Pub Date : 2023-06-05DOI: 10.1177/10497315231179648
B. Drake, Dylan Jones, Jun-Hong Chen, Sarah A. Font, Emily Putnam-Hornstein, R. Barth, M. Jonson-Reid
Purpose: This paper presents a re-analysis of the National Child Abuse and Neglect Data System (NCANDS) data presented by Briggs et al. (2022). Methods: We review five components of that article: The aims, variables, analytic strategy, analysis, and conclusions. Results: We conclude that several of the NCANDS variables used are invalid at the national level, and that this is sufficient to call the research into question. We find concerning issues in analytic strategy and analysis as well, many stemming from a failure to account for the serious underreporting of services in NCANDS, and the wide variability in data quality and consistency across states. We also found what we consider to be issues with their statistical analysis. Discussion: The reanalysis presented in this article shows no pattern of disparate within Child Protective Services (CPS) outcomes by race and, therefore, no support for the Briggs et al. claim of pervasive anti-Black racism within the CPS system.
{"title":"Poverty or Racism? A Re-Analysis of Briggs et al. 2022","authors":"B. Drake, Dylan Jones, Jun-Hong Chen, Sarah A. Font, Emily Putnam-Hornstein, R. Barth, M. Jonson-Reid","doi":"10.1177/10497315231179648","DOIUrl":"https://doi.org/10.1177/10497315231179648","url":null,"abstract":"Purpose: This paper presents a re-analysis of the National Child Abuse and Neglect Data System (NCANDS) data presented by Briggs et al. (2022). Methods: We review five components of that article: The aims, variables, analytic strategy, analysis, and conclusions. Results: We conclude that several of the NCANDS variables used are invalid at the national level, and that this is sufficient to call the research into question. We find concerning issues in analytic strategy and analysis as well, many stemming from a failure to account for the serious underreporting of services in NCANDS, and the wide variability in data quality and consistency across states. We also found what we consider to be issues with their statistical analysis. Discussion: The reanalysis presented in this article shows no pattern of disparate within Child Protective Services (CPS) outcomes by race and, therefore, no support for the Briggs et al. claim of pervasive anti-Black racism within the CPS system.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42708598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-02DOI: 10.1177/10497315231179658
Dylan Jones, B. Drake, Hyunil Kim, Jun-Hong Chen, Sarah A. Font, Emily Putnam-Hornstein, R. Barth, Tzu-Hsin Huang, M. Jonson-Reid
Purpose: The National Child Abuse and Neglect Data System (NCANDS) Child File, the only national dataset cataloging child maltreatment reports. It includes variables representing economic distress frequently used in published research. At the national level, these variables are demonstrably implausible, substantially underestimating economic distress. Method: This paper reviews recent work using these variables, analyzes the NCANDS data directly, demonstrates why the economic variables in NCANDS are unusable at a national level, and provides recommendations for incorporating economic measures using NCANDS. Results: We find 19 articles that have used these variables within the past 10 years. Most states provide implausible estimates. Economic measures can be incorporated into NCANDS data by either subsetting to s states with plausible estimates of these variables in given years, or appending county-level economic Census data. Discussion: Without addressing these variables’ issues in plausibility, use of them will yield biased estimates.
{"title":"Poverty Indicators in the National Child Abuse and Neglect Data System Child File: Challenges and Opportunities","authors":"Dylan Jones, B. Drake, Hyunil Kim, Jun-Hong Chen, Sarah A. Font, Emily Putnam-Hornstein, R. Barth, Tzu-Hsin Huang, M. Jonson-Reid","doi":"10.1177/10497315231179658","DOIUrl":"https://doi.org/10.1177/10497315231179658","url":null,"abstract":"Purpose: The National Child Abuse and Neglect Data System (NCANDS) Child File, the only national dataset cataloging child maltreatment reports. It includes variables representing economic distress frequently used in published research. At the national level, these variables are demonstrably implausible, substantially underestimating economic distress. Method: This paper reviews recent work using these variables, analyzes the NCANDS data directly, demonstrates why the economic variables in NCANDS are unusable at a national level, and provides recommendations for incorporating economic measures using NCANDS. Results: We find 19 articles that have used these variables within the past 10 years. Most states provide implausible estimates. Economic measures can be incorporated into NCANDS data by either subsetting to s states with plausible estimates of these variables in given years, or appending county-level economic Census data. Discussion: Without addressing these variables’ issues in plausibility, use of them will yield biased estimates.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48590149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.1177/10497315231175368
S. Ng, Melody H. Y. Fung, M. Yin, C. Chan, I. Epstein
Purpose: A recent three-arm randomized controlled trial (RCT) with depressed Hong Kong adults demonstrated the comparable effectiveness of integrative Body-Mind-Spirt (IBMS) and Qigong interventions in relieving sleep disturbance and depression, but not which is best for whom? Guided by concept and theory-based hypotheses, clinical data-mining (CDM), the RCT data answers the more clinically relevant question: who responds best to which intervention? Method: Paired-sample t-tests and Wilcoxon signed-ranked tests were adopted to compare the within-subgroup differences; linear mixed models for normally distributed outcomes and generalized linear mixed models for non-normally distributed outcomes were used to compare the between-subgroup differences. Results: Results indicate that IBMS is more efficacious for older, more educated females, suffering from physical pain and illness; whereas younger, less educated males, not in full-time employment benefit more from Qigong. Discussion: This productive joining together of RCT and CDM recommends itself to both past and future RCTs, further informing evidence-based practice decision making.
