Quality of Life Enhancement Research Program: Lessons Learned

The attempted Quality of Life Enhancement program appeared to be a novel method for creating a symbiotic and sustainable relationship between a large Southeastern university and local nursing home and assisted living facilities (ALF), through which ALF residents would attend university arts and sporting events. During implementation, it was discovered that this project was unsustainable, undesired, unneeded by many care centers, difficult to implement, and required a dedicated and specialized staff. After attempting to enroll 14 local care facilities, only 2 were interested in becoming involved and produced 5 eligible participants. During the program itself, coordination with facilities and residents was difficult to maintain and unique transportation and accommodation needs were challenging to overcome. Finally, data collection was time consuming and generally unfruitful. Ultimately the project was discontinued after a year of attempted recruitment and implementation of inclusive changes to protocol. While creating an ongoing relationship with local care facilities and local universities may enhance opportunities for residents and research into important areas, such relationships take time, effort, and specialized staff to maintain.     

Bioecological Implications of Narrative Exposure Therapy in Low‐Resource Settings: Individual,Family, Community,and Socio‐Political Contexts

Traumatic stress can have detrimental effects on individuals, families, and communities. Narrative exposure therapy (NET) is an evidence‐based intervention for decreasing individuals’ post‐traumatic stress disorder (PTSD) symptoms and has been tested in some of the most challenging contexts, such as in post‐conflict refugee camps. Although the focus of NET is on reducing individual PTSD symptoms, the impact of NET can be seen beyond the individual level. The purpose of this paper is to examine some of the ecological implications of using NET with trauma‐affected populations in low‐resource settings. We describe the implications of NET at the family, community, and sociopolitical levels using several case examples. Finally, we outline limitations and future directions for improving the delivery of NET in settings with limited resources.     

A DECISION THEORY EXAMPLE IN FOOTBALL

In the 1967 Harvard-Cornell football game, Harvard was ahead 14–0 late in the game when Cornell scored two touchdowns. On both occasions, Cornell tried and failed on the two-point conversion attempt and lost the game 14–12. Postgame arguments were divided on the merits of Cornell's strategy. For this frequently occurring scenario in college football, we derive a maximum expected utility decision rule for the decision of kicking versus running/passing based on the relative utility of a win, a tie, or a loss and the probabilities of success with a kick as opposed to a run/pass.     

Toward Father‐friendly Parenting Interventions: A Qualitative Study

Levels of father participation in parenting interventions are often very low, yet little is known about the factors which influence father engagement. We aimed to qualitatively explore perceived barriers to, and preferences for, parenting interventions in a community sample of fathers. Forty‐one fathers across nine focus groups were interviewed using a semi‐structured interview. Data were analysed using inductive thematic analysis. Key barriers to father participation identified included: the perception that interventions are mother‐focused; beliefs about gender roles regarding parenting and help‐seeking; mothers’ role as ‘gatekeeper’; lack of knowledge and awareness of parenting interventions; and lack of relevance of interventions. Fathers reported preferences for specific content and intervention features, facilitator characteristics, practical factors, and highlighted the need for father‐targeted recruitment and advertising. Many of the barriers and preferences identified are consistent with previous research; however, fathers’ beliefs and attitudes around gender roles and help‐seeking, as well as the perception that interventions are predominantly mother‐focused, may be key barriers for community fathers. Strategies to overcome these barriers and better meet the needs of fathers in promoting and delivering parenting interventions are discussed.     

Social environments with competitive pressure: Gender effects in the decisions of German schoolchildren

Systematic differences in decision making between genders have been discovered in both competitive and pro-social environments. These contexts, however, have been previously studied in isolation while in naturally occurring settings pro-social and competitive pressures often overlap in economically meaningful ways. Here we report data from an experiment involving German schoolchildren where dictators are in one town and receivers in another. Our experiment informs decision making in social environments that include differing levels of competitive pressure. We find that competitive pressure significantly mitigates pro-sociality in boys, while it does not affect girls’ propensities to make fair decisions. This finding is robust to controlling for social and cognitive factors, and it may shed additional light on the evolutionary roots of human social preferences.     

