Design Of Intervention Programs Research Articles

Digital Contact as Strain or Support: How Does Type of Contact Shape the Association between Mother-child Interactions and Adult Children's Depressive Symptoms in Later-life Families?

This paper aims to extend research on the association between mother-child contact and adult children's psychological well-being in later-life families by differentiating between in-person, virtual, and written digital contact, examining the moderating role of children's gender, and exploring the processes that underlie these associations. Mixed-methods data were collected from 250 adult children nested within 131 families as part of the third wave of the Within-Family Differences Study. On average, adult children were 59 and mothers were 88 years of age. Multilevel analyses revealed that interacting with mothers through written digital media was associated with higher depressive symptoms among adult children, whereas mother-child in-person and virtual digital contact was not associated with children's depressive symptoms. When stratifying the sample by children's gender, we found that mother-child written digital contact was associated with higher depressive symptoms among daughters, but not sons. Qualitative analyses suggested that adult daughters' psychological well-being was negatively associated with written digital contact with their mothers because this medium of interaction typically fell short of daughters' expectations for emotionally enriching exchanges. This study revealed differences in how virtual and written digital contact are associated with psychological well-being among adult daughters, but not sons, suggesting that it is important to consider type of contact, gender of interactants, and content of exchanges when studying the associations between digital communication and relational and psychological well-being and designing intervention programs and digital communication technologies.

The Mediating Role of Health Empowerment in the Relationship Between Social Support and Loneliness Among Nursing Home Residents: A Correlational Study.

Loneliness is a significant public health problem due to the physical, cognitive and psychosocial changes that occur with ageing. Social support and empowerment can be particularly important for older people, alleviating loneliness and improving mental well-being. The present study aimed to investigate the mediating role of health empowerment in the relationship between perceived social support and loneliness among nursing home residents. The study was conducted with a correlational design and reported based on STROBE checklist. The study was completed with 277 older adults aged 65 years and over residing in nursing homes. Process Macro Model 4 was conducted to verify the mediating role. The response rate was 95.6%. Most older adults experienced a feeling of loneliness, and the level of social support and empowerment perceived by most of them was high. The study found a mediating role of health empowerment in the relationship between social support and loneliness. Social support was significantly positively correlated with health empowerment and negatively correlated with loneliness. The significant standardised indirect effect of health empowerment on loneliness evidenced a partial mediating role. This study concluded that health empowerment has a partial mediating role in the effect of perceived social support and loneliness. Nurses could develop effective strategies for preventing psychosocial problems in nursing home residents. Nurses could contribute significantly as educators, counsellors and leaders in planning interventions to empower older adults. By empowering older adults regarding healthcare, nurses could increase their perception of social support, improving mental health by increasing effective coping with loneliness. Nurses could design intervention programmes to increase perceived social support, as well as health empowerment levels, and reduce older adults' loneliness in nursing homes. Older adults completed the instruments.

Protective and Promotive Factors in Migrant and Refugee Children Facing Violence: A Systematic Review.

Migrant and refugee children are at risk of experiencing various forms of violence before, during, or after migration. This study systematically identifies, reviews, and synthesizes evidence on protective and promotive factors that contribute to the resilience of migrant and refugee children facing violence. Of the 3,663 articles identified through search in five electronic databases and snowball technique, 31 quantitative or qualitative research studies met the inclusion criteria. To be included in the review, studies had to (1) have been published after 2013; (2) have been published in English; (3) include migrant or refugee children and/or adolescents aged 18 or below at the time of interview or migration; (4) mention some types of maltreatment, peer violence, or community violence faced by the children or adolescents; (5) examine the association between the hypothesized protective or promotive factors and indicators of adaptive functioning; and (6) include outcome measures that assessed adaptive functioning such as well-being or absence or low-levels of internalizing and externalizing problems. Quality assessment did not lead to the exclusion of any studies. Five levels of protective and promotive factors were identified: individual, family, school and peers, community, and spatial dimension, which converged to highlight the importance of regulatory, interpersonal, and meaning-making strengths for these children. Understanding and addressing these protective and promotive factors is crucial for promoting well-being and improving mental health outcomes in migrant and refugee children facing violence. The findings of this review have significant implications for designing intervention programs and public policies that support these children effectively.

