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Abstract: The purpose of this study was to explore the relative motivations and subsequent effects of a
ten-day volunteer tourism opportunity for college students during spring break. A key objective of the
study was to explore the backgrounds of the participants, comparing them to similar non-
voluntourists, to better understand what compelled and motivated them to want to spend their spring
break engaged in community service in a distant location. The participants consisted of 617 students
at a university in the Midwestern United States, half of whom participated in a voluntour.
Voluntourists reported higher levels of yearly civic engagement, civic attitude, openness, compassion,
cognitive drive, and reflectivity. The developmental disparities evident before the tour continued to
grow over the course of five weeks. Implications for marketing, program design, and education are
discussed within the context of the burgeoning voluntourism industry.
Title page with author details
Corresponding Author:
Andrew W. Bailey, Ph.D.
Assistant Professor, Recreation
Calvin College
2347 Jefferson Dr SE
Grand Rapids, MI 49507 USA
Andrew@calvin.edu
Phone: 423-290-6142
Fax: (616) 526-6060
Secondary Author:
Keith C. Russell, Ph.D.
Associate Professor, Recreation
Western Washington University
516 High St, Old Carver Gym 6
Bellingham, WA 98225-9067
Email: Keith.Russell@wwu.edu
Phone: 360-650-3529
Abstract:
The purpose of this study was to explore the relative motivations and subsequent effects of a ten-
day volunteer tourism opportunity for college students during spring break. A key objective of
the study was to explore the backgrounds of the participants, comparing them to similar non-
voluntourists, to better understand what compelled and motivated them to want to spend their
spring break engaged in community service in a distant location. The participants consisted of
617 students at a university in the Midwestern United States, half of whom participated in a
voluntour. Voluntourists reported higher levels of yearly civic engagement, civic attitude,
openness, compassion, cognitive drive, and reflectivity. The developmental disparities evident
before the tour continued to grow over the course of five weeks. Implications for marketing,
program design, and education are discussed within the context of the burgeoning voluntourism
industry.
*Highlights
Highlights:
Volunteer tourists are a unique clientele, differing from other tourists in fundamental ways.
Voluntourists report higher levels of social engagement on a regular basis.
Voluntourists demonstrate higher levels of openness, affection, cognition, reflectivity and civic
attitude than non-participants.
These developmental disparities increased and remained significant for a month after the
voluntour.
Implications are discussed regarding program design, marketing, and educational opportunities
through volunteer tourism.
*Manuscript (remove anything that identifies authors)
Click here to view linked References
1. Introduction
for people of all ages. McGehee and Santos (2005, p. 760) define volunteer tourism as “utilizing
discretionary time and income to travel out of the sphere of regular activity to assist others in
need.” These experiences may last a weekend or several months, and they may include travel
within domestic countries or abroad. Travelers may choose to participate of their own volition,
or they may be “encouraged” by their schools or employers (Gold, 2011). As such, the term
volunteering and others which focus more on tourism. Given the inclusion of a service
component, this type of travel is thought to foster reciprocity between the participant and the host
has gained considerable interest by researchers. The benefits reported by participants have
included raised consciousness, increased interest in activism, and increased pro-social values,
compassion, and perspective-taking (Bailey & Russell, 2008; 2010; Wearing, 2001; Wearing &
Neil, 2003). These experiences also positively impact local communities through a renewed
organizations and volunteers agencies (McGehee, 2002; McGehee & Santos, 2005). Additional
benefits include the direct and indirect economic impacts on the host community given the
compulsory (i.e. food and lodging) and recreational (i.e. souvenirs) spending of the tourists while
they are volunteering (Goodwin, 2008). Skeptics contend that volunteer tourism, especially in
the form of short-term excursions, has limited influence on participants and may be exploitative
of host communities (Simpson, 2004). Though these concerns are justified in some cases,
mounting anecdotal and empirical evidence provides a compelling argument for voluntourism as
a viable type of boundary-expanding travel experience (Brown & Morrison, 2003). In fact,
many researchers agree that volunteer tourists are a unique clientele who are actively seeking
interaction with, and a deeper understanding of diverse cultures (Wearing, 2001), and that the
experiences can be a powerful educational opportunity (Jamal, Taillon, & Dredge, 2011).
