Follow-up of a full-scale network assembly

The authors conducted two full-scale network assemblies for the family network of a suicidal adolescent. Findings from the clinical follow-up and telephone interviews with 21 of 65 participants revealed benefits for the index family and the network members who participated in the meetings. A ripple effect in which the participants' own personal networks improved was also demonstrated. Benefits included resolution of a suicidal crisis, better understanding of depression and family stress, more adaptive responses to depression and suicidal risk, and improved personal relationships. No casualties from this intervention were discovered. This report is intended to stimulate future, more systematic outcome studies.     

The importance of assessing treatment integrity: An example in the anxiety disorders

One purpose of this investigation was to examine the importance of assessing treatment integrity in a study evaluating a treatment for specific anxiety disorders. Three subjects, two social phobics and one simple phobic, received self-instruction training (Phase I) followed by exposure and self-instruction training (Phase II) in a multiple baseline across subjects design. All subjects were assessed during a pretreatment baseline and throughout treatment using measures of treatment integrity and measures of change in phobic severity. Improvement took place at different times for different subjects. Measures of treatment integrity, which consisted of monitoring of self-statements as well as practice outside the session, indicated that treatment was not always received as intended and that improvement was correlated with practice. The usefulness of measures of treatment integrity in both clinical and research settings is highlighted.     

Measuring activity using actometers: A methodological study

Actometers are men's self-winding mechanical wristwatches that have been modified such that they measure activity rather than time. Actometers can be used to obtain longitudinal naturalistic measures of activity concerning a variety of clinical populations. However, no systematic methodological research has been conducted with regard to the site of attachment and the duration of measurement necessary to ensure valid results. This article presents the results of a methodological study designed to answer these questions. The mean activity levels associated with the Left Wrist and Ankle were nearly equal to those associated with the Right Wrist and Ankle. The Ankle readings were substantially greater than the Wrist readings because the subjects' legs were longer than their arms. The data from Week 2 were the same as those from Week 1.     

The validity of Mobley's (1977) model of employee turnover

Unlike earlier tests of an oversimplified version of this model, the validity of W. Mobley's (1977, Journal of Applied Psychology, 62, 237-240) original turnover model was fully investigated. Constructs that were neglected in prior studies were assessed and previously examined constructs were operationalized with more reliable measures. Measures of all constructs in Mobley's model were obtained from a survey of 192 hospital employees. Turnover data were collected a year following survey administration. Following the theoretical causal ordering of Mobley's constructs, each construct was regressed on all causally prior constructs. In general, each construct was accurately predicted by the linear combination of predictors representing its causal determinants. In the majority of instances, the best predictor of a model construct was the construct's immediate causal antecedent. Further, an alternative model was evaluated and compared with Mobley's model using path analysis.     

Cognitive, perceptual, and personal-social development of prematurely born preschoolers

This study was designed to determine possible differences in the cognitive, perceptual, and personal-social development of prematurely and maturely born 3-yr.-olds which might foreshadow later learning problems. The subjects were 40 prematurely born graduates of a neonatal intensive care unit (birth weight less than 2,500 gm, less than 37 wk. gestation) matched on the pair-level with full-term controls on sex, race, post-conceptual age, and socioeconomic background. All subjects were singletons and parity was matched at the group level. No differences were found between the groups on tests of higher mental processes including the General Cognitive, Verbal, Quantitative, and Memory Scales of the McCarthy Scales of Children's Abilities, and researcher-devised measures of problem-solving competence. No differences in parental reports of personal-social development were noted. Prematures did not perform as well as controls on perceptual performance tasks, and this difference was interpreted as reflecting relatively impaired visual-motor coordination.     

Motoric change subsequent to therapeutic intervention in infants and young children who have cerebral palsy: annotated listing of group studies

This annotated listing is of group reports pertaining to therapeutic strategies utilized with infants and young children who have cerebral palsy. The studies are organized by type of design used.