Raymond V Gutterswijk, Chris H Z Kuiper, Annemiek T Harder, Frank C P van der Horst, Bruno R Bocanegra, Peter Prinzie
{"title":"Reducing Behavioral Problems and Treatment Duration of Adolescents in Secure Residential Care: A Multiple Single-Case Experimental Design Study.","authors":"Raymond V Gutterswijk, Chris H Z Kuiper, Annemiek T Harder, Frank C P van der Horst, Bruno R Bocanegra, Peter Prinzie","doi":"10.1177/01632787241228552","DOIUrl":"10.1177/01632787241228552","url":null,"abstract":"<p><p>Secure residential care (SRC) is criticized for several reasons. Therefore, in many countries, the general policy is to limit the length of stay of adolescents in SRC. However, research on length of stay and treatment effects of SRC on adolescents' behavioral problems is sparse. Using single case experimental designs with time-series, forty adolescents referred to SRC completed a questionnaire on behavioral and attention problems every two weeks during a baseline (A) and treatment period (B). Two-level regression analyses were used to investigate the effects of SRC on behavioral and attention problems. In addition, we tested whether length of stay moderated effectiveness. On the individual level, the treatment showed a positive statistically significant effect on the behavioral problems of 0%-8% of the adolescents and a statistically significant negative effect on behavioral problems was found in 3%-10% of the adolescents. On the group level, adolescents showed no significant decrease in problem behavior or attention problems from baseline to discharge. Length of stay did not moderate the results. Based on the results we conclude that most adolescents fail to improve. In addition, length of stay was not associated with effectiveness, nor could it be explained by adolescents' characteristics.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"95-111"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Generalized Linear Mixed Models in the Analysis of Count and Rate Data in Single-case Eperimental Designs: A Step-by-step Tutorial.","authors":"Haoran Li, Eunkyeng Baek, Wen Luo, Wenyi Du, Kwok Hap Lam","doi":"10.1177/01632787241259500","DOIUrl":"10.1177/01632787241259500","url":null,"abstract":"<p><p>Generalized linear mixed models (GLMMs) have great potential to deal with count and rate data in single-case experimental designs (SCEDs). However, applied researchers face challenges to apply such an advanced approach in their own studies. Hence, our study aimed to provide a tutorial and demonstrate a step-by-step procedure of using GLMMs to handle SCED count and rate outcomes. We utilized an empirical examplewith a purpose to examine the effect of prelinguistic milieu teaching (PMT) on prelinguistic intentional communication for six school-age children with autism. The outcomes were sustained intentional communication (frequency count) and initiated intentional communication (rate). A step-by-step analytical approach with GLMMs was illustrated and associated R and SAS code was provided. The results overall supported the original conclusions of the effectiveness of PMT, whereas additional evidence regarding the precise estimate of the individual treatment effect and between-case variation of the treatment effect were also interpreted. The implications of the similarities and differences between the findings based on GLMMs and from the original study were discussed.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"143-155"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daan E Vigeveno, Marija Maric, Patrick Onghena, Monique Hupkes
{"title":"Evaluation of a Parenting Program for Mothers With a Borderline Personality Disorder: A Multiple Baseline Single-Case Experimental Design Study.","authors":"Daan E Vigeveno, Marija Maric, Patrick Onghena, Monique Hupkes","doi":"10.1177/01632787241288218","DOIUrl":"10.1177/01632787241288218","url":null,"abstract":"<p><p>Parents with borderline personality disorder (BPD) experience deficiencies in parenting skills leading to increased family burden, stress, mental health problems in children and even family violence. The present study evaluated a Dutch version of the parenting training based on Dialectical Behavior Therapy (DBT) for mothers with BPD. A multiple baseline single-case experimental design study was conducted with standardized and idiosyncratic assessments of parenting behavior and parental stress before, biweekly during, and after training. Participants (<i>N</i> = 10) were mothers with a BPD diagnosis with a child under the age of 6. Four participants discontinued the training. Among six training completers, clinically reliable improvements in parenting skills were most pronounced for inconsistent discipline, involvement, positive parenting and corporal punishment. Frequent, idiosyncratic assessments showed that for six mothers training had a positive effect on parenting skills, while for five mothers this effect was large. Overall, less improvement was found for parenting stress. DBT parenting training seems to have clinical value for mothers with BPD struggling with raising their children. Most prominent improvement was found in relation to mothers disciplining their child in a more consistent manner. The complexity and heterogeneity of mothers with BPD requires a more idiosyncratic, patient-centered approach. This study was registered (retrospectively) in ISRCTN (ID ISRCTN74447767). https://www.isrctn.com/ISRCTN74447767, March 2022.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"3-15"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bethany K W Rainisch, Linn Dahlman, Abnous Shahverdi, Sarah Alhassan, Myriam Forster
