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Friendship as a moderating factor in the pathway between early harsh home environment and later victimization in the peer group. The Conduct Problems Prevention Research Group.

Two prospective investigations of the moderating role of dyadic friendship in the developmental pathway to peer victimization are reported. In Study 1, the preschool home environments (i.e., harsh discipline, marital conflict, stress, abuse, and maternal hostility) of 389 children were assessed by trained interviewers. These children were then followed into the middle years of elementary school, with peer victimization, group social acceptance, and friendship assessed annually with a peer nomination inventory. In Study 2, the home environments of 243 children were assessed in the summer before 1st grade, and victimization, group acceptance, and friendship were assessed annually over the next 3 years. In both studies, early harsh, punitive, and hostile family environments predicted later victimization by peers for children who had a low number of friendships. However, the predictive associations did not hold for children who had numerous friendships. These findings provide support for conceptualizations of friendship as a moderating factor in the pathways to peer group victimization.

Child↗

Comparing alternative methods for composing community peer groups: a data warehouse application.

A method for assessing the health status of communities has been under development for a decade at the University of South Florida. Known as CATCH (Comprehensive Assessment for Tracking Community Health), the method utilizes health status indicators from multiple data sources. With federal grant support, a unique data warehouse has been created to automate CATCH assessments and to enhance online analytical processing for efficient data browsing, knowledge discovery, and model testing. A comparison of two peer grouping methods (population size versus predicted age-adjusted mortality) is reviewed to demonstrate the warehouse capabilities.

Community Health Planning↗

Gaining a better understanding of peer group contributions to dating aggression--implications for prevention and intervention programming: comment on kinsfogel and grych (2004).

K. M. Kinsfogel and J. H. Grych's (2004) article presents a theoretical model to examine the mechanisms by which interparental conflict is associated with adolescents' dating aggression. The study is noteworthy in its focus on the influence of less severe forms of interparental conflict than in most prior investigations, and in the attention it places on the peer group social context in understanding the subtleties of adolescents' intimate relationships. The study provides valuable information about the association between conflictual marital relations and dating aggression among male adolescents while highlighting the need for new models to understand the role of marital conflict in the expression of dating aggression among female adolescents. The study has important implications for partnering with male adolescents to design and adapt dating aggression programs.

Adolescent↗

Peer-group risk assessment: a post-traumatic management strategy for hierarchical organizations.

BACKGROUND: Organizations have moral and legal duties to consider the psychological needs of their workforce following exposure to potentially traumatic events related to the workplace. Additionally, it makes economic sense to avoid loss of valuable personnel to the effects of psychological trauma. There have been attempts to provide a range of psychological interventions for staff after exposure to potentially traumatizing events, but recent evidence-based medicine publications have questioned their effectiveness and, indeed, some studies show that single-session psychological debriefings may be harmful. AIM: This paper presents a post-traumatic management strategy based upon peer-group risk assessment which was developed by the British military and is in use with other hierarchical organizations. The presented model keeps employees functioning after traumatic events and provides support and education to those who require it. Additionally, the strategy aims to identify those who are unable to cope after potentially traumatizing events and aims to refer them for early intervention, which has been shown to be of benefit.

Adult↗

[Effect of temperament, effect of alcohol expectancies and peer group on amount of drinking and alcohol-related problems in adolescence].

OBJECTIVE: The purpose of this longitudinal study was to investigate the relationship between temperament (novelty seeking, harm avoidance and reward dependence), alcohol expectancies, membership in a deviant/substance-using peergroup and drinking behaviour of adolescents drawn from a general population. METHODS: 147 adolescents about 15 years of age were interviewed and completed several self-rating questionnaires. We gathered additional information by interviewing their parents. One year after the initial assessment the adolescents only were interviewed and given questionnaires again. RESULTS: Adolescents with alcohol problems at the time of the second interview reported less harm avoidance, less reward dependence, and were more likely to be a member of a deviant/substance-using peergroup a year before, compared to offspring without alcohol problems. Furthermore, they held more positive alcohol expectancies than adolescents without alcohol problems. Taking into account the quantity of alcohol consumed per occasion, all results were confirmed, but temperament did not predict the extend of alcohol consumed after one year. CONCLUSIONS: Alcohol expectancies and peer group deviance/substance-use are strongly associated to alcohol problems and the amount of alcohol consumed. Therefore, they should be the focus of prevention and intervention in this age group.

