Training Students to do In-Home Behavioral Therapy with Toddlers from Low-Income Families

The purpose of this project was to develop an internship training program that offered in-home therapy for young children with significant emotional and behavior problems. The children lived in single-parent, low-income homes in unsafe neighborhoods of a large, urban area. A year-long, training and supervision program was implemented with ten second-year, graduate students enrolled in five different university programs that prepared mental health professionals. Students received specialized instruction in working with diverse families living in poverty and in an evidence-based treatment program. They initially observed veteran counselors implementing the treatment program in homes and gradually assumed responsibility for conducting sessions on their own. Students’ scores on a measure of counseling self-efficacy improved significantly from pre- to post-internship. Students reported high levels of satisfaction with the training program and significantly improved confidence levels in their counseling skills at the conclusion of their internship experience. The limitations of these preliminary outcomes for this pilot program are discussed along with the need for more research in this understudied area

Evaluation of a University-Community Partnership to Provide Home-Based, Mental Health Services for Children from Families Living in Poverty

A university-community partnership is described that resulted in the development of community-based mental health services for young children from families living in poverty. The purpose of this pilot project was to implement an evidence-based treatment program in the homes of an at-risk population of children with significant emotional and behavior problems that were further complicated by developmental delays. Outcomes for 237 children who participated in the clinic’s treatment program over a 2 year period are presented. Comparisons are included between treatment completers and non-completers and the issues of subject attrition, potential subject selection bias, and the generalizability of the results are addressed. The need for more professionals who are trained to address mental health issues in very young children who live in very challenging conditions are discussed

Home-Based Therapy for Young Children in Low-Income Families: A Student Training Program

The purpose of this project was to develop an internship training program that offered in-home therapy for young children with significant emotional and behavior problems. The children lived in single-parent, low-income homes in unsafe neighborhoods of a large, urban area. A year-long, training and supervision program was implemented with 10 second-year, graduate students enrolled in 5 different university programs that prepared mental health professionals. Students received specialized instruction in working with diverse families living in poverty and in an evidence-based treatment program. They initially observed veteran counselors implementing the treatment program in homes and gradually assumed responsibility for conducting sessions on their own. Students’ scores on a measure of counseling self-efficacy improved significantly from pre-to post-internship. Students reported high levels of satisfaction with the training program and significantly improved confidence levels in their counseling skills at the conclusion of their internship experience. The limitations of these preliminary outcomes for this pilot program are discussed along with the need for more research in this understudied area

Predicting Treatment Success in Child and Parent Therapy Among Families in Poverty

Behavior problems are prevalent in young children and those living in poverty are at increased risk for stable, high-intensity behavioral problems. Research has demonstrated that participation in child and parent therapy (CPT) programs significantly reduces problematic child behaviors while increasing positive behaviors. However, CPT programs, particularly those implemented with low-income populations, frequently report high rates of attrition (over 50%). Parental attributional style has shown some promise as a contributing factor to treatment attendance and termination in previous research. The authors examined if parental attributional style could predict treatment success in a CPT program, specifically targeting low-income urban children with behavior problems. A hierarchical logistic regression was used with a sample of 425 families to assess if parent- and child-referent attributions variables predicted treatment success over and above demographic variables and symptom severity. Parent-referent attributions, child-referent attributions, and child symptom severity were found to be significant predictors of treatment success. Results indicated that caregivers who viewed themselves as a contributing factor for their child\u27s behavior problems were significantly more likely to demonstrate treatment success. Alternatively, caregivers who viewed their child as more responsible for their own behavior problems were less likely to demonstrate treatment success. Additionally, more severe behavior problems were also predictive of treatment success. Clinical and research implications of these results are discussed

Behavior Problems in Toddlers With and Without Developmental Delays: Comparison of Treatment Outcomes

The purpose of this study is to examine the effectiveness of an in-home parent management program for toddlers with behavior problems and developmental delays by comparing outcomes for a group of toddlers with developmental delays (n = 27) and a group of toddlers without developmental delays (n = 27). The majority of children lived in single parent, low-income homes. Results suggest that the parent management program is equally effective for children with and without developmental delays. Parents from both groups reported clinically significant improvement in their children\u27s behavior and parenting practices. Clinical implications regarding the importance of these findings for improving outcomes for toddlers with behavior problems and developmental delays living in poverty were discussed

Characteristics associated with willingness to participate in a randomized controlled behavioral clinical trial using home-based personal computers and a webcam

