Young people's perceptions and experiences of leaving high school early: an exploration

Research suggests it is important for students to feel a sense of belonging to their school. Students who do not belong at school often attempt to satisfy this need through membership in antisocial groups, or they drop out from school altogether. The current study explored the perceptions and experiences of the school context held by young people who have left school early. Twelve young people aged 16–19 years were interviewed on their experiences of school and their wellbeing as a result of leaving school early. Constructionist grounded theory methodology formed the basis of the data analysis. The early leaving process was identified as having three phases; exclusion from school, the transition into workforce and the ‘now’ phase. The results identified factors in the school context that contributed to early student withdrawal. Furthermore, the research has implications for creating a ‘normative narrative’ (Rappaport, 2000 ) in relation to early school leavers. Copyright © 2007 John Wiley & Sons, Ltd.     

Group interventions for patients with cancer and HIV disease: Part I: Effects on psychosocial and functional outcomes at different phases of illness

Group interventions for individuals facing cancer or HIV disease have drawn considerable attention among researchers and clinicians over the past 20 years. There is growing evidence that group services may be helpful, but which interventions are most effective for participants at which phases in the trajectory of disease has been less clear. Moreover, professionals working in different intervention settings (e.g., primary prevention vs. clinical care) and different disease sites (cancer vs. HIV disease) often have little awareness of relevant advances in other fields. Efforts to integrate findings in the literature may accelerate research and advance the standard of clinical care. The current article, the first in a series of four special reports, critically evaluates the efficacy of group interventions led by professional or trained facilitators for individuals confronted by cancer or HIV, across the spectrum of illness from elevated risk through advanced disease. We examine psychosocial and functional outcomes for different interventions directed toward different patient subgroups, trace common themes, highlight limitations, and offer recommendations for further research.     

Group interventions for patients with cancer and HIV disease: Part II. Effects on immune, endocrine, and disease outcomes at different phases of illness

There has been great interest in the potential impact of group interventions on medical outcomes. This article reviews the effects of professionally-led groups on immune activity, neuroendocrine function, and survival among patients with cancer or HIV disease. We examine findings concerning different types of group services at different phases of illness. Results are mixed, but the most prominent changes in immune and endocrine activity were associated with structured group interventions for patients with early-stage disease. These findings offer provocative illustrations of relevant mind-body interactions, but their clinical importance has yet to be demonstrated empirically. Group interventions have not been tied consistently to improved survival rates for patients with advanced cancer; few studies as yet have focused on survival outcomes among patients with early-stage cancer or HIV disease.     

Group interventions for patients with cancer and HIV disease: Part III. Moderating variables and mechanisms of action

Growing evidence supports the value of group interventions for individuals who are at risk for or have developed cancer or HIV disease. However, information is more limited concerning how these services can be delivered in an optimal manner, and what processes contribute to their benefits. Parts I and II of this review examined the efficacy of different interventions for individuals at different phases of illness, ranging from primary prevention to late-stage disease, in both psychosocial and biological domains. The current paper examines some of the factors other than phase of illness that might influence group treatment effects (e.g., intervention parameters, participant characteristics), and explores mechanisms of action.     

A 6-month investigation of exercise adoption from the contemplation stage of the transtheoretical model

Objectives: To investigate whether there are subtypes within the contemplation stage and to investigate whether self-efficacy and decisional balance changed in the manner predicted by the Transtheoretical Model (TTM) for individuals who adopted physical activity without intervention.Method: Participants were 118 adults (age range 18–66 years, MEAN=39.9 years) who were in contemplation at baseline. Participants completed two questionnaires assessing stage of exercise behaviour, self-efficacy and decisional balance 6 months apart.Results: Based on self-efficacy and pros and cons, three interpretable clusters were identified within the contemplation stage. Cluster membership influenced stage movement during the six months. Self-efficacy increased for those who adopted exercise and there was a significant increase in pros scores at 6 months for those who had recently adopted exercise.Conclusions: The existence of sub-stages indicates a true temporal order for the stages and has implications for closely tailoring interventions to the needs of the individual. Increasing self-efficacy and pros, and lowering cons is important in facilitating movement within the contemplation stage and from contemplation to action/maintenance.