Psychological,social and physical environmental mediators of the SCORES intervention on physical activity among children living in low-income communities

ObjectivesThis study examined mediation effects of socio-ecological variables on accelerometer-determined physical activity among children in the Supporting Children's Outcomes using Rewards, Exercise and Skills (SCORES) intervention.DesignRandomized control trial mediation analysis.MethodsPrimary school children were randomly assigned the SCORES multi-component intervention or control group for the 12-month study. The outcome was accelerometer derived total moderate-to-vigorous physical activity (MVPA). Hypothesized mediators measured in children were physical activity enjoyment and perceived sport competence and social support. Hypothesized mediators measured in parents were family social support, access to physical activity facilities and equipment at home, and perceived access to physical activity opportunities in the local community. Mediation analyses were conducted using multi-level linear analysis in MPlus.ResultsThere were significant intervention effects for social support from teachers (A = 1.73, SE = 0.88, p = 0.048) and parental perceived access to physical opportunities in the local community (A = 2.69, SE = 1.12, p = 0.016). There were significant associations between changes in perceived sport competence (B = 0.48, SE = 0.36, p = 0.027), parental perceived access to physical activity opportunities in the local community (B = 0.60, SE = 0.26, p = 0.021), and changes in total MVPA. Parental perceived access to physical activity opportunities in the local community was found to have a significant mediating effect on total MVPA (AB = 1.61, 95% CI = 0.06 to 3.95, proportion 13%).ConclusionsParental perceived access to physical activity opportunities in the local community is a potential mechanism of behavior change for children and mediated the effect of the SCORES intervention on objectively measured physical activity.     

A randomised controlled trial of a brief online mindfulness-based intervention

ObjectivesThere is growing evidence that mindfulness has positive consequences for both psychological and physical health in both clinical and non-clinical populations. The potential benefits of mindfulness underpin a range of therapeutic intervention approaches designed to increase mindfulness in both clinical and community contexts. Self-guided mindfulness-based interventions may be a way to increase access to the benefits of mindfulness. This study explored whether a brief, online, mindfulness-based intervention can increase mindfulness and reduce perceived stress and anxiety/depression symptoms within a student population.MethodOne hundred and four students were randomly allocated to either immediately start a two-week, self-guided, online, mindfulness-based intervention or a wait-list control. Measures of mindfulness, perceived stress and anxiety/depression were administered before and after the intervention period.ResultsIntention to treat analysis identified significant group by time interactions for mindfulness skills, perceived stress and anxiety/depression symptoms. Participation in the intervention was associated with significant improvements in all measured domains, where no significant changes on these measures were found for the control group.ConclusionsThis provides evidence in support of the feasibility and effectiveness of shorter self-guided mindfulness-based interventions. The limitations and implications of this study for clinical practice are discussed.     

Addressing Cultural Factors in Development of System Interventions

SUMMARY

The purpose of this article is to address various issues concerning multicultural interventions at a system level. Diversity is presented through a different conceptual approach and specific implications for school psychological practice are addressed. In this theoretical context an alternative model of school psychological services that was developed in the Greek educational system is presented and a primary intervention program is described as a paradigm of multicultural system/community intervention. Finally, the components of a transnational approach to multicultural system/community interventions that provides the basic procedural guidelines to developing effective, culturally sensitive interventions in the school environment is proposed.     

Forging Community Links to Address Abuse in Lesbian Relationships

Abstract

This study is a comprehensive review of lesbian domestic abuse in the psychological, sociological, legal, and social work literature. Planning intervention and prevention strategies is discussed in light of what is known and what remains to be known. A strong argument is made to turn attention away from the elusive tasks of documenting prevalence and incidence characteristics, and forge the community links needed to develop effective intervention and prevention strategies.     

The Family Peace Project

Summary

Intimate partner violence-assault by a spouse, ex-spouse, intimate friend or ex-friend-is the most common cause of injury for women and a serious public health problem. As a result, the American Medical Association has recognized physicians' ethical obligation to diagnose and treat partner violence, and called for new models of training. In this article, we review literature on the health care system's response to domestic violence. We then describe the Family Peace Project, a community oriented model for training health care professionals to identify, treat and prevent partner violence in primary health care settings. This training program provides knowledge, clinical skills and a sense of professional empowerment. Unique features of this program include: involvement of community mentors (survivors of family violence) as program faculty; training in specific clinical skills and protocols for screening, assessment and intervention; a hands-on assessment of community resources; coinmunity service; and, creation of an award winning web site to promote dissemination of the training program.     

