Poultry-based PAPs are important to improve the livelihoods of rural communities. The environments in which they operate determine their ability to succeed in terms of self-reliance and income generation capabilities. A positive adequate and supportive extension service enables the PAPs to contribute to food security and job creation. However, in South Africa despite the government, and NGOs huge investment in the PAPs, high mortalities of the poultry, and ineffectiveness in reducing food and nutrition insecurity, remain major concerns because most of them collapse soon after cessation of donor or government funding. Information on why most of the PAPs fail is still inadequate. Thus, the main objective of current study was to characterize poultry-based PAPs in order to suggest intervention strategies to strengthen their performance. The specific objectives were to: (a) identify the constraints to the successful implementation of poultry-based PAPs; (b) determine the coping strategies applied in poultry-based PAPs; and (c) suggest interventions for improved performance of the poultry-based PAPs. This case study was undertaken in Bushbuckridge Municipality of Ehlanzeni District in Mpumalanga Province. A mixture of qualitative and quantitative research methods and techniques were applied in the two-phased study. Purposive sampling was used to select ordinary members and chairpersons of PAPs as well as some government officials who served as respondents. In phase 1 of the study face-to-face interviews were conducted using open-ended questions with 10 Chairpersons, 20 ordinary members and 5 government officials involved with poultry-based PAPs. Qualitative data were analyzed using Atlas ti7.0.81. Thereafter, the qualitative results of phase 1 were consolidated to produce a questionnaire administered to (n=16) focus group participants of the same categories of respondents. The Statistical Pacl<age for Social Sciences (SPSS) version 23.0 was used to analyse data and to compute the means of ranks assigned to perceptions relating constraints, coping strategies and intervention strategies in terms of institutional, production, marketing and sustainability. The results of phase 2 revealed that most of the 116 respondents (57 %) were members of poultry-based PAPs in the northern region of Bushbuckridge local Municipality. Females constituted more than half (58 %) of the respondents. The respondents were mainly 51-60 years old (39 %), closely followed by those aged 36-50 years (37 %). Only (13 %) of the respondents were 35 years old. With respect to the highest level of education attained, (45 %) of the respondents had completed prima1y schooling. An almost similar proportion (44 %) had secondary school education but had not matriculated. The remainder had never attended school. The respondents experience in PAPs was greatly variable. Slightly more th'an half of them (54 %) had been members of their projects for 5-10 years. Approximately, (25 %) had been involved in the PAPs for 10-15 years, with the rest ranging from 1-5 years (3 %) and also at least 15 years (17 %). It was revealed that the top ranked constraints facing poultry-based PAPs in Bushbuckridge were: Lack of regulation of poultry feed, lack of government start-up capital/subsidy, inadequate training, especially with respect to financial management and inadequate markets. Buying chicken feed in small quantities from middlemen, use of substandard day-old chicks, purchasing water from people having boreholes, and selling produce to the local community at reduced prices were the top ranked coping strategies that PAPs relied on. The top ranked intervention strategies proposed to deal with the challenges faced by PAPs were: develop a funding strategy, regulate prices of chicken feed, upgrade available infrastructure, develop marketing outlet points, and offer tailor-made training th?t includes financial management and record keeping. It is recommended that in order to ensure sustainability feasibility studies should be conducted prior to implementation of the poultry-based PAPs. This would eliminate the possibility of running 'hand to mouth' PAPs. The need for introducing appropriate monitoring and evaluation systems was also evident. Key words: Intervention, project, poverty alleviation, poultry and successful PAP

Background: HIV incidence among adolescent girls and young women (AGYW) aged 15-24 in sub-Saharan Africa remains exceptionally high. Evidence shows that no single HIV prevention strategy will be effective in controlling the HIV pandemic. Research in recent years demonstrates the need for combination HIV prevention efforts, including biomedical, behavioral, and structural interventions. Given the urgent need to identify strategies that effectively reduce HIV risk among AGYW, it is crucial to understand how best to maximize the impact of combination HIV prevention interventions. This qualitative study explored the perceived impacts of a combination HIV-prevention intervention on the lives of AGYW in South Africa. Methods: The study is based on the findings from a qualitative evaluation of the RISE Club Programme, one component of a combination HIV intervention for AGYW. Using 24 focus group discussions and 63 in-depth interviews with 237 AGYW, we explored participants' experiences and perceptions of participating in a combination HIV prevention intervention and how it was perceived to impact their lives. Results: From the perspectives of AGYW, the intervention was perceived to positively impact their ability to communicate and develop and maintain healthy relationships with family, peers and partners. The findings show that the intervention helped increase their sexual and reproductive health (SRH) knowledge which improved their sexual self efficacy while also encouraging positive behavioural choices such as contraceptive uptake. It was also perceived to improve AGYW lives and personal development, specifically their self confidence and self esteem. However, logistical challenges with the implementation of the intervention and unmet expectations, created frustration and negative perceptions of the intervention in some instances. Conclusions: Overall, the findings demonstrate that intervention recipients perceived mostly positive impacts on their lives as a result of participating in the RISE programme. Understanding the perspectives of AGYW, is helpful in order to assess the benefits and perceived impacts of such an intervention on the lived realities of intended beneficiaries. Taking these perspectives into consideration and understanding some of the unforeseen negative impacts of the intervention can help to inform the design and implementation of future combination HIV prevention interventions for a similar sub-group of the population.