A Comparison of Self-esteem, Body Image, and Depression in Hysterectomized and Non-hysterectomized Iranian Women: A Comparative Cross-sectional Study

Background: Hysterectomy is one of the factors that may affect women's body image and self-esteem and lead to serious psychological complications. Objective: The study aimed to compare self-esteem, body image, and depression in hysterectomized and non-hysterectomized Iranian women Methods: In this cross-sectional comparative study, 140 women of the reproductive age, who have undergone hysterectomy with benign causes, were compared in terms of self-esteem, body image, and depression with 140 women receiving medical treatment due to abnormal bleeding in educational and medical centers in Tabriz, Iran. Sampling was conducted by convenience method. Self-esteem was assessed with the Rosenberg self-esteem questionnaire, body image was assessed with the multidimensional body-self relations questionnaire, and depression was assessed with the Beck II depression inventory. Data were analyzed by Pearson correlation test, independent t-test, chi-square test, and general linear model. Results: The mean (standard deviation) of the body image in hysterectomized and nonhysterectomized women was 235.3 (28.5) and 250.1 (23.4) out of an achievable score of 69-395, respectively. The mean (standard deviation) self-esteem score for hysterectomized women was 20.4 (4.8) and it was 24.2 (3.4) in non-hysterectomized women (out of an achievable score of 0-30). The mean (standard deviation) depression score was 18.1 (9.7) and 5.5 (4.6) out of 0-63 in hysterectomized and non-hysterectomized women, respectively. The differences in self-esteem, body image, and depression variables were statistically significant in hysterectomized and non-hysterectomized women, respectively (P<0.001) Conclusion: According to the results of the present study, the body image and self-esteem in hysterectomized women were low compared to non-hysterectomized women, while the level of depression was high, and this difference was statistically significant.

The Content and Nature of Rumination in Chinese Young and Middle-Aged Patients with Acute Coronary Syndrome: A Qualitative Study.

Individuals have different rumination patterns after experiencing traumatic events in different cultural backgrounds and situations. This study aimed to explore the experience of Chinese young and middle-aged patients with acute coronary syndrome (ACS) to understand the content and nature of their rumination. Sixteen participants were selected using the purposive sampling method in the First Affiliated Hospital of Soochow University from May 2023 to December 2023. Data were collected using semi-structured interviews and analyzed using Colaizzi's seven-step phenomenological method. The participants went through two successive stages: non-adaptive rumination and adaptive rumination. During the initial admission phase, all the participants experienced varying degrees of non-adaptive rumination. Non-adaptive rumination included four sub-themes: worry or anxiety of daily activities and medical therapy (37.50%), fear of unpredictable outcomes and death (37.50%), sadness of maladjustment (25.00%), and remorse of carelessness (12.50%). During the period of stable condition and pre-discharge, the participants received health education and gradually all transitioned to adaptive rumination. Adaptive rumination included four sub-themes: tracing of disease processes (100%), enhancement of disease cognition (81.25%), improvement of health awareness (62.50%), and adjustment of lifestyle cognition (100%). In conclusion, although the Chinese young and middle-aged patients with ACS experienced negative emotions after a traumatic cardiac event, they gradually made positive changes, and optimism and information support played important roles in this transition. The results of this study provide a fundamental understanding of rumination experiences in Chinese young and middle-aged patients with ACS and provide new data for healthcare providers when designing intervention programs to enhance post-traumatic growth in these patients.

Birth outcomes and survival by sex among newborns and children under 2 in the Birhan Cohort: a prospective cohort study in the Amhara Region of Ethiopia

IntroductionDespite the progress in reducing child mortality, the rate remains high, particularly in sub-Saharan African countries. Limited data exist on child survival and other birth outcomes by sex. This study...

