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ChristianaCare Reduces Health Care Costs by $6.2 Million While Improving Care for Medicaid Patients

ChristianaCare’s Delaware Medicaid Partners Accountable Care Organization (ACO) has set the standard for innovative, high-quality care at lower cost for the State of Delaware’s Medicaid population. According to the most recent data available, ChristianaCare’s ACO reduced health care spending by $6.2 million in 2023 while improving care for nearly 30,000 Medicaid beneficiaries in Delaware, including approximately 8,000 children. “We’re demonstrating that population health works,” said Christine Donohue-Henry, M.D., MBA, chief population health officer, ChristianaCare. “Our neighbors count on us to take care of them — and we can improve their health while also helping the state reduce health care costs. We do this by delivering high-quality care that emphasizes preventive care and proactive management of health conditions, and by investing in our population health infrastructure. “In this way, we can keep people healthier and reduce the need for them to access the most expensive kinds of care, such as emergency care and hospitalization.” ChristianaCare’s Medicaid ACO includes more than 1,900 primary and specialty care clinicians who partner with patients and families to prevent illness, manage chronic diseases and help them achieve their health goals. The ACO makes it easy for adults and children to get the screenings and treatments they need, improving overall health. ChristianaCare’s Medicaid ACO is one of four authorized by the State of Delaware and the only one to voluntarily accept downside financial risk at its launch in 2021, which means that if ChristianaCare’s Medicaid ACO is not successful in reducing cost and improving care for a particular year, the ChristianaCare ACO is required to make a payment to the state. By sharing in both savings and losses, the ACO controls state health care costs while maintaining high-quality care. Bending the Cost Curve by Focusing on High-Quality Preventive Care Alongside financial savings, ChristianaCare’s Medicaid ACO has improved care quality and worked to reduce health disparities. By focusing on preventive care, the ACO has helped adults and children get the screenings and treatment they need, leading to better health outcomes and fewer unmet needs. Since launching in 2021, ChristianaCare’s ACO has met all required quality standards and consistently improved its performance each year on key measures like diabetes management, blood pressure control and breast cancer prevention. Year over year, breast cancer screenings have increased by 4%, while patients with high blood pressure (hypertension) have shown improvement in blood pressure control. Notably, healthy blood sugar levels (HbA1c less than 8%) have also improved in patients with diabetes by 7%. In collaboration with its Medicaid health plan partners, ChristianaCare primary care and imaging teams host patient-centered health and wellness day events to increase access to care, close quality gaps and improve the overall health of the communities they serve. These events help patients get preventive screenings and services, supporting the ACO’s goals of better care and health equity. The ACO’s success is driven by its focus on caring for entire families, including addressing the needs of pregnant mothers and supporting children and adults throughout their lives, according to Rose Kakoza, M.D., MPH, senior clinical network director, ChristianaCare Clinical Alliance. Key programs include enhanced maternity care to support mothers and infants, expanded mental health services and social support programs that address food and housing needs. By integrating clinical care with social support — such as help with food and housing — the ACO is working to break cycles of poor health across generations. This approach also has practical benefits. For example, the improved mental health of a parent strengthens the family environment, supporting children’s well-being and development. “By making significant investments in population health and addressing both medical needs and the social drivers of health, we’ve not only improved health outcomes but also more effectively managed costs for Delaware’s most vulnerable residents, helping to reduce state spending,” Kakoza said. About Delaware Medicaid Partners Delaware Medicaid Partners ACO, led by ChristianaCare, uses a family-centered approach to save money and improve care for Medicaid patients. By combining medical care with social support, the ACO addresses the unique needs of Medicaid patients, improving health and promoting equity. Care coordination is provided by ChristianaCare’s CareVio®, whose team of nurses, social workers, and pharmacists help patients with serious health conditions get the care they need. CareVio uses real-time data to prevent complications that could lead to unnecessary hospital stays or emergency visits. Through ongoing collaboration and innovation, Delaware Medicaid Partners ACO aims to set an example for other states working to improve care while managing costs.

Rose Kakoza, M.D., MPHChristine Donohue-Henry, M.D., MBA
3 min. read

#ExpertSpotlight: Dry January

As the New Year begins, millions are embracing "Dry January" – a challenge to abstain from alcohol for 31 days. This growing global movement is more than just a trend; it highlights the broader conversation about health, wellness, and lifestyle choices. Participating in Dry January has been linked to significant benefits, including improved physical and mental health, financial savings, and a greater awareness of alcohol's role in daily life. By exploring this topic, journalists can engage audiences in discussions about healthier living while addressing larger societal and cultural themes, such as: The short- and long-term health benefits of reducing alcohol consumption How sobriety challenges promote mental health and mindfulness Financial impacts of abstaining from alcohol for a month The rise of non-alcoholic beverage trends and innovations Societal perceptions of alcohol and shifting drinking norms Stories of personal transformation inspired by Dry January Covering - we can help! Connect with an expert about Dry January To search our full list of experts visit www.expertfile.com

