Clinicians' Perspectives on Motivational Interviewing-Based Brief Interventions in College Health

Brief interventions based on motivational interviewing (MI) are emerging as effective strategies for behavior change in college students. However, implementation of MI-based brief interventions may be challenging in the college health environment, and their practicality is controversial. The author explored college health clinicians' perspectives on the use of MI brief interventions in a college health study to reduce alcohol harms among high-risk college students. The author describes the challenges, benefits, and practicality of using this health promotion strategy in college health. Although MI-based brief interventions may be adapted and implemented and are beneficial in the college health setting, clinician education and further research is warranted.     

A Stage for Memory

No abstract available for this article.     

Integrating Process Interventions into a School-Based Curriculum Group

ABSTRACT

Manualized approaches are widely used in work with aggressive, impulsive, and oppositional behaviors to improve their peer relations, school behavior, and interactions with adults, including their teachers. When group-work principles and interventions are not applied to the live spontaneous group situations that arise, however, workers miss opportunities to further help members understand, incorporate, and practice the very behaviors being offered in the curriculum. This article describes a curriculum-based group experience and the successes and limitations of the work that was done and identifies areas in which the integration of more traditional group process interventions could have increased the effectiveness of the cognitive-behavioral curriculum-oriented approach.     

Aging With a Severe Mental Illness: Challenges and Treatments

Severe mental illness (SMI) impacts many different facets of individuals' lives. As they age, those with SMI experience increased physical illnesses, functional impairment, cognitive deficits, and social disability. To promote more effective social work practice with this population, this article highlights the major biopsychosocial and family issues of aging with a psychiatric diagnosis. In addition, intervention approaches that have demonstrated efficacy are summarized along with ways to coordinate services across multiple service delivery sectors. Finally, future directions in practice and research are presented to develop additional methods of support for older adults with SMI and their families.     

Participatory analysis of accidents and incidents as a tool for increasing safety behaviour in fishermen. A pilot intervention study

Abstract

Although occupational accidents are common in fishery, safety work is often not given priority by the fishermen. The aims of this study were to test a group-based intervention for increased activity in safety work through group discussion of accident/incident experience; to study occurred incidents/accidents and how such events were managed; and to study intervention effects on activity in safety work, risk acceptance and perceived manageability of risks. A sample of men from five crews (11 men) of Swedish fishermen participated. The study had a one group pre-test–post-test design for questionnaire data. The emphasis was on qualitative information collected during the intervention and interviews. The results indicated that accident causes could be appraised as being unmanageable even when technical solutions were possible. Psychological factors may cause incidents not to be documented or discussed. Incident experience seldom leads to preventive measures. Interaction between structural, social and psychological factors seemed to explain this. Questionnaires, observations and interview data suggested that some increase in safety work took place during the intervention. After the discussions the participants perceived risks to be less manageable. The study indicated that, although sensitive to dropout, participative safety interventions in fishery are feasible and may be effective. A longer or more intensive intervention may be necessary in order to progress from problem orientation to action orientation.     

和谐社会建构中的气象灾害管理探析

气象灾害对社会的影响极大,在和谐社会建构过程中,气象灾害管理是重要任务之一,也是实现人与自然和谐相处的主要指标之一。气象灾害不仅影响个体（身心）和谐,产生心理和生理方面的恶性循环,造成极大的心理创伤;还会影响社会整体（群体）和谐,严重威胁人民群众的生命和财产安全,引起社会恐慌,瓦解社会正常的秩序与运转机制。和谐社会建构中的气象灾害管理,要在反思目前的思维方式与发展理念的基础上,加强气象灾害法规建设,提高民众的投保意识,提高公众的灾害意识,倡导公众的广泛参与,建立强有力的研究团队,科学制定灾害预防措施,并重视灾后心理干预工作。     

Intensive family preservation services in Flanders: an outcome study

Set up as a one-group pre-test–post-test follow-up design, this study examines the outcomes of intensive family preservation services (IFPS) in Flanders addressing the following research questions: Does IFPS make a significant difference concerning (1) the interaction between parent and child? (2) social support as experienced by the parent? (3) stress and empowerment of the parent? and (4) the strengths and difficulties of the minor? Families seem to indicate that their family situation is more manageable, although still, professional help is needed. Parents feel more resilient about the situation and indicate that they can get along with their child better than before the crisis intervention. Parents still feel uncertain about the future and about their role as a parent. There seems to be no indications that their level and quality of social contacts have changed. Further research is suggested to provide more in-depth information about the conditions associated with processes of change during an IFPS intervention.     

