The Effects of Physical Exercise on Self-Attitudes

Research exploring the effects of physical conditioning on self-attitudes is reviewed. Conclusions from the studies are equivocal and depend upon subjects' emotional and physical status, the types of subjects, training programs, assessment tools, and subjects' psychological investment in the fitness programs. Although more research is needed to further elaborate the effective parameters of conditioning programs, general conclusions are that physical fitness is associated with enhanced self-attitudes in individuals, of all ages, who have physical and/or emotional disorders. Whether non-rehabilitation subjects show similar enhancement of self-attitudes depends upon their initial physical or psychological condition, their personality and the characteristics of the training program.     

Preliminary evaluation of an after-school resistance training program for improving physical fitness in middle school-age boys

Most after-school physical activity programs for youth focus on aerobic games and activities. The purpose of this study was to evaluate the efficacy of an after-school resistance training program on improving the physical fitness of middle school-age boys. 22 boys (M = 13.9 yr., SD = .4 yr.) participated in a periodized, multiple-set, 9-wk. (2x/week) resistance training program. All subjects were pre- and post-tested on their 10-repetition maximum squat, 10-repetition maximum bench press, vertical jump, medicine ball toss, flexibility, and also percentage of body fat and the progressive aerobic cardiovascular endurance run (PACER). Statistical analysis indicated that subjects significantly improved performance on the squat (19%), bench press (15%), flexibility (10%), vertical jump (5%), medicine ball toss (12%), and the PACER (36%). Although this design minus a control group limits interpretation, this after-school resistance-training program can improve muscular fitness and cardiovascular fitness in boys and should be replicated with appropriate experimental controls.     

Overcoming destructive societal values in the treatment of anorexia nervosa: An intensive day treatment model

Sociocultural contributions to the development of anorexia nervosa are examined, and a treatment approach for counteracting these factors are presented. An intensive day treatment program serves as a prototype of such an approach, designed to help overcome the destructive effects of certain values prevalent in North America. This treatment program is outlined and evaluated. The program includes expressive therapies (art, dance, music, and drama), skill-focused activities (stress management, assertiveness training and nutrition programs) and a fitness/recreation program. Significant psychological changes in the participants were found on 10 of the 11 measures employed for evaluatio—the eight scales of the Eating Disorder Inventory, the two clinical scales of the Eysenck Personality Inventory, and the Self-Control Scale of the Reid-Ware Multidimensional Internal-External Scale. The value of such a program as one component of an overall treatment strategy is discussed.     

Feeling Good & Doing Well: Development of a Mental Health Promotion Program for Youth

There is a significant dearth of programs for mental health promotion developed to suit the needs of Indian youth. The paper describes the development of a program entitled "Feeling Good and Doing Well" for enhancement of well being and functioning in college youth. The program development was based on extensive field assessment of stakeholders' perspectives and needs. It is a broad based program that encompasses three inter related themes namely, discovery and application of strengths, pursuit of goals and regulation of emotions. It is delivered in a group format in the form of experiential workshop series comprising of six core sessions, apart from one orientation session at the beginning and a closure session at the end. The program is currently being field tested and has a high potential for large scale applications across colleges in the country.     

Occupational Therapy in a Community-Based Prevention Program

Occupational Therapists have shifted their practice base from a primarily medical model to one involving many different services within the community. Members of this discipline as well as those of the entire health-care field have discovered that preventionj based programs better anticipate and meet consumer needs. The community program described here serves 3, 4, and 5-year -old socio-culturally disadvantaged preschoolers. The program occurs weekly in a local library and includes the librarian's story hour and special activities designed and implemented by the occupational therapists. By observing each child's behavior, occupational therapists can compare normal growth and development with a particular population. The design and delivery of such programs is influenced by many factors including, but not limited to, financing, community values and institutions, and the occupational therapist's understanding of prevention. Increased understanding, as well as the potential application, of occupational therapy's contribution to the prevention of health related problems are further enhanced by the utilization of this program as a field training site for occupational therapy students.     

Employee fitness and wellness programs in the workplace

Worksite fitness and health promotion programs have grown exponentially in the past 15 years. To examine the impact of these programs, the literature through 1988 was reviewed. In general, fitness and wellness programs result in increased levels of fitness and a reduction in the risk factors for coronary heart disease. Recent research using control groups has found relations between reduction in health care costs, absenteeism, and turnover and implementation of comprehensive health promotion programs. Issues related to participation rates, program implementation, and evaluation are also addressed.     

