18 Months

Building the Evidence: Creating a Framework for Assessing Costs and Impacts of Joint Use Agreements

This study will enumerate the costs, implementation barriers, facilitators, and the administrative and financial burden that joint-use agreements (JUAs) may impose on schools that in turn can impact children's access to recreational activity. Understanding the consequences and main drivers of JUAs is crucial to promoting their use and improving the terms of future agreements to balance risks between schools and communities. Findings will provide a foundation for future cost-benefit or cost-effectiveness analyses.

 

Funding Date: Thu, 11/15/2012

Researching Institution: Los Angeles County Department of Public Health

Researcher: Tony Kuo, MD, MSHS, and Ricardo Basurto-Davila, PhD, MSc

The Effect of Preemption of Local Tobacco Control Policies on Population Health

The study will examine the relationship between state laws that preempt local tobacco control policies (i.e. local regulation of smoking in workplaces and public places, youth access to tobacco products, and tobacco advertising) and population health behaviors and outcomes (i.e. adult and youth tobacco initiation, use, and cessation rates, lung cancer rates and other chronic diseases associated with tobacco use). The research findings will also have practical application beyond tobacco control, as preemption has been used to block local obesity prevention interventions. Deliverables will include a toolkit of materials that can be used by public health professionals seeking to eliminate or prevent preemption in their states.

Funding Date: Thu, 11/15/2012

Researching Institution: ChangeLab Solutions

Researcher: Anne Pearson, JD, MA, and Jamie Chriqui, PhD, MHS

Public Health Agencies and Advocacy Under the Law

This project will explore how policies that govern public employees' participation in the policy process affect state health departments' effectiveness in advocating for sound public health laws and policies. By understanding how agencies and their employees participate in law and policy development, and how they interpret the rules pertaining to policy advocacy, these findings can better assist agency leaders and our public sector employees in maximizing the contributions of the public health infrastructure to advancing public health policies.

Funding Date: Thu, 11/15/2012

Researching Institution: Johns Hopkins University

Researcher: Shannon Frattaroli, PhD, MPH

How Does Regulating Pseudoephedrine Access Affect Methamphetamine-related Public Health Outcomes?

This study will measure whether quantity restrictions, electronic tracking, or a doctor’s prescription requirement for purchases of pseudoephedrine reduce the public health costs of methamphetamine production and use. The project is significant because it is the only one to measure the national effectiveness and cost effectiveness of the leading proposed policies for limiting domestic methamphetamine production: limiting the quantity of purchases, requiring a prescription, and electronic tracking. This research will also weigh the potential public health benefits of reducing the supply of methamphetamine against the potential loss of profits and consumer welfare caused by reduced access to effective cold medicine.

Funding Date: Thu, 11/15/2012

Researching Institution: Tulane University

Researcher: Keith F. Finlay, PhD, and Scott Cunningham, PhD

Is the Public Grading of Restaurants on Food Safety Worth the Costs?

This study will estimate the financial costs and potential health and public safety benefits of the implementation of a NYC food safety restaurant grading initiative. The City Council's action in establishing this policy has sparked substantial controversy and public scrutiny, with restaurant owners and their lawyers arguing that the new law places an extraordinary burden on the industry. Findings from this project will have a critical role to play in the ongoing debate about government regulation in this arena.

Funding Date: Thu, 11/15/2012

Researching Institution: New York University

Researcher: Todor Mijanovich, PhD, and Amy Ellen Schwartz, PhD

Saving Lives With Restorative Justice: Determining the Connection Between Criminal Diversion and Reduced Offender Mortality

This study will analyze the impact of restorative justice on offender health, using a unique dataset from a randomized control trial of restorative justice (RJ) practices in Australia.  Recent analyses of these data suggest that this use of RJ produced a very sharp reduction in offender mortality over many years. "Restorative justice" remains one of the few evidence-based alternatives to punitive criminal justice approaches to crime.  Bringing offenders and victims together in a process of "reintegrative shaming" has been shown in studies in many countries to reduce recidivism and the toll of victimization. Reductions were particularly concentrated among the young violent offenders who had committed the most serious crimes.

