Intervention for infants with brain injury: results of a randomized controlled study

A randomized clinical trail (RCT) employed a 12-month individualized cognitive/sensorimotor stimulation program to look at the efficacy of the intervention on 62 infants with suspected brain injury. The control group infants received the State-funded follow-up program provided by the Los Angeles (LA) Regional Centers while the intervention group received intensive stimulation using the Curriculum and Monitoring System (CAMS) taught by public health nurses (PHNs). The developmental assessments and outcome measures were performed at 6, 12 and 18 months corrected age and included the Bayley motor and mental development, the Home, mother-infant interaction (Nursing Child Assessment Feeding Scale (NCAFS) and Nursing Child Assessment Teaching Scale (NCATS)), parental stress and social support. At 18 months, 43 infants remained in the study. The results indicate that the intervention had minimal positive effects on the Bayley mental and motor development scores of infants in the intervention group. Likewise, the intervention did not contribute to less stress or better mother-infant interaction at 12 or 18 months although there were significant differences in the NCAFS scores favoring the intervention group at 6 months. There was a significant trend, however, for the control group to have a significant decrease over time on the Bayley mental scores. Although the sample was not large and attrition was at 31%, this study provides further support to the minimal effects of stimulation and home intervention for infants with brain injury and who may have more significant factors contributing to their developmental outcome.     

Work-related stress and well-being: the roles of direct action coping and palliative coping

The purpose of the present study is to analyze the roles of direct action coping and palliative coping in the relationship between work stressors and psychological well-being, as well as their possible interactions, in a sample of 464 bank employees. Hierarchical regression analyses showed main effects of direct action coping on well-being. Palliative coping predicts higher levels of psychological distress. Contrary to what was expected, the interactions between work stressors and direct action coping were not significant. Palliative coping interacted with work stressors when predicting psychosomatic complaints. The interaction between the two types of coping was significant on psychosomatic complaints and psychological distress, but not on job satisfaction. The paper discusses theoretical and practical implications of these results, in order to design intervention strategies to prevent and manage job stress.     

Using Cognitive Interviewing for the Semantic Enhancement of Multilingual Versions of Personality Questionnaires

We discuss the use of cognitive interviewing with bilinguals as an integral part of cross-cultural adaptation of personality questionnaires. The aim is to maximize semantic equivalence to increase the likelihood of items maintaining the intended structure and meaning in the target language. We refer to this part of adaptation as semantic enhancement, and integrate cognitive interviewing within it as a tool for scrutinizing translations, the connotative meaning, and the psychological impact of items across languages. During the adaptation of a work-based personality questionnaire from English to Arabic, Chinese (Mandarin), and Spanish, we cognitively interviewed 12 bilingual participants about 136 items in different languages (17% of all items), of which 67 were changed. A content analysis categorizing the reasons for amending items elicited 11 errors that affect 2 identified forms of semantic equivalence. We provide the resultant coding scheme as a framework for designing cognitive interviewing protocols and propose a procedure for implementing them. We discuss implications for theory and practice.     

THE EFFECT OF RESPONSE EFFORT ON COMPLIANCE IN YOUNG CHILDREN

We evaluated the effect of response effort on compliance with three children who exhibited noncompliance when asked to relinquish a preferred toy. Participants were given access to a preferred toy and then asked to place the toy in a toy bin, which was located either 0.3 m (low effort) or 3 m (high effort) away. We used a reversal design to evaluate the effect of the effort manipulation. Compliance by all three participants was sensitive to the effort manipulation. In addition, compliance by two participants maintained as the distance required to comply with instructions was systematically increased. Copyright © 2013 John Wiley & Sons, Ltd.     

Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer.

Concepts from the health belief, transtheoretical, and dual process models were used to examine how siblings of individuals diagnosed with colorectal cancer (CRC) before age 56 made decisions about CRC screening. Siblings (N = 504) were assessed for CRC screening practices and intentions, pros, cons, processes-of-change, perceived risk of CRC, perceived severity of CRC, preventability of CRC, cancer-related distress, and sibling relationship closeness. Physician and family recommendation and knowledge were also assessed. Fifty-seven percent of participants (n = 287) were compliant with CRC screening. Logistic regression indicated that perceived pros and cons, perceived risk, commitment to screening, health care avoidance, and sibling closeness were associated with screening compliance. Physician and family recommendation were also strong correlates. A similar set of factors was associated with stage of adoption of CRC screening.     

