Soft Regionalism in Action: Examining Voluntary Regional Councils’ Structures,Processes and Programs

In the United States, the voluntary regional council is the dominant organizational form used by local, state and federal agencies to address regional issues. However, research addressing the details of their operations including their structures, processes and programs has been limited. This article reports on a survey of thirty of these regional councils that are located in large metropolitan areas. The findings indicate that these councils reflect a form of “soft regionalism.” Primarily, they facilitate, coordinate and energize, but they don’t have the more expansive capabilities of consolidations, regional governments and annexations.     

Worksite e-mail health promotion trial: Early lessons

In preparation for an electronic mail (e-mail) and web-based health promotion intervention across multiple worksites, secure, regulatory-compliant, user-friendly e-mail and Internet applications were used to recruit potential participants across worksites, to enroll participants, and to collect baseline health assessment data. Specific hardware and software information technology environments were required of the 19 participating worksites. Sequential e-mails introduced the study and invited participation. Twenty-four percent of all employees (1106 of approximately 4600) provided consent. E-mail delivered a web link for the baseline study assessment, and reminder e-mails were sent to prompt completion. Of those who consented, 888 (80%) completed baseline health and behavior data surveys. An HTML-native web survey software was more stable across computing environments. Using e-mail and web assessment, this research recruited, enrolled, and collected data from more than 850 participants. Technical and operational challenges emerged at each step. Solutions and recommendations are discussed. Overall, this experience suggests that the use of e-mail and web software can facilitate recruitment, enrollment, and data acquisition through direct contact with study participants. This experience yields a series of lessons learned for using e-mail and the Internet to support multi-site trials.     

Measuring Religious Identities in Surveys

The purpose of this article is to acquaint the broader publicopinion research audience with what has been a salient issuewithin the community of scholars of religion. We address thequestion of how best to conceptualize and measure religiousidentities in research on contemporary American society. Weconsider the main approaches to the measurement of religiousidentification with regard to their backgrounds, their assumptionsabout the importance of understanding religious identities inhistorically relevant terms, and the practical considerationsof survey measurement. Using data from the General Social Survey,particularly recent innovative efforts to obtain informationon subjective association with particular religious traditionsand/or movements (e.g., Pentecostal, fundamentalist, evangelical,mainline, or liberal Protestant), we compare the two main approaches:the traditional "denominational" approach, where religious identitiesare assumed to be associated with religious denominations, andthe subjective approach, where religious identities are assumedto be captured by a set of "nondenominational" reference categorieslinked to particular historical religious traditions or socialmovements. We conclude that both approaches have substantialpredictive validity, and the most effective strategy for futureresearch may be one that uses a combination of approaches, ratherthan one that relies entirely on a single method of measurement.     

Juvenile anorexia nervosa: family therapy's natural niche

Juvenile Anorexia Nervosa (AN) is a severe problem both in terms of presenting symptomatology and its tendency toward chronicity. Researchers have consistently shown that family-based approaches are superior to individual approaches for the treatment of juvenile AN. This article addresses the capacity deficit of trained family therapists to treat this disease. The author reviews the effectiveness of Structural Family Therapy as a treatment of juvenile AN and the essential concepts and skills required by the family therapist to treat this disorder. The concepts of therapeutic crisis induction, enactment, and therapeutic intensity are discussed in detail. Recommendations are made for future research.     

Factor analysis of the personal authority in the family system questionnaire

The factor structure of the Personal Authority in the Family System Questionnaire (PAFS-Q) has been used in numerous studies, but the factor structure has not been examined since its development in 1984. This study examined the factor structure of the PAFS-Q. Findings suggest a six-factor solution with important differences from those reported when the PAFS-Q was developed. The main differences between this study and the original factor analysis are that this study found separate Mother and Father Intimacy factors instead of a single Intergenerational Intimacy factor and the original Spousal Fusion and Spousal Intimacy factors were not separate factors in the current study. Implications and future directions for research are also discussed.     

From probation to prevention: protecting college students and workers from animal hazards

OBJECTIVE: Our objective was to develop an organized system to assess individual and group exposure to animal hazards on a college campus. MAIN POINTS: The scope and complexity of college health services continue to expand as campuses confront unforeseen exposures and disease entities. Of great concern are students and faculty who are exposed to potentially life threatening and other serious conditions during their academic work. CONCLUSION: A college health service developed an effective animal-hazard surveillance questionnaire that could be scanned and analyzed for individual and group exposure to hazards and the presence or absence of protective measures. The college then provided appropriate preventive services.     

Muscle-power quality: does sex or race affect movement velocity in older adults?

To determine sex and race differences in muscle power per unit of muscle contraction, knee-extensor muscle power normalized for knee-extensor muscle volume was measured in 79 middle-aged and older adults (30 men and 49 women, age range 50-85 years). Results revealed that women displayed a 38% faster peak movement velocity than men and African Americans had a 14% lower peak movement velocity than Whites of a similar age when expressed per unit of involved muscle (p < .001). As expected, men exhibited greater knee-extensor strength and peak power per unit of muscle than women, but women had a faster knee- extension movement velocity per unit of muscle than men at the same relative strength level. Moreover, African Americans had greater knee-extensor muscle volume than Whites but exhibited lower knee-extensor strength and lower movement velocity per unit of muscle when tested at the same relative strength levels.     

The Social Work Assessment Tool (SWAT)

This paper reports on the last of three National Hospice and Palliative Care Organization initiatives to move hospice and palliative care social workers into the patient/family outcomes arena: the development of the Social Work Assessment Tool. The experience of a team of practitioners and researchers is described, including results of two pilot studies and subsequent SWAT revisions. The major focus is on the current model performance improvement project, in which 19 social workers from 14 hospice and palliative care programs used the SWAT with 101 patients and 81 primary caregivers for a median of 44 days. Quantitative analysis indicated significant improvement in SWAT scores for patients from the first to the second social work visit (t = -2.60, df = 47, p .01). Qualitative interviewing of the social workers indicated some lack of readiness in the field to conduct quantitative outcomes measurement. Additional measures are needed in addition to the SWAT, including qualitative measures, and measures of mezzo and macro practice. Participants indicated that the SWAT was appropriate for use with economically and culturally diverse clients.     

Development of a Dose‐Response Model for SARS Coronavirus

In order to develop a dose‐response model for SARS coronavirus (SARS‐CoV), the pooled data sets for infection of transgenic mice susceptible to SARS‐CoV and infection of mice with murine hepatitis virus strain 1, which may be a clinically relevant model of SARS, were fit to beta‐Poisson and exponential models with the maximum likelihood method. The exponential model (k= 4.1 × l0²) could describe the dose‐response relationship of the pooled data sets. The beta‐Poisson model did not provide a statistically significant improvement in fit. With the exponential model, the infectivity of SARS‐CoV was calculated and compared with those of other coronaviruses. The does of SARS‐CoV corresponding to 10% and 50% responses (illness) were estimated at 43 and 280 PFU, respectively. Its estimated infectivity was comparable to that of HCoV‐229E, known as an agent of human common cold, and also similar to those of some animal coronaviruses belonging to the same genetic group. Moreover, the exponential model was applied to the analysis of the epidemiological data of SARS outbreak that occurred at an apartment complex in Hong Kong in 2003. The estimated dose of SARS‐CoV for apartment residents during the outbreak, which was back‐calculated from the reported number of cases, ranged from 16 to 160 PFU/person, depending on the floor. The exponential model developed here is the sole dose‐response model for SARS‐CoV at the present and would enable us to understand the possibility for reemergence of SARS.