Randomized controlled trial evaluating the effectiveness of a web-based stress management program among community college students

Background and Objectives: This study evaluated the effectiveness of a web-based stress management program among community college students that focused on increasing perceived control over stressful events. Design: Students (N = 257) were randomly assigned to a Present Control Intervention or a Stress-information only comparison group. Methods: Primary outcomes were perceived stress and stress symptoms; secondary outcomes were depression and anxiety. Self-report measures were completed online at preintervention, postintervention, and three-week follow-up. Intervention effects were estimated using linear mixed models. Seventy-five percent of the sample (n = 194) completed the pretest and comprised the intent-to-treat sample. Results: Participants in the intervention group reported significant increases in present control, and significant decreases in all four primary and secondary outcome measures from baseline to postintervention and follow-up. Within-group effect sizes were small to medium at postintervention (mean d = –.34) and follow-up (mean d = –.49). The mean between-group effect size on the four outcome measures was d = .35 at postintervention but d = .12 at follow-up, due to unexpected decreases in distress in the comparison group. Conclusions: Our online program is a cost-effective mental health program for college students. Limitations and future direction are discussed.     

Churched Ibiza: Evangelical Christianity and Club Culture

In this article, I trace the shifting theorisation of religious conflict to argue that religious conflict in the USA is shaped by a dialectic of religious and secular movements. Church-sect theory, which was originally a class-based theoretical framework, was appropriated by the rational choice approach in the sociology of religion, which instead privileged competition in a religious marketplace. Ernst Troeltsch described divisions between church and sect, but H. Richard Niebuhr demarcated a denominational divide in the USA based on class, region, ethnicity and race. In the 1980s, Wade Clark Roof and William McKinney, Robert Wuthnow and James Davison Hunter observed that the differences in the US were no longer necessarily between denominations but could occur within denominations. For them, what had become known as the Culture Wars were based on a conflict between religious liberals/progressives and religious conservatives/orthodox. This conflict is shaped by a dialectic of secular and religious movements and counter-movements.     

Instructing Parents to Use Dialogic Reading Strategies with Preschool Children

Abstract

Caregiver use of dialogic reading (DR) strategies in home, preschool, and daycare settings has been shown to facilitate development of oral language and emergent literacy skills in toddlers and preschool age children. Training in the use of DR strategies may be provided ‘live’ or via videotape. Using a randomized, control group, repeated measures design with 18 caregiver-child dyads, we investigated (a) caregivers' ability to learn to use DR strategies with their young children through videotape training in community health centers, and (b) children's verbalizations during shared book reading. Caregivers learned to use DR strategies through the videotape training and maintained their use of DR strategies 12 weeks later. In addition, an intervention effect was observed related to levels of child on-task verbalizations such that children of parents who learned DR strategies talked more about books during shared book reading relative to their baseline and to the control group children, whose parents did not view the DR training video.     

“Till Death Us Do Part”: Issues of Fidelity in End of Life Care

SUMMARY

This paper was born of the experience of caring for a loved one at the end of life. The sense of being torn between accepting one's lot and wishing for something “other” is at the heart of the concept described as “intimate fidelity.” Intimate fidelity is discussed as part of a multi-layered concept of fidelity, embracing aspects of the professional caring relationship, and which builds into a value that shapes the fabric of the community.

Academic literature fails to address this understanding of fidelity, so with some creativity, we turned to popular literature—novels and biographies—to find rich understandings of the concept of fidelity. Then following a traditional system of thematic analysis, three aspects of the concept of fidelity are presented, in the context of caring for loved ones, professional caring, and caring in the community.     

The Future of the Church as a Primary Health Place

ABSTRACT

There is a critical need for change in America's Health System, and religious organizations can facilitate not only the redefining of what health is but also the shaping of what the primary health services of the future should look like, function as, and be. The vision presented here is that the local parish or some extension of it be seen by the average citizen as a primary health place. The model proposed is that faith based living in community become the core health concept, defining what it means to be human and healthy become the core teaching, and that healing such that no illness need dominate become the goal. Within that context, health information, education, prayer, care, and support for most chronic illness, lifestyle change, and end of life concerns would begin at one's community of faith and only within that context to specially trained persons. This health system will compliment the sophisticated and complex acute medical care system that now exists.     