{"title":"Evaluation of iSTART: A Novel Substance Use Prevention Web-App Designed for Diverse College Students.","authors":"Bethany K W Rainisch, Linn Dahlman, Abnous Shahverdi, Sarah Alhassan, Myriam Forster","doi":"10.1177/01632787251322996","DOIUrl":"https://doi.org/10.1177/01632787251322996","url":null,"abstract":"<p><p>There is little research assessing substance use prevention programs designed for first generation, working, and ethnic minority college students. This study assessed the effectiveness of a multi-substance web-app prevention program implemented at a Hispanic Serving Institution in southern California. Participants (<i>N</i> = 1066) were randomly assigned to either a control, comparison, or 5 module web-app condition. Surveys assessing substance specific knowledge, perceived health risks, normative peer use, and past 30-day alcohol, cannabis, nicotine, and illicit drug use were administered at baseline, exit, and 90-day follow-up. At exit and 90-day follow up, students assigned to the web-app had significantly greater gains in substance specific knowledge, more accurate perceptions of campus peers' substance use, and the health risks associated with substance use than comparison or control group students. Moreover, web-app students had lower incidence rates of alcohol, cannabis, nicotine, and illicit drug use at exit with effects evident at 90-day follow up for alcohol, cannabis, and illicit drug use but not nicotine use. Given young adults preference for web-based technology, our findings underscore the benefits of developing, adopting, and implementing culturally sensitive substance use prevention programming using mHealth technology among diverse college populations.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251322996"},"PeriodicalIF":2.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research on the Application of Continuous Nursing Model in Postoperative Rehabilitation of Patients With Lower Extremity Varicose Veins.","authors":"Junxia Du, Yuan Bai, Ying Yu","doi":"10.1177/01632787251319061","DOIUrl":"https://doi.org/10.1177/01632787251319061","url":null,"abstract":"<p><p>This study investigates the effectiveness of a continuous nursing model in the postoperative rehabilitation of patients with lower extremity varicose veins. Using a randomised controlled trial design, we compared the outcomes of patients receiving continuous nursing care with those receiving routine care. The study included 120 patients divided equally into control and experimental groups. Outcomes were measured in terms of rehabilitation quality (wound healing time, lower extremity functional scale scores, complication rates) and quality of life (QoL). Significant improvements were seen in the experimental group across multiple measures, including faster wound healing (<i>p</i> < .05), better functional recovery (<i>p</i> < .01) and higher QoL scores (<i>p</i> < .01). These findings suggest that implementing a continuous nursing model can significantly enhance the postoperative rehabilitation and overall well-being of patients with lower extremity varicose veins.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251319061"},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Burcu Şenol Gökalp, Kamile Merve Karatel, Gözde Yağcı, Yavuz Yakut
{"title":"Reliability and Validity of Turkish Translation of the Questionnaire of Physiotherapeutic Specific Exercises of Scoliosis (QPSSE): A Brief Report.","authors":"Burcu Şenol Gökalp, Kamile Merve Karatel, Gözde Yağcı, Yavuz Yakut","doi":"10.1177/01632787251318018","DOIUrl":"https://doi.org/10.1177/01632787251318018","url":null,"abstract":"<p><p>This study aimed to evaluated the reliability and validity of the Turkish adaptation of the Questionnaire of Physiotherapeutic Specific Exercises of Scoliosis (QPSSE). Fifty-one individuals who had been performing scoliosis-specific exercises (PSSEs) for at least two months completed the QPSSE. Validity was analyzed by correlating the QPSSE with the Scoliosis Research Society-22 (SRS-22) questionnaire and the Scoliosis Japanese Questionnaire-27 (SJ-27). The intraclass correlation coefficients (<i>ICC</i>) were used to estimate test-retest reliability. The QPSSE demonstrated excellent internal consistency (Cronbach's alpha coefficients were .90 and .93) and test-retest reliability (<i>ICC</i> = .92, 95% confidence interval [.86-.95]). The QPSSE also demonstrated strong construct validity with the SRS-22 (<i>r =</i> -.57) and SJ-27 (<i>r =</i> -.66) total scores. The Turkish QPSSE is a valid and reliable questionnaire for evaluating the physical functioning, self-image, PSSEs, psychosocial functioning, cognitive functioning, compliance, motivation, and pain-related physiotherapeutic specific exercises of scoliosis in idiopathic scoliosis.