Dissemination to research subjects: operationalizing investigator accountability

Recent articles have argued from principles of bioethics for the right of research subjects to receive the results of the studies in which they have participated. We argue that accountability is a powerful tool of meso-level analysis appropriate to reasoning about answerability in research ethics, and that it captures the responsibility of researchers to disseminate study results to research subjects. We offer the following features of the research situation as relevant to the manner of dissemination to study subject, in addition to factors already proposed in the literature (risk and impact on health outcome): (a) features of the research subject in relation to identity, personal investment, disease, and community; (b) characteristics of the research study and field of inquiry in relation to certainty and significance; and (c) relationships among the research subjects and the healthcare workers involved in their care and in the research.     

Evidence-Based Programs for Older Adults: A Disconnect Between U.S. National Strategy and Local Senior Center Implementation

While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine the extent to which these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging [AAAs]) and community levels (senior Centers [SCs]). Interviews were conducted with directors of four AAAs and 12 SCs to understand their perspectives on EB program implementation. Narratives revealed differences between AAAs and SCs regarding knowledge about EB programs and reasons to promote and adopt these programs. The only agreement occurred when discussing concerns about funding and program inflexibility. Substantial gaps exist between how EB lifestyle programs are promoted and implemented at the regional and community levels.     

The importance of ergonomics to sustainability throughout a building's life cycle

Protecting and conserving environmental resources is a global concern. Over the past decade, a number of certification processes have emerged to help designers and operators of buildings assess the potential impact of a building on the environment. Certifications such as the Leadership in Energy and Environmental Design (LEED) consider the environmental impact through the lifecycle of a building, but may not be considering the people that construct and utilize it. It is important to remember the human factor. Considering the human factor throughout the lifecycle is crucial to ensure individuals are protected during construction and in operation in the built environment. The paper highlights how ergonomics can be integrated into the life cycle of a building to promote sustainability goals for both the human factor and the environment. A case study approach will be used to illustrate how ergonomics was integrated into a LEED renovation and expanded into its daily operations on a large university campus..     

Missing siblings: seeking more adequate social responses

Little is known about the experience of family and friends when a young adult goes missing, less is known about how siblings make sense of the experience. Police assistance to locate the missing person may be sought but there is little recognition of going missing or missingness as a social issue, and there is little or no adequate social response to the needs of those left behind. This paper links knowledge of siblings, loss and grief to an understanding of this phenomenon. It presents the methodology and findings of an exploratory, qualitative study into the experiences of nine adult siblings of long-term missing people in Australia and presents the themes drawn from their accounts. The themes are briefly elaborated using direct quotations from participants in the study and represented in a diagram. The paper seeks to develop greater understanding of the inter-relationship between missingness and other social issues, to give voice to the views of participants and to encourage practitioners to engage more purposefully in work with family and friends affected by this issue. Some implications for social work practice are presented.     

Vocal determinants of first impressions of young children

Audiotapes of the voices of77 preschool children were prepared. Subjects listened to the tapes, and then provided their impressions of the competence, leadership, dominance, warmth, and honesty of the children. Judgments of the voices' babyishness and attractiveness were also obtained. Perceivers reliably discriminated the children's voices along the dimensions of babyishness and attractiveness. Moreover, analyses revealed that the previously documented impact of these characteristics on first impressions of adults extends to impressions of young children. The similarity of the effects of these characteristics on impressions formed about children to those revealed for adults suggests that vocal qualities may have an impact on personality development via a process of self-fulfilling prophecy.     

If and When Sociology Becomes a Female Preserve

This article investigates recent data on the prevalence of women in the field of sociology in order to understand whether or not the discipline has become a female preserve. Data on the top sociology departments in the USA were collected in 2007. For each university, we document the number of full time, tenured and tenure-track faculty members and present the gendered makeup of the department. Our data present mixed findings with regard to the question of whether the field is tipping toward female. Women, overall, are underrepresented in the sociology programs sampled, but a larger percentage of women occupy tenured positions within the top liberal arts programs than at the top graduate programs. And, women occupy a slim majority of assistant professor positions but have lower numbers at higher academic ranks. We can say with reasonable certainty that, while the proportion of women doctorates and assistant professors indicate a feminization of sociology, the entire discipline has not yet tipped toward female.     

ON THE EFFICIENCY OF THE QUASI-LIKELIHOOD ESTIMATORS FOR EXPONENTIAL FAMILIES WITH EXTRA VARIATION

Bounds are obtained for the asymptotic efficiency of the quasi-likelihood estimator relative to the likelihood estimators for exponential families with random variables in the exponent. We conclude that the quasi-likelihood is very efficient in the Poisson case for small means or small extra variation.     

Expanding the focus of cost–benefit analysis for food safety: a multi-factorial risk prioritization approach

A pressing need in the area of food safety is a tool for making overall, macro-judgments about which risks should be given priority for management. Governments often seek to base this prioritization on public health impacts only to find that other considerations also influence the prioritization process. A multi-factorial approach formally recognizes that public health, market-level impacts, consumer risk preferences and acceptance, and the social sensitivity of particular risks all play a role in prioritization. It also provides decision-makers with a variety of information outputs that allow risk prioritization to be considered along different dimensions. Macro-level prioritization of risks based on multiple factors is an important expanded use of cost–benefit analysis to manage risk.     

Campus–Community Partnerships: The Terms of Engagement

The emergence of service–learning in higher education and the renewed emphasis on community involvement presents colleges and universities with opportunities to develop campus–community partnerships for the common good. These partnerships can leverage both campus and community resources to address critical issues in local communities. Campus–community partnerships are a series of interpersonal relationships between (a) campus administrators, faculty, staff, and students and (b) community leaders, agency personnel, and members of communities. The phases of relationships (i.e., initiation, development, maintenance, dissolution) and the dynamics of relationships (i.e., exchanges, equity, distribution of power) are explored to provide service–learning instructors and campus personnel with a clearer understanding of how to develop healthy campus–community partnerships.     

“How May I Help You?” Improving Telephone Customer Service in a Medical Clinic Setting

The current study was carried out per management request to improve the overall quality of telephone customer service among appointment coordinators in a medical clinic. Exceptional telephone customer service included (a) using a standard greeting, (b) speaking in the appropriate tone of voice throughout the call, and (c) answering every call received by the unit. A preintervention analysis suggested that performance deficiencies resulted from weak antecedents, poor knowledge and skills, and weak performance contingencies. Task clarification, goal setting, feedback, and performance-contingent consequences were combined to improve these customer service behaviors for 20 full-time appointment coordinators at the clinic. The study used an ABÁ reversal design with weekly maintenance and 5-month follow-up observations. Introduction of the multicomponent intervention produced visible improvements in greeting (38% increase) and friendly voice tone (22% increase) behaviors; performance was maintained above baseline levels at 5 months postmaintenance. Abandon rates (the percentage of calls not answered by a live voice) remained fairly stable, on average. Findings support the use of a multicomponent intervention to increase telephone customer service behavior in medical clinic settings.