A Statewide Randomized Controlled Trial to Compare Three Models for Implementing Parent Child Interaction Therapy.

OBJECTIVE: This study (NIMH RO1 MH095750; ClinicalTrials.gov Identifier: NCT02543359) evaluated the effectiveness of three training models to implement a well-established evidence-based treatment, Parent-Child Interaction Therapy (PCIT). METHOD: Fifty licensed outpatient clinics, including 100 clinicians, 50 supervisors, and 50 administrators were randomized to one of three training conditions: 1) Learning Collaborative (LC), 2) Cascading Model (CM) or 3) Distance Education (DE). Data to assess training and implementation outcomes were collected at 4 time points coinciding with the training period: baseline, 6- (mid), 12- (post), and 24-months (1-year follow-up). RESULTS: Multi-level hierarchical linear growth modeling was used to examine changes over time in training outcomes. Results indicate that clinicians in CM were more likely to complete training, reported high levels of training satisfaction and better learning experiences compared to the other training conditions. However, supervisors in the LC condition reported greater learning experiences, higher levels of knowledge, understanding of treatment, and satisfaction compared to supervisors in other conditions. Although clinicians and supervisors in the DE condition did not outperform their counterparts on any outcomes, their performance was comparable to both LC and CM in terms of PCIT use, supervisor perceived acceptability, feasibility, system support, and clinician satisfaction. CONCLUSIONS: Through the use of a randomized controlled design and community implementation, this study contributes to the current understanding of the impact of training design on implementation of PCIT. Results also indicate that although in-person training methods may produce more positive clinician and supervisor outcomes, training is not a one-size-fits-all model, with DE producing comparable results on some variables.

Assessing the Link between Adolescents' Awareness of Inequality and Civic Engagement across Time and Racial/Ethnic Groups.

Adolescents' awareness of societal inequality has been linked to higher civic engagement. This study expands prior research by testing whether awareness of inequality differentially motivates prosocial and political forms of civic engagement, whether adults' modeling of civic agency moderates links between awareness of inequality and civic engagement, and whether associations differ by race/ethnicity. Longitudinal data came from 3208 youth (Mage = 14.1, Range = 7-20, 56.1% female, 39.7% White, 38.4% Latinx, 12.3% Black, and 6.9% Asian). Across racial/ethnic groups, awareness of societal inequality predicted increased political behaviors and beliefs 2 years later. Adults' modeling of civic agency predicted certain forms of civic engagement but did not moderate links. The findings advance theory and research on the motivating role of awareness of inequality for political beliefs and actions.

Adolescents' Evaluations of Political Leaders: The Case of President Donald Trump.

The current study explored youths' views of President Donald Trump using quantitative ratings and open-ended responses from a diverse sample of 1,432 U.S. adolescents from three geographic regions. Adolescent demographic characteristics (i.e., gender, race, geographic location) were systematically associated with their views about Trump. Open-ended responses demonstrated substantial variability in youths' rationales for approving or disapproving of the president. Adolescents' attitudes were informed by knowledge of the president's leadership attributes, political views and policies, and their own experiences. Findings indicate that adolescents draw upon and synthesize a broad range of information when formulating their political views and coordinate this knowledge with their own opinions and experiences when evaluating political figures.

Similarities and Differences in Adolescents' Organized and Civic Activity Networks across Rural and Non-Rural Communities.

Youth are often involved in multiple organized and civic activities simultaneously, resulting in complex patterns or "networks" of participation. Little research has examined the network structure of adolescents' organized and civic participation and whether these networks vary across communities. Examining activity networks may help identify specific forms of participation that are more widely and strongly connected with other activities, and may thus provide a gateway for becoming multiply involved. Youth (N= 902; Mage = 15.90; 55.7% female) from a rural (n= 476) and non-rural (n= 426) community completed measures assessing engagement in 25 civic and organized activities. Network analysis indicated that activities in the rural community had greater network density relative to the non-rural community. Volunteering to clean up the neighborhood was most central to both networks. Church attendance and community sports were more central for the rural network, whereas protesting and school arts were more central for the non-rural network. These findings suggest that volunteer activities may serve as a "hub" for organized and civic activity participation and highlight similarities and differences in the co-occurrence of activities across two distinct communities.

