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1. A pilot open-label feasibility trial examining an adjunctive mindfulness intervention for adolescents with obesity

Author

Elizabeth W. Cotter, Sarah E. Hornack, Jenny P. Fotang, Elizabeth Pettit, and Nazrat M. Mirza

Subjects
Obesity, Adolescence, Mindfulness, Medicine (General), R5-920
Abstract

Abstract Background Obesity in adolescence is predictive of obesity in adulthood and risk for chronic disease. Traditional behavioral approaches to addressing obesity in adolescence rarely yield meaningful changes in body mass index (BMI), suggesting that adjunctive treatments are necessary. Herein, we describe a study examining whether it is feasible to integrate a brief mindfulness intervention with the usual recommended care for adolescent obesity in a pediatric weight management clinic. Methods We conducted a single arm open-label trial with 11 adolescent patients with obesity. Participants received the recommended standard of medical management of obesity (usual care) plus a six-week mindfulness intervention. To assess our primary aim of feasibility, we examined recruitment, retention, and satisfaction rates. Participants also completed measures of mindfulness, emotion regulation, disordered eating, quality of life, and executive functioning, and had their BMI and blood pressure measured. Results We recruited 11 adolescents to participate in the intervention, with 8 (73%) completing the entire program. Attendance rates (85%) and satisfaction rates (100%) were promising for a larger trial. While preliminary analyses of changes in health outcomes should be examined with caution, effect sizes ranged from small to large with some promising trends in eating behaviors. Discussion It might be feasible to augment existing behavioral interventions for adolescents with obesity with brief mindfulness; however, some adaptations are needed to enhance recruitment and retention. The lessons learned in this feasibility study can inform an adequately powered efficacy trial. Trial registration This research is registered on ClinicalTrials.gov ( NCT03874377 ).

Published
2020
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2. Beyond Selection and Practice: A Phenomenological Inquiry into the Lived Experiences of K-5 Literacy Curriculum Leaders in Long Island, NY

Author

Mary Elizabeth Pettit

Abstract

The ongoing cycle of educational reform in America has led policymakers and educational leaders to prioritize test-based results and de-prioritize noncognitive skills, equitable outcomes, and crucial socio-emotional aspects of schooling (Lynch et al., 2009). Despite the equitable goals outlined in previous education policy reforms, intended outcomes have been eclipsed by the toxic policymakers Global Education Reform Movement (GERM), which ultimately influences the curriculum selection and implementation process (Sahlburg, 2012). A literature review uncovers how inequity has been entrenched in the American education system since the 18th century, perpetuating social stratification and hindering efforts for equitable education reform. Drawing from accountability and critical leadership theoretical frameworks, this hermeneutic phenomenological research study focused on the perceptions of seven district-level literacy curriculum leaders from Long Island, NY, related to the influence of educational reform on the selection, implementation, and evaluation of K-5 literacy curriculum. The researcher collected data in four phases: questionnaires, semi-structured interviews, a focus group, and member checks. Using Aguas' (2020) Fusion approach to data analysis facilitated connections between transcendental descriptions and hermeneutic interpretations. A neo-institutional framework was employed in the interpretive data analysis stage to inductively explore curriculum leaders' constraints within the more extensive institutional system. Findings reveal 1) notable disparities in perceptions of roles and duties among curriculum leaders, 2) the complexity of managing political and professional factors, 3) diverse approaches to selecting and evaluating literacy programs, 4) the significant impact of the COVID-19 pandemic on curriculum leaders' ability to balance compliance structures with equity in literacy education, 5) curriculum leaders across Long Island exhibit varied prioritization of federal and state mandates and accountability structures. As the field of education evolves, particularly in the post-pandemic era, it is crucial to dissect these disparities and strive for a more uniform definition of a curriculum leader role. Dismantling barriers to equity will require a recalibration of the curriculum selection, implementation, and evaluation process. The researcher provided limitations and recommendations for future research. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]

