Evaluation of an interdisciplinary design thinking course

Innovations in Education and Teaching International · 2025-06-03

Addressing Pediatric Asthma Disparities through RI-AIR’s Community Approach: A Randomized Trial

Annals of the American Thoracic Society · 2025-06-26 · 1 citations

Abstract Rationale Clustering of social and environmental risks in low-income neighborhoods is a key factor in racial and ethnic asthma disparities. Integrating school and in-home programs, with treatment tailored to disease risk, is a promising approach for children with high disease burden. Objectives We evaluated the Rhode Island Asthma Integrated Response (RI-AIR) program in improving asthma outcomes at the individual and community levels. RI-AIR leverages existing community collaborations and technological advances to identify children with asthma at the highest risk for poor outcomes through a system of identification, screening, and intervention. Methods We conducted a stepped wedge cluster randomized hybrid type II effectiveness–implementation study. School-based catchment areas (N = 32) of high asthma burden were identified using geospatial mapping of asthma-related urgent healthcare use from 2010 through 2018. Families received only school-based interventions if the child’s asthma was categorized as “not well controlled” or school- and home-based interventions if the child’s asthma was deemed “poorly controlled.” Community health workers facilitated communication between families, schools, and healthcare providers. Follow up visits occurred every 3 months to 1 year after the intervention. Results Individual level: At 3 months, asthma control (primary outcome) improved (d = 0.47; 95% confidence interval, 0.33–0.61) and symptom-free days increased (d = 0.37; 0.24–0.51); both improvements were sustained at 12 months. Community level: healthcare use remained the same or increased (rate ratio, 1.16; 1.00–1.36); however, sensitivity analyses indicated that healthcare use was slightly lower in areas with greater family participation (i.e., penetration; active intervention, 0.93 [0.87–0.99]; postintervention, 0.91 [0.86–0.97]). Conclusions Intensive, multicomponent interventions and community engagement are needed to improve asthma outcomes in areas of high burden. Clinical trial registered with www.clinicaltrials.gov (NCT 03583814).

Kekuatan Hukum Perjanjian Perkawinan Yang Dibuat di Luar Negeri Oleh Warga Negara Asing (WNA) Yang Telah Menjadi Warga Negara Indonesia (WNI) di Indonesia

Cerdika Jurnal Ilmiah Indonesia · 2025-06-21

A Prenuptial Agreement is an agreement or agreement made by a husband and wife which is intended to regulate the consequences of marriage on the assets of the husband and wife, before or during the marriage. In practice, there are problems that arise regarding this Prenuptial Agreement, namely a Prenuptial Agreement made by a foreign citizen couple abroad whose marriage registration was also carried out in Indonesia, but in this case the Defendant had become an Indonesian citizen before their marriage was registered in Indonesia and then there was a lawsuit for the division of assets in the form of land belonging to the husband. The formulation of the problem in this research is How is the Legal Force of a Prenuptial Agreement made Abroad by a Foreign Citizen (WNA) who has become an Indonesian Citizen (WNI) in Indonesia. The purpose of this study is to examine the concept of regulating Prenuptial Agreement in Indonesia. The benefits of this study are to provide additional knowledge in the field of legal science, especially in Prenuptial Agreement. The Prenuptial Agreement made by a foreign citizen couple in Italy in this case is binding on the parties because the parties acknowledge the existence of a Prenuptial Agreement. However, legally if the Prenuptial Agreement is not made with a notary deed domiciled in Indonesia and is not legalized by a marriage registrar, the Prenuptial Agreement is not binding on third parties. Therefore, the marriage agreement is made before a notary domiciled in Indonesia so that it can be registered in Indonesia and the assets purchased become separate assets since the marriage is reported in Indonesia.

Examining the White Supremacist Practices of Funding Organizations for Public Health Research and Practice: A Composite Narrative From Female, BIPOC Junior Researchers in Public Health

UNC Libraries · 2025-05-06

<em>Background</em>. It is challenging for junior public health investigators who identify as Black, Indigenous, or People of Color (BIPOC) to secure funding for projects and research. We used a narrative inquiry approach to understand and present the funding cascade from the perspectives of female, junior BIPOC researchers and provide funders with actionable recommendations to advance their antiracist goals. <em>Approach</em>. We applied a Critical Race Theory (CRT) framework to guide our narrative inquiry approach. The participants were the four co-authors and we each drafted individual narratives around our experience with the funding cascade and subsequently the five stages of narrative analysis. <em>Results</em>. We created a visual representation of key activities for funders and applicants organized by our perceived magnitude of inequities in a journey map, an interpreter table that describes common phrases and barriers encountered, and a composite counternarrative presented as a group text message conversation, elevating common themes including feeling pressured to have our research agendas conform to funders' interests and receiving limited key information and support in the funding process. <em>Discussion</em>. We discussed how our findings represented manifestations of White supremacy characteristics like power hoarding and paternalism. <em>Implications for practice</em>. We offered specific antidotes for funding organizations to make their processes more antiracist and invited leaders of public health funding organizations to join us to further identify antidotes and share lessons learned in Fall 2023.

