Assessing the impact of a 6-year health sciences enrichment program for underrepresented minority youth on healthcare workforce diversity, career path, and public health

Background

Improving the quality of care for a diverse population requires a diverse healthcare workforce which necessitates high educational attainment among underrepresented communities. Programs aimed to address healthcare workforce diversity gaps also serve as a public health intervention by offering avenues to improve the health of local communities by providing students with the knowledge and skills to promote healthy behaviors, foster scientific literacy, and inspire future public health professionals - who in turn serve their local communities to advance health outcomes. We interviewed alumni of the New York Presbyterian Hospital Lang Youth Medical Program (LYMP), a high school health sciences mentoring and enrichment program for underrepresented minority youth in Upper Manhattan, from graduating classes between 2012 and 2021 to explore their perspectives on what aspects of the program had the most impact on their academic and career paths.

Method

This is a qualitative study using in-depth, semi-structured individual interviews. All interviews were analyzed using the constant comparative method for developing grounded theory, following a convenience sampling method.

Results

106 codes were organized into 24 themes, which were further arranged into 4 topic areas: demonstrated program success, intangible program drivers, improvement opportunities, and barriers to program participation. Topic areas captured participants' perspectives on how the program is designed to foster an environment of personal, academic, and professional development; ways aspects of the program organically worked together to provide unanticipated positive facilitators; opportunities for program improvements, and external factors that influenced decision-making.

Conclusion

Through this study, we found that the LYMP had a positive influence in helping participants set and achieve personal, academic, and professional goals. Alumni reported activities and experiences offered by the program that foster key youth development constructs linked to healthier and more resilient communities. Importantly, the vast majority of participants described how the synergism between program features, staff support, family involvement, and professional development and networking created an environment of achievement that went beyond the scope of the program design. Findings from this study offer a blueprint for other organizations to craft a similarly successful enrichment program that improves health outcomes, reduces health disparities, and promotes overall population health.

In-situ acceleration-speed profile of an elite soccer academy: A cross-sectional study

Speed is an essential skill in sports performance and an important performance metric in talent identification. This study aims to evaluate and compare the sprint acceleration characteristics across different age groups in an elite soccer academy. A total of 141 elite academy soccer players were recruited to participate in the study, and they were assigned to their respective competitive age groups, ranging from under-14 to the B-team. An individual in-situ acceleration-speed (A-S) profile was assessed and derived from Global Position System (GPS) speed-acceleration raw data, from 10 consecutive football sessions, in the beginning of the season. The results showed that under-14 players exhibited significantly lower theoretical maximum speed (S0) (η p 2  = 0.215, p < 0.01) when compared with all other age groups. However, no differences were found between maximum theoretical acceleration (A0) and A-S slope between age groups. The results suggest that sprint mechanical profiles of young soccer athletes remain stable throughout their athletic development. Nevertheless, younger athletes have less capacity to apply horizontal force at higher speeds (S0).

The associations of early specialization, sports volume, and maturity status with musculoskeletal injury in elite youth football players

Background: Youth football in schools has experienced rapid growth in China. Despite the increase of players engaging in more frequent, intensive, and organized sports training at their early ages, the controversy over early specialization (ES) still exists. This study aims to: a) investigate the training situation of players in the Chinese School Football Programme and b) examine the associations of early specialization, sports volume, and maturity status with musculoskeletal injury. Methods: A cross-sectional survey was used. Players who participated in the National School Football Winter Camp were invited to fill out a questionnaire that included the data of maturity, ES, sports volume, and injury history (n = 88 boys and n = 90 girls). Results: The results have shown that 80.3% of the athletes were classified as ES, while 19.7% of them were classified as non-ES. Almost all athletes (96%) participated in a sport for more than 8 months in a year. Most athletes (75.8%) spent more than twice of the time on organized sports than leisure activities. 30.3% of the athletes trained on average more hours per week than the number of their ages. Binomial logistic regression models reflected the significant differences in the odds ratios (OR) of reporting a history of injury among athletes with different levels of specialization (p = 0.024) and the OR of reporting a history of leg injury among players with different weekly sports volumes (p = 0.038). Significant differences were also shown in the OR of players reporting foot injuries between players with different maturity states (p = 0.046), and the Chi-squared test showed significant differences in the OR of reporting acute injuries between players with different levels of specialization (p = 0.048) and weekly activity (p = 0.022). No significant differences were found between the remaining variables. Conclusion: Most school football elite players follow the ES pathway even though ES increases the risk of injury, especially acute injury. Pre-pubertal and early pubertal players have a higher incidence of foot injuries. Players who train more hours per week than their ages have more leg injuries and acute injuries. Therefore, priority protection and intervention should be carried out for populations with a high risk of injury.

Navigating cultural transitions during resettlement: the case of unaccompanied refugee minors

Introduction

Refugees face the process of cross-cultural transitions upon arrival in their host country. This process is commonly referred to as acculturation and can be particularly challenging for asylum-seeking children and adolescent unaccompanied by a caregiver. To more effectively facilitate unaccompanied refugee minors (URMs) resettlement, this study sought to obtain an enhanced understanding of the acculturation processes of these youth'.

Methods

Thus, interviews with 48 URMs, all of whom arrived before the age of 16 years, were analyzed in two steps. First, how the youth described their host country's society and culture, followed by how they navigated within this societal and cultural landscape during resettlement.

Results

The youth described how they navigated the Norwegian cultural and societal landscape by gaining cultural competence, adapting and finding ways to contribute, which made it easier for the youth to gain access to the society, to succeed as well as enhance their sense of agency. However, the youths also reported having to navigate between the expectations of their original and host country cultures, struggling with finding a balance between the two cultures.

Discussion

The youth' acculturation processes seemed to be the result of both their own needs, wishes and behavior as well as specific features in their host country culture, which supports the notion that acculturation processes to some degree are context- and culture-dependent. Knowledge regarding the cultural and societal framework that these youth face and how they navigate within it during resettlement is critical for identifying possible cross-cultural challenges and promoting positive developmental tracks. To understand more about acculturation and integration processes, future research should include specific cultural and societal features as well as immigrants' own perspectives and experiences during resettlement.

Assessing Foods and Nutrition Competencies in Youth

OBJECTIVE

To develop a comprehensive assessment of foods and nutrition competencies with robust psychometric properties for the 4-H Foods and Nutrition Project.

DESIGN

The Assessment of Foods and Nutrition Competencies in Adolescents was developed through a systematic measurement development process by a group of researchers, practitioners, and program alumni familiar with the theory of change and implementation procedures of the 4-H Foods and Nutrition Project.

SETTING

Recruitment was conducted through the 4-H Online membership management program for 4-H members throughout Texas to complete online survey questions.

PARTICIPANTS

Four hundred twenty-four Texas 4-H members in grades 6-12.

VARIABLES MEASURED

Survey items addressing 6 specific foods and nutrition competencies dimensions.

ANALYSIS

A series of reliability and confirmatory factor analyses were conducted to assess the psychometric qualities of Assessment of Foods and Nutrition Competencies in Adolescents.

RESULTS

Assessment of Foods and Nutrition Competencies in Adolescents was found to possess good factor structure, reliability, validity, and measurement invariance. Program participants showed an advantage over nonparticipants in most core foods and nutrition competencies concerning positive behavioral changes.

CONCLUSIONS AND IMPLICATIONS

Assessment of Foods and Nutrition Competencies in Adolescents comprehensively captures the core competencies promoted by the 4-H Foods and Nutrition Project and possesses the psychometric qualities critical for program evaluation. A more diversity-focused outreach effort is needed for inclusive youth programs like the 4-H Foods and Nutrition Project to benefit the general youth population.

