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"Griffith, Jean Carol"
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The Color of Democracy in Women's Regional Writing
An exciting addition to the ongoing debate about the place of regionalism in American literary history.American regionalism has become a contested subject in literary studies alongside the ubiquitous triad of race, class, and gender.
eBook
Reading white space: Placing race in the novels of Edith Wharton, Ellen Glasgow, and Willa Cather
This dissertation examines how constructions of “race” shape the novels of Edith Wharton, Ellen Glasgow, and Willa Cather, and calls for a shift in feminist criticism from interrogations of patriarchal oppression in isolation to interrogations of various locations of privilege. While work on these authors has evolved as part of a movement in the humanities to acknowledge previously underemphasized socio-political categories, particularly race, class, and gender, we still lack an understanding of how marginalized Americans have related to and oppressed each other, and we continue to speak of white women as having no racial identity. This project charts the ways white women authored by Wharton, Glasgow, and Cather navigate through changing notions of whiteness as they are impinged upon by alterations in gender and class. White women in these writers' works redefine and are redefined by new discourses of an American “democracy” wherein whiteness supercedes class and gender difference. Oftentimes it is whiteness's chameleon-like quality, its adaptability for a variety of competing claims, that is at issue in these novels. While racial stereotypes of African, Irish, or Jewish Americans have been noted in feminist criticism on these writers, I draw upon the field of whiteness studies to reposition the use of racial others not as regrettable manifestations of their authors' time, but as central to the story the novels have to tell of white women. For these writers, the shifting grounds of race are located at the crossroads of region and nation. The dissertation employs a comparative regionalism and juxtaposes fictional landscapes with the history of particular regions, suggesting new ways to read white womanhood as it emerges and changes in a local context. In chapters on New York City, Virginia, and the West, I argue that the permutations of these regional/racial matrices created by Cather, Wharton, and Glasgow with varying degrees of enthusiasm—Cather's female immigrants Americanizing themselves via the Western landscape, Wharton's invading hordes of “new money” and ethnics into Old New York's feminized citadel, Glasgow's New Southern Women—all place white women at the center of radical alterations in notions of whiteness.
Dissertation
I’m Co-development of a Post-Acute Care Intervention for Frailty using Information and Communication technology (PACIFIC): a development process protocol
IntroductionHospitalisation is one of the most stressful life events for older adults, particularly for those who are pre-frail or frail. Multi-component community-based interventions have the potential to address the complex needs of older adults post-acute care admission. While some available interventions have been developed with end-user engagement, fully involving older people who are pre-frail or frail in the design of interventions has been less common. Multi-component community-based interventions that address the needs of older adults and their care partners with potential implementation barriers informed by healthcare providers, community partners and health system decision makers are needed. This protocol paper describes the planned process of co-designing for older patients discharged into the community, a Post-Acute Care Intervention for Frailty using Information and Communication technology.Methods and analysisThe development of a complex multi-component frailty intervention which meets older people’s needs involves several concurrent tasks and methodologies, each informed by co-design and conducted with consideration to eventual implementation. These tasks include: (1) establishing a Research Advisory Board, (2) assessing the feasibility and validity of using hospital administrative data to identify frail or pre-frail older adults and their needs, (3) conducting a needs assessment of patients returning to the community, (4) mapping community assets to identify existing programmes and services to help tailor the intervention, (5) co-designing a multicomponent frailty intervention, (6) selecting study outcome measures and (7) selecting and tailoring a digital health patient portal to support intervention delivery, data capture and communication.Ethics and disseminationEach task requiring ethics approval will be submitted to the Hamilton Integrated Research Ethics Board at McMaster University. Results will be disseminated through peer-reviewed journal articles, conferences and networks of relevant knowledge users who have the capacity to promote dissemination of the results. A toolkit will be developed to help researchers and healthcare providers replicate the methodology for other populations.
Journal Article
Co-development of a Post-Acute Care Intervention for Frailty using Information and Communication technology (PACIFIC): a development process protocol
Hospitalisation is one of the most stressful life events for older adults, particularly for those who are pre-frail or frail. Multi-component community-based interventions have the potential to address the complex needs of older adults post-acute care admission. While some available interventions have been developed with end-user engagement, fully involving older people who are pre-frail or frail in the design of interventions has been less common. Multi-component community-based interventions that address the needs of older adults and their care partners with potential implementation barriers informed by healthcare providers, community partners and health system decision makers are needed. This protocol paper describes the planned process of co-designing for older patients discharged into the community, a Post-Acute Care Intervention for Frailty using Information and Communication technology.
The development of a complex multi-component frailty intervention which meets older people's needs involves several concurrent tasks and methodologies, each informed by co-design and conducted with consideration to eventual implementation. These tasks include: (1) establishing a Research Advisory Board, (2) assessing the feasibility and validity of using hospital administrative data to identify frail or pre-frail older adults and their needs, (3) conducting a needs assessment of patients returning to the community, (4) mapping community assets to identify existing programmes and services to help tailor the intervention, (5) co-designing a multicomponent frailty intervention, (6) selecting study outcome measures and (7) selecting and tailoring a digital health patient portal to support intervention delivery, data capture and communication.
Each task requiring ethics approval will be submitted to the Hamilton Integrated Research Ethics Board at McMaster University. Results will be disseminated through peer-reviewed journal articles, conferences and networks of relevant knowledge users who have the capacity to promote dissemination of the results. A toolkit will be developed to help researchers and healthcare providers replicate the methodology for other populations.
Journal Article
Is there an association between physical activity and lower urinary tract symptoms in adolescent girls? Results from the Avon Longitudinal Study of Parents and Children
Introduction and hypothesis
Lower urinary tract symptoms (LUTS) are common among adolescent girls. Physical activity (PA) has been implicated as both a risk (high-impact PA) and protective factor (low-impact, moderate to vigorous intensity PA) for LUTS in adult women, but its role in adolescent girls is unclear. This study investigated the prospective association between physical activity and LUTS risk in adolescent girls.
Methods
The sample comprised 3,484 female participants in the Avon Longitudinal Study of Parents and Children. Multivariate logistic regression models were used to examine daily minutes of moderate to vigorous PA (MVPA) at ages 11 and 15 years in relation to LUTS at ages 14 and 19 respectively. MVPA was assessed by 7-day accelerometer data. LUTS were assessed by questionnaire. MVPA were analyzed as continuous (minutes/day) and categorical variables (<10th percentile, 10–89th percentile, ≥90th percentile).
Results
Prevalence of LUTS ranged from 2.0% for bedwetting to 9.5% for nocturia at age 14 and from 2.0% for straining to urinate to 35.5% for interrupted urine flow at age 19. Physical activity was not associated with LUTS at either time-point.
Conclusions
Given the prevalence of LUTS in female adolescent populations, although this study did not find an association with accelerometer-measured MVPA, other aspects of PA that may serve as risk or protective factors deserve investigation.
Journal Article