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result(s) for
"Grant, Therese M."
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Evaluating outcomes of a three-year case management program for mothers with prenatal substance use according to race/ethnicity, Washington State, 2006–2017
by
Graham, J. Christopher
,
Grant, Therese M.
,
Stoner, Susan A.
in
Addictions
,
Alcohol use
,
American Indians
2023
Background
Well-designed public health interventions ideally aspire to reduce health disparities between racial and ethnic groups. Yet, there remains virtually no research examining racial/ethnic disparities in interventions for marginalized perinatal populations with substance use disorders (SUD). We sought to examine whether there were racial/ethnic differences at intake, in retention, and in program outcomes among pregnant or postpartum women with prenatal substance use enrolled in a three-year intensive case management intervention. We hypothesized that: (1) at baseline, numerous racial/ethnic disparities in well-being, health, and health care would be observed, and (2) after the three-year intervention few racial/ethnic disparities in maternal and child health and welfare would be found.
Methods
We used self-reported data from 3,165 women aged 18 to 45 years enrolled in the Parent-Child Assistance Program in Washington State between May 10, 2006, and September 21, 2017. We used Fisher-Freeman-Halton Exact Tests and
t
-tests to compare racial/ethnic groups at program enrollment and exit and logistic regression to examine likelihood of completing the intervention by group, controlling for other factors.
Results
Despite numerous racial/ethnic differences at enrollment, there were no such differences in outcomes among those who finished the program and completed an exit interview. Different racial/ethnic groups received comparable case manager time. American Indians/Alaska Natives were less likely to finish the program (Adjusted Odds = 0.66).
Conclusions
Participants who finished the program achieved comparable outcomes regardless of race/ethnicity. More work is needed to understand why American Indian/Alaska Native women were less likely than the others to finish the program and to close this service gap.
Journal Article
Carrying the Burdens of Poverty, Parenting, and Addiction: Depression Symptoms and Self-Silencing Among Ethnically Diverse Women
2011
Depression among women commonly co-occurs with substance abuse. We explore the association between women’s depressive symptoms and self-silencing accounting for the effects of known childhood and adult risk indicators. Participants are 233 ethnically diverse, low-income women who abused alcohol/drugs prenatally. Depressive symptomatology was assessed using the Addiction Severity Index. Multivariate logistic regression models examined the association between self-silencing and the dependent depression variable. The full model indicated a 3% increased risk for depressive distress for each point increase in self-silencing score (OR = 1.03;
P
= .001). Differences in depressive symptomatology by ethnic groups were accounted for by their differences in self-silencing.
Journal Article
An intervention with high-risk mothers who abuse alcohol and drugs: the Seattle Advocacy Model
1996
Describes the background to the development of a paraprofessional advocacy model for community-based intervention with these mothers. Funding was obtained from the Center for Substance Abuse Prevention, US Public Health Service, to conduct the 5-yr Seattle Advocacy Birth to 3 demonstration and research project. This university-affiliated project collaborates with existing community resources through cross-referral of clients, reciprocal training programs, and mutual efforts to resolve service barriers experienced by this difficult-to-reach clientele. Describes the project and its goals.
Journal Article
Intervention with Mothers Who Abuse Alcohol and Drugs
2013
This chapter describes an evidence-based intervention for substance-abusing mothers, with emphasis on how its process of change is influenced by relationship and motivation. It first provides an overview of the Parent-Child Assistance Program (PCAP), launched in 1991 at the University of Washington, Seattle as a federally funded research demonstration project designed primarily to help mothers obtain alcohol and drug treatment, stay in recovery, and resolve the complex problems related to their substance abuse. The critical objectives and components of PCAP are discussed, along with its clinical population and the paradox of high-risk and insufficient treatment. A snapshot of retention and promising outcomes of the program is also given. The chapter concludes by considering the PCAP principle emphasizing the personal and professional development of the case manager through intensive and ongoing clinical supervision.
Book Chapter
Electrophysiological Response and Attraction of Emerald Ash Borer to Green Leaf Volatiles (GLVs) Emitted by Host Foliage
by
Scharbach, Roger
,
Nott, Reginald W
,
Grant, Gary G
in
(Z)-3-hexenol
,
Agriculture
,
Agrilus planipennis
2008
Green leaf volatiles (GLVs) function as host attractants, pheromone synergists, or sexual kairomones for a number of coleopteran folivores. Hence, we focused on host GLVs to determine if they were attractive to adults of the emerald ash borer, Agrilus planipennis (Coleoptera: Buprestidae), which feeds on ash (Fraxinus) foliage. Eight GLVs were identified by chromatography-electroantennogram (GC) and GC-mass spectrometry in foliar headspace volatiles collected in traps containing Super-Q from white ash, Fraxinus americana, and green ash, Fraxinus pennsylvanica, trees. GLVs in the aeration extracts elicited antennal responses from both male and female adults in gas chromatography-electroantennogram detection bioassays. Male antennae were more responsive than female antennae and showed the strongest response to (Z)-3-hexenol. Six field experiments were conducted in Canada and the USA from 2004 to 2006 to evaluate the attractiveness of candidate GLVs, in various lure combinations and dosages. Field experiments demonstrated that lures containing (Z)-3-hexenol were the most effective in increasing trap catch when placed on purple traps in open areas or along the edges of woodlots containing ash. Lures with (Z)-3-hexenol were more attractive to males than females, and dosage may be a factor determining its effectiveness.
