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1.
Health Promot Pract ; : 15248399231222468, 2024 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-38264910

RESUMO

Violence is a public health concern, negatively impacting individual and community health and safety. Although violence can be prevented, prevention efforts are complex in part because they require addressing community factors. Despite an increase in funding and support for community violence prevention, relatively little is known about what prevention practice barriers may be related to community factors. This study addressed this gap by surveying a statewide sample of violence preventionists. We explored if coordination and logistical barriers and rural geography are associated with perceptions of two community factors: community opportunities and leadership quality. As part of a statewide assessment of violence and prevention efforts, 130 violence preventionists completed surveys. Results showed that both perceived coordination barriers and rural geography were negatively associated with perceptions of existing community opportunities, representative/influential leadership, and leadership commitment. Perceived logistical barriers were positively associated with perceived leadership commitment. Findings suggest that support reducing community coordination barriers in particular-and to support rural violence prevention work more broadly-is needed.

2.
Am J Community Psychol ; 72(1-2): 15-31, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37096398

RESUMO

This study examined the adoption and implementation process in early efforts to implement ecological ("outer layer") sexual violence (SV) prevention strategies. Interviews with 28 preventionists from 26 local sites within a large, midwestern state, were conducted to examine individual preventionists' problem definitions of SV and ecological factors surrounding implementation. Findings suggest that SV prevention in the state is primarily implemented at the individual-level; when preventionists described engaging in or anticipating outer layer interventions, they were often tertiary (i.e., responding after perpetration; e.g., Sexual Assault Response Teams). A majority expressed problem definitions rooted within the individual (e.g., perpetration due to a lack of consent education), and a majority of implemented efforts matched this individual-level conceptualization. Yet, contradictions between problem definitions (e.g., SV stemming from oppression) and implemented activities (e.g., single-session educational interventions) emerged. Such contradictions may be best understood in light of contextual implementation influences: diverse preventionist job responsibilities, less training/support for outer layer prevention, preventionist autonomy, leadership messaging, time requirements, partner reticence, and extensive work with schools. Inner layer influences, including identification with job roles, preference for, and a sense of urgency toward inner layer work, appeared to interact with contextual factors. Implications across community psychology domains are discussed.


Assuntos
Transtornos Mentais , Delitos Sexuais , Humanos , Delitos Sexuais/prevenção & controle , Delitos Sexuais/psicologia , Violência , Comportamento Sexual , Instituições Acadêmicas
3.
Am J Community Psychol ; 72(3-4): 355-365, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37786971

RESUMO

Mixed methods research (MMR) combines multiple traditions, methods, and worldviews to enrich research design and interpretation of data. In this virtual special issue, we highlight the use of MMR within the field of community psychology. The first MMR studies appeared in flagship community psychology journals over 30 years ago (in 1991). To explore the uses of MMR in the field, we first review existing literature by identifying all papers appearing in either Journal of Community Psychology or American Journal of Community Psychology in which the word "mixed" appeared. A total of 88 publications were identified. Many of these papers illustrate the pragmatic use of MMR to evaluate programs and to answer different research questions using different methods. We coded articles based on Green et al.'s classifications of the purpose of the mixing: triangulation, development, complementarity, expansion, and initiation. Complementarity was the most frequently used purpose (46.6% of articles), and nearly a quarter of articles mixed for multiple purposes (23.86%). We also coded for any community psychology values advanced by the use of mixed methods. We outline three themes here with corresponding exemplars. These articles illustrate how MMR can highlight ecological analysis and reconsider dominant, individual-level paradigms; center participant and community member experiences; and unpack paradoxes to increase the usefulness of research findings.