Examining Character Structure and Function Across Childhood and Adolescence.

Character strengths are an integral component of positive youth development that can promote flourishing. Developmental principles posit constructs become increasingly complex with age, yet this process has not been examined with character. Using a socioeconomically and ethnically diverse sample of 2,467 youth ages 9-19, bifactor models were estimated across elementary, middle, and high school-age groups to examine age differences in character structure and function. With successive age, a greater number of specific character strength factors were identified, suggesting character structure becomes more differentiated across adolescence. Results linking character bifactor models to indicators of positive functioning also supported differentiation in character function across ages. Findings point to the need for theoretical and empirical considerations of character structure and function across development.

Adolescents' Civic Engagement: Concordant and Longitudinal Associations Among Civic Beliefs and Civic Involvement.

Associations between adolescent civic and organized activities (volunteering, standard political, social movement, school/community, religious) and civic beliefs (comprised of should, obligation, and respect judgments) were examined. Cross-sectional models (N = 703, Mage  = 15.87) indicated domain specificity between adolescent civic beliefs and behaviors. Longitudinal models (n = 219, Mage  = 15.39) indicated that adolescents' standard political beliefs predicted greater levels of standard political involvement one year later, and school/community activities predicted greater standard political beliefs a year later. Youth volunteering predicted lower standard political beliefs, and standard political involvement predicted lower community service beliefs one year later. Findings support the assessment of adolescent sociomoral civic beliefs and demonstrate how civic experiences and civic beliefs can mutually promote each other during adolescence.

A matter of fact? Adolescents' assumptions about crime, laws, and authority and their domain-specific beliefs about punishment.

This study examined adolescents' beliefs about the amount of punishment individuals should receive for violating different laws and whether these beliefs are connected with their informational assumptions (i.e., perceived facts) about crime, laws, and authority. American adolescents (N = 340; Mage = 16.64, 58.2% female) reported their judgments concerning the appropriate punishment for violating laws regulating domain-specific behaviors and their informational assumptions regarding the prevalence and causes of crime, beliefs that authority is knowledgeable, and the purpose of punishment. Greater internal attributions for crime was associated with stronger punishment judgments for violating laws that regulate moral and conventional issues. Greater beliefs that punishment teaches right from wrong was associated with stronger punishment judgments for violating laws that regulate drug-related prudential issues, and lower punishment judgments for violating laws that regulate personal issues. Greater beliefs that authorities are more knowledgeable than others was associated with stronger punishment judgments for violating laws that regulate personal issues.

The Intersection of Emotional and Sociocognitive Competencies with Civic Engagement in Middle Childhood and Adolescence.

Civic developmental theory anticipates connections between normative developmental competencies and civic engagement, but little previous research has directly studied such links. The current study sought to contribute to civic development theory by examining associations between emotional and sociocognitive competencies (empathy, emotion regulation, prosocial moral reasoning, future-orientation) and civic engagement (volunteering, informal helping, political behaviors and beliefs, environmental behaviors, social responsibility values, civic skills). Data came from a geographically and racially diverse sample of 2467 youth (Mage = 13.4, Range: 8-20 years, 56% female). The results indicated that empathy and future-orientation significantly predicted nearly all forms of civic engagement, whereas emotion regulation and prosocial moral reasoning were uniquely associated with specific forms of civic engagement. Exploratory multi-group models indicated that empathy and emotion regulation were more strongly associated with civic engagement among younger youth and prosocial moral reasoning and future-orientation were more strongly related to civic engagement among older youth. The findings help to advance developmental theory of youth civic engagement.

Domain Specificity in Adolescents' Concepts of Laws: Associations Among Beliefs and Behavior.

Using detailed vignettes and scale measures, concepts of laws regulating domain-specific issues and engagement in delinquency were assessed among 340 9th through 12th graders (Mage = 16.64, SD = 1.37). Adolescents distinguished between laws that regulate moral, drug-related prudential, conventional, personal, and multifaceted issues in their criterion judgments and justifications. Youths' ratings of the importance of laws, obligation to obey laws, and deserved punishment for breaking different laws also followed domain-consistent patterns. Adolescents' engagement in moral, drug-related prudential, and multifaceted forms of delinquency was associated with less supportive judgments about laws within the same domain. Findings contribute to civic development research by demonstrating domain specificity in adolescents' beliefs about laws and suggest that these beliefs are linked with engagement in similar types of delinquency.

