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Plourde KF, Thomas R, Nanda G. Boys Mentoring, Gender Norms, and Reproductive Health-Potential for Transformation. J Adolesc Health 2020; 67:479-494. [PMID: 32753346 DOI: 10.1016/j.jadohealth.2020.06.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 05/18/2020] [Accepted: 06/09/2020] [Indexed: 11/30/2022]
Abstract
PURPOSE Understanding and addressing the unique health and development needs of adolescent boys and young men (ABYM) is critical to achieving positive development outcomes for all genders. While major investments have been historically allocated toward adolescent girls and young women, a handful of approaches designed explicitly to reach ABYM have been successful. This review aims to understand the potential impact of mentoring interventions for ABYM on reproductive health (RH) knowledge and practices; social assets and soft skills; levels of gender-based and interpersonal violence; attitudes around gender equality; and substance use and financial vulnerability. METHODS An electronic search of peer-reviewed and gray literature produced a review of 1,178 articles which yielded a total of 29 articles evaluating the 27 interventions included in the final review. RESULTS Mentoring approaches demonstrate promise for improving soft skills and social assets among ABYM-two factors that are thought to contribute to positive youth development outcomes-and for reducing violence perpetration. While these findings demonstrate the importance of this approach for ABYM in their own right, evidence regarding impact on gender norm transformation, RH, and substance use is mixed. CONCLUSIONS Mentoring programs appear to be a promising practice for ABYM; they have demonstrated the potential to improve soft skills and social assets, as well as to impact rates of violence perpetration. More research is needed to better understand why the evidence for impact on gender norm transformation, RH, and substance use is mixed, and how to build upon those programs that demonstrated positive results.
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Affiliation(s)
- Kate F Plourde
- Research Utilization, GHPR-Global Health and Population Research, FHI 360, Durham, North Carolina.
| | - Reana Thomas
- Research Utilization, GHPR-Global Health and Population Research, FHI 360, Durham, North Carolina
| | - Geeta Nanda
- RMNCH-Reproductive, Maternal, Newborn, and Child Health, GHPR-Global Health and Population Research, FHI 360, Washington, District of Columbia
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Chung JOK, Li WHC, Cheung AT, Ho LLK, Xia W, Chan GCF, Lopez V. Relationships among resilience, depressive symptoms, self-esteem, and quality of life in children with cancer. Psychooncology 2020; 30:194-201. [PMID: 32916019 DOI: 10.1002/pon.5548] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 08/16/2020] [Accepted: 09/07/2020] [Indexed: 11/06/2022]
Abstract
OBJECTIVE To examine the interrelationships among resilience, self-esteem, and depressive symptoms and determine whether resilience was a factor associated with quality of life for Hong Kong Chinese children with cancer. METHODS We used a cross-sectional study design. Participants were 138 Hong Kong Chinese children (aged 7-14 years) who were admitted to the pediatric oncology units of an acute public hospital. The resilience, depressive symptoms, self-esteem, and quality of life of participating children were assessed. The primary outcome was the association between resilience and quality of life in children with cancer. RESULTS In total, 72 boys and 66 girls were recruited for this study (mean age 10.6 years). The mean levels of resilience, depressive symptoms, self-esteem, and quality of life were 23.4, 30.0, 23.0, and 63.6, respectively. There was a statistically significant strong positive correlation between resilience and quality of life (r = 0.60, p < 0.01), indicating that greater resilience was associated with better quality of life. Children with cancer from single-parent families, those diagnosed with a brain tumor, and those who received multiple treatments reported significantly lower levels of resilience, self-esteem, and quality of life, and greater depressive symptoms than other children (all p's < 0.001). Results of a multiple regression analysis revealed that resilience (p < 0.001) was a strong factor associated with quality of life among children with cancer. CONCLUSIONS It is essential that healthcare professionals implement interventions to boost the resilience of children with cancer, thereby enhancing their quality of life.
