Magister Artium (Psychology) - MA(Psych) / There is widespread evidence that exposure to community violence is escalating at an alarming rate, not only in South Africa, but worldwide. The literature indicates that the cohort affected is primarily children and adolescents. Whilst a significant amount of empirical research focuses on exposure to community violence and the identification of risk and protective factors, there is a paucity of initiatives providing in-depth investigations into the dynamics of these factors. An explorative study grounded in the meanings which adolescents assign to risk and protective factors is essential to provide comprehensive and sensitive care to adolescents exposed to community violence. The aim of this study was to explore adolescents’ perceptions and understandings of the risk and protective factors related to community violence exposure in a low-income community in Cape Town. The current study utilised the PPCT model as it allowed the researcher to explore the way in which risk and protective factors function within different systems. Data was collected from 50 adolescents between the ages of 12 and 15. Five focus groups were used to collect the data, consisting of ten participants each, both males and females. Participants were purposively selected from a high school located in a low-income community in Cape Town. The ethical guidelines stipulated by the UWC and the WCED were strictly followed. Prior to the focus group interviews, informed consent and assent were obtained from both parents and participants. Participants were informed of their rights in the research process. The information collected from participants was analysed by means of a theoretical thematic analysis. This type of thematic analysis aims to identify information gathered, examined and described in rich detail, according to themes from the text, as proposed by Braun and Clarke (2006). This study aimed to contribute to the development of effective interventions and to add to the knowledge base of studies focusing on risk and protective factors associated with exposure to community violence among adolescents

Magister Artium (Sport, Recreation and Exercise Science) - MA(SRES) / Pursuing a career as a professional athlete has become a viable option for talented athletes to pursue. However, in their pursuit of athletic excellence many athletes neglect their academic, work and post sport career planning. To help athletes with participation, educational, development and lifestyle issues many countries have developed athlete assistance programs. To achieve the objective of a Winning Nation and help talented South African athletes develop and perform at a higher level the South African Sports Confederation and Olympic Committee (SASCOC) plans to establish a national academy system. The role of the academy system is to assist in addressing the demographics of the national teams by accelerating the development of talented athletes particularly those from the disadvantaged groups. To ensure that a holistic approach is taken towards athlete development one of the services that will be provided is life skills training. To develop a successful life skills program, it is essential to identify the important life skills to include. Aim The aim of the study was to explore and identify the life skills necessary for inclusion in Life Skills programs in South African elite sport focusing on the development of adolescent athletes to enable them to grow up competent, healthy and reach their full potential. Design A pure qualitative research design was employed using thematic analysis. Data was analysed through the lens of Positive Youth Development (PYD) theory. Moreover, a semi-structured interview guide, consisting of open ended questions, was developed utilizing the 5 C’s of PYD as themes to facilitate the interview process. Nine current adolescent elite South African athletes, on the MacSteel Maestro’s program, participated in the study. A purposive sampling procedure informed the sampling process and a thematic coding framework was developed to analyse the interview data. Results Findings of the research provided a contribution to the literature in two ways. First, it provided a South African perspective of the life skills needed by elite adolescent athletes. Secondly, it identified the life skills elite adolescent South African athletes deemed important for their holistic development to include in life skills programs in South African elite sport. Time management and self - esteem / self – confidence skills were identified as the crucial life skills to be developed. Conclusion In general it can be concluded that the participants have benefitted from being on the MMP, and that the participants exhibited characteristics of competence, confidence, character, connection and caring / compassion both in and out of sport. / CATHSSETA

