Systematic Integration of Consumer Input into Curriculum Revision

This paper employs Lippitt, Watson, and Wesley's perspective of planned change to analyze the curriculum revision efforts of faculty at the University of Wisconsin-Madison from 1969 to 1973. It is the consensus of the authors that it is possible and appropriate to apply the same motions we commonly associate with “good social work practice” to curriculum revision. Each of the phases of change is examined analytically and behaviorally from the standpoint of actions which occurred during that phase. The result of the change process was the acceptance of a new structural model within which to build curriculum.     

Congruency of the Cognitive and Affective Components of the Attitude as a Moderator on Intention of Condom Use Predictors

Using data gathered through questionnaires on factors relating to the intention of condom use included in the Theory of Planned Behavior, we obtained evidence in favor of the two-dimensional structure of attitude: affective and cognitive components. In a structural equation model for predicting the intention of condom use as an instrumental behavior, we found that the congruence between the affective and cognitive components moderates the influence of attitude, subjective norm and perceived behavioral control in the intention of condom use. Since most of the studies do not take into account this proposed interaction, they can only report a kind of main effects average. Moreover, the percentage of explained variance of intention is higher for those individuals with the same value for the two components (congruent group). Furthermore, we found that perceived behavioral control is the most determining factor and that the cognitive component of the attitude is a better predictor than the affective one. The results are discussed from the point of view of their implications for designing prevention programmes for sexually transmitted diseases.     

Perceived Challenges to the Sustainability of Community-Based Aging Initiatives: Findings from a National Study of Villages

Concerns have been raised regarding the sustainability of Villages, a rapidly-expanding set of organizations that typically use a participant-directed approach to improve older adults’ quality of life and ability to age in place. Using online survey and telephone-interview data from a 2013 follow-up study of Villages across the United States, this study examined organizational leaders’ perceptions of the major challenges to sustainability. Major challenges identified included: (a) funding, (b) membership recruitment, (c) leadership development, (d) meeting members’ service needs, and (e) limitations of the Village model itself. Findings point to a number of important considerations for the development, implementation, and sustainability of the Village model, including the role of social workers in addressing these challenges.     

Applications to Social Work Programmes in England: Students as Consumers?

One of the most resounding impacts of the introduction of the new social work degree in England in 2003 has been an increase in the number of applications to social work courses. However, the processes used by applicants to reach decisions about where to study social work are little understood. This article reports data from six preparatory focus groups and four interviews (n = 38), 17 focus group interviews with first year students (n = 112) from nine social work programmes run in six universities, and 2,606 responses to three online surveys administered to first year students, which were collected as part of the national Evaluation of the New Social Work Degree in England funded by the Department of Health. They show that students use a range of sources to find out about social work education, with rising reliance on electronic media as an information resource. Although the majority cites convenience of location as the chief reason for selecting a particular university, academic reputation appears to be growing in importance. Observations from these data are discussed in the context of consumer behaviour in higher education and in social work education at a time when universities are developing marketing strategies to compete for students.     

Associations of Alcohol and Marijuana Use With Condom Use Among Young Adults: The Moderating Role of Partner Type

This study used multiple levels of analysis to examine associations of alcohol and marijuana (AM) use with condom use, including the moderating role of partner type, in a general sample of 754 sexually active young adults (mean age = 18.6, SD = 0.63; 77% non-White). Multivariable models examined associations over the past 30 days (global) and at the most recent sexual event (event specific). Over the past 30 days, participants who had a recent casual partner and used both substances reported a higher proportion of condom-protected sexual events during this period compared to AM nonusers, whereas those who had a recent steady partner and used alcohol, marijuana, or both substances reported a lower proportion of condom-protected sexual events compared to AM nonusers. At the most recent sexual event, participants who used both substances were four times more likely than AM nonusers to have condom-protected sex if the event involved a casual partner; however, there were no significant associations if the event involved a steady partner. Marijuana use, particularly combined with alcohol use, deserves greater attention in the context of condom use. Future research should consider different levels of analysis and partner types to fully understand these complex associations.     

Undergraduate Activists in the Woman's Movement and Their Public: Attitudes towards Marriage and the Family

Abstract

This paper compares the attitudes towards women's home and famiy roles of two groups of undergraduate women: undergraduate activists in the Women's Liberation Movement and a random sample of non-activist undergraduates. Data from both of these groups pertaining to career aspirations, marital and fertility expectations, communal living arrangements, and possible strains between future family and work roles are examined. While the desire to combine family and career roles is typical of undergraduate women in both groups, there are important differences between activists and non-activists in their plans for integrating the two role constellations. Activist women's responses are also compared with positions on women's family roles indicated by spokeswomen of the wider radical Women's Movement, and some important differences are suggested by the data. The paper concludes by briefly exploring the implications of the findings for future social change in the family and in the society of which it is a part.     

Policy Changes in Medicare Home Health Care: Challenges to Providing Family-Centered,Community-Based Care for Older Adults

The Balanced Budget Act of 1997 (BBA) established new reimbursement systems in the Medicare home health fee-for-service benefit. Reimbursements were reduced to 1993 levels and per-beneficiary capitated limits were introduced for the first time. This article analyzes the impact of these changes on chronically ill older adults and their families. The study combined a secondary analysis of the Provider of Service file (1996, 1999, 2002, and the Medicare Current Beneficiary Survey (1996, 1998) with qualitative interviews of home health agency directors. The greatest decreases in staff and visits were for medical social work and home health aide services. Patients with caregivers saw greater decreases in visits and reimbursements for all visits, skilled nursing, medical social work, and home health aide visits. Agency directors reported that they increased caregiver education, training, and involvement in care in order to discharge patients sooner. Additional research is needed to understand the long-term, adverse impact of these policy changes on chronically ill patients and their families.     

Families by Adoption and Birth: II. Mother-Infant Cognitive Interactions

Adopted children are more likely to develop learning and school adjustment problems than are their nonadopted peers, despite that learning potential appears to be comparable in the two groups. In an effort to explain this phenomenon, the present study examined cognitive behavior repertoires in mothers and their healthy 5-month-old first infants during their normal daily routine in families by adoption and by birth. Two areas of functioning, vocal/verbal communication and exploration, were examined. Infants and mothers in both groups were similar in the frequency and ranking of a full array of age-appropriate cognitive behaviors. Both groups of babies experienced rich and comparable opportunities for the development of language competence. In the exploratory realm, group differences emerged for some infant measures; infants by birth were in an alert state and mouthed objects more than infants by adoption. Examination of the linkages among infant behaviors and between mothers and infants suggested that while mothers by birth and adoption provided comparable opportunities for exploration, infants by birth were engaging in exploratory behavior to a somewhat greater extent.     

Evaluation of the Infant Adoption Awareness Trainings: Transforming Training Knowledge to Adoption Practice

Mixed methods were used to evaluate the effectiveness of the infant adoption awareness trainings. Quantitative data were collected through a pre-test/post-test design (n = 2797) that measured trainees’ level of knowledge gained from the trainings. Qualitative data were collected through a follow-up survey (n = 304) and telephone interviews (n = 82) with trainees to assess whether the learning that occurred at the trainings has been applied to adoption-related practices. Findings suggest that trainees felt more comfortable discussing adoption as an option and were better prepared to use correct adoption terminology. Implications for practice, policy advocacy, and future research are discussed.