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Students with autism spectrum disorder (ASD) often present with difficulties in writing performance. Despite the importance of writing to achieving positive academic, employment, and social outcomes, relatively little research has been conducted examining the effects of intervention on the writing performance of individuals with ASD. Previous reviews of research examining these interventions have not evaluated the quality and rigor of studies. The purpose of this systematic review was to evaluate the extant writing intervention research for individuals with ASD using two sets of quality indicators to offer recommendations for practices and areas for future research. [ABSTRACT FROM AUTHOR]

Background: There is currently a limited understanding of the identification, nature, and treatment of Atypical Anorexia Nervosa (AAN). Recent systematic reviews have identified only small numbers of candidate papers, and some areas lack any meaningful review so far – particularly treatment outcomes. A key issue is the lack of clarity in the literature regarding the definition of weight loss criteria. Objectives: This scoping review aimed to determine the nature and extent of our knowledge of AAN, in order to assist in the development of future systematic reviews and meta‐analyses, as well as indicating what further research is needed. Method: Following the identification of 6747 records, 317 records using the term AAN or a defined equivalent were identified from six databases, including the 'grey' literature. Results: Of the 317 studies, 111 provided participant characteristics, and only 10 provided discrete treatment outcomes. Each of these subsets of the data are tabulated and supported with supplementary material, so that future systematic reviewers can access this resource. Discussion: The pattern and content of the existing studies allows recommendations to be made regarding future reviews, research and clinical practice. There is a particular need for clear weight/weight loss criteria and adequate interventions. Highlights: Our identification of Atypical Anorexia Nervosa (AAN) and associated interventions lacks the evidence‐based clarity that can be provided by effective reviews of the field.Relatively few studies provide discrete characteristics or treatment outcomes of AAN.Guidance is outlined regarding reporting criteria for such studies for authors and journals. [ABSTRACT FROM AUTHOR]

Appropriately contextualizing measures of virtues while avoiding commons pitfalls of virtues assessment (e.g. socially desirable responding, lack of sensitivity to change) provides researchers immense challenges – especially in adolescent population. This article evaluates classic and, primarily, novel approaches to virtue measurement and provides recommendations for researchers and practitioners, focusing particularly on the methods used by those in this special issue. Such methods and measures include those that are more sensitive to change, context, and developmental period. We provide questions and considerations as to how practitioners and researchers might determine the usefulness of specific approaches. [ABSTRACT FROM AUTHOR]

Positive psychology offers numerous evidence-based interventions to build character strengths, but most target adults, with fewer addressing the needs of adolescents. This special issue highlights research on the development of character strength interventions for adolescents in out-of-school settings. Because adolescents are embedded in multifaceted developmental systems, interventions to promote virtue must attend to the contextual features of the implementation environments. Accordingly, a scholar-practitioner model of research allows researchers to partner with practitioners who are experts on the contexts adolescents inhabit in their daily lives. Finally, theory and research suggest that virtue interventions are most effective when they attend to the cultivation of a beyond-the-self, transcendent purpose, but few do so because of the challenges of studying spirituality in pluralistic settings. The interventions examined in this special issue focus on how meaning-making opportunities and spiritual experiences affect a sense of connection to something bigger than the self to promote character development. [ABSTRACT FROM AUTHOR]

Educational intervention is known to enhance learners in general, including deaf and hard-of-hearing (DHH) learners in particular. This study is a systematic review to identify educational interventions in Arab experimental studies published from 2008 to 2019 concerning deaf and hard-of-hearing children in preschool. The study used Google Scholar and Academic Research Library to identify 30 studies that were examined in terms of their objectives, characteristics of the participants, types of interventions, findings and the country in which they were conducted. A positive effect of the educational interventions was observed in all targeted studies. However, there was an absence of interventions in the first 4 years of the period (2008–2011). Subsequently, in the last 4 years of the study period, there was a considerable increase in interventions. Fifty-seven percent of these studies were conducted in Egypt, followed by the Kingdom of Saudi Arabia (23%), Kuwait (10%) and finally Sudan (3%). This review indicates that the use of educational interventions for deaf and hard-of-hearing children in the preschool period is promising. Educators and professionals should carefully consider these children's preferences, characteristics and actual abilities when making decisions about the design of appropriate educational interventions. [ABSTRACT FROM AUTHOR]

Copyright of Electronic Journal of Research in Educational Psychology is the property of Editorial of the University of Almeria (Spain) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Public Health Forum is the property of De Gruyter and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: People with intellectual disabilities (ID) experience many health and social inequalities. Increasing physical activity is a proven intervention to address such inequalities, yet the physical activity rates of this population are substantially lower than the general population. Aim: Research has been growing to understand why this is and how to intervene to increase the physical activity levels of people with ID. Method: Using a behavioural epidemiological framework, the research in this area from barriers and facilitators of physical activity to translational research testing interventions within natural settings is reviewed. Findings from a total of 14 reviews and eight empirical studies and protocols were included. Results: Whilst there are multiple investigations into what promotes or enhances physical activity for people with ID, findings from intervention studies show few successful outcomes. Gaps within the existing research are identified and recommendations about how intervention efficacy might be improved are provided to inform future research and practice. Conclusion: Findings from previous research on barriers and facilitators can be further capitalised on and intervention studies should be underpinned by better links to theory and more systemic approaches. [ABSTRACT FROM AUTHOR]

Background: Rabies remains a significant public health issue in Ghana, predominantly affecting rural communities with limited access to health care and veterinary services. The disease is primarily transmitted through bites from infected domestic dogs and leads to many deaths worldwide each year. Despite various interventions, Ghana continues to struggle with rabies control and prevention. This narrative paper focuses on rabies control in Ghana, examining stakeholders' interventions, challenges faced, and opportunities available. Methods: The paper reviews existing rabies control measures in Ghana, including dog vaccination efforts and One Health strategies. It also discusses the limitations of these interventions, such as minimal vaccination coverage, weak surveillance, and inadequate intersectoral coordination. Results: Ghana has implemented dog vaccination campaigns, but coverage remains minimal. Additionally, weak disease surveillance, cultural perceptions, and inadequate coordination across sectors have hampered the country's ability to control rabies effectively. Conclusion: Adopting One Health principles, which integrate human, animal, and environmental health efforts, is emphasized as a critical strategy to eliminate rabies in Ghana by 2030. By addressing these challenges and leveraging available opportunities, Ghana can strengthen its rabies control programs and work toward a rabies‐free future. [ABSTRACT FROM AUTHOR]

