Examining the Nursing Home Physical Environment Through Policy-Driven Culture Change

A critical need exists to challenge approaches to nursing home care due to rigid organizational factors and hospital-like culture. It has been argued that resident care needs to move toward a person-centered approach by addressing the organizational, social, and physical environments in nursing home facilities, a process often known as culture change. In response to this need, the Centers for Medicare & Medicaid Services (CMS) has created funding for pay for performance (P4P) nursing home incentive programs to allow nursing home providers to receive CMS reimbursements for culture change in the facilities. Through care staff interviews, site observations, and a document review, this qualitative study assesses the impact of a Midwestern state P4P incentive program in three participating nursing homes. Using an environment and behavior (E-B) policy orientation framework, this study examines culture change through a focus on policy, the physical environment, place attachment, and social and psychological processes in the study settings.     

Motivating Action and Maintaining Change: The Time‐Varying Role of Homework Following a Brief Couples' Intervention

Studies regarding the effectiveness of homework assignments in cognitive‐behavioral treatments have demonstrated mixed results. This study investigated predictors of compliance with homework recommendations and the time‐varying relationship of recommendation completion with treatment response in a brief couples' intervention (N = 108). More satisfied couples and couples with more motivation to change completed more recommendations, whereas couples with children completed fewer. The association between recommendation completion and treatment response varied with the passage of time, with the strongest effect observed 6 months after the intervention, but no discernible differences at 1 year postintervention. Couples that completed more recommendations experienced more rapid treatment gains, but even those couples doing substantially fewer recommendations ultimately realized equivalent treatment effects, although they progressed more slowly. Implications are discussed.     

A Network Therapy Clinic for Clients with Intellectual Disability

Over the past 30 years a systemic approach has been applied to complex cases involving intellectual disability and behaviours of concern. This paper describes a model that draws on systemic family therapy and network therapy as well as the use of a reflective team. A single session intervention was provided for families of people with intellectual disability. A systemic consultation was used as a pre‐session meeting for professionals working with the family. The systemic consultation and single session therapy allowed the family and the professional network to gain insight. Involving the professionals in the therapy session also enhanced the alliance between professionals and family. This approach assists everyone involved in the case to find a way to progress.     

Step by step: tenant accounts of securing and maintaining quality housing with a housing choice voucher

Previous research on renters’ experiences in the Housing Choice Voucher (HCV) program is robust, but much of it has been conducted in the context of mobility interventions providing added resources. In contrast, this study focuses on HCV renters’ experiences searching for housing without the support of a mobility intervention. In semistructured interviews, 34 HCV renters describe their housing search processes and outcomes. We find that renters struggle to secure housing in their preferred neighborhoods due to limited information and financial costs such as application fees and security deposits. Discussion focuses on practice and policy reforms that might support greater housing choice.     

Do Stepparents Experience More Parental Antagonism Than Biological Parents? A Test of Evolutionary and Socialization Perspectives

Research regarding the affective experiences of stepparents is sparse. This study investigated the relationship between parental type (step or biological) and parental socioemotional investment, resentment, and jealousy. The study explored whether evolutionary or socialization accounts of parenting were able to explain the differential treatment of step and biological children. The pattern of findings—that stepparents generally exhibit lower parental socioemotional investment and higher parental resentment and parental jealousy than biological parents—suggests that stepparental antagonism might be due to differences in innate motivations of step and biological parents. Implications for research, theory, and practice are discussed.     

The Use of Video Modeling,Prompting, and Feedback to Increase Credit Card Promotion in a Retail Setting

We evaluated the use of video modeling, role play, prompting, and feedback to increase credit card promotion by sales associates in a retail setting. We first used the Performance Diagnostic Checklist (Austin, 2000 Austin, J. 2000. “Performance analysis and performance diagnostics”. In Handbook of applied behavior analysis, Edited by: Austin, J. and Carr, J. E. 321–349. Reno, NV: Context Press.  [Google Scholar]) to identify the variables contributing to the poor performance of two sales associates. Based on the results, we developed an intervention package that included a video model, instructional prompt cards, role play, and feedback. During baseline, target employees asked a mean of 26% of customers to enroll in the credit card program. Following intervention, target employees asked a mean of 84% of customers to enroll in the credit card program. Furthermore, employees rated the intervention as enjoyable, as effective, and as a system that they would continue to use. The results illustrate the effectiveness of video modeling, prompting, and feedback in increasing credit card promotions and delivering critical information about the card to daily customers.     

A comprehensive review of quantitative research on crime,the built environment,land use,and physical geography

This paper provides a comprehensive review of space- and place-based criminology, with a focus on the relationship between crime, the built environment, land use, and/or physical geography, through sociological and critical geography lenses. An historical overview of major criminological and spatial theories and contributors is presented before examining the current state of the field. In honor of critical geography's goal to be “a people's geography,”¹ this paper aims to be an accessible overview of space- and place-based criminological research, especially for readers who are unfamiliar with these topics.     

The relationship between binge drinking and prosocial bystander behavior among college men

Abstract

Objectives: This study prospectively examined binge drinking’s effect on prosocial bystander behavior and indicators of bystander behavior: intentions to intervene, self-efficacy to intervene, and positive outcome expectancies for intervening. Participants: College men were recruited from February to April 2010. Methods: Pre- and posttest surveys were administered as part of a randomized controlled trial (n?=?743). Potential confounders were identified using Pearson product-moment correlations. Controlling for covariates, multiple linear regression was used to examine whether binge drinking was predictive of prosocial bystander behavior and indicators of bystander behavior. Results: Binge drinking was related to lower bystander behavior (p<.05), lower intentions to intervene (p<.001), and less positive outcome expectancies for intervening (p<.05). Conclusions: Binge drinking may reduce the ability to notice a risk situation and intervene as a prosocial bystander. Results highlight the need for bystander programs to address alcohol use within the context of bystander behavior.