Variations on a technique: enhancing children's recall using narrative elaboration training

The current study examined first, whether the positive effects demonstrated by the Narrative Elaboration Technique (NET) could be further enhanced when coupled with mental reinstatement of context (MR), prior to interview, and second, compared the efficacy of the NET at a two‐week delay and a nine‐month delay. In Study 1, 47 children took part as a class in a staged event about safety. Two weeks later they received a single training session, and the following day were interviewed with either the NET (n = 16), NET + MR (n = 17), or in a control condition (n = 14). Children trained with the NET reported approximately twice as much correct information, and were more accurate, than a control group who did not receive NET training, although the combination of the NET + MR did not result in a further significant enhancement of recall. In Study 2, 22 children took part in the safety event, and nine months later received a single training session, and were interviewed the following day with either the NET (n = 11), or in a control condition (n = 11). Children who received the NET training reported more correct information than those who did not. The practical applications of the NET and its variations are discussed. Copyright © 2003 John Wiley & Sons, Ltd.     

The meaning of ‘reconstruction’ within the lived experience of mastectomy for breast cancer

This paper represents a heuristic study of the meaning and essence of ‘reconstruction’ within the lived experience of mastectomy for breast cancer. Open‐ended interviews were conducted with a sample of eight women aged 40 to 58 years, who underwent mastectomy for breast cancer. Four participants had immediate breast reconstruction; two participants had delayed breast reconstruction, and two participants decided not to have the procedure. The study demonstrates that themes of loss/change/reconstruction are inextricably linked to the experience of mastectomy. Loss of a breast was likened to bereavement and in some women caused a loss of part of their identity. The closeness of death altered the awareness the women had of their time left on earth. This awareness brought about change/reconstruction in the majority of the women, in their lives and in their relationships with others. Prior to breast reconstruction there is a place for exploring with women the meaning of ‘normal’ and ‘whole’. Implications for counselling are discussed.     

Supporting Japanese Mothers of Children with ADHD: Cultural Adaptation of the New Forest Parent Training Programme

International practice guidelines recommend medication and behavioral intervention as evidenced‐based treatments for attention deficit hyperactivity disorder (ADHD). Currently in Japan, the availability of non‐pharmacological interventions for ADHD is limited. We report the results of a pilot and a proof‐of‐concept study for a new behavioral intervention for Japanese mothers of children with ADHD. The pilot study delivered a standard six‐session behavioral intervention and two parent‐support sessions. Participants approved the group format and requested additional support to change parenting practices and behavioral strategies targeting ADHD symptoms. For the proof‐of‐concept study, the intervention was revised to include five sessions of pre‐intervention support followed by six sessions of the New Forest Parent Training Programme (NFPP), an evidence‐based intervention for ADHD. The revised intervention, NFPP‐Japan, was associated with reductions in the mothers’ reports of children's ADHD symptoms and aggression, more effective parenting practices, and reduced parenting stress. The pilot and proof‐of‐concept studies indicate that it is possible to successfully modify Western behavioral interventions for Japanese mothers and to justify a randomized controlled trial evaluation of the NFPP‐Japan, which is currently underway.     

Commuting stress process and self‐regulation at work: Moderating roles of daily task significance,family interference with work,and commuting means efficacy

Based on self‐regulation theories of stress processes, this study proposed a model to examine the within‐person mediation relationship between morning commuting stressors and self‐regulation at work via morning commuting strain. In addition, the study examined the moderating roles of daily task significance, daily family interference with work, and commuting means efficacy in this mediation model. Results from 45 bus commuters’ daily diary data over a period of 15 workdays indicated that the amount of morning commuting stressors experienced by the bus commuters was positively related to their morning commuting strain, which, in turn, had a negative impact on self‐regulation at work. At the within‐person level, daily task significance buffered the negative indirect relationship between morning commuting stressors and self‐regulation at work via morning commuting strain, whereas daily family interference with work in the morning exacerbated this negative indirect relationship. Further, at the between‐person level, commuting means efficacy buffered this negative indirect relationship such that the negative indirect effect was weaker for workers with higher (vs. lower) commuting means efficacy. Theoretical and practical implications of these findings are discussed.     

