Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas

Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants (“intervention effect”). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas.     

Promoting Preschoolers’ Emotional Competence Through Prosocial TV and Mobile App Use

This study explored the relationship between preschoolers’ exposure to Daniel Tiger’s Neighborhood television programming and its accompanying mobile app and preschoolers’ emotion knowledge and use of emotion regulation strategies. An experiment involving 121 parent-child dyads from 3 US metro areas found that children who played with the Daniel Tiger’s Neighborhood app, and those who both played with the app and watched episodes of the program, employed the emotion regulation strategies taught by Daniel Tiger’s Neighborhood media more frequently 1 month later than children in a control condition. Preschoolers (3- and 4-year-olds) also exhibited higher levels of emotion knowledge 1 month after playing with the app. In addition, watching Daniel Tiger’s Neighborhood TV episodes in the home led to increases in parents’ provision of active mediation. Implications for families, educators, and producers of educational media content are discussed.     

A Socioecological Approach to Relational Demography: How Relative Representation and Respectful Coworkers Affect Job Attitudes

Purpose

This paper advances a socioecological perspective toward understanding the relationship between demography and job attitudes by considering the joint effects of individual ethnicity and ethnic group relative representation—the degree to which an individual’s own demographic group is represented similarly in their organization and the community in which the organization is located.

Design/Methodology/Approach

Hierarchical polynomial regression analyses of census and survey data from 57,000 employees of 142 hospitals in the United Kingdom suggest that ethnic group relative representation is related to ethnic minority employees’ job satisfaction and turnover intentions.

Findings

An asymmetric pattern emerged wherein the effect of under-representation on turnover intentions was stronger than the effect of over-representation. Moreover, the effects of relative representation varied with respectful treatment by coworkers; relative representation had little effect on attitudes of employees who reported low levels of coworker respect but generally enhanced attitudes when respect was high.

Originality/Value

This work points to the meaningful role that socioecological factors can play in what are typically considered to be intraorganizational phenomena, thereby highlighting the need for organizational research to assess relevant aspects of the communities in which organizations are embedded.

     

Daily hassles,ethnic identity and psychological adjustment among Lebanese‐Canadians

Acculturation, as a process of cultural change, has been related to a number of consequences including psychological distress. While some research has demonstrated how post‐migration stressors influence the adjustment of immigrants, it has been proposed that daily hassles—irritants in daily interactions—such as minor chronic problems with the in‐group and the out‐group have an even greater impact on adjustment than major life events. Furthermore, research has shown that ethnic identification profiles and discrimination are two factors closely associated with adjustment among immigrant populations. This study was, therefore, meant to further investigate the relationships among ethnic identity, discrimination (personal and collective), and adjustment (self‐esteem and depression) through a model proposing daily hassles as a mediator among these factors. There were 100 first‐ and second‐generation Lebanese‐Canadians who participated in the study. They completed a questionnaire measuring ethnic identification to their in‐ and out‐group, discrimination, hassles experienced with their in‐ and out‐group, depression, and self‐esteem. Path analyses revealed the mediating role of daily hassles between identity and discrimination, on the one hand, and indices of depression and self‐esteem, on the other. The results also demonstrated that greater experienced personal discrimination was associated with higher levels of experienced out‐group hassles and more out‐group hassles related to lower levels of adjustment. Processes of identity revealed that a higher level of Lebanese identity was associated with less experienced in‐ and out‐group hassles, which positively related to better adjustment. However, Canadian identity directly and positively related to depression. These results are discussed, first, with respect to their implications for current theorizing regarding the process of acculturation. Daily hassles would indeed now stand as a key mediating factor in the explanation of adjustment among immigrants. Second, the findings are deemed to have practical implications in term of the direction of programmes aimed at alleviating acculturative stress.     

Addressing Relationship Health Needs in Primary Care: Adapting the Marriage Checkup for Use in Medical Settings with Military Couples

The overall objective of this study was to pilot the Marriage Checkup (MC), a brief intervention for enhancing marital resiliency tailored to a military population, for use by internal behavioral health consultants (IBHCs) working in an integrated primary care clinic. The MC was revised to fit into the fast-paced environment of primary care (e.g., streamlined to fit within three 30-min appointments), and military-relevant material was added to the content. IBHCs working in primary care were then trained to offer the intervention. Thirty participants were enrolled in the study and completed a relationship checkup and one-month follow-up questionnaires. Analysis of post-test and one-month follow-up data showed statistically significant improvements in participants’ marital health compared to pre-treatment. The MC intervention appeared to be well received by both couples and IBHCs.