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Increasingly, US community mental health settings are integrating professional near-age youth peer support providers to improve youth service engagement and outcomes. Youth peer specialists (YPS) use their lived and living experiences with a mental health diagnosis to validate, empathize, and provide individualized support, while also improving their program's overall responsiveness to young people's needs. Although promising, these roles tend to lack clarity—responsibilities vary immensely, and turnover is high. Examining near-age youth peer on-the-job experiences is needed to design effective on-the-job supports. Using community-based participatory action research methods, young adults with lived experience worked in partnership with a PhD-level qualitative researcher to design, recruit, conduct, and analyze in-depth-interviews with current and former near-age youth peer providers. Ten young adult peer mentors in Massachusetts completed interviews that revealed near-age youth peer role relational complexity. Five relational aspects were identified requiring relational practice skills and self-awareness, including relationships with (1) self, (2) clients, (3) supervisors, (4) non-peer colleagues, and (5) other near-age peer providers. Near-age peers experience relationship-related struggles with non-peer identified colleagues who do not understand nor value the near-age peer role. Findings expand on current near-age peer practice and associated on-the-job challenges. Training, supervision, and professional development activities that target these five relational areas may improve YPS on-the-job wellbeing, decrease YPS turnover, and improve youth client outcomes. [ABSTRACT FROM AUTHOR]

In the United States, sexual violence in K–12 public schools saw a 55% increase in incidents from the 2015–2016 school year to the 2017–2018 school year. These incidents included sexual violence by school employees against students and peers against other peers. The current study estimated the overall weighted average number of sexual assault/sexual battery, rapes/attempted rapes, and overall sexual violence within districts and across the states using the 2017–2018 data gathered by the Civil Rights Data Collection (CRDC). The two-level hierarchical linear modeling (HLM) results showed that the average number of incidents of sexual assault/sexual battery per district across states was 3.74, with a variance of 61.81 per district within the states. The average variability in the average incidents of sexual assault/sexual battery between the states was 265. Finally, future studies should use moderators to explain the variations in sexual violence within and across states. [ABSTRACT FROM AUTHOR]

Purpose: Subjective wellbeing (SWB) is a significant contributor to quality of life and overall wellbeing in childhood through adulthood. However, less is known about the modifiable factors that support SWB among urban children. This study explored the association between socio-ecological factors (family, peers, and neighborhood) and child SWB. Method: A convenience sample of 69 students were recruited from the 3rd (n = 40) and 5th (n = 29) grades at two urban elementary schools in a mid-Atlantic state. The average age for participants was 9.32 (SD = 1.33) and most of the sample identified as female (60.9%). We expected that better perceived family and peer relationships, and neighborhood quality would be positively associated with higher child SWB. Regression analyses were conducted by SWB outcome, which included global and domain-specific life satisfaction (i.e., personal wellbeing), and core affect. Results: Study findings indicated that family relationships were positively associated with overall life satisfaction and personal wellbeing. Neighborhood quality was also positively associated with student life satisfaction and core affect. Peer relationships were not associated with any of the SWB outcomes. Discussion: The findings highlight the importance of strengthening a child's relationships and environment to sustain positive child SWB. [ABSTRACT FROM AUTHOR]

Background: Ethnic-racial identity (ERI) development refers to how individuals' experiences, beliefs, and attitudes influence understanding of ethnic-racial group membership. Messages about race, from multiple ecosystems, influence identity development and how individuals come to form their ERI. There has been a shift in ERI research to focus on Multiracial populations, however, most of the research focus is on Black/white biracial and general, non-specified Multiracial populations. The ERI development process and experience for persons of other Multiracial backgrounds (e.g., AfroLatinx or AsianBlack) is not as extensively studied. This systematic literature review aims to elucidate the existing conceptualization of Multiracial ERI development for non-Black/white biracial and general Multiracial populations in the United States. Methods: A comprehensive search strategy was employed across multiple academic databases to identify relevant studies based on explicit inclusion criteria. The initial search resulted in 1,846 articles, but when only Black/white biracial and non-specified general Multiracial studies were eliminated from this review, only 18 articles met the criteria for inclusion. Results: Common themes emerged from the reviewed literature, including the importance of spaces, conflicting social messages directed at Multiracial individuals, and coping responses used by Multiracial individuals when faced with challenges by family members and peers regarding their multiracial identity. Discussion: The findings underscore the need for a more nuanced exploration of ERI development among diverse Multiracial populations. Understanding the unique strengths, experiences, and challenges of different Multiracial populations beyond the Black-white biracial paradigm is essential for understanding ERI development across and between different Multiracial populations in today's world. [ABSTRACT FROM AUTHOR]

Using data for the United States, we explore how interactions with immigrants during school age affect imagination during adulthood for native children. The analysis uses The National Longitudinal Study of Adolescent to Adult Health survey and focuses on the impact of differences in the number of immigrants across cohorts within schools. Results suggest that exposure to immigrant classmates has positive effects on the long‐term imagination of natives. Increasing the number of immigrants in the grade by 20 students, would increase the likelihood of reporting a high level of imagination during adulthood by three percentage points. We suggest that the effect is not coming via direct friendship with immigrant students, but through increasing exposure to diverse ideas and experiences. [ABSTRACT FROM AUTHOR]

There is substantial empirical evidence showing that peer effects matter in many activities. The workhorse model in empirical work on peer effects is the linear‐in‐means (LIM) model, whereby it is assumed that agents are linearly affected by the mean action of their peers. We develop a new general model of peer effects that relaxes the linear assumption of the best‐reply functions and the mean peer behavior and that encompasses the spillover, conformist model, and LIM model as special cases. Then, using data on adolescent activities in the United States, we structurally estimate this model. We find that for many activities, individuals do not behave according to the LIM model. We run some counterfactual policies and show that imposing the mean action as an individual social norm is misleading and leads to incorrect policy implications. [ABSTRACT FROM AUTHOR]

There is limited research on ethnic‐racial socialization outside the family context (e.g., in peer groups). Using two‐week, daily data from 177 U.S. ethnic‐racial minority 9th graders in 2017–2020 (Mage = 14.48 years old; 51% females; 52% Black, 20% Latinx, 10% Asian American, 6% Native American, and 12% Other), this study tested a transactional model of family and peer ethnic‐racial socialization, identity, and discrimination. Bidirectional associations were observed between family and peer cultural socialization across days (βs =.09–.10). Peer but not family cultural socialization promoted adolescents' ethnic‐racial identity on the next day (βs =.07–.10). Ethnic‐racial discrimination predicted greater next‐day family ethnic‐racial socialization (cultural socialization, preparation for bias; βs =.08–.11), whereas family and peer ethnic‐racial socialization predicted next‐day discrimination (βs =.11–.18). The differential roles of family and peer ethnic‐racial socialization are discussed. [ABSTRACT FROM AUTHOR]