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Affiliation(s)
| | | | - Ankie Tan Cheung
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | | | - Wei Xia
- School of Nursing, The University of Hong Kong, Hong Kong, China
| | | | - Violeta Lopez
- School of Nursing, Hubei University of Medicine, Shiyan, China
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Torkaman M, Farokhzadian J, Miri S, Pouraboli B. The effect of transactional analysis on the self-esteem of imprisoned women: a clinical trial. BMC Psychol 2020; 8:3. [PMID: 31931887 PMCID: PMC6958781 DOI: 10.1186/s40359-019-0369-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Accepted: 12/24/2019] [Indexed: 10/27/2022] Open
Abstract
BACKGROUND The imprisoned women usually have low self-esteem and suffer from various physical and mental complaints; they may suffer from feelings of emptiness, isolation, and depression. Transactional analysis (TA) is part of a comprehensive system attributed to the individual and social psychiatry for personal development of self-esteem among the imprisoned women. Therefore, the present study aimed to investigate the effect of TA group-training on the self-esteem of imprisoned women. METHODS This clinical trial was conducted among the imprisoned women in a prison in Southeastern Iran using pretest-posttest design. In this regard, 76 women were randomly allocated to the intervention (n = 35) and control (n = 41) groups. The TA group-training program was held for eight 90-min sessions for the intervention group. Data were collected using a demographic questionnaire and the Rosenberg's self-esteem scale (RSES). Later, all participants were evaluated before and 1 month after the intervention. RESULTS In pre-test, the mean scores of self-esteem were 11.8 ± 4.67 and 7.97 ± 4.52 for the intervention and control groups, respectively. These scores showed low levels of self-esteem and the difference between the two groups was significant (p = 0.001, t = - 3.61). In the post-test, the mean scores of self-esteem improved to the moderate level (22 ± 2.52) in the intervention group compared to the control group (8.92 ± 4.04). This indicates the significant improvement of self-esteem in the intervention group (p = 0.001, t = 17.15). CONCLUSIONS The results showed that TA group-training had a significant effect on self-esteem. Therefore, the experienced and expert counselors and psychologists are recommended to hold transactional analysis group-training courses to enhance self-esteem among women prisoners. TRIAL REGISTRATION Iranian Registry of Clinical Trials, IRCT20170725035289N5 Date registered: 25/08/2018.
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Affiliation(s)
- Mahya Torkaman
- Student Research Committee, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences , Shiraz, Iran
| | | | - Sakineh Miri
- Department of Psychiatric Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Haft-Bagh Highway, PO Box: 7716913555, Kerman, Iran.
| | - Batool Pouraboli
- Department of pediatric and neonatal nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Impact of brain tumor and its treatment on the physical and psychological well-being, and quality of life amongst pediatric brain tumor survivors. Eur J Oncol Nurs 2019; 41:104-109. [DOI: 10.1016/j.ejon.2019.06.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 06/06/2019] [Accepted: 06/09/2019] [Indexed: 11/19/2022]
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Cheung AT, Li WHC, Ho KY, Lam KKW, Ho LLK, Chiu SY, Chan GCF, Chung JOK. Efficacy of musical training on psychological outcomes and quality of life in Chinese pediatric brain tumor survivors. Psychooncology 2018; 28:174-180. [DOI: 10.1002/pon.4929] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2018] [Revised: 10/16/2018] [Accepted: 10/18/2018] [Indexed: 11/08/2022]
Affiliation(s)
| | | | - Ka Yan Ho
- School of Nursing; The University of Hong Kong; Hong Kong
| | | | | | - Sau Ying Chiu
- Paediatric Oncology Unit; Queen Mary Hospital; Hong Kong
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Plourde KF, Ippoliti NB, Nanda G, McCarraher DR. Mentoring Interventions and the Impact of Protective Assets on the Reproductive Health of Adolescent Girls and Young Women. J Adolesc Health 2017; 61:131-139. [PMID: 28528208 DOI: 10.1016/j.jadohealth.2017.03.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 03/06/2017] [Accepted: 03/06/2017] [Indexed: 10/19/2022]
Abstract
Adolescent girls and young women (AGYW) are disproportionately affected by HIV and AIDS and other negative reproductive health (RH) outcomes. Emerging evidence suggests that programs to build AGYW's assets can help reduce their vulnerability to poor RH. Mentoring interventions have demonstrated a positive impact on a variety of youth development outcomes, including the protective assets needed to circumvent poor RH outcomes. The purpose of this review was to understand the types of mentoring programs for AGYW that have demonstrated effectiveness in improving protective assets, and/or, RH knowledge, intentions, behaviors, or outcomes themselves. Interventions were identified through an electronic search of the peer-reviewed and the gray literature. Studies were excluded in stages based on reviews of titles, abstracts, and full text. A review of 491 publications yielded a total of 19 articles that were included in the final review. The majority of the publications examined the impact of the one-to-one mentoring model in the United States. However, a good proportion examined the impact of both one-on-one and group-based interventions globally. The few interventions that followed a group-based model demonstrated more promise; evaluations of this model demonstrated a positive impact on RH knowledge and behavior, academic achievement, financial behavior, and social networks, as well as reductions in the experience of violence. Group-based mentoring programs demonstrated the most promise in building AGYW's protective assets and improving their RH outcomes. The most successful interventions consisted of multiple components, including mentoring, that sought to directly improve AGYW's protective assets and met with more frequency over a longer duration. Despite the promising evidence, more research is needed to better understand the relationship between assets and RH; the characteristics of successful mentoring programs; and the influence mentoring alone has on RH outcomes, versus mentoring as part of a larger RH program.
