Conclusion

Abstract

The influence of culture within a parent-child activity group is analyzed in order to explore how leaders of parent-child activity groups can use knowledge of group culture to design effective interventions. This chapter concludes with the author describing revisions to her original guidelines for parent-child activity group intervention which developed through her reflections on the findings of her qualitative study about one parent-child activity group.     

One Parent-Child Activity Group

Abstract

The framework that the author developed for parent-child activity groups is described. This is followed by “snapshots” of a group session to enhance the readers' understanding of the framework. Excerpts of the author's logs from her participant observation of the parent-child activity group that she studied are organized sequentially to provide examples of each part of a parent-child activity group session.     

Parent–Child Interaction in Children with Autism Spectrum Disorder and Their Siblings: Choosing a Coding Strategy

The parent-child interaction strongly influences the emotional, behavioural, and cognitive development of young children. The nature of parent-child interactions differs in families with children with autism spectrum disorder (ASD), but research still entails a lot of inconsistencies and there is no consensus as to how these interactions should be coded. The parent-child interaction between sixteen mothers and their child with ASD (M _age?=?68 months) and a younger sibling without ASD (M _age?=?48 months) in a within-family study were coded using both a global and frequency coding scheme. Global and frequency codes of the same sample were compared to explore the value of each coding method and how they could complement each other. In addition, each coding method’s ability to detect group differences was evaluated. We found that mothers used an interaction style characterized by more support and structure, and clearer instructions in interaction with their children without ASD. In addition, global rating results suggested that within the ASD group, mothers may adapt their behaviour to the specific abilities of their child. Regarding the evaluation of coding method, results showed overlap between conceptually similar constructs included in both coding schemes. Although frequency coding clearly has its value, more qualitative aspects of the interaction were better captured by global rating scales and global rating was more time efficient. For this purpose, global ratings might be preferable over frequency coding.     

Exploring What Was Missing in One Parent-Child Activity Group

Abstract

Barriers to parent-child interaction that arose in the parent-child activity group studied by the author are discussed. An analysis of what factors within the group may have led to the barriers is provided so that readers can consider how to minimize barriers to parent-child interaction in similar groups.     

Parent-child interaction and developmental outcomes in children with typical and elevated likelihood of autism

BackgroundEarly parent-child interactions have a critical impact on the developmental outcomes of the child. It has been reported that infants with a family history of autism and their parents may engage in different patterns of behaviours during interaction compared to those without a family history of autism. This study investigated the association of parent-child interactions with child developmental outcomes of those with typical and elevated likelihood of autism.MethodThis longitudinal study investigated the relationship between global attributes of parent-child interaction and the developmental outcomes of infant siblings with elevated likelihood (EL: n = 29) or typical likelihood (TL: n = 39) of developing autism. Parent-child interactions were recorded during a session of free-play when the infants were six months of age. Developmental assessments were carried out when the children were 12 and 24 months of age.ResultsThe intensity of mutuality was significantly higher in the TL group than in the EL group, and developmental outcomes were poorer in the EL group when compared to the TL group. Positive associations between parent-child interaction scores at six months and developmental outcomes at 12 months were observed only in the TL group. However, in the EL group, higher levels of infant positive affect and attentiveness paid to the caregiver is associated with lower autism symptoms. Due to the sample size and design of the study, the findings must be viewed as indicative.ConclusionThis preliminary investigation demonstrated differences in the association between parent-child interaction quality and developmental outcomes for children with typical and elevated likelihood for autism. Future studies should combine micro-analytic and macro-analytic approaches to parent-child interaction to further examine the nature of this relationship.     