While social media offer opportunities for young adults, including college students, to maintain relationships and seek social support, concerns have been raised about negative social interactions, such as cyber-victimization, and the role that cyber victimization may play in exacerbating excessive or problematic phone use. The current study examined the association between peer cyber-victimization and addictive phone use, and the ways in which anxiety and depressive symptoms indirectly affect that relationship. To examine these relations, 540 undergraduate students from a Midwestern university in the United States (66% female, 82% White, 79% between 18 to 20-years-old) completed a computer-based survey that measured peer cyber victimization, addictive phone use, depressive symptoms, and anxiety. The results showed a significant positive association between peer cyber-victimization and addictive phone use. Anxiety, but not depressive symptoms, had a significant indirect effect on the association between peer cyber-victimization and addictive phone use. The findings indicate that experiencing peer cyber-victimization may increase one's likelihood to experience addictive phone use, potentially through experiencing anxiety. Longitudinal studies are needed to better understand directionality of the relations among these constructs. [ABSTRACT FROM AUTHOR]

Background: Electronic cigarettes (e-cigarettes) have become the most common tobacco product used among adolescents in the United States (US). Prior research has shown that peer e-cigarette use was associated with increased risk of own e-cigarette use. Nonetheless, there is little empirical evidence on the directionality of these associations—if peer use predicts own use (peer influence) or if own use predicts peer use (peer selection). Methods: We estimated the association between peer and own e-cigarette use among US adolescents 12–17 years of age. We used the cross-lagged model to investigate the mutual relationship between peer and own e-cigarette use over time using data from a population-based longitudinal study, Population Assessment of Tobacco and Health. Stratified analyses were conducted by sex and age subgroups. Results: Results from a cross-lagged model showed a statistically significant predicting path leading from peer use at the prior time point to own use at the following time point, but not vice versa. Conclusions: We found strong relationships between peer e-cigarette use and own e-cigarette use at within-individual levels. Peer influence paths were more robust than peer selection paths for e-cigarette use. Incorporating peers into prevention and intervention programs may help enhance these strategies. [ABSTRACT FROM AUTHOR]

Aims: To test separatel the efficacy of a web‐based and a peer‐based brief intervention (BI), compared with an expanded usual care control (EUC) group, among military reserve component members using alcohoI in a hazardous and harmful manner. Design: In the randomized controlled trial, participants were assigned to: [1] web‐based BI with web‐based boosters (BI + web), [2] web‐based BI with peer‐based boosters (BI + peer) or [3] enhanced usual care (EUC). Setting: Michigan, USA. Participants: A total of 739 Michigan Army National Guard members who reported recent hazardous alcohol use; 84% were male, the mean age was 28 years. Intervention: The BI consisted of an interactive program guided by a personally selected avatar. Boosters were delivered either on the web or personally by a trained veteran peer. A pamphlet, given to all participants, included information on hazardous alcohol use and military‐specific community resources and served as the EUC condition. Measurements The primary outcome measure was binge drinking episodes in the past 30 days, measured at 12 months after the BI. Findings All randomized participants were included in the outcome analyses. In adjusted analyses, BI + peer [beta = −0.43, 95% confidence interval (CI) = −0.56 to −0.31, P < 0.001] and BI + web (beta = −0.34, 95% CI = −0.46 to −0.23, P < 0.001) reduced binge drinking compared with EUC. Conclusion: This satudy was a web‐based brief intervention for hazardous alcohol use, with either web‐ or peer‐based boosters, reduced binge alcohol use among Army National Guard members. [ABSTRACT FROM AUTHOR]

The goal of the current study was to investigate whether children's social information processing (SIP) predicts their conversations with peers, including both their remarks to peers and peers' remarks to them. When children (N = 156; 55% male; United States; Representation by Race: 60% African American, 18% Mixed race, 15% European American, 7% Other; Representation by Latino/a Ethnicity: 22% Latino/a, 78% Not Latino/a; Mincome = $39,419) were 8 years old, we assessed their aggressive and prosocial SIP using the Social Information Processing Application (SIP-AP). When children were 9 years old, they participated in playgroups typically consisting of four same-sex unfamiliar children who interacted in a round-robin format. Each dyad completed a five-minute frustration task and a five-minute planning task. Observers coded children's verbalizations into six prosocial categories (Suggest, Agree, Solicit Input, Ask, Encourage, State Personal) and four antisocial categories (Command, Disagree, Discourage, Aggress). Children with higher aggressive SIP made more antisocial and fewer prosocial statements, whereas children with higher prosocial SIP made more prosocial and fewer antisocial statements. Furthermore, children with higher aggressive SIP elicited more antisocial and fewer prosocial statements from peers, whereas children with higher prosocial SIP elicited more prosocial and fewer antisocial statements from peers. Children's antisocial and prosocial remarks mediated relations between their aggressive SIP and peers' subsequent antisocial and prosocial remarks. Findings are discussed in terms of: (a) the use of SIP to predict more subtle social behaviors in children's social interaction, and (b) cycles of social interactions that maintain and reinforce children's SIP patterns. Public Significance Statement: Findings of the current study suggest that children who think more aggressively about social interactions speak to their peers using more negative and fewer positive statements. Peers respond using similar language, and their responses help to maintain children's aggressive thinking patterns. [ABSTRACT FROM AUTHOR]

Introduction: This research investigated how peer victimization and support are reciprocally related and how Cooperative Learning (CL) can reverse the progressive cascade that, unchecked, can culminate in youth mental health problems. Methods: The sample (N = 1890; 53% male) was derived from a randomized trial of CL in 15 middle schools in the United States. Students were recruited in the 7th grade. Structural Equation Modeling (SEM) was used to fit our cross‐lag difference score model across four waves of data. Results: The results indicated a reciprocal relationship between peer support and victimization across time, suggesting the potential for negative experiences with peers to become amplified over time in a "vicious cycle," negatively impacting mental health. Students in intervention schools reported significantly higher levels of peer support and lower levels of victimization, suggesting that CL can intervene in this cycle, with salutary effects on mental health; CL also demonstrated direct effects on mental health. Conclusions: The present study indicates that low peer support can be both a precursor to and an outcome of victimization, serving to maintain a vicious cycle that compounds negative effects on student mental health. Further, results demonstrate how CL can reverse this cycle. We conclude that CL can be of particular importance to the prevention field as a universal mental health program that does not require the associated stigma of identifying youth at elevated risk for referral to treatment programs. [ABSTRACT FROM AUTHOR]

We model optimal treatment assignment in programs with a limited number of seats and study how the presence of peer effects impacts the optimal allocation rule. We then use data from a randomized control trial to show evidence that there are large peer effects in the context of job training for disadvantaged adults in the United States. Finally, we combine the model and the empirics to show that the program would have had a much greater impact if the assignment choices had accounted for the peer effects. [ABSTRACT FROM AUTHOR]