{"title":"Who Benefits More From IBMS or Qigong? Clinical Data-Mining RCT Data","authors":"S. Ng, Melody H. Y. Fung, M. Yin, C. Chan, I. Epstein","doi":"10.1177/10497315231175368","DOIUrl":"https://doi.org/10.1177/10497315231175368","url":null,"abstract":"Purpose: A recent three-arm randomized controlled trial (RCT) with depressed Hong Kong adults demonstrated the comparable effectiveness of integrative Body-Mind-Spirt (IBMS) and Qigong interventions in relieving sleep disturbance and depression, but not which is best for whom? Guided by concept and theory-based hypotheses, clinical data-mining (CDM), the RCT data answers the more clinically relevant question: who responds best to which intervention? Method: Paired-sample t-tests and Wilcoxon signed-ranked tests were adopted to compare the within-subgroup differences; linear mixed models for normally distributed outcomes and generalized linear mixed models for non-normally distributed outcomes were used to compare the between-subgroup differences. Results: Results indicate that IBMS is more efficacious for older, more educated females, suffering from physical pain and illness; whereas younger, less educated males, not in full-time employment benefit more from Qigong. Discussion: This productive joining together of RCT and CDM recommends itself to both past and future RCTs, further informing evidence-based practice decision making.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48027663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-30DOI: 10.1177/10497315231178462
Catalina Cañizares, Mark J. Macgowan
Purpose: Adolescents are particularly vulnerable to suicide attempts, which is a major risk factor for completed suicide in this age group. However, most research on suicide prevention interventions comes from high-income countries with predominantly white participants and English protocols. This study examines interventions that have been tested in Latin America and Spain. Methods: A systematic review was conducted to include interventions aimed at reducing suicide ideation, attempts, and increasing knowledge about it in these regions. Results: Sixteen articles were selected, and Dialectical Behaviour Therapy, Problem Solving Therapy, and Trauma-Focused Cognitive Behavioural Therapy were found to be more effective than standard treatments or wait-list conditions in reducing the outcomes. Discussion: This review highlights the need for more research on preventive interventions in Latin America and Spain. While all interventions evaluated were effective, further research and replication studies are necessary to strengthen the evidence base for these interventions.
{"title":"Interventions for Adolescent Suicide Ideation and Suicide Attempts in Latin America and Spain: A Systematic Review","authors":"Catalina Cañizares, Mark J. Macgowan","doi":"10.1177/10497315231178462","DOIUrl":"https://doi.org/10.1177/10497315231178462","url":null,"abstract":"Purpose: Adolescents are particularly vulnerable to suicide attempts, which is a major risk factor for completed suicide in this age group. However, most research on suicide prevention interventions comes from high-income countries with predominantly white participants and English protocols. This study examines interventions that have been tested in Latin America and Spain. Methods: A systematic review was conducted to include interventions aimed at reducing suicide ideation, attempts, and increasing knowledge about it in these regions. Results: Sixteen articles were selected, and Dialectical Behaviour Therapy, Problem Solving Therapy, and Trauma-Focused Cognitive Behavioural Therapy were found to be more effective than standard treatments or wait-list conditions in reducing the outcomes. Discussion: This review highlights the need for more research on preventive interventions in Latin America and Spain. While all interventions evaluated were effective, further research and replication studies are necessary to strengthen the evidence base for these interventions.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44585098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-30DOI: 10.1177/10497315231179097
Jinghan Hu, He Bu, I. Liu, Nancy Xiaonan Yu
Purpose: Although multicomponent positive psychological interventions (MPPIs) effectively improve well-being, it is crucial to examine which intervention component plays a critical role. Method: This cluster randomized controlled trial assigned 221 immigrants from mainland China to Hong Kong to either an MPPI arm ( n = 116, 11 clusters) or an MPPI + Information arm ( n = 105, 11 clusters). Both arms aimed to enhance three intervention outcomes: resilience, happiness, and mental health. The MPPI part in the two arms included four components: self-efficacy, positive thinking, altruism, and goal setting. The information part provided information about Hong Kong. Results: Both arms effectively improved the four intervention components and three intervention outcomes. MPPI + Information increased the immigrants’ knowledge of Hong Kong. The network analysis showed that altruism had the greatest strength in the network. Conclusions: Future studies should focus on the specific intervention component of altruism to understand how the MPPI works.
