PSYCHOLOGY I618

INTERVENTIONS IN HEALTH PSYCHOLOGY II

Instructor: Jovier Evans

Office: LD126E

Class: Wednesday 9:30am – 12:15pm

Phone: 274-2283 (O)

802-0427 (H)

Email: jevans2@iupui.edu

Overview: The goal of the course is to familiarize students with clinical interventions and research relevant to health problems and lifestyle. This will enable students to critically evaluate the work, which has been accomplished, and to design and implement intervention protocols.

This course fulfills specialty course requirements for the doctoral program in clinical rehabilitation psychology, although graduate students from other programs are welcome. In keeping with the focus of this course examining psychological interventions, we will review both clinical and research findings in an effort to improve exposure to the current state of behavioral medicine/health psychology practices.

Format: A seminar format will be used for the course. THIS IS NOT A LECTURE COURSE! Attendance is expected from all students. This means that each student will be expected to have read carefully all of the assigned readings and to be fully prepared to discuss the readings in detail. Students will be asked in advance to present material and to participate actively in class discussions. Keeping up with reading assignments is crucial. I will expect each student to have written out beforehand, a set of issues and questions concerning each reading. Each of these discussion points will be turned in to me and be worth 1 point per week. However, if the item is trivial or shows little thought, or indicates that the material has not been read, no point will be awarded.

Each week, each student will serve as a moderator for the topic being discussed. For the particular topic, the student will prepare a list of questions/issues to be handed out the class, and will act as the class “expert” for the discussion of his/her designated topic. These issues/questions will be collected and will contribute to your grade. When each of the students will present their assigned material, they will be expected to serve as the moderator for that particular discussion in class.

Your grade will be based on the following:

1. 20% -class participation, Internet Assignments

2. 25%- Class presentation

3. 50% - Paper (Due November 22)

4. 5 % Review of journal article and presentation

You can receive up to 5% in extra credit for locating recent, well-written critical review articles, not already on the reading lists for use the week that you present.

Internet Assignments. The Internet serves as a resource for much patient information. In addition to providing medical information (which may or may not be accurate), it may also serve as a vehicle for social support. Throughout the semester, each student will be assigned (once, possibly twice) to search resources available on a given topic. This will serve as the basis for a class-assembled “patient manual/workbook.” The student should provide copies for the rest of the class.

Paper and presentation: Students will complete a 15-20-page paper on a topic of their choice. An important component of this paper is the development of an intervention protocol. Students will furnish their classmates with a bibliography and intervention protocol. The paper will serve as the basis for their class presentation/discussion. Issues with regard to prevalence and incidence, appropriate assessment of the problem behavior or illness, and the development of an empirically based intervention should be addressed in the paper. A short bibliography of the topic should also be made available to the class after your presentation.

Review of recent intervention study

Students will identify a recent study of a behavioral/psychological intervention that is related to the week's topic and report on that study. The selected study should be published between 1995 and 2000 and be a controlled evaluation of a behavioral/psychological intervention. There are two parts to the assignment.

1. The student makes a 5-minute presentation on the study and provides copies for the instructor(s) and other students. The initial part of the presentation should describe the main points of the rationale, methods, and findings. The presentation should end with a discussion of the study’s strengths and weaknesses, suggestions for improving the study, and ideas for future studies to advance science in this area.

2. The student writes a review of the article, as if submitting it to the journal editor prior to publication. The review should contain (a) a brief summary of the study and its main findings, (b) evaluation of the importance of the study and how it could contribute to the literature, (c) major strengths of the study, (d) major weaknesses of the study, (e) comments on minor or specific aspects of the paper (e.g., missing references, typos, inconsistencies, poor grammar) citing page and paragraph, and (f) your summary impression of the paper. Reviews should be a maximum of 1.5 pages single-spaced.

Each student will choose one paper to review for the semester. Up to 5 points will be awarded for the presentation based on the appropriateness of study selection, clarity and conciseness of the summary, and interpretation of the study in the context of the field. Up to 5 points will be awarded for the written review, based on thoughtfulness of comments, clarity of expression, and organization of the review. The instructor will provide written feedback on the review.

Papers will be presented during the class that covers the selected topic. Written reviews will be turned in during the same class, and copies should be made for all students.