We examine the relation between incentive plans based on relative performance and competitive aggressiveness. Using data on executive incentive‐compensation contracts in large U.S. firms, we find a positive association between competitive aggressiveness and peer group overlap—that is, the extent to which two firms select each other as peers in these incentive plans. Our findings indicate that managers of such firms take more frequent as well as more complex competitive actions, relative to managers evaluated on relative performance without peer group overlap. Moreover, we show that these competitive tactics are more pronounced when managers compete against: (1) peers with similar grant sizes, (2) peers on similar performance metrics, and (3) peers in the same industry. Collectively, our findings provide evidence on how widely used incentive‐compensation practices relate to strategic firm decisions. [ABSTRACT FROM AUTHOR]

Previous research suggests that peer social networks affect immigrant youths' academics. However, little is known about whether peer parental education spillovers on educational outcomes differ by generational status and whether students are exposed to more same-ethnic peers in school. This study tests: (1) whether attending classes with peers with educated parents is associated with academic outcomes, (2) whether this relationship varies by generation, and (3) whether school contexts with more peers of the same race/ethnicity influence peer parental spillover effects. To overcome the fact that students select into schools, we use the National Longitudinal Study of Adolescent to Adult Health and leverage quasi-exogenous variation in peer exposure. We find that peer parental education spillover effects vary by immigrant generation, but the extent of the difference varies by outcome. For academic effort, first-generation immigrant youth are less affected by peer parental education effects compared with others. For GPA, the peer spillover effect is smaller for second-generation youth compared with others. In schools with more same race/ethnicity peers, children of immigrants see lower peer spillover effects on educational outcomes compared with their counterparts in more diverse contexts. Findings suggest that network based social processes influencing academic outcomes are distinct for immigrant youth. [ABSTRACT FROM AUTHOR]

A sample of Ghanaian (n = 119) and United States (US; n = 70) adolescents was used to examine parental management of peer relationships. Adolescents completed measures of consulting, guiding, parent-adolescent conflict about peers, and social behavior. Compared to US adolescents, Ghanaian adolescents reported higher levels of overt aggression and relational aggression. Ghanaian adolescents reported higher levels of conflict with parents about peers than US adolescents. Ghanaian boys reported the highest level of conflict with parents about peers, US boys reported the lowest level of conflict with parents about peers, and Ghanaian and US girls reported medium levels of conflict about peers. Girls reported higher levels of prosocial behavior than boys. Older adolescents reported higher levels of conflict with parents about peers, higher levels of overt aggression, and higher levels of relational aggression. Across nationality groups, higher levels of consulting were related to lower levels of overt aggression. Multiple regression analyses suggested that higher levels of conflict with parents about peer relationships was related to higher levels of overt aggression and relational aggression across nationality groups. A significant two-way interaction revealed that, for US adolescents, higher levels of consulting were related to higher levels of prosocial behavior. A significant three-way interaction suggested that guiding was not related to prosocial behavior regardless of level of conflict among Ghanaian adolescents. For US adolescents, higher levels of guiding at higher levels of conflict were associated with higher levels of prosocial behavior among US adolescents. [ABSTRACT FROM AUTHOR]

Objective: Research has highlighted the potential adverse effects of weight bias internalization (WBI) on adolescents, but there has been little examination of WBI and sources of weight teasing (family, peers, or both) or across racial/ethnic diversity of adolescents. We aimed to examine the relationship between WBI and sources of weight teasing across sociodemographic characteristics and weight status in a diverse community sample of adolescents., Methods: Data were collected from a U.S. sample of 1859 adolescents aged 10-17 years (59% female; 43% White, 27% Black or African American, and 25% Latino). An online questionnaire was used to assess participants' experiences of weight teasing from family members, peers, or both, and their weight status, weight-related goals, WBI, and sociodemographic characteristics., Results: Adolescents experiencing weight teasing from both family and peers reported the highest levels of WBI, while those reporting no teasing exhibited the lowest levels. These patterns were observed across sex, race/ethnicity, weight status, and weight goals, and persisted after controlling for depressive symptoms. Notably, family influences played a salient role, with adolescents reporting higher WBI if teased by family only compared to teasing from peers only. Sex and racial differences were also observed in adolescents' experiences with weight-based teasing., Conclusion: Our study reveals associations between adolescent weight-based teasing, WBI, and sociodemographic factors. Weight-based teasing, whether from family and peers or from family only, was associated with increased WBI. Interventions targeting weight stigma in youth should not be limited to peer-focused efforts, but should also emphasize supportive family communication., (© The Author(s) 2024. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

The current study investigated the social and interpersonal correlates of callous-unemotional (CU) traits using peer nominations. Participants (N = 289) were children in Grades 3, 6, and 8 (Mage = 11.47 years, 40.1% male, 64.7% self-identified racial/ethnic minority) from two public school systems in the southern United States. Participants were asked to identify peers they believed fit a number of different characteristics hypothesized to be related to CU traits, in addition to individuals they "liked most" and "liked least." We also obtained self- and teacher ratings of CU traits and parent and teacher ratings of conduct problems (CP). Factor analyses extracted three dimensions from peer nominations developed from past research describing social characteristics related to CU traits—being mean and aloof (Mean/Cold), untrustworthy and not nice (Not Nice), and dominant and manipulative (Desire for Dominance). Results indicated that CU traits were significantly associated with fewer "liked most" and greater "liked least" nominations, but not after controlling for CP. In contrast, both CP and CU traits were significantly independently associated with Mean/Cold nominations, and only CU traits were associated with Not Nice nominations when controlling for CP. The findings from the current study suggest that CU traits are largely associated with traditional indices of peer rejection because of their level of CP. However, they contribute independently to perceptions of being mean, aloof, and untrustworthy. Thus, interventions focused on strengthening the social skills of children with elevated CU traits should consider ways to change these negative peer perceptions. [ABSTRACT FROM AUTHOR]

Despite the centrality of dating relationships for teens, it is unclear whether the influence of romantic partners' alcohol use on adolescents' under-age drinking is distinct from the influence of peers and parents. To address this gap, this study used longitudinal data from a population-based sample of 825 adolescents (49% male, 51% female), ages 12 to 19. Adolescents completed a survey using laptops for privacy, and a parent completed a survey separately. Ordinary least squares and logistic regression models assessed alcohol use frequency and alcohol problems and included dating partners' drinking, adolescents' prior drinking, peers' drinking, parents' substance use, parental monitoring, and sociodemographic background characteristics. Alcohol use frequency and alcohol problems were influenced by dating partners' alcohol use and dating partners' influence was stronger on older adolescents and male adolescents. The study results are useful for public health messaging and prevention efforts by demonstrating the influence of parents, peers, and dating partners on teens' alcohol use. [ABSTRACT FROM AUTHOR]

