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Aisha Ullah,1,2 Marit Graue,1 Anne Haugstvedt1 1Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway; 2Department of Paediatrics, Innlandet Hospital, Elverum, NorwayCorrespondence: Anne Haugstvedt, Email ahau@hvl.noAim: The aim of this study was to describe adolescents’ experiences with diabetes self-management and the use of carbohydrate counting as a tool for calculating insulin doses in everyday life with type 1 diabetes.Methods: We used a qualitative study design. Individual interviews were conducted with 14 adolescents (seven boys and seven girls, aged 16– 18 years) with type 1 diabetes by using a semi-structured interview guide. We used purposive sampling, recruiting the participants from one paediatric outpatient clinic in Norway. Thematic analysis was used for the data analysis.Findings: We identified two main themes, each comprising three subthemes: (1) “Diabetes treatment is difficult but can be well adapted” with subthemes “Diabetes influences my entire life, with a lot of fuss and takes time”, “Having diabetes turned out to be manageable”, and “Need some help and support, but not too much”; (2) “Carbohydrate counting is useful but often not used” with subthemes “One counts the carbs, then the pump calculates the insulin doses”, “Carbohydrate counting gives better blood glucose, but I do not always bother to use it”, and “After a while, one just uses one’s own experience.”.Conclusion: The study showed that adolescents with type 1 diabetes experienced that the diabetes treatment influenced their entire life in a substantial manner. Nevertheless, the demands of the disease and the treatment tasks were perceived very differently. Some articulated that carbohydrate counting was appreciated as a suitable tool for dosing insulin and optimizing glycaemic control. Others did not use carbohydrate counting at all and described to use their own experience. The findings support the importance of individualizing diabetes follow-up and adapt the training in treatment tools to everyone’s situation and preferences.Keywords: carbohydrate counting, adolescents, interviews, qualitative approach, self-management, type 1 diabetes

The opposing principles of local control and increased standardization are a prominent tension in the United States' education system. Since at least the early 1990s, this tension has taken shape around the accountability movement, defined by educational reforms that hold schools, teachers, and students accountable for performance on new standards, assessments, and curricula. While many scholars have examined the manifestations of the current accountability movement, few have looked at this phenomenon within the growing public preK movement. Drawing from interviews with state policymakers and district-level actors, this paper describes how the seemingly contradictory principles of local control and increased state and national standards (what we refer to simply as standardization) are shaping the policy and practice of Wisconsin's preK system, known as 4K. We argue that rational models of policy making fail to explain the coexistence and blending of the strands of local control and standardization we found in our data, and suggest that Deborah Stone's (2001) policy paradox provides a better theoretical framework for our findings.

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In the high‐pressure world of education, mindfulness practices have been offered to help teachers and students to handle stress and manage their emotions. Here we describe how two fifth‐grade teachers experienced a mindfulness intervention, using the construct of figured worlds. We explore how they negotiated mindfulness in their practice, illustrating the power of an anthropological look at a typically psychological construct. [ABSTRACT FROM AUTHOR]

Accountability in education has prompted policy makers and practitioners to focus on data use for instructional and organizational decision-making. The popular media have seized on Value Added (VA) measures as a key type of data use for reforming U.S. schools. Among education researchers, however, there are both critics and proponents. We examined data use by the district leaders and staff members of 12 schools in a large urban district, with attention to the role VA metrics play in their decisions and their conceptions of themselves. VA is only one of many types of data that can be used to portray quality. While there was a soft relationship between VA and classroom quality measured by CLASS, we found that understanding the schools' contexts, particularly the use of resources and the coherence of actions to improve student achievement, greatly enhanced the power of our descriptions. As a result, we suggest that policies promoting multidimensional approaches to quality will better capture the complexity of education. (Contains 2 figures and 12 tables.)

We might call this decade the era of early childhood. In the US, federal and state governments invest in the creation of public pre-kindergarten (preK) programs and create standards that articulate goals for practice and benchmarks that can be used to evaluate success. How have these trends provided a context for the evolution of preK curriculum? In this paper, we analyze the enactment of preK policy in New Jersey, a highly regulated preK program and Wisconsin, a local control state. We argue that standards-based practice is evolving into accountability in public preK programs, where outcomes set parameters for planning and teachers and children are increasingly regulated. As preK is more closely affiliated with the K-12 sector (elementary and secondary), preK programs are subject to the logic of alignment, benchmarks and assessments. Even when early learning standards support child-centered approaches to curriculum they are overruled by accountability discourse.

