Maintenance of Treatment Gains: A Comparison of Enhanced,Standard, and Self-directed Triple P-Positive Parenting Program

This report describes the 3 year outcomes of three different variants of the Triple P-Positive Parenting Program, a behavioural family intervention. Families were randomly assigned to one of three intervention conditions or to a waitlist condition. At 1 year follow-up there were similar improvements on observational and self-report measures of preschooler disruptive behaviour for Enhanced, Standard and Self Directed variants of Triple P. At 3 year follow-up (completed by 139 families), each condition showed a similar level of maintenance of intervention effects. Approximately 2/3 of preschoolers who were clinically elevated on measures of disruptive behaviour at pre-intervention moved from the clinical to the non-clinical range. Across conditions, there was a comparable preventive effect for each intervention for these high risk children. The implications of the findings for the development of brief, cost effective parenting interventions within a public health framework are discussed.     

Further Analysis of the Discriminate Validity of the Parenting Scale

The psychometric properties of the Parenting Scale (PS), a measure employed to identify use of dysfunctional strategies for managing child misbehavior, were examined. Parents of 75 children ages 2 to 12 (45 in the clinic-referred and 30 in the community sample group) completed the PS and a measure of child misbehavior. Mean scores were significantly higher for parents in the clinic-referred group on the PS Total, Laxness, and Overreactivity scales. However, there were no between-group differences in the number of parents who scored at or above a cutoff score designed to identify “clinical significance” on any PS scale. Reported parenting strategies were associated with reported child misbehavior regardless of group status; associations were not stronger depending on referral status. Results support the ability of the PS to discriminate between referred and community sample families. However, the PS scales were not precise in identifying clinically significant variations in parenting practices. Portions of this work were presented at the 2004 convention for the Association for the Advancement of Behavior Therapy, New Orleans, LA.     

Case Demonstration of Environmental Cuing and Brief Supervision Monitoring as Performance Management Interventions with Educational Care Providers

Abstract

The present study evaluated two interventions to improve task completion-data recording by two classroom instructors at a school for children and youth with neurodevelopmental disorders. Compared to a baseline phase, intervention through environmental cuing (strategic task scheduling) was ineffective. The addition of brief supervision monitoring (task preview and review) increased task completion-data recording to high levels and the improved performance of the classroom instructors and was sustained one month following the study in the absence of intervention. Social validity assessment documented high approval of and satisfaction with brief supervision monitoring. We discuss these findings with reference to practical and efficient methods of performance management that can be implemented with care providers in educational services settings.     

Multi‐Criteria Evaluation for Collaborative Circulating Farming with Collective Operations Between Arable and Cattle Farmers

Tokachi sub‐prefecture in Hokkaido is one of the most famous dairy and crop farming regions in Japan. It is known that Tokachi is faced with various difficult problems such as soil degradation, water contamination and unpleasant odours because of the excessive use of chemical fertilizers and inappropriate treatment of livestock excretion. In this paper, we focus on Shihoro town where agricultural outputs are relatively large in Tokachi, and propose collaborative circulating farming with collective operations between arable and cattle farmers. Under the assumption that the decision‐maker in this problem is a representative of a farming organization who hopes for sustainable agricultural development and values the intentions of local residents including arable and cattle farmers in this region, we employ multi‐attribute utility theory in order to evaluate multiple alternatives of the farming management problem. Copyright © 2012 John Wiley & Sons, Ltd.     

Evaluation of "the incredible years" in Sweden: the transferability of an American parent-training program to Sweden

Structured parent training has been proven to be effective in reducing disruptive behavior problems (DBP) in children. Most of the programs that are used in Sweden have their origin in North America, and there is an ongoing debate over the transferability to Sweden of manual-based programs developed in other contexts. The goal of the present study was to study effectiveness of the Incredible Years parent-training program (IY), developed in the US, in regular clinical work in Sweden, using a randomized controlled design. Parents of 62 four to eight-year-old children diagnosed with Oppositional Defiant Disorder participated in the study. Parents of 38 children were assigned to parent training (PT) and 24 to a waiting list (WL). The results indicate that the IYS retains the positive effects on children's disruptive behavior problems when translated and transferred to Swedish. There was a statistically significant difference in reduction of DBP in children between the groups in favor of the PT. The improvement in the PT group was sustained at the one-year follow-up. The improvement also, at least to some extent, generalized over time to the school context. There was also a statistically significant difference in mothers' report of pre to post change in parenting alliance between the PT and WL groups. The IYS program was appreciated and well received by the participating mothers.     

How professional pilots perceive interactions of working conditions,rosters, stress,sleep problems,fatigue and mental health. A qualitative content analysis

IntroductionSo far, no qualitative content analysis (QCA) has analysed pilots’ experiences and perceptions regarding weaknesses of fatigue risk management (FRM), flight time limitations (FTL), rosters, fatigue-severity, sleep problems, and how they relate to pilots’ mental health and well-being.ObjectiveThis research analyses pilots’ described perceptions of stress, fatigue, aviation safety and how regulations like FTL can affect their health and well-being.MethodIn total, 119 international pilots described their perceptions of FTL, rosters, aviation safety, and how they relate to fatigue and health. The QCA was conducted to analyse interactions of working conditions, stressors, fatigue, sleep problems and mental health of EASA-based and Australian pilots.ResultsAlthough pilots were rostered for only 60.8% to 62.5% of the legally allowed duty and flight hours/month, 78.6% reported severe or very high fatigue, 22.8% significant depression, 12.3% significant anxiety symptoms, 10.5% reported significant depression and anxiety symptoms. Pilots uttered severe concerns about FTL, sleep restrictions associated with early starts, minimum rest, etc. Pilots also expressed distinct fears regarding more fatigue-related crashes, and how adverse working conditions, work-related and psychosocial stress could impair their health.ConclusionsThis QCA provided valuable insights into interactions of working conditions, fatigue, sleep restrictions, physical and mental health. Progressive health impairment due to lack of sleep and accumulated fatigue promote burnout, mental and physical health problems, which not only threaten flight safety, but also sustainability of aviation.