Relationship between awareness of digital game addiction, health literacy, and sociodemographic characteristics of mothers: A structural equation modeling analysis

AimMothers' digital game addiction awareness and their health literacy levels are critical factors for addiction prevention strategies in children. Therefore, the present study is significant. This study examines the relationship between awareness of digital game addiction, health literacy, and the sociodemographic characteristics of mothers. MethodThis cross-sectional study was conducted with 457 mothers of children aged 5–11 years in Turkey. The data were collected using a personal information questionnaire, the Awareness of Digital Game Addiction Scale, and the Health Literacy Scale between May and September 2021. ResultsThis study revealed that mothers are highly aware of digital game addiction and have high health literacy. Furthermore, health literacy was determined to significantly and directly affect awareness of digital gaming addiction. Awareness of digital gaming addiction significantly and directly affects children owning their own technological devices and how much time mothers spend with their children. ConclusionThe study's results confirmed that mothers' health literacy had a positive and statistically significant effect on awareness of digital gaming addiction. As the health literacy levels of mothers increased, the internal and external awareness of digital gaming addiction increased. It is recommended to design intervention programs that increase mothers' awareness of digital game addiction. These programs should be planned according to the health literacy levels of mothers.

Family bonds and personal factors in caregiver burden in patients at the end of life.

Family caregivers are defined as those who assume substantial responsibilities for the care of an ill loved one without formal health care training. This study aims to analyze the predictors of physical and emotional burden in caregivers of palliative patients using qualitative comparative analysis methodologies (QCA) and taking into account patient and caregiver personal and relational variables. A total of 125 caregivers of patients at the end of life were assessed using an ad hoc emotional and physical burden questionnaire and patient and caregiver personal and relational variables were recorded. Results indicate moderately high levels of both emotional and physical burden. Differences in burden are found only as a function of kinship. Emotional burden is positively associated with the use of physical health medication in the caregiver and kinship; meanwhile, physical burden is positively associated with time since diagnosis, patient functional independence, and economic problems. For the QCA models, several pathways predict the observed variance in the emotional and physical burden of family caregivers of patients at the end of life, based on patient, caregiver, and relationship variables. In conclusion, it is relevant to design intervention programs focused on patient-caregiver relationship to prevent the development of emotional and physical burden.

The Effect of Childhood Maltreatment on Violent Behavior in Adulthood

Childhood is the fastest and most critical developmental period for individuals to develop emotional and cognitive abilities. If children are abused, neglected, or raised in a family with traumatic experiences and dysfunctional dynamics during childhood, it is very likely to have an impact on their future development during adulthood. This review mainly discusses the contribution of childhood maltreatment to adult violent behavior. Previous studies on different aspects in the same direction were analyzed. It was found that with the trajectory, the negative impact of childhood maltreatment will not be reduced. Severity of maltreatment and later violent behavior, gender, experiences of different types of abuse, shame, personality disorder and some protective factors serve as mediators to varying degrees. Among them, psychopathy is a controversial intermediary factor. One study indicated that it could function as an intermediary factor, while another article only found it as a factor leading to violent behavior, and there was no evidence to prove the impact of maltreatment on it. This review can provide some guidance to the design of intervention programs for children in need.

Identification and Assessment of Children with Special Needs in Regular Schools

This research aims to identify students with special needs, create their profiles, and design appropriate intervention programs. A qualitative method with a case study design was used with data collection instruments in the form of observation, documentation and interviews. Research subjects included school principals, teachers, regular students, children with special needs, and parents. The research was conducted in class IV of SDN Purwasari, Subang Regency, with a focus on identifying aspects of reading, writing and arithmetic. The results of the analysis show that one student, DI, has the lowest score in all three aspects. The next step is to prioritize the reading aspect because DI is not yet able to read. The reading assessment was carried out in three parts, and the results showed that DI still had difficulty answering questions or commands. Teachers are expected to design intervention programs on aspects of visual perception and phonological awareness before entering beginning reading material.

Determinants of Parental Intention to Vaccinate Young Adolescent Girls against the Human Papillomavirus in Taiwan: An Online Survey Study.

