Thesis (M.A.)--Miami University, Dept. of Psychology, 2006. / Title from first page of PDF document. Includes bibliographical references (p. 37-40).

Made available in DSpace on 2014-06-11T19:23:35Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-06-22Bitstream added on 2014-06-13T18:50:52Z : No. of bitstreams: 1 pecorari_rcf_me_arafcf.pdf: 771152 bytes, checksum: 01b2d1f1fb14dbc2e7d997b6ec530094 (MD5) / Universidade Estadual Paulista (UNESP) / O Programa de Alimentação Escolar (PNAE) tem como objetivos principais melhorar as condições nutricionais do aluno e sua capacidade de aprendizagem, procurando formar hábitos alimentares saudáveis com dinamização da economia local. O objetivo desta pesquisa foi propor inovações no cardápio do Programa de Alimentação do Escolar do Município de Piracicaba-SP, a partir da avaliação do abastecimento alimentar e das condições de produção das refeições. A pesquisa foi realizada em três etapas: na primeira foi realizado um diagnóstico geral do abastecimento alimentar do município, da Divisão de Alimentação e Nutrição da Prefeitura Municipal e dos hábitos alimentares das crianças da rede de ensino; a segunda etapa consistiu de um diagnóstico específico onde foram avaliadas a adesão e aceitabilidade de uma amostra dos cardápios atuais, utilizando-se de três metodologias tradicionais: Percentagem de Adesão, Estimativa Visual dos Restos em cada Prato e Escala Hedônica Estruturada Facial; na terceira etapa foi formulada uma proposta de inovação do cardápio para a alimentação escolar, a partir do desenvolvimento, padronização e avaliação das preparações. O levantamento de dados referentes à disponibilidade de produtos alimentícios indicou uma autosuficiência de produção apenas de verduras, milho, mandioca e banana, sendo que o abastecimento alimentar do PMAE é parcialmente regionalizado e não conta com fornecedor local. A avaliação da adesão da alimentação apontou para uma baixa adesão ao Programa, 39,32% na média geral. Nas escolas municipais (região norte e oeste) a adesão foi maior (55,88%) que nas estaduais (22,77%). Na escola da região norte onde as crianças pertencem a famílias com menores rendimentos a adesão foi mais expressiva (63,39%). A menor adesão (19,77) foi na escola estadual região sul... / The Brazilian National School Meals Program has as main goals to improve student s nutritional conditions and his/her learning capacity, through developing healthy eating habits and stimulating local economy.. The aims of this study was to propose changes in the Municipal School Meal Program s menu, from an elementary study in four Piracicaba s public schools and valuation of food supplay and the conditions of production the meals. The research was developed in three stages: in the first one three general diagnosis were carried out: (a) in the Municipal Food Supply, (b) within the Piracicaba Municipal of Food and Nutrition Division, and (c) the children eating habits from municipal public schools. The second stage constituted of a specific diagnosis evaluating the adhesion and acceptability of a food sample of the actual school menu. For this were used three traditional methodologies Adhesion Percentages, Estimated Visual Leftovers and Facial Hedonic Scale. In the third stage it was developed, standardized and evaluated new preparations and formulated a new menu for the school meals. The data collected from the available food products indicated a self-sufficiency production only for vegetables, corn, cassava and bananas. The evaluation on eating adhesion showed a low adhesion to the program on average of 39.32%. The adhesion of the Municipal s Schools located in the north and northeast of Piracicaba was higher (55.88%) than the State s Schools (22.77%). The schools located in the north where the kids belonged to the lowest income families, the adhesion was higher (63.39%). Lower adhesion (19.77%) was found in State s School located in the south where the children belonged to higher income families. When analyzing the acceptance using Visual Estimative of Leftovers (consumption) methodology it was observed a better acceptance (88.43%)... (Complete abstract, click electronic address below)

