Effectiveness of the International Child Development Programme: Results from a randomized controlled trial

This study aimed to evaluate the effectiveness of the International Child Development Programme (ICDP), a group-based parenting programme used internationally and implemented nationally in Norway. We used a cluster randomized controlled trial in which 81 groups were randomly assigned to either the intervention or waitlist control condition after the baseline data collection. A total of 590 parents completed at least one of three questionnaires (administrated before and after ICDP and 4 months after completing the intervention). Primary outcomes included parental self-efficacy, parental emotion sensitivity and positive involvement with their child. Secondary outcomes included parents' perceptions of their relationship with the child, child-rearing conflicts and the child's psychosocial health. We found significant effects favouring the intervention arm following the intervention and at follow-up on two primary outcomes (parental self-efficacy and emotion sensitivity). For the secondary outcomes, we found a significant reduction in child-rearing conflict at the 4-month follow-up, increased closeness to the child, reduced child internalizing difficulties and increased prosocial behaviour immediately following the intervention. However, ICDP seems to have limited effects on parent-reported changes in children. We conclude that ICDP as a universal preventive programme offered to parents in groups can be effective in strengthening parental self-efficacy and improving parental emotion sensitivity.     

Child Abuse: A Cognitive Behavioral Intervention Model

The frequency of child abuse, together with its generational pattern of reocurrence, has created a need for additional models for child abuse treatment. Presented herein is a six-step child abuse intervention model based upon cognitive-behavioral change strategies. Allowing immediate alleviation of abuse when only one adult family member is in contact with the assisting agency, the proposed model provides for the restructuring of parenting style to increase the probabilities of permanent change.
This model is currently being utilized by one of the authors to assist self-referred abusive patients in a group setting.     

TigerPlace, A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

The Aging in Place Project at the University of Missouri (MU) required legislation in 1999 and 2001 to be fully realized. An innovative home health agency was initiated by the Sinclair School of Nursing specifically to help older adults age in place in the environment of their choice. In 2004, an innovative independent living environment was built and is operated by a private long term care company, as a special facility where residents can truly age in place and never fear being moved to a traditional nursing home unless they choose to do so. With care provided by the home care agency with registered nurse care coordination services, residents receive preventative and early illness recognition assistance that have markedly improved their lives. Evaluation of aging in place reveal registered nurse care coordination improves outcomes of cognition, depression, activities of daily living, incontinence, pain, and shortness of breath as well as delaying or preventing nursing home placement. Links with MU students, faculty, and nearly every school or college on campus enrich the lives of the students and residents of the housing environment. Research projects are encouraged and residents who choose to participate are enjoying helping with developing cutting technology to help other seniors age in place.     

Hidden in full view: the organization of public secrecy in Miéville’s The City and the City

ABSTRACT

In this article, we explore China Mieville’s novel The City and the City as a literary experiment for analyzing the dynamics of public secrecy. We explore public secrets as an intrinsic part of organizational life and as a framework for paying attention to the politics of organizing. First, we focus on the novel’s invention and use of the verb ‘unseeing’ to bring out the embodied and sensuous aspects of public secrecy as part of organizational processes. Second we unfold how, although the content of public secrets may turn out to be less spectacular than expected, it is exactly their mundaneness which is key to their political importance. This is important because in an increasingly disorganized and uncertain world, secrecy proliferates and the visibility of secrecy is often a strategic move to justify certain hidden actions.