Since 2018, Taiwan has included the human papillomavirus (HPV) vaccination into its national immunization program for junior high school girls. However, the reports of side effects following vaccination have increased parental concerns. This study investigated parental intentions regarding the HPV vaccination for their daughters and related factors in Taiwan. A total of 213 parents of girls aged between 12 and 15 years participated in an online survey. The survey collected data on various factors, including the parental intention to vaccinate their daughters against HPV; the motivation behind the vaccinations, as measured using the Motors of Human Papillomavirus Vaccination Acceptance Scale; an understanding of the reasons behind the government's promotion of HPV vaccinations; concerns regarding the side effects of vaccinations for their daughters; an awareness of the reported side effects of HPV vaccines experienced by some individuals; the exposure to information on HPV vaccines from social media; and mental health status, measured using the Brief Symptom Rating Scale. The associations between these variables and the parental intention to vaccinate their daughters against HPV were examined using a multivariable linear regression analysis model. The findings revealed a moderate to high level of intention among participants to vaccinate their daughters against HPV. Parents who perceived a greater value in HPV vaccination for their daughters' health (B = 0.524, standard error [se] = 0.039, p < 0.001) and had greater autonomy in decision-making regarding vaccination (B = 0.086, se = 0.038, p = 0.026) exhibited a higher intention to vaccinate their daughters against HPV. Conversely, parents who expressed greater concern regarding the side effects of HPV vaccines for their daughters had a lower intention to vaccinate (B = -0.762, se = 0.203, p < 0.001). Based on these findings, this study recommends integrating these factors into the design of intervention programs aimed at enhancing parental intentions to vaccinate their daughters against HPV.

The association between addiction profile and early maladaptive schemas among individuals with opioid use disorder

ABSTRACT Background and objective Opioid use disorder (OUD) is a global problem and factors that play a role in its development and treatment outcomes need to be examined. We aimed to compare early maladaptive schemas (EMS) in individuals with OUD with a control group and to investigate the effects of these variables on the addiction profile. Methods Eighty-one participants with a diagnosis of OUD and 81 control participants were included in the study. The sociodemographic data form and Young Schema Inventory Short Form-3 were used as data collection tools for both groups. In addition, the Addiction Profile Index (API) was applied to the OUD group. Results A statistically significant difference was identified in 11 of the 14 schema domains. We found a statistically significant positive correlation in the API total scores of OUD patients with the areas of failure, social isolation/insecurity, and nesting/addiction schemas. Conclusions OUD patients were characterized with more prominent maladaptive schemas compared to the control group. When evaluating individuals with OUD, it would be beneficial to determine the dominant schema areas and consider them in designing treatment programs. In addition, new methods should be developed to examine the effects of schemas on complex events such as dependency.

Diversity of Anopheles Larvae in Toro Local Government Area, Bauchi State, North-East Nigeria

Vector control is a critical element of malaria control programs in Africa. To reduce human exposure to infective Anopheles mosquitoes, most programs rely on methods that kill adult mosquitoes. Therefore, the study on the distribution and abundance of Anopheles larvae in Toro Local Government Area (LGA.), Bauchi State, North-East Nigeria was carried out in July 2013. Five villages were randomly selected for the collection of Anopheles larvae. A total of 988 Anopheles larvae were collected from five habitat types. The paddy habitat recorded the highest abundance of 494(50%) while the canal habitat had the least abundance 53(5.36 %). The mean abundance of Anopheles larvae in relation to gradients of larval habitat to houses showed no significant difference (F9 = 0.434, Adjusted R2 = -0.39, P = 0.885). However, there was a significant difference (F14 = 9.18, Adjusted R2 = 0.65, P = 0.001) in the mean abundance of Anopheles larvae in relation to habitat types. The larval abundance in relation to water depths varied significantly (F13 = 29.61, Adjusted R2 = 0.888, P = 0.001). There was no significant difference (P &gt; 0.05) in larval abundance between still and moving waters; light versus shaded water bodies; and clear versus turbid waters, respectively. In conclusion, the inhabitants of Toro LGA should always clear stagnant water bodies so as to hinder mosquitoes breeding success. Also, larval source management should focus more on paddy habitat in peri-urban agricultural sites when designing intervention programmes in order to control mosquitoes’ larvae.