Adolescent↗

Adolescents' reactions to hypothetical peer group conversations: evidence for an imaginary audience?

The theory of adolescent egocentrism holds that early adolescents have a distorted understanding of self-other relations; because of flaws in the traditional methods used to assess adolescent egocentrism, this notion has never received adequate empirical scrutiny. In the present research, the nature of early adolescent social cognition as characterized by that theory was investigated by examining age differences in judgments of hypothetical peer group conversations. In Study 1, children and early adolescents (N = 264) rated the attentiveness, criticalness, and admiration expressed in three conversations, in which the subject or a peer was mentioned in either an admiring, critical, or nonevaluative manner. In Study 2, a similar procedure was used with middle and late adolescents, as well as children and early adolescents (N = 187); two memory tasks were also administered to visit the issue of distortion in social cognition. In Study 3, a new sample (N = 1,019) representing the four age groups from Study 2 was presented with an ambiguous conversation and then asked to interpret who was the target (object of focus) and how that target was regarded. The findings from the three studies do not support the notion that adolescents believe others are attentive to and critical of their every move, or that their social cognition and perception is egocentric and distorted. Conceptual and methodological contributions are discussed, along with directions for additional research.

Adolescent↗

The effect of small peer group continuous quality improvement on the clinical practice of midwives in The Netherlands.

OBJECTIVE: To study the effects of small group continuous quality improvement (CQI) on the clinical practice of midwives in the Netherlands. DESIGN: Randomised pre-/post-test (balanced block). INTERVENTION: The CQI groups were assigned to either the set of peer review topics including 'perineal repair' and 'artificial rupture of the membranes (ARM)', or to the set of topics including 'airway aspiration' and 'measuring blood pressure'. The two research groups acted as each other's control group. SETTING: The Netherlands. PARTICIPANTS: Two hundred and fifty-five individual midwives practising in primary and secondary care who made up 28 peer groups. MEASUREMENT AND KEY FINDINGS: Questionnaires were used to collect data on clinical practice prior to the start of the intervention and one year later. Pre- and post-test data were received from 156 respondents. The intervention had a positive effect on adherence to the recommendations with respect to airway aspiration of the baby and measuring blood pressure. For ARM, no difference was found between pre- and post-test adherence to recommendations in the intervention group, while in the control group, the percentage of midwives that adhered to the recommendations decreased in the period between pre- and post-test. No significant effect was found for perineal repair. IMPLICATIONS FOR PRACTICE: Small group CQI had a positive effect on changing clinical practice when the learning of new skills (e.g. learning a new suturing technique) was not necessary. Additional interventions are needed when implementing guidelines that recommend the learning of new skills.

Adult↗

[Differential learning effects in preventive drug education by peer group members].

In the drug prevention programme studied here, peers were acting as teachers for their colleagues. We focused on the contribution of student characteristics and of teaching quality to the gain in knowledge about drugs. 165 8th- and 9th-graders in eight classes answered a questionnaire three times: before, immediately after and five months after the intervention. There was a significant increase in knowledge immediately after the intervention (mean m = 6.2) and after five months (m = 6.1) compared to the score before (m = 4.5). Furthermore, non-German speaking students of the "Sekundarschule" (higher level) learned the most, non-German speaking students of the "Realschule" (lower level) learned nothing at all. We found a positive association between teaching quality as assessed by each class and knowledge gain in the same class. Multiple linear regression analysis showed that five months after the intervention student characteristics explained an important part of the variance in knowledge gain (25% of the total variance), while teaching quality explained another 5%. Consequently, these characteristics can serve as predictors of knowledge gain in such programmes.

Adolescent↗

Quality improvement of diagnostic microbiology through a peer-group proficiency assessment program. A 20-year experience in Ontario. The Microbiology Committee.