Community Context for Teaching

Summary

A Community Oriented Primary Care (COPC) methodology can assist Family Practice faculty in implementing clinical and teaching activities designed to address interpersonal violence against adult women. The traditional COPC steps are as follows: (1) define the practice population; (2) assess a specific health problem; (3) develop and implement a strategy to address the issue; and (4) evaluate the impact of the intervention. At Ramsey Family Medicine we've developed a conceptual tool we call “the wheel” of community medicine which depicts the five arenas where resident physicians can work to end domestic violence: in the exam room; within the clinic; as part of a network of providers; within the larger community; and, as a part of a state or national initiative. We've also developed an operational tool called “the matrix” of community medicine which outlines specific COPC activities in each of the aforementioned arenas. We've arranged the matrix to apply to clinical practice and resident education activities regarding abuse intervention and prevention at Ramsey. This approach stresses partnerships with community organizations with expertise and commitment to ending domestic violence.     

A Bibliometric Analysis of the Quantitative Mental Health Literature in Occupational Therapy

ABSTRACT

A bibliometric analysis was performed to examine the impact and use of the peer-reviewed occupational therapy intervention effectiveness literature addressing adults with mental illness, 2000–2016. Of 2,597 articles, 68 were quantitative studies assessing an intervention for adults with mental illness. These studies had a collective citation count of 1,455 and were published in 29 journals in 14 countries. The majority (n?=?36; 52.94%) were randomized controlled and two-group controlled studies. The most commonly assessed interventions were life skills and community reintegration (n?=?20, 29.41%) and supported employment (n?=?16, 23.52%). Sixty-five (95.58%) studies found statistically significant results on the primary or secondary outcomes.     

Children with Attention Deficit Hyperactivity Disorder

ABSTRACT

It is estimated that there have been over 4,000 articles in the literature on the subject of attentional problems, addressing its etiology, epidemiology, assessment, diagnosis, and treatment. This article reviews recent and relevant literature with an eye toward functional conclusions and linkages between assessment and intervention. The article concludes by providing a problem-solving model that integrates parent or teachers' referral concerns, reasons for these concerns, assessment methods, and intervention strategies. In the end, four definitive conclusions are drawn, and the importance of multimodal strategies that collaboratively involve home, school, and community settings is emphasized.     

Making the Invisible Victims of Violence Against Women Visible Through University/Community Partnerships

Summary

The absence of scientifically credible information about the nature and extent of children exposed to abuse of their mothers is an impediment to effective intervention and prevention efforts. This article proposes a research agenda based upon guiding principles of a public health surveillance model. Three major principles are presented and applied to this social problem. Additionally, a concrete example of the application of these principles is drawn from an ongoing university/community partnership in Philadelphia.     

Voices from the Group

Summary

This article presents experiential reactions of male and female domestic violence perpetrators one year after completing a 52-week court-mandated intervention program. Data were derived from in-depth interviews as part of a larger research study looking at recidivism and other outcomes in a probation department with a domestic violence courtand a coordinated legal, programmatic and community response. Overall, elements that were most helpful in domestic violence intervention were primarily relational ones, such as group support and therapist/facilitator alliances, and secondarily, specific strategies of handling anger and other emotions, and interpersonal communication. The discussion focuses on the implications of these findings for therapists and facilitators involved in providing services for this population.     

Sharing Knowledge and Shared Care

Summary

This concluding article presents the main themes that emerged from this volume within a multidimensional, multidisciplinary integrative framework conceptualizing the consequences of the trauma of terrorism and informing optimal prevention and intervention methods. It reviews short- and long-term findings of the effects of terrorism on adults, children, families, communities, and societies and makes numerous research recommendations. Viewing terrorism as psychological warfare against the community, it advances community-based, culturally congruent interventions, with a public mental health approach, in an ongoing, integrated network of services promoting community and individual resilience, specialized training, international collaboration, and continued dialogue concerning the role of the media.     

