CAMP: A community‐based approach to promoting safe sex behaviour in adolescence

The primary goal of this study was to describe the development and assessment of the Community Awareness Motivation Partnership (CAMP) Teen Theatre intervention. Based on the behavioural ecological model, CAMP addressed the role of contraceptive use in safe sex behaviour through a brief informative, entertaining, and culturally responsive dramatization programme. Adolescents (N = 1613) between the ages of 11 and 18 (M = 13.31, SD = 0.76) received the intervention, and 961 participants completed both pre‐ and post‐tests. The majority of participants were Latino (78.5%, n = 1039), many of whom were first generation immigrants. Results indicated that the intervention increased participants' reported intentions to delay sex and use contraceptives. The intervention produced short‐term changes in safe‐sex behavioural intentions and knowledge. Suggestions for producing long‐term changes were discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

Identifying and changing the normative beliefs about aggression which lead young Muslim adults to join extremist anti‐Semitic groups in Pakistan

Two studies investigated the role of beliefs about the acceptability of aggression (“normative beliefs”) against Jews in determining who would join an extremist group. In Study 1, students in a university in Pakistan (N=144) completed self‐report attitude measures, and were subsequently approached by a confederate who asked whether they wanted to join an extremist anti‐Semitic organization. Normative beliefs about aggression against Jews were very strong predictors of whether participants agreed to join. In Study 2, participants (N=92) were experimentally assigned to either a brief educational intervention, designed to improve inter‐group relations, or to a control group. They also filled in self‐report attitude measures pre and post intervention. Participants in the intervention group were much less likely to agree to join the extremist group, and this effect of the intervention on joining was mediated by changes in normative beliefs about aggression against Jews. The results have implications for theories of inter‐group aggression and interventions to prevent people from being recruited into extremist groups. Aggr. Behav. 35:514–519, 2009. © 2009 Wiley‐Liss, Inc.     

Working adults’ well‐being: An online self‐help goal‐based intervention

An online self‐help goal‐setting and planning (GAP) intervention to improve working adults’ well‐being was tested using a longitudinal, randomized crossover design. The study sought to (1) test the effectiveness of the intervention relative to wait‐list controls; and (2) test the stability of effects over a 3‐month follow‐up period. Participants were recruited from the UK Civil Service and were randomized to either a GAP intervention or a wait‐list control condition. Wait‐list participants then crossed‐over to receive GAP. Relative to wait‐list controls (N = 149), GAP participants (N = 158) reported significantly higher levels of positive affect (PA) and flourishing, but similar levels of negative affect (NA) and life satisfaction immediately after the intervention. Longitudinal data were analysed for the whole sample (N = 307). Compared to the start of the intervention, participants reported an increase in PA and flourishing directly after the intervention and 3 months later. NA and life satisfaction showed no change by the end of the intervention, but had improved by 3‐month follow‐up. Completing more modules predicted post‐intervention improvements in well‐being, accounting for pre‐intervention well‐being levels. The online self‐help format allowed the intervention to be offered with minimal therapeutic support, enabling convenient access by a large group of employees. The study provides an example of a successful adaptation of a clinically proven well‐being intervention to make it accessible to working adults.

Practitioner points

• Well‐being interventions proven in clinical settings can be effectively adapted for use in workplace settings with only minor alterations.
• Brief, online self‐help interventions can improve working adults’ well‐being.
• Goal‐based interventions can improve working adults’ well‐being when focused towards goals that are aligned with personal values and have been chosen by the individual.

     

Application of a self‐management intervention to improve data recording of educational care providers

The present study evaluated the effects of a self‐management intervention on scheduled data recording by classroom instructors at a school for children with intellectual disability and neurodevelopmental disorders. In a multiple baseline design across two classrooms, the instructors recorded student data according to an established protocol at the school and based on earlier training they had received. During intervention, the instructors self‐monitored implementation of data recording procedures that were prompted by a signal from an automated count‐down timer. The self‐management intervention increased scheduled data recording by participants in both classrooms to 90–100%, and these results were maintained at 1‐ and 2‐month follow‐up assessments. These findings add to the small literature concerning self‐managed approaches to training and performance improvement, extend application within educational settings, and suggest practical advantages for supporting competencies of care providers.     

Effects of text messaged self-monitoring on class attendance and punctuality of at-risk college student athletes

This study examined the effects of text messaging class arrival to an academic counselor on the attendance and punctuality of 4 college student athletes. Each participant had a history of class tardiness and was considered to be at risk for academic failure. Class attendance and punctuality improved for all participants.     

