The effectiveness of a proactive coping intervention targeting self-management in diabetes patients

Objective: The study’s aim was to investigate psychological, behavioral and medical long-term outcomes of an existing self-management intervention targeting the development of proactive coping skills (e.g. goal setting and identifying barriers) in type 2 diabetes patients. The study aimed to replicate prior research showing the intervention’s effectiveness, and to extend it by (a) adding booster sessions and (b) prolonging the period of follow-up measurement to capture long-term effects.

Design/outcome measures: A total of 141 type 2 diabetes patients were included in the intervention. The intervention employed a 5-step approach to target proactive coping skills. Psychological (e.g. proactive coping and self-efficacy) and behavioural variables (e.g. self-care, diet and physical activity) were assessed at baseline (T1), after the initial phase of the intervention (T2), after the booster phase (T3) and at follow-up (T4), comprising a total period of 15 months. Medical variables were assessed at T1 and T4.

Results: Employing piecewise Latent Growth Curve Modelling, results showed that participants improved on all psychological and behavioural variables during the initial phase and maintained these improvements over 12 months. The booster phase yielded no further improvements. Mixed findings were obtained on medical outcomes.

Conclusion: The original intervention is effective, but the added value of the booster sessions is uncertain.     

Experimental test of a planning intervention for forming a ‘higher order’ health-habit

Abstract

Objective: Habit-formation interventions may help individuals initiate and maintain behaviour change. This paper proposes and empirically tests the idea that it is possible for individuals to form ‘higher-order habits’, or behaviours that can be executed in more than one way, and still be habitual.

Design: Participants (N?=?82) were healthy adults randomly assigned to an action-and-coping-planning intervention for forming a ‘higher-order habit’ of filling half of their dinner plates with fruits and vegetables or a control condition. Key measures were collected at baseline and 1, 2 and 3 weeks post-baseline. Participants submitted 3 pictures per week of their dinner plates via snapchat/email.

Main Outcome Measures: Intrinsic motivation, habit strength and behavioural frequency for filling half their dinner plates with fruits and vegetables.

Results: Intervention participants reported significantly greater habit strength at each follow-up time point. Controls did show some degree of habit formation, despite not fully forming a habit. Behavioural automaticity increased despite consuming a variety of fruits/vegetables; results did not depend on participants’ intrinsic motivation to consume fruits/vegetables.

Conclusion: It may be possible for individuals to form ‘higher-order’ habits, which may be particularly important in health contexts, in which many target behaviours are complex and can be seen as higher-order.     

Age differences in affective forecasting and experienced emotion surrounding the 2008 US presidential election

In everyday life, people frequently make decisions based on tacit or explicit forecasts about the emotional consequences associated with the possible choices. We investigated age differences in such forecasts and their accuracy by surveying voters about their expected and, subsequently, their actual emotional responses to the 2008 US presidential election. A sample of 762 Democratic and Republican voters aged 20 to 80 years participated in a web-based study; 346 could be re-contacted two days after the election. Older adults forecasted lower increases in high-arousal emotions (e.g., excitement after winning; anger after losing) and larger increases in low-arousal emotions (e.g., sluggishness after losing) than younger adults. Age differences in actual responses to the election were consistent with forecasts, albeit less pervasive. Additionally, among supporters of the winning candidate, but not among supporters of the losing candidate, forecasting accuracy was enhanced with age, suggesting a positivity effect in affective forecasting. These results add to emerging findings about the role of valence and arousal in emotional ageing and demonstrate age differences in affective forecasting about a real-world event with an emotionally charged outcome.     

Automatic influence of arousal information on evaluative processing: Valence–arousal interactions in an affective Simon task

Previous research showed that evaluation speed is faster for negative stimuli that are high in arousal and for positive stimuli that are low in arousal. The present study investigated whether arousal and valence analogously interact in automatic stimulus evaluations, i.e., if stimulus valence is irrelevant for the task. One sample of participants switched randomly between an evaluation task and an affective Simon task that assessed stimulus evaluations indirectly. Another sample completed a pure Simon task. In all conditions, the influence of affective stimuli on task performance was enhanced when valence and arousal were congruent (i.e., high-arousing negative and low-arousing positive stimuli) than when both stimulus dimensions were incongruent (i.e., low-arousing negative and high-arousing positive stimuli). These findings suggest that evaluative implications of stimulus arousal and valence are automatically inferred even when stimulus evaluation is irrelevant for the task at hand.     

