36 research outputs found

    A Systematic Review of Attachment-Based Interventions for Caregivers and Young Children Living in Poverty

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    Almost half of the 11 million children under the age of three in the United States live in low-income families. Early childhood may be the developmental period most sensitive to the conditions affected by income and living in poverty places children at greater risk for low quality attachment. The purpose of this systematic review was to summarize common themes, differences and shortcomings of interventions that aim to improve child-caregiver attachment and caregiver behaviors with children under the age of three who have been identified as living in poverty or a low socioeconomic background. Eighteen studies met the inclusion criteria. Data extraction identified specific intervention characteristics and the quality of intervention reporting using the TIDieR checklist. Characteristics of the caregivers, children, and interventionists involved in the studies, intervention delivery method, group or individual intervention, location of intervention implementation, the duration, and dose of the intervention were coded from each article. Studies were also analyzed to identify cultural aspects of the participants involved in the interventions, and how those characteristics may have modified or changed the interventions. TIDieR intervention guidelines clearly revealed that more detail was needed in all aspects of intervention reporting. Identification and description of the procedures and materials were most often missing, making it difficult to compare and contrast intervention procedures, and replication of interventions. However, common characteristics of interventions were noted. Mothers were the primary caregivers involved in the intervention, most of were delivered face-to-face (n=18) and in the home (n=17). The majority of interventions (n=14) were provided in individual family/dyad settings as opposed to group settings. Eight studies addressed cultural characteristics regarding the participants involved or how attachment definitions may change regarding participants’ culture; most addressed language (n=6). Based on the results of this systematic review, it is recommended that interventions to enhance child-caregiver attachment and caregiver behaviors for those living in poverty should incorporate a multidimensional and culturally relevant approach, and be reported in a detailed way to allow for deep understanding and replication of the interventions

    A Meta-Analysis of Driving Performance and Crash Risk Associated with the Use of Cellular Telephones While Driving

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    This paper addresses the effects of cell phones on driving by means of a review of the literature and an analysis of scientifically credible epidemiological and driver performance studies. A total of 84 articles were obtained covering the period from 1969 to 2004. Sixty-eight articles were research papers measuring driving performance while using a cell phone and 16 articles were epidemiological studies that examined cell phone usage and their relationship to vehicular crashes. Epidemiological findings consistently showed an increase in crashes associated with use of cell phones. However, these studies did not control for exposure to cell phone use or to driving. The negative impact of cell phone usage is larger for responses to critical events than for vehicular control. Drivers responded about a quarter of a second later to stimuli in the presence of a cell phone distractor for all studies that were analyzed. Hands-free cell phones produced similar performance decrements to hand-held phones

    The prevalence and incidence of mental ill-health in adults with autism and intellectual disabilities

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    The prevalence, and incidence, of mental ill-health in adults with intellectual disabilities and autism were compared with the whole population with intellectual disabilities, and with controls, matched individually for age, gender, ability-level, and Down syndrome. Although the adults with autism had a higher point prevalence of problem behaviours compared with the whole adult population with intellectual disabilities, compared with individually matched controls there was no difference in prevalence, or incidence of either problem behaviours or other mental ill-health. Adults with autism who had problem behaviours were less likely to recover over a two-year period than were their matched controls. Apparent differences in rates of mental ill-health are accounted for by factors other than autism, including Down syndrome and ability level

    Developing limits for driving under cannabis

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    ABSTRACT Objective Development of a rational and enforceable basis for controlling the impact of cannabis use on traffic safety. Methods An international working group of experts on issues related to drug use and traffic safety evaluated evidence from experimental and epidemiological research and discussed potential approaches to developing per se limits for cannabis. Results In analogy to alcohol, finite (non-zero) per se limits for delta-9-tetrahydrocannabinol (THC) in blood appear to be the most effective approach to separating drivers who are impaired by cannabis use from those who are no longer under the influence. Limited epidemiological studies indicate that serum concentrations of THC below 10 ng/ml are not associated with an elevated accident risk. A comparison of meta-analyses of experimental studies on the impairment of driving-relevant skills by alcohol or cannabis suggests that a THC concentration in the serum of 7-10 ng/ml is correlated with an impairment comparable to that caused by a blood alcohol concentration (BAC) of 0.05%. Thus, a suitable numerical limit for THC in serum may fall in that range. Conclusions This analysis offers an empirical basis for a per se limit for THC that allows identification of drivers impaired by cannabis. The limited epidemiological data render this limit preliminary
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