Effects of a Group Preventive Intervention on Risk and Protective Factors Related to Dating Violence.

A group intervention was designed to impact protective and risk factors related to dating violence in college students. The group used a manualized approach to address gender-role stereotypes and conflicts, healthy and nonhealthy entitlement attitudes, and communication and anger management skills. The experimental group consisted of 28 undergraduates who attended 4 1.5-hr group sessions. The experimental group was compared with a control group of 30 undergraduates who did not receive an intervention. The experimental group demonstrated significant reduction in (a) the restricting of emotions, (b) acceptance of traditional and stereotypical gender roles, and (c) the use of escalating strategies in conflict and negative attributions toward the target of anger. The experimental group also demonstrated significant increases in self-awareness of anger and healthy entitlement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Hangover Frequency and Risk for Alcohol Use Disorders: Evidence From a Longitudinal High-Risk Study.

Data from a prospective high-risk study (N=489; 51% with a family history of alcoholism) were used to test whether family history is associated with greater hangover proneness and whether hangover is a risk factor for alcohol use disorders. Hangover was more frequent in family-history-positive participants during the college years. Persons with an alcohol diagnosis showed excess hangover before earning a diagnosis. Year 1 hangover predicted alcohol use disorders at Years 7 and 11, even when family history, sex, Year 1 diagnoses, and Year 1 drinking were statistically controlled. Several nonhangover drinking symptoms failed to predict later diagnoses. Taken together, the findings suggest a need for further research and theory on the role of hangover in the etiology of drinking problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Change in caregiver depression as a function of the Strong African American Families Program.

A randomized prevention trial contrasted families who participated in the Strong African American Families Program (SAAF), a preventive intervention for rural African American parents and their 11-year-olds, with control families. This article focuses on the program's effect on primary caregivers' depressive symptoms. Among the 167 caregivers with elevated scores on the Center for Epidemiologic Studies-Depression Scale, SAAF participation was associated with reduced depressive symptoms, enhanced parenting, and perceived improvements in youth behavior. Change in parenting (consistent discipline, youth monitoring, and open communication) but not change in youth intrapersonal competencies significantly mediated intervention effects on caregivers' depression. Results support the link between reduced depressive symptoms and stronger family relationships, particularly the importance of enhanced parenting efficacy in alleviating depressive symptoms. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Clinical Trial to Test the Feasibility of a Telehealth Psychoeducational Intervention for Persons With Schizophrenia and Their Families: Intervention and 3-Month Findings.

Objective: To evaluate the feasibility of a telehealth psychoeducation intervention for persons with schizophrenia and their family members. Study Design: Randomized controlled trial. Participants: 30 persons with schizophrenia and 21 family members or other informal support persons. Interventions: Web-based psychoeducation program that provided online group therapy and education. Main Outcome Measures: Measures for persons with schizophrenia included perceived stress and perceived social support; for family members, they included disease-related distress and perceived social support. Results: At 3 months, participants with schizophrenia in the intervention group reported lower perceived stress (p = .04) and showed a trend for a higher perceived level of social support (p = .06). Conclusions: The findings demonstrate the feasibility and impact of providing telehealth-based psychosocial treatments, including online therapy groups, to persons with schizophrenia and their families. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A cognitive-ecological approach to preventing aggression in urban settings: Initial outcomes for high-risk children.

A multiyear, multicontext aggression prevention intervention was provided during the early or late elementary school years in an inner-city and an urban poor community. Sixteen schools were randomly assigned to 1 of 4 conditions: (a) no-treatment control, (b) general enhancement classroom program, (c) general enhancement plus small-group peer-skills training, or (d) general enhancement plus small-group peer-skills training plus family intervention. This article reports on results for the high-risk subsample of 1,500 children. Results from hierarchical linear modeling indicate that comprehensive interventions, if provided in early grades, can be effective for children in schools in settings with resources adequate to support learning and development, but some unintended effects can occur in schools in the most distressed communities when delivered too late in development. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Toward dissemination of evidence-based family interventions: Maintenance of community-based partnership recruitment results and associated factors.

