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Evaluating Effectiveness of Abstinence Education. 禁欲教育效果评价。
Pub Date : 2017-09-01 Epub Date: 2017-06-30 DOI: 10.1080/23761407.2017.1340860
Thomas E Smith, Lisa S Panisch, Thallia Malespin, M Graça Pereira

Purpose: This study examined the effectiveness of an abstinence education program that was sensitive to federally mandated curriculum and measures.

Methods: The intervention was delivered to 5,772 middle school and high school students. Effectiveness was assessed by a measure that was anchored on A-H themes, which are components of federally mandated curricular components of abstinence education. To better understand the relationship of different variables and determine the significance of student's improvements on the A-H measure scores, the ANCOVA was used with the pretest score and age as covariates and the use of gender and ethnicity as fixed factors in the analysis.

Results: While controlling for the effects of the pretest, the analyses showed that age and gender were main effects but that ethnicity did not prove to be related to the outcome scores. Results demonstrated that the effectiveness of the program decreased as adolescent boys aged. There were no significant interactions in the gender and ethnicity variables.

Conclusions: The findings of this study will be beneficial to program developers in understanding what variations and demographics are most receptive to this particular abstinence-only education model. Further studies in this area are needed to evaluate the effectiveness of currently available programs.

目的:本研究考察了对联邦规定的课程和措施敏感的禁欲教育项目的有效性。方法:对5772名初高中学生进行干预。有效性是通过一项以a - h主题为基础的措施来评估的,这些主题是联邦政府规定的禁欲教育课程的组成部分。为了更好地了解不同变量之间的关系,并确定学生在A-H测量分数上的改善的显著性,我们使用ANCOVA,以前测分数和年龄为协变量,并使用性别和种族作为固定因素进行分析。结果:在控制前测影响的同时,分析表明年龄和性别是主要影响因素,但种族与结果得分无关。结果表明,该计划的有效性随着青春期男孩年龄的增长而下降。性别和种族变量之间没有显著的相互作用。结论:本研究的发现将有助于项目开发人员了解哪些变化和人口结构最容易接受这种特殊的禁欲教育模式。需要在这一领域进行进一步的研究,以评估现有方案的有效性。
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引用次数: 7
Culturally-Informed Interventions for Substance Abuse Among Indigenous Youth in the United States: A Review. 美国原住民青年药物滥用的文化知情干预:综述。
Pub Date : 2017-09-01 Epub Date: 2017-06-19 DOI: 10.1080/23761407.2017.1335631
Jessica Liddell, Catherine E Burnette

Purpose: Given the disproportionately high levels of alcohol and other drug abuse among Indigenous youth in the United States, the purpose of this systematic review was to explicate the current state of empirically-based and culturally-informed substance abuse prevention and intervention programs for Indigenous youth (ages 9-18).

Method: The 14 articles that met inclusion criteria for this review were analyzed both in terms of the cultural intervention itself (primary population, intervention, core tenants, focus of intervention, intervention goals, location, intervention location, and program length) and their evaluation approach.

Results: Results indicate variable integration of cultural components with the majority of interventions taking place in schools and treatment facilities, targeting primarily individuals.

Discussion: There is a current gap in research on culturally-informed substance abuse interventions for Indigenous youth, which this review begins to address. Promising areas of future research and interventions include bringing communities and families into treatment and prevention.

