Matching Items (392)
Description
Anxiety is one of the most common psychiatric disorders among children yet characterized by lower use of mental health services. Preventive efforts have demonstrated promise in the ability to reduce anxiety symptoms. However, as evidence-based interventions move into real-world settings, there is a need to systematically examine potential implementation factors that may affect program outcomes. The current study investigates the relations between different aspects of implementation and their effect on outcomes of a school-based preventive intervention targeting anxiety symptoms. Specifically, the study examines: (1) the measurement of quality of delivery, (2) specific relations among implementation components, (3) relations between these facets and anxiety program outcomes. Implementation data were collected from nine school-based mental health staff and observer ratings. Program outcomes (pretest and immediate posttest) were measured from 59 participants and their parents (mostly mothers) in the intervention condition. Implementation components included adherence, quality of delivery, time spent, participant responsiveness, and perceived usefulness of program materials. Program outcomes included child-reported emotional expressivity, physiological hyperarousal, negative cognitions, social skills, self-efficacy, and child and parent reported levels of child anxiety. Study findings indicated that quality of delivery was best captured as two facets: skillful presentation and positive engagement. Adherence and quality of delivery were associated with greater participant responsiveness, although time spent was not. Significant relations were found between some implementation components and some program outcomes. Further efforts can be used to optimize the translation of evidence-based programs into real-world settings.
ContributorsChiapa, Amanda (Author) / Pina, Armando (Thesis advisor) / Dishion, Thomas (Committee member) / Wolchik, Sharlene (Committee member) / Grimm, Kevin (Committee member) / Berkel, Cady (Committee member) / Arizona State University (Publisher)
Created2017
Description
The nature and correlates of emerging internalizing symptoms in young children are largely unknown. Maternal factors such as psychological symptoms and detached parenting style have been found to be present in children with anxiety and depression. Further, child attentional control in task completion has been associated with difficulty related to internalizing problems. This study tested hypotheses that child anxiety and depression at age five could be predicted by a combination of maternal distress and maternal detached behavior recorded at age three. An additional hypothesis was tested to determine if child attentional control at age four may be a partial mediator of the relation between maternal symptoms and parenting to child internalizing symptoms. Using structural equation modeling, no hypotheses were supported; child internalizing problems were not significantly predicted by maternal distress nor detached parenting. Further, child attentional control was not predicted by maternal distress or detached behavior, nor did attentional control predict internalizing problems. Findings indicate that over a two-year interval, childhood internalizing problems at age five are likely best predicted by early internalizing problems at age three. There was no support that the mother or child factors tested were predictive of child outcomes.
ContributorsSkelley, Shayna (Author) / Crnic, Keith A (Thesis advisor) / Eisenberg, Nancy (Committee member) / MacKinnon, David (Committee member) / Arizona State University (Publisher)
Created2010
ContributorsTaylor, Karen Stephens (Performer) / ASU Library. Music Library (Publisher)
Created2018-04-21
ContributorsCramer, Craig (Performer) / ASU Library. Music Library (Publisher)
Created1997-02-16
ContributorsMarshall, Kimberly (Performer) / ASU Library. Music Library (Publisher)
Created2019-03-17
ContributorsCampbell, Jeffrey (Performer) / ASU Library. Music Library (Publisher)
Created2005-10-23
ContributorsMarshall, Kimberly (Performer) / ASU Library. Music Library (Publisher)
Created2007-03-11
ContributorsMarshall, Kimberly (Performer) / Cook, L. Keith (Performer) / Zweiback, Adam J (Performer) / ASU Library. Music Library (Publisher)
Created2000-02-06
ContributorsSchrock, Patricia (Performer) / ASU Library. Music Library (Publisher)
Created1993-04-04
ContributorsFournier, Philip (Performer) / Floyd, Lynne (Performer) / Ruhleder, Kathleen (Performer) / Millar, Chad (Performer) / Cornner, Charles B. (Performer) / Peterson, Tom (Performer) / Chorlton, Roberta (Performer) / Sego, David (Performer) / Barrett, Andreas (Performer) / Lin, Tsuhsin (Performer) / Bailey, Barbara (Performer) / Bush, Douglas E. (Performer) / ASU Library. Music Library (Publisher)
Created1997-01-13