Production of narrative and procedural discourse in aphasia

The study described the abilities of a group of 10 aphasics and 10 normals to produce narrative and procedural discourse. The experimental tasks included telling stories, producing summaries, giving morals to the stories, and producing procedures. The variables examined in the investigation included features of sentential grammars, such as amount of embedding, and features of discourse grammars, such as occurrence of elements of superstructure in narrative. Additionally, raters assessed the content and clarity of the discourses. The results showed that aphasics produced well-structured narrative and procedural discourse. Aphasics' discourse errors differed only in degree, not qualitatively, from those of normals. The language of the aphasics' discourses was reduced in both complexity and amount. It was found that the aphasics had difficulties in producing summaries and giving morals for the stories when compared with the normals. Both the content and clarity of the discourses produced by the aphasics were rated lower than those produced by the normals.     

Effectiveness of a brief counseling intervention in stimulating vocational exploration

The intervention procedures used in this study, a brief report of vocational interest scores and small group sessions on vocational planning, were designed to encourage girls to consider the full range of occupations, unrestricted by sex-role stereotypes. In each of three schools, ninth-grade girls with average academic ability or above were randomly assigned to an intervention group (N = 195) and a control group (N = 195). Analyses of 1- and 3-month outcome data indicated that the intervention stimulated occupational exploration and increased congruence between occupational preferences and measured interests. Outcomes differed according to interest type, thus suggesting that certain students may need more counselor attention than others.     

Why Parents Matter!: The Conceptual Basis for a Community-Based HIV Prevention Program for the Parents of African American Youth

The Parents Matter! Program (PMP) is a community-based family intervention designed to promote positive parenting and effective parent-child communication about sexuality and sexual risk reduction. Its ultimate goal is to reduce sexual risk behavior among adolescents. PMP offers parents instruction and guidance in general parenting skills related to decreased sexual risk behavior among youth (e.g., relationship building, monitoring) and sexual communication skills necessary for parents to effectively convey their values and expectations about sexual behavior—as well as critical HIV, STD, and pregnancy prevention messages—to their children. We briefly review the literature concerning parental influences on adolescent sexual risk behavior and present the conceptual model and theoretical foundation upon which PMP is based.     

The Parents Matter! Program: Practical, Theoretical and Methodological Perspectives

We provide a commentary on the Parents Matter! intervention program. Our commentary is organized around core issues confronting those who design prevention programs, namely (1) making the program practical, feasible and economical, (2) reaching a broad base of target individuals, (3) making the intervention effective in changing the behavior or outcome for those who participate in it, and (4) ensuring that the intervention is sustainable for future generations. Parents Matter! is a thoughtful and impressive program that addresses each of these issues.     

Fast screening of eating disorders among patients with bipolar disorder: Validation of the French version of BEDS questionnaire

IntroductionThe prevalence and morbidity of eating disorders (ED) is high in patients with bipolar disorder (BD). Simple tools are necessary to easily and rapidly screen for ED in bipolar patients.ObjectiveThe aim of this study was to validate the French version of Bipolar Eating Disorder Scale (BEDS-F).MethodED and BD diagnoses were established with a structured-interview in 80 patients according to the DSM-IV criteria. The BEDS was translated into French using appropriate methods. Patients were administered the following scales: BEDS-F, SCOFF, Bulimic Investigatory Test Edinburgh (BITE) and Eating Disorder Inventory-two (EDI-2).ResultsBEDS-F score were significantly higher in bipolar patients with ED. The BEDS-F showed high feasibility (no omission response), excellent discriminating abilities (ROC AUC = 0.97) with a sensibility of 98% and specificity of 85% for BEDS ≥ 11, high internal consistency (Cronbach's alpha coefficient = 0.86) and test-retest reliability (ICC = 0.99). No floor/ceiling effect was observed. The BEDS-F sensitivity was equivalent to that of the BITE and EDI-2 subscale B. The BEDS-F specificity was slightly lower than that of the EDI-2 subscale B, but equivalent to that of BITE.ConclusionThe BEDS-F is a valid scale for fast ED screening in patients with bipolar disorder, and easier to administer than other currently used scales.     

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.     

A randomized control trial to investigate the impact of the Lidcombe Program on early stuttering in German-speaking preschoolers

In order to investigate whether the Lidcombe Program effects a short-term reduction of stuttered speech beyond natural recovery, 46 German preschool children were randomly assigned to a wait-contrast group or to an experimental group which received the Lidcombe Program for 16 weeks. The children were between 3;0 and 5;11 years old, their and both of their parents’ native language was German, stuttering onset had been at least 6 months before, and their stuttering frequency was higher than 3% stuttered syllables. Spontaneous speech samples were recorded at home and in the clinic prior to treatment and after 4 months. Compared to the wait-contrast group, the treatment group showed a significantly higher decrease in stuttered syllables in home-measurements (6.9%SS vs. 1.6%SS) and clinic-measurements (6.8%SS vs. 3.6%SS), and the same increase in articulation rate. The program is considered an enrichment of currently applied early stuttering interventions in Germany.

Educational objectives: Readers will discuss and evaluate: (1) the short-term effects of the Lidcombe Program in comparison to natural recovery on stuttering; (2) the impact of the Lidcombe Program on early stuttering in German-speaking preschool children.     

The First Twenty Years of the ELCA: Remembrances of a Retired Bishop

Abstract : The ELCA has experienced a number of significant events and developments in the first twenty years of its existence as a Church. In this article you will read about the preparation and direction that newly elected Bishops received for their ministry in their synods, and some of the struggles and joys that accompanied their work with one another and with their rostered leaders and congregations. It is the perspective of one retired Bishop Emeritus who gives an account of his ministry as he experienced it.     

Caregiver Involvement in the Intensive Mental Health Program: Influence on Changes in Child Functioning

We examined behavioral markers of caregiver involvement and the ways in which family participation was related to treatment outcomes in 47 elementary school children with SED enrolled in a school-based intensive mental health program. Measures of caregiver involvement included therapeutic home visits, attendance at therapeutic meetings, completion of ratings on the daily point sheet, and extra communications with the therapeutic team on the point sheet. Greater initial impairment was associated with greater caregiver involvement. Greater caregiver involvement was linked to improvement in child thought processes, increased ability to provide emotional and social supports for the child, and greater overall child functioning at discharge. Our findings also reflected increased therapists’ attempts to provide additional in-home services in cases where caregivers demonstrated a decline in their ability to provide for their children’s physical and material needs, or in which therapists discovered that the family functioning was more impaired than what was initially assessed. We provide a case study that exemplifies many of these findings.