The purpose of this study was to explore the relative motivations and subsequent effects
of a ten-day volunteer tourism opportunity for college students during spring break. A key
objective of the study was to explore the backgrounds of the participants to better understand
what compelled and motivated them to want to spend their spring break engaged in community
service in a distant location. The outcomes of interest in the study were the degree to which the
experience impacted wisdom, civic attitude, and openness. Wisdom as a construct of interest has
gained considerable attention in recent years and is reasoned to consist of cognitive, affective
and reflective dimensions (Ardelt, 2003). The cognitive dimension is concerned with one’s
willingness and ability to understand phenomena on a deep level, knowledge of the ambiguity of
human nature, knowledge about the limits of knowledge, and an awareness of life’s uncertainty.
The affective dimension measures one’s demeanor and sympathetic compassion towards others.
The final dimension, reflection, measures the degree to which one tries to overcome their
subjectivity, their willingness to look at situations from various points of view, and their
acceptance of responsibility for their life circumstances (Ardelt, 2003). Openness assesses one’s
willingness to try new things or entertain new ideas. Finally, civic attitude examines an
individual’s belief that they can make a difference in the world and civic responsibility. The
following literature review examines these constructs of interest in more detail and presents a
rationale for why these constructs are important in the context of voluntourism, and the context
2. Literature Review
2.1. Motivation
While tourist motivations are not analyzed directly in this study, motivational theories are
foundational to the research. Any experienced teacher will attest to the inherent “teachability” of
a motivated learner. Furthermore, those students who are intrinsically motivated tend to
outperform students who are extrinsically motivated (Ryan & Deci, 2000). Extrinsic motivation
consists of external rewards provided in exchange for a student’s concerted effort to learn (i.e.
grades, money, etc.). Given that leisure tourists voluntarily participate, and often contribute
substantial sums of money, they can be seen as internally motivated (Iso-Ahola, 1982). Indeed,
research indicates that altruism and personal growth are common reasons for participation in
service-oriented leisure pursuits (Bailey & Russell, 2009). Mustonen (2006) likens voluntourism
to a postmodern pilgrimage, contending that altruism is the vehicle by which postmodern tourists
find enlightenment. Debate exists as to whether any action can be driven by altruism alone
(Okasha, 2005). Granted, a tourist’s decisions are likely guided by several competing motivators,
such as: experiencing different cultures, stimulation, nostalgia, recognition, and skill
enhancement (Bailey & Russell, 2009; Pearce & Lee, 2005). In sum, it appears that volunteer
tourists are actively seeking growth through their travel experiences while also making a positive
difference for the host community (Brown & Morrison, 2003). It is possible that this growth is a
While motivations are a popular topic in tourism literature, minimal quantitative research
has been conducted to determine unique traits associated with volunteer tourists. Cohen (1979)
laid the foundation for distinguishing travelers seeking an escape from daily life from those
seeking deeper interaction with local members of the host community. Wearing, Deville, &
Lyons (2008) further developed this argument, identifying openness as a key trait of volunteer
tourists. Openness, as a personality trait, refers to those who enjoy novel experiences, trying new
things, and entertaining new ideas (McCrae & Costa, 1999). These individuals thrive in
situations that might make others uncomfortable. An open disposition would be an asset to a
voluntourist who, for example, works alongside a homeless person, tutors children from diverse
Given their motivation toward personal growth and skill enhancement, it is also likely
that volunteer tourists exhibit high levels of cognitive functioning. While not a measure of
drive to understand phenomena on a deep level, and a willingness to expend considerable mental
effort in solving problems (Ardelt, 2003). This trait is conceptually related to openness, as both
variables extend from an innate curiosity that encourages exploration and discovery. Those who
choose to challenge themselves (mentally, physically, and culturally) during their free time may
that volunteer tourists exhibit pro-social and collectivist values, which are associated with
affective personality traits (Bailey & Russell, 2008). It is conceivable that compassion is the
driving force behind one’s decision to participate in a service-oriented experience. Indeed,
compassion can be a powerful motivator to act, often outperforming formal reasoning (Goleman,
2002). Service-oriented leisure experiences can increase a participant’s affective attitudes and
behaviors (Bailey & Russell, 2010; Lundy, 2007), but it is unclear whether this is due to the