1 min. read

AI Everywhere: Where Artificial Intelligence and Health Care Intersect

Imagine a world where AI doesn’t just support health care providers, but anticipates their next move — detecting diseases faster than human eyes, analyzing patterns and patient data that humans might overlook and revolutionizing health care decision making at every level. Driven by data, AI can identify which patients are most likely to have repeated emergency department visits or thrive from personalized medicine. With the power of robotics enhanced by AI, people with medical needs can gain more independence, managing daily tasks such as taking medication, monitoring their health and receiving personalized care, all from the comfort of their own homes. And this is just the beginning. “AI is transforming – and is going to continue transforming – every industry, especially health care,” said Bharat Rao, a notable figure in the fields of health care, technology and AI. Rao himself has made significant contributions to artificial intelligence, machine learning and data analytics, particularly in health care innovation. His current start-up, CareNostics, uses AI technology to identify patients at increased risk for chronic disease. “We take this for granted,” he said, “but it’s like what I used to see on Star Trek as a kid. The opportunities are limitless.” Rao was a keynote speaker at ChristianaCare’s inaugural Innovation Summit, a two-day conference at ChristianaCare’s Newark campus in Delaware, in fall 2024. During panel discussions and keynotes, more than 200 attendees heard about current and future health tech from national innovators and thought leaders, as well as technical advice for inventors who want to patent ideas and protect intellectual property in a world where “AI Is Everywhere,” the conference’s theme. Speakers emphasized that it’s not just technologists, but also researchers, clinicians and other health care professionals who play an essential role in implementing AI-based health care solutions. “There’s no AI without HI, which is human intelligence,” said Catherine Burch, MS, CXA, CUA, vice president of innovation at ChristianaCare. “You want to help shape the future, not wait for it to shape you.” How AI helps improve patient care “AI is incredibly good at reducing noise in images,” said speaker David Lloyd, a technical leader at Amazon, who discussed the use of AI in radiology. “It can detect anomalies, and it can automate radiologist reports, which saves time for radiologists.” Data informatics is another example of the power of AI to help health professionals determine which patients are at an increased risk for falls, malnutrition or recurrent asthma attacks, enabling them to optimize patient health and prevent hospitalizations. “Some patients with asthma go to the ER repeatedly because their treatment plan isn’t working,” said speaker Vikram Anand, head of data at CareNostics. When patients have uncontrolled asthma, data-rich platforms like CareNostics can provide treating physicians with guidelines and other support to improve patient care, which may lead to evidence-based medication changes or other therapies, he said. Using robots as part of the health care team in patient homes may sound like science fiction, but speakers discussed the current evolution of consumer robotics, like Amazon’s Astro. Astro follows patients around their home, interacts with them and supports their care. When ChristianaCare tested Astro’s impact on HomeHealth patients, they found that it reduced feelings of isolation by 60%. “Astro is like Alexa on wheels,” said speaker Pam Szczerba, PT, MPT, CPHQ, director of ChristianaCare’s HomeHealth quality, education and risk management, who studied patients’ experiences with Astro. “People like interacting with Alexa, but they can only interact in the room they’re in. Astro’s mobility lets it go to the patient.” Based on early successes, health professionals are assessing robots as an extension of clinicians in the home. Early results show that patients with robots show improved activation with their care plans. This may lead to more widespread distribution of household robots to newly diagnosed patients to help prevent disease complications, avoidable emergency department visits and re-hospitalizations. How AI helps ease provider burden Speakers also discussed the potential of AI to improve health care delivery and patient outcomes by handling more administrative work for health professionals. “We can reduce some of the redundancy of work to free up time for people to be creative,” said speaker Terrance Bowman, managing director at Code Differently, a company that educates and prepares people to work in technology-driven workplaces. “AI should be taking the ‘administrivia’ – administrative trivial tasks – out of your life,” said speaker Nate Gach, director of innovation at Independence Blue Cross. “When you want folks to do the creative part of the job that takes brain power, have ChatGPT respond to easy emails.” Other examples shared included the power of AI to record meetings, create summaries and send participants automated meeting minutes. Benefits can be seen across industries. Specific to health care, eliminating the need for note-taking during visits enables more personalized and attentive provider-patient interaction. With the evolution