Social Work Commons^™

Virtual Versus Face-To-Face Cognitive Behavioral Treatment Of Depression: Meta-Analytic Test Of A Noninferiority Hypothesis And Men’S Mental Health Inequities, Carly M. Charron, Kevin M. Gorey

Social Work Publications

Global rates of depression have increased significantly since the beginning of the COVID-19 pandemic. It is unclear how the recent shift of many mental health services to virtual platforms has impacted service users, especially for the male population which are significantly more likely to complete suicide than women. This paper presents the findings of a rapid meta-analytic research synthesis of 17 randomized controlled trials on the relative efficacy of virtual versus traditional face-to-face cognitive behavioral therapy (CBT) in mitigating symptoms of depression. Participants’ aggregated depression scores were compared upon completion of the therapy (posttest) and longest follow-up measurement. The results …

Relative Effectiveness Of Online Cognitive Behavioural Therapy With Anxious Or Depressed Young People: Rapid Review And Meta-Analysis, Shikara T. Howes, Kevin M. Gorey, Carly M. Charron

Social Work Publications

Global estimates suggest that 25% and 20% of youth have reported elevated symptoms of depression and anxiety, respectively, since the beginning of the COVID-19 pandemic compared to baseline functioning (Racine et al., 2021). Cognitive behavioural therapy (CBT) has been found to significantly benefit young people experiencing anxiety and depression (Christ et al., 2020). Pandemic-related protocols have led many mental health services to shift to online platforms. We wondered about the comparative efficacy of online versus offline CBT for young people between the ages of 10-25. We responded with a rapid review and meta-analysis of eight randomized controlled trial outcomes. The …

Yoga-Specific Enhancement Of Quality Of Life Among Women With Breast Cancer: Systematic Review And Exploratory Meta-Analysis Of Randomized Controlled Trials, Daline El-Hashimi, Kevin M. Gorey

Social Work Publications

Physical activities during and after cancer treatment have favorable psychosocial effects. Increasingly, yoga has become a popular approach to improving the quality of life (QoL) of women with breast cancer. However, the extant synthetic evidence on yoga has not used other exercise comparison conditions. This meta-analysis aimed to systematically assess yoga-specific effects relative to any other physical exercise intervention (eg, aerobics) for women with breast cancer. QoL was the primary outcome of interest. Eight randomized controlled trials with 545 participants were included. The sample-weighted synthesis at immediate postintervention revealed marginally statistically and modest practically significant differences suggesting yoga’s potentially greater …

Care Of Acute Conditions And Chronic Diseases In Canada And The United States: Rapid Systematic Review And Meta-Analysis, Keren M. Escobar, Dorian Murariu, Sharon Munro, Kevin M. Gorey

Social Work Publications

This study tested the hypothesis that socioeconomically vulnerable Canadians with diverse acute conditions or chronic diseases have health care access and survival advantages over their counterparts in the USA. A rapid systematic review retrieved 25 studies (34 independent cohorts) published between 2003 and 2018. They were synthesized with a streamlined meta-analysis. Very low-income Canadian patients were consistently and highly advantaged in terms of health care access and survival compared with their counterparts in the USA who lived in poverty and/or were uninsured or underinsured. In aggregate and controlling for specific conditions or diseases and typically 4 to 9 comorbid factors …

An Empirical Demonstration Of The Existence Of Measurement Dependence In The Results Of A Meta-Analysis, William R. Nugent, Sukyung Yoon, Jayme E. Walters

Sociology, Social Work and Anthropology Faculty Publications

Objective: Findings from meta-analytic studies that use standardized mean differences (SMDs) may be overly dependent on the original measures that were used to generate SMDs. This may be particularly true when measures have arbitrary metrics or when measures fail to meet measurement equivalence. We test the hypothesis that in such cases, meta-analytic results may vary significantly— statistically and practically—as a function of the measures used to derive SMDs. Methods: We conducted 5 secondary random-effects meta-analyses of SMDs—each under a different measurement scenario—from a published meta-analysis comparing the efficacy of cognitive–behavioral therapy with that of reminiscence therapy for depression in older …

Relative Effectiveness Of Mindfulness And Cognitive Behavioral Interventions For Anxiety Disorders: Meta-Analytic Review, Samina K. Singh, Kevin M. Gorey