Eating disorders are among the most common clinical manifestations in children, and they are frequently connected with maternal psychopathological risk, internalizing/externalizing problems in children, and poor quality of mother–child feeding exchanges. During the COVID-19 lockdown, in person assessment and intervention were impeded due to the indications of maintaining interpersonal distancing and by limits to travel. Therefore, web-based methods were adopted to meet patients’ needs. In this study N = 278 participants completed the SCL-90/R and the CBCL to examine the psychopathological symptoms of mothers and children (age of the children = 24 months); moreover, the dyads were video-recorded during feeding and followed an online video-feedback based intervention. Maternal emotional state, interactive conflict, food refusal in children, and dyadic affective state all improved considerably, as did offspring internalizing/externalizing problems and mothers’ depression, anxiety, and obsession–compulsion symptoms. This study showed that video-feedback web-based intervention might be employed successfully to yield considerable beneficial effects. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.

Hoarding disorder (HD) is a mental health condition characterized by difficulty letting go of possessions, resulting in clutter that prevents use of active living spaces. Consequences associated with hoarding include strained family relationships, distress for children in the home, and increased burden on social services. Currently, the most empirically supported treatment for HD is cognitive-behavioral therapy (CBT), which includes such components as education about the nature of hoarding, challenging unhelpful thoughts, and exposure to distressing stimuli. Despite its demonstrated effectiveness, CBT does not result in clinically significant improvement for at least 50% of individuals, indicating the need for alternative interventions for those who do not respond to CBT. Acceptance and commitment therapy (ACT), an acceptance- and mindfulness-based therapy, is one potential alternative. The overarching aim of ACT is to improve psychological flexibility, the ability to act consistently with meaningful life directions in the presence of difficult internal experiences. Given the high levels of avoidance (e.g., of decision making, of distress) consistently observed in hoarding, increasing one’s range of responses to previously avoided stimuli in the service of more fulfilling activities may be a particularly useful skill. Furthermore, ACT has been found to be effective for clinical presentations related to HD, including anxiety disorders and obsessive-compulsive disorder. The current exploratory study compared the effects of acceptance-based training to psychoeducation on several measures of hoarding severity in a sample of college students with elevated hoarding. Participants (N = 47) completed a discarding behavioral task and self-report measures at postintervention as well as an online follow-up survey one week later. There were no differences in outcomes between conditions over time, suggesting that acceptance training was not more effective than psychoeducation alone. Hoarding severity and thoughts related to hoarding significantly decreased from baseline to one-week follow-up, indicating that both interventions improved hoarding symptoms in our sample. These findings also suggest that early intervention may be a useful approach to alleviating hoarding symptoms.

Response to Intervention's (RtI) original design was implemented as a kindergarten through third grade intervention for struggling readers. Therefore, it is difficult to conceptualize RtI as an intervention model to be used for high school students. Nevertheless, high schools have adopted RtI as an intervention model. The purpose of the study was to investigate and describe how one high school implemented RtI. The researcher utilized qualitative research methods to conduct the study. The two overarching research questions for the study were: Were the essential components of Response to Intervention implemented in this high school? Was the Response to Intervention framework implemented with fidelity? Research-based practices found in the literature that have influenced the implementation of RtI were (a) a structured focus on prevention for academic failures, (b) the use of the suggested RtI model consistently and with fidelity, and (c) a strong consideration for adoption of the suggested framework using the essential components of RtI (RtI Action Network, 2013).  The essential components of RtI found in the literature were universal screening, data collection, progress monitoring, a problem solving team, data-based decision making, and evidence-based interventions. The study attempted to determine if the high school implemented the essential components of RtI with fidelity, defined as "implemented RtI as it was intended by the program developers" (Mellard & Johnson, 2008, p. 240).   The study found that not all essential components of RtI were implemented with fidelity in the high school. All participants interviewed stated that the screening tools that were being utilized were not screening tools that were described in the literature. Participants identified the use of data collection and progress monitoring, but did not express a consistency in the practices. Because these two components were not implemented consistently, participants noted that the three-tiered system lacked evidence-based practices and interventions. Based on the participants' responses, the researcher concluded that the high school's implementation of RtI lacked fidelity. Through review of CHD High School's historical records, it appeared that the implementation of RtI only provided a minimal amount of improvement in students' academic grades, dropout rate, and standard assessments scores. Implications and recommendations for practice and future research are offered in Chapter 5. / Ed. D.