A major challenge in the dissemination of evidence-based family interventions (EBFIs) designed to reduce youth substance use and other problem behaviors is effective and sustainable community-based recruitment. This understudied topic is addressed by a preliminary study of 14 community-university partnership teams randomly assigned to an intervention condition in which teams attempted sustained implementation of EBFIs with two cohorts of middle school families. This report describes attendance rates of recruited families maintained over time and across both cohorts, along with exploratory analyses of factors associated with those rates. When compared with community-based recruitment rates in the literature, particularly for multisession interventions, relatively high rates were observed; they averaged 17% across cohorts. Community team functioning (e.g., production of quality team promotional materials) and technical assistance (TA) variables (e.g., effective collaboration with TA, frequency of TA requests) were associated with higher recruitment rates, even after controlling for community and school district contextual influences. Results support the community-university partnership model for recruitment that was implemented in the study. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Strong African American Families Program: Prevention of youths' high-risk behavior and a test of a model of change.

In this study, the efficacy of the Strong African American Families Program (SAAF) was tested. The trial, which included 332 families, indicated that families who participated in SAAF experienced increases over time in regulated, communicative parenting; increases in targeted parenting behaviors, according to youths' reports; and low rates of high-risk behavior initiation among youths. Changes in regulated, communicative parenting mediated the intervention's impact on youths' recognition of changes in parenting, which in turn was linked to changes in youths' high-risk behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining the differential effectiveness of a life skills program (IPSY) on alcohol use trajectories in early adolescence.

Objective: This study investigated whether a universal school-based life skills program—IPSY (Information + Psychosocial Competence = Protection)—against substance misuse exerted the same effectiveness for young adolescents (10.5–13 years) from distinct alcohol use trajectories characterized by late childhood risk factors (temperament, self-worth, social problems with peers). Method: Analyses were based on a German sample of school students (N = 1,484). A longitudinal quasi-experimental design (intervention/control) with schoolwise assignment to the respective groups was used. Data were gathered via self-report questionnaire. Two-part growth mixture modeling was applied. Results: Two prototypical trajectory classes of early alcohol use were found: a problematic group with a sharp increase in prevalence and quantity of consumed alcohol (19.7%) and a normative group with a moderate increase in both outcomes (80.3%). The problematic trajectory class was associated with several risk factors. IPSY decreased the likelihood of membership in the problematic group. Furthermore, IPSY buffered the increase in prevalence and quantity for the normative group, whereas it had no effects on these indicators for the problematic group. Concerning quantity of alcohol use, the effect size in terms of a difference in estimated means between intervention and control group at the last measurement point in the normative group was d = 0.33 (95% CI [0.21, 0.44]). Conclusions: Study findings indicate the usefulness of IPSY for reducing alcohol use especially in normative developing adolescents. However, the minority of adolescents consistently pursuing a problematic developmental pathway of alcohol use seem to be in need of earlier, more tailored treatments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Family Correlates of Trajectories of Academic Motivation During a School Transition: A Semiparametric Group-Based Approach.

The present study examined whether academic motivations, conceptualized from the stance of self-determination theory, fluctuate over time in a homogeneous or heterogeneous fashion during a school transition. Three objectives were pursued: First, motivational trajectories were studied using the conventional, homogeneous approach. Second, the group-based, semiparametric approach to developmental trajectories was used to study heterogeneous motivational trajectories. Third, family factors were compared across trajectory groups for each type of motivation. Results suggested that most types of motivation tend to fluctuate differently over time for distinct groups of individuals. Furthermore, students characterized by problematic motivational trajectories perceived their parents to be less involved in their scholastic work and less autonomy supportive than those of other students. Results are discussed in terms of their implications for research and theories on motivation and parenting. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevention and Early Intervention of Anxiety Disorders in Inhibited Preschool Children.

This article reports results from an early intervention program aimed at preventing the development of anxiety in preschool children. Children were selected if they exhibited a high number of withdrawn/inhibited behaviors--one of the best identified risk factors for later anxiety disorders--and were randomly allocated to either a 6-session parent-education program or no intervention. The education program was group based and especially brief to allow the potential for public health application. Children whose parents were allocated to the education condition showed a significantly greater decrease in anxiety diagnoses at 12 months relative to those whose parents received no intervention. However, there were no significant effects demonstrated on measures of inhibition/withdrawal. The results demonstrate the value of (even brief) very early intervention for anxiety disorders, although these effects do not appear to be mediated through alterations of temperament. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent Substance Use Outcomes in the Raising Healthy Children Project: A Two-Part Latent Growth Curve Analysis.

