A Mixed Methods Study of the Stages of Implementation for an Evidence-Based Trauma Intervention in Schools

A mixed methods study was conducted to examine the implementation process of 26 urban school-based mental health clinics that took part in a training and implementation support program for an evidence-based school trauma intervention. Implementation process was observed using the Stages of Implementation Completion (SIC) measure. Qualitative interviews were conducted with clinic leaders in order to gain insight into clinic processes related to the SIC. Results showed that almost all of the clinics engaged in some activities related to pre-implementation (engagement, feasibility, and readiness), but only 31% of the sites formally started delivering the program to youth. Completing more pre-implementation activities, particularly those related to readiness, predicted program start-up. Qualitative analysis comparing those that implemented the program to those that did not revealed critical differences in decision-making processes, leadership strategies, and the presence of local champions for the program. This study documented the patterns of clinic behavior that occurs as part of large-scale training efforts, suggests some unique challenges that occur in schools, and highlights the importance of engaging in particular implementation activities (i.e., readiness planning, stakeholder consensus and planning meetings) as part of program start-up. Findings indicate that pre-implementation and readiness-related consultation should be employed as part of broad-scale implementation and training efforts.     

Understanding the unique impact of dimensions of ethical leadership on employee attitudes

This study extends earlier findings on ethical leadership by testing the relationship of the seven dimensions of ethical leadership with job satisfaction, organization commitment, job embeddedness, and cynicism. It uses time-lagged data from 585 employees in Pakistan. Using confirmatory factor analysis and structural equation modeling, the study supports the concept of multidimensional ethical leadership in the Eastern setting and indicates that the dimensions of people orientation, fairness, power sharing, ethical guidance, and role clarification are associated with the majority of outcomes, as suggested by social exchange theory. However, the concern for sustainability and integrity dimensions had a limited effect.     

Informing Children of Their Newborn Screening Carrier Result for Sickle Cell or Cystic Fibrosis: Qualitative Study of Parents’ Intentions,Views and Support Needs

Newborn screening for cystic fibrosis and sickle cell disease enables the early identification and treatment of affected children, prolonging and enhancing their quality of life. Screening, however, also identifies carriers. There are minimal or no health concerns for carriers. There are, however, potential implications when carriers reach reproductive age, and thus research attention has been given to how best to convey information about these implications in a meaningful, balanced way which does not raise undue anxieties. Most research focuses on the communication from health professional to parent, yet ultimately this information is of greatest significance to the child. This study examines parents’ intentions to inform their child of newborn screening carrier results. Semi-structured interviews with 67 family members explored their intentions to inform the child, and related views and support needs. Parents almost unanimously indicated they planned to inform the child themselves. Health professionals were expected, however, to provide guidance on this process either to parents through advice and provision of written materials, or directly to the child. Although parents initially stated that they would convey the result once their child had developed the ability to understand the information, many appeared to focus on discrete life events linked to informed reproductive decision making. The results highlight ways in which health care providers may assist parents, including providing written material suitable for intergenerational communication and ensuring that cascade screening is accessible for those seeking it. Priorities for further research are identified in light of the results.     

Relationship Between Religiosity and Psychological Symptoms in Female University Students

Depression, anxiety and stress are among major psychiatric conditions being prevalent in contemporary youth. This study intended to examine the role of three religious orientations (Allport and Ross 1967) in students demonstrating these psychological symptoms. A sample comprising 502 Pakistani girls studying at university level was randomly selected. Age Universal I–E Scale and Depression, Anxiety and Stress Scale were used to collect data. Findings reveal an inverse relationship between extrinsic personal religious orientation and symptoms of depression, anxiety and stress among the respondents. Results support the integration of religious orientations in mental health care of young adults in Pakistan.     

The girlfriend's effect on perceived stress in sample containing males of different ages from Attock and Sargodha,Pakistan: with moderating role of Islamic religious values

This paper analysed the relation of girlfriend’s effect (GFE) with perceived stress (PS), and also considered Islamic religious values (RVs) as a moderating variable. The selection technique used was convenience sampling that helped the investigation to select 90 respondents who filled self-report measures about various constructs. Linear regression was employed to test different conceptual linkages material to this work. The results show that there is no significant relation present between RVs and PS. Moderating hypothesis was also rejected. However, GFE predicted notable degree of PS in the sample. Limitations and future directions are also discussed.     

Octogenarian Reports of Lifetime Spiritual Experiences: Types of Experience and Early Life Predictors

This study assessed lifetime histories of discrete spiritual experiences recalled by 144 octogenarian men studied since adolescence and 80 spouses. Women were more likely to report discrete spiritual experiences, as were those from higher socioeconomic backgrounds and those judged more open to experience as young adults. Factor analysis revealed four types of experiences related to beauty/nature, negative life events, protection by a sacred other, and traditional religious settings. Men from better childhood environments more commonly reported spiritual experiences concerning negative life events. Those with serious childhood illnesses were less likely to report experiences of feeling protected by a sacred other.