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Biomedical subjects

David Jolly

Publications and source records attributed to David Jolly.

3 recordsLinked to original sources

Interest in testing for genetic susceptibility to lung cancer among Black college students "at risk" of becoming cigarette smokers.

Receptivity to genetic testing for lung cancer susceptibility was assessed among African American college freshmen, who held attitudes favorable towards or had experimented with cigarette smoking. Students (n = 95) completed a telephone survey that assessed beliefs about genetics and lung cancer risk, interest in genetic testing, and expectations about the test outcome. Interest in being tested was moderately high (mean, 5; SD, 2.2; scale of 1-7) and highest among those who believed lung cancer was influenced by genetics (r = 0.22, P < 0.05) and those who expected to be at high risk (r = 0.27, P < 0.05). Overall, 34% thought if tested, the result would show high risk for lung cancer. In multivariate analyses, students' test result expectation was the only significant predictor of interest in testing. Those who believed the test would show them to be at higher risk were thrice more likely to be interested in testing than those who thought the test would show that they were at lower risk (odds ratio, 2.99; confidence interval, 1.03-8.64; P = 0.04). Future research is needed to understand how young adults will respond to genetic susceptibility feedback that confirms or contradicts their expectations about personal risks of smoking.

Adult↗

Technical assistance for the evaluation of community-based HIV prevention programs.

Funding agencies are using technical assistance (TA) to strengthen the evaluation capacity of community-based organizations (CBOs) engaged in HIV prevention efforts. The authors used qualitative methods to identify the types of evaluation TA needed by CBOs, to understand CBOs' past experiences with evaluation TA, and to elicit ideas for optimal delivery of evaluation TA. Assistance in developing evaluation tools and data analysis were the most commonly cited needs. Preferred TA providers were characterized as having practical expertise, accessibility, cultural competence, communication skills, and collaboration skills. Critical elements of an ideal TA system were adequate funding, program-specific TA, and extensive interaction between TA providers and CBO staff. Study data were used to generate a set of recommendations for health educators and others who may provide CBOs with TA for evaluating prevention programs.

Community Health Services↗

Evaluation barriers and facilitators among community-based HIV prevention programs.

Funding agencies are using technical assistance to promote evaluation of their community-based HIV prevention programs. Using qualitative methods, we identified 11 factors that hinder and facilitate evaluation within community-based organizations (CBOs): staff perceptions, availability of funding, data collection, data validity, data utility, technical assistance, effects on services, effects on funding, staff skills, tools and technology, and expectations of the funding agency. Using these factors, we developed eight strategies to promote CBO evaluation. These strategies go beyond the traditional role of technical assistance and address the broader context within which CBOs evaluate their programs. Funding agencies and technical assistance providers can use these strategies to enhance CBO evaluation, which may result in more and better quality evaluations and, ultimately, improvements in the effectiveness of HIV prevention services.

Attitude of Health Personnel↗