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121.
Addressing the Workforce Crisis in Integrated Primary Care 总被引:1,自引:1,他引:0
122.
A unique primary prevention effort, Strong Communities for Children (Strong Communities), focuses on changing attitudes and expectations regarding communities' collective responsibilities for the safety of children. Findings from a 6‐year pilot of the initiative in South Carolina have shown promise in reducing child maltreatment, but efforts to adapt the initiative to different cultural contexts have been lacking. No models exist for adapting an initiative that takes a community‐level approach to ensuring children's safety. Thus, this article addresses the gap by providing an overview of the original initiative, how the initiative was adapted to the Israeli context, and lessons learned from the experience. Building on conceptualizations of cultural adaptation by Castro et al. (Prevention Science, 5, 2004, 41) and Resnicow et al. (Ethnicity and Disease, 9, 1999, 11), sources of nonfit (i.e., sociodemographic traits, political conflict, government services, and the presence and role of community organizations) were identified and deep and surface structure modifications were made to the content and delivery. Ultimately, this article describes the adaption and dissemination of a community‐based child maltreatment prevention initiative in Tel Aviv, Israel, and addresses researchers' calls for more publications describing the adaptation of interventions and the procedures that need to be implemented to achieve cultural relevance. 相似文献
123.
With the dramatic increase in recent reports of physical and sexual child abuse and neglect, professionals are well as the public are increasingly concerned about the prevention of child abuse. This article provides an overview of existing child abuse prevention programs (physical abuse and sexual abuse programs are treated separately). Five computerized data bases (psychology, social work, criminal justice, education, and social sciences) were searched for literature published between 1982 and 1991. We also call attention to critical issues that need to be considered in the development and planning of future prevention efforts and evaluations. 相似文献
124.
Successful face-to-face communication involves multiple channels, notably hand gestures in addition to speech for spoken language, and mouth patterns in addition to manual signs for sign language. In four experiments, we assess the extent to which comprehenders of British Sign Language (BSL) and English rely, respectively, on cues from the hands and the mouth in accessing meaning. We created congruent and incongruent combinations of BSL manual signs and mouthings and English speech and gesture by video manipulation and asked participants to carry out a picture-matching task. When participants were instructed to pay attention only to the primary channel, incongruent “secondary” cues still affected performance, showing that these are reliably used for comprehension. When both cues were relevant, the languages diverged: Hand gestures continued to be used in English, but mouth movements did not in BSL. Moreover, non-fluent speakers and signers varied in the use of these cues: Gestures were found to be more important for non-native than native speakers; mouth movements were found to be less important for non-fluent signers. We discuss the results in terms of the information provided by different communicative channels, which combine to provide meaningful information. 相似文献
125.
This study compared the effectiveness of a multiple-stimulus-without-replacement (MSWO) preference assessment and teacher preference ranking in identifying reinforcers for use in a general education setting with typically developing elementary-school children. The mean number of digits correctly answered was greater in the MSWO-selected reward and the teacher-selected reward conditions relative to the no-reward condition for 2 of the 4 participants, but there were no differences between the MSWO-selected and teacher-selected reward conditions for any participant. 相似文献
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127.
Susan H. McDaniel Pieter LeRoux 《Journal of clinical psychology in medical settings》2007,14(1):23-32
This paper describes the application of family psychology to the primary care setting—in service, education and training,
and scholarship. Primary care family psychology integrates family systems with biopsychosocial theory, yielding an approach
that is uniquely suited to the generalist demands of primary care. This approach attends especially to the effects of relationships
on health and healthcare, using the family as a potential resource to the patient just as the healthcare team is a resource
to the clinician. Training opportunities in primary care family psychology are growing. The University of Rochester School
of Medicine and Dentistry fellowship is described as an example, with core primary care family psychology training in four
different clinical sites: Family Medicine, Internal Medicine, Pediatrics, and Obstetrics/Gynecology.
Susan H. McDaniel is Professor of Psychiatry & Family Medicine, Director of Family Programs & the Wynne Center for Family
Research in Psychiatry, and Associate Chair of Family Medicine, University of Rochester School of Medicine and Dentistry,
Rochester, New York. Dr McDaniel also directs the Primary Care Family Psychology Fellowship.
Picter LeRoux is Associate Professor of Psychiatry & Pediatrics, and Director of the Family Therapy Training Program in Psychiatry,
University of Rochester School Medicine and Dentistry, Rochester, New York. Dr. LeRoux also heads the Pediatric Track of the
Primary Care Family Psychology Fellowship. 相似文献
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129.
对428名中小学教师的职业生涯高原现象及其影响因素进行调查,分析当前中小学教师职业生涯高原现象的特征,探索其形成的影响因素并编制了三个教师职业生涯高原影响因素量表,分别为职业情感量表、背景支持量表、社会压力量表。研究结果表明自编的三个教师职业生涯高原影响因素量表具有较好的信、效度;相关分析表明教师职业生涯高原与职业情感、背景支持、社会压力显著相关;回归模型的比较表明,教师的职业情感对教师职业生涯高原的形成影响最大,其次是社会压力、背景支持;教师职业情感在背景支持和社会压力对教师职业生涯高原形成的影响中起着部分中介的作用。 相似文献
130.
In research on timing, reinforcers often are assumed to influence discrimination of elapsed time. We asked whether changes in choice used to measure timing arise because of joint control by elapsed time and reinforcers, rather than from the direct modification of control by elapsed time by reinforcers. Pigeons worked on a concurrent-choice task in which 1 response was 9 times more likely to produce a reinforcer, reversing between locations when 19 s had elapsed since the marker event. Across conditions, we manipulated the percentage of reinforcers arranged before the probability reversal from 5 to 95%. These changes in reinforcer percentages altered control by location-based elements of the contingency, but not by time-based elements. Choice was well described by a model that assumes that control by the contingency is weakened by generalization across the time and location of reinforcers, and that these generalizations become more likely at later times since a marker. These findings add to a growing body of research that suggests that reinforcers share the same function as other environmental events in determining how the environment controls behavior. 相似文献