Have Your Children Had Their Anti-Smoking Shots?

Findings

In the early 1960s, social psychologist William McGuire published some classic papers showing that it is surprisingly easy to change people’s attitudes about things that we all wholeheartedly accept as true. For example, for speakers armed with a little knowledge of persuasion, it is remarkably easy to convince almost anyone that brushing one’s teeth is not such a great idea. McGuire’s insight into this curious phenomenon was that it is easy to change people’s minds about things that they have always taken for granted precisely because most people have little if any practice resisting attacks on attitudes that no one ever questions.

Taking this logic a little further, McGuire asked if it might be possible to train people to resist attacks on their beliefs by giving them practice at resisting arguments that they could easily refute. Specifically, McGuire drew an analogy between biological resistance to disease and psychological resistance to persuasion. Biological inoculation works by exposing people to a weakened version of an attacking agent such as a virus. People’s bodies produce antibodies that make them immune to the attacking agent, and when a full-blown version of the agent hits later in life, people win the biological battle against the full-blown disease. Would giving people a little practice fending off a weak attack on their attitudes make it easier for people to resist stronger attacks on their attitudes that come along later? The answer turns out to be yes. McGuire coined the phrase attitude inoculation to refer to the process of resisting strong persuasive arguments by getting practice fighting off weaker versions of the same arguments.
Significance

Once attitude inoculation had been demonstrated consistently in the laboratory, researchers decided to see if attitude inoculation could be used to help parents, teachers, and social service agents deal with a pressing social problem that kills about 440,000 people in the U.S. every year: cigarette smoking. Smoking seemed like an ideal problem to study because children below the age of 10 or 12 almost always report negative attitudes about smoking. However, in the face of peer pressure to be cool, many of these same children become smokers during middle to late adolescence.
Practical Application

Adolescents change their attitudes about smoking (and become smokers) because of the power of peer pressure. Researchers quickly realized that if they could inoculate children against pro-smoking arguments (by teaching them to resist pressure from their peers who believed that smoking is “cool”), they might be able to reduce the chances that children would become smokers. A series of field studies of attitude inoculation, conducted in junior high schools and high schools throughout the country, demonstrated that brief interventions using attitude inoculation dramatically reduced rates of teenage smoking. For instance, in an early study by Cheryl Perry and colleagues (1980), high school students inoculated junior high schools students against smoking by having the younger kids role-play the kind of situations they might actually face with a peer who pressured them to try a cigarette. For example, when a role-playing peer called a student “chicken” for not being willing to try an imaginary cigarette, the student practiced answers such as “I’d be a real chicken if I smoked just to impress you.” The kids who were inoculated in this way were about half as likely to become smokers as were kids in a very similar school who did not receive this special intervention.

Public service advertising campaigns have also made use of attitude inoculation theory by encouraging parents to help their children devise strategies for saying no when peers encourage them to smoke. Programs that have made whole or partial use of attitude inoculation programs have repeatedly documented the effectiveness of attitude inoculation to prevent teenage smoking, to curb illicit drug use, and to reduce teenage pregnancies and sexually transmitted diseases. In comparison with old-fashioned interventions such as simple education about the risks of smoking or teenage pregnancy, attitude inoculation frequently reduces risky behaviors by 30-70% (see Botvin et al., 1995; Ellickson & Bell, 1990; Perry et al., 1980). As psychologist David Myers put it in his popular social psychology textbook, “Today any school district or teacher wishing to use the social psychological approach to smoking prevention can do so easily, inexpensively, and with the hope of significant reductions in future smoking rates and health costs.” So the next time you think about inoculating kids to keep them healthy, make sure you remember that one of the most important kinds of inoculation any kid can get is a psychological inoculation against tobacco.

Early Intervention Can Improve Low-Income Children’s Cognitive Skills and Academic Achievement

National Head Start program conceptualized while psychologists were beginning to study preventive intervention for young children living in poverty.
Findings
As a group, children who live in poverty tend to perform worse in school than do children from more privileged backgrounds. For the first half of the 20th century, researchers attributed this difference to inherent cognitive deficits. At the time, the prevailing belief was that the course of child development was dictated by biology and maturation. By the early 1960s, this position gave way to the notion popularized by psychologists such as J. McVicker Hunt and Benjamin Bloom that intelligence could rather easily be shaped by the environment. There was very little research at the time to support these speculations but a few psychologists had begun to study whether environmental manipulation could prevent poor cognitive outcomes. Results of studies by psychologists Susan Gray and Rupert Klaus (1965), Martin Deutsch (1965) and Bettye Caldwell and former U.S. Surgeon General Julius Richmond (1968) supported the notion that early attention to physical and psychological development could improve cognitive ability.
Significance