of ambient speech apps, clinicians are no longer just dictating notes into the electronic health record. Now AI is listening to the conversation and creating the notes and associated recommendations. “The physician is no longer spending ‘pajama time’ doing catch-up work, at home late into the evening,” said speaker Tyler Flatt, a director and leading expert in AI and digital transformation at Microsoft. “Especially as we’re dealing with burnout, it’s better for patient and physician satisfaction.” AI may also help caregivers uncover details that they hadn’t noticed, helping them diagnosis patients with subtle symptoms. “We feed a large quantity of data and have it suggest commonalities about patients,” said speaker Matthew Mauriello, assistant professor of computer and information sciences at the University of Delaware. “Some things are very insightful, but humans miss them.” AI has also been used for patient engagement, including chatbots that can assist with tasks like scheduling clinical appointments or acknowledging patient questions. “One of the things AI is great at is natural language understanding,” said David Lloyd. “You can alleviate a lot of the burden if you have something that can talk to your patients, especially if it’s an administrative task.” Creating new health innovations “The key is to think of something you’ve done that’s original and non-obvious,” said Rao, who holds more than 60 patents in AI. “The process of writing about it will help you flesh it out.” Turning breakthrough ideas into game changers is just the start — protecting these innovations is what ensures they shape the future, rather than fade into the past. “Keeping it secret and internal to your organization until you know what you want to do with it is important,” Greg Bernabeo, partner at FisherBroyles, LLP, said. “Otherwise, the opportunity is lost, and you can’t get the genie back in the bottle.” Benefits of non-obvious thinking People who pursue “non-obvious” ideas are often on the cutting edge of technology in and out of health care, said keynote speaker, Ben DuPont, while discussing innovative ideas with Randy Gaboriault, MS, MBA, senior vice president and chief digital and information officer at ChristianaCare. “Amazon was not founded by a book retailer; Airbnb was not founded by somebody who was in hospitality,” said DuPont, author, entrepreneur, and co-founder and partner at Chartline Capital Partners venture capital fund. “Before Uber, the founders were running around Paris and they couldn’t get a taxi.” Innovative ideas often arise when people consider non-obvious points of view while thinking about solutions, DuPont said. Non-experts have the ability to cut through the clutter and find the frustration, which can lead to innovative solutions, which DuPont explores in his book “Non-Obvious Thinking: How to See What Others Miss.” Health providers, for example, may discover ideas when they move out of their comfort zones. “If you want to be a better doctor, go do something that has nothing to do with medicine,” he said. “Innovation happens at the collision of seemingly unrelated disciplines.” Diversity in the workplace is necessary, “but it’s not just diversity in the way people look: It’s diversity in how people think,” DuPont said. “There are people that think in dramatic and different ways. We need those people around the table. They might say: ‘If we just move this little thing over here’ … and it starts an avalanche that changes the world.” Involving the future generation During the Innovation Summit, students with an interest in STEM (science, technology, engineering, and mathematics) from St. Mark’s High School in Wilmington, Delaware, competed against one another at ChristianaCare’s inaugural HealthSpark ChallengeTM. Twenty-six high school juniors and seniors were divided into five teams, then challenged to brainstorm ideas for solutions to address the negative mental health effects of social media on teenagers. Each team created a concept poster and pitched their ideas to Summit attendees. The attendees then voted for their favorite solution. The winning solution, Editing Identifiers, is designed to help minimize negative feelings about body image among teens. The solution would use AI technology to identify altered photos on social media. The goal would be to show teens that photos of “perfect” people aren’t real and alleviate the feelings of body dysmorphia. Looking forward Summit speakers highlighted many ways that AI is already incorporated into health care, as well as ways that health tech, AI, and robotics may improve care for patients in the coming years. “We are just scratching the surface,” Rao said. “It’s like laparoscopic surgery – years ago, it was considered experimental or dangerous. Today, surgery is commonly done laparoscopically, with better outcomes and less infection. AI can help identify care gaps and get the right treatment to the right patient. It’s going to be good for the patient.” In a rapidly evolving landscape, the integration of AI into health care not only enhances patient care but also creates opportunities for innovation and collaboration, said ChristianaCare’s Gaboriault. “As AI continues to advance, the health care industry stands on the brink of a revolution, one where the possibilities are as vast as the data that fuels them.”