Some would argue that reflectivity is the mother of empathy and deep understanding (Ardelt,
2003). Those who delay judgment of others and try to view issues from a variety of perspectives
also tend to reject dogmatic statements, preferring instead to develop a thorough picture of the
understanding and appreciation of diverse cultures (Brown & Morrison, 2003). The experiences
encountered certainly provide ample material for reflection (Wearing, 2001). However, it is also
possible that reflective individuals gravitate toward such opportunities. Is reflectivity an output
Finally, those who engage in service-oriented activities often report high levels of civic
awareness and responsibility (Mabry, 1998). These activities may benefit participants
exponentially throughout their lifetime, through increased network ties, civic knowledge, and
awareness of diversity (Astin, Sax & Avalos, 1999). Volunteer vacations have been shown to
influence civic attitudes, but these programs may be “preaching to the choir”, given the
propensity for civic-minded individuals to participate in alternative tourism (Lyons & Wearing,
2008). Those who are compelled to promote the common good and who believe that they can
lifespan (Erikson, 1982). This support may be even more indispensable during the formative
years of childhood and adolescence. Socio-economic status (SES), for example, may influence
self-confidence, academic performance, civic behavior, and career trajectory (Ardelt, 2000;
Scales, Roehlkepartain, Neal, Kelsmeier, & Benson, 2006). SES may also determine the friends
one has and the activities one engages in. Individuals with a higher SES are more likely to
participate in volunteering for leisure (Chang, Fang, Ling, & Tsai, 2011), and individuals from
more educated, higher income families are consistently more engaged in community service
activities (Foster-Bey, 2008). To account for this influence, our study incorporated a six-item
indicator. Those who engage in social activities, whether formal (i.e. clubs) or informal (i.e.
dinner with friends), demonstrate higher academic performance, better socialization, and higher
levels of empathy and compassion (Bailey & Russell, 2008; Putnam, 2001). Routine interactions
with others also tend to foster trust, which is the basis of meaningful relationships and of well-
functioning societies (Putnam & Feldstein, 2003). It is plausible that volunteer tourists are more
socially active on a routine basis, and that their travel choices are merely an extension of their
daily lives. This idea is conceptually related to the spillover theory of leisure, whereby
individuals participate in similar leisure activities as they do at work (McLean, Hurd, & Rogers,
3. Methodology
The participants in this study consisted of 617 students at a university in the Midwestern
United States. Roughly half (n=288) of these students participated in the Pay It Forward Tour
(PIFT); a service-oriented spring break trip offered by the Students Today Leaders Forever
(STLF). These students boarded a coach bus in Minneapolis and traveled to Washington, D.C.
over the course of ten days. Each day included some type of service (i.e. soup kitchen, tutoring
inner-city youth) to a local community, as well as small and large group discussions, city tours,
and group activities. Participants voluntarily participated in this tour, and received no course
credits or other compensation for their efforts. While the tour does cost several hundreds of
dollars per participant, scholarships are available and no student has ever been turned away for
lack of funds.
All participants were given pre-trip questionnaires one week before the trip. Those who
elected to participate in the study completed the forms at their leisure and returned them to an
STLF leader at the time of trip departure. From this sampling frame, a total of 235 completed
the pre-trip instrument, resulting in a response rate of 82%. The post-trip measure for the
participant group was administered during the fifth week after the conclusion of the trip using an
online survey tool. Of the 235 participants who participated in the study, 192 (82%)
questionnaires could be utilized for comparison of pre and post measurements. The measurement
schedule was specifically designed to minimize elevated scores due to the influence of
anticipatory and post-euphoric effects before and after highly emotional experiences; a common
limitation of experiential research (Ewert & Sibthorp, 2009). This design was employed as a
enrolled in recreation, sports management, and physical activity program classes. Many of these
students shared classes with those attending the PIFT and all of the students frequented the
recreation facility where the PIFT was heavily advertised. While it is not guaranteed that all of
these participants were aware of the PIFT before this study, they were certainly surrounded by
information regarding the opportunity. Given the policy of the STLF to provide for anyone with
the desire to participate, the main constraints for these non-participants would be lack of
A total of 307 questionnaires were collected from the non-participant group. An identical
second questionnaire was distributed during the fifth week after the conclusion of spring break.