These preliminary results caught the attention of Sargent Shriver, President Lyndon Johnson’s chief strategist in implementing an arsenal of antipoverty programs as part of the War on Poverty. His idea for a school readiness program for children of the poor focused on breaking the cycle of poverty. Shriver reasoned that if poor children could begin school on an equal footing with wealthier classmates, they would have a better of chance of succeeding in school and avoiding poverty in adulthood. He appointed a planning committee of 13 professionals in physical and mental health, early education, social work, and developmental psychology. Their work helped shape what is now known as the federal Head Start program.

The three developmental psychologists in the group were Urie Bronfenbrenner, Mamie Clark, and Edward Zigler. Bronfenbrenner convinced the other members that intervention would be most effective if it involved not just the child but the family and community that comprise the child-rearing environment. Parent involvement in school operations and administration were unheard of at the time, but it became a cornerstone of Head Start and proved to be a major contributor to its success. Zigler had been trained as a scientist and was distressed that the new program was not going to be field-tested before its nationwide launch. Arguing that it was not wise to base such a massive, innovative program on good ideas and concepts but little empirical evidence, he insisted that research and evaluation be part of Head Start. When he later became the federal official responsible for administering the program, Zigler (often referred to as the “father of Head Start”) worked to cast Head Start as a national laboratory for the design of effective early childhood services.

Although it is difficult to summarize the hundreds of empirical studies of Head Start outcomes, Head Start does seem to produce a variety of benefits for most children who participate. Although some studies have suggested that the intellectual advantages gained from participation in Head Start gradually disappear as children progress through elementary school, some of these same studies have shown more lasting benefits in the areas of school achievement and adjustment.
Practical Application

Head Start began as a great experiment that over the years has yielded prolific results. Some 20 million children and families have participated in Head Start since the summer of 1965; current enrollment approaches one million annually, including those in the new Early Head Start that serves families with children from birth to age 3. Psychological research on early intervention has proliferated, creating an expansive literature and sound knowledge base. Many research ideas designed and tested in the Head Start laboratory have been adapted in a variety of service delivery programs. These include family support services, home visiting, a credentialing process for early childhood workers, and education for parenthood. Head Start’s efforts in preschool education spotlighted the value of school readiness and helped spur today’s movement toward universal preschool.

Family-Like Environment Better for Troubled Children and Teens

The Teaching-Family Model changes bad behavior through straight talk and loving relationships.
Findings

In the late 1960′s, psychologists Elaine Phillips, Elery Phillips, Dean Fixsen, and Montrose Wolf developed an empirically tested treatment program to help troubled children and juvenile offenders who had been assigned to residential group homes. These researchers combined the successful components of their studies into the Teaching-Family Model, which offers a structured treatment regimen in a family-like environment. The model is built around a married couple (teaching-parents) that lives with children in a group home and teaches them essential interpersonal and living skills. Not only have teaching parents’ behaviors and techniques been assessed for their effectiveness, but they have also been empirically tested for whether children like them. Teaching-parents also work with the children’s parents, teachers, employers, and peers to ensure support for the children’s positive changes. Although more research is needed, preliminary results suggest that, compared to children in other residential treatment programs, children in Teaching-Family Model centers have fewer contacts with police and courts, lower dropout rates, and improved school grades and attendance.

Couples are selected to be teaching-parents based on their ability to provide individualized and affirming care. Teaching-parents then undergo an intensive year-long training process. In order to maintain their certification, teaching-parents and Teaching-Family Model organizations are evaluated every year, and must meet the rigorous standards set by the Teaching-Family Association.
Significance
The Teaching-Family Model is one of the few evidence-based residential treatment programs for troubled children. In the past, many treatment programs viewed delinquency as an illness, and therefore placed children in institutions for medical treatment. The Teaching-Family Model, in contrast, views children’s behavior problems as stemming from their lack of essential interpersonal relationships and skills. Accordingly, the Teaching-Family Model provides children with these relationships and teaches them these skills, using empirically validated methods. With its novel view of problem behavior and its carefully tested and disseminated treatment program, the Teaching-Family Model has helped to transform the treatment of behavioral problems from impersonal interventions at large institutions to caring relationships in home and community settings. The Teaching-Family Model has also demonstrated how well-researched treatment programs can be implemented on a large scale. Most importantly, the Teaching-Family Model has given hope that young people with even the most difficult problems or behaviors can improve the quality of their lives and make contributions to society.
Practical Application
In recent years, the Teaching-Family Model has been expanded to include foster care facilities, home treatment settings, and even schools. The Teaching-Family Model has also been adapted to accommodate the needs of physically, emotionally, and sexually abused children; emotionally disturbed and autistic children and adults; medically fragile children; and adults with disabilities. Successful centers that have been active for over 30 years include the Bringing it All Back Home Study Center in North Carolina, the Houston Achievement Place in Texas, and the Girls and Boys Town in Nebraska. Other Teaching-Family Model organizations are in Alberta (Canada), Arkansas, Hawaii, Kansas, Michigan, Mississippi, New Jersey, North Carolina, Ohio, South Carolina, Tennessee, Texas, Utah, Virginia, and Wisconsin.