In pediatric critical care, nurses are the primary caregivers for critically ill children and are particularly vulnerable to moral distress. There is limited evidence on what approaches are effective to minimize moral distress among these nurses. To identify intervention attributes that critical care nurses with moral distress histories deem important to develop a moral distress intervention. We used a qualitative description approach. Participants were recruited using purposive sampling between October 2020 to May 2021 from pediatric critical care units in a western Canadian province. We conducted individual semi-structured interviews via Zoom. A total of 10 registered nurses participated in the study. Four main themes were identified: (1) "I'm sorry, there's nothing else": increasing supports for patients and families; (2) "someone will commit suicide": improving supports for nurses: (3) "Everyone needs to be heard": improving patient care communication; and (4) "I didn't see it coming": providing education to mitigate moral distress. Most participants stated they wanted an intervention to improve communication among the healthcare team and noted changes to unit practices that could decrease moral distress. This is the first study that asks nurses what is needed to minimize their moral distress. Although there are multiple strategies in place to help nurses with difficult aspects of their work, additional strategies are needed to help nurses experiencing moral distress. Moving the research focus from identifying moral distress towards developing effective interventions is needed. Identifying what nurses need is critical to develop effective moral distress interventions. [ABSTRACT FROM AUTHOR]

Substance misuse is a criminogenic risk factor—however, substance-involved prison residents may have limited access to support and services that might be able to help them overcome their substance misuse. Research around the efficacy of the "Breaking Free" digital Cognitive Behavioural Therapy programme for substance-involved prison residents demonstrates that this digital technology may overcome barriers to support. Breaking Free is the first digital programme for substance misuse that has been implemented in prisons. In the United Kingdom (U.K.) the programme is delivered via secure desktop and laptop computers in staff-facilitated group sessions, and in the United States (U.S.) is delivered via individual secure tablets that prison residents can access independently, without staff support. This study compares U.K. and U.S. prison residents who have engaged with Breaking Free on a number of baseline measures (sociodemographic factors, types of problem substances reported, clinical complexity, and criminogenic risk factors). The delivery models employed in these two jurisdictions are compared in relation to their associations with prison residents' engagement with the programme and the clinical outcomes experienced. Differences between U.K. and U.S. prison residents in baseline clinical and psychosocial factors were identified, including greater clinical complexity in the U.K. group. U.K. prison residents, who were supported by staff when using Breaking Free, demonstrated higher levels of engagement with the programme than U.S. prison residents who were not supported by staff. The different delivery models employed in the United Kingdom and United States appeared to be associated with group differences in clinical outcomes. Guidance for the optimal implementation of Breaking Free, based on findings from this study, is provided. Further analyses will explore how the different approaches to the delivery of Breaking Free might interact with the differences in prison resident characteristics identified in this study (sociodemographic, clinical and criminogenic), in order to influence prison resident engagement with the programme and clinical outcomes. [ABSTRACT FROM AUTHOR]

COVID-19 vaccine hesitancy had major implications for racial health equity at the beginning of the vaccination campaign in the U.S. Interventions to reduce vaccine hesitancy among Black and African American individuals partially helped to reduce vaccine hesitancy in specific communities. This article describes findings on interventions to reduce COVID-19 vaccine hesitancy among Black and African American individuals from a literature review we conducted. We found 12 studies that described communication, partnerships, and distribution interventions. Regarding communication, examples include a webinar hosted by an academic-community partnership team, information sessions, social media campaigns, educational materials, and virtual town halls. Effective partnerships identified through this literature review were a statewide alliance and one between an academic institution and faith and community leaders. Distribution interventions identified through the literature review were the deployment of multiple tactics to increase COVID-19 vaccine uptake (virtual town halls, a confidential employee hotline, department huddles, written educational material, and accessible vaccination stations) and offering to administer the COVID-19 vaccine during medical appointments. The results of this review show that implementing interventions directed at specific minority groups improves COVID-19 vaccine acceptance without undermining overall vaccine distribution or uptake. [ABSTRACT FROM AUTHOR]

Objectives: Criminal networks tend to recover after a disruption, and this recovery may trigger negative unintended consequences by strengthening network cohesion. This study uses a real-world street gang network as a basis for simulating the effect of disruption and subsequent recovery on network structure. Methods: This study utilises cohesion and centrality measures to describe the network and to simulate nine network disruptions. Stationary stochastic actor-oriented models are used to identify relational mechanisms in this network and subsequently to simulate network recovery in five scenarios. Results: Removing the most central and the highest-ranking actors have the largest immediate impact on the network. In the long-term recovery simulation, networks become more compact (substantially so when increasing triadic closure), while the structure disintegrates when preferential attachment decreases. Conclusion: These results indicate that the mechanisms driving network recovery are more important than the immediate impact of disruption due to network recovery. [ABSTRACT FROM AUTHOR]

Objectives: The present study tested the efficacy of parenting program components in reducing disruptive or delinquent child behaviors at first post-treatment for families with children in early versus middle childhood. Methods: Eighty-five studies were identified, containing five parenting components (Psychoeducation [PE], Behavior management [BM], Relationship enhancement [RE], Parental self-management [SM], and Parent as a coach [PC]). Results: For both early and middle childhood, four parenting program components were effective, namely (1) BM, (2) BM with RE, (3) BM with SM, and (4) BM with PE and RE and SM and PC. However, BM with RE and SM, as well as BM with PE and RE and SM, were effective during early childhood. BM with RE appeared to be the most beneficial intervention during early childhood, while BM was most effective during middle childhood. Conclusion: The evidence highlights the need to implement different programmatic components developmentally, during early versus middle childhood. [ABSTRACT FROM AUTHOR]

Objectives: The purpose of this study is to apply an empirically derived effect size distribution to benchmark the practical magnitude of interventions aimed at reducing recidivism at the individual level. Methods: We conducted a systematic review and meta-analysis of crime intervention evaluations. To establish a framework for benchmarking the magnitude of these interventions, we generated means, medians, tertiles, and interquartile ranges from these analyses. Results: The results of the overall meta-analytic models revealed that crime intervention programs were associated with statistically significant reductions in recidivism regardless of outcome type (k = 74, n = 293, OR [odds ratio] = 1.42, SE = 0.05, p = 0.0001, 95% CI [1.30, 1.57]). Conclusions: Overall, the results from the current study have several important implications for the crime prevention field. Most importantly, the study provided evidence that the tradition of using generalized guidelines for interpreting effect sizes as small/medium/large should be avoided given that they are devoid of context and ignore important variations in effects across interventions and outcomes. Moreover, this study provided an alternative framework to benchmark the practical magnitude of crime intervention programs aimed at reducing recidivism at the individual level. [ABSTRACT FROM AUTHOR]

