Developing and testing a satisfaction survey for nursing home residents: the Ohio Experience

Input from consumers has become an important part of quality improvement in long-term care and for consumer decision-making. This paper documents the development of the Ohio Nursing Home Resident Satisfaction Survey (ONHRSS) through a partnership of state government, research, and industry experts. The instrument was tested and refined through two waves of data--a pretest phase and later with statewide data. Exploratory and confirmatory analyses with statewide data identified eight primary factors along with an underlying, secondary Global Satisfaction factor. Reliability of the domains ranged from .69 to .95. Recommendations for further refinement and testing of the instrument are discussed along with policy and practice implications.     

The effect of a novel ADL-based training program on performance of activities of daily living and physical fitness

The purpose of this study was to determine the degree to which a novel training program based on activities of daily living (ADL) would affect performance of ADLs, as well as the fitness of older adults. Fourteen individuals (mean age 82 years) took part in a 10-week control period followed by a 10-week ADL-based training program. Pre- and posttests included the Physical Performance Test (PPT), the Physical Functional Performance-10 (PFP-10), and the Senior Fitness Test (SFT). After the training period, improvements ranging from 7% to 33% (p<.05) were seen on the PPT and PFP-10 and on three items of the SFT. After conversion to standard scores, the magnitude of change in the PPT and the PFP10 was significantly greater (p<.05) than the magnitude of change in the SFT. These data support the idea that this novel ADL-based training program was able to facilitate improved performance of ADLs, as well as select measures of fitness among older adults.     

Uncertainty,selective exposure,and message efficacy effects during life transitions

Drawing on informational utility, uncertainty management, and self-efficacy models, predictions were developed about how individuals select media messages when faced with the transition from college to postcollege life. Predictions were also made concerning how message exposure influences self-efficacy and behavior. Participants filled out a questionnaire and then browsed a university blog that contained alumni posts about transition success (high-efficacy messages) or failure (low-efficacy messages) in a variety of life domains, including the target domain, romance. Browsing was unobtrusively measured through hyperlink tracking. Results indicate that selective exposure to low-efficacy romance messages was predicted by romance outcome expectancies; romance uncertainty discrepancy had an indirect effect on selective exposure through outcome expectancies and self-efficacy’s impact on outcome expectancies. Thus, outcome expectancies and self-efficacy should be considered when predicting exposure to high- versus low-efficacy messages during a life transition.     

When women veterans return: The role of postsecondary education in transition in their civilian lives

Objective: The purpose of this study was to assess the current state of postsecondary educational settings’ outreach to military women who become students postservice. Participants: Data for the present cross-sectional study were obtained from the American College Health Association’s (ACHA) 2011–2014 National College Health Assessment II (NCHA). Methods: Demographic characteristics of the study sample were explored by calculating frequencies and percentages by military service status. Research questions were explored with Fisher’s exact test, maximum likelihood multiple logistic regression, as appropriate. Results: Women service member and veteran students received health information from their university/college less often than women students with no military experience on the following topics: alcohol and other drug use, depression and anxiety, sexual assault and relationship violence prevention, and stress reduction. Conclusions: The findings of this research identified clear gaps in service provision for women student veterans on college campuses and provided some possible models for intervention development.     

Building a health communication brand for University of Texas System tobacco control

Objective: Despite declining cigarette smoking rates in the US, there is a continued need for tobacco prevention education campaigns to reach young adults. Recognizing the need for improved tobacco control messaging, the University of Texas (UT) System engaged The University of Texas at Austin Center for Health Communication to develop a brand and message that would strengthen tobacco control efforts at its 14 institutions. Methods: This article describes the iterative process involved in creating a brand for tobacco control, including an environmental scan, identifying potential message themes, and creating and refining logos. Results: This article highlights the process of developing a system-wide tobacco control brand. Specifically, the process included coordinating an interdisciplinary team with content and design experts, and presenting ideas to stakeholders for serial feedback and refinement, among others. Conclusions: Ultimately, this project offers a model for other systems of higher education interested in pursuing similar initiatives.     

