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Month: October 2019

Melanoma Receptor Variation in a New Mexico Population

Melanoma Receptor Variation in a New Mexico Population

Dr. David Buller, KB Senior Scientist and Director of Research, is a co-author on a paper published recently in Cancer Epidemiology, Biomarkers & Prevention. The paper examines the Melanocortin 1 Receptor (MC1R) in a multicultural New Mexican population. MC1R is a risk factor for developing melanoma skin cancer because it contributes to skin pigmentation. The paper’s lead author is Dr. Kirsten White from the University of New Mexico. Other co-authors are from the Memorial Sloan Kettering Cancer Center in New York, the University of Utah, and the University of New Mexico.

Specifically, single-nucleotide polymorphisms (SNPs) in MC1R and their association with race and ethnicity, skin type, and perceived cancer risk were evaluated by genotyping MC1R in 191 primary care clinic patients in Albuquerque, New Mexico. A full description of the methods, results, conclusions, and limitations of the research can be found in the publication.

Overall, the authors concluded that a specific variant of interest in MC1R may not be a risk factor for melanoma among New Mexican Hispanics, and that genetic risk cannot be inferred from Northern European populations directly to non-European populations.

STAC-T: A Bystander Bullying Intervention for Middle Schools

STAC-T: A Bystander Bullying Intervention for Middle Schools

Nationally, 20.8% of students age 12-18 report being bullied at school and 11.5% report being cyberbullied (1). Bullying peaks in middle school with 26% of students reporting being a target of bullying (1). Among middle schoolers, bullying victimization is associated with a variety of mental health problems including anxiety, depression, and suicide attempts. In addition, negative consequences linked with bullying extend to students who observe bullying (2). Student bystanders are also at increased risk for mental health problems, such as helplessness, isolation, and guilt. With 8 out of 10 students witnessing bullying (2), students need to know how to appropriately intervene.

The goal of Klein Buendel’s new Phase I STTR project is to begin to develop and test the feasibility of a middle school intervention to reduce bullying and its negative consequences. The project is being led by Dr. Aida Midgett (Principal Investigator) and Dr. Diana Doumas (Co-Investigator) of Boise State University, and Dr. Valerie Myers (Co-Investigator) of Klein Buendel.  The project is entitled “Translation of an In-Person Brief, Bystander Bullying Intervention (STAC) into a Technology-Based Program”.

Research has shown that bystanders can stop bullying by intervening (3, 4). Yet, most students do not intervene to defend targets because they do not know what to do (5). Comprehensive, school-wide bullying programs can be effective (6), but time- and labor-intensive resources required for program implementation pose significant barriers for schools, particularly in low-income and rural communities, which can reduce program uptake. To reduce these barriers, Dr. Midgett developed a brief bullying bystander intervention, using four strategies: “Stealing the show,” “Turning it over,” “Accompanying others,” and “Coaching compassion” (STAC) (7). STAC has been shown to be effective in reducing bullying perpetration (8,9) and victimization (8) and negative mental health consequences for bystanders who witness bullying (10-15).

Although brief interventions reduce implementation barriers, in-person programs still require training and delivery by school personnel, placing significant demands on schools. The product developed in this Phase I project is a technology-based, brief bystander bullying intervention (STAC-T) that can impact current bullying prevention approaches by: (a) significantly reducing implementation barriers for middle schools, particularly those in low-income and rural communities that can face educational, social, and health disparities; (b) training bystanders to effectively intervene, reducing bullying while simultaneously improving the mental health of bystanders; and (c) improving the program sustainability potential at the middle school level when bullying behavior typically reaches its peak.

This research project is funded by a grant from the National Institute on Minority Health and Health Disparities at the National Institutes of Health (MD014943; Dr. Aida Midgett, Principal Investigator).

