Reliability, Validity, and Classification Accuracy of a Spanish Translation of a Measure of DSM-IV Diagnostic Criteria for Pathological Gambling

The aim of this study was to measure the reliability, validity, and classification accuracy of a Spanish translation of a measure of DSM-IV diagnostic criteria for Pathological Gambling (PG). Participants were 263 male and 23 female patients seeking treatment for PG and a matched non-psychiatric control sample of 259 men and 24 women. A Spanish translation of a 19-item measure of DSM-IV diagnostic criteria for PG (Stinchfield 2003) was administered along with other validity measures. The DSM-IV diagnostic criteria were found to be internally consistent with a coefficient alpha of .95 in the combined sample. Evidence of satisfactory convergent validity included moderate to high correlations with other measures of problem gambling. Using the standard DSM-IV cut-score of five, the ten criteria were found to yield satisfactory classification accuracy results with a high hit rate (.95), high sensitivity (.92), high specificity (.99), low false positive (.01), and low false negative rate (.08). Lowering the cut score to four resulted in modest improvements in classification accuracy and reduced the false negative rate from .08 to .05. The Spanish translation of a measure of DSM-IV diagnostic criteria for PG demonstrated satisfactory psychometric properties and a cut score of four improved diagnostic precision.     

The Involvement of a Concerned Significant Other in Gambling Disorder Treatment Outcome

Interpersonal distress is a common feature in gambling disorder and adding a concerned significant other (CSO) to the recovery process could be an effective tool for improving treatment outcome. However, little empirical evidence is available regarding the effectiveness of including a CSO to interventions. We aimed to compare treatment outcomes (i.e. compliance with therapy guidelines, dropout from treatment, and relapse during treatment) in a CBT program involving a CSO to CBT treatment as usual (TAU) without a CSO. The sample comprised male gambling disorder patients (N = 675). The manualized CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Patient CSOs attended a predetermined number of sessions with the patient and were provided with resources to acquire a better understanding of the disorder, to manage risk situations, and to aid patients in adhering to treatment guidelines. Patients with a CSO had significant higher treatment attendance and reduced dropout compared to patients receiving TAU. Moreover, patients whose spouse was involved in the treatment program were less likely to relapse and adhered to the treatment guidelines more than those with a non-spousal CSO. Our results suggest that incorporating interpersonal support to gambling disorder interventions could potentially improve treatment outcomes.     

Leading a Large‐Scale Distributed Social Enterprise

Distributed social enterprises with national or international footprints face unique management challenges. To cast a lens on these challenges, we analyze the case of the US‐based social enterprise Goodwill Industries, a century‐old, hybrid nonprofit organization with annual business‐related revenue of more than $5.5 billion. The economic benefits that accrue from this business are used to support a social mission that has continued to evolve for more than 100 years. We explore how Goodwill is organized and how its management works to continually balance economic and social objectives to facilitate long‐term success.     

Rural Community and Rural Resilience: What is important to farmers in keeping their country towns alive?

Many studies have highlighted the phenomenon of rural decline in parts of the developed world, summarised as a loss in agricultural employment leading to a decline in the number and size of rural settlements. This study of small towns in part of Australia’s inland rural “heartland” employs the concepts of interactional rural community of place and rural resilience to identify how farmers perceive their interactions with their local town. This study suggests that robust levels of ongoing engagement between farmers and town communities are important in maintaining rural populations and services along with both a strong local economy and environment. Face-to-face interviews with 115 farmers in two rural regions of New South Wales, Australia, highlight the importance of the local economy and jobs, the quality of the local environment and a strong sense of belonging, in contributing to a strong sense of local community and potential for resilience.     

Challenges to care coordination posed by the use of multiple health IT applications

Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and knowledge issues, and task performance demands (i.e. issues related to individual information processing and management and sharing of information). These challenges can be used as a checklist to evaluate the proposed IT infrastructure that will allow the integration of multiple health IT applications and, therefore, support coordination across transitions of care.     

An equation to predict maximum acceptable loads for repetitive tasks based on duty cycle: evaluation with lifting and lowering tasks

Recently, an equation was developed to predict maximal acceptable effort (MAE) for repetitive tasks based on the product of task frequency and effort duration (ie. duty cycle). This equation has been shown to closely match data from psychophysical studies of the upper extremities. In the current paper, the applicability of this equation was tested on lifting and lowering data from Snook and Ciriello (1991) and was found to fit closely, even at very low duty cycles.     

Organizational listening: Addressing a major gap in public relations theory and practice

An extensive body of literature theorizes public relations as two-way communication, dialogue, and relationships between organizations and their publics. Although there are alternative views, including public relations as advocacy, most theories emphasize dialogue, co-orientation, and relationships incorporating satisfaction, trust, and control mutuality—even to the extent of symmetry. Critical perspectives propose a sociocultural turn that further emphasizes stakeholders’ and societal interests. This analysis draws on a three-country study that reveals a major theory-practice gap and proposes a significant expansion of public relations theory in relation to listening to realize normative notions of public relations and give effect to claims of dialogue and engagement.     

It Takes Two? An Exploration of Processes and Outcomes in a Two‐Session Couple Intervention

Although relationship distress is common, couples often forego professional help due to concerns such as time constraints, financial costs, and stigma. The two‐session relationship checkup is an alternative format of couple intervention developed to address these concerns. In this qualitative study, we interviewed 20 coupled participants and six clinicians to examine the checkup's processes and outcomes. The phenomenological themes that emerged revealed sequential processes by which this format works. Couple themes included client motivation, the therapeutic relationship, and therapeutic change in terms of perceptions and behaviors—particularly with regard to communication. Clinician data largely mirrored these themes. The results suggest the intervention addressed barriers to help‐seeking and may be a viable selective option for at‐risk couples.