Silje S Lie,1 Bjørg Karlsen,1 Christopher P Niemiec,2 Marit Graue,3 Bjørg Oftedal1 1Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway; 2Department of Clinical and Social Sciences in Psychology, University of Rochester, Rochester, NY, USA; 3Center for Evidence-Based Practice, Western Norway University of Applied Sciences, Bergen, Norway Background: Individuals with type 2 diabetes mellitus (T2DM) are responsible for the daily decisions and actions necessary to manage their disease, which makes self-management the cornerstone of diabetes care. Many patients do not reach recommended treatment goals, and thus it is important to develop and evaluate innovative interventions that facilitate optimal motivation for adequate self-management of T2DM. Objective: The aim of the current study was to explore how adults with T2DM experience using reflection sheets to stimulate written reflection in the context of the Guided Self-Determination (GSD) eHealth intervention and how written reflection might affect their motivation for self-management of T2DM. Methods: We used a qualitative design in which data were collected through individual interviews. The sample consisted of 10 patients who completed the GSD eHealth intervention, and data were analyzed using qualitative content analysis. Results: The qualitative content analysis yielded 2 main themes. We labeled the first theme as “Written reflection affects awareness and commitment in diabetes self-management”, which reflects 2 subthemes, namely, “Writing creates space and time for autonomous reflection” and “Writing influences individuals’ focus in diabetes self-management”. We labeled the second theme as “Written reflection is perceived as inapplicable in diabetes self-management”, which reflects 2 subthemes, namely, “Responding in writing is difficult” and “The timing of the writing is inappropriate”. Conclusion: Our findings indicate that written reflection in the context of the GSD eHealth intervention may be conducive to motivation for diabetes self-management for some patients. However, it seems that in-person consultation with the diabetes nurse may be necessary to achieve the full potential benefit of the GSD as an eHealth intervention. We advocate further development and examination of the GSD as a “blended” approach, especially for those who consider written reflection to be difficult or unfamiliar. Keywords: eHealth, guided self-determination, self-determination theory, self-management, type 2 diabetes mellitus, written reflection

In this essay we examine how educators work within a component of a class size reduction reform designed to strengthen the connections between families' home and school lives. We describe the accomplishments and struggles experienced by educators enacting this "lighted schoolhouse" based on our research in nine schools over three years. Specifically, we consider how educational resources are applied and experienced in schools and how opportunities to share knowledge between home and school are produced. We find educators' views of families' roles in schooling are shaped by how they are positioned by the context of the reform. (Contains 7 notes, 1 figure and 2 tables.)

Emerging from an evaluation of Wisconsin's Student Achievement Guarantee in Education program (SAGE), a multidimensional program popularly known for its class size reduction component, this article examines SAGE's "lighted schoolhouse" initiative aimed to strengthen links between home and school. Drawing on family focus groups held at nine SAGE schools, we use Bakhtin's tools of addressivity and answerability to explore how families constructed locally specific identities within particular community contexts. Family discussions focused on responding to needs: family social needs, the need for social connection, and perceived answerability felt by families for their community. We suggest that schools would be more successful in building relationships if they used the potential power promised in class size reduction programs and developed programming focused on the needs and resources of families in particular communities rather than imagining a generic, one-size-fits-all model of parents.

Examined the prevalence of delay of kindergarten entry (academic redshirting) by examining records of more than 8,000 Wisconsin students. Results show that 7% of the sample had delayed school entry and that these students were primarily boys with birth dates just before the entrance cutoff. Achievement of redshirted students was comparable to that of peers who entered on time. (SLD)

Describes how Rosemary Wells's new books about "Edward Unready" explain children and readiness; explores the problems with her message, and suggests new endings that are more supportive of all children. Asserts that variability in development should not be mistaken for deficit, and recommends changing the focus from judging children to judging early childhood education practices. (EV)

Describes the effects of one community's concept of readiness for school on children in a kindergarten class. Of particular interest was the effect on children's understanding of their roles as students. The concept of readiness provided the framework for instructional activities and helped parents understand their children's roles as students. (LB)

Data from this ethnographic study of kindergartens in three communities suggest that teachers, parents, and the school as an institution interacted to develop a social interpretation of school readiness. This interpretation framed children's kindergarten experience in each community. (BC)