Introdução: Em 2010, o Ministério da Saúde do Brasil lançou a Estratégia Nacional para Alimentação Complementar Saudável (ENPACS), com o objetivo de fortalecer as ações de promoção, proteção e apoio à alimentação complementar saudável na atenção primária. No entanto, a ENPACS não foi submetida a estudos de avaliação quanto ao seu impacto na qualidade da alimentação complementar das crianças atendidas nas unidades básicas de saúde (UBS) que aderiram a essa estratégia. Objetivo: O objetivo do presente estudo foi avaliar a efetividade da ENPACS na melhoria da alimentação complementar de crianças de 6 a 12 meses atendidas nas UBS da rede municipal de Porto Alegre (RS). Metodologia: Trata-se de um estudo avaliativo de impacto realizado entre 1º de novembro de 2012 e 21 de setembro de 2013, envolvendo 340 crianças com idades entre 6 e 12 meses, acompanhadas em 18 UBS. As mães e/ou cuidadores foram entrevistados e responderam um questionário contendo questões relativas aos alimentos consumidos pela criança no dia anterior. Os desfechos avaliados foram prevalência do consumo de verduras, legumes, frutas e alimentos não saudáveis, e de alimentos com consistência adequada para a idade. Para testar associações entre exposição (ENPACS) e desfechos, recorreu-se à regressão de Poisson com equações estimadas generalizadas. Resultados: A ENPACS associou-se a reduções de 32% no consumo de refrigerante e/ou suco industrializado, 35% no consumo de comidas industrializadas e 5% no consumo de alimentos não saudáveis em geral. Não houve aumento no consumo de frutas, legumes, verduras e alimentos com consistência adequada para a idade. Conclusão: O efeito positivo da estratégia foi apenas parcial, porém ela tem potencial de contribuir para a melhoria da alimentação infantil, haja vista sua efetividade na redução do consumo de alimentos não saudáveis. / Introduction: In 2010, the Brazilian Ministry of Health released the National Strategy for Healthy Complementary Feeding (Estratégia Nacional para Alimentação Complementar Saudável, ENPACS), with the aim of encouraging actions of promotion, protection, and support to healthy complementary feeding at the primary care level. However, the ENPACS has not been assessed in terms of its impact on the quality of complementary feeding in children seen at primary health care units that adopted the strategy. Objective: The aim of the present study was to assess the effectiveness of the ENPACS in improving the quality of complementary feeding in children aged 6 to 12 months followed at primary health care units of the municipality of Porto Alegre, state of Rio Grande do Sul. Methodology: This impact assessment study was conducted between November 1st 2012 and September 21st 2013. It involved 340 children aged 6 to 12 months followed at 18 health care units. Mothers/guardians were interviewed and answered a questionnaire on foods consumed by the child on the previous day. The outcomes assessed were prevalence of intake of green leaves, vegetables, fruits, and unhealthy foods, and prevalence of foods with an appropriate consistency for the age. Poisson regression with generalized estimating equations was used to test associations between exposure to the ENPACS and the outcomes. Results: The ENPACS was associated with reductions of 32% in the intake of soft drinks and/or processed fruit juices, 35% in the intake of processed foods, and 5% in the consumption of unhealthy foods in general. Conversely, no increase was observed in the intake of fruits, vegetables, and green leaves, or in the prevalence of foods with age-appropriate consistency. Conclusion: The positive effects of the strategy were partial, even though it has a potential to improve infant nutrition, based on the effectiveness in reducing the consumption of unhealthy foods.

The theoretical outcomes of the mentoring program BBBS and subsequently also the solutions of the program 5 P in the Czech Republic are introduced in the theoretical part of the dissertation work. Furthermore the author summarizes the principles of the program and explains the management of the work with the volunteers. She also focuses on the relationship between a child and a volunteer, its typology and its development. The last but not the least the author addresses the evaluation method for BBBS/5 P which is called the Program Based Outcome Evaluation (POE). Furthermore the author fulfills the four selected goals in the research part of the work. The first goal is focused on the modification of the original evaluation method POE and its adaptation for the Czech socio-cultural circumstances. The second goal is the analyses of the current state of the realization of the program 5 P in the Czech Republic with the focus on the registration of the program as the social service. The third very important goal is to evaluate the general trends of the effectiveness of the program by the means of the statistical analysis of the results of the evaluation method POE. The last goal is the development of the new or the adaptation of the current specialized and methodological materials for 5 P.

