Behavioral Counseling Approach Research Articles

Effectiveness of a Group Counseling Intervention for Turkish University Students with Childhood Trauma

This research aimed to examine the effects of an eclectic group counseling intervention based on the cognitive and behavioral counseling approach and positive psychology-based practices on the rumination and life satisfaction levels of university students with childhood trauma in Turkey. The research was designed as an exploratory sequential mixed-method study. The first phase of the research focused on discovering what university students with traumatic stories needed to reduce their rumination levels and increase their life satisfaction. The themes that were obtained contributed to the content of the program. In the second phase, forty-two participants were randomly assigned to the experimental and control groups. The Rumination Scale and the Satisfaction with Life Scale were applied as data collection tools. A 12-session group psychological counseling program was provided once a week to the experimental group. No intervention was made in the control group. One week after the sessions were completed, the posttest was administered to the experimental and control groups, and follow-up measurements were carried out two months later. The participants in the experimental group showed significant improvements in decreasing rumination levels and increasing life satisfaction compared to the participants in the control group, and these improvements were maintained in the follow-up measurements. In the last phase, the qualitative data collected during the sessions were analyzed to evaluate the program. In conclusion, the group counseling intervention was effective in reducing the rumination levels and increasing the life satisfaction levels of university students.

Behavioral Counseling Approach in Overcoming Student Delinquency Y (Case Study of MA Plus Nurul Islam Sekarbela Students)

This study aims to find solutions in overcoming delinquent behavior in students through the implementation of behavioral counseling using positive reinforcement techniques. This type of research uses action research on counseling guidance (Action Research In Counseling). The subjects in this study were 2 students out of 31 students of class XI Religion MA Plus Nurul Islam who showed delinquent behavior. This method focuses on observation methods inside and outside the classroom. Data were analyzed by descriptive analysis which was carried out in 2 cycles/actions. The results showed that there was a decrease in delinquent behavior after counseling cycle 2 and the observations proved that the subject had shown many positive changes. This proves that the behavioral counseling approach is very effective in overcoming delinquent behavior in students.

Efektivitas pendekatan konseling rational emotif behavioral dengan teknik reframing untuk meningkatkan kecerdasan emosional siswa sekolah menengah pertama

This study aims to determine the effectiveness of the rational emotive-behavioral counseling service approach with reframing techniques to improve the emotional intelligence of SMP Negeri 2 Singaraja students. The method used in this study is experimental. Sampling using random sampling technique. Collecting data using emotional intelligence questionnaire. The data analysis technique used parametric statistical analysis, namely by using the Paired-Sample T-Test with the help of the SPSS for Windows version 16.00 program. This research method aims to determine the effect of rational emotive behavioral counseling with reframing techniques in increasing students' emotional intelligence. The research design used was the Non-Equivalent Pre-test Post-test Control Group Design. This study focuses on the effectiveness of the rational emotive behavioral counseling approach with reframing techniques to improve students' emotional intelligence with the data collection technique used, namely a questionnaire.

Konseling Behavior dengan Teknik Penguatan Positif untuk Meningkatkan Keaktifan Bertanya pada Mata Pelajaran Bahasa Jawa

The objectives of this research are: (1) To find the factors causing the lack of active questioning in students Javanese language learning for SMP I Pesantren Nurul Ishlah Al-Anwar. (2) Help increase the activity of asking students through a behavior approach with techniques reinforcement positive for students at SMP I Pesantren Nurul Ishlah Al-Anwar. Behavior approach is a counseling process carried out by the counselor to the counselee using a behavioral approach and certain techniques in solving the problems encountered. Positive reinforcement techniques are techniques that strengthen counselees to achieve appropriate behavior changes by providing rewards in the form of support, praise, attention, sympathy, empathy. The research used by the researcher is a qualitative descriptive case study. The subjects studied were two class VIII students, namely KA and NLM, these students experienced low activity in asking questions in Javanese language subjects. The researcher used observation and interview data collection methods. From the research results, it is proven that behavioral counseling using positive reinforcement techniques can increase the activeness of asking questions in Javanese language, increase enthusiasm for learning, independent learning activities for students of SMP I Pesantren Nurul Ishlah Al-Anwar. The application of the behavioral counseling approach with positive reinforcement techniques overall solved the problems experienced by the two counselees. This was obtained through the researcher's observations in the counseling process, which initially showed a passive attitude to ask questions, now they are actively asking questions and are eager to learn.