Housing interventions for homeless,pregnant/parenting women with addictions: a systematic review

Family homelessness is a growing problem in North America with most of these families headed by single women. Homeless women also experience high rates of pregnancy and addiction (drugs and alcohol). Housing interventions have been identified as key to addressing the complex needs of pregnant/early parenting, homeless women with addictions. The aim of this systematic review is to determine what housing models and programs for this population yield the best outcomes. We systematically searched 10 databases and retrieved eight articles describing four distinct studies that met the inclusion criteria for this review. Overall, improved outcomes were found for all intervention groups with the most recent and rigorous studies favoring models combining Housing First and case management. However, methodological limitations, study quality, and varied outcomes made comparison across studies difficult. Further research must be done in this area using standardized outcomes and rigorous designs to develop evidence-based best practice guidelines to address the unique needs of this population.     

Developmental Change in Action Perception: Is Motor Experience the Cause?

Human actions are complex stimuli containing several perceptual dimensions an observer could attend to. Research indicates that attention to the perceptual dimensions of action undergoes a process of perceptual narrowing between 4 and 10 months, during which infants’ attention to configural and temporal information in action decreases over time, while attention to hand information is maintained. This research explored whether infants’ active experience with grasping is related to perceptual narrowing in action. Across two studies, we tested 6‐month‐old infants’ attention to changes in these action dimensions and also assessed their grasping ability. Infants who were more proficient at grasping showed a pattern more consistent with perceptual narrowing (decreasing attention to configural and temporal information) relative to those less proficient at grasping, especially for attention to configural information. In addition, attention to hand information appears to undergo U‐shaped development between 4 and 10 months, as 6‐month‐olds did not recover attention to the hand change. These findings add to a growing body of research showing that infants’ motor experience broadly influences their perception of others’ action and may follow a complex developmental pathway that diverges from perceptual narrowing over the first year.     

Walking Ability is Associated with Social Communication Skills in Infants at High Risk for Autism Spectrum Disorder

Achievement of early motor milestones in infancy affords new opportunities for social interaction and communication. Research has shown that both motor and social deficits are observed in infants who later develop autism spectrum disorder (ASD). This study examined associations between motor and Social communication skills in 12‐month‐old infant siblings of children with ASD who are at heightened risk for developmental delays (N = 86) and low‐risk, typically developing infants (N = 113). Infants were classified into one of three groups based on their walking ability: walkers (walks independently), standers (stands independently), or prewalkers (does not yet stand or walk independently). Social communication and cognitive skills were assessed with two standardized assessments (Communication and Symbolic Behaviors Scales [CSBS] and Mullen Scales of Early Learning) and compared across the three walking groups. Results demonstrated that high‐risk walkers showed superior Social communication skills, but commensurate cognitive skills, compared to high‐risk prewalkers. In contrast, Social communication and cognitive skills were largely comparable for low‐risk infants, regardless of walking status. Findings suggest that for high‐risk infants, who are already vulnerable to developmental delays and ASD, independent walking may facilitate the emergence of Social communication abilities. Pivotal motor milestones may serve as useful indicators of Social communication delays and targets for intervention.     

Gender Roles and Internalized Sexual Stigma in Gay and Lesbian Persons: A Quadratic Relation

Purpose: No previous research has deeply investigated the association between gay men and lesbians’ adherence to gender roles and their internalized sexual stigma. This study suggests a potential non-linear correlation between these factors. Methods: Seventy-five gay men and 70 lesbians responded to self-report questionnaires. Hierarchical multiple regression analyses were conducted to investigate linear, quadratic, and exponential models and to determine which model best explained the correlation. Results: The quadratic model best explained the correlation, showing no gender differences. Conclusion: Adherence to gender roles constitutes a relevant factor in predicting internalized sexual stigma.