Empirical Support for the Critical Assumptions of Empowerment Theory

This exploratory case study provides empirical support for three critical assumptions of empowerment theory. Many empowerment theorists have argued that empowerment takes on multiple forms across people, is contextually embedded, and shifts over time (Rappaport, 1984; Zimmerman, 1990, 1995). To better understand the implications of these assumptions for empowerment theory and the research and intervention methods we employ, the empowerment experiences of 49 employees within a large human service delivery organization were explored. A method well suited to investigate empowerment's assumptions of multiplicity and dynamism—a constructivist approach to inquiry—was employed. Content analyses of interview and observational data revealed that the process of empowerment may be more complex than originally conceived. Not only did multiple meanings and desires for empowerment emerge across employees and between employees and leaders, but several shifting ecologies impacted the employees' lives, causing the employees' empowerment experiences to fluctuate. Empowerment emerged as a dynamic, highly individualistic, contextually layered process. Multiple forms, contexts, and dynamics that influenced employee empowerment are described. Implications of these findings for empowerment research and intervention are discussed.     

Television public service announcements as outreach for potential clients

Public service announcements (PSAs) aired by local radio or television stations may be useful to human service agencies as a mechanism to reach potential clients during periods of low service demand. To examine the usefulness of PSAs for this purpose, a series of PSAs were videotaped for three aging-service agencies and aired by a television station during a 6-week period. The three agencies recorded the incoming demand for services received each day before and during the intervention period. The data were tested by a multiple-group interrupted time-series analysis. The results of the analysis indicated that for all three agencies the PSAs were effective for increasing the number of service inquiries received from nonclients over the telephone numbers publicized in the PSAs. At one of the agencies, the number of new clients increased significantly when the PSAs were broadcasted. This article is based on a doctoral dissertation submitted by the first author to the University of South Carolina. The first author acknowledges with appreciation the contributions to the research project and the preparation of the public service announcements that were made by the following: Robert V. Heckel, Gary L. Griepentrog, Lawrence F. McClure, and A. Porter McLaurin, members of the dissertation committee; Melinda Hotinger, research assistant; Ruth Harden and Bobby Dicks, Jr., WIS-TV; Winston Thomas, Rosalyn Dublin, Mary Fraser, Bessie Lee Harris, and Ruthie Saunders, Columbia Urban League Aging Program; Emily Canine, Kate Forbis, Lillie G. Earl, Beverly W. Williams, Annie Baxter, and Marjorie Mills, Newberry County Council on Aging; Fletcher Spigner, Sam Waldrep, Mae Inman, King Wingate, and June Yarborough, Richland-Lexington Council on Aging; George M. Dick, Nancy Rampey, and Betty Jackson, Central Midlands Regional Planning Council; Courtenay Carson, South Carolina Commission on Aging; the late Don Gillis, Mark Spagnolo, and Sally Battle, University of South Carolina Department of Media Arts. The authors acknowledge the substantial contributions to this paper that were made by Gary L. Griepentrog, who donated his time to guide the multiple-group interrupted time-series analysis. The authors express appreciation to Thomas D. Cook, Northwestern University, for his review and comments on the dissertation.     

A meta-analysis of bibliotherapy studies

Used meta-analysis to examine the efficacy of bibliotherapy. Bibliotherapy treatments were compared to control groups and therapist-administered treatments. The mean estimated effect size (d) of the 70 samples analyzed was +0.565. There was no significant differences between the effects of bibliotherapy and therapist-administered treatments, as well as no significant erosion of effect sizes at follow-up. Bibliotherapy did appear more effective for certain problem types (assertion training, anxiety, and sexual dysfunction) than for others (weight loss, impulse control, and studying problems). Overall, the amount of therapist contact during bibliotherapy did not seem to relate to effectiveness, but there was evidence that certain problem types (weight loss and anxiety reduction) responded better with increased therapist contact. Recommendations for future research were given, especially for more research on the commonly purchased books and moderator analyses by personality type and reading ability. This article is based on a doctoral dissertation by Rick W. Marrs under the direction of Steven D. Brown at Loyola University of Chicago. I gratefully acknowledge the assistance of Dr. Brown as well as of my other committee members, Joseph Durlak and Gloria Lewis. I also gratefully acknowledge the assistance in coding done by Laura Marrs and John Gibson and helpful editorial comments made by Wayne Lucht.     