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251318018"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Dual Effect of Work Rumination in the Relationship Between Challenge Stress and Innovative Behavior: A Moderated Mediation Model of Information Literacy.","authors":"Lifeng Yao, Siqi Li, Liping Yao, Yanyu Fang, Chu Gao, Yufei Chai, Xiaoyan Yi, Qin Jia, Jing Dai","doi":"10.1177/01632787251316854","DOIUrl":"https://doi.org/10.1177/01632787251316854","url":null,"abstract":"<p><p>Innovation in healthcare is crucial for enhancing patient care and operational efficiency. Nurses often experience stress that may impede the process of innovation. This study utilizes the Job Demands-Resources model and Cognitive Appraisal Theory to investigate the impact of challenge stress, work rumination, and information literacy on the expression of innovative behaviors among nurses. A cross-sectional survey was conducted in China in June 2024, involving a sample of 533 nurses. Participants were required to complete online questionnaires designed to evaluate challenge stress, work rumination, information literacy, and innovative behavior. The data collected were analyzed using the PROCESS macro in SPSS. Challenge stress exhibited a statistically significant positive correlation with innovative behavior (r = 0.142, <i>p</i> < .01) and work rumination (r = 0.348, <i>p</i> < .01). The relationship between challenge stress and innovative behaviors was partially mediated by work rumination. Affective rumination was found to exert a negative influence, while problem-solving pondering demonstrated a positive impact. The relationship between work rumination and innovative behaviors was moderated by information literacy (β = 0.069, <i>p</i> = .019), indicating that the effects were more pronounced at higher levels of information literacy among nurses. Challenge stress enhances innovative behaviors through work rumination. The presence of information literacy further amplifies these positive effects, particularly via problem-solving pondering. However, it is important to note that affective rumination impede this process.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251316854"},"PeriodicalIF":2.2,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acknowledgement of Reviewers for 2024.","authors":"","doi":"10.1177/01632787251313677","DOIUrl":"https://doi.org/10.1177/01632787251313677","url":null,"abstract":"","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251313677"},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Commentary: Review of Mandatory Maintenance of Certification in the USA.","authors":"Katya Peri, Mark J Eisenberg","doi":"10.1177/01632787241311360","DOIUrl":"https://doi.org/10.1177/01632787241311360","url":null,"abstract":"<p><p>The goal of maintenance of certification (MOC) activities is to ensure physicians are up to date on current practices and demonstrate the knowledge and skills required to provide patients with optimal care. The program's aim is to promote professional development, lifelong learning and quality assurance for the public and medical community. However, physicians are not happy with the current structure of the program, claiming it to be time-consuming, expensive and ineffective for their practice. The lack of concrete evidence confirming the efficacy of MOC in improving knowledge and clinical outcomes causes many to question how this system can be improved to better serve practitioners and the public. In this commentary, we provide an overview of the current MOC situation for U.S. specialists and highlight the importance of increasing research to inform evidence-based changes that can be applied to clinical situations.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241311360"},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validity and Reliability of the Turkish Version of the Low Back Activity Confidence Scale (LoBACS).","authors":"Sezin Solum, Ender Salbaş","doi":"10.1177/01632787241307031","DOIUrl":"https://doi.org/10.1177/01632787241307031","url":null,"abstract":"<p><p>The Low Back Activity Confidence Scale (LoBACS) is a 15-item scale designed to assess low back pain (LBP) through self-efficacy, a key predictor of functional recovery. This study aimed to culturally adapt and evaluate the validity and reliability of the Turkish version of LoBACS in patients with LBP. The translation and adaptation followed Beaton et al.'s protocol. Content and face validity were assessed with a pre-patient group. Both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to evaluate construct validity. Internal consistency, as well as test-retest reliability, were evaluated in a sample of 150 patients aged 18-70 years. Concurrent validity was measured alongside the Oswestry Back Pain Disability Questionnaire (ODQ) and Quebec Back Pain Disability Scale (QBPDS). Two factors emerged from factor analysis, with item loadings for Functional Self-efficacy (FnSE) ranging from 0.745 to 0.896 and for Self-Regulatory and Exercise Self-efficacy (Self-Reg&ExSE) from 0.817 to 0.940. Cronbach's alpha was high for FnSE, Self-Reg&ExSE, and the total scale (α = 0.941). Total correlation for each item ranged between 0.770 and 0.925. Test-retest reliability was also high (r = 0.941, <i>p</i> < .01). LoBACS showed moderate agreement with ODQ and QBPDS, demonstrating concurrent validity. In conclusion, the Turkish version of LoBACS is a valid and reliable tool for measuring LBP-related self-efficacy.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787241307031"},"PeriodicalIF":2.2,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}