Randy Gaboriault, MS, MBAAnn Painter, MSN, RNRobert Asante, Ed.D., MBA, CISSP, HCISPP
7 min. read

Maureen Leffler, D.O., Named ChristianaCare’s Chief Wellbeing Officer

Maureen “Mo” Leffler, D.O., MPH, has been appointed chief wellbeing officer of ChristianaCare, effective Nov. 25. In her role, Leffler leads the ChristianaCare Center for WorkLife Wellbeing and strategies to enhance the professional fulfillment and well-being of ChristianaCare’s nearly 14,000 caregivers, overseeing advocacy programs and initiatives to optimize their experience and foster a culture of well-being throughout the organization. She works closely with leaders across key departments to address factors impacting caregiver well-being. Leffler most recently served as the inaugural chief wellbeing officer at Nemours Children’s Health, where she helped the organization to achieve the 2022 Joy in Medicine distinction from the American Medical Association for prioritizing proven efforts to enhance the professional fulfillment of physicians. There, she established a Center for Associate Wellbeing; led the first systemwide assessment to strategically address well-being and burnout; and implemented a peer support program and expanded the scope of resources available to support the emotional and mental health needs of employees. In collaboration with organizational leaders, she supported targeted clinical team assessments and systems-based interventions to foster well-being. Prior to this role, Leffler served as a pediatric rheumatologist at Nemours and as an assistant professor of pediatrics in the Division of Rheumatology at Thomas Jefferson University. Since 2017, Leffler has served as the course director of the Chief Resident Leadership Training Program for the Accreditation Council for Graduate Medical Education (ACGME). In response to the COVID-19 outbreak, she co-chaired ACGME’s National Task Force on Well-Being. She and her team developed a national graduate medical education well-being community, which she continues to convene, to understand the evolving challenges and share strategies to improve well-being. She represents the ACGME as a coach for the National Academy of Medicine Action Collaborative on Clinical Well-Being and Resilience. She also serves as a consultant to the Professional Satisfaction team at the American Medical Association. Leffler earned her medical degree from the Philadelphia College of Osteopathic Medicine, followed by a residency in pediatrics at Nemours and Thomas Jefferson University Hospital, where she served as chief resident. She subsequently trained in pediatric rheumatology at Nemours and Jefferson. She also earned a Master of Public Health from Temple University and studied chemistry at St. Joseph’s University. Recently, Leffler completed the Georgetown Executive Leadership Certification Program.

2 min. read

Will TikTok Be Banned?

The social media platform TikTok is on the verge of a U.S. ban—unless it can be stopped by President-elect Donald Trump.  The policy will take effect on January 19, requiring that TikTok find a U.S. parent company or face a ban in the United States. This comes after concerns about user data falling into possession of the Chinese government and fears that they could use TikTok to spread misinformation. Derrick Green, communication expert at Cedarville University, has spoken about the motive behind this ban and why Trump may reverse it. Here are three key points from his recent interview: Trump has pointed out that he would not let TikTok be banned, if elected as president. How could he actually implement this and block this ban from taking effect? The President-elect used TikTok as a part of his campaigning strategy and found success on the app, this coming after he proposed to ban it in 2020. Did his use of TikTok influence his desire to save the app? The proposed ban of TikTok was based on national security and the mental health of young people in the United States. If TikTok was shut down in the United States, what would the effects be? If you are a journalist covering the TikTok ban or the effects of social media, our experts are here to help with all of your questions and stories. Derrick Green is the Chair of the Department of Communication at Cedarville University. Green is available to speak with the media regarding digital media and its effects. Simply click on his icon or email mweinstein@cedarville.edu to arrange an interview.

Derrick Green
2 min. read

Aston University and Birmingham Women and Children’s Hospital developing new devices to improve drug treatment safety