References

  1. National Center for Education Statistics. Student Reports of Bullying: Results from the 2015 School Crime Supplement to the National Crime Victimization Survey. U.S. Department of Education;2016. NCES 2017-015.
  2. Rivers I, Poteat VP, Noret N, Ashurst N. Observing bullying at school: the mental health implications of witness status. Sch Psychol Q. 2009;24(4):211-223.
  3. Salmivalli C, Voeten M, Poskiparta E. Bystanders matter: associations between reinforcing, defending, and the frequency of bullying behavior in classrooms. J Clin Child Adolesc Psychol. 2011;40(5):668-676.
  4. Padgett S, Notar CE. Bystanders are the key to stopping bullying. Universal Journal of Educational Research. 2013;1(2):33-41.
  5. Hutchinson M. Exploring the impact of bullying on young bystanders. Educational Psychology in Practice. 2012;28(4):425-442.
  6. Gaffney H, Ttofi MM, Farrington DP. Evaluating the effectiveness of school-bullying prevention programs: an updated meta-analytical review [published online ahead of print July 20]. Aggr Violent Behav. 2018 doi: https://doi.org/10.1016/j.avb.2018.07.001
  7. Midgett A, Doumas D, Sears D, Lundquist A, Hausheer R. A bystander bullying psychoeducation program with middle school students: a preliminary report. Professional Counselor. 2015;5(4):486-500.
  8. Midgett A, Doumas DM, Johnston AD. Establishing school counselors as leaders in bullying curriculum delivery:Evaluation of a brief, school-wide bystander intervention. Professional School Counseling. 2017;21(1):1-9.
  9. Midgett A, Doumas DM, Trull R, Johnson J. Training students who occasionally bully to be peer advocates: is a bystander intervention effective in reducing bullying behavior? Journal of Child and Adolescent Counseling. 2017;3(1):1-13.
  10. Moran M, Midgett A, Doumas DM, Porchia S, Moody S. A mixed method evaluation of a culturally adapted, brief, bullying bystander intervention for middle school students. Under review
  11. Doumas DM, Midgett A, Watts AD. The impact of a brief, bullying bystander intervention on internalizing symptoms: Is gender a moderator of intervention effects? [published online ahead of print February 14]. Sch Psychol Int. 2019 doi: 10.1177/0143034319830149
  12. Watts A, Doumas DM, Midgett A. The efficacy of a brief, bystander bullying intervention on alcohol use among high school students. Journal of Addictions and Offender Counseling. In press
  13. Midgett A, Doumas DM. The impact of a brief, bullying bystander intervention on depressive symptoms. Journal of Counseling and Development. In press
  14. Midgett A, Doumas DM, Trull R. Evaluation of a bystander bullying intervention program for elementary school students. Professional School Counselor. 2018;20(1):172-183.
  15. Midgett A, Doumas DM, Trull R, Johnston A. A randomized controlled study evaluating a brief, bystander bullying intervention with junior high school students. Journal of School Counseling. 2017;15
Economic Evaluation of Adopting Occupational Sun Protection Policies

Economic Evaluation of Adopting Occupational Sun Protection Policies

In a recent publication in the Journal of Occupational and Environmental Medicine, Klein Buendel investigators and their colleagues discuss the economic evaluation of an intervention promoting adoption of occupational sun protection actions by Colorado public-sector employers.

The intervention, Sun Safe Workplaces (SSW), was a two-year randomized field trial promoting employer adoption of sun safety policy and providing training in personal sun protection for outdoor workers. The trial included 98 local Colorado government organizations such as municipalities, counties, and special districts (public organizations providing water, sanitation, parks and recreation, and fire protection). SSW intervention costs were organized into two components: “delivery” costs and “action” costs. Delivery costs were incurred to directly implement and maintain the SSW intervention and included costs of both project staff and the participating worksites. Action costs were incurred by the worksites themselves for implementing the sun protection actions.

The publication presents the results of the economic evaluation of SSW. A full description of the methods, measures, results, and conclusion of the research can also be found in the Journal of Occupational and Environmental Medicine publication.

This study demonstrated the interactions of cost and implementation that explain — and hopefully guide — the adoption of and investment in occupational sun safety. The SSW intervention was also successful in extending the adoption of sun protection actions among intervention worksites at a cost per employee that is comparable to other worksite health interventions.

