EFFECTS OF A MULTIFOCUSED PREVENTION PROGRAM ON PRESCHOOL CHILDREN'S COMPETENCIES AND BEHAVIOR PROBLEMS

This study was designed to assess the effectiveness of a multifocused (child‐, teacher‐ and parent‐focused) prevention program for Romanian preschoolers, targeting social–emotional competence development, as well as reduction of behavior problems. Fourteen classrooms were randomly assigned to the intervention and control conditions. Subsequent hierarchical linear analyses indicated that intervention‐group children performed better on experimental tasks measuring emotion knowledge and social problem‐solving strategies, and received higher assessments by their teachers and parents on measures of social–emotional competencies and externalizing problems. These results indicate that a prevention program combining intervention strategies for both high‐ and low‐risk children is effective across a wide range of adaptive and maladaptive behaviors. Moreover, a short four‐session parent group training employed to attract parent participation elicited an acceptable overall attendance rate (54%), indicating the sustainability of parent intervention in the context of community‐based interventions.     

HIV/AIDS information needs of sexually transmitted infection clinic patients: content analysis of questions asked during prevention counseling

Basic factual information about disease is the cornerstone of health promotion and disease prevention interventions. Previous studies have shown that content analysis of the questions asked of service providers can elucidate the information needs of service consumers. Questions asked by individuals at known high risk for HIV infection have not previously been examined. The current study analyzed 944 questions asked by 634 patients receiving HIV‐risk‐reduction counseling services at an urban sexually transmitted infections clinic. Questions were captured from audiotape recordings of risk‐reduction counseling sessions that were subsequently transcribed and content‐analyzed. A total of 49% of clients asked at least one question in their counseling session. Asking counselors questions was not associated with demographic characteristics or AIDS‐related knowledge. Questions were found to fit the AIDS information content structure identified in past research. The most common questions asked by sexually transmitted infection clients concerned condoms and other barrier methods of prevention (15%), HIV symptoms and disease progression (14%) and HIV antibody testing (11%). These results show that many individuals at high risk for HIV infection have substantial information needs, and that basic education about AIDS facts should not be neglected in HIV prevention interventions.     

Mediators of childhood trauma and suicidality in a cohort of socio-economically deprived Scottish men

Background: There is little research investigating the relationship between childhood abuse, including neglect, and suicidality in adult men, despite epidemiological data suggesting that they are most at risk for suicide.Objective: To investigate the relationship between childhood abuse and neglect and suicidality, and the possible mediating roles of affect dysregulation and social inhibition.Participants and setting: a cohort of eighty-six socio-economically deprived male Caucasian participants previously identified as suicidal, attending a non-clinical community group.Methods: Participants completed self-report measures on childhood trauma, emotion regulation, interpersonal difficulties and suicidal behavior.Results: Mediation analysis indicated that emotion dysregulation and interpersonal difficulties significantly mediated the relationship between childhood trauma and suicidality with a medium effect size (R² = .41, p < .001).Conclusions: Study results suggest that early childhood abuse and neglect results in dysfunctional emotion regulation, which leads to suicidality in the context of impoverished social environments. The provision of psychological interventions aimed at improving social and emotional functioning may help to safeguard men who are most at risk of suicide.     

Childhood abuse and later parenting outcomes in two American Indian tribes

OBJECTIVES: To examine the relationship of childhood physical and sexual abuse with reported parenting satisfaction and parenting role impairment later in life among American Indians (AIs). METHODS: AIs from Southwest and Northern Plains tribes who participated in a large-scale community-based study (n=3,084) were asked about traumatic events and family history; those with children were asked questions about their parenting experiences. Regression models estimated the relationships between childhood abuse and parenting satisfaction or parenting role impairment, and tested for mediation by depression or substance use disorders. RESULTS: Lifetime substance use disorder fully mediated the relationship between childhood physical abuse and both parenting satisfaction and parenting role impairment in the Northern Plains tribe. There was only partial mediation between childhood sexual abuse and parenting role impairment in the Southwest. In both tribes, lifetime depression did not meet the criteria for mediation of the relationship between childhood abuse and the two parenting outcomes. Instrumental and perceived social support significantly enhanced parenting satisfaction; negative social support reduced satisfaction and increased the likelihood of parenting role impairment. Exposure to parental violence while growing up had deleterious effects on parenting outcomes. Mothers and fathers did not differ significantly in the relation of childhood abuse experience and later parenting outcomes. CONCLUSIONS: Strong effects of social support and mediation of substance abuse disorders in the Northern Plains offer direct ways in which childhood victims of abuse could be helped to avoid negative attributes of parenting that could put their own children at risk. PRACTICE IMPLICATIONS: Mothers were not significantly different from fathers in the relation of abusive childhood experiences and later parenting outcomes, indicating both are candidates for interventions. Strong effects of social support offer avenues for interventions to parents. The prevalence of substance use disorders and their role as a mediator of two parenting outcomes in the Northern Plains should focus special attention on substance use treatment, especially among those who experienced childhood victimization. These factors offer direct ways in which childhood victims of abuse can be helped to avoid negative attributes of parenting that could put their own children at risk of violence.     