When do professional psychologists need professional programmers’ tools?

It is fairly straightforward to write a small program for a small computer, even using a relatively slow and unstructured language such as BASIC. However, current experiments in psychopharmacology require the system integration and data management services provided by large programs running on 256K microcomputers, and the efficient development of such programs requires the use of structured languages such as Pascal.     

Early Childhood Teachers' Perspectives on Social-Emotional Competence and Learning in Urban Classrooms

The promotion of social-emotional competence and implementation of social-emotional learning programs have increased substantially in schools; however, little is known about teachers' perceptions of such programs. This qualitative study explored early childhood (3 to 8 years old) teachers' perceptions of classroom-based social-emotional learning programs for young, urban-dwelling children. A focus of the study included learning what teachers believe were the critical components and challenges of such programs. Five themes emerged from the content analysis: responsibility, curricula/program design, contextual relevance, support, and barriers. The findings from this study are discussed with regard to educational policy implications about social-emotional learning curricula and programs, especially those implemented in urban schools.     

The Viability of Organizational Wellness Programs: An Examination of Promotion and Results

Wellness programs in contemporary organizations are increasing in number, but attendance is low and results often are difficult to track. We examined participant and program characteristics in 2 organizations that offered extensive wellness activities. One organization considered its program successful and had been in operation for 10 years, while the other organization's program ran for 2 years and ended because of a lack of funding. In the successful program, wellness program attendance showed a relationship to time employees took off for sick days, and improved fitness produced similar results. In the less successful operation, interviews were held with mangers and employees regarding promotion and program support. Suggestions are provided for future wellness programs.     

THE GOOD TOOTHBRUSHING GAME: A SCHOOL-BASED DENTAL HYGIENE PROGRAM FOR INCREASING THE TOOTHBRUSHING EFFECTIVENESS OF CHILDREN

There has been a serious lack of experimentally verified, effective dental hygiene programs in the schools. In and of themselves, the instruction-alone programs which comprise children's dental education do not produce proper toothbrushing skills. In the present study, a school-based contingency dental hygiene program designed to increase the effectiveness of children's toothbrushing skills at home was implemented with grade one and two classes. Each class was divided into teams and participated in the “Good Toothbrushing Game.” Each day four children from each team had the cleanliness of their teeth assessed according to the Simplified Oral Hygiene Index (Greene & Vermillion, 1964). The team with the lowest mean oral hygiene score was declared the daily winner. Winning teams received stickers and had their names posted. A multiple baseline across classrooms single-subject group design (Hersen & Barlow, 1976, pp. 228–229) established that the good toothbrushing game greatly increased the effectiveness of children's oral hygiene skills. The treatment terminal level for the grade one scores was 2.0 as compared to a baseline terminal level of 5.0, and for the grade two's was 2.3 compared to 5.7 at the end of baseline. A 9-mo follow-up indicated that these results were maintained. The data strongly suggest that proper implementation of behavioral principles is essential to the success of oral hygiene programs.     

Aerobic physical activity effects on psychological well-being in low-income Hispanic children

Psychological well-being has been generally associated with vigorous aerobic activity and structured aerobic activity in adolescents and children. Low-income children are at greater risk than the general population for experiencing high environmental stress and increased mental health problems. This study investigated the effects of a structured physical fitness program on psychological well-being in low-income Hispanic children. A total of 66, 33 girls, 33 boys, in Grade 4 were randomly assigned to either an Aerobic intensity (n = 34) or a Control intensity physical activity program (n = 32) for 6 wk. Psychological well-being was defined as scores on trait anxiety, depression, and self-esteem, measured, respectively, by the Trait Anxiety Inventory, Beck Depression Inventory, and Rosenberg Self-esteem scale. Analysis showed the children in the Aerobic intensity program significantly (p < .05) improved their cardiovascular fitness as measured by the PWC170 test. After the program was over, the children in this Aerobic group reported significantly (p < .05) less depression. The main effect for self-esteem reflected the Aerobic group's greater self-reported self-esteem. No differences were found on trait anxiety. The effects on depression and self-esteem may only be attributed to the cardiovascular improvement given the higher intensity physical activity program because causation was not assessed here.     