Social change at the local level: A psychobiography of Khali Sweeney from Detroit's downtown boxing gym

OBJECTIVE

This psychobiography analyzes the life of Khali Sweeney from Detroit's Downtown Boxing Gym to understand his motivation for and methods as a social change agent. In doing so, the project also considers how to prepare the next generation of youth development leaders as social change agents.

METHOD

We conducted a nine-step psychobiography based on recommendations from established psychobiographical methods. Using a team-based, thematic analysis approach we analyzed contextual, first-, second-, and third- person data from the perspective of Phenomenological Variant of Ecological Systems Theory (PVEST).

RESULTS

Results suggest Khali is an effective social change agent due to five interrelated factors. Analyzing Khali's life through the lens of PVEST also revealed his experiences resulted in two realizations central to him becoming a social change agent: the people and services that are supposed to serve youth at times do not, and; individuals like him can step up to meet youth needs.

CONCLUSIONS

Results point to several important lessons related to transformational leadership theory that can enable YDP leaders to serve as social change agents.

Understanding young Black women's socialisation and perceptions of sexual and reproductive health

Although sexual and reproductive health inequities acutely and disproportionately affect Black women in the USA, there are few studies that consider the sociocultural context in which Black women transition to adulthood and develop their sexuality. The objective of this study was to describe the lived realities of young Black women to elucidate how the sociocultural context informs their current perceptions of sexual and reproductive health. We conducted phenomenological interviews with 22 Black women aged 18-29 years to elicit their life stories. The main categories identified in the findings include how the sociocultural environment informs the self-concept; how the sociocultural environment informs early learning about sexual health; and how together these experiences inform women's development of a sexual self-concept. Three main groupings of experiences were identified relative to women's sexual self-concept: fear-based disease and pregnancy prevention; a deeper understanding of bodies and sexuality beyond disease and pregnancy prevention; and sexual pleasure and fulfilment as a priority. To address ongoing sexual and reproductive health inequities that particularly disadvantage young Black women, health systems and interventions should address the sociocultural contexts in which young Black women develop and manage their sexual health.

Using Iterative Experimentation to Accelerate Program Improvement: A Case Example

BACKGROUND

This article offers a case example of how experimental evaluation methods can be coupled with principles of design-based implementation research (DBIR), improvement science (IS), and rapid-cycle evaluation (RCE) methods to provide relatively quick, low-cost, credible assessments of strategies designed to improve programs, policies, or practices.

OBJECTIVES

This article demonstrates the feasibility and benefits of blending DBIR, IS, and RCE practices with embedded randomized controlled trials (RCTs) to improve the pace and efficiency of program improvement.

RESEARCH DESIGN

This article describes a two-cycle experimental test of staff-designed strategies for improving a workforce development program. Youth enrolled in Year Up's Professional Training Corps (PTC) programs were randomly assigned to "improvement strategies" designed to boost academic success and persistence through the 6-month learning and development (L&D) phase of the program, when participants spend most of their program-related time in courses offered by partner colleges.

SUBJECTS

The study sample includes 317 youth from three PTC program sites.

MEASURES

The primary outcome measures are completion of the program's L&D phase and continued college enrollment beyond the L&D phase.

RESULTS

The improvement strategies designed and tested during the study increased program retention through L&D by nearly 10 percentage points and increased college persistence following L&D by 13 percentage points.

CONCLUSION

Blending DBIR, IS, and RCE principles with a multi-cycle RCT generated highly credible estimates of the efficacy of the tested improvement strategies within a relatively short period of time (18 months) at modest cost and with reportedly low burden for program staff.

It Is Not Called Recess Anymore: Breaktime in Middle School

BACKGROUND

School recess offers students a break from the rigors and immobility of academic learning, and a chance for social interaction, play, and physical activity. The recess literature is based on elementary schools, with little attention to older students. Early adolescents also need school breaks, and this study offers some of the first findings on how to organize this time to best support the developmental needs of middle schoolers.

METHODS

The study explores middle school breatktime in 3 schools in California. It uses observations, interviews, and a student survey conducted in 2018. Data were coded thematically and analyzed.

RESULTS

Findings indicate a tradeoff between socialization and physical activity among students who falls along age and gender lines. Adults viewed their roles mainly as safety monitors, including both physical and emotional safety. They were aware of the limitations of their breaktime offerings, which generally included access to outdoor and a few alternative indoor spaces, and attributed not having more options to lack of resources.

CONCLUSIONS

Findings demonstrate the complexities of organizing breaktime space for early adolescents. Middle schools must plan their breaks with attention to developmentally appropriate activities, including games and sports as well as opportunities for other kinds of social interactions in safe, supportive environments.

Talent Identification and Development in Male Futsal: A Systematic Review

This review aimed to identify and synthesize the most significant literature addressing talent identification and development in futsal. A systematic review of Web of Science™ (all databases), Scopus, PubMed and SPORTDiscus databases was performed according to the preferred reporting items for systematic reviews and meta-analyses guidelines. This study included original articles in English, Spanish or Portuguese containing relevant data on talent development/identification of male futsal players. The search yielded 238 articles. After screening, a total of 32 manuscripts were fully reviewed. The quality of the data reviewed was generally good. Results indicate that the most successful players exhibit technical, tactical, anthropometric, physiological and psychological advantages and are distinguished from lower-level players based on their earlier dedication to training. This review highlights the need for those involved in the process of identifying and developing talented futsal players to consider the technical and tactical skills of futsal players, along with their anthropometric and physiological characteristics, scaled to age. Finally, special attention should be paid to the supportive psychosocial environments created in sports academies for developing futsal players. Overall, talent identification and development programmes in futsal need to be dynamic and offer the possibility of changing assessment parameters in the long term.

Youth Assets and Initiation of Sexual Intercourse by Family Structure: A Longitudinal Cohort Study

BACKGROUND

The purpose of this study was to assess the protective influence of individual, family, and community assets from the initiation of sexual intercourse (ISI) for adolescents living in one-parent households compared with adolescents living in two-parent households.

METHODS

Five waves of data were collected annually over a 4-year period (N = 591, 52.5% female, mean age = 14.0 years) from a racially/ethnically diverse sample of adolescents. Extended Cox models were used to assess the relationship between assets and time of ISI while controlling for demographic variables. Potential interactions between adolescent's household structure and assets were examined.

RESULTS

Five of 17 assets were prospectively and significantly associated with a reduced risk of ISI among adolescents living in one-parent households compared with 11 of 17 assets for adolescents living in two-parent households. Adolescents living in one-parent households who possessed any one of five assets (e.g., general aspirations for the future, relationship with mother, positive peer role models) had between a 27% and 57% lower risk of ISI, whereas adolescents living in two-parent households who possessed any of one of 11 assets (e.g., responsible choices, family communication, community involvement) had between a 20% and 42% lower risk of ISI.

CONCLUSION

The results suggest that strengthening specific youth assets across multiple dimensions of behavioral influence may decrease the risk of ISI for adolescents living in both one-parent and two-parent households. Public health efforts focused on developing programs to promote asset building tailored to adolescent's family structure are warranted.

