Multiple risk expert systems interventions: impact of simultaneous stage-matched expert system interventions for smoking, high-fat diet, and sun exposure in a population of parents.

Three stage-based expert system interventions for smoking, high-fat diet, and unsafe sun exposure were evaluated in a sample of 2,460 parents of teenagers. Eighty-four percent of the eligible parents were enrolled in a 2-arm randomized control trial, with the treatment group receiving individualized feedback reports for each of their relevant behaviors at 0, 6, and 12 months as well as a multiple behavior manual. At 24 months, the expert system outperformed the comparison condition across all 3 risk behaviors, resulting in 22% of the participants in action or maintenance for smoking (vs. 16% for the comparison condition), 34% for diet (vs. 26%), and 30% for sun exposure (vs. 22%). Proactive, home-based, and stage-matched expert systems can produce significant multiple behavior changes in at-risk populations where the majority of participants are not prepared to change.     

When Courtship Persistence Becomes Intrusive Pursuit: Comparing Rejecter and Pursuer Perspectives of Unrequited Attraction

Two hundred forty-one undergraduates described their experiences with unrequited love, both as pursuers (actors) and love interests (targets). As expected, targets and actors perspectives differed. As targets, participants reported being on the receiving end of more unwanted courtship tactics, violent and nonviolent, than they reported using as pursuers. Further, participants in the actor role—particularly men—tended to overreport receiving signals that their love interest was reciprocating, and to underreport receiving rejections. Meanwhile, targets—particularly women—claimed numerous attempts to reject, including explicitly stating “I am definitely not interested in you,” and indicated minimal positive reactions to the unwanted pursuit. Implications of these differences, and others, in perspectives for understanding difficulties in differentiating persistence from stalking are discussed.     

Intervention Effects on Stage of Change Membership and Transitions among Adolescent Energy Balance Behaviors

The transition from childhood to adolescence is a crucial period for the development of healthy behaviors to be sustained later in life. With obesity a leading public health problem, the promotion of healthy behaviors has the potential to make a huge impact. The current study evaluated Stage of Change progression in a large (N = 4158) computer-delivered, Transtheoretical Model-tailored intervention focusing on physical activity and fruit and vegetable consumption (FV). Markov models were used to explore stage transitions and patterns of discrete change from sixth to ninth grade. Nested model comparisons examined the consistency of these patterns across time and intervention condition. Major findings supported models in which participants were free to transition forward and backward to any of the stages, but higher probabilities were observed for remaining in the same stage or for transitioning one or two stages forward. Participants in the intervention group had higher probabilities of transitioning toward Maintenance, with more change occurring relative to the comparison group during transitions from grades six to eight but not for grades eight to nine.     

Trauma and Resilience Among Refugee and Undocumented Immigrant Women

Migration and resettlement processes are often characterized by stressful and traumatic experiences. Immigrants may experience premigration trauma in their countries of origin and trauma during their migration journey. Furthermore, refugee and undocumented immigrant women navigate unique and ongoing stressors postmigration. In this study, the authors used a phenomenological approach to explore refugee and undocumented immigrant women's experiences of trauma and stress and the ways in which they develop resilience to cope with these experiences.     

Emotion Regulation of Preschool Children in Foster Care: The Influence of Maternal Depression and Parenting

Emotion regulation is a core developmental process that is related to children’s academic success and mental health. A small body of research has documented that maltreated children show deficits in this developmental arena. The current study was designed to add to the limited literature on emotion regulation in maltreated children in foster care. Emotion regulation tasks were administered to preschool foster children, videotaped, and later coded. Parenting was assessed via coded observations of mother-child interactions. Mothers reported on their experience of depressive symptomatology. We examined the relation of foster parenting and foster mother depression, as well as child characteristics and child welfare experiences, to emotion regulation, specifically in the joy and anger domains. Findings revealed that maternal depression and parental structuring significantly contributed to children’s anger regulation, but not to their regulation of joy. These findings are considered in the context of future research with respect to young maltreated children in foster care.     

Confronting Condescending Ethics: How Community-Based Research Challenges Traditional Approaches to Consent, Confidentiality, and Capacity

Community based research is conducted by, for, and with the participation of community members, and aims to ensure that knowledge contributes to making a concrete and constructive difference in the world (The Loka Institute 2002). Yet decisions about research ethics are often controlled outside the research community itself. In this analysis we grapple with the imposition of a community confidentiality clause and the implications it had for consent, confidentiality, and capacity in a province-wide community based research project. Through untangling these implications we provide recommendations for reframing how to think about research ethics and strategies for enabling research ethics’ processes to be more responsive to and respectful of community-based research.     

VOUCHER‐BASED CONTINGENT REINFORCEMENT OF SMOKING ABSTINENCE AMONG METHADONE‐MAINTAINED PATIENTS: A PILOT STUDY

This study evaluated the efficacy of a contingency management (CM) intervention to promote smoking cessation in methadone‐maintained patients. Twenty participants, randomized into contingent (n = 10) or noncontingent (n = 10) experimental conditions, completed the 14‐day study. Abstinence was determined using breath carbon monoxide and urine cotinine levels. Contingent participants received voucher‐based incentives for biochemical evidence of smoking abstinence. Noncontingent participants earned vouchers independent of smoking status. Contingent participants achieved significantly more smoking abstinence and longer durations of continuous smoking abstinence than did noncontingent participants. These results support the potential efficacy of using voucher‐based CM to promote smoking cessation among methadone‐maintained patients.     

Effects of Initial Abstinence and Programmed Lapses on The Relative Reinforcing Effects of Cigarette Smoking

Fifty-eight smokers received abstinence-contingent monetary payments for 1 (n  =  15) or 14 (n  =  43) days. Those who received contingent payments for 14 days also received 0, 1, or 8 experimenter-delivered cigarette puffs on 5 evenings. The relative reinforcing effects of smoking were assessed in a 3-hr session on the final study day, when participants made 20 choices between smoking or money. The reinforcement contingencies exerted robust control over smoking, and programmed smoking lapses produced few discernible effects. These results further illustrate the robust control that reinforcement contingencies can exert over cigarette smoking and suggest that any effects of lapses on the relative reinforcing effects of smoking are modest under conditions involving abstinence-contingent reinforcement contingencies.     

A Glimpse Into the Lives of Nine Youths in a Correctional Facility: Insight Into Theories of Delinquency

Theories explaining delinquency have been examined primarily using quantitative methods. The current study used interviews to gain insight into the lives of delinquent male adolescents. Results indicate that no single theory best explains delinquency, but a combination of theories provides comprehensive representation.