Social Work Publications

Increasingly popular mindfulness intervention innovations seem demonstrably effective in alleviating anxiety among people with anxiety disorders. However, the basis of such primary and synthetic evidence has, for the most part, been comparisons with non-active comparison conditions such as waiting lists. The longest-standing and strongest evidence-informed practices in this field have been cognitive behavioral interventions (CBI). This meta-analysis synthesized evidence from nine randomized trials of the relative effectiveness of mindfulness interventions compared to CBIs (i.e., active control groups) in treating anxiety disorders. The sample-weighted synthesis found no statistically or practically significant differences between the two groups on anxiety alleviation: Cohen’s d …

Contact Is A Stronger Predictor Of Attitudes Toward Police Than Race: A State-Of-The-Art Review, Amy Alberton, Kevin M. Gorey

Social Work Publications

Purpose – This scoping review thoroughly scanned research on race, contacts with police and attitudes toward police. An exploratory meta-analysis then assessed the strength of their associations and interaction in Canada and the USA. Key knowledge gaps and specific future research needs, synthetic and primary, were identified. The paper aims to discuss these issues.

Design/methodology/approach – A germinal methodological framework for conducting scoping reviews was used (Arksey and O’Malley, 2005). The authors searched for published or unpublished research over the past 15 years and retrieved 33 eligible surveys, 19 of which were included in a sample-weighted meta-analysis.

Findings – The …

A Replication Of Failure, Not A Failure To Replicate, Gary Holden, Kathleen Barker, Sofie Kuppens, Gary Rosenberg, Jonathan`

Publications and Research

Purpose: The increasing role of systematic reviews in knowledge production demands greater rigor in the literature search process. The performance of the Social Work Abstracts (SWA) database has been examined multiple times over the past three decades. The current study is a replication within this line of research.

Method: Issue level coverage was examined for the same 33 SWA core journals and the same time period as our 2009 study.

Results: The mean percentage of issues missing in the current study was 20%. The mean percentage of issues missing in the current study was significantly greater than …

Delinquency And Crime Prevention: Overview Of Research Comparing Treatment Foster Care And Group Care, Gershon K. Osei, Kevin M. Gorey, Debra M. Hernandez Jozefowicz

Social Work Publications

Background: Evidence of treatment foster care (TFC) and group care’s (GC) potential to prevent delinquency and crime has been developing.

Objectives: We clarified the state of comparative knowledge with a historical overview. Then we explored the hypothesis that smaller, probably better resourced group homes with smaller staff/resident ratios have greater impacts than larger homes with a meta-analytic update.

Methods: Research literatures were searched to 2015. Five systematic reviews were selected that included seven independent studies that compared delinquency or crime outcomes among youths ages 10–18. A similar search augmented by author and bibliographic searches identified six additional studies with an …

The Science Of Research Synthesis: Limiting Bias And Error In Reviews, Julia H. Littell, Brandy R. Maynard

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Coping With Publication And Reporting Biases In Research Reviews, Julia H. Littell, David L. Albright

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Review Of Systematic Review Methods: The Science Of Research Synthesis, Julia H. Littell, Brandy R. Maynard

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

The Science And Practice Of Research Synthesis, Julia H. Littell

Graduate School of Social Work and Social Research Faculty Research and Scholarship

No abstract provided.

Making Sense Of Meta-Analysis: A Critique Of "Effectiveness Of Long-Term Psychodynamic Psychotherapy", Julia H. Littell, Aron Shlonsky

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Evidence-based practice depends in part on knowledge derived from relevant research. For any given topic, there are likely to be many, potentially relevant studies; a careful appraisal and synthesis of the results of these studies is needed to understand the state of the empirical evidence. Meta-analysis is widely used to combine results of quantitative studies; yet this method is unfamiliar to many people and, as a result, meta-analyses are often uncritically accepted. In this article, we argue that meta-analysis is only one component of a good research synthesis. We critique a recent meta-analysis on the effectiveness of long-term psychodynamic psychotherapy, …

Welfare-To-Work Programs In America, 1980 To 2005: Meta-Analytic Evidence Of The Importance Of Job And Child Care Availability, Kevin M. Gorey

Social Work Publications

This meta-analysis extended a Campbell Collaboration review of welfare-to-work programs. Its synthesis of 65 randomized trials in America over the past generation replicated a small overall intervention effect. Moreover, it found (1) there was no long-term employment effect of interventions in areas where jobs were relatively unavailable, and (2) programs that provided child care were more effective than those that did not in the short and long term, even in areas of high labor market withdrawal. The availability of jobs as well as such supports as child care that enable their access seem to be key elements of welfare-to-work programs …

The Effectiveness Of Feminist Social Work Methods: An Integrative Review, Kevin M. Gorey

