Group instructional and behavioral management strategies.

Author(s):  
Linda A. Reddy
PEDIATRICS ◽  
2002 ◽  
Vol 110 (Supplement_1) ◽  
pp. 210-214 ◽  
Author(s):  
Mary T. Story ◽  
Dianne R. Neumark-Stzainer ◽  
Nancy E. Sherwood ◽  
Katrina Holt ◽  
Denise Sofka ◽  
...  

Objective. The primary aim of this study was to evaluate among health care professionals their attitudes, perceived barriers, perceived skill level, and training needs in the management of child and adolescent obesity. Methods. A national needs assessment consisting of a mailed questionnaire was conducted among a random sample of health care professionals. The survey was completed by 202 pediatricians, 293 pediatric nurse practitioners, and 444 registered dietitians. Results. The majority of all respondents felt that childhood obesity was a condition that needs treatment (75%–93%), and affects chronic disease risk (76%–89%) and future quality of life (83%–93%). The most frequent barriers were lack of parent involvement, lack of patient motivation, and lack of support services. Registered dietitians were less likely to identify barriers to treatment compared with pediatricians or pediatric nurse practitioners. The most common areas of self-perceived low proficiency were in the use of behavioral management strategies, guidance in parenting techniques, and addressing family conflicts. All 3 groups expressed high interest in additional training on obesity management of children and adolescents, especially in the area of behavioral management strategies and parenting techniques. Those practitioners with >10 years of practice reported the greatest interest in training. Conclusions. Pediatric practitioners view child and adolescent obesity with concern and feel that intervention is important. However, several important barriers interfere with treatment efforts and will need to be addressed. There is also a need for increased training opportunities related to obesity prevention and treatment. The results of this study provide directions and priorities for training, education, and advocacy efforts.


2020 ◽  
pp. 155545892096671
Author(s):  
Alounso A. Gilzene

As many schools and school districts across the nation consider replacing traditional behavioral management strategies with restorative practices, this case asks the readers to consider the challenges a school leader may face when attempting to implement school-wide procedural change. In this case, a school leader faced with race-based discipline disparities attempts to challenge this nationwide trend by bringing in a local organization to conduct restorative justice facilitation and reduce the school’s out-of-school suspension numbers. This proves to be challenging due to the systems that existed prior to this change and her difficulties in getting buy-in from her staff. This case may be used in leadership preparation courses as an example of the complexity and considerations involved when implementing restorative justice as an alternative discipline strategy.


2020 ◽  
Vol 12 (5) ◽  
pp. 1745 ◽  
Author(s):  
Xinghua Zhao ◽  
Zongfeng Sun

The purpose of this study was to examine the effect of environmental performance on subjective well-being against the background of different levels of economic development in China. The findings from the CGSS2015, combined with environmental quality data using the multi-level linear regression analysis method, indicated that the public’s satisfaction with environmental performance will significantly enhance their happiness. The GDP variable was found to moderate this effect with reference to the expectation theory, positing that people have high expectations of happiness in provinces with a high GDP. The higher their expectations of being happy, the smaller the effect of satisfaction with environmental performance on happiness. These findings make contributions to both theory and public policy making, with relevant guidelines regarding physical activity recommendations and behavioral management strategies discussed.


Author(s):  
Lais F Berro ◽  
Tanya Pareek ◽  
Jaren A Reeves-Darby ◽  
Monica L Andersen ◽  
Leonard L Howell ◽  
...  