Abstract Background Trials aimed at preventing cognitive decline through cognitive stimulation among those with normal cognition or mild cognitive impairment are of significant importance in delaying the onset of dementia and reducing dementia prevalence. One challenge in these prevention trials is sample recruitment bias. Those willing to volunteer for these trials could be socially active, in relatively good health, and have high educational levels and cognitive function. These participants’ characteristics could reduce the generalizability of study results and, more importantly, mask trial effects. We developed a randomized controlled trial to examine whether conversation-based cognitive stimulation delivered through personal computers, a webcam and the internet would have a positive effect on cognitive function among older adults with normal cognition or mild cognitive impairment. To examine the selectivity of samples, we conducted a mass mail-in survey distribution among community-dwelling older adults, assessing factors associated with a willingness to participate in the trial. Methods Two thousand mail-in surveys were distributed to retirement communities in order to collect data on demographics, the nature and frequency of social activities, personal computer use and additional health-related variables, and interest in the prevention study. We also asked for their contact information if they were interested in being contacted as potential participants in the trial. Results Of 1,102 surveys returned (55.1% response rate), 983 surveys had complete data for all the variables of interest. Among them, 309 showed interest in the study and provided their contact information (operationally defined as the committed with interest group), 74 provided contact information without interest in the study (committed without interest group), 66 showed interest, but provided no contact information (interest only group), and 534 showed no interest and provided no contact information (no interest group). Compared with the no interest group, the committed with interest group were more likely to be personal computer users (odds ratio (OR) = 2.78), physically active (OR = 1.03) and had higher levels of loneliness (OR = 1.16). Conclusion Increasing potential participants’ familiarity with a personal computer and the internet before trial recruitment could increase participation rates and improve the generalizability of future studies of this type. Trial registration The trial was registered on 29 March 2012 at ClinicalTirals.gov (ID number NCT01571427 ).http://deepblue.lib.umich.edu/bitstream/2027.42/111291/1/13063_2013_Article_2385.pd

Parent Attributional Style And Early Termination From Child And Parent Therapy

ABSTRACT PARENT ATTRIBUTIONAL STYLE AND EARLY TERMINATION FROM CHILD AND PARENT THERAPY Ryan J. Mattek, M.A. Marquette University, 2013 Behavior problems are prevalent in young children and represent a threat to a child\u27s typical development. These early behavior problems are even more common in children from low-income, urban settings. If left untreated, such challenging behaviors may become ingrained and lead to later more severe behaviors including aggression, violence, and anti-social behaviors. Research has demonstrated that participation in child and parent therapy (CPT) programs significantly reduces problematic child behaviors while increasing positive behaviors in both the child and the parent. However, CPT programs report rates of early termination as high as 70%. Research to reduce these early termination rates have historically focused on barriers to treatment including logistical conflicts, race, culture, socioeconomic status, child age, and symptom severity. However, several years of implementing intervention enhancements specifically designed to address these barriers have yielded only moderate and inconsistent results and early termination rates in CPT programs have remained essentially unchanged. More recent research has focused on a new category of barriers to treatment, parent cognitive variables. One such cognitive variable is parental attributions - the spontaneous explanations that parents make to explain the reason for their child\u27s behaviors. This study examined whether attributional style can predict treatment compliance in a CPT program specifically targeting low-income, urban, minority parents of children with behavior problems. For the study, 425 parents of children with behavior problems completed the Parent Cognition Scale - Adapted (PCS-A) to assess their parent-referent and child-referent attributions at pretest and posttest. Results indicated that parents of children with behavior problems tended to have a more negative attributional style at pretest, but that these attributions underwent a positive shift after receiving CPT treatment. Results also indicated that caregivers who viewed themselves as more of the cause of their child\u27s behavior problems at pretest were significantly more likely to successfully complete the CPT program. Alternatively, caregivers who viewed their child as more responsible for their own behavior problems at pretest were significantly more likely to prematurely terminate from the CPT program. Limitations of the study, suggestions for future research, and implications for CPT programs serving similar populations were discussed

Motivated cognition: effects of reward, emotion, and other motivational factors across a variety of cognitive domains

A growing body of literature has demonstrated that motivation influences cognitive processing. The breadth of these effects is extensive and span influences of reward, emotion, and other motivational processes across all cognitive domains. As examples, this scope includes studies of emotional memory, value-based attentional capture, emotion effects on semantic processing, reward-related biases in decision making, and the role of approach/avoidance motivation on cognitive scope. Additionally, other less common forms of motivation–cognition interactions, such as self-referential and motoric processing can also be considered instances of motivated cognition. Here I outline some of the evidence indicating the generality and pervasiveness of these motivation influences on cognition, and introduce the associated ‘research nexus’ at Collabra: Psychology

93-GT-295 CORRELATION BETWEEN MICROSTRUCTURE AND MECHANICAL PROPERTIES OF DIFFUSION BRAZED MAR-M 247

ABSTRACT Diffusion brazing is a joining process utilized in the manufacture and repair of turbine blades and vanes. MAR-M247 is an investment cast Ni-based superalloy used for turbine blading and has good strength properties at high temperatures. The objectives of this work was to develop a diffusion brazing procedure to achieve high strength joints. A commercially available diffusion brazing filler metal of composition Ni-15Cr-3,5B of 100 µm thickness was used. With the desire to eliminate brittle centre-line phases, the effects of the processing variables (only temperature and time) on the joint microstructure was studied. Once the metallurgy of the joint was understood, mechanical property assessments were undertaken i.e. tensile and creep rupture tests, and the latter being the severest test to evaluate joint strength. The results demonstrated that the diffusion brazed joints had nearly equivalent mechanical strength to that of the parent metal. This showed that the resultant diffusion brazing parameters enabled effective and reliable joining of MAR-M247