目的:鉴于美国土著青年中酒精和其他药物滥用的比例过高,本系统综述的目的是阐明基于经验和文化信息的土著青年(9-18岁)药物滥用预防和干预方案的现状。方法:从文化干预本身(主要人群、干预措施、核心租户、干预重点、干预目标、地点、干预地点和项目长度)及其评估方法两方面对符合本综述纳入标准的14篇文章进行分析。结果:结果表明,文化成分的可变整合,大多数干预措施发生在学校和治疗机构,主要针对个人。讨论:目前在土著青年的文化知情药物滥用干预研究方面存在空白,本综述开始解决这一问题。未来研究和干预的有希望的领域包括使社区和家庭参与治疗和预防。
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引用次数: 29
Dying and living in the neighborhood. A street-level view of America's healthcare promise, by P. Singh. 死亡和生活在附近。美国医疗承诺的街头视角,P. Singh著。
Pub Date : 2017-09-01 Epub Date: 2017-07-11 DOI: 10.1080/23761407.2017.1342110
Giselle Balfour
In his book, Dying and Living in the Neighborhood. A Street-Level View of America’s Healthcare Promise, Dr. Prabhjot Singh presents what he calls a “problem- and solution-seeking” discussion (p. 8)...
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引用次数: 4
Engaging Parents in Early Head Start Home-Based Programs: How Do Home Visitors Do This? 让父母参与早期家庭教育项目:家访如何做到这一点?
Pub Date : 2017-09-01 Epub Date: 2017-08-07 DOI: 10.1080/23761407.2017.1302858
Caroline Shanti

Parental engagement is considered elemental to successful outcomes for parents and their children in early childhood home visiting programs. Engagement is that piece of parental involvement that refers to the working relationship between the parent and the home visitor. Multiple papers have called for research to pinpoint the ways in which home visitors work with parents to form these working relationships, and form partnerships to achieve positive outcomes. Analysis revealed that in individualizing their efforts to each family, home visitors follow semi-sequential steps in implementing engagement. This article presents a model of the process home visitors describe that resulted from analysis. Grounded theory techniques were used to analyze 29 interviews with Early Head Start (EHS) home visitors and 11 supervisors across four EHS programs in one region of the United States. The process of engagement as described emerges in three phases: (1) learning the parent's culture and style; (2) deepening the working partnership; and (3) balancing the ongoing work. Analysis further revealed specific strategies and goals that guide the work of home visitors in each of these three phases. This not only adds rich detail to the literature, but also provides a useful guide for programs and policy makers through identifying the areas where training and support will increase home visitor ability to engage parents.