This analysis was funded by a grant from the National Cancer Institute at the National Institutes of Health (CA134705; Dr. David Buller and Dr. Barbara Walkosz, Multiple Principal Investigators). The paper’s lead author is Dr. Richard Meenan from the Kaiser Permanente Center for Health Research in Oregon. Additional authors include Dr. David Buller, Dr. Barbara Walkosz, Ms. Mary Buller, Ms. Rachel Eye, and Ms. Savanna Olivas from Klein Buendel; and Dr. Allan Wallis from the University of Colorado Denver.

Collaborator Spotlight:
Dr. Michael Hecht

Collaborator Spotlight:
Dr. Michael Hecht

Michael L. Hecht, Ph.D., is the co-president of REAL Prevention LLC. He currently works with Klein Buendel Senior Scientist, Dr. David Buller, on a project entitled, “Feasibility of a Mobile Parent-Based Intervention to Reduce Alcohol Use by High School Seniors.” The Phase II SBIR research project is funded by the National Institute on Alcohol Abuse and Alcoholism (AA025293; Dr. Michael Hecht, Principal Investigator).

The program aims to provide an efficient, engaging and effective means to enhance parents’ ability to reduce prevalence of alcohol use and consequences, and other substance use. The program, called Parenting Now (PN), is adapted from the evidence-based Parent Handbook and includes a brief, interactive, self-paced, web-based curriculum for parents of non-college bound high-school-aged adolescents. KB will develop the PN program, which was previously tested in a Phase I trial, and it will include core and optional modules in order to target parents based on their communication style. Parents will be able to customize their experience by choosing or clicking through the optional content. Results will help prepare PN for dissemination through D.A.R.E. America’s new high school program as well as REAL Prevention’s other community-based partners, such as 4-H and Planned Parenthood.

In addition to substance abuse prevention research, Dr. Hecht specializes in developing and evaluating culturally grounded, narrative health messages to engage diverse communities. Through his work on an R01 in the 1990s, called “keepin’ it REAL” (kiR), Dr. Hecht co-founded REAL Prevention and has disseminated and implemented the program in all 50 states and 53 other countries. As co-president of REAL Prevention, Dr. Hecht provides training, consulting, support and evaluation services to organizations interested in adopting of kiR or developing new interventions.

Dr. Hecht earned his Ph.D. from the University of Illinois and is a Distinguished Professor Emeritus at Pennsylvania State University. He has won numerous awards, including the Gerald R. Philips Award for Distinguished Applied Communication Scholarship, two Distinguished Scholarship Awards for the International and Intercultural Division of the National Communication Association, and the Article of the Year Award for SIETAR. Additionally, Dr. Hecht has served on NIH’s Community-Level Health Promotion Review Group, including being selected as its chair, as well as on numerous editorial boards in communication and other fields.

Denver Mayor’s Diversity and Inclusion Awards

Denver Mayor’s Diversity and Inclusion Awards

On September 26, Klein Buendel helped sponsor the 2019 Denver Mayor’s Diversity and Inclusion Awards. The event was themed “Together for the Ages” and hosted by the Denver Commission on Aging for Denver Mayor Michael Hancock. Dr. Barbara Walkosz, KB Senior Scientist, is an appointed member of the Denver Commission on Aging.

By 2030, one in four residents of the city of Denver will be over 60 years of age. The Denver Commission on Aging helps to make Denver the best possible community for older adults through outreach, communication and advocacy, including:

  • Advocating for their rights and concerns
  • Empowering older adults through dissemination of information and sharing community resources
  • Monitoring and recommending legislation and proposed policy changes affecting older adults

The Mayor’s Diversity and Inclusion Awards is an annual program of the agency for Human Rights & Community Partnerships (HRCP). HRCP is the umbrella agency for nine offices and ten commissions that work to create a more just and equitable Denver. Through advocacy, capacity building, collaboration, community engagement, and direct services HRCP works to create lasting change for Denver’s residents. This includes ensuring that people from all corners of the Denver community community are empowered and supported with the innate knowledge that diverse perspectives, skills, and resources strengthen the foundation for lasting solutions.

Inclusivity is the cornerstone of HRCP’s work. They strive to give voices to the voiceless and to create a world class city where everyone matters. Mayor Michael B. Hancock and the community commissioners honored 10 individuals or organizations with the 2019 Mayor’s Diversity and Inclusion Awards.