Assuntos
Psicologia , Projetos de Pesquisa , Humanos
4.
J Community Psychol ; 51(7): 2964-2988, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37477637

RESUMO

This study investigates science, technology, engineering, and math (STEM) PhD students' perceptions of organizational values and incivility. Interviews with 26 STEM PhD students elicited examples of and perceptions surrounding incivility and related harms. Productivity, prestige, expertise, objectivity, self-sufficiency, and collaboration values were identified. Each included aspects deemed useful (e.g., productivity fueling discovery; expertise facilitating learning) as well as potentially contributing to harm when weaponized (e.g., productivity appeared in incivility stories when one "looked down" on those who did not work long days; expertise appeared when people gossiped about intelligence). Some aspects of collaboration (e.g., long-lasting working relationships fueling scientific discovery) may be protective. Organizational values such as productivity appeared to supersede considerations such as well-being. Current framing of these values may bolster refusal to engage in or support social justice and mental health efforts, which some participants identified as needed. Implications across settings are discussed.


Assuntos
Incivilidade , Humanos , Local de Trabalho/psicologia , Aprendizagem , Estudantes , Tecnologia
5.
Am J Community Psychol ; 70(3-4): 255-264, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-35698858

RESUMO

Community psychology has long valued reflexive praxis as a critical part advancing our research and action. In this Virtual Special Issue (VSI), we, a group of community psychologists and gender-based violence (GBV) researchers at many different points in our careers, reflected on GBV publications that have appeared in AJCP. We examine the ways in which community psychology broadly and articles in AJCP more specifically have conceptualized GBV as a sociocultural issue, how GBV intersects with other oppressions and forms of violence, the tension when systems that aspire to support survivors are inequitable and focused on ameliorative change, and the importance of interventions being locally informed and locally driven. By highlighting selected GBV-focused articles published in AJCP, this VSI discusses (a) understanding and transforming culture via robust research and local partnerships, (b) targeting effective interventions for survivors, (c) invoking systems and targeting change in institutional environments, and (d) making connections between local efforts and broader social movements. To continue to move forward, we conclude we must reflect, embrace methodological plurality, partner, and push for structural change. Reflective questions regarding research and action are offered, to address gender-based violence.


Assuntos
Violência de Gênero , Humanos , Violência de Gênero/psicologia , Violência/prevenção & controle , Sobreviventes/psicologia
6.
Psychother Res ; 30(1): 53-67, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-30451094

RESUMO

Objective: To introduce readers to instrumental variable analyses for causal inferences using as an example a test of the hypothesis that the quality of the therapeutic alliance has a causal role in relation to the outcome of psychotherapy. Method: We used data from a recent non-inferiority trial of cognitive and dynamic therapies for major depressive disorder in a community mental health setting. The data (N = 161) were analyzed using standard approaches as well as a multilevel 2-stage instrumental variables approach that allows for causal interpretations by removing the influence of unmeasured confounds. Results: Instrumental variables were created at the patient and therapist level using baseline patient and therapist variables. These baseline variables predicted the alliance but were otherwise unrelated to treatment outcome other than through their effects on the alliance. Standard multilevel mixed effects analyses revealed statistically significant associations of the alliance with outcome at the therapist level of analysis. The therapist level effect remained statistically significant when using the instrumental variables approach. Conclusion: Our results support the hypothesis that, at least at the therapist level, the alliance plays a causal role in producing better outcomes. Instrumental variable analyses can be a useful tool to supplement standard analyses.


Assuntos
Transtorno Depressivo Maior/terapia , Análise Multinível , Avaliação de Resultados em Cuidados de Saúde/métodos , Psicoterapeutas , Aliança Terapêutica , Adulto , Serviços Comunitários de Saúde Mental/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde/normas , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Psicoterapeutas/estatística & dados numéricos
7.
Violence Against Women ; : 10778012241248454, 2024 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-38679751

RESUMO

There is relatively little research unpacking provider processes or tensions (e.g., leadership decision-making) when attempting to gather and incorporate community feedback into gender-based violence work. Across focus groups with 18 sexual violence preventionists, we explored experiences collecting information and perspectives from or with community members; barriers, and facilitators; and how they navigate possibilities of community-informed sexual violence prevention. We learned that preventionists want to gather input, and they gather it in nonsystematic ways; they face barriers familiar to many community-informed processes; and the topic of sexual violence complicates community-informed processes. Determining boundaries of possibility is central to navigating practice. Further, organizational settings are influential in determining boundaries.

