Can we Build on Social Movement Theories to Develop and Improve Community‐Based Participatory Research? A Framework Synthesis Review

A long‐standing challenge in community‐based participatory research (CBPR) has been to anchor practice and evaluation in a relevant and comprehensive theoretical framework of community change. This study describes the development of a multidimensional conceptual framework that builds on social movement theories to identify key components of CBPR processes. Framework synthesis was used as a general literature search and analysis strategy. An initial conceptual framework was developed from the theoretical literature on social movement. A literature search performed to identify illustrative CBPR projects yielded 635 potentially relevant documents, from which eight projects (corresponding to 58 publications) were retained after record and full‐text screening. Framework synthesis was used to code and organize data from these projects, ultimately providing a refined framework. The final conceptual framework maps key concepts of CBPR mobilization processes, such as the pivotal role of the partnership; resources and opportunities as necessary components feeding the partnership's development; the importance of framing processes; and a tight alignment between the cause (partnership's goal), the collective action strategy, and the system changes targeted. The revised framework provides a context‐specific model to generate a new, innovative understanding of CBPR mobilization processes, drawing on existing theoretical foundations.     

Treating Depression Among Adolescent Perinatal Women With a Dialectical Behavior Therapy–Informed Skills Group

Depression is a prevalent and impairing problem affecting both women and offspring during the perinatal (pregnancy and the postpartum) period. Despite this, few studies have examined treatments for perinatal adolescents with depressive symptoms. The present study examined the feasibility and preliminary outcomes of a dialectical behavioral therapy (DBT) informed skills group among depressed adolescent perinatal women (N = 25) recruited from both a public health parent education program and an adolescent obstetric clinic. A brief composite case example is included to illustrate how DBT skills were taught, practiced, and applied. Findings suggest the intervention was credible, acceptable, and associated with improvement in depression. Challenges with feasibility of enrolling and retaining adolescent perinatal women were evident, as approximately half of the enrolled participants did not complete the study. This study provides preliminary evidence that a DBT-informed skills group may be a promising intervention for depressed adolescent perinatal women and points to important directions for clinical practice and research, including treatment engagement and retention.     

The adoption of physical activity and eating behaviors among persons with obesity and in the general population: the role of implicit attitudes within the Theory of Planned Behavior

Obesity can be prevented by the combined adoption of a regular physical activity (PA) and healthy eating behaviors (EB). Researchers mainly focused on socio-cognitive models, such as the Theory of Planned Behavior (TPB), to identify the psychological antecedents of these behaviors. However, few studies were interested in testing the potential contribution of automatic processes in the prediction of PA and EB. Thus, the main objective of this study was to explore the specific role of implicit attitudes in the pattern of prediction of self-reported PA and EB in the TPB framework, among persons with obesity and in adults from the general population. One hundred and fifty-three adults participated to this cross-sectional study among which 59 obese persons (74% women, age: 50.6 ± 12.3 years, BMI: 36.8 ± 4.03 kg m^–²) and 94 people from the general population (51% women; age: 34.7 ± 8.9 years). Implicit attitudes toward PA and EB were estimated through two Implicit Association Tests. TPB variables, PA and EB were assessed by questionnaire. Regarding to the prediction of PA, a significant contribution of implicit attitudes emerged in obese people, β = .25; 95%[CI: .01, .50]; P = .044, beyond the TPB variables, contrary to participants from the general population. The present study suggests that implicit attitudes play a specific role among persons with obesity regarding PA. Other studies are needed to examine which kind of psychological processes are specifically associated with PA and EB among obese people.     

Socio-Ecological Predictor Model of Parental Intention to Participate in Triple P-Positive Parenting Program

We examined variables associated with parental intention to participate in a parenting program viewed within a socio-ecological framework. In two metropolitan areas in Japan, 222 families voluntarily completed a series of questionnaires. A series of multiple regression analyses was used to evaluate the Socio-Ecological Predictor Model that was able to account for 50% of the variance associated with parental intention to participate in a parenting program. The most significant predictor in the model was program features, which accounted for 30% of the variance. It is important to consider program features that make it more likely that parents will engage positively in a parenting program. We discuss parental intention to participate in a parenting program as well as the limitations of the study and areas for future research.     