A scoping review of trauma-informed care principles applied in design and technology

UNC Libraries · 2025-07-31

Objectives Since psychological trauma and the use of technology are common in society, designers and researchers have been applying a trauma-informed (TI) approach to the digital design of technology. A TI approach was developed by the social work field to better serve those who have been through trauma. The purpose of this scoping review was to determine the current state of scholarly research on TI digital design and technology. Methods Searches were conducted in five databases for peer-reviewed articles about the design of digital interventions using TI approaches, published from 2000 to 2023. One hundred and eighteen studies were included and examined for their use of TI approaches, settings, types of digital design, and types of organizations and practitioners designing. Results Studies and interventions are not explicitly or methodically applying a TI approach to digital design, despite hopes to serve populations with significant trauma (e.g., life-threatening cancer survivors) in various settings. Efforts are sometimes consciously made that align with TI principles (e.g., safety), but other times there's no accounting for trauma and its impacts in the design of interventions. Conclusion The review indicates that there is a lack of using the evidence-based framework of a TI approach in digital design.

Author response for "Applying Design Thinking to Identify the Challenges of the Supervised Learning Experience/Supervised Practice Process for Dietetics Program Directors"

2025-08-07

Design Thinking in Higher Education: Opportunities and Challenges for Decolonized Learning

UNC Libraries · 2025-01-28

This article builds upon current research to understand the value and limitations of teaching and learning design thinking (DT) in higher education. We implemented a mixed-methods study with faculty and students across 23 diverse courses in four higher education institutions in the United States. Findings showed that following structured learning processes, engaging in active listening, and focusing on others&rsquo; perspectives were the most valued DT practices across disciplines. In contrast, prototyping and experimentation were the least used DT practices, with widely varying understandings across disciplines. Additionally, we found consistent evidence that DT can support liberatory teaching and learning practices that decolonize students&rsquo; perceptions of power, encourage situated and action-oriented empathy, and provide opportunities for co-creation. This is particularly true when faculty intentionally encourage collaboration and project framing focused on critically analyzing dominant ways of knowing and power structures. Our analysis further revealed the challenges and importance of prototyping and conducting experiments with project partners. Ultimately, this approach can significantly enhance liberatory project outcomes and facilitate decolonized learning experiences. Given our findings, we point out limitations and challenges across current DT pedagogical practices and provide recommendations for integrating DT practices across disciplines in ways that center on issues of systemic oppression, social identity, and human-environmental relationships.

Author response for "Applying Design Thinking to Identify the Challenges of the Supervised Learning Experience/Supervised Practice Process for Dietetics Program Directors"

2025-07-14

Global Learning Opportunities Within Social Innovation in Health (GLOWS): Modified Delphi Process to Identify and Pilot Core Competencies for Learning

medRxiv · 2025-02-28

Abstract Background Social innovation in health refers to the community-engaged process that connects health improvement and social change. The aim of this study was to develop a consensus statement on core learning competencies in social innovation in health and pilot them as part of a participatory training workshop. Methods and Findings A modified Delphi Process aggregating data from a scoping review, global open call, and participatory process was organized. Participants were recruited from low, middle, and high-income countries with a range of social innovation experiences. Statements focused on social innovation in health core competencies for learning. Consensus was determined using the RAND/UCLA Appropriateness method. After expressing interest in the project, 68 individuals received the survey link. 46 participants completed the first survey, and 34 completed the second survey. All 28 statements reached consensus, and based on the results of this first survey, some statements were added, amended, and merged to reach 30 consensus statements in the second survey. Competencies were categorized into skills, mindsets, and knowledge. Some competencies reached higher levels of agreement than others. This included community engagement, which can leverage the collective knowledge and problem-solving abilities of a diverse group of individuals to tackle complex challenges; social entrepreneurship skills such as business model knowledge, securing funding, team building, and knowledge of intersectional issues and health inequities. Several learning competencies were then piloted as eight one-hour online workshops, which assessed the feasibility of developing them through online open-access social innovation training sessions. After completing the workshops, 137 participants completed a survey, and most participants reported a significant improvement across six competencies. Conclusion The results from this study will inform the development of a WHO/TDR conceptual framework for teachers and learners in social innovation in health. Author Summary Why was this study done? This study was undertaken to develop a consensus statement on core learning competencies in social innovation in health and pilot them as part of a participatory training workshop. What did the researchers do and find? Some of the core competencies that reached high levels of agreement amongst the international panel included community engagement, which can leverage the collective knowledge and problem-solving abilities of a diverse group of individuals to tackle complex challenges; social entrepreneurship skills such as business model knowledge, securing funding, team building, and knowledge of intersectional issues and health inequities. What do these findings mean? These findings are important for fostering social innovation in health training programmes and will inform the development of a WHO/TDR conceptual framework.

Validity and Reliability of Resting Energy Expenditure Measured by Indirect Calorimetry in Adults with Overweight and Obesity: a Rapid Systematic Review

Obesity Surgery · 2025-09-09 · 1 citations

This rapid systematic review aimed to evaluate the diagnostic accuracy (concurrent validity, predictive ability, reliability) of indirect calorimetry (IC) for measuring resting energy expenditure (REE) in adults with overweight or obesity. PubMed and Web of Science searched for studies measuring REE by IC in adults with overweight or obesity and reported primary outcomes: concurrent validity, predictive ability, or reliability. N = 22 studies were included that evaluated n = 10 IC devices. A handheld IC device was reported to have poor concurrent validity and poor reliability. Standard desktop IC devices were reported to have inconsistent concurrent validity, inconsistent predictive ability for weight loss, and good to excellent reliability. Whole-room IC devices were reported to have excellent reliability. Further research is needed.