Publicly funded scientists and scientists within government juggle an array of accountability arrangements. They answer to peers, government officials, and society. This paper examines the types of accountability experienced by these scientists in the United States. It recounts the historical events that prompted various forms of accountability and it explores common themes in the debates surrounding scientific accountability. Finally, the paper suggests that interdisciplinarity has emerged as a possible solution to the problem of scientists accounting for their actions to laypeople. [ABSTRACT FROM AUTHOR]

Background and aims: Social context is an important factor in determining the developmental trajectory of alcohol use. We examined the co‐development between alcohol use problems and antisocial peer affiliation. We also estimated the genetic and environmental influences on alcohol use problems, antisocial peer affiliation and their co‐development over time. Design Longitudinal study using bivariate latent basis models with structured residuals (LBM‐SR). A biometric model was then fitted to estimate the genetic and environmental influences on the growth factors and their covariances. Setting: The United States mid‐west region. Participants: Members of the Minnesota Twin Family Study (MTFS), an ongoing, longitudinal study of 3762 (52% female) twins (1881 pairs). Measurements: Alcohol use problems were assessed using a composite measure of average number of drinks per occasion in the past 12 months, maximum number of drinks in 24 hours and DSM‐III‐R symptoms of alcohol abuse and dependence. Antisocial peer affiliation was measured by self‐report of the proportion of one's friends who exhibited types of antisocial behaviors. Findings The LBM‐SR model revealed that there was a large correlation between the growth factors for alcohol use problems and antisocial peer affiliation [r = 0.78, 95% confidence interval (CI) = 0.76, 0.80] and cross‐lagged effects consistent with both selection and socialization effects. Additionally, antisocial peer affiliation in adolescence was associated with greater increases in alcohol use problems over time (r = 0.57, 95% CI = 0.54, 0.60). Genetic influences largely accounted for the association between antisocial peer affiliation in pre‐adolescence and growth in alcohol use problems, while shared environmental influences accounted for the correlation between antisocial peer affiliation and alcohol use problems growth factors. Conclusions: Antisocial peer affiliation in adolescence appears to be a salient, genetically influenced risk factor for early alcohol use and increase in alcohol use from adolescence to young adulthood. [ABSTRACT FROM AUTHOR]

• Immigrant parents guide young children's peer play according to their cultural beliefs. • The cultural beliefs about their children's education most likely vary greatly based on numerous factors including their cultural backgrounds, and these beliefs have been shown to be correlated with children's social and developmental outcomes. • There is a need to include culturally and linguistically appropriate measures in understanding parents' play beliefs among children from diverse backgrounds. • The current study underscores the importance of incorporating immigrant parents' voices in assessments of children's behavior to better reflect cultural nuance and variability, parenting strategies, and/or beliefs that may differ from mainstream US culture. Parents' beliefs have an important influence on their children's play and learning experiences in the home and at school. Given the dramatic increase in the number of Chinese immigrant families and children living in the United States (the population has grown more than six-fold since 1980, reaching 2.3 million in 2019), it is particularly important to gain a better understanding of these immigrant parents' beliefs. Their beliefs about their children's education most likely vary greatly based on numerous factors including their cultural backgrounds, and these beliefs have been shown to be correlated with children's social and developmental outcomes. The present study aim was twofold: first, to examine play beliefs among this rapidly growing group by validating an existing parent report measure of play beliefs and comparing parents' beliefs to children's interactive peer play and social skills in Head Start classrooms; second, to provide more nuanced information via qualitative data analysis about how Chinese immigrant parents make meaning of their children's play in the context of early learning opportunities. Families of 213 preschool children enrolled in Head Start programs located in a large, northeastern city participated in this study. Findings extend the validity of the Parent Play Beliefs Scale (PPBS; Fogle & Mendez, 2006) for use with Chinese immigrants in the US. Qualitative data suggest that Chinese immigrant parents hold positive beliefs about play, while also displaying some concerns about preschool curriculum in the United States, which likely derive from their own learning experiences when they were in China. The current study underscores the importance of incorporating immigrant parents' voices in assessments of children's behavior to better reflect cultural nuance and variability, parenting strategies, and/or beliefs that may differ from mainstream US culture. [ABSTRACT FROM AUTHOR]

The rise in drug overdose deaths in the United States necessitates novel approaches to reduce harms. In response, peer recovery support services for substance use disorder have been implemented in clinical and community settings in several states. This descriptive analysis aimed to describe the implementation of hospital-based peer recovery support services for substance use disorder. We describe the implementation of the Peer Recovery Program, which delivers recovery support services 24 hours a day, seven days a week, for patients with substance use disorder in emergency departments and inpatient settings across 20 hospitals. We report program, patient, and referral characteristics and program process measures. From 2016 to 2019, Recovery Specialists received referrals during 30,263 patient visits. In 2019, 65.4% (n = 7,564) of patients were male. Across three subsamples of referrals, patient acceptance of continued recovery support services ranged from 74.8% to 83.0%. At affiliated hospitals in 2019, the median response time from referral to Recovery Specialist arrival at patient bedside was eight minutes (interquartile range = 4–16), and the median duration of initial bedside consultation was 35 minutes (interquartile range = 25–45). In 2019, Recovery Specialists and Patient Navigators attempted 113,442 follow-up contacts, and patients accepted 4,696 referrals provided by Patient Navigators to substance use disorder treatment and other medical, social, and recovery services and supports. This study describes peer recovery support services for substance use disorder delivered in emergency departments and inpatient settings. Evidence of improved patient outcomes is needed prior to widespread adoption. [ABSTRACT FROM AUTHOR]

In the United States, the Gaining Early Awareness and Readiness for Undergraduate Programs (GEAR UP) fosters relationships between racial-ethnic and low-income adolescents and adults and peers who help them and their families take formal steps toward pursuing a college degree. However, the extent to which GEAR UP students seek teachers, counselors, parents, or friends to prepare for college during program participation is underexplored in the literature. Using the Theory of Reasoned Action as a guiding framework, this study examined the extent to which GEAR UP participant attitudes, subjective norms, and intentions influenced whether participants sought academic support from teachers, counselors, parents, or friends during an academic semester. Strong direct and indirect effects were found in structural equation models examining GEAR UP student subjective norms, intentions, and behaviors regarding seeking academic support from friends. The data on students seeking academic support from school personnel and parents were less conclusive. Participation in GEAR UP activities influenced these relationships. Implications for how practitioners and researchers support the college readiness of adolescents in GEAR UP are discussed. [ABSTRACT FROM AUTHOR]