OBJECTIVE: To evaluate the microbiology laboratory performance in Ontario over a 20-year period of participation in a quality assessment program and to assess the impact of quality improvement strategies. DESIGN: Longitudinal review of isolation, identification, and antimicrobial susceptibility testing of bacteria from lyophilized, simulated patient samples. SETTING: Ontario medical laboratories, licensed by the Ministry of Health, have been subjected to mandatory testing by the Laboratory Proficiency Testing Program of the Ontario Medical Association since 1974. Survey reports, information bulletins, correspondence, on-site consultations, educational assistance tutorials, and teleconference education are used as quality improvement strategies. PARTICIPANTS AND INTERVENTIONS: Laboratories were subjected annually to 20 external quality assessment challenges. Performance was assessed against consensus reference values. Single survey and cumulative profiles were reviewed by a peer-group panel for acceptable or unacceptable performance. Specific interventions are used to improve collective and individual laboratory performance. RESULTS: The number of microbiology laboratories declined from 335 in 1974 to 190 in 1994. Twenty-one percent failed expected performance standards on initial review. One hundred forty-two on-site consultations and 61 educational assistance tutorials have been provided. Twenty-five laboratories were declared nonproficient. Since 1989, 50% of the laboratories have scored at or above 80% for isolation and identification, but 25% have scored at or below 50% on susceptibility testing, and 10% or fewer have scored at or above 80%. Poor susceptibility testing performance is due to inappropriate agent selection, not testing errors. CONCLUSIONS: The emphasis of the Laboratory Proficiency Testing Program is on quality improvement, not punishment. Performance has improved, but poor performers have the same characteristics as in 1974. Identification to species is common owing to the use of commercial systems. Automated susceptibility testing has increased to 45% of participants.

Bacterial Infections↗

Social communication interventions for preschoolers: targeting peer interactions during peer group entry and cooperative play.

Some preschoolers with language impairment approach and manage peer interactions less effectively than typically developing peers. This article discusses assessment and intervention strategies for targeting preschoolers' social communication skills during peer entry and cooperative play situations. Essential features of effective interventions include identification of appropriate social communication targets, addressing and facilitating children's use of these targets during small group sessions with peers, and supporting generalization of newly acquired social communication behaviors to children's peer interactions within the classroom setting.

Child, Preschool↗

Peer group antecedents of severe love-shyness in males.

Love-shyness is a degree of inhibition and reticence with the opposite sex that is sufficiently severe to preclude participation in courtship, marriage and family roles. Love-shyness is believed to be the result of a genetic-biologically rooted temperament and learning experiences with peers and family. Two love-shy groups (an older one and a younger one) were compared to a nonshy group on several variables pertaining to past peer group history, recreational proclivities, etc. The Eysenck Personality Questionnaire was also administered to all subjects. The love-shys recalled going through life as social isolates and outcasts and experienced very stressful and nonsupportive relationships with agemate peers. In contrast to the non-shys who recalled suffering very little bullying at the hands of agemate peers, the love-shys' formative years were recalled as having been fraught with victimization by bullies. The implications of these findings are discussed and recommendations are offered.

Adult↗

A peer group intervention for adolescents with type 1 diabetes and their best friends.

OBJECTIVE: To devise and implement a structured intervention for integrating peers into diabetes care in a healthy and adaptive manner. METHODS: Adolescents with diabetes (n = 21) and their best friends (n = 21) participated in a group intervention aimed at increasing diabetes knowledge and social support of diabetes care. Measures of social support, knowledge about diabetes and support, diabetes functioning, and social functioning were obtained prior to and following intervention. RESULTS: Following the intervention, adolescents and their friends demonstrated higher levels of knowledge about diabetes and support, as well as a higher ratio of peer to family support, and friends demonstrated improved self-perception. Parents reported decreased diabetes-related conflict. CONCLUSIONS: Peer group intervention approaches may result in increased positive peer involvement in adolescents' diabetes care.

Adaptation, Psychological↗