Efektivitas Konseling Behavioral Teknik Self Management untuk Menurunkan Prokrastinasi Akademik dengan Kovariabel Motivasi Berprestasi

This study aims to present the results of research on the Effectiveness of the Behavioral Counseling Approach of Self Management Techniques for Reducing Academic Procrastination with Achievement Motivation Covariables in Grade VIII Students of Middle School. This research method uses the Experiment method. Respondents in this study amounted to 221 students of class VIII SMPN 1 Tabanan. This study used a pretest-posttest control group design and the sample was taken using a purposive random sampling technique. The data that has been collected was analyzed using one-way Anacova with the SPSS 17.0 application for Windows. The results of data analysis showed that the Behavioral Counseling Approach Self Management Techniques had an effective effect on reducing student academic procrastination after controlling the Variables of Achievement Motivation. This article suggests that teachers can use the Behavioral Counseling Approach to Self Management Techniques to Reduce Student Academic Procrastination. This article suggests that teachers pay more attention to the behavior of students who have tendencies or characteristics of academic procrastination in the application of learning to reduce student academic procrastination in implementing student learning activities to increase their learning motivation.

Sexual Self-Concept in Women with Disorders/Differences of Sex Development

Many women born with disorders or differences of sex development (DSD) report sexual problems, in particular women who have undergone extensive genital reconstruction. Examining cognitions and emotions that hinder or promote sexuality may facilitate understanding these sexual problems and may contribute to the development of specific interventions. In this study, sexual self-concept, body image, and sexual functioning were investigated in relation to genital surgery. To conduct the study, the women’s Sexual Self-Concept Scale was translated to Dutch. Evaluation of psychometric properties was conducted in a sample of healthy Belgian and Dutch women participating in an anonymous web-based survey (N = 589, Mdn age, 23 years). The resulting three-factor structure corresponded largely to that of the original version. Compared to control women, women born with a DSD who were included in the Dutch DSD study (N = 99, Mdn age, 26 years) described themselves as being less interested in sex and less sexually active. These women also harbored more negative emotions and cognitions regarding their sexuality and were less satisfied with their external genitalia. In women with a DSD, sexual self-concept was associated with compromised outcomes on sexual functioning and distress. Women who were in a steady relationship, and/or had been sexually active in the past 4 weeks had a more positive sexual self-concept, took a more active role in their sexual relationship, experienced more sexual desire and arousal and less sexual distress than women who were not involved in a partner relationship. Findings in this study indicate that cognitions and emotions related to sexual self-concept play a role in sexual functioning of women with a DSD. A cognitive behavioral counseling approach with focus on coping and exploration of their own sexual needs could prove useful in this group.

PENDEKATAN KONSELING BEHAVIORAL TERHADAP PERKEMBANGAN MORAL SISWA

The purpose of this study was to describe the level moral development of students before and after being treated, as well as to examine the behavioral counseling approach  the moral development of students of SMP Negeri 1 Aramo. This research uses quantitative research with experimental research methods. The population in this study were all students of SMP Negeri 1 Aramo, totaling 200 students, and a sample of 25 students using purposive sampling technique. The data analysis technique in this study used simple linear regression analysis. Based on the results of the study, it was found that the level of moral development was in the high category with a percentage of 75.20% and an average score of students 88.94, 3) the coefficient of determination with value. Regression model which means rejected and accepted. It can be concluded there is a behavioral counseling approach to students' moral development

Keefektifan Pendekatan Konseling Behavioristik Dengan Teknik Role Playing untuk Mengurangi Perilaku Agresi Peserta Didik

This research is motivated by students who behave aggressively. The purpose of this research is to: 1) Describe the behavior of students ' aggression before the behavioural counseling approach was conducted with role playing techniques; 2) Describe the aggressive behavior of students after an behavioural counseling approach with role playing techniques. 3) test the effectiveness of the behavioural counseling approaches with role-playing techniques to reduce the aggressive behavior of students. This research is experimental research. The population of this research is all students of Class XI Tata Niaga 1st SMK Negeri 1 Lubuk Sikaping, regency of Pasaman, amounting to 30 people. For sampling using purposive sampling technique. The number of samples in this study was 7 people gained through pretest results. The instruments used are questionnaires, data analyzed by percentages, and test T. Research findings: 1) descriptive behavior of aggression of students before behavioral counseling approach with role playing techniques are in aggressive category 2) descriptive Student aggression behaviour after behavioristic counseling approaches with role-playing techniques are in a non-aggressive category. 3) There is a decline in aggression behavior by using behaviorical counseling with role playing techniques. Based on the recommendation to students so they can reduce their aggression behavior on themselves so that they can live a social life well.

