THE EFFICACY OF TECHNOLOGY-ENHANCED BPT WITHIN FAMILIES WITH LOW INCOME: PARENT-CENTERED PROFILES AS A MODERATOR OF TREATMENT OUTCOMES

Children from financially disadvantaged families are at greater risk of early-onsetBehavior Disorders but often benefit less from Behavior Parent Training (BPT). Technology-Enhancements (TE-) to one BPT program, Helping the Noncompliant Child (HNC), were testedin a randomized controlled trial with low-income families and evidenced better parenting andchild outcomes at follow-up but not at immediate post-treatment, leading us to ask for whom TEHNCis optimal at post-treatment? Secondary analyses were conducted to 1) create parentcenteredprofiles based on pre-treatment factors and 2) explore if the profiles moderate treatmentoutcomes at post-treatment. As anticipated, latent profile analyses yielded four distinct parentcenteredprofiles. Furthermore, significant moderation effects were observed, suggestingdifferential treatment outcomes of HNC versus TEHNC for parenting practice and child behaviorintensity, but not parents’ perception of child problem behaviors. Results highlight howvariability within families with low income may guide future personalization of BPT towardimproved treatment efficacy.Master of Art

Online Health Information Seeking Behaviors and Infant Feeding Practices: A Social Cognitive Theory Perspective

Breastfeeding benefits infants, but support is often needed to meet breastfeeding goals. Social media may help disseminate infant feeding information to caregivers. The relationship between parents’ health information-seeking behaviors (HISB) on social media and infant feeding practices remains understudied. Based on social cognitive theory (SCT), parents’ self-efficacy and outcome expectations are two potential factors for improving online HISB. We aimed to use SCT to describe associations between outcome expectations, self-efficacy (eHealth literacy), and online HISB across infant feeding groups among a nationally representative sample of U.S. parents. Eligible participants (N = 580) completed a cross-sectional online survey assessing infant feeding practices (never breastfed, only pumped, only fed-at-the-breast, and both pumped and fed-at-the-breast), self-efficacy (using eHealth literacy as a proxy), outcome expectations in online HISB, parents’ online HISB on social media, and demographic information. Survey weighted linear and logistic regression models were constructed. No online activities differed by infant feeding practices. Parents who pumped only had significantly lower eHealth literacy than parents who never breastfed (adjusted β = -2.63, 95% CI: -4.73, -0.53). Parents who used both methods had 1.78 times greater odds of considering online tools useful for making health-related decisions (95% CI: 0.96, 3.28) and 1.49 times greater odds of considering online tools important for accessing health information (95% Cl: 0.70, 3.15) than parents who never breastfed, though neither association was statistically significant. Understanding these associations between infant feeding practices and online HISB, as well as the two potential factors of parents’ self-efficacy and outcome expectations, may offer implications for tailoring online social media resources to promote breastfeeding outcomes

APA Convention 2022 - An Introduction to Open Science: Origins, Best Practices, and Future Directions

Presented at the American Psychological Association Annual Convention, August 202

Psychosocial model of burnout among humanitarian aid workers in Bangladesh: role of workplace stressors and emotion coping

Abstract Background While trauma exposure is an established predictor of poor mental health among humanitarian aid workers (HAWs), less is known about the role of psychosocial work-related factors. This study aims to establish a psychosocial model for burnout and psychological distress in HAWs that tests and compares the effects of adversity exposure and workplace stressors in combination, and explores the potential mediating role of individual coping styles. Methods Path analysis and model comparison using cross-sectional online survey data were collected from full-time international and local HAWs in Bangladesh between December 2020 and February 2021. HAWs self-reported on exposure to adversities, workplace psychosocial stressors (Third Copenhagen Psychosocial Questionnaire), coping styles (Coping Inventory for Stressful Situations), burnout (Maslach Burnout Inventory—Human Services Survey), and psychological distress (Kessler-6). Results Among N = 111 HAWs, 30.6%, 16.4%, 12.7%, and 8.2% screened positive for moderate psychological distress (8 ≤ Kessler-6 ≤ 12), emotional exhaustion (EE ≥ 27), depersonalization (DP ≥ 13), and severe psychological distress (K-6 ≥ 13), respectively. 28.8% reported a history of mental disorder. The preferred model showed distinct pathways from adversity exposure and workplace stressors to burnout, with negative emotion-focused coping and psychological distress as significant intervening variables. While greater exposure to both types of stressors were associated with higher levels of burnout and distress, workplace stressors had a stronger association with psychological outcomes than adversity exposure did (β = .52, p ≤ .001 vs. β = .20, p = .032). Workplace stressors, but not adversities, directly influenced psychological distress (β = .45, p ≤ .001 vs. β = −.01, p = .927). Demographic variables, task-focused and avoidance-focused coping were not significantly associated with psychological outcomes. Conclusions Compared to exposure to adversities, workplace stressors primarily influenced occupational stress syndromes. Reducing workplace stressors and enhancing adaptive coping may improve psychological outcomes in humanitarian staff