The new device is designed to reduce the risk of injuries when medicines being delivered into a vein enter the surrounding tissues It detects this problem at the earliest stages, before it is visible to the human eye The project is being supported by SPARK The Midlands at Aston University, a network to support technology development for unmet clinical needs. Clinicians at Birmingham Women’s and Children's NHS Foundation Trust (BWC) have joined with academics at Aston University to create an innovative sensor to reduce the risk of injuries caused when drugs being delivered into a vein enter the surrounding tissue. This complication, called extravasation, can cause harm and, in the most severe cases, life-changing injuries and permanent scarring. It happens most often when infusing medicines into peripheral intravenous (IV) devices, such as a cannula, but can also occur when infusing into a central venous access device. By joining together, BWC and Aston University are combining clinical, academic and engineering expertise to create a sensor that can detect extravasation at its earliest stages. Karl Emms, lead nurse for patient safety at BWC, said: “We've done lots of work across our Trust that has successfully reduced incidents. While we've made fantastic progress, there is only so much we can do as early signs of extravasation can be difficult to detect with the human eye. “The next step is to develop a technology that can do what people can't - detection as it happens. This will make a huge impact on outcomes as the faster we can detect extravasation, the less likely it is that it will cause serious harm.” The focused work to date addressing the issue has recently been recognised by the Nursing Times Awards 2024, winning the Patient Safety Improvement title for this year. This new project is supported by SPARK The Midlands, a network at Aston University dedicated to providing academic support to advance healthcare research discoveries in the region. SPARK The Midlands is the first UK branch of Stanford University's prestigious global SPARK programme. It comes as a result of Aston University’s active involvement in the delivery of the West Midlands Health Tech Innovation Accelerator (WMHTIA) – a government-funded project aimed at helping companies drive their innovations towards market success. The SPARK scheme helps to provide mentorship and forge networks between researchers, those with technical and specialist knowledge and potential sources of funding. SPARK members have access to workshops led by industry experts, covering topics such as medical device regulations, establishing good clinical trials, and creating an enticing target product profile to engage future funders. Luke Southan, head of research commercialisation at Aston University and SPARK UK director, said: “I was blown away when Karl first brought this idea to me. I knew we had to do everything we could to make this a reality. This project has the potential to transform the standard of care for a genuine clinical need, which is what SPARK is all about.” Work on another potentially transformative project has also begun as the team are working to develop a medical device that detects the position of a nasogastric feeding tube. There is a risk of serious harm and danger to life if nasogastric tubes move into the lungs, rather than the stomach, and feed is passed through them. Emms explained: “pH test strips can usually detect nasogastric tube misplacement, but some children undergoing treatment can have altered pH levels in the stomach. This means this test sometimes does not work. “A medical device that can detect misplacement can potentially stop harm and fatalities caused by these incidents.” SPARK will bring together engineers, academics and clinicians for both projects to develop the devices for clinical trial, with a goal of the technologies being ready for clinical use in three to five years. Southan said: “BWC is one of our first partners at SPARK and we're really excited to work with them to make a vital impact on paediatric healthcare in the Midlands and beyond." Notes to editors About Aston University For over a century, Aston University’s enduring purpose has been to make our world a better place through education, research and innovation, by enabling our students to succeed in work and life, and by supporting our communities to thrive economically, socially and culturally. Aston University’s history has been intertwined with the history of Birmingham, a remarkable city that once was the heartland of the Industrial Revolution and the manufacturing powerhouse of the world. Born out of the First Industrial Revolution, Aston University has a proud and distinct heritage dating back to our formation as the School of Metallurgy in 1875, the first UK College of Technology in 1951, gaining university status by Royal Charter in 1966, and becoming the Guardian University of the Year in 2020. Building on our outstanding past, we are now defining our place and role in the Fourth Industrial Revolution (and beyond) within a rapidly changing world. For media inquiries in relation to this release, contact Helen Tunnicliffe, Press and Communications Manager, on (+44) 7827 090240 or email: h.tunnicliffe@aston.ac.uk About Birmingham Women’s and Children’s NHS Foundation Trust Birmingham Women’s and Children’s NHS Foundation Trust (BWC) brings together the very best in paediatric and women’s care in the region and is proud to have many UK and world-leading surgeons, doctors, nurses, midwives and other allied healthcare professionals on its team. Birmingham Children’s Hospital is the UK’s leading specialist paediatric centre, caring for sick children and young people between 0 and 16 years of age. Based in the heart of Birmingham city centre, the hospital is a world leader in some of the most advanced treatments, complex surgical procedures and cutting-edge research and development. It is a nationally designated specialist centre for epilepsy surgery and also boasts a paediatric major trauma centre for the West Midlands, a national liver and small bowel transplant centre and a centre of excellence for complex heart conditions, the treatment of burns, cancer and liver and kidney disease. The hospital is also home to one of the largest Child and Adolescent Mental Health Services in the country, comprising of a dedicated inpatient Eating Disorder Unit and Acute Assessment Unit for regional referrals of children and young people with the most serious of problems (Tier 4) and Forward Thinking Birmingham community mental health service for 0- to 25-year-olds. Birmingham Women’s Hospital is a centre of excellence, providing a range of specialist health care services to over 50,000 women and their families every year from Birmingham, the West Midlands and beyond. As well as delivering more than 8,200 babies a year, it offers a full range of gynaecological, maternity and neonatal care, as well as a comprehensive genetics service, which serves men and women. Its Fertility Centre is one of the best in the country, while the fetal medicine centre receives regional and national referrals. The hospital is also an international centre for education, research and development with a research budget of over £3 million per year. It also hosts the national miscarriage research centre – the first of its kind in the UK - in partnership with Tommy’s baby charity. For interview requests please email the Communications Team on bwc.communications@nhs.net

Roslyn Bill
5 min. read

The Anxiety of Election Season

After the results of the U.S. presidential election were announced, many Americans celebrated. But many voters instead found only stress and anxiety. After an election of rhetoric that foretold the end of democracy if the opposing candidate won, there seems to be a unique amount of post-election stress. How did election rhetoric affect this outcome, and can we expect future elections to cause this same stress? Political expert, Dr. Mark Caleb Smith, discussed the anxiety that many Americans felt even before the election and how it can be dealt with moving forward. Here are some key takeaways from his recent interview: This election cycle caused so many Americans to lose sleep that the term "electsomnia" was coined. Has the anxiety of election season always been present, or has the presence of social media paved a way for this problem? Constant access to information about the election is a probable reason for many voters' anxiety. How can Americans keep themselves informed without causing unnecessary damage to their mental health? This is not the first complicated or difficult election that the United States has faced. Now that this election season is over, how can Americans—both those who are satisfied and those who are frustrated by the results—move forward while recognizing that politics does not define them? If you are a journalist covering the election results and voters' responses, our experts are here to help with all of your questions and stories. Dr. Mark Caleb Smith is the Director of the Center for Political Studies at Cedarville University. Mark is available to speak with the media regarding election emotions and the election results. Simply click on his icon or email mweinstein@cedarville.edu to arrange an interview.