Associations Between Food-Related Parenting Behaviors and Adolescents' Engagement in Unhealthy Eating Behaviors.

Food-related parenting behaviors have the potential to impact youth eating behaviors and nutrition knowledge. The present study examined associations between parental behaviors specific to eating (i.e., rules, solicitation, and the creation of a health-focused home environment) and specific unhealthy eating behaviors prevalent during adolescence. Additional analyses examined whether such associations were explained by adolescent nutrition knowledge. A total of 145 adolescents ( M = 14.48, SD = 1.75 years) and their mothers ( M = 43.52, SD = 6.76 years) completed questionnaires as part of a larger study investigating parent-adolescent communication. Mothers' food-related parenting behaviors were not directly associated with adolescents' engagement in unhealthy eating behaviors. However, more parental rules were associated with greater adolescent nutrition knowledge. In addition, mothers' creation of a health-focused home environment was indirectly associated with less fast food consumption through greater adolescent nutrition knowledge. Implications and future directions are discussed.

Extending the 'cross-disorder' relevance of executive functions to dimensional neuropsychiatric traits in youth.

BACKGROUND: Evidence that different neuropsychiatric conditions share genetic liability has increased interest in phenotypes with 'cross-disorder' relevance, as they may contribute to revised models of psychopathology. Cognition is a promising construct for study; yet, evidence that the same cognitive functions are impaired across different forms of psychopathology comes primarily from separate studies of individual categorical diagnoses versus controls. Given growing support for dimensional models that cut across traditional diagnostic boundaries, we aimed to determine, within a single cohort, whether performance on measures of executive functions (EFs) predicted dimensions of different psychopathological conditions known to share genetic liability. METHODS: Data are from 393 participants, ages 8-17, consecutively enrolled in the Longitudinal Study of Genetic Influences on Cognition (LOGIC). This project is conducting deep phenotyping and genomic analyses in youth referred for neuropsychiatric evaluation. Using structural equation modeling, we examined whether EFs predicted variation in core dimensions of the autism spectrum disorder, bipolar illness, and schizophrenia (including social responsiveness, mania/emotion regulation, and positive symptoms of psychosis, respectively). RESULTS: We modeled three cognitive factors (working memory, shifting, and executive processing speed) that loaded on a second-order EF factor. The EF factor predicted variation in our three target traits, but not in a negative control (somatization). Moreover, this EF factor was primarily associated with the overlapping (rather than unique) variance across the three outcome measures, suggesting that it related to a general increase in psychopathology symptoms across those dimensions. CONCLUSIONS: Findings extend support for the relevance of cognition to neuropsychiatric conditions that share underlying genetic risk. They suggest that higher-order cognition, including EFs, relates to the dimensional spectrum of each of these disorders and not just the clinical diagnoses. Moreover, results have implications for bottom-up models linking genes, cognition, and a general psychopathology liability.

A Social Domain Approach to Informant Discrepancies in Parental Solicitation and Family Rules.

An extensive body of research has explored the effects of parental monitoring on adolescent outcomes, but studies consistently find substantial discrepancies between parent and adolescent reports of different monitoring behaviors. Little research has examined whether parents and adolescents are more or less discrepant when reporting on parents' rules or solicitation for different adolescent problem and health risk behaviors and few studies have explored potential explanatory variables to explicate individual variability in parent-adolescent discrepant reporting. To address this gap in the literature, the current study examined discrepancies in mother-adolescent reports of family rules and solicitation across five distinct adolescent behaviors: personal behaviors and four different risk behaviors (alcohol-related, cyber, over- and under-eating). Participants were 143 mother-adolescent dyads (Adolescent M age  = 14.42, SD = 1.73, range = 12-18, 81 % white, 60 % female). Mean-level discrepancies between maternal and adolescent reports significantly differed by category of adolescent behavior and also varied as a function of reported parental monitoring behavior (rules vs. solicitation). Discrepancies in mother-adolescent reports of behavior-specific rules and solicitation were positively associated with discrepancies in mother and adolescent judgments of the harmfulness of the activities. The results demonstrate that discrepancies in mother-adolescent reports of family process differ by category of adolescent behavior and may be undergirded by differences in mother and adolescent informational assumptions about the potential harm involved with different activities.