Preventive Intervention in Families at Risk: the Limits of Liberalism

There is an increasing call for preventive state interventions in so‐called families at risk—that is, interventions before any overt harm has been done by parents to their children or by the children to a third party, in families that are statistically known to be liable to harm children. One of the basic principles of liberal morality, however, is the citizen's right to be free from state intervention so long as no demonstrable harm has been done. On the other hand, Joel Feinberg interprets the harm principle as a harm prevention principle, so that the risk of harm also might be a reason for interference. The question that needs to be asked, therefore, is whether enforced preventive intervention in the cases where families are judged to be at risk can be justified within the limits of liberalism.     

Men’s experiences of early life trauma and pathways into long-term homelessness

Previous studies that have explored the association between childhood trauma and homelessness indicate that traumatic events can lead to survivor distrust of interpersonal relationships and institutions, prolonged homelessness and poor health and social outcomes. The majority of this literature relies on quantitative data and fails to investigate the personal experiences of childhood trauma that are found to impact housing status later in life. Semi-structured, qualitative interviews were conducted with 25 men living in an urban area in Ontario who had spent more than 30 consecutive nights in an emergency shelter over the course of their housing histories. During data analysis, it was observed that all of the men had experienced some form of trauma or neglect in childhood which contributed to their entries into homelessness. Using a case study approach, three entry pathways into long term homelessness are described: 1) youth; 2) emerging or early adulthood; and 3) middle adulthood. Participants are classified into the pathways by the developmental period at which they first entered homelessness. These findings have implications for policy makers and service providers, as key intervention points are identified. Establishing effective interventions that address crises experienced at these points could assist with homelessness prevention across the life course.     

Research priority setting for integrated early child development and violence prevention (ECD+) in low and middle income countries: An expert opinion exercise

Child development in low and middle income countries (LMIC) is compromised by multiple risk factors. Reducing children’s exposure to harmful events is essential for early childhood development (ECD). In particular, preventing violence against children – a highly prevalent risk factor that negatively affects optimal child development – should be an intervention priority. We used the Child Health and Nutrition Initiative (CHNRI) method for the setting of research priorities in integrated Early Childhood Development and violence prevention programs (ECD+). An expert group was identified and invited to systematically list and score research questions. A total of 186 stakeholders were asked to contribute five research questions each, and contributions were received from 81 respondents. These were subsequently evaluated using a set of five criteria: answerability; effectiveness; feasibility and/or affordability; applicability and impact; and equity. Of the 400 questions generated, a composite group of 50 were scored by 55 respondents. The highest scoring research questions related to the training of Community Health Workers (CHW’s) to deliver ECD+ interventions effectively and whether ECD+ interventions could be integrated within existing delivery platforms such as HIV, nutrition or mental health platforms. The priority research questions can direct new research initiatives, mainly in focusing on the effectiveness of an ECD+ approach, as well as on service delivery questions. To the best of our knowledge, this is the first systematic exercise of its kind in the field of ECD+. The findings from this research priority setting exercise can help guide donors and other development actors towards funding priorities for important future research related to ECD and violence prevention.     

Kindergarten Self‐Regulation As a Predictor of Body Mass Index and Sports Participation in Fourth Grade Students

Identifying early precursors of body mass index (BMI) and sports participation represents an important concern from a public health perspective and can inform the development of preventive interventions. This article examines whether kindergarten child self‐regulation, as measured by classroom engagement and behavioral regulation, predicts healthy dispositions in fourth grade. To address this objective, secondary analyses were conducted using prospective‐longitudinal data from 966 children followed by the Quebec Longitudinal Study of Child Development. Self‐regulatory skills, including classroom engagement and behavioral regulation, were measured by kindergarten teachers. Greater self‐regulatory skills predicted lower BMI and greater parent‐reported child sports participation, after controlling for a number of potentially confounding child and family characteristics. This article suggests that assessing kindergarten self‐regulatory capacities may help identify children at risk of developing unhealthy dispositions and behaviors in middle childhood.     

War and conflict: addressing the psychosocial needs of child refugees

ABSTRACT

Since 2016, over 32 million children have been displaced from their homes mostly the result of war and conflict. For many children under the age of 8, a life of war and conflict is all they know. They have grown up in a world where bombings, gunfire, death, and destruction are the norm. This experience places young children at heightened risk for adverse and long-term psychosocial consequences such as anxiety, depression, social withdrawal, and posttraumatic stress disorder. Schools have been found to be the ideal setting for providing interventions to address the psychosocial needs of child refugees. As such, it is important that early childhood educators understand the complex needs of child refugees. The purpose of this article is to describe the psychosocial effects of war and conflict on infant and school-aged child refugees globally and help early childhood educators to recognize interventions that may be needed by these children. Recommendations for early childhood teacher educators are also included.     

