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John C Birkimer

Publications and source records attributed to John C Birkimer.

4 recordsLinked to original sources

Smoking cessation: two pilot studies exploring the use of continuous response format algorithm to identify subgroups within stage.

Stage of change is typically assessed with a series of yes or no questions, a categorical response format staging algorithm. We revised that algorithm by using, instead, the same questions with 7-point agreement scales covering the first three stages with a sample of smokers. Participants were 141 persons enrolled in introductory psychology classes at the University of Louisville during the fall and spring semesters of 1994. Our continuous response format scores showed expected correlations with modified decisional balance scale scores. In addition, the continuous response format algorithm identified substantial differences in intention to quit sometime and in the next 30 days among participants classified as precontemplators by the categorical system. Analyses from an additional small sample (N = 56) demonstrated relationships between the continuous response format scores and Processes of Change as well as Decisional Balance Scale scores within categorical stages. Subgroups of smokers within stages differ on their attitudes toward changing and on the change strategies they are using. These subgroups can be identified with the continuous response format algorithm.

Adult↗

Perceptions of child sexual abuse:victim and perpetrator characteristics, treatment efficacy, and lay vs. legal opinions of abuse.

Two studies examined interactions between victim age and victim response, and victim relation to perpetrator and victim response influencing perceptions of child sexual abuse (CSA). Undergraduates read one of several vignettes describing a sexual encounter between a man and a girl. In Experiment 1, age of the girl was varied; victim age interacted with victim response to increase ratings of abuse and expected trauma for the girl. In Experiment 2, age was held constant while victim relation to perpetrator was varied; men gave higher ratings of abuse than did women for scenarios involving a step father rather than a neighbor, regardless of victim response. In both studies, psychotherapy was expected to help the victim more than the perpetrator and the law was judged to be less stringent than it is regarding CSA. Results suggest that perceptions of CSA are influenced by several factors and that laws regarding CSA may not be well understood.

Adolescent↗

Social support in pregnant and parenting adolescents: research, critique, and recommendations.

UNLABELLED: ISSUE AND PURPOSE: Adolescent pregnancies continue to occur at an alarming rate in the United States, resulting in adverse outcomes for both the adolescent and her baby. Since social support has been shown to improve pregnancy and parenting outcomes, a critique of research in this area is presented. SOURCES: Published literature. CONCLUSIONS: Multisite research studies, which are longitudinal in design, are needed, with particular attention paid to variations in the need for social support by stage of adolescence.

Adolescent↗

Postpartum depression and social support in adolescents.

OBJECTIVE: The purpose of the study was to determine the effectiveness of a social support intervention delivered to pregnant adolescent girls between 32 and 36 weeks of gestation in preventing symptoms of depression at 6 weeks postpartum. DESIGN: The study used a repeated measures design. SETTING: Data were collected at a teenage parenting program, an educational option of the public school system. PARTICIPANTS: Participants (n = 128) were pregnant and postpartum adolescents. MAIN OUTCOME MEASURE: Symptoms of depression at 6 weeks postpartum. INTERVENTION: Participants completed the Postpartum Support Questionnaire, Rosenberg's Self-Esteem instrument, and the Center for Epidemiological Studies of Depression instrument at baseline, then were randomly assigned to one of three intervention groups (pamphlet, video, or pamphlet plus video) or the control group. The content of the intervention was based on a synthesis of the literature describing social support needed and desired by postpartum adolescents. RESULTS: No significant differences were found in Center for Epidemiological Studies of Depression instrument scores among the groups at 6 weeks postpartum. Using path analysis, the authors found that predictors of symptoms of depression at 6 weeks postpartum were (a) receiving more support from friends, family, and others and (b) having low self-esteem. CONCLUSION: These findings differ from earlier studies, and both research and clinical implications are discussed.

Adolescent↗