Supporting the transition of disabled students from university to practice placement

A modified action research project was undertaken to evaluate the effectiveness of a pre-placement procedure in facilitating eight disabled physiotherapy students’ transitions from university to practice. Feedback was gathered from the students, practice educators, visiting and academic tutors via questionnaire. Thematic analysis identified four main themes: ‘Procedure’; ‘Student in Control’; ‘Communication’; and ‘Disclosure’. The procedure was generally effective in supporting these students. Recommendations were made for: the need for ownership of the procedure from all stakeholders; the development of more effective communication systems; and the need for appropriate disability awareness training for all academic and practice-based staff.     

The Temporal Relationship Between Faulty Gambling Cognitions and Gambling Severity in Young Adults

Disordered gambling in young adults is hypothesized as being related to mistaken gambling-related cognitions. Few studies have examined the temporal order of this relationship using longitudinal data. The purpose of this study is to understand the directionality of the relationship between gambling cognitions and gambling severity in a longitudinal sample of young adults. Young adults (N = 578), initially aged 18–21 years, completed the Manitoba Longitudinal Survey of Young Adults at two time points approximately 2–3 years apart. Measures of beliefs about randomness related to gambling and gambling severity, as measured by the Problem Gambling Severity Index, were utilized. A cross-sectional relationship between gambling severity and gambling-related cognitions was observed with greater gambling severity being associated with increased endorsement of mistaken cognitions. Evidence for a bidirectional longitudinal relationship was observed with faulty gambling cognitions leading to later problematic gambling behaviors and vice versa when examining a total beliefs scale. When examining specific beliefs about randomness, initial gambling group membership predicted later endorsement of certain beliefs about randomness while initial belief ratings did not impact later gambling group membership. The results of this study suggest a bidirectional relationship between gambling severity and erroneous gambling-related cognitions. However, when examining specific beliefs about randomness, evidence was found for problem gambling behaviors leading to erroneous gambling beliefs. These findings suggest that prevention efforts targeting cognitions may not be as effective in impacting those not yet demonstrating disordered gambling behaviors.     

Gamblers Anonymous as a Recovery Pathway: A Scoping Review

Given the preponderance of Gamblers Anonymous (GA), there has been relatively little effort to explore the existing evidence base on its effectiveness as a recovery approach for problem gambling. To remedy this gap in the literature we conducted a scoping review of the literature on mutual aid for individuals experiencing problem gambling published between 2002 and 2015. We searched 13 databases and reviewed reference lists and websites of relevant organizations. We reviewed records for eligibility and extracted relevant data from eligible articles. Three reviewers independently assessed the methodological quality of the included studies using the Mixed Methods Appraisal Tool. We identified 17 studies in 25 publications that were eligible for inclusion. Most studies were conducted in the United States, were cross-sectional in design, and involved both male and female adult participants. Results indicate that the evidence for the effectiveness of GA either as a control condition or in conjunction with formal treatment or medication is inconsistent. An emphasis on patience, using the Serenity Prayer as a way to gain acceptance of financial matters and reality, and absolute assertion of identity as a “compulsive gambler” were identified as important aspects of GA’s recovery culture. There is a need for large-scale randomized controlled trials to determine GA’s effectiveness, as well as research exploring the mechanisms through which GA works, barriers to GA as a recovery approach, and the status of women in