Expectancy priming of smoking cessation messages enhances the placebo effect of tailored interventions.

OBJECTIVE: Previous research (Webb, Simmons, & Brandon, 2005) suggested that smokers' reactions to self-help materials were more positive if they believed that the materials had been personally tailored to their individual characteristics and if they held expectancies that tailored interventions are superior to standard, or generic, interventions. The authors' objective in the current study was to replicate and extend this research by testing the efficacy expectancy priming before intervention delivery. DESIGN: In a 2 x 2 factorial experiment, 210 smokers (M = 23 cigarettes/day) recruited from the community (62% female; 92% Caucasian; mean age = 49) were randomly assigned to 1 of 4 conditions: placebo-tailored intervention/no priming, placebo-tailored intervention/priming, standard intervention/no priming, or standard intervention/priming. The tailoring-related expectancies of participants' in the priming conditions were primed before they were presented with the respective intervention booklets. MAIN OUTCOME MEASURES: Content evaluations, readiness to quit smoking, cessation self-efficacy, smoking-related knowledge, and progress toward quitting (behavior changes). Assessments occurred by mail at baseline and at 1-month postintervention. RESULTS: Similar to the earlier study, the placebo-tailored booklets produced superior evaluations and smoking-related cognitive and behavioral changes. Moreover, the pretreatment expectancy priming successfully altered participants' tailoring-related expectancies and also produced superior evaluations and outcomes. CONCLUSION: Findings support a causal role of tailoring-related expectancies on the efficacy of tailored interventions and suggest that interventions can be enhanced via expectancy priming.     

纸质与视频补充材料对手术知情同意体验的影响：以腹腔镜胆囊切除手术为例

知情同意书在医患沟通中起着间接传递信息的重要作用。以159名大学生为被试,通过操纵不同的知情同意方式,考察了纸质或视频补充信息对患者知情同意满意度、理解程度以及患者信息需求的满足程度影响。结果发现,接受纸质补充知情同意或视频补充知情同意的被试对知情同意过程的满意度、对手术信息的理解程度与知情同意信息需求的满足程度显著高于接受普通知情同意的被试。同时,纸质补充知情同意使得“治疗信息需求的满足程度”最高。这表明,纸质补充知情同意更能满足患者对治疗信息的需求。     

Academic Pathways between Attention Problems and Depressive Symptoms Among Urban African American Children

The present study investigated the pathways between attention problems and depressive symptoms, particularly the role of academic incompetence, among a community sample of urban African American children. Results supported the hypothesized path models from inattention to depressive symptoms for girls and boys. Academic performance in the spring of first grade mediated the relationship between inattention in fall of first grade and depressive symptoms in spring of 3rd grade. The effects held when controlling for conduct problems and academic competence in first grade suggesting the path was specific to attention problems rather than a more general externalizing or school readiness pathway. Implications for designing interventions and prevention strategies for children with attention problems and depressive symptoms are discussed.     

The Color of Children��s Gender Stereotypes

To examine the impact of gender and gender-related color stereotypes, 98 Israeli preschoolers and 3rd graders chose between booklets mismatched in the stereotypicality of color (pink vs. blue) versus illustration (Batman vs. Bratz) and subsequently colored gender-stereotyped versus gender-neutral illustrations with male and female-stereotyped color crayons. Color was ignored in booklet choice. More colors were used for figures stereotypically associated with one??s own gender. Boys?? use of female-stereotyped colors did not vary across figures and differed significantly from chance. Boys avoided coloring the female-stereotyped figure and using pink. Girls used fewer female-stereotyped colors for the male-stereotyped figure but used both types of color equally for the other figures. The results were discussed in terms of children??s socialization into gender roles     

A stage-matched intervention for exercise behavior change based on the transtheoretical model

The effectiveness of a stage-matched intervention for enhancing exercise behavior was investigated with related Transtheoretical Model constructs among young Korean adults. 265 university students (147 men, 118 women; M age=24.1 yr., SD=3.5) enrolled in Seoul National University of Technology voluntarily participated in an 8-wk. intervention study. In order to measure exercise behavior and its related psychological constructs, the Stages of Readiness for Exercise Behavior Scale, Decision Balance Scale for Exercise, Exercise Self-efficacy Scale, Processes of Change Scale, and Leisure Time Exercise Questionnaire were used. Results indicated that the participants' exercise readiness was significantly changed in a positive way after the 8-wk. intervention. There was a significant main effect of testing time and an interaction between testing time and exercise readiness stage at baseline. There were significant interactions between testing times and groups for all Transtheoretical Model measures, implying that the stage-matched intervention can be an effective tool for increasing exercise readiness and related psychological variables. The present study provides a starting point for stage-matched interventions aimed at increasing exercise levels, and a baseline level from which to evaluate interventions.     