Copyright of Die Urologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Intimate partner violence (IPV) is a prevalent global health problem. IPV that occurs before pregnancy often continues during the perinatal period, resulting in ongoing violence and many adverse maternal, obstetrical, and neonatal outcomes. Objectives: This scoping review is designed to broadly capture all potential interventions for perinatal IPV and describe their core components and measured outcomes. Search Methods: We conducted a search for empirical studies describing IPV interventions in the perinatal population in June 2022. The search was conducted in MEDLINE, EMBASE, PsycInfo, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, Applied Social Sciences Index & Abstracts, ClinicalTrials.gov and MedRxiv. Hand searching of references from select articles was also performed. Selection Criteria: Included studies described an intervention for those experiencing IPV during the perinatal period, including 12 months before pregnancy, while pregnant or in the 12 months post‐partum. The search encompassed January 2000 to June 2022 and only peer‐reviewed studies written in either English or French were included. Included interventions focused on the survivor exposed to IPV, rather than healthcare professionals administering the intervention. Interventions designed to reduce IPV revictimization or any adverse maternal, obstetrical, or neonatal health outcomes as well as social outcomes related to IPV victimization were included. Data Collections and Analysis: We used standard methodological procedures expected by The Campbell Collaboration. Main Results: In total, 10,079 titles and abstracts were screened and 226 proceeded to full text screening. A total of 67 studies included perinatal IPV interventions and were included in the final sample. These studies included a total of 27,327 participants. Included studies originated from 19 countries, and the majority were randomized controlled trials (n = 43). Most studies were of moderate or low quality. Interventions included home visitation, educational modules, counseling, and cash transfer programs and occurred primarily in community obstetrician and gynecologist clinics, hospitals, or in participants' homes. Most interventions focused on reducing revictimization of IPV (n = 38), improving survivor knowledge or acceptance of violence, knowledge of community resources, and actions to reduce violence (n = 28), and improving maternal mental health outcomes (n = 26). Few studies evaluated the effect of perinatal IPV interventions on obstetrical, neonatal or child health outcomes. Authors' Conclusion(s): The majority of intervention studies for perinatal IPV focus on reducing revictimization and improving mental health outcomes, very few included obstetrical, neonatal, and other physical health outcomes. Future interventions should place a larger emphasis on targeting maternal and neonatal outcomes to have the largest possible impact on the lives and families of IPV survivors and their infants. [ABSTRACT FROM AUTHOR]

Background: Societal changes have led to greater isolation and higher levels of loneliness particularly for older generations. Loneliness is a significant public health challenge leading to increased levels of poor mental health. Depression and anxiety are also increasing in prevalence amongst children and young people. Intergenerational activities are interventions designed to bring together older and younger generations with the purpose of allowing participants to utilise their experiences and skills, and to give participants a chance to experience the pleasure and excitement that occurs with the transmission of knowledge and skills from one generation to another. Intergenerational activities are therefore potential interventions that can address the growing problems associated with loneliness and lack of wellbeing. Objectives: This systematic review aims to examine the impact of intergenerational interventions on the wellbeing and mental health in children and adolescents, and potential harmful effects. It also aims to identify areas for future research as well as key messages for service commissioners. Search Methods: We searched an evidence and gap map published in 2022 (comprehensive searches conducted July 2021 and updated June 2023) to identify randomised controlled trials of intergenerational interventions that report mental health and wellbeing outcomes for children and young people. Selection Criteria: Randomised controlled trials of intergenerational interventions that involved unrelated younger and older people with at least one skipped generation between them and reported mental health or wellbeing outcomes for children and young people were included in this review. Data Collection and Analysis: We used standard methodological procedures expected by The Campbell Collaboration. We conducted data extraction and Cochrane risk of bias assessments in EPPI reviewer. Main Results: While we identified 500 evaluations of intergenerational interventions, where the impact on participating children and/or young people was evaluated this was most often limited to assessing their impact on attitudes to aging. We identified five studies evaluating five different types of intergenerational interventions which included one‐off sessions to ones that spanned a year measuring their impact on the mental health and wellbeing of children and/or young people. The purposes of the interventions differed, which included promoting social skills, preventing harmful behaviour and promoting learning. The ages of children also varied across the five studies, with one targeting younger children, two targeting younger teenagers and two targeting older teenagers. One study included socioeconomically disadvantaged children, and in the other studies the socioeconomic backgrounds of the children and young people were not described. The outcome measures used to evaluate the interventions varied with none of the studies measuring the same outcomes. One study showed improvements in wellbeing measures, and this was an intervention delivered to children in deprived neighbourhoods, where the intervention duration was for a year allowing the development of a greater depth of relationship between the younger and older participants. Four studies found no....... The included studies were at high risk of bias therefore raising uncertainty in the reliability of the findings. Underpinning theories that supported the development of the interventions and explained the mechanisms of effect were poorly described. Authors' Conclusions: The evidence for the effectiveness of intergenerational interventions on the mental health and wellbeing of children and young people is limited and inconclusive. Few evaluations have sought to measure how intergenerational interventions impact children and young people and where this impact is measured the focus is usually limited to attitudes to aging. The evidence that has been collected is too heterogenous to allow synthesis of the findings. The underpinning theories to support their development are poorly described with no follow‐up data to ascertain if benefits are maintained. Intergenerational interventions show promise but researchers have failed to measure how they impact on the mental health and wellbeing of children and young people. This is a serious limitation of the evidence base that needs to be addressed in robust and rigorous evaluations. [ABSTRACT FROM AUTHOR]

Background: Chlamydia trachomatis (CT) is a sexually transmitted infection that requires early detection to prevent complications. This study aimed to evaluate the prevalence of CT among asymptomatic women in Spain and investigate the relationship between CT and risk factors associated with sexual practices, as well as factors such as stress and depression. Results: We found that 3.8% of asymptomatic women tested positive for CT. Our findings suggested that having more than five sexual partners increases the risk of sexually transmitted infections (STIs) by 3.87 times when compared with having fewer partners (p = 0.005, OR: 3.87, 95% CI 1.24–11.65). Additionally, 4.5% of participants admitted to using drugs. We found that there was a slightly higher proportion of anxiety and depression among women who tested positive for CT. Conclusions: We aimed to establish a basis for the implementation of screening in asymptomatic women. Early identification and preventive measures are crucial in minimizing the long-term complications and transmission of the disease. Sexual behavior must be recognized as a risk factor, and women's psychological well-being should be given top priority as a vital aspect of their sexual health. [ABSTRACT FROM AUTHOR]

