Changes in physical activity and sedentary behavior associated with an exercise intervention in depressed adults

BackgroundExercise is beneficial for depression, but less is known about its impact on post-intervention physical activity and sedentary behavior. The aim of this paper was to determine the extent to which participation in light-, moderate- and vigorous-intensity exercise intervention influenced habitual physical activity and sedentary behavior patterns in depressed adults.MethodsAccelerometer data was collected pre- and post-intervention from depressed participants randomized to one of three 12-week intervention groups: light (n = 21), moderate (n = 25) and vigorous (n = 22) exercise. Mixed models examined changes in time spent sedentary and in light and moderate-to-vigorous physical activity (MVPA); time accumulated in sedentary and MVPA bouts; and, number of MVPA bouts and interruptions in sedentary time.ResultsOverall sedentary time decreased while light activity time increased across all intervention groups but not significantly so. The light exercise intervention group reduced MVPA minutes (−8.22, 95% CI: −16.44, −0.01), time in MVPA bouts (−8.44, 95% CI: −14.27, −2.62), and number of activity bouts (−0.43, 95% CI: −0.77, −0.09). The moderate exercise intervention group reduced time in MVPA bouts (−6.27, 95% CI: −11.71, −0.82) and number of sedentary interruptions (−6.07, 95% CI: −9.30, −2.84). No changes were observed for the vigorous exercise intervention group.ConclusionsThe exercise intervention led to an increase in overall light physical activity and decrease in sedentary time, though neither change was statistically significant. Participation in the light and moderate exercise intervention groups was associated with reductions of time in MVPA bouts, but this was not evident for the vigorous exercise intervention group.     

Implementing a teacher-student relationship program in a high-poverty urban school: Effects on social, emotional, and academic adjustment and lessons learned

The primary purpose of this investigation was to examine the effects of a program designed to improve adolescents' relationships with at least one teacher in an urban high school. All participating students were nominated by teachers as having significant emotional and behavioral problems and approximately half of these youth were randomly assigned to an intervention that included increased positive involvement between each student and one teacher within the school. Teacher ratings of students' social, behavioral, emotional, and academic adjustment at pre- and post-intervention indicated that students in the intervention group had higher grade point averages than did students in the control group following the 5-month intervention but no differences were observed on other variables. Challenges associated with conducting school-based, relationship-focused interventions in high-poverty urban environments and several lessons that were learned in the process of initiating this project are discussed.     

The effectiveness of school-based anger interventions and programs: A meta-analysis

Twenty peer-reviewed journal articles that described outcomes of interventions that took place in school settings and either focused on anger or included anger as a dependent variable were meta-analyzed. No differences in outcomes were found for group comparisons by school setting, special education status, entrance criteria, or treatment agents. Although 60% of articles discussed its importance, only two articles actually measured treatment integrity. Across outcomes, the weighted mean effect size of the interventions post treatment was determined to be .31. The largest effects were found for anger and externalizing behaviors, internalizing, and social skills, with mean effect sizes of .54, .43, and .34 respectively. Weighted mean effect sizes for follow-up studies were also calculated, but given the small number of studies that reported follow-up effects, those must be interpreted with caution. The results of this meta-analysis are discussed as they relate to research, practice, and intervention with children.     

“What support would you find helpful?” The relationship between treatment expectations,therapeutic engagement,and clinical outcomes in parent–infant psychotherapy

The aim of this study was to investigate the impact of pretreatment expectations on clinical outcomes and engagement in Parent–Infant Psychotherapy (PIP). Sixty-one mothers who were experiencing mental health difficulties and who were receiving PIP with their young infants participated in the study. A mixed-methodology was used to examine participants’ expectations through transformation content analysis of pretreatment interviews; recurring themes were classified and quantified. Further statistical analyses explored relationships between the quantified themes of parental expectations and clinical outcomes and engagement in treatment. No significant correlation was found between expectations and engagement. One of the six clinical outcomes significantly correlated with parental expectations. Improved reflective functioning (RF) was predicted by participants describing expectations of wanting to improve their parent–infant relationship through the treatment, and expressing concerns about discussing their past experiences. These two expectations predicted improvements in RF independently and when combined. These results indicate that PIP may be more effective for some mothers than others and that assessing future clients’ expectations before beginning PIP may be beneficial.     

