Kylie Murphy

Adolescent Girls’ Responses to Warning Signs of Abuse in Romantic Relationships Implications for Youth-Targeted Relationship Violence Prevention

This study explored adolescent girls’ experiences of, and responses to, seven domains of partner behavior that are considered to be early warning signs of relationship abuse. Girls (N = 146) aged 14 to 18 years, attending schools in a semirural area, completed a purpose-built questionnaire, providing measures of self-reported exposure, perceived seriousness, and proposed response protectiveness in relation to each domain. Substantial proportions of girls (a) reported exposure to each of the domains, (b) lacked awareness particularly of the risks associated with jealous/possessive partner behaviors, and (c) regardless of their level of risk awareness, lacked knowledge of behavioral responses that might discourage continued warning-sign behaviors by their partners in all domains except for social restriction tactics. The implications of these findings for youth-targeted relationship abuse prevention are discussed.

Laparoscopic Adjustable Gastric Banding (LAGB) Aftercare Attendance and Attrition

BackgroundRegular aftercare attendance following laparoscopic adjustable gastric banding (LAGB) is associated with greater weight loss and fewer post-surgical complications. Despite high reported rates of attrition from LAGB aftercare, the reasons for non-attendance have not been previously explored. The present study aimed to explore patient-reported barriers to LAGB aftercare attendance, and the perceived helpfulness of potential attrition-reducing strategies, in both regular attendees and non-attendees of aftercare.MethodsOne hundred and seventy-nine participants (107 regular attendees and 72 non-attendees) completed a semi-structured questionnaire, assessing barriers to attrition (101 items) and usefulness of attrition prevention strategies (14 items).ResultsFindings indicate that both regular attendees and non-attendees experience multiple barriers to aftercare attendance. Non-attendees generally reported that barriers had a greater impact on their aftercare attendance. There was evidence for some level of acceptability for attrition-reducing strategies suggesting that LAGB patients may be receptive to such strategies.ConclusionsCurrent findings highlight the importance of assessing barriers to treatment in both attendees and non-attendees. It is proposed that addressing barriers that differentiate non-attendees from attendees may be most effective in reducing attrition from aftercare.

Before they're victims: Rethinking youth-targeted relationship abuse prevention in Australia

Intimate partner abuse (or relationship abuse) against women is recognised as a major public health issue. A number of relationship abuse prevention programs targeted at youth have been developed in Australia. These programs are generally aimed at changing attitudes, and take the stance that girls should not be viewed as being responsible for protecting themselves against violence. In this paper it is argued that the current, dominant focus on physical violence, over other forms of relationship abuse, limits the potential effectiveness of programs that might otherwise help young people to resist the development of abusive dynamics. It is also argued that programs that presume a victim status for girls and a perpetrator status for boys are both inconsistent with contemporary evidence and unlikely to empower young people at risk of chronic perpetration and/or victimisation to avoid such outcomes. A dyadic slippery slope model of chronic relationship abuse is proposed and new directions for prevention research in this area are suggested.

Designs and methods used in published Australian health promotion evaluations 1992–2011

Objective: To describe the designs and methods used in published Australian health promotion evaluation articles between 1992 and 2011.

TREAD: A Promising Change-Target for Partner Abuse Prevention with Adolescents

There is consensus in the partner abuse prevention education literature that a skills-focus is needed. However, appropriate instruments for evaluating the effectiveness of skills-focused programs do not exist. Against this background, and based on the dyadic slippery slope model of partner abuse, the Tendency to Resist or End Abusive Dynamics (TREAD) scale was developed. TREAD is defined as one’s tendency to respond assertively or protectively in situations involving warning-sign (potentially hurtful or controlling) behaviors by a partner. The scale’s development drew on the input of three Australian samples: mixed-gender adolescent focus groups, 426 young female respondents to an online survey, and 152 adolescent girls participating in a school-based program trial. When tested with the 152 adolescent girls, the TREAD scale had acceptable internal consistency and high inter-rater reliability. Principal components analysis identified three interrelated TREAD subscales (i.e., Conflict-Retaliation TREAD, Denigration TREAD, and Dominance-Possessiveness TREAD) all of which were negatively associated with frequency of exposure to warning-sign behaviors. This paper charts the preliminary development of the TREAD scale, presenting evidence supporting its validity as a change-target for partner abuse prevention education with adolescent girls and, potentially, boys.

Partner abuse prevention education: An integrative approach to program development and evaluation

Evidence linking emotional, attitudinal, and behavioral factors to partner abuse suggests that relationship education programs targeting these risk factors in youth might minimize harmful outcomes. In this article, it is argued that such programs are important but need to be evaluated for their effect on both the hypothesized risk factors and the critical interactional tendencies of individuals that can feed high-risk relationship dynamics. The dyadic slippery-slope model is proposed as a theoretical framework to guide educators and researchers in developing and evaluating partner abuse prevention education (PAPE) programs for specific groups of young people. The approach described takes a broader view of the aims of PAPE than approaches aimed at reducing particular physical acts. This approach, if adopted, has the potential to produce more constructive findings for advancing PAPE than traditional risk factor and evaluation research is capable of.

Meta-analysis of the effects of third-wave behavioural interventions on disordered eating and body image concerns: implications for eating disorder prevention

ABSTRACT Third-wave behavioural interventions are increasingly popular for treating and preventing mental health conditions. Recently, researchers have begun testing whether these interventions can effectively targeting eating disorder risk factors (disordered eating, body image concerns). This meta-analysis examined whether third-wave behavioural interventions (acceptance and commitment therapy; dialectical behaviour therapy; mindfulness-based interventions; compassion-focused therapy) show potential for being effective eating disorder prevention programs, by testing their effects on eating disorder risk factors in samples without an eating disorder. Twenty-four studies (13 randomized trials) were included. Most studies delivered selective prevention programs (i.e. participants who reported elevated risk factor). Third-wave interventions led to significant pre–post (g = 0.59; 95% CI = 0.43, 0.75) and follow-up (g = 0.83; 95% CI = 0.38, 1.28) improvements in disordered eating, and significant pre–post improvements in body image (g = 0.35; 95% CI = 0.13, 0.56). DBT-based interventions were associated with the largest effects. Third-wave interventions were also significantly more efficacious than wait-lists (g = 0.39; 95% CI = 0.09, 0.69) in reducing disordered eating, but did not differ to other interventions (g = 0.25; 95% CI = –0.06, 0.57). Preliminary evidence suggests that third-wave interventions may have a beneficial effect in ameliorating eating disorder risk.