父母的参与被认为是父母和孩子在早期儿童家访项目中取得成功的基本因素。参与是父母参与的一部分,指的是父母和家访者之间的工作关系。多篇论文呼吁进行研究,以查明家访者与父母建立工作关系的方式,并形成合作伙伴关系,以取得积极成果。分析显示,在个性化他们对每个家庭的努力中,家访人员遵循半顺序步骤来实施参与。本文通过分析,提出了一个家访者描述过程的模型。本研究采用扎根理论技术对美国一个地区四个EHS项目的29位早期开端(EHS)家庭访问者和11位主管进行访谈分析。如上所述的参与过程分为三个阶段:(1)学习父母的文化和风格;(二)深化合作伙伴关系;(3)平衡正在进行的工作。分析进一步揭示了在这三个阶段指导家访工作的具体策略和目标。这不仅为文献增加了丰富的细节,而且通过确定培训和支持将提高家访者吸引父母的能力的领域,为项目和政策制定者提供了有用的指导。
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引用次数: 10
Increasing service user participation in local planning. A how-to manual for macro practitioners, by J. M. Dunlop & M. J. Holosko 增加服务用户对地方规划的参与。宏观从业者的操作手册,J. M. Dunlop & M. J. Holosko
Pub Date : 2017-07-11 DOI: 10.1080/23761407.2017.1343701
M. Metcalf
This is a hands-on practical manual designed for service users to use in planning for local community service system reform, using a community development-planning model (CDPM). The United States and Canada have yet to fully prioritize service users into their community planning, whereas other countries, such as Sweden, England, and Australia, see it as a necessary element for effective community resource planning. The book offers an eight-step field-tested planning model that collaboratively joins service users (SUs) and service providers (SPs) to plan for new resources in their community. This social planning model can be used for many other community needs, and in many other sectors, such as politics, education, and in environmental areas of concern. The authors have written this text primarily directed for micro and macro graduate students in social work, or nonprofit management and leadership programs. It is also crafted to be useful for various community practitioners and other stakeholders involved in effective planning. The well-crafted manual is used to promote SU and SP partnerships, and is based on evidence-informed data. This manual stresses the importance of both of these features in the community planning process. The introduction covers the history of SUs and SPs, and myths that surround them, which, in turn, uncovers the reasons SUs have minimized voices in their communities. This subsection also gives a “birds-eye view” of the CDPM, and the work-plan and evaluation of the planning process. The introduction also provides insight to the external trends that were behind the rationale to create this model. The overarching elements, neoliberalism and globalization, have contributed to our inability to not look beyond the immediate needs of our clients. This has resulted in communities that are under resourced and fragmented. The text is then organized into eight chapters, covering a sequential step in the planning process. Each is comprised of the same stylistic outline: overview and rationale, description of planning activities and action steps, case vignette, summary and evaluation of planning step, references, and activity sheets. This predictable breakdown makes for the text to be easy to digest, and also equips the reader with over 50 supplementing activity sheets necessary, to execute each outlined planning step. While reading through the planning steps and activity sheets, I found the well-written glossary to be particularly helpful. Content-wise, the first two chapters unveil stakeholder participation and how to build a joint mission and purpose. Dunlop and Holosko (2016) describe this process in three sequential action steps:
这是一本实践手册,旨在为服务使用者使用社区发展规划模式(CDPM)规划当地社区服务体系改革提供参考。美国和加拿大尚未在社区规划中充分优先考虑服务用户,而其他国家,如瑞典、英国和澳大利亚,则将其视为有效社区资源规划的必要因素。这本书提供了一个八步实地测试的规划模型,协作连接服务用户(su)和服务提供商(sp)计划在他们的社区的新资源。这种社会规划模式可用于许多其他社区需求,以及许多其他部门,如政治、教育和环境领域。作者写的这篇文章主要针对微观和宏观研究生在社会工作,或非营利组织的管理和领导方案。它也被精心设计成对参与有效规划的各种社区从业者和其他利益相关者有用。这份精心编写的手册以证据为依据的数据为基础,用于促进SU和SP的伙伴关系。本手册强调这两个特点在社区规划过程中的重要性。引言介绍了SUs和sp的历史,以及围绕它们的神话,这些神话反过来揭示了SUs在其社区中最小化声音的原因。本小节还给出了CDPM的“鸟瞰图”,以及计划过程的工作计划和评估。引言还提供了创建该模型的基本原理背后的外部趋势的见解。新自由主义和全球化是最重要的因素,这些因素导致我们无法超越客户的直接需求。这导致了社区资源不足和支离破碎。正文随后被组织成八个章节,涵盖了规划过程中的一个连续步骤。每个都由相同的风格大纲组成:概述和基本原理,计划活动和行动步骤的描述,案例简介,计划步骤的总结和评估,参考文献和活动表。这种可预测的分解使得文本易于消化,并且还为读者提供了50多个必要的补充活动表,以执行每个概述的计划步骤。在通读计划步骤和活动表时,我发现写得很好的词汇表特别有用。在内容方面,前两章揭示了利益相关者的参与以及如何建立共同的使命和目标。Dunlop和Holosko(2016)将这个过程描述为三个连续的行动步骤:
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引用次数: 0
The dynamic welfare state, by D. Stoesz 《动态福利国家》,D. Stoesz著
Pub Date : 2017-07-11 DOI: 10.1080/23761407.2017.1342111
S. McGarity
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引用次数: 0
Predictors of Consent in a Randomized Field Study in Child Welfare. 儿童福利随机研究中同意的预测因素。
Pub Date : 2017-07-01 Epub Date: 2017-05-09 DOI: 10.1080/23761407.2017.1319774
Tom McDonald, Jackie Bhattarai, Becci Akin

Purpose: Randomized controlled trials (RCTs) are often viewed as the "gold standard" for proving the efficacy and effectiveness of new interventions. However, some are skeptical of the generalizability of the findings that RCTs produce. The characteristics of those willing to participate in research studies have the potential to affect the generalizability of its findings. This study examined factors that could influence consent among families recruited to participate in a randomized field trial in a real-world child welfare setting.