The effectiveness of the peak relational training system and corresponding changes on the VB‐MAPP for young adults with autism

The current investigation sought to extend prior research evaluating the use of the PEAK Relational Training System as a comprehensive treatment model in improving language skills demonstrated by individuals with autism. Baseline PEAK‐Direct Training and Verbal Behavior Milestone Assessment and Placement Program (VB‐MAPP) assessments were conducted across 3 adult male participants, and scores on the PEAK‐Direct Training assessment were used to select targets for intervention. Language instruction guided by the PEAK‐Direct Training module was implemented for 45 to 69 days across participants. Results suggest that participants mastered target skills throughout the training phase, and VB‐MAPP test probes showed an increasing trend. Follow‐up probes suggested that scores on the VB‐MAPP maintained when training was discontinued. In addition, participants demonstrated an increase in assessment scores on the PEAK‐Direct Training assessment in the follow‐up phase, including the mastery of untargeted verbal skills.     

Computer‐Based Intervention with Coaching: An Example Using the Incredible Years Program

Increases in personal computer ownership and Internet use patterns provide a potential avenue for dissemination of evidence‐based prevention and treatment interventions. The authors describe the implementation of a psychoeducational intervention (the Incredible Years parenting program, which is designed to promote behavioral change in parents and children) using a hybrid model combining computer‐ and web‐based delivery with professional intervention via phone calls, electronic messages, and home visits. The model attempted to simulate many of the parent training methods shown to be successful in the original program. The intervention was implemented with 90 Head Start families who reported elevated levels of child behavior problems. Of the 45 families offered the intervention in the final year of the project, 37 (82%) completed at least half the program and 34 (76%) completed the entire intervention using procedures refined in light of the initial year's experience. These participants reported high achievement of their self‐determined goals and were highly satisfied with the intervention. The combination of technology with professional coaching represents a potential model for adapting and disseminating evidence‐based interventions.     

Prosody instruction intervention as a means to improved reading comprehension

The relationship between prosody and comprehension, previously demonstrated in K–12 students, was examined in university students enrolled in first‐year writing classes. Students completed the Gray Oral Reading Test‐5 both before and after an expressive reading intervention (ER) or no oral reading instruction (NI). Throughout the semester, the ER students marked an excerpt of text for prosodic signals and read it aloud with a partner. Training and practice in expressive reading led to a significant improvement in the normed Oral Reading Index score. Specifically, ER participants demonstrated improved accuracy, fluency, and reading comprehension in comparison with NI participants. The significant relationship between accuracy and comprehension in the ER condition suggests that expressive reading instruction strengthened student ability to read words accurately and, in turn, comprehend the material better than students in the NI condition. Expressive reading practices are recommended to engage students more deeply with the text.     

Telehealth mask wearing training for children with autism during the COVID‐19 pandemic

SARS‐CoV‐2 is the virus causing COVID‐19 and is spread through close person‐to‐person contact. The use of face masks has been described as an important strategy to slow its transmission. We evaluated the effects of coaching caregivers via telehealth technologies to teach face mask wearing to children with autism spectrum disorder. Six participants with a history of challenging behavior associated with mask wearing were recruited from different parts of the world, and trained using graduated exposure, shaping, and contingent reinforcement. By the end of the intervention, all participants wore a face mask for a period of 10 min without exhibiting challenging behavior. The skills generalized to a novel mask or a community setting. Mask wearing did not affect the percentage of oxyhemoglobin saturation of participants, and caregivers found the intervention useful. The findings support previous tolerance training treatment evaluations in children with developmental disorders exhibiting resistance to healthcare routines.     

Empowering public service workers to face bystander conflict: Enhancing resources through a training intervention

Public service employees work in occupations that are accompanied with high psychosocial risks. Police, firefighters, and paramedics are increasingly being confronted with argumentative, conflicting bystanders that frustrate them in executing their task. We developed a resource‐enhancement intervention and tested its usefulness for securing employees’ effective functioning and well‐being in bystander conflict. In a simulation‐based pre‐test post‐test control group design, paramedics in the intervention condition received training about how to increase their resources in terms of conflict management efficacy, perspective taking, task support, and emotional support. For those in the control condition, no such training was provided. Comparing pre‐ and post‐test measures (n = 81) of the participants in the intervention and control groups, we found evidence that the intervention successfully increased employees’ resources over time. Moreover, we found considerable support for a positive link between these resources and employees’ affective well‐being and job dedication. Thus, our study suggests that a resource‐enhancing intervention can serve as an important means to protect public service employees against the deleterious effects of bystander conflict.