Objetivo: Esta tese possui o objetivo primário de avaliar os impactos de um curso de aperfeiçoamento baseado no desenvolvimento de competências para atuação do farmacêutico na Atenção Primária em Saúde do sistema público de saúde brasileiro. Os objetivos secundários do estudo são delimitar os fatores que influenciam a mudança nas práticas nos serviços farmacêuticos e avaliar o grau de implementação dos objetivos pedagógicos do curso nas práticas relatadas pelos egressos. Métodos: Este estudo de caso apresenta o conjunto de estratégias utilizados na avaliação de impactos do curso anos após seu término. A pesquisa avaliativa foi planejada utilizando o método do modelo lógico de avaliação. As etapas da pesquisa envolveram análise documental; oficina de avaliação na qual foi aplicada a técnica do grupo nominal e entrevistas semiestruturadas aplicadas pelo telefone. Os resultados foram analisados utilizando abordagens qualitativa e quantitativa para compreensão dos fatores comuns aos processos de mudança observados. Resultados: Um perfil de atividades do farmacêutico foi construído considerando as experiências dos profissionais e as expectativas de aprendizagem na época do curso. A oficina de avaliação produziu o consenso sobre os fatores que influenciam as mudanças na perspectiva de um grupo de egressos. Também foram estudadas as contribuições do curso para a vida profissional e as necessidades de formação dos farmacêuticos. Os fatores que influenciam a mudança estudados tanto no coletivo quanto no individual foram agrupados em quatro dimensões de análise dos fatores de contexto que influenciam a mudança. A interação do farmacêutico no trabalho em equipe multiprofissional e a relação com o gestor aparecem como fatores relevantes para o farmacêutico promover mudanças em seu modo de produzir trabalho em saúde. Conclusão: Ao final do estudo verificamos que o curso produziu efeitos na implementação de novos serviços, na mudança das práticas e na visão dos farmacêuticos sobre a atuação no âmbito da Atenção Primária. Ainda se deve avançar muito na problematização dos processos de trabalho em que o farmacêutico está inserido. As estratégias de coleta, sistematização e análise dos resultados atenderam aos objetivos propostos pela pesquisa e as perspectivas investigadas contribuíram para ampliar a visão sobre os impactos do programa educacional. / Objective: This thesis has the primary objective of evaluating the impact of an improvement course based on developing competencies for the pharmacists that works in primary health care in the public system of Brazilian health. Secondary objectives of the study are to define the factors influencing the change in practices in pharmaceutical services and assess the degree of implementation of the pedagogical objectives of the course in the practices reported by graduates. Methods: This case study presents the set of strategies used in the impact assessment of the course years after its completion. The evaluative research was designed using the method of logical model of evaluation. The research steps involved document analysis; workshop in which it was applied the Nominal Group Technique and semi-structured interviews applied by the phone. The results were analyzed using both qualitative and quantitative approaches to understanding the factors common to those observed change processes. Results: A pharmaceutical activity profile was built considering the experiences of professionals and learning expectations at the time of the course. The workshop produced consensus on the factors that influence changes in the perspective of a group of graduates. Ongoing contributions to the work and the training needs of pharmacists were also studied. Factors influencing the change studied both the collective and the individual were grouped into four dimensions of analysis of the context of factors that influence change. The interaction between the pharmacist at work in multidisciplinary team and the relationship with the manager appear as relevant factors for the pharmacist promote changes in the way of producing health work. Conclusion: At the end of the study we found that the course was effective in implementing new services, changing practices and vision of pharmacists about acting within the scope of Primary Care. Still should go a long way questioning the work processes in which the pharmacist is inserted. The collection strategies, organization and analysis of the results met the objectives proposed by the research and the outlook investigated contributed to broader view of the impact of educational program.