Methods: This study tested the Parent Management Training Oregon Model for children in foster care with serious emotional disturbance. It employed a post-randomization consent design, whereby the entire sample of eligible participants, not just those who are willing to consent to randomization, are included in the sample. Initial eligibility assessment data and data from the federally mandated reporting system for public child welfare agencies provided the pool of potential predictors of consent. Bivariate and multivariate analyses were conducted to identify statistically significant predictors of consent.

Results: Being a dual reunification family was the most significant factor in predicting consent. Unmarried individuals, younger, female parents, cases where parental incarceration was the reason for removal and cases where the removal reason was not due to their children's behavioral problem(s) were also more likely to participate.

Discussion: As one of the first research studies to examine predictors of consent to a randomized field study in child welfare settings, results presented here can act as a preliminary guide for conducting RCTs in child welfare settings.

目的:随机对照试验(rct)通常被视为证明新干预措施的疗效和有效性的“金标准”。然而,一些人对随机对照试验结果的普遍性持怀疑态度。那些愿意参与研究的人的特征有可能影响研究结果的普遍性。本研究考察了可能影响家庭同意的因素,这些家庭被招募参加一项现实世界儿童福利设置的随机领域试验。方法:本研究对重度情绪障碍寄养儿童家长管理培训俄勒冈模式进行检验。它采用了后随机化同意设计,即整个符合条件的参与者样本,而不仅仅是那些愿意同意随机化的人,都包括在样本中。初步资格评估数据和来自联邦政府授权的公共儿童福利机构报告系统的数据提供了潜在的同意预测指标。进行了双变量和多变量分析,以确定具有统计学意义的同意预测因子。结果:双重团聚家庭是预测同意度的最重要因素。未婚个体,年轻,女性父母,父母监禁是搬迁原因的案例,以及搬迁原因不是由于孩子的行为问题的案例,也更有可能参与。讨论:作为第一个在儿童福利环境中检查对随机实地研究的同意预测因素的研究之一,这里提出的结果可以作为在儿童福利环境中进行随机对照试验的初步指南。
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引用次数: 2
A Review on Community-Based Knowledge Transfer and Exchange (KTE) Initiatives for Promoting Well-Being in Older Adults. 以社区为基础的促进老年人福祉的知识转移与交流(KTE)倡议综述。
Pub Date : 2017-07-01 Epub Date: 2017-07-05 DOI: 10.1080/23761407.2017.1323065
M Anum Syed, Aynsley Moorhouse, Lynn McDonald, Sander L Hitzig

Knowledge transfer and exchange (KTE) processes can facilitate evidence-informed community-based care for seniors, but understanding effective KTE in gerontology is limited. A scoping review was conducted to evaluate the current state of KTE in the community-based sector for seniors. Twelve articles met the inclusion criteria, which addressed a broad variety of topics including caregiving, elder abuse, falls prevention, home-rehabilitation, hospice and dementia care. Studies evaluated KTE practices (n = 8), developed a KTE intervention (n = 3), or explored research uptake (n = 1). Community-based initiatives for seniors informed by KTE processes are scarce, requiring further efforts at the research, practice and policy levels.

