Impact of Fees Among Low-Income Clients in a Training Clinic

Many therapists believe clients must pay a fee in order for therapy to be effective. This study conducted a review of 1,125 client records in a southeastern university’s marriage and family therapy training clinic to determine how paying fees impacted therapy attendance and outcomes. The results indicated that the amount of fee paid did not predict therapy attendance or outcomes. These findings, consistent with previous research, suggest that fee payment has limited impact on achievement of therapeutic gains.     

Evaluation of fee collection policy changes in an alcohol halfway house

This study used an ABAB design and 1-year retrospective baseline to evaluate the impact of a contingency management and feedback policy on payment of fees by clients in a halfway house for substance abusers. The results indicated no consistent effect of the intervention on halfway house income, but some clients did appear to increase their saving and decrease their spending behavior while making sufficient fee payments to avoid the policy contingencies.     

A Comparison of Escalating Versus Fixed Reinforcement Schedules on Undergraduate Quiz Taking

Drug abstinence studies indicate that escalating reinforcement schedules maintain abstinence for longer periods than fixed reinforcement schedules. The current study evaluated whether escalating reinforcement schedules would maintain more quiz taking than fixed reinforcement schedules. During baseline and for the control group, bonus points were distributed on random days for attending class. Following baseline, students in the fixed reinforcement section received 5 bonus points for each quiz completed while students in the escalating reinforcement received 3 bonus points for the first quiz with an increase of 0 or 1 point for each consecutive quiz completed. Results indicated that the escalating reinforcement schedule maintained quiz taking significantly longer than the fixed reinforcement schedule. The control group took the fewest number of quizzes. Students with good attendance took significantly more quizzes under the escalating reinforcement schedule than students with good attendance exposed to the fixed reinforcement schedule or control condition. This study demonstrates a potential novel application for escalating reinforcement schedules. Results indicate that escalating reinforcement schedules may be successfully applied to academic settings, but more research is needed.     

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.     

When Sharing Is Not Caring: Does (un)Certainty About Bill Payment Method Lead Diners to Consume More and Spend More Money?

Previous work has demonstrated that unacquainted participants in an experimental, restaurant‐like setting consume more when they know in advance that the bill will be split evenly rather than paid according to individual consumption. Real life, however, often differs from these experimental settings in two important ways. First, unlike random groups of participants, diners who eat together are frequently friends or colleagues. Second, payment method (even vs. individual payment) is usually unknown (i.e. uncertain) at the time people place their orders, and is determined when the check arrives. The current research tests the ecological validity of the association between consumption amount and payment method. Study 1 was conducted in a natural setting with organic groups of diners. Some were asked to state their desired payment method before ordering (Certain condition); others did so only after asking for the check (Uncertain condition). In both conditions, even payment (as opposed to individual payment) was associated with greater consumption amount. However, overall, consumption amount was lower among diners in the Uncertain condition than among those in the Certain condition. Study 2 presents a controlled follow‐up experiment showing that eliminating diners' prior expectations regarding the payment method—by informing them that the payment method will be randomly determined after the consumption decision—eliminates the relationship between payment method and consumption amount. This study further indicates that when diners are uncertain what the payment method will be, even bill‐splitting has negative implications for their subsequent social interactions, expressed in retribution tendencies. Copyright © 2016 John Wiley & Sons, Ltd.     

Processes of participation in a mother-infant program as modified by stress and impulse control

Six groups of mothers participating in a comprehensive neighborhood-based parent educational support program for low-income mothers of new infants were studied for 1 year. Participation in the program was assessed using structured observations of verbal participation in group discussions, records of attendance, and a self-disclosure measure of peer ties. The sample of 42 white women was dichotomized on attitudes toward impulse control. More expressive mothers produced more verbal behavior and showed consistent correlations between early verbal behavior and later attendance and peer tie development. More controlled mothers showed correlations between aspects of program participation and preprogram measures of need, impulse control, and family support. A second dichotomy contrasted 15 persons showing indications of acute stress with 26 persons showing less stress. The acute-stress subsample received more service from staff members, showed lower attendance, and were delayed in participating in group processes of interaction and development of peer ties. Implications of the findings for theoretical perspectives on adult behavior, the design of parent programs, and evaluation research paradigms are discussed.     