In response to the scant studies comparing the language content of the employment-related units in Australia's Adult Migrant English Program (AMEP) and Canada's Language Instruction for Newcomers to Canada (LINC) program, the present study examines the curriculum guidelines and the selected instructional materials of AMEP's Certificate in Spoken and Written English (CSWE) III and LINC level 4 and investigates four instructors' implementation of the curricula (two instructors from each program). Through qualitatively analysis using NVivo, the results show that both LINC 4 and CSWE III exhibit strengths and limitations, and also alignment and misalignment, as compared to their theoretical frameworks. While LINC 4 covers more components in the framework, CSWE III demonstrates greater depth in implementing its theoretical foundation. Further, LINC 4 instructors mostly implement a task-based approach; the CSWE III instructors incorporate multiple approaches, while the curriculum claims text-based teaching as its main approach. This study suggests that in teaching English for employment purposes, more content that introduces the different functions of language use and communication strategies would be beneficial, and authentic texts and learner experience can also be valuable. The incorporation of different teaching approaches may be advantageous. Future research can further examine newcomer language program outcomes by comparing language production data from learners of similar programs in different contexts, in order to evaluate the impact of language training on learners’ ability to engage in employment-purposed communication. / Graduate

Introdução: Em 2010, o Ministério da Saúde do Brasil lançou a Estratégia Nacional para Alimentação Complementar Saudável (ENPACS), com o objetivo de fortalecer as ações de promoção, proteção e apoio à alimentação complementar saudável na atenção primária. No entanto, a ENPACS não foi submetida a estudos de avaliação quanto ao seu impacto na qualidade da alimentação complementar das crianças atendidas nas unidades básicas de saúde (UBS) que aderiram a essa estratégia. Objetivo: O objetivo do presente estudo foi avaliar a efetividade da ENPACS na melhoria da alimentação complementar de crianças de 6 a 12 meses atendidas nas UBS da rede municipal de Porto Alegre (RS). Metodologia: Trata-se de um estudo avaliativo de impacto realizado entre 1º de novembro de 2012 e 21 de setembro de 2013, envolvendo 340 crianças com idades entre 6 e 12 meses, acompanhadas em 18 UBS. As mães e/ou cuidadores foram entrevistados e responderam um questionário contendo questões relativas aos alimentos consumidos pela criança no dia anterior. Os desfechos avaliados foram prevalência do consumo de verduras, legumes, frutas e alimentos não saudáveis, e de alimentos com consistência adequada para a idade. Para testar associações entre exposição (ENPACS) e desfechos, recorreu-se à regressão de Poisson com equações estimadas generalizadas. Resultados: A ENPACS associou-se a reduções de 32% no consumo de refrigerante e/ou suco industrializado, 35% no consumo de comidas industrializadas e 5% no consumo de alimentos não saudáveis em geral. Não houve aumento no consumo de frutas, legumes, verduras e alimentos com consistência adequada para a idade. Conclusão: O efeito positivo da estratégia foi apenas parcial, porém ela tem potencial de contribuir para a melhoria da alimentação infantil, haja vista sua efetividade na redução do consumo de alimentos não saudáveis. / Introduction: In 2010, the Brazilian Ministry of Health released the National Strategy for Healthy Complementary Feeding (Estratégia Nacional para Alimentação Complementar Saudável, ENPACS), with the aim of encouraging actions of promotion, protection, and support to healthy complementary feeding at the primary care level. However, the ENPACS has not been assessed in terms of its impact on the quality of complementary feeding in children seen at primary health care units that adopted the strategy. Objective: The aim of the present study was to assess the effectiveness of the ENPACS in improving the quality of complementary feeding in children aged 6 to 12 months followed at primary health care units of the municipality of Porto Alegre, state of Rio Grande do Sul. Methodology: This impact assessment study was conducted between November 1st 2012 and September 21st 2013. It involved 340 children aged 6 to 12 months followed at 18 health care units. Mothers/guardians were interviewed and answered a questionnaire on foods consumed by the child on the previous day. The outcomes assessed were prevalence of intake of green leaves, vegetables, fruits, and unhealthy foods, and prevalence of foods with an appropriate consistency for the age. Poisson regression with generalized estimating equations was used to test associations between exposure to the ENPACS and the outcomes. Results: The ENPACS was associated with reductions of 32% in the intake of soft drinks and/or processed fruit juices, 35% in the intake of processed foods, and 5% in the consumption of unhealthy foods in general. Conversely, no increase was observed in the intake of fruits, vegetables, and green leaves, or in the prevalence of foods with age-appropriate consistency. Conclusion: The positive effects of the strategy were partial, even though it has a potential to improve infant nutrition, based on the effectiveness in reducing the consumption of unhealthy foods.