Mark Caleb Smith, Ph.D.
2 min. read

Dangers of the Metaverse and VR for U.S. Youth Revealed in New Study

The metaverse, a space where the lines between physical and digital realities blur, is rising among younger populations. As of March, 33% of teens own a virtual reality (VR) device and 13% use it weekly. With the metaverse offering richer emotional experiences, youth may be particularly vulnerable to significant harm in these immersive spaces, underscoring the need to explore potential risks. Unfortunately, research of online victimization in the metaverse is sorely lacking. A new study by Florida Atlantic University , in collaboration with the University of Wisconsin-Eau Claire, is one of the first to examine the experiences of harm in the metaverse among youth in the United States. Using a nationally-representative sample of 5,005 13 to 17 year olds in the U.S., researchers focused on their experiences with VR devices, including 12 specific types of harm experienced, protective strategies employed, and differences in experiences between boys and girls. Results of the study, published in the journal New Media & Society, found a significant percentage of youth reported experiencing various forms of harm in these spaces, including hate speech, bullying, harassment, sexual harassment, grooming behaviors (predators building trust with minors), and unwanted exposure to violent or sexual content. The study also revealed notable gender differences in experiences. Among the study findings: 32.6% of youth own a VR headset (41% of boys vs. 25.1% of girls) More than 44% received hate speech/slurs (8.9% many times); 37.6% experienced bullying; and 35% faced harassment Almost 19% experienced sexual harassment; 43.3% dealt with trolling; 31.6% were maliciously obstructed; and 29.5% experienced threats More than 18% were doxed (publicly revealing someone’s personal information without their consent); and 22.8% were catfished (creating a false identity online to deceive someone, typically for romantic purposes) Nearly 21% faced unwanted violent or sexual content; 18.1% experienced grooming or predatory behavior; and 30% were targeted for factors like weight, sexual preference, sexual orientation or political affiliation Boys and girls experienced similar patterns of mistreatment, but girls experienced sexual harassment and grooming/ predatory behavior more frequently than boys. Boys and girls were equally as likely to be targeted because of their voice, avatar, race, religion or disability. “Certain populations of youth are disproportionately susceptible to harm such grooming, especially those who suffer from emotional distress or mental health problems, low self-esteem, poor parental relationships and weak family cohesion,” said Sameer Hinduja, Ph.D., first author, a professor in the School of Criminology and Criminal Justice within FAU’s College of Social Work and Criminal Justice, co-director of the Cyberbullying Research Center, and a faculty associate at the Berkman Klein Center at Harvard University. “Due to the unique characteristics of metaverse environments, young people may need extra attention and support. The immersive nature of these spaces can amplify experiences and emotions, highlighting the importance of tailored resources to ensure their safety and well-being.” Findings also reveal that girls employed in-platform safety measures significantly more so than boys such as “Space Bubble,” “Personal Boundary” and “Safe Zone.” “We found that girls are more likely to select avatars designed to reduce the risk of harassment and to use in-platform tools to maintain a safe distance from others. Additionally, both boys and girls feel comfortable leaving metaverse rooms or channels like switching servers in response to potential or actual victimization, although overall, youth tend to use these safety features infrequently,” said Hinduja. Among the recommendations offered to youth by the researchers include: Using platform-provided safety features to restrict unwanted interactions and infringements upon their personal space. It is also essential that youth understand and take advantage of the safety features available within metaverse experiences, including blocking, muting, and reporting functionalities. Continued research and development in these areas to determine how to meet the needs of users in potential or actual victimization contexts Streamlining platform reporting mechanisms to ensure swift action is taken against perpetrators Age-gating mechanisms for metaverse environments where mature content and interactions proliferate Encouraging parents and guardians to take the time to familiarize themselves with available parental control features on VR devices and metaverse platforms to set boundaries, monitor activities, and restrict certain features as needed. An active mediation approach is ideal, where they engage in open and supportive dialogue with children about their metaverse experiences. The integration of updated, relevant, and accessible digital citizenship and media literacy modules into school curricula to provide youth with the necessary knowledge and skills to navigate VR and other emerging technologies safely and responsibly Consideration by content creators of the ethical implications of their metaverse creations, ensuring that they promote inclusivity, respect, and discourage any form of harassment. They should strive to make their virtual experiences accessible to users from diverse backgrounds, languages, cultures and abilities. “VR concerns of parents and guardians generally reflect and align with their historical anxieties about video games, excessive device use, its sedentary nature, cognitive development, and stranger danger,” said Hinduja. “There remains so much promise with these new technologies, but vigilance is required when it comes to the unique challenges they present as well as the unique vulnerabilities that certain youth users may have. As such, it’s ‘all hands on deck’ to build a safer and more inclusive metaverse as it continues to evolve.” If you're looking to know more - let us help. Sameer Hinduja, Ph.D., is a professor in the School of Criminology and Criminal Justice at Florida Atlantic University and co-director of the Cyberbullying Research Center. He is recognized internationally for his groundbreaking work on the subjects of cyberbullying and safe social media use, concerns that have paralleled the exponential growth in online communication by young people. He has written seven books, and his interdisciplinary research is widely published and has been cited more than 18,000 times. Simply click on Sameer's icon now to set up an interview today.