Immigrant Gateways and Hispanic Migration to New Destinations1

Our understanding of the underlying demographic components of population change in new Hispanic destinations is limited. In this paper, we (1) compare Hispanic migration patterns in traditional settlement areas with new growth in emerging Hispanic destinations; (2) examine the role of immigration vis‐à‐vis domestic migration in spurring Hispanic population redistribution; and (3) document patterns of migrant selectivity, distinguishing between in‐migrants and non‐migrant Hispanics at both the origin and destination. We use several recent datasets, including the 1990 and 2000 Public Use Microdata Samples (which include new regional geocodes), and the 2005 and 2006 files of the American Community Survey. Our results document the widespread dispersion of the Hispanic population over the 1990–2006 period from established Hispanic gateways into new Hispanic areas and other parts of the country. Nearly one‐half of Hispanic net migration in new destinations comes from domestic gains. In contrast, both established and other Hispanic areas depend entirely on immigration, with each losing domestic migrants to high growth areas. Migrant flows also are highly differentiated by education, citizenship, and nativity. To fully understand the spatial diffusion of Hispanics requires a new appreciation of the complex interplay among immigration, internal domestic migration, and fertility.     

The effects of direct experience on consumer product evaluation

The effects of different sales strategies on consumer product evaluation were investigated. It was expected that direct product experience could decrease economic product valuation. Experiments 1 and 2 studied the effects of product trials and money-back guarantees on consumer willingness to pay (WTP). It appeared that WTP was significantly lower after a product trial than with a money-back guarantee or normal sale. In Experiment 3 a structural equation model showed that product trials had a positive effect on attitude toward the product. Also, a negative effect on WTP was found when the effect was measured directly, but a positive effect when the effect was measured indirectly (through attitude).     

Assessing the Gender Invariance of the Modern Homonegativity Scale

The measurement invariance of the Modern Homonegativity Scale (MHS) was examined among heterosexual female (n = 449) and male (n = 329) university students who were predominantly Mexican American. The MHS demonstrated full invariance of factor loadings and partial invariance of latent intercepts. At the latent mean level, heterosexual men compared to heterosexual women held more negative attitudes toward both gay men and lesbian women. There were no latent mean differences in attitudes toward gay men and lesbian women when rated by either heterosexual men or heterosexual women. The MHS can be used by heterosexual men and heterosexual women to assess their homonegativity.     

Machine Learning for Drug Overdose Surveillance

ABSTRACT

We describe two recently proposed machine learning approaches for discovering emerging trends in fatal accidental drug overdoses. The Gaussian Process Subset Scan (Herlands, McFowland, Wilson, & Neill, 2017 Neill, D. B. (2017). Multidimensional tensor scan for drug overdose surveillance. Journal of Public Health Informatics, 9(1), e20. doi:10.5210/ojphi.v9i1.7598[Crossref] , [Google Scholar]) enables early detection of emerging patterns in spatio-temporal data, accounting for both the complex, correlated nature of the data and the fact that detecting subtle patterns requires integration of information across multiple spatial areas and multiple time steps. We apply this approach to 17 years of county-aggregated data for monthly opioid overdose deaths in the New York City metropolitan area, showing clear advantages in the utility of discovered patterns as compared to typical anomaly detection approaches. To detect and characterize emerging overdose patterns that differentially affect a subpopulation of the data, including geographic, demographic, and behavioral patterns (e.g., which combinations of drugs are involved), we apply the Multidimensional Tensor Scan (Neill, 2017 Neill, D. B. (2017). Multidimensional tensor scan for drug overdose surveillance. Journal of Public Health Informatics, 9(1), e20. doi:10.5210/ojphi.v9i1.7598[Crossref] , [Google Scholar]) to 8 years of case-level overdose data from Allegheny County, Pennsylvania. We discover previously unidentified overdose patterns which reveal unusual demographic clusters, show impacts of drug legislation, and demonstrate potential for early detection and targeted intervention. These approaches to early detection of overdose patterns can inform prevention and response efforts, as well as understanding the effects of policy changes.