Believing You Can Get Smarter Makes You Smarter

Thinking about intelligence as changeable and malleable, rather than stable and fixed, results in greater academic achievement, especially for people whose groups bear the burden of negative stereotypes about their intelligence.
Findings

Can people get smarter? Are some racial or social groups smarter than others? Despite a lot of evidence to the contrary, many people believe that intelligence is fixed, and, moreover, that some racial and social groups are inherently smarter than others. Merely evoking these stereotypes about the intellectual inferiority of these groups (such as women and Blacks) is enough to harm the academic perfomance of members of these groups. Social psychologist Claude Steele and his collaborators (2002) have called this phenomenon “stereotype threat.”

Yet social psychologists Aronson, Fried, and Good (2001) have developed a possible antidote to stereotype threat. They taught African American and European American college students to think of intelligence as changeable, rather than fixed – a lesson that many psychological studies suggests is true. Students in a control group did not receive this message. Those students who learned about IQ’s malleability improved their grades more than did students who did not receive this message, and also saw academics as more important than did students in the control group. Even more exciting was the finding that Black students benefited more from learning about the malleable nature of intelligence than did White students, showing that this intervention may successfully counteract stereotype threat.
Significance

This research showed a relatively easy way to narrow the Black-White academic achievement gap. Realizing that one’s intelligence may be improved may actually improve one’s intelligence, especially for those whose groups are targets of stereotypes alleging limited intelligence (e.g., Blacks, Latinos, and women in math domains.)
Practical Application

Blackwell, Dweck, and Trzesniewski (2002) recently replicated and applied this research with seventh-grade students in New York City. During the first eight weeks of the spring term, these students learned about the malleability of intelligence by reading and discussing a science-based article that described how intelligence develops. A control group of seventh-grade students did not learn about intelligence’s changeability, and instead learned about memory and mnemonic strategies. As compared to the control group, students who learned about intelligence’s malleability had higher academic motivation, better academic behavior, and better grades in mathematics. Indeed, students who were members of vulnerable groups (e.g., those who previously thought that intelligence cannot change, those who had low prior mathematics achievement, and female students) had higher mathematics grades following the intelligence-is-malleable intervention, while the grades of similar students in the control group declined. In fact, girls who received the intervention matched and even slightly exceeded the boys in math grades, whereas girls in the control group performed well below the boys.

These findings are especially important because the actual instruction time for the intervention totaled just three hours. Therefore, this is a very cost-effective method for improving students’ academic motivation and achievement.
Cited Research

Aronson, J., Fried, C. B., & Good, C. (2001). Reducing the effects of stereotype threat on African American college students by shaping theories of intelligence. Journal of Experimental Social Psychology, 1-13.

Steele, C. M., Spencer, S. J., & Aronson, J. (2002), Contending with group image: The psychology of stereotype and social identity threat. In Mark P. Zanna (Ed.), Advances in experimental social psychology, Vol. 34, pp. 379-440. San Diego, CA: Academic Press, Inc.
Additional Sources

Blackwell, L., Dweck, C., & Trzesniewski, K. (2002). Achievement across the adolescent transition: A longitudinal study and an intervention. Manuscript in preparation.

Dweck, C., & Leggett, E. (1988). A social-cognitive approach to motivation and personality. Psychological Review, 95, 256-273.

Finance for medical practices

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Garden Accessories

Garden accessories do not necessarily mean furniture. There are many garden accessories that are used in both winder and summer such as barbecues, fountains and planters. When it comes to the garden, there is never enough comfort, and garden accessories are accessories that not only enhance the appearance of it but make the garden truly comfortable. For most of us, they are our place of relaxation. Our solitude. Our entertaining room. The garden serves many purposes and a well planned garden with the right accessories is obviously a creation that each of us enjoys.