Sameer Hinduja, Ph.D.
4 min. read

November 11 - a Day of Remembrance

Observed globally, Remembrance Day on November 11 and Veterans Day in America honors the sacrifices of military personnel in times of conflict and serves as a poignant reminder of the human cost of war. Recognized in Commonwealth countries and beyond, this day holds deep significance as nations reflect on peace, memory, and the ongoing impact of past conflicts. Veterans Day is a federal holiday in the United States observed annually on November 11, for honoring military veterans of the United States Armed Forces. Both days matters to the public because it fosters historical awareness, strengthens national unity, and promotes a global dialogue on peace and reconciliation. Key story angles that may interest a broad audience include: The history and symbolism of Remembrance Day: Exploring the origins of the day, the role of the poppy symbol, and its evolution across generations. Global observances and traditions: Highlighting how different countries commemorate November 11 and the unique rituals they observe. Veterans' experiences and perspectives: Featuring stories from veterans and their families, focusing on the impact of service and the importance of recognition and support. The role of education in remembrance: Examining how schools and communities educate younger generations about the history of wars and the importance of honoring service members. Peace-building efforts inspired by Remembrance Day: Showcasing initiatives and organizations working toward conflict resolution, veteran support, and international cooperation. Post-war recovery and mental health: Discussing resources and support systems for veterans dealing with PTSD, physical injuries, and reintegration challenges. Connect with an expert about Remembrance Day : To search our full list of experts visit www.expertfile.com

2 min. read

Don't Retire - Re-wire!