Mengurangi Kenakalan Remaja Menggunakan Konseling Behavioral pada Peserta Didik di SMA

juvenile delinquency is indeed a phenomenon that occurs at the developmental stage of adolescence. Phenomena that occur are behaviors that deviate from the norms that apply in the community such as ditching, bullying, smoking, drinking liquor, lying, and others. All behaviors carried out bby adolescents on the basis of wanting to try and be dominantly influenced by environmental factors. Juvenile delinquency reflects adolescents having difficulty finding their identity so that they experience an identity crisis. Researchers want to reduce juvenile delinquency using behavioral counseling approaches. The reason for using this counseling is because behavioral counseling is counseling which is a combination of approaches in cognitive psychotherapy therapy and behavior therapy. The type of research used is using experimental research. The design of the research in this study used was the prettest and post-test group. The pre-test results showed that students got ajuvenile delinquency score of 54.23% in the medium criteria, while the post test showed a score of 32.08 in low criteria. Based on the results of the calculation of the comparison of the pre-test and post-test scores, the average respondents experienced a decrease in juvenile delinquency by 22.15%. This proves that behavioral counseling can reduce the level of juvenile delinquency. While the wilcoxon test obtained z count of -1.82, because this value is an absolute value so that the negative sign is not taken into account. So that the calculated z value becomes 1.82, then the calculated z value is compared with the z table value with an error level of 0.05. The conclusion is that the juvenile delinquency of sma n 1 nguter can be reduced through counseling behavioral approaches.

Teaching primary care physicians the 5 A’s for discussing weight with overweight and obese adolescents

ObjectiveWe developed an online intervention to teach physicians both MI (addressed in outcomes paper) and the 5 A’s (Ask, Advise, Assess, Assist, and Arrange) when discussing weight with overweight/obese adolescents. MethodsWe audio recorded 527 encounters between adolescents and physicians and coded the 5 A’s during weight/BMI discussions. Half of physicians were randomized to receive a tailored, intervention that included their own audio-recorded clips. To examine arm differences, we used multilevel linear mixed-effects models for sum of 5 A’s and generalized estimating equations (GEE) models with a logit link for each of the A’s separately. ResultsIntervention arm physicians used more A’s than control physicians (estimated difference=0.6; 95%CI(0.2,1.0);p=0.001). Intervention physicians used Assess (p=0.004), Assist (p=0.001) and Arrange (p=0.02) more when compared to control arm physicians. ConclusionAn online intervention increased physicians’ use of the 5 A’s when discussing weight with overweight adolescents. These results are promising as the online intervention improved performance for the three A’s that are infrequently used (Assess, Assist, and Arrange) yet have the most impact. Practice implicationsA tailored online program can increase physicians’ use of the 5 A’s behavioral counseling approach in clinical practice with adolescents.

Reducing Underserved Children's Exposure to Tobacco Smoke: A Randomized Counseling Trial With Maternal Smokers.

Addressing maternal smoking and child tobacco smoke exposure is a public health priority. Standard care advice and self-help materials to help parents reduce child tobacco smoke exposure is not sufficient to promote change in underserved populations. We tested the efficacy of a behavioral counseling approach with underserved maternal smokers to reduce infant's and preschooler's tobacco smoke exposure. A two-arm randomized trial: enhanced behavior counseling (experimental) versus enhanced standard care (control). Assessment staff members were blinded. Three hundred randomized maternal smokers were recruited from low-income urban communities. Participants had a child aged <4 years exposed to two or more maternal cigarettes/day at baseline. Philadelphia Family Rules for Establishing Smoke-free Homes (FRESH) included 16 weeks of counseling. Using a behavioral shaping approach within an individualized cognitive-behavioral therapy framework, counseling reinforced efforts to adopt increasingly challenging tobacco smoke exposure-protective behaviors with the eventual goal of establishing a smoke-free home. Primary outcomes were end-of-treatment child cotinine and reported tobacco smoke exposure (maternal cigarettes/day exposed). Secondary outcomes were end-of-treatment 7-day point-prevalence self-reported cigarettes smoked/day and bioverified quit status. Participation in FRESH behavioral counseling was associated with lower child cotinine (β=-0.18, p=0.03) and reported tobacco smoke exposure (β=-0.57, p=0.03) at the end of treatment. Mothers in behavioral counseling smoked fewer cigarettes/day (β=-1.84, p=0.03) and had higher bioverified quit rates compared with controls (13.8% vs 1.9%, χ(2)=10.56, p<0.01). There was no moderating effect of other smokers living at home. FRESH behavioral counseling reduces child tobacco smoke exposure and promotes smoking quit rates in a highly distressed and vulnerable population. This study is registered at www.clinicaltrials.gov NCT02117947.