Young individuals with autism spectrum disorder (ASD) seem to attend higher education more frequently. Yet, the academic performance of students with ASD and the graduation rate appear to be poorer than those of typical development students. Moreover, college students with ASD face several challenges in their everyday and social lives. Students with ASD seem not to receive the appropriate social and educational support in higher education. This article reports the results of a systematic literature review of research programs and services designed to meet the needs of students with ASD enrolled in higher education. Several interventions are available and appear to be effective in supporting students with ASD in higher education (e.g., social planning intervention, focus groups, coaching paired with behavioral skills training, video feedback, visual framework, peer mentoring, and virtual reality). In addition, this article shows that colleges and universities face the challenge of preparing for these students and the need to provide psychological support for them. Moreover, studies of experiences and opinions of college students with ASD from their perspectives are included. [ABSTRACT FROM AUTHOR]

Medication errors have serious consequences and high costs for the patient and the system. The treatment process and the care required for critically ill patients are complex, and these patients are more vulnerable to errors and potential consequences. A scoping review using the JBI methodology was conducted across PubMed, CINAHL, and MEDLINE databases and reported by the PRISMA-ScR guidelines to explore strategies that can mitigate medication errors by nurses. The search strategy focused on references published between January 2012 and April 2023. Sixteen studies were included, and the results were organized into thematic areas. Medication errors by nurses are in the areas of preparation, administration, and documentation; organizational, system-related, procedural, personal, and knowledge and training factors are predisposing factors for errors; educational intervention, verification and safety methods, organizational changes, and error reporting are the strategic areas to mitigate medication error. The organization of the data could be different, as it depends on the reviewers' experience. Knowledge of the factors that cause medication errors and interventions to mitigate them make it possible to outline strategies to minimize their occurrence and achieve health gains. The protocol preceding this review has been registered in the Open Science Framework and published. [ABSTRACT FROM AUTHOR]

To describe existing and cutting-edge knowledge on cost-effectiveness or item costs related to palliative home-based care for patients with cancer. We evaluated various costs, including direct medical, non-medical, and indirect costs in different geographical regions and analysed how different options for care affect the patients' quality of life and associated expenses. Methods: This Prospero-registered systematic review (CRD42023404217) adhered to the PRISMA criteria. Following a multistep selection process, we selected 22 articles published between 2013 and 2023 focused on quality of life outcomes and cost-effectiveness of home-based palliative care for cancer patients. Results: Home-based palliative care decreases the number of hospital visits, while its influence on patients quality of life is currently difficult to demonstrate across geographic regions based on available evidence. Overall, home care decreases the costs associated to the palliative care of patients with cancer. The cost structure analysis revealed that besides healthcare costs, informal care expenses and productivity losses represent a significant proportion of overall expenses). In Europe, the direct medical, non-medical, and indirect costs (in purchasing power parity) were on average $1,941, $842, and $1,241, per month per person, respectively. In the USA and Asia, direct medical and indirect costs are on average $1,095 (USA) vs $1,444 (Asia) and $2,192 (USA) vs $1,162 (Asia). Conclusion: In conclusion, the studies reviewed highlight significant cost variations and potential savings associated with palliative home-based care for cancer patients. Home-based palliative care, particularly involving medications, has shown favorable cost-effectiveness compared to hospital care. Specialized palliative home care, psychological interventions, and outpatient services further contribute to overall cost savings. However, the economic impact varies across different geographical contexts and cost categories, emphasizing the need for tailored approaches in palliative care planning and implementation. [ABSTRACT FROM AUTHOR]

Anemia is a multifactorial condition; approaches to address it must recognize that the causal factors represent an ecology consisting of internal (biology, genetics, and health) and external (social/behavioral/demographic and physical) environments. In this paper, we present an approach for selecting interventions, followed by a description of key issues related to the multiple available interventions for prevention and reduction of anemia. We address interventions for anemia using the following 2 main categories: 1) those that address nutrients alone, and, 2) those that address nonnutritional causes of anemia. The emphasis will be on interventions of public health relevance, but we also consider the clinical context. We also focus on interventions at different stages of the life course, with a particular focus on women of reproductive age and preschool-age children, and present evidence on various factors to consider when selecting an intervention-inflammation, genetic mutations, nutrient delivery, bioavailability, and safety. Each section on an intervention domain concludes with a brief discussion of key research areas.

Abstract A Viral Infection Risk Indoor Simulator (VIRIS) has been developed to quickly assess and compare mitigations for airborne disease spread. This agent-based simulator combines people movement in an indoor space, viral transmission modelling and detailed architectural design, and it is powered by topologicpy, an open-source Python library. VIRIS generates very fast predictions of the viral concentration and the spatiotemporal infection risk for individuals as they move through a given space. The simulator is validated with data from a courtroom superspreader event. A sensitivity study for unknown parameter values is also performed. We compare several non-pharmaceutical interventions (NPIs) issued in UK government guidance, for two indoor settings: a care home and a supermarket. Additionally, we have developed the user-friendly VIRIS web app that allows quick exploration of diverse scenarios of interest and visualisation, allowing policymakers, architects and space managers to easily design or assess infection risk in an indoor space.

Abstract Background The transition period of becoming a new paediatric registrar has limited study. Consequently, the learning needs of such trainees are unclear including educational interventions that may improve the process. This qualitative study examined the negative and positive experiences of transitioning paediatric trainees to identify learning needs and subsequently derive educational interventions that are perceived to ease transition. Methods This was a qualitative study of semi-structured interviews with Wales deanery paediatric speciality trainees 3 and 4 (ST3 and ST4) undergoing transition to registrar. Participants were asked to recall one positive and one negative experience during transition using the critical incident technique (CIT). Transcribed responses were coded and thematically analysed and categorised into higher and lower order themes. Results Six paediatric trainees were interviewed for the study. A total of eighteen codes relating to learning needs were identified and dichotomised into two higher order themes; clinical skills, and leadership and management skills, with further exploration into lower order themes. Clinical skills included child protection procedures, difficult communication with relatives, emergencies, childhood death, difficult procedures, tertiary level neonatal care, managing family anxiety and expectations, dealing with uncertainty and running clinics. Leadership and management skills involved clinical decision making by new registrars, leading ward rounds, managing workload, leading a team and supervising junior colleagues. For educational interventions, sixty-seven initial codes were recorded and combined to form thirty-two lower order themes under six higher order themes. This outlined six educational interventions perceived to ease the transition to the registrar grade including; acting up whilst a senior house officer, seniors providing feedback, seniors providing support, staff providing support, trainee familiarisation with the new registrar placement and trainees maximising SHO learning opportunities. Conclusions This study provided a grounding upon which further research can be based, by identifying learning needs within the themes of clinical skills and leadership and management skills, as well as providing further descriptions of perceived beneficial educational interventions that ease transition to paediatric registrar. Furthermore, this study proposes evidence-based recommendations involving five key stakeholders to improve the experience of transition for future trainees. These stakeholders include; trainees, seniors, educators, nursing staff and rota coordinators.