An investigation of psychosocial factors related to changes in physical activity and fitness among female adolescents

Research examined the effects of a supervised physical activity program on potential psychosocial mediators and determined whether changes in these psychosocial variables predicted changes in physical activity and fitness. Sedentary adolescent females were assigned to an intervention (n?=?79) or comparison (n?=?67) group. Cardiovascular fitness (cycle ergometer), physical activity (3-Day Physical Activity Recall), and psychosocial variables related to physical activity (i.e., self-efficacy, perceived barriers, social support, enjoyment) were assessed at three time points over the 9-month study. An intention-to-treat analysis showed that the intervention did not impact any of the psychosocial variables, with the exception of perceived barriers, which increased in the intervention group. Longitudinal analyses showed that improvements in fitness were associated with positive changes in global self-efficacy and exercise enjoyment. Psychosocial variables did not mediate the program's effects on fitness or activity. However, individual level changes in psychosocial variables were related to changes in cardiovascular fitness.     

The Role of Lay Health Advisors in Cardiovascular Risk Reduction: A Review

Interventions are needed to reduce the negative impact of cardiovascular disease. The combination of health risks for disease, disability, and mortality, particularly among underserved populations, might be best addressed with programs designed to enhance awareness and development of resources within a context of community support. The objectives of this review were to: (1) provide a comprehensive review and evaluation of the roles, evaluation, and effectiveness of LHA in community-based programs with an emphasis on cardiovascular risk reduction; and (2) provide recommendations for future research involving LHA in such programs. Computer and manual searches were conducted of articles in the English-language literature from 1980 to 2007. Twenty articles were evaluated, which emphasized the role of the LHA in cardiovascular risk reduction. A review of research literature provides a starting point for determining salient approaches for intervention and evaluation, issues related to program implementation and sustainability, and strengths and limitations of existing approaches.     

Welfare policies and adolescents: exploring the roles of sibling care, maternal work schedules, and economic resources

This study uses data from three longitudinal experimental evaluations of US state welfare reform programs to examine whether program‐induced changes in families' reliance on sibling care are linked with the effects of welfare programs on selected schooling outcomes of high risk, low‐income adolescents. The findings from two of the welfare programs indicate that increased reliance on sibling care was concomitant with unfavorable effects of the programs on adolescent schooling outcomes. In the third welfare program examined, the program did not yield any increases in the use of sibling care or unfavorable effects on adolescent schooling outcomes, suggesting that sibling care is one likely contributor to the negative effects of welfare programs on adolescent schooling outcomes. These findings are discussed in terms of the pattern of the programs’ effects on families' income, as well as maternal work on nonstandard schedules, aside from the programs’ effects on maternal employment, which play contributory roles in shaping the extent to which welfare programs led to less favorable effects on the schooling outcomes of adolescents with younger siblings.     

Alliance and Group Cohesion in Relationship Education

Relationship education programs have been shown as an effective way to increase relationship functioning. There is less known about how process factors, such as alliance with the leader or group dynamics, affect outcomes in these interventions. We examined group cohesion and alliance with the leader in a relationship education program tailored for individuals. Specifically, we examined whether participants' ratings (n = 126) of the group cohesion and alliance with the leader were associated with changes in relationship adjustment, relationship confidence, and communication quality from pre‐ to postintervention. The results demonstrated that participants' perceptions of the cohesion among the members in their relationship education group, but not the leader–participant alliance, made a significant contribution to the changes in participants' relationship functioning. These results suggest that the group dynamics among the members in the group are important ingredients in relationship education. Implications for relationship programs are provided.     

Aerobic conditioning and stress reduction: Participation or conditioning?

The efficiency of an aerobic conditioning program (jogging) is compared to cognitive therapy (stress inoculation) and a waiting list control in modifying self-reported chronic stress. The participants were community residents; 48 were females and 25 were males. Treatment sessions were conducted over a 10-week period with subjects meeting in small groups for 1$\text{1}\text{2}$ hours per week. The State/Trait Inventories, a Tension Thermometer and a submaximal bicycle ergometer test were administered pre, post and follow-up. Repeated measures, multivariate analysis of variance indicated that both treatments were effective in reducing stress compared to the waiting list control and that these changes were maintained at 3-month follow-up. Multivariate analysis indicated that participants with higher initial levels of aerobic fitness did not report less stress, while participants who obtained higher levels of fitness during the conditioning program fared no better in reducing stress than their counterparts who obtained lower levels of aerobic fitness. These findings are of interest because they suggest that the psychosocial components of the fitness program were active ingredients of treatment rathee than the effects of improved cardiovascular functioning.     

