Mentoring and Peer-led Interventions to Improve Quality of Life Outcomes among Adolescents with Chronic Illnesses

Advancing adolescent medicine has resulted in increased survival rates for life-limiting health conditions that are now considered chronic conditions. Due to the increased rates of chronic illnesses, the broad outcomes of community-based programs for adolescents with these illnesses need to be examined. Therefore, the present study seeks to examine community-based, mentoring and peer-led programs that have a social support component to increase quality of life outcomes for adolescents with chronic illnesses. A comprehensive literature review was conducted to identify articles that included a social support component to increase quality of life outcomes for adolescents with chronic illnesses. Six articles were included in the narrative analysis. Programs were divided into two types of interventions: mentoring/coaching (n?=?3) and peer-led interventions (n?=?3). A summary of each study was developed and main themes from each intervention were identified by the research team. This review found six community-based peer-led and mentoring interventions that incorporated a social support component to improve the quality of life of adolescents with chronic illnesses. Critical components for a peer-led or mentoring intervention should include social support components such as health coaching and mentoring by peers or adults. Since the nature of chronic illnesses is lengthy in duration, social support research translated into practice may offer adolescents who have any of these illnesses a means to improve their psychosocial outcomes. The interventions outlined in this present review have yielded promising results. Recommendations for future studies are included.     

Self‐Favoring Bias for Physical Activity in Middle‐Aged and Older Adults1

A self‐favoring bias for physical activity (PA) was examined in a community‐based sample of middle‐aged and older adults (N= 3,211). Participants' actual level of PA relative to peers was compared with their perceived PA relative to peers. It was estimated that 38% were realistic, 46% self‐favoring, and 16% other‐favoring in their perceptions. Among participants whose actual PA level was similar to peers, increasing age was associated with a self‐favoring bias. Among less and more physically active participants, however, age was not associated with this bias. Better self‐rated health and being male were also associated with a self‐favoring bias. These results suggest that a self‐favoring bias for PA exists in a significant proportion of middle‐aged and older adults, and it is more pronounced with increasing age, among those with better self‐rated health, and among men.     

Are absolute frequencies,relative frequencies,or both effective in reducing cognitive biases?

Biases in probabilistic reasoning are affected by alterations in the presentation of judgment tasks. In our experiments, students made likelihood judgments that an event was produced by various causes. These judgments were made in terms of probability, relative frequency or absolute frequency on a full or a pruned list of causes. When they had little personal experience of the event (causes of death), the pruning bias was smaller with relative frequencies than with absolute frequencies or probabilities. When they had more personal experience of the event (missing a lecture), the bias was less with both types of frequency than with probability but still lowest with relative frequency. We suggest that likelihood information is usually stored as relative frequencies when it has been obtained from public sources but that it is based on event counts when it is derived from personal experience. Copyright © 2000 John Wiley & Sons, Ltd.     

Changes in meaning in life across the course of psychodynamic psychotherapy

Using the Meaning in Life Questionnaire (MLQ), we studied Presence and Search for meaning for 34 adult clients in psychodynamic psychotherapy. Clients completed the MLQ and Outcome Questionnaire (OQ) before intake and after every eight sessions. Variance in Presence scores was mostly attributable to clients; variance in Search scores was mostly attributable to clients and therapists. Clients initially high in Presence decreased and then increased back to initial levels; clients initially low in Presence increased and then decreased back to initial levels. Clients initially low in Search increased and then leveled off; clients initially high in Search decreased and then leveled off. In lagged cross panel analyses, when clients decreased in psychological distress during one eight-week time period, they increased in Presence during the next eight-week time period; when they increased in psychological distress during one eight-week time period, they increased in search in the next time period. Excerpts from post-therapy interviews illustrate the process of working with meaning in life in psychotherapy. Implications for practice and training are discussed.     

State of the States: A survey of statutory law,regulations and court rules pertaining to guilty pleas across the United States

A psycholegal research agenda on guilty pleas is in its nascent stage. Multijurisdictional surveys of related law and policy may advance this research agenda by focusing investigators on the specifics of existing policies and motivating cross‐jurisdictional comparisons of diverse policies. We thus conducted a systematic, national survey of statutes, regulations and court rules across the United States pertaining to nine aspects of the guilty plea process, including sentencing differentials, collateral consequences and waiver of rights, which have been identified in existing legal and psycholegal research and commentary. Following a discussion of these issues, including legal concerns and existing research findings, we present the results of our systematic survey. We supplement this review with a non‐systematic sampling of appellate case law. Broadly, there was notable diversity in whether and how jurisdictions approached these issues. We discuss general and specific implications of our findings for future research, emphasizing the importance of data on actual policies and procedures to the design of studies that may contribute to evidence‐based criminal justice policy.     

Mister Rogers’ environmentalism: children’s spirituality in a trash apocalypse

In 1990, when Earth Day was set to go international, the iconic Mister Rogers’ Neighborhood – which ran for 900 episodes from 1968 to 2001 and won a Peabody Award and 4 Emmy Awards and received 25 Emmy Award nominations – ran a series of episodes on ‘Caring for the Environment.’ The show grappled with how children might face the looming environmental crisis. In these episodes, Rogers offers a spirituality for children that enables them to grasp the severity of the issue but does so by situating the concern in a hopeful worldview and indicating ways that children can take action. Instead of instilling fear and apathy as popular environmental apocalypticism does, Rogers prepares children for the new social order that must emerge to address the environmental crisis. It is an approach that prevents children from being overwhelmed by anxiety in the face of the environmental crisis but instead develops in them a sense of responsibility for the environment.