The Benefits of Intergenerational Wisdom-Sharing: A Randomized Controlled Study

Adolescents’ opportunities to benefit from the life wisdom of older persons are very limited. To address this issue, we designed and tested the Building a Community Legacy Together (BCLT) program based on research on the benefits of older people’s wisdom for youth development. In the intervention, the youth participants were trained prior to conducting interviews with older persons regarding their advice for living. The youth participants analyzed the information obtained and presented a summary report to the community. The participants were 93 middle and high school youth who were randomly assigned to the treatment condition with the BCLT program (n = 47) or to the control condition (n = 46). The outcome measures included sense of purpose, self-esteem, attitudes toward older people, confidence interacting with older people, and interest in working with older people. Quantitative and qualitative data were also collected regarding the subjective assessments of the program’s success. We found significant positive effects for the BCLT participants regarding their sense of purpose in life, attitudes toward older people, comfort interacting with older people, and interest in working with older people. The subjective assessments of the participants were overwhelmingly positive. The findings indicate that BCLT had positive effects for the youth participants and support the further development and testing of wisdom-sharing intergenerational programs.

Co-creation on Redefining Consumer Well-Being Needs Among Youth Through Self-Potential Development Model

A co-creation values consumers' input as its primary crust in informing businesses on current consumer needs. More importantly, it would be the next shape in future demands of consumers in business sustainability. This paper addressed this context, narrowing its scope in investigating the voices of stakeholders on what would be the essential aspects of the present and future youth qualities in achieving sustainable well-being in the present trend. The findings would be essentially helpful for the youth and the business world to understand the aspects of good youth development, which would shape the next fabric of consumerism. Self-potential development of the youth is vital in achieving excellent life quality and the youth's well-being in Malaysia. However, the increase in challenges faced by today's youth is inconsistent with a decline of the group's well-being. There are various studies and interventions implemented to overcome the youth situation. However, there is still in need for a model that can guide the holistic development of youth self-potential. The purpose of this study is to build a sustainable and comprehensive model of the self-potential development of the youth, which can be integrated with all of the self-potential indicators of the youth via a co-creation process. This study used the Fuzzy Delphi Method (FDM) on the proposed elements in the development model and systematically analyzed them using Interpretive Structural Modeling (ISM) to create the development model. The method capitalized 10 stakeholders from various youth development backgrounds in developing the model. The model consists of 25 sub-indicators (SIs, elements) that are divided into five indicators. The model findings show that one of the most driving indicators is an entrepreneurial mindset among youth, followed by the other indicators of youth self-potential development. The model also shows that the civic-mindedness indicator is the output of youth self-potential that will surface at an end of the development. The model will guide the authorized body on the priority elements that can systematically and strategically improve youth self-potential to meet future challenges with youth aspirations.

Parental and School Influences on Character Attributes Among Chinese Adolescents

Objectives

While there are many theoretical propositions on parental and school impacts on character formation among adolescents, limited empirical evidence is available. To fill the research gaps, this study examined how parental factors (e.g., behavioral control, support, parent-child relationship, and psychological control) and school factors (teacher-student relationship and student-student relationship) affect adolescents' character attributes in the areas of "treating others well," "self-discipline and law-abidance," and "traditional Chinese virtues," from both child and parent perspectives.

Methods

We used survey data collected from 2,472 Chinese adolescents (Mean age = 14.76 ± 1.82 years; 1,271 girls) and 412 Chinese parents (Mean age = 45.68 ± 6.53 years; 313 mothers) in Hong Kong.

Results

Structural equation modeling revealed significant positive effects of positive parental factors and relational factors in school on children's character attributes. However, psychological control as the indicator of negative parenting did not serve as a negative predictor of adolescents' character attributes.

Conclusion

These findings shed light on the unique contribution of different parental and school factors to character development among Chinese adolescents. The findings also imply the importance of promoting ecological assets in family and school through parent and teacher training in effective character education, which is essential for children and adolescents' healthy development.

Comparing the Prevalence of Alcohol, Combustible and Electronic Cigarettes, Hookah, and Marijuana, in Music Videos across 6 Genres of Popular Music from 2014-2020

OBJECTIVES

To determine the frequency of alcohol, marijuana, cigarettes/cigars, e-cigarettes, and hookah portrayals in popular music lyrics and videos on YouTube across 6 genres over 7 years; assess percent change over the years, document brand placement, and determine frequency of promotion of substances/devices by Teen Choice Award celebrities.

METHODS

We analyzed 699 songs from the Billboard Hot 100 between 2014 and 2020. Two raters coded 10% of the songs to establish inter-rater reliability and remaining songs were reviewed by one rater.

RESULTS

The majority of songs (59.2%) on YouTube included either lyrical or video depictions and 20.6% included both. Songs that featured substances/devices were viewed 148 billion times on YouTube as of February 2021. Nearly 25% of videos depicting substances/devices featured branding. Forty-three (18.22%) of the music celebrities who featured substances/devices in their videos received one or more Teen Choice Awards during the study period.

CONCLUSIONS

Popular music celebrities promote substance use in their lyrics and music videos, which are easily accessible to children and adolescents. Some of these celebrities are highly popular and influential among adolescents.Policy Implications. Findings support the need to limit promotion of these substances to youth by influencers to reduce substance use and misuse.

The New Generation of Professional Soccer Talent Is Born under the Bias of the RAE: Relative Age Effect in International Male Youth Soccer Championships

In 2019, numerous championships of youth categories soccer national teams were held. In the present study, we analyzed the existence of the Relative Age Effect (RAE) in four major male championships that, due to their importance and participating teams, most likely brought together the great bulk of the players who will dominate professional soccer in the next decade. Participants were professional and amateur youth male soccer players who participated in the last international championships: UEFA European Under-21 Championship (2017–2019); UEFA European Under-19 Championship (2019); South American Youth Football Championship (also known as Conmebol U-20) (2019); and FIFA U-20 World Cup (2019), with 823 players (20.25 ± 0.84 years). In the four championships analyzed, the existence of RAE was found for all players (p < 0.001). Analyzing the players when considering their position on the pitch and their championship, RAE was found, statistically significant, in 10 of the 16 classifications. New generations of elite soccer players arrive with a clear bias in the selection of talent; an unfair bias, based on unequal opportunities in early categories, which should be reviewed by sports authorities.

Addressing infant mortality through positive youth development opportunities for adolescent girls

Adolescent girls experience risks prior to pregnancy and giving birth that influence their overall health, and development, as well as community rates of infant mortality. Supporting adolescent girls through positive youth development (PYD) opportunities offers a potential long-term strategy to preventing infant mortality and improving maternal health outcomes. The current study sought to assess state-wide needs, resources and opportunities related to PYD supports for adolescent girls, especially among those most at risk for early pregnancy. A strengths, weaknesses, opportunities and threats (SWOT) analysis guided nine community forums in counties with the highest rates of infant mortality in one large Midwestern state. In total, 368 stakeholders attended the forums and provided insights related to the context of PYD for adolescent girls. Researchers also conducted three focus group with 19 parents/guardians and three focus groups with 25 adolescent girls aged 11-14 to validate the findings from the SWOT analysis. Content analysis was utilised to synthesise the qualitative results. Strengths and opportunities related to PYD for adolescent girls included access to afterschool programming and access to health and mental health services. Weaknesses brought awareness to more systemic problems as all nine counties reported a lack of communication and coordination among youth programs and a need for greater collaboration among youth agencies. Threats included challenges associated with technology and social media, unsafe neighbourhood conditions, and issues of racism, sexism, poverty and discrimination. Findings support the need for a continued focus and priority on improving access, services and supports for adolescent girls to prevent infant mortality and improve their health and well-being. Local, state and national leaders can use the results of this study to promote additional strategies for addressing infant mortality through PYD for adolescent girls.