{"title":"A Cluster Randomized Controlled Trial of a Multicomponent Positive Psychological Intervention: The Potential Mechanism of Altruism","authors":"Jinghan Hu, He Bu, I. Liu, Nancy Xiaonan Yu","doi":"10.1177/10497315231179097","DOIUrl":"https://doi.org/10.1177/10497315231179097","url":null,"abstract":"Purpose: Although multicomponent positive psychological interventions (MPPIs) effectively improve well-being, it is crucial to examine which intervention component plays a critical role. Method: This cluster randomized controlled trial assigned 221 immigrants from mainland China to Hong Kong to either an MPPI arm ( n = 116, 11 clusters) or an MPPI + Information arm ( n = 105, 11 clusters). Both arms aimed to enhance three intervention outcomes: resilience, happiness, and mental health. The MPPI part in the two arms included four components: self-efficacy, positive thinking, altruism, and goal setting. The information part provided information about Hong Kong. Results: Both arms effectively improved the four intervention components and three intervention outcomes. MPPI + Information increased the immigrants’ knowledge of Hong Kong. The network analysis showed that altruism had the greatest strength in the network. Conclusions: Future studies should focus on the specific intervention component of altruism to understand how the MPPI works.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44127737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-25DOI: 10.1177/10497315231173380
J. Birkenmaier, Youngmi Kim, Brandy R Maynard, T. Pigott
Purpose: This systematic review examined the effects of tax-time saving interventions that promote saving with tax refunds from relevant experimental or quasi-experimental studies of interventions aimed toward low- and moderate-income adults delivered when filing U.S. income taxes. Method: A systematic review process was used to search for published and unpublished studies from sources through September 2021. Two reviewers screened studies, extracted data and assessed risk of bias, and effects on savings rate and amount were synthesized using robust variance estimation. Results: This review included 14 unique studies. Five studies reporting 13 effect sizes for savings amount found a small, statistically significant effect ( d = 0.06, 95% CI [0.05, 0.08]). Nine studies reporting 35 effect sizes found no statistically significant effect for savings rate (LOR = 4.11, 95% CI [0.42, 40.44]). Discussion: Results suggest some evidence that tax-time savings can be a relatively simple method for increasing the amount low- to moderate-income adults save.
{"title":"The Effects of Tax-Time Interventions on Savings Rate and Amount: A Systematic Review and Meta-Analysis","authors":"J. Birkenmaier, Youngmi Kim, Brandy R Maynard, T. Pigott","doi":"10.1177/10497315231173380","DOIUrl":"https://doi.org/10.1177/10497315231173380","url":null,"abstract":"Purpose: This systematic review examined the effects of tax-time saving interventions that promote saving with tax refunds from relevant experimental or quasi-experimental studies of interventions aimed toward low- and moderate-income adults delivered when filing U.S. income taxes. Method: A systematic review process was used to search for published and unpublished studies from sources through September 2021. Two reviewers screened studies, extracted data and assessed risk of bias, and effects on savings rate and amount were synthesized using robust variance estimation. Results: This review included 14 unique studies. Five studies reporting 13 effect sizes for savings amount found a small, statistically significant effect ( d = 0.06, 95% CI [0.05, 0.08]). Nine studies reporting 35 effect sizes found no statistically significant effect for savings rate (LOR = 4.11, 95% CI [0.42, 40.44]). Discussion: Results suggest some evidence that tax-time savings can be a relatively simple method for increasing the amount low- to moderate-income adults save.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42888904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Parenting for Lifelong Health for Young Children (PLH-YC) is a program to prevent child maltreatment. This study aimed to examine the feasibility, acceptability and preliminary effects of the adapted program for Chinese parents. Methods: A pre–post single-arm pilot trial was conducted with 21 Chinese parents. A mixed-method design was utilized to collect questionnaire-based quantitative data and qualitative data of interviews and focus group discussions. Results: Program implementation was feasible, with overall high recruitment, enrollment, attendance, acceptability and fidelity. Quantitative results demonstrated reductions in general child maltreatment, physical and emotional abuse, child behavioral problems, and improvements in positive parenting. Thematic analyses identified reduced violent discipline, psychological aggression, and child behavioral problems, strengthened parent–child bonds, increased parenting confidence, and decreased family conflict. Conclusion: The adapted PLH-YC program for Chinese parents has shown good feasibility and acceptability, and exhibited a significant association with reduced child maltreatment. Further randomized controlled trials are required.
