Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

Low-income families are more likely to have a child with an early-onset Behavior Disorder (BD); yet, socioeconomic strain challenges engagement in Behavioral Parent Training (BPT). This study follows a promising pilot to further examine the potential to cost-effectively improve low-income families’ engagement in and the efficiency of BPT. Low-income families were randomized to (a) Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003), a weekly, mastery-based BPT program that includes both the parent and child or (b) Technology-Enhanced HNC (TE-HNC), which includes all of the standard HNC components plus a parent mobile application and therapist web portal that provide between-session monitoring, modeling, and coaching of parent skill use with the goal of improved engagement in the context of financial strain. Relative to HNC, TE-HNC families had greater homework compliance and mid-week call participation. TE-HNC completers also required fewer weeks to achieve skill mastery and, in turn, to complete treatment than those in HNC without compromising parent satisfaction with treatment; yet, session attendance and completion were not different between groups. Future directions and clinical implications are discussed.     

Perceived Parameters of Christian Pharmacy Students’ Faith-Sharing in Clinical Settings

Journal of Religion and Health - Our interdisciplinary team (which included professionals from nursing, pharmacy, allied health, and psychology) conducted in-depth, semi-structured interviews with...     

To Be or Not: A Brief History of the Health Humanities Consortium

The Health Humanities Consortium (HHC) was established in 2015 to “promote health humanities scholarship, education, and practice through transdisciplinary methods and theories that focus on the intersection of the arts and humanities, health, illness, and healthcare.” As the founding co-chairs of the HHC, we provide a history of the founding of this organization in this article, describing the journey of its creation, the choices and challenges it faced as a new organization, and our hopes for a rich future.

     

From the Editor

Journal of Medical Humanities -     

Risk and Resilience Factors for Mental Health among Transgender and Gender Nonconforming (TGNC) Youth: A Systematic Review

Clinical Child and Family Psychology Review - In recent years, there has been a proliferation of research regarding transgender and gender nonconforming (TGNC) people. The stigma and legal...     

I don't fit,so I blame you?—Influence of regulatory focus and fit on emotion generation and regulation in single and group context

Person–environment interactions play a crucial role in the process of emotional experience. While Regulatory Focus Theory has been adopted to illustrate how some goal-oriented parts of this process might shape by proposing a regulatory fit between individual and environmental characteristics, whether this fit not only implies feeling “right” but feeling “good” or at least cope better, has not been tested empirically. In this study, we extend earlier research on the influence of the regulatory fit to the generation and regulation of emotions. We additionally emphasize the role of the context, by integrating current work on group-based emotion regulation in comparing single and group environments. We used a within-subjects design, with 2 (situational focus) × 2 (single/group environment) levels. Thirty-two male football players participated in one football-specific task per level. Emotional experience and cognitive regulation strategies were measured after each. Multilevel regression showed, that a regulatory fit predicted more passive-negative emotions in both the environments and more active-negative emotions in the group environments. The Regulatory fit predicted stronger use of functional regulation strategies in the single but less in the group environment. Group membership predicted stronger use of group-based regulation strategies and weaker use of other strategies—thus indicating further constraints and new ways to cope. We discuss the counter-intuitive results regarding emotional experience in the light of the athletic context as well as theoretical accounts of regulatory fit and its role in the moderating motivational intensity and the value assignment. Results regarding the influence of group membership are integrated into current research and we highlight the directions for future research.     

In whose interests? A response to Aaron Zimmerman’s Belief: A Pragmatic Picture

Philosophical Studies - I provide a brief précis of Aaron Zimmerman’s book, Belief: A Pragmatic Picture, then explore two possible problems for the view. The first concerns whether the...     

The training of community mental health clinicians as infant specialists

This article describes the training program and collaborative effort between the Department of Mental Health, the Child Development Project at the University of Michigan, and community mental health agencies. The in-service training is described with special attention to content and process, including the role of case supervision. The effect of the training program as a catalyst to service development is noted.     

Interaction between catecholaminergic and opioid systems in an active avoidance task

Male NMRI mice were given intravenous injections of the noradrenergic neurotoxin DSP4 or the vehicle 24 to 72 h prior behavioral testing. Animals were given 2 days of training on a one-way active avoidance task. Naloxone was given in one of three doses prior to training on Day 1 and Day 2 or prior to training on Day 1 only (saline was given prior to training on Day 2). There was a dose-dependent impairment of acquisition by naloxone in the vehicle-pretreated groups; 10 mg/kg naloxone produced a significant impairment of acquisition. Naloxone also modulated retention (Day 2) performance of the active avoidance task. For vehicle-pretreated mice, 1 mg/kg naloxone facilitated and 10 mg/kg naloxone-impaired performance on Day 2. DSP4 alone produced an impairment of acquisition of this task but had no effect on retention; Day 2 scores were slightly higher in the DSP4-pretreated group than in the vehicle-pretreated group. Naloxone produced somewhat different effects in DSP4-pretreated animals than in vehicle-pretreated animals. Naloxone (1 mg/kg) ameliorated the DSP4-induced impairment of acquisition; 10 mg/kg naloxone did not significantly alter the acquisition performance of this group. For the DSP4-pretreated mice that received naloxone before training on both days, the dose-response characteristics for retention scores were similar to those of vehicle-pretreated mice; 1 mg/kg naloxone was the facilitatory dose. However, for DSP4-treated mice that received naloxone before training on Day 1 only, there was a shift to the right in the effective facilitatory dose of naloxone. For these animals, 10 mg/kg naloxone but not 1 mg/kg naloxone significantly enhanced retention performance. We discuss these results in the context of a possible state-dependent modulation by naloxone in the DSP4-treated animals.