Stress and coping among early childhood intervention professionals receiving reflective supervision: A qualitative analysis

Reflective supervision/consultation (RS/C) is an important component of infant mental health training and practice. Given high levels of job stress reported by a variety of early childhood professionals, the present study offers a qualitative examination of early childhood intervention professionals’ perceptions of stress and coping before and after receiving regular RS/C. Thirty-one professionals received 9 months of RS/C and completed semistructured interview questionnaires at the pre-/postassessments. Questionnaires focused on job-related experiences, including what participants found stressful and how they coped with job-related stress. Inductive analysis techniques were used to identify themes that arose from the data. Relationships between themes were discovered through axial coding. Three key themes of individual, relational, and organizational stress were identified across the pre-/postassessments. Similar themes were evident in reports of coping. Following 9 months of RS/C, analysis revealed greater detail and reflection among the majority of participants. These results contribute to the literature through identification of multiple levels of stress and coping as well as areas of continuity and change among participants receiving RS/C. Future research should consider how professionals’ reports of stress and coping relate to reported self-efficacy and observed competence with young children and families.     

“I'm Having a Little Struggle With This,Can You Help Me Out?”: Examining Impacts and Processes of a Social Capital Intervention for First‐Generation College Students

Social capital plays a key role in college and career success, and research indicates that a dearth of on‐campus connections contributes to challenges first‐generation college students face in effectively navigating the college environment. This study investigates a novel intervention that focuses on the development of skills and attitudes to empower first‐generation college students to cultivate social capital and on‐campus connections during the transition to college. A mixed methods, explanatory design was used to evaluate impacts and processes of the intervention among first‐generation college students (n = 164) in the context of an ethnically diverse, urban, public university in the Northeast. Results indicated that students who participated in the intervention demonstrated improved attitudes and behaviors around seeking support in college, closer relationships with instructors, and higher GPAs at the end of their first year in college. These results suggest the potential benefits of a relatively scalable approach to supporting the needs of first‐generation college students.     

Effects of an Islamic-based gratitude strategy on Muslim students’ level of happiness

This study examined the effects of an Islamic-based expressive gratitude strategy in comparison to a secular-based expressive gratitude strategy and a control group in enhancing Muslims’ level of happiness. It was hypothesised that practising the Islamic-based gratitude exercise (by associating blessings with Allah) would result in higher happiness level over time, compared to the happiness level of Muslim participants practising the secular-based gratitude exercise (without specific association) or the control group (attending to details of daily life). Sixty students were randomly assigned into one of three groups and over a period of 16 days were asked to practise the respective exercises daily. They were assessed for pre- and post-happiness measures. Results generally supported the hypothesis, and suggested that the Islamic-based gratitude is beneficial in raising participants’ happiness level, as it fits with their beliefs and values. Implications of the results for including Islamic-oriented intervention to promote Muslim happiness are discussed.     

Observation as a method to enhance collective efficacy: An integrative review

ObjectivesThis review provides an integrative argument for the use of observation as an intervention to manipulate individual collective efficacy beliefs in sports teams.DesignAn exploration of the conceptual and empirical evidence underpinning observation-based interventions for increasing collective efficacy.MethodA presentation of reflections on the following. First, we reflect on existing techniques used to increase self- and collective efficacy beliefs. Second, we consider collective efficacy in the context of observational learning and the various modeling techniques employed in the sports and motor performance literature. Third, we highlight relevant literature from neuroscience, outlining the analogous neural pathways evident for social cognition (i.e., collective efficacy) and observation.ResultsThis review presents a case for the use of observation interventions to manipulate collective efficacy, drawing upon social psychological frameworks of human behavior, the observation-based literature, and contemporary understanding of brain and behavior.ConclusionsObservation-based interventions are suited for collective efficacy manipulation in sport. There is a need to advance understanding of this relationship in order to maximize improvements in collective efficacy across group contexts.     

Prospective Pilot Study of the Mastering Each New Direction Psychosocial Family Systems Program for Pediatric Chronic Illness

Psychosocial interventions for pediatric chronic illness (CI) have been shown to support health management. Interventions that include a family systems approach offer potentially stronger and more sustainable improvements. This study explores the biopsychosocial benefits of a novel family systems psychosocial intervention (MEND: Mastering Each New Direction). Forty‐five families participated in a 21‐session intensive outpatient family systems‐based program for pediatric CI. Within this single arm design, families were measured on five domains of Health‐Related Quality of Life (HRQL) self‐report measures; Stress, Cognitive Functioning, Mental Health, Child HRQL, Family Functioning. Both survey and biological measures (stress: catecholamine) were used in the study. Results from multivariate general linear models showed positive pre‐, post‐, and 3‐month posteffects in all five domains. The program effects ranged from small to moderate (η² = .07–.64). The largest program effects were seen in the domains of cognitive functioning (η² = .64) and stress (η² = .27). Also, between disease groups, differences are noted and future implications for research and clinical practice are discussed. Conclusions suggest that the MEND program may be useful in helping families manage pediatric chronic illnesses. Study results also add to the growing body of literature suggesting that psychosocial interventions for pediatric chronic illness benefit from a family systems level of intervention.