Motivational Interviewing Intervention With College Student Tobacco Users: Providers' Beliefs and Behaviors

Abstract

Objective: This study assessed college student health providers' use of Motivational Interviewing (MI) with tobacco users, as well as their beliefs about the use of brief interventions to help college student tobacco users quit. MI is recommended by the United States Public Health Service to increase tobacco users' willingness to quit. Participants: Participants included 83 clinicians from health clinics at 7 different universities in North Carolina. Methods: Paper-and-pencil baseline survey from a cluster randomized trial of college student health clinicians. Results: Twenty-two percent of respondents reported always or usually using MI during the past month for tobacco-using patients not ready to make a quit attempt. Student health providers also reported information with regards to their beliefs about tobacco cessation treatment, barriers to intervening with patients, and confidence in motivating students to consider quitting. Conclusions: Results highlight the need to encourage clinicians' use of motivationally focused interventions with student tobacco users.

Motivational Interviewing Intervention With College Student Tobacco Users: Providers' Beliefs and Behaviors

All authors

Robert S. McNamara PhD, Eunyoung Y. Song PhD, Beth A. Reboussin PhD, John Spangler MD, Jessica R. Pockey MPH, Caroline Kimes BS, Kristie L. Foley PhD & Erin L. Sutfin PhD

https://doi.org/10.1080/07448481.2014.1003376

Published online:

11 May 2015

TABLE 1. Providers' Beliefs About Patient Tobacco Intervention and Cessation (N = 83)

CSVDisplay Table

     

Using reflection and dialogue to prepare social work students for practice with LGBT populations: An emerging pedagogical model

ABSTRACT

Using analysis of student focus groups, this article describes the learning experiences of graduate social work students in a semester-long course on social work with lesbian, gay, bisexual, and transgender (LGBT) individuals and families. Deconstructing their beliefs about sexuality, gender, religion, and family was for many students both an uncomfortable and rewarding learning process. Drawing from students' voices and using the concept “creative tension” (Palmer, 1998 Palmer, P. (1998). The courage to teach: Exploring the inner landscape of a teacher's life. San Francisco, CA: Jossey-Bass.[Crossref] , [Google Scholar]), this article describes students' growth processes and how providing forums for personal reflection and dialogue supported students in this deconstruction process. An emerging pedagogical model that expands and deepens what it means to create a “safe” classroom environment for learning about LGBT issues is offered.     

The Revised Mosher Sex-Guilt Scale: Its Psychometric Properties and a Proposed Ten-Item Version

Mosher introduced his Forced-Choice Guilt Inventory some 40 years ago and, over the following decades, his subscale measuring sex guilt has been the most widely used measure of this construct. Mosher revised his instrument in 1998 Mosher , D. L. ( 1998 ). Revised Mosher Guilt Inventory . In C. M. Davis , W. L. Yarber , R. Bauserman , G. Schreer , &; S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 290 – 293 ). Thousand Oaks , CA : Sage . [Google Scholar], but he did not provide data regarding the reliability of the scale, its construct validity, or its overlap with the original scale. In this study, a sample of 272 undergraduate college students (95 men and 177 women) were administered both the original Mosher Forced-Choice Guilt Inventory and the Revised Mosher Sex-Guilt Scale, a Non-Acceptance of Sexuality Scale, and several items regarding their sexual experiences. Results of this study provide support for the psychometric soundness of the 50-item Revised Mosher Sex-Guilt Scale. Results also revealed that the 50-item scale had a high degree of overlap with the original forced-choice version, and that it had statistically significant correlations in the predicted directions with the sexual experiences items. This study also proposes a brief 10-item version of Mosher's 50-item scale, which has similar psychometric characteristics and could serve as an efficient substitute for the longer scale.     

COLLEGE STUDENTS AND BINGE DRINKING: AN EVALUATION OF SOCIAL LEARNING THEORY

ABSTRACT

Although binge drinking is a prevalent and often problematic behavior among college students, there has been relatively little sociological research on this phenomenon. This study evaluates the applicability of social learning theory (Akers 1985 Akers , Ronald L. 1985 . Deviant Behavior: A Social Learning Approach . 3rd ed. Belmont , CA : Wadsworth . [Google Scholar] 2000 — . 2000 . Criminological Theories: Introduction, Evaluation, and Application , 3rd ed. Los Angeles : Roxbury . [Google Scholar]) to the binge drinking of a sample of approximately 1,500 students enrolled at four institutions of higher education. The social learning model explains approximately 45% of the variance in the binge drinking of these students. The results indicate that differential peer associations are by far the best predictor of this behavior. Other significant predictors include the definitions that students hold about binge drinking as well as their perceptions of the direct effects of alcohol consumption. These social learning variables also mediate the effects of demographic variables (i.e., gender, race, fraternity/sorority membership) on binge drinking. The results are discussed with respect to programs designed to prevent binge drinking. Possible directions for future research in this area are also suggested.     

