Testing the Integrated Theory of Health Behaviour Change for Postpartum Weight Management

Aim.  This is a report of a correlational study to test the Integrated Theory of Health Behaviour Change within the context of postpartum weight self‐management including the impact of race/ethnicity and weight classification. Background.  Women experiencing childbirth face increasing challenges to manage their weight postpartum. Little is known about women’s weight self‐management during the complex physiological and psychosocial transition of the postpartum period. Methods.  Data were collected during the birth hospitalization and 4 months postbirth during 2005 and 2006. A quota sample of 250 postpartum women using two strata, race/ethnicity and prepregnant weight classification, were enrolled; 179 women completed the follow‐up survey. A survey questionnaire measured concepts from the Integrated Theory of Health Behaviour Change concepts, including knowledge and beliefs (self‐efficacy, outcome expectancy and goal congruence), self‐regulation skills and abilities, and social facilitation (social support and social influence) and the proximal outcome of weight retention. Factor analysis identified 5 factors consistent with the theoretical concepts that accounted for 47·1% of total survey variance. Results.  Model testing using path analysis explored the relationship among factors. The final model explained 25·7% of the variance in self regulation at 4 months, but did not explain weight retention. The contribution of select concepts to total variance was different for Caucasian and African American women, but not by weight classification. Conclusions.  Findings support use of theoretical concepts and relationships to understand postpartum weight self‐management. The different relationships among concepts in Caucasian and African American women should be considered in planning targeted postpartum weight self‐management interventions

Development of the Motivational Interviewing Supervision and Training Scale

The movement to use empirically supported treatments has increased the need for researchers and supervisors to evaluate therapists’ adherence to and the quality with which they implement those interventions. Few empirically supported approaches exist for providing these types of evaluations. This is also true for motivational interviewing, an empirically supported intervention important in the addictions field. This study describes the development and psychometric evaluation of the Motivational Interviewing Supervision and Training Scale (MISTS), a measure intended for use in training and supervising therapists implementing motivational interviewing. Satisfactory interrater reliability was found (generalizability coefficient p2 = .79), and evidence was found supporting the convergent and discriminant validity of the MISTS. Recommendations for refinement of the measure and future research are discussed

Reputation and Behavior of Battered Women Who Kill Their Partners: Do These Variables Negate Self-Defense?

Vignettes describing a case in which a battered woman killed her husband were presented to college students. Independent variables were the presence or absence of verbal aggression by the woman toward her husband before the final beating, the woman\u27s reputation and social desirability as a wife and mother, and whether or not a weapon was present when the battering husband threatened the woman before she killed him. After reading a vignette, subjects (N=413) selected a verdict, reported what influenced their verdicts, and completed attitudinal measures on sex-role attitudes, attitudes toward wife-beating, and “just world” attitudes. The presence of verbal aggression by the woman increased the odds of subjects choosing a guilty verdict by 1.71 times compared to the absence of verbal aggression. A defendant characterized as a “bad” wife/mother or a dysfunctional wife/mother was, respectively, 6.24 and 2.49 times more likely to be found guilty rather than not guilty by reason of self-defense (NGRSD) than the “good” wife/mother. Use of a weapon by the husband did not significantly increase the number of NGRSD verdicts over conditions in which no weapon was present. Neither subjects\u27 attitudes nor demographics appeared to be related to their choice of verdicts

Supplemental Material, sj-pdf-1-her-10.1177_19375867231207651 - An Auditory Sonic Sleep Treatment for Individuals Living With Dementia in a Memory Care Setting: A Quality Improvement Program Evaluation

Supplemental Material, sj-pdf-1-her-10.1177_19375867231207651 for An Auditory Sonic Sleep Treatment for Individuals Living With Dementia in a Memory Care Setting: A Quality Improvement Program Evaluation by Addie Abushousheh, Ellen Taylor and Michael J. Brondino in HERD: Health Environments Research & Design Journal</p

Sex-related alcohol expectancies predict sexual risk behavior among severely and persistently mentally ill adults

Three hundred three adults (57% male, average age 42 years) with severe and persistent mental illness receiving treatment at community mental health clinics completed a survey, which included B. C. Leigh's (1990) sex-related alcohol expectancy scale and measures of alcohol use and sexual risk behavior. Hierarchical logistic regression analyses, controlling for drinking behavior, revealed that participants with stronger expectancies that drinking would lead to enhanced sexual experience were more likely to have drank prior to intercourse and that, among participants who drank prior to intercourse, those with stronger expectancies that alcohol would lead to riskier sexual behavior were more likely to have engaged in sexual risk behavior. Implications for preventing HIV infection among people with severe mental illness are discussed.4 page(s