The effectiveness of school-based anger interventions and programs: A meta-analysis

Twenty peer-reviewed journal articles that described outcomes of interventions that took place in school settings and either focused on anger or included anger as a dependent variable were meta-analyzed. No differences in outcomes were found for group comparisons by school setting, special education status, entrance criteria, or treatment agents. Although 60% of articles discussed its importance, only two articles actually measured treatment integrity. Across outcomes, the weighted mean effect size of the interventions post treatment was determined to be .31. The largest effects were found for anger and externalizing behaviors, internalizing, and social skills, with mean effect sizes of .54, .43, and .34 respectively. Weighted mean effect sizes for follow-up studies were also calculated, but given the small number of studies that reported follow-up effects, those must be interpreted with caution. The results of this meta-analysis are discussed as they relate to research, practice, and intervention with children.     

Treatment integrity of school-based interventions with children in the journal of applied behavior analysis 1991-2005

We reviewed all school-based experimental studies with individuals 0 to 18 years published in the Journal of Applied Behavior Analysis (JABA) between 1991 and 2005. A total of 142 articles (152 studies) that met review criteria were included. Nearly all (95%) of these experiments provided an operational definition of the independent variable, but only 30% of the studies provided treatment integrity data. Nearly half of studies (45%) were judged to be at high risk for treatment inaccuracies. Treatment integrity data were more likely to be included in studies that used teachers, multiple treatment agents, or both. Although there was a substantial increase in reporting operational definitions of independent variables, results suggest that there was only a modest improvement in reported integrity over the past 30 years of JABA studies. Recommendations for research and practice are discussed.     

Effects of school-based interventions on motivation towards physical activity in children and adolescents: A systematic review and meta-analysis

IntroductionAssuming that motivation is the key to initiate and sustain beneficial health behaviors, the aim of this systematic review was to analyze the effects of school-based physical activity interventions on a variety of motivational outcomes towards PA in school-aged children and adolescents.MethodsA comprehensive literature search was carried out in six electronic databases to identify randomized controlled trials and quasi-experimental trials examining the effects of PA interventions implemented during the regular school day, e.g., during physical education lessons or lunch breaks. Primary outcomes of interest were students' motivation, basic psychological needs, goal orientation, enjoyment, and motivational teaching climate in physical education. Meta-analyses were conducted for these outcomes using Comprehensive Meta-analysis software. Secondarily, intervention effects on students' PA behaviors were examined and the findings summarized narratively. Methodological quality of studies was evaluated using the Cochrane Collaboration's tool for assessing risk of bias for randomized trials; certainty of evidence on outcome level was evaluated using the GRADE approach.ResultsIn total, 57 studies carried out between 2001 and 2018 were included in this review. Sixteen individual meta-analyses were performed and revealed significant pooled effects for the outcomes enjoyment (g = 0.310), perceived autonomy (g = 0.152), identified regulation (g = 0.378), intrinsic motivation (g = 0.419), self-determination index (g = 0.672), task/mastery climate (g = 0.254), ego/performance climate (g = −0.438), autonomy supportive climate (g = 0.262), task goal orientation (g = 1.370), ego goal orientation (g = −0.188). The narrative data synthesis indicated an increase in students' PA behavior. The overall risk of bias was high across all studies and certainty of evidence of meta-analyzed outcomes ranged from very low to moderate. Moderate certainty of evidence was found for ego/performance climate and ego goal orientation. Conclusions: Meta-analyses suggest that school-based PA interventions may be effective in increasing a variety of motivational outcomes. However, the certainty of evidence was limited in the majority of outcomes. Further research is needed to identify effective intervention strategies that increase students’ motivation towards PA.     

Evaluating the effectiveness of workshop interventions on contraceptive use among first-year college students

This study tested the effectiveness of 4 interventions designed to affect contraceptive knowledge, attitudes, and use among first-year Syracuse University students in New York State in the US. Pre- and post-tests obtained data on demographic characteristics, sexual behavior, contraceptive knowledge, sexual opinions, contraceptive attitudes, and contraceptive progress on a 5-step scale. Group 1 (79 students) received contraceptive information (CI) only. Group 2 (76) received CI and a cognitively oriented intervention. Group 3 (73) received CI and an experience-oriented intervention. Group 4 (77) received a combined cognitively and experience-oriented intervention with CI. The control group included 57 people. 78% on the pretest, and 84% on the post-test, had engaged in sexual intercourse for the first time in high school. 200 indicated previous intercourse in the past 3 months. Groups varied significantly in their knowledge, beliefs, and practices. All groups had greater contraceptive knowledge than control groups. Greater behavior beliefs about contraceptive use occurred in Groups 1 and 2. Groups 3 and 4 showed greater increases in positive attitudes toward use. All intervention students showed greater increases in positive attitudes toward a contraceptive process. Greater increases in the intention to use birth control occurred in Groups 3 and 4. Groups 2, 3, and 4 showed greater increases in reported use of birth control. Group 4 intervention was the most effective for males. Females were influenced by all interventions. Findings affirm the importance of including attitudinal components in sexuality and contraception workshops.     