Empowering Parents: The Use of the Parent as Researcher Paradigm in Early Intervention

Whilst family-focussed models of service delivery are proving more effective in early intervention, it is the parents who ultimately carry the burden of responsibility. They often evolve their own strategies for coping with difficulties and solving problems within a family context. Through case study analysis, I report on some of the key outcomes of early intervention for families of very young children with disabilities. The analysis challenges traditional definitions of the family and suggests a recontextualisation of this concept. Similarly parental perceptions of the style of early intervention services are contrasted with those models reported to be effective by professionals. In striving for optimal effectiveness in early intervention, the unique knowledge and understanding of parents is pivotal, and ways are suggested of objectively collecting and collating that knowledge to inform practice and identify important research questions. This case study analysis has led to the evolution of the parent as researcher paradigm, and the implications for the practical implementation of this model will be considered.     

Interventions for children and adolescents who stutter: A systematic review,meta-analysis,and evidence map

PurposeThis systematic review critically appraises and maps the evidence for stuttering interventions in childhood and adolescence. We examine the effectiveness of speech-focused treatments, the efficacy of alternative treatment delivery methods and identify gaps in the research evidence.MethodsNine electronic databases and three clinical trial registries were searched for systematic reviews, randomised controlled trials (RCTs) and studies that applied an intervention with children (2–18 years) who stutter. Pharmacological interventions were excluded. Primary outcomes were a measure of stuttering severity and quality assessments were conducted on all included studies.ResultsEight RCTs met inclusion criteria and were analysed. Intervention approaches included direct (i.e. Lidcombe Program; LP) and indirect treatments (e.g. Demands and Capacities Model; DCM). All studies had moderate risk of bias. Treatment delivery methods included individual face-to-face, telehealth and group-based therapy. Both LP and DCM approaches were effective in reducing stuttering in preschool aged children. LP had the highest level of evidence (pooled effect size=-3.8, CI -7.3 to -0.3 for LP). There was no high-level evidence for interventions with school-aged children or adolescents. Alternative methods of delivery were as effective as individual face-to-face intervention.ConclusionThe findings of this systematic review and evidence mapping are useful for clinicians, researchers and service providers seeking to understand the existing research to support the advancement of interventions for children and adolescence who stutter. Findings could be used to inform further research and support clinical decision-making.     

Disseminating a Parenting Intervention in the Community: Experiences from a Multi-Site Evaluation

Circle of Security-Parenting (COS-P) is a widely used parenting intervention that is gaining popularity globally as it is currently being delivered across several continents. Despite the global uptake of COS-P, there is limited research on its effectiveness with considerable variability in its delivery. Here we present a multi-site evaluation of the group delivery of COS-P to under-resourced mothers (n?=?131 enrolled) in an urban community as facilitated by community-based providers (n?=?12) from community sites (n?=?6) that provide maternal and child services. The feasibility and acceptability of delivering COS-P in the community are highlighted as well as characteristics of sites and providers as they relate to implementation efforts, and pre and post-intervention data examining COS-P and maternal caregiving functioning (i.e., depressive symptoms, reflective functioning) are also included. Several service delivery barriers were encountered at agency, provider and participant levels that created obstacles for program dissemination, participant retention and evaluation. Nonetheless, COS-P was successfully delivered in the community when sites embedded the program within their existing infrastructure and had the internal capacity for delivery, participant recruitment, supervision, and community presence. Mothers who participated in COS-P also reported fewer depressive symptoms following the intervention (n?=?25). This multi-site implementation and evaluation study has important implications for the delivery of parenting services to under-resourced communities globally. Implications for future research and service delivery are discussed.     

Diagnosis,assessment, and comorbidity in psychosocial treatment research

This paper identifies problems in prevailing terminology and conceptual models that may hinder research on treatment. To avoid the multiple meanings of diagnosis,the term assessmentis used in reference to identifying the distinguishing features of individual cases, while taxonomyis used to designate the grouping of cases according to their distinguishing features. Treatment research requires clear specification of the behavioral/emotional problems and competencies targeted for intervention. Artifactual comorbidity can be avoided by specifying treatment targets at several levels, including competencies, specific problems, syndromes, profiles of syndrome scores, and global problem scores. To select subjects for treatment research and to evaluate outcomes, multisource data can be coordinated by using a cross-informant computer program, taxonomic decision tree, and averaging of multisource standard scores. This work was supported by NIMH grant MH40305 and W. T. Grant Foundation grant 92145892.     

