Development and initial validation of the perceived instrumental effects of violence in sport scale.

Introduction: A growing body of research is looking into risk factors for interpersonal violence (IV) in sport. This research suggests the existence of several important risk factors, especially organizational and social factors. One of these factors is the beliefs regarding instrumental effects of violence. Coaches may want to drive performance, deter failure, test resilience and commitment, develop toughness, assure interpersonal control, and promote internal competition. In sum, available evidence suggests the risk of IV increases when coaches believe in the effectiveness of strategies involving IV to enhance athlete performance or perceive external approval for these practices. Methods: The studies presented in this article seeks to develop and validate the Perceived Instrumental Effects of Violence in Sport (PIEVS) Scale in order to measure those beliefs in coaches. In study 1, item generation, expert consultation, cognitive interviews, pilot test and item reduction phases led to 25 items for the PIEVS around six dimensions. In study 2, exploratory factor analysis (EFA) was conducted with 690 coaches in order to determine the PIEVS factorial structure and the convergent and divergent validity of the scale was tested (long and short form). Results: Our results suggested a one-factor solution for the PIEVS (25 items). This one-factor model provided an excellent fit to the data and a very good internal consistency. The PIEVS and empowering motivational climate were negatively correlated, which supported divergent validity as expected. The PIEVS was positively correlated with the disempowering motivational climate and with sport ethic norms, which supported convergent validity as expected. Discussion: These findings provide preliminary evidence for the appropriateness of the PIEVS Scale to measure perceived instrumental effects of violence in coaches.

Comparative efficacy of the Triple P program on parenting practices and family violence against children.

BACKGROUND: The Triple P - Positive Parenting Program was rolled-out in two communities in Quebec, Canada, in order to prevent child maltreatment. OBJECTIVES: (1) Evaluate the effects of Triple P versus care as usual on positive parenting practices, dysfunctional disciplinary practices, and family violence towards the child; (2) verify whether the observed changes persisted over time. PARTICIPANTS AND SETTING: A quasi-experimental protocol with an active comparison group was used. Participants were 384 parents or parental figures of at least one 0-12-year-old child, assigned to one of two groups: Triple P (n = 291) and Care as usual (n = 93). We conducted a follow-up study with 164 parents from the Triple P group. METHODS: We administered questionnaires at pretest, post-test, and follow-up. Standardized instruments measured positive parenting practices, dysfunctional disciplinary practices (overreactivity, laxness, hostility), and family violence towards the child (repeated psychological aggression, minor physical violence). The intervention dose received by each parent was calculated from data provided by practitioners. RESULTS: Belonging to the Triple P group was associated with increased positive practices and decreased overreactive and hostile discipline. A higher dose of intervention was associated with a decrease in laxness. All observed changes were maintained at follow-up, with medium (η2p = 0.073, hostility) to large (η2p = 0.271, overreactivity) effect sizes. Also, Triple P was more effective in reducing minor physical violence, this effect persisting over time (from 36 % to 21 %). CONCLUSIONS: This study supports the sustainable efficacy of the Triple P parenting program, except for repeated psychological aggression towards children.

Association between child welfare reporting rates and the developmental vulnerability of kindergarten children at the neighborhood level.

BACKGROUND: In Canada, more than one in four children are considered vulnerable in at least one domain of development when they enter kindergarten. Recent studies have suggested that this ratio is higher among those who were previously maltreated. However, little is known about this associations at the neighborhood level, although it may be an interesting way to identify risk areas and highlight child welfare system data to prevent public health issues. OBJECTIVE: Using the census tract as the unit of measurement, this study examines the association between the proportions of vulnerable children in different domains of development upon entering kindergarten, and four indicators of child maltreatment (CM) among 0-5 year olds. PARTICIPANTS, SETTING AND METHOD: This study is based on the secondary use of data from a survey on the development of kindergartners carried out in 2017, combined with data from child welfare records for that same year. The data have been aggregated on the basis of 759 census tracts located in four health regions of Quebec, Canada. RESULTS: The results of spatial regression analyses show that all indicators of maltreatment are positively and significantly associated with each indicator of developmental vulnerability. The size of these associations varies according to the indicators used (ß = 0.192, p < .05 to ß = 1.587, p < .001). CONCLUSION: The results highlight the link between CM and school readiness, including potential externalities on neighborhood children. Neighborhoods at high risk of maltreatment could help identify areas with high rate of vulnerable children in early childhood.