Do Adolescents with Low Motor Competence Have Increased Risk for Overweight and Obesity?

Background: Adolescence is an important time for establishing behavioral patterns which favorably affect health, including weight status. Yet, the prevalence of adolescent overweight/obesity is high, and it is unknown whether low levels of motor competence are a risk factor. The purpose of this study was to assess whether adolescents with low motor competence are at increased risk of overweight/obesity. Methods: A total of 142 adolescents (47.2% boys) aged 12-14 years were recruited from Rio de Janeiro, Brazil. Motor competence level was assessed using the Körperkoordinationtest fur kinder (KTK) and classified in two categories: "low" and "adequate." BMI measures were used to classify weight status as "healthy" or "overweight/obese." The correlation between motor competence level and BMI was tested. A binary logistic regression model was executed adjusting for potential confounders (age, sex, and stature). Results: Motor competence was moderately associated with BMI (r = -0.573, p < 0.001). Nearly four in five adolescents with low motor competence were overweight/obese. Further, adolescents with low motor competence had a risk six times higher of being overweight/obese (odds ratio = 6.832, p < 0.001, 95% confidence interval = 2.477-18.845). Conclusions: This study showed that a low level of motor competence is linked to the odds of being overweight/obese in adolescents. This is a concern given the high prevalence of low motor competence in youth worldwide. However, our cross-sectional design does not allow the determination of causal mechanisms. Regardless, we reinforce the recommendation that young people should establish behavioral patterns favorable to adolescent health, including adequate levels of motor competence.

Creating inclusive Performing Arts practices for development of youth with disabilities: A critical ethnographic study

Background

Youth with disabilities are a marginalised group in society. This marginalisation traps them and prevents their full participation in social and economic development.

Objective

This study sought to understand how exposure to the Performing Arts facilitates the inclusion of youth with disabilities.

Methods

The study adopted a qualitative research approach, utilising critical ethnography. Primary data consisted of three focus group discussions with youth with disabilities, and an in-depth interview with a performer with disability. Thematic data analysis was conducted.

Results

Four themes emerged. Theme 1, Blown away, shares the experiences of youth who attended Artscape Theatre. Theme 2, I can do it, you can do it, describes their career aspirations. Theme 3, Embracing hope, identifies the social and life skills learned through visited Artscape. Theme 4, Long way to go, presents the factors that influence the participation of youth with disabilities in the Performing Arts. While their experiences are diverse, and their impairments are unique, contact with the Performing Arts supported social and economic inclusion, and triggered empowerment of youth with disabilities. Insufficient accessible and available transportation is the most notable barrier to accessing development opportunities.

Conclusion

Exposure to the Performing Arts provides important skills development and social opportunities for disabled youth. It is up to the ‘keepers’ of the Performing Arts – those in administration and management – to realign the Performing Arts in a way that can best benefit everyone.

What Racism Has to Do with It: Understanding and Reducing Sexually Transmitted Diseases in Youth of Color

Sexually transmitted diseases (STDs) are high in populations of color compared to Whites. High-risk sexual behaviors are widely viewed as the key contributors to the levels of STDs, especially in adolescents and young adults. This article situates the sexual risk behaviors of Black, Indigenous, and other young people of color within the framework of racism. It begins with an overview of racial inequities in common STDs and shows how racism gives rise to several risk factors for high-risk sexual behaviors. These risk factors for STDs identified in prior research are best understood as adaptations to the challenges and constraints faced by youth in socially disadvantaged environments. Both social adversity and the mental health problems that it triggers can lead to risky sexual behaviors. Drawing on findings from prior research with youth of color, this paper describes the needed interventions that can markedly reduce STDs and their risk factors. It also describes needed research on interventions that could contribute to the knowledge and understanding of the adverse conditions fueled by racism that affect youth of color, their health, and their communities.

Are Soccer and Futsal Affected by the Relative Age Effect? The Portuguese Football Association Case

A better understanding of the relative age effect (RAE) in youth will increase the awareness of the need for reducing the bias of (de)selection. Thus, we investigated the RAE in youth female and male soccer and futsal players in Portugal, using nationwide data. Birthdates of 5,306 female and 126,285 male soccer players, and 2,437 female and 23,988 male futsal players (U7–U19), registered in Portugal during the season 2019–2020, and Portuguese National teams (from U15 to AA soccer teams and from U17 to AA futsal teams) were analyzed. Data were categorized into age groups and certification levels [no certification, basic football training center, football school, and training institution] of the respective clubs/academies. Birthdates were stratified from the start of the selection year using quartiles (Q) and semesters (S). Differences between the observed and expected birthdate distributions were analyzed using chi-square statistics, and RAEs were calculated using odds ratios (OR). In both soccer and futsal, female players, in the age category U9, RAEs were found (Q1 vs. Q4, OR: 1.49 and 1.84, respectively). In male soccer, differences in the birthdate distribution were observed in all age categories (U7–U19) with significant OR between all comparisons (Q and S). In contrast, an over-representation of young male futsal players (Q1 vs. Q4) was observed only in the age categories U7 and U9 (OR: 1.54 and 1.34, respectively). The stratification by certification level showed a significant RAE for all certification levels in male soccer players. In contrast, in male futsal players, the RAE was significant only in clubs and academies with the highest level. For National teams, the RAE was more pronounced in male soccer, particularly in the U16 and U17 (OR: 9.84 and 12.36, respectively). Data showed a RAE in female and male youth soccer and futsal, particularly in male, younger age categories, and in clubs and academies having a higher certification level, which could be accompanied by a loss of valuable elite players during the youth phase of their careers. Thus, adjustments in the systems and structure of talent identification are recommended to prevent RAE-related discrimination in youth soccer and futsal.

Managing the disconnect: A critical case study of neoliberalism in youth development practice

AIMS

This critical ethnography interrogates the influence of neoliberalism on youth development practice as instituted by the evidence-based practice and positive youth development movements.

METHODS

I employed participant observation and grounded theory analyses in my role as facilitator of a youth participatory action research program in the context of violence prevention work at a large urban youth development agency.

RESULTS

The disconnect between professionalized youth development and the lived experience of youth manifested in organizational policies and practices and meant that the agency had to balance competing interests and worldviews, reconcile the need for funding with social justice aims, and cope with the consequences of such conflicts.

CONCLUSIONS

Neoliberalism exacerbates a disconnect between youth development practice and youth experience, contributing to an epistemic form of violence. Results are discussed in relation to Martín-Baró liberation framework, which emphasizes the recovery of historical memory, deideologizing everyday experience, and utilizing the virtues of oppressed people.

How Important is Motor Competence for Healthy Weight Status across Adolescence?

Background: Although evidence supports that motor competence is negatively associated with adiposity levels in children, less is known about how motor competence and weight status relate in adolescence. Adolescence is a critical period to study this relationship because the associations between these elements are expected to strengthen over developmental time. The aim of this study was to analyze the relationship between motor competence and weight status across adolescence. Methods: A longitudinal study (2-year follow-up) was conducted with 122 participants (59.8% girls) aged 12-13 years at baseline. They were assessed annually at three time points. Body fatness, motor competence, physical activity, and musculoskeletal fitness levels were determined through skinfold thickness, Körperkoordinationstest für Kinder (KTK), Physical Activity Questionnaire for Older Children (PAQ-C), and sit-up tests. Generalized Estimating Equation (GEE) models were conducted adjusting for potential confounders (age, gender, anthropometry, physical activity, and fitness). Results: Motor competence and body fat showed moderate-to-high negative correlations (r = -0.65 to -0.69, p < 0.001) across time. Furthermore, motor competence significantly predicted body fat over time (B = -0.05, p = 0.05), even after adjusting for potential confounders. Conclusions: There is a lot of emphasis in the literature on increasing physical activity to maintain a healthy weight status or to prevent unhealthy weight gain, but this study has highlighted the role of motor competence on these aspects across the critical period of adolescence. Therefore, it seems plausible to recommend initiatives that foster the development of motor competence in early adolescence with the aim to prevent obesity.