Readings:

Empirical readings will be assigned on a weekly basis. These will come from relevant journal articles, book chapters, etc. The following is required for the class.

Required Text

Belar, C.D. & Deardorff, W.W. (1995). Clinical health psychology in medical settings: A practitioner’s guidebook. Washington, DC: American Psychological Association.

Special Issue - Behavioral Medicine and Clinical Health Psychology
Journal of Consulting and Clinical Psychology, Volume 70, #3, June 2002

Recommended Text:

Baum, A., Revenson, T.A., & Singer, J.E. (Eds.). (2001). Handbook of health psychology. Mahwah, New Jersey: Lawrence Erlbaum Associates. ( I will copy relevant chapters for class)

Nicassio, P.M. & Smith, T.W. (1995). Managing chronic illness: A biopsychosocial perspective. Washington, DC: American Psychological Association

The following is a tentative schedule subject to change.

8/21 Introduction –

8/28 Community Interventions

9/4 Health Interventions in Minority Communities

9/11 Clinical Health Psychology Interventions.

9/18 Adherence; Promoting Change

9/25 HIV/AIDS

10/2 Diabetes & Weight Management

Eating disorders

10/9 “The role of message-framing in health behavior interventions."

10/16 Compliance Issues in Arthritis –

Arthritis interventions

10/23 Cancer Interventions

10/30 Smoking Cessation

11/6 Primary Care Adolescent Health

11/13 Presentations - TBA

11/20 Presentations - TBA

12/4 Presentations - TBA

Other Topics that might be considered:

Asthma

Coronary Heart Disease

Chronic Pain

Hypertension

Gastrointestinal Disorders

Binge Eating/Eating Disorders

Sexual Dysfunction

Transplant Protocols

Neuropsychological aspects of ….(e.g., diabetes, hypertensive medications, etc.)

Reading List by Topic

(Numbers in parentheses correspond to book chapters).

8/21 Introduction –

Brustrad, R.J. (1999). Editorial perspective: The contribution of manuscript-review process to knowledge development. Journal of Sport and Exercise Psychology, 21, 307-312.

Carleton, R.A., Bazzarre, T., Drake, J., Dunn, A., Fisher, E.B., Grundy, S.M., Hayman, L., Hill, M.N., Maibach, E.W., Prochaska, J., Schmid, T., Smith, S.C., Susser, M.W., & Worden, J.W. (1996). Report of the expert panel on awareness and behavior change to the board of directors, American Heart Association. Circulation, 93, 1768-1772.

Pincus, T., Esther, R., DeWalt, D.A., & Callahan, L.F. (1998). Social conditions and self-management are more powerful determinants of health than access to care. Annals of Internal Medicine, 129, 406-411.

Roles of the clinical health psychologist (Belar Chapters 1 & 2)

8/28 Community Interventions

Altman, D.G. (1995). Sustaining interventions in community systems: On the relationship between researchers and communities. Health Psychology, 14(6), 526-536.

Altman, D.G. & Goodman, R.M. (2001). Community Intervention. In A.Baum, T.A. Revenson, & J.E. Singer, (Eds.). Handbook of health psychology. (pp 591-612) Mahwah, New Jersey: Lawrence Erlbaum Associates.

Atwood, K. Colditz, G.A., & Kawachi, L. (1997). From public health science to prevention policy: Placing science in its social and political contexts. American Journal of Public Health, 87, 1603-1606.

The CDC AIDS Community Demonstration Projects Research Group. (1999). Community-level HIV intervention in 5 cities: Final outcome data from the CDC AIDS Community Demonstration Projects. American Journal of Public Health, 89, 336-345.

9/4 Health Interventions in Minority Communities

Fisher, E.B., Auslander, W.F., Munro, J.F., Arfken, C.L., Brownson, R.C., & Owens, N.W. (1998). Neighbors for a smoke free North side: Evaluation of a community organization approach to promotion smoking cessation among African Americans. American Journal of Public Health, 88, 1658-1663.

