Feasibility and acceptability of using a web-based contraceptive support tool in a university health clinic

Abstract

Objective: To evaluate feasibility of integrating Bedsider.org, a web-based contraceptive decision support tool, at a university health clinic (UHC). Participants: Female students (ages 18–29) seeking contraceptive care at the UHC were enrolled in September 2015 (n?=?46). Methods: Providers recruited eligible patients during reproductive healthcare visits and introduced Bedsider. Surveys were administered immediately following the visit and a follow-up 2–4?weeks later. Electronic health records through 6?weeks post-enrollment were extracted. Results: Most patients had positive views toward Bedsider and appreciated receiving information during their UHC encounters. None were using long-acting reversible contraceptives (LARC) at enrollment. At follow-up, two patients self-reported IUD use. Among those recently sexually active, use of more effective contraceptive methods increased from 65% to 74%; 11% had initiated or were scheduled to receive a LARC. Conclusion: Bedsider can be feasibly integrated into UHC visits and may support women’s selection of more effective contraceptive methods, including LARCs.     

Family values and labor force participation: Ireland in international perspective

The large-scale entry of married women into the workforce has been a striking feature of the post-war period, particularly in the United States, Britain, and other Anglo-Celtic nations. Theory implies that this should happen in all developed nations. But there is a counter-example: Ireland. To discover whether this is truly an exception, we analyze data from large, representative samples of Ireland, the USA, Britain, and Australia (pooled n=8,240). We find that Irish are not especially traditional; they are especially devout, but the difference persists when this is controlled. Strikingly, the behavior of Irish immigrants is indistinguishable from other Anglo-Celts in their new societies. Thus it seems that Irish exceptionalism arises from an institutional setting uniquely hostile to women’s employment. She is currently coordinating a multi-national research project assessing the extent of ethnic discrimination in different societies. She and Jonathan Kelley are continuing their long-run international, comparative project on economic culture with special reference to inequality. He and M.D.R. Evans conduct their omnibus International Social Science Surveys, which include as their International Survey of Economic Attitudes, their Bioethics surveys, the Australian National Social Science Survey, and others. They are completing a book on time use and subjective well-being in later life. She researches intergenerational social mobility and occupational careers with special reference to gender, and also studies socio-political attitudes and their sources, particularly using International Social Survey Program data.     

Factors Related to the Delivery of Trauma Services in Outpatient Treatment Programs

In recent years there has been growing recognition of the role of trauma in substance abuse treatment; however, only 20% of outpatient treatment programs report offering trauma services. We conducted a secondary analysis of the 2012 National Survey of Substance Abuse Treatment Services (N-SSATS) and explore how demographic, population served, and organization variables distinguish those programs that offer trauma services from those that do not. In this article, we present the findings, which revealed that organizational structure, process, and population served variables were the most important predictors of trauma services. Implications for social work practice in the addictions are discussed.     

Rolling with the shakes: an insight into teenagers’ perceptions of recovery after the Canterbury earthquakes

Natural disasters are harmful worldwide events that inflict multiple psychosocial impacts on disaster-exposed individuals. A significant proportion of affected individuals are teenagers (13–18 years old) who, compared with adults, have been historically overlooked in disaster research. The literature is particularly sparse concerning teenagers’ recovery from natural disasters, specifically what recovery means to them and the contributing factors towards their positive recovery. Therefore, the aim of the current study was to gain deeper insight into this largely unexplored area by conducting five focus groups with teenagers (16–18 years) who experienced at least one of the Canterbury, New Zealand, earthquakes since and including the initial September 2010 earthquake. This study directly asked teenagers about their recovery over the three years after the initial earthquakes, with data being analysed using thematic analysis. Two main themes were identified: (1) perceptions of recovery, with three sub-themes (i) knowledge and being less frightened, (ii) talking about the earthquakes and (iii) shift in perspectives; and (2) contributing factors to recovery, with three sub-themes (i) participation in the community response, (ii) returning to school and (iii) the rebuild of Christchurch. These factors provide insight into how we can better support the recovery process for disaster-exposed teenagers to reduce long-term distress.     