For a structured response to the psychosocial consequences of the restrictive measures imposed by the global COVID-19 health pandemic: the MAVIPAN longitudinal prospective cohort study protocol.

INTRODUCTION: The COVID-19 pandemic and associated restrictive measures have caused important disruptions in economies and labour markets, changed the way we work and socialise, forced schools to close and healthcare and social services to reorganise. This unprecedented crisis forces individuals to make considerable efforts to adapt and will have psychological and social consequences, mainly on vulnerable individuals, that will remain once the pandemic is contained and will most likely exacerbate existing social and gender health inequalities. This crisis also puts a toll on the capacity of our healthcare and social services structures to provide timely and adequate care. The MAVIPAN (Ma vie et la pandémie/ My Life and the Pandemic) study aims to document how individuals, families, healthcare workers and health organisations are affected by the pandemic and how they adapt. METHODS AND ANALYSIS: MAVIPAN is a 5-year longitudinal prospective cohort study launched in April 2020 across the province of Quebec (Canada). Quantitative data will be collected through online questionnaires (4-6 times/year) according to the evolution of the pandemic. Qualitative data will be collected with individual and group interviews and will seek to deepen our understanding of coping strategies. Analysis will be conducted under a mixed-method umbrella, with both sequential and simultaneous analyses of quantitative and qualitative data. ETHICS AND DISSEMINATION: MAVIPAN aims to support the healthcare and social services system response by providing high-quality, real-time information needed to identify those who are most affected by the pandemic and by guiding public health authorities' decision making regarding intervention and resource allocation to mitigate these impacts. MAVIPAN was approved by the Ethics Committees of the Primary Care and Population Health Research Sector of CIUSSS de la Capitale-Nationale (Committee of record) and of the additional participating institutions. TRIAL REGISTRATION NUMBER: NCT04575571.

Changes in practitioners' attitudes, perceived training needs and self-efficacy over the implementation process of an evidence-based parenting program.

BACKGROUND: Evidence-based family support programs such as the Triple P - Positive Parenting Program have the potential to enhance the well-being of children and families. However, they cannot achieve their expected outcomes if insufficient attention is paid to the implementation process. It has been demonstrated that practitioners' attitudes towards evidence-based programs (EBPs), perceived training needs and self-efficacy for working with parents influence implementation outcomes (e.g., program acceptability, adoption, adherence and sustainability). At the same time, the experience of being involved in the implementation process of an EBP could enhance practitioners' perceptions of the initiative. This study aimed to assess changes in practitioner's attitudes, perceived training needs and self-efficacy over a two-year EBP implementation process, in interaction with their appraisal of their organization's capacity to implement the EPB. METHODS: In the province of Quebec, Canada, Triple P was implemented and evaluated in two communities. Ninety-nine practitioners from various organizations completed questionnaires shortly before their training in Triple P and two years later. RESULTS: Findings show that practitioners who displayed more initial skepticism regarding their organization's capacity to implement the program reported greater improvements in attitudes over time, while practitioners who showed more optimism at baseline reported a greater decrease in their perceived training needs. Practitioners' self-efficacy increased moderately regardless of perceived organizational capacity. CONCLUSIONS: These results are encouraging given that more positive perceptions of EBPs could foster the systematic use of these programs in communities, for the potential benefit of a greater number of families.

Prediction of health, education, and psychosocial professionals' attitudes in favor of parental use of corporal punishment.