Sexual Aggression among Brazilian College Students: Prevalence of Victimization and Perpetration in Men and Women

Despite the increased attention devoted to sexual aggression among college students in the international research literature, Brazil has no systematic studies on the prevalence of sexual aggression in college populations. The present research measured the prevalence of sexual aggression and victimization since age 14 among 742 first-year college students in Brazil (411 women). A Portuguese version of the Short Form of the Sexual Experiences Survey (Koss et al., 2007 Koss , M. P. , Abbey , A. , Campbell , R. , Cook , S. , Norris , J. , et al. . ( 2007 ). Revising the SES: A collaborative process to improve assessment of sexual aggression and victimization . Psychology of Women Quarterly , 31 , 357 – 370 .[Crossref], [Web of Science ®] , [Google Scholar]) was administered to collect information from men and women as both victims and perpetrators of sexual aggression. The overall prevalence rate of victimization was 27% among men and 29% among women. Except for sexual coercion and attempted sexual coercion, there were no significant gender differences in victimization rates concerning nonconsensual sexual acts and aggressive strategies. In contrast, perpetration rates were significantly higher among men (33.7%) than among women (3%). The findings challenge societal beliefs that men are unlikely to be sexually coerced. Explanations are proposed for the disparity between male victimization and female perpetration rates based on traditional gender roles in Brazil.     

Differential Relationships Between Religiosity,Cigarette Smoking,and Waterpipe Use: Implications for College Student Health

Abstract

Objective: Using a framework informed by problem behavior theory, ¹ Jessor, R and Jessor, S. 1977. Problem Behavior and Psychosocial Development: A Longitudinal Study of Youth, New York, NY: Academic Press.  [Google Scholar] the authors examined differential relationships between religiosity and the frequency of cigarette and waterpipe tobacco smoking. Participants: Six hundred fourteen individuals beginning their freshman year at a large, public, midwestern university. Methods: Paper-and-pencil surveys were administered to students who attended freshman orientation. Electronic surveys were sent to students who did not attend orientation. Results: Although a latent, generalized religiosity factor was negatively associated with frequency of cigarette smoking, there was no such relationship for frequency of waterpipe use. Conclusions: Conceptualizing waterpipe tobacco smoking in terms of problem behavior theory may be inappropriate, given its lack of association with religiosity. These results may reflect the perception that waterpipe use is a more socially acceptable form of tobacco use that is less harmful to health than cigarette smoking, despite medical evidence to the contrary. Implications for prevention and intervention are discussed.     

Sexuality Examined Through the Lens of Attachment Theory: Attachment,Caregiving, and Sexual Satisfaction