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Affiliation(s)
- Kate F Plourde
- Research Utilization, GHPN-Global Health, Population, and Nutrition, FHI 360, Durham, North Carolina.
| | - Nicole B Ippoliti
- Research Utilization, GHPN-Global Health, Population, and Nutrition, FHI 360, Durham, North Carolina
| | - Geeta Nanda
- RMNCH-Reproductive, Maternal, Newborn, and Child Health, GHPN-Global Health, Population, and Nutrition, FHI 360, Washington, DC
| | - Donna R McCarraher
- RMNCH-Reproductive, Maternal, Newborn, and Child Health, GHPN-Global Health, Population, and Nutrition, FHI 360, Durham, North Carolina
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Cordier R, Wilson NJ, Stancliffe RJ, MacCallum J, Vaz S, Buchanan A, Ciccarelli M, Falkmer TS. Formal intergenerational mentoring at Australian Men's Sheds: a targeted survey about mentees, mentors, programmes and quality. HEALTH & SOCIAL CARE IN THE COMMUNITY 2016; 24:e131-e143. [PMID: 26285782 DOI: 10.1111/hsc.12267] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/29/2015] [Indexed: 05/12/2023]
Abstract
Intergenerational mentoring enables a purposeful exchange of skills and knowledge to enhance individual and social outcomes for sub-groups at risk of health and social disparities. Male intergenerational mentoring may be an approach to help address these disparities in young men. Over 1000 Men's Sheds operate in Australia with 39% providing some form of mentoring mainly to youth. Yet, little is known about the variables intrinsic to creating and running quality programmes. This study aimed to identify the characteristics of formal intergenerational mentoring programmes, review their quality against the Australian Youth Mentoring Network (AYMN) quality benchmarks, and identify the factors that predict quality in these programmes. All known Australian Men's Sheds were invited to participate in an online cross-sectional survey. Forty sheds with formal mentor programmes completed the survey for a total of 387 mentees (mean = 9.7 mentees/programme), the majority being male. The majority of mentor programme facilitators were unpaid male volunteers aged 61 years and older, and programmes were unfunded. Promoting social and emotional well-being of the mentees was the primary focus in more than half of the programmes, and working on a shared construction project was the most common activity. Respondents rated the three most important factors that influenced programme effectiveness as being: (i) meaningful activities; (ii) mentors' approach; and (iii) a safe environment. Univariate analyses revealed that mentoring programmes that had a system in place for screening mentors, trained mentors and evaluated the programme were most likely to rate highly against the AYMN quality benchmarks.
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Affiliation(s)
- Reinie Cordier
- School of Occupational Therapy and Social Work, Curtin University, Perth, Western Australia, Australia.
| | - Nathan J Wilson
- School of Nursing and Midwifery, University of Western Sydney, Richmond, New South Wales, Australia
| | - Roger J Stancliffe
- Intellectual Disability, University of Sydney, Lidcombe, New South Wales, Australia
| | - Judith MacCallum
- School of Education, Murdoch University, Perth, Western Australia, Australia
| | - Sharmila Vaz
- School of Occupational Therapy and Social Work, Curtin University, Perth, Western Australia, Australia
| | - Angus Buchanan
- School of Occupational Therapy and Social Work, Curtin University, Perth, Western Australia, Australia
| | - Marina Ciccarelli
- School of Occupational Therapy and Social Work, Curtin University, Perth, Western Australia, Australia
| | - Torbjorn S Falkmer
- School of Occupational Therapy and Social Work, Curtin University, Perth, Western Australia, Australia
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Ho KY, Li WHC, Chan SSC. The effect of poverty and income disparity on the psychological well-being of Hong Kong children. Public Health Nurs 2014; 32:212-21. [PMID: 25088868 DOI: 10.1111/phn.12147] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study explored the impact of poverty and income disparity on the psychological well-being of Hong Kong Chinese children. DESIGN AND SAMPLE A cross-sectional study was conducted in 12 elementary schools from the three highest and three lowest median household income districts. A total of 1,725 pupils were recruited with 898 pupils came from low-income and 827 from high-income families. MEASURES Participants were asked to respond to the Chinese version of the Center for Epidemiologic Studies Depression Scale for Children, the Rosenberg self-esteem scale, and the Pediatric Quality of Life Inventory. The data were collected from 2012 to 2013. RESULTS Children from low-income families reported statistically significant lower scores in self-esteem and quality of life, but higher scores in depressive symptoms than those from high-income families. Income disparity had their greatest impact on children's self-esteem. CONCLUSION This study has addressed a gap in the literature by comparing the self-esteem, depressive symptoms, and quality of life among children living in low- and high-income families. The results add further evidence to the literature that poverty and income disparity may have a negative impact on the psychological well-being of children.