Intelligence and school readiness in preschool children with prenatal drug exposure.

This prospective, longitudinal study examined factors affecting intelligence and school readiness in children 4-5 years of age with prenatal cocaine/opiate exposure. Intelligence and school readiness scores were not significantly different for the drug-exposed group (N = 104) than for unexposed, demographically matched controls (N = 35), although both groups scored slightly below average. Caregivers of drug-exposed children scored significantly lower in intelligence and reading achievement than caregivers of controls; both were below average. Caregiver reading scores accounted for the largest variance in both child intelligence and school readiness; for school readiness, birth weight also contributed but was less important in the model. Neither prenatal drug exposure nor continuing caregiver drug use was significant in the regression analyses. The relationship between child scores and caregiver reading achievement is consistent with studies showing the importance of a stimulating, supportive home environment, and suggests interventions to foster caregiver literacy skills and facilitate caregiver-child cognitive interactions such as reading to the child.     

Loss of Information in Estimating Item Parameters in Incomplete Designs

In this paper, the efficiency of conditional maximum likelihood (CML) and marginal maximum likelihood (MML) estimation of the item parameters of the Rasch model in incomplete designs is investigated. The use of the concept of F-information (Eggen, 2000) is generalized to incomplete testing designs. The scaled determinant of the F-information matrix is used as a scalar measure of information contained in a set of item parameters. In this paper, the relation between the normalization of the Rasch model and this determinant is clarified. It is shown that comparing estimation methods with the defined information efficiency is independent of the chosen normalization. The generalization of the method to other models than the Rasch model is discussed. In examples, information comparisons are conducted. It is found that for both CML and MML some information is lost in all incomplete designs compared to complete designs. A general result is that with increasing test booklet length the efficiency of an incomplete design, compared to a complete design, is increasing, as is the efficiency of CML compared to MML. The main difference between CML and MML is seen in the effect of the length of the test booklet. It will be demonstrated that with very small booklets, there is a substantial loss in information (about 35%) with CML estimation, while this loss is only about 10% in MML estimation. However, with increasing test length, the differences between CML and MML quickly disappear.     

Community Readiness for Change and Youth Violence Prevention: a Tale of Two Cities

This case study identifies a situation in which there exists a set of preconditions for the successful application of evidence based practice to bear on the community based problem of youth violence. The concept of readiness to change and its impact on the success or failure of interventions designed to change harmful or dangerous behavior among individuals is well established and understood in intervention research. In recent years this concept has been discussed and developed in the community intervention and harm reduction literatures. The current study is one of a community where an attempt was made to identify community levels of harm, develop a strategic plan to reduce the source of harm, and develop, implement, and evaluate youth violence prevention interventions. Over more than 5 years of involvement by university based researchers and community partners, the effort was largely unsuccessful. The events of this project are discussed within the context of the Community Readiness Model Edwards et al. (J Community Psychol 28(3): 291-307, 2000) and we present a narrative that helps to highlight the reasons for the relative lack of success of the effort. We suggest additional strategies and actions that might have helped to overcome the lack of readiness of this particular community to reduce the harms associated with youth violence. Suggestions that may improve chances for a more successful set of outcomes for other communities in similar states of readiness to change and with similar challenges are given.     

Matching therapeutic interventions to drug and alcohol abusers’ stage of motivation: The clients’ perspective

The present study aims to explore the issue of matching the appropriate therapeutic intervention according to the stage of readiness for change in addictive clients, following the model proposed by Prochaska and DiClemente in the 1980s. The study focuses solely on the perspectives of people with drug and alcohol problems, in contrast to previous ones which have been concerned with the researchers’ understandings and postulations of the issue under exploration. One of the most important findings of this study is that participants in the “early” stages of their readiness to change their addictive behaviour, irrespective of their gender or whether they had seen a therapist significantly prefer non-action-oriented therapeutic interventions than action-oriented interventions. Similarly, participants in the “later” stages, showed a significant preference to action-oriented than non-action interventions, irrespective of their gender or previous experience of counselling. It is suggested then that careful assessment of the stage of motivation and individual-tailored intervention should be an essential element of any treatment program for drug and alcohol addicted clients.     