Gross Motor Coordination: We Have a Problem! A Study With the Körperkoordinations Test für Kinder in Youth (6-13 Years)

The main goal of our cross-sectional research was to determine the current values of gross motor coordination (GMC) of Italian boys and girls between 6 and 13 years of age. Secondary goals were to study gender differences, and the four subtests trend with ages. Results were compared with the references proposed by KTK authors and with similar searches. Anthropometric measurements and KTK data from 2,206 schoolchildren (girls: n = 1,050; boys: n = 1,156) were collected. The KTK raw score (RS) increased with the age of the subjects (r = 0.678; p < 0.001). In 11-13-year-old subjects, the increase in results is less than in younger subjects. RS showed differences by gender (F = 5.899; p = 0.015) and age (F = 269.193; p < 0.001) without interaction gender × age. Motor quotient (MQ) tended to decrease with age (r = -0.148; p < 0.001); it showed differences by gender (F = 79.228; p < 0.001), age (F = 14.217; p < 0.001), and an interaction gender × age (F = 2.249; p < 0.05). Boys showed better performance than did girls in the raw scores of three of four subtests (JS: F = 24.529; MS: F = 9.052; HH: F = 11.105). Girls show better performances than did boys in the WB (F = 14.52). Differences between genders make us believe it appropriate to maintain a differentiated standardization. RS increased with age, and it seems reasonable, therefore, to maintain a GMC age-based normalization. On the contrary, MQ tended to decrease. All this makes us speculate that today's young people accumulate less significant motor experiences over the years compared to those achieved by their peers in the 1970s. Italian data were lower than German references and Belgian results but slightly higher than the Brazilian ones. The comparison among these four searches confirmed a worrying downward trend in GMC and its characterization by geographical and sociocultural areas. Updated parameters of the KTK can provide helpful references to improve policies to support physical activity, sport, and physical education in youth.

The Relative Age Effect and Talent Identification Factors in Youth Volleyball in Poland

Previous studies in team sports have not reported evidence regarding the relative age effect (RAE) in relation to the talent identification (TI) process in volleyball, which is organized and controlled by a national federation. Volleyball is a non-contact team sport in which a player’s physique does not directly affect other players in the game but is considered one of the most critical factors in the TI process. The aims of the present study were (1) to determine the differences in the quarterly distribution of age between Polish youth volleyball players from the Olympic Hopes Tournament (OHT) and the general population, (2) to investigate the quarterly differences in anthropometric characteristics and motor test results in OHT participants, and (3) to identify the criteria that determine selection for the National Volleyball Development Program (NVDP). The present study identified the RAE in young male (n = 2,528) and female (n = 2,441) Polish volleyball players between 14 and 15 years of age who competed in the elite OHT in 2004–2015. The study included anthropometric characteristics, motor test results, and selection for the NVDP. The multivariate analysis of covariance demonstrated no significant main effect for birth quarter or calendar age in any of the OHT female players or in male players selected for the NVDP. In the group of non-selected NVDP male players, the analysis demonstrated significant differences by birth quarter as a covariate for body height (F = 0.01, p < 0.001), spike reach (F = 7.33, p < 0.05), and block jump (F = 0.02, p < 0.001). Significant differences by calendar age as a covariate were observed for body mass (F = 0.53, p < 0.01), spike jump (F = 2.64, p < 0.05), block jump (F = 0.4, p < 0.01), and zigzag agility test results (F = 0.01, p < 0.01). The results showed a significant overrepresentation of early-born participants in the OHT and NVDP subsamples. The classification model demonstrated that a combination of four characteristics optimally discriminated between players selected for the NVDP and those who were not selected. This combination of variables correctly classified 77.7% of the female players and 71.8% of the male players in terms of their selection for the NVDP. The results of this study show that jumping ability and body height are crucial in the TI and selection process in youth volleyball.

Examining contextual and relational factors influencing perceptions of societal and interpersonal mattering among rural youth

Researchers have shown that interpersonal and societal mattering have important implications for adolescent development. Yet, few researchers have focused on what predicts mattering, particularly societal mattering, and even fewer have studied mattering among rural youth. Thus, the purpose of this study is to explore how perceived contextual and relationship factors affect rural youths' perceptions of societal and interpersonal mattering. Participants for this study were 381 middle school youth from two rural school districts in Michigan. Using structural equation modeling, we found that more positive perceptions regarding opportunities for youth involvement, availability of community resources, student input in decision-making at school, and support for autonomy at school were associated with greater perceptions of societal mattering. In addition, greater support from friends, higher quality parent-child communication, and more parental involvement were associated with a greater sense of interpersonal mattering. This study identifies important relational and contextual factors that can be enhanced in an effort to foster greater perceptions of interpersonal and societal mattering among rural youth, and ultimately help us to promote positive youth development.

Adolescent Sport Participation and Symptoms of Anxiety and Depression: A Systematic Review and Meta-Analysis

Sport may protect against symptoms of mental disorders that are increasingly prevalent among adolescents. This systematic review explores the relationship between adolescent organized sport participation and self-reported symptoms of anxiety and depression. From 9,955 records screened, 29 unique articles were selected that included 61 effect sizes and 122,056 participants. Effects were clustered into four categories based on the operationalization of sport involvement: absence or presence of involvement, frequency of involvement, volume of involvement, and duration of participation. Results from the random-effects meta-analyses indicated that symptoms of anxiety and depression were significantly lower among sport-involved adolescents than in those not involved in sport, although this effect size was small in magnitude. Meta-regression was used to identify how age and sex explained heterogeneity in effects. Although these results do not signify a causal effect, they do support theorizing that sport participation during adolescence may be a protective environment against anxiety and depressive symptoms.

Toward Understanding Youth Athletes' Fun Priorities: An Investigation of Sex, Age, and Levels of Play

Colloquial conjecture asserts perceptions of difference in what is more or less important to youth athletes based on binary categorization, such as sex (girls vs. boys), age (younger vs. older), and level of competitive play (recreational vs. travel). The fun integration theory's FUN MAPS, which identify 11 fun-factors comprised of 81 fun-determinants, offers a robust framework from which to test these conceptions related to fun. Therefore, the purposes of this study were to scientifically explore: (a) the extent to which soccer players' prioritization of the 11 fun-factors and 81 fun-determinants were consistent with the gender differences hypothesis or the gender similarities hypothesis, and (b) how their fun priorities evolved as a function of their age and level of play. Players' (n = 141) data were selected from the larger database that originally informed the conceptualization of the fun integration theory's FUN MAPS. Following selection, innovative pattern match displays and go-zone displays were produced to identify discrete points of consensus and discordance between groups. Regardless of sex, age, or level of play, results indicated extraordinarily high consensus among the players' reported importance of the fun-factors (r = .90-.97) and fun-determinants (r = .92-.93), which were consistently grouped within strata of primary, secondary, and tertiary importance. Overall, results were consistent with the gender similarities hypothesis, thereby providing the first data to dispel common conceptions about what is most fun with respect to sex, in addition to age and level of play, in a sample of youth soccer players.