Preventing violence and teaching peace: A review of promising and effective antiviolence,conflict-resolution,and peace programs for elementary school children

As the prevalence and severity of youth violence have risen, so have programs aimed at preventing such violence. We review 30 programs categorized as antiviolence, conflict-resolution, or peace programs, based on goals, target skills, and theoretical constructs. Through empirical evaluations, we designate programs as either promising or effective. After considering the unique aspects of each program, we outline five criteria to guide selection of the best violence-prevention programs for addressing theoretical foundations, comprehensive skills, diverse populations, teacher training, and children's self-worth.     

L’entraînement de la mémoire de travail par le programme Cogmed et le TDAH

IntroductionAttention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder. Inattention, hyperactivity, and impulsivity are key symptoms of ADHD. It is typically associated with working memory deficits at the cognitive level. For this reason, interventions have been designed to train working memory in ADHD. Currently, Cogmed Working Memory Training program is the most commonly used and studied program in clinical practice and research. This program is proposed as an intervention for ADHD that targets working memory deficits with specific exercises through intensive training sessions.ObjectivesThe goal of this literature review is to examine the effects of the Cogmed program in children and adolescents with ADHD on working memory, inhibition, non-verbal reasoning, attention functioning, ADHD symptoms and academic achievement. All existing studies on the subject that included a control group (n = 8) are reviewed.ResultsIt is clear from most studies that Cogmed training program increases and verbal and visuospatial working memory (or the phonological loop and visuospatial sketchpad in Baddeley's model (1986, 2007), among ADHD participants. However, transfer of learning is not demonstrated on other components of working memory that are not directly targeted by the program such as the central executive described in Baddeley's model or the secondary memory defined by Unsworth & Engle (2007). With regards to far transfer measures, results are controversial for inhibition, non-verbal reasoning, ADHD symptoms reported by parents, and reading abilities. No improvement is demonstrated for attentional capacities, ADHD symptoms reported by teachers and mathematic reasoning.ConclusionCogmed training improves verbal and visuospatial working memory, two cognitive functions that play an important role in ADHD. However, Cogmed's exercises need to be modified in order to train more complex working memory components such as the central executive (Baddeley, 1986, 2007) and the secondary memory (Unsworth & Engle, 2007), which are more impaired in ADHD than the phonological loop and visuospatial sketchpad. Another approach would be to design programs that can tackle a larger range of cognitive functions that are impaired in ADHD (e.g., inhibition). In future, studies evaluating such modified programs, direct observation instruments that are more sensitive to short-term changes need to be included. Follow-up measures should also be systematically included.     

THE COST-EFFECTIVENESS OF WORKSITE WELLNESS PROGRAMS FOR HYPERTENSION CONTROL, WEIGHT LOSS, SMOKING CESSATION, AND EXERCISE

The cost-effectiveness of three types of worksite wellness programs for reducing the cardiovascular disease risk factors of employees was examined at three manufacturing plants in terms of their incremental costs and effectiveness over a comparison site that used a simpler and cheaper program design. The risks targeted were hypertension, obesity, cigarette smoking, and lack of regular physical exercise. The annual direct cost per employee for post-screening interventions was $17.68 for Site A (the comparison site that offered health education classes), $39.28 for Site B (physical fitness facility), $30.96 for Site C (health education plus follow-up counseling), and $38.57 for Site D (health education, follow-up counseling, plus plant organization for health promotion). The addition of a physical fitness facility (Site B) did not produce any incremental benefit in reducing risks, as compared with health education classes (Site A), and Site B showed the lowest percentage of employees exercising regularly at the end of the 3-year study period. In contrast, the sites that used systematic outreach and follow-up counseling (Sites C and D) were more effective than both     

Neurocognitive perspectives in language outcomes of Early Head Start: Language and cognitive stimulation and maternal depression

A neurocognitive, developmental framework was used to examine the effectiveness of Early Head Start (EHS) programs. Evidence has shown that caregiver variables impact early brain development. This study aimed to better understand this relation. Results showed that the EHS program made no significant impact, and at 3 years old, children were significantly behind population norms in language development, partially replicating previous findings with children from poverty backgrounds. EHS and parental depression were significant predictors of language and cognitive stimulation; however, depression and stimulation, but not involvement in EHS, were significant predictors of vocabulary. Implications for EHS programs are discussed, such as addressing caregiver variables (e.g., depression) and increasing focus on services to expectant families. Future directions also are discussed, such as understanding how young children's stress, within the context of caregiver variables, is related to neurocognitive outcomes.