The Role of the Black Church in HIV Prevention: Exploring Barriers and Best Practices

Black people have the highest rate of HIV/AIDS infection in the USA, and they are less likely to access quality physical and mental healthcare. To address these disparities as outlined in the National HIV/AIDS Strategy, there is a need for culturally congruent, innovative approaches to HIV/AIDS prevention. The first multi‐denominational national study of Black faith leaders was conducted utilizing focus groups that were held in 11 US cities. The 265 participants were faith leaders who reported involvement in such prevention practices as sponsoring HIV/AIDS workshops, integrating HIV/AIDS messaging in the worship service, hosting HIV/AIDS screenings, distributing written materials about HIV/AIDS through the bulletin or flyers, pastoral counselling, advocating for policies that provide quality healthcare to the community and disseminating HIV/AIDS prevention messages through new media such as the Church website. These findings, including attention to barriers to engagement, provide insight into innovative practices that can be integrated into faith‐based HIV/AIDS prevention programming. Copyright © 2016 John Wiley & Sons, Ltd.     

Helping Divorced Parents to Benefit Adolescent Children: A Prospective Enrichment Programme

This study proposes a prospective integrative theory-based enrichment programme for divorced custodial parents to help their adolescent children. The programme comprises five brief sessions addressing: the needs of parents for information on post-divorce experiences of their children (cognitive component); the acquisition and practice of skills to improve effective parenting (behavioural component); the opportunity to share mutual feelings and experiences in a supportive group context (affective and social components) and reflection on positive post-divorce outcomes (philosophical component).     

A Review of Faith-Based HIV Prevention Programs

HIV disproportionately affects people of color, suggesting a need for innovative prevention programs and collaborations as part of prevention efforts. African Americans have close ties to the church and faith-based organizations. African American faith communities were slow to address HIV prevention, but in recent years, they have become more involved in such activities. This study reviews the empirical literature on faith-based HIV prevention programs among African American populations. Several successful faith-based/public health collaborations are identified, and the limitations and strengths of faith-based prevention programs are discussed. Recommendations are provided for developing effective faith-based/public health collaborations.

Adolescent AIDS Prevention in Context: The Impact of Peer Educator Qualities and Classroom Environments on Intervention Efficacy

Peer-led, school-based interventions show promise for preventing AIDS among adolescents, but little is known about the processes underlying effective peer education or the conditions that promote its efficacy. This study examined the implementation in one school of an effective, peer-led AIDS prevention program for inner-city 7th-grade participants (n = 123) and identified the qualities of peer educators (n = 15) and classroom environments (n = 5) that contributed to improvement in participants' postintervention AIDS-related attitudes. The Peer Educator Rating Scale was developed to assess two dimensions of participants' perceptions of peer educators: positive regard and perceived similarity. Participants reported greater positive regard for more highly individuated and less shy peer educators, and participants' positive regard for peer educators in turn was associated with lowered AIDS risk as measured by perceptions of peer norms regarding sexual activity and self-efficacy for peer communication regarding sexual topics and condoms. Participants' perceived similarity was not associated with any postintervention improvements in AIDS-related knowledge and attitudes. Participants' classroom membership was associated with improvements in all 5 knowledge and attitude scales, and exploratory classroom-level findings indicated that classroom intervention environments perceived as more organized by participants showed slightly greater overall improvements across AIDS-related knowledge and attitudes scales. Consistent with individual-level findings regarding participants' positive regard for peer educators, the two classrooms with the greatest positive regard for their peer educator teams showed the most student improvement. Implications for further research and the design of future prevention and promotion programs for adolescents are discussed.     

