The Influence of the Competences of the Professionals in Charge of Family Evidence-Based Programmes on Internalizing and Externalizing Symptoms in Adolescents.

This study analyses the influence of trainers' intrapersonal and group management competences on the effectiveness of the Universal Strengthening Families Program 11-14 (SFP 11-14). More specifically, it assesses the effect of these competences on internalizing and externalizing symptoms in adolescents. The analysed data is made up of ratings given by the 174 mothers participating in SFP 11-14. The results confirm the effectiveness of SFP 11-14 in reducing internalizing and externalizing symptoms in adolescents. Using linear regression models, evidence is provided of the influence of the trainers' expertise, in terms of their competences, in improving internalizing symptoms in adolescents (through a reduction in levels of anxiety, depression, and somatization and in the global internalization scale). Emphasis is placed on how trainer competences can impact on the effectiveness of evidence-based programmes, stressing that this should be taken into account by the public authorities and other stakeholders in the assessment and design of family evidence-based programmes.

Evaluation of Distress and Risk Perception Associated with COVID-19 in Vulnerable Groups.

Preventive behavior developed by the population is essential in the face of the risk of coronavirus infection (COVID-19). However, preventive measures will depend on the risk perception acquired. In addition, lockdown can directly affect mental health, provoking distress. Distress could affect risk perception. This study's objective was to analyze whether experiencing distress had an influence on risk perception with respect to vulnerable groups. The sample consisted of 806 participants. The study was conducted during the first week of lockdown declared by the Spanish Government. The Brief Symptom Inventory BSI-18 and a risk perception questionnaire about vulnerable groups was administered. The study revealed the appearance of distress in 9.6% of the sample (85.7% women). Experiencing distress influenced risk perception. This study's main contribution is the link between experiencing distress and the risk perception with respect to vulnerable groups. Risk perception is relevant since it can influence how the population faces the pandemic. Transmission of accurate information could help to minimize the effect of certain cognitive biases that affect risk perception and foster preventive behavior.

Measurement of Typhim Vi IgG as a Diagnostic Tool to Determine Anti-polysaccharide Antibody Production Deficiency in Children.

Background: The assessment of specific polysaccharide antibody production plays a pivotal role in the diagnosis of humoral primary immunodeficiencies (PID). The response to 23-valent pneumococcal vaccine (PPV) remains the gold standard for the diagnosis of polysaccharide antibodies. However, in Spain, the interpretation of pure polysaccharide 23-valent immunization is hampered by the high endemicity of pneumococcal disease and the generalization of the 13-valent adjuvant pneumococcal vaccination. Specific Typhim Vi vaccination (TV) immunoglobulin G IgG response to immunization is useful in adult PID, but there is no data regarding children. Objectives: To evaluate the clinical utility of TV IgG production as a diagnostic tool to determine anti-polysaccharide antibody production deficiency in children, when the response to PPV is unclear and isolated determination of serotypes is unfeasible. Methods: We conducted a single-institution prospective observational study on 61 children with recurrent infections. Baseline specific antibodies against PPV and TV were evaluated. In 28 children (46%), the response to the production of antibodies confirmed a clinical suspicion of humoral PID, and they were therefore immunized with 23-valent pneumococcal vaccine and Typhim Vi. Both specific antibody responses were measured by ELISA (The Binding Site Group Ltd, Birmingham, UK) using previously published cut-offs. Results: Seventy percent of the 61 children displayed baseline PPV IgG > 27 mg/L, whereas only 8% showed TV IgG > 28 U/mL (p < 0.0001). Twenty-one of 28 children (75%) achieved a 3-fold increase in post-vaccination TV IgG levels, whereas only 3% achieved a 4-fold increase in PPV IgG post vaccination, mainly due to high baseline PPV IgG titers. When we classified children according to their response to TV as responders or non-responders and compared this with the well-known clinical warning signs of the Jeffrey Modell Foundation. The proportions of children with history of pneumonia and the need for intravenous antibiotics were significantly higher in TV IgG non-responders than in TV IgG responders (p = 0.02 and p = 0.01, respectively). Conclusion: Response to TV can be considered an ancillary diagnostic tool to determine polysaccharide antibodies in children, particularly when isolated determination of pneumococcal serotypes is not feasible. TV provides a useful asset for clinicians in the era of conjugate PPV vaccination, with clinical relevance. Further research is warranted for validation.

Género y cambio de actitudes ante el consumo de drogas. Los efectos del Programa de Competencia Familiar con adolescentes (12-14 años) / Gender and Attitude Change in Drug Abuse. Effects of the Family Competence Program with Adolescents (12-14 years)

Resumen Las actitudes en la adolescencia hacia el consumo de drogas son muy relevantes para entender el consumo real. Además, hay que incorporar perspectivas de explicación diferenciadas por género. En este estudio se analiza el cambio de actitudes en el largo plazo después de participar en un programa de prevención familiar basado en la evidencia, el Programa de Competencia Familiar (PCF). A partir de una muestra de 78 adolescentes que han participado en el programa, además de un grupo de control, se mide la evolución de las actitudes hacia el consumo mediante el Cuestionario de Actitudes hacia las Drogas (CAD), cuestionario validado y utilizado como referencia por el Plan Nacional Sobre Drogas español. Se llevan a cabo tres procesos de medición separados por género: al inicio de la aplicación del PCF, al final de la aplicación (Post 1) y un seguimiento a los 24 meses (Post 2). Los principales resultados indican que se consiguen diferencias significativas en la disminución de la disponibilidad hacia el consumo, y en en la reducción de las creencias erróneas al final del programa, aunque no a largo plazo, tanto en chicos como en chicas. En cuanto a las creencias correctas o protectoras, estas se mantienen consistentes a lo largo del tiempo en ambos sexos.

Abstract Attitudes towards drug abuse are relevant to understand real abuse. Furthermore, explanations by gender should be also incorporated. In the current study, it is analyzed the attitudinal change in the long-term after participating in an evidence-based family prevention program, the Family Competence Program (FCP). With a population sample of 78 adolescents that have participated in the program, and a control group, it is measured the evolution of the attitudes towards consumption using the Drugs Attitudes Questionnaire, validated questionnaire and used as a reference by the Spanish National Plan Against Drugs. Three measurement processes are undertaken, differentiated by gender: at the beginning of the FCP application, at the end of the application (Post 1) and a 24-month follow-up (Post 2). Main results indicate that significant differences are achieved in availability for consumption and in wrong beliefs, at the end of the program, but not in the long term, both in girls and boys. Regarding protective beliefs, these are consistent along time in both genders.