Social Work Publications

This integrative review of the effectiveness of feminist social work methods compared 35 independent studies of feminist interventions with 44 independent studies of social work practice that were based on other theoretical orientations. Feminist interventions were observed to be more effective than those based on other practice models. And among feminist social work interventions, radical methods seemed to be more effective than liberal methods. These findings are consistent with a theory by target system interaction that was suggested by a previous meta-analysis (Gorey, Thyer, & Pawluck, 1998). While personal theoretical orientations such as cognitive-behavioral modes of practice seem more supportive …

Early Childhood Education: A Meta-Analytic Affirmation Of The Short- And Long-Term Benefits Of Educational Opportunity, Kevin M. Gorey

Social Work Publications

Some scholars who emphasize the heritability of intelligence have suggested that compensatory preschool programs, designed to ameliorate the plight of socioeconomically or otherwise environmentally impoverished children, are wasteful. They have hypothesized that cognitive abilities result primarily from genetic causes and that such environmental manipulations are ineffective. Alternatively, based on the theory that intelligence and related complex human behaviors are probably always determined by myriad complex interactions of genes and environments, the present meta-analytic study is based on the assumption that such behaviors can be both highly heritable and highly malleable. Integrating results across 35 preschool experiments and quasi-experiments, the primary …

Differential Effectiveness Of Prevalent Social Work Practice Models: A Meta-Analysis, Kevin M. Gorey, Bruce A. Thyer, Debra E. Pawluck

Social Work Publications

This meta-analysis of 45 recently published (1990–1994) independent studies of social work's differential effectiveness by prevalent practice models builds on the more general findings of related meta-analyses that have estimated that three-quarters of the clients who participate in social work interventions do better than the average client who does not. It found that the effectiveness of interventions based on different practice models—personal versus systemic-structural—was moderated by their primary focus for change. When the focus for change was clients themselves, personal orientations seemed more effective, whereas systemic-structural models were found to be more effective in supporting the change of other targets, …

The Effectiveness Of Social Work With Older People And Their Families: A Meta-Analysis Of Conference Proceedings, Amanda M. Grenier, Kevin M. Gorey

Social Work Publications

No abstract provided.

Secular Trends In The Incidence Of Anorexia Nervosa: Integrative Review Of Population-Based Studies, Kevin M. Gorey

Social Work Publications

OBJECTIVE AND METHOD: Aggregating across retrospective cohort samples, this integrative review synthesizes the findings of 12 cumulative incidence studies (45 hypotheses) on anorexia nervosa secular trends.

RESULTS: (1) The female/male anorexia incidence rate ratio was estimated to be 8.20, 18.46 versus 2.25 cases per 100,000 per year, p < .05; (2) female teenagers experienced anorexia at a rate fivefold greater than other women, 50.82 versus 10.37 incident cases per 100,000 per year, p < .001; (3) no secular trend or change in the incidence of anorexia was observed among teenagers, while a near threefold increase was observed over the past 40 years among women in their 20s and 30s, 6.28 (1950-1964) versus 17.70 (1980-1992) cases per 100,000 per year, p < .05; and (4) the two cohort characteristics of age, and the age by year interaction accounted for nearly two thirds of the variability among anorexia incidence estimates, R2 = .614, F(2,27) = 21.49, p < .001. After the two factors of age and the Age x Year interaction were accounted for, none of the other study characteristics, including study year(s), were found to be significantly associated with anorexia incidence, that is, a main effect of time was not observed.

DISCUSSION: The integrative evidence across the population-based epidemiologic studies covering 40 years in this field suggests strongly that, overall, the incidence of anorexia nervosa, particularly among those very young women at greatest risk of experiencing it, has not increased significantly. However, the risk does seem to have increased significantly among women in …

The Beneficial Effects Of Volunteering For Older Volunteers And The People They Serve: A Meta-Analysis, Kevin M. Gorey

Social Work Publications

The current political-economic climate, which is generally supportive of both private and public sector down-sizing, increasingly demands that human service workers assess, engage, and creatively use consumer strengths and resources. This meta-analysis of thirty-seven independent studies provided the means of inferring not only that elder volunteers' sense of well-being seemed to be significantly bolstered through volunteering, but also that such relatively healthy older people represent a significant adjunct resource for meeting some of the service needs of more vulnerable elders, as well as those of other similarly vulnerable groups such as disabled children. Averaging across studies, 85 percent of the …

Unpublished Social Work Research: Systematic Replication Of A Recent Meta-Analysis Of Published Intervention Effectiveness Research, Gregory A. De Smidt, Kevin M. Gorey

Social Work Publications

No abstract provided.

