Behavioral Interventions for STDs: Theoretical Models and Intervention Methods

Author(s):  
Janet S. St. Lawrence ◽  
J. Dennis Fortenberry
Author(s):  
Beth A. Lewis ◽  
Eric Statt ◽  
Bess H. Marcus

This chapter discusses three health behaviors that significantly impact public health. Specifically, physical activity behavior, weight loss, and smoking cessation are associated with many health benefits, including decreased risk of cardiovascular disease, type 2 diabetes, and cancer. These three health behaviors are important modifiable risk factors that can have a significant impact on health. Unfortunately, only half of Americans are physically active at the recommended levels. Additionally, 66.3% of Americans are overweight or obese. Finally, despite the health problems related to smoking, about one-fifth of Americans continue to smoke cigarettes. We provide an overview of the theoretical models commonly used in intervention studies and summarize the research evidence from randomized trials. Finally, we review three different intervention approaches for improving health behaviors, including an individual-level approach for physical activity, a community-level approach for weight loss, and a group-based approach for smoking cessation.


Author(s):  
Beth A. Lewis ◽  
Eric Statt ◽  
Bess H. Marcus

This chapter discusses three health behaviors that significantly impact public health. Specifically, physical activity behavior, weight loss, and smoking cessation are associated with many health benefits, including decreased risk of cardiovascular disease, type 2 diabetes, and cancer. These three health behaviors are important modifiable risk factors that can have a significant impact on health. Unfortunately, only half of Americans are physically active at the recommended levels. Additionally, 66.3% of Americans are overweight or obese. Finally, despite the health problems related to smoking, about one-fifth of Americans continue to smoke cigarettes. We provide an overview of the theoretical models commonly used in intervention studies and summarize the research evidence from randomized trials. Finally, we review three different intervention approaches for improving health behaviors, including an individual-level approach for physical activity, a community-level approach for weight loss, and a group-based approach for smoking cessation.


2021 ◽  
Author(s):  
Dani Arigo ◽  
Kelly Romano ◽  
Kristen Pasko ◽  
Laura Travers ◽  
Matthew Ainsworth ◽  
...  

Women in midlife experience health risks that could be mitigated by regular physical activity (PA), but rarely achieve PA levels that can protect their health. As a result, many behavioral interventions are designed to promote PA in this population, though their efficacy and effectiveness appear to be limited. It is not clear which theoretical models or associated behavior change techniques (BCTs) are used in PA interventions designed for women in midlife, and little is known about how BCTs are activated in such interventions. A synthesis of this information would be useful as an initial step toward improving PA interventions for this at-risk group, and thus, represented the goal of the present scoping review. Of the 4,410 initial results, 51 articles met inclusion criteria, and these described 36 unique interventions. More than half of the articles (59%) named an underlying theoretical model and interventions included an average of 3.76 identifiable BCTs (range 1-11). However, descriptions of many interventions were limited and did not provide enough detail to determine whether or how specific BCTs were activated. The present review identifies important limitations of existing literature and key opportunities for advancing the design of PA interventions for women in midlife.


Author(s):  
P. S. Sklad

Over the past several years, it has become increasingly evident that materials for proposed advanced energy systems will be required to operate at high temperatures and in aggressive environments. These constraints make structural ceramics attractive materials for these systems. However it is well known that the condition of the specimen surface of ceramic materials is often critical in controlling properties such as fracture toughness, oxidation resistance, and wear resistance. Ion implantation techniques offer the potential of overcoming some of the surface related limitations.While the effects of implantation on surface sensitive properties may be measured indpendently, it is important to understand the microstructural evolution leading to these changes. Analytical electron microscopy provides a useful tool for characterizing the microstructures produced in terms of solute concentration profiles, second phase formation, lattice damage, crystallinity of the implanted layer, and annealing behavior. Such analyses allow correlations to be made with theoretical models, property measurements, and results of complimentary techniques.


2019 ◽  
Vol 50 (1) ◽  
pp. 1-15 ◽  
Author(s):  
Yolanda Keller-Bell ◽  
Maureen Short

Purpose Positive behavioral interventions and supports (PBIS) provide a framework for behavioral expectations in school systems for children with and without disabilities. Speech-language pathologists who work in school settings should be familiar with this framework as part of their role in improving the outcomes for children. The purpose of this tutorial is to discuss PBIS and its use in school settings. Method The authors provide an overview of the PBIS framework and focus on its applicability in classroom-based settings. The process of implementing PBIS in classrooms and other settings such as speech-language therapy is discussed. Conclusions This tutorial provides speech-language pathologists with an overview of PBIS and may facilitate their understanding of how to implement PBIS in nonclassroom settings.