Development of an Evidence-Based Information Booklet to Support Parents of Children Without a Diagnosis

The aim of this study was to develop an evidence-based psychosocial information booklet for parents of children without a specific diagnosis, many of whom are seen through the genetic clinic. A mixed methods approach was adopted involving four phases. The first two phases involving a systematic review and in-depth interviews are summarised briefly but reported in detail elsewhere. Phase 3 comprised: (1) a grey literature search to identify relevant literature and resources from other patient organizations; (2) drafting the booklet using themes identified through the previous phases; (3) piloting the booklet with eight professional and support group stakeholders and (4) piloting the booklet with 14 parents (from Phase 2) to ensure the information reflected their experiences. In Phase 4, we assessed satisfaction with the booklet through a questionnaire completed by 38 parents. The booklet was well accepted. The importance of providing the booklet at the beginning of the parental ‘journey’ was identified. We have developed an evidence-based information booklet to support parents via a rigorous mixed methods approach. This booklet meets a largely unmet psychosocial need and could be used in practice to support parents of children without a diagnosis.     

Does tailoring matter? Meta-analytic review of tailored print health behavior change interventions

Although there is a large and growing literature on tailored print health behavior change interventions, it is currently not known if or to what extent tailoring works. The current study provides a meta-analytic review of this literature, with a primary focus on the effects of tailoring. A comprehensive search strategy yielded 57 studies that met inclusion criteria. Those studies-which contained a cumulative N = 58,454-were subsequently meta-analyzed. The sample size-weighted mean effect size of the effects of tailoring on health behavior change was found to be r = .074. Variables that were found to significantly moderate the effect included (a) type of comparison condition, (b) health behavior, (c) type of participant population (both type of recruitment and country of sample), (d) type of print material, (e) number of intervention contacts, (f) length of follow-up, (g) number and type of theoretical concepts tailored on, and (h) whether demographics and/or behavior were tailored on. Implications of these results are discussed and future directions for research on tailored health messages and interventions are offered.     

Sexual and Aggressive Fantasies in Violent and Non-Violent Prison Inmates

It was hypothesized that violent inmates who refrain from disciplinary violations while in prison would express more fantasy aggression compared to violent inmates with discipline problems and to well disciplined, non-violent inmates. It was also hypothesized that sexual fantasies would be positively correlated with aggressive fantasies in the whole group. 65 inmates at a state prison, classified on the basis of criminal history and prison discipline, took a fantasy Questionnaire (FQ) and an Experimental TAT booklet (ETAT. The results did not support the first hypothesis, though the differences were in the predicted direction. The second hypothesis was fully supported.     

Improving executive functions in 5‐ and 6‐year‐olds: Evaluation of a small group intervention in prekindergarten and kindergarten children

Research suggests a central role of executive functions for children's cognitive and social development during preschool years, especially in promoting school readiness. Interventions aiming to improve executive functions are therefore being called for. The present study examined the effect of a small group intervention implemented in kindergarten settings focusing on basic components of executive functions, i.e., working memory, interference control and cognitive flexibility. A total of 135 children enrolled in Swiss prekindergarten (5‐year‐olds) and kindergarten (6‐year‐olds) were involved. Results revealed that the small group intervention promoted gains in all three included components of executive functions: prekindergarten children substantially improved their working memory and cognitive flexibility processes, whereas significant training effects were found for the kindergarten children in interference control. Implications of these findings for early intervention programs and for tailoring preschool curricula are discussed, particularly with respect to children's school readiness. Copyright © 2011 John Wiley & Sons, Ltd.     

Towards a Marine Mindset: Visiting an Aquarium Can Improve Attitudes and Intentions Regarding Marine Sustainability

ABSTRACT

The oceans are crucial for human survival, yet they are under serious threat from humans, for example through overfishing and poor waste management. We investigated two questions. First, does a leisure visit to an aquarium improve visitor attitudes and intentions towards marine sustainability, specifically regarding overfishing and pollution? Second, does an information booklet handed out in addition to the visit have additional measurable impact? Aquarium visitors (n = 104) completed a questionnaire on marine sustainability attitudes and behavioral intentions before and after their visit. Half of the visitors also were given informational materials that offered behavioral solutions to the problem of overfishing. The aquarium visit significantly improved visitors’ overall attitudes and intentions. The information booklet additionally improved intentions significantly, but not attitudes. These findings show that a visit to an aquarium can help individuals develop what we term a marine mindset, a state of readiness to address marine sustainability issues. Implications, limitations, and ideas for further research are discussed.     

Ready or not? Stages of change as predictors of brief group therapy outcome in bulimia nervosa

Although group therapy is often recommended for the treatment of bulimia nervosa, relatively little is known about predictors of short-term outcome. This pilot study examined whether a standardized measure of readiness for change might be related to changes in binge frequency. Sixteen bulimic patients participated in short-term cognitive behavioral group therapy for twelve weeks. Each patient completed the Change Assessment Scale prior to treatment, along with a battery of symptom measures which were readministered at the conclusion of therapy. Bulimic patients with positive outcome in binge frequency were at a higher stage of readiness for change at pretreatment than were patients with negative outcome. Results indicated that there may be methods of determining who would be most likely to benefit from cognitive behavioral group therapy, and tentatively suggest that interventions may be more successful when readiness for change is taken into consideration.     