Introdução: a Atenção Primária à Saúde (APS) é conceituada como o acesso preferencial de primeiro contato para provimento coordenado de cuidados integrais ao longo do tempo. Desde a implantação do Sistema único de Saúde (SUS), os serviços de APS cresceram em número e com eles ampliou-se o acesso, mas com heterogeneidade na qualidade dos serviços prestados. Na atenção secundária, o quadro se repete somado ao baixo número de pontos de oferta de serviço. Os grandes hospitais, apesar da incorporação tecnológica e da qualidade assistencial, são incapazes de absorver a alta demanda não resolvida nos primeiros níveis. Com isso tem-se um SUS fragmentado para enfrentar uma tripla carga de doenças, incrementada pelo envelhecimento populacional. Em função desse quadro, o Programa Telessaúde Brasil Redes está em expansão desde 2007 e é voltado principalmente para ações de suporte assistencial à APS, com foco na qualificação permanente dos profissionais de saúde. A telessaúde representa uma interação a distância, mediada por Tecnologias da Informação e Comunicação, entre pessoas e/ou equipamentos, de forma síncrona ou assíncrona e com finalidade assistencial ou educacional. Em que se pese a necessidade de maiores estudos de custo-efetividade, iniciativas na área têm-se mostrado capazes de melhorar o acesso de pacientes a consultas e serviços, reduzir o tempo de espera e qualificar os encaminhamentos de pacientes para consultas e procedimentos especializados. Apesar dos avanços, ainda é necessário modelar, aprimorar e documentar o conhecimento associado aos processos em telessaúde, bem como verificar a adequação desses processos. Método: estudo de caso baseado em análise documental, entrevistas com informantes-chave e análise estatística descritiva da produção de ações em telessaúde para solicitantes médicos do Rio Grande do Sul (RS), no período de setembro de 2013 a outubro de 2015, utilizando a Notação de Modelagem de Processos de Negócio (Business Process Model and Notation – BPMN) para modelar, aprimorar, documentar e discutir processos de telessaúde para a APS. Complementarmente, estudo descritivo de uma série histórica de 24 meses, da produção das ações de teleconsultoria assíncrona e síncrona, por todos os núcleos de telessaúde que utilizaram a Plataforma Nacional de Telessaúde no Brasil, no período de outubro de 2013 a setembro de 2015. Tanto a oferta como a demanda foram estimadas com base no número de unidades de saúde cadastradas na área de abrangência de cada núcleo de telessaúde. Resultados: foram mapeados os processos, atores e atividades envolvidas nas tipologias de ações de telessaúde em telediagnóstico, teleconsultorias via web, teleconsultorias via telefone por demanda espontânea e para apoio ao complexo regulador ambulatorial do estado. Foi encontrada uma média mensal de 0,01 a 0,02 solicitações de teleconsultoria via web por médico da APS do RS. Nas demais tipologias, o número médio mensal de teleconsultorias foi de 0,01 – 0,39 para telediagnóstico em espirometria, 0,05 – 0,34 para teleconsultorias espontâneas via telefone, e 0,01 – 0,69 para teleconsultorias de apoio ao complexo regulador. Em relação à produção de todos os núcleos de telessaúde do país, foram respondidas 29.575 teleconsultorias por 18 núcleos de telessaúde, para 43.421 usuários em 9.801 unidades de saúde. A oferta e a demanda mensais de teleconsultorias variaram entre 0,92 a 2,06 e 0,22 a 1,00 teleconsultorias, respectivamente. O percentual de unidades de saúde que realizou ao menos uma solicitação no mês manteve-se próximo a 0,1%, sendo que 87,3% dos usuários cadastrados não realizou nenhuma solicitação no período. Os temas solicitados cobriram todos os capítulos da Classificação Internacional da Atenção Primária e da Classificação Internacional de Doenças. A satisfação dos usuários foi de 95,6% e o percentual de dúvidas totalmente respondidas foi de 88,4%. Conclusões: existe um problema de baixas taxas de utilização por parte dos profissionais solicitantes. A capacidade ociosa decorrente do baixo uso indica a necessidade de integração horizontal de núcleos de telessaúde, com extrapolação das barreiras geográficas estaduais. Por outro lado, uma das formas de otimizar os investimentos públicos em telessaúde é a redução do número de núcleos de telessaúde, com