Does Ramadan serve as a naturalistic intervention to promote Muslim American adolescents’ daily virtues? Evidence from a three wave experience sampling study

ABSTRACT Religion/spirituality has been linked to virtue development across individuals, but most of this evidence is derived from decontextualized one-time survey studies. We employed a three-wave experience sampling study to examine whether Ramadan heightens Muslim American adolescents’ connectedness to Allah, inhibitory self-control, initiatory self-control, patience, and compassion within individuals. Adolescents (N = 202) were prompted to complete three daily surveys for a week before, during, and after Ramadan each. Results indicated that adolescents grew more connected to Allah and exhibited greater inhibitory self-control, initiatory self-control, and patience in their daily lives from pre-Ramadan to Ramadan, with continued elevated effects for initiatory self-control and patience – but not for inhibitory self-control – after Ramadan. In contrast, adolescents reported high levels of daily compassion before and during Ramadan, but lower levels after Ramadan. Our findings emphasized the importance of disentangling within- and between-person effects and have implications for virtue theories and the design of intervention programs.

Research on the Promotion Mechanism of Sports Participation in Children and Adolescents Based on Social Cognitive Theory

This study aims to explore the promotion mechanism of children and adolescents' sports participation, based on social cognitive theory. By analyzing the theoretical framework of social cognitive theory, this study aims to gain a deeper understanding of the internal mechanisms of children and adolescents' participation in sports, and provide theoretical support for promoting their physical and mental health development. The study adopted various research methods, including literature review, expert interviews, observation, and teaching experiments, to systematically analyze the elements and promotion mechanisms of children and adolescents' participation in sports. The research results show that social cognitive theory plays a crucial role in interpreting children and adolescents' sports participation behavior, cognitive processes, and emotional experiences. In terms of practice, research has proposed multiple strategies, including innovating the teaching mode of physical education for children and adolescents, integrating sports training camps with social cognitive theory, and designing intervention programs for children and adolescents in sports participation based on social cognitive theory. Future research directions include providing diverse role models, encouraging diverse ways of social participation, and establishing a positive sense of social identity to further promote the practice and development of sports participation among children and adolescents.

Social and Language Development Interventions Regarding Adolescents with Autism Spectrum Disorder.

Every person with autism spectrum disorder (ASD) is unique and faces challenges with communication, repetitive behaviors, and social interaction. Speech and language development are among the key areas affected by ASD. Speech therapy plays a crucial role in the lives of individuals with autism. Communication is central to human interaction, and people with ASD often struggle to effectively express their needs, thoughts, and feelings. This paper explores the importance of speech language and social skills improvement for adolescents on the autism spectrum, focusing on the goals and techniques that help them overcome communication barriers. The improvements in these areas enhance social interactions, boost academic performance, and increase independence. The paper also discusses considerations for designing intervention programs for individuals with autism and provides recommendations for practice. Moreover, recommendations for future research are provided.

Determinants of immunization defaulters among children aged 12–23 months in Ambo town, Oromia, Ethiopia: A case–control study

ABSTRACT Immunization is a public health intervention to reduce morbidity and mortality among children. However, vaccination becomes more effective if the child can receive the full course of recommended vaccination doses according to the schedule. Many children fail to complete the full course of vaccination. To identify the determinants of immunization defaulters among children aged 12–23 months in Ambo town, Oromia, Ethiopia. A community-based, unmatched, case–control study was done from October 1 to 25, 2021. A simple random sampling was used to select 317 (106 cases and 211 controls). Data were collected by using a pretested and structured questionnaire. Data were coded and entered to Epi-data version 3.1 and then transported to SPSS version 21.0 for statistical analysis. Descriptive analysis like frequency, mean, and percentage was calculated. Binary and multivariable logistic regression analysis was done. Finally, variables with a p value < .05 were considered statistically significant. Urban residences (AOR = 0.288, 95% CI, 0.146, 570), government employee (AOR = 0.179, 95% CI, 0.057, 0.565), number of family members more than four (AOR = 2.696, 95% CI, 1.143, 6.358), higher income (AOR = 0.250, 95% CI, 0.099, 0.628), attending ANC (AOR = 0..237, 95% CI, 0.107, 0.525), and good awareness (AOR = 0.070, 95% CI, 0.005, 308) were significant predictors of immunization defaulters. This study has found that urban residences, government employee by occupation, number of family members more than four, higher monthly income, and attending ANC were identified as determinants of childhood immunization defaulters. Social Behavior Change intervention programs should focus on providing health information about the importance of the vaccine and vaccine schedule. Due attention should be given for rural residents and farmers who had limited access to information and are more prone to defaulting. Policy-makers should consider those identified factors while designing intervention programs to enhance vaccination coverage.