Ethnic identity (EI) is influenced by many factors, but few studies have examined the relative contribution of parenting style and other factors to EI. We addressed this gap by examining the effects of family and community factors on the EI of ethnic minority students enrolled in graduate psychology programs in the United States. The results suggest that family, peers, and experiences of discrimination significantly influence EI. Familial cultural socialization was the strongest contributor to EI. La identidad étnica (EI, por sus siglas en inglés) recibe influencia de muchos factores, pero pocos estudios han examinado la contribución relativa del estilo parental y otros factores a la EI. Abordamos este vacío examinando los efectos de los factores de familia y comunidad en la EI de estudiantes de minorías étnicas matriculados en programas de psicología de posgrado en los Estados Unidos. Los resultados sugieren que la familia, los compañeros y las experiencias de discriminación influyen en la EI de forma significativa. La socialización cultural familiar fue el factor que ejerció la mayor influencia sobre la EI. [ABSTRACT FROM AUTHOR]

Sibling victimization is associated with adjustment problems. Protective factors that reduce the detrimental effects of sibling victimization are unknown. We examined the mediating role of social support from family and friends in the relationship between sibling victimization and adolescents' mental health distress, self-esteem, and delinquency. A telephone survey (N = 850; 49% female) was conducted with a nationally representative sample of United States adolescents (Aged 10 to 17). Three mediation models were tested exploring (a) the unique effects of family and friend support, (b) the relative effects of each type of support, and (c) the effects of total support (family and friend support summed). The three models demonstrated partial mediation of adolescents' mental health and self-esteem. Family and total support, but not friend support, partially mediated the relationship between sibling victimization and delinquency. Findings showed that family and friend social support, in combination and sometimes uniquely, reduced the adverse effects sibling victimization associated with adolescents' mental health, self-esteem, and delinquency. Efforts aimed at promoting social support from family and friends as protective factors may reduce the risk of sibling victimization experiences for adolescent well-being difficulties. (PsycInfo Database Record (c) 2020 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

In recent years, marijuana use on U.S. college campuses reached the highest point while the perceptions of risk and social disapproval registered the lowest since the early 1980s. However, little attention has been paid to the sources of the marijuana-related messages and their relationships with marijuana knowledge and confidence in knowledge, proximate protective/risk factors. To fill this gap, a convenience sample of students (N = 249) on a campus located in a U.S. recreational marijuana legal state were surveyed to identify their marijuana information sources and explore the relationships among the sources, confidence in marijuana knowledge, and objective knowledge. Peers/media were the most important sources and they were used more than other sources. Use of peers/media sources was related to lower health knowledge and higher confidence in knowledge. Although students named parents and education/science sources as important, these were less frequently used than siblings, the sources they named as the least important. This study advanced our understanding of the various sources of marijuana information used by U.S. college students and the relationships between the information sources and confidence in knowledge and objective knowledge, two emerging risk/protective factors in the era of marijuana deregulation. [ABSTRACT FROM AUTHOR]

Background: ADHD poses risk for problematic alcohol use through adulthood. Perceived peer alcohol use, one of the strongest correlates of individuals' own alcohol use, is especially salient for adolescents with ADHD. The extent to which this risk extends into young adulthood is unknown, as well as how change in these constructs is associated throughout young adulthood. Methods: In the Pittsburgh ADHD Longitudinal Study, 358 individuals with childhood‐diagnosed ADHD and 239 without were prospectively followed from ages 18 to 29. Piecewise, bivariate longitudinal growth modeling was used to examine the change in both peer alcohol use and individuals' heavy drinking (binge‐drinking frequency), their between‐person associations, and differences by ADHD group. The addition of structured residuals probed within‐person year‐to‐year change in peer and personal alcohol use and their prospective associations. Results: Perceived peer alcohol use and individuals' heavy drinking frequencies changed together over time concurrently—from ages 18 to 21 (piece 1) and 21 to 29 (piece 2). Prospectively, individuals who increased the most in heavy drinking from ages 18 to 21 reported more friends using alcohol at age 29, regardless of ADHD history. Within‐person increases in personal alcohol use likewise predicted increased perceived peer use the subsequent year within each age group (piece), regardless of ADHD history. However, while decreasing perceived peer use from ages 21 to 29 was related to more frequent heavy drinking at age 29 for those without ADHD, increasing perceived peer use from ages 18 to 21 predicted more frequent heavy drinking at age 29 for those with ADHD. Conclusions: Young adult heavy drinking changes in tandem with perceived peer alcohol use across individuals and predicts selection of alcohol‐using peers from year to year within individuals, further into adulthood than previously documented. Findings suggest the centrality of relationships with alcohol‐consuming friends in relation to one's heavy drinking, especially for young adults with ADHD histories, through the twenties. [ABSTRACT FROM AUTHOR]

This research examined parents' restriction of children's peer relationships in the United States and China. American and Chinese children (N = 934; Mage = 12.67 years) reported on their parents' peer restriction (e.g., limiting children's time with peers) and their behavioral and psychological adjustment 3 times over a year. Increments in parents' peer restriction predicted decrements in children's adjustment over time to a similar extent in the United States and China. However, decrements in children's adjustment predicted increments in parents' peer restriction over time to a greater extent in the United States (vs. China). Thus, it is possible that culture contributes to the socialization process involving parents' restriction of children's peer relationships but only via child-driven pathways. [ABSTRACT FROM AUTHOR]

For many young women, college is a time of major changes in sexual behavior and attitudes, driven in part by their social environment. Yet little is known about how young women actually talk about sex day-to-day. To understand daily sexual communication, 96 U.S. college students who identify as women kept a sexual communication diary for 7 days, generating 1,211 records. A content analysis revealed that women talked about sex an average of 13 times per week. Most conversations were with friends, face-to-face, and mostly about previous sexual encounters, dating, and potential sexual activity. The underlying function of most conversations was exchanging opinions, recapping, and gossiping. Sex appears to be a somewhat regularly discussed topic for college women and a way of socializing and exploring attitudes. The results have important implications for health promotion efforts targeted at college women. [ABSTRACT FROM AUTHOR]

We document four patterns of sibling victimization (Persist, New, Desist, and None) across two time points and their association with peer victimization at time two and whether these linkages are apparent in early childhood, middle childhood and adolescence. A telephone survey (N = 1653) was conducted with a nationally representative sample of U.S. parents with children (age 3–9) and adolescents (age 10 to 17). The four patterns differed by age, gender, ethnicity and parent education levels but not family structure. The Persist, New and Desist sibling victimization patterns were associated with a greater likelihood of peer victimization. Sibling victimization patterns were unrelated to peer victimization in early childhood but predictive of peer victimization in middle childhood and adolescence. Findings showed that sibling victimization leaves children and adolescents vulnerable to peer victimization. Children and adolescents who experienced chronic sibling victimization (Persist group) were particularly vulnerable to peer victimization. Eliminating sibling victimization could reduce peer victimization in middle childhood and adolescence. [ABSTRACT FROM AUTHOR]