Fisher, E.B., Auslander, W., Sussman, L., Owens, N., & Jackson-Thompson, J. (1992). Community organization and health promotion in minority neighborhoods. pp 53-71. In D.M. Becker, D.R. Hill, J.S. Jackson, D.M. Levine, F.A. Stillman, & S.M. Weiss (Eds.) Health behavior research in minority populations: Access, design and implementation. NIH Pub. No. 92-2965. Washington, DC: U.S. Government Printing Office.

Levine, D.M., Becker, D.M., Bone, L.R., Stillman, F.A., Tuggle, M.B., Prentice, M., Carter, J., & Filippeli, J.(1992). A partnership with minority populations: A community model of effectiveness research. Pp 130-140. In D.M. Becker, D.R. Hill, J.S. Jackson, D.M. Levine, F.A. Stillman, & S.M. Weiss (Eds.) Health behavior research in minority populations: Access, design and implementation. NIH Pub. No. 92-2965. Washington, DC: U.S. Government Printing Office.

Mays, V.M., So, B.T., Cochran, S.D., Detels, R. et al. (2001). HIV Disease in ethnic minorities: Implications of racial/ethnic differences in disease susceptibility and drug dosage response for HIV infection and treatment. In A.Baum, T.A. Revenson, & J.E.Singer (Eds.). Handbook of health psychology. (pp 801-816) Mahwah, New Jersey: Lawrence Erlbaum Associates.

Whitfield, K.E., Clark, R., Weidner, G., & Anderson, N.B. (2002). Sociodemographic diversity and behavioral medicine. Journal of Consulting and Clinical Psychology, 70 (3), 463-481.

9/11 Clinical Health Psychology Interventions.

Belar Chapter 4.

Blumenthal, J.A., Sherwood, A., Gullette, E.C.D., Georgiades, A. & Tweedy, D. (2002). Biobehavioral approaches to the treatment of essential hypertension. Journal of Consulting and Clinical Psychology, 70 (3), 569-589.

Miller, W.R. (1996). Motivational interviewing: Research, practice, and puzzles. Addictive Behaviors, 21, 835-842.

Ornish, D., Scherwitz, L.W., Billings, J.H., Gould, K.L., Merritt, T.A., Sparler, S., Armstrong, W.T., Ports, T.A., Kireeide, R.L., Hogeboom, C., & Brand, R.J. (1998). Intensive lifestyle changes for reversal of coronary heart disease. JAMA, 280, 2001-2007.

Spira, J.L. (1997). Understanding and developing psychotherapy groups for medically ill patients. In J.L. Spira (Ed). Group therapy for medically ill patients (pp 3-51). New York: Guilford Press

9/18 Promoting Change

Brunner, E., White, I., Thorogood, M., Bristow, A., Curle, D., & Marmot, M. (1997). Can dietary interventions change diet and cardiovascular risk factors? A meta-analysis of randomized controlled trials. American Journal of Public Health, 87, 1415-1422.

Dubbert, P.M. (2002). Physical activity and exercise: Recent advances and current challenges.Journal of Consulting and Clinical Psychology, 70 (3), 526-536.

Adherence (Nicassio #9);

Peirce, R.S., Frone, M.R., Russell, M., Cooper, M.L., & Mudar, P. (2000). A longitudinal model of social contact, social support, depression, and alcohol use. Health Psychology, 19, 28-38.

Marcus, B.H., Owen, N. Forsyth, L.H., Cavill, N.A., & Fridinger, F. (1998) Physical activity interventions using mass media, print media, and information technology. American Journal of Preventive Medicine, 15, 362-378.

9/25 HIV/ AIDS

Carey, M.P., Braaten, L.S., Maisto, S.A., Gleason, J.R., Forsyth, A.D., Durant, L.E., & Jaworski, B.C. (2000). Using information, motivational enhancement, and skills training to reduce the risk of HIV Infection for low-income urban women: A second randomized clinical trial. Health Psychology, 19, 3-11.

Catz, S.L., Kelly, J.A., Bogart, L.M., Benotsch, E.G., & McAuliffe, T.L. (2000). Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease. Health Psychology, 19, 124-133.

Kalichman, S.C., Carey, M.P., & Johnson, B.T. (1996). Prevention of sexually transmitted HIV infection: A meta-analytic review of the behavioral outcome literature. Annals of Behavioral Medicine, 18, 6-15.