Physical activity and posttraumatic growth: A systematic review of quantitative and qualitative studies

ObjectivesThis systematic review aimed to examine the relationships between physical activity and posttraumatic growth (PTG) following a highly stressful life event.DesignA systematic review was conducted to identify eligible articles. A meta-analysis was conducted for quantitative studies and a meta-ethnographic synthesis was conducted for qualitative studies.MethodAfter systematic searches of five databases and literature screening, 20 quantitative studies and 12 qualitative studies were included in the final review. A meta-analysis of 14 quantitative studies was conducted to examine association between leisure-time physical activity and PTG. A meta-ethnographic synthesis of 10 qualitative studies was conducted to examine the relationship between physical activity and the experience of PTG.ResultsThe meta-analysis revealed a positive, yet small, association between leisure-time physical activity and PTG (average correlation = 0.120; 95% confidence interval: 0.071 to 0.168; p < 0.001). The effect sizes did not differ by measurements of PTG and participants’ age and gender but were smaller in studies with a binary variable of physical activity, a sample of participants with moderate or advanced diseases, and a longer period since the stressful event. The meta-ethnographic synthesis identified potential processes linking physical activity and PTG, including perceptions of self, social experiences, philosophical re-evaluation, and health effects.ConclusionsThis review suggest physical activity is a behavioral factor that may facilitate PTG. It highlights methodological considerations for further research.     

An exploration of the mechanisms of change following an integrated group intervention for stuttering,as perceived by school-aged children who stutter (CWS)

PurposeTo explore the process of change and role of resilience following an integrated group intervention for children who stutter (CWS).MethodUsing an exploratory multiple case study design, this research sought to identify the most significant changes perceived by seven participants following therapy, the mechanisms of change, and the role of resilience in the process of change. Quantitative measurements of resilience were combined with qualitative analysis of semi-structured interviews.ResultsThematic analysis of qualitative data showed that cognitive and emotional change was a key driver for therapeutic change, enabled by the shared experience of the group and a positive therapeutic environment. These changes were generalised into clients’ real-world experiences, facilitated by their support network. Quantitative data demonstrated a statistically reliable positive change in overall Resiliency scores for four participants and reduced impact of stuttering scores on OASES-S for all participants, maintained at 12 month follow-up.ConclusionsThis study demonstrates the importance of adopting an integrated approach in therapy for CWS, which incorporates Cognitive Behavioural Therapy (CBT) as a key component, to facilitate change and build resilience. These results are unique to this cohort of CWS and further investigation into the use of CBT and the process of change may be warranted.Educational ObjectivesThe reader will be able to (1) describe the integrated intervention used in this study (2) define the most significant change following therapy for the participants involved (3) summarise the key factors that facilitated change during the therapy process (as perceived by the participants).     

Obsessive-compulsive disorder symptoms and correlates in community exercisers

ObjectivesThe purpose of this study was to examine the potential relationship between OCD symptoms and the constructs of depression, anxiety, self-esteem, and commitment to exercise in community-based exercisers.Design and methodA mixed-methods approach was utilized. A sample of 64 female and 21 male participants (M age = 52.1 years) completed a series of online or written questionnaires related to the noted variables, while a subset of 10 participants participated in a qualitative interview to explain their OCD symptoms and exercise behavior.ResultsPearson correlations indicated all psychological constructs were significantly correlated with each other (absolute r's ranged from .27 to .78, all p's < .001), while a canonical correlation analysis revealed one significant function (Wilk's λ = .360, R_c = .80, p < .001). Set 1 (OCD symptoms) explained 36% of the variance in Set 2 (anxiety, depression, self-esteem and commitment to exercise), while Set 2 explained 64% of the variance in Set 1. Four primary themes were established from the qualitative data, including: 1) being involved in sport or physical activity from a young age, 2) high benefits versus low consequences of regular participation in exercise, 3) involvement in detail-oriented jobs, and 4) easy adjustments to unplanned deviations from an exercise schedule.ConclusionsOverall, this research suggests that community-based exercisers with elevated OCD symptoms simply display a healthy attention to the frequency and detail of their physical activity, which facilitates them staying active across a variety of conditions.     

Client Perceptions of Couples Therapy: Helpful and Unhelpful Aspects

This article describes a qualitative study that investigated client perceptions of helpful and unhelpful aspects of couples therapy. A thematic analysis of interviews revealed among other themes, that couple participants associated helpful therapy experiences with (a) being given choices regarding ideas and ways of working that fit for them, (b) working with a therapist they trusted, and (c) developing new ideas about the couple relationship. Implications of this study for future research, practice, and training are described.     