BACKGROUND: To date, there have been few studies pertaining to the knowledge and attitudes regarding the use of corporal punishment (CP) among professionals working with parents and children. Yet, many parents turn to these professionals for advice on child discipline. OBJECTIVE: This study aimed to describe professionals' legal knowledge about parental use of CP and their attitudes toward this practice. METHOD: A study was conducted among professionals working directly with children or their parents through an online questionnaire. PARTICIPANTS: A total of 1,758 respondents from three sectors of training (psychosocial, health, education) completed the questionnaire. RESULTS: The results showed that professionals have little knowledge of the legal guidelines surrounding the use of CP in Canada. This poor knowledge as well as the perceived impacts of CP on children acted as predictors of favorable attitudes toward this disciplinary practice. According to the regression analyses, other personal and professional factors also explain a person's approval of CP, including violence in childhood, religious practice, and sources of knowledge. The results also highlighted some findings related to the respondents' professional sectors. CONCLUSIONS: The study results emphasize the need to better train professionals by targeting cognitive, personal, as well as professional factors.

Which Risk Factors for Child Maltreatment Predict Mothers' Enrollment in a Parenting Support Program?

Parenting support programs are an effective means of preventing child maltreatment. However, these programs are often criticized for their limited ability to enroll and engage the parents who need them most. The present study aimed to determine which risk factors associated with child maltreatment predicted mothers' enrollment in the Triple P-Positive Parenting Program in Quebec. To this end, 240 mothers of children aged 6 months to 8 years enrolled in Triple P were compared with 834 mothers randomly selected from the general population. The results suggest that mothers who perceived their child to be more difficult, used fewer positive parenting practices, and reported a lower parenting sense of competence were more likely to enroll in the program. Being unemployed, having a lower income, and being a single parent or part of a stepfamily also increased the mothers' likelihood of participating in Triple P. These results suggest that Triple P was implemented in such a way as to attract families presenting various risk factors, which is promising in a child maltreatment prevention context.

Community Readiness for Child Maltreatment Prevention: The Challenge of a Brief Assessment.

In this paper, we address the assessment of community readiness (CR) for the prevention of child maltreatment in the context of a community survey. A mail survey was administered to 222 service providers and 54 supervisors and managers from 35 different organizations serving children and their families in four Canadian communities. Eleven items from the short version of the Readiness Assessment for the Prevention of Child Maltreatment (RAP-CM) were used, in combination with questions assessing knowledge of family support programs offered in the community and a measure of inter-agency collaboration. Findings show that a consistent and valid indicator of "Lack of knowledge of the environment" can be derived from the RAP-CM items and used for screening key informants. Overall, CR appears mixed in the communities studied, the weakest dimensions of which are the will to address the problem and the dynamism of informal social resources. Leadership emerges as a major gap that needs to be addressed.

Social support and sleep quality in older benzodiazepine users.

Objective: Benzodiazepines (BZD) are often prescribed to address sleep difficulties but many BZD users report a poor quality of sleep. Although social support was found to be associated with quality of sleep in a recent meta-analysis, this relationship was never studied in older BZD users. This study thus aims to examine how social support is associated with quality of sleep in older BZD users.Method: Seventy-two older adults (age 60-85) using BZD were recruited. Data was collected during the pre-test of the ''PASSE-60+; Support program for a successful withdrawal, NCT02281175'' study. Quality of sleep was measured using the Pittsburgh Sleep Quality Index (PSQI), while social support was evaluated with the Social Support Questionnaire (SSQ-6).Results: When examining the various dimensions of self-reported sleep quality as a whole, we found no significant association with social support, while controlling for daily BZD dose, anxiety and depression. However, we found a significant association between self-reported diurnal dysfunctions (e.g., daytime sleepiness) and satisfaction with social support.Conclusion: Although the results of our study should be replicated with larger samples, they might indicate that social support is not a significant factor influencing sleep quality in older chronic BZD users. Our results could differ from those found in other populations because of the changes in sleep quality associated with long term BZD use. Longitudinal studies should analyse the relationship between diurnal dysfunctions and satisfaction with social support, to examine if social support could help older adults alleviate their diurnal dysfunctions and eventually facilitate BZD tapering.

Measuring and Predicting Service Providers' Use of an Evidence-Based Parenting Program.

This study addressed the predictors of service providers' use of a multi-level evidence-based program (EBP). Of the 92 trained providers participating in the study, 67 (72.8%) used the EBP at least once. A multidimensional index of the amount of usage (MUI) was created using three indicators. Providers' self-efficacy and the amount of training they had received predicted their amount of usage. The community to which the providers belonged was also associated with their amount of usage. The findings underline the importance of studying many indicators of usage in implementation research and considering both provider-level and broader contextual variables as determinants of the use of EBPs.