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Affiliation(s)
- Ka Yan Ho
- School of Nursing, The University of Hong Kong, Hong Kong, Hong Kong
| | - William H C Li
- School of Nursing, The University of Hong Kong, Hong Kong, Hong Kong
| | - Sophia S C Chan
- School of Nursing, The University of Hong Kong, Hong Kong, Hong Kong
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Confirmatory Factor Analysis of the Chinese Version of the Pediatric Quality-of-Life Inventory Cancer Module. Cancer Nurs 2013; 36:E66-72. [DOI: 10.1097/ncc.0b013e318276e056] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Li WHC, Chung JOK, Ho EKY. Effectiveness of an adventure-based training programme in promoting the psychological well-being of primary schoolchildren. J Health Psychol 2012; 18:1478-92. [DOI: 10.1177/1359105312465102] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study tested the effectiveness of an adventure-based training programme in promoting the psychological well-being of primary schoolchildren. A randomised controlled trial was conducted, with 56 primary school pupils randomly assigned to the experimental group participating in the adventure-based training programme and 64 to the attention placebo control group. Children in the experimental group reported significantly fewer depressive symptoms, lower anxiety levels and higher self-esteem than those in the attention placebo control group. This study provides some evidence that the adventure-based training programme is effective in promoting the psychological well-being of Hong Kong Chinese schoolchildren.
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Affiliation(s)
| | | | - Eva KY Ho
- The University of Hong Kong, Hong Kong
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A Descriptive Study of the Psychosocial Well-Being and Quality of Life of Childhood Cancer Survivors in Hong Kong. Cancer Nurs 2012; 35:447-55. [DOI: 10.1097/ncc.0b013e31823fcb53] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Li HCW, Lopez V, Joyce Chung OK, Ho KY, Chiu SY. The impact of cancer on the physical, psychological and social well-being of childhood cancer survivors. Eur J Oncol Nurs 2012; 17:214-9. [PMID: 22898653 DOI: 10.1016/j.ejon.2012.07.010] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2011] [Revised: 07/12/2012] [Accepted: 07/17/2012] [Indexed: 11/15/2022]
Abstract
PURPOSE Notwithstanding the advances in medical treatment, childhood cancer survivors are at risk of adverse physical, psychological and social effects of the cancer treatment. The purpose of this study was to examine the impact of cancer and its treatments on the physical, psychological and social well-being of Hong Kong Chinese childhood cancer survivors. METHOD A total of 137 childhood cancer survivors (aged 9-16 years), who had their medical follow-up in an oncology out-patient clinic were invited to participate in the study. Participants were asked to respond to the standardized measures of depressive symptoms and self-esteem. Additionally, 15 participants from the group were selected for a semi-structured interview. RESULTS The results revealed that more than half of the participants presented depressive symptoms. Results also found that the mean depressive symptom scores for childhood cancer survivors were statistically significant higher than those of school children without cancer (p = 0.01), while the mean self-esteem scores for the survivors were statistically significant lower (p < 0.01). Additionally, qualitative interviews indicated that cancer and its treatments have great impact on the daily life of childhood cancer survivors. CONCLUSION The study reveals that cancer and its treatments have a great impact on the physical, psychological and social well-being of survivors. It is essential for healthcare professionals to develop appropriate interventions with the aim of promoting physical, psychological and social well-being for these children. Most importantly, it is crucial to help them develop a positive view of the impact that the cancer experience has upon their lives.
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Affiliation(s)
- H C William Li
- School of Nursing, The University of Hong Kong, 4/F, William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
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Chung OKJ, Li HCW, Chiu SY, Lopez V. Predisposing Factors to the Quality of Life of Childhood Cancer Survivors. J Pediatr Oncol Nurs 2012; 29:211-20. [PMID: 22797683 DOI: 10.1177/1043454212451367] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
The aim of this study was to examine the predisposing factors to the quality of life of Hong Kong Chinese childhood cancer survivors. A cross-sectional study was conducted with 153 survivors (9-16 years of age) during follow-up at the oncology outpatient clinic. The study found that depressive symptoms are a strong predictor of quality of life in childhood cancer survivors and that systematic screening of this population is important. It is essential for health care professionals to develop, plan, and evaluate interventions with the aim of alleviating depressive symptoms for childhood cancer survivors so as to enhance their quality of life.