Dyspnea is a subjective sensation often described as a feeling of respiratory effort, tightness, or air hunger. The underlying mechanisms of this symptom are multifaceted and involve factors such as respiratory centers, cardiovascular system, airways, neuromuscular components, and metabolic factors, although not fully elucidated. The classical theory of imbalance between inspiratory neural drive (IND) and the simultaneous dynamic responses of the respiratory system posits that the disruption of a normal and harmonious relationship fundamentally shapes the expression of respiratory discomfort. Assessment and comprehensive treatment of dyspnea are crucial for patient rehabilitation, including subjective self-reporting and objective clinical measurements. Non-pharmacological interventions, such as pulmonary rehabilitation, fan therapy, exercise, chest wall vibration, virtual reality technology, traditional Chinese medicine (acupuncture and acupressure), and yoga, have shown promise in alleviating dyspnea symptoms. Additionally, oxygen therapy, has demonstrated short-term benefits for patients with pre-hospital respiratory distress and hypoxemia. This review provides a comprehensive overview of dyspnea, emphasizing the importance of a multifaceted approach for its assessment and management, with a focus on non-pharmacological interventions that contribute to enhanced patient outcomes and quality of life.

Abstract To facilitate the use of the mounting evidence on how human health is inextricably linked to the health of the planet and the urgent need for measures against the escalating triple planetary crisis, the WHO has developed a repository of systematic reviews on interventions in the area of environment, climate change and health (ECH). This commentary introduces the repository, describes its rationale and development, and points to potential future evolutions. The repository aims to provide a user-friendly tool for quickly finding systematic reviews and meta-analyses on specific ECH topics. The spreadsheet includes details on each systematic review, such as population, intervention type, control group, outcomes, and location, among other information. This supports effective assessment of the available evidence, potentially informing policy decisions across various sectors. The repository is a resource for anyone interested in the interlinkages between health and environment and is also targeted at decision makers, intervention implementers and researchers in order to identify priority issues and support evidence-based action. Furthermore, it can be used to identify areas in need of greater research. Additionally, systematic reviews of intervention effectiveness are often used for setting general guidelines and standards, for choosing the most promising intervention in a certain situation and for calculating the disease burden attributable to a specific environmental risk.

Abstract Bullying is a serious problem among adolescents that often occurs in schools. The problem occurs because of the high level of bullying behavior. Bullying causes negative impacts such as anxiety, low self-esteem, and suicide risk. So that interventions are needed to prevent and reduce bullying behavior. The aim of this study is to explore the effectiveness and implementation methods of the KiVa anti-bullying program for preventing and reducing bullying behavior for students. Scoping review design was used in this study using PRISMA Extension for Scoping Review search strategy. A scoping review of studies indexed in CINAHL, PubMed and Scopus databases was conducted. After duplicates were removed and articles screened, 11 studies were included in the review. Data analysis in this study used descriptive qualitative. The 11 included studies comprised of randomized controlled trials and quasi-experimental studies involving range of samples from 1051 to 23.520 respondents from elementary school to high school students aged 6–15 years. The KiVa Anti-bullying intervention was effective for reducing bullying behavior in students (p value

Abstract Background Malaria is one of the world’s most lethal vector-borne diseases, causing significant health burdens in endemic countries. Several studies on the prevalence of malaria among pregnant women in Ghana have been conducted in various parts of the country, yielding evidence pointing to intra- and inter-regional variations. The current study assessed the prevalence, risk factors, and sociodemographic predictors of malaria among pregnant women in the Bono East Region of Ghana. Methods This multicentre hospital-based study employed a mixed-method cross-sectional design. A multistage sampling technique was used to select seven health facilities and recruited 1452 pregnant women who attended ANC at seven selected health facilities. Haematological examination, a structured closed-ended questionnaire, in-depth interviews (IDIs), and focus group discussions (FGDs) were used to obtain relevant data. Quantitative data were analysed with STATA 14 (StataCorp, College Station, USA). Likewise, the four-step thematic analysis was used to analyse qualitative data. A significant level was set at (p

Abstract Introduction Inadequate care for asthma has been linked to higher hospital admissions and morbidity. Researchers have developed several strategies to improve treatment adherence in this specific group. We aimed to investigate the impact of several interventions on the adherence of asthmatic patients to controller inhalers. Data sources We searched four databases (the Cochrane Library, PubMed, Embase, and Web of Science) for studies published between 1998 and 2022. Study selections We considered studies that assessed adherence as the main finding of an intervention for asthma patients. Data were extracted and analyzed. Results The analysis included a total of 40 studies. A diverse range of interventions was identified, including educational sessions on asthma, reminders via text messages, and technology-based feedback systems. The overall efficacy of interventions compared to the control group resulted in a small effect size, but it was statistically significant, with an estimated SMD of 0.44 (95% CI 0.24 to 0.63, P

In the domain of first and second language (L1/L2) acquisition, Morpheme Order Studies (MOS) encapsulate a body of influential research. This study specifically aimed to (1) assess the accuracy of nine grammatical morphemes used by Chinese learners of English as a Foreign Language (EFL) in their compositions, (2) investigate the factors affecting the accurate use of these morphemes among Chinese EFL learners, and (3) explore the interventions implemented by their instructors to assist the Chinese EFL learners in accurately using these intricate grammatical constructs. Employing the Target-Like Use methodology, the data were collected from the essays of 108 high school learners in Kunming, Yunnan, China, to ascertain the order of their accuracy in using these morphemes. Subsequently, a semi-structured interview was conducted with five EFL instructors and 15 tested learners to delve into the factors influencing their proficiency with specific complex morphemes and the application of instructional interventions used by the instructors. The findings of the study revealed that the learners did not consistently adhere to Krashen’s hypothesized natural order; rather, they exhibited idiosyncratic acquisition patterns. Particularly, it was noteworthy that there was a relatively low accuracy observed in the usage of certain morphemes, such as irregular past and 3rd person singular –s (features absent in the learners’ native language). Furthermore, factors contributing to the diminished accuracy of these specific morphemes include the learners’ mother tongue interference in their use of these morphemes, syntactic and semantic complexities, motivational factors, environmental factors, and limited output of specific morphemes. Additionally, the research uncovered various interventions such as peer review, storytelling, and incorporating songs employed by the EFL instructors to assist the Chinese EFL learners in using these challenging grammatical morphemes correctly. This study provides valuable insights for EFL students, instructors, curriculum developers, and textbook editors.

