Translating research findings into practice: example of treatment services for adolescents in managed care.

An important question in the alcoholism treatment field is how research findings can be translated into real-world clinical practice. Researchers have developed a new research-practice integration (RPI) model that can both drive the formulation of studies and new research questions and promote improvements in treatment quality. The hallmark of this model is a collaborative relationship between the key stakeholders in both alcohol and other drug (AOD) treatment and research, including health plan administrators and clinicians, treatment program administrators, psychiatry and primary care departments, patients and their families, purchasers, and researchers. The issue of technology transfer is especially relevant in the realm of adolescent AOD treatment. The implementation and feasibility of the RPI model are illustrated by a case study of a managed health care plan's treatment services for adolescents with AOD dependence. In this setting, key research findings are being used to shape the plan's adolescent health services

Her Life Depends On It: Sport, Physical Activity and the Health and Well-Being of American Girls

This report is a comprehensive compendium of research that points to physical activity and sport as fundamental solutions for many of the serious health and social problems faced by American girls. An appreciable mass of evidence-based knowledge about girls' involvement with sport and physical activity has been generated during the last decade. The amount and quality of this research are uneven and varied. For example, a good deal of research examines the associations between physical activity and risk for coronary heart disease, but studies that focus on risk for Alzheimer's disease are just beginning to issue. Researchers have verified links between high school athletic participation and teen pregnancy prevention, although more longitudinal research is needed to thoroughly confirm the connections. Overall, however, this report shows that the current state of knowledge on the relationship of physical activity to the health and social needs of American girls warrants the serious attention of public health officials, educators and sport leaders

The Role of Gender, Self-Efficacy, Age and Extroversion on Smoking Behaviour among Ambrose Alli University Students, Ekpoma, Nigeria

This study examined the role of gender, self-efficacy, age and extroversion on smoking behavior among Ambrose Alli University Students. Two hundred and fifty (250) undergraduates participated in the study (males 160 and females 90). Questionnaire was used in collecting data that were analyzed in this study. The questionnaire consisted of 4 sections: the demographic variables, extroversion scale, self-efficacy scale and attitude toward smoking scale. Two out of the four hypotheses tested were supported. Results of the independent t-test indicated that there was a significant difference in the onset of smoking between females and males (t = 2.354, df = 248, P = \u3c.05). Result also showed that self-efficacy was significant when considering attitudes toward smoking behavior (t = 3.256, df = 248, P = \u3c.05). However, age and extroversion was not found to be significant while considering smoking initiation and cessation. Based on the findings of this study it was recommended that the smokers’ self-efficacy and gender must be taken seriously while considering smoking cessation. It also has implication for counseling

Smoking Determinants in Turkish University Students

The aim was to explore the prevalence and the correlates of smoking in a group of Turkish university students. A sample of 1,870 students (21.2 ± 2.0 years old) completed the Beck Depression Inventory, Beck Hopelessness Scale, Anxiety Sensitivity Index, 20-item Toronto Alexithymia Scale. Smoking was highly prevalent (35.9%) in this sample. Male gender (OR = 2.72, CI 2.15–3.44), and parental smoking (OR = 1.41, CI 1.13–1.78) were factors associated with increased likelihood of smoking. Higher depressive symptoms and hopelessness levels were significantly related to smoking behavior. Smoking behavior might initiate as a mild and transient habit and unfortunately could become more serious and lead to an actual dependence. The results of this study show that it is necessary to pay attention to levels of depression and hopelessness, as well as parental influence

Paradise Lost: The relationships between neurological and psychological changes in nicotine-dependent patients

The neural reward circuit and cognitive distortion play an important role in addiction; however, the relationship between the two has not yet been addressed. In this article, we review recent findings on nicotine dependence and propose a novel hypothesis. Previous research using functional magnetic resonance imaging (fMRI) has shown that while activation of the reward circuit (ventral striatum) appears in response to tobacco-related rewards in nicotine dependence, responses to rewards other than tobacco (e.g. food and money) are reduced. Moreover, this change is observed at the very early stages of smoking, even when a person has smoked fewer than 10 cigarettes in his/her lifetime. Thus, we propose the following hypothesis, called the Paradise Lost theory: given addicts’ lower ventral striatal responses to non-tobacco rewards, nicotine addiction disables smokers from sensing the pleasures of ordinary life (the Paradise Lost state). However, since smokers do not notice this, they produce an overestimation of tobacco (cognitive distortion), such that they do not have many pastimes other than smoking or feel that quitting smoking would reduce the happiness and pleasure and increase the difficulty of life. Cognitive distortion thus makes it difficult for smokers to take the initiative to quit smoking and even causes relapse after smoking cessation. This theory furthers our understanding of addiction and could improve our approach to the prevention and treatment of addiction

The effect of liquor licence concentrations in local areas on rates of assault in New South Wales