Published
2024

4. Global access to quality-assured medical products: the Oxford Statement and call to action

Author

Paul N Newton, Katherine C Bond, Paul Newton, Katherine Bond, Victor Abiola, Khadijah Ade-Abolade, Moji Adeyeye, Aria Ahmad, Tahani Ahmed, Pablo Alcocer Vera, Marie Amsilli, Marie Antignac, Chimezie Anyakora, Ayenew Ashenef, Adam Aspinall, Ghulam Rahim Awab, Zaheer-Ud-Din Babar, Wilbert Bannenberg, Jon Bastow, Carine Baxerres, Fred Behringer, Daniel Bempong, Chris Bird, Phonepasith Boupha, Kem Boutsamay, Jason Bower, Beth Boyer, Hazel Bradley, Joel Breman, Céline Caillet, Kashi Barbara Carasso, Phaik Yeong Cheah, Lester Chinery, Aubrey Clark, Erin Coonahan, Rachel Cooper, Philip Coyne, Andre Daher, Nicholas Day, Olivier De Santi, Fulgence Djorou Kouame, Kim Doyle, Ines du Plessis, Catherine Dujardin, Chioma Ejekam, Latifa El Hadri, Facundo Fernandez, Alessandra Ferrario, Clark Freifeld, Assma Gafur Omargy, Naira Mohamed Ali Ghanem, Marie Gill, Mike Grijseels, Philippe Guerin, Nhomsai Hagen, Heather Hamill, Georgina Joan Harigwo, Amalia Hasnida, Matthew Hassett, Cathrin Hauk, Lutz Heide, Peter Horby, Tsatsral Ichinkhorloo, Mike Isles, Richard Wilhelm Otto Jähnke, Alice Jamieson, Roslyn Jones, Tomoko Kakio, Mohga Kamal-Yanni, Harparkash Kaur, Pierre Claver Kayumba, Irina Kazaryan, Matthew Keller, Kalynn Kennon, Felix Khuluza, Stephen Kigera, Kazuko Kimura, Patricia Kingori, Joseph Kitukulu, Tineke Kleinhout-Vliek, Chaitanya Koduri, Maarten Kok, Mirza Lalani, Marie Lamy, Marya Lieberman, Rui Liu, Paul Lotay, Nantasit Luangasanatip, Murray Lumpkin, Susanne Lundin, Tim Mackey, Keiko Maekawa, Marissa Malchione, Boravann Mam, Roland Marini Djang'eing'a, Aronrag Meeyai, Talieh Mirsalehi, Gamal Mohamed Ali, Andria Mousa, Mirfin Mpundu, Immaculee Mukankubito, Ambwene Mwakalobo, Sheilah Catherine Nabukeera, Kris Natarajan, Bernard Naughton, Theophilus Ndorbor, Ariadna Nebot, Phillip Nguyen, Adina-Loredana Nistor, Bah Ngoh Nyaah Fidelis, Piero Olliaro, Eugenia Olliaro, Alberto Olliaro, Kenneth Onu, Sophie Ouvrard, Sachiko Ozawa, Michael Parker, Koray Parmaksiz, Anushka Patel, Daniel Pawson, Andrew Payne, Koen Peeters Grietens, Elizabeth Pettit, Souly Phanouvong, Elizabeth Pisani, Aline Plançon, Oksana Pyzik, Lembit Rägo, Mohammad Sofiqur Rahman, Eurek Ranjit, Raffaella Ravinetto, Joseph M. Redd, David Richmond, Pierre-Yves Sacré, Simon Schäfermann, Sauman Singh, Tariro Sithole, Andrea Stewart, Anita Svadzian, Patricia Tabernero, Fatima Tauqeer, Fiona Theunissen, Emmanuel Yaovi Tossou, Zahra Anita Trippe, Farouk Umaru, Ali Umoru, Serena Vickers, Vayouly Vidhamaly, Andrea Vogt, Lisa White, Nicholas White, Benjamin Wilson, Veronika J. Wirtz, Jessie Hui Zhen Wong, Owen Wood, Jing Xu, Jingying Xu, Shunmay Yeung, Muhammad Zaman, Monique Zambo Biloa, and Zuzaan Zulzaga

Subjects
Statement (computer science), business.industry, media_common.quotation_subject, MEDLINE, Developing country, General Medicine, Public relations, Global Health, Health Services Accessibility, United Kingdom, Call to action, Pharmaceutical Preparations, Global health, Humans, Quality (business), business, Developing Countries, media_common
Published
2019

5. A pilot open-label feasibility trial examining an adjunctive mindfulness intervention for adolescents with obesity

Author

Elizabeth Pettit, Jenny P. Fotang, Nazrat M. Mirza, Elizabeth W. Cotter, and Sarah E. Hornack

Subjects
medicine.medical_specialty, lcsh:R5-920, Mindfulness, business.industry, Research, Attendance, Medicine (miscellaneous), Management of obesity, Adolescence, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Intervention (counseling), Weight management, Physical therapy, Medicine, 030212 general & internal medicine, Obesity, Disordered eating, business, lcsh:Medicine (General), Body mass index, 030217 neurology & neurosurgery
Abstract

Background Obesity in adolescence is predictive of obesity in adulthood and risk for chronic disease. Traditional behavioral approaches to addressing obesity in adolescence rarely yield meaningful changes in body mass index (BMI), suggesting that adjunctive treatments are necessary. Herein, we describe a study examining whether it is feasible to integrate a brief mindfulness intervention with the usual recommended care for adolescent obesity in a pediatric weight management clinic. Methods We conducted a single arm open-label trial with 11 adolescent patients with obesity. Participants received the recommended standard of medical management of obesity (usual care) plus a six-week mindfulness intervention. To assess our primary aim of feasibility, we examined recruitment, retention, and satisfaction rates. Participants also completed measures of mindfulness, emotion regulation, disordered eating, quality of life, and executive functioning, and had their BMI and blood pressure measured. Results We recruited 11 adolescents to participate in the intervention, with 8 (73%) completing the entire program. Attendance rates (85%) and satisfaction rates (100%) were promising for a larger trial. While preliminary analyses of changes in health outcomes should be examined with caution, effect sizes ranged from small to large with some promising trends in eating behaviors. Discussion It might be feasible to augment existing behavioral interventions for adolescents with obesity with brief mindfulness; however, some adaptations are needed to enhance recruitment and retention. The lessons learned in this feasibility study can inform an adequately powered efficacy trial. Trial registration This research is registered on ClinicalTrials.gov (NCT03874377).

Published
2019

6. Discovering Resources for Continuing Education.

Author

Presler, Elizabeth Pettit and Bolte, Irma M.

Abstract

The use of networking in the continuing education of nurses is examined as it applies to a federally funded, maternal-child health project. Aspects of the Project that are discussed include: project implementation, needs assessment, barriers, use of consultants, project participants, and evaluation of project success. (CT)

Published
1982

7. Treating morbid obesity

Author

Elizabeth, Pettit

Subjects
Postoperative Care, Moving and Lifting Patients, Postoperative Complications, Bariatric Surgery, Humans, Obesity, Morbid
Published
2009

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