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1. Assessing the Impact of Online Harassment on Youth Mental Health in Private Networked Spaces

   https://doi.org/10.1609/icwsm.v18i1.31355  

   Kim, Seunghyun; Razi, Afsaneh; Alsoubai, Ashwaq; Wisniewski, Pamela J; De_Choudhury, Munmun (May 2024, Proceedings of the International AAAI Conference on Web and Social Media)

   Online harassment negatively impacts mental health, with victims expressing increased concerns such as depression, anxiety, and even increased risk of suicide, especially among youth and young adults. Yet, research has mainly focused on building automated systems to detect harassment incidents based on publicly available social media trace data, overlooking the impact of these negative events on the victims, especially in private channels of communication. Looking to close this gap, we examine a large dataset of private message conversations from Instagram shared and annotated by youth aged 13-21. We apply trained classifiers from online mental health to analyze the impact of online harassment on indicators pertinent to mental health expressions. Through a robust causal inference design involving a difference-in-differences analysis, we show that harassment results in greater expression of mental health concerns in victims up to 14 days following the incidents, while controlling for time, seasonality, and topic of conversation. Our study provides new benchmarks to quantify how victims perceive online harassment in the immediate aftermath of when it occurs. We make social justice-centered design recommendations to support harassment victims in private networked spaces. We caution that some of the paper's content could be triggering to readers. 

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2. Developing Nursing Students’ Practice Readiness with Shadow Health® Digital Clinical Experiences : A Transmodal Analysis

   Wang, Y; Ashiq, M; Eagan, B; Shaffer, David_W; Shah, M; Jimenez, F; Wilson, C (October 2023, Springer, Cham)

   Irgens, G; Knight, S (Ed.)

   This study applied Transmodal Analysis (TMA), a newly developed quantitative ethnographic approach, to examine whether and how virtual patient simulations can aid in educating undergraduate nursing students with competencies that exemplify practice-ready nurses. Multimodal transcripts capturing patient interactions, exam actions, and documentation were obtained from two students who used Elsevier’s Shadow Health® Digital Clinical Experiences (DCE) in Fall 2022 and Spring 2023. Patient scenarios were situated in three content areas (Gerontology, Mental Health, and Community Health) and two assignment types (focused exam and contact tracing). In each scenario, similar patterns of engagement were observed for both students as they completed learning activities such as collecting patient data and establishing a caring relationship. These activities—guided by the instructional design of DCE—indicated how students practiced recognizing and analyzing cues, subjective assessment, diagnosing and prioritizing hypotheses, generating solutions, evaluating outcomes, therapeutic communication, and care coordination and management in relation to each patient’s needs and conditions. A statistical difference was observed between competencies practiced while completing focused exam and contact tracing assignments. This study provides evidence for using simulations to facilitate competency-based education in nursing. Additionally, it provides motivation for using Transmodal Analysis combined with Ordered Network Analysis (T/ONA) to advance quantitative ethnography research in health care and health professions education. 

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3. Gender Identity-, Race-, And Ethnicity-Based Discrimination in Access to Mental Health Care: Evidence from an Audit Correspondence Field Experiment

   https://doi.org/10.1086/728931  

   Fumarco, Luca; Harrell, Benjamin; Button, Patrick; Schwegman, David J; Dils, E (April 2024, American Journal of Health Economics)

   Transgender people, African Americans, and Hispanics face mental health disparities. While mental health care can help, minoritized groups could face discriminatory barriers in accessing it. Discrimination may be particularly pronounced in mental health care because providers have more discretion over accepting patients. Research documents discrimination broadly, including in access to health care, but there is limited empirical research on discrimination in access to mental health care. We provide the first experimental evidence, from a correspondence audit field experiment (“simulated patients” study), of the extent to which transgender and non-binary people, African Americans, and Hispanics face discrimination in access to mental health-care appointments. We find significant discrimination against transgender or non-binary African Americans and Hispanics. We do not find evidence of discrimination against White transgender and non-binary prospective patients. We are mostly inconclusive as to whether cisgender African Americans or Hispanics face discrimination, except we find evidence of discrimination against cisgender African American women. 