Type 1 diabetes (T1D) is one of the most common pediatric chronic illnesses. Glycemic control among patients with T1D often deteriorates during adolescence; yet little is known about the most effective way for providers to communicate with adolescents to prevent this decline. Given the importance of effective communication, examination of effective patient-provider communication strategies is needed. The current investigation used Motivational Interviewing (MI) as a framework to help characterize naturally-occurring adolescent patient-provider communication in medical encounters and examined the relations between provider communication and T1D self-management and control. Participants were five pediatric endocrine providers and 55 adolescents with T1D (49% female; 76% White; M age= 14.8 years, SD= 1.6). Mean T1D duration was 7.9 years (SD= 3.9) and mean baseline HbA1c was 8.58% (SD= 1.4). Adolescents and caregivers completed surveys related to diabetes self-management and psychosocial functioning at a routine endocrinology visit and again at one and three months post-baseline. Medical encounters were audio-recorded and coded. HbA1c was obtained via medical chart review at baseline, three, and six month appointments. Hierarchical multiple regressions revealed that, after controlling for prior MI training (providers) and adolescent baseline HbA1c, age, and race, use of MI non-adherent behavior (e.g., confronting, persuading) was associated with 1) poorer three month HbA1c, F(5,45)= 11.19, p < .001; R2 = .554 and 2) worse adolescent diabetes adherence, F(5, 46)= 9.86, p < .001; R2= .517. MI non-adherent behavior emerged as a significant predictor in each model, t(45)= 2.13,p = .038, β = .242 and t(46) = -2.39, p= .021, β= -.300, respectively. A mediation analysis determined that patient self-efficacy for diabetes self-management mediated the relation between the use of these MI non-adherent behaviors and lower diabetes adherence. In TalkT1me, providers’ overreliance on persuasion and confronting adolescents about the risks of non-adherence was paradoxically associated with poorer glycemic control and adherence. Certain communication techniques that are inconsistent with MI, like confronting or persuading, appear to have a negative impact on diabetes self-care and HbA1c. Results from this evaluation of naturally occurring communication can help guide targeted training efforts to enhance communication and improve diabetes self-care with these vulnerable patients.

The goal of this research was to uncover the needs of adolescents, who had been orphaned by the death of both parents. The intention was to search for a deeper understanding of the needs of such adolescents, as well as to identify and discuss how service rendering to them can be improved. Therefore the research focused on adolescence as a developmental stage in the life-cycle and the impact of death on adolescents who have been orphaned by both parents. To attain and enhance the goal, empirical research was conducted by means of semi-structured interviews with male adolescents who have lost both parents. The research findings highlighted the final phases of the physiological, psychological, brain and moral development towards adulthood. It uncovered the devastating effects such as numbness and emotional exhaustion that death of both parents, may have on these children. The research indicated the negative effects of this trauma on their communication skills, pain, and feelings of loss, guilt and vulnerability. Furthermore, the research confirmed the fact that they are left alone without parents a factor which pushes them into adulthood before they are ready for it. The research uncovered further needs these children may have for example good care, the need to have a guardian, protection, education, support, a place to stay, toiletries, clothes, food, information about how to date girls and to show respect to others. These findings lead the researcher to formulate several recommendations. It is clear those social workers as well as all the other professionals who work in this field of practice need to understand the needs of adolescence as developmental phase. Training in this regard should thus include the life cycle with special reference to adolescence, the impact of death on adolescents and their special needs. Finally, it is clear from the study that the principle of the best interest of the child, should always be taken in consideration when any service is being rendered to these children. / Dissertation (MSW)--University of Pretoria, 2013. / Social Work and Criminology / unrestricted

In Taiwan, the running race has become a prevalent physical activity (PA) over the past decade. A personalized running program, Run-Up, is a middle distance running unit that integrates a series of educational activities into an existing high school physical education (PE) course for enhancing students’ efficacy beliefs and enjoyment of running. Self-efficacy theory (SET) provided a framework to help the researcher understand how and why the Run-Up program activities affect students’ efficacy beliefs and perspectives on running. This qualitative case study was designed to explore the effectiveness of the Run-Up program in promoting high school students’ self-efficacy and enjoyment of a middle distance running in a single class of grade twelve students in Taiwan. Data collection methods included semi-structured interviews with students and the teacher, their course feedback forms, and the samples of their journal entries including the students’ course work and teacher’s teaching notes. Data were analyzed by using constant comparison. Three resulting themes explicated how diverse learning activities integrated with multiple learning strategies in the Run-Up program could serve as an avenue to foster high school students’ self-efficacy and enjoyment of running. Comments from both the teacher and students highlighted the value of the Run-Up program as an educational PA program. / Graduate