Raising Healthy Children (RHC) is a preventive intervention designed to promote positive youth development by targeting developmentally appropriate risk and protective factors. In this study, the authors tested the efficacy of the RHC intervention on reducing adolescent alcohol, marijuana, and cigarette use. Ten public schools, which comprised 959 1st- and 2nd-grade students (54% male students, 18% minority, 28% low socioeconomic status), were matched and assigned randomly to either intervention or control conditions. A 2-part latent growth modeling strategy was used to examine change in both use-versus-nonuse and frequency-of-use outcomes while students were in Grades 6-10. Results indicated significant ( p     

Enhancing Resilience in Children: A Proactive Approach.

Many clinical practitioners today are interested in helping children be more resilient. The authors briefly review the literature and identify protective factors that are related to or foster resilience in children. After discussing individual and family intervention strategies currently in use, the authors present a practical, proactive, resilience-based model that clinicians may use in a group intervention setting. The model entails interactive identification of protective factors with children, free play and behavioral rehearsal, training in relaxation and self-control techniques, practice in generalizing skills acquired, and active parent involvement. Implications of this group intervention model are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of gambling among youth in an inner-city emergency department.

Correlates of past year gambling were examined in a diverse sample of 1128 youth ages 14 to 18 (54.1% female, 58.0% African American) presenting to an inner-city emergency department (ED). Overall, 22.5% of the sample reported past-year gambling. Male youth were more likely to gamble than female youth, and African American youth reported higher rates of past-year gambling than non-African American youth. Significant bivariate correlates of gambling included lower academic achievement, being out of school, working more than 20 hours per week, alcohol, cigarette, and marijuana use, alcohol problems, severe dating violence, moderate and severe general violence, and carrying a weapon. When examined simultaneously, being male, African American, out of school, working for pay, alcohol and marijuana use, severe general violence, and carrying a weapon all emerged as significant correlates of past-year gambling, largest amount of money gambled, and gambling frequency. In addition, involvement in severe dating violence was associated with frequency and largest amount gambled. The results suggest that gambling is common among youth in the inner city and is associated with several risk behaviors. The inner-city ED may provide a context for screening and intervention to address multiple risk behaviors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Incorporation of a Successful Community-Based Mammography Intervention: Dissemination Beyond a Community Trial.

Although a variety of interventions to increase breast cancer screening have been found to be effective in community-based trials, their ultimate contribution depends on the extent to which they are incorporated (i.e., adopted and adapted) by community organizations. From 1990 to 1995, the authors conducted a National Cancer Institute-funded community-based trial that increased screening mammography among women ages 40 and older living in Minneapolis public housing. This study describes the processes by which this intervention, called Friend to Friend, was successfully adopted by the American Cancer Society, Midwest Division, and adapted for use by women throughout the state. The authors offer insights from experience with this translational effort and make recommendations to facilitate collaboration between research and community organizations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Long-Term Effects of Phoneme Awareness and Letter Sound Training: An Intervention Study With Children at Risk for Dyslexia.

Positive long-term effects of phoneme awareness training in kindergarten were found in this study with children of dyslexic parents. Thirty-five at-risk children (attending 26 different classes) participated in an intensive 17-week program in their regular kindergarten classes designed to help them improve in phoneme awareness. Follow-up measures indicated that the trained children outperformed 47 untrained at-risk controls in both word and nonword reading in Grades 2, 3, and 7. For the very poorest readers, significant effects were found--even in Grade 7 reading comprehension. However, the trained at-risk children were found to lag behind a 2nd control group of 41 not-at-risk children in most aspects of reading. Treatment-resistant children had relatively poor phonological representations of known words. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Academic growth curve trajectoiries from 1st grade to 12th grade: Effects of multiple social risk factors and preschool child factors.