Conceptions of Adolescent Friendship Quality in Sport and Music Domains

Purpose: The purposes of the present study were to (a) compare context-specific conceptions of friendship quality in youth sport and music, and (b) determine how friendship quality is related to motivational beliefs in sport and music. Method: Adolescents (N = 366; M_age = 12.9, SD = 1.0) who were involved in both organized sport and music completed measures of domain-specific friendship quality, perceived competence, enjoyment, anxiety, and motivational orientation. Results: For purpose one, a repeated-measures MANOVA revealed that (a) boys and girls rated their best sport friends higher in self-esteem enhancement and supportiveness than their best music friends, (b) boys rated their best sport friends higher in loyalty and intimacy, things in common, companionship and pleasant play, and conflict resolution than their best music friends, (c) girls rated positive friendship quality dimensions higher than boys, and (d) there were no domain or gender differences in friendship conflict. For purpose two, structural equation modeling revealed that (a) for sport, positive friendship quality dimensions were directly associated with perceived competence and indirectly associated with enjoyment, anxiety, and motivational orientation, and (b) for music, positive friendship quality and friendship conflict were related to competence motivation variables. Conclusion: Collectively, findings indicate domain differences in friendship quality and the relationship between friendship quality and motivational outcomes in sport and music. Despite some domain differences, findings demonstrate the significance of friendship quality for adolescents involved in sport and music.

Curriculum requirements and subsequent civic engagement: is there a difference between 'forced' and 'free' community service?

Despite figures showing the growth of mandatory community service programmes, there is mixed empirical evidence of their effectiveness. This paper addresses the relationship of mandated community service to one of its purported aims: subsequent volunteerism. It compares current volunteerism among four university student cohorts: those doing no service in secondary school, those volunteering with no requirement, those volunteering both before and after the introduction of a requirement, and those introduced to service through a requirement. The analysis indicates that (1) students who were introduced to service through a mandated programme exhibit current levels of engagement no greater than non-volunteers; (2) this relationship stems largely from the different service experiences of our four cohorts and relates to the fact that service satisfaction and duration, as well as background variables account for current levels of civic engagement. The findings suggest that mandatory service programmes might well be failing the very population they seek to target, particularly in weaker, less structured programmes.

A MARGINAL COST ANALYSIS OF A BIG BROTHERS BIG SISTERS OF AMERICA YOUTH MENTORING PROGRAM: NEW EVIDENCE USING STATISTICAL ANALYSIS

The objective of this study was to evaluate the cost of serving one additional youth in the Big Brothers Big Sisters of America (BBBS) program. We used a marginal cost approach which offers a significant improvement over previous methods based on average total cost estimates. The data consisted of eight years of monthly records from January 2008 to August 2015 obtained from program administrators at one BBBS site in the Mid-Atlantic. Results show that the BBBS marginal cost to serve one additional youth was $80 per mentor-month of BBBS mentoring (irrespective of program type). The cost to offer services for the average match duration of 19 months per marginal added youth was $1,503. The marginal costs per treated program participant in school-based versus community-based programs were $1,199 and $3,301, respectively. Marginal cost estimates are in the range of youth mentoring programs with significant returns on investment but are substantially higher than prior BBBS unit cost estimates reported using less robust estimation methods. This cost analysis can better inform policy makers and donors on the cost of expanding the scale of local BBBS programs as well as suggest opportunities for cost savings.

Parental Socialization and Development of Chinese Youths: A Multivariate and Comparative Approach

Parental socialization has been recently reported as a multifaceted concept, which includes parenting practices and family processes. Nevertheless, prior family research generally treated parental socialization tantamount to parenting behavior only and overlooked its different effects on multiple youth outcomes simultaneously, especially in the Chinese population. This study, with a sample of 223 Chinese parent-youth dyads (80.7% mothers; 55.6% male youths; mean_age = 16.7 years), found that both authoritative parenting and positive family processes, as measured by a multi-informant approach, significantly predicted higher self-esteem, self-control, future orientation, other perspective taking and lower externalizing problem behavior of Chinese youths concomitantly. Furthermore, youth self-esteem was found to significantly mediate the effects of authoritative parenting and positive family processes on their self-control, future orientation, other perspective taking and externalizing problem behavior, and different facets of parental socialization significantly predicted the youth outcomes differentially. Results of this study highlight importance of considering the multifaceted nature of parental socialization and interrelations of youth development.

The Revised Youth Asset Survey (YAS-R)

PURPOSE

The study's purpose was to improve the psychometric properties of the Youth Asset Survey (YAS).

DESIGN

Longitudinal cohort study with youth and parents recruited via door-to-door canvassing to participate in a 5-wave, 4-year study that assessed prospective associations among youth assets and youth health-related behaviors. Additional test items were added in the last 2 waves of a study to improve the YAS.

SETTING

Households in randomly selected census tracts located in the Oklahoma City metropolitan area.

PARTICIPANTS

Youth and their parents (N = 1111 parent/child dyads). Youth demographic characteristics at wave 4 were mean age = 17.3 (standard deviation = 1.62) years; 53% female, 41% white, 28% Hispanic, 24% African American, and 6% other.

MEASURES

Sixty-eight items assessing 17 youth asset constructs and 8 single items assessing youth risk behaviors.

ANALYSIS

Confirmatory factor analysis and generalized linear models were conducted to assess construct reliability and predictive validity, respectively.

RESULTS

Cronbach α for the revised asset constructs ranged from .72 to .82, predictive validity was strong, and all revised asset constructs were assessed via 4 items.

CONCLUSIONS

Researchers and practitioners have an improved 68-item YAS-Revised, freely available for their use, which measures 17 youth assets with good reliability, validity, and functionality.

Moral Disengagement and Student Misbehavior in Physical Education

This study examined how mechanisms of moral disengagement (MD) were related to students' self-reported misbehaviors. Participants were 282 and 336 high school students enrolled in physical education classes. In Stage 1, results of regression analysis showed that advantageous comparison and non-responsibility positively predicted four misbehaviors (i.e., low engagement, failure to follow directions, poor self-management, and distracting behavior). In Stage 2, results of the structural equation modeling confirmed that advantageous comparison and non-responsibility were the significant predictors of student misbehavior in physical education. It is suggested that prevention and intervention programs should address students' advantageous comparison (e.g., compared to skipping class, it is not a big deal to be shirking in class) and non-responsibility (e.g., no one is taking the class seriously; I am just one of them) to reduce misbehaviors in the physical education context.

Relative Age Effects and Gender Differences in the National Test of Numeracy: A Population Study of Norwegian Children

Relative age effect (RAE) refers to the phenomenon by which children born early in their year of birth perform more highly than children born later in the same cohort. The purpose of this study was to evaluate whether an RAE exists in the Norwegian numeracy test for 5th, 8th, and 9th graders (National sample of 175,760). The results showed that the RAE is consistent across 5th, 8th, and 9th graders for both boys and girls. Mean scores decreased systematically with month of birth for both genders, and the mean scores for boys were higher compared with girls. The most interesting result and novelty is the gender difference in RAE observed analyzing high- vs. low scorers. Boys born early in the year were overrepresented as high scorers (RAE advantage), whereas girls born late in the year were overrepresented as low scorers (RAE disadvantage). It would be beneficial for researchers, teachers and education policymakers to be aware of RAE, both in terms of the practical use and implications of test results and to help identify strategies to adjust for relative age differences in national tests.