centralização das tarefas meio, de coordenação, regulação, auditoria e monitoramento, de forma a gerar economia de custos e ganhos de escala e qualidade. Também são necessárias novas tipologias de oferta de ações de telessaúde, capazes de orquestrar de forma sinérgica e sistêmica todos os recursos disponíveis em teleconsultoria, telediagnóstico, teleducação e demais formas de telessaúde, de forma a inserir a telessaúde dentro das atividades diárias dos profissionais, gestores e pacientes. / Introduction: Primary Health Care (PHC) is defined as the preferential access of first contact for providing coordinated comprehensive care over time. Since the implementation of the Sistema Único de Saúde (SUS), PHC services grew in number, expanding its access, but with heterogeneity in the quality of services provided by it. In secondary care, the pattern repeats, coupled with a low number of service delivery points. Large hospitals in spite of technological development and quality of care, are unable to absorb the high unresolved demand of first levels. With this SUS is being fragmented facing a triple burden of disease, increased by population aging. Due to this framework, the Telehealth Program Brazil Networks is expanding since 2007, focused primarily on assistance support actions for PHC , and the ongoing training of health professionals. Telehealth is an interaction made of distance, mediated by Information and Communication Technologies between people and / or equipment, synchronously or asynchronously and welfare or educational purpose. Despite the need for greater cost-effectiveness studies, initiatives in this field have proven to be able to improve access of patients to consultations and services, reducing waiting time and qualifying the patient referrals to specialist consultations and procedures. Despite these advances, it is still necessary to model, improve and document the knowledge associated with telehealth processes and verify the adequacy of these processes. Method: a case study based on analysis of documents, interviews with key informants and descriptive statistical analysis of production activities in telehealth to referring physicians of Rio Grande do Sul (RS), from September 2013 to October 2015, using the Business Process modeling notation (BPMN) to model, improve, document and discuss telehealth processes for PHC. In addition, descriptive study of a historical series of 24 months of production of asynchronous and synchronous actions of teleconsulting by all telehealth centers that used the National Telehealth Platform in Brazil, from October 2013 to September 2015. Both the supply and demand were estimated based on the number of health units registered in the coverage area of each core telehealth center. Results: we mapped the processes, actors and activities involved in the types of telehealth actions in telediagnosis, teleconsultation via the web, tele-consultations via telephone by spontaneous demand and to support the ambulatorial regulatory complex of the state. We found a monthly average from 0.01 to 0.02 teleconsulting requests via web by doctors of the state of RS PHC. In the other types, the average monthly number of teleconsultation was 0.01 to 0.39 for remote diagnostics in spirometry, from 0.05 to 0.34 for spontaneous teleconsultation via telephone, and 0.01 to 0.69 for teleconsultation support regulatory complex. In the production of all the country's telehealth centers, 29,575 teleconsultations were answered by 18 telehealth centers to 43,421 users in 9,801 health units. The monthly supply and demand for teleconsultations ranged from 0.92 to 2.06 and 0.22 to 1.00 teleconsultations, respectively. The percentage of health units that conducted at least one request in the month remained close to 0.1%, and 87.3% of registered users have made no request in the period. The requested topics covered all chapters of the International Classification of Primary Care and International Classification of Diseases. User satisfaction was 95.6% and the percentage of fully answered questions was 88.4%. Conclusions: There is a problem of low rates of use by professional requesters. The idle capacity resulting from low use indicates the need for horizontal integration of telehealth centers, with extrapolation of the state geographical barriers. On the other hand, one of the ways to optimize public investment in telehealth is the reducing of number of telehealth centers with centralizing means tasks, coordination, regulating, auditing and monitoring in order to generate cost savings and economies of scale and quality. It is also needed new types of offer telehealth actions, able to orchestrate a synergic and systemic way of all available resources in teleconsulting, telediagnostic, tele-education and other forms of telehealth in order to insert the telehealth within the daily activities of professionals, managers and patients. / Telemedicina