Affective biases in English are bi-dimensional

A long-standing observation about the interface between emotion and language is that positive words are used more frequently than negative ones, leading to the Pollyanna hypothesis which alleges a predominantly optimistic outlook in humans. This paper uses the largest available collection of affective ratings as well as insights from linguistics to revisit the Pollyanna hypothesis as it relates to two dimensions of emotion: valence (pleasantness) and arousal (intensity). We identified systematic patterns in the distribution of words over a bi-dimensional affective space, which (1) run counter to and supersede most prior accounts, and (2) differ drastically between word types (unique, distinct words in the lexicon) and word tokens (number of occurrences of available words in the lexicon). We argue for two factors that shape affect in language and society: a pro-social benevolent communication strategy with its emphasis on useful and dangerous phenomena, and the structure of human subjective perception of affect.     

Parenting Programs to Reduce Young Children’s Externalizing Behavior: A Meta-Analytic Review of Their Behavioral or Cognitive Orientation

Abstract

This meta-analytic review evaluates 35 parenting programs to analyze their effectiveness at reducing young children’s externalizing behavior (EB). It looks at whether behavioral or cognitive orientation, informant or duration of these programs moderate their effect on such young children. It confirms that parenting interventions are effective at decreasing young children’s EB but no moderation effect was found for specific orientation or duration, only for the informant. This illustrates the current difficulty in comparing programs on the basis of their theoretical background, which prevents the understanding of which are the most efficient parenting variables and change processes to manipulate.     

Perinatal Posttraumatic Stress Disorder: Implications for Occupational Therapy in Early Intervention Practice

The purpose of this article is to present literature regarding perinatal posttraumatic stress disorder and to describe the implications of research findings for occupational therapy screening and treatment in early intervention practice. Changes in legislation regarding early intervention practice and family centered care are presented as a rationale for including maternal mental health screening as a standard practice in the field of early intervention. A case study illustrates symptoms of perinatal posttraumatic stress disorder and the effect on maternal-infant co-occupational engagement. The Model of Human Occupation is used to guide clinical reasoning about potential occupational therapy interventions.     

A Review of: “Barkley,R. A., & Robin,A. L. (2008). Your Defiant Teen: 10 Steps to Resolve Conflict and Rebuild Your Relationship.”

We report a study that addressed behavior data recording by direct-care staff at a child services program. In response to a decreasing percentage of daily data recording in two community-based group homes, a supervisory intervention was implemented, consisting of a revised data recording form and providing performance feedback to the direct-care staff. The intervention increased and maintained the percentage of daily data recording each month across the two group homes and seven sets of child behavior data. The study represents one approach toward staff performance improvement within child services programs.     

Improving FASD Children’s Self-Regulation: Piloting Phase 1 of the GoFAR Intervention

ABSTRACT

The initial parent training component of GoFAR, an intervention designed to improve the self-regulation and adaptive living skills of children with Fetal Alcohol Spectrum Disorders (FASDs), was piloted in a small, randomized clinical trial of 28 participants assigned to either a time-lapsed control group or one of two parent training groups who differed on whether the child’s computerized instruction was congruent or incongruent with the parent instruction. Parental compliance and achievement of therapy goals were indicators of improvement in the child’s self-regulation skills. Children who received computerized instruction consistent with the parent training demonstrated greater self-regulation improvements than those receiving incongruent computerized instruction.     

A Brief Group Intervention Using Video Games to Teach Sportsmanship Skills to Children With Autism Spectrum Disorders

Impaired social skills represent a fundamental deficit for children with Autism Spectrum Disorders (ASD). Despite the potential importance of “good sportsmanship,” this social skill has received relatively little attention in the literature. The current study utilized a Behavioral Skills Training (BST) approach to teach three sportsmanship skills (i.e., complimenting, turn taking, and being a good sport) during video game play (Wii Sports). Six children with ASD completed this study. Findings suggest BST can be used effectively to teach sportsmanship skills to children with ASD. The use of video-game technology as part of social skills intervention programs is also discussed.