Background: Individual-level implementation determinants, such as clinician attitudes, commonly influence the successful adoption of evidence-based practices, but few explicit strategies have been tested with regard to their ability to impact these key mechanisms of change. This paper reports on an initial test of a blended, theoretically-informed…

Comments on the article by Miller and Rose (September 2009). As Miller and Rose opened "the black box of treatment to examine linkages between processes of delivery and client outcomes" (p. 529) in motivational interviewing (MI), it is important that their model include factors from the social context that may explain conditions that enhance or…

The theory of reasoned action and planned behavior (TRA/PB) is a model of behavior change that has been extensively studied in the health sciences but has had limited exposure in the counseling psychology literature. The model offers counseling psychologists a framework to conceptualize prevention research and practice. The model is important to…

Narrative is the basic mode of human interaction and a fundamental way of acquiring knowledge. In the rapidly growing field of health communication, narrative approaches are emerging as a promising set of tools for motivating and supporting health-behavior change. This article defines narrative communication and describes the rationale for using…

Objective: Thin body preoccupation and social pressure to be thin (TBPSP) in adolescence are risk factors for the development of full and partial bulimia nervosa and binge eating disorder. This study examined precursors of these potent risk factors. Method: A prospective study followed 134 children from birth to 11.0 years and their parents.…

A meta-analysis of 166 HIV-prevention interventions tested theoretical predictions about the effects of experts, lay community members, and similar and dissimilar others, as agents of change. In general, expert interventionists produced greater behavior change than lay community members, and the demographic and behavioral similarity between the…

Results of a series of three experiments with four developmentally disabled males (ages 7-13) who exhibited hand flapping and body rocking indicated that some forms of repetitive stereotyped behaviors may serve social functions (e.g., escape from aversive situations), and that teaching a functionally equivalent communicative alternative can be an…

This article presents criteria researchers should consider when seeking to establish a socially valid understanding of problem behavior. Criteria include determining if behavior change is demonstrated in typical settings and whether the intervention promotes movement in the least restrictive environment, is conducted by families and/or school and…

This article describes a pilot program, initiated in 1999 by Smoky Hill High School in Colorado, to help gifted students overcome barriers to their success. The program addresses issues in all components or subsystems of a person's life: emotional/psychological, mental/intellectual, physical, spiritual, social, and family. Tips for parents are…