Background: Strengthening social integration could prevent suicidal behavior. However, minimal research has examined social integration through relationship network structure. To address this important gap, we tested whether structural characteristics of school networks predict school rates of ideation and attempts. Methods: In 38 US high schools, 10,291 students nominated close friends and trusted adults to construct social networks. We used mixed‐effects logistic regression models to test individual student networks and likelihood of suicidal ideation (SI) and suicide attempts (SA); and linear regression models to estimate associations between school network characteristics and school rates of SI, SA, and SA among all with ideation. Results: Lower peer network integration and cohesion increased likelihood of SI and SA across individual and school‐level models. Two factors increased SA: student isolation from adults and suicidal students' popularity and clustering. A multivariable model identified higher SA in schools where youth–adult relationships were concentrated in fewer students (B = 4.95 [1.46, 8.44]) and suicidal students had higher relative popularity versus nonsuicidal peers (B = 0.93 [0.10, 1.77]). Schools had lower SA rates when more students named the same trusted adults named by friends and many students named the same trusted adults. When adjusting for depression, violence victimization and bullying, estimates for adult network characteristics were substantially unchanged whereas some peer effects decreased. Conclusions: Schoolwide peer and youth–adult relationship patterns influence SA rates beyond individual student connections. Network characteristics associated with suicide attempts map onto three theory‐informed domains: social integration versus thwarted relational needs, group cohesion, and suicidal students' social influence. Network interventions addressing these processes, such as maximizing youth–adult connections schoolwide and heightening influence of youth with healthy coping, could create more protective schools. Longitudinal and intervention studies are needed to determine how schools differentiate in network structure and clarify reciprocal dynamics between network characteristics and suicidal behavior. [ABSTRACT FROM AUTHOR]

Research misconduct is harmful because it threatens public health and public safety, and also undermines public confidence in science. Efforts to eradicate ongoing and prevent future misconduct are numerous and varied, yet the question of "what works" remains largely unanswered. To shed light on this issue, this study used data from both mail and online surveys administered to a stratified random sample of tenured and tenure-track faculty members (N = 613) in the social, natural, and applied sciences at America's top 100 research universities. Participants were asked to gauge the effectiveness of various intervention strategies: formal sanctions (professional and legal), informal sanctions (peers), prevention efforts (ethics and professional training), and reducing the pressures associated with working in research-intensive units. Results indicated that (1) formal sanctions received the highest level of support, (2) female scholars and researchers working in the applied sciences favored formal sanctions, and (3) a nontrivial portion of the sample supported an integrated approach that combined elements of different strategies. A key takeaway for university administrators is that a multifaceted approach to dealing with the problem of research misconduct, which prominently features enhanced formal sanctions, will be met with the support of university faculty. [ABSTRACT FROM AUTHOR]

First-generation college (FGC) students compose nearly a third of the total student population in most four-year higher education institutions in the United States. Yet they graduate in drastically lower rates than their non-first-generation peers. To understand how these students can persist with their college learning, faculty need to reconceptualize the framework of how they teach toward these students' learning of subject matter. This commentary paper argues for a funds of knowledge approach to understanding the learning in college classrooms for FGC students, as well as the important role of faculty in shaping the overall college-learning experiences for these students. [ABSTRACT FROM AUTHOR]

Popularity and likability—two measures of adolescent peer status—have been examined frequently within Western cultures but relatively rarely within Eastern cultures. This study offered a cross-cultural comparison of adolescent peer status to examine whether these constructs and their correlates vary between the United States and China. The study consisted of a sample of adolescents from China and the United States (N = 864, M age = 15.95; 50.5% female). Adolescents completed sociometric peer nominations assessing popularity, likability, and five behavioral correlates: aggression, victimization, prosocial behavior, sad affect, and anxious behavior. Results suggest that popularity may be more differentiated from likability in the United States than in China. More specifically, the association between popularity and likability was stronger in China, and the behavioral correlate profiles of these peer constructs was more similar within China than within the United States. Another notable finding was that popularity was significantly positively associated with aggression in the United States but was significantly negatively associated with aggression in China. Results are discussed through the lens of cultural differences in the meaning of peer status. [ABSTRACT FROM AUTHOR]

The purpose of this study was to understand the influence Black college women have on the health behaviors of Black men. Using the Health Belief Model and the socioecological model as guides, focus groups and interviews were conducted with Black college men (n = 35) and Black college females (n = 25) at a Historically Black College and University in the Southern United States. Participants provided responses to questions on what impacts their health behaviors and whose health they influence. Results indicate that Black college men believed Black peer women influence decisions they make regarding their diet, physical activity, and general health behaviors. However, Black college women believe they only influenced physical activity and sexual health in Black college men. While they understood they had some influence on their health, the women were unsure if they had long-term influence. These findings highlight the need for programming that informs young Black women on the important role they play in the health of men in their lives, particularly young Black men. These findings also highlight the need for peer health educator training to cross-train educators on health issues of all gender groups. [ABSTRACT FROM AUTHOR]

Childhood obesity is a growing problem in the United States. This study used the theory of normative social behavior (TNSB) to better understand how social norms affect the eating behavior of children. Past studies have applied TNSB to adolescents, but not to younger children and not in the context of eating behavior. Participants were 166 children between the ages of 8 and 11 years. They completed questionnaires with TNSB measures (descriptive norms, injunctive norms, outcome expectations, peer communication, group identity, and ego involvement). Results showed that only injunctive norms served as a moderator of the relationship between descriptive norms and food consumption and intentions. Reasons for the lack of significant results, theoretical and practical implications, and directions for future research are explored further. [ABSTRACT FROM AUTHOR]

To determine barriers, motivators, and perspectives regarding plate waste reduction of early adolescents. Trained interviewers conducted audio-recorded individual interviews with adolescents. Elementary schools implementing the National School Lunch Program in Hawai'i, Montana, and Virginia. Early adolescents (n = 47, aged 9–13 years) from families receiving or eligible to receive Supplemental Nutrition Assistance Program benefits were recruited to participate. Factors influencing plate waste among adolescents and potential plate waste reduction strategies. Coders analyzed content and thematic data to identify code categories and themes. Main barriers to reducing school lunch plate waste were unsupportive school policy, undesirable food quality, satiation, and social influences. Key motivators to reducing school lunch plate waste were supportive school policy, including allowing students to share food with peers and save food to eat later; and social influences. Participants found it acceptable to throw away disliked food and unacceptable to throw away wanted food; they perceived that their peers did not care whether food was thrown away; and they thought their parents disliked wasting food. Results suggest that several factors might allow for minimization of school lunch plate waste in the National School Lunch Program , including improvements in food quality, food policy, and social influences. Under these important themes, strategies to employ may include improving food preparation and taste, allocating more time for students to finish lunch, allowing students to self-select food lunch items, and permitting them to share and save their leftover food. [ABSTRACT FROM AUTHOR]

