Brief Screening and Intervention for Alcohol and Drug Use in a College Student Health Clinic: Feasibility,Implementation, and Outcomes

Abstract

Objective: Evaluation of the Brief Alcohol Screen and Intervention in College Students (BASICS) in a university primary care setting. Participants/Methods: Undergraduates (N = 449) participated in BASICS and electronic surveys assessing frequency/quantity of alcohol and drug use, psychosocial and mental health outcomes, and demographic information. Data were collected at baseline and 6-month follow-up between August 2006 and August 2008. Results: Drinking and drug use decreased between baseline and 6 months. Participants reported an increase in protective factors and in readiness to change alcohol-related behaviors, and a decrease in alcohol-related consequences and in distress symptoms. Heavy episodic drinking at baseline significantly moderated the changes in number of drinks in a typical week and in a typical weekend, and number of drinks on the occasion drank most on a weekend. Conclusions: BASICS can be implemented in a primary health care setting and university students may reduce their alcohol and/or drug use.     

Developing a Low‐Cost Technique for Parallel Cross‐Cultural Instrument Development: The Question Appraisal System (QAS‐04)

Many approaches are used to prepare instruments for multicultural administration, depending on the scope, schedule and budget of the study. Sequential questionnaire development, the most common approach to developing cross‐cultural instruments, is also the most affordable. Designers formulate and pretest an instrument in the source language, then translate it into the target language(s) using culture‐specific tailoring. In contrast, parallel development incorporates target cultures throughout the design and pretesting process. The disadvantages to parallel development are that it is expensive, time‐consuming and subject to version control problems. Question Appraisal System (QAS) is a coding tool for pretesting instruments. The QAS is supported by an item taxonomy of the cognitive demands of a question and documents the features that may lead to response error. Results of the appraisal are used to revise question wording, response wording, questionnaire format and question ordering. This article describes research conducted to update the QAS to identify problems due to cross‐cultural and cross‐linguistic application of questions.     

Is Homophobia Associated with an Implicit Same-Sex Attraction?

Some theorists propose that homophobia stems from underlying same-sex attraction. A few studies have tested this hypothesis, yet without a clear measure of implicit sexual attraction, producing mixed results. For the first time, we test this attraction-based account of homophobia among both men and women using an implicit measure of sexual attraction. No evidence of an attraction-based account of homophobia emerged. Instead, implicit same-sex attraction was related to positive evaluations of gay men and lesbians among female participants. Even in targeted analyses examining the relation between implicit same-sex attraction and homosexual evaluations among only those theoretically most likely to demonstrate an attraction-based homophobic effect, implicit same-sex attraction was not associated with evaluations of homosexuals or was associated with more positive evaluations of homosexuals. In addition, explicit same-sex attraction was related to positive evaluations of gay men and lesbians for male participants. These results are more in keeping with the attitude-similarity effect (i.e., people like, rather than dislike, similar others).     

Enough is enough: Grandmother caregivers' strategies for mitigating out-of-school suspensions for African–American youth

This qualitative study explores the strategies used by grandmothers caring for African–American grandchildren with out-of-school suspensions drawing from a larger study of caregivers. In-depth, semi-structured, individual interviews with 10 grandmothers who were caring for a total of 13 grandchildren with a range of 1 to 14 out-of-school suspensions (OSS) revealed that these grandmother caregivers took action with both their grandchildren and the grandchildren' s educators. Grandmothers became intensely involved with school and in-home educational activities. They structured their relationship with their grandchildren to attend to affection, provide incentives and respond with appropriate consequences. Additionally, grandmothers identified services and programs received and needed to enhance the grandchildren' s engagement with the learning process. Furthermore, based on strong opinions about changes needed in the schools, they provided concrete recommendations to educators. These recommendations call for professionals to support grandmothers' actions to reduce OSS and advocate to educators to revise policies and procedures that would promote a better understanding of grandchildren in the care of their grandmothers and the efforts that these grandmothers make to mitigate OSS.     

Do Family Meetings Improve Measurable Outcomes for Patients,Carers, or Health Systems? A Systematic Review

Abstract

Family meetings are a common intervention in acute and subacute inpatient care settings. The aim of this systematic review was to investigate the quantitative research exploring the impact of inpatient family meetings on patient, carer, or service outcomes. A search of electronic databases (Medline, Cinahl, Embase, PubMed, and Psychinfo) was conducted from the earliest available time until July 2012. Inclusion and exclusion criteria were applied, and quality assessment of included articles was conducted. Eight studies were included in the final selection. Results indicate that there is some low-to-moderate quality evidence that inpatient family meetings reduce psychological distress of family carers and assist in meeting their information and support needs. There is weak evidence that inpatient family meetings may help to reduce readmission rates and facilitate entry to continuing care programs.     

Moving Across Boundaries: Migration in South Africa, 1950–2000

Existing knowledge about historical patterns of black internal migration in South Africa is incomplete, primarily because of the lack of good life course studies as well as the apartheid government’s suppression and censoring of data. This article provides a comprehensive picture of historical internal migration patterns with an analysis of a unique individual retrospective life history data set. This sample of the black population, collected in 2000, is the only known nationally representative life history data for South Africa; it includes all residential moves for each individual during his/her lifetime. Various mobility outcomes are analyzed: moves within/across provinces, moves within/across rural and urban areas, forced moves, moves with a nuclear family, and individual moves. The results indicate that migration significantly increased among black South Africans during the last half of the twentieth century, and that this increase began before the Pass Laws were repealed in 1986 and well before the official end of apartheid in 1991 or the first free election in 1994. The timing of this increase in migration rates suggests that migration in defiance of the Pass Laws (albeit a dangerous and desperate proposition) was a way of life for many black South Africans.     

Condom use negotiation in heterosexual African American adults: responses to types of social power-based strategies

This study examined gender differences and preferences in the use of and response to six different styles of condom use negotiation with a hypothetical sexual partner of the opposite gender. Participants were 51 heterosexually active African American adults attending an inner-city community center. Participants completed a semistructured qualitative interview in which they were presented with six negotiation strategies based on Raven's 1992 Power/Interaction Model of Interpersonal Influence. Results showed that female participants responded best to referent, reward, and legitimate strategies, and worst to informational tactics. Male participants responded best to reward strategies, and worst to coercion to use condoms. Further, responses given by a subset of participants indicated that use of negotiation tactics involving coercion to use condoms may result in negative or angry reactions. Response to strategies may vary with the value of the relationship as viewed by the target of negotiation. Implications for HIV prevention efforts are discussed.