Nine critical elements of promising violence prevention programs

To identify approaches to school-based violence prevention that are most promising and those that may not be effective, a review of the literature was conducted. In addition, telephone interviews were conducted with 15 experts on topics related to school-based violence prevention. Nine critical ingredients of promising approaches to violence prevention were identified. Specifically, the approaches are comprehensive and multifaceted; begin in the primary grades and are reinforced across grade level; are developmentally tailored: and cover appropriate content area. Appropriate content areas include information; anger management; social perspective taking; decision making and social problem solving; peer negotiation and conflict management; social resistance skills; active listening and effective communication; and material on prejudice, sexism, racism and male-female relationship. In addition, promising programs use interactive teaching techniques, are culturally sensitive, and provide teacher training. They promote a positive school climate and foster norms against violence. Six violence prevention activities that appear not to be effective are also discussed. The authors conclude with a discussion of the need for more rigorous evaluation of violence prevention programs.     

Two-year behavior outcomes of project towards no tobacco use.

Presents a 2-year follow-up data from a school-based tobacco use prevention project designed to test the effectiveness of 3 primary components in social influence programs. The components either teach refusal skills, awareness of social value misperceptions, or physical consequences. Curricula were tested with a randomized experiment involving 48 junior high schools. Data suggested that a physical-consequences curriculum is successful at attenuating increases in adolescent smokeless tobacco use, cigarette experimentation may be attenuated by various approaches, and a comprehensive program with all 3 components was necessary to attenuate increases in weekly use of both forms of tobacco. These results also indicate that school-based tobacco use interventions can be effective at least 2 years postprogram, after students make their transition to high school. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Peripheral blood monocytes in psoriatic patients overproduce cytokines

This article reports findings from a national survey that questioned school social workers on school violence. The article focuses on personal reports of victimization, precautions taken to avoid victimization, training needs to deal with school violence, programs in schools, and social workers' involvement with violence intervention. Findings suggest that many respondents believe social skills programs are not as effective as ecological interventions. Findings also indicate that the majority of school social workers have received school violence prevention training. These skills could be used in a national effort to reduce school violence. The authors recommend specific strategies for increasing the school social workers' role in school-based violence prevention efforts.     

"Peer influence on adolescent drug use": Comment.

Comments on K. E. Bauman and S. T. Ennett's (see record 1995-01311-001) article on peer influence on adolescent drug use, examining their arguments in light of experimental evidence of school-based drug prevention programs based on the social influence (SI) model. The argument that the peer or SI model is overrated and the implication that SI-based prevention programs are misguided are unwarranted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The safer choices project: methodological issues in school-based health promotion intervention research

Randomized trials of school-based health promotion programs present unique design and analytical issues not widely discussed in the research literature. This article describes the Safer Choices study--a school-based program for prevention of HIV, other sexually transmitted diseases, and pregnancy--to illustrate critical methodological issues involved in large-scale, school-based intervention trials, particularly those evaluating interventions with a school-wide focus. The issues presented are: 1) comparability of the intervention and control groups even when few units are randomized; 2) factors that affect the decision to use a cohort or cross-sectional design; and 3) appropriate analysis strategy when the unit of randomization and intervention is at the school level, but observations are at the student level.     

The prevention of depressive symptoms in children and adolescents: A meta-analytic review.

Research on the prevention of depressive symptoms in children and adolescents was reviewed and synthesized with meta-analysis. When all 30 studies were included, selective prevention programs were found to be more effective than universal programs immediately following intervention. Both selective and indicated prevention programs were more effective than universal programs at follow-up, even when the 2 studies with college students were excluded. Effect sizes for selective and indicated prevention programs tended to be small to moderate, both immediately postintervention and at an average follow-up of 6 months. Most effective interventions are more accurately described as treatment rather than prevention. Suggestions for future research include testing potential moderators (e.g., age, gender, anxiety, parental depression) and mechanisms, designing programs that are developmentally appropriate and gender and culturally sensitive, including longer follow-ups, and using multiple measures and methods to assess both symptoms and diagnoses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Crafting usable knowledge.

Current emphasis on evaluating interventions does not address the problems of dissemination and utilization of these interventions, particularly in complex settings such as schools. Research on interventions is of value, but its generalizability to specific contexts is limited. Further, little is known about actual use of empirically supported interventions in practice settings. These concerns suggest the following: (a) There is a need to examine the dissemination process, including practitioner education and the development of a consumer information mindset by researchers; (b) guidance about selecting interventions would benefit from a systematic problem-solving orientation; and (c) research training and methodology need to be augmented with strategies and techniques suitable for developing an empirical approach to practice. These issues are addressed with specific examples drawn from school-based practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preventing and managing adolescent health problems.