Practitioner points

• A resource‐enhancing intervention can protect public service employees against the deleterious effects of bystander conflict.
• Resources related to dealing with a hindering bystander, as well as resources facilitating the continuation of the primary task, are positively associated with employees’ affective well‐being, job dedication, and job performance.

     

“A definite feel‐it moment”: Embodiment,externalisation and emotion during chair‐work in compassion‐focused therapy

Chair‐work is an experiential method used within compassion‐focused therapy (CFT) to apply compassion to various aspects of the self. This is the first study of CFT chair‐work and is focused on clients' lived experiences of a chair‐work intervention for self‐criticism. Twelve participants with depression were interviewed following the chair‐work intervention and the resulting data were examined using interpretative phenomenological analysis. Three superordinate themes were identified: “embodiment and enactment,” “externalising the self in physical form” and “emotional intensity.” The findings suggest the importance of accessing and expressing various emotions connected with self‐criticism, whilst highlighting the potential for client distress and avoidance during the intervention. The role of embodying, enacting and physically situating aspects of the self in different chairs is also suggested to be an important mechanism of change in CFT chair‐work. The findings are discussed in terms of clinical implications, emphasising how core CFT concepts and practices are facilitated by the chair‐work process.     

Exposure to nature counteracts aggression after depletion

Acts of self‐control are more likely to fail after previous exertion of self‐control, known as the ego depletion effect. Research has shown that depleted participants behave more aggressively than non‐depleted participants, especially after being provoked. Although exposure to nature (e.g., a walk in the park) has been predicted to replenish resources common to executive functioning and self‐control, the extent to which exposure to nature may counteract the depletion effect on aggression has yet to be determined. The present study investigated the effects of exposure to nature on aggression following depletion. Aggression was measured by the intensity of noise blasts participants delivered to an ostensible opponent in a competition reaction‐time task. As predicted, an interaction occurred between depletion and environmental manipulations for provoked aggression. Specifically, depleted participants behaved more aggressively in response to provocation than non‐depleted participants in the urban condition. However, provoked aggression did not differ between depleted and non‐depleted participants in the natural condition. Moreover, within the depletion condition, participants in the natural condition had lower levels of provoked aggression than participants in the urban condition. This study suggests that a brief period of nature exposure may restore self‐control and help depleted people regain control over aggressive urges.

     

Manipulating parameters of reinforcement to reduce problem behavior without extinction

Differential reinforcement of alternative behavior (DRA) most often includes extinction as a treatment component. However, extinction is not always feasible and it can be counter‐therapeutic if implemented without optimal treatment integrity. Researchers have successfully implemented DRA without extinction by manipulating various parameters of reinforcement such that alternative behavior is favored. We extended previous research by assessing three participants' sensitivities to quality, magnitude, and immediacy using arbitrary responses and reinforcers that maintain problem behavior. The results were used to implement an intervention for problem behavior using DRA without extinction. Our findings indicate that arbitrary responses can be used to identify individual and relative sensitivity to parameters of reinforcement for reinforcers that maintain problem behavior. Treatment was effective for all participants when we manipulated parameters of reinforcement to which they were most sensitive, and, for two participants, the treatment was less effective when we manipulated parameters to which they were least sensitive.     

Training intraverbal naming to establish equivalence class performances

The purpose of this three‐experiment study was to evaluate whether performance consistent with the formation of equivalence classes could be established after training adults to tact and intraverbally relate the names of visual stimuli. Fourteen participants were exposed to tact training, listener testing, and intraverbal training (A'B’ and B'C’) prior to matching‐to‐sample (MTS) and intraverbal posttests presented in different sequences across experiments. All participants demonstrated emergent MTS and intraverbal relations consistent with equivalence class formation. More importantly, all participants emitted experimentally defined or self‐generated tacts or intraverbally named the correct sample‐comparison pairs at some point during posttests. These results are consistent with the intraverbal naming account (Horne & Lowe, 1996) in that participants who passed novel relations MTS tests also demonstrated emergence of corresponding intraverbal relations. However, verbal reports and latency data suggest that participants did not necessarily have to use intraverbal naming as a problem solving strategy continuously throughout MTS posttests. These results extended previous research by showing that verbal behavior training of baseline relations (A'B’ and B'C’) is sufficient to establish novel conditional relations consistent with equivalence class formation.     