xi, 111 p. / Matching reading deficits to appropriate intervention programs is a challenge given the number of treatment options available to educators. The Fast ForWord (FFW) computerized intervention series has been marketed as a way to treat underlying causes of poor reading skill; i.e., substandard levels of basic language skill, phonemic awareness, and/or phonics application. If the programs work as claimed, then completion of Fast ForWord should improve the next reading subskill developed after phonics, oral reading fluency. Part 1 of this study involves a treatment ( n = 72) versus comparison ( n = 84) group two by two ANOVA to evaluate that hypothesis. No effect for FFW is found ( p = .84). Application of decision rules from Response to Intervention (RTI) models classifies positive changes in risk category at a greater rate for the comparison group ( n = 31) than for the FFW group ( n = 20) ( X 2 = 3.81, (1), p = .05). Pre-intervention language scores for the FFW group are compared to assist with intervention placement decisions. Differences in mean language scores are not significant ( p = .85) between the two groups [positive response ( n = 19) versus low response ( n = 57)]. In a binary logistic regression of quartile membership for language scores, no score ranges predict membership ( X 2 = 4.75, (8), p > .05). Measuring treatment effect with ORF is not recommended. The use of pre-intervention language and ORF scores below the 25th percentile as indicators of a positive change in oral reading fluency following FFW treatment also is not recommended. However, future research that considers language scores along with other curriculum-based measures of prereading skill either as pre-intervention indicators or outcome measures is recommended. / Committee in charge: Dr. Paul Yovanoff, Chair; Dr. Keith Hollenbeck, Member; Dr. Joseph Stevens, Member; Dr. Jeffery Sprague, Outside Member

Working within a Social Cognitive Career Theory framework, the study explored outcomes associated with participation in a dual-enrollment (high school and community college) College Transition Support Program (CTSP). The study used three data points over a nine month period to explore whether participation in the CTSP was associated with changes in college self-efficacy, education-related future aspirations and goals, perceived barriers, perceived support, locus of control, depression, anxiety, academic achievement-related expectations, academic achievement-related fears, and academic achievement-related expectation-fear balance, as well as college persistence and cumulative college GPA. Repeated measure responses of a group of 34 CTSP students were contrasted with a group of 34 students in a non-equivalent comparison group. Baseline data for a group of 207 non-CTSP alternative high school students were also used to test for selection bias for both of the longitudinal groups. Doubly multivariate repeated measures analysis of variance (DMRM-ANOVA) procedures were conducted. Multivariate results suggested that participation in the CTSP was associated with positive, statistically significant growth in the weighted linear combination of outcome variables. Repeated measures univariate analyses were also conducted to provide more detail. CTSP participation was associated with growth over time on several positive student outcomes, including college self-efficacy, education-related future aspirations and goals, academic achievement-related expectation-fear balance, academic locus of control, and college persistence/retention. In addition, CTSP students earned significantly higher cumulative college GPAs over their first year at the community college.