Study Protocol of Implementation and Evaluation of Aging Home Modification Intervention Program (AhMIP) for Iranian Community-Dwelling Older Adults

Introduction With the rapid increase in the older population in Iran, the housing needs of this age group are also changing. The residential environment plays an important role in the ability of older adults to perform daily activities. This study will be conducted to implement and evaluate a home modification intervention program to support older adults. Method This paper describes the protocol for a triangulation mixed methods design study with three substudies. The first substudy is a cross-sectional study to be conducted on 422 community-dwelling older adults to assess their current status at home, functional abilities, fear of falling, and quality of life. In the second substudy, a randomized clinical intervention trial will be conducted on 116 older adults (58 intervention group and 58 control group) with the intervention of home modifications based on the results of the Home Falls and Accidents Screening Tool. The third substudy is a qualitative study with an in-depth, semi-structured interview approach to find out about older adults’ experienecs regarding AhMIP. Conclusion The quantitative and qualitative findings of this study can be useful in designing intervention programs to improve the living environment of older Iranian adults and promote their quality of life.

Social Bonding, Risky Lifestyle, and Polyvictimization Among a Sample of Chinese Adolescents.

Polyvictimization has received substantial scholarly attention globally since it has been put forward two decades ago. However, the current lack of understanding of the causes of polyvictimization hinders the design of intervention programs. This study aims to integrate social bonding theory and lifestyle-routine activity theory to understand the etiology of polyvictimization in the Chinese context. Our results suggest that social bonding exerted not only a direct effect on polyvictimization (β = -.030, p < .001) but also an indirect effect through delinquency and association with delinquent peers. Surprisingly, we found that the pathways linking social bonding and polyvictimization do not differ across genders. Implications for practice and theories are discussed.

Prevalence of falls and comparison of health-related physical fitness factors between different faller categories among institutionalized older adults in Kandy District of Sri Lanka.

Falls can be identified as one of the main issues in elderly population which can lead to serious consequences. Elderly population can be subdivided as community dwelling older adults and institutionalized older adults. The components of health-related physical fitness factors play an important role in the perspective of healthy ageing. The objective of the study was to determine the prevalence of falls and to compare health-related physical fitness factors between different fall categories among institutionalized older adults. This descriptive cross-sectional study comprised of one hundred and seventy-two elders above 60 years of age, living in registered elder's homes in Kandy District. The prevalence of falls was determined by the number of falls reported by the subjects. They were further categorized as non-fallers, fallers, and frequent fallers depending on the number of falls. Body Mass Index (BMI) for body composition, 2-minute walk test for cardiovascular endurance, 30 second sit to stand test for muscle strength and endurance, hand grip strength for upper body strength, chair sit and reach test for lower body flexibility and back scratch test for upper body flexibility were the measures used to assess health-related physical fitness factors. The prevalence of falls is presented as percentage and the health-related factors were compared between the three faller categories using one-way ANOVA and pairwise comparison was performed using Scheffe test. The prevalence of falls was 47.1%. There was a significant difference in BMI, cardiovascular endurance, and lower body flexibility between the three categories of fallers. Higher BMI, lower cardiovascular endurance and lower flexibility in the lower body were associated with increased prevalence of falls (p<0.05). There was no significant difference in body fat percentage, hand grip strength, lower body muscle strength and endurance and upper body flexibility (p>0.05). The findings suggest that, BMI, cardiovascular endurance, and lower body flexibility must be addressed and managed, while designing intervention programs for falls prevention among institutionalized older adults.