness of electronic assessment tools to improve the shared decision-making process. Method: A systematic review was conducted following PRISMA guidelines. Published literature was searched on MEDLINE, EMBASE and PsycINFO to identify potentially relevant studies. Data were extracted and analysed narratively. Results: Seventeen articles, representing 4004 participants, were included in this review. The main findings were significant improvement in patient–provider communication and provider management of patient condition in the intervention group compared to the control group. In contrast, patient–provider satisfaction and time efficiency were assessed by relatively few included studies, and the effects of these outcomes were inconclusive. Conclusion: This review found that communication and healthcare professional's management of a patient's condition improves because of the use of electronic questionnaires. This is encouraging because the process of shared decision-making is reliant on high-quality communication between healthcare professionals and patients. Implications: We found that this intervention is especially important for people with chronic diseases, as they need to establish a long-term relationship with their healthcare provider and agree to a treatment plan that aligns with their values. More rigorous research with validated instruments is required.

Abstract
Previous evidence on the impact of Family Group Conferencing in the UK cannot establish causality. This article presents results from the first UK randomised controlled trial of Family Group Conferences. All families entering pre-proceedings between September 2020 and May 2022 in twenty-one local authorities in England were eligible for inclusion in the trial. In total, 1,511 families were randomised and child outcomes were collected from administrative data until up to twenty-one months post-referral. Half of the families were randomly allocated to be referred for a Family Group Conference, on top of usual practice during pre-proceedings. The (pre-registered) primary outcome is the child's looked-after status twelve months after the pre-proceedings letter. This was 8.6 percentage points lower among referred families (36.2 percent vs 44.8 percent). Children were also less likely to have care proceedings issued (59.2 percent vs 71.7 percent) and spent less time in care (87 vs. 115 days). However, there was no significant difference in whether a child's living arrangement remained the same or changed in the months after the decision. These findings have implications for the support given to families during pre-proceedings; they provide evidence in favour of Family Group Conferences as a way to reduce the chances of children going into care.

Youths' perspectives are often unexplored in youth program development and implementation. This article examined youths' perspectives of a 4-H youth prevention program called "Health Rocks!" that is designed to promote healthful decision-making skills, stress coping, and socioemotional skills related to substance use. Qualitative and quantitative data were collected and analyzed. Qualitative findings reveal that participants appreciated the fun and engaging curriculum, valued program staff who were interactive, and enjoyed the hands-on program activities. Participants also reported that the program positively impacted their knowledge and skills. Quantitative results show that participants who perceived the program as fun were significantly more likely to report engagement in the program, and participants who had positive views towards the program staff were significantly more likely to report knowledge after the program and engagement in Health Rocks! Findings have broader implications for future youth prevention program development, illustrating the need for engaging adult leaders and program activities to enhance the overall program experience for youth participants.