Of the original 307 surveys collected, 207 (68%) could be matched for comparison of pre-trip
and follow-up measurements. This moderate response rate was due to sporadic class attendance
at the end of the semester and the voluntary nature of the study. The majority of these students
(41%) cited visiting family and friends as their primary spring break activity, 20% engaged in
other types of travel, 21% cited work as their primary activity, and 18% cited other activities
(e.g. “Drank a lot and played video games”) or chose not to respond. None of the non-
ANOVA with Games-Howell post-hoc analysis was conducted to determine differences in these
non-participant sub-groups. The only significant difference was for hanging out with friends in
public places (p = .043). Subsequent analyses included all non-participants as a single group.
3.1. Measures
The survey packet included a total of 81 items measuring ten variables. The variables of
openness, and civic attitude. Social environment was measured with four items which describe
the education and intellectual interests of parents, and educational aspirations of the participant.
Social engagement was measured using six items indicating the number of formal and informal
relationships in which the participant was involved (i.e. eating out with friends, attendance at
religious ceremonies, clubs, etc.) and frequency of participation in the previous 12 months.
These items were adapted from the Social Capital Short Form (The Saguaro Seminar, 2002).
The dependent variables were measured using three established instruments: Ardelt’s
(2003) 3-Dimensional Wisdom Scale (39 items measuring Cognitive, Affective, and Reflective
traits), Civic Attitude (Mabry, 1998), and the Openness subscale of the NEO-PI (McCrae &
Costa, 1999). The 3-Dimentional Wisdom Scale (3DWS) measures wisdom as evidenced by
cognitive, affective and reflective effect indicators (Ardelt, 2003). Items measuring the cognitive
dimension assess one’s willingness and ability to understand phenomena on a deep level,
knowledge of the ambiguity of human nature, knowledge about the limits of knowledge, and an
awareness of life’s uncertainty. The affective dimension measures one’s demeanor and
sympathetic compassion towards others. This domain is “other-oriented” and higher ratings
should demonstrate a lack of self-centeredness. The final dimension, reflection, measures the
degree to which one tries to overcome their subjectivity, their willingness to look at situations
from various points of view, and their acceptance of responsibility for their life circumstances
(Ardelt, 2003). Cronbach’s alpha was acceptable for all three domains (Affective= .75;
Openness was measured by the Openness to Experience subscale of the NEO-PI (McCrae
& Costa, 1999). This scale includes 12 items assessing one’s willingness to try new things (i.e.
“I often try new and foreign foods”), entertain new ideas (i.e. “I often enjoy playing with theories
or abstract ideas”). Reliability for this scale was robust (α = .79). Finally, civic attitude was
measured with Mabry’s (1998) Civic Attitude Scale. This brief assessment includes five items
addressing civic efficacy (i.e. “I believe I can make a difference in the world”) and civic
responsibility (i.e. “It is important to help others even if you don’t get paid for it”). Cronbach’s
3.2. Analyses
To test the initial differences between participants and non-participants, an ANOVA was
conducted with group as the between subjects variable. Further descriptive analyses were
performed on the trip participants to generate a complete profile of the PIFT clientele. To
(MANCOVA) was conducted on the final scores with group status as the between-subjects
variable. The pre-test scores and four independent variables (gender, age, social environment
and social engagement) were included as covariates to account for any differences in group
status before the experience. These covariates also help determine those pre-existing differences
4. Results
The results indicate that there were significant differences between the PIFT participants
and those who did not participate in service activities over the course of spring break. A
summary of these results can be seen in Table 1. There was no difference between groups on
measures of educational attainment of parents, intellectual interests of their parents, nor on self-
report GPA. PIFT participants reported significantly higher measures of civic involvement (i.e.
Community groups, religious organizations and club membership), but there was no difference in
measures of informal social engagement (i.e. Hanging out with friends at home & in public
places). The PIFT participants rated themselves higher for all 5 personality measures on the
survey instrument with a significance of p< .001. It should also be noted that two thirds of PIFT
participants were female, and that the non-participant group’s mean age was slightly higher (<
1year).
The developmental disparities evident before the tour continued to grow over the course
of five weeks. As shown in Table 2, the two groups demonstrated divergent growth trajectories
on almost all outcome measurements. The F statistic and effect sizes are listed for comparison.
