Publications by authors named "Alan Ralph"

Two studies examined the change in self-efficacy of practitioners after attending Triple P training and the moderators that affect training outcomes. Study 1 used a large multidisciplinary sample of health, education, and welfare practitioners ( = 37,235) came from 30 countries around the world, which all participate in a Triple P professional training course during 2012-2019. This study assessed practitioners' overall self-efficacy and their consultation skills efficacy prior to training, immediately following training, and at six- to eight-weeks follow-up.

View Article and Find Full Text PDF

The study aimed to provide further evidence for the validity of the 33-item Adolescent Functioning Scale (AFS) as a parent- and adolescent-report scale of adolescent adjustment. In separate samples of parents (N = 542; 88% female) and adolescents (N = 303; 60% female), confirmatory factor analyses supported the original 4-factor structure of the AFS. Analyses produced a 28-item parent measure, and a 27-item adolescent measure.

View Article and Find Full Text PDF

Objectives: To expand the number of conditions and interventions explored for their associations with thrombosis in the veterinary literature and to provide the basis for prescribing recommendations.

Design: A population exposure comparison outcome format was used to represent patient, exposure, comparison, and outcome. Population Exposure Comparison Outcome questions were distributed to worksheet authors who performed comprehensive searches, summarized the evidence, and created guideline recommendations that were reviewed by domain chairs.

View Article and Find Full Text PDF

This paper presents two studies outlining the development and validation of a new parent- and adolescent-report measure of the parent-adolescent relationship: the Parent-Adolescent Relationship Scale (PARS). Study 1 involved an exploratory factor analysis on a sample of 256 parents of adolescents aged 11-18 years. Results produced a 21-item measure comprising three subscales, Connectedness, Shared Activities, and Hostility, each with high factor loadings (> .

View Article and Find Full Text PDF

Aim: To evaluate the effectiveness of Group Teen Triple P with parents who have behaviorally disturbed adolescents.

Methods: The research was conducted in an experimental manner. The sample was 76 parents who were grouped as 38 cases and 38 controls with a block randomization method.

View Article and Find Full Text PDF

Objective: To determine mortality rates for dogs with severe anaphylaxis and identify potential prognostic factors.

Animals: 67 dogs with suspected anaphylaxis graded as severe.

Procedures: Dogs were classified on the basis of outcome as survivors and nonsurvivors.

View Article and Find Full Text PDF

Evidence-based psychotherapies or programs (EBPs) exist for most mental health disorders that occur in childhood; however, the majority of children with a mental health disorder do not receive such treatments. This research-practice gap has been attributed to a range of factors that complicate the delivery of EBPs in everyday practice. While most suggestions to bridge this gap have focused on how to develop EBPs that will have a better fit for the clinical settings in which they will ultimately be deployed, a useful adjunct is to enhance practitioners' capacity to flexibly deliver EBPs to manage these factors.

View Article and Find Full Text PDF

Objectives: To systematically evaluate the evidence supporting the timing and mechanisms of permanent or temporary discontinuation of antiplatelet or anticoagulant medications in small animals DESIGN: Standardized, systematic evaluation of the literature, categorization of relevant articles according to level of evidence and quality (poor, fair, or good), and development of consensus on conclusions via a Delphi-style survey for application of the concepts to clinical practice.

Settings: Academic and referral veterinary medical centers.

Results: Databases searched included Medline via PubMed and CAB abstracts.

View Article and Find Full Text PDF

Objectives: To systematically examine the evidence for use of a specific protocol (dose, frequency, route) of selected antithrombotic drugs, in comparisons to no therapy or to other antithrombotic therapies, to reduce the risk of complications or improve outcomes in dogs and cats at risk for thrombosis.

Design: Standardized, systematic evaluation of the literature, categorization of relevant articles according to level of evidence (LOE) and quality (Good, Fair, or Poor), and development of consensus on conclusions via a Delphi-style survey for application of the concepts to clinical practice.

Settings: Academic and referral veterinary medical centers.

View Article and Find Full Text PDF

This paper outlines the development and validation of the Adolescent Functioning Scale (AFS) in an Australian sample of parents of young people aged 11-18 years (N = 278). The AFS, a parent self-report measure, was designed to assess problem behavior and positive development in adolescents. Principal components analysis produced a 33-item measure comprising four subscales: Positive Development, Oppositional Defiant Behavior, Antisocial Behavior and Emotional Difficulties.

