Discussion: This study adds to the understanding of clinical practices and communication behaviours in consultations for people with LTC. The results will be submitted to a further e-Delphi consultation process with the same experts (n=11) and also a wider group of health care professionals to reach a reasonable level of agreement and to confirm the model. The Family Health Program (FHP) was implemented across Brazil in 1994 to deliver primary healthcare services, such as diarrhea treatment and prevention, through health teams that include physicians, nurses, nurse assistants and community health workers (CHWs). Several studies have pointed to the impacts of the FHP on improving child survival in Brazil. Few studies, however, have examined the mechanisms underlying the successful delivery of services in the community, particularly from the perspectives of the health professionals. The goal of this study, therefore, was to evaluate the perceptions of FHP professionals of Vespasiano, Brazil on training, workplace challenges, and practices for child health. This cross-sectional study involved interviews with 77 professionals using a mixed-methods approach. Data was doubleentered and analyzed in Epi Info version 3.5.1. Open-ended responses were stratified by professional category, translated from Portuguese to English, and analyzed using a thematic coding approach. The results show that 92% of professionals received training in their first 12 months in the program but the majority found the training was limited in quantity, content, methods of delivery, and overall quality. Challenges in the workplace include insufficient government support, poor infrastructure, and lack of resources. In spite of these limitations, over 70% of CHWs reported promoting important health messages to caretakers and 87% of professionals were satisfied with the FHP child diarrhea services. In addition, the majority of professionals perceived the FHP is created for the needs of the community (83%) and is accepted by the users (81%). Translation of this research will be important for policies and program developments to improve on the limitations and promote the strengths of the FHP in order to advance Brazil's healthcare model to address leading causes of disease among the Brazilian pediatric population Aims: Childhood maltreatment had been considered a risk factor for psychopathology and health problems, including health complaints, health risk behaviors and diseases. Studies usually use retrospective methodologies and clinical samples. However, some authors have been discussing the validity of the associations these studies usually found suggesting that recall bias can explain the relation between maltreatment and symptoms. The aim of this study was to characterize current psychological and health functioning in young adults that were victims of maltreatment as children and compare the self report with official records from Child Protection Services. Method: Official records of 109 young adults that were identified as victims by protection services during childhood (55 female and 54 male) were compared with self-reported maltreatment history data using Childhood History Questionnaire. Participants also filled Brief Symptoms Inventory and Rotterdam Symptoms Checklist. Results: Subjects that report more adverse experiences have more psychopathology (r=.48; p=.000) and health complaints (r=.36; p=.000). Some subjects (21%) do not report any maltreatment experience, 36% report only some of the experiences they were victims and 44% do accurate reports. These groups are not different in relation to psychopathology (F(2, 104) = .618; p=.541) or health complaints (χ2(2) = 4.40; p=.111) Conclusion: Self-report false negatives for adverse childhood experiences are very high and most of the subject's don't report all the experiences they were victims. Some authors had suggested that the relation between reported childhood experiences and symptoms could be interpreted as a record bias for participants that are symptomatic in the evaluation moment, but this data does not confirm this hypothesis since there were no symptoms differences between the groups. Reasons for not report and relation between adversity and health should be better understood in future research. Research documents the impact of social environments on health related communication and behavior, and actual health. However, one aspect of the environment along with its related area of scientific investigation and professional application, all with clear implications for health issues, has received less attention than is warranted. Specifically, we are referring to Interpersonal conflict as described by Contemporary Social Conflict Theory (CSCT), which is not well known or understood. The result is that Its implications for health issues are underestimated or ignored. Conventional views equate conflict with behavior (arguing/fighting), view it as "bad," and advocate avoidance as a response to prevent violence. CSCT views conflict as a cognitive process based on beliefs concerning needs and the expectations for satisfying them. Conflict, defined as "perceived divergence of interest" is regarded as inevitable, ubiquitous and necessary for change. For CSCT, contention (fighting) is one of five response modalities -accommodation, avoidance, compromise, and problem solvingare the other "Conflict Management Styles (CMS's), each with predictable consequences. Conventional views of conflict limit us to consideration of the contentious CMS which has implications for health ranging from covert effects of stress from using this CMS on a regular basis to overt effects of violence that can result from this CMS. However, other CMS's have implications for health outcomes, raising a variety of research questions, e.g., who gets better treatment, the demanding "contentious" patient or the compliant "accommodating" patient? Does an avoidant CMS result in lessened ability to address important health care issues with family or healthcare providers? Does a problem solving CMS result in proactive health behavior, better communication with HCP's, and higher