Development and pretest of key visual imagery in a campaign for the prevention of child maltreatment.

INTRODUCTION: This article discusses the development and pretesting of key visual imagery in a promotional campaign developed in Quebec, Canada. This campaign is the media-based component of a broader prevention strategy involving the use of the Triple P program (Sanders, 1999). OBJECTIVES: The purpose was to pretest with parents the preliminary version of a poster that uses the campaign's key visual imagery prior to final production. METHOD: In total, 26 parents from the regions of Quebec City and Montreal participated in four focus groups. RESULTS: Two general themes emerged from the focus groups: (i) emotions and reactions arising from the key visual imagery; and (ii) comprehension of the message being conveyed. CONCLUSION: Based on this information, recommendations were made to the marketing agency, which then modified the campaign's key visual imagery and proposed a final layout.

Community Violence and Associated Psychological Problems Among Adolescents in the General Population.

Based on a populational survey conducted among 1400 adolescents aged between 12 and 17 years old, the aim of this study is to assess the relationships between their community violence experiences and their psychological health (anger, depressive symptoms, and post-traumatic stress disorder symptoms). One MANOVA confirms that both boys and girls who report at least one incident of physical community violence present more psychological difficulties, especially anger. Subsequent MANOVAs show that anger intensity varies depending on whether the youth was a direct victim or a witness only, as well as on the diversity of the types of violent manifestations and on acquaintance with the perpetrator, whereas the presence of injuries has no significant effect. This study highlights the importance of considering the context of the community violence incident, to clearly understand its relationships with the youth's psychological difficulties.

Recall and understanding of a communication campaign designed to promote positive parenting and prevent child maltreatment.

Evidence-based parenting support programs are among effective strategies for preventing child maltreatment. The launch of mass media campaigns accompanying the implementation of such programs has been recommended to optimize reach and parent enrollment. This paper focuses on a communication campaign developed to support the implementation of the Triple P - Positive Parenting Program in two French-Canadian communities. Proximal outcomes (recall and understanding) were assessed through a randomized telephone survey conducted between January and April 2017 among 1029 mothers of children aged 6 months to 8 years. Distribution and correlates of the respondents' recall and understanding of the campaign were examined. Results show that 32.1% of respondents recalled having seen the campaign material. Among these, a large majority reported having understood the intended messages (parenting difficulties are normal, seeking help is the right thing to do, and/or effective support is available). However, some respondents also retained unintended messages blaming parents and/or children, and almost half the sample retained mixed messages (intended and unintended). Multivariate logistic regression analyses revealed that community of residence, annual household income, and psychological aggression towards the child at home were three significant correlates of campaign recall + intended messages understood. None of the examined factors were associated with recall + mixed messages understood. Findings suggest a neighborhood effect on the proximal outcomes of the campaign, and a slightly higher reach and understanding among better-off families as well as families struggling with psychologically violent parenting practices. These results are discussed in light of the outcomes of similar campaigns.

The Impact of Lifetime Victimization and Polyvictimization on Adolescents in Québec: Mental Health Symptoms and Gender Differences.

This study documents lifetime experiences of victimizations, polyvictimization, and trauma symptoms among 1,400 adolescents from the province of Québec. The vast majority (81%) of adolescents were victimized during their lifetime, with most victims (82%) being the target of more than one form of victimization. Polyvictimization accounted for most variability in scores of depression, posttraumatic stress disorder (PTSD), and anger/ aggression compared to individual victimization categories. Sexual victimization and maltreatment still made an independent contribution in predicting all trauma scores once polyvictimization was considered. Gender differences were found in the victimization experiences contributing to the prediction of mental health symptoms. Sexual victimization was a significant predictor of PTSD and anger/aggression symptoms for girls, whereas witnessing violence predicted anger and PTSD symptoms for boys, and assault predicted their anger. This study outlines the importance of assessing various types of victimization among adolescents. Systematic data and observation of trends on child victimization are needed in Canada and elsewhere.