知识转移和交流(KTE)过程可以促进基于证据的社区老年人护理,但了解有效的KTE在老年学是有限的。进行了范围审查,以评估社区老年人部门的KTE现状。12篇文章符合纳入标准,涉及广泛的主题,包括护理、虐待老人、预防跌倒、家庭康复、临终关怀和痴呆症护理。研究评估了KTE实践(n = 8),开发了KTE干预(n = 3),或探索了研究的吸收(n = 1)。基于社区的老年人倡议很少,需要在研究、实践和政策层面进一步努力。
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引用次数: 1
Effectiveness of Satir-Informed Family-Therapy on the Codependency of Drug Dependents' Family Members in Iran: A Randomized Controlled Trial. satir知情家庭治疗对伊朗药物依赖者家庭成员相互依赖的有效性:一项随机对照试验。
Pub Date : 2017-07-01 Epub Date: 2017-06-23 DOI: 10.1080/23761407.2017.1331147
Fatemeh Karimi Ahmad-Abadi, Masoomeh Maarefvand, Hakimeh Aghaei, Samaneh Hosseinzadeh, Mahboubeh Abbasi, Jagdish Khubchandani

Purpose: Social workers in substance abuse treatment settings are responsible for involving families in treatment program to improve family functioning. The effectiveness of available interventions in treating codependency of family members of drug users in Iran is not well explored. We evaluated the effectiveness of the Satir communication family therapy (CFT) in healing codependency of drug dependents' family members in Tehran, Iran.

Methods: The intervention group participants (n = 27) received a seven-session social work intervention with CFT approach and the control group (n = 26) received treatment as usual. We used the Holyoake Codependency Index to measure participants' codependency at baselines, end of intervention, and 90 days post intervention.

Results: Codependents enrolled in the intervention had a significantly lower codependency score than controls at the end of intervention and 90 days post intervention.

Discussion: CFT is an effective strategy to reduce codependency in Iranian population and can be explored as a population-based strategy.

目的:药物滥用治疗机构的社会工作者负责让家庭参与治疗方案,以改善家庭功能。在伊朗,治疗吸毒者家庭成员相互依赖的现有干预措施的有效性尚未得到很好的探讨。我们评估了萨提亚沟通家庭疗法(CFT)治疗伊朗德黑兰药物依赖者家庭成员相互依赖的有效性。方法:干预组(27例)采用CFT方法进行7期社会工作干预,对照组(26例)采用常规治疗。我们使用Holyoake相互依赖指数来衡量参与者在基线、干预结束和干预后90天的相互依赖。结果:参与干预的相互依赖者在干预结束和干预后90天的相互依赖评分显著低于对照组。讨论:CFT是减少伊朗人口相互依赖的有效策略,可以作为一种基于人口的策略进行探索。
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引用次数: 9
Mental Health, Substance Abuse, and Suicide Among Homeless Adults. 无家可归的成年人的心理健康、药物滥用和自杀。
Pub Date : 2017-07-01 Epub Date: 2017-07-05 DOI: 10.1080/23761407.2017.1316221
Kyoung Hag Lee, Jung Sim Jun, Yi Jin Kim, Soonhee Roh, Sung Seek Moon, Ngoyi Bukonda, Lisa Hines

This study explored the role of mental health and substance abuse problems on the suicidal ideation and suicide attempts of 156 homeless adults. The logistic regression results indicated that homeless adults with anxiety were significantly more likely than those without anxiety to have both suicidal ideation and suicide attempts. Also, homeless adults with drug abuse were significantly more likely than those without drug abuse to have suicidal ideation. The study suggests that to reduce the suicide of the homeless, case managers need to screen mental health and substance abuse issues and to provide appropriate treatment services at homeless shelters.

本研究探讨了156名无家可归成年人的心理健康和药物滥用问题在自杀意念和自杀企图中的作用。logistic回归结果显示,有焦虑的无家可归成年人有自杀意念和自杀企图的可能性显著高于无焦虑的无家可归成年人。此外,有药物滥用的无家可归的成年人比没有药物滥用的人更有可能产生自杀念头。该研究表明,为了减少无家可归者的自杀,个案管理人员需要筛查心理健康和药物滥用问题,并在无家可归者收容所提供适当的治疗服务。
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引用次数: 53
期刊
Journal of evidence-informed social work
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