Case study of childhood disintegrative disorder— Heller's syndrome

The case of a 25‐year‐old male with childhood disintegrative disorder (CDD), or Heller's syndrome, is discussed in terms of differential diagnosis, progression of the disorder, and suggestions for home‐ and school‐based interventions. The case documents the progressive deterioration of cognitive and social competencies. Given the paucity of research and information with respect to CDD, further clinical investigation is suggested. © 2002 John Wiley & Sons, Inc.     

Processes of Early Childhood Interventions to Adult Well‐Being

This article describes the contributions of cognitive–scholastic advantage, family support behavior, and school quality and support as processes through which early childhood interventions promote well‐being. Evidence in support of these processes is from longitudinal cohort studies of the Child–Parent Centers and other preventive interventions beginning by age 4. Relatively large effects of participation have been documented for school readiness skills at age 5, parent involvement, K‐12 achievement, remedial education, educational attainment, and crime prevention. The three processes account for up to half of the program impacts on well‐being. They also help to explain the positive economic returns of many effective programs. The generalizability of these processes is supported by a sizable knowledge base, including a scale up of the Child–Parent Centers.     

Loneliness in Children and Adolescents: What Do Schools and Teachers Need to Know and How Can They Help?

In this article the author conducts a brief review of the research on childhood loneliness in school-age children and the long-term outcomes, especially in relation to the utility of intervening. She advocates an approach based on increasing social competence, developing mutual friendships and overcoming self-defeating thought patterns. Whole-school or whole-class based interventions are described and recommended. She concludes that all components of loneliness should be addressed, not merely the lack of social skills. She argues that since the long-term outcomes of loneliness are as yet unknown, there is no practical and ethical justification for focusing interventions on an individual. Interventions that involve the whole-school or whole-class are theoretically capable of alleviating loneliness in childhood providing they are not narrowly focused.     

Social interaction interventions in an inclusive era: Attitudes of teachers in early childhood self‐contained and inclusive settings

This study investigated the perceptions and attitudes of teachers in early childhood settings toward social interaction interventions appropriate for young children with disabilities. Participants were 137 teachers working in either self‐contained classroom settings (SC) or inclusive classroom settings (INC). Variables that might interfere with perceived acceptability, feasibility, and current use of interventions were explored. These included theoretical orientation, attitude toward inclusion, experience working with children with disabilities, and teacher efficacy. Results indicated that SC and INC teachers are strikingly similar in their perceptions of interventions despite literature‐based indications that philosophical and theoretical differences between the two groups might influence attitudes. Implications for consultation practices by school psychologists and related professionals are discussed. © 2005 Wiley Periodicals, Inc. Psychol Schs 42: 53–63, 2005.     

Classroom Effects of a Hybrid Universal and Indicated Prevention Program for Preschool Children: A Comparative Analysis Based on Social and Emotional Competence Screening

Research Findings: The current study's main aim was to implement a multifocused, community-based intervention for preventing conduct problems in preschool children. Our assumption was that the same intervention program could be delivered concomitantly as a universal prevention program for all children as well as an indicated prevention program for high-risk children selected after screening for social and emotional competencies development. We used a quasi-experimental design with a between-subjects variable (intervention vs. comparison) and a within-subjects variable (preintervention, postintervention, and 3-month follow-up). The efficacy of the intervention was assessed for high-risk children targeted by the indicated intervention as well as for moderate- and low-risk children, who received the universal intervention. Practice or Policy: First, our results demonstrate the capacity of classroom-based interventions, without added pull-out sessions, to generate significant changes in high-risk children's competencies as well as externalizing and internalizing problems. Second, similar results were found for the moderate-risk, but not the low-risk, group, and these data suggest that marginally at-risk children are the most likely to benefit from participating in universal interventions. And third, comparing data from social and emotional competence risk groups indicates that underdeveloped emotional competencies might have a prolonged negative effect on children's social skills, which increases as a function of higher risk status.     

CLASSROOM VICTIMIZATION: CONSEQUENCES FOR SOCIAL AND ACADEMIC ADJUSTMENT IN ELEMENTARY SCHOOL

Peer victimization is a well‐established risk factor for children's adjustment, but it has rarely been studied as a feature of classroom climate. This study examines the consequences of classroom victimization for children's social and academic adjustment. Classroom victimization, social functioning, and academic adjustment were assessed in two subsamples taken from a full sample of 523 children nested in 28 classrooms, followed over the course of a school year. Results from a subsample of 213 students suggested that higher classroom levels of victimization predicted attenuated growth in children's reading achievement as well as greater stability of reading achievement over the course of the year. Results from a subsample of 490 children suggested that lower levels of classroom victimization predicted reduced stability of peer social preference and mitigated the trajectory between children's externalizing behavior and poor social preference. Implications for prevention of and interventions targeting peer victimization are discussed.     

