Evaluation of a Train-The-Trainers Model for Family Peer Advocates in Children’s Mental Health

Standardized training and credentialing is increasingly important to states and healthcare systems. Workforce shortages in children's mental health can be addressed through training and credentialing of professional peer parents (called family peer advocates or FPAs), who deliver a range of services to caregivers. A theory-based training program for FPAs targeting skills and knowledge about childhood mental health services (Parent Empowerment Program, or PEP) was developed through a partnership among a statewide family-run organization, state policy leaders, and academic researchers. Prior studies by this team using highly-experienced family peer advocates (who were also co-developers of the training program) as trainers found improvements in knowledge about mental health services and self-efficacy. In 2010, to meet demands and scale the model, a training of trainers (TOT) model was developed to build a cohort of locally-trained FPAs to deliver PEP training. A pre/post design was used to evaluate the impact of TOT model on knowledge and self-efficacy among 318 FPAs across the state. Participants showed significant pre-post (6 month) changes in knowledge about mental health services and self-efficacy. There were no significant associations between any FPA demographic characteristics and their knowledge or self-efficacy scores. A theory-based training model for professional peer parents working in the children's mental health system can be taught to local FPAs, and it improves knowledge about the mental health system and self-efficacy. Studies that evaluate the effectiveness of different training modalities are critical to ensure that high-quality trainings are maintained.     

Terminal decline of episodic memory and perceptual speed in a biracial population

We compared trajectories of terminal cognitive decline in older Black (n = 3372) and White (n = 1756) persons from a defined population who completed tests of episodic memory and perceptual speed at 3-year intervals for up to 18 years. During a mean of 9.9 years of observation, 1608 Black persons and 902 White persons died. Preterminal decline of episodic memory did not differ by race. Terminal episodic memory decline began earlier in Black persons (mean of 4.3 years before death) than in White persons (mean = 3.9 years) and progressed more slowly. By contrast, terminal decline of perceptual speed began earlier in White persons (mean = 5.0 years) than in Black persons (mean = 4.5 years). Rate of perceptual speed decline was more rapid in White persons than in Black persons in both the preterminal and terminal periods. The results indicate that terminal cognitive decline occurs in Black persons but suggest that the rate of cognitive decline during the terminal period is less rapid in Black persons than in White persons.     

Organ Procurement and Health Care Chaplaincy in Australia

As part of an Australian national project, quantitative data via a survey were retrospectively obtained from 327 Australian health care chaplains (staff and volunteer chaplains) to initially identify chaplaincy participation in various bioethical issues—including organ procurement. Over a third of surveyed staff chaplains (38%) and almost a fifth of volunteer chaplains (19.2%) indicted that they had, in some way, been involved in organ procurement issues with patients and/or their families. Nearly one-fifth of staff chaplains (19%) and 12% of volunteer chaplains had also assisted clinical staff concerning various organ procurement issues. One hundred of the surveyed chaplains volunteered to an interview. Qualitative data were subsequently coded from 42 of the chaplains who had been involved in organ procurement requests. These data were thematically coded using the World Health Organization ‘Pastoral Intervention Codings’ (WHO-PICs). The qualitative data revealed that through a variety of pastoral interventions a number of chaplains (the majority being staff chaplains) were engaged in the critical and sensitive issues of organ procurement. It is argued that while such involvement can help to ensure a holistic and ethically appropriate practice, it is suggested that chaplains could be better utilized not only in the organ procurement process but also for the training of other chaplains and clinicians.     

