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Month: July 2022

Media Literacy Case Study

Media Literacy Case Study

Dr. Barbara Walkosz from Klein Buendel, Ms. Tessa Jolls from the Center for Media Literacy, Dr. Marilyn Cohen from the University of Washington, and Mr. Michael Danielson from Action 4 Media Literacy presented timely media literacy research at the National Association of Media Literacy Education Conference (July 15-17, 2022). Their virtual presentation was entitled, “Media Literacy Policy Enactment and Implementation: A Case Study of Washington State.”

As the need for media literacy across societal sectors is well established, citizens, educators, and policymakers increasingly recognize the necessity for a citizenry to have the skills to be able critically analyze and create media content. Primarily since the U.S. elections of 2016 and 2020 and the COVID-19 pandemic, media literacy is taking its place center-stage as an essential element for sustaining a democratic and a healthy society. Although efforts for media literacy education policy adoption are encouraging at the national and state levels, once adopted, policies and programs are sparsely funded and often not institutionally supported for a sustained period.

The case study of the adoption and implementation of media literacy in the state of Washington offers insights into successful strategies for long-term enactment of media literacy education. Diffusion of Innovations Theory provides a theoretical framework to explain and understand the adoption and implementation processes and offers a promising framework for media literacy policy implementation in other contexts.

EZPreemie Study Protocol

EZPreemie Study Protocol

A research team from The Ohio State University, Rush University, Nationwide Children’s Hospital, and Klein Buendel has published a paper describing a 5-year research project to develop and evaluate a technology-based, widely accessible, and effective form of behavioral parent training (BPT) delivery to address the unmet and unique needs of parents of very preterm children.

As presented in the paper published in BMJ Open, children born very preterm (gestational age <32 weeks) are twice as likely to demonstrate behavior problems such as aggression, non-compliance, temper tantrums and irritability compared with their term-born peers. While BPT is a gold standard for prevention and treatment of childhood problem behaviors, there are limited accessible and effective BPT interventions for families with children born very preterm. The paper describes a multi-center, randomized controlled protocol for a factorial design trial evaluating the independent and combined effects of the ezParent BPT intervention plus brief, weekly coaching calls on parent and child outcomes for families with toddlers born very preterm.

The BMJ Open paper details the study design, aims, intervention, measures, analysis plans, and procedures of the study which will employ a 2×2 factorial randomized design. Parents (n=220) of children aged 20–30 months corrected age who were born very preterm (<32 weeks) will be recruited from two large metropolitan Neonatal Intensive Care Unit follow-up clinics and randomized to one of four conditions: (1) ezParent (2) ezParent + coach, (3) active control or (4) active control + coach. A web-based app will provide behavioral training through brief videos, interactivity, reflection questions, and assessments. Data on parenting and child behavior outcomes will be obtained from all participants at baseline and 3, 6 and 12 months for program evaluation.

This research is being led by Dr. Susan Breitenstein from The Ohio State University (OSU) and Dr. Michelle Greene of Rush University (Multiple Principal Investigators). It is funded by a grant from The Eunice Kennedy Shriver National Institute of Child Health and Human Development at the National Institute of Health (HD104072). Additional co-authors on this publication include Dr. Michael Schoeny and Dr. Kousiki Patra from Rush University; Dr. Sarah Keim from Nationwide Children’s Hospital and OSU; Dr. Mary Lauren Neel from Nationwide Children’s Hospital; Ms. Shea Smoske from OSU; and Ms. Julia Berteletti from Klein Buendel.

Training Cannabis Store Personnel in Responsible Vendor Practices

Training Cannabis Store Personnel in Responsible Vendor Practices

Dr. W. Gill Woodall, Klein Buendel Senior Scientist, participated in a panel discussion at the 45th Annual Scientific Meeting of the Research Society on Alcoholism, June 25-29, in Orlando, Florida. He presented data and results from a recent study assessing and training cannabis store personnel in responsible vendor practices. In the wake of a great expansion of recreational cannabis, the prevention of harms related to polysubstance use has gathered attention as well. Specific and effective prevention strategies are needed. One potential approach borrows from alcohol prevention – responsible sales and service.

Regulations in all state recreational cannabis markets prohibit sales of marijuana products to customers under age 21 and in a few markets, sales to intoxicated customers. Using pseudo-patron methods, our team assessed sales to underage-appearing customers in recreational cannabis stores in Colorado and Washington State (175 stores) in 2016-17 and sales to apparently alcohol-intoxicated customers in stores in Colorado, Oregon, and Washington State (150 stores) in 2018.

Refusal of underage-appearing pseudo-patrons were very frequent (92.6%). By comparison, refusal of apparently alcohol-intoxicated pseudo-patrons was infrequent in all three states (11.0%), even though Oregon state law explicitly prohibited it. An online survey of personnel from 59 stores in 2020 explored frequency of sales to these customers. Respondents indicated that underage customers attempted to enter stores frequently (66.1% several/many times) and customers entered stores who were intoxicated by alcohol (40.7%) or marijuana (44.1%). They often refused sales to customers (57.6% several/many times for any reason; 42.4% for being intoxicated). Management support was high for checking IDs (91.5% supported it a lot) but moderate for refusing to sell to customers appearing intoxicated (74.6%).

An online responsible marijuana vendor training created by Dr. Woodall and his collaborators from Klein Buendel and the Prevention Research Center at the Pacific Institute for Research and Evaluation (PIRE) called “Train To Tend,” may have improved refusal to under-age customers at the entrances in stores that used it (trained stores: 65.9%, baseline, 82.5%, 3-month posttest, and 79.9%, 9-month posttest; untrained stores: 82.6%, 83.1%, 84.5% respectively), but did not seem to impact sales to intoxicated customers (intervention: 11.6%, control: 7.6%).

Deterrence due to state regulations or store policy for sales of cannabis products appears to be lower for sales to customers who appear intoxicated than underage customers in these cannabis markets. Training in responsible sales practices alone may not be successful when deterrence is low. Increasing deterrence may depend on regulators actively prioritizing the law to store licensees and monitoring compliance. Improve understanding of how regulatory policy and retail availability affect potential co-use of alcohol and cannabis in the legalized adult-use markets.

This research was funded by a grant from the National Institute on Drug Abuse at the National Institutes of Health (DA038933; Dr. David Buller, Principal Investigator). Dr. Woodall’s Co-Investigators include Dr. Robert Saltz from the Prevention Research Center at PIRE and Dr. David Buller from Klein Buendel.