The risk is that there is ‘no risk’: a simple,innovative intervention to increase children’s activity levels

School playgrounds offer everyday opportunities for physically active and social play that combats obesity, develops skills, and promotes well‐being. However, teachers’ fear of the legal consequences of injury can elicit over‐zealous risk reduction with the result that playgrounds lack challenge, and the potential benefits of play become limited. In this research, we trialled a simple, cost‐effective strategy to encourage children to be more active and social on a school playground. Over 11 weeks, we made available materials with no fixed purpose (e.g. car tires, boxes) to a playground of children aged five to seven. Accelerometers showed children became significantly more active. Interviews with teachers suggested children also became more social, creative, and resilient. However, despite no incidence of injuries, teachers perceived an increased risk and encountered dilemmas regarding duty of care. We conclude that future interventions should address issues of ‘surplus safety’ at individual, school, system, and policy levels.     

Childhood physical abuse, early social support, and risk for maltreatment: current social support as a mediator of risk for child physical abuse

OBJECTIVE: The study investigated whether perceptions of social support in adulthood partially mediated the associations between childhood experiences (i.e., receipt of physical abuse and levels of early social support) and adult risk for child physical abuse. METHOD: Participants included 598 general population adults who completed self-report measures designed to assess childhood physical abuse, perceptions of early and current social support, and risk factors for child physical abuse. Structural equation modeling was used to test and cross validate a model that included the direct effects of child physical abuse and early social support on child physical abuse risk, as well as mediated effects through an influence on adult perceptions of social support. RESULTS: Childhood physical abuse and early social support covaried, such that receipt of physical abuse was associated with lower levels of perceived early social support. Early support, but not child physical abuse, had an indirect effect (i.e., through current support) on child physical abuse risk. More specifically, levels of early support were directly related to adult perceptions of support, and adult perceptions of support were inversely associated with child physical abuse risk. Childhood physical abuse was directly related to child physical abuse risk. CONCLUSIONS: Low levels of early support may impact risk for child physical abuse by affecting perceptions of others as supportive in adulthood. The receipt of physical abuse in childhood, however, does not appear to impact perceptions of support in adulthood. Research is needed to identify additional factors that may explain the association between receipt of physical abuse in childhood and increased risk of child physical abuse in adulthood.     

A comparison of European American and Puerto Rican parents’ goals and expectations about the socialization and education of pre‐school children

This article identifies similarities and differences between Head Start parents of European American and Puerto Rican backgrounds regarding their socialization goals and expectations concerning the early educational experiences of their pre‐school children. Semi‐structured interviews were conducted with 60 parents (30 European American and 30 Puerto Rican) in their homes. The results show that both groups of parents valued pro‐social skills, school readiness skills, and skills related to good behaviour. Both sets of parents considered creative and physical skills to be least important. However, differences between groups were found regarding the relative importance of skills in the different developmental domains. The findings suggest that to maximize the effects of early childhood programmes and interventions it is important that educators and policy makers recognize and respond to differences in parents’ goals and expectations.     

Social‐Emotional Competence: An Essential Factor for Promoting Positive Adjustment and Reducing Risk in School Children

Social‐emotional competence is a critical factor to target with universal preventive interventions that are conducted in schools because the construct (a) associates with social, behavioral, and academic outcomes that are important for healthy development; (b) predicts important life outcomes in adulthood; (c) can be improved with feasible and cost‐effective interventions; and (d) plays a critical role in the behavior change process. This article reviews this research and what is known about effective intervention approaches. Based on that, an intervention model is proposed for how schools should enhance the social and emotional learning of students in order to promote resilience. Suggestions are also offered for how to support implementation of this intervention model at scale.     

School‐based prevention and intervention programs for children with emotional disturbance: A review of treatment components and methodology

School practitioners and educators are frequently challenged by the diverse and pervasive academic, social, and behavioral needs of children at risk for and with emotional disturbance. The present article examines the outcome literature on school‐based prevention and intervention programs by systematically reviewing the key treatment interventions and methodology used. A total of 29 investigations including 1,405 children and adolescents were reviewed and coded on 41 variables across three dimensions (i.e., sample characteristics, treatment components, and methodology). Single subject and group design studies were included. Behavioral and/or cognitive behavioral treatment approaches were primary used. Deficit‐based assessment and treatment approaches (i.e., problem behaviors) were predominately used in the outcome literature with few investigations incorporating strength‐based outcome approaches. Findings are discussed in relation to previous research. © 2008 Wiley Periodicals, Inc.