Rhesus monkeys are naturally social animals, and behavioral management strategies have focused on promoting pairhousingin laboratory settings as an alternative to individual or group housing. In humans, co-sleeping can have a major impact on bed partners’ sleep, raising the possibility that pair-housing also may influence sleep parameters in monkeys. In the present study, we investigated if pair-housing would impact home-cage partner’s sleep in female rhesus monkeys, and if nighttime separation using socialization panels would alter this pattern. Sleep parameters of 10 experimentally naïve adult female rhesus monkeys (5 pairs) were evaluated for 7 consecutive days using actigraphy monitors attached to primate collars. Paired animals then were separated by socialization panels during the night, and sleep-associated measures were evaluated for 7 consecutive days. The data showed that sleep efficiency was significantly lower when monkeys were pairhoused as compared with when they were separated. On the nights when subjects were pair-housed, a positive correlation was detected for sleep measures (both sleep latency and efficiency) of both members of a pair (R2’s = 0.16–0.5), suggesting that pair-housing influences sleep quality. On nights when subjects were separated, no correlations were observed for sleep measures between members of the pairs (R2’s = 0.004–0.01), suggesting that when separated, the home-cage partner’s sleep no longer influenced the partner’s sleep. Our results indicate that pair-housing has a strong impact on the home-cage partner’s sleep, and that this pattern can be prevented by nighttime separation using socialization panels. Studies evaluating sleep in pair-housed monkeys should consider the effects that the partner’s sleep may have on the subject’s sleep. Sleep is a biologic phenomenon and experimental outcome that affects physical and behavioral health and altered sleep due to pair-housing may affect a range of research outcomes.


1992 ◽  
Vol 13 (1) ◽  
pp. 16-22
Author(s):  
Paula S. Algranati ◽  
Paul H. Dworkin

The goal of pediatric health supervision is to promote the optimal growth and development of children. Parent-infant interaction and parental attitudes toward their infant are important determinants of child development. Anticipatory guidance during child health supervision enables the pediatric provider to discuss developmental stages and demystify common stage-related behaviors, such as fussing, night-waking, repetitive movements, and clinging. Anticipating the emergence of such behaviors and issues may lessen parental anxiety and concern. When behavioral problems such as colic or sleep difficulties do arise, a consideration of developmental stage is helpful in suggesting specific management strategies. The successful implementation of developmentally-oriented approaches has benefits for the family and pediatric provider, including increased parental self-confidence, enhanced family functioning, and increased parental confidence in the pediatrician. Furthermore, by encouraging developmentally-oriented approaches, parents will be less inclined to adopt inappropriate or ineffectual behavioral management strategies.


Author(s):  
Doyeon Won ◽  
Jung-sup Bae ◽  
Hyun Byun ◽  
Kwang-bong Seo

The purpose of the current study was to meta-analytically investigate the psychological impacts of physical activity for the elderly population in Korea. The findings from 21 studies, using the comprehensive meta-analysis (CMA) program, indicated that participation in physical activity had a low, but meaningful, impact on the subjective well-being of elderly individuals. Of three exercise dose components, the duration of physical activity was the most influential, followed by the frequency and intensity of the physical activity. Of six subjective well-being measures, self-efficacy was most strongly associated with physical activity, followed by life satisfaction, leisure satisfaction, exercise satisfaction, successful aging, and happiness. Results of moderator analyses indicated that the influence of physical activity became more pronounced as the proportion of males increased. Meanwhile, of the three exercise dose components, only the relationship between the duration and subjective well-being was influenced as the percentage of participants without a spouse or partner increased. Overall, regular participation in physical activity is an effective way of promoting subjective well-being among older adults in Korea. Relevant guidelines regarding physical activity prescription and behavioral management strategies are discussed.


2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
R. S. Padwal ◽  
S. Damjanovic ◽  
K. M. Schulze ◽  
R. Z. Lewanczuk ◽  
D. C. W. Lau ◽  
...  