Attention-Deficit/Hyperactivity Disorder Symptoms in Mothers and Fathers: Family Level Interactions in Relation to Parenting

Previous studies linking parent ADHD symptoms to parenting have typically focused on each parent individually. To provide a broader understanding of family context, in this study, levels of inattention and hyperactivity-impulsivity in mothers and fathers were examined, both individually and in combination, in relation to negative parenting and child-rearing disagreements. Two-parent families of 5 to 13 year old boys (126 with ADHD and 53 typically developing) participated. Parents reported their own ADHD symptoms and their perceptions of child-rearing disagreements. Parenting was measured using self-, partner-, and child-reports as well as observations. Controlling for child ADHD symptoms, inattention symptoms in fathers predicted parenting difficulties. For mothers, inattention symptoms were linked to parenting problems only when fathers also had high levels of inattention. In contrast, parenting was most problematic for both mothers and fathers in families in which fathers had higher and mothers had lower levels hyperactivity-impulsivity symptoms. These results remained essentially unchanged when child externalizing behavior and mother depression and hostility were controlled, but father depression reduced the significance of some interactions. The results highlight the importance of the match between father and mother levels of symptoms, and point to differential relations of parenting to inattention and hyperactivity-impulsivity symptoms in parents.     

Reducing Disparities in Cancer Screening and Prevention through Community‐Based Participatory Research Partnerships with Local Libraries: A Comprehensive Dynamic Trial

Reduction of cancer‐related disparities requires strategies that link medically underserved communities to preventive care. In this community‐based participatory research project, a public library system brought together stakeholders to plan and undertake programs to address cancer screening and risk behavior. This study was implemented over 48 months in 20 large urban neighborhoods, selected to reach diverse communities disconnected from care. In each neighborhood, Cancer Action Councils were organized to conduct a comprehensive dynamic trial, an iterative process of program planning, implementation and evaluation. This process was phased into neighborhoods in random, stepped‐wedge sequence. Population‐level outcomes included self‐reported screening adherence and smoking cessation, based on street intercept interviews. Event‐history regressions (n = 9374) demonstrated that adherence outcomes were associated with program implementation, as were mediators such as awareness of screening programs and cancer information seeking. Findings varied by ethnicity, and were strongest among respondents born outside the U.S. or least engaged in care. This intervention impacted health behavior in diverse, underserved and vulnerable neighborhoods. It has been sustained as a routine library system program for several years after conclusion of grant support. In sum, participatory research with the public library system offers a flexible, scalable approach to reduce cancer health disparities.     

Habitual reappraisal in context: peer victimisation moderates its association with physiological reactivity to social stress

Although the emotion regulation strategy of reappraisal has been associated with adaptive outcomes, there is a growing evidence that it may not be adaptive in all contexts. In the present study, adolescents reported their use of habitual reappraisal and their experiences with peer victimisation, a chronic stressor that is associated with reduced well-being in this population. We examined how these variables predicted physiological reactivity (vagal withdrawal and changes in pre-ejection period) during a social stressor (i.e., Trier Social Stress Task). In line with previous research, at high levels of victimisation, habitual reappraisal predicted adaptive physiological reactivity (i.e., greater vagal withdrawal). Conversely, at low levels of victimisation, habitual reappraisal predicted maladaptive physiological reactivity (i.e., blunted vagal withdrawal). These findings were specific to parasympathetic reactivity. They suggest that habitual reappraisal may exert different effects on parasympathetic reactivity depending on the presence of stressors, and highlight the importance of examining the role of contextual factors in determining the adaptiveness of emotion regulation strategies.