Fourteen adolescents on an inpatient crisis stabilization unit were interviewed about their experiences of group music therapy in order to understand how sessions impacted their mental health recovery. Using analytic procedures consistent with qualitative content analysis, 13 preliminary themes captured their session experiences. From these themes, 4 central concepts emerged: (1) music therapy affirms participants' strengths , (2) music therapy affirms coping resources , (3) music therapy integrates cognitive and affective processes , and (4) music therapy provides continuity of experiences. Each theme and concept is defined, along with implications for clinical implications and future research. [ABSTRACT FROM AUTHOR]

Background: The social and physical environment in which drinking occurs can impact the level of alcohol consumption and related consequences among adolescents. Understanding which aspects of the drinking context exert the most risk for adolescent alcohol use is necessary for comprehensive prevention programming. Methods: Following PRISMA guidelines, we systematically reviewed the literature for published studies that examined the relationship between aspects of the social (e.g., number of people present), situational (e.g., adult supervision) and location-based characteristics of the drinking context and adolescent alcohol consumption. A total of 15,853 articles were screened for inclusion, of which 31 were included for qualitative synthesis. Results: Adolescents most commonly consume alcohol on weekend evenings and either in their home or someone else's home. Availability of alcohol, increased group size, and the presence of others, particularly close friends, who are drinking increases risk for alcohol use. Conclusions: Certain environments exert greater risk for alcohol consumption among adolescents. Characteristics of these high-risk contexts represent modifiable factors of the environment that are informative to prevention and policy efforts. Implications for prevention and future directions are discussed. [ABSTRACT FROM AUTHOR]

Peers play an important role in adolescence, a time when self-harm arises as a major health risk, but little is known about the social networks of adolescents who cut. Peer network positions can affect mental distress related to cutting or provide direct social motivations for self-harm. This study uses PROSPER survey data from U.S. high school students (n = 11,160, 48% male, grades 11 and 12), finding that social networks predict self-cutting net of demographics and depressive symptoms. In final models, bridging peers predicts higher self-cutting, while claiming more friends predicts lower cutting for boys. The findings suggest that researchers and practitioners should consider peer networks both a beneficial resource and source of risk associated with cutting for teens and recognize the sociostructural contexts of self-harm for adolescents more broadly. [ABSTRACT FROM AUTHOR]

This study examines the effectiveness of a self-affirmation intervention to improve academic achievement for students with a "double-jeopardy status" of belonging to two potentially disadvantaged groups at the same time: girls with a minority background. The method established in the U.S. is adapted to the German cultural context and evaluated for its immediate and medium-term efficacy on math achievement among girls as well as among ethnic minority youth after the transition to secondary school. We applied a double-blind pre-post experimental design with randomized treatment allocation in 11 schools (N = 820, seventh graders with various ethnic backgrounds). Following the intervention of a brief in-class writing assignment about their personal values, students performed a standardized mathematics test. A follow-up achievement test, but no intervention, was administered eight weeks later to assess the midterm effectiveness of the treatment. Between assessments students received a written feedback about their scores in the math test. The multi-level linear model results show that (1) double-jeopardy in math performance exists, as shown by independent negative effects of female gender and Turkish or Arab minority group membership; (2) Girls from all ethnic backgrounds and students with Turkish immigrant background in the intervention group performed significantly better in the mathematics test immediately after the intervention than their peers in the control group. (3) Eight weeks later, the intervention effect only persisted for students with minority ethnic backgrounds: Turkish and Arabic students in the intervention group scored significantly higher in the standardized mathematics test compared to their peers in the control group. (4) We found no support for a triple interaction effect of treatment, ethnic background, and gender. That is, girls with a Turkish or an Arabic background did not benefit more from the self-affirmation intervention than other minority or female students. Results are discussed in relation to self-affirmation theory and how such interventions can be applied in secondary school mathematics curricula. [ABSTRACT FROM AUTHOR]

Peer observation and feedback (POF) is the direct observation of an activity performed by a colleague followed by feedback with the goal of improved performance and professional development. Although well described in the education literature, the use of POF as a tool for development beyond teaching skills has not been explored. We aimed to characterize the practice of POF among pediatric hospitalists to explore the perceived benefits and barriers and to identify preferences regarding POF. We developed a 14-item cross-sectional survey regarding divisional expectations, personal practice, perceived benefits and barriers, and preferences related to POF. We refined the survey based on expert feedback, cognitive interviews, and pilot testing, distributing the final survey to pediatric hospitalists at 12 institutions across the United States. Of 357 eligible participants, 198 (56%) responded, with 115 (58%) practicing in a freestanding children's hospital. Although 61% had participated in POF, less than one half (42%) reported divisional POF expectation. The most common perceived benefits of POF were identifying areas for improvement (94%) and learning about colleagues' teaching and clinical styles (94%). The greatest perceived barriers were time (51%) and discomfort with receiving feedback from peers (38%), although participation within a POF program reduced perceived barriers. Most (76%) desired formal POF programs focused on improving teaching skills (85%), clinical management (83%), and family-centered rounds (82%). Although the majority of faculty desired POF, developing a supportive environment and feasible program is challenging. This study provides considerations for improving and designing POF programs. [ABSTRACT FROM AUTHOR]

Objective: This study investigates the association between histories of childhood victimization and perceived consequences of college hazing. Participants: First-year college students at four US universities (N = 120). Method: Participants completed Web-based surveys asking about childhood victimization (eg, child maltreatment), peer victimization, and perceived consequences of hazing during college. Results: Results indicated that college students with childhood victimization histories perceived hazing to be negative. In particular, physical dating violence and a greater total number of childhood victimization exposures were related to a higher number of perceived negative consequences. Conclusion: Past victimization exposures confer risk on college students who experience hazing, in that these students are more likely to perceive negative consequences of hazing. Hazing-related policies and outreach efforts should consider these potential negative consequences, and counselors should be aware of the link between past victimization and how hazing might be experienced. [ABSTRACT FROM AUTHOR]