The purpose of the present dissertation was to evaluate the internal validity of symptoms of four common anxiety disorders included in the Diagnostic and Statistical Manual of Mental Disorders fourth edition (text revision) (DSM-IV-TR; American Psychiatric Association, 2000), namely, separation anxiety disorder (SAD), social phobia (SOP), specific phobia (SP), and generalized anxiety disorder (GAD), in a sample of 625 youth (ages 6 to 17 years) referred to an anxiety disorders clinic and 479 parents. Confirmatory factor analyses (CFAs) were conducted on the dichotomous items of the SAD, SOP, SP, and GAD sections of the youth and parent versions of the Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV: C/P; Silverman & Albano, 1996) to test and compare a number of factor models including a factor model based on the DSM. Contrary to predictions, findings from CFAs showed that a correlated model with five factors of SAD, SOP, SP, GAD worry, and GAD somatic distress, provided the best fit of the youth data as well as the parent data. Multiple group CFAs supported the metric invariance of the correlated five factor model across boys and girls. Thus, the present study’s finding supports the internal validity of DSM-IV SAD, SOP, and SP, but raises doubt regarding the internal validity of GAD.

Susceptibility to smoking has been widely measured in an effort to detect those teens who lack of a firm commitment to not smoke. This measure, however, has not been applied to Chinese-Canadian adolescents. The overall goal of this study was to understand susceptibility to smoking among Chinese-Canadian non-smoking teens. The dissertation includes three papers, each of which has addressed one of the three primary aims of this study. The first paper aims to document the prevalence of susceptibility to smoking among a sample of non-smoking teens in British Columbia, Canada, and to examine the factors that explain the variation in susceptibility to smoking. I employed a quantitative secondary analysis of data from the BC Youth Survey of Smoking and Health. More than one quarter of the respondents were found to be susceptible. The Chinese-Canadian adolescents appeared to have a similar rate of susceptibility to smoking as their White/Caucasian counterparts, even though the smoking prevalence was lower among Chinese-Canadian group than in White/Caucasian group. In the second paper, I explored non-smoking Chinese-Canadian adolescents’ views about the protective factors and the risk factors that might lead them to be susceptible to smoking. In this paper I report an analysis of four qualitative focus groups which included 24 Chinese-Canadian participants. Negative attitudes toward smoking, befriending non-smoking teens, being peer pressured not to smoke and a collectivist cultural perspective were identified as protectors that helped Chinese Canadian teens remain tobacco free in their adolescence. The teens argued that authoritarian parenting had both positive and negative effects on Chinese teens’ susceptibility to smoking. These findings enhanced our understanding of the role that an ethnic group’s culture might play in adolescent smoking. In the third paper, I use Chinese-Canadian teens’ perspectives to reconsider the operationalization of the measure of susceptibility to smoking. Avoiding absolute answers was viewed by the participants as a unique cultural style among Chinese-Canadian teens. They also commented on the ambiguity of using the term “smoking” in the smoking susceptibility measure. Further research is needed to gain a better understanding of the operationalization of the measure in this cultural group. / Applied Science, Faculty of / Nursing, School of / Graduate