Individuals who have non-alcoholic fatty liver disease (NAFLD) are at high risk of metabolic comorbidities and can put a significant strain on healthcare systems. If not managed in a timely manner, NAFLD can lead to sustained healthcare costs, economic losses, and reduced health-related quality of life. In India, the Ministry of Health and Family Welfare recognized the need for a comprehensive approach to prevent NAFLD and integrated public health measures into the existing National Program for Prevention and Control of Non-Communicable Diseases (NP NCD). However, 3 years after the integration, there is no clear measure of the extent of implementation of this program, and the exact facilitators and barriers to implementing the program are yet to be determined. The next step toward providing comprehensive and effective healthcare services to those affected by NAFLD is the implementation of NAFLD guidelines under the NP NCD. The article emphasizes the importance of replacing old reporting formats with updated ones that incorporate NAFLD. It also highlights the need for healthcare personnel and community health workers to receive multiple trainings. While measuring waist circumference (WC) and identifying patients who need referral poses challenges, we can overcome them by updating the Non-Communicable Disease (NCD) application to include NAFLD, recording WC in registers, and using up-to-date reporting formats.

Abstract Background Transitions in healthcare settings can be a challenge for patients and they express a need for guidance and support to cope with these transitions. The aim of this scoping review was to investigate if interventions can improve patients’ experiences when transitioning between healthcare settings. Methods This review was conducted following the Johanna Briggs Institute’s methods and reported according to the PRISMA-ScR Checklist. Included articles were published and peer-reviewed, and reported qualitative and quantitative findings on patient experiences with interventions when transitioning between healthcare settings. The search was conducted in May 2024 in Medline Ovid, Embase Ovid, and Cinahl. Results Twenty-three studies were included. Factors extracted from the studies were: author(s), year of publication, country of origin, study design, theoretical methods, population description, intervention, phenomena of interest(s), and key findings. There has been an increase in published studies on the subject in the last few years, and most of the included studies originated from Western countries. Most studies were quantitative, primarily RCTs, and the theoretical methods were thus mainly statistical analysis. The study populations were found to be heterogeneous. The interventions were categorized: care coordinator, program, integrated care, online communication platform, coaching, discharge care plan, and miscellaneous interventions. Conclusions Overall, interventions were found to improve the patient experience. Centralization of healthcare has increased the number of transitions, and patients express that the coordination of healthcare transitions can be improved. This review’s findings should be used alongside other research on interventions’ effect on factors like hospital readmissions and mortality to determine the optimal intervention to implement.

Abstract Mental health is deteriorating far and fast globally post-COVID. Though there were already over one billion people living with mental disorders pre-pandemic, in the first year of COVID-19 alone, the prevalence of anxiety and depression soared by 25% worldwide. In light of the chronic shortages of mental health resources and talents, along with disruptions of available health services caused by pandemic-related restrictions, technology is widely believed to hold the key to addressing the rising mental health crises. However, hurdles such as fragmented and oftentimes suboptimal patient protection measures substantially undermine technology’s potential to address the global mental health crises reliably and at scale. To shed light on these issues, this paper aims to discuss the post-pandemic mental health challenges and opportunities, and the strategies and solutions the global mental health community could leverage to protect and elevate society’s mental health in the long run.

Abstract Mathematical problem posing, generally defined as the process of interpreting given situations and formulating meaningful mathematical problems, is academically important, and thus several interventions have been used to enhance this competence among students and teachers. Yet little is known about the interventions’ various components and their relative or combined effectiveness. In this meta-analysis of 26 intervention studies in mathematics, we identified nine intervention components and found that the interventions had a medium, positive, and significant mean weighted effect size. A stepwise meta-regression analysis revealed that intervention efficacy varied by moderators relevant to the research design, sample characteristics, and intervention characteristics. The findings obtained from this meta-analysis are expected to serve as a foundation for future efforts to design and implement (more) effective interventions to improve mathematical problem posing competence.

Abstract Background Hazardous alcohol use and alcohol use disorder (AUD) are highly prevalent among clients in mental health services, yet significant gaps remain in the adequate assessment of alcohol use and provision of appropriate alcohol interventions. The aim of this study was to conduct an exploration of (i) alcohol intervention elements used in mental health services and (ii) professionals’ reported barriers and facilitators in identifying and intervening with hazardous alcohol use and AUD. Methods Qualitative data were obtained by conducting semi-structured interviews among a purposive sample of 18 professionals from 13 different Dutch mental health services organizations (i.e., five integrated mental health organizations with addiction services, five mental health organizations without addiction services, and three addiction services organizations without mental health services). Transcripts were qualitatively analyzed using inductive thematic analysis. Results Identified alcohol intervention elements included conducting assessments, brief interventions, treatment, referrals of clients, collaborations with other parties, and providing information to professionals. Professionals mentioned nine barriers and facilitators in the identification and intervention with hazardous alcohol use and AUD, including three aspects of professionals’ behavior (i.e., professionals’ agenda setting, knowledge and skills, and attitudes), actions related to identification and intervening, client contact, collaboration with other parties, and three factors in a wider context (i.e., organizational characteristics, organizational resources, and governmental aspects). Conclusions Although diverse alcohol intervention elements are available in Dutch mental health services, it remains unclear to what extent these are routinely implemented. To better address hazardous alcohol use and AUD in mental health services, efforts should focus on enhancing alcohol training, improving collaboration with addiction services, providing appropriate tools, and facilitating support through organizational and governmental measures.

Abstract Background Early detection through screening dramatically improves lung cancer survival rates, including among war Veterans, who are at heightened risk. The effectiveness of low dose computed tomography scans in lung cancer screening (LCS) prompted the Veteran’s Affairs Lung Precision Oncology Program (VA LPOP) to increase screening rates. We aimed to develop an adaptive population health tool to determine adequate resource allocation for the program, with a specific focus on primary care providers, nurse navigators, and radiologists. Methods We developed a tool using C + + that uses inputs that represents the process of the VA LCS program in Ann Arbor, Michigan to calculate FTEs of human resource needs to screen a given population. Further, we performed a sensitivity analysis to understand how resource needs are impacted by changes in population, screening eligibility, and time allocated for the nurse navigators’ tasks. Results Using estimates from the VA LCS Program as demonstrative inputs, we determined that the greatest number of full-time equivalents required were for radiologists, followed by nurse navigators and then primary care providers, for a target population of 75,000. An increase in the population resulted in a linear increase of resource needs, with radiologists experiencing the greatest rate of increase, followed by nurse navigators and primary care providers. These resource requirements changed with primary care providers, nurse navigators and radiologists demonstrating the greatest increase when 1–20, 20–40 and > 40% of Veterans accepted to be screened respectively. Finally, when increasing the time allocated to check eligibility by the nurse navigator from zero to three minutes, there was a linear increase in the full-time equivalents required for the nurse navigator. Conclusion Variation of resource utilization demonstrated by our user facing tool emphasizes the importance of tailored strategies to accommodate specific population demographics and downstream work. We will continue to refine this tool by incorporating additional variability in system parameters, resource requirements following an abnormal test result, and resource distribution over time to reach steady state. While our tool is designed for a specific program in one center, it has wider applicability to other cancer screening programs.