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Franks H, Hardiker NR, McGrath M, McQuarrie C. Public health interventions and behaviour change: reviewing the grey literature. Public Health 2011; 126:12-7. [PMID: 22130477 DOI: 10.1016/j.puhe.2011.09.023] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2010] [Revised: 04/04/2011] [Accepted: 09/23/2011] [Indexed: 10/14/2022]
Abstract
OBJECTIVES This study identified and reviewed grey literature relating to factors facilitating and inhibiting effective interventions in three areas: the promotion of mental health and well-being, the improvement of food and nutrition, and interventions seeking to increase engagement in physical activity. STUDY DESIGN Sourcing, reviewing and analysis of relevant grey literature. METHODS Evidence was collected from a variety of non-traditional sources. Thirty-six pieces of documentary evidence across the three areas were selected for in-depth appraisal and review. RESULTS A variety of approaches, often short-term, were used both as interventions and outcome measures. Interventions tended to have common outcomes, enabling the identification of themes. These included improvements in participant well-being as well as identification of barriers to, and promoters of, success. Most interventions demonstrated some positive impact, although some did not. This was particularly the case for more objective measures of change, such as physiological measurements, particularly when used to evaluate short-term interventions. Objective health measurement as part of an intervention may act as a catalyst for future behaviour change. Time is an important factor that could either promote or impede the success of interventions for both participants and facilitators. Likewise, the importance of involving all stakeholders, including participants, when planning health promoting interventions was established as an important indicator of success. DISCUSSION Despite its limited scope, this review suggests that interventions can be more efficient and effective. For example, larger-scale, longer-term interventions could be more efficient, whilst outcomes relating to the implementation and beyond could provide a clearer picture of effectiveness. Additionally, interventions and evaluations must be flexible, evolve in partnership with local communities, and reflect local need and context.
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Affiliation(s)
- H Franks
- School of Nursing, Midwifery & Social Work, University of Salford, Frederick Road Campus, Frederick Road, Salford M6 6PU, UK.
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William Li HC, Chung OKJ, Ho KY. Center for Epidemiologic Studies Depression Scale for Children: psychometric testing of the Chinese version. J Adv Nurs 2010; 66:2582-91. [DOI: 10.1111/j.1365-2648.2010.05440.x] [Citation(s) in RCA: 84] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Haire-Joshu D, Nanney MS, Elliott M, Davey C, Caito N, Loman D, Brownson RC, Kreuter MW. The use of mentoring programs to improve energy balance behaviors in high-risk children. Obesity (Silver Spring) 2010; 18 Suppl 1:S75-83. [PMID: 20107465 PMCID: PMC3627360 DOI: 10.1038/oby.2009.435] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This study tested the impact of a multicomponent intervention entitled "Partners of all Ages Reading About Diet and Exercise" (PARADE) a child-focused energy balance intervention incorporated into mentoring programs. We used a group randomized nested cohort design randomizing mentoring program sites (n = 119) and children (N = 782; females = 49%; African American = 37%; mean (s.d.) age = 8.5 (1.5) years) to intervention or usual care conditions. PARADE mentors delivered eight lesson plans addressing key concepts related to diet and activity; eight child-focused computer-tailored storybooks with messages targeting that child's diet and activity patterns and eight parent action support newsletters. When compared to the control group, PARADE children were more knowledgeable of diet and activity guidelines (P < 0.01), challenged themselves more to eat five fruits and vegetables (FV) (P < 0.01) and be active 1 h daily (P < 0.01), and to ask for FV for snack (P = 0.015). Calories from high fat foods decreased in overweight/obese children, but not for normal weight children (P = 0.059). There were no significant differences in fruit and vegetable intake, total calories, percent time being active, or BMI z-score. The combination of one-to-one mentoring, child-focused computer based tailoring, and parent support may impact important behavioral change precursors in environments over which the child has control, especially among normal weight children. Further, work is needed to evaluate the impact of family-focused multicomponent interventions, including computer-tailored approaches, directed toward both the parent and the child.
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Affiliation(s)
- Debra Haire-Joshu
- Brown School of Social Work, Washington University, St Louis, Missouri, USA.
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Fraas M, Bellerose A. Mentoring programme for adolescent survivors of acquired brain injury. Brain Inj 2009; 24:50-61. [DOI: 10.3109/02699050903446781] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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