{"title":"Feasibility and Acceptability of Parenting for Lifelong Health Program in Mainland China","authors":"Weiwei Wang, Shiqin Liu, Yuzhu Liang, Jamie M. Lachman, Zuyi Fang, Huiping Zhang","doi":"10.1177/10497315231174395","DOIUrl":"https://doi.org/10.1177/10497315231174395","url":null,"abstract":"Purpose: Parenting for Lifelong Health for Young Children (PLH-YC) is a program to prevent child maltreatment. This study aimed to examine the feasibility, acceptability and preliminary effects of the adapted program for Chinese parents. Methods: A pre–post single-arm pilot trial was conducted with 21 Chinese parents. A mixed-method design was utilized to collect questionnaire-based quantitative data and qualitative data of interviews and focus group discussions. Results: Program implementation was feasible, with overall high recruitment, enrollment, attendance, acceptability and fidelity. Quantitative results demonstrated reductions in general child maltreatment, physical and emotional abuse, child behavioral problems, and improvements in positive parenting. Thematic analyses identified reduced violent discipline, psychological aggression, and child behavioral problems, strengthened parent–child bonds, increased parenting confidence, and decreased family conflict. Conclusion: The adapted PLH-YC program for Chinese parents has shown good feasibility and acceptability, and exhibited a significant association with reduced child maltreatment. Further randomized controlled trials are required.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45340558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-07DOI: 10.1177/10497315231163502
K. Sundell, M. Eskel, M. Bergström, Therese Åström
In social work, practitioners are often faced with situations in which they have to choose an intervention. A fundamental ethical principle of social work practice is to minimize the risk of adverse effects caused by social services. To adhere to this principle, practitioners must be aware of the possible positive and negative effects of potential services. There are hundreds of interventions currently in use in social work. Although there are a growing number of controlled trials on social work interventions, there are only a few interventions based on research that has the highest degree of certainty, making it difficult to know how and in what way these interventions can support a person in need of assistance. This article, based in part on the experience we gained training practitioners working in Swedish social services, presents a tentative model for assessing the best available evidence comparing interventions when scientific evidence is sparse.
{"title":"How Can Practitioners Assess the Value of Social Work Interventions?","authors":"K. Sundell, M. Eskel, M. Bergström, Therese Åström","doi":"10.1177/10497315231163502","DOIUrl":"https://doi.org/10.1177/10497315231163502","url":null,"abstract":"In social work, practitioners are often faced with situations in which they have to choose an intervention. A fundamental ethical principle of social work practice is to minimize the risk of adverse effects caused by social services. To adhere to this principle, practitioners must be aware of the possible positive and negative effects of potential services. There are hundreds of interventions currently in use in social work. Although there are a growing number of controlled trials on social work interventions, there are only a few interventions based on research that has the highest degree of certainty, making it difficult to know how and in what way these interventions can support a person in need of assistance. This article, based in part on the experience we gained training practitioners working in Swedish social services, presents a tentative model for assessing the best available evidence comparing interventions when scientific evidence is sparse.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":"33 1","pages":"634 - 641"},"PeriodicalIF":1.8,"publicationDate":"2023-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43051591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-02DOI: 10.1177/10497315231171374
Zhan Yu, Q. An, Jaclynn Hawkins, Anao Zhang
Objective: The purpose of this study was to evaluate the effectiveness of cognitive behavioral therapy (CBT) for Chinese diabetic patients suffering from depression. Method: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we researched seven electronic databases and two professional websites. Publication bias was assessed using funnel plot. Meta-analysis was conducted using meta-regression with robust variance estimation. Results: Final analysis included a total of 23 controlled trials containing 201 effect size estimates (including 5025 participants). Subgroup analyses indicated significant treatment effects for (1) depression outcomes, anxiety outcomes, psychological stress/distress outcomes, physiological outcomes, and general wellness outcomes, (2) studies with/without manuals, (3) studies using individual-based/group-based CBT, (4) studies in person/assisted with technology, and (5) studies providers with/without training. The treatment outcomes and intervention composition (CBT only versus CBT plus other approaches) were significant moderators. Conclusions: Findings of the study suggested CBT is a promising treatment option for depression among Chinese diabetes patients.
