Using Baby Books to Increase New Mothers' Self‐Efficacy and Improve Toddler Language Development

Maternal self‐efficacy (MSE) has been shown to be important, yet little is known about how it develops over time and whether increasing knowledge about child development and parenting results in feeling more efficacious, especially for first‐time mothers. Furthermore, research is lacking about whether increased maternal self‐efficacy results in better child outcomes such as more receptive and expressive language. Using a randomized three‐group design, this study explores whether educational books, embedded with information about typical child development and optimal parenting, increase MSE for women over the first year and a half of motherhood and whether these increases result in better language skills for children at 18 months of age. Hierarchical linear model analyses show that MSE starts high and remains high and that providing educational books further increases the development of MSE. Increases in MSE have a positive impact on children's language skills, as does providing books, irrespective of educational content. These findings support the importance of MSE and demonstrate an inexpensive way to increase MSE and improve child outcomes. Copyright © 2013 John Wiley & Sons, Ltd.     

Early Development of Empathy in Toddlers: Effects of Daily Parent–Child Interaction and Home‐Rearing Environment

The purpose of this exploratory study was to examine the effects of (a) parent–child interaction and (b) home environment on the early development of empathy in toddlers. A total of 176 Japanese families (both young children and their parents) were enrolled in this study. Laboratory assessment of children's empathy development and caregiver's rearing competence was made during a controlled observation of parent–child interaction. The results of this study suggest that of all the factors examined, the degree of parent–child interaction, the stability of long‐term parenting practices, parental attitude, and mother's mental health status were correlated with development of empathy in children. These findings provide new indicators for the development of individualized intervention methods for use in clinical practice.     

Adolescent Self-Assessment of an Outdoor Behavioral Health Program: Longitudinal Outcomes and Trajectories of Change

Outdoor behavioral healthcare is an increasingly popular treatment modality for adolescents, and evidence suggests that it is effective for a wide range of complex issues. The outdoor behavioral healthcare literature still faces major limitations though, and one of these limitations is that outcomes are primarily measured at only admit and discharge. This study sought to explore the trajectory of change throughout treatment, and investigate outcomes up to 18?months post-discharge. Of the 659 adolescent participants from four outdoor behavioral healthcare programs, 29?% were female, 18?% were adopted, and the average age was 16?years old. Participants were invited to complete questionnaires four times during treatment, and at 6 and 18?months post-discharge. We used multilevel modeling to explore trajectories and predictors of change during treatment, and a regression and an ANOVA to examine outcomes post-discharge. Results of the multilevel modeling supported that adolescents make significant changes during outdoor behavioral healthcare, and also contributed new findings on demographic and diagnostic predictors. Gender and the presence of a mood or anxiety disorder predicted greater rates of change during treatment. Analysis of post-discharge data at six and 18?months post-discharge suggested that clients maintain treatment effects and that gender persists in influencing outcomes. This study is the first to examine trajectories of change in outdoor behavioral healthcare, to find diagnostic variables to be relevant, and to examine self-report outcomes past 12?months post-discharge.     

Enhancing Therapeutic Gains: Examination of Fidelity to the Model for the Intensive Mental Health Program

Given that the development of treatment fidelity assessment protocol is an integral but too frequently ignored aspect of clinical trials for psychological treatments, the Intensive Mental Health Program (IMHP) sought to build fidelity activities into training, program evaluation, and clinical recordkeeping from the outset of a 3 year study period. We describe (a) operational definitions and measurement of the IMHP treatment model, (b) planned fidelity-promoting activities, (c) evaluation methods, and (d) fair to appreciable accomplishment of IMHP fidelity targets. Discussion of the circumstances and processes possibly hindering better fidelity for several IMHP treatment features accompanies presentation of fidelity data. We summarize pitfalls and compensatory strategies identified during IMHP program evaluation and offer practical suggestions to enhance accountability and evaluative activity in future clinical research.     

Relationship Between the Supervisory Working Alliance and Outcomes: A Meta‐Analysis

This study investigated the relationships between the supervisory working alliance and supervision outcome variables using meta‐analysis. The authors reviewed 27 articles, dissertations, and theses published between 1990 and 2018. The authors used the MIX program to calculate the meta‐analyses. The results indicate that the supervisory working alliance is positively related to supervision outcome variables. Supervisees’ perceived relationship with the supervisor was positively related to the relationship with the client. This shows that the phenomenon of isomorphism is a repeated pattern in the relationships in supervision and counseling. The authors discuss the limitations and implications.     

Self‐Stigma,Mental Health Literacy,and Health Outcomes in Integrated Care

The authors describe research on the self‐stigma of mental illness and help seeking, mental health literacy, and health outcomes in an integrated care medical center. Results revealed that self‐stigma of mental illness and self‐stigma of seeking help had an inverse relationship with mental health literacy. No statistically significant relationships were found between health outcomes, either type of self‐stigma, and mental health literacy. The authors discuss these and other findings and offer research and counseling implications.     