Using stimulus control procedures to teach indoor rock climbing to children with autism

The present study evaluated an intervention package for teaching route following to two children with autism at an indoor rock‐climbing gym. The intervention consisted of multiple within‐stimulus fading procedures in combination with errorless learning procedures, positive reinforcement, an error correction procedure, and conditional discrimination training technologies. The results demonstrated that both participants learned to climb at least 10 ft/3 m on specified routes. Furthermore, both participants learned to climb an entire 22‐ft/6.7‐m wall for at least one of three different routes without any errors in a regular rock‐climbing gym setting. The acquisition of this skill provides children with autism with an additional option for leisure participation with others. Copyright © 2010 John Wiley & Sons, Ltd.     

Loving‐Kindness Meditation and Empathy: A Wellness Group Intervention for Counseling Students

The effect of a 6‐week loving‐kindness meditation (LKM) on the multidimensional empathy of 103 master's‐level counseling students was evaluated, in addition to the correlation between reported levels of time spent meditating and empathy. Statistical analyses indicated that participants who received the LKM intervention experienced gains in dimensions of empathy. A significant relationship between quantity of meditation and perspective taking was noted. Implications and suggestions for future research are explored.     

Cognitive complexity of social images revealed by Jewish Israeli adolescents relating to drawings of Jews and Arabs

The present study examined age‐related differences among Israeli youth regarding the complexity of their mental images of Jews and Arabs, two groups that are adversaries in the Middle East conflict. The participants, 494 Jewish children and adolescents ranging from 8–16 years old each, drew two human figures, one Jewish and one Arab, and then attributed a forename and a profession to each drawn image. Four complexity variables were scored as follows: image complexity (number of items included in the figure), embellishments (number of items added to the drawing and in the space around the figure), image name, and image profession. Overall, participants depicted members of their in‐group as more complex. However, early adolescence was found to be a critical age at which differences emerged. The findings suggest that introducing complexity to social representations in early adolescence may facilitate prevention of negative associations related to outgroups and enhance intervention to reduce stereotypes, prejudice, and racism.     

Prejudice‐reduction in Culturally Mixed Classrooms: The Development and Assessment of a Theory‐driven Intervention Among Majority and Minority Youth in Finland

The aim of this field experiment was to develop and assess an intervention promoting positive intergroup relations in culturally diverse schools. The intervention was based on extended contact and social learning and utilized behavioural journalism as its method. Intervention effects were assessed on out‐group attitudes, perceived importance of future contact, perceived peer norms and intergroup anxiety among ethnic majority (N = 583) and minority (N = 214) youth in grades 7–9 in Finnish secondary schools (total N_experimental = 388; total N_control = 409). As a result of the intervention, both groups showed a tendency to perceive future intergroup contact as more important, and this effect was most notable for younger participants and girls. Prototypicality of in‐group and out‐group peer models contributed positively to intervention effects. However, unexpectedly, the intervention also increased experiences of intergroup anxiety among the oldest participants. The results are discussed taking into account the developmental stage of the youth studied. Besides critically assessing the effectiveness of the intervention, recommendations for improving theory‐driven prejudice‐reduction and for the development of future interventions in culturally diverse contexts are given. Copyright © 2013 John Wiley & Sons, Ltd.     

An Application of the Complier Average Causal Effect Analysis to Examine the Effects of a Family Intervention in Reducing Illicit Drug Use among High‐Risk Hispanic Adolescents

The Complier Average Causal Effect (CACE) method has been increasingly used in prevention research to provide more accurate causal intervention effect estimates in the presence of noncompliance. The purpose of this study was to provide an applied demonstration of the CACE analytic approach to evaluate the relative effects of a family‐based prevention intervention, Familias Unidas, in preventing/reducing illicit drug use for those participants who received the intended dosage. This study is a secondary data analysis of a randomized controlled trial designed to evaluate the relative efficacy of Familias Unidas with high‐risk Hispanic youth. A total of 242 high‐risk Hispanic youth aged 12–17 years and their primary caregivers were randomized to either Familias Unidas or Community Practice and assessed at baseline, 6 months and 12 months postbaseline. CACE models were estimated with a finite growth mixture model. Predictors of engagement were included in the CACE model. Findings indicate that, relative to the intent‐to‐treat (ITT) analytic approach, the CACE analytic approach yielded stronger intervention effects among both initially engaged and overall engaged participants. The CACE analytic approach may be particularly helpful for studies involving parent/family‐centered interventions given that participants may not receive the intended dosage. Future studies should consider implementing the CACE analysis in addition to ITT analysis when examining the effects of family‐based prevention programs to determine whether, and the extent to which, the CACE analysis has more power to uncover intervention effects.