青少年心目中的理想父母形象研究

以690名初一、高一和大一学生为被试,采用自制的词表,运用因素分析方法研究青少年心目中的理想父母形象,并比较不同青少年理想父母形象之差异。结果发现:(1)当代青少年心目中理想父母形象应具备的五项主要特征是:尊重沟通、与子为友,能力强、善于交际,正义乐群,正视现实,品德好、有原则;(2)女孩比男孩更重视父母与她们的沟通与相处;(3)随着年龄的增长,孩子对父母与自己相处态度的要求逐渐提高,而对父母的能力、生活态度、品德的要求逐渐降低;(4)是否独生子女、家庭收入水平对青少年心目中的理想父母形象也有一定影响,不同家庭结构青少年心目中的理想父母形象则没有差异。     

青少年吸毒行为预防干预研究述评及展望

青少年吸毒问题已令人触目惊心,应引起研究者高度的关注。该文对国外18岁以下青少年吸毒预防干预的方法、模式和影响干预效果有效性的重要要素进行了述评,介绍了一些国外著名的青少年吸毒预防干预方案,在此基础上结合当前最新的研究进展对该领域未来的发展方向和趋势进行了展望。     

Primary Prevention Mental Health Programs for Children and Adolescents: A Meta-Analytic Review

Used meta-analysis to review 177 primary prevention programs designed to prevent behavioral and social problems in children and adolescents. Findings provide empirical support for further research and practice in primary prevention. Most categories of programs produced outcomes similar to or higher in magnitude than those obtained by many other established preventive and treatment interventions in the social sciences and medicine. Programs modifying the school environment, individually focused mental health promotion efforts, and attempts to help children negotiate stressful transitions yield significant mean effects ranging from 0.24 to 0.93. In practical terms, the average participant in a primary prevention program surpasses the performance of between 59% to 82% of those in a control group, and outcomes reflect an 8% to 46% difference in success rates favoring prevention groups. Most categories of programs had the dual benefit of significantly reducing problems and significantly increasing competencies. Priorities for future research include clearer specification of intervention procedures and program goals, assessment of program implementation, more follow-up studies, and determining how characteristics of the intervention and participants relate to different outcomes.     

HIV Prevention with Male Prostitutes and Patrons of Hustler Bars: Replication of an HIV Preventive Intervention

The core objectives of this study were to document the process by which a community-based organization replicated and adapted an experimentally developed intervention to its own use and to explore the effectiveness of that HIV prevention program for male prostitutes and other patrons in New York City hustler bars. The intervention model employed was based on previous research with gay men (Kelly, St. Lawrence, Diaz, et al., 1991; Kelly, St. Lawrence, Stevenson, et al., 1992) and inspired by diffusion of innovation theory (Rogers, 1995). The effects of the current intervention were assessed on a sample of 1,741 male prostitutes and bar patrons. Analyses indicated significant reductions in paid, unprotected sexual intercourse and oral sex following the intervention. Analyses further indicated that the data were partially consistent with the program's model, which specified that norms were the putative mediator of behavior change in the intervention. Also, the intervention's effects varied by bar and by participants' race/ethnicity. Data support the utility of the intervention model for an urban sample of men at high risk for HIV infection. The importance of exploring the mechanisms that underlie the intervention is discussed.     

The Relationship Between Family Factors and Adolescent Substance Use in Rural, Suburban, and Urban Settings

We tested the relationships and predictive power of family factors on rural, suburban, and urban adolescent substance use. A representative statewide survey of 11th grade students for gender, place of residence, and ethnicity was conducted. No significant differences were found between rural, suburban, and urban adolescents for substance use. For family sanction variables across all locations, adolescent substance involvement was significantly lower the more they perceived their families would stop them or care if they got drunk, smoked cigarettes, or used marijuana. Rural and suburban youth who reported that their parents talked to them about the dangers of smoking and getting drunk were less involved in substance use. While controlling for location, gender, and ethnicity, regression analyses showed that family sanctions against smoking cigarettes and marijuana explained a modest proportion of the variance in substance use. Finally, family talking about the dangers of cigarettes, family involvement in schools and belief that their families cared about them predicted lower substance use regardless of location, although minimal variance was explained. The findings have implications for social service providers regarding location settings, prevention, education, and intervention programming.     