Lessons learned: the effect of prior technology use on Web-based interventions.

This study examined the role of regular prior technology use in treatment response to an online family problem-solving (OFPS) intervention and an Internet resource intervention (IRI) for pediatric traumatic brain injury (TBI). Participants were 150 individuals in 40 families of children with TBI randomly assigned to OFPS intervention or an IRI. All families received free computers and Internet access to TBI resources. OFPS families received Web-based sessions and therapist-guided synchronous videoconferences focusing on problem solving, communication skills, and behavior management. All participants completed measures of depression, anxiety, and computer usage. OFPS participants rated treatment satisfaction, therapeutic alliance, and Web site and technology comfort. With the OFPS intervention, depression and anxiety improved significantly more among technology using parents (n = 14) than nontechnology users (n = 6). Technology users reported increasing comfort with technology over time, and this change was predictive of depression at followup. Satisfaction and ease-of-use ratings did not differ by technology usage. Lack of regular prior home computer usage and nonadherence were predictive of anxiety at followup. The IRI was not globally effective. However, controlling for prior depression, age, and technology at work, there was a significant effect of technology at home for depression. Families with technology experience at home (n = 11) reported significantly greater improvements in depression than families without prior technology experience at home (n = 8). Although Web-based OFPS was effective in improving caregiver functioning, individuals with limited computer experience may benefit less from an online intervention due to increased nonadherence.     

Selling with technology: understanding the resistance to mobile sales assistant use in retailing

The rise of online competitors and increasingly well-informed customers have spurred stationary retailers to take measures to increase the quality of face-to-face selling as a key differentiator. Mobile sales assistants (MSAs) represent an intensively discussed technological approach to address these challenges in the salesperson–customer dyad. However, in many cases, salespeople do not or only sporadically use MSAs. Prior research provides inadequate answers as to why this is the case, as extant technology acceptance and resistance theories have limited applicability to MSAs. To address these research gaps, the authors conduct a qualitative, theory-building approach and identify 21 factors associated with resistance. In a subsequent quantitative survey study, they validate these factors and refine their conceptual structure. The results show that several largely unknown factors are associated with salespeople’s resistance to MSA use: The three higher-order constructs, ‘incongruence’, ‘relationship deterioration’, and ‘operational imperfection’, are newly introduced to the literature on technology resistance. The findings extend prior technology acceptance and resistance theories and provide comprehensive insights for retail managers.     

Teacher reactions to school-based consultation services: A multivariate analysis

The impact of consultation services on teachers' preferences for consultation versus referral approaches and upon teachers' perceptions of severity for common acting out, withdrawal, and academic types of student problems were investigated. The subjects were 96 teachers whose public and parochial schools were matched and randomly assigned to treatment and control groups. Following a 14-week period during which advanced school psychology graduate students served as consultants in the treatment schools, the Pupil Problem Behavior Inventory (PPBI) was administered to all teachers. The results of a repeated measures MANOVA analysis indicated that the teachers in the treatment group rated the acting out and academic problems on the PPBI as significantly less severe than did teachers in the control group. The subjects in both the treatment and control groups indicated a significant preference for consultation rather than referral services for all types of student problems presented in the PPBI. There was a moderate, positive correlation between perceived problem severity and teacher preference for referral rather than consultation services. The study's results were interpreted as supportive of the consultation model.     

The efficacy of a universal school-based program to prevent adolescent depression

Evaluated whether a universal school-based program, designed to prevent depression in adolescents, could be effectively implemented within the constraints of the school environment. Participants were 260 Year 9 secondary school students. Students completed measures of depressive symptoms and hopelessness and were then assigned to 1 of 3 groups: (a) Resourceful Adolescent Program-Adolescents (RAP-A), an 11-session school-based resilience building program, as part of the school curriculum; (b) Resourceful Adolescent Program-Family (RAP-F), the same program as in RAP-A, but in which each student's parents were also invited to participate in a 3-session parent program; and (c) Adolescent Watch, a comparison group in which adolescents simply completed the measures. The program was implemented with a high recruitment (88%), low attrition rate (5.8%), and satisfactory adherence to program protocol. Adolescents in either of the RAP programs reported significantly lower levels of depressive symptomatology and hopelessness at post-intervention and 10-month follow-up, compared with those in the comparison group. Adolescents also reported high satisfaction with the program. The study provides evidence for the efficacy of a school-based universal program designed to prevent depression in adolescence.     