INSTRUCTIONS,FEEDBACK, PRAISE,BONUS PAYMENTS,AND TEACHER BEHAVIOR1

The study was conducted within a training and demonstration center for teachers from several different school districts. The teachers staffing the center were employees of the host school district who volunteered to serve in the center. Unfortunately, these volunteers did not always use the program materials appropriately and therefore did not always provide clear models for visiting teachers. In particular, four of the volunteer teachers did not always instruct their students from the appropriate reading text, even when encouraged to do so by the principal of the school in which the center was located. Various procedures were employed to alter this situation. The experimenter, (associate director of the training and demonstration center) provided instructions, feedback, and praise regarding use of the appropriate reading text. These procedures had clear effects with only one teacher. Then, merit or bonus payments were provided for teachers who used the appropriate reading text for criterion periods of time; a procedure that was very effective with all four teachers. The problem worked on in this study is typical of those faced by workers in public institutions where change cannot be brought about by the researcher's authority. All teachers in the present study had the necessary skills to demonstrate accurately the prescribed program procedures, but they did not always do so until the bonus payment was used. Although the bonus payment procedure might be inappropriate in some school situations, the procedure could easily be adjusted to accommodate the established practices of many schools. For example, establishment of explicit performance criterion and use of in-service stipends for meeting criterion performance during school hours, rather than attendance at meetings after school, might well be comparably effective.     

CONTINGENT REINFORCEMENT FOR CARBON MONOXIDE REDUCTION: WITHIN-SUBJECT EFFECTS OF PAY AMOUNT

The relationship between reinforcer amount and daytime smoking reduction in smokers offered money for reduced afternoon breath carbon monoxide (CO) levels was examined. Twenty-three hired regular smokers with average baseline CO levels of about 30 ppm were exposed in random order to five sliding scale payment schedules that changed daily or weekly. Money was available for afternoon CO readings between 0 and 21 ppm with pay amount inversely related to the absolute CO reading obtained. Maximum pay amount for readings below 7 ppm varied among $0, $1.50, $3, $6, and $12 per day. Contingent reinforcement promoted CO and daytime cigarette reduction within individuals with the amount of behavior change related to the amount of payment available. Average CO levels decreased from 30 to 15 ppm as a function of pay amount whereas self-reported daytime cigarettes decreased from 12 to 5 per day. Average minutes of cigarette abstinence prior to the afternoon study contact increased from 62 to 319 minutes as a function of pay amount, whereas the percentage of available money earned increased from 22% to 48%. Nontargeted evening cigarette use also decreased during periods of daytime smoking reduction. The orderly effects of this contingent reinforcement intervention on daytime smoking of regular smoker volunteers suggest that this is a sensitive model for continued evaluation of factors that influence smoking reduction and cessation.     

Religious Affiliation,Religious Service Attendance,and Mortality

Very few studies have examined the effects of both religious affiliation and religiosity on mortality at the same time, and studies employing multiple dimensions of religiosity other than religious attendance are rare. Using the newly created General Social Survey-National Death Index data, our report contributes to the religion and mortality literature by examining religious affiliation and religiosity at the same time. Compared to Mainline Protestants, Catholics, Jews, and other religious groups have lower risk of death, but Black Protestants, Evangelical Protestants, and even those with no religious affiliation are not different from Mainline Protestants. While our study is consistent with previous findings that religious attendance leads to a reduction in mortality, we did not find other religious measures, such as strength of religious affiliation, frequency of praying, belief in an afterlife, and belief in God to be associated with mortality. We also find interaction effects between religious affiliation and attendance. The lowest mortality of Jews and other religious groups is more apparent for those with lower religious attendance. Thus, our result may emphasize the need for other research to focus on the effects of religious group and religious attendance on mortality at the same time.     