Time course of changes in novice jumpers' countermovement vertical jump performance

Time course of changes in jump height was examined to assess whether it was related to changes in the underlying mechanics or muscle activity. In Phase I, 11 novice female students performed 10 maximal jumps for eight consecutive days from two force plates. Jump height, impulse duration (t(IMP)), and mean vertical ground reaction force (VGRF) were compared using repeated-measures analysis of variance. Jump height was significantly higher (7.7%) on Days 3-8 when compared to Days 1 and 2; t(IMP) and VGRF were unchanged across days. In a followup study (Phase II), 14 novice female students performed 10 maximal jumps for five consecutive days. Electromyographic activity of five leg muscles was recorded to identify the relative onset of each muscle's activity. Using repeated-measures analysis of variance, jump height was significantly higher (4.2%) on Days 2 to 5 compared to Day 1; however, no significant changes were found across Days, for t(IMP), VGRF, or the onset of muscle activity. The findings indicate that jump performance can improve rapidly in novice jumpers but the underlying muscle activation remained unchanged.     

When Declaring ��I am a Feminist�� Matters: Labeling is Linked to Activism

Being a feminist has been operationalized as a label (linked with activism), beliefs (associated with personal and interpersonal outcomes), and their combination. Using an internet survey completed by 220 American mid-western college women, we explored the unique and combined impact of feminist self-labeling with feminist beliefs on women??s well-being, egalitarianism, and activism. Self-labeling was most clearly defined as a binary declaration of being a feminist or not, which alone was related to increased feminist activism above and beyond the impact of feminist beliefs. Furthermore, self-labeling, unlike feminist beliefs, was not related to personal well-being or interpersonal egalitarianism. Our findings confirm the exclusive and singular importance of self-labeling for enhanced feminist action.     

Online purchases in an Infocomm sophisticated society.

This paper presents a preliminary investigation of attitude and intention in relation to online shopping in Singapore. Singaporeans display high levels of Infocomm proficiency, the result of many intense government initiatives to transform the country into an Intelligent Community. Does this Internet embracing environment enhance attitude and intention to online shopping? This study considers the links between personal consequences, subjective norms, behavioral control, and personal innovativeness with attitude and intention among Singaporeans. It uses a model based on the Theory of Planned Behavior and makes some initial comparisons of its findings with those of existing studies. The effects of behavioral control and intention on actual purchase behavior are not investigated. Findings permit the tentative proposition that level of Infocomm knowledge impacts on attitude and intention.     

Personality and online/offline choices: MBTI profiles and favored communication modes in a Singapore study.

This study presents an initial investigation of the degree to which personality, as classified by the four dimensions of the Myers-Briggs Type Indicator (MBTI) affects an individual's choice of online or offline means for conducting social interactions. Results yield some evidence that personality affects choice of online or offline options, with an especially significant correlation between online/offline choices and the dimension of Extraversion and Introversion. Significant results are also seen for the Judging-Perception and Thinking-Feeling dimensions, but the Sensing-iNtuition dimension showed no correlation.     

Theorizing cumulative dehumanization: An embodied praxis of “becoming” and resisting state‐sanctioned violence

This paper introduces a new conceptual framework referred to as “cumulative dehumanization” to better understand the ways in which dehumanization penetrates individual and collective bodies and minds, cutting across policy and ideology and accumulating materially and affectively over time and space. Cumulative dehumanization illuminates a web of vertical and horizontal, synthetic, and dynamic processes that result in an ongoing racialized, state‐sanctioned dehumanization that is fundamentally cumulative—both temporally and spatially—with a profusion of consequences attached. Within the landscape of aggressive surveillance and policing, we illuminate how cumulative dehumanization can be conceptualized as (i) an active condition of becoming, experienced as an accumulation of dehumanizing moments, structurally imposed on racialized communities under siege; (ii) a wearing down of the racialized and affective body, creating circuits of dispossession for entire communities; (iii) a product and (re)producer of the material and ideological modes undergirding racial capitalism; and (iv) a force met with individual and collective resistance. Linking literature on racial capitalism and affect, to the embodied social psychological phenomenon of dehumanization, cumulative dehumanization serves as a useful conceptual tool to examine the historical legacy of, processes embedded within, and entirety of collective consequences including resistance as inextricably linked. In doing so, we reveal the indivisibility of cognitive, embodied, psychological, social, material, ideological, and political circuits.