This paper argues that regulatory authorities should be concerned about increases in liquor outlet density. Abstract Aim: To investigate the relationship between liquor licence concentrations and assault rates in Local Government Areas (LGAs) in New South Wales. Method: Police, liquor licensing and socio-demographic data were analysed. Spatial regression analyses were conducted to measure associations between liquor licence concentrations and domestic violence (DV) and non-domestic violence (non-DV) assault rates. Results: The concentration of hotel licences in an LGA, particularly at higher density levels, was strongly predictive of both DV and non-DV assault rates. A similar, but slightly weaker, association was found for the concentration of packaged licences and DV and non-DV assault rates. On-premises concentrations also predicted DV and non-DV assault rates at the LGA level but, unlike hotel concentration effects, in this case there was no evidence of stronger effects at higher density levels. A significant relationship between DV assault rates and the concentration of clubs was also found, but the association between the concentration of clubs and the non-DV assault rate was not as strong. Conclusion: Regulatory authorities should be concerned about increases in liquor outlet density. In particular, increases in the density of hotels above 2 per 1,000 residents are of greater concern than increases in the density of premises with other types of liquor licenc

Prevalence of substance use among rural high school students in Limpopo Province, South Africa

This study documents the prevalence rates for use of cigarette, alcohol, methylated spirit, cannabis, mandrax and cannabis together, glue or thinners among rural high school students in Mankweng, Limpopo Province, South Africa. A multistage sampling procedure produced a sample of 1600 students in grades 9 and 11 who completed a self-administered questionnaire. The prevalence rates for previous mouth (recent) use of alcohol, cigarettes, cannabis glue and spirits were 6.4%, 10.5%, 1.4%, 1.2% and 0,8% respectively. For all substances, males had higher prevalence rates than females. Developing alcohol and drug programme for high school students that are more gender specific may improve the effectiveness of intervention efforts at high schools. KEY WORDS: substance use, rural high school students, South Afric

Smoking Status, Changes in Smoking Status and Health-Related Quality of Life: Findings from the SUN (“Seguimiento Universidad de Navarra”) Cohort

We aimed to evaluate the association between smoking, changes in smoking, and quality of life in a cohort of Spanish university graduates. Smoking habits were self-reported at baseline and four years later. Quality of life was assessed using the Short Form-36 (SF-36) at year 4. Statistical differences in SF-36 scores between groups were determined using ANCOVA with age and sex as covariates. Out of 5,234 eligible participants over 2000–2006, there were 2,639 non-smoker participants, 1,419 ex-smokers, and 1,048 smokers. Within the previous four years, 435 participants became recent quitters and 205 starters. Comparing smoking and health status in year 4, non-smokers showed better scores than the other categories of ever smoking in all dimensions except in the vitality scale value, which was similar in non-smokers and in those smoking less than 15 cigarettes/day. Comparing changes in smoking and health in year 4, continuing smokers had statistically significant worse scores than non-smokers in general health, social functioning, role-emotional and mental health, whereas recent quitters showed statistically significant improvements in role-emotional and mental health over those who had continued smoking or those who became smokers. Our findings support a dose-response relationship between cigarette consumption and a worse quality of life in general and mental health in particular. They also support that changes in smoking have an impact on health

Smoking Status, Changes in Smoking Status and Health-Related Quality of Life: Findings from the SUN (“Seguimiento Universidad de Navarra”) Cohort

We aimed to evaluate the association between smoking, changes in smoking, and quality of life in a cohort of Spanish university graduates. Smoking habits were self-reported at baseline and four years later. Quality of life was assessed using the Short Form-36 (SF-36) at year 4. Statistical differences in SF-36 scores between groups were determined using ANCOVA with age and sex as covariates. Out of 5,234 eligible participants over 2000–2006, there were 2,639 non-smoker participants, 1,419 ex-smokers, and 1,048 smokers. Within the previous four years, 435 participants became recent quitters and 205 starters. Comparing smoking and health status in year 4, non-smokers showed better scores than the other categories of ever smoking in all dimensions except in the vitality scale value, which was similar in non-smokers and in those smoking less than 15 cigarettes/day. Comparing changes in smoking and health in year 4, continuing smokers had statistically significant worse scores than non-smokers in general health, social functioning, role-emotional and mental health, whereas recent quitters showed statistically significant improvements in role-emotional and mental health over those who had continued smoking or those who became smokers. Our findings support a dose-response relationship between cigarette consumption and a worse quality of life in general and mental health in particular. They also support that changes in smoking have an impact on health

EFFECT OF SPORTS PARTICIPATION ON ACADEMIC PERFORMANCE OF STUDENTS AT SECONDARY LEVEL IN GOVERNMENT AND PRIVATE SCHOOLS OF QUETTA, PAKISTAN

The importance of school environment in to of students in secondary schools today in particular cannot be overemphasized. Participation in sport reduces the time off the classroom and shifts the student's attention from the study. They added that it was not probable for students to attain superiority and gratification in sports as well as in schooling. Researchers showed that extracurricular (sport and physical) activity participation was positively related to Grade Point Average, educational aspirations, educational /occupational attainment, and standardized achievement test scores. This study was done in different government and Private high schools comprised of both genders i.e., male and female from Quetta city were included as papulation in this research. Questionnaire responses were recorded to analyze sports impact on education. Most of respondents 49 (42.2%) strongly agreed on participation in sports activities has a link with academic's achievements. Current findings showed respondents were agreed on students participating in sports activities get good marks than those not participating in sports activities which is consistent with findings where they observed contribution in school sports, solely with other additional actions, is related with higher levels of psychosocial functioning and strong conduct than participation in other supplementary doings alone or nonparticipation. Participation in these activities improves mental development or cognition of students, grade point average and test scores. These activities have a positive effect on the memory and concentration of students in education. Key words: Sports, Participation, Academic Performance, Secondar