Publications by authors named "Ric G Steele"

Despite efforts to incorporate evidence-based practice into mental health settings, there has been inconsistent success doing so. Several barriers to the implementation of evidence-based practice have been identified, including limitations in time and statistical training. One promising approach to further bridge the science-practice gap is the greater use of meta-analytic studies to clarify the magnitude of treatment effects and to understand components of treatments that are more effective within specific populations.

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Extant research suggests that digital stress (DS) and its various components (Hall et al. in Psychol Assess 33(3):230-242, 2021) may mediate the association between social media use and psychosocial distress among adolescents and young adults. Yet no systematic review and meta-analysis has been conducted to examine the direct associations among DS components (i.

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Article Synopsis
  • Digital stress is linked to social media use and mental health outcomes, but current research lacks effective measurement tools.
  • A new multidimensional measure of digital stress was developed through qualitative reviews, focus groups, and exploratory factor analysis, identifying five key factors: availability stress, approval anxiety, fear of missing out (FoMO), connection overload, and online vigilance.
  • The study involved multiple stages with different participant groups to validate these components and showed connections between digital stress and psychosocial distress.
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Trauma-focused cognitive behavioral therapy (TF-CBT) is one of the most widely studied and disseminated treatments for posttraumatic stress disorder (PTSD) and other comorbid conditions, and has been identified as a "level one" or "well-established" intervention for school-aged children and adolescents. The present systematic review examined the literature on the application of TF-CBT within a preschool-aged population (i.e.

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Existing literature provides a complicated picture of the relationship between digital media use and psychological outcomes. Both correlational and some experimental studies suggest that social media use specifically can be associated with diminished psychological functioning in adolescents and young adults. However, these effect sizes are not large, and must be considered in light of studies that suggest some positive outcomes associated with some uses of digital media, and a range of moderators of the identified associations.

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The need for sleep in children has sparked extensive research, with inconclusive support for an association between sleep duration and sleep quality and health-related quality of life (HR-QOL). Daytime sleepiness, which captures a child's subjective sleep experience, has seldom been explored. Latent class growth analysis (LCGA) was employed to identify longitudinal trajectories of children's sleepiness.

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Objective: The purpose of this study was to quantify the effect of physical activity (in both descriptive and intervention studies) on health-related quality of life (HRQOL) in children and adolescents from both healthy and chronic illness populations.

Method: A systematic review of PubMed, PsycINFO, and ProQuest identified 33 studies of physical activity and HRQOL in youth, including descriptive and prepost intervention designs.

Results: In descriptive studies (N = 14), there was a small, positive association between physical activity and HRQOL based on child-reports (Hedges' g = .

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Objective: The objectives were to identify and describe profiles of elementary school-age youth based on objective measurements of total time spent in moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB) and in bouts of the activities, to examine predictors of profiles, and to examine whether profiles were differentially associated with physical and psychosocial health-related quality of life (HRQOL).

Methods: Participants included 204 youth (aged 8-11 years) who wore accelerometers to gather objective activity data. The average proportion of time in MVPA and SB and average proportion of time in MVPA and SB bouts were used for analyses.

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Objective: To examine longitudinal, bidirectional associations between disordered eating and physical/psychosocial health-related quality of life (HRQOL) in a nonclinical community sample of elementary school-age youth.

Methods: Participants included 130 children between the ages of 7 and 10 years ( M age = 8.62).

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Youth in military families experience a relatively unique set of stressors that can put them at risk for numerous psychological and behavior problems. Thus, there is a need to identify potential mechanisms by which children can gain resiliency against these stressors. One potential mechanism that has yet to be empirically studied with military youth is social networking sites (SNSs).

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Objective: To quantitatively characterize change in health-related quality of life (HRQoL) in the context of behavioral (n = 16), surgical (n = 5), and pharmacological (n = 1) interventions for pediatric overweight and obesity. A secondary goal was to examine the relationship between change in HRQoL and change in body mass index (ΔBMI) by treatment type. The amount of weight loss necessary to observe a minimally clinically important difference (MCID) in HRQoL was determined.

