Medical students' and tutors' experiences of directed and self-directed learning programs in evidence-based medicine: a qualitative evaluation accompanying a randomized controlled trial

This qualitative study aims to interpret the results of a randomized controlled trial comparing two educational programs (directed learning and self-directed learning) in evidence-based medicine (EBM) for medical students at the University of Oslo from 2002 to 2003. There is currently very little comparative educational research in this field. In the trial, no statistically significant differences between the study groups were shown for any outcomes considered (EBM knowledge, skills, and attitudes). Further analysis suggests that main reason for the negative trial results was that the majority of students learned equally effectively, whichever program they received, although implementation of the educational programs was not complete because of varying attendance. This study illustrates a stepwise evaluation model that might be useful in evaluating other socially complex interventions.     

Development and evaluation of the abortion attributes questionnaire

This paper describes the development and evaluation of the Abortion Attributes Questionnaire (AAQ), an instrument designed to assess the perceived importance of specific characteristics of abortion methods. Women receiving medical abortions ( n = 186) and women who chose surgical procedures ( n = 118) completed the AAQ. Participants were asked to rate how important each of 21 characteristics would be "when choosing between surgical and medical abortion." Factor analyses revealed that the AAQ consists of four factors and, as subscales, the factors have good internal reliability. The validity of the AAQ was established through discriminant function analysis and results indicated that three of the four factors predicted choice. Taken together, these findings provide empirical support for the constructs measured by the AAQ .     

Ethical and psychosocial issues raised by the practice in cases of mistreatment of older adults

Intervention regarding older adult mistreatment raises many questions for practitioners. They have to interact with the victim, the abuser, and, in many cases, with both of them at the same time. In such cases, five themes emerge from the literature review on psycho-social and ethical issues in practice: practitioners' pre-construction and axiological frameworks, victims' capacity, confidentiality versus collaboration between practitioners or between agencies, social and family responsibilities and the balance between competing values in practice. Practitioners are well placed to offer a critical reflection on their practice and on ways of improving it. The goal of our qualitative study is to identify issues and ethical dilemmas in elderly mistreatment situations as represented in the discourses of practitioners in reference to interventions in their psychosocial practice. Sixteen practitioners from the public and community (non-profit organization) sectors were interviewed using a practice history approach. This paper presents the main ethical and psychosocial issues raised by practitioners and some ideas to improve the practice. It is motivated by the crucial question haunting the practitioners' minds: "How far should we go?"     

Dempster's combination rule and sufficient statistics

In his articles (1966-1968) concerning statistical inference based on lower and upper probabilities, Dempster refers to the connection between Fisher's fiducial argument and his own ideas of statistical inference. Dempster's main concern however focuses on the “Bayesian” aspects of his theory and not on an elaboration of the relation between Fisher's and his ideas. This article attempts to work out the connection between those two approaches and focuses primarily on the question, whether Dempster's combination rule, his upper and lower probabilty based on sufficient statistics and inference based on sufficient statistics in Fisher's sense are consistent. To be adequate to Fisher's reasoning, we deal with absolutely continuous, one parametric families of distributions.This is certainly not the usual assumption in context with Dempster's theory and implies a normative but straightforward definition concerning the underlying conditional distribution; this definition however is done in Dempster's spirit as can be seen from his articles, (1966, 1968,a,b). Under those assumptions it can be shown that - similar to Lindley's results concerning consistency in fiducial reasoning (1958) - the combination rule, Dempster's procedure based on sufficient statistics and fiducial inference by sufficient statistics agree iff the parametric family under consideration can be transformed to location parameter form.     

Darling–Erdős limit results for change-point detection in panel data

We wish to test the null hypothesis if the means of N panels remain the same during the observation period of length T. A quasi-likelihood argument leads to self-normalized statistics whose limit distribution under the null hypothesis is double exponential. The main results are derived assuming that the each panel is based on independent observations and then extended to linear processes. The proofs are based on an approximation of the sum of squared CUSUM processes using the Skorokhod embedding scheme. A simulation study illustrates that our results can be used in case of small and moderate N and T. We apply our results to detect change in the “corruption index”.     

The understudied half of undergraduates: Risky sexual behaviors among community college students

Abstract

Objective: This study examines the prevalence and risk factors associated with risky sexual behaviors in community college students. Participants: A diverse sample of 18–19-year-old community college students (N?=?264). Methods: Baseline data from an online prevention program administered in 2015. Results: Community college students in this sample disproportionately experienced sexual assault and were unlikely to test for STIs. Higher intentions to engage in risky sexual behaviors were associated with gender and sexual experience, but also with having lower intentions to communicate with a sexual partner about pregnancy and STIs, and having higher gender norm endorsement. Conclusions: Older adolescents attending community colleges may be at high risk for poor sexual health outcomes, and appropriate theory-based education should be tailored to meet the needs of these underserved students.     

Deviant Peers and Adolescent Risky Behaviors: The Protective Effect of Nonverbal Display of Parental Warmth

This study examines whether nonverbal displays of parents’ warmth during an in‐lab conflict discussion mitigate the links between affiliation with deviant peers and risky behaviors. A sample of 107 youth and their parents participated in a study spanning from mid‐adolescence (T1) to late adolescence (T2). At T1, family members discussed a contentious issue, which was coded for parents’ nonverbal warmth. At T1 and T2, youth reported on their friends’ and their own risky behaviors. Fathers’ warmth moderated each prospective association between deviant peers and risky behaviors. Mothers’ warmth did not emerge as a significant moderator. Girls, in particular, benefitted from fathers’ warmth as a buffer in the trajectory from T1 risky behaviors to T2 risky behaviors and deviant peers.