Appearance‐Related Communication Mediates the Link Between Self‐Objectification and Health and Well‐Being Outcomes

Grounded in objectification theory, the 2 studies presented here predicted that self‐objectification is positively related to appearance‐related communication (i.e., fat talk and old talk), and, in turn, appearance‐related communication is associated with health and well‐being outcomes. Results from Study 1, which investigated only fat talk, revealed that fat talk significantly mediated the relationship between self‐objectification and body dissatisfaction, drive for thinness, bulimia, and self‐esteem. Study 2 sought to replicate the findings from Study 1, as well as extend appearance‐related communication to old talk. Fat talk was found to mediate the relationships between self‐objectification and body dissatisfaction, drive for thinness, bulimia, depression, and diet. Old talk significantly mediated the relationships between body dissatisfaction, drive for thinness, and bulimia.     

The Relationship of Hardiness, Gender, and Stress to Health Outcomes in Adolescents

The present study examined the relationship between the hardiness components of commitment, control, and challenge, and the experience of physical and psychological symptoms in a sample of 150 (75 male, 75 female) adolescents. A measure of psychosocial stress was included to permit an examination of whether the hardiness components interact with stress in predicting health outcomes. Analyses revealed main effects of stress, gender, and the hardiness components of commitment and control for several of the health measures. More important was the finding of a consistent interaction of stress, gender, and hardiness for several of the health measures. Whereas low-stress males experienced few physical and psychological symptoms regardless of their levels of commitment and control, high-stress males experienced more problems when they were low rather than high in either commitment or control. The hardiness components did not interact with stress in the prediction of health outcomes among females.     

An Approach to Examining the Proximal and Intermediate Outcomes of an Intensive Family Preservation Program

This study examined the effects of the Boys Town In-Home Family Program (BT-IHFP) on parenting skills, family functioning, and child behavior for at-risk families involved with child protective services. The BT-IHFP is designed as a home-based, family-centered alternative to out-of-home placement with the goal of improving family functioning, keeping families together, and preventing further involvement with child protective services. The model uses a hands-on cognitive-behavioral approach, promotes family engagement, provides 24/7 services to families, and links families to community resources. While it is essential to examine ultimate, long-term outcomes such as family preservation, it is also important to investigate the proximal and intermediate outcomes that address the key changes in behavior that support successful long-term outcomes. The goals of this study were to (1) examine the pre-post change of proximal and intermediate outcomes and (2) examine if improvements in parenting skills, parental roles, and parental stress (proximal outcomes) will be related to improvements in child behavior at home, child behavior at school, and family functioning (intermediate outcomes). Inspecting intake and discharge data for 44 families, 94% were intact at discharge and significant pre-post improvements were found in proximal and intermediate outcomes. These findings suggest that this six-week intensive BT-IHFP holds promise for teaching at-risk families skills to promote positive family functioning.     

Racial Discrimination and Health Outcomes Among Racial/Ethnic Minorities: A Meta‐Analytic Review

In this meta‐analysis, the authors reviewed 105 studies on the relationships between racial discrimination and health outcomes among racial/ethnic minority Americans. The authors tested for moderator effects of measurement strategies, cultural factors, substance use, gender, and racial group differences. Findings indicate a statistically significant effect size between racial discrimination and health, with the largest effect for mental health and strongest for studies with multi‐item measures. En este metaanálisis, los autores revisaron 105 estudios sobre las relaciones entre la discriminación racial y los resultados para la salud entre americanos pertenecientes a minorías raciales o étnicas. Los autores examinaron los efectos moderadores de las estrategias de medición, los factores culturales, el uso de sustancias, el género y las diferencias entre grupos raciales. Los hallazgos indican un efecto de tamaño estadísticamente significativo entre la discriminación racial y la salud, con el máximo efecto observado en la salud mental y el más fuerte en estudios con mediciones múltiples.     

Program for the Education and Enrichment of Relational Skills: Parental Outcomes With an ADHD Sample

The goal of the current study was to examine the effect of the Program for the Education and Enrichment of Relational Skills (PEERS®), a 14-week parent-assisted friendship-building program for adolescents with ADHD, on parental functioning, quality of the parent-adolescent relationship, and family functioning. Participants included 25 parents of adolescents with ADHD. Families completed PEERS®. Measures of parenting stress, parental efficacy, parent-adolescent communication, parent-adolescent involvement, causal attributions for negative social interactions, and family chaos were completed by parents at pre- and post-treatment. Parents demonstrated statistically significant improvements in parenting stress and parent-adolescent communication and marginally statistically significant improvement in parental efficacy. Parents also demonstrated reliable change in parenting stress, parent-adolescent communication, parent-adolescent involvement, and family chaos. Overall, these findings demonstrate the benefit of PEERS® at improving parental functioning, quality of the parent-adolescent relationship, and family functioning for families of adolescents with ADHD.     