Reviews the book, Health-promoting and health-compromising behaviors among minority adolescents by D. K. Wilson, J. R. Rodrique, and W. C. Taylor (1997). Although this book was not written specifically for the school-based practitioner, this edited volume provides a comprehensive review of the health-related behavior of diverse adolescent populations and describes empirically validated intervention and prevention models that are very useful to school mental health professionals, particularly those working in urban settings with culturally diverse youth. The editors have divided the text into four sections. The first section provides a useful theoretical framework encompassing developmental, biological, social, and cultural perspectives. The second section describes behavioral patterns among culturally diverse adolescents that compromise and promote health, including drug use, eating habits, physical activity, and sexual behavior. The third section describes several intervention models that have been demonstrated to be effective with minority adolescents. The concluding section provides insight into health policy issues impacting minority adolescents, including access to adequate health care. This volume represents an important contribution to the literature in the area of pediatric, prevention, and community psychology. Although the text generally fails to highlight sufficiently the power of the school as a protective context for adolescents, the conceptual models and examples of community-based programs presented offer the school psychologist very useful information about designing and implementing prevention and intervention programs in schools. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Smoking.

The task force on cigarette smoking research in health psychology addressed three questions: What are the major current research directions of health psychologists on this topic? What are the major future research directions that health psychologists should address on this topic? What barriers to smoking research exist for health psychologists? Discussion of current research focused on five areas: prevention, cessation, relapse, basic science research, and public policy. Smoking prevention research centers on school-based interventions in longitudinal trials targeting adolescent substance abuse--including cigarette smoking--and focusing on the processes influenced by the intervention that, in turn, prevent smoking. Research also is being conducted outside the school setting to test community-wide public information campaigns and to reach adolescents in other social groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preventing adolescent smoking: What have we learned about treatment construct validity?

Reviews the treatment construct validity of programs to prevent adolescent smoking to determine how and why programs reduce adolescent smoking. The issue of why beneficial effects are obtained is explored in terms of whether a treatment affects outcome; whether each variable in a proposed causal chain affects the variable that follows it after controlling for all prior variables, including treatment; and whether treatment has an effect on outcome when the mediating variables are controlled. Studies investigating the mediational effects of subjective norms such as social consequences and peer vs adult leaders, social competence, and intervention are reviewed. It is concluded that little is presently known about the construct validity of successful programs, a problem that results primarily from the neglect of process assessment and analyses. The advantages and disadvantages of several future research approaches are discussed, including utilization of process measures within large-scale treatment/no-treatment designs, small-scale studies to test the effects of prevention components on process measures (e.g., attitudes, intentions to smoke), and combinations of these approaches. (4 p ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent suicide prevention: Current research and social policy implications.

The rate of adolescent suicide has increased dramatically in the past few decades, prompting several interventions to curb the increase. Unfortunately, many of the intervention efforts have not benefited from current research findings because the communication between researchers and those who develop the interventions is inadequate. Of specific concern are the increasingly popular curriculum-based suicide prevention programs, which have not demonstrated effectiveness and may contain potentially deleterious components. This article reviews the current epidemiological research in adolescent suicide and suggests how this knowledge could be used more effectively to reduce the rate of adolescent suicide. Recommendations include support for integrated primary prevention efforts; suicide prevention education for professionals; education and policies on firearm management; education for the media about adolescent suicide; more efficient identification and treatment of at-risk youth, including those exposed to suicidal behavior; crisis intervention; and treatment for suicide attempters. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of unhealthy weight-control behaviors among adolescents: Implications for prevention programs.

This study aimed to identify correlates of unhealthy weight-control behaviors in adolescents to guide the development of programs aimed at the primary prevention of disordered eating. A model explaining unhealthy weight-control behaviors was tested among 4,746 adolescents using structural equation modeling. Models fit the data well and explained 76% of the variance in unhealthy weight-control behaviors among girls and 63% among boys. Weight-body concerns were a strong correlate of unhealthy weight-control behaviors in both girls and boys. Models also emphasized the importance of weight-specific social norms within the adolescent's proximal environment. Findings suggest the importance of addressing weight-body concerns within prevention programs and extending interventions beyond classroom settings to ensure changes in weight-related norms among peer groups and family members. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predicting Greek adolescents’ intentions to smoke: A focus on normative processes.

Objective: To examine the effects of normative influences on adolescent smoking in Greece, a country with weak social norms against smoking and relatively ineffective tobacco control policies. Design: A cross-sectional survey methodology was employed, and a representative sample of Greek high school students was recruited (N = 1,920, M age = 14 years). Main Outcome Measures: Normative beliefs, attitudes, perceived behavioral control, self-esteem, and intentions to smoke. Results: Multiple-regression and mediation analyses were conducted. The effects of public smoking on intentions to smoke were mediated by beliefs of perceived prevalence of smoking among peers, subjective norms, and situational temptations. Self-esteem significantly moderated the effects of subjective norms on intentions to smoke. Conclusions: Prosmoking norms in one’s environment become internalized into biased normative beliefs about smoking, and increase susceptibility to smoke under social pressure. The effect of subjective norms on intentions to smoke was stronger among adolescents with low self-esteem, suggesting that self-esteem may act as a vulnerability factor in the process of smoking initiation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of school-based intervention programs on aggressive behavior: A meta-analysis.