Abstract Pain can be defined as an unpleasant sensory and emotional experience associated with or resembling that associated with actual or potential tissue damage. Though consistent with this definition, different types of pain result in different behavioural and psychophysiological responses. For example, the transient, non‐threatening, acute muscle pain element of exercise‐induced pain (EIP) is entirely different from other pain types like delayed onset muscle soreness, muscular injury or chronic pain. However, studies often conflate the definitions or assume parity between distinct pain types. Consequently, the mechanisms through which pain might impact exercise behaviour across different pain subcategories may be incorrectly assumed, which could lead to interventions or recommendations that are inappropriate. Therefore, this review aims to distinguish EIP from other subcategories of pain according to their aetiologies and characteristics, thereby providing an updated conceptual and operational definition of EIP. Secondly, the review will discuss the experimental pain models currently used across several research domains and their relevance to EIP with a focus on the neuro‐psychophysiological mechanisms of EIP and its effect on exercise behaviour and performance. Finally, the review will examine potential interventions to cope with the impact of EIP and support wider exercise benefits. Highlights What is the topic of this review? Considerations for future research focusing on exercise‐induced pain within endurance exercise settings. What advances does it highlight? An updated appraisal and guide of research concerning exercise‐induced pain and its impact on endurance task behaviour, particularly with reference to the aetiology, measurement, and manipulation of exercise‐induced pain.

Remarried families become widespread as a type of family that differs from first marriages both developmentally and structurally. Due to its developmental and structural differences, both the quality and continuity of this families emerge as areas that need to be studied. To offer effective interventions to remarried families, researchers and practitioners in the field of mental health should have access to knowledge on this subject. The literature on remarried families emphasizes biological, non-biological and co-parenting related issues. The expectations, knowledge and perceptions of both the married couple, the children and the surrounding social environment of the remarried family is another important issue. Communication, problem solving, and conflict management can be an important tool in strengthening relationships and preventing negative experiences for families established through remarriage. It is seen that the interventions that deal with the mentioned characteristics of families formed through remarriage are given in the form of group practices, adopting a preventive approach, supported by practices that point to skill acquisition in addition to providing information. Programs offered for families formed through remarriage share commonalities such as remarried family development, parenting skills, communication and problem-solving skills. The effectiveness of interventions for remarriage has been tested by various studies conducted since the late 1970s. While testing the effectiveness of such interventions, it is seen that different outcome variables such as family integrity, dyadic satisfaction, relationship quality, marital continuity, conflict level, stress level and behavioral disorders experienced by family members are considered. Research findings show that interventions for remarriage are effective.

People living with HIV who are seeking jobs experience unique barriers to obtaining employment at the individual, group, and community levels. Traditional employment assistance programs can provide support but may not be tailored to some people living with HIV who often experience barriers to work related to their social needs (such as housing instability) or their lack of consistent engagement in the workforce. To understand how people living with HIV return to work, in-depth interviews were conducted with 43 participants enrolled in interventions coordinating HIV care with housing and employment services at eight sites across the US. Four themes emerged on strategies to increase employment: (1) assessing and responding to employment needs that align with their socio-economic environment; (2) using social networks among family and friends for referrals and support; (3) engaging with navigators who are able to connect clients to skills building opportunities and job resources; and (4) addressing the system barriers such as helping with unmet basic needs (e.g. transportation), finding employers who can accommodate workers with income limits associated with public benefits, and helping immigrants, transgender individuals, and people experiencing homelessness secure legal documentsthat facilitate entry into employment by reducing stigmatized identities.

Objectives: Using "digital inequality" as a conceptual framework, this study evaluates the feasibility and usability of a technology-delivered intervention (an "app") for Alzheimer's and related dementia family caregivers. Time for Living and Caring (TLC) is an on-line intervention that provides virtual coaching and self-administered education and resources. Methods: A sample of family caregivers (n = 163) used the tool for 16 weeks, which included completing the Computer Proficiency Questionnaire (CPQ-12) at baseline. Analyses investigate the relationship between age, CPQ scores, intervention use, appraisal, and caregiver outcomes. Results: Age was inversely associated with CPQ; however, CPQ scores did not have a significant relationship with participant's self-perceived benefits or intervention appraisal. Computer Proficiency Questionnaire scores provided insight regarding research feasibility, with lower scores associated with greater odds of discontinuing engagement. Discussion: CPQ-12 scores can be used as a screening tool to identify those who may need additional support to engage with and benefit from technology-delivered interventions. [ABSTRACT FROM AUTHOR]

Limited research exists on mother-infant interaction in women at-risk-of postpartum psychosis (PP). This study aimed to investigate potential predictors of mother-infant interaction quality in women at-risk-of-PP during the first postnatal year. Potential predictors investigated were: maternal ability to recognize emotions, childhood maltreatment, parenting stress, and infant social-interactive behaviour at birth. 98 women (and their offspring) were included, 40 at-risk-of-PP because of a diagnosis of Bipolar Disorder, Schizoaffective Disorder or previous PP, and 58 with no current/previous mental illness or family history of PP. Mother-infant interaction was assessed using the CARE-Index at 8 weeks and 12 months postpartum. Maternal ability to recognize emotions was assessed with the VERT-K, maternal experience of childhood maltreatment with the CECA-Q, maternal parenting stress with the PSI-SF and infant social-interactive behaviour with the NBAS. Women at-risk-of-PP were less able to recognize fear than healthy controls and this predicted the quality of the mother-infant interaction at 8 weeks' and 12 months' post partum, over and above the effect of maternal Group (respectively, β = 0.33, p =.015; β = 0.40, p =.006). Infant social-interactive behaviour at birth was a significant predictor for mother-infant interaction at 12 months (β = 0.32, p =.031), although this did not differ significantly between the groups. A relatively small sample size precluded a more in-depth investigation of indirect pathways and other potential predictors. These results are important as they suggest that preventive interventions targeting emotion recognition may be implemented in women at-risk-of-PP, with the aim of improving mother-infant interaction and potentially also the infant long-term development. • We investigated multiple potential predictors of mother-infant interaction quality. • We included women at-risk-of postpartum psychosis (PP) and healthy controls. • Women at-risk-of-PP had more difficulty recognizing emotions than healthy controls. • Maternal ability to recognize fear predicted mother-infant interaction quality. • Infant social-interactive behaviour also contributed to mother-infant interaction. [ABSTRACT FROM AUTHOR]