Enhancing Nature Conservation and Health: Changing the Focus to Active Pro-environmental Behaviours

Most research about the promotion of pro-environmental behaviours has focused on actions conducted at home (e.g. energy saving). While acknowledging their relevance, the effect of such behaviours on the mitigation of two of the most relevant global environmental problems (climate change and biodiversity loss) is relatively small. We present a literature review with two main objectives. First is to introduce the concept of active pro-environmental behaviours. These are a combination of outdoor physical activities and pro-environmental behaviours. The latter involve behaviours that have a minimum impact on the environment, or even have positive consequences for the environment. Active commuting and tree planting are examples of active pro-environmental behaviours. The second objective is to discuss the relevance of active pro-environmental behaviours for people’s health and sustainability and, thereby, to encourage more research and efforts towards the promotion of these behaviours. We conclude by suggesting how stakeholders can promote active pro-environmental behaviours.     

Prevalence of Suicide Risk Factors and Suicide‐Related Outcomes in the National Mental Health Study,Colombia

A community survey in 4,426 adults was undertaken as part of the World Mental Health Survey Initiative reporting the prevalence and risk factors for suicide‐related outcomes in Colombia. Lifetime prevalence estimates of suicide ideation, plans, attempts, and risk factors for suicide‐related outcomes were assessed. Retrospective reports of disorders age‐of‐onset were used to study associations between primary mental disorders and first onset of suicide‐related outcomes. Risks of plans and attempts were highest with ideation early age‐of‐onset and within the first year. The highest risk for ideation and attempt among ideators occurred in the 18–29 age group. After first employment (defined as the first paid job accepted by the respondent) and presence of mental disorders constituted risk factors. Impulse‐control disorders were strongest diagnostic predictors.     

Changes in Stepparents' Coparenting and Parenting Following Participation in a Community‐Based Relationship Education Program

Studies of coparents typically center on the relationship between parents who share a biological child; limited attention in research on community‐based programs is given to the coparenting relationship within a stepfamily, even though clinicians note the challenges inherent in this relationship. We examined changes in coparenting agreement, parenting efficacy, and parental involvement for 96 stepparents following participation in a coparenting‐focused community education program. A significant main effect of time was found for improvement in coparenting agreement, yet a significant time × gender interaction effect suggests that this is driven by improvements for stepmothers only. Parenting efficacy improved, regardless of gender, race, residence, or curriculum. A significant time × race interaction effect on change in parental involvement indicates increases in parental involvement for European American participants only. Finally, increases in coparenting agreement were associated with increases in parenting efficacy, and increases in parenting efficacy were associated with increases in parental involvement.     

Combining Value‐focused Thinking and Balanced Scorecard to Improve Decision‐making in Strategic Management

Goal orientation is key to strategic management. In this field, the Balanced Scorecard is one of the most widely used management tools. It structures a company's main objectives from different perspectives based on the strategy of the firm and uses performance indicators to measure the achievement of objectives and strategy. However, its method of creation is not theoretically sound. Value‐focused thinking is a decision‐making philosophy that fits perfectly with Balanced Scorecard creation. It provides methods and techniques for the identification and structuring of objectives that are suitable to systematically derive a scorecard from a means‐ends network. However, such a means‐ends network is often too complex for enduring use in strategic management. By adapting the network's structure to the Balanced Scorecard's layout, the profound and clear set of derived objectives and their measures serve as a reasonable basis for applying methods of multi‐criteria decision‐making in an organization. This paper aimed to outline a procedure that merges the Balanced Scorecard and value‐focused thinking by preserving each concept's strengths while eliminating their weaknesses. A six‐step process was developed theoretically and employed empirically in a case study. This process included (1) identifying objectives; (2) structuring objectives; (3) characterizing clusters of objectives; (4) formulating mission, vision, and strategy; (5) designing the scorecard; and (6) monitoring and adapting to change. On the basis of this approach, a Management Scorecard was produced that enabled strategy development and execution, put forth a clear and comprehensive means‐ends network, and visualized a company's most important objectives and their relationships structured through perspectives roughly following the Balanced Scorecard. It acts as a foundation for research to generalize and compare findings regarding goals of organizations. Our procedure demonstrates how scientific methods, such as value‐focused thinking, can yield benefits to practitioners' instruments, like the Balanced Scorecard, and how management tools can likewise improve scientific methods. Copyright © 2016 John Wiley & Sons, Ltd.