Journal Article
Defects in Cell Wall Differentiation of the Arabidopsis Mutant rol1-2 Is Dependent on Cyclin-Dependent Kinase CDK8
2021
Plant cells are encapsulated by cell walls whose properties largely determine cell growth. We have previously identified the rol1-2 mutant, which shows defects in seedling root and shoot development. rol1-2 is affected in the Rhamnose synthase 1 (RHM1) and shows alterations in the structures of Rhamnogalacturonan I (RG I) and RG II, two rhamnose-containing pectins. The data presented here shows that root tissue of the rol1-2 mutant fails to properly differentiate the cell wall in cell corners and accumulates excessive amounts of callose, both of which likely alter the physical properties of cells. A surr (suppressor of the rol1-2 root developmental defect) mutant was identified that alleviates the cell growth defects in rol1-2. The cell wall differentiation defect is re-established in the rol1-2 surr mutant and callose accumulation is reduced compared to rol1-2. The surr mutation is an allele of the cyclin-dependent kinase 8 (CDK8), which encodes a component of the mediator complex that influences processes central to plant growth and development. Together, the identification of the surr mutant suggests that changes in cell wall composition and turnover in the rol1-2 mutant have a significant impact on cell growth and reveals a function of CDK8 in cell wall architecture and composition.
Journal Article
Bolusing IV Administration Sets With Monoclonal Antibodies Reduces Cost and Chair Time: A Randomized Controlled Trial
by
Boyte, Francesca
,
Gavin, Nicole Clare
,
Hayes, Therese
in
Administration, Intravenous
,
Adult
,
Aged
2024
Monoclonal antibodies are widely used anticancer therapies. Increasing demand for ambulatory care necessitates exploration of efficiency measures.
The primary objective was to evaluate the impacts on chair time and associated cost of priming IV administration sets with a bolus of the prescribed monoclonal antibody drugs. A secondary objective was to assess the associated incidence of hypersensitivity reactions.
A large tertiary hospital in Brisbane, Australia, conducted a randomized controlled trial (N = 128) with a two-arm design. Included monoclonal antibodies were daratumumab, obinutuzumab, pembrolizumab, and nivolumab.
There was a statistically significant reduction in chair time for obinutuzumab, pembrolizumab, and nivolumab compared with the control. Findings suggest that this priming intervention reduces chair time and cost for some monoclonal antibody drugs. Future research could assess this practice in other oncology therapies.
Journal Article
Behavioral and electrophysiological responses of the emerald ash borer, Agrilus planipennis, to induced volatiles of Manchurian ash, Fraxinus mandshurica
by
Miller, James R
,
Grant, Gary G
,
MacDonald, Linda
in
(E)-2-hexenal
,
(Z)-3-hexen-1-ol
,
(Z)-3-hexen-1-yl acetate, hexyl acetate
2006
We investigated the volatile emissions of Manchurian ash seedlings, Fraxinus mandshurica, in response to feeding by the emerald ash borer, Agrilus planipennis, and to exogenous application of methyl jasmonate (MeJA). Feeding damage by adult A. planipennis and MeJA treatment increased volatile emissions compared to unexposed controls. Although the same compounds were emitted from plants damaged by beetles and treated with MeJA, quantitative differences were found in the amounts of emissions for individual compounds. Adult virgin female A. planipennis were similarly attracted to volatiles from plants damaged by beetles and those treated with MeJA in olfactometer bioassays; males did not respond significantly to the same volatiles. Coupled gas chromatographic-electroantennogram detection (GC-EAD) revealed at least 16 antennally-active compounds from F. mandshurica, including: hexanal, (E)-2-hexenal, (Z)-3-hexen-1-ol, 3-methyl-butylaldoxime, 2-methyl-butylaldoxime, (Z)-3-hexen-1-yl acetate, hexyl acetate, (E)-β-ocimene, linalool, 4,8-dimethyl-1,3,7-nonatriene, and E,E-α-farnesene. Electroantennogram (EAG) dose-response curves using synthetic compounds revealed that females had a stronger EAG response to linalool than males; and male responses were greater to: hexanal, (E)-2-hexenal, (Z)-3-hexen-1-ol, 3-methyl-butylaldoxime, 2-methyl-butylaldoxime, and hexyl acetate. These results suggest that females may use induced volatiles in long-range host finding, while their role for males is unclear. If attraction of females to these volatiles in an olfactometer is upheld by field experiments, host plant volatiles may find practical application in detection and monitoring of A. planipennis populations.
Journal Article
Studying diversity in teacher education
2011
Studying Diversity in Teacher Education is a collaborative effort by experts seeking to elucidate one of the most important issues facing education today. First, the volume examines historically persistent, yet unresolved issues in teacher education and presents research that is currently being done to address these issues. Second, it centers on research on diverse populations, bringing together both research on diversity and research on diversity in teacher education. The contributors present frameworks, perspectives and paradigms that have implications for reframing research on complex issues that are often ignored or treated too simplistically in teacher education literature. Concluding the volume with an agenda for future research and a guide for preparing teachers for diversity education in a global context, the contributors provide a solid foundation for all educators. Studying Diversity in Teacher Education is a vital resource for all those interested in diversity and education research.