Research on the effectiveness of school-based programs for preventing or reducing aggressive behavior was synthesized with a meta-analysis. Changes in aggressive behavior between pretest and posttest were analyzed for developmental patterns and characteristics associated with differential effects. Control groups showed little change in aggressive behavior, but there were significant reductions among intervention groups. Most studies were conducted on demonstration programs; the few studies of routine practice programs showed much smaller effects. Among demonstration programs, positive outcomes were associated with a variety of study, subject, and intervention characteristics. Most notably, higher risk youth showed greater reductions in aggressive behavior, poorly implemented programs produced smaller effects, and different types of programs were generally similar in their effectiveness, other things equal. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Movie exposure to smoking cues and adolescent smoking onset: A test for mediation through peer affiliations.

Objective: To determine whether the effect of movie exposure to smoking on adolescent smoking onset is mediated through increased affiliation with peers who smoke. Design: A longitudinal study was conducted with a sample of 5th- 8th graders; persons who were nonsmokers at the baseline assessment (N = 2,614) were followed up 18 months later. Movie exposure to smoking cues was assessed at baseline with a rigorous coding procedure. Main Outcome Measure: A school-based survey and follow-up telephone interview determined whether the participant smoked cigarettes. Results: Longitudinal structural modeling analysis indicated movie-smoking exposure was related to smoking onset both through an indirect effect involving increased affiliation with peer smokers and through a direct effect. The analysis controlled for demographics, parenting style, rebelliousness and sensation seeking, school performance, parental smoking, and sibling smoking; several of these variables also had mediated or direct effects to smoking onset. Conclusion: The effect of movie exposure on adolescent smoking onset is attributable in part to a social mechanism. Implications of media effects for prevention are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social skill training in an integrated preschool program.

This study examined the effectiveness of a commercially available social skills training program plus classroom reinforcement for use with preschoolers with developmental delays. Two groups of 19 participants (mean age 49.73–52.9 mo old) each received either the combined treatment package or classroom reinforcement of target behaviors only. An additional 20 participants served as a control group. The combination of social skills training plus classroom reinforcement of target behaviors resulted in statistically significant increases in sharing behavior over those obtained by both control participants and participants receiving reinforcement of classroom behavior alone. Group behavior was increased over that shown by control participants through the use of either the social skills plus classroom reinforcement treatment package or classroom reinforcement alone. Social skills interventions were viewed favorably by both classroom teachers and preschool participants. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A developmental model for risk avoidance in adolescents confronting AIDS

Epidemiologic studies indicate that HIV infection is on the rise within the adolescent population. Much of this increase has been attributed to the teenager's developmental proclivity for risk-taking behavior. Intervention programs designed to curtail high-risk behaviour among adolescents have focused primarily on educational methods alerting teenagers to modes of disease transmission. Among these programs, demonstration and role-playing techniques have shown promise, but have not significantly modified behavior patterns. In contrast, a new developmental technique known as previewing advocates the use of representation and enactment to promote risk deterrence. Previewing may serve as a productive alternative to traditional interventions, since it directly addresses the adolescent's cognitive limitations with regard to the prediction of behavioral outcomes. This paper recommends a prevention model using previewing that is designed to lower the incidence of AIDS transmission among adolescents.     

Expectancies as mediators of the effects of social influences and alcohol knowledge on adolescent alcohol use: A prospective analysis.

Three-year panel data from 789 students in 8th grade and path-analytic techniques were used to test a model positing that social reinforcement expectancies mediate the effects of perceived friends' alcohol use, friends' alcohol attitudes, and knowledge of near-term health effects and alcohol prevalence on both contemporaneous and subsequent alcohol involvement. Evidence of mediation was obtained with both cross-sectional and longitudinal findings. Perceived peer norms had a direct effect on alcohol use, and knowledge of normative alcohol use had a unique long-term protective influence on later alcohol use. Findings are discussed in terms of a 2-pronged prevention model that (a) integrates principles of social learning theory with expectancy-based, cognitive-behavioral change and (b) emphasizes dissemination of age-appropriate alcohol information in programs that aim to reduce alcohol use. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A meta-analytic evaluation of couples weight-loss programs.

Conducted a meta-analysis of 12 studies that compared behavioral weight-control programs that formally involved partners in treatment (couples programs) to similar programs in which Ss participated alone. Based on tests of effect sizes, couples programs were significantly superior to S-alone programs at posttreatment. Also, nearly significant differences remained in favor of couples programs vs S-alone programs at 2–3 mo follow-up. Couples programs differed in the kinds of social support provided by partners (e.g., esteem, informational, instrumental social supports). (PsycINFO Database Record (c) 2010 APA, all rights reserved)