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4. Opportunities and Barriers to Rural Telerobotic Surgical Health Care in 2021: Report and Research Agenda from a Stakeholder Workshop

   https://doi.org/10.1089/tmj.2021.0378  

   Hansen, Ryan N.; Saour, Basil Matthew; Serafini, Brian; Hannaford, Blake; Kim, Lanu; Kohno, Takayoshi; James, Ryan; Monsky, Wayne; Seslar, Stephen P. (November 2021, Telemedicine and e-Health)

   Background: There are well-recognized challenges to delivering specialty health care in rural settings. These challenges are particularly evident for specialized surgical health care due to the lack of trained operators in rural communities. Telerobotic surgery could have a significant impact on the rural-urban health care gap, but thus far, the promise of this method of health care delivery has gone unrealized. With the increasing adoption of telehealth over the past year, along with the maturation of telecommunication and robotic technologies over the past 2 decades, a reappraisal of the opportunities and barriers to widespread implementation of telerobotic surgery is warranted. Here we report the outcome of a rural telerobotic stakeholder workshop to explore modern-day issues critical to the advancement of telerobotic surgical health care. Materials and Methods: We assembled a multidisciplinary stakeholder panel to participate in a 2-day Rural Telerobotic Surgery Stakeholder Workshop. Participants had diverse expertise, including specialty surgeons, technology experts, and representatives of the broader telerobotic health care ecosystem, including economists, lawyers, regulatory consultants, public health advocates, rural hospital administrators, nurses, and payers. The research team reviewed transcripts from the workshop with themes identified and research questions generated based on stakeholder comments and feedback. Results: Stakeholder discussions fell into four general themes, including (1) operating room team interactions, (2) education and training, (3) network and security, and (4) economic issues. The research team then identified several research questions within each of these themes and provided specific research strategies to address these questions. Conclusions: There are still important unanswered questions regarding the implementation and adoption of rural telerobotic surgery. Based on stakeholder feedback, we have developed a research agenda along with suggested strategies to address outstanding research questions. The successful execution of these research opportunities will fill critical gaps in our understanding of how to advance the widespread adoption of rural telerobotic health care. 

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5. Advancing the scholarship and practice of stakeholder engagement in working landscapes: a co-produced research agenda

   https://doi.org/10.1007/s42532-022-00132-8  

   Eaton, Weston M.; Burnham, Morey; Robertson, Tahnee; Arbuckle, J. G.; Brasier, Kathryn J.; Burbach, Mark E.; Church, Sarah P.; Hart-Fredeluces, Georgia; Jackson-Smith, Douglas; Wildermuth, Grace; et al (December 2022, Socio-Ecological Practice Research)

   Abstract Participatory approaches to science and decision making, including stakeholder engagement, are increasingly common for managing complex socio-ecological challenges in working landscapes. However, critical questions about stakeholder engagement in this space remain. These include normative, political, and ethical questions concerning who participates, who benefits and loses, what good can be accomplished, and for what, whom, and by who. First, opportunities for addressing justice, equity, diversity, and inclusion interests through engagement, while implied in key conceptual frameworks, remain underexplored in scholarly work and collaborative practice alike. A second line of inquiry relates to research–practice gaps. While both the practice of doing engagement work and scholarly research on the efficacy of engagement is on the rise, there is little concerted interplay among ‘on-the-ground’ practitioners and scholarly researchers. This means scientific research often misses or ignores insight grounded in practical and experiential knowledge, while practitioners are disconnected from potentially useful scientific research on stakeholder engagement. A third set of questions concerns gaps in empirical understanding of the efficacy of engagement processes and includes inquiry into how different engagement contexts and process features affect a range of behavioral, cognitive, and decision-making outcomes. Because of these gaps, a cohesive and actionable research agenda for stakeholder engagement research and practice in working landscapes remains elusive. In this review article, we present a co-produced research agenda for stakeholder engagement in working landscapes. The co-production process involved professionally facilitated and iterative dialogue among a diverse and international group of over 160 scholars and practitioners through a yearlong virtual workshop series. The resulting research agenda is organized under six cross-cutting themes: (1) Justice, Equity, Diversity, and Inclusion; (2) Ethics; (3) Research and Practice; (4) Context; (5) Process; and (6) Outcomes and Measurement. This research agenda identifies critical research needs and opportunities relevant for researchers, practitioners, and policymakers alike. We argue that addressing these research opportunities is necessary to advance knowledge and practice of stakeholder engagement and to support more just and effective engagement processes in working landscapes. 

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