The Modified Erikson Psychosocial Stage Inventory.

A measure of the strength of psychosocial attributes that arise from progression through Erik Erikson's eight stages of development.The Modified Erikson Psychosocial Inventory (MEPSI) is an 80-item, comprehensive measure of psychosocial development based on Eriksonian theory. It was designed to measure the strength of psychosocial attributes that arise from progression through Erik Erikson's eight stages of development. It evolved in response to the apparent lack of a valid and reliable, yet easily administered survey instrument to measure psychosocial attributes in the adult population within the context of Eriksonian developmental theory (See Darling-Fisher & Kline Leidy, 1988 for details of its development). Data supporting its reliability and validity data was published when it was first developed (Leidy & Darling-Fisher, 1995). Over the years, it has been used in numerous research projects in a variety of fields and continues to be requested on a regular basis. The authors are making the MEPSI instrument and its Guidelines for administration and scoring available via this URL to facilitate future research, critique, and revision.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/111746/1/MEPSI.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/111746/3/Darling-Fisher&LeidyMEPSIDevelopment1988.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/111746/4/Leidy&Darling-Fisher, 1995-MEPSI-Reliability&Validity.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/111746/5/MEPSIGUI010.pdfDescription of MEPSI.pdf : MEPSI InstrumentDescription of Darling-Fisher&LeidyMEPSIDevelopment1988.pdf : Publication describibg the Developemtn of the MEPSIDescription of Leidy&Darling-Fisher, 1995-MEPSI-Reliability&Validity.pdf : Article describing the reliability and validity of the MEPSI in diverse samplesDescription of MEPSIGUI010.pdf : Guide for administering and scoring the MEPS

Implementation and outcomes of group medical appointments in an outpatient specialty care clinic

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/75169/1/j.1745-7599.2007.00300.x.pd

Current state of screening highâ ACE youth and emerging adults in primary care

Background and purposeTrauma comes in many forms, including interpersonal, community, and institutional trauma. The adverse childhood event (ACE) studies demonstrated that adverse experiences in childhood can have a profound, cumulative impact on the course of health and development over a lifetime. It is critical for healthcare providers, such as nurse practitioners (NPs), working in primary care to screen adolescents and emerging adults for a history of ACEs and trauma. A review of current assessment tools used in assessing this population in health settings is needed to determine how screening for ACEs is being performed.ConclusionsClinically efficient tools for screening and assessment of highâ ACE youth in primary care settings are lacking.  Developing a process to assess ACEs, risk behaviors, and physical and mental health status that is efficient to use during a time limited clinical visit is an important step in providing holistic care to a challenging population.Implications for practicePrimary care NPs are in the perfect position to implement assessments of ACEs through traumaâ informed nursing care. ACE assessment in clinical practice will provide vital information to guide the development of tailored interventions for reducing risk behaviors and mitigate the longâ term impacts of ACEs.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141423/1/jaan12531_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/141423/2/jaan12531.pd

What are we missing? Risk behaviors among Arabâ American adolescents and emerging adults

Background and purposeResearch on Arabâ Americans as a distinct ethnic group is limited, especially when considering the health of Arabâ American youth. This study describes health risk (substance use, violence); health promotive behaviors (hope, spirituality); and sexual activity (oral, vaginal, anal sex) of Arabâ American adolescents and emerging adults (aged 15â 23) within their life context, as well as the association between these behaviors.MethodsA secondary analysis of data on a subset of Arabâ American participants obtained from a randomizedâ control trial was utilized to conduct mixed methods analyses. Qualitative analyses completed on the openâ ended questions used the constant comparative method for a subsample (n = 24) of participants. Descriptive quantitative analyses of survey data utilized bivariate analyses and stepwise logistic regression to explore the relation between risk behaviors and sexual activity among the full sample (n = 57).ConclusionsQualitative analyses revealed two groups of participants: (a) multiple risk behaviors and negative lifeâ events, and (b) minimal risk behaviors and positive lifeâ events. Quantitative analyses indicated older youth, smokers, and those with higher hope pathways were more likely to report vaginal sex.Implications for practiceThe unique cultural and social contexts of Arabâ American youth provide a framework for recommendations for the prevention of risk behaviors.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/134166/1/jaan12352.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/134166/2/jaan12352_am.pd

The Relationship Between Mothers' and Fathers' Eriksonian Psychosocial Attributes, Perceptions of Family Support, and Adaptation to Parenthood.

