A growth mindset intervention to promote resilience against online peer victimization: A randomized controlled trial

Evaluation of a psychological readiness program and final clinical practicum among final year nursing students: A mixed methods study

BACKGROUND

Final year nursing students may experience higher levels of stress owing to the increasing complexity and expectations from their clinical practicums. Enhancing psychological readiness may be a potential strategy to enhance nursing students' transition to the clinical area.

OBJECTIVE

To evaluate the effects of a psychological readiness enhancement for transition to professional practice program and a 10-week clinical practicum on students' psychological wellbeing, resilience, practice readiness and confidence.

DESIGN

A sequential mixed-methods approach comprising of a single-group evaluation and descriptive qualitative study.

SETTING

Final year nursing students enrolled in an undergraduate nursing program from one autonomous university in Singapore was recruited.

PARTICIPANTS

148 final year nursing students participated in the single-group evaluation study. A total of 24 participants who completed the psychological readiness program were recruited in the qualitative study.

METHODS

This study included two phases. Phase I comprised of an evaluation of a blended psychological readiness program and clinical practicum. Data was collected across three waves to assess nursing students' psychological wellbeing, resilience, practice readiness and confidence. In Phase II, a qualitative study using individual semi-structured online interviews was conducted to examine students' experiences of the psychological readiness program and clinical practicum.

RESULTS

The psychological readiness program led to significant changes in students' anxiety and patient centeredness scores. The accumulated effects of the psychological readiness and clinical practicum showed significant improvements in students' practice readiness and confidence. Although there were no significant improvements in depression, stress and resilience scores, there were improvements in the trend across three waves. Students attributed these improvements to the psychological readiness program and sharing by the alumni.

CONCLUSIONS

The findings of this study laid the foundation for the development of psychological readiness programs. However, larger scale studies using randomized controlled trial designs should be used to confirm the effects of these interventions.

A Growth Mindset and Self-Affirmation Intervention to Reduce Violent and Risky Online Behaviors: The Moderating Role of Previous Victimization

The Internet is the setting for several forms of violent and risky behavior among adolescents, such as cyberbullying, sexualized interactions with adults, sexting, and online dating violence. Often, these behaviors are responses to experiences of online victimization. This study examined the differential effects of a wise intervention (WI), combining growth mindset and self-affirmation strategies, on these behaviors for adolescents who had experienced victimization and those who had not. A sample of 1,085 adolescents (54.3% girls; ages 11-18 years) were randomized into two intervention conditions (WI and an anti-stress control intervention). They completed measures of violent and risky behaviors at pretest and at 3- and 6-month follow-ups and measures of victimization at pretest. The results of multilevel analyses indicated that the WI was beneficial for adolescents without experiences of victimization at pretest, as they displayed smaller increases in online peer aggressions, sexualized interactions with adults, and sexting than the adolescents in the control condition. However, the WI was not beneficial for adolescents with experiences of victimization at pretest. Moreover, the adolescents under the anti-stress control condition displayed better outcome. These findings suggest that previous victimization experiences of adolescents should be considered to select an appropriate intervention.

The Social Side of Sleep: A Systematic Review of the Longitudinal Associations between Peer Relationships and Sleep Quality

In adolescence, peer relationships become crucial since youths start to rely on their peers for support. Thus, multiple facets of adolescents' well-being are affected by their peer relationships. In this vein, one of the central well-being aspects that could be affected by the peer relationships of adolescents is sleep quality. Nevertheless, it is still unclear how multiple peer relationship factors (i.e., positive, negative, emotional, and behavioral issues related to peer relationships) are intertwined with adolescents' sleep quality. For this reason, this systematic review with meta-analysis aims to summarize longitudinal studies to uncover how the interplay between peer relationship factors and adolescents' sleep quality unfolds over time. Nineteen longitudinal studies involving a total of 21,232 adolescents were included. Overall, findings from this review showed that (a) positive peer relationships and sleep quality were not associated over time; (b) negative peer relationships and sleep quality were bidirectionally associated over time; (c) few studies evaluated the bidirectional relations between emotional and behavioral issues and sleep quality, showing links with sleep schedule and duration, but not with sleep quality. Meta-analytic results were discussed, considering their implications.

