Parent routines for managing cystic fibrosis in children

Management of cystic fibrosis (CF) is burdensome and adherence is often suboptimal. Family routines are associated with adherence and health outcomes in other disease populations. Few studies have examined routines in CF. The study’s aim was to describe parent experiences developing and utilizing CF care routines. Semi-structured interviews with a convenience sample of 25 parents of children under 13 years of age with CF were analyzed using phenomenological analysis. Three domains emerged: parent experiences developing a routine, support systems facilitating maintenance of routines, and challenges with maintaining care routines. Parents found routines difficult to establish, used trial and error, encountered barriers, and found support helpful to manage care demands. Some parents chose to deviate from their routine. Providing anticipatory guidance to promote the use of care routines and strategies to manage potential challenges may facilitate use of routines and improve CF management.     

Train the child and teach the adult: Developing intervention strategies for increasing seafood consumption

Despite increasing levels of per capita seafood consumption globally, consumption levels across the population vary with many consumers eating less than recommended weekly intakes. This study investigates the influence of childhood patterns of seafood consumption, consumer confidence in selecting and preparing seafood, adult eating habits, and lifestyle on seafood consumption. Partial least squares structural equation modelling analysis was conducted using a sample of 1,318 Australian adults. The results show that consuming seafood regularly in childhood and developing the confidence to select and prepare seafood as an adult contribute to the development of seafood eating habits. Subsequently, a habit of consuming seafood leads to a lifestyle involving regular consumption of seafood. The results indicate the need to develop and implement intervention strategies for encouraging childhood seafood consumption (“train the child”) and increasing adults' confidence in selecting and preparing seafood (“teach the adult”). Intervention strategies proposed include educational programmes targeted at both children and adults, combined with the development of seafood products that appeal to children and suit the changing lifestyle needs of today's 21st century consumers.     

Impact of a Faith-Based Social Justice Course on Pre-Service Teachers

Rapid demographic shifts are occurring around the country. United States’ public schools are more diverse than any time in history. To help prepare pre-service teachers for these shifts, this small-scale qualitative case study explored the impact of a required social justice course for pre-service educators at a large private Christian university in the Southwest United States. Findings suggest that social justice courses for pre-service teachers can have an impact on students’ conceptualizations of social justice and teaching as advocacy, a relationship between students’ Christian perspectives and social justice, and an enhanced role of social justice in students’ personal lives.     

Assessing Psychiatric Symptoms in Youth Affected by HIV: Comparing a Brief Self-Administered Rating Scale with a Structured Diagnostic Interview

Brief psychiatric assessment tools are needed for evaluating children affected by HIV for emotional and behavioral problems. We compared a self-administered symptom rating scale (CASI-4R) to a semi-structured diagnostic interview (DICA-P) in 136 U.S. children affected by HIV. Agreement and performance measures for the two instruments were computed for attention deficit hyperactivity disorder, depression, anxiety, and disruptive behavior. Correlations and regression analyses were conducted to compare the two instruments, and to evaluate their associations with social, academic, and global function. Higher CASI-4R symptom severity scores were associated with DICA diagnoses (p?<?0.02 for all disorders). Agreement (κ) between DICA diagnoses and CASI-4R Clinical Cutoffs (which incorporated symptoms and impairment) was low to moderate (0.19–0.40 for all disorders). Thirty-two percent of cases with a DICA diagnosis were identified by the CASI-4R Clinical Cutoff (sensitivity), yet over 90% of DICA-negative cases were negative by the CASI-4R (specificity). Sensitivity was higher using CASI-4R Severity Score thresholds based on median scores compared to the DICA diagnoses. The presence and severity of psychiatric symptoms and impairment were associated with poorer academic, social, and global function. The CASI-4R symptom checklist can be used to inexpensively screen youth affected by HIV for emotional and behavioral problems, although it is important that there be appropriate mental health evaluation follow-up.     

Teaching adolescents about changing bodies: Randomized controlled trial of an Internet puberty education and body dissatisfaction prevention program

This study tested the efficacy of an Internet-based prevention program, Trouble on the Tightrope: In Search of Skateboard Sam, on pubertal knowledge, body esteem, and self-esteem. One hundred and ninety participants (mean age 11.6 years) were randomized to either an intervention or attention placebo control condition and were assessed at baseline, after three Internet-based sessions, and at 3-month follow-up. Although the primary hypotheses were not supported, exploratory moderator analyses indicated that the intervention was beneficial for select students. Specifically, pubertal status moderated the effects on weight-related body esteem and several domains of self-esteem, resulting in positive effects for participants in the intervention group who had begun puberty. Gender differences were found on self-esteem subscales, indicating more robust effects for girls than boys. Tailored Internet programs based on personal characteristics such as gender and pubertal status may be a fruitful area for future research with adolescents.     

Counseling Intimate Partner Abuse Survivors: Effective and Ineffective Interventions

This study obtained feedback from intimate partner abuse survivors (N = 104) regarding helpful and unhelpful aspects of therapy. The survivors’ narrative accounts and answers to quantitative questions were subjected to quantitative and qualitative analysis. Results suggest that survivors sought therapy to understand themselves and the abuse they endured. Clinicians’ diagnoses of codependency or assertions that survivors chose the relationship weakened the therapeutic alliance and reduced the perceived helpfulness of therapy.     

Reviews: Books, Art

YOGA AND PSYCHOLOGY. By Howard Coward. 115 pp. Albany: State University of New York Press, 2002. $16.95. CASE STUDIES IN INFANT MENTAL HEALTH: RISK, RESILIENCY AND RELATIONSHIPS. Edited by Joan J. Shirilla and Deborah J. Weatherston. 203 pp. Washington, D.C.: Zero to Three, 2002. $32.95. JACOB'S SHADOW: CHRISTIAN PERSPECTIVES ON MASCULINITY. By Herbert Anderson. 173 pp. Louisville, KY: Bridge Resources, 2002. $18.95. LEONARDO DA VINCI. By Sherwin B. Nuland. 170 pp. New York: Viking, 2002. $19.95. FAITH AND THE PLACEBO EFFECT: AN ARGUMENT FOR SELF-HEALING. By Lolette Kuby. 323 pp. Novato, CA: Origin Press, 2001. $23.00. NOTHING PERSONAL, JUST BUSINESS: A GUIDED JOURNEY INTO ORGANIZATIONAL DARKNESS. By Howard F. Stein. Westport, CT: Quorum/Greenwood Publishing Group, 2001. FAITH BEYOND FAITH HEALING: FINDING HOPE AFTER SHATTERED DREAMS. By Kimberly Winston. 115 pp. Brewster, MA: Praraclete Press, 2002. A SHADOW OF GLORY: READING THE NEW TESTAMENT AFTER THE HOLOCAUST. Edited by Tod Linafelt. New York and London: Routledge, 2002. LOVE IS STRONGER THAN DEATH: THE MYSTICAL UNION OF TWO SOULS. By Cynthia Bourgeault. 222 pp. Great Barrington, MA: Lindisfarne Books, 2001. $14.95. Moving Pictures