Effects of intergroup similarity on intergroup relations

We examined the impact of intergroup similarity on two aspects of intergroup relations. Drawing on social identity and belief congruence theory, we hypothesized that — at high levels of intergroup similarity — increasing similarity has dual, seemingly opposed effects: It increases ingroup favouritism in evaluations but also increases readiness for social contact with the outgroup. We further hypothesized that both effects are moderated by the strength of individuals' identification with their ingroup. Finally, we hypothesized that there is ingroup favouritism on dimensions relevant for defining the group, but outgroup favouritism on dimensions irrelevant for this purpose. One hundred and forty-nine students from two prestigious high schools, who were assigned to one of three levels of manipulated similarity between their schools, evaluated both schools on dimensions relevant and irrelevant to the school context and expressed their readiness for social contact with the other school. Ingroup favouritism appeared on relevant dimensions and outgroup favouritism on irrelevant dimensions. As predicted, for those highly identified with their ingroup, intergroup similarity led to greater ingroup favouritism in evaluations on relevant dimensions but to increased readiness for outgroup social contact. Implications for interpreting inconsistent results of past research and for specifying conditions for intergroup bias are discussed.     

Examining the Association Between the Imagination Library Early Childhood Literacy Program and Kindergarten Readiness

This study evaluated participation in the Imagination Library early childhood literacy enrichment program and children's pre-literacy and pre-numeracy skills at kindergarten entry in an urban school district. Previous studies have demonstrated that program participation is associated with greater early childhood reading practices. Results presented in this article suggest that program participation is also positively and significantly associated with higher early language and math scores, even after controlling for other key factors associated with kindergarten readiness. These results offer support for policy interventions designed to advance kindergarten readiness by increasing access to early literacy materials for families with young children.     

Alcohol Counseling in Hospital Trauma: Examining Two Brief Interventions

Hospital trauma centers intervene with patients who incur alcohol‐related injuries. This prospective study, using professional counselors and trainees, investigated brief counseling interventions (BCIs). Participants were randomized to either a conventional BCI examining quantity and frequency of drinks or a personalized BCI exploring overintoxication. No statistically significant difference between risky drinkers randomized to either intervention in a hospital trauma center was observed. Findings indicate that a personalized BCI may be an alternative to a quantitative BCI in reducing risky alcohol consumption.     

Collateral benefits of the Family Check-Up on early childhood school readiness: indirect effects of parents' positive behavior support

The authors examined the longitudinal effects of the Family Check-Up (FCU) on parents' positive behavior support and children's school readiness competencies in early childhood. It was hypothesized that the FCU would promote language skills and inhibitory control in children at risk for behavior problems as an indirect outcome associated with targeted improvements in parents' positive behavior support. High-risk families in the Women, Infants, and Children Nutrition Program participated in a multisite preventive intervention study (N = 731) with 3 yearly assessments beginning at child age 2 years. Positive behavior support was measured using 4 indicators derived from at-home observations of parent-child interaction during semistructured tasks. Longitudinal structural equation models revealed that parents in families randomly assigned to the FCU showed improvements in positive behavior support from child age 2 to 3, which in turn promoted children's inhibitory control and language development from age 3 to 4, accounting for child gender, ethnicity, and parental education. Findings suggest that a brief, ecological preventive intervention supporting positive parenting practices can indirectly foster key facets of school readiness in children at risk.     

Self-Efficacy,Decision-Making,and Stages of Change: An Integrative Model of Physical Exercise1

Exercise has important health benefits but a large proportion of the population is physically inactive. We examined the stages of readiness to exercise and their relationship to self-efficacy, the costs and benefits of exercising, and self-report of physical activity in a sample of Rhode Island worksites. Using a three-step model-building approach, exploratory principal components analyses were followed by an examination of the stages of change model with confirmatory structural equation modeling procedures. The model was then examined with longitudinal data. Confirmatory and longitudinal analyses showed an excellent tit between the model and the data. Results indicated that the costs and benefits of exercise and self-efficacy for exercise were related to physical activity only indirectly, through the mediation of stage of readiness to exercise. Structural modeling fit indices revealed that much of the variation and covariation in physical activity was explained by the model. There is the potential to enhance the impact of exercise interventions, by targeting them so as to address factors related to these different stages of readiness.