Predictors of Intervention Success in a Sports-Based Program for Adolescents at Risk of Juvenile Delinquency

To prevent juvenile delinquency, there is growing interest in the use of sports-based interventions. To date, there is little empirical research that provides insights into for whom, how, and when sports-based crime prevention programs are most effective. Therefore, the current study assessed which youth, coach, and context factors were predictive of change in risk factors and protective factors for delinquency in a sports-based crime prevention program for at-risk adolescents. Participants ( N = 155) and their teachers filled in questionnaires about risk and protective factors for delinquency at the start of the intervention and 13 months later. In addition, the coaches and participants filled in questionnaires about the predictors of intervention success. The youths showed significant improvements over the course of the intervention. Various youth, coach, and context factors (e.g., the type of education of youth and the sociomoral climate at the sports club) were associated to change in the outcome variables.

Assessing and Strengthening Evidence-Based Program Registries' Usefulness for Social Service Program Replication and Adaptation

BACKGROUND

Government and private funders increasingly require social service providers to adopt program models deemed "evidence based," particularly as defined by evidence-based program registries, such as What Works Clearinghouse and National Registry of Evidence-Based Programs and Practices. These registries summarize the evidence about programs' effectiveness, giving near-exclusive priority to evidence from experimental-design evaluations. The registries' goal is to aid decision making about program replication, but critics suspect the emphasis on evidence from experimental-design evaluations, while ensuring strong internal validity, may inadvertently undermine that goal, which requires strong external validity as well.

OBJECTIVE

The objective of this study is to determine the extent to which the registries' reports provide information about context-specific program implementation factors that affect program outcomes and would thus support decision making about program replication and adaptation.

METHOD

A research-derived rubric was used to rate the extent of context-specific reporting in the population of seven major registries' evidence summaries ( N = 55) for youth development programs.

FINDINGS

Nearly all (91%) of the reports provide context-specific information about program participants, but far fewer provide context-specific information about implementation fidelity and other variations in program implementation (55%), the program's environment (37%), costs (27%), quality assurance measures (22%), implementing agencies (19%), or staff (15%).

CONCLUSION

Evidence-based program registries provide insufficient information to guide context-sensitive decision making about program replication and adaptation. Registries should supplement their evidence base with nonexperimental evaluations and revise their methodological screens and synthesis-writing protocols to prioritize reporting-by both evaluators and the registries themselves-of context-specific implementation factors that affect program outcomes.

Student Voices: Perspectives on Peer-to-Peer Sexual Health Education

BACKGROUND

This process study is a companion to a randomized evaluation of a school-based, peer-led comprehensive sexual health education program, Teen Prevention Education Program (Teen PEP), in which 11th- and 12th-grade students are trained by school health educators to conduct informative workshops with ninth-grade peers in schools in North Carolina. The process study was designed to understand youth participants' perspectives on the program in order to gain insight into program effectiveness.

METHODS

This is a mixed-methods study in 7 schools, with online surveys (N = 88) and 8 focus groups with peer educators (N = 116), end-of-program surveys (N = 1122), 8 focus groups with ninth-grade workshop participants (N = 89), and observations of the Teen PEP class and workshops during the semester of implementation in each school, 2012-2014.

RESULTS

Both peer educators and ninth graders perceived benefits of participating in Teen PEP across a range of domains, including intentions, skills, and knowledge and that the peer education modality was important in their valuation of the experience.

CONCLUSIONS

Our findings suggest that the peer-led comprehensive sexual health education approach embodied in Teen PEP can be an important educational mechanism for teaching students information and skills to promote sexual health.

Life lessons after classes: investigating the influence of an afterschool sport program on adolescents' life skills development

The purpose of this study was to investigate the influence of an afterschool sport program on adolescents’ life skills development and to identify which characteristics of the program would have an influence on their life skills acquisition. The participants were six children (4 boys, 2 girls) who participated in a 12-week afterschool program implemented in two elementary schools, as well as the two program instructors who implemented the afterschool sport program. Data were collected from individual interviews with program participants and instructors. The inductive analysis of data revealed four categories of life skills developed through program participation: (1) playing well and being more active, (2) connecting well and having better social skills, (3) coping well and becoming a better problem solver, and (4) dreaming well and having a better sense of purpose. Regarding the characteristics of the program that influenced life skills development, three themes emerged: (1) having a clear goal and building consensus with stakeholders, (2) establishing a firm yet flexible structure, and (3) instructors’ use of effective strategies for teaching life skills.

Measuring School Contexts

This article describes issues in measuring school contexts with an eye toward understanding students' experiences and outcomes. I begin with an overview of the conceptual underpinnings related to measuring contexts, briefly describe the initiatives at the National Center for Education Statistics to measure school contexts, and identify possible gaps in those initiatives that if filled could provide valuable new data for researchers. Next, I discuss new approaches and opportunities for measurement, and special considerations related to diverse populations and youth development. I conclude with recommendations for future priorities.

After-School Program for urban youth: Evaluation of a health careers course in New York City high schools

Mentoring in Medicine (MIM) addresses an urgent national need for minority health professionals and promotes careers in health care for urban youth. The MIM After School Program (ASP or The Course) has as its primary objectives to provide academic enrichment in human biology and motivate disadvantaged youth to pursue a career in the health professions. Secondary objectives of The Course, although not evaluated here, are to improve students' health literacy and knowledge of healthy living behaviors. Since 2009, over 1500 middle and high school students have completed the New York City based Course, which is offered once a week over a 10 week semester in an out-of-school venue. This study assesses the success of The Course in achieving its primary objectives with 84 students at five New York City high schools during the fall 2014 semester. The Course curriculum was created especially for MIM, comprises the body's 11 organ systems, and is presented in discrete modules (one each semester), along with complementary educational activities, including field trips and class projects. This study reports on a formal evaluation using quantitative and qualitative methods. The quantitative evaluation found that the students significantly increased their knowledge of the Gastrointestinal System. Students across the academic spectrum appeared to have learned the MIM ASP Course content - high school GPA was not a predictor of knowledge acquisition. The students also reported that The Course significantly increased their self-confidence in their ability to succeed (self-efficacy). The students expressed a significant increase in five health care related attitudes and an additional increase in their ability to overcome personal issues to succeed in their career and significantly improving their feeling toward, and likely pursuit of, a health career. The students stated that The Course significantly increased their interest and intent to seek out more information about health care, participate in health care activities, and take more health care courses in high school. The qualitative evaluation found that the students and their parents were pleased with the MIM ASP Course's composition, presentation, and effectiveness. With a large majority of the parents stating that their child got out of The Course what they had hoped for and that The Course made it more likely that they would recommend a health career for their child. The students and instructional staff also identified The Course elements that they felt were most and least effective. Best practices that were used in designing and conducting The Course were identified. The MIM ASP Course appears to have achieved its principal educational objectives of providing academic enrichment in human biology and improving attitudes towards a health career for a self-selected population of disadvantaged, underrepresented minority high school students in an urban setting.

South African, urban youth narratives: Resilience within community

South African youth in low-income, urbanized communities are exposed to high levels of daily stressors, which increase their risk to negative outcomes. Resiliency can provide avenues for youth to transcend adversity and may contribute to their positive development. To provide a deeper understanding of the pathways that adolescents use to overcome adversity, this paper examined future aspirations of South African youth, and how these aspirations were connected to resiliency factors framed by their lived context. A phenomenological approach was used to explore the perceptions of high school students. Fourteen focus groups with girls and boys (N=112) were conducted. Data was analyzed using a thematic approach. Discussions of the harsh conditions undermining the community's future highlighted opportunities for improvement. Community connectedness, hope and altruism were prevalent in youth's responses and could be used to facilitate community and individual resiliency. Our overall findings have important implications for positive youth development efforts.

