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241.
    
Automobile crashes are the leading cause of death for those aged 3 to 33, with 43,005 (118 per day) Americans killed in 2002 alone. Seat belt use reduces the risk of serious injury in an accident, and refraining from using a cell phone while driving reduces the risk of an accident. Cell phone use while driving increases accident rates, and leads to 2,600 U.S. fatalities each year. An active prompting procedure was employed to increase seat belt use and decrease cell phone use among drivers exiting a university parking lot. A multiple baseline with reversal design was used to evaluate the presentation of two signs: \"Please Hang Up, I Care\" and \"Please Buckle Up, I Care.\" The proportion of drivers who complied with the seat belt prompt was high and in line with previous research. The proportion of drivers who hung up their cell phones in response to the prompt was about equal to that of the seat belt prompt. A procedure that reduces cell phone use among automobile drivers is a significant contribution to the behavioral safety literature.  相似文献   
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This study examined whether the effects on cognitive and language outcomes of a recently developed home‐based educational intervention program, Opstap Opnieuw, for 4–6‐years‐old disadvantaged children could be explained by improved mother–child interaction. The present sample (n=30) was drawn from a larger sample of Turkish–Dutch families (n=181) for which in a previous study significant effects of Opstap Opnieuw were found on children's (first) language and cognitive pre‐math skill, 5 months after the program ended. The present study focused on two facets of interaction quality as possible mediators of these program effects: the mean cognitive distancing level of mothers' communication and instruction behaviour as an indicator of the cognitive and verbal stimulation provided, and the degree of cooperation as an indicator of mothers' social‐emotional support to their children. Both measures were based on systematic observation of mother–child interaction during sorting tasks. Participation in the program appeared to improve mothers' social‐emotional support behaviour substantially, but not their cognitive distancing behaviour. For Turkish (first language) vocabulary, about half of the program effect appeared to be mediated by the improved social‐emotional support. For cognitive pre‐mathematical skills, two‐thirds of the program effect appeared to be mediated by improved social‐emotional support. Mothers' cognitive distancing was moderately‐strongly related to children's vocabulary development, but did not mediate program effects. Some implications of the results are discussed. Copyright © 2004 John Wiley & Sons, Ltd.  相似文献   
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This study examines coping in response to HIV infection, using longitudinal data from a nationally representative sample (n = 2,864) of HIV-infected persons. We investigated configurations of coping responses, the correlates of configuration membership, the stability of coping configurations, and the relationship of coping to emotional well-being. Four coping configurations emerged from cluster analyses: relatively frequent use of blame-withdrawal coping, frequent use of distancing, frequent active-approach coping, and infrequent use of all three coping strategies (passive copers). Passive copers had few symptoms, high levels of physical functioning, and high emotional well-being; blame-withdrawal copers had the opposite pattern. Of those completing a second interview 1 year after baseline, 46% had the same coping configuration. Increases in the number of HIV-related symptoms raised the probability of blame-withdrawal coping at follow-up, whereas decreases raised the probability of passive coping. Infrequent use of coping responses at baseline was related to greater emotional well-being 1 year later. This result, in conjunction with the high levels of emotional well-being in the passive cluster, suggests that high levels of distress can induce blame-withdrawal coping whereas coping efforts are minimal when social support and emotional well-being are high. Results highlight issues in ascertaining the causal direction between coping and psychological outcomes, as well as in specifying the nature of stressful situations with which people are coping.  相似文献   
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The “Staying on Track” project tracked infants, preschoolers, and their families in Brockville, Ontario, Canada for a period of 3 years. Public health nurses at preassigned intervals provided information and counseling for families and made referrals to other agencies if problems were judged to be beyond the expertise of the “Staying on Track” staff. To assess the effectiveness of the program in improving child development, a cohort design was selected to allow development to be assessed over 5½ years in 3 years. Three cohorts and a comparison group were included in the study. Each cohort received different procedures for identification and tracking. Cohort 1 received at least four home visits, cohort 2 received three clinic visits, and cohort 3 received one clinic visit. Intervention and follow-up from these visits included home visits, phone calls, and referrals for all three cohorts. Comparing cohort 1 to cohort 2 at 18 months, highly significant effects were found; few significant differences were found at 3½ years between cohort 2 and 3 and very few positive effects were found for 5½-year-old children who had been in the tracking system since they were 3½ years of age. The results are discussed and recommendations are made about the implications of the study for service provision. © 1998 Michigan Association for Infant Mental Health  相似文献   
245.
    
