The feasibility of cycling as a form of active commuting among children from a parental perspective: a qualitative study

Copyright © 2023 The Author(s). The way children commute to and from school has been described in the literature as passive or active commuting. Active commuting among children in England is low, with the most recent evidence available indicating that between 2% and 8% of children cycle to school. Encouraging active commuting by bicycle among children may be a particular way to increase participation in cycling. Evidence reports that parents influence their children’s attitudes and interests both directly and indirectly; levels of physical activity of a child, for instance, can be shaped via socialisation. Therefore, the aim of the present study was to explore the barriers to children cycling as a means of active commuting. The study used qualitative methods for collecting and analysing data with a diagnostic perspective. A total of eighteen parents, ten mothers and eight fathers, participated in the interviews. Children, eleven girls and seven boys, were aged eight to twelve years. Children’s mean age was 10.2 ± 1.6 years. Children’s primary modes of transport to school were by car (55.6%), walking (33.3%) and by bus (5.6%). Overall, a series of factors seem to prevent parents from supporting their children to actively commute to school. Parents fear their children being exposed to crime and bad weather conditions while actively commuting to school. The absence of cycling lanes and long or short distances from school are further issues preventing parents from supporting their children to cycle to school.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior [BEX 13281/13-5]

Association between substance use and psychosocial characteristics among adolescents of the Seychelles

BACKGROUND: We examined the associations between substance use (cigarette smoking, alcohol drinking, and cannabis use) and psychosocial characteristics at the individual and family levels among adolescents of the Seychelles, a rapidly developing small island state in the African region. METHODS: A school survey was conducted in a representative sample of 1432 students aged 11-17 years from all secondary schools. Data came from a self-administered anonymous questionnaire conducted along a standard methodology (Global School-based Health Survey, GSHS). Risk behaviors and psychosocial characteristics were dichotomized. Association analyses were adjusted for a possible classroom effect. RESULTS: The prevalence of cigarette smoking, alcohol drinking and cannabis use was higher in boys than in girls and increased with age. Age-adjusted and multivariate analyses showed that several individual level characteristics (e.g. suicidal ideation and truancy) and family level characteristics (e.g. poor parental monitoring) were associated with substance use among students. CONCLUSIONS: Our results suggest that health promotion programs should simultaneously address multiple risk behaviors and take into account a wide range of psychosocial characteristics of the students at the individual and family levels

The Reinforcing Therapist Performance (RTP) experiment: Study protocol for a cluster randomized trial

<p>Abstract</p> <p>Background</p> <p>Rewarding provider performance has been recommended by the Institute of Medicine as an approach to improve the quality of treatment, yet little empirical research currently exists that has examined the effectiveness and cost-effectiveness of such approaches. The aim of this study is to test the effectiveness and cost-effectiveness of providing monetary incentives directly to therapists as a method to improve substance abuse treatment service delivery and subsequent client treatment outcomes.</p> <p>Design</p> <p>Using a cluster randomized design, substance abuse treatment therapists from across 29 sites were assigned by site to either an implementation as usual (IAU) or pay-for-performance (P4P) condition.</p> <p>Participants</p> <p>Substance abuse treatment therapists participating in a large dissemination and implementation initiative funded by the Center for Substance Abuse Treatment.</p> <p>Intervention</p> <p>Therapists in both conditions received comprehensive training and ongoing monitoring, coaching, and feedback. However, those in the P4P condition also were given the opportunity to earn monetary incentives for achieving two sets of measurable behaviors related to quality implementation of the treatment.</p> <p>Outcomes</p> <p>Effectiveness outcomes will focus on the impact of the monetary incentives to increase the proportion of adolescents who receive a targeted threshold level of treatment, months that therapists demonstrate monthly competency, and adolescents who are in recovery following treatment. Similarly, cost-effectiveness outcomes will focus on cost per adolescent receiving targeted threshold level of treatment, cost per month of demonstrated competence, and cost per adolescent in recovery.</p> <p>Trial Registration</p> <p>Trial Registration Number: NCT01016704</p