Predictors of self-reported adherence to mammography screening guidelines in West Virginia women visiting a stationary facility.

The objectives of this study are to describe the characteristics of women age 40 years and above who utilize a stationary mammography facility and to determine the predictors of self-reported adherence to mammography screening guidelines. Data were analyzed using the expanded version of Andersen Behavioral Model of Healthcare Utilization. Of the 1,104 women included in the analysis, 1,019 women (92.3%) reported having had a mammogram in the past two years. In logistic regression after adjusting for all the variables, older age, having health insurance, not having delayed medical care due to transportation problem, being adherent to clinical breast exam (CBE), Pap test and other routine screenings and having positive views about mammography screening significantly predicted adherence to mammography screening. Adherence to mammography screening was very high in this sample, and enabling and need-related factors and positive views about mammography screening predicted adherence to mammography screening guidelines.

Beliefs and behaviors associated with the first named heat wave in Seville Spain 2022.

Heat waves pose a substantial and increasing risk to public health. Heat health early warning systems (HHEWSs) and response plans are increasingly being adopted to alert people to the health risks posed by days of extreme heat and recommend protective behaviors. However, evidence regarding the effectiveness of HHEWSs remains limited. We examined the impact of heat wave naming on heat-related beliefs and behaviors to ascertain the potential effectiveness of heat wave naming as a heat health risk communication and management tool. Specifically, we surveyed members of the public exposed to the proMETEO Sevilla HHEWS messaging campaign which in the summer of 2022 applied a name to heat waves considered to pose the greatest risk to public health. During the heat season we evaluated, the proMETEO Sevilla HHEWS campaign applied a name to one heat wave, heat wave "Zoe". Our analysis of the post-survey of 2022 adults indicated that the 6% of participants who recalled the name Zoe unaided reported greater engagement in heat wave safety behaviors and more positive beliefs about naming heat waves and their local governments' heat wave response. These results provide initial evidence for potential utility in naming heat waves as part of HHEWSs and HAPs.

Do Appalachian women attending a mobile mammography program differ from those visiting a stationary mammography facility?

To compare the characteristics (demographic, access to care, health-related behavioral, self and family medical history, psychosocial) of women aged 40 years and above who utilize a mobile mammography unit with those women aged 40 years and above who obtain mammography screening at a stationary facility. A cross-sectional study design was used with participant cohorts comprised of women age 40 years and above throughout West Virginia (WV) who utilized mobile mammography unit to get mammogram and those who had mammography screening at the stationary facility and completed the Mammography Screening and Preventive Care Survey. A total of 1,161 women who utilized the mobile mammography unit and 1,104 women who utilized stationary facility were included in the analysis. In logistic regression after adjusting for all the variables, women who utilized mobile mammography unit were more likely to be in age group 40-49, with lower income, with no health insurance coverage, not visit doctor or obstetrician/gynecologist (OB/GYN) in the past year, not adherent to clinical breast exam and mammography screening guidelines, with lower perceived five-year risk of developing breast cancer and with high knowledge about mammography screening. Women who utilize mobile unit are not adherent to mammography screening guidelines thereby suggesting that the mobile mammography unit is indeed reaching a rural vulnerable population who may not routinely access preventive health services. Financial and insurance constraints, as well as access to medical care, restricted WV women from receiving mammography screening from the stationary screening facilities.

Adolescents' domain-specific judgments about different forms of civic involvement: variations by age and gender.