The relationship of sexual attitudes,attitudes about women,and racial attitudes in white males

A questionnaire measuring sexual attitudes, attitudes about women, and racial attitudes was administered to 350 White male college students. Sexual attitudes characterized by sexual guilt, emphasis on personal and social control of sexual expression, and depersonalization of sex were significantly positively correlated (p<.001) with attitudes that typified women in terms of traditional masculine—feminine stereotypes and good (nonsexual)—bad (sexual) dichotomies. These stereotyped and dichotomous attitudes about women and constricted and depersonalized sexual attitudes were both significantly positively correlated (p<.001) with negative racial attitudes. The implications of these results and other research suggested by this investigation are discussed.This report is based on a dissertation submitted in partial fulfillment of the requirements for the Ph.D. degree at Michigan State University, 1973. The author would like to express appreciation to Dozier W. Thornton for continued guidance and assistance as dissertation advisor. In addition, the author gratefully acknowledges the assistance of Donald L. Grummon, Andrew M. Barclay, and Jeanne E. Gullahorn, all of whom served on the dissertation committee.     

Hardiness commitment,gender, and age differentiate university academic performance

Background The increasing diversity of students, particularly in age, attending university has seen a concomitant interest in factors predicting academic success. Aims This 2‐year correlational study examined whether age, gender (demographic variables), and hardiness (cognitive/emotional variable) differentiate and predict university final degree grade point average (GPA) and final‐year dissertation mark. Sample Data are reported from a total of 134 university undergraduate students. Method Participants provided baseline data in questionnaires administered during the first week of their second year of undergraduate study and gave consent for their academic progress to be tracked. Final degree GPA and dissertation mark were the academic performance criteria. Results Mature‐age students achieved higher final degree GPA compared to young undergraduates. Female students significantly outperformed their male counterparts in each measured academic assessment criteria. Female students also reported a significantly higher mean score on hardiness commitment compared to male students. Commitment was the most significant positive correlate of academic achievement. Final degree GPA and dissertation mark were significantly predicted by commitment, and commitment and gender, respectively. Conclusions The findings have implications for universities targeting academic support services to maximize student scholastic potential. Future research should incorporate hardiness, gender, and age with other variables known to predict academic success.     

Hispanic use of juramentos and Roman Catholic Priests as auxiliaries to abstaining from alcohol use/misuse

This self-administered mail survey study conducted along the US–Mexico border replicates and expands on research conducted in Florida regarding the prevalence of juramento use as an intervention technique for alcohol misuse. Juramentos are pledges to abstain from alcohol use for a time determined by the user. The pledge is usually to the Virgin of Guadalupe and is often done in the presence of a Roman Catholic Priest. As in Florida, the majority of Priests along the border reported they were familiar with the practice of juramentos and had already witnessed at least one. The majority of Priests who had done juramentos viewed them as effective. Since the vast majority of Priests indicated that they would begin or continue witnessing juramentos, this makes juramentos and Roman Catholic Priests a viable culturally sensitive aide for treatment among Hispanics, in particular those of Mexican descent.     

Creativity versus conscientiousness: which is a better predictor of student performance?

This paper examines the extent to which the incremental validity of creative thinking (over and above personality) in the prediction of academic performance may be a function of assessment methods. British university students (N = 307) completed the Alternate Uses Test and Big Five personality inventory at the beginning of the first academic year. Students' academic performance was assessed throughout a 4‐year period via written exams, continuous assessment (tutored seminars) and a supervised dissertation in the final year. Creative thinking was more related to final dissertation marks than to exam and continuous assessment performance (which were associated with Conscientiousness, rather than creative thinking). A follow‐up questionnaire on preferences for different assessment methods revealed that creative thinking was positively related to preference for viva voce (oral) exams, group projects and final dissertation, but negatively associated with preferences for multiple‐choice and essay‐type exams, as well as continuous assessment. Implications are discussed with regard to educational settings, in particular assessment methods. Copyright © 2005 John Wiley & Sons, Ltd.     