A Longitudinal Analysis of the Role of Biopsychosocial Factors in Predicting Body Change Strategies Among Adolescent Boys

In this study we examined the role of biopsychosocial factors on adolescent boys' body modification strategies over an 8-month period. Participants were 434 adolescent boys aged between 11 and 16 years. The majority of respondents were from Anglo-Australian backgrounds (83%); the others were from Asian and European non-English-speaking backgrounds. The results indicated a consistent relationship between perceived encouragement to engage in body change strategies and increases in adolescents' body modification strategies, including muscle gain, weight gain, and weight loss. In addition, poor parent relations, being younger, and higher scores on the pubertal development scale predicted increased use of food supplements. However, the stability of the body modification strategies and the examined variables over the 8-month period were low. Further studies are needed to examine the stability of adolescent self-perceptions over both longer and shorter periods. Moreover, researchers need to include other factors that may be more relevant for adolescent boys (e.g., involvement in sports).     

Between Opportunity and Constraint: Understanding the Onward Migration of Highly Educated Iranian Refugees from Sweden

In the 1980s and early 1990s, more than 50,000 Iranian refugees moved to Sweden. The Swedish state attended to their immediate needs, providing housing, language training, and other types of support. Moreover, these migrants had almost immediate access to all the benefits of the Swedish welfare state including affordable healthcare, unemployment insurance, and free education up to and including the tertiary level. Despite the opportunities available to them in Sweden, many Iranian refugees have faced challenges, especially when trying to secure meaningful work. One of the strategies they have used to overcome barriers to entering the labor market is to leave Sweden for onward destinations which are seen as having relatively more to offer. This study explores the onward migration of Iranians from Sweden by way of a two-step mixed methods approach: in the first step, population register data is used to determine how onward migrants differ from those Iranians who stay in Sweden. In the second step, information from life history interviews conducted with onward migrants in London and Toronto is used to understand what motivates individuals to leave Sweden. Overall, the study finds that highly educated Iranians who have struggled to find employment in Sweden are the most likely to move on. Their precise motivations for doing so, however, are nuanced and complex and relate to more than just economic factors.     

The impact of the crisis on the Orthodox Church of Greece: a moment of challenge and opportunity?

This article explores the impact of the economic crisis on the Orthodox Church of Greece (OCG). The first three parts of the article set the current stage by offering a short overview of the crisis and the response of the OCG through its charitable social welfare activities. The fourth part looks at church–state relations in Greece, covering more particularly its financial aspects. The fifth and final part discusses how the economic crisis has affected the OCG itself, including its own finances and governance, and sustainability and mission in the long term. Although the OCG provides social assistance to the Greek population during the economic crisis, it also finds itself very much affected by the same crisis. The economic crisis has forced the OCG to reduce its operating costs while at the same time continue its extensive social work. The crisis has also prompted public debates and questions about the finances of the OCG. This situation may gradually force either the Greek state or the OCG, or perhaps both, to rethink their relationship in the future.     

Metacognitive scaffolding boosts cognitive and neural benefits following executive attention training in children

Interventions including social scaffolding and metacognitive strategies have been used in educational settings to promote cognition. In addition, increasing evidence shows that computerized process‐based training enhances cognitive skills. However, no prior studies have examined the effect of combining these two training strategies. The goal of this study was to test the combined effect of metacognitive scaffolding and computer‐based training of executive attention in a sample of typically developing preschoolers at the cognitive and brain levels. Compared to children in the regular training protocol and an untrained active control group, children in the metacognitive group showed larger gains on intelligence and significant increases on an electrophysiological index associated with conflict processing. Moreover, changes in the conflict‐related brain activity predicted gains in intelligence in the metacognitive scaffolding group. These results suggest that metacognitive scaffolding boosts the influence of process‐based training on cognitive efficiency and brain plasticity related to executive attention.     

Evaluation of a preliminary method to examine antecedent and consequent contributions to noncompliance

We evaluated a preliminary method for examining the antecedent and consequent contributions to noncompliance exhibited by two children with disabilities. In Phase 1, we assessed whether noncompliance was a result of a skill deficit. For one participant, we then conducted a functional analysis to determine the variables maintaining noncompliance in Phase 2. In Phase 3, we conducted a treatment evaluation to increase compliance for each participant. We identified the antecedent and consequent variables responsible for noncompliance and developed an effective intervention for both participants.