Ready, Willing, and Able: Developing a Support System to Promote Implementation of School-Based Prevention Programs

While the number and scope of evidence‐based health, education, and mental health services continues to grow, the movement of these practices into schools and other practice settings remains a complex and haphazard process. The purpose of this paper is to describe and present initial support for a prevention support system designed to promote high‐quality implementation of whole school prevention initiatives in elementary and middle schools. The function and strategies of a school‐based prevention support system are discussed, including key structures and activities undertaken to identify, select, and provide technical assistance to school personnel. Data collected over a 5 year period are presented, including evidence of successful implementation support for 5 different evidence‐based programs implemented with fidelity at 12 schools and preliminary evidence of goal attainment. Findings suggest the ongoing collection of information related to organizational readiness assists in the adoption and implementation of effective practices and initiatives and provide valuable insight into the development of results‐oriented approaches to prevention service delivery. Problems, progress, and lessons learned through this process are discussed to frame future research and action steps for this school‐based prevention support system. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Health-related behavioural change—a test of a new model

Abstract

Numerous studies have demonstrated that planned health education and health promotion interventions are not particularly successful in bringing about behavioural change. It is suggested that the reasons for this are the fallacious theoretical assumptions underlying many intervention strategies and the failure to place sufficient emphasis on the context in which health-related behaviours occur. Studies of self-initiated behavioural change suggest that the antecedents of change are often events or processes which bring a previously routinised and unremarked behaviour into new focus.

This paper describes a preliminary test of a new model of behavioural change in which a group of lay people were recruited to act as paid interviewers on a food survey in their own area. The survey was particularly concerned with the consumption of high fibre foods. he and post-test measures of the interviewers' own food habits as compared with those of a control group indicated modest support for the proposed model. Implications of this study for health education and promotion are discussed.     

Why women of lower educational attainment struggle to make healthier food choices: The importance of psychological and social factors

Women of lower educational attainment are more likely to eat unhealthy diets than women of higher educational attainment. To identify influences on the food choices of women with lower educational attainment, 11 focus groups (eight with women of lower, and three with women of higher educational attainment) were held. Using a semi-structured discussion guide, environmental, social, historical and psychological factors known to be associated with food choice were explored. Audio recordings were transcribed verbatim and thematically analysed. Compared to women of higher educational attainment, women of lower educational attainment had less control over their families’ food choices, less support for attempts to eat healthily, fewer opportunities to observe and learn good food-related practices, more negative affect, more perceived environmental constraints and more ambiguous beliefs about the consequences of eating a nutritious diet. These findings provide a starting point for taking forward the design of an intervention to improve the diets of young women.     

Scheduling Scaffolding: The Extent and Arrangement of Assistance During Training Impacts Test Performance

Various kinds of assistance, including prompts, worked examples, direct instruction, and modeling, are widely provided to learners across educational and training programs. Yet, the effectiveness of assistance during training on long-term learning is widely debated. The authors examined how the extent and schedule of assistance during training on a novel mouse movement task impacted unassisted test performance. Learners received different schedules of assistance during training, including constant assistance, no assistance, probabilistic assistance, alternating assistance, and faded assistance. Constant assistance led to better performance during training than no assistance. However, constant assistance during training resulted in the worst unassisted test performance. Faded assistance during training resulted in the best test performance. This suggests that fading may allow learners to create an internal model of the assistance without depending on the assistance in a manner that impedes successful transfer to unassisted circumstances.     

Food,faith, social service and institution building: the Annamrita programme of the Hare Krishna movement in India

Based on fieldwork with the Annamrita programme, a food-based social service of ISKCON or the Hare Krishna movement in India, I look at the intricate connection between food, faith, social service and institution building. Formally known as the ISKCON Food Relief Foundation, the Annamrita programme has partnered with the government’s midday meal scheme for school children. From the point of view of sociology of food and sociology of religion, I propose that food is a cultural, moral and emotional investment for ISKCON. I describe how a faith-based social service through the instrument of food becomes a mode of bridging and institution building. The governmentality of this food service and the sacred public–private partnership is a specific kind of cultural and macroeconomic intervention in a resource-limited setting such as India. Camouflaged and embedded in this programme is an element of cultural hegemony and a Krishna consciousness-governed nationalism, with the ideas of the nation as a sacred land. Krishna is considered as the vanguard of sacralisation and the faith messages of ISKCON inevitably accompany the service package.     