A school-based intervention to reduce aggressive behavior in maladjusted adolescents

A structured group intervention, using bibliotherapy and clarifying processes, was designed to reduce (a) aggressive behavior, (b) endorsement of beliefs that support aggression, and (c) generally maladjusted behavior. Based on the belief that learning is not only a rational process, but incorporates a strong emotionally driven experiential system, this treatment program sets out to deal with emotions associated with aggression. It is psychodynamically oriented, and, like most school treatments implements cognitive and behavioral elements. For 2 years, 117 socially maladjusted male adolescents in three special education schools in Israel participated in the program. Results for the 2 years are inconsistent: the 2nd-year study was more effective than the 1st-year study in reducing aggression as well as other maladjusted social behavior; withdrawal was the only variable affected consistently, and the program did not reduce attitudes that support aggression. The control group, however, showed increased endorsement of beliefs that support aggression and increased aggression and acting-out behavior. These results support the intervention in two ways: (a) They suggest some control over the increase in maladjusted behavior with time, and (b) they indicate a reduction in aggressive behavior for most students. The salient result concerning change in withdrawal behavior is discussed in light of the psychodynamic principles and methods associated with the intervention.     

The use of theories about the etiology of incest as guidelines for legal and therapeutic interventions

Explanations for the etiology of incest can be grouped into four general categories. Although some authors believe that one of the explanations is persuasive for most or all cases of incest, it appears that there is empirical and case report support for all four explanations. In this paper, it is suggested that assessing which of the four explanations best characterizes a particular incestuous family will provide valuable guidelines for determining the most appropriate legal and therapeutic interventions for that family.     

Drawing out resistance: The use of the house-tree-person test to facilitate communication in verbal therapy groups

Resistance as an impediment in both individual and group therapy is discussed, and the special resistances common to groups are described through a review of the literature. An adaptation of John Buck's House-Tree-Person projective test is suggested as a method for overcoming resistance that can be used by group therapists, including those unfamiliar with art therapy techniques. Case examples are presented of a group session in which resistance is a prominent deterrent to progress and another in which the use of the projective drawing technique facilitates the dissolution of resistance.     

When east meets west: reflections on the use of Buddhist mindfulness practice in mindfulness-based interventions

The Western mental health profession has included Buddhist practices in its clinical applications, and Buddhisms’ contribution to mindfulness-based interventions (MBIs) could be considered as one of its main inputs. However, MBIs appear to depart in some key ways from their Buddhist origins whereby it may reduce its psychotherapeutic value and affect the accurate dissemination of the Buddhas’ teachings. This paper reflects on some of these departures, by firstly discussing the term mindfulness, which, as used in the MBIs, has a more restrictive meaning than that meant by the Buddha. Secondly, this paper discusses the usefulness of MBI therapists being knowledgeable in a range of meditation techniques, rather than in only a few. And thirdly, this paper discusses the usefulness of MBI therapists having a personal mindfulness practice of ones’ own, and concludes by suggesting that an explicit acknowledgement of the Buddha in the formation of the MBIs be considered.     

Perceptions of stress and stress interventions in finance organizations: Overcoming resistance towards counselling

This paper presents the findings from a qualitative study conducted to gain further insight into the attitudes of finance organizations towards workplace stress and stress interventions. Semi-structured interviews were used and seven individuals, each representing their organization, participated in the study. Interpretative Phenomenological Analysis (IPA) (Smith, J., Jaraman, M., & Osborn, M. 1999 Smith J Jaraman M Osborn M 1999 Doing interpretative phenomenological analysis In M. Murray & K. Chamberlain (Eds) Qualitative Health Psychology London Sage [Crossref] [Google Scholar] was used to analyse the data. In M. Murray & K. Chamberlain (Eds), Qualitative Health Psychology. London: Sage.) was used to analyse the data. One main theme that emerged was “resistance towards counselling for stress”. This theme and several related sub-themes are discussed, and suggestions to reduce resistance to counselling for stress are presented in a model.     

A meta-analysis of school-based studies of psychotherapy

The purpose of this study was to apply the meta-analysis technique to school-based studies of psychotherapy. Thirty-three controlled studies were identified that met the criteria for meta-analysis. Although research efforts in this area offer a relatively small number of well-designed studies, the results of the meta-analysis indicate that psychotherapy in the schools can be viewed as at least moderately effective. Evidence was also found of the greater efficacy of group and behavioral theory interventions and interventions that target observed behaviors and problem-solving abilities.     

Tailoring computerised interventions to client needs

The results are reported of an experimental study in which 91 subjects rated the perceived helpfulness of three computerised interventions - a work values inventory (WAPS), a job-bank (JOB), and a decisions exercise (DECISIONS) - for hypothetical clients with identity, self-awareness, opportunity-awareness, decision-making and implementation problems. As predicted, WAPS was perceived as most helpful for clients with a self-awareness problem, JOB for clients with an opportunity-awareness problem, and DECISIONS for clients with a decision-making problem. Potential applications of the model implicit in the study to counsellor training, to the assessment of client problems and to careers education programmes are discussed.