Constructs and developmental assessment centers: Further troubling empirical findings

Research indicates that assessment center (AC) ratings typically demonstrate poor construct validity; that is, they do not measure the intended dimensions of managerial performance (e.g., Sackett & Harris, 1988). The purpose of this study was to investigate the construct validity of dimension ratings from a developmental assessment center (N=102), using multitrait-multimethod analysis and factor analysis. The relationships between AC ratings, job performance ratings, and personality measures also were investigated. Results indicate that the AC ratings failed to demonstrate construct validity. The ratings did not show the expected relationships with the job performance and personality measures. Additionally, the factors underlying these ratings were found to be the AC exercises, rather than the managerial dimensions as expected. Potentially, this lack of construct validity of the dimension ratings is a serious problem for a developmental assessment center. There is little evidence that the managerial weaknesses identified by the AC are the dimensions that actually need to be improved on the job. Methods are discussed for improving the construct validity of AC ratings, for example, by decreasing the cognitive demands on the assessors.This study is based on a dissertation submitted to North Carolina State University. Portions of this paper were presented at the meeting of the Society for Industrial and Organizational Psychology in Montreal, Quebec, May, 1992. I am grateful to Paul Thayer, Bert Westbrook, James W. Cunningham, and Patrick Hauenstein for their contributions to this research. I also thank several anonymous reviewers for their comments on this article.     

Effects of response independent delivery of preferred items and the high‐probability instructional sequence on compliance

The use of the high‐probability (high‐p) instructional sequence to increase compliance, which includes issuing a series of instructions with which a participant is likely to comply immediately before issuing a low‐probability instruction, has received mixed support in the literature. Previous research has suggested that the delivery of response independent reinforcement may be as effective to increase compliance, at least for some types of instructions. In this study, we examined the effects of response independent reinforcement and the high‐p sequence on compliance with two types of instructions with two young children. Results show that neither procedure was effective for increasing compliance for either type of instruction; however, contingent access to a high preference item increased compliance. Results are discussed in terms of the conditions under which response independent delivery of high‐preference items and the high‐p instructional sequence might be effective to increase compliance.     

An Experimental Analysis of Reading Fluency

The experimental analysis of academic responding has emerged as one approach to strengthening decisions related to problem analysis and treatment design. This study provided an example of how both brief and extended assessments can be used within a data based, problem solving approach to addressing reading fluency concerns. For six children with reading difficulties, within-trial effects of various instructional strategies were used to identify and design interventions. Assessment-derived interventions were evaluated using weekly academic growth on general outcome measures. Results indicated that five of the six children responded favorably to intervention. Future research involving the contribution of experimental analysis to response to intervention models of service delivery is discussed.     

A qualitative review of perception of change for male perpetrators of domestic abuse following abuser schema therapy (AST)

Introduction: Domestic abuse is known to have detrimental effects on all members of the family, yet it is often difficult for victims to leave. It is therefore important to research available intervention programmes for perpetrators who want to change their behaviour. Intervention programmes for perpetrators are informed by different theoretical and philosophical approaches, such as pro‐feminism, psychopathology or biopsychosocial theories. However, there is little consensus to the most effective intervention and there is a paucity of qualitative research on the perspectives of the perpetrators who attend the available therapies. Aim: The aim of this research was to discover the perceptions of change of 18 male, heterosexual perpetrators with female partners who self referred to a community‐based therapy service providing abuser schema therapy (AST). Method: A qualitative methodology was adopted using semi‐structured interviews on completion of therapy, and at three, six, nine and 12 months follow‐up. A content analysis was conducted and data was coded and mapped against a priori variables. Findings: The findings indicated that the four highest rated variables were: (1) a reduction of anger, (2) an increase in communication and assertiveness skills, (3) an increase in ability to think prior to behaviour, and (4) responsibility for personal power. The findings are discussed in relation to the perceived changes for perpetrators. Conclusions: In conclusion, this study seeks to contribute to the development of future effective interventions to reduce aggression within the home.     

Group-based problem-solving therapy in self-poisoning females: A pilot study

Aims: The treatment of suicidal behaviour remains limited in efficacy. This pilot study assessed the effectiveness of a time-limited, group-based problem-solving therapy intervention compared with a treatment as usual control group, in females who self-poison. Method: A total of 18 clients were equally randomised to treatment or control groups. All clients were assessed using standardised questionnaires for depression, hopelessness, suicidal ideation and social problem-solving skills, at pre-treatment, post-treatment and two months follow-up. Results: The treatment group experienced significant reductions in levels of depression, hopelessness, suicidal ideation and improvements in self-assessed social problem-solving skills. Improvements in mental health and aspects of self-assessed problem-solving skills for the treatment group continued to be evident at two months follow-up. The control group did not change significantly over time on mental health measures or social problem solving abilities. Conclusion: Although limited by small sample size, the results suggest that group-based problem-solving therapy is effective in the management of deliberate self-poisoning. This paper is a unique contribution in that it examines the implementation of problem solving therapy with a homogenous population and in a group format. Methodological concerns and directions for future research are discussed.     