Negative Life Events and Substance Use Moderate Cognitive Behavioral Adolescent Depression Prevention Intervention

Investigate factors that amplify or mitigate the effects of an indicated cognitive behavioral (CB) depression prevention program for adolescents with elevated depressive symptoms. Using data from a randomized trial (Registration No. NCT00183417; n = 173) in which adolescents (M age = 15.5, SD = 1.2) were assigned to a brief cognitive behavioral prevention program or an educational brochure control condition, we tested whether elevated motivation to reduce depression and initial depressive symptom severity amplified intervention effects and whether negative life events, social support deficits, and substance use attenuated intervention effects. Hierarchical linear modeling (HLM) indicated differential intervention effects for two of the five examined variables: negative life events and substance use. For adolescents at low and medium levels of substance use or negative life events, the CB intervention produced declines in depressive symptoms relative to controls. However, at high levels of substance use or negative life events, the CB intervention did not significantly reduce depressive symptoms in comparison to controls. Results imply that high-risk adolescents with either high rates of major life stress or initial substance use may require specialized depression prevention efforts.     

Parental Support and Adolescent Motivation for Dieting: The Self-Determination Theory Perspective

This article focuses on parents’ role in overweight adolescents’ motivation to diet and successful weight loss. The study employed Self-Determination Theory (SDT) as the theoretical framework (Deci & Ryan, 2000, 2011). Ninety-nine participants (ages 20–30) who had been overweight during adolescence according to their Body Mass Index (BMI mean = 25, SD = 1.6), completed retrospective questionnaires about their motivation to diet and their parents’ behavior in the context of dieting. Findings from a structural equation modeling analysis suggested that participants who viewed their parents’ as more need-supportive demonstrated more autonomous motivation to diet, which, in turn, contributed to their successful weight loss. The findings highlight the importance of parental support of adolescents’ psychological needs in the quality of their motivation to diet. This is an important insight for parents and professionals who aim to encourage more constructive parent involvement in adolescents’ dieting and well-being.     

Subverting Culture: Promoting HIV/AIDS Prevention Among Puerto Rican and Dominican Women

This article discusses the challenges faced by researchers and interventionists when attempting to promote change in social norms and normative beliefs that promote HIV/AIDS risk-related behaviors among Puerto Rican and Dominican women. The article focuses on the role of culture in HIV/AIDS prevention with women by analyzing the sociohistorical context of some cultural beliefs and by illustrating the tension between risk-related and protective cultural beliefs in research conducted by the authors with women in both New York and Puerto Rico. The authors propose that promoting changes in sex-related social norms and normative beliefs might be constructed as a subversive act and present the challenge this analysis poses for community psychology. They conclude that this conceptualization might be construed as subversive because rather than idealizing culture, it promotes changes that respect diversity within the culture and foster participation in the development of new cultural values, beliefs and norms.     

Parent and Adolescent Responses to PovertyRelated Stress: Tests of Mediated and Moderated Coping Models

We tested several models of the associations among economic strain, life stress, coping, involuntary stress responses, and psychological symptoms in a sample of 57 parent-adolescent dyads from rural, lower-income families. Economic strain and life stress predicted symptoms for both parents and adolescents. Stressor-symptom specificity was found for parents, such that economic strain uniquely predicted depression, whereas negative life events predicted hostility. Involuntary stress responses were associated with higher levels of symptoms for both parents and the adolescent children. Secondary control coping was associated with fewer symptoms for both parents and adolescents. Results support a mediational role of coping and responses to stress during adolescence, with a shift to moderational status in adulthood. Implications of these results are discussed with regard to developmental coping theory and potential interventions with at-risk families.     

A Review of Childrearing in African American Single Mother Families: The Relevance of a Coparenting Framework

Clinical research on African American single mother families has focused largely on mother-child dyads, with relatively less empirical attention to the roles of other adults or family members who often assist with childrearing. This narrow definition of “family” fails to take into account the extended family networks which often provide support for African American single mother families and the influence of these other adults on maternal parenting and youth adjustment. Our review integrates the literature on the role of extended family members, highlights the strengths and limitations of this work, and proposes the use of theory and methods from the coparenting literature to guide future study in this area. The relevance of the study of coparenting for family-based intervention efforts targeting African American youth from single mother homes is addressed.     

Primary Prevention Mental Health Programs: The Future is Exciting

Current outcome research on primary prevention mental health programs is encouraging and the future is exciting. Data continue to accumulate regarding the efficacy of preventive intervention. Exemplary programs can prevent multiple problems across different outcome domains suggesting the need for collaboration among preventionists across disciplines and research areas. The commentators on our review (Durlak and Wells, 1997) offered many useful suggestions to improve the next generation of research. Most recommendations fall broadly under the rubric of increasing the precision of theory, design, and program evaluation. If current recommendations for improving future research are followed, the next reviewers of primary prevention mental health programs for children and adolescents will have a more complete and useful database for analysis.     