The Alliance in Relationship Education Programs

Couple relationship education (CRE) programs are associated with positive romantic relationship outcomes; however, the mechanisms by which these gains occur are less understood. The current study (122 couples) utilized actor–partner modeling to examine the association between the therapeutic alliance and dedication and negative and positive communication for racial/ethnic minority couples. Additionally, we examined whether gender and delivery format moderated these relationships. Results demonstrated that both men's and women's alliance scores were significantly related to their own outcomes. Higher ratings of alliance were related to partner outcomes for men only. The association between partners' alliance and dedication outcomes was stronger within the group format as compared to the couple format. Implications for leaders of CRE programs are offered.     

Erotophobia‐erotophilia as a dimension of personality

This review discusses the measurement, antecedents, and consequents of erotophobia‐erotophilia—the disposition to respond to sexual cues along a negative‐positive dimension of affect and evaluation. Test construction procedures which resulted in a 21‐item measure of this personality construct are reported. Evidence indicates that the measure is internally consistent, shows acceptable degrees of convergent and discriminant validity, and is correlated as expected with related constructs such as authoritarianism, adherence to traditional sex roles, indices of value orthodoxy, and various measures of sex‐related evaluations. Retrospective surveys and group contrasts suggest that erotophobia‐erotophilia is a learned disposition based on one's exposure to sex‐related restrictiveness and punishment during socialization. Consequents of erotophobia‐erotophilia involve avoidance versus approach responses to sexuality in a wide range of situations; scores on this test predict differential sexual experience, responses to erotica, likelihood of engaging in sexual fantasy behavior, the tendency to learn about or teach others about sex, engaging in sex‐related health care, the probability of utilizing contraception, and behaving sexually during pregnancy and postpartum. Cross‐cultural research provides evidence for the generality of this construct beyond North America.     

Adapting the Friends of the Children programme for child welfare system‐involved families

Research has shown the importance of long‐term, caring adults for children in foster care. This paper reviews the Friends of the Children (FOTC) long‐term mentoring programme and how it was adapted to serve children and families with child welfare system involvement. This study's two research questions are (1) How do Friends (FOTC's paid professional mentors) currently work with, and in turn, have an impact on, child welfare‐involved families? and (2) How can Friends better support child welfare system‐involved caregivers and families to promote family stability, permanence, and child well‐being? Data were collected from 21 caregivers (foster and biological), 24 FOTC Friends, five child welfare workers, and five teachers. Qualitative analyses of focus group, interview, and open‐ended survey data revealed a wide variety of ways Friends currently support children and families. In addition, several recommendations were made for strengthening programming. These findings provide valuable insights into providing long‐term mentoring to child welfare system‐involved children and families.     

The effectiveness of PREP with lower-income racial/ethnic minority couples

The current study examined the effectiveness of the Prevention and Relationship Enhancement Program (PREP) with lower-income and racial/ethnic minority (African American and Latino/a) couples. Additionally, we tested whether relationship outcomes varied based on the delivery format (i.e., group format vs. couple format). The sample included 321 unmarried couples expecting a child or who have a child 3 month old or younger. The couples participated in 16 hr of PREP via a group or a couple format over the course of 2-3 months. Couples relationship quality was assessed prior to and directly after the program. The results showed that men and women demonstrated significant gains in their communication skills, relationship functioning, friendship, dedication, and relationship confidence. Couples who participated in PREP via the couple format had better outcomes on three of the seven relational outcomes as compared to couples who participated in PREP via the group format.     

Relationship Education in Community Settings: Effectiveness with Distressed and Non‐Distressed Low‐Income Racial Minority Couples

Couple relationship education (CRE) programs are intended to prevent negative couple outcomes, however, some evidence suggests couples in greater distress may still benefit. The current study examined pre‐ and postchanges in relationship functioning of 362 low‐income African American and Hispanic couples. Outcomes (dedication and communication) were assessed by examining differences between two distinct groupings of couples; distressed (both partners reporting clinically significant distress) and nondistressed (neither partner reporting clinically significant distress) couples. Distressed couples at predemonstrated large‐sized gains in all outcome variables, as compared to nondistressed couples. Those who participated in the single‐couple format demonstrated lower gains in positive communication as compared to those in the group format. Implications for distressed couples in CRE programs are offered.