Interference effects between memory systems in the acquisition of a skill.

There is now converging evidence that the declarative memory system (hippocampus dependent) contributes to sequential motor learning in concert with the procedural memory system (striatum dependent). Because of the competition for shared neuronal resources, introducing a declarative memory task can impair learning of a new motor sequence and interference may occur during the procedural consolidation process. Here, we investigated the extent to which interference effects between memory systems are seen at the retrieval phase of skill learning. Healthy participants were assigned to a control (n = 15) or a declarative condition (n = 15) and trained on a sequence of finger movements (FOS task). Both groups showed similar improvement at the end of the practice session on the first day. Twenty-four hours later, controls were tested solely on the FOS task, while subjects in the declarative condition first engaged in a visuospatial task. Additional offline gains in performance were observed only in the control condition. The introduction of a visuospatial memory task just before retrieval of the motor skill was sufficient to eliminate these gains. This suggests that interference between procedural and declarative memory systems may also occur during subsequent motor recall. It is proposed that the interference effects are linked, in part, to the spatial nature of the motor and declarative tasks, which specifically depends upon hippocampal involvement.

Interference effects between manual and oral motor skills.

Consolidation of a motor skill is characterized by spontaneous improvement in performance between practice sessions. These offline gains can be eliminated if another skill is introduced soon afterward-a phenomenon called retroactive interference. Interference effects have been found in studies using two similar tasks involving the same motor effectors in a manual mode. The present study aimed to determine the extent to which differences in motor production mode modulate interference in skill learning. Healthy participants were assigned to one of three conditions and trained on a finger opposition sequence (FOS) learning task. All subjects were tested 24 h later on the original FOS learning task. Control subjects who were not exposed to a secondary learning task exhibited the expected offline gains after 24 h. Subjects who immediately learned a secondary task after the FOS training, either in the same manual mode (French Sign Language) or in an oral mode (CVC syllables), did not show any offline gains. Interestingly, the amount of interference was equivalent in the manual and oral learning conditions. The results reveal that interference effects in motor skill learning can occur when different effectors are involved in the primary and secondary tasks. The sequence processing abilities of the basal ganglia appear to play a major role in these interference effects.

Parental psychological violence and adolescent behavioral adjustment: the role of coping and social support.

The role of coping strategies (approach and avoidance) as a mediating factor between parental psychological violence and adolescent behavior problems, both internalized and externalized, as well as the protective role of social support were examined separately for boys and girls. A group of 278 adolescents (mean age: 14.2) were recruited in three high schools located in low, moderate, and high socioeconomic areas. Participants were in the seventh, eighth, and ninth grades, and each completed a self-administered questionnaire. The use of avoidant coping strategies partially mediated the link between parental psychological violence and behavior problems among girls. The use of approach coping strategies partially mediated the link between parental psychological violence and behavior problems among boys. In all cases, coping enhanced this link. No protective role of social support was found. On the contrary, this variable was found to increase the relationship between parental psychological violence and externalized behavior problems among boys. These findings suggest that interventions aimed at strengthening coping skills and social support in adolescents may not be effective in alleviating various behavioral symptoms associated with parental psychological violence. They highlight the importance of prevention of psychologically violent parental practices, instead of only reacting to the problem after it has occurred.

Past victimizations and dating violence perpetration in adolescence: the mediating role of emotional distress and hostility.

This study aimed to understand the nature of the relationships between three forms of past victimizations (exposure to interparental violence in childhood, sexual harassment by peers since beginning high school, prior experience of dating violence), physical dating violence perpetration by adolescents, and anger-hostility and emotional distress. The sample was composed of 1,259 high school students aged between 14 and 19 years who answered self-report questionnaires. Mediation analyses were conducted according to Baron and Kenny's approach. Logistic and linear regression analyses reveal that being victim of sexual harassment by peers and of dating violence are associated to physical dating violence perpetration via a partial mediating effect of hostility in girls. Contrary to results with girls, there is a complete mediating effect of emotional distress for boys. Results suggest that dating violence prevention and intervention strategies could be adapted according to gender and that sexual harassment should be addressed.