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Background: Creativity is one of the key competencies for the talent of the 21st century to meet future challenges in a complex world. It is also an innovative basis for students to discover and pose questions. Purpose: This study aimed to explore which two interventions of the problem-oriented teaching model, teacher-guided problem finding (TGPF) and teacher-directed question posing (TDQP), was more effective in terms of improving students' creativity in STEM education. Sample: A total of 60 seventh-grade students participated in this study. Design and methods: The TGPF group included 30 students who adopted the problem-finding method in which the teacher guided them to find problems, while another 30 students in the TDQP group adopted the method in which the teacher directly posed the questions. The Williams Creativity Aptitude Test (WCAT) was used to test the pre- and post-creativity of the two groups. Paired samples t tests were used to verify whether the two interventions of the problem-oriented teaching model could enhance students' creativity, and independent samples t tests were used to verify the differences between the two interventions of the problem-oriented teaching model in the enhancement of creativity. Results: The results indicated that both TGPF and TDQP can improve students' creativity. Compared with the TDQP group, the TGPF group's students could better improve their creativity, especially in the dimensions of adventure, imagination, and challenge. Conclusion: This study provides references for teachers to use different problem-oriented teaching interventions in STEM education. Teachers should break from the previous approach of direct problem posing to the creation of situations and other methods to guide students to actively think of and discover problems, so as to better improve students' creativity. [ABSTRACT FROM AUTHOR]

L'objectif de cet article est d'évaluer l'efficacité de la méthode systémique et stratégique de Palo Alto pour intervenir lorsqu'une situation de harcèlement scolaire est avérée. Pour évaluer l'efficacité de cette méthode, nous avons décidé de prendre un groupe de comparaison comprenant des interventions régulièrement mobilisées par les établissements scolaires et leurs réseaux d'aide. Nous avons récolté le témoignage de douze élèves victimes de harcèlement scolaire âgés de 9 à 22 ans (M = 12,58, ET = 3,53). Ce faible échantillon est représentatif de la difficulté d'accès à cette population ainsi qu'au peu de professionnels formés sur le terrain. Afin de pouvoir comparer et évaluer l'efficacité des méthodes d'intervention, deux entretiens étaient réalisés auprès de l'élève victime : un pré-test lorsque le professionnel n'avait encore rien mis en place pour améliorer la situation de l'élève et un post-test, trois mois après la fin de l'intervention du professionnel. Nous avons utilisé une méthodologie mixte complémentaire où les résultats qualitatifs ont pour objectif de venir soutenir les résultats quantitatifs. Cependant, étant donné notre faible échantillon, les analyses quantitatives sont à considérer de manière uniquement exploratoire et descriptive. Ces analyses nous ont permis de mesurer statistiquement l'efficacité des interventions via quatre concepts : le sentiment de victimisation, l'estime de soi, l'acceptation par les pairs et le degré de souffrance. Notre recherche a montré que la méthode systémique et stratégique de Palo Alto avait permis de faire cesser le harcèlement scolaire dans cinq situations sur six. Pour la sixième situation, le harcèlement a diminué, mais ne s'est pas complètement arrêté. Nos résultats ont mis en évidence que la méthode systémique et stratégique de Palo Alto a eu un effet significatif sur la diminution de la souffrance perçue, sur l'augmentation de l'acceptation du jeune par les pairs et la diminution du sentiment de victimisation en comparaison aux autres méthodes régulièrement employées par les établissements scolaires et leurs réseaux d'aide. Concernant l'estime de soi, nos données montrent une augmentation significative pour les élèves bénéficiant des autres types de méthode en comparaison aux élèves qui ont été accompagnés avec la méthode systémique et stratégique de Palo Alto. Cet article n'a pas pour objectif de fournir des données généralisables à l'ensemble de la population. Néanmoins, nous pensons que cette recherche pourra contribuer à la connaissance de cette approche novatrice et apporter des pistes de réflexion pour les futures recherches sur le sujet. The aim of this article is to evaluate the effectiveness of the Palo Alto systemic and strategic method for intervening in situations of bullying. To assess the effectiveness of this method, we decided to take a comparison group including interventions regularly mobilised by schools and their support networks. We collected testimonies from twelve pupils aged between 9 and 22 who had been bullied at school (M = 12.58, SD = 3.53). This small sample is representative of the difficulty of accessing this population and the small number of trained professionals in the field. To be able to compare and evaluate the effectiveness of the intervention methods, two interviews were conducted with the student victim: a pre-test when the professional had yet to do anything to improve the student's situation, and a post-test three months after the end of the professional's intervention. We have used a complementary mixed methodology in which the qualitative results are intended to support the quantitative results. However, given our small sample, the quantitative analyses should be considered purely exploratory and descriptive. These analyses enabled us to statistically measure the effectiveness of the interventions using four concepts: feelings of victimisation, self-esteem, acceptance by peers, and degree of suffering. Our research showed that the Palo Alto systemic and strategic method was effective in stopping bullying in five out of six situations. In the sixth situation, the bullying decreased but did not stop completely. Our results showed that the Palo Alto systemic and strategic method had a significant effect on reducing perceived suffering, increasing acceptance of the young person by peers, and reducing feelings of victimisation compared with other methods regularly used by schools and their support networks. Regarding self-esteem, our data showed a significant increase for pupils benefiting from the other types of methods compared with pupils who received support using the Palo Alto systemic and strategic method. The aim of this article is not to provide data that can be generalised to the population as a whole. Nevertheless, we believe that this research will contribute to knowledge of this innovative approach and provide food for thought for future research on the subject. [ABSTRACT FROM AUTHOR]

Research suggests that a cycle of misbehavior can escalate quickly from corrections over minor rule infractions to threats of serious disciplinary consequences. There is also evidence that Black youth may be especially at risk for these escalations due to subtle or implicit racial bias, or cultural mismatches that may lead teachers to believe that minor rule violations, especially those that require subjective judgments, convey willful defiance or disrespect. In this article, we provide a brief overview of data confirming that Black students experience disproportionate disciplinary outcomes, explore the idea that one contributor to disproportionality may be cultural disconnects between adults and the student population, and consider the idea that many punitive disciplinary actions evolve from relatively minor classroom conflict, disruption, or rule violations. We argue that fairly simple, low-intensity antecedent strategies that show promise in defusing problems rather than exacerbating them may offer mitigation against disproportionate disciplinary outcomes. [ABSTRACT FROM AUTHOR]