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The WATCH (Wellness for African Americans Through Churches) Project was a randomized trial comparing the effectiveness of 2 strategies to promote colorectal cancer preventive behaviors among 587 African American members of 12 rural North Carolina churches. Using a 2 X 2 factorial research design, the authors compared a tailored print and video (TPV) intervention, consisting of 4 individually tailored newsletters and targeted videotapes, with a lay health advisor (LHA) intervention. Results showed that the TPV intervention significantly improved (p <.05) fruit and vegetable consumption (0.6 servings) and recreational physical activity (2.5 metabolic task equivalents per hour) and, among those 50 and older (n = 287), achieved a 15% increase in fecal occult blood testing screening (p =.08). The LHA intervention did not prove effective, possibly because of suboptimal reach and diffusion.  相似文献   
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This study examines the effect of self‐regulated learning strategies on students’ multicultural competency development. Quantitative and qualitative data were collected from 26 students who took a semester‐long multicultural counseling course. Results show statistically significant improvement in students’ multicultural awareness and knowledge and statistical insignificance in multicultural skill development compared to their level of competence before the training. Implications of using this approach to teach multicultural counseling courses and future research are discussed. Este estudio examina el efecto de las estrategias de aprendizaje autorregulado en el desarrollo de la competencia multicultural de los estudiantes. Se recopilaron datos cuantitativos y cualitativos de 26 estudiantes que atendieron un curso de consejería multicultural de un semestre. Los resultados muestran una mejora estadísticamente significativa en la conciencia y conocimentos multiculturales de los estudiantes y una insignificancia estadística en el desarrollo de las habilidades multiculturales comparadas con su nivel de competencia antes de la capacitación. Se discuten las implicaciones de usar este enfoque didáctico en cursos de consejería multicultural y para investigaciones futuras.  相似文献   
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Internationally-adopted children experience a range of challenges as they cope with the demands of everyday functioning and strive to develop a healthy identity. Research shows that family context such as parenting practices impact the level of adoptees' adjustment and their eventual identity development. In this study, we examined the process of how relationships are built between Ethiopia adoptees and their adoptive families within the new family setting. Using data obtained through semi-structured interviews, a brief survey, and focus group discussion from 25 North American families who adopted 35 Ethiopia children, we conducted a systematic content analysis to examine parents' way of being, way of understanding, and way of intervening. Based on results of this study, we provide a framework that explains the dynamic of Ethiopian adoptees' existence and belonging from pre- to post-adoption in the adoptive family. Implications for future research regarding the need for multiculturally competent parenting practices and family level strategies to reduce barriers to the child and parent relationship are addressed.  相似文献   
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Guided by Thornberg et al.'s (2012) framework on motivation to intervene, the present study examines whether personal and situational factors are associated with defending and passive bystanding behaviours in school bullying. Self-reported survey data were collected from 612 students (aged 12–16 years) attending grades 7, 8, 9, and 10 in East Gojjam Administrative Zone, North Western Ethiopia. Hierarchical regression analysis revealed that the strongest, significant predictors of defending were self-efficacy for defending (β = .215, p = .000), affective empathy (β = .173, p = .000), students' experience as victim (β = .119, p = .002), personal sense of power (β = .119, p = .006), followed by moral disengagement (β = .118, p = .002), and age level (β = −.082, p = .036). All variables jointly explained 18.6% of the total variance in defending, F (12, 599) = 11.397, p < .00; with medium effect size (f2 = 0.23). In contrast, the strongest predictors of passive bystanding were moral disengagement (β = .233, p = .000), perceived costs and benefits of defending (β = −.163, p = .000), self-efficacy (β = −.139, p = .003), students' experience as victim (β = .097, p = .014), followed by gender (β = −.080, p = .042). The model explained 16.7% of the total variance in passive bystanding, F (12, 599) = 10.043, p < .001; with medium effect size (f2 = 0.20). The findings enrich our understanding of factors associated with defending and passive bystanding behaviours. The implications for intervention are discussed. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement.  相似文献   
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