Experimental evaluation of DEFUSE: online de-escalation training for law enforcement intervening in mental health crises

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Description
Training for law enforcement on effective ways of intervening in mental health crises is limited. What is available tends to be costly for implementation, labor-intensive, and requires officers to opt-in. DEFUSE, an interactive online training program, was specifically developed to

Training for law enforcement on effective ways of intervening in mental health crises is limited. What is available tends to be costly for implementation, labor-intensive, and requires officers to opt-in. DEFUSE, an interactive online training program, was specifically developed to train law enforcement on mental illness and de-escalation skills. Derived from a stress inoculation framework, the curriculum provides education, skills training, and rehearsal; it is brief, cost-effective, and scalable to officers across the country. Participants were randomly assigned to either the experimental or delayed treatment control conditions. A multivariate analysis of variance yielded a significant treatment-by-repeated-measures interaction and univariate analyses confirmed improvement on all of the measures (e.g., empathy, stigma, self-efficacy, behavioral outcomes, knowledge). Replication dependent t-test analyses conducted on the control condition following completion of DEFUSE confirmed significant improvement on four of the measures and marginal significance on the fifth. Participant responses to BPAD video vignettes revealed significant differences in objective behavioral proficiency for those participants who completed the online course. DEFUSE is a powerful tool for training law enforcement on mental illness and effective strategies for intervening in mental health crises. Considerations for future study are discussed.
Date Created
2017
Agent

Effects of internet training in mindfulness meditation on variables related to cancer recovery

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Description
Cancer survivors engaged in either six-week Internet-delivered mindfulness training or a usual-care control and were compared on the following outcome battery: The Hospital Anxiety and Depression Scale, the Profile of Mood States, the Pittsburgh Sleep Quality Index, and the Fatigue

Cancer survivors engaged in either six-week Internet-delivered mindfulness training or a usual-care control and were compared on the following outcome battery: The Hospital Anxiety and Depression Scale, the Profile of Mood States, the Pittsburgh Sleep Quality Index, and the Fatigue Symptom Inventory. Assessments were conducted before and after treatment and intervention compliance was monitored. Mindfulness treatments were delivered at a time and on a computer of the participants’ choosing. Multivariate analysis indicated that mindfulness training produced significant benefits on all measures (p < .05). Online mindfulness instruction represents a widely-accessible, cost-effective intervention for reducing psychological distress and its behavioral manifestations in cancer survivors, especially those who are unable to participate in in-person training.
Date Created
2017
Agent

Experimental evaluation of internet-based stress inoculation for adult children of divorce

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Description
Descriptions of gray divorce often include consequences for young adult children who are increasingly being left to cope with their parents’ decision. Adult children of divorce may experience different stressors and reactions than younger children especially during holidays; moreover, their

Descriptions of gray divorce often include consequences for young adult children who are increasingly being left to cope with their parents’ decision. Adult children of divorce may experience different stressors and reactions than younger children especially during holidays; moreover, their increased social awareness leaves their parental relationship vulnerable to rupture as a result of pressure to choose sides. Interventions for helping young adults cope with their parents’ break-up are rarely described, much less evaluated. An online delivery format would be especially well-suited given the possibility of in-home participation at any time of day with privacy assured and negligible cost. We thus developed and experimentally evaluated Transitions, a two week internet-based program organized around a classic stress inoculation framework. The goals of Transitions are to foster stress-coping skills and to improve parent-child relationships throughout the divorce process. Our study was restricted to young adult college students (N = 95) who had experienced parental separation or divorce within the past year, and who were not receiving psychological services elsewhere. Participants were screened and randomly assigned to experimental and delayed-treatment control conditions; a priori analyses indicated sufficient power to detect large effects. During the first week of Transitions, participants received psychoeducation, training in progressive muscle relaxation, and a cognitive restructuring curriculum derived from Ellis and Beck. The second week began with a review and then introduced mindfulness meditation and communication skills. Practice sessions were embedded throughout the curriculum and simulations were specific to experiences of parental divorce. Videos of young college graduates sharing personal stories about their parents’ divorce were streamed between each module. Comprehension of the content presented in Transitions was monitored and coded for partial or full completion of the program. Outcome measures were keyed to the nature of the clinical problem and interventions deployed. A repeated-measures multivariate analysis of variance (RM-MANOVA) yielded a significant interaction. Univariate follow-up ANOVAs showed significant improvement relative to controls on stress but not on relationship variables. Neither moderator nor intent-to-treat analyses altered this outcome pattern. Future research will focus on refining the stress reduction components of Transitions and improving its impact on relationships with parents.
Date Created
2016
Agent

The incremental effects of ethnically matched animated agents in restructuring the irrational career beliefs of rural caucasian young women

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Description
The Believe It! program developed and evaluated by Kovalski & Horan (1999) was the first interactive, multimedia, psychological-education intervention deployed on the Internet. In a controlled study, the authors reported that the ethnically diverse cartoon models were partially successful in