Cognitive-Behavioral Interventions for Anxiety Disorders: Rapid Review Suggestion of Larger Effects among Hispanic than Non-Hispanic White People

ABSTRACT

Anxiety disorders are common among Hispanic people. Evidence-based guidelines indicate cognitive-behavioral interventions (CBI), but they were developed primarily with non-Hispanic white (NHW) people. This rapid scoping review and meta-analysis clarified the relative effectiveness of CBI with Hispanics and NHW people with anxiety disorders and explored the clinical effects of cultural modifications among Hispanic people. Evidence from nine studies in the United States and one in Puerto Rico was synthesized. Meta-analysis of four randomized controlled trials (RCT) found no statistically or practically significant differences between Hispanic and NHW participants on anxiety alleviation. Both groups enjoyed large clinical benefits. However, a significantly greater drop-out rate among Hispanic participants was found. Meta-analytic adjustment for this study characteristic of loss to follow-up suggested a somewhat larger clinical benefit among NHW people. Scoping synthesis of six non-RCTs suggested that deep cultural adaptations of CBI would substantially improve outcomes among Hispanic people. Consistent with Hispanic-paradox and barrio advantage theories such culturally sensitive interventions may well take beneficial Hispanic outcomes beyond those of NHW people. This field's synthetic knowledge, therefore, essentially consists of two competing hypotheses that will require rigorous testing with a necessarily larger and better controlled RCT than has been represented in this field thus far.     

Using the RE‐AIM framework to identify and describe best practice models in family‐based intervention development: A systematic review

The family unit carries with it a responsibility of possibly being the most important predictor of positive child development. The aim of this systematic review is to identify and describe best practice models or processes in family‐based intervention development. The following databases were included in the review: PsychArticles, Academic Search Complete, ERIC, SocIndex, Sage, Sabinet, and Pubmed. Peer‐reviewed, English language, qualitative, quantitative, and mixed methods in nature conducted within the last 10 years. Interventions were required to include families as part of the programme as well as describe the model or process used in intervention development. Two self‐developed data extraction tables were developed for this review. The articles included for review were heterogeneous in terms of the outcomes, and so a narrative synthesis was used. After yielding an initial search of 400 studies, 28 articles were finally included for extraction and analysis with varying levels of intervention strength. Interventions are further described in terms of reach, effectiveness, adoption, implementation, and maintenance dimensions. A feasible intervention appears to be one that is flexible, engages processes to recruit those who are most at‐risk and is facilitated by someone known to or from the same community as the participants, can retain its participants, and can be evaluated with the same participants at a minimum of 6 months later.     

Admitting women in active labour: A randomised controlled trial about the effects of protocol use on childbirth method and interventions

AimTo determine the effects of protocol of admitting women in active labour on childbirth method and interventions during labour and childbirth.MethodsThis single-blind randomised clinical trial was conducted in a public hospital in Mazandaran province (Iran) in 2017. Two hundred nulliparous low-risk women were randomly assigned into intervention and control groups. The participant women were admitted in the intervention group using the admission protocol and to the group control by staff midwives and doctors. The admission criteria of the protocol were: the presence of regular, painful contractions, the cervix at least four cm dilated and at least one of the following cues: cervix effaced, and spontaneous rupture of membranes, or “show”. The primary outcome measure was childbirth method. Data were analyzed in SPSS-22 using Mann–Whitney and Chi–square tests. The level of statistical significance was set as p < 0.05.FindingThere were significant differences between the intervention and control groups in the number of caesarian section (CS) (p < 0.001). Two groups had a statistically significant difference in amniotomy (p = 0.003), augmentation by oxytocin (p < 0.001), number of vaginal examinations (p < 0.001) and fundal pressure (p < 0.001).ConclusionsUsing a protocol for admission of low risk nulliparous women in active labour contributed to reduction of the primary caesarean section rate and interventions during childbirth. A risk assessment and using evidence informed guidelines in admission can contribute to reduce unsafe and harmful practices and support normalisation of birth. This is essential for demedicalisation and a useful strategy for reducing primary CS.