Domain-specific judgments about different forms of civic engagement were assessed in a sample 467 primarily White adolescents (M age=15.26, range=11-19). Adolescents reported on the obligatory nature and social praiseworthiness (respect) of different forms of civic involvement. Adolescents distinguished among four different categories of civic involvement in their judgments: community service, standard political involvement (e.g., voting), social movement involvement (e.g., protesting), and community gathering activities. These mean differences were moderated by adolescent age (early, middle, and late adolescents) and gender. With increasing age, adolescents judged community service to be more worthy of respect but less obligatory. Compared to early adolescents, late adolescents prioritized standard political involvement as an activity in which US citizens should be engaged, but judged community gathering activities to be less obligatory. Across all age groups, girls judged community service and community gathering activities to be more obligatory than boys.

College students' ageist behavior: the role of aging knowledge and perceived vulnerability to disease.

This cross-sectional study examined the associations among perceived vulnerability to disease, aging knowledge, and ageism (positive and negative) in a sample of undergraduate students enrolled in a human development course (N = 649; M age = 19.94 years, SD = 2.84 years). Perceived vulnerability to disease and aging knowledge were associated with self-reported ageist behaviors. Undergraduates who viewed themselves as more susceptible to disease and knew less about the aging process tended to report more negative ageist behavior. Sex moderated the association between aging knowledge and ageist behavior, indicating the association was stronger for males. Discussion focuses on implications for gerontology educators.

Heterogeneous friendship affiliation, problem behaviors, and emotional outcomes among high-risk adolescents.

Adolescent friendship groups are often heterogeneous and thus involve exposure to both deviant and nondeviant influences. This longitudinal study examined whether the addition of nondeviant peer influences in early high school protected against the negative socialization effects of deviant affiliation on both concurrent and future smoking, alcohol problems, and depressive symptomatology. Adolescents (9th and 10th grade students, N = 1,128) completed self-report questionnaires at both a baseline and 24-month assessment. Nondeviant affiliation consistently reduced the effects of deviant influences on smoking and alcohol problems but not on depressive symptoms. Findings reinforce the complexity of adolescent friendship influences and the notion that distinct mechanisms may drive the associations between deviant affiliations and behavioral and emotional outcomes throughout adolescence. Implications for prevention are also discussed.

Transitions in risk-behavior profiles among first-year college students.

ObjectiveThe current study utilized a longitudinal person-centered approach (latent transition analysis [LTA]) to assess transitions into and out of risk-behavior profiles during the transition into and throughout the first year of college. Participants: Participants included 579 first-year college students (Mage = 18.13, SD = .94) from a large mid-Atlantic university. Methods: Participants completed surveys at five points throughout their freshman year. Results: LTA suggested that most individuals either abstained from engaging in risk behaviors or transitioned toward profiles of less risk over time. A smaller portion of individuals either began and ended the year in the same risk profile or transitioned into profiles of greater risk. Conclusions: The findings highlight the importance of utilizing person-centered analyses to examine change in multiple health-risk behaviors.

The Family Talk About Smoking (FTAS) paradigm: new directions for assessing parent-teen communications about smoking.

INTRODUCTION: Smoking experimentation represents transient risk taking for some youth, whereas for others, it is the onset of a chronic smoking trajectory. However, distinguishing these groups during the experimentation phase has proved challenging. We theorized that variations in parent and teen discourse about smoking might be informative for characterizing this heterogeneity. However, standardized methods for direct assessments of these family processes have been lacking. METHODS: We examined the predictive utility of directly observed facets of smoking-specific communication for predicting persistence of teen smoking experimentation using a novel method, the Family Talk About Smoking (FTAS) paradigm. The FTAS was tested in a sample of 344 teens with a history of smoking experimentation during interactions with their mothers and fathers. Level of disapproval, smoking expectancies, elaboration of consequences, and quality of personal disclosure were coded during videotaped parent-teen discussions about smoking. RESULTS: Patterns of observed smoking-specific communication varied by teen and parent smoking status. Predictive validity of the FTAS for teen persistent experimentation was demonstrated, net effects of reported smoking-specific socialization, general quality of communication, and parental smoking status. Teen smoking expectancies, disclosure, and disapproval predicted teen persistent experimentation with some differences based on whether interactions were with mothers or fathers. Prediction of persistent experimentation by observed maternal disclosure and elaboration of consequences was moderated by maternal smoking status. CONCLUSIONS: Direct observations show promise for generating detailed characterization of individual differences in patterns of family communication about smoking. Implications for targeted prevention and future research are discussed.