8.
Violence Against Women ; 30(6-7): 1656-1682, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-36788418

RESUMO

While incarcerated, women may continue to experience intimate partner violence (IPV), perpetrated by partners who reside in the outside community. Power and control dynamics of abusive relationships may intensify as the abuser exploits their partners' incarceration. The current study assessed IPV experiences of 832 incarcerated women (50% white, 76% mothers), testing a novel instrument. Results validated a two-factor structure: (a) general abuse (i.e., verbal, physical) and (b) deny or threaten to deny (i.e., leveraging the women's incarceration to intimidate or control). This study introduces a novel instrument to measure IPV while incarcerated and provides implications for research and practice.


Assuntos
Violência por Parceiro Íntimo , Prisioneiros , Humanos , Feminino , Reprodutibilidade dos Testes , Parceiros Sexuais , Mães , Fatores de Risco
9.
Psychol Trauma ; 14(3): 471-479, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34323567

RESUMO

OBJECTIVE: In response to the 2019 novel coronavirus pandemic, portions of the U.S. government implemented social distancing policies that, while necessary, yield unintended consequences. This article explores how risk for gender-based violence (GBV) has been exacerbated across the social-ecological model (SEM; e.g., by increasing economic stress and decreasing social support) and highlights differential impact across social locations (e.g., considering race, gender, social class). METHOD: Drawing on gender-based violence prevention and response research, considerations for researchers, policymakers, and practitioners are delineated. RESULTS: A comprehensive framework adapting an intersectional lens and the SEM is used to explain the changes in risk and protective factors for GBV. Policy recommendations that serve to augment (not replace) social distancing policies are proposed. CONCLUSION: The pandemic has uprooted life in a way that impacts GBV prevention and response. Yet, this is also an opportunity to define a new way forward rather than return to "business as usual"; psychologists should strive to improve social services by utilizing the SEM and intersectionality. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
COVID-19 , Violência de Gênero , Humanos , Pandemias/prevenção & controle , Políticas , SARS-CoV-2 , Estados Unidos/epidemiologia
10.
Transgend Health ; 7(5): 416-422, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36644491

RESUMO

Purpose: Suicide is a leading public health concern among transgender and gender expansive adolescents, although little research has examined mechanisms through which gender identity is associated with suicidal ideation. This study examined the indirect effects of peer victimization, dating violence, substance use (SU), SU problems, and depressive symptoms in the relationship between gender identity and suicidal ideation. Methods: Secondary data analysis was conducted from a 2018 statewide survey, including 4464 adolescents who identified as male, female, transgender, or gender expansive (n=1116 per gender). The sample was frequency matched on grade, race, geographic region, and free/reduced lunch status. Mediation analyses were performed. Results: Reports of suicidal ideation were highest among transgender (49.29%) and gender expansive (41.31%) adolescents compared with male (10.82%) and female adolescents (19.08%). Using the Karlson, Holm, and Breen approach, 50.45% of the effect of being transgender on suicidal ideation was mediated through peer victimization, dating violence, and depressive symptoms, and 39.29% through SU, SU problems, and depressive symptoms. The mediation through the same pathways for being gender expansive was 46.37% and 39.89%, respectively. Across both models, depressive symptoms predominately accounted for the mediating effect. Conclusion: Transgender and gender expansive youth are at alarming risk for suicidal ideation, which illustrates the critical need for suicide prevention within this population. Programs that promote mental health and work to prevent bullying, dating violence, SU, and SU problems are crucial; although longitudinal research is needed, targeting these mechanisms may play a critical role in reducing suicidal ideation and risk.

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