In 1986 I began research to address the relationship between early child abuse and neglect and later deliquent and violent criminal behavior using a prospective cohort design. The relationship is not inevitable, suggesting an opportunity for long-range violence prevention through appropriate early intervention. Here, I briefly describe how childhood victimization and violent criminal behavior are related and illustrate a number of promising strategies and opportunities to intervene. Finally, I offer five principles to guide interventions: (1) the earlier the intervention, the better; (2) don't neglect neglected children; (3) one size does not fit all; (4) surveillance—a double-edged sword; and (5) accessibility to resources. Rather than focusing on responses to child abuse or neglect in court proceedings that “treat” offenders, primary prevention efforts should target childhood victims to reduce their risk of becoming offenders in the future.  相似文献   
246.
    
Getting To Outcomes (GTO), an innovative framework for planning, implementing, evaluating, and sustaining interventions has been shown to be effective in helping community‐based organizations (CBOs) introduce science‐based approaches into their prevention work. However, the Interactive Systems Framework (ISF) suggests that adopting innovations like GTO requires a significant amount of capacity building through training and technical assistance (T/TA). In this study, 11 CBOs and three schools in South Carolina entered into a 3 year program of intense and proactive T/TA based on the ISF to learn how to apply an adaptation of GTO (Promoting Science‐Based Approaches‐Getting To Outcomes, PSBA‐GTO) to their teen pregnancy prevention programs. Using semi‐structured interviews, the partnering organizations were assessed at three points in time, pre‐T/TA, 12 months, and post T/TA (30 months) for their performance of the steps of GTO in their work. The seven organizations which participated in T/TA until the end of the project received an average of 76 h of TA and 112 h of training per organization. Interview results showed increased performance of all 10 steps of PSBA‐GTO by these organizations when conducting their teen pregnancy programs. These results suggest targeted and proactive T/TA can successfully bridge the gap between research and practice by using a three part delivery system, as prescribed in the ISF, which relies on an intermediary prevention support system to ensure accurate and effective translation of research to the everyday work of community‐based practitioners. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith  相似文献   
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ABSTRACT

The present study examined the role of internalised religious beliefs in defending against existential concerns aroused from a creaturely Jesus. Prior work has found that biologically human traits (e.g., vomiting, sweating, etc.) can increase death concerns when applied to both humans and a god. Intrinsic beliefs, however, have been shown to reduce mortality awareness. In the current study, religious participants were primed with thoughts of either a human or neutral Jesus followed by a single item measure about fear of death. A moderated regression analysis found that whereas high intrinsic individuals were buffered from existential concerns, low intrinsic individuals experienced a greater fear of death when primed with a human Jesus. These results replicate prior work within terror management theory and the psychology of religion suggesting that internalised beliefs serve a protective function against existential anxieties.  相似文献   
250.
Devolution of powers to Scotland has accentuated pre-existing divergence from the rest of the UK with respect to education, training and career guidance provision. Scotland now has an all-age national careers service—Careers Scotland. It is suggested that it is unlikely that a national, publicly-funded careers agency would have been established in the absence of devolution. The article outlines the development of career guidance in Scotland over the last 25 years and how the pre-existing Scottish context and the new context of devolution have impacted upon it. The role of Careers Scotland and its relationship with other providers of career guidance in Scotland are examined. Other key issues considered include: the allocation of resources based on need; relationships with local authorities and schools; and training and professional identities in an increasingly diverse UK guidance context.  相似文献   
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