Influence of Church Attendance and Spirituality in a Randomized Controlled Trial to Increase Mammography Use Among a Low-Income, Tri-Racial, Rural Community

Background The influence of church attendance and spirituality on mammography use was studied among Native American, White, and African American women living in a rural county. Methods A randomized trial was conducted to increase mammography use. Women (n = 851) were randomly assigned to receive either an educational program delivered by a lay health advisor or a physician letter and brochure about cervical cancer screening (control group). Church attendance and spirituality were measured at baseline and mammography use was evaluated 12 months after enrollment using medical record review. Results Almost two-thirds of the women reported that they attended church at least once a week, and less than 4% were classified as having low spirituality. Church attendance (P = 0.299) or spirituality (P = 0.401) did not have a significant impact on mammography use. Conclusions Church attendance and spirituality did not impact mammography use.     

Parental Competency as a Mediator in the PACE Parenting Program’s Short and Long-term Effects on Parenting Stress

Higher levels of parenting stress and lower levels of parental competency have been shown to adversely affect a variety of child outcomes such as both externalizing and internalizing behavior problems. Behavioral parent training programs simultaneously decrease parenting stress while increasing parental competency. Recent research has focused on possible mechanisms of change that influence the efficacy of behavioral parent training programs. The present study examined parental competency, specifically parental efficacy and satisfaction, as mechanisms of change in the relationship between attendance in the Parenting Our Children to Excellence (PACE) program and long-term levels of parenting stress. Six hundred and ten parents participated in the PACE parenting program and measures were collected at pre-treatment, post-treatment, and follow-up. Path analysis was utilized to test parental competency as a mediator between engagement in PACE and follow-up parenting stress. Parental satisfaction, one factor of parental competency, was found to be a significant mediator between engagement in PACE and follow-up parenting stress. This study has important implications in further identifying mechanisms of change within behavioral parent training programs.     

Marital Interactions,Family Intervention,and Disagreements: A Daily Diary Study in a Low‐income Sample

Little research has examined associations between low‐income married couples’ daily interactions and severity of disagreements. Similarly, few researchers have considered how family‐strengthening interventions for low‐income couples may affect the quality of daily interactions and associations between interactions and conflict experiences. This study aims to fill these gaps in the literature by leveraging daily diary data from a random assignment study of a family‐strengthening intervention with low‐income husbands and wives 30 months postenrollment. Married couples randomly assigned to the intervention participated in 10 weeks of relationship education services. Control group couples received no services. Thirty months postrandom assignment, participants reported on the severity of daily marital disagreements over a 15‐day period, as well as their positive and negative emotions during inter‐spousal interactions. Multi‐level models demonstrated associations between reports of emotions in interactions and severity of disagreements. In addition, wives assigned to the family strengthening program reported fewer negative emotions during interactions at follow‐up than wives in the control condition. Finally, negative associations between positive emotions in interactions and severity of disagreements were stronger for wives assigned to the intervention, while positive associations between negative emotions in interactions and severity of disagreements were weaker for wives assigned to the intervention. Implications for future research and intervention development are discussed.     

Value for money?: Issues of fees in counselling and psychotherapy

Drawing on literature from different psychotherapeutic traditions, the meaning of money is reviewed, and the psychological and practical issues which arise from the setting, changing and payment of fees in counselling and psychotherapy are discussed. A person-centred approach is offered as a framework for the counsellor's understanding of fees in the therapeutic relationship.     

Choice dynamics in concurrent ratio schedules of reinforcement

The generalized matching law predicts performance on concurrent schedules when variable-interval schedules are programmed but is trivially applicable when independent ratio schedules are used. Responding usually is exclusive to the schedule with the lowest response requirement. Determining a method to program concurrent ratio schedules such that matching analyses can be usefully employed would extend the generality of matching research and lead to new avenues of research. In the present experiments, ratio schedules were programmed dependently such that responses to either of the two options progressed the requirement on both schedules. Responding is not exclusive because the probability of reinforcement increases on both schedules as responses are allocated to either schedule. In Experiment 1, performance on concurrent variable-ratio schedules was assessed, and reinforcer ratios were varied across conditions to investigate changes in sensitivity. Additionally, the length of a changeover delay was manipulated. In Experiment 2, performance was compared under concurrently available, dependently programmed variable-ratio and fixed-ratio schedules. Performance was well described by the generalized matching law. Increases in the changeover delay decreased sensitivity, whereas sensitivity was higher when variable-ratio schedules were employed, compared with fixed-ratio schedules. Concurrent ratio schedules can be a viable approach to studying functional differences between ratio and interval schedules.     