Using negative reinforcement to increase self-feeding in a child with food selectivity

We examined the effects of a negative reinforcement-based treatment on the self-feeding of 1 child with food selectivity by type and texture. Self-feeding increased when the child could choose to either self-feed 1 bite of a target food or be fed 1 bite of the target food and 5 bites of another food. Possible mechanisms that underlie the effectiveness of the intervention and implications for future research are discussed.     

Reinforcement: Food Signals the Time and Location of Future Food

It has long been understood that food deliveries may act as signals of future food location, and not only as strengtheners of prefood responding as the law of effect suggests. Recent research has taken this idea further—the main effect of food deliveries, or other “reinforcers”, may be signaling rather than strengthening. The present experiment investigated the ability of food deliveries to signal food contingencies across time after food. In Phase 1, the next food delivery was always equally likely to be arranged for a left‐ or a right‐key response. Conditions were arranged such that the next food delivery was likely to occur either sooner on the left (or right) key, or sooner on the just‐productive (or not‐just‐productive) key. In Phase 2, similar contingencies were arranged, but the last‐food location was signaled by a red keylight. Preference, measured in 2‐s bins across interfood intervals, was jointly controlled by the likely time and location of the next food delivery. In Phase 1, when any food delivery signaled a likely sooner next food delivery on a particular key, postfood preference was strongly toward that key, and moved toward the other key across the interreinforcer interval. In other conditions in which food delivery on the two keys signaled different subsequent contingencies, postfood preference was less extreme, and quickly moved toward indifference. In Phase 2, in all three conditions, initial preference was strongly toward the likely‐sooner food key, and moved to the other key across the interfood interval. In both phases, at a more extended level of analysis, sequences of same‐key food deliveries caused a small increase in preference for the just‐productive key, suggesting the presence of a “reinforcement effect”, albeit one that was very small.     

The Tortilla Curtain: War on the Table of the Poor

Abstract :  This essay approaches the concept of borders from a geopolitical perspective, focusing particularly on the dividing curtain between the USA and Mexico. Corn serves not only as Ariadne's thread but also as a symbol of food in general, to be problematized and not taken for granted. The author highlights God's imperative for us to take the side of the poor: to satiate their hunger and quench their thirst. This stands in clear contradiction to the current evil economic system that has reduced food to a weapon of mass destruction, through the simultaneous overproduction of food and hunger.     

Might an overweight waitress make you eat more? How the body type of others is sufficient to alter our food consumption

This paper investigates how people's food choices can be shaped by the body type of others around them. Using a professionally constructed obesity prosthesis, we show that the body type of a (confederate) server in a taste test study was sufficient to alter both the quantity (Experiment 1) and specific choices (Experiment 2) participants made but that chronic dieters and non-dieters exhibited opposite effects. While non-dieters ate more snacks when the server was thin, dieters ate more when the server was heavy. Dieters were also more persuaded by a heavy (vs. a thin) server, choosing both a healthy and unhealthy snack more often when she recommended it to them. We suggest these results may be attributable to identification with the server.     

Supporting Out‐of‐School Time Staff in Low Resource Communities: A Professional Development Approach

Federally funded out‐of‐school time (OST) programs provide academic support, enrichment, and safety for students and families in low‐resource communities. However, programs struggle to meet these aims, in part because of the lack of program structure and limited training and support for staff. This observational case study documents the training and technical assistance (TA) delivered to OST frontline staff and program leadership to implement Positive Behavior in Out‐of‐School Time (Positive BOOST), an adaptation of positive behavior interventions and supports conducted in multiple settings. Findings across three programs indicate that varied levels of TA (i.e., business as usual, performance feedback, coaching) are associated with different levels of staff‐ and program‐level implementation. Taken together with previous research, these findings suggest that targeted investment in developing the skills of OST staff and improving program‐wide outcomes is critical for supporting youth in low‐resource communities.