Challenges of Evaluating Multilevel Interventions

This article uses the Comprehensive Mixed-Methods Participatory Evaluation (CMMPE; Nastasi and Hitchcock Transforming school mental health services: Population-based approaches to promoting the competency and wellness of children, Thousand Oaks, CA: Corwin Press with National Association of School Psychologists 2008; Nastasi et al. School-based mental health services: creating comprehensive and culturally specific programs. Washington, DC: American Psychological Association 2004) model as a framework for addressing the multiplicity of evaluation decisions and complex nature of questions related to program success in multilevel interventions. CMMPE defines program success in terms of acceptability, integrity, social or cultural validity, outcomes (impact), sustainability and institutionalization, thus broadening the traditional notions of program outcomes. The authors use CMMPE and an example of a community-based multilevel sexual risk prevention program with multiple outcomes to discuss challenges of evaluating multilevel interventions. The sexual risk program exemplifies what Schensul and Tricket (this issue) characterize as multilevel intervention–multilevel evaluation (M–M), with both intervention and evaluation at community, health practitioner, and patient levels. The illustration provides the context for considering several challenges related to M–M designs: feasibility of randomized controlled trials within community-based multilevel intervention; acceptability and social or cultural validity of evaluation procedures; implementer, recipient, and contextual variations in program success; interactions among levels of the intervention; unanticipated changes or conditions; multiple indicators of program success; engaging multiple stakeholders in a participatory process; and evaluating sustainability and institutionalization. The complexity of multilevel intervention and evaluation designs challenges traditional notions of evaluation research and experimental designs. Overcoming these challenges is critical to effective translation of research to practice in psychology and related disciplines.     

The Concept of Psychological Health in Rational Emotive Behavior Therapy

The argument has been made that if Rational Emotive Behavior Therapy (REBT) is to survive and prosper in the 21st century, its underlying personality theory requires further development and clarification. In this spirit, the concept of psychological health in REBT theory is examined in the present article. The concept of psychological health in personality theories is discussed briefly, as are the core aspects of the REBT view of emotional disturbance. Given that necessary context, a definition of the essence of psychological health in REBT theory is proposed and discussed. The clinical implications of the proposed definition are then explored.     

A Big Five model of disposition and situation interaction: why a “helpful” person may not always behave helpfully

A “bottom-up” Big Five disposition-situation interaction model is introduced that highlights the interactive relation between an individual's behavioral trait tendencies and the different facets of a situation to which he or she may respond. In the proposed model, personality traits are considered markers for how an individual might interpret and respond to different facets of a situation. Given a complex situation with multiple response options, a person will respond to the part of the situation most salient to him or her at that time. The presented model illustrates how interactions between the trait dimensions of the Big Five model with the different facets of a situational context, as well as the intra-individual interactions between the different trait dimensions themselves, determine which facet of a situation will be salient. The model is expected to improve prediction of specific behaviors in specific situations using personality traits. Results from an illustrative study are presented.     

Assessment of Psychotic Disorders in Inpatient Children and Adolescents: Use of the Devereux Scales of Mental Disorders

The Devereux Scales of Mental Disorders (DSMD), with its 3-factor model of measurement (i.e., Internalizing, Externalizing, and Critical Pathology), may be useful in screening for psychotic disorders in children. This study assessed the ability of the DSMD to differentiate between inpatient children and adolescents with psychotic disorders (n = 18) and those with other clinical syndromes (n = 71). Results of ANCOVAs indicated that the psychotic group scored significantly higher on most DSMD scales and composites than the nonpsychotic clinical group. However estimates of effect size were particularly large for the Critical Pathology Composite and the Autism and Acute Problems Scales. Diagnostic efficiency statistics revealed that the DSMD's Critical Pathology Composite was highly accurate in differentiating between the 2 clinical groups. These findings support the utility of the DSMD in identifying children and adolescents with psychotic disorders.     

Personality assessment in the Great Apes: Comparing ecologically valid behavior measures, behavior ratings, and adjective ratings

Three methods of personality assessment (behavior measures, behavior ratings, adjective ratings) were compared in 20 zoo-housed Great Apes: bonobos (Pan paniscus), chimpanzees (Pan troglodytes verus), gorillas (Gorilla gorilla gorilla), and orangutans (Pongo pygmaeus abelii). To test a new bottom-up approach, the studied trait constructs were systematically generated from the species’ behavioral repertoires. The assessments were reliable, temporally stable, and showed substantial cross-method coherence. In most traits, behavior ratings mediated the relations between adjective ratings and behavior measures. Results suggest that high predictability of manifest behavior is best achieved by behavior ratings, not by adjectives. Empirical evidence for trait constructs beyond current personality models points to the necessity of broad and systematic approaches for valid inferences on a species’ personality structure.