Adaptation to parenthood is a complex process that requires changes at both an individual and a family level. This study explored the relationship between mothers' and fathers' psychosocial development, their perceptions of family support, and their adaptation to parenthood at 8-9 months postpartum. A major hypothesis of the study, based on the nursing theory of Modeling and Role-Modeling (Erickson, Tomlin, and Swain, 1983), was that an individual's psychosocial development (reflected by attributes derived from progression through Erikson's eight stages of development) would influence his/her adaptation to the birth of child. The study also hypothesized that family support and spouse characteristics would contribute to each parent's adaptation. The sample consisted of 214 couples responding to a mailed survey. Mothers and fathers completed similar questionnaires measuring: Eriksonian attributes (the Modified Erikson's Psychosocial Stage Inventory, Darling-Fisher and Kline, 1986); family support (the Family APGAR, Smilkstein, 1978); adaptation to parenthood (the Parenthood Self-Evaluation Questionnaire, Lederman, Weingarten, and Lederman, 1981); and descriptive data about the family. The findings supported the major hypotheses. Causal models developed for mothers' and fathers' adaptation showed that although family support had the strongest direct effect on adaptation, psychosocial development had the strongest total effect due to the combination of its direct and indirect (mediated through the parent's perceptions of family support) effect on adaptation. Each parent's adaptation was also influenced by his/her spouse's adaptation and psychosocial development. Father involvement in parenting was important for both mothers' and fathers' adaptation. Fathers were less confident in their child care abilities and were less satisfied with a perceived less support for their parenting role than was the case for mothers. A positive spouse relationship was important for each parent's adaptation, particularly for fathers. Experienced parents also felt less satisfied with parenthood and perceived less support for their parenting from friends and relatives than did first-time parents. Results indicate that it is important to consider both individual and family factors in underst and ing adaptation to parenthood. Fathers and experienced parents require increased support. Interventions that are sensitive to the individual's psychosocial development and foster a positive marital relationship are needed to promote adaptation to parenthood.Ph.D.NursingDevelopmental psychologySocial workUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/161523/1/8720254.pd

Online_Supplementary_Table – Supplemental material for Application of the Modified Erikson Psychosocial Stage Inventory: 25 Years in Review

<p>Supplemental material, Online_Supplementary_Table for Application of the Modified Erikson Psychosocial Stage Inventory: 25 Years in Review by Cynthia S. Darling-Fisher in Western Journal of Nursing Research</p

Improving lesbian, gay, bisexual, transgender, and queer/questioning health: Using a standardized patient experience to educate advanced practice nursing students

Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) persons account for 3.5% of the population. Nursing programs in the United States provide a median of 2.13 hours of formal content regarding LGBTQ health, which contributes to iatrogenic barriers to care. Patient experiences related to inadequate provider preparation include misguided treatment strategies, impedance of communication, and abuse. A pilot educational project was developed to provide advanced practice nursing (APRN) students meaningful clinical interactions with LGBTQ-identifying standardized patients (SPs) to better prepare them to care for LGBTQ patients with cultural humility. This project was determined to be Exempt by the Institutional Review Board at the University of Michigan. Implemented in an advanced health assessment course with 99 APRN students, components of the project included course readings, lecture content, laboratory activities, an SP experience, and both large and small debriefing sessions. The SP experience itself was a 15-minute clinical encounter with a patient presenting with abdominal pain, with an emphasis on history-taking, communication, and cultural humility. Qualitative data analysis was performed using the constant comparison method to interpret the results from student evaluations and other written feedback. This pilot project has promise to inform future educational offerings and set the standard for LGBTQ health content and application for APRN students. Further research is needed to evaluate the quality of LGBTQ content in APRN curricula to improve the ability of APRN students to provide care to LGBTQ patients

Reliability and Validity of the Modified Erikson Psychosocial Stage Inventory in Diverse Samples

The Modified Erikson Psychosocial Stage Inventory (MEPSI) is a relatively simple survey measure designed to assess the strength of psychosocial attributes that arise from progression through Erikson's eight stages of development. The purpose of this study was to employ secondary analysis to evaluate the internal-consistency reliability and construct validity of the MEPSl acrossfour diverse samples: healthy young adults, hemophilic men, healthy older adults, and older adults with chronic obstructive pulmonary disease. Special attention was given to the performance of the measure across gender, with exploratory analyses examining possible age cohort and health status effects. Internal-consistency estimates for the aggregate measure were high, whereas subscale reliability levels varied across age groups. Construct validity was supported across samples. Gender, cohort, and health effects offered interesting psychometric and theoretical insights and direction for further research. Findings indicated that the MEPSI might be a useful instrumentfor operationalizing and testing Eriksonian developmental theory in adults.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68351/2/10.1177_019394599501700205.pd