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951.
The purpose of the study was to evaluate and measure perceived learning in a training program delivered via distance education. The program was entitled: Course Design for the Digital Age: Instructional Design and Materials Conversion. The study documents the growth in distance education core competencies of professionals in Costa Rica using a competency-based behaviorally anchored instrument. The study uses both qualitative and quantitative methods of data collection and analysis. The resulting scores provide outcome assessment measures useful for researchers and practitioners for documenting the results of self-assessment and comparing observable behaviors of competence.  相似文献   
952.
Abstract

Gay male university students less than 25 years old were studied to determine whether they had changed their sexual activity patterns to reduce the risk of HIV infection. Most had not established sexual behavior patterns typical of the older gay men who had been studied in earlier research. Although most of the participants surveyed were concerned about HIV infection, some did engage in risky sexual behavior. The riskreduction strategies most often used were having fewer sexual partners and being more selective in choosing partners. Future HIV-prevention interventions must be designed to address the needs of this generation of gay men.  相似文献   
953.
Medicaid is an important source of supplemental health care coverage for low-income seniors, yet little is known about the effect of state policy on Medicaid enrollment by eligible elderly. Data from a nationally representative survey were used to examine Medicaid enrollment by elderly, low-income Medicare beneficiaries living in states that liberalize or restrict Medicaid eligibility criteria using the 1986 Omnibus Budget Reconciliation Act or provision 209(b) of the 1972 Social Security Act Amendment, respectively. Controlling for demographics and health status, residence in states applying these laws was significantly, though modestly, associated with Medicaid enrollment. Additionally, 73% of eligible elderly Medicare beneficiaries were not enrolled in Medicaid, and most have serious chronic health problems. These findings suggest that a significant number of eligible elderly are not enrolled in Medicaid and that liberalizing or tightening Medicaid eligibility criteria can have an impact on Medicaid enrollment by low-income elderly patients.  相似文献   
954.
955.
Abstract

Analyses of 94 Fund for the Improvement of Post-Secondary Education (FIPSE)-sponsored drug-prevention programs and their outcomes used the Core Survey to identify 34 institutions where college students' binge drinking increased (M = 5.44%) and 60 institutions where it decreased (M = -4.59%) during 2 years of program operation. The authors used an inductively derived taxonomy of prevention program elements, student variables, student substance use, use-related variables, and institutional variables to compare the 2 groups of institutions. Only prevention program elements discriminated between groups. Factor analysis of discriminating elements identified 8 prevention factors that improved base-rate prediction of institutional decrease in binge drinking by 28.1%. Factor synthesis yielded a 3-construct binge-drinking prevention model based on student participation and involvement strategies, educational and informational processes, and campus regulatory and physical change efforts. This model improved base-rate prediction of decreased binge drinking by 33.2%.  相似文献   
956.
Abstract

In this article, the authors explore three research designs common to college health investigations: survey, epidemiologic, and experimental. They identify the varieties of research questions addressed by these designs and note examples from clinical nursing/medicine, mental health, and health education topics. In addition, the authors summarize the unique challenges encountered in each of these designs, including issues of sample selection, adequate measurement, and control.  相似文献   
957.
Abstract

Objective: College students tend to drink while serving as a designated driver (DD). The predictors of alcohol use by DDs among college students were examined. Participants: Participants were 119 undergraduate students in introductory psychology courses who had experience with DD use. Methods: Survey data were analyzed to examine the predictors of planning components of DD use, such as choosing a DD before drinking and choosing an abstinent DD, and the relations of these components to alcohol use by DDs. Results: History of DD use, friends’ willingness to be the DD, frequency of riding with a driver who drank and drove, and age of drinking onset were associated with planning components of DD use. Among the planning components of DD use, choosing a DD before drinking was significantly related to less alcohol use by DDs. Conclusions: Increasing awareness of the planning components of DD use could deter alcohol use by DDs among college students.  相似文献   
958.
Substantial research has been conducted on new parents’ adjustment during the transition to biological parenthood. However, very little is known about adjustment experiences during the transition to adoptive parenthood. Such information could assist in creating support systems for adoptive parents similar to those that currently exist for biological parents. A systematic literature review was conducted to examine individual and relational adjustment outcomes during the transition to adoptive parenthood, limited to those studies that examined the immediate post-adoption period through 3 years post-placement. By searching six databases using a variety of keywords including post-adoption, adapt, and parent, 11 research studies were identified that reported on parental mental health, physical health, and intimate partner relationship satisfaction in the immediate post-adoption period. The studies reviewed appear to indicate that post-adoption depression is relatively common, although perhaps less so than depression among biological parents. It is difficult to draw conclusions about physical health and relationship satisfaction as only one study directly assessing each outcome was located. Findings suggest that additional research is warranted to provide a clearer characterization of physical and psychological adaptation to parenthood among adoptive parents.  相似文献   
959.
960.
Abstract

Objective: The Training Interventions and Genetics of Exercise Response (TIGER) study is an exercise program designed to introduce sedentary college students to regular physical activity and to identify genetic factors that influence response to exercise. Participants: A multiracial/ethnic cohort (N = 1,567; 39% male), age 18 to 35 years, participated in the study. Methods: Subjects underwent 30 weeks of exercise training, 3 days/week, for 40 minutes at 65% to 85% of age- and gender-predicted maximum heart rate reserve. Multiple measures of body size/composition, heart rate, and blood pressure were obtained. Results: A total of 1,567 participants, (39% male), age 18 to 35 years, participated in the TIGER study. The prevalence of overweight/obesity in participants was 48.0%/19.3% in non-Hispanic Whites, 55.3%/24.2% in Hispanic Whites, 54.9%/25.4% in African Americans, and 38.3%/11.3% in Asians. Average within-semester retention was 68%, but overall retention (30 weeks, 2 semesters) was 20%. Conclusions: The TIGER study represents an efficacious strategy for introducing college-aged individuals to regular aerobic exercise.  相似文献   
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