Limited research exists on the influence of top-ranked medical schools on students' speciality choice. We surveyed medical students (n = 468) at eight medical schools in the United States including two ranked in the top 10. Significance tests and logistic regressions were used to determine the relationship between school ranking and preferences for various speciality attributes. An analysis was conducted separately for students in lower (1st and 2nd) years versus higher (3rd and 4th) years of medical school. Among students in lower years, speciality preferences by students in top-ranked schools were less likely to be influenced by the length of training or work–life balance compared to students in non-top-ranked schools. Among higher year students, speciality preference of students in top-ranked schools was more likely to be influenced by prestige than their peers, with no difference in the influence of other factors. We also found evidence that students in top-ranked schools were less likely to be interested in primary care specialities, and this was more pronounced among those in higher years. Our findings suggest that top-ranked schools may influence speciality choice through both selection and education, and initiatives aimed at changing the emphasis on speciality prestige at top-ranked schools could increase primary care physician output. [ABSTRACT FROM AUTHOR]

Studies have documented the salience of social networks for a range of health outcomes and behaviors among adolescents, but sleep has received far less attention. We examined whether adolescents' network positions relative to cohesive friendship groups and popularity among peers are associated with their sleep behaviors and whether the associations differ by gender. We analyzed friendship data on 2,550 adolescents from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to identify participants' network group positions (member, isolate, liaison) and popularity (number of friendship nominations received). Respondents provided self-reports of sleep duration, insomnia symptoms, and sleep insufficiency. We evaluated the relationships between respondents' group positions and popularity with their sleep behaviors using linear and Poisson regression, adjusting for socio-demographics, self-rated health, smoking and drinking status, integration in non-peer contexts (school, family, and religion), and friends' sleep. Results from the total sample show that liaisons report increased risk of sleep insufficiency compared to group members. Higher popularity status is associated with shorter sleep duration and greater sleep insufficiency. Stratifying by gender, popular girls report shorter sleep duration (β = -2.68 min for each additional friendship nomination; 95% CI [-4.75, -.61]) and greater sleep insufficiency (RR = 1.04; 95% CI [1.01, 1.07]) compared to less popular girls. Girls who are liaisons experience more sleep insufficiency (RR = 1.28; 95% CI [1.07, 1.53]) compared to group member girls. In contrast, isolated boys reported more insomnia symptoms (RR = 2.19; 95% CI [1.20, 3.98]) compared to group members. Popularity may have hidden costs for girls' sleep, while social isolation seems to be detrimental for boys' sleep. These results suggest that a social network perspective is valuable for studying sleep health and might inform targeted interventions to improve adolescents' sleep outcomes. • Positions in peer groups and popularity are related to adolescents' sleep. • There are gender differences in social network attributes related to sleep. • Popularity is associated with shorter sleep and sleep insufficiency in girls. • Liaison status (group-bridging) is associated with sleep insufficiency in girls. • Isolation status is associated with insomnia symptoms in boys. [ABSTRACT FROM AUTHOR]

Objective Pain self-management information and support, delivered by peers, are a potentially useful approach to help patients who are struggling to manage their chronic pain. Before implementation into clinical settings, it is important to understand factors that may influence the success of implementation. The purpose of this study was to explore facilitators and barriers to implementation of peer support for chronic pain. Design Semistructured interviews were conducted with clinicians who provide care to patients with chronic pain, regarding their perceptions of the proposed peer support intervention. Setting A single US Veterans Affairs Medical Center. Subjects Using maximum variation sampling, 15 providers were interviewed (11 women, four men). Clinicians' disciplines included primary care, physical therapy, nursing, clinical psychology, social work, and pharmacy. Results Findings indicated that clinicians 1) had an overall positive perception of the intervention; 2) had specific intervention outcomes they wanted for patients; 3) anticipated that the intervention could positively influence their role; 4) anticipated barriers to intervention participation and maintenance; and 5) had concerns regarding peer coach selection. Findings are discussed in the context of the Consolidated Framework for Implementation Research. Conclusions Understanding clinician perceptions of a peer support intervention is critical for successful implementation. The feedback collected in this study will facilitate implementation of the intervention on a broader scale, allowing more patients to benefit. [ABSTRACT FROM AUTHOR]

A central concern in networked service delivery is the potential loss of accountability as network actors may pursue singular organizational goals over collective network goals. Despite the critical role-played by frontline workers in implementing network policy goals, previous research has overlooked their influence on network accountability. How do frontline workers impact accountability in networked service delivery? Drawing on theories of informal accountability and street-level bureaucracy, we address this question through an empirical study of children's service networks. We find professional norms and discretionary behavior exercised by frontline workers help to contribute to provider network's informal accountability structure in important ways. [ABSTRACT FROM AUTHOR]

Background There are many known risk factors associated with youth substance use. Nonetheless, the impact of life satisfaction (LS) on the use of alcohol, tobacco and marijuana by adolescents still remains largely unknown. Methods The present analysis utilized data from the Health Behavior in School-Aged Children 2009–10 US study. Multilevel logistic regression models were used to assess the relationship between LS and individual substance use. Multilevel multinomial regression models examined the relationship with total number of substances used. Results After controlling for numerous variables associated with substance use, individuals reporting low LS were significantly more likely to ever use tobacco (OR = 1.34, 95% CI = [1.01, 1.78]), alcohol (OR = 1.45, 95% CI = [1.10, 1.92]) and marijuana (OR = 1.98, 95% CI = [1.39, 2.82]). Additionally, students with low LS were significantly more likely to use two substances (OR = 1.90, 95% CI = [1.15, 3.14]) and three substances concurrently (OR = 2.00, 95% CI = [1.27, 3.16]). Conclusions The present study identified strong associations between LS and individual, as well as concurrent, substance use among adolescents. Interventions aiming to reduce adolescent substance use may benefit from incorporating components to improve LS. [ABSTRACT FROM AUTHOR]

State economic development agencies and politicians often express concern about their state's technology-based economic development (TBED) by framing it in terms of a competition with other states. States can focus their competitive efforts if they know who their peers are. Knowing a state's peers also allows development agencies to identify likely targets for borrowing or adapting development practices. This study examines the relative progress of the 50 states on a series of 53 TBED measures published by the National Science Foundation. All states report improvement in over more than half of the variables used in the study, with over 60% of the states moving in the same direction on 80% of the measures. Clusters based on self-organizing maps show 37 states change cluster membership over the measurement period of approximately 12 years, yet all states have at least one "persistent peer"—a state that they are similar with at both the beginning and the end of the period. The combination of large-scale similar movement and the presence of persistent peers sets limits on talk of TBED progress framed by a zero-sum or "leapfrog" rhetoric. Indeed, looking at TBED as a zero-sum game deflects attention from the state's particular strengths and masks the true progress the state has made on its citizens' behalf. • Over 12 years all states have improved on at least 50% of 53 NSF development measures. • 60% or more of the states move in the same direction on 80% of the measures. • Two trials produce 9 groups of states that begin & end as peers over the 12 years. • Each state has at least one such "persistent peer." • Persistent peers suggest limits to talk of "leapfrogging" & zero-sum competition. [ABSTRACT FROM AUTHOR]