Building Capacity of State Adolescent Pregnancy Prevention Coalitions to Implement Science-Based Approaches

A central question in adolescent reproductive health circles is how to effectively disseminate research to practitioners in a way that supports them in using the most scientifically sound and effective programming. In 2002, the Division of Reproductive Health at the Centers for Disease Control and Prevention (CDC) tackled this question by funding three national-level and five state-level organizations focused on adolescent pregnancy prevention to promote the use of science-based programs and approaches. Healthy Teen Network (HTN) and Education, Training and Research Associates (ETR), two national organizations, have partnered under this CDC funding to implement an effective model for capacity building. This paper provides an overview of the approaches used by HTN and ETR in capacity building using a seven-step process. We describe how we modified the Interactive Systems Framework for Dissemination and Implementation (ISF) for science-based innovations to apply to capacity-building for adolescent reproductive health (ARH) programs, and how we developed relevant, sustainable training and technical support. We conclude by reviewing some of the results of this training, and discuss the future work that will likely continue to advance the science behind effective dissemination of ARH research to practice.     

Recognition memory measures yield disproportionate effects of aging on learning face-name associations

No previous research has tested whether the specific age-related deficit in learning face-name associations that has been identified using recall tasks also occurs for recognition memory measures. Young and older participants saw pictures of unfamiliar people with a name and an occupation for each person, and were tested on a matching (in Experiment 1) or multiple-choice (in Experiment 2) recognition memory test. For both recognition measures, the pattern of effects was the same as that obtained using a recall measure: More face-occupation associations were remembered than face-name associations, young adults remembered more associated information than older adults overall, and older adults had disproportionately poorer memory for face-name associations. Findings implicate age-related difficulty in forming and retrieving the association between the face and the name as the primary cause of obtained deficits in previous name learning studies. (PsycINFO Database Record (c) 2008 APA, all rights reserved).     

Are expressive suppression and cognitive reappraisal associated with stress-related symptoms?

Emotion dysregulation is thought to be critical to the development of negative psychological outcomes. Gross (1998b) conceptualized the timing of regulation strategies as key to this relationship, with response-focused strategies, such as expressive suppression, as less effective and more detrimental compared to antecedent-focused ones, such as cognitive reappraisal. In the current study, we examined the relationship between reappraisal and expressive suppression and measures of psychopathology, particularly for stress-related reactions, in both undergraduate and trauma-exposed community samples of women. Generally, expressive suppression was associated with higher, and reappraisal with lower, self-reported stress-related symptoms. In particular, expressive suppression was associated with PTSD, anxiety, and depression symptoms in the trauma-exposed community sample, with rumination partially mediating this association. Finally, based on factor analysis, expressive suppression and cognitive reappraisal appear to be independent constructs. Overall, expressive suppression, much more so than cognitive reappraisal, may play an important role in the experience of stress-related symptoms. Further, given their independence, there are potentially relevant clinical implications, as interventions that shift one of these emotion regulation strategies may not lead to changes in the other.     

New age-linked asymmetries: aging and the processing of familiar versus novel language on the input versus output side

This research demonstrates 3 new age-linked asymmetries between identifying versus retrieving phonological information. Young and older adults read aloud familiar isolated words (e.g., mind) and novel pseudowords (e.g., mond) in a production task and identified lexical status for identical stimuli in a comprehension task. Young adults made fewer errors than older adults in production but not comprehension (an age-related input-output asymmetry), and they produced pseudowords but not words with fewer errors than older adults (a lexical-status asymmetry). The lexical-status asymmetry also occurred for response onset times but not for output durations (an onset-output asymmetry). All 3 asymmetries were predicted under the transmission deficit hypothesis (D. G. MacKay & D. M. Burke, 1990) but contradict theories such as general slowing that cannot explain why aging affects some types of information processing more than others.     

Meeting Mr Davis vs Mr Davin: effects of name frequency on learning proper names in young and older adults

Two theoretical frameworks relevant to proper name learning in ageing make competing predictions about the effects of name frequency. Under an inhibition model, common (high-frequency; HF) proper names will be harder to learn and remember than rare (low-frequency; LF) names, whereas under a transmission deficit model, HF names will have the advantage. Young adults (ages 18-31) and two groups of healthy older adults (ages 60-74 and 75-89) learned HF (e.g., Davis) and LF (e.g., Davin) surnames in association with new faces. Young adults recalled more names than older or oldest adults, and participants of all ages recalled more HF than LF names. There was no interaction between age and name frequency: The difference favouring HF names was similar in magnitude across age groups. All evidence runs contrary to the inhibitory model's prediction that interference makes learning HF names difficult.     

The alcohol-aggression link: children's aggression expectancies in marital arguments as a function of the sobriety or intoxication of the arguing couple

Children's expectancies of man-woman and woman-man aggression during arguments between individuals who were either intoxicated or sober were examined. The role of child and familial characteristics in influencing these expectancies was assessed. We examined children's expectations of interadult verbal/psychological and physical aggression during simulated arguments presented to children on videotapes. A community sample (N = 156) of children and young adolescents (6-14-year olds) participated. Children expected higher levels of aggression during conflict when they thought that one or both participants in conflict were intoxicated versus sober. Further, higher levels of verbal versus physical interadult conflict were expected during the disputes. These findings build on the literature by demonstrating that elementary school age children and young adolescents exhibit expectancies that link the consumption of alcohol with increased verbal and physical aggression in marital arguments. These alcohol-aggression expectancies were robust and were evident in relation to either the man's or woman's perpetration of aggression against the spouse. Elucidation of factors that can influence associations between aggression and alcohol consumption are of importance and have broad implications for family functioning.     

The flexible application of a manualized treatment for PTSD symptoms and functional impairment related to the 9/11 World Trade Center attack

The purpose of this treatment effectiveness study was to evaluate the flexible application of a manualized cognitive behavioral treatment (CBT) for PTSD and related symptoms in survivors of the 9/11 terrorist attack on the World Trade Center. Treatment delivery ranged from 12 to 25 sessions; therapist experience ranged from no prior training to extensive training in CBT; and training and supervision of clinicians in the treatment manual was considerably less than that required in a randomized clinical trial (RCT). Paired t-tests demonstrated significant pre-post reductions in symptoms of PTSD and depression for the flexible application of the treatment. A benchmarking analysis revealed that the moderate-to-large effect sizes found for these variables were similar to those obtained in an RCT of the same treatment. Furthermore, effect sizes on measures of outcomes particularly relevant to this population of mass violence survivors such as functional impairment, use of alcohol and drugs to cope, and use of social support to cope, were also medium to large.     

Sensory modality, temperament, and the development of sustained attention: a vigilance study in children and adults

Applying optimal stimulation theory, the present study explored the development of sustained attention as a dynamic process. It examined the interaction of modality and temperament over time in children and adults. Second-grade children and college-aged adults performed auditory and visual vigilance tasks. Using the Carey temperament questionnaires (S. C. McDevitt & W. B. Carey, 1995), the authors classified participants according to temperament composites of reactivity and task orientation. In a preliminary study, tasks were equated across age and modality using d' matching procedures. In the main experiment, 48 children and 48 adults performed these calibrated tasks. The auditory task proved more difficult for both children and adults. Intermodal relations changed with age: Performance across modality was significantly correlated for children but not for adults. Although temperament did not significantly predict performance in adults, it did for children. The temperament effects observed in children--specifically in those with the composite of reactivity--occurred in connection with the auditory task and in a manner consistent with theoretical predictions derived from optimal stimulation theory.