Promoting pre-quit physical activity to reduce cue reactivity among low-income sedentary smokers: A randomized proof of concept study

BackgroundSmoking and lack of physical activity (PA) contribute to disproportionate rates of disease among low-income adults. Interventions that simultaneously address both risk behaviors have strong potential to reduce health disparities. Existing smoking-PA studies indicate promising results but have limited generalizability to low-income populations. The goal of this study is to assess the effects of an integrated behavioral counseling approach to promote low-to-moderate intensity PA (LMPA) and reduce short-term smoking cue reactivity among low-income sedentary smokers. MethodsThis study uses a randomized, 2-group design with 4 measurement time points: baseline, quit day (week 4), 1-week and 1-month follow-up. Participants (sedentary, smoke>6 cigs/day) receive 4weeks of either (a) standard smoking cessation counseling (SCC control) or (b) our Step-Up to Quit (SUTQ) intervention that integrates advice for LMPA with SCC. SUTQ counseling focuses on increasing daily steps (walking) to reach 7500–10,000/day by week 4 (quit day) and explicitly links short bouts of LMPA with smoking urge management. Potential for SUTQ to facilitate urge management will be assessed by comparing between-group differences in the reduction (extinction) of quit day cue reactivity. We will explore group differences in quit rates at 1-week and 1-month follow-up. DiscussionThis novel approach overcomes gaps in the PA-smoking intervention literature by promoting a more realistic PA approach for sedentary populations, using an ecologically valid strategy, integrating LMPA with evidence-based SCC during a 4-week pre-quit period, and testing the SUTQ counseling model in a high-risk sample. Results will guide future efficacy and dissemination studies.

Study protocol: The Adherence and Intensification of Medications (AIM) study - a cluster randomized controlled effectiveness study

BackgroundMany patients with diabetes have poor blood pressure (BP) control. Pharmacological therapy is the cornerstone of effective BP treatment, yet there are high rates both of poor medication adherence and failure to intensify medications. Successful medication management requires an effective partnership between providers who initiate and increase doses of effective medications and patients who adhere to the regimen.MethodsIn this cluster-randomized controlled effectiveness study, primary care teams within sites were randomized to a program led by a clinical pharmacist trained in motivational interviewing-based behavioral counseling approaches and authorized to make BP medication changes or to usual care. This study involved the collection of data during a 14-month intervention period in three Department of Veterans Affairs facilities and two Kaiser Permanente Northern California facilities. The clinical pharmacist was supported by clinical information systems that enabled proactive identification of, and outreach to, eligible patients identified on the basis of poor BP control and either medication refill gaps or lack of recent medication intensification. The primary outcome is the relative change in systolic blood pressure (SBP) measurements over time. Secondary outcomes are changes in Hemoglobin A1c, low-density lipoprotein cholesterol (LDL), medication adherence determined from pharmacy refill data, and medication intensification rates.DiscussionIntegration of the three intervention elements - proactive identification, adherence counseling and medication intensification - is essential to achieve optimal levels of control for high-risk patients. Testing the effectiveness of this intervention at the team level allows us to study the program as it would typically be implemented within a clinic setting, including how it integrates with other elements of care.Trial RegistrationThe ClinicalTrials.gov registration number is NCT00495794.

Comparison of two intensities of tobacco dependence counseling in schizophrenia and schizoaffective disorder

Compared to the general population, smokers with schizophrenia (SCZ) have reduced success in quitting smoking with usual approaches. This study tested two manualized behavioral counseling approaches—Treatment of Addiction to Nicotine in Schizophrenia (TANS) or Medication Management (MM)—for smokers who were motivated to quit. Individual counseling sessions were provided by mental health clinicians in mental health settings, along with nicotine patch. The two treatments varied in intensity and frequency of sessions. Eighty-seven subjects were randomized and attended at least one treatment session. Twenty-one percent ( n = 18) of participants had continuous abstinence at 12 weeks after the target quit date, which was not significantly different between conditions (15.6% TANS vs. 26.2% MM, χ 2 = 1.50, p = .221). Smokers in both groups significantly reduced smoking as measured by cigarettes per day and expired carbon monoxide. Findings support that mental health clinicians can be trained to effectively help smokers with SCZ maintain tobacco abstinence.

Maintenance of dietary behavior change.

Reducing dietary fat, saturated fat, and sodium and increasing intakes of dietary fiber and fruits and vegetables are important for cardiopulmonary risk reduction. Behaviorally, these dietary changes are very challenging, and in different ways. Fewer than half of U.S. adults have diets meeting recommended intakes of these constituents, and many do not see a need to align their diets with recommendations. Various nutrition education and behavioral counseling approaches have been shown to facilitate changes in fat, fiber, sodium, and fruits and vegetables, but primarily in research settings and among the highly motivated. Practice-based and interdisciplinary studies are needed to refine strategies to effect long-term dietary changes, to differentiate behavioral issues for changes involving additions versus deletions from the diet, and to elucidate the roles of sensory, psychosocial, and contextual factors in adoption and maintenance.