As a reference, an eta squared of .01 is considered small, .06 is medium, and .14 is a large effect
when conducting a MANCOVA (Kline, 2004). First, it is evident that the PIFT group scored
significantly higher on all but one outcome while accounting for pre-trip scores and other
relevant variables. The effect of the group factor ranged from low (Affection = .03) to moderate
(Openness = .09). However, it appears that pre-trip scores had a stronger effect on their
respective final outcome scores than did the group factor. Openness, for example, was
moderately affected by group status (.09), but very strongly affected by one’s initial openness
score (.34). The same phenomenon emerged for all the outcome variables with the exception of
civic attitude. Gender had no significant influence on any outcome variables. Age had a small
effect on civic attitude and openness. Openness was also influenced by social environment and
social engagement.
Additional descriptors collected from the PIFT participants shed more light on the unique
aspects of this population. Nearly all of these participants (99.6%) have had formal classes in
leadership at the college level. Over half (53%) have been involved in a “significant” service-
learning experience in the past, either in school or on their own. Seventy percent report having
traveled outside of the United States at least once, while 22% have been out of North America
four or more times. Almost all (99%) of these students have a leadership role in at least one club
or extra-curricular activity. Finally, 87% of the PIFT participants are considering a career in the
non-profit field.
5. Discussion
5.1. Limitations
This study provides insight into a self-selected group of voluntourism participants, but
the results should be interpreted in light of a few limitations. It is extremely difficult to select an
indisputable set of “non-participants” for a voluntary program. Given the regional, cultural,
academic, and socio-economic similarities of the PIFT and non-participant groups, they can be
considered comparable. However, it should be noted that the non-participants may have had
unknown reasons for not joining the PIFT which could impact the results. Additionally, self-
report assessments are always susceptible to desirability influence (i.e. the Hawthorne effect).
Finally, this study was conducted on one specific voluntourism experience. While these results
may be informative for other programs, they cannot be generalized without prudence.
The purpose of this study was to explore the differences in initial status and growth
trajectories of college students who did and did not participate in a voluntourism experience.
Profiles of those who choose to participate in service-oriented vacations are plentiful, but
comparisons with similar groups who do not participate are much more difficult to find. It is
evident from this study that these groups may be fundamentally different. Those who choose to
participate in these tours report higher levels of yearly civic engagement. In addition, they tend
to place a higher value on civic engagement and to believe that they can make a difference in the
world (i.e. civic attitude). PIFT participants were more open to new experiences, and
demonstrated higher levels of compassion (i.e. Affection), of cognitive drive, and reflectivity
Many of these findings merely confirm assumptions about volunteer tourists expressed in
have all been associated with volunteer tourists, either conceptually or empirically (Bailey &
Russell, 2008; Wearing, 2001). The largest differences between the groups in this study were in
affection and openness. A more compassionate disposition would be consistent with altruistic
motives for participation (Taillon & Jamal, 2010). A certain level of openness &
adventurousness may be a requisite characteristic for volunteer tourists, given the inherent
interaction (Brown & Lehto, 2005). PIFT participants may represent Plog’s (1994) “allocentric”
tourist type, as they are relatively well-traveled (<70% have travelled outside of the U.S.),
These findings may have implications for the marketing and design of voluntourist
programming. Not all programs report such positive assets regarding their volunteers. In fact,
certain programs indicate that voluntourists exploit their services as a method of cheap travel
(Kloushafer, 2007). These tourists appear to be more interested in experiencing the local
hedonic culture than serving the local population. Though beyond the scope of this study, one
could speculate that advertising and program design contribute to this predicament. The STLF’s
promotional material, for example, heavily emphasizes leadership development and the
opportunity to make a positive difference during spring break. This may explain the high level of
leadership experience reported by the PIFT participants. It is not uncommon for other
voluntourism agencies to highlight the local culture, amenities, and/or affordability over and
above the service activities. This marketing strategy may increase participant numbers, but it
may also attract a less altruistic clientele and/or create undesired expectations for the participant.
The issue of less-altruistic clientele may also be a consequence of program design. The
PIFT is a highly- structured tour, with little free time or choice of activities. While each tour is
uniquely shaped by the group involved, participants essentially sign up for an “all-inclusive”
travel experience. Even if individuals were inclined to pursue hedonic activities, they would
likely be discouraged by the lack of time and/or other participants. This model is not practical
for all voluntourism programs, of course, but it could be adapted to suit other contexts.
