Biomedical subjects

R P Barth

Publications and source records attributed to R P Barth.

10 recordsLinked to original sources

PubMed1992

Gender differences in knowledge, intentions, and behaviors concerning pregnancy and sexually transmitted disease prevention among adolescents.

Gender differences in knowledge, intentions, and behaviors regarding preventing pregnancies and sexually transmitted diseases were studied. Data for the study were collected from 1,033 students in 13 California high schools. Females in this sample were more likely than males to have discussed sexuality topics with parents, to have engaged in sexual intercourse more frequently, to have experienced a pregnancy scare, to have used oral contraceptives during their last sexual encounter, to perceive that a larger proportion of their peers were engaging in sex and using birth control, to obtain birth control from health facilities, and to report intentions to abstain or use protection in hypothetical situations placing them at risk for unprotected sex. In contrast, males reported that they were more likely to have always used birth control, to have used birth control during their first sexual encounter, and to have used a condom during their last sexual encounter. Furthermore, males were more likely to obtain birth control from a store or a friend. Finally, males knew more about using condoms correctly and their role in preventing sexually transmitted diseases. The efficacy of interventions designed to reduce unintended pregnancy and sexually transmitted diseases among adolescents may be increased by addressing these gender differences. Understanding gender differences may also facilitate an increased role for males in the overall prevention scheme. Further research is clearly needed to increase knowledge about these gender differences.

Adolescent↗

PubMed1991

An experimental evaluation of in-home child abuse prevention services.

Perinatal child abuse prevention projects are rarely rigorously evaluated. Women were referred to the Child Parent Enrichment Project (CPEP) project during or just after pregnancy if identified as at-risk of engaging in child abuse by community professionals. Clients were randomly assigned to CPEP services (n = 97) or traditional community services (n = 94). CPEP services are based on ecological theory and involve six months of home visiting by paraprofessional women and linkage to other formal and informal community resources. No advantages on self-report measures for the CPEP group were measured at posttest, and follow-up reports of child abuse were similar for both groups. Consumer satisfaction indicates that clients highly valued the program. Some indication of greater success with families with less serious problems was observed. The results argue for caution regarding the capacities of perinatal child abuse prevention services to serve the high-risk clientele they often receive.

Child Abuse↗

PubMed1990

Health beliefs and practices of foster parents.

This study considers how foster parents and social workers contribute to the routine health care of foster children. Health beliefs and practices of foster parents, their relationship to obtaining health care for foster children, and issues of social workers' and foster parents' responsibility for coordinating and obtaining medical care are explored. Suggestions for improved coordination are tendered.

Adolescent↗

PubMed1988

Services to adolescent fathers.

Until recently, service programs for adolescent fathers have been rare. Such a program for teenage fathers and service characteristics that encourage the involvement of teenage fathers are described. In particular, fathers who did not live with the mothers of their babies had dramatically greater participation in prenatal activities if they used teenage father services. Services to fathers and fathers' participation in prenatal activities also were associated with higher birthweights. Engaging adolescent fathers in pilot fatherhood projects thus has high potential to benefit teenage fathers and mothers and their infants.

Adolescent↗

PubMed1986

Identifying, screening and engaging high-risk clients in private non-profit child abuse prevention programs.

Child abuse prevention programs rely on varied strategies to identify, screen, obtain referrals of, and engage high risk parents. Available literature on community-based child abuse prevention projects is not conclusive about project outcomes nor sufficiently descriptive about implementation. From the literature, experience and interviews with staff from more than 20 programs, barriers to implementation are identifiable. Barriers arise during identifying and screening at-risk families, referral, continued collaboration with referrers, and engaging clients in services. The paper describes a diverse set of strategies for surmounting these barriers. Staff characteristics and concrete services partially predict the success of program implementation. So does the program's relationship to other agencies. Child abuse prevention programs assume independent, interdependent, and dependent relationships with other agencies and referrers. Interdependent programs appear to have the best chance of obtaining referrals and maintaining clients who match their program's intent.

Child↗

PubMed1986

Adolescent mothers, stress, and prevention.

Adolescent mothers face problems that can lead to psychological stress. Based on prospective data from the present study, these problems point toward the need for a coping skills prevention approach to help adolescent mothers manage stress. This paper reports data from outcome research on such an approach with adolescent mothers. Subjects were 79 adolescent mothers who were tested before, immediately after, and three months following the provision of coping skills intervention in an experimental condition. Subjects in a test-only control condition received no special intervention. At posttest, experimental condition subjects showed more positive outcomes on measures of social support, cognitive performance, conflict management, and interpersonal competence. At three-month follow-up, experimental condition subjects had more positive outcomes on social support, cognitive performance, parenting ability, child care self-efficacy, and measures of psychological well-being.

Adaptation, Psychological↗

PubMedDate not supplied

Reducing the risk: impact of a new curriculum on sexual risk-taking.

Reducing the Risk is a new sexuality education curriculum, based on social learning theory, social inoculation theory and cognitive-behavioral theory and employing explicit norms against unprotected sexual intercourse. In a quasi-experimental evaluation, this curriculum was implemented at 13 California high schools; 758 high school students assigned to treatment and control groups were surveyed before their exposure to the curriculum, immediately afterwards, six months later, and 18 months later. Among all participants, the program significantly increased participants' knowledge and parent-child communication about abstinence and contraception. Among students who had not initiated intercourse prior to the pretest, the curriculum significantly reduced the likelihood that they would have had intercourse by 18 months later. Reducing the Risk did not significantly affect frequency of sexual intercourse or use of birth control among sexually experienced students. Among all lower risk youths and among all students who had not initiated intercourse prior to their exposure to the curriculum, the curriculum appears to have significantly reduced unprotected intercourse, either by delaying the onset of intercourse, either by delaying the onset of intercourse or by increasing the use of contraceptives. Among the students not sexually active before participation in the program, effects seem to have extended across a variety of subgroups, including both whites and Latinos and lower risk and higher risk youths, but were particularly strong among lower risk youths and females.

Adolescent↗

PubMedDate not supplied

A study of disrupted adoptive placements of adolescents.

This article draws upon a subsample of adoptive placements of adolescents (mean age 13.9 years in 1988) derived from a larger survey of older-child adoptions in 13 countries of northern and central California. The articles offers a mine of information to enrich the field's as-yet sparse research of a part of the work in adoption that is growing in attention as the number of adolescents in foster care increases.

Adaptation, Psychological↗

PubMedDate not supplied

Learning the hard way: a pilot permanency planning program.

California's Family Protection Act (FPA) is a forerunner of Public Law 96-272 and of the state's permanency planning efforts. The mechanisms for implementing judicial and administrative review and delivering new contract and in-agency services are discussed, as well as the criteria for receipt of services and the changing use of preventive services and foster care. The original implications of the chosen mechanisms and their evolution across seven years of permanency planning are reviewed.

Adoption↗

PubMedDate not supplied

Contributors to disruption and dissolution of older-child adoptions.

According to recent evidence, adoptive placements that do not work out are increasingly common. This article reviews research on rates of, and contributors to, adoption and "foster-adoption" disruptions and dissolutions. Implications for practice are included.

Adaptation, Psychological↗