Role of Religious Attendance and Identity Conflict in Psychological Well-being

A sample of individuals who identified as gay or lesbian were administered measures of church attendance, their religious organization’s view of homosexuality, perceived conflict between religious faith identity and sexual orientation identity, social support, depression, and generalized anxiety. Among participants who rated their church as rejecting of homosexuality, greater frequency of attendance was related to a higher incidence of GAD symptoms, but not depression. No correlation was found for those attending accepting faith communities. Those who attend rejecting faith communities attended services less often, experienced greater identity conflict, and reported significantly less social support than those of the Accepted group. Regression analyses indicated that identity conflict and social support did not fully account for the relationship between attendance and GAD symptoms. Overall, findings from the current study support previous suggestions that participation in conservative or rejecting religious communities may adversely affect the emotional well-being of GL individuals.     

Who stole the money,and when? Individual and situational determinants of employee theft

Customer service representatives (N=270) were underpaid for completing an hour-long questionnaire after working hours. They were told that the payment came either from the company itself or from a group of individual managers. Participants were given an opportunity to steal by being allowed to take their payment from a bowl of pennies under conditions in which they believed that the actual amount they took could not be detected. Employees who had attained Kohlberg's conventional level of moral development refrained from stealing money when they worked in an office that had an ethics program in place. However, those at the preconventional level of development and who worked at an office without an ethics program stole from their employers. By contrast, participants who believed that the money came from individual managers refrained from stealing under any conditions. These results are explained in terms of the person-by-situation interactionist approach to ethical behavior. Their practical implications are discussed as well.     

Clinical and experimental utility of refundable deposits

The purpose of this study was to investigate the effects of a refund system on court-referred clients' adherence to the attendance and data-collection requirements of a program contract. Male and female clients admitted to a group treatment program for driving under the influence of alcohol were or were not required to place a $50 refundable deposit at the beginning of treatment. The results showed that subjects in the refundable deposit groups had fewer unexcused absences and were more efficient in returning data-collection forms, suggesting that deposits have considerable utility in a clinical/research setting.     

Discrimination of schedules that predict reinforcement from non-predictive ones and preference for less predictive schedules by rats

This study examined the behavior of rats on schedules that either did or did not contain information about impending reinforcement. Experiment 1 indicated that rats discriminated between schedules of reinforcement that differed only in the amount of information they contained about impending reinforcement. Experiment 2 revealed a preference for the schedule containing less information about impending reinforcement. The results suggest that predictable nonreinforcement is an important determiner of behavior in choice situations.     

Does Religion Buffer the Effects of Discrimination on Mental Health? Differing Effects by Race

Much research has shown that experiences of discrimination are negatively related to mental health. In this study, a national probability survey of whites and African Americans at midlife is used to examine whether attendance at religious services and religious comfort seeking protect people from the effects of discrimination on mental health, and if the protective power of religion varies by race. Results show that reports of discrimination are related to greater negative affect and less positive affect, but only attendance at religious services moderates this relationship, and then only for African Americans' negative affect. The historical involvement of African-American religious bodies in combating discrimination may help to explain the specificity of these moderating effects.     

Comparing fixed‐amount and progressive‐amount DRO Schedules for tic suppression in youth with chronic tic disorders

Chronic tic disorders (CTDs) involve motor and/or vocal tics that often cause substantial distress and impairment. Differential reinforcement of other behavior (DRO) schedules of reinforcement produce robust, but incomplete, reductions in tic frequency in youth with CTDs; however, a more robust reduction may be needed to affect durable clinical change. Standard, fixed‐amount DRO schedules have not commonly yielded such reductions, so we evaluated a novel, progressive‐amount DRO schedule, based on its ability to facilitate sustained abstinence from functionally similar behaviors. Five youth with CTDs were exposed to periods of baseline, fixed‐amount DRO (DRO‐F), and progressive‐amount DRO (DRO‐P). Both DRO schedules produced decreases in tic rate and increases in intertic interval duration, but no systematic differences were seen between the two schedules on any dimension of tic occurrence. The DRO‐F schedule was generally preferred to the DRO‐P schedule. Possible procedural improvements and other future directions are discussed.