Kelly, J.A. & Kalichman, S.C. (2002). Behavioral research in HIV/AIDS primary and secondary prevention: Recent advances and future directions. Journal of Consulting and Clinical Psychology, 70 (3), 626-639.

10/2 Diabetes & Weight Management (Guest Speaker- John Guare)

Agurs-Collins, T.D., Kurnanyika, S.K., Ten Have, T.R., & Adams-Campbell, L.L. (1997). A randomized controlled trial of weight reduction and exercise for diabetes management in older African-American subjects. Diabetes Care, 20, 1503-1511.

Gonder-Frederick, L.A., Cox, D.J., & Ritterband, L.M. (2002). Diabetes and behavioral medicine: The second decade. Journal of Consulting and Clinical Psychology, 70 (3), 611-625.

Kristal, A.R., Glanz, K., Curry, S.J., & Patterson, R.E.(1999). How can stages of change be best used in dietary interventions? Journal of the American Dietetic Association, 99(6), 679-684.

Wadden, T.A., Brownell, K.D., & Foster, G.D. (2002). Obesity: Responding to the Global Epidemic. Journal of Consulting and Clinical Psychology, 70 (3), 510-525.

10/9 (Guest Speaker – Greg Zimet)

10/16 Compliance issues in Arthritis (Guest Speaker – Judy Feinberg)

Keefe, F.J., Smith, S.J., Buffington, A.L.H., Gibson, J., Studts, J.L., & Caldwell, D.S. (2002). Recent advances and future directions in the biopsychosocial assessment and treatment of arthritis. Journal of Consulting and Clinical Psychology, 70 (3), 590 - 610.

10/23 Cancer / Psycho-Oncology (Guest Speaker-Shelley Johns)

Andersen, B.L. (2002). Biobehavioral outcomes following psychological interventions for cancer patients. Journal of Consulting and Clinical Psychology, 70 (3), 590 - 610.

Champion, V.L., Skinner, C.S., Menon, U., Seshadri, R., Anzalone, D.C., & Rawl, S.M. (2002).Comparisons of tailored mammography interventions at two months postintervention. Annals of Behavioral Medicine, 24(3), 211-218

Fawzy, F.I.(1999). Psychosocial interventions for patients with cancer: What works and what doesn’t. European Journal of Cancer, 35(11), 1559-1564.

Spira, J.L. (1997). Existential group therapy for advanced breast cancer and other life-threatening illnesses. In J.L. Spira (Ed). Group therapy for medically ill patients (pp 165-222). New York: Guilford Press

10/30 Tobacco Use cessation and prevention

Abrams, D.B., Orleans, C.T., Niaura, R.S., Goldstein, M.G., Prochaska, J.O., & Velicer, W. (1996). Integrating individual and public health perspectives for treatment of tobacco dependence under managed health care: A combined stepped-care and matching model. Annals of Behavioral Medicine, 18, 290-304.

Bruvold, W.H. (1993). A meta-analysis of adolescent smoking prevention programs. American Journal of Public Health, 83, 872-880.

Niaura, R. & Abrams, D.B. (2002). Smoking cessation: Progress, priorities, and prospectus. Journal of Consulting and Clinical Psychology, 70 (3), 494-509.

Royce, J.M., Corbett, K., Sorenson, G., & Ockene, J. (1997). Gender, social pressure, and smoking cessations: The Community Intervention Trial for Smoking Cessation (COMMIT) at baseline. Social Science and Medicine, 44, 359-370.

Shiffman, S., Balabanis, M.H., Paty, J.A., Engberg, J., Gwaltney, C.J., et al.(2000). Dynamic effects of self-efficacy on smoking lapse and relapse. Health Psychology, 19, 315-323.

11/6 Primary Care

Coyne, J.C., Thompson, R., Klinkman, M.S., & Nease, D.E. (2002). Emotional disorders in primary care. Journal of Consulting and Clinical Psychology, 70 (3), 798-809.

Marwick, C. (1996). Managed care may feature behavioral medicine. Journal of the American Medical Association, 275, 1144-1146.

Wilson, I.B., & Cleary, P.D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. Journal of the American Medical Association, 273, 59-65.