The Believe It! program developed and evaluated by Kovalski & Horan (1999) was the first interactive, multimedia, psychological-education intervention deployed on the Internet. In a controlled study, the authors reported that the ethnically diverse cartoon models were partially successful in using cognitive restructuring to promote more reasonable career beliefs among Caucasian middle-school young women. It was not clear if the program's lack of efficacy among minority young women was due to computer literacy factors affected by SES. Subsequently, three studies explored the role of matching or mismatching the ethnicity of animated agents in a graphically enhanced program with that of the young women receiving the cognitive restructuring treatment. Each of the studies used the same four outcome measures (Occupational Sex-Role Questionnaire, Believe It Measure, Career Beliefs Inventory, and the Career Myths Scale) before and after matched and mismatched participants received the Believe It! intervention. Webster (2010) analyzed data from African-American participants, Hardy (2011) Latinas, and Zhang (2013) Asian-Americans. The current study examined the matching hypothesis on a sample of ethnically isolated Caucasian young women in a rural setting. The results obtained in the three previous studies are consistent with similar research involving client and counselor dyads (e.g., Cabral & Smith, 2011). The Believe It! program had a clear impact on ethnically matched African-American young women, whereas pairings on ethnicity did not improve outcomes for either Latinas or Asian-Americans. A solitary effect on the Occupation Sex-Role Questionnaire in the current study suggests the hypothesis is worthy of further study.
Date Created
2014
Agent

The incremental effects of ethnically matching animated agents in restructuring the irrational career beliefs of Chinese American young women

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Description
Believe It! is an animated interactive computer program that delivers cognitive restructuring to adolescent females' irrational career beliefs. It challenges the irrational belief and offers more reasonable alternatives. The current study investigated the potentially differential effects of Asian versus Caucasian

Believe It! is an animated interactive computer program that delivers cognitive restructuring to adolescent females' irrational career beliefs. It challenges the irrational belief and offers more reasonable alternatives. The current study investigated the potentially differential effects of Asian versus Caucasian animated agents in delivering the treatment to young Chinese American women. The results suggested that the Asian animated agent was not significantly superior to the Caucasian animated agent. Nor was there a significant interaction between level of acculturation and the effects of the animated agents. Ways to modify the Believe It! program for Chinese American users were recommended.
Date Created
2013
Agent

Counselors-in-training's perceptions of clients: the influences of client weight and job status

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Description
It is crucial for counselors to be aware of their own attitudes and beliefs and to prevent them from influencing the counseling process. The prevalence of obesity is growing and biases against obese people are becoming more apparent. Counselors must

It is crucial for counselors to be aware of their own attitudes and beliefs and to prevent them from influencing the counseling process. The prevalence of obesity is growing and biases against obese people are becoming more apparent. Counselors must become aware of the potential weight bias and what factors influence it. The purpose of the current study was to examine whether counselors- in-training hold negative attitudes toward obese clients and whether the career status of the client affects these perceptions. Seventy-six students in graduate level counseling programs at Arizona State University were randomly assigned one of four vignettes describing either an obese bookkeeper, a normal weight bookkeeper, an obese executive, or a normal weight executive. Negative attitudes were measured using two scales; one evaluating perceived personal characteristics of the client and one evaluating the perceived work efficacy. Results indicated that counselors-in-training perceived the client with more negative characteristics when the client was described as obese rather than normal weight, and also when she was described as having a low status job compared to a high status job. The perceived work efficacy of the presented client was not affected by the client’s weight or job status. It is important for students in counseling programs to receive training regarding weight biases and job status biases.
Date Created
2011
Agent

The incremental effects of ethnically matched animated agents in restructuring the irrational career beliefs of African American young women

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Description
Although women of color have increased their presence in the workplace, many obstacles restricting career opportunities still exist. It is important that mental health professionals contribute in providing interventions to increase career opportunities for women of color. The purpose of

Although women of color have increased their presence in the workplace, many obstacles restricting career opportunities still exist. It is important that mental health professionals contribute in providing interventions to increase career opportunities for women of color. The purpose of this research is to add to the repertoire of interventions by studying the irrational career beliefs of Black women. This research utilizes the Believe It! program, an online career development program that focuses on altering irrational/maladaptive career beliefs that can prevent young females from pursuing career opportunities. An early study of Believe It! found it to be effective for Caucasian females, however the effects for minority females were less clear. The current study re-examined the effectiveness of Believe It! for minorities by altering the appearance of the animated character within the program. It was hypothesized that young African American women interacting with African American animated agents would display greater rationality in terms of career beliefs compared to young African American women interacting with Caucasian animated agents. Forty-four African American girls between the ages of eleven to fifteen were pre-tested with a battery of assessment devices addressing the irrationality of the girls' career beliefs. The measures included the Career Myths Scale, the Career Beliefs Inventory, the Occupational Sex-role Questionnaire, and the Believe It! measure. Four to eight days later, participants engaged in the online Believe It! Program; they were randomly assigned to either a matched condition (viewing the program with an African American animated agent) or a mismatched condition (viewing the program with a Caucasian animated agent). After completion of the intervention, participants were post-tested with the same assessment battery. MANCOVA and ANCOVA analyses showed that participants in the matched condition consistently benefitted from the matched intervention. Implications for this research are discussed.
Date Created
2010
Agent