Summary: Retirement is being redefined as more retirees embrace "re-wirement"—pursuing new passions and purpose instead of settling into a passive lifestyle. This shift helps retirees maintain emotional, psychological, and physical well-being by staying engaged and mentally stimulated. Re-wiring offers practical benefits like enhanced self-esteem, social connections, and mental health. By engaging in activities like volunteering, lifelong learning, or passion projects, retirees can experience a fulfilling post-career life, redefining their sense of purpose and contribution. Retirement has long been framed as the final chapter of our professional lives—a time to rest, relax, and enjoy the fruits of years of labour. For decades, the traditional narrative has been that individuals reach a certain age, wrap up their careers, and then move into a quieter, more passive stage of life. However, this concept is being fundamentally reimagined. Today, more retirees are rejecting the conventional notion of retirement. Instead, they opt to "re-wire" their lives, discovering new passions, purposes, and contributions that continue to bring vitality and meaning to their lives. The decision to re-wire after retirement is more than just filling time or avoiding boredom. It's about finding another calling that reignites the spark of purpose and connection that so many retirees fear they will lose once they leave the workforce. This shift in perspective is crucial not only for practical reasons but also for retirees' emotional, psychological, and physical well-being. Let's explore why the notion of “re-wiring” instead of retiring is so powerful and how it can transform the post-work experience. The Emotional Challenges of Traditional Retirement For many, the decision to retire comes with mixed emotions. After decades of working, a person's career often becomes deeply intertwined with their identity, self-worth, and daily structure. When the day finally comes to step away from the workforce, it can leave some individuals grappling with a sense of loss—loss of routine, purpose, and, sometimes, relevance. The job provided a paycheck, social interaction, mental stimulation, and a sense of accomplishment. Many retirees may feel isolated or adrift without these elements, unsure how to fill their days meaningfully. Some may experience depression, anxiety, or a deep sense of emptiness after their working years conclude. The emotional toll of this transition can be overwhelming, leading to a decline in mental health and well-being, not to mention very confusing for the people around them. However, by shifting their mindset from retirement to re-wirement, individuals can bypass these emotional pitfalls and instead focus on new opportunities to grow, engage, and contribute. This rewiring process doesn’t just stave off feelings of uselessness—it can bring new levels of fulfillment, joy, and emotional stability. Redefining Work and Purpose in Retirement The traditional view of retirement often suggests that we leave behind productivity in favour of leisure. However, re-wirement challenges this notion by suggesting that retirement can be a time to transition into new, fulfilling endeavours that aren't necessarily tied to a career but still provide purpose and structure. Purpose is a fundamental human need. Research shows that a strong sense of purpose is linked to better emotional health, increased longevity, and greater happiness. For many, the purpose in life was tied to their career; their job was where they made an impact. Re-wiring is about finding new avenues for that impact, whether through volunteering, hobbies, mentorship, creative pursuits, or even part-time work in a different field. The transition from traditional work to new pursuits isn't about downgrading one's efforts; it's about reshaping how we define meaningful work. Instead of seeing retirement as a time to disengage, re-wirement allows retirees to reinvent themselves by pursuing activities that align with their passions, values, and interests. These activities don’t have to generate income or adhere to the traditional concept of a "job"—they need to add value to the retiree’s life and others, giving them the same emotional rewards that their careers once did. The goal is to acquire a sense of achievement, impact, relevance and contribution. The Emotional Benefits of Re-Wiring 1. Renewed Sense of Purpose Purpose is more than just staying busy—it’s the reason to get up in the morning. For many, a career provides a strong sense of purpose, and losing that can feel disorienting. Re-wiring allows retirees to channel their energy into new roles where they feel needed, whether volunteering in a community, starting a passion project, or mentoring others. The emotional reward of having a purpose is enormous, contributing to a more profound sense of fulfillment and overall happiness. 2. Enhanced Mental Stimulation One of the most significant emotional benefits of re-wiring is staying mentally active. Engaging in new activities and challenges stimulates the brain, keeping it sharp and agile. Whether learning a new skill, teaching, or tackling a project, staying mentally active helps stave off cognitive decline and creates a sense of accomplishment. This mental engagement can increase emotional resilience and a stronger sense of self-worth. 3. Improved Social Connections Retirement can sometimes lead to isolation as individuals lose the daily social interactions that come with their jobs. Re-wiring offers opportunities to meet new people and build new social networks. Whether volunteering, joining a club, or starting a small business, staying connected to others is essential for emotional health. Social solid ties reduce feelings of loneliness and depression and increase feelings of support and belonging. Re-wiring encourages retirees to maintain or even expand their social circles. 4. Greater Self-Esteem and Confidence Accomplishing new goals and learning new skills in retirement can foster renewed self-confidence. When retirees take on new roles or responsibilities, they prove to themselves that they still have valuable contributions to make. This boost in self-esteem can carry over into all areas of life, helping individuals approach their post-career years with a positive mindset and confidence. 5. Positive Emotional Health Re-wiring can combat the negative emotional states that sometimes come with traditional retirement. Boredom, loneliness, and a sense of purposelessness can lead to mental health issues, but by staying engaged, retirees can ward off depression and anxiety. New challenges, goals, and social interactions help balance the mind and emotions, providing a more stable and positive emotional state. Practical Ways to Re-Wire So, how can retirees flip retirement to re-wirement? There are countless avenues for re-engaging with life in meaningful ways, but it all starts with identifying passions, values, and interests. Here are some practical ideas: 1. Pursue Lifelong Learning Learning doesn’t have to stop when your career does. Many retirees find that they have more time to explore subjects that they’ve always been curious about. Expanding your knowledge can be incredibly rewarding, Whether through online courses, local college programs, or personal study. Learning new things keeps the mind sharp and opens opportunities for engagement and social interaction. 2. Volunteer Your Time Many organizations rely heavily on volunteers, and retirees are uniquely positioned to offer their time and expertise. Whether working with local schools, non-profits, or community centers, volunteering allows retirees to give back while maintaining a sense of purpose. This can be an enriching way to spend time, as it connects individuals with meaningful causes and new social networks. 3. Start a Passion Project Retirement is the perfect time to dive into a passion project that may have been on the back burner during a busy career. Whether writing a book, starting a garden, or building a small business, passion projects offer a chance to engage with something that profoundly resonates personally. The sense of accomplishment and joy that comes from pursuing a passion can fuel emotional well-being for years. 4. Mentor or Coach Others Retirees often have a wealth of knowledge and experience from which younger generations can benefit. Mentoring or coaching allows individuals to share their expertise while helping others grow. Whether through formal mentorship programs or informal relationships, guiding others can be a deeply fulfilling way to stay engaged. 5. Part-Time or Freelance Work For some, retirement doesn’t necessarily mean giving up work entirely. Many retirees find joy and satisfaction in part-time or freelance work that aligns with their interests or skills. This can be an ideal way to stay active while earning income and remaining professionally engaged. The idea of re-wiring instead of retiring is a decisive shift in mindset that recognizes retirement as a new beginning rather than an end. It offers retirees a chance to continue finding purpose, joy, and fulfillment long after their professional careers. By staying engaged, mentally active, and socially connected, retirees can enjoy a rich, emotionally rewarding life that rivals the sense of purpose and satisfaction they experienced during their working years. Re-wiring is about finding another path, a new reason to wake up with excitement and curiosity each morning. It’s a reminder that the human spirit thrives on growth, purpose, and connection—no matter your life stage. Don't Retire---Rewire! Sue

Sue Pimento
6 min. read