Attachment researchers have proposed that the attachment, caregiving, and sexual behavioral systems are interrelated in adult love relationships (Mikulincer &; Shaver, 2007 Mikulincer , M. , &; Shaver , P. R. ( 2007 ). Attachment in adulthood: Structure, dynamics, and change . New York , NY : Guilford . [Google Scholar]). This study examined whether aspects of partners’ caregiving (proximity, sensitivity, control, compulsive caregiving) mediated the association between their attachment insecurities (anxiety and avoidance) and each other's sexual satisfaction in two samples of committed couples (Study 1: 126 cohabiting or married couples from the general community; Study 2: 55 clinically distressed couples). Partners completed the Experiences in Close Relationships measure (Brennan, Clark, &; Shaver, 1998 Brennan , K. A. , Clark , C. L. , &; Shaver , P. R. ( 1998 ). Self-report measurement of adult attachment: An integrative overview . In J. A. Simpson &; W. W. Rholes (Eds.), Attachment theory and close relationships (pp. 46 – 76 ). New York : Guilford .[Crossref] , [Google Scholar]), the Caregiving Questionnaire (Kunce &; Shaver, 1994 Kunce , L. J. , &; Shaver , P. R. ( 1994 ). An attachment-theoretical approach to caregiving in romantic relationships . In K. Bartholomew &; D. Perlman (Eds.), Advances in personal relationships (pp. 205 – 237 ). London : Kingsley . [Google Scholar]), and the Global Measure of Sexual Satisfaction (Lawrance &; Byers, 1998 Lawrance , K. , &; Byers , E. S. ( 1998 ). Interpersonal Exchange Model of Sexual Satisfaction Questionnaire . In C. M. Davis , W. L. Yarber , R. Bauserman , G. Schreer &; S. L. Davis (Eds.), Sexuality-related measures: A compendium (pp. 514 – 519 ). Thousand Oaks , CA : Sage . [Google Scholar]). Path analyses based on the actor-partner interdependence model (APIM) revealed that caregiving proximity mediated the association between low attachment avoidance and partners’ sexual satisfaction in distressed and nondistressed couples. Sensitivity mediated this association in nondistressed couples only. Control mediated the association between men's insecurities (attachment-related avoidance and anxiety) and their partners’ low sexual satisfaction in nondistressed couples. Attachment anxiety predicted compulsive caregiving, but this caregiving dimension was not a significant mediator. These results are discussed in light of attachment theory and their implications for treating distressed couples.     

Diagnosing inequalities in schooling: Ogbu’s orientation and wider implications

Throughout his life, John Ogbu worked untiringly to diagnose the educational problems of minorities, with the goal of remedying them. Although his earliest works propose a comprehensive anthropological approach, his last works seem to settle into exhortations to parents and teachers to put more pressure on (involuntary) minority children whose achievements are low; and to pupils to stop grumbling and get down to taking their schoolwork seriously. In this paper, I claim that Ogbu’s work can be seen to be showing the way to the deployment of more sophisticated theoretical tools in order to attain (1) a more refined analysis of the minority status; and (2) a broader social understanding of the basis for rejecting school standards among different kinds of minorities. By resorting to the broader theoretical approach he pioneered, researchers will be able to propose more effective remedies.

‘The bourgeoisie, by the rapid improvement of all instruments of production, by the immensely facilitated means of communication …. compels all nations … to introduce what it calls civilization into their midst … In one word, it creates a world after its own image’ (Marx & Engels, Communist Manifesto, 1935 Marx K Engels F (1935/1948) The Communist manifesto in: E. Burns (Ed.) A Handbook of Marxism New York International Publishers  [Google Scholar], p. 27).     

Critical Flaws in the Female Sexual Function Index and the International Index of Erectile Function

The Female Sexual Function Index (FSFI; Rosen et al., 2000 Rosen , R. C. , Brown , C. , Heiman , J. , Leiblum , S. , Meston , C. , Shabsigh , R. , … D'Agostino , R. ( 2000 ). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function . Journal of Sex and Marital Therapy , 26 , 191 – 208 . doi: 10.1080/009262300278597 [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) and International Index of Erectile Function (IIEF; Rosen et al., 1997 Rosen , R. C. , Riley , A. , Wagner , G. , Osterloh , I. H. , Kirkpatrick , J. , &; Mishra , A. ( 1997 ). The International Index of Erectile Dysfunction (IIEF): A multidimensional scale for assessment of erectile dysfunction . Urology , 49 , 822 – 830 . doi: 10.1016/S0090-4295(97)00238-0 [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) are two of the most widely used measures of sexual dysfunction. However, they have potential measurement and psychometric flaws that have not been addressed in the literature. This article examines the measurement capabilities of these measures based on data collected from an online study in 2010. A convenience sample of 518 sexually active adults (65% female) drawn from the general community were included in the analyses. Both measures displayed critical theoretical and measurement problems for the assessment of sexual problems beyond sexual arousal, and for the sexual desire domains in particular. Based on these results, we encourage clinicians and researchers to think critically about whether the FSFI and IIEF are appropriate measures for their practice and research. In particular, these measures are inappropriate for use among individuals who are not currently sexually active, and research with a focus other than sexual arousal should consider supplementary measures of sexual function. The psychometric properties of these measures should be reassessed in clinical samples, but the theoretical issues with the measures raised in this article are relevant across clinical and research contexts.     