Planters:

Planters are popular in balconies and terraces and gardens. In fact, when we consider a garden, the planter is most commonly associated with the garden. There are many reasons why. Planters and flower boxes are space for the flowers to thrive and a means to beautify the flowers and plants. Planters and flower boxes are practical and durable and provide the personal touch that makes a garden area so inviting. There are different materials that the planters and flower boxes are made of such as plastic, stone or terracotta, and wood. There are many different styles in planters and flower boxes such as ones that hang or hook directly to a balcony railing. Grids can also be used for climbing plants. Planter and flower boxes give the garden character and personality and a welcoming “home” feeling.

Barbecues

For the garden, gas barbecues are the most popular. The barbecue is fueled by gas, heats up quickly and provides for a professional, even cook. The lava rock in the gas barbecue retains the heat in the barbecue and cooks at even temperatures. The gas barbecues come in many different design and offer many different features such as side burners and counter space.

Fountains

Fountains are works of art and are hydraulically engineered. There are drinking fountains and water fountains that are ornamental and provide the character and charm that a garden possesses. Garden fountains are made most often of stone. The fountains are characterized by a base, a tank that collects water and a top from which the water flows. They are a peaceful accessory for a garden and one that provide us hours of relaxing enjoyment.

Gazebos

Gazebos are an extraordinarily powerful piece of garden furniture that allows garden users shelter from the hot summer sun. They also allow garden users to enjoy the garden year round protecting them from weather conditions. Often times, gazebos are the focal point of a garden. They are the meeting place that provides comfort to garden users. There are various shapes, sizes and styles of the gazebo. The classic shape is hexagonal, although they come in many other shapes, as well. Gazebos are an attractive addition to the garden which gives the garden appeal.

Garden accessories can be anything from ordinary to elegant. Each provides the garden with additional beauty and sophistication. From simple planters to gazebos, each contributes a personal touch to the garden, and each is something that makes a garden truly unique.

Health Care Law and What it Means For You

As an authorized agency and online health insurance quote provider, in North Carolina, we wish to share with readers the main outcomes of the new health care law. Our goal is to present the information in easy-to-read terms. We encourage those interested to refer to the federal health care website for all updates, details, legal definitions and the most accurate terminology on the subject. Information may also be found online at BCBSNC’s website. Our goal is to cover the “broad strokes” of what we know about the law.

Many aspects of the health care law that went into effect this past March will be determined and put into effect in the next 8 years. It’s a process that will unfold over time.

To summarize:

-Most adults in the US will be mandated to be covered by a health plan. If one does not have insurance through an employer, and one doesn’t buy their own insurance, the penalty will rise over a few years to a maximum of $695 per person per year by 2014, or 2.5% of the household income, whichever is more.

-Which adults are mandated? It appears that if the least costly plan one can buy costs more than 8% of one’s income, and if that income is below the federal poverty line, then this rule does not apply. With this person, it appears that Medicaid eligibility would apply.

-No one can be turned away from having insurance for pre-existing conditions and no one will be delayed from having insurance coverage because of pre-existing conditions.

-Health status and pre-existing conditions will not affect the cost of health coverage, though people will be able to buy plans that have varying levels of coverage.

-Health plans will no longer have annual or lifetime benefit limits.

-The only way a people will be dropped from insurance coverage is if they make false statements on the insurance application in order to obtain plan acceptance or get better terms or rates.

-Employers with small companies may be given money by the government if they provide their employees with health plans and meet other requirements. (Employers must have fewer than 25 employees, and employees must earn under $50,000 each.)

-Starting in 2014 “American Health Benefit Exchanges” will be available and will be started either by the states or by the US government. With this plan, those who need to buy insurance can shop at the exchange. The exchange is likely to be available also for small employers and for employees who don’t have coverage. One of the goals of the exchange is to help people maintain their insurance when they change jobs, but there are issues with this, and the insurance obtained through the exchanges might not be completely “portable”. How exchanges might otherwise function is not yet known.

-For those who cannot afford insurance: The federal agencies are working out how to deal with subsidies. About 20 million households will be able to be subsidized. Medicaid is the program by which state and federal programs offer medical assistance to those who are considered poor or disabled. The Medicaid pool will increase considerably as the new health care bill allows more people to fit into this category.