Toward a Public Mental Health Approach for Survivors of Terrorism

Abstract

Although most people exposed to bioterrorism or mass casualties will be extremely distressed during the immediate aftermath, only a minority (approximately 30%) will develop clinically significant psychiatric disorders. From a public mental health perspective, the challenge is to provide both preventive programs for the entire population and early detection and intervention for those at greatest risk for PTSD or other post-traumatic psychiatric disorders. Both individual and soci-etal preventive and early intervention approaches are reviewed. Utilization of the media, especially television, is presented as an example of one of many potential community/societal public mental health approaches.     

A psychological intervention reduces doping likelihood in British and Greek athletes: A cluster randomized controlled trial

BackgroundCurrent attempts to prevent doping through deterrence and education have had limited success and have been constrained to one country. Targeting psychological variables that have been empirically associated with doping likelihood, intention, or behaviour may help in developing interventions that are effective in preventing doping in sport.ObjectivesGuided by social cognitive theory and empirical research, the main purpose of this research was to develop an anti-doping intervention that targets three psychological variables (i.e., anticipated guilt, moral disengagement, and self-regulatory efficacy) and determine whether it is more effective than an educational intervention in reducing doping likelihood in British and Greek athletes.MethodEligible participants were identified via a screening survey administered to 934 athletes in the United Kingdom and Greece. A total of 19 sport clubs (208 athletes) across the two countries were randomly assigned to either the psychological or the educational intervention. Each intervention consisted of six 1-h sessions delivered to small groups of athletes over 6–8 weeks. Athletes completed measures of doping likelihood, anticipated guilt, moral disengagement, and self-regulatory efficacy pre and postintervention and at a 2-month follow-up.ResultsA multilevel piecewise growth model was used to examine changes in study outcomes. Analysis showed that the psychological intervention was more effective than the educational intervention in reducing doping likelihood from pre to post, but the effects of the two interventions were similar at follow-up. These effects were not affected by country. Both interventions reduced moral disengagement from pre to post, and these effects were maintained at follow-up. The psychological intervention was also more effective than the educational intervention in increasing anticipated guilt from pre to follow-up.ConclusionsTargeting psychological variables in anti-doping interventions should aid our efforts to prevent doping in sport.     

Copts,the State and the 1949–1950 al-Majlis al-Millī Electoral Crisis: Articulating Community in a Time of Anxiety

ABSTRACT

In October 1949, the Coptic Communal Council, al-Majlis al-Millī, failed to run elections as scheduled in the midst of conflict with the clergy. The following April, the Egyptian government intervened by dissolving the Council in favour of an appointed body and by amending its bylaws to allow for the Coptic patriarch and the state to intervene in the case that future elections were delayed. This prompted controversy in the community, as supporters of the Council criticized the intervention for depriving the body of its democratic nature. However, opponents of the Council used the legislation to criticize the body for its aggressive posturing and to assert the authority of the clergy over the laity in communal affairs. This article explores the 1949–1950 intervention alongside the anxieties of late-liberal-era Egypt. By investigating the conversations that occurred in the government and the communal press, I argue that the election crisis served as a flashpoint for parties to lay claim to their particular visions of community by focusing on themes of communal representation, spheres of sovereignty and the maintenance of order.     

When I Became a Refugee,This Became My Refuge: A Proposal for Implementing a Two-Generation Intervention Using Yoga and Narrative to Promote Mental Health in Syrian Refugee Caregivers and School Readiness in Their Preschool Children

ABSTRACT

This article represents our attempt to establish a blueprint for a comprehensive refugee intervention program to be disseminated across the globe. Specifically, we describe a proposal to conduct a two-generation intervention program that addresses the socioemotional needs of both Syrian caregivers and their preschool children who have fled the atrocities of their home country and have settled in Turkey. The goal is to improve the school readiness skills of preschool children ravaged by war, dislocation, and poverty. First, we describe a caregiver intervention, which consists of trauma-sensitive yoga; second, we describe a child intervention, which consists of a storytelling and story-acting activity. Finally, we discuss how to assess the effectiveness of this two-generation intervention program. Our hope is that this novel intervention program will be implemented in other regions experiencing an influx of refugee families who need immediate psychological services.