{"title":"Cognitive Behavioral Therapy for Depression Among Chinese Diabetes Patients: A Systematic Review and Meta-Analysis","authors":"Zhan Yu, Q. An, Jaclynn Hawkins, Anao Zhang","doi":"10.1177/10497315231171374","DOIUrl":"https://doi.org/10.1177/10497315231171374","url":null,"abstract":"Objective: The purpose of this study was to evaluate the effectiveness of cognitive behavioral therapy (CBT) for Chinese diabetic patients suffering from depression. Method: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we researched seven electronic databases and two professional websites. Publication bias was assessed using funnel plot. Meta-analysis was conducted using meta-regression with robust variance estimation. Results: Final analysis included a total of 23 controlled trials containing 201 effect size estimates (including 5025 participants). Subgroup analyses indicated significant treatment effects for (1) depression outcomes, anxiety outcomes, psychological stress/distress outcomes, physiological outcomes, and general wellness outcomes, (2) studies with/without manuals, (3) studies using individual-based/group-based CBT, (4) studies in person/assisted with technology, and (5) studies providers with/without training. The treatment outcomes and intervention composition (CBT only versus CBT plus other approaches) were significant moderators. Conclusions: Findings of the study suggested CBT is a promising treatment option for depression among Chinese diabetes patients.","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43549499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1177/10497315221110865
Shelley L Craig, Rachael V Pascoe, Gio Iacono, Nelson Pang, Ali Pearson
Purpose: Support implementation fidelity in intervention research with lesbian, gay, bisexual, transgender, queer, and sexual and gender diverse (LGBTQ+) populations, this study explores the systematic development of a fidelity process for AFFIRM, an evidence-based, affirmative cognitive behavioral therapy group intervention for LGBTQ+ youth and adults.
Method: As part of a clinical trial, the AFFIRM fidelity checklist was designed to assess clinician adherence. A total of 151 audio-recorded group sessions were coded by four trained raters.
Results: Adherence was high with a mean fidelity score of 84.13 (SD = 12.50). Inter-rater reliability was 81%, suggesting substantial agreement. Qualitative thematic analysis of low-rated sessions identified deviations from the manual and difficulties in group facilitation, while high-rated sessions specified affirmative and effective clinical responses.
Discussion: Findings were integrated into clinical training and coaching. The fidelity process provides insights into the challenges of implementing social work interventions effectively with LGBTQ+ populations in community settings.
{"title":"Assessing the Fidelity of an Affirmative Cognitive Behavioral Group Intervention.","authors":"Shelley L Craig, Rachael V Pascoe, Gio Iacono, Nelson Pang, Ali Pearson","doi":"10.1177/10497315221110865","DOIUrl":"https://doi.org/10.1177/10497315221110865","url":null,"abstract":"<p><strong>Purpose: </strong>Support implementation fidelity in intervention research with lesbian, gay, bisexual, transgender, queer, and sexual and gender diverse (LGBTQ+) populations, this study explores the systematic development of a fidelity process for AFFIRM, an evidence-based, affirmative cognitive behavioral therapy group intervention for LGBTQ+ youth and adults.</p><p><strong>Method: </strong>As part of a clinical trial, the AFFIRM fidelity checklist was designed to assess clinician adherence. A total of 151 audio-recorded group sessions were coded by four trained raters.</p><p><strong>Results: </strong>Adherence was high with a mean fidelity score of 84.13 (<i>SD</i> = 12.50). Inter-rater reliability was 81%, suggesting substantial agreement. Qualitative thematic analysis of low-rated sessions identified deviations from the manual and difficulties in group facilitation, while high-rated sessions specified affirmative and effective clinical responses.</p><p><strong>Discussion: </strong>Findings were integrated into clinical training and coaching. The fidelity process provides insights into the challenges of implementing social work interventions effectively with LGBTQ+ populations in community settings.</p>","PeriodicalId":47993,"journal":{"name":"Research on Social Work Practice","volume":"33 4","pages":"375-389"},"PeriodicalIF":1.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/a9/10.1177_10497315221110865.PMC10074758.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9272297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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