The Prevalence Of Child Sexual Abuse: Integrative Review Adjustment For Potential Response And Measurement Biases, Kevin M. Gorey

Social Work Publications

This integrative review synthesizes the finding of 16 cross-sectional surveys (25 hypotheses) on the prevalence of child abuse among nonclinical, North American samples. It is essentially a research literature on sexual abuse; only one of the studies assessed physical abuse, and there has not yet been a single study of prevalent child emotional abuse nor neglect. The following summative inferences were made: (1) response rates diminished significantly over time, M = 68% prior to 1985 and M = 49% for more recent surveys, p < .05; (2) unadjusted estimates of the prevalent experience among women and men of childhood sexual abuse was 22.3% and 8.5%, respectively; (3) study response rates and child abuse operational definitions together accounted for half of the observed variability in their abuse prevalence estimates, R2 = .500, p < .05; (4) female and male child sexual abuse prevalence estimates adjusted for response rates (60% or more) were respectively, 16.8% and 7.9%, and adjusted for operational definitions (excluding the broadest, noncontact category) they were 14.5% and 7.2%; (5) after adjustment for response rates and definitions, the prevalence of child sexual abuse was not found to vary significantly over the three decades reviewed. Given the large human costs, both personal and social, of child abuse, and the identified gap in the requisite knowledge needed to steer effective preventive and treatment interventions, it is time to invest in a large, methodologically rigorous, population-based study of child abuse which, if it does nothing else, spares no expense in ensuring very high participation.

Short-Term Versus Long-Term Group Work With Female Survivors Of Childhood Sexual Abuse: A Brief Meta-Analytic Review, Tanya L. De Jong, Kevin M. Gorey

Social Work Publications

This meta-analytic review synthesizes the findings of seven published independent studies dealing with group work with female survivors of childhood sexual abuse, and compares the effectiveness of short-term versus long-term methods. Across-study summative findings were: (1) generally, group work has large beneficial effects upon female survivors' affect and self-esteem-three-quarters of the group participants improve; (2) no extant empirical evidence supports the differential effectiveness of either short-term or long-term groups; and (3) only one study to date has reported the size of long-term methods' clinical effect. In short, the question of the differential effectiveness of short- versus long-term group work with …

Effectiveness Of Social Work Intervention Research: Internal Versus External Evaluations, Kevin M. Gorey

Social Work Publications

This meta-analytic review synthesizes the findings of 88 recent (1990 to 1994) independent studies of the effectiveness of social work interventions and compares the findings of those studies based on authors' assessments of their practice experience (internal evaluations) and other evaluators' assessments (external evaluations). Overall, social work interventions are effective; three-quarters of the clients who participate in social work interventions do better than the average client who does not. Also, the estimated rate of problem improvement among clients who experience an intervention and are assessed by social worker—researchers themselves is nearly 25 percent greater than the estimated rate assessed by …

Lack Of Racial Differences In Behavior: A Quantitative Replication Of Rushton's (1988) Review And An Independent Meta-Analysis, Kevin M. Gorey, Arthur G. Cryns

Social Work Publications

Rushton (Personality and Individual Differences, 9, 1009–1024, 1988) hypothesized that racial group differences exist across a range of behaviors from intelligence to social organization. Such differences were then discussed within the context of an evolutionary continuum (Negroid < Caucasoid < Mongoloid). For example, his observations that blacks compared to whites are less intelligent, physically mature more rapidly, and are more aggressive and impulsive (less law abiding) were said to support the evolutionary hypothesis. Quantitative replication of the 100 studies included in Rushton's original ‘review and evolutionary analysis’ and a meta-analysis of 100 randomly selected studies infer that any behavioral differences which do exist between blacks, whites and Asian Americans for example, can be explained in toto by environmental differences which exist between them.

Group Work As Interventive Modality With The Older Depressed Client: A Meta-Analytic Review, Kevin M. Gorey, Arthur G. Cryns

Social Work Publications

This review analyzes a total of 19 empirical studies dealing with the effectiveness of group work intervention with depressed older clients (65 years and older). Multiple analyses of all outcome data reported allowed for the following summative, empirically derived inferences: (1) overall, group work was found to account for 42% positive change in client affective states; however, most of this improvement (87%) appears to be attributable to nonspecific interventive variables, i.e., factors outside the control and intent of the group worker; (2) group work is optimally effective for clients who live alone and are moderately to severely depressed; (3) client …