Reading struggle stories of role models can improve the perseverance of undergraduates with low perseverance

Perseverance refers to the ability that individuals show in the process of overcoming failure repeatedly and achieving success. The present study aimed to investigate how many stories about struggling role models undergraduates with a low level of perseverance need to read to effectively improve their perseverance after experiencing failure. Undergraduates with high and low levels of perseverance who had experienced failure were randomly assigned to read 5 struggle stories or 5 achievement stories of role models. They were asked to report their confidence in success, their emotional experience, and their persistent intentions after experiencing failure (i.e., their initial report after reading 0 stories) and then again after reading each story. The results showed that the participants' initially reported level of confidence in success improved after reading 1 struggle story of a role model and further improved after reading 5 struggle stories of role models. Furthermore, the participants' initially reported level of positive emotions increased after reading 1 struggle story or 1 achievement story of a role model, and the positive effects began to level off after reading 4 struggle stories or 4 achievement stories of role models. The participants' initially reported persistent intentions improved after reading 5 struggle stories of role models. These findings reveal that undergraduates can benefit from reading struggle stories of role models regardless of their perseverance levels. Undergraduates' confidence in success and their emotional experience can be improved more quickly than their persistent intentions after experiencing failure.

Prevalence and impact of peer victimisation among youth seeking treatment at a tertiary psychiatric institution in Singapore: a cross-sectional study

BACKGROUND

Peer victimization is common among adolescents and leads to negative consequences. However, few studies have examined the extent of peer-victimization and its correlates among adolescent patients in a psychiatric setting. The current study aimed to examine the prevalence and correlates of peer victimisation among youth with mental illness and to examine its association with depressive symptoms and health-related quality of life (HRQOL).

METHODS

A sample of 239 youths aged 15-24 years were recruited from the outpatient clinics of a tertiary psychiatric hospital in Singapore using convenience sampling. All participants were administered the Multidimensional Peer Victimisation Scale (MPVS), Short Form 12 (SF-12) questionnaire and the Patient Health Questionnaire-8 (PHQ-8). The effect of MPVS  total and subscores on depression scores, quality of life subscores and quality of life total scores were examined using multiple linear regression analyses.

RESULTS

The majority of the patients reported that they had experienced at least one form of peer victimisation (95.8%, n = 229) during their school years. Higher levels of 'verbal victimisation', 'attacks on property' and higher total MPVS scores were significantly associated with lower social functioning; additionally, higher levels of 'verbal victimisation' were significantly associated with lower mental component summary scores in the quality of life assessment. Higher scores on all four subscales as well as higher total scores on the MPVS were significantly associated with more severe depressive symptoms.

CONCLUSIONS

Given the high prevalence of peer victimisation in our sample and its associations with more severe depressive symptoms and lower quality of life, it is vital to implement interventions that prevent peer victimisation in educational and other social settings and to provide youth with strategies to more effectively manage instances of peer victimisation.

A Preventive Intervention to Reduce Risk of Online Grooming Among Adolescents

Sexual abuse of adolescents by adults on the Internet is a severe risk with negative consequences for the victims. However, there is an important gap in the development of preventive interventions to address this problem. This study evaluated the efficacy of a brief (less than one hour) educational intervention on online grooming (less than one hour) in reducing adolescents' sexual interaction behaviors with adults when they are sexually solicited. A sample of 856 Spanish adolescents (48% girls, ages 11-17 years) was randomized into two intervention conditions (educational intervention about online grooming and a resilience control intervention). Adolescents completed measures of online sexual solicitation by adults and sexualized interactions with adults at pretest and at three- and six-month follow-ups. Measures of their knowledge about online grooming were taken at pretest, postintervention, and at three- and six-month follow-ups. The results of multilevel analyses indicated that the intervention reduced sexualized interactions when adolescents were sexually solicited by adults (β = -.16, SD = .07, t = -2.44, p = .015). Moreover, the intervention increased adolescents' knowledge about online grooming over time (β = 1.95, SD = .19, t = 10.52, p < .001). These findings suggest that a brief educational intervention about online grooming may be a promising, low-cost intervention to reduce the risks of sexual abuse on the Internet.