Antiobesity pharmacotherapy and programs/providers that possess weight management expertise are not commonly used by physicians. The underlying reasons for this are not known. We performed a cross-sectional study in 33 Canadian medical practices (36 physicians) examining 1788 overweight/obese adult patients. The frequency of pharmacotherapy use and referral for further diet, exercise, behavioral management and/or bariatric surgery was documented. If drug treatment or referral was not made, reasons were documented by choosing amongst preselected categories. Logistic regression models were used to identify predictors of antiobesity drug use. No single antiobesity management strategy was recommended by physicians in more than 50% of patients. Referral was most common for exercise (49% of cases) followed by dietary advice (46%), and only 5% of eligible patients were referred for bariatric surgery. Significant predictors of initiating/continuing pharmacotherapy were male sex (OR 0.70; 95% CI 0.52–0.94), increasing BMI (1.02; 95% CI 1.01–1.03), and private drug coverage (1.78; 95% CI 1.39–2.29). “Not considered” and “patient refusal” were the main reasons for not initiating further weight management. We conclude that both physician and patient factors act as barriers to the use of weight management strategies and both need to be addressed to increase uptake of these interventions.


2018 ◽  
Vol 82 (4) ◽  
pp. 288-307
Author(s):  
Suzanne Mouton-Odum ◽  
David C. Houghton

Trichotillomania (TTM) is a poorly understood condition that causes significant impairment, but effective behavioral management strategies exist. The phenomenology of TTM is complex and requires an individualized treatment approach, and there are some important facets of TTM that have only recently been recognized. Specifically, contemporary research indicates that hair pulling is often performed to regulate aversive sensations and provide somatosensory reward. In this article, we describe the complex phenomenology of TTM, evidence-based treatment options, and illustrate a case of sensory-based TTM treated effectively with a comprehensive behavioral intervention.


Dementia ◽  
2021 ◽  
pp. 147130122098823
Author(s):  
Amanda N Leggett ◽  
Benjamin C Bugajski ◽  
Laura N Gitlin ◽  
Helen C Kales

Background Caring for a person living with dementia can take a physical and emotional toll, but understudied is the process by which family caregivers actually provide care. Caregiver management styles may vary and affect care decision-making, experiences, receptivity to and participation in interventions, and outcomes for the caregiver and person living with dementia. Methods Participants included 100 primary family caregivers for persons with dementia who were on average 64 years old and had been providing care for 55 months, 74% women, and 18% nonwhite. Participants were interviewed in Michigan and Ohio regarding their cognitive and behavioral management of a recent care challenge and values guiding their decision-making. The rigorous and accelerated data reduction technique was used to analyze qualitative data leading to the identification of caregiving styles. Styles were compared across sample characteristics using chi-square and ANOVA tests. Findings Five distinct styles emerged: “Externalizers” (superficial understanding, self-focused, and frequent expressions of anger or frustration), “Individualists” (provide care by going alone, emotionally removed, and lack management strategies), “Learners” (recognize need to change their approach but are stuck and emotionally turbulent), “Nurturers” (positive affect and empathy toward care and reflect natural mastery), and “Adapters” (arsenal of acquired management strategies and adapt to challenges). Style groups differed significantly in terms of age and use of formal care supports. Discussion We identified five distinct styles by which caregivers addressed care challenges using a robust qualitative methodology. Styles may be important to identify in order to better tailor interventions to needs and abilities.


2017 ◽  
Vol 74 (4) ◽  
pp. 294
Author(s):  
Victor Santos Andrade Cruz ◽  
Thiago Augusto Araújo Andrade Cruz ◽  
Márjory Alves Santos Flag ◽  
Deyse Danielly Rodrigues Gomes ◽  
Larissa Tinô de Carvalho Silva ◽  
...  

Objective: to address the findings in the literature regarding behavioral management strategies used by dentists in the dental care of patients with Autism Spectrum Disorders (ASD). Material and Methods: the study was carried out at the Craveiro Costa Central Library, where scientific publications from 2000 to 2016 were reviewed. The search was carried out in the main databases, PubMed, Bireme, MedLine, EBSCO and SciELO, using the following key words: dentistry; autism; embracing; behavioral management; management. Results: 43 papers published in English, Portuguese and Spanish were retrieved. Based on the techniques used in the studies, it cannot be concluded which one would be the best and most effective because the choice for a technique depends on multiple factors. Conclusion: studies in dentistry related to behavioral management in patients with ASD are scarce, and further research in this area is necessary


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