View Article and Find Full Text PDF

Atrial fibrillation is a common arrhythmia in dogs with structural cardiac disease and can result in significant clinical signs. Several methods of electrical cardioversion of atrial fibrillation have been described. Biphasic transthoracic cardioversion of atrial fibrillation in dogs with naturally occurring heart disease has been described in veterinary medicine and has been shown to be highly successful.

View Article and Find Full Text PDF

Objective: To systematically examine the evidence on nontraditional uses of viscoelastic coagulation monitoring in veterinary species.

Design: Standardized, systematic evaluation of the literature, categorization of relevant articles according to level of evidence and quality, and development of consensus on conclusions for application of the concepts to clinical practice.

Setting: Academic and referral veterinary medical centers.

View Article and Find Full Text PDF

Objective: To establish a standard protocol for analysis of canine whole blood and generate reference intervals for healthy dogs using the Sonoclot analyzer, and to compare Sonoclot values to standard and viscoelastic coagulation tests.

Design: Prospective study.

Setting: Veterinary University research facility and teaching hospital.

View Article and Find Full Text PDF

A meta-analytic review of the Triple P-Positive Parenting program by Wilson et al., recently published in BMC Medicine, claimed to demonstrate that although Triple P is widely disseminated and adopted, the evidence attesting to the effectiveness of the program is not as convincing as it may appear. Although this review addresses the important issue of evaluation and reporting methods within evidence-based interventions, we contend that the Wilson et al.

View Article and Find Full Text PDF

Disseminated intravascular coagulation (DIC) spans a continuum in which clinical signs can range from a prothrombotic to a hemorrhagic phenotype, with some patients suffering from both concurrently. DIC is always caused by an underlying condition, with most cases linked to systemic inflammation or infection. Numerous factors contribute to the development of DIC, including aberrations in endothelial function, and altered levels of endogenous procoagulant, anticoagulant, and fibrinolytic factors.

View Article and Find Full Text PDF

Objective: To determine the effects of rest temperature, contact activation (CA), and sample collection technique on thrombelastography (TEG) using canine whole blood.

Design: Prospective, experimental study.

Setting: University-based research facility.

View Article and Find Full Text PDF

Background: Poor parenting practices have been associated with adolescent emotional and behavioural problems which are potentially preventable. Parenting interventions that are based on behavioural and social learning theories have been repeatedly shown to be effective. However, few evidence-based parenting programmes are implemented and sustained at a population level.

View Article and Find Full Text PDF

Objective: To describe the clinical presentation and outcome in 3 dogs with spontaneous echocardiographic contrast (SEC).

Case Or Series Summary: SEC was identified in 3 dogs with concurrent hyperfibrinogenemia. The dogs were diagnosed with different underlying conditions including infective endocarditis of the mitral valve (Case 1), presumptive Evan's syndrome (Case 2), and presumptive sepsis (Case 3).

View Article and Find Full Text PDF

Objective: To report the use of thoracoscopic thoracic duct ligation (TDL) and pericardectomy for treatment of chylothorax.

Study Design: Case series.

Animals: Dogs with chylothorax (n=12).

View Article and Find Full Text PDF

A large-scale population trial using the Triple P-Positive Parenting Program (TPS) was evaluated. The target population was all parents of 4- to 7-year-old children residing in ten geographical catchment areas in Brisbane (intervention communities) and ten sociodemographically matched catchment areas from Sydney (5) and Melbourne (5), care as usual (CAU) comparison communities. All five levels of the Triple P multilevel system of intervention were employed; including a local mass media strategy, a primary care strategy, and three more intensive levels of parenting intervention delivered by a range of service providers (e.

View Article and Find Full Text PDF

Objective: To evaluate the effects of ketamine, diazepam, and the combination of ketamine and diazepam on intraocular pressures (IOPs) in clinically normal dogs in which premedication was not administered.

Animals: 50 dogs.

Procedures: Dogs were randomly allocated to 1 of 5 groups.

View Article and Find Full Text PDF