Judging the quality of qualitative inquiry: Criteriology and relativism in action

Statement of problemA variety of conceptions of qualitative research exist. This leads to a situation in which there are competing claims as to what counts as good-quality work. These competing claims revolve around the issue of criteria and how they are used to pass judgment on qualitative research. Those involved in sport and exercise sciences need to reflect on this issue with a view to generating further dialogue and a greater understanding of difference within the research community.MethodTwo ideal types of researcher, one a criteriologist the other a relativist, are constructed to illustrate how each might judge qualitative studies of different kinds.ResultsA comparison of the ways in which the criteriologist and the relativist draw on different assumptions to judge qualitative studies illustrates the constraining nature of the former and the expansive possibilities of the latter.ConclusionsCriteria should be viewed as lists of characterizing traits that are open to reinterpretation as times, conditions, and purposes change. Researchers need to adopt the role of connoisseur in order to pass judgment on different kinds of study in a fair and ethical manner.     

Examining the accuracy and in-game performance effects between pre- and post-performance routines: A mixed methods study

ObjectivesResearchers have identified that pre-performance routines improve performance under pressure, yet have not investigated the effects of post-performance routines. Thus, the purpose of the current study was to examine whether the type of performance routine training could improve tenpin bowling accuracy and in-game performance.DesignA mixed-method design was adopted, whereby the impact of a performance routine intervention on performance accuracy and in-game performance was examined. This was followed by participants completing semi-structured interviews which explored the perceived effect of those routines.MethodThirty-six experienced tenpin bowlers completed 30 accuracy shots pre- and post-intervention training, with league scores obtained for in-game performance comparison. Four groups (i.e., pre-performance routine [PPR], post-performance routine [POST], combined pre-post routine, and a control group) practiced 12 games across four weeks while listening to the group specific routine instruction on an IPod.ResultsIt was noted that accuracy improved (albeit non-significantly) for the PPR and combined pre-post routine group, but not the other groups. Critically, all intervention groups (PPR, POST & COMBO) improved in-game performance. The qualitative data indicated that both the PPR and POST was perceived to influence positively performance, attentional and emotional control, self-awareness, self-confidence, motivation. The PPR was also considered to enhance a state of readiness, and perceived control.ConclusionsResults indicate that the PPR training enhanced accuracy and in-game performance, with the POST training acting as a supportive role for in-game performance as evidenced by the qualitative and quantitative data. Future research should continue to investigate the effects of POSTs.     

Choosing to exercise more: Small choices increase exercise engagement

ObjectivesThe purpose of the study was to examine whether individuals' motivation to exercise could be increased by providing them with an incidental choice.DesignExperimental design with two groups.MethodTwo groups of participants were asked to perform four exercises (i.e., lunges, jumping jacks, bear crawls, medicine-ball throws). After a demonstration of each exercise, a choice group was given the opportunity to choose the order of exercises, while a control group performed them in a pre-determined order. Subsequently, all participants decided how many sets and repetitions of each exercise they wanted to complete.ResultsChoice group participants performed a significant greater number of total repetitions (sets × repetitions) of all exercises than did control group participants.ConclusionsThe finding suggests that individuals' need for autonomy can be supported by giving them small choices, which can positively affect exercise engagement.     

Stuttering therapy through telepractice in Turkey: A mixed method study

PurposeThe effectiveness of telepractice in stuttering therapy in Turkey may be unclear, but there is good evidence for the efficaciousness of it from other countries, e.g., Australia. The purpose of the present study is to compare the outcomes of telepractice and in-person therapy delivery on traditional stuttering treatment and explore telepractice stuttering therapy experience in Turkey.Methods20 adults who stutter participated in the study. Half the participants received treatment via telepractice, while the others were provided with services in-clinic. Based on a convergent parallel mixed-method research, quantitative (Study 1) and qualitative data (Study 2) were collected in parallel, analyzed separately, and then combined. Study 1 included a non-inferiority controlled trial, repeated measures, quasiexperimental design. Within the scope of the quantitative research, the objective clinical data, including the scale and assessment scores, were collected from two groups in three stages. Study 2 used the phenomenology approach to assess the qualitative aspects of our study.ResultsAccording to the quantitative findings in Study 1, the effectiveness of telepractice and in-person in the post-test and follow up is not significantly different. The following themes emerged out of the qualitative data analysis in Study 2: expectation, telepractice-participant suitability and advantages of telepractice, technology, therapy techniques and clinician skills, therapeutic components, satisfaction, and preference.ConclusionThe triangulation of quantitative and qualitative findings indicated that these data sets were compatible in general. The results show that telepractice is equally effective as the in-person method as a service delivery method for adults who stutter.     