Explicating Public Diplomacy as Organization–Public Relationship (OPR): An Empirical Investigation of OPRs between the US Embassy in Seoul and South Korean College Students

Based on a theoretical proposition that public diplomacy can be explicated as management of organization–public relationship (OPR) between an organization concerned and foreign publics, practical and functional utility of OPR measures was empirically investigated in this preliminary study within a public diplomacy context involving the US embassy in Seoul and South Korean college students. Validating reliability and validity of Hon and J. E. Grunig's (1999 Hon , L. C. , & Grunig , J. E. ( 1999 ). Guidelines for measuring relationships in public relations . Gainesville , FL : Institution for Public Relations . [Google Scholar]) OPR measures in evaluating the quality of relationships between the US embassy and South Korean college students, the findings help further advance the theoretical and practical convergence of public relations and public diplomacy. In addition, with statistically significant links between South Korean college students' perceived relationships with the US embassy and their attitudes and behavioral intentions toward the United States and its citizens, the findings suggest that public diplomacy outcomes are related to OPR management, to some degree.     

History of the American College Health Association

Abstract

Following Dr Edward Hitchcock's lead at Amherst College in 1861, soon other institutions of higher education established physical education departments that evolved into independent college health programs. As the field of college health expanded, leaders from numerous campuses began meeting to share information and discuss formation of a national organization. As a result, the American Student Health Association was founded in 1920 to promote campus health care for students and advance the interests of college health. The name was changed to the American College Health Association in 1948. The past history of this organization has been well documented in the literature, so this review will focus more on ACHA's accomplishments over the past 20 years. ¹ Turner, H S and Hurley, J L. 2002. The History and Practice of College Health., Lexington: The University Press of Kentucky.  [Google Scholar] ^{, 2} American College Health Association. A brief history, Available at: http://www.acha.org/About_ACHA/docs/ACHA_Brief_History.pdf Published 2002. Accessed February 26, 2011 [Google Scholar] ^{, 3} Boynton, RE. 1971. The first fifty years: a history of the American College Health Association. J Am Coll Health Assoc, 19: 269–288.  [Google Scholar] ^{, 4} Christmas, W A. 1992. The history of sections in the American College Health Association. J Am Coll Health, 41: 121–125. [Taylor & Francis Online] , [Google Scholar]     

Attachment Disturbances Delay Language Acquisition in Internationally Adopted Children

Cross-sectional research on internationally adopted children has indicated an association between early attachment disturbances and language deficits. Raaska et al. (2013 Raaska, H., Elovainio, M., Sinkkonen, J., Stolt, S., Jalonen, I., Matomäki, J., … Lapinleimu, H. (2013). Adopted children's language difficulties and their relation to symptoms of reactive attachment disorder: FinAdo study. Journal of Applied Developmental Psychology, 34(3), 152–160.[Crossref], [Web of Science ®] , [Google Scholar]) have speculated that this relationship is likely bidirectional. In an attempt to elucidate the causal relationship between these two risk factors, the attachment disturbances and language skills of 44 internationally adopted children were assessed in a cross-lagged structural equation model. Greater attachment disturbances at wave 1 predicted less gain in language by wave 2. In contrast, language at wave 1 was not predictive of attachment disturbances at wave 2. These results suggest that early attachment problems may present an important risk for later language development and should be an immediate and primary focus of post-adoptive intervention for families adopting internationally.     

From Face-to-Face to Facebook: The Role of Technology and Social Media in Adoptive Family Relationships with Birth Family Members

ABSTRACT

This qualitative study of 77 individuals in 40 couples (same-sex and heterosexual), who had adopted publically, privately, or internationally, examined parents' engagement with their child's birth family via technology (e.g., texting, e-mail, social media) through the lens of the Couple and Family Technology frame-work (Hertlein & Blumer, 2014 Hertlein, K. M., & Blumer, M. L. C. (2014). The couple and family technology framework. New York, NY: Routledge. [Google Scholar]). Parents used three approaches to contact: active, passive, and no contact. Regardless of approach, some parents described concerns about boundaries. Couples were generally in agreement in their perspectives on engaging with birth family via technology. Practitioners must be know-ledgeable about management of relationships via technology and help adoptive families set healthy boundaries.     