This study examined the main and interactive effects of multiple social risk factors and the preschool child factors of IQ and mental health on students' academic trajectories from 1st grade to l2th grade. A multiple risk score summarizing 10 environmental risk factors was calculated at 4 years of age for 145 families. Hierarchical linear modeling showed that high-risk students had lower grades and more absences from 1st grade to 12th grade than did low-risk students. Significant interactions between risk and child factors for students' grade point average (GPA) revealed that child factors had significant effects only for low-risk students. Higher IQ and better mental health improved the GPA trajectories of low-risk children but did not influence the GPA trajectories of high-risk children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Temporal associations of cigarette smoking with social influences, academic performance, and delinquency: A four-wave longitudinal study from ages 13-23.

This study examined the temporal associations of cigarette smoking with prosmoking social influences, academic performance, and delinquency in a cohort of 6,527 adolescents surveyed at ages 13, 16, 18, and 23 years. Prosmoking peer and family influences were risk factors for future smoking throughout adolescence, with family influences perhaps also operating indirectly through the adolescent's exposure to prosmoking peers. There were reciprocal associations of youth smoking with parental approval, peer smoking, and poor grades (but not delinquency), with youth smoking emerging as a stronger antecedent than consequence of these psychosocial factors. Few gender differences in these associations were observed. Implications of these findings for efforts to prevent youth smoking are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Narratives in and About Families: An Examination of Coding Schemes and a Guide for Family Researchers.

This article aims to provide the reader with a general overview of narrative methods as they apply to the study of family relationships. How narratives are collected and issues pertaining to training raters are considered. Scoring systems have been developed that code for thematic content, relative coherence, and co-constructive processes. Validity for these methods is examined through (a) concordance between narrative codes and directly observed behavior within similar domains, (b) links between narratives and self-report measures, and (c) the relation between narratives and psychological functioning. A guide for researchers in their consideration of adopting narrative methods is offered. The article concludes with a consideration of linking different coding schemes and challenges for future researchers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Efficacy and Cost-Effectiveness of a Minimal Intervention to Prevent Smoking Relapse: Dismantling the Effects of Amount of Content Versus Contact.

Relapse prevention remains a major challenge to smoking cessation efforts. T. H. Brandon, B. N. Collins, L. M. Juliano, and A. B. Lazev (2000) found that a series of 8 empirically based relapse-prevention booklets mailed to ex-smokers over 1 year significantly reduced relapse. This study dismantled 2 components of that intervention: the amount of content (number of booklets) and the frequency of contact. Content and contact were crossed in a 2 X 2 factorial design. The criteria of at least 1 week of abstinence at baseline was met by 431 participants, 75%-85% of whom returned 12-, 18-, and 24-month follow-up questionnaires. Eight booklets produced consistently higher point-prevalence abstinence rates than did a single booklet, but frequency of contact did not affect outcome. Moreover, the high-content interventions were highly cost-effective. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effectiveness of functional family therapy for youth with behavioral problems in a community practice setting.

The study examined the effectiveness of Functional Family Therapy (FFT), as compared to probation services, in a community juvenile justice setting 12 months posttreatment. The study also provides specific insight into the interactive effects of therapist model specific adherence and measures of youth risk and protective factors on behavioral outcomes for a diverse group of adolescents. The findings suggest that FFT was effective in reducing youth behavioral problems, although only when the therapists adhered to the treatment model. High-adherent therapists delivering FFT had a statistically significant reduction of (35%) in felony, a (30%) violent crime, and a marginally significant reduction (21%) in misdemeanor recidivisms, as compared to the control condition. The results represent a significant reduction in serious crimes 1 year after treatment, when delivered by a model adherent therapist. The low-adherent therapists were significantly higher than the control group in recidivism rates. There was an interaction effect between youth risk level and therapist adherence demonstrating that the most difficult families (those with high peer and family risk) had a higher likelihood of successful outcomes when their therapist demonstrated model-specific adherence. These results are discussed within the context of the need and importance of measuring and accounting for model specific adherence in the evaluation of community-based replications of evidence-based family therapy models like FFT. (PsycINFO Database Record (c) 2010 APA, all rights reserved)