Conceptions of Research Methods Learning Among Psychology Undergraduates: A Q Methodology Study*

Abstract

A range of conceptions held about research methods learning have previously been identified. This study aimed to examine in-depth shared conceptions among undergraduate psychology students. Utilizing Q methodology, which links both quantitative and qualitative methodologies to uncover the subjective viewpoints that a group of individuals hold toward a particular domain, participants ranked statements reflecting different conceptions of research methods learning. Ranks were then factor analyzed and four distinct profiles of student conceptions were identified, labelled, and described in qualitative detail: research methods as integral to psychology, research methods as a digression from psychology, research methods as disconnected from psychology, and research methods as beneficial to psychology. Some of the perspectives displayed a clear understanding about the reasons for undertaking research and learning about research methods in psychology, whereas other standpoints saw research as being something that was difficult to relate to the practice of psychology. Findings are considered in terms of how some conceptions appear to be more beneficial or problematic to hold than others and recommendations are made to educators about how they could support students to change their views.     

Hope in a strengths-based group activity for individuals with chronic pain

While hope has been described as the ability to imagine a future in which one wishes to participate, individuals with chronic pain can have difficulty maintaining hope due to the pervasive impact of pain on multiple facets of their lives. This research examines client experiences of hope during a hope and strengths activity offered as part of a group treatment plan for individuals experiencing chronic pain. Entitled Being Hopeful in the Face of Chronic Pain, the group was developed in order to focus on hope and generative emotional experiences, experiences often lacking for individuals with chronic pain. The group activity being studied specifically addressed participants’ current strengths and strengths they hope-to-have-more-of. The study employed basic qualitative inquiry and utilized interpersonal process recall individual interviews to stimulate participant recall. Twelve participants (spanning three separate group offerings) individually discussed their personal experiences as they unfolded during a specific hope and strengths-focused activity. Participants described experiences during the group activity that fostered personal hope via perspective shifts, communion, comparison and connection with other group members. Findings are discussed in the context of current literature on hope, chronic pain, positive psychology and group interventions.     

Physical activity in employees with differing occupational stress and mental health profiles: A latent profile analysis

ObjectivesTo examine whether employees with differing occupational stress and mental health profiles differ in their self-reported levels of physical activity.DesignCross-sectional survey data.MethodThe sample consisted of 2660 Swedish health care workers and social insurance officers (85% women, M = 46.3 years). Latent profile analysis was performed to identify classes. Between-class-differences in physical activity were tested via χ²-tests and multinominal logistic regression analyses using sex, age, BMI, marital status, children at home, caregiving, and smoking as covariates.ResultsLatent profile analysis resulted in a six-profile solution. Two pairs of classes had equal stress levels, one pair with high stress, one pair with moderate stress. Within each pair, one group showed some resilience (i.e. only moderate mental health problems despite high stress or good mental health despite moderate stress), whereas the other did not. The other two classes were characterized by either low stress and good mental health or moderate-to-high stress and elevated mental health problems. Participants who were resilient to high or moderate stress were more active than participants of the corresponding non-resilient classes. Participants with low stress and good mental health reported the highest physical activity levels, participants with high stress and high mental health problems reported the lowest physical activity levels.ConclusionsThe findings suggest that physical activity is associated with resilience to occupational stress, and that beyond primary prevention efforts to make work less stressful regular physical activity should be a target variable for health professionals working in the occupational setting.     

