The Maine Savvy Caregiver Project: Translating an Evidence-Based Dementia Family Caregiver Program Within the RE-AIM Framework

This article presents findings of a 3-year Savvy Caregiver Program translational study designed with the RE-AIM framework to create a statewide sustainable infrastructure and improve dementia family caregiver outcomes in one rural state. The RE-AIM dimensions—reach, effectiveness, adoption, implementation and maintenance—were evaluated using mixed methods. The program reached 770 caregivers and 87.7% (n = 676) participated in the study with 60.5% (n = 409) residing in rural locations. Participants demonstrated improved confidence, fewer depressive symptoms, and better managed their situation. Trainer resources, partnerships, and adequate planning were essential for program adoption and sustainability. Implications for replication are discussed.     

Spatially explicit survival modeling for small area cancer data

In this paper we propose a novel Bayesian statistical methodology for spatial survival data. Our methodology broadens the definition of the survival, density and hazard functions by explicitly modeling the spatial dependency using direct derivations of these functions and their marginals and conditionals. We also derive spatially dependent likelihood functions. Finally we examine the applications of these derivations with geographically augmented survival distributions in the context of the Louisiana Surveillance, Epidemiology, and End Results registry prostate cancer data.     

CARMA(p,q) generalized random processes

There is now a vast literature on the theory and applications of generalized random processes, pioneered by Itô (1953), Gel’fand (1955) and Yaglom (1957). In this note we make use of the theory of generalized random processes as defined in the book of Gel’fand and Vilenkin (1964) to extend the definition of continuous-time ARMA(p,q  ) processes to allow q≥p$q\ge p$, in which case the processes do not exist in the classical sense. The resulting CARMA generalized random processes provide a framework within which it is possible to study derivatives of CARMA processes of arbitrarily high order.     

Improved reduced-bias tail index and quantile estimators

In this paper, we deal with bias reduction techniques for heavy tails, trying to improve mainly upon the performance of classical high quantile estimators. High quantiles depend strongly on the tail index γ$\gamma$, for which new classes of reduced-bias estimators have recently been introduced, where the second-order parameters in the bias are estimated at a level _k1$k_1$ of a larger order than the level k at which the tail index is estimated. Doing this, it was seen that the asymptotic variance of the new estimators could be kept equal to the one of the popular Hill estimators. In a similar way, we now introduce new classes of tail index and associated high quantile estimators, with an asymptotic mean squared error smaller than that of the classical ones for all k in a large class of heavy-tailed models. We derive their asymptotic distributional properties and compare them with those of alternative estimators. Next to that, an illustration of the finite sample behavior of the estimators is also provided through a Monte Carlo simulation study and the application to a set of real data in the field of insurance.     

Teaching Sociological Practice: Starting with Something Special

A scholar-practitioner might want to decide what concept, value, or framework in sociological practice is particularly important for students to know at the very beginning of a course. This special emphasis approach is detailed using four examples: cultural competence in a course on mediation skills; humanism in courses or presentations on social theory, ethics, social planning, or intervention; participatory action research in a social science research course; and empowerment in intervention, community, social planning, or social policy courses. Clinical and applied sociologists are invited to consider an up front and personal approach in at least some of their courses and to choose and explicitly emphasize, in their own special way, an important value, concept, or perspective at the beginning of a course.     

Foster Care and Permanency an Analysis of the Context for Practice

This paper is an historical analysis of foster care, exploring its linkage with the concept of permanency in the United States (a major force in defining the direction of foster care policy) and in Australia. Use of the political economy and feminist approaches highlights the extent to which the child welfare system is based on policies which enhance social inequality, while promoting a particular ideal of the nuclear family which dichotomises mothers as good or bad.     

The reinterpretation of finitude: An introduction to three articles on the philosophy of aging

Whereas the expected problems of population aging are discussed extensively in the mass media, with a strong emphasis on the costs of pensions and care in the future, philosophy has remained virtually silent about the many aspects of aging and gerontology relevant to the discipline. However, aging is not a new topic in philosophy; it only has to be reintroduced. Although the three authors offer different perspectives on aging, there is a common effort to reinterpret the fundamental experience of finitude in the light of aging.     

Long-term effects of teaching behavioral strategies for managing persistent auditory hallucinations in schizophrenia

1. Attendance at a 10-week class designed to teach behavioral management strategies to people with schizophrenia was effective in reducing some of the negative characteristics of auditory hallucinations for 12 months and in reducing anxiety for 9 months after completion of the class. 2. The sustained improvement experienced by class participants was characterized by their voices being less frequent and more mumbled and the participants feeling more in control, less distractible, and less anxious. 3. Participants recommended that other mental health consumers take similar classes to learn how to better manage their voices. 4. Monthly support groups may help participants maintain gains lost during the follow-up period.