In sickness and in health: An exploration of spousal support and occupational similarity

Abstract

While many studies of interventions have focused on their content and immediate effects, less research has focused on the processes that may explain these effects. The purpose of this study was to show how process evaluation can be used to interpret the results of an intervention study in four industrial canteens in Denmark. Two canteens acted as intervention groups and two as comparison groups. Effects were measured by surveys before and after interventions, and observations and interviews were conducted to provide an in-depth understanding of processes. Analyses were conducted based on the responses from 118 employees. Results showed, contrary to expectations, improvements in working conditions and well-being in one intervention group and in one comparison group, whereas no improvements were found in the two remaining groups. Data from the process evaluation enabled a meaningful interpretation of these results, raising the possibility programme failure rather than theory failure, and thereby constituting an example of how process evaluation can shed light over the factors that may influence outcomes in controlled intervention studies.     

Why more ‘quality time’ is not on the top of children's lists: the ‘qualities of time’ for children1

For many years the everyday reality of working parents and their children has been captured in notions of ‘quality time’ versus ‘quantity time’. On the one hand it is suggested that what families need is ‘more time’ for parents to spend together with their children and less time working. On the other hand this has been countered with arguments saying that attention has to be paid to how parents spend their time together with their children. As a result quality time is often presented through idealised images of ‘happy families’. Quality time is seen as parents engaging with their children in particular activities or outdoor excursions that create and maintain family enjoyment, care and togetherness. However, such debates are based on assumptions of what would be ‘good’ for today's children and neglect the perspective of children themselves. This paper draws on field research carried out with 10–11‐year‐old children on their understandings and use of time in an urban and a rural setting in the north of England. The paper points to five ‘qualities of time’ identified by children. These qualities suggest that children's views of time spent with their families cannot be seen as separate from the time they spend with friends, at school and on their own. The paper argues that the quality/quantity time conundrum needs replacing by fuller and more representative accounts of the varied aspects of time that matter for children. These need to be situated in the processes through which family, school and work life take place on a daily basis and in relation to children's life course. Copyright © 2002 John Wiley & Sons, Ltd.     

Cross‐Cultural Consistency of the Demand/Withdraw Interaction Pattern in Couples

In order to examine the cross‐cultural consistency of several patterns of couple communication, 363 participants from four different countries (Brazil, Italy, Taiwan, and the United States) completed self‐report measures about communication and satisfaction in their romantic relationships. Across countries, constructive communication was positively associated with relationship satisfaction, whereas demand/withdraw communication was negatively associated with relationship satisfaction. Woman demand/man withdraw communication was significantly more likely than man demand/woman withdraw communication. Also, some evidence suggested women wanted greater closeness versus independence in their relationships than did men. Differences between partners in desire for closeness versus independence were associated with greater demand/withdraw communication. The possible bases for the demand/withdraw pattern of communication and its gender linkage are discussed.     

Multilevel models for longitudinal variables prognostic for survival

The issue of modelling the joint distribution of survival time and of prognostic variables measured periodically has recently become of interest in the AIDS literature but is of relevance in other applications. The focus of this paper is on clinical trials where follow-up measurements of potentially prognostic variables are often collected but not routinely used. These measurements can be used to study the biological evolution of the disease of interest; in particular the effect of an active treatment can be examined by comparing the time profiles of patients in the active and placebo group. It is proposed to use multilevel regression analysis to model the individual repeated observations as function of time and, possibly, treatment. To address the problem of informative drop-out—which may arise if deaths (or any other censoring events) are related to the unobserved values of the prognostic variables—we analyse sequentially overlapping portions of the follow-up information. An example arising from a randomized clinical trial for the treatment of primary biliary cirrhosis is examined in detail.     

Stability of the roots of random algebraic polynomials

In this paper we consider the behavior of the roots of random algebraic polynomials. A code was developed which generates a sample of random algebraic polynomials, calculates the roots of each sample polynomial, and then calculates the averages of the roots. Finally, the roots of the deterministic algebraic polynomial whose coefficients are the averages of the sample coefficients are calculated. These data are then tabulated and graphically displayed. The relationship between the averages of the roots of the sample polynomials and the roots of the average polynomial is discussed.     

Danger and Dementia: Caregiver Experiences and Shifting Social Roles During a Highly Active Hurricane Season

This study examined disaster preparedness and decision-making by caregivers of community-dwelling persons diagnosed with Alzheimer’s or a related dementia (ADRD). Interviews were conducted with 20 caregivers in South Florida. Twelve of these interviews include caregiving experiences during the highly active 2004–2005 hurricane seasons. Results indicate that persons in earlier stages of ADRD can, and often do, remain engaged in the disaster preparation and planning process. However, during the early stages, persons may also resist evacuation, even if the caregiver felt it was necessary. During later stages of the disease, caregivers reported less resistance to disaster-related decisions, however, with the tradeoff of less ability to assist with preparation.     

Sequential sampling without recall from a dirichlet process

The problem of sequential sampling without recall from a Dirichlet process is studied. An individual observes a sequential sample p₁, p₂, … . At each stage the observer can either accept the current value p_i or continue sampling. The total cost to the observer is the current value plus a cost for each observation taken after the first. A concrete context for the problem is provided by a shopper who must buy a particular item and can elicit price quotations sequentially but must pay for each quotation. Qualitative properties of optimal search rules are derived which establish that the problem is well behaved. In particular, the reservation-price property is shown to hold. The results extend those in Christensen (1986).     

Sensitivity to nonverbal cues as a function of social competence

The hypothesis that sensitivity to nonverbal messages is an important component of social compentence was tested employing 24 female subjects. It was predicted that subjects low in social competence would experience a high level of anxiety in a social interaction and that this would interfere with their ability to attend to the nonverbal behaviors of others. Subjects were given the task of interviewing a confederate. They were instructed to change the interview topic if the questioning appeared to produce discomfort in their partner. The confederate displayed a series of nonverbal cues indicating mounting tension while responding to certain questions. Two measures of sensitivity to the cues were obtained: (1) how quickly the subject changed the interview topic in response to the cues and (2) how many nonverbal cues the subject reported observing. The findings indicated that low-competence subjects reported having observed as many of the nonverbal messages as the high-competence subjects but failed to respond to them. An explanation for this is offered based on information gathered during a postexperimental interview. No difference was found between groups for level of anxiety experienced during the interaction. This is discussed in terms of the experimental design employed, which may have served to reduce anxiety in the subjects.This study was conducted by the first author as part of the requirements for the master's degree at the University of Connecticut. The authors wish to express their appreciation to Suzanne Weiss, who served as the confederate and assisted in the analysis of the data.