Adult Children and Elderly Parents: The Worlds of the New Testament

ABSTRACT

Mental health problems, especially depression and dementia, are common among the elderly. The faith community is well positioned to assist elders with these disorders, but to do so, clergy will need to recognize these disorders and know when to refer. Studies have shown that religious faith allows elders to cope more effectively with mental health problems     

Reasons for Entering Treatment Reported by Initially Treatment-Resistant Patients with Substance Use Disorders

Many individuals with substance use disorders are resistant to entering formal treatment, despite the negative consequences that plague their own lives and the lives of concerned significant others (CSOs). Community Reinforcement and Family Training (CRAFT) has been developed as an effective strategy for helping family members who are concerned about the alcohol/drug use of a loved one who refuses to seek treatment. The present study explored reasons and feelings that played a part in these resistant individuals' (identified patients [IPs]) decision to begin treatment. Written statements and feelings of 36 initially treatment-refusing IPs, who were engaged into treatment via their CRAFT-trained CSOs, were examined upon entering treatment. Self-report forms assessed three complementary domains about entering treatment: (1) feelings about coming for treatment, (2) important reasons for entering treatment, and (3) reasons for entering treatment narratives. It was shown that the occurrences of self-reported positive emotions and statements that expressed a positive wish for change outweighed negative feelings and statements. Although conceivably these CRAFT-exposed IPs may have provided different responses than other treatment-seeking populations, the current study's strong IP reports of positive feelings, reasons, and narrative statements regarding treatment entry nonetheless address potential concerns that treatment-refusing IPs might only enter treatment if felt coerced by family members and while experiencing salient negative feelings overall.     

Self-perceived strengths among people who are homeless

This study examined self-perceived strengths among 116 people who were homeless. Those who had experienced a longer period of current homelessness tended to report fewer personal strengths (r?=??0.23). Nonetheless, in spite of their marginalized position in society, the vast majority of participants (114 out of 116) perceived personal strengths. A prior diagnosis with mental illness was not associated with the number of strengths reported, but self-perception of strengths was associated with altruistic orientation. The Values in Action (VIA) taxonomy of character strengths captured many of the responses generated by this population. The most frequently mentioned character categories included social intelligence, kindness, persistence, authenticity and humour. The most frequently mentioned other strengths included personal skills (e.g. music, sports), job skills, intelligence and education. The results have relevance for efforts to build self-perceptions that facilitate escape from homelessness.     

Preventing Intimate Partner Violence

ABSTRACT

Bringing together the energy, resources, creativity, and good will of citizens enhances community resilience. The shared responsibility and collective competence that emerge from community members banding together can be a powerful and ongoing positive influence on the quality of community life, including the relationships between intimate partners. We explore the importance that the community has for preventing intimate partner violence (IPV). We argue for active, network-oriented prevention efforts. We discuss key community principles and concepts (including a definition of the nature of community), explore a social organization perspective on communities, and present a theoretical approach to building community capacity. We posit implications for program development that include community as a place for prevention, a target for prevention, and as a force for prevention. Our implications for research include examining multiple community layers, the nexus of informal and formal social care systems, and contrasting extreme groups on pivotal social organization processes.     

Multilevel Investigation into the Community Context of Child Maltreatment

Official rates of child maltreatment vary considerably from community to community. Extensive research on the role of the community context in maltreatment suggests that the neighborhood in which families live could impact their maltreatment behavior. However, the vast majority of existing studies and literature reviews on the topic have not used statistical methods to appropriately control for the impact of these variables at the individual level. This literature review approaches the question of whether the community context affects maltreatment behavior above and beyond the individual-level variables by critiquing the studies that have successfully measured maltreatment risks at both the individual and community level using multilevel modeling.