South African, urban youth narratives: Resilience within community

South African youth in low-income, urbanized communities are exposed to high levels of daily stressors, which increase their risk to negative outcomes. Resiliency can provide avenues for youth to transcend adversity and may contribute to their positive development. To provide a deeper understanding of the pathways that adolescents use to overcome adversity, this paper examined future aspirations of South African youth, and how these aspirations were connected to resiliency factors framed by their lived context. A phenomenological approach was used to explore the perceptions of high school students. Fourteen focus groups with girls and boys (N=112) were conducted. Data was analyzed using a thematic approach. Discussions of the harsh conditions undermining the community's future highlighted opportunities for improvement. Community connectedness, hope and altruism were prevalent in youth's responses and could be used to facilitate community and individual resiliency. Our overall findings have important implications for positive youth development efforts.

Improving academic self-efficacy, school connectedness, and identity in struggling middle school girls: a preliminary study of the REAL girls program

Girls struggling to be successful in middle school are often dealing with negative life experiences that affect their ability to achieve academically. Frequently, their academic failures and problem behaviors are associated with feeling overwhelmed by difficult and challenging life circumstances. In the absence of intervention, these patterns may contribute to girls chronically underperforming in school, dropping out of school, and becoming involved in delinquent and high-risk behaviors. This article describes a quasi-experimental, mixed-methods study of the REAL Girls program. REAL Girls was designed to help struggling middle school girls develop resilience--particularly academic self-efficacy, school connectedness, and identity--and achieve successful outcomes in school and life. In this study, using a crossover design, 48 girls identified as experiencing academic failure, school behavior problems, or truancy participated in one of two implementations of this 3-day intervention. Findings based on both quantitative and qualitative data suggest that REAL Girls contributed to positive increases in academic self-efficacy, school connectedness, and identity. Repeated measures analysis of variance and paired t tests suggest significant increases in each outcome variable, both immediately after program delivery and 2 weeks later, and effect size estimates suggest moderate to large program impact. Focus groups conducted 90 days after implementation of the program confirmed the quantitative findings and support the efficacy of the REAL Girls program and approach.

Exploring athletic identity in elite-level English youth football: a cross-sectional approach

This study is the first empirical investigation that has explored levels of athletic identity in elite-level English professional football. The importance of understanding athletes' psychological well-being within professional sport has been well documented. This is especially important within the professional football industry, given the high attrition rate (Anderson, G., & Miller, R. M. (2011). The academy system in English professional football: Business value or following the herd? University of Liverpool, Management School Research Paper Series. Retrieved from http://www.liv.ac.uk/managementschool/research/working%20papers/wp201143.pdf ) and distinct occupational practices (Roderick, M. (2006). The work of professional football. A labour of love? London: Routledge). A total of 168 elite youth footballers from the English professional football leagues completed the Athletic Identity Measurement Scale (AIMS). Multilevel modelling was used to examine the effect of playing level, living arrangements and year of apprentice on the total AIMS score and its subscales (i.e., social identity, exclusivity and negative affectivity). Football club explained 30% of the variance in exclusivity among players (P = .022). Mean social identity was significantly higher for those players in the first year of their apprenticeship compared to the second year (P = .025). All other effects were not statistically significant (P > .05). The novel and unique findings have practical implications in the design and implementation of career support strategies with respect to social identity. This may facilitate the maintenance of motivation over a 2-year apprenticeship and positively impact on performance levels within the professional football environment.

Predicting high-risk versus higher-risk substance use during late adolescence from early adolescent risk factors using Latent Class Analysis

Much of the existing risk factor literature focuses on identifying predictors of low-levels of substance use versus higher-levels of substance use. In this paper, we explore more nuanced patterns of alcohol, tobacco, and other drug (ATOD) use during late adolescence. Our aims were to: 1) identify subgroups of youth with qualitatively different patterns of ATOD use; and 2) explore whether membership among qualitatively distinct, high-risk classes could be predicted based on early adolescent risk factors. Data came from a selected subsample of the National Longitudinal Survey of Youth (n = 1,689). Predictors were measured when youth were about 12 years old; ATOD use was assessed when youth were aged 17 years. Results showed that adolescent ATOD use is not a homogenous behavior. Four distinct classes of adolescent ATOD users were derived. Each class had a qualitatively distinct and discriminable pattern of ATOD use. Ecological predictors were shown to differentiate between latent classes, with peer factors playing a particularly important role in differentiating between high-risk and higher-risk users. Implications for prevention and limitations are discussed.

The impact of family and peer protective factors on girls' violence perpetration and victimization

PURPOSE

This study investigates whether family and peer connections and prosocial norms buffer adolescent girls' violence involvement and whether a youth development intervention augments the power of these protective factors in reducing girls' risk for violence.

METHODS

Data were obtained from 253 13-17-year-olds enrolled in a randomized controlled trial of Prime Time, a youth development intervention offered through urban clinic settings to girls at high risk for pregnancy. Participants completed an audio computer-assisted self-interview survey at baseline and 6, 12, and 18 months after enrollment. Protective factors included scales assessing family and peer connections and prosocial norms. Outcome variables were violence victimization and perpetration scales measured at 18 months.

RESULTS

Family connections and prosocial norms independently protected girls against violence involvement. Peer prosocial norms also served as a protective buffer against violence perpetration and victimization; however, girls with strong peer connections had higher levels of violence perpetration. Participation in Prime Time augmented the protective effects of family and peer connections on girls' violence victimization but not perpetration. Prime Time participants who had high levels of family connections reported the lowest levels of violence victimization at 18 months. Prime Time participants with strong peer connections trended toward lower levels of violence victimization than other girls.

CONCLUSIONS

Results suggest that effects of the Prime Time intervention on violence victimization were optimized among high-risk adolescent girls with strong connections to family and peers. The intervention was most potent in preventing violence victimization among girls with strong prosocial connections to family and peers.

Congregating to create for social change: Urban youth media production and sense of community

This case study explored how adolescents were empowered through after school media production activities and, in the process, re-imagined themselves as active and engaged citizens within their community. Through analyzing interviews, participant observations, and media artifacts of 14 participants (aged 15-19) over a period of 18 months, three main themes emerged from the triangulation of data: (1) sociocultural capital through group ownership; (2) safe space for creative expression; and (3) developing a sense of community with diverse voices. These young people exercised their collective voice toward pro-social actions by writing and producing their stories and showcasing their works at community screenings. They hoped that their videos would promote individual and community transformations. Building on youth development, community psychology, and media literacy frameworks, this article discusses educational implications like advocating for the power of youth media production to bridge participants' personal and private artistry to public and political statements.

E-learning in a virtual science camp for urban youth

The Virtual Science Camp (VSC) is a unique demonstration of synchronous e-learning developed by Mentoring in Medicine (MIM). This paper reports on a pilot offering during the summer of 2012 that taught advanced biological concepts, healthy living and health care career opportunities to medically underserved urban youth. Livestream's interactive video technology was used to engage a diverse audience of mostly high school students at remote sites in a new two week instructional program that provided custom course content free of charge over the internet. We describe the technical and program preparations undertaken, their implementation, the IT environment, a multi-faceted evaluation plan, the results of the experiment, and lessons learned.