Effects of pay resets following drug use on attendance and hours worked in a therapeutic workplace

This secondary data analysis examined effects of an abstinence contingency on participation in a therapeutic workplace. Participants exposed to a pay reset after drug use did not differ in overall attendance from participants who were not exposed to a pay reset after drug use; however, they initially worked less after a pay reset than participants who did not receive a pay reset, and their attendance increased as their pay increased. Overall participation was not influenced by the abstinence contingency, but transient decreases in attendance occurred.     

Input organization as a mediating factor in memory: A comparison of educable mentally retarded and nonretarded individuals

The effect of presentation context on the organization and recall of strongly related and weakly related words was examined in EMR adolescents and nonretarded fifth-grade children of the same mental age (131 months). In blocked presentation formats, subjects sorted words into experimenter-defined groups of four, in which the order of the groupings either changed from trial to trial (i.e., blocked-random), or was consistent across trials (i.e., blocked-consistent). In sort-prompt conditions, subjects were free to structure their own relationships among items during presentation, following instructions to form meaning-based groups (i.e., minimum-sort-prompt), or given explicit training in sorting categorization and sorting stability (i.e., maximum-sort-prompt). Both subject groups found the minimum-sort-prompt method to be as effective as the maximum-sort-prompt method for improving measures of recall and clustering relative to the blocked-random method. Nevertheless, nonretarded children showed higher levels of organization for strongly related items, and better recall and organization for weakly related items. Subsequent analyses suggested that the lower memory performance of the EMR individuals receiving weakly related items was the result of both inconsistent and poorly structured sorting schemes across trials.     

Community-based multiple-gate screening of children at risk for conduct disorder

The present study employed a multiple-gate screening procedure to identify children at risk for the development of conduct disorder. Measures of cross-setting disruptive behavior and parent discipline practices were administered in sequential fashion to screen a population of 7,231 children attending suburban elementary schools. Convergent validity of the respective gating measures was confirmed by significant correlations with adjustment constructs. Analyses of covariance performed between positive screens, negative screens, and low-risk comparison children on adjustment constructs at each gate supported the discriminative validity of the gating procedure. Hierarchical regression analyses demonstrated that the gating measures were predictive of diagnostic ratings of attention deficit hyperactivity disorder and oppositional defiant disorder that were obtained 18 months following the screening. A stepwise logistic regression analysis indicated that the best predictors of high-risk group membership were variables related to family process, including poor family communication and involvement, poor maternal coping skills, and an external parent locus of control.This study was supported by grant MH-46584 from the National Institute of Mental Health.     

Understanding Parent Participation in a Going-to-Scale Implementation Trial of the Early Risers Conduct Problems Prevention Program

We examined parent participation in the context of a going-to-scale implementation trial of the evidence-based, multi-component Early Risers conduct problems prevention program. In this study we examine the participation of parents in two parent/family-focused components of Early Risers that were delivered over 2 years across 21 rural school sites with 155 primarily Caucasian families. One component is a standardized “Parent Skills” curriculum delivered at participating schools and the second component delivers “Family Support” via tailored case management services through school and non-school site contacts. The study examines predictors of parent participation for each parent-focused component using multilevel modeling analyses. Previous research is extended by examining parent participation within the context of a going-to-scale trial and by looking at a broader array of child/parent/family and implementation context predictors. Parent participation in Parent Skills is predicted by higher level of parent’s frustration in parent–child relationships, while their participation in Family Support is related to lower family income. Implementers with higher previous work experience with children/families and lower education levels, as well as those manifesting more extroverted and less agreeable personality characteristics, elicit more participation in Parent Skills. Greater participation in Family Support is also predicted by lower levels of implementer neuroticism. Finally, implementers who achieve higher quality of delivery fidelity have greater participation in Parent Skills and a lower level of adherence fidelity predicts more participation in Family Support. The results are discussed within the context of going-to-scale service provision and in terms of implications for future prevention efforts.     

The Early Risers Preventive Intervention: Testing for Six-year Outcomes and Mediational Processes

We examined effects of the Early Risers “Skills for Success” early-age-targeted prevention program on serious conduct problems following 5 years of continuous intervention and one year of follow-up. We also examined if intervention effects on proximally-targeted variables found after 3 years mediated intervention effects on conduct problems found after 6 years. Participants included 151 at-risk children (106 males and 45 females) followed from first through sixth-grade, from 23 semi-rural schools in Minnesota. After 6 years, program children showed fewer oppositional defiant disorder (ODD) symptoms than control children. Program children did not significantly differ from controls on number of conduct disorder (CD) symptoms, DSM-IV diagnoses of ODD and CD, or drug use involvement. Results of the mediation analysis indicated that fewer ODD symptoms among program youth after 6 years were partially mediated by social skills and effective discipline. The study provides support for the early-starter model of conduct problems development that provides the framework for the Early Risers intervention. The study’s implications for prevention and limitations are discussed.     

Moving the field of prevention from science to service: Integrating evidence-based preventive interventions into community practice through adapted and adaptive models

The article addresses the adaptation of evidence-based prevention and positive youth development programs for community use. Two complementary approaches for adapting programs are described. In the “adapted” approach, programs are modified to accommodate the culture, climate, and operations of the organization delivering the program. In the “adaptive” approach, programs are modified to accommodate the characteristics, needs and preferences of the individual or family receiving the program. Two examples are provided that illustrate how both adapted and adaptive intervention strategies have been incorporated by community practitioners into the implementation of the Early Risers conduct problems prevention program.     

Why do lower educated people continue smoking? Explanations from the longitudinal GLOBE study.

This article describes the effect of educational level on the decision to continue smoking among 1,354 initially smoking participants (age > or = 20 years) in the Dutch GLOBE study. The effect of education on continued smoking was explained from baseline information (1991) on smoking characteristics, individual characteristics, and environmental factors. Smoking status was reassessed after 6.5 years. Lower educated smokers more often continued smoking (odds ratio 2.09). Poor perceived health and earlier smoking initiation in lower educated groups were main predictors of educational differences in smoking maintenance. Educational differences in chronic illness, perceived control, neuroticism, and emotional support also contributed to the explanation of educational differences in continued smoking. These results have important implications for intervention programs and policy.     

Production deficiencies in free recall: A comparison of hyperactive,learning-disabled,and normal children

Free recall of weakly categorizable words was compared in hyperactive (ADDH), reading-disabled, and normal boys. During a baseline trial, hyperactive boys recalled fewer words and showed less category organization than both reading-disabled and normal boys. Following a manipulation designed to encourage semantic encoding of words, hyperactive boys showed an immediate improvement in item recall and organization so that their free-recall performance was similar to that of reading-disabled and normal children. During later trials of a multiple-trial format, hyperactive boys recalled fewer words than did the reading-disabled and normal boys, despite maintaining equality in category organization. Rather than lacking the skill to use semantic organization as a strategy in free recall, hyperactive boys had difficulty in spontaneously generating the organizational strategy in response to instructions to remember and sustaining sufficient effort to task completion.