While numerous studies have linked family routines to pediatric asthma outcomes, it remains unclear how family routines come to be associated with these outcomes on a biological level. The current study investigated whether longitudinal trajectories of inflammatory markers of asthma could be predicted by levels of family routines in youth with asthma. Family routines were assessed at baseline through parent questionnaires and peripheral blood samples obtained from youth every 6 months (total number of assessments = 4) over the course of an 18 month study period. Youth with more family routines in their home environment showed decreases in mitogen-stimulated production of a cytokine implicated in asthma, IL-13, over the course of the study period. In turn, within-person analyses indicated that at times when stimulated production of IL-13 was high, asthma symptoms were also high, pointing to the clinical relevance of changes in IL-13 over time. A variety of potential explanations for this effect were probed. Parental depression, stress, and general family functioning could not explain these effects, suggesting that family routines are not just a proxy for parent psychological traits or family relationship quality. However, medication use eliminated the relationship between family routines and stimulated production of IL-13. This suggests that family routines do impact asthma outcomes at the biological level, possibly through influencing medication adherence. Considering daily family behaviors when treating asthma may help improve both biological and clinical profiles in youth with asthma. / Arts, Faculty of / Psychology, Department of / Graduate

Research shows that teens (Generation Z) are not as information literate as required to function effectively in an information society. Yet many teens are gamers and succeed at game-related tasks that require information literacy skills. This thesis examines the potential that the online game Minecraft, and one of its related affinity spaces, may have in the development of information literacy skills in teens. This case study unfolded in three phases: a video game analysis of Minecraft, a discussion forum analysis and an interpretive report of interviews with eight teen gamers. Findings suggest that Minecraft’s design induces players to seek out game related information in affinity spaces, select appropriate sources, evaluate the information shared by fellow gamers and decide what best satisfies their information need. Further research could determine whether the specific information literacy skills in this gaming context can be generalized to other gaming environments and to non-gaming contexts.

Parenting is one of the most influential as well as modifiable factors influencing healthy child development (Grusec, 2011; Sanders, 2012). This dissertation includes two studies that were designed to broaden our understanding of parenting in developmental periods widely recognized to present parenting challenges: Study 1 focused on the toddler and preschool years (Crnic & Low, 2002; Kwon, Han, Jeon, & Bingham, 2013) and Study 2 focused on adolescence (Eisenberg et al., 2008; Laursen & Collins, 2009). Both studies involve analysis of data on self-reported parenting responses and parenting goals, as well as parent-rated child adjustment from community samples of mothers and fathers. In the first study parenting similarity in the parenting responses and parenting goals of mothers and fathers of toddlers and preschoolers were examined. As well, I examined whether these were linked to parents’ ratings of their children’s adjustment on the Child Behavior Checklist Preschool form (Achenbach & Rescorla, 2000). In addition, I examined whether there were differences between parenting situations involving child misbehaviour and child withdrawn behaviour. Participants were 148 families of children aged between 18 months and 60 months. Parenting similarity was found both for parenting responses and for parenting goals. However, neither similarity in parenting responses or parenting goals differed for situations involving child misbehaviour versus child withdrawn behaviour. Furthermore, parenting similarity in parenting responses and parenting goals were not found to be related to each other or to child adjustment. The second study was conducted with mothers and fathers of adolescents and was designed to extend on the work of Hastings and Grusec (1998). In this study I also examined parenting similarity in parenting responses and parenting goals. Participants were 285 parents of adolescents aged 14 to 17 years old (mothers n = 213, fathers n = 68, dyads n = 43). Parenting goals were influenced by characteristics of the situation, but not by parent or adolescent gender. Parenting goals were not related to parents’ ratings of their adolescent children’s adjustment on the Child Behavior Checklist School Age form (Achenbach & Rescorla, 2001). As in the first study, I found parenting similarity for parenting responses and parenting similarity for parenting goals, but the two types of similarity were not related to each other. The findings with respect to parenting goals indicate that there is insufficient evidence to justify future parenting goals studies given the limitations of the extant methodology for measuring them. Future parenting similarity studies that use statistical analyses, such as cluster analyses, that allow for the examination of the links between specific parenting similarity (e.g., having two parents that are authoritative vs. two that are authoritarian) and child adjustment hold promise for informing clinical practice with families.