An Implementation Study of Relationship Checkups as Home Visitations for Low‐Income At‐Risk Couples

Couples with the greatest need for relationship health maintenance and intervention are often least able to afford and access it; therefore, accessible, affordable, effective, and brief interventions are needed to improve relationship health for those who need it most. Consequently, this paper examined whether a brief relationship intervention could be effectively implemented with a low‐income, underserved population. All enrolled participants (N = 1,312) received the Relationship Checkup, which consists of an assessment and a feedback session delivered in their homes or at a local clinic at their request. Measures assessed relationship satisfaction, communication, psychological and physical aggression, and intimacy at baseline and 1‐month follow‐up, and program and relationship satisfaction at 6‐month follow‐up. All participants reported significant improvements on all outcomes with small effect sizes. However, moderation analyses suggested that distressed couples reported significantly larger effects across the board. Overall, participants reported that they were highly satisfied with the intervention both immediately after its delivery and 6 months later. Findings provide preliminary support for the effectiveness of this brief checkup and point to the utility of offering these kinds of low‐cost brief interventions in flexible formats for those who might have the most difficulty accessing them.     

Internet-Delivered Targeted Group Intervention for Body Dissatisfaction and Disordered Eating in Adolescent Girls: A randomized controlled trial

This study evaluated a targeted intervention designed to alleviate body image and eating problems in adolescent girls that was delivered over the internet so as to increase access to the program. The program consisted of six, 90-minute weekly small group, synchronous on-line sessions and was facilitated by a therapist and manual. Participants were 73 girls (mean age=14.4 years, SD=1.48) who self-identified as having body image or eating problems and were randomly assigned to an intervention group (n=36) (assessed at baseline, post-intervention and at 2- and 6-months follow-up) or a delayed treatment control group (n=37) (assessed at baseline and 6–7 weeks later). Clinically significant improvements in body dissatisfaction, disordered eating, and depression were observed at post-intervention and maintained at follow-up. Internet delivery was enthusiastically endorsed. The program offers a promising approach to improve body image and eating problems that also addresses geographic access problems.     

自我损耗对工作场所安全的影响及缓解途径

员工安全行为是工作场所安全的重要保障,而自我控制资源损耗会对安全行为产生负面影响。研究拟借鉴自我控制资源有限模型,结合行为和生理指标,探讨工作要求和辱虐管理通过损耗个体自我控制资源对安全行为的影响,并从特质自我控制和自动化安全趋近倾向两个角度探索上述效应的缓解机制。此外,研究拟采用心率变异性作为自我损耗的生理测量。研究有助于从自我控制资源的角度理解员工不安全行为的影响因素、发生机制和缓解方法。     

A META‐ANALYTIC REVIEW OF RELATIONSHIP‐BASED INTERVENTIONS FOR LOW‐INCOME FAMILIES WITH INFANTS AND TODDLERS: FACILITATING SUPPORTIVE PARENT–CHILD INTERACTIONS

Relationship‐based intervention programs are increasingly being implemented as a way to enhance parent‐child interaction quality. In this meta‐analytic review, we examined the effectiveness of 19 recent relationship‐based interventions serving socioeconomically disadvantaged families with infants and toddlers (N = 6,807). This review specifically focused on intervention effectiveness in terms of improving supportive parenting behaviors, as measured by observational assessments of dyadic parent–child interactions. Meta‐analytic results indicated significant, yet modest, effectiveness across all interventions (d = .23). Intervention characteristics such as participant randomization, breadth of intervention services offered, duration, child age at the start of the intervention, professional qualifications of the intervenor, and type of play task used during assessment were tested as possible moderators of effectiveness. Significant differences in effectiveness were found between randomized and nonrandomized interventions. Within the subsample of randomized interventions, programs that were shorter in duration, that provided direct services to the parent–child dyad, used intervenors with professional qualifications, and assessed parent‐child interactions with free‐play tasks were the most effective, highlighting important considerations for designing effective intervention protocol tailored to the needs of this high‐risk population.