2020 ◽  
Vol 63 (2) ◽  
pp. 487-498
Author(s):  
Puisan Wong ◽  
Man Wai Cheng

Purpose Theoretical models and substantial research have proposed that general auditory sensitivity is a developmental foundation for speech perception and language acquisition. Nonetheless, controversies exist about the effectiveness of general auditory training in improving speech and language skills. This research investigated the relationships among general auditory sensitivity, phonemic speech perception, and word-level speech perception via the examination of pitch and lexical tone perception in children. Method Forty-eight typically developing 4- to 6-year-old Cantonese-speaking children were tested on the discrimination of the pitch patterns of lexical tones in synthetic stimuli, discrimination of naturally produced lexical tones, and identification of lexical tone in familiar words. Results The findings revealed that accurate lexical tone discrimination and identification did not necessarily entail the accurate discrimination of nonlinguistic stimuli that followed the pitch levels and pitch shapes of lexical tones. Although pitch discrimination and tone discrimination abilities were strongly correlated, accuracy in pitch discrimination was lower than that in tone discrimination, and nonspeech pitch discrimination ability did not precede linguistic tone discrimination in the developmental trajectory. Conclusions Contradicting the theoretical models, the findings of this study suggest that general auditory sensitivity and speech perception may not be causally or hierarchically related. The finding that accuracy in pitch discrimination is lower than that in tone discrimination suggests that comparable nonlinguistic auditory perceptual ability may not be necessary for accurate speech perception and language learning. The results cast doubt on the use of nonlinguistic auditory perceptual training to improve children's speech, language, and literacy abilities.


2015 ◽  
Vol 74 (2) ◽  
pp. 91-104 ◽  
Author(s):  
Bo Wang

Emotional arousal induced after learning has been shown to modulate memory consolidation. However, it is unclear whether the effect of postlearning arousal can extend to different aspects of memory. This study examined the effect of postlearning positive arousal on both item memory and source memory. Participants learned a list of neutral words and took an immediate memory test. Then they watched a positive or a neutral videoclip and took delayed memory tests after either 25 minutes or 1 week had elapsed after the learning phase. In both delay conditions, positive arousal enhanced consolidation of item memory as measured by overall recognition. Furthermore, positive arousal enhanced consolidation of familiarity but not recollection. However, positive arousal appeared to have no effect on consolidation of source memory. These findings have implications for building theoretical models of the effect of emotional arousal on consolidation of episodic memory and for applying postlearning emotional arousal as a technique of memory intervention.


2017 ◽  
Vol 38 (1) ◽  
pp. 55-62 ◽  
Author(s):  
Jeffrey H. Kahn ◽  
Daniel W. Cox ◽  
A. Myfanwy Bakker ◽  
Julia I. O’Loughlin ◽  
Agnieszka M. Kotlarczyk

Abstract. The benefits of talking with others about unpleasant emotions have been thoroughly investigated, but individual differences in distress disclosure tendencies have not been adequately integrated within theoretical models of emotion. The purpose of this laboratory research was to determine whether distress disclosure tendencies stem from differences in emotional reactivity or differences in emotion regulation. After completing measures of distress disclosure tendencies, social desirability, and positive and negative affect, 84 participants (74% women) were video recorded while viewing a sadness-inducing film clip. Participants completed post-film measures of affect and were then interviewed about their reactions to the film; these interviews were audio recorded for later coding and computerized text analysis. Distress disclosure tendencies were not predictive of the subjective experience of emotion, but they were positively related to facial expressions of sadness and happiness. Distress disclosure tendencies also predicted judges’ ratings of the verbal disclosure of emotion during the interview, but self-reported disclosure and use of positive and negative emotion words were not associated with distress disclosure tendencies. The authors present implications of this research for integrating individual differences in distress disclosure with models of emotion.


2008 ◽  
Vol 24 (4) ◽  
pp. 254-262 ◽  
Author(s):  
Tobias Gschwendner ◽  
Wilhelm Hofmann ◽  
Manfred Schmitt

In the present study we applied a validation strategy for implicit measures like the IAT, which complements multitrait-multimethod (MTMM) analyses. As the measurement method (implicit vs. explicit) and underlying representation format (associative vs. propositional) are often confounded, the validation of implicit measures has to go beyond MTMM analysis and requires substantive theoretical models. In the present study (N = 133), we employed such a model ( Hofmann, Gschwendner, Nosek, & Schmitt, 2005 ) and investigated two moderator constructs in the realm of anxiety: specificity similarity and content similarity. In the first session, different general and specific anxiety measures were administered, among them an Implicit Association Test (IAT) general anxiety, an IAT-spider anxiety, and an IAT that assesses speech anxiety. In the second session, participants had to deliver a speech and behavioral indicators of speech anxiety were measured. Results showed that (a) implicit and explicit anxiety measures correlated significantly only on the same specification level and if they measured the same content, and (b) specific anxiety measures best predicted concrete anxious behavior. These results are discussed regarding the validation of implicit measures.


2018 ◽  
Vol 226 (3) ◽  
pp. 152-163 ◽  
Author(s):  
Stephanie Mehl ◽  
Björn Schlier ◽  
Tania M. Lincoln

Abstract. Cognitive-behavioral therapy for psychosis (CBTp) builds on theoretical models that postulate reasoning biases and negative self-schemas to be involved in the formation and maintenance of delusions. However, it is unclear whether CBTp induces change in delusions by improving these proposed causal mechanisms. This study reports on a mediation analysis of a CBTp effectiveness trial in which delusions were a secondary outcome. Patients with psychosis were randomized to individualized CBTp (n = 36) or a waiting list condition (WL; n = 34). Reasoning biases (jumping to conclusions, theory of mind, attribution biases) and self-schemas (implicit and explicit self-esteem; self-schemas related to different domains) were assessed pre- and post-therapy/WL. The results reveal an intervention effect on two of four measures of delusions and on implicit self-esteem. Nevertheless, the intervention effect on delusions was not mediated by implicit self-esteem. Changes in explicit self-schemas and reasoning biases did also not mediate the intervention effects on delusions. More focused interventions may be required to produce change in reasoning and self-schemas that have the potential to carry over to delusions.


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