Tarik Abdel-Monem

Deliberation and Diversity: Perceptions of Small Group Discussions by Race and Ethnicity

One of the challenges facing public deliberation scholars and practitioners is to identify deliberative processes that address inequities in interaction and foster active participation among all members of ethnically or racially diverse groups. This study draws from cocultural communication theory and uses mixed methodology to examine the experiences of citizens assigned to racially/ ethnically diverse small groups who participated in “By the People: Dialogues in Democracy”—a national/local initiative and public deliberation event. One hundred participants in a local deliberation in Omaha, Nebraska, completed a postevent questionnaire and 20 participants were subsequently interviewed. Data were analyzed to compare the perceptions of White participants and participants of color (African American, Hispanic, Native American, Asian American). Analysis of variance indicated that participants of color perceived greater communication quality and group effectiveness and experienced more satisfaction with their small groups than did Whites. Both White interviewees and interviewees of color said they valued being exposed to diverse group members and perspectives, the respectful tone of the group interaction, the facilitators’ ability to guide the interaction, and the opportunity to learn. Consistent with cocultural communication theory, participants of color specially praised the equal opportunity to speak in their groups and the experience of being heard. The results fortify the importance for public deliberation practitioners to take concerted steps to ensure racial/ethnic diversity and egalitarian interaction of members in deliberative small groups.

Confidentiality and Mental Health/Chaplaincy Collaboration

Confidentiality can both facilitate and inhibit working relationships of chaplains and mental health professionals addressing the needs of service members and veterans in the United States. Researchers conducted this study to examine opportunities for improving integration of care within the Department of Defense (DoD) and Department of Veterans Affairs (VA). Interviews were conducted with 198 chaplains and 201 mental health professionals in 33 DoD and VA facilities. Using a blended qualitative research approach, researchers identified several themes from the interviews, including recognition that integration can improve services; chaplaincy confidentiality can facilitate help seeking behavior; and mental health and chaplain confidentiality can inhibit information sharing and active participation on interdisciplinary teams. Cross-disciplinary training on confidentiality requirements and developing policies for sharing information across disciplines is recommended to address barriers to integrated service delivery.

Trust in government and support for governmental regulation: the case of electronic health records

This paper presents results from a public engagement effort in Nebraska, USA, which measured public opinions about governmental involvement in encouraging the use of electronic health records (EHRs).

Policymakers’ Perceptions of the Benefits of Citizen-Budgeting Activities

ABSTRACT: Citizen budgeting has become an increasingly common practice in municipalities across the United States. It offers an alternative to traditionally technocratic budgeting processes, and can connect and engage citizens in decisions about services and funding. Little research has been conducted on how local policymakers perceive citizen budgeting and outcomes. This study examined the benefits local policymakers identified following two successive years of a citizen-budgeting process in a mid-sized Midwestern city. Interviews with 23 local policymakers (a mayor, city council members, and city department heads) identified nine types of benefits produced by the citizen-budgeting process. The study demonstrates that identifying perceived benefits of citizen-budgeting processes can shed light on the question of the extent to which such budgeting methods are citizen-driven, leader-driven, or a combination of both.

Climate Change Survey Measures: Exploring Perceived Bias and Question Interpretation

Climate change has become an important yet politically divisive topic in recent years. Further complicating the issue are assertions that climate change–related public opinion surveys used by social scientists are biased or otherwise problematic. We conducted a pilot study to explore questions concerning bias and interpretation of climate change surveys. Our study sample was composed of adult residents of Nebraska (n = 115). We augmented our survey findings with cognitive interviews of a subsample of respondents (n = 20). We assessed study participants’ attitudes about climate change, and perceptions of bias and interpretation of survey questions drawn from previously used survey instruments and national polls. Among our study sample, we found little support for perceived bias within the survey items employed. However, interview findings indicated that particular survey language may have elicited unexpected associations among respondents. We discussed implications for further research.

Perceived Impacts of a Public Health Training Center Field Placement Program among Trainees: Findings from a Small Group Externship Experience.

There is heightened interest in identifying the impact of the federally funded Public Health Training Center (PHTC) program. Although evaluation studies have been conducted of public health training in general, evaluations of PHTC programs are rare. Field placement components are congressionally mandated requirements of PHTCs. Field placements are typically intensive, supervised externships for students to gain public health experience with local health departments or non-profit organizations. We have found no published evaluations of PHTC field placement components. This may be because of their small size and unique nature. We designed and evaluated a 200-h field placement program at an established PHTC. The evaluation included pre/post surveys measuring public health core competencies, and post-experience interviews. We found significant increases in three competency domains among trainees: policy development and program planning, communication skills, and community dimensions of practice. These outcomes contribute to evidence based on the efficacy of PHTC field placement programs, and underscore their role in public health training.

An examination of midwestern US cities’ preparedness for climate change and extreme hazards

The increasing occurrence of extreme weather and climate events raised concerns in regard to hazard mitigation and climate adaptation. Local municipal planning mechanisms play a fundamental role in increasing a community’s capacity toward long-term resiliency. This study employs the content analysis method to evaluate the 95 selected cities located in the US Federal Emergency Management Agency Region VII and examine how these local plans, including local comprehensive plans (CPs), hazard mitigation plans (HMPs), and local emergency operations plans (EOPs), prepare communities for climate change and possible extreme events. Results indicate that local plans delineated multiple resources and diverse strategies to reduce community climatic risks, where HMPs have medium-level preparation, and CPs and EOPs have limited level preparation. Local HMPs lead in mitigating for impacts from potential extreme events, but both local CPs and EOPs are proactively adapted for climatic risks. Common strengths and weaknesses exist between different planning mechanisms. Large variations exist among plans due to varying jurisdictions among cities. However, the plans score similarly overall—higher on strategies and factual base but are short of clear and detailed goals, objectives, and agendas. Finally, despite the diverse vertical and horizontal outreach, there is inadequate integration among local planning mechanisms to share climate hazard information.

Electronic Medical Records and Public Perceptions: A Deliberative Process

Public attitudes about electronic medical records (EMRs) have been primarily gauged by one-time opinion polls. The authors investigated the impact of an interactive deliberative polling process on general attitudes towards EMRs and perceptions of governmental roles in the area. An initial online survey was conducted about EMRs among a sample of respondents (n = 138), and then surveyed a sub-sample after they had engaged in a deliberative discussion about EMR issues with peers and policymakers (n = 24). Significant changes in opinions about EMRs and governmental roles were found following the deliberative discussion. Overall support for EMRs increased significantly, although concerns about security and confidentiality remained. This indicates that one way to address concerns about EMRs is to provide opportunities for deliberation with policymakers. The policy and theoretical implications of these findings are briefly discussed within.