Feasibility and acceptability of using a web-based contraceptive support tool in a university health clinic

Abstract

Objective: To evaluate feasibility of integrating Bedsider.org, a web-based contraceptive decision support tool, at a university health clinic (UHC). Participants: Female students (ages 18–29) seeking contraceptive care at the UHC were enrolled in September 2015 (n?=?46). Methods: Providers recruited eligible patients during reproductive healthcare visits and introduced Bedsider. Surveys were administered immediately following the visit and a follow-up 2–4?weeks later. Electronic health records through 6?weeks post-enrollment were extracted. Results: Most patients had positive views toward Bedsider and appreciated receiving information during their UHC encounters. None were using long-acting reversible contraceptives (LARC) at enrollment. At follow-up, two patients self-reported IUD use. Among those recently sexually active, use of more effective contraceptive methods increased from 65% to 74%; 11% had initiated or were scheduled to receive a LARC. Conclusion: Bedsider can be feasibly integrated into UHC visits and may support women’s selection of more effective contraceptive methods, including LARCs.     

Sex, Age, and the Implementation of the Motor Voter Act: The 1996 Presidential Election

Objective . Among the existing studies of political participation, few discuss differences between men and women. Of those published, most have focused upon substantive policy preferences, perhaps noting women's newly dominant electoral presence but not probing its characteristics or limits. In this analysis we build on the work of Schlozman, Burns, and Verba (1994) by examining the compound effects of closing dates, state National Voter Registration Act implementation delay, and age upon women and men. Methods . Using the 1996 Current Population Survey Voter Supplement we compare the impact of legal obstacles among different age groups of men and women in the 1996 presidential election. Results . We find that legal restrictions do have a different impact on men and women, especially the youngest and oldest members of the latter group. Conclusions . The most significant implication of our work is that policy efforts aimed at further reducing legal barriers to political participation may facilitate women's growing electoral dominance.     

Polynomial estimation of eigenvalues

In estimating the eigenvalues of the covariance matrix of a multivariate normal population, the usual estimates are the eigenvalues of the sample covariance matrix. It is well known that these estimates are biased. This paper investigates obtaining improved eigenvalue estimates through improved estimates of the characteristic polynomial, which is a function of the sample eigenvalues. A numerical study investigates the improvements evaluated under both a square error and an entropy loss function.     

Jill Meagher CCTV

“Jill Meagher CCTV,” the security camera recording of Melbourne woman Jill Meagher's last minutes alive, registered more than 677,000 views on YouTube by early 2014. Little happens for most of its 232 seconds and, as would be expected with surveillance footage, there is no sound. In Australia, “Jill Meagher CCTV” forms part of a haunting iconography of a rape and murder victim that not only resonates with fictional narratives in other places, but also influences the way the Jill Meagher story, as a whole, is read. As Melissa Jane Hardie (2010) suggests of the “true crime” story (citing Bronski 2005, 29), the public reaction to high profile stories of violent crime “is often an emblematic cultural citation that represents a social problem or fixation.” This article considers “Jill Meagher CCTV” as such a cultural citation and goes further by highlighting its gothic tendencies. Highlighting the gothic aspects of “Jill Meagher CCTV” resonates with surrounding narratives of violence and gender justice, which have material consequences for women in the way that the most prevalent forms of violence against women continue to be downplayed in those narratives.     

How Older People Position Their Late‐Life Childlessness: A Qualitative Study

This research explored how older people describe their paths to late‐life childlessness. In‐depth accounts from 38 childless older people, age 63–93, highlight the complex journeys and diverse meanings of childlessness for male and female participants, single and partnered, including some who had outlived children. Positioning theory is used to show how the conventional voluntary – involuntary binary is insufficient for capturing their experiences. Childlessness was for some an active choice to break a family violence cycle; for others, it was an outcome of social upheaval. It evoked feelings of both grief and relief over time, it was seen as evidence of discernment in being unwilling to parent at any price, or it was something that felt “natural” within a meaningful life. Rates of childlessness are increasing; this research highlights the fact that pathways and meanings of childlessness vary so much that it is unwise to assume that people have similar experiences of nonparenthood, especially in later life.     

Information Systems Adaptation and the Successful Implementation of Advanced Manufacturing Technologies*

Few plants have initial success with advanced manufacturing technologies (AMTs), and adaptations are commonly required after installing new technologies. We especially know little about the outcomes of adaptations that manufacturers regularly employ in the context of AMTs. Sociotechnical theory and the technology literature suggest that AMTs commonly require four types of adaptations including those to process technologies, human resources, operational structures, and information systems. This study investigates which of these four adaptations and their interactions lead to improved operational performance. Data were collected on 104 plants that implemented a single type of manufacturing AMT. Findings indicate that information systems (IS) adaptation during the course of AMT implementation was the most important action. Surprisingly, human resource and process technology adaptations were linked to lower performance, and no interactions had any clear effects. The results also show that practitioners underestimated the relevance of IS adaptations during contemporary or “second-generation” AMT implementation projects and overemphasized the need for shop floor changes.     

‘They are just good people…generally good people’: perspectives of young men on relationships with social care workers in the UK

The perspectives of marginalised young men on what they value in relationships with social care workers are under‐researched and have not received adequate attention within policy and practice literatures. Moreover, problematic assumptions about gender pervade much political and cultural commentary. Research findings from a study of 50 young men, aged between 16 and 25, attending a range of social care services, are highly significant in this context. They highlight young men's investment in a language of care and respect and their rejection of categorical presumptions. However, the services were steeped in practices and understandings of their marginalisation and offered important opportunities for recognition.     

SUGAR AND SPICE, TOADS AND MICE: GENDER ISSUES IN FAMILY THERAPY TRAINING

Whereas family therapists have become increasingly aware of gender as a central organizing principle in how we think about families, few methods have been presented to help trainees and clinicians articulate how to adress gender. Four experiential exercises (including gender survival messages, gender framed circular questions, and process observation sheets) that can be used in training and adapted for use with clients are described. What we have learned about gender from our families of origin, the larger culture, and in the construction of family therapy models can be examined with these activities.     

Determinanten der Lebensqualität psychisch kranker Personen

Not only chronic mental disease, but also psycho-social factors limit the quality of life (QoL) of mentally ill persons. From three theoretical explanation models of QoL — the medical model, labeling theory, and stress process model — we deduced three hypotheses. To test our hypotheses, we re-analysed data from the study “Social integration and quality of life of mentally ill people”. Data were derived from structured interviews with 305 in-patients in psychiatric institutions in the Canton of Zurich (Switzerland), and completed with few informations from their doctors’ files. Various QoL dimensions entered the statistical analyses as dependent variables. Results indicate varied explanation power of the models under investigation depending on the dimension of QoL: psychic symptoms highly influence the health-related QoL, but have only small effects on social and material QoL. Social as well as material QoL are strongly influenced by social support as well as, though to a lesser extent, by life stress events. Chronification of mental illness and perceived discrimination because of the mental disease indirectly affect QoL through reduced social support and increased psychic symptoms. From our results we conclude that social integration and rehabilitation of mentally ill people require a bio-psycho-social treatment approach.