(Spi)ritual interaction in musical activity for infants in the church space – a qualitative analysis

Abstract

Early mother–infant interaction has been seen as very important for the development of religiosity and spirituality. This case study examines one specific musical activity for infants and mothers from the perspective of human interaction. The studied activity is ‘Babysalmesang’, or baby hymn singing (BHS), within the Evangelical Lutheran Church in Denmark. Meetings are held in church buildings and include singing hymns and other songs, playing in and exploring the church space. The qualitative empirical data on BHS activities were collected through video recording, observing and interviewing. The initial analysis on the data showed that four types of interaction can be found: mother–infant interaction, interaction between the participants, interaction between the participants and instructors and ritual interaction. BHS can be seen as a space for (spi)ritual interaction. In this context, nurturing spirituality combines with religious elements. Together with mother–infant interaction, also other types of interaction might nurture spirituality in early childhood.     

Examining the diversity of ultra-running motivations and experiences: A reversal theory perspective

ObjectivesThis study aims to add to literature on the phenomenology of ultra-running, an extreme form of long distance running. Through application of reversal theory, the study seeks to extend knowledge of the motivations and experiences of ultra-runners as well as approaches to understanding ultra-endurance sport more generally.DesignPost-positivist, qualitative, phenomenological.Method10 recreational ultra-runners participated in semi-structured interviews in which they were introduced to the eight metamotivational states of reversal theory and asked to discuss their running motivations and experiences.ResultsA thematic networks analysis revealed a propensity for participants to experience a diverse range of reversal theory states when running, embodying Apter’s (2007) concept of psychodiversity. Participants revealed an orientation to both states in each pair of the four metamotivational domains of reversal theory; serious/playful, conformity/rebellious, mastery/sympathy, and self/other. Participant accounts of experiencing playful (paratelic) and other-orientated (alloic-sympathy) metamotivational states were particularly important to ultra-running phenomenology and its differentiation from mainstream sport.ConclusionReversal theory has proven to provide an effective framework for exploring and theorising ultra-running phenomenologies. The psychodiversity documented by participants suggests that ultra-running and other ultra-endurance sports necessitate a diverse and dynamic metamotivational orientation. Application of this thesis to other ultra-endurance activities is encouraged.     

Relating action to abstract goals increases physical activity reported a week later

ObjectiveThe primary aim of the present study was to investigate whether construing action abstractly versus concretely increases physical activity over a one-week period.Design and methodAn experimental study was conducted in which participants were asked to commit to engaging in physical activity at least four times in the coming week. After making this commitment, participants were assigned randomly to think about the concrete procedures or the abstract purpose of their actions. Additionally, in an attempt to induce differences in level of goal conflict, participants were assigned randomly to receive a reminder of a different or consistent goal. The main outcome variable of interest was the number of minutes spent on physical activity over the following 7-day period.ResultsConsistent with the hypothesis, participants in the abstract condition reported engaging in significantly more minutes of physical activity than did those in the concrete condition. Level of goal conflict did not significantly impact physical activity. The effect of abstract versus concrete thinking on physical activity also was related to the processing of negative affect.ConclusionBy providing evidence that construing action abstractly impacts physical activity, the present investigation makes an important addition to research aiming to identify effective means of increasing physical activity.     

‘If they didn’t support me,I most likely wouldn’t be here’: Transgender young people and their parents negotiating medical treatment in Australia

Abstract

Background: It is increasingly recognized that transgender young people require affirming medical care, however the provision of such care may be mitigated by the availability of services and the views of parents.

Aims: This study aimed to explore the views of Australian transgender young people (aged 11–17) and their parents with regards to medical treatment.

Methods: Ten qualitative interviews were conducted with parent-child dyads in two Australian states. Thematic analysis was undertaken on responses to interview questions related to family relationships, views about medical treatment (specifically hormone blockers and hormones), and the relationship between medical treatment and sense of self.

Results: Themes developed focused on the importance of strong supportive parent-child relationships, the meaning of and access to hormone blockers, and the meaning of and access to hormones.

Discussion: The paper concludes by discussing the implications of the findings for clinical services, particularly in relation to supporting parents to be affirming of a transgender child, the need to prepare transgender young people and their parents for the passage of time in regards to medical treatment, and the need to focus on expectations in regards to sense of self in relation to medical treatment.