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Objective: Although the primary care setting has been recommended as an acceptable environment for pediatric overweight/obesity treatment, a quantitative analysis has not been conducted to determine the effectiveness of pediatric weight management interventions delivered in these settings. Therefore, the purpose of the current study was to conduct a meta-analysis of weight management interventions for youth in primary care settings.

Method: A literature search using PsycINFO and PubMed was conducted to identify articles published through October 2015.

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Objective: To explore the psychometric properties of the Children's Report of Sleep Patterns (CRSP) in school-aged children by conducting a factor analysis of the Sleepiness Scale and the Sleep Disturbances Scales.

Methods: Participants included 155 children from two elementary schools (Mage = 9.82) who completed the self-report CRSP.

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Objective: To examine the indirect effect of body mass index z-score (BMIz) on health-related quality of life (HRQOL) through disordered eating attitudes and behaviors in a community sample of preadolescent children, and the degree to which negative affect moderated the association between BMIz and disordered eating attitudes and behaviors.

Methods: Participants included 165 children between 8 and 12 years of age (M = 9.41).

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Objectives: To test the longitudinal associations between hope and optimism and health outcomes (i.e., HbA1c and self-monitored blood glucose [SMBG]) among youths with Type 1 diabetes mellitus (T1DM) over a 6-month period.

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The objective of this study was to examine the degree to which 2 measures of weight criticism, the Weight Criticism During Physical Activity (WCA) scale and the Perceptions of Teasing Scale (POTS), represent distinct constructs and in what circumstances each is most appropriately used. A community sample of 307 fourth and fifth graders completed these measures, as well as measures of health-related quality of life, physical activity engagement, and attitudes toward physical activity. Body mass index was also calculated.

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Objectives: To examine differences in self-reported physical activity (PA) between participants enrolled in the treatment versus active control condition of a pediatric obesity intervention, and to test associations between parent and child PA.

Methods: Participants (N = 93) included children aged 7-17 years and their parent. Analyses tested whether participants in the treatment condition reported greater PA at postintervention and 12-month follow-up compared with the control condition.

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Objective: Previous studies have suggested complex associations among variables related to parental control of feeding and child/adolescent obesity. The current study examined associations between parental food control variables and weight outcomes in the context of a behaviorally based family treatment program.

Methods: Parents of youths (n = 93) enrolled in a clinical trial comparing 2 weight management interventions completed the Child Feeding Questionnaire pre- and post-treatment, and at a 12-month follow-up.

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Purpose: To conduct a meta-analysis of randomized controlled trials examining the efficacy of comprehensive behavioral family lifestyle interventions (CBFLI) for pediatric obesity. 

Method: Common research databases were searched for articles through April 1, 2013. 20 different studies (42 effect sizes and 1,671 participants) met inclusion criteria.

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Objective: To provide an overview of common challenges that pediatric eHealth researchers may encounter when planning, developing, testing, and disseminating eHealth interventions along with proposed solutions for addressing these challenges.

Methods: The article draws on the existing eHealth literature and the authors' collective experience in pediatric eHealth research.

Results And Conclusions: The challenges associated with eHealth interventions and their proposed solutions are multifaceted and cut across a number of areas from eHealth program development through dissemination.

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Objective: Motivational interviewing (MI) is an empirically supported intervention that has shown effectiveness in moving people toward positive lifestyle choices. Although originally designed for adult substance users, MI has since expanded to other health concerns with a range of client age groups. The present study investigated the overall effectiveness of MI in the context of child and adolescent health behavior change and health outcomes.

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Objective: To identify, in a sample of youth seeking treatment for obesity, subgroups of youth characterized by distinct profiles of psychosocial functioning and to examine whether psychosocial subgroup membership predicted treatment outcomes.

Methods: Baseline psychosocial profiles identified using cluster analysis techniques were used to predict treatment outcomes (i.e.

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