Bridging the Gap Between Prevention Research and Practice: The Interactive Systems Framework for Dissemination and Implementation

If we keep on doing what we have been doing, we are going to keep on getting what we have been getting. Concerns about the gap between science and practice are longstanding. There is a need for new approaches to supplement the existing approaches of research to practice models and the evolving community-centered models for bridging this gap. In this article, we present the Interactive Systems Framework for Dissemination and Implementation (ISF) that uses aspects of research to practice models and of community-centered models. The framework presents three systems: the Prevention Synthesis and Translation System (which distills information about innovations and translates it into user-friendly formats); the Prevention Support System (which provides training, technical assistance or other support to users in the field); and the Prevention Delivery System (which implements innovations in the world of practice). The framework is intended to be used by different types of stakeholders (e.g., funders, practitioners, researchers) who can use it to see prevention not only through the lens of their own needs and perspectives, but also as a way to better understand the needs of other stakeholders and systems. It provides a heuristic for understanding the needs, barriers, and resources of the different systems, as well as a structure for summarizing existing research and for illuminating priority areas for new research and action. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.     

Subclinical delusional ideation and a self‐reference bias in everyday reasoning

Previous studies (e.g. Moller & Husby, 2000 ; Blackwood et al., 2004 ) have revealed that delusional thinking is accompanied by an exaggerated focus upon the self and upon stimuli that are perceived to be related to the self. The objective was to examine whether those high in subclinical delusional ideation exhibit a heightened tendency for self‐reference. Using a mixed design, healthy individuals, classified into high‐ and low‐scoring groups on the Peters et al. Delusions Inventory ( Peters, Day, & Garety, 1996 ), were compared on everyday reasoning tasks across three experiments. High‐PDI scorers, in contrast to the low‐PDI group, rated self‐referent objections to everyday arguments as stronger than other‐referent objections and formulated more self‐referent assertion‐based objections to everyday arguments. The findings support the notion that subclinical delusional ideation is linked to a self‐reference bias, which is evident in the sort of everyday thinking that people engage in when forming or evaluating their beliefs and which may contribute to delusion formation.     

Reasoning, emotions, and delusional conviction in psychosis

The aim of the study was to elucidate the factors contributing to the severity and persistence of delusional conviction. One hundred participants with current delusions, recruited for a treatment trial of psychological therapy (PRP trial), were assessed at baseline on measures of reasoning, emotions, and dimensions of delusional experience. Reasoning biases (belief inflexibility, jumping to conclusions, and extreme responding) were found to be present in one half of the sample. The hypothesis was confirmed that reasoning biases would be related to delusional conviction. There was evidence that belief inflexibility mediated the relationship between jumping to conclusions and delusional conviction. Emotional states were not associated with the reasoning processes investigated. Anxiety, but not depression, made an independent contribution to delusional conviction.     

Parenting Behaviors During Risky Driving by Teens With Attention-Deficit/Hyperactivity Disorder

Parenting practices for teen drivers with ADHD were observed via a video monitor installed in vehicles. All teens had recently completed a driver education course and were in the driving permit stage of a graduated driver-licensing program. Parent behaviors were coded during drives when teens were driving safely and during drives when teens engaged in risky driving. The overall frequency of positive parenting strategies was low, regardless of whether teens drove safely or engaged in risky driving. Although the rate of negative feedback was also low, parents engaged in significantly more criticism and were rated by an observer to appear angrier when teens were driving in a risky manner. No other differences in parent behaviors associated with the quality of teen driving were observed. The inconsistencies between observed parenting behaviors and those parenting practices recommended as effective with teens with ADHD are discussed. The need for further research addressing effective strategies for teaching teens with ADHD to drive is highlighted.     

Getting to know you: the relational self-construal, relational cognition, and well-being

Individuals with a highly relational self-construal define the self in terms of their close relationships with others. Consequently, they seek to nurture and develop new relationships. These studies examine individual differences in the self-construal in the context of a new roommate relationship, with a focus on cognitive aspects of relationship development. Study 1 revealed that persons with a highly relational self-construal were better able than others to predict a new roommate's values and beliefs. Study 2 showed that highly relational individuals tended to think optimistically about a new roommate's feelings about the relationship. The relational self-construal was more strongly related to these measures of relationship cognition in distant relationships than in very close relationships. Participants' self-construals and their perceptions of the closeness of the roommate relationship interacted in predicting well-being, revealing an unexpected negative relation between closeness and well-being for participants with a low relational self-construal.     

The change in perceived motor competence and motor task values during elementary school: A longitudinal cohort study

Participation in motor activities is essential for social interaction and life satisfaction in children. Self‐perceptions and task values have a central position in why children do or do not participate in (motor) activities. Investigating developmental changes in motor self‐perceptions and motor task values in elementary school children would provide vital information about their participation in motor activities. We therefore examined the change in, and associations between, self‐perceptions and task values of fine motor competence, ball competence, and athletic competence in 292 children from kindergarten to grade 4. We also investigated differences between boys and girls, and between children with motor problems and typically developing children. Results indicated that self‐perceptions and task values are domain specific and differ between boys and girls, but not between children with motor problems and typically developing children. Self‐perceptions were not associated with task values. Educators should address specific self‐perceptions to enhance participation into the corresponding motor activities in children between kindergarten and grade 4, and differences in self‐perceptions and task values between boys and girls should be taken into account.     

Internet-delivered cognitive behavior therapy for anxiety and insomnia in a higher education context

Background and Objectives: Anxiety and insomnia can be treated with internet-delivered Cognitive Behavioral Therapy (iCBT). iCBT may be well-suited to students who are known to be poor help-seekers and suffer these symptoms. iCBT can offer easy access to treatment and increase service availability. The aim of this study was to evaluate the efficacy of anxiety and insomnia iCBT programs in students. Design: A randomized, controlled study. Methods: Students were randomly allocated to intervention (“Anxiety Relief”: n?=?43; “Insomnia Relief”: n?=?48; control: n?=?47). Interventions lasted six weeks. Outcome measures were the State-Trait Anxiety Inventory and the Pittsburgh Sleep Quality Index. Results: Significant within-group reductions in anxiety (t(31)?=?2.00, p?=?.03) with moderate between-groups (compared to control) effect size (d?=?.64) and increases in sleep quality (t(31)?=?3.46, p?=?.002) with a moderate between-groups effect size (d?=?.55) were found for completers of the anxiety program from pre- to post-intervention. Significant within-group increases in sleep quality were found for completers of the insomnia program from pre- to post-intervention (t(35)?=?4.28, p?>?.001) with a moderate between-groups effect size (d?=?.51). Conclusions: Findings support the use of iCBT for anxiety and insomnia in students, and indicate that further research is needed.