Assessing Statewide Need for Older Adult Health Promotion Services: The Oklahoma Experience

ABSTRACT

The growing senior population and persistent poor health status of seniors in Oklahoma compels a fresh look at what health promotion services would be well received. Surveys were distributed to a list of registered voters aged 65 and older in Oklahoma with a total of 1,248 surveys returned (19.8%). Survey items asked about interests in services, classes, and activities, plus current barriers to accessing and/or engaging in such programs. To account for survey weighting, Rao-Scott Chi-Square Tests were performed to determine differences by demographic characteristics. We identified services, classes, and activities that were (and were not) of interest to seniors in Oklahoma with legal assistance (52.1%), exercise classes (46.6%), internet classes (40.7%), and indoor exercise activities (45.5%) receiving the highest level of interest. Barriers to interest in participating in programs included not wanting to go and not knowing availability of such services. The results of this survey provide useful data on health promotion gaps for seniors, interests and barriers to engaging in such activities, and guidance for statewide program development. Future program development needs to be focused on areas of interest for older adults, including legal assistance, exercise classes, and internet classes.     

Powerline Frequency Electric and Magnetic Fields: A Pilot Study of Risk Perception

The perception of the potential risk arising from human exposure to 50/60 Hz electric and magnetic fields was studied with a quasi-random sample of 116 well-educated, opinion leaders using the risk perception framework previously developed by Slovic, Fischhoff, and Lichtenstein. These individuals rated exposure to fields from transmission lines and electric blankets on a variety of scales that have been found useful in characterizing people's risk attitudes and perceptions. These judgments allowed us to conjecture about the likely desire for regulation of these potential hazards and the likely response to a publicized problem (e.g., an accident or ominous research finding) involving these two sources of exposure. Various forms of detailed information about 50/60 Hz fields were supplied to respondents. The provision of information produced modest, but statistically significant, changes in perceptions in the direction of greater concern about the risks. In response to questions of public policy, participants desired modest regulatory control of field exposure from transmission lines and little or no control of field exposure from appliances like electric blankets.     

Small Group Studies of Regulatory Decision-Making for Power-Frequency Electric and Magnetic Fields

Three groups of lay opinion leaders were used in a group role-playing decision exercise designed to explore problems in public risk management decision-making. The application domain was possible risks from the 60 Hz electric and magnetic fields associated with high-voltage power transmission lines. While there were differences in the make-up and dynamics of the three groups, the structure and substantive content of the tasks undertaken dominated intergroup variation in terms of the factors that were most important to group members' decisions. The groups displayed sophistication in their identification of decision attributes and in many of the arguments they advanced, but experienced difficulties in structuring and making trade-offs and decisions. The groups were not good at normalizing or otherwise manipulating quantitative information, and used it largely in the form it was received. Upper-bound risk estimates were treated operationally in most group discussions as expected values. Several kinds of strong framing effects were observed in the use of cost and risk information. Specific quantitative results obtained must be treated with care but may provide a starting place for further work on the acceptable level of transmission line risk.     

Verbal and nonverbal cues as mediators of deception ability

In an extension of previous research on individual differences in deception ability, 35 undergraduate subjects were administered standardized measures of social skills and public self-consciousness and their attitudes on a variety of sociopolitical attitudes were measured. Later, subjects were videotaped while giving pro-attitudinal (truthful) and counter-attitudinal (deceptive) presentations to a videocamera. Videotaped presentations were content analyzed for various verbal and nonverbal cues, and were shown to untrained judges who rated each on a scale of truthfulness/believability. Results of structural modeling analyses indicated that socially skilled subjects were judged as believable regardless of whether they were truth-telling or deceiving. Individuals high in public self-consciousness were less successful deceivers. Most importantly, these relationships were mediated by certain behavioral cues, particularly cues of verbal fluency, which were consistently associated with judgments of truthfulness. These results have both theoretical and methodological implications for future deception research.This research was supported by intramural grants from California State University, Fullerton (CSUF) Foundation to the first author. The authors would like to thank Barbara Throckmorton, Maria Hale, Barbara Choco, Scott Johnson, Lee Salinas, and Monica Turner for assistance in data collection and coding. Correspondence concerning this article should be addressed to: Ronald E. Riggio, Department of Psychology, California State University, Fullerton, CA 92634.Ronald E. Riggio, Ph.D. is an Associate Professor of Psychology at California State University, Fullerton. His research interests include the study of individual differences in communication skills and research on deception. Requests for reprints should be sent to Dr. Riggio at: Department of Psychology, Calif. State University, Fullerton, CA 92634. Joan Tucker, M.A. received her Masters degree at California State University, Fullerton. She is currently a graduate student at the University of California, Riverside, conducting research on nonverbal communication. Keith F. Widaman, Ph.D. is an Associate Professor of Psychology at the University of California, Riverside and has contributed to research on the development of human abilities and on a range of quantitative topics.     

Approaches to conflict modeling: A study of a possible USA-USSR nuclear confrontation

A possible nuclear confrontation between the USA and USSR is analyzed using five different models from game theory in order to compare the various approaches that can be taken in the analysis of conflicts. Of particular importance is an improved metagame analysis model that provides a comprehensive procedure for analyzing not only the nuclear conflict but also any other type of real world conflict that can arise in practice. When the improved metagame analysis model is linked with a new state transition model, the dynamics of the game can be thoroughly studied.     

An experimental study of centralized information in a financial organization

An experiment involving a simulated financial lending organization was used to compare subjects' decisions regarding the degree to which the organization should be informationally centralized, with that of an optimal decision rule based on a normative model. Typically, subjects overdecentralized the information structure to process small loans, and overcentralized the information structure to process large loans. Both the theoretical and practical implications of these results are discussed.     

Predictors of short-term reunification in South Australian substitute care

This study examines the factors that contribute to short-term reunification for 235 children placed in South Australian substitute care from 1998 to 1999. Proportional hazard analyses showed that non-Aboriginal children and those placed because of parental incapacity were significantly more likely to go home, whereas neglected and Aboriginal children were significantly less likely to go home. A detailed profile analysis highlighted the specific case characteristics or changes thought to have contributed to reunification in each case.     

Family Therapy and Lithium Deficiency*

Lithium carbonate's usefulness in relieving the more dramatic symptoms of bipolar-affective disorder can obscure the family systems components of this illness. A compromised form of family therapy results which may stabilize the marriage but cause troubles for the larger family system. This paper offers a partial modus operandi for keeping family therapy systems oriented and avoiding the infantilization of the identified patient which occurs when the importance of purely medical treatment is overplayed.     

A resources and shaping forces model for community-based sustainable development

The Resources and Shaping Forces¹ (RSF) model is developed froma case study in Tigray, Northern Ethiopia, using modified groundedtheory. It provides a conceptual framework for identifying,describing and analysing livelihood and natural systems at thecommunity level, and helps link the principles of sustainablelivelihoods to those of community development. The shaping forcesset of institutions, interventions and perturbations describesthe influences on and determinants of resource availability(endowment) and resource access (entitlement), together withthe duties and responsibilities of various community members(entrustment). Applying the model requires community groups,households and individuals of different gender and wealth categoriesto articulate their perspectives on the dynamics of the livelihoodand natural systems.