The Role of Family Support in Interparental Conflict and Adolescent Academic Achievement

Family support was examined as a mediator of the relation between interparental conflict and adolescent academic achievement. Results indicated that two dimensions of family support, family cohesion and parent–school involvement, mediated the relation between interparental conflict and academic achievement. The results further suggested that family support was more likely to function as a mediator for girls than for boys. Lastly, in the presence of a mediating effect, a direct path remained between interparental conflict and grade point average.     

Structural and Community Change Outcomes of the Connect‐to‐Protect Coalitions: Trials and Triumphs Securing Adolescent Access to HIV Prevention,Testing, and Medical Care

Connect to Protect (C2P), a 10‐year community mobilization effort, pursued the dual aims of creating communities competent to address youth's HIV‐related risks and removing structural barriers to youth health. We used Community Coalition Action Theory (CCAT) to examine the perceived contributions and accomplishments of 14 C2P coalitions. We interviewed 318 key informants, including youth and community leaders, to identify the features of coalitions’ context and operation that facilitated and undermined their ability to achieve structural change and build communities’ capability to manage their local adolescent HIV epidemic effectively. We coded the interviews using an a priori coding scheme informed by CCAT and scholarship on AIDS‐competent communities. We found community mobilization efforts like C2P can contribute to addressing the structural factors that promote HIV‐risk among youth and to community development. We describe how coalition leadership, collaborative synergy, capacity building, and local community context influence coalitions’ ability to successfully implement HIV‐related structural change, demonstrating empirical support for many of CCAT's propositions. We discuss implications for how community mobilization efforts might succeed in laying the foundation for an AIDS‐competent community.     

核心家庭父亲协同教养对青少年抑郁的影响:父子依恋和母子依恋的中介作用

基于家庭系统理论,采用父亲协同教养、父子依恋、母子依恋和抑郁量表,对河南省某中学初中一、二年级,高中一、二年级共计890名来自核心家庭的青少年进行调查,探索父亲协同教养各维度（团结、一致、冲突、贬低）与青少年抑郁之间的关系,以及父子依恋和母子依恋在二者关系中的中介作用。结果表明：（1）在控制其它维度作用的情况下,父亲协同教养中的团结和冲突对青少年抑郁具有显著的预测作用,一致和贬低对抑郁的预测作用不显著,表明团结、冲突对青少年抑郁具有显著的“独特效应”;（2）团结、一致、冲突、贬低性协同教养均对母子依恋具有显著影响,支持家庭系统中的“交叉效应”;团结、冲突对父子依恋具有显著影响,支持家庭系统中的“外溢效应”;（3）中介效应分析的结果表明,团结、一致、冲突对抑郁的直接效应不显著,母子依恋在团结与青少年抑郁、冲突与青少年抑郁的关系中起到完全中介作用,但父子依恋的中介作用不显著。本研究有助于增进对父亲协同教养的认知,对于指导家庭教育实践、促进青少年心理积极发展具有重要的意义。     

青少年网络成瘾的预防与干预研究

网络成瘾障碍(Internet Addiction Disorder,IAD)已成为影响青少年身心健康和正常学业表现的重要因素。针对青少年网络成瘾的心理预防与干预研究已开展逾十年,分析与总结显示,已有研究采用个体、团体等不同干预模式,采用认知行为、动机激发等不同咨询与治疗理论,对青少年网络成瘾行为的干预进行了大量探索;其中以团体干预模式及认知行为疗法为主导,并呈现多模式多理论相融合的趋势。借鉴已有研究的成果与不足,我们采用家庭治疗、认知行为、动机激发等多种咨询与治疗理论,结合心理需求网络满足优势等网络成瘾理论,形成了个体-家庭-学校的多水平预防与干预方案,并得到了实证研究的检验。今后的研究应进一步考虑青少年网络成瘾的生理因素,将生物-心理-社会三方面相结合形成系统性的网络成瘾预防与干预模式。