Conceptualization and Assessment of Homonegativity

ABSTRACT

The goals of this research include highlighting problematic issues of conceptualization and measurement with respect to research examining homonegativity. Using a sample of nearly 650 university students, we test hypotheses of M. A. Morrison and Morrison (2002) Morrison, T. G., Kenny, P. and Harrington, A. 2005. Modern prejudice toward gay men and lesbian women: Assessing the viability of a measure of modern homonegative attitudes within an Irish context. Genetic, Social, and General Psychology Monographs, 131(3): 219–250. [Taylor & Francis Online], [Web of Science ®] , [Google Scholar] who claim that old-fashioned and modern homonegativity are statistically distinct domains and that university students endorse a higher degree of modern than old-fashioned homonegativity. In addition, we examine relationships between reported negative and positive behaviors involving lesbians and gay men and degrees of modern and old-fashioned homonegativity. Factor analyses did not support the distinctiveness of the two homonegativity domains, and only 16% of the sample endorsed a higher degree of modern compared with old-fashioned homonegativity. Findings are discussed with respect to their implications for future research.     

Undocumented Acts: Migration,Community and Audience in Two Chicana Plays

Abstract

The 1980 Refugee Act endeavoured to provide effective settlement for refugees entering the United States. But most South American refugees escaping from dictatorships and civil wars were denied political asylum. This article explores the representation of migration and border crossing in Latina (1980 Sánchez-Scott, Milcha, with Jeremy Blahnik. 1980. “Latina.” In Necessary Theatre Six Plays about the Chicano Experience, edited by Jorge Huerta, 85–141. Houston: Arte Publico Press. [Google Scholar]), a play by Milcha Sánchez Scott that stages the difficulties associated with this journey. In 2010 Senate Bill 1070, one of the strictest anti-immigration legislative acts to be enforced, encouraged racial profiling in the identification of border crossers in the state of Arizona. Detained in the Desert (2011), a play by Josefina L?pez, is a Chicana response to the passing of SB 1070, and contributes to a deeper understanding of the fraught experiences of migrant women’s lives. The study of the plays places an emphasis on transnational community building and audience engagement and builds on a range of recent critical work by border theorists and scholars such as Alicia Schmidt Camacho and Deborah Boehm, and theatre and performance critics such as Diana Taylor.     

An Exploratory Analysis of Executive Functioning for Female Sexual Offenders: A Comparison of Characteristics Across Offense Typologies

This study examined the association between female sexual offending behavioral patterns, as delineated by Sandler and Freeman's (2007 Sandler, J. C. and Freeman, N. J. 2007. Typology of female sex offenders: A test of Vandiver and Kercher. Sex Abuse, 19: 73–89. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) typologies, and executive functioning. The sample included all referrals for sexual offender assessments within a women's maximum/medium security prison between January 2009 and October 2009. Each subject was administered the Stroop (Golden & Freshwater, 2002 Golden, C. J. and Freshwater, S. M. 2002. The Stroop color and word test: A manual for clinical and experimental uses, Wood Dale, IL: Stoelting Company.  [Google Scholar]) and Trail Making Test (Reitan, 2004 Reitan, R. M. 2004. “Validity of the trail making test as an indicator of organic brain damage”. In Neuropsychological assessment, 4th, Edited by: Lezak, M. D., Howison, D. B. and Loring, D. W. 371–374. New York: Oxford University Press.  [Google Scholar]) and were assigned to a typological category. Nonparametric analyses were conducted to determine if there was an association between typology and performance on neuropsychological tests. Results yielded no significant associations between test scores and typological category. Subjects displayed average capacities for a subset of executive functions, suggesting that the mechanisms for sexually offending behavior in females may differ from males.     

Community-Based Participatory Research as a Social Work Research and Intervention Approach

Social workers are now often expected to base their practice on solid empirical findings, but research can vary in terms of its usefulness and relevance to practice. Some social workers have criticized traditional research approaches, suggesting that they are not consistent with the profession's mission to serve vulnerable and disadvantaged populations (e.g., Finn, 1994 Finn, J. L. 1994. The promise of participatory research. Journal of Progressive Human Services, 5: 25–42. [Taylor & Francis Online] , [Google Scholar]). Community-based participatory action research may be an appropriate alternative that is participatory, empowering, and committed to social justice (Minkler & Wallerstein, 2008 Minkler, M. and Wallerstein, N. 2008. “Introduction to CBPR: New issues and emphases”. In Community-based participatory research for health, 2nd, Edited by: Minkler, M. and Wallerstein, N. 5–23. San Francisco, CA: Jossey-Bass.  [Google Scholar]). This article explores the connection between social work and CBPR, illustrating how CBPR can contribute significantly to achieving the field's goals.