Avoidant/restrictive food intake disorder (ARFID) is a diagnosis for those who display impaired and distressing eating behaviors and symptoms. Behavioral feeding strategies have been shown to be effective at improving food variety and decrease problematic mealtime behaviors in children and adolescents. This study examined the use of teleconsultation for the implementation of a behavioral feeding intervention to increase food variety with a child with avoidant/restrictive food intake disorder. A series of changing criterion designs across foods and food groups was used. Results show that there was an increase in the frequency of bites of nonpreferred foods consumed following successive increases in the criteria. High levels of acceptability of the intervention and technology process were also noted. Additionally, high levels of interobserver agreement, high levels of consultant procedural integrity, and high levels of parent treatment integrity were observed.
The goal of this study is to describe the establishment of an HIV testing and treatment programme in the Jamaican correctional system and to estimate the prevalence of HIV/sexually transmitted disease (STD) among adult incarcerated men in this country. A demonstration project was implemented by the Jamaican Department of Correctional Services and Ministry of Health in the nation’s largest correctional centre. All inmates were offered HIV and syphilis testing, and a subset was offered chlamydia, gonorrhoea and trichomoniasis testing. Cross-sectional data from the project were reviewed to determine the prevalence and correlates of HIV/STD. HIV test acceptance was 63% for voluntary testers (n = 1200). The prevalence of HIV was 3.3% (95% confidence interval [CI] 2.33–4.64) (n = 1017) and the prevalence syphilis was 0.7% (95% CI 0.29–1.49) (n = 967). Among the subset tested (n = 396) the prevalence of chlamydia was 2.5% (95% CI 1.22–4.49) and for trichomoniasis it was 1.8% (95% CI 0.01–3.60), but no cases of gonorrhoea were detected (n = 396). The prevalence of HIV was significantly higher at 25% (95% CI 13.64–39.60) for persons located in a separate section where individuals labelled as men who have sex with men (MSM) are separated. HIV/STD testing is important and feasible in Jamaica. A special focus should be placed on providing services to inmates labelled as MSM. Other Caribbean nations may also benefit from similar programmes.
The popularity of mindfulness-based interventions (MBIs) is growing rapidly in schools. Decisions regarding the use of these interventions must be based on empirical evidence. There is robust evidence for the use of MBIs with adults, but research on MBIs with youth is nascent. The purpose of this meta-analytic review was to add to the literature by synthesizing single-case research on MBIs with children and adolescents. Specifically, the effect of MBIs on youths' disruptive behavior was examined in 10 studies published between 2006 and 2014. Results indicated that, on average, MBIs had a medium effect on disruptive behavior during treatment, g = 1.04, 95% confidence interval (CI) [0.30-1.78]; TauU = 0.59, 95% CI [0.40-0.77]. The average effect of MBIs during maintenance phases was larger, g = 1.41, 95% CI [0.55-2.28]; TauU = 0.71, 95% CI [0.59-0.83]. Potential moderators of intervention effects were also explored. Implications for future research and practice regarding MBIs with youth and in schools are discussed. C 2016 Wiley Periodicals, Inc.
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