https://www.selleckchem.com/products/as601245.html Previous research has shown the negative effects of loneliness on quality of life, all-cause mortality, and morbidity. Generativity is the concept of giving something back to younger generations and is theorized to improve a sense of meaning and fulfillment in elders' lives. This survey study examined the relationships between three constructs generativity, loneliness, and quality of life in elders living in rural Northern California in a largely Native American community (N=98). While causation cannot be determined in this cross-sectional study, the findings suggest that improving the level of generativity in rural elders may enhance their quality of life. Creating venues in which elders can interact with younger generations may be beneficial in the future.The public health impact of behavioral parent training (BPT) is limited, especially in underserved communities such as rural central Appalachia. To improve access to BPT in this region, we completed the first two steps of the ADAPT-ITT framework for systematic adaptation of evidence-based interventions (1) assessing community perspectives about BPT delivery, and (2) deciding upon a specific intervention and adaptations needed to increase its acceptability and accessibility in rural central Appalachian counties. Guided by a community advisory board, we conducted key informant interviews with parents (N = 21) and three focus groups with child service providers to elicit stakeholders' perspectives about child behavior problems in their communities; existing resources; and preferences regarding four characteristics of BPT delivery interventionist, modality, dose, and location. Results of directed content analysis led to the selection of local, trusted community health workers to deliver a brief, tailored BPT with flexibility in modality and location.Our goal was to develop a patient-centered text-message intervention for adolescent females in an urban safety-net heal