rates of compliance? The purpose of this poster is to explicate the principles and practices of CSCT and suggest their potential practical use -especially those involving decision making activities about treatment. Purpose: A mantram (sacred word) intervention has demonstrated significant reductions in PTSD symptom severity when applied as a complementary treatment for Veterans with military-related trauma compared to usual care controls. Little is known, however, about mechanisms for this improvement. Prior studies of the mantram intervention have demonstrated increased spiritual wellbeing (SWB) and decreased psychological distress attributable to this intervention. Therefore, we hypothesized that increases in SWB may mediate reductions in PTSD symptom severity. Methods: Path analysis was conducted on data from a randomized clinical trial in which 66 Veterans with chronic military-related PTSD completed a 6-week (90-minutes/week) mantram group intervention and were compared to 70 usual care controls. The dependent variable was the pre-to post-treatment change scores on the PTSD Checklist (PCL). The mediator variable was the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being scale (FACIT-SWB). The sample was 97% male; 59% Caucasian, 24% African American, 7% Hispanic and 10% other. They ranged in age from 25 to 83 (M=57, SD=9.26), averaged 14 years (SD = 2.1) of education and experienced an average of 13 months (SD=10.0) of combat. Results: The hypothesis that SWB partially mediates reductions in PTSD symptom severity was supported. The mantram intervention predicted post-treatment changes in PCL (b=3.71, p<.05). There was a significant and positive, indirect effect in the path from the mantram intervention to SWB (b=6.37, p<.05) and a significant, negative effect from SWB to PCL (b=.32, p<.0002). Similar results were found using the Baron and Kenny statistical approach. The Sobel test was significant at 2.55 (p<.01). Conclusion: Findings suggest that one potential mechanism by which the mantram intervention reduces PTSD symptom severity in Veterans is by promoting beliefs about meaning and/or purpose in life and feelings of peace and harmony. Spiritual wellbeing may be an important factor to consider when treating PTSD. Only recently researchers became interested in studying the physical health consequences in adulthood that result from physically abusive experiences during childhood, but now is a promising area of research. The state of the art about the topic is quite interesting and researchers deal with many challenges. One of them is the difficulty to establish a clear relationship between the experience of physical violence and health variables, mainly due to methodological issues. In order to overcome this concern some epidemiological guidelines were defined, namely: major criteria (temporal relationship; biological plausibility; consistency), alternative explanations (confounding variables), other considerations (dose-response relationships; strength of association; and cessation of exposure). Regarding these criteria, we proceeded to a systematic review of nineteen studies about the long-term physical health impact of child physical abuse in community samples. These researches included at least one of seven health categories: sexual risk-behaviors, substance dependence, alcohol consumption, drug consumption, nicotine consumption, current general health and physical health condition. Our review revealed that results are inconclusive and mixed for all categorical groups. However, it seems to be a positive association between "being victim of child physical abuse" and "sexual riskbehaviors" and "alcohol consumption" in men; "physical health condition" in women; and "drug consumption" in mixed samples. Based on our results, we cannot draw an unambiguous conclusion between these variables and therefore this issue should be further analyzed. Sleep deprivation is a significant problem in the modern workplace and has negative consequences for employee health. This trial assessed the effects of two mental imagery techniques, one inducing implementation intentions so as to close the intention-to-action gap in sleep promoting behaviours and the other inducing relaxation so as to reduce arousal prior to going to sleep. We recruited 72 employees from local businesses who reported difficulty sleeping. Following screening, randomization and a training session, they were asked to practice brief imagery exercises involving either arousal reduction imagery, implementation intention imagery (i.e., specifying context and action), a combination of the two, or imagery of their normal night routine (control) twice a day over 21 days. They completed an online, daily diary of sleep behaviours and, at baseline and day 21, an online questionnaire that included the Pittsburgh Sleep Quality Index (PSQI), Pre-Sleep Arousal scale, Sleep Hygiene Index, Dysfunctional Sleep Beliefs Scale, and measures of state anxiety and sleep-related planning. Repeated measures ANOVAs showed that, relative to the groups not using implementation intention imagery, the implementation intention groups had a greater reduction in negative sleep habits (p<.01) and greater improvements in the sleep-related actions targeted in the imagery exercise (p<.01). Increases in sleep motivation (p<.001) and response efficacy for sleep behaviours (p<.001) were found across all groups, along with decreases in anxiety (p<.001), dysfunctional sleep beliefs (p<.001) and pre-sleep arousal (p<.001). Improvement in all groups was also shown for total PSQI scores (p<.001) and level of detail in plans for positive sleep behaviour (p<.001). Mixed modeling analyses of the daily data indicated that those using implementation intention imagery had faster times of falling asleep (p<.01) and earlier times of lights out (p<.01) compared to those not using this imagery. These brief, low-cost techniques appear to provide a promising alternative to the use of medication for the improvement of sleep in the general population. The National Centre for Occupational rehabilitation, Rauland, Norway and 2 Uni Health, Bergen, Norway.