Indiana University-Purdue University Indianapolis (IUPUI) / Little research has explored the degree to which specific intervention components predict improved health outcomes for cancer patients and their family caregivers. The present study examined relations of intervention components (i.e., coping skills) to symptoms in a telephone symptom management (TSM) intervention delivered concurrently to symptomatic lung cancer patients and their family caregivers. Guided by Social Cognitive Theory (SCT) and cognitive behavioral therapy (CBT) frameworks, patient-caregiver dyads were taught coping skills including: a mindfulness exercise (i.e., noticing sounds and thoughts), pursed lips breathing, guided imagery, cognitive restructuring, and assertive communication. Symptom measures were administered at baseline and 2 and 6 weeks post-intervention. The measures assessed patient and caregiver depressive and anxiety symptoms as well as patient pain severity, distress related to breathlessness, and fatigue interference. Data were examined from patient-caregiver dyads enrolled in TSM (N = 51 dyads). Patients and caregivers were predominantly female (55% and 73%, respectively) and Caucasian (87%). The average patient was 63 years of age (SD = 8) and the average caregiver was 56 years of age (SD = 14). Seven autoregressive panel models tested relations of coping skills to symptoms. All models had at least adequate fit to the data (χ2 ps > 0.05, RMSEA values < 0.06). For patients, more assertive communication practice during the intervention was related to less pain severity, fatigue interference, and depressive and anxiety symptoms at 6 weeks post-intervention. Additionally, more guided imagery practice during the intervention was related to less fatigue interference and anxiety at 6 weeks post-intervention. In contrast, more cognitive restructuring practice during the intervention was related to more distress related to breathlessness and depressive and anxiety symptoms at 6 weeks post-intervention. Similarly, more practice of a mindfulness exercise during the intervention was related to more fatigue interference and anxiety at 6 weeks post-intervention. For caregivers, more guided imagery practice was related to more anxiety at 2 weeks post-intervention. All other pathways from coping skills to symptoms at 2 and 6 weeks post-intervention were non-significant for both patients and caregivers. Findings suggest intervention effectiveness may have been reduced by competing effects of certain coping skills. For lung cancer patients, future studies should consider focusing on assertive communication and guided imagery, as these two coping skills were most consistently associated with reduced symptoms. However, more studies are needed to better understand these findings and particular caution should be used when applying CBT-based interventions that have not been validated in lung cancer populations.

No description available.

Sleep disorders are highly prevalent in children and adolescents, affecting approximately 25-40% of this population. Questions about sleep are among the most frequent concerns that parents raise to their child’s pediatric medical provider. Behavioral treatments are the empirically supported treatments for addressing behavioral disordered sleep, and pediatric medical providers often endorse using such strategies. However, given the time constraints of primary care visits, such strategies are delivered in a very brief format. Whether or not these recommendations result in a change in the child’s disordered sleep symptoms has not been explored. Further, it is likely that this brief recommendation format is effective for some patients but not others. For example, children with comorbid neurodevelopmental conditions, severe sleep problems, and anxiety are less likely to respond to brief sleep interventions, and, therefore, may require a more comprehensive, time-intensive behavioral intervention. The current study aimed to explore factors related to the efficacy of a brief behavioral intervention provided via telehealth. Thirteen parents completed all portions of the study. Three were parents of children between the ages of 8 to 15 years and 10 were parents of children between the ages of 4 to 7 years (M = 6.8; SD = 2.7). All parents identified as White mothers. All children were also identified as White with 38.5% being female. Due to small sample size, quantitative analyses were not appropriate, so a qualitative examination of the data was conducted to explore relationships among participant demographics, sleep hygiene behaviors, sleep knowledge, sleep symptom severity, anxiety symptoms, and effects of the intervention. Results indicated that 37.50% of parents accurately assessed whether their child had problematic sleep. Minor variations in sleep knowledge were observed between parents who accurately identified their child’s sleep problems and those who did not (7.67 and 6.40 out of 10, respectively). Overall, participants had an average initial sleep knowledge score of 6.68, an average follow up sleep knowledge score of 7.31, and an average change in knowledge score of 0.62. Regarding effects of the intervention on sleep symptom severity, the average initial sleep symptom severity score was 50.25, the average follow up sleep severity score was 48.77, and the average change in sleep severity score was -2.00. An examination of sleep hygiene characteristics highlighted that while 81.25% of participants endorsed having a bedtime routine, almost 70% reported that the routine included an electronic device. Differences in initial sleep symptom severity and sleep knowledge scores were noted between participants who did and did not include electronic devices in their bedtime routines. The clinical implications of these findings are discussed further. Differences in intervention efficacy between participants with and without ADHD was also examined, but differences were not apparent. Intervention acceptability and feasibility were also examined. The current study demonstrated that the intervention was feasible to deliver for most participants within 10 minutes and, therefore, would be conducive to a primary care setting. Additionally, parents reported high levels of satisfaction with the content, understandability, and comprehensiveness of the treatment, which is encouraging for parents’ willingness to utilize the intervention if it was available to them. This study acted as an important initial step to determining the feasibility and acceptability of a brief behavioral sleep intervention. Clinical implications and future directions are discussed.

No description available.

Using qualitative methodology, the authors explored the experiences of 8 clients who received a 5-minute mindfulness meditation (MM) as implemented by 6 counseling students during a counseling session. Themes that emerged included (a) variations in individual experiences; (b) mental, physical, and emotional components of the experience; (c) perceptions of MM; (d) preferences for MM; and (e) implications for continued practice of MM.