The original study included a randomized field experiment; observations of legal proceedings; multi-wave, face-to-face interviews with offenders and their victims; and official data from government sources. Because these findings stem from a well-implemented randomized trial, the direct causal link between RJ and reduced mortality is exceptionally clear. We now know that using RJ in response to violent crime can save the lives of the offenders who are exposed to it. What we don't know is why this effect occurred, and what aspects of RJ conferences were most important to causing it. Answering these questions could lead to innovations here in the US in criminal procedure and reduce deaths in the exceptionally vulnerable population of criminal offenders. The US has had a long experimentation phase with restorative justice practices, including diversion programs, specialty courts, ceasefire initiatives and others. Demonstrating a positive health impact would add to the policy impetus for effective, therapeutic criminal justice reforms.

The investigators are leading American criminologists, including investigators in the original Australian study.

Researching Institution: University of Pennsylvania

Researcher: Geoffrey Carroll Barnes, PhD, and Caroline M. Angel, PhD, RN

Is Informed Consent the Solution to the Challenges Associated with the Retention and Use of Residual Newborn Screening Dried Blood Samples?

This study will assess whether the Michigan Department of Community Health’s policy requiring parental consent for research use of residual newborn screening dried blood samples (DBS) leads to the maintenance of a robust sample collection that supports population health-based research. This study will determine whether Michigan's consent model for the use of these samples ensures: (1) the integrity of the state newborn screening program, (2) the maintenance of a robust sample collection that supports population-based research, and (3) informed decision-making by parents. The potential impact is far-reaching. These results will help inform the development of other state policies regarding this contentious issue.

Funding Date: Thu, 11/15/2012

Researching Institution: Johns Hopkins University

Researcher: Michelle Lewis, MD, JD

Evaluation of Iowa’s Anti-Bullying Legislation: Compliance and Impact

This study will assess the implementation of Iowa’s anti-bullying legislation and the effects on student-reported bullying victimization. The team will 1) identify the processes by which Iowa middle schools have carried out provisions and complied with recent state anti-bullying legislation; (2) assess the impact of Iowa’s anti-bullying legislation on rates of bullying victimization in Iowa middle schools; and (3) discern how compliance has modified the effect of the law. Beginning with a qualitative multiple case study approach with 4 purposely selected Iowa middle schools, data will be collected from school and district administrators responsible for anti-bullying policies and procedures. Second, those findings will be used to construct a tool to measure level of compliance to the state law, and carry out a statewide survey with all middle school principals. Administrator compliance data will then be linked with Iowa Youth Survey data to determine if compliance modifies the effect of the law.

Researching Institution: University of Iowa

Researcher: Marizen Ramirez, PhD, MPH

Credible Offers, Wary Responses: A Peer-Staffed Qualitative Assessment of Court-Ordered Offers of Supported Housing to Adult Home Residents in New York

This study will study the implementation and outcomes of a court-originating remedial action to offer less restrictive housing to mentally ill adult home residents in New York. Residents, conditioned by what the court termed “learned helplessness” endemic to institutions will need the support of “peer bridgers” to consider such offers. Less restrictive housing has been shown to lead to better long-term health outcomes. Using modified ethnographic methods, the team will document: how eligibility (individuals with a mental illness”) is determined; how credible offers of alternative housing are made; how residents make sense of their relevance; and what will count as a refusal. We will also interview relocated residents, do life story interviews, log residential histories, and test a number of evaluation instruments. The findings should demonstrate the value of flexibly configured, qualitative research methods in documenting the difficulties of converting judicially-prompted reform into viable practice, fruitful means of resolving them, and stubbornly persistent problems – and of doing so in ways that can inform potential corrective action.

Funding Date: Thu, 11/15/2012

Researching Institution: The Nathan S. Kline Institute for Psychiatric Research/The Research Foundation for Mental Hygiene, Inc.

Researcher: Kim Hopper, PhD

Evaluation of a law mandating reporting of concussions by high school athletes

Stakeholders in sports medicine have focused on decreasing the risk of repeated concussions among athletes. This study will use a random sample of high schools in Washington to determine the effect of the type of implementation of concussion-related laws on the risk of playing with concussive symptoms, the methods by which these return-to-play (RTP) laws are implemented, and the effect of those methods on concussion outcomes is unknown. Examination of this implementation can lead to a better understanding of the factors associated with the greatest impact on outcomes from RTP laws.

 

Grant Number: 6391

Funding Date: Tue, 11/15/2011

Researching Institution: University of Washington

Researcher: Frederick Rivara, MD, MPH