Volunteers could, for example, be required to commit a minimum number of service hours for
the privilege of cheap room and board. Additionally, an orientation at the beginning of the
experience may better acquaint participants to the mission and values of the organization,
expectations for the client and the agency. Supplementary structure requires supplementary
planning and support. Each program would need to determine the level of structure suitable to
their needs.
Even while accounting for pre-trip scores in all outcome variables, the “group” factor
accounted for a significant amount of variance in four of the five outcome variables. This
indicates that volunteer vacations may have lasting effects over and beyond the pre-disposition
of participants. Given the five week time span between assessments and the large amount of
unexplained variance (~60%) for each outcome variable, it is evident that other factors contribute
to the growth in outcome variables. However, SES indicators and routine social engagement had
only a minimal influence on a single outcome, openness. This leaves a large portion of
unexplained variance in that cannot be ascertained by the data in this study. Future research must
be conducted to determine the nature of other significant influences, whether they be personal or
environmental.
The results provide adequate support for the suspicion that voluntourists are a unique
clientele, and that their trip experiences and/or routine activities contribute to a growing gap in
openness, cognition, affection and reflection. This has implications for any program seeking to
gleaned from qualitative research, but the nature of the method inhibits objectivity and
understanding, but does little to substantiate claims of positive program impact for all
participants. Given the growing skepticism about volunteer tourism and its potential to exploit
host communities (McGee & Andereck, 2008), programmers should take seriously the
responsibility to conduct rigorous evaluations. This may not only provide support for continued
programming, but will maximize the impact of each new experience through evidence-based
modifications.
method of character-based education (Jamal, Taillon, & Dredge, 2011). Evidence suggests that
these experiences can produce lasting effects in certain developmental assets (Bailey & Russell,
2010). Our study revealed a divergent growth trend that raises additional concerns. Figure 1
illustrates the nature of the change for PIFT and non-PIFT study participants. While PIFT
participants gained an average of 8 percentile points across all outcomes, the non-PIFT group
lost an average of 6 percentile points. In other words, volunteer tourists are not only gaining
ground, but something exists in the normal college environment which may be detrimental to
findings do not bode well for our future citizenry. One could speculate on myriad of causes for
these declines. One such explanation coincides with Iso-Ahola’s (1982) travel motivational
model. This model contends that a combination of push factors (i.e. getting away from school &
routine) and intrinsic motivations (i.e. personal growth, enjoyment) determine one’s tourism
choice. All travelers in this study may have been driven by the push factors of “getting away
from school” during spring break. This could be accomplished by visiting family, going to
Cancun, or by attending the PIFT. However, their intrinsic motivations, or what they were
seeking from their experience, would likely differ. Travel home, for instance, may be indicative
of the search for security and/or the reinforcement of established social bonds (Putnam &
Feldstein, 2003). Travel to an exotic destination (i.e. Cancun) suggests the search for adventure
and/or enjoyment. The choice of a service-oriented vacation such as the PIFT, implies a search
for personal growth and/or an opportunity to help those in need (Bailey & Russell, 2009).
If this conjecture holds true, then voluntourists are intrinsically motivated to seek
personal growth and serve others. The results support this surmise, given the increased social
engagement of the PIFT participants on a regular basis. The same motivation that drives them to
participate in clubs and community service at home “spills over” to their choice of leisure travel
(McLean, Hurd, & Rogers, 2005). Voluntourism enhances their development while encouraging
them to serve at home in order experience the same benefits. The cycle continues and the
character education: that of inducing intrinsic motivation toward positive developmental assets.
Compulsory participation would likely interfere with participant enjoyment, regardless of the
motivations would enable a programmer to include participant expectations into the mix of
activities. They would need to take caution, lest they fall into the trap of establishing
inappropriate expectations (see above). Given the indication that early service experiences lead
to continued service throughout one’s lifetime (Astin, Sax, & Avalos, 1999), volunteer vacations
6. Conclusions
Program planners, marketers, and educators should consider the unique characteristics of
those who choose to participate in volunteer vacations. Knowledge of this unique clientele can
improve program outcomes and provide the basis for future research to understand the
dispositions of those who do and don’t participate in these unique travel experiences. It is evident
that voluntourists possess unique characteristics and motivations that influence the perceived
experimental and quasi-experimental research to determine the true effects of such programs,
Figure 1. Percentile change for PIFT and Non PIFT groups over the course of five weeks.
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