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121.
One specific area of communication that has the potential to elicit a wide range of outcomes, such as enhancing a couple's feelings of intimacy, offending one or both partners causing conflict, improving the communication climate within the relationship, or embarrassing the partners involved, is the discussion of sex. The current project theorized how to initiate and maintain sexual coaching conversations, taught participants the components of skillful and unskillful messages in an online training program, and then evaluated the overall effectiveness of said program. Forty couples participated in an online sexual coaching training program and completed several pretest and posttest measures. Results reveal that participation in the training program led to an increase in sexual and relationship satisfaction, a decrease in sexual communication apprehension, and an increase in sexual coaching knowledge and skill. These results, along with the value of interventive research and the implications of this training program, are discussed. 相似文献
122.
Marie-Clare Balaam Gill Thomson 《Women and birth : journal of the Australian College of Midwives》2018,31(5):e341-e347
Problem
The persistence of health inequalities in pregnancy and infancy amongst vulnerable/marginalised groups in the UK.Background
During pregnancy and early motherhood some women experience severe and multiple psychosocial and economic disadvantages that negatively affect their wellbeing and make them at increased risk of poor maternal and infant health outcomes.Aim
To explore vulnerable/marginalised women’s views and experiences of receiving targeted support from a specialist midwifery service and/or a charity.Methods
A mixed-methods study was undertaken that involved analysis of routinely collected birth-related/outcome data and interviews with a sample of vulnerable/marginalised women who had/had not received targeted support from a specialist midwifery service and/or a charity. In this paper we present in-depth insights from the 11 women who had received targeted support.Findings
Four key themes were identified; ‘enabling needs-led care and support’, ‘empowering through knowledge, trust and acceptance’, ‘the value of a supportive presence’ and ‘developing capabilities, motivation and confidence’.Discussion
Support provided by a specialist midwifery service and/or charity improved the maternity and parenting experiences of vulnerable/marginalised women. This was primarily achieved by developing a provider–woman relationship built on mutual trust and understanding and through which needs-led care and support was provided — leading to improved confidence, skills and capacities for positive parenting and health.Conclusion
The collaborative, multiagency, targeted intervention provides a useful model for further research and development. It offers a creative, salutogenic and health promoting approach to provide support for the most vulnerable/marginalised women as they make the journey into parenthood. 相似文献123.
124.
Seeking social justice in education for pupils with disabilities creates certain dilemmas. A ‘school for all’ means that educators are faced with the dilemma whereby the notion of ‘disability’ is perceived as ought not to matter but where in actual fact it seems to matter very much! This article explores ways out of this general educational dilemma using the context of physical education (PE) for pupils with physical disabilities within the compulsory school as an example. Justice theories of resource distribution and cultural recognition affect educational outcomes, where the demand is for justice and equity. Fraser’s notion of ‘social status’, together with a pluralistic approach to identities where personal experiences are given a place, is used to suggest a solution to the dilemma. It is concluded that a redistribution of economic resources and social recognition is necessary if social justice within PE is to become a reality. 相似文献
125.
Gill Kirton 《Gender, Work and Organization》1999,6(4):213-223
Against the background of heavy membership decline, the increasing importance of women as a source of members for unions and union efforts to attract women into membership, this paper explores the nature of women's union activism. The focus is on why women stay active in unions. The paper employs Klandermans' model as a framework for examining senior union women's activism. This study suggests that the model is gendered in that women's experiences and perceptions of trade unions are highly gender specific and further that their union activities are underpinned by a feminist paradigm. The women in the study expressed a strong desire to ensure that the union works for women, indicative of the gendered nature of their commitment to the union. They revealed gendered bargaining priorities and thus gendered perceptions of union instrumentality. Their social integration within the union is shown to be highly or partially contingent upon, formal and informal women's support networks. 相似文献
126.
127.
Studies of disability dynamics and active life expectancy often rely on transition rates or probabilities that are estimated
using panel survey data in which respondents report on current health or functional status. If respondents are contacted at
intervals of one or two years, then relatively short periods of disability or recovery between surveys may be missed. Much
published research that uses such data assumes that there are no unrecorded transitions, applying event-history techniques
to estimate transition rates. In recent years, a different approach based on embedded Markov chains has received growing use.
We assessed the performance of both approaches, using as a criterion their ability to reproduce the parameters of a “true”
model based on panel data collected at one-month intervals. Neither of the widely used approaches performs particularly well,
and neither is uniformly superior to the other. 相似文献
128.
Kathryn J. Gill Laura M. Heath Jeffrey Derevensky Jill Torrie 《Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming》2016,32(2):441-457
A detailed survey of gambling, addiction and mental health was conducted with randomly selected respondents (n = 506) from four Cree communities of Northern Quebec. The study examined the current patterns of gambling in relation to demographic, social, and psychological factors. Instruments included the Canadian Problem Gambling Index, Addiction Severity Index, Beck Depression Inventory and the computerized Diagnostic Interview Schedule for psychiatric diagnoses. Overall, 69.2 % of the total sample participated in any gambling/gaming activities over the past year; 20.6 % of this group were classified as moderate/high risk gamblers, and 3.2 % were classified in the highest “problem gambling” category. Considering the entire sample, the overall prevalence of problem gambling was 2.2 %. Women were significantly more likely to play bingo (56.6 %) compared to men (35.1 %) and they played more frequently; 20.8 % of women versus 3.8 % of men played once/week or more often. Compared to the no/low risk gamblers, a greater proportion of moderate/high risk gamblers were cigarette smokers (44.8 vs. 56.3 %), they were more likely to meet DSM-IV diagnostic criteria for alcohol dependence (21.2 vs. 46.2 %), and they were more likely to report moderate to severe depressive symptoms in the past month. Risk factors for problem gambling included traumatic life events (physical and emotional abuse), anxiety and depression, as well as drug/alcohol abuse. The high rates of comorbidity between problem gambling, tobacco dependence, substance abuse and other psychological problems demonstrate that gambling among some Cree adults is part of a pattern of high-risk factors for negative long-term health consequences. The results also have implications for treatment, suggesting that interventions for gambling disorders should not focus on gambling alone but rather the constellation of high-risk behaviours that pose a risk to recovery and well-being. 相似文献
129.
In this article, the design-oriented two-stage multiple three-decision procedure is proposed to classify a set of normal populations with respect to a control under heteroscedasticity. The statistical tables of percentage points and the power-related design constants, to implement our new two-stage procedure, are given. Sometimes when the sample for the second stage is not available, the one-stage data analysis procedure is proposed. Classifying a treatment better than control when it is actually worse (and vice versa) is known as type III error. Both the two-stage and one-stage procedures control the type III error rate at a specified level. The relationship between the two-stage and one-stage procedures is discussed. Finally, the application of the proposed procedures is illustrated with an example. 相似文献
130.