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Eating and Exercise Disorders in Young College Men

Abstract

The authors used the computerized Eating and Exercise Examination to investigate eating, weight, shape and exercise behaviors in a convenience sample of 93 male college students. One fifth of the men worried about their weight and shape, followed rules about eating, and limited their food intake. Between 9% and 12% were unhappy with their body shape, felt fat, and seriously wanted to lose weight. Exercise was important for the self-esteem of 48% of the students. Thirty-four percent were distressed when they could not exercise as much as they wanted, 27% followed rules about exercising, and 14% worried about the amount of exercise they were doing. The respondents met clinical diagnoses for objective binge eating (3%), self-induced vomiting (3%), bulimia nervosa (2%), and exercise disorders (8%). Although 9% reported disordered eating, none had sought treatment. Health professionals should be aware that eating and exercise disorders may be present in college men and that screening may help in the early identification of these problems.     

The Staff-Designed Medical Audit

Abstract

The presentation describes a cyclic process of patient-care evaluation especially suited for use in ambulatory care settings. The cycle is discussed in detail, beginning with topic selection and moving through all steps to the final activity, reevaluation. Rather than assessment of a single individual's competence, the development of a composite profile of performance for the group is made possible through examination of the four perspectives of prevention, investigation, management, and outcome. The standards, or criteria, are developed by those whose performance is to be evaluated, thus assuring a high degree of commitment to the process.

In the 2 1/2 years' experience with the use of such staff-designed audit at one health service, 10 of 11 re-audits, performed after intervals of 6 to 12 months, have demonstrated improvement in performance when measured against the same criteria. Each of 13 new topics considered during this period has provided subject matter for staff meetings, either through general discussions, review of pertinent literature, or presentations by invited speakers. Such data provide supporting evidence for the concept that a nonpersonalized, internally-developed assessment process can elicit significant commitment to improved patient care and to ongoing education.     

Transitioning Through College With Diabetes: Themes Found in Online Forums

Abstract

Objective: Content analysis of Internet-based diabetes forum text was used to examine the experiences encountered by students with diabetes transitioning into and through college. Participants: Forum posts (N = 238) regarding attending college with diabetes were collected and analyzed. Methods: Thematic coding was used to identify prominent topics, followed by analysis of theme distribution across college transitional stages. Three students with diabetes were recruited to review results and corroborate findings. Results: Twenty thematic categories were identified. Preparation for college involved efforts to move toward autonomous diabetes management. Transitioning in was marked by adjusting to a college lifestyle, then working to manage issues such as busy schedules and alcohol use as continuing students, and turning attention toward future career options and finances while transitioning out. Conclusions: As they move into and through college, students with diabetes negotiate developmental and diabetes-specific tasks within an environment that presents unique logistical, lifestyle, and psychological challenges.     

Disparities in Human Papillomavirus Vaccine Literacy and Vaccine Completion Among Asian American Pacific Islander Undergraduates: Implications for Cancer Health Equity

Abstract

Purpose: Low rates of human papillomavirus (HPV) vaccination among young Asian American and Pacific Islander (AAPI) women need to be addressed, particularly given the high incidence of cervical cancer in this population. The current study aims to investigate predictors of HPV vaccination in young AAPI and non-Latina white (NLW) women. Methods: A secondary data analysis was conducted of a health survey administered to college-aged women (N = 2,270) at a large public university in the Midwest. Andersen's behavioral model of health services utilization guided the study theoretically, and hierarchical logistic regression analysis was conducted to investigate research aim. Results: NLW women had a significantly higher rate of vaccine completion than AAPI women (NLW = 60.7%; AAPI = 38.6%). NLW women also scored higher on all 5 measures of HPV vaccine literacy than AAPI women. Both groups of undergraduate women reported that increasing age, knowledge about HPV, greater use of gynecological services, and knowing someone who had cancer were significant factors related to HPV vaccination completion. In the NLW group, father's income was also found to be a predictor of HPV vaccination completion. Conclusions: Rate and predictors of HPV vaccination completion vary between NLW and AAPI women. Greater promotion of HPV literacy and gynecological service use should be made to young AAPI women to increase their HPV uptake. Further research should examine sociocultural factors that could hinder or promote HPV vaccination in young AAPI women.     

Strengthening Resource Mobilization Chains: Developing the Social Media Competencies of Community and Voluntary Organizations in New Zealand

There is potential for nonprofit organizations to increase effectiveness by mobilizing social media to help achieve goals. However, the sector is only just becoming aware of the possibilities for social media and lags behind other sectors in its use. We report a New Zealand initiative to enhance the capability of nonprofit organizations through action research that has implications for nonprofit organizations elsewhere. Borrowing from resource mobilization theory, we introduce the concept of resource mobilization chains to explain the requirements for and obstacles to taking advantage of social media. A survey and two in-depth case studies found that nonprofit organizations demonstrated extremely limited familiarity with and use of social media. Participants were enthusiastic about the potential of mobilizing social media to achieve organizational goals, but struggled to take concrete steps to implement their aspirations. Lack of resources was a key obstacle identified in both survey and case study research.     

Return to work: A comparison of two cognitive behavioural interventions in cases of work-related psychological complaints among the self-employed

We investigated the effectiveness of cognitive behavioural therapy (CBT) and a combined intervention of workplace- and individual-focused techniques among self-employed people on sick leave owing to work-related psychological complaints (such as anxiety, depression, and burnout). Both interventions were based on CBT; however, one was conducted by psychotherapists and involved extensive CBT, while the other was delivered by “labour experts” and consisted of a brief CBT-derived intervention combined with both individual-focused and workplace interventions. One hundred and twenty-two self-employed people who had applied for sickness benefit from an insurance company enrolled in a randomized controlled design. These individuals were assessed before the intervention and then at 4 months and 10 months after the onset of the intervention. The outcome was assessed based on duration of sick leave until partial and full return to work and on psychological complaints. Significant effects on partial and full return were found in favour of the combined intervention: partial return occurred 17 and 30 days earlier in this group than in the CBT group and the control group, respectively. For full return to work, the difference was approximately 200 days. A decrease in psychological complaints was present in each condition but we found no significant interaction effects. The results suggest that work resumption should be addressed earlier in individuals receiving CBT. This insight is of value for the (scarce) literature concerning interventions for individuals who are on sick leave owing to work-related psychological complaints.     

How listeners shape what tellers tell: Patterns of interaction in lifestory interviews and their impact on reminiscence by elderly interviewees

How older adults reminisce about their lives to others depends in part on who is listening, and on the relationship that they and their listeners establish. To support this hypothesis, findings are presented from a narrative analysis of 12 lifestory interviews done by 3 interviewers (4 interviews each: 2 with males; 2 with females) with people 80 and older living in a largely rural area of Eastern Canada. The interviewers have distinctive listening styles and come from significantly different backgrounds. One is a man, and former minister, from the immediate region; another, a woman from a large European city; the third, a younger woman from an urban centre in Western Canada. The paper takes advantage of the opportunity inherent in having 3 interviewers rather than only 1 and compares patterns that characterized the various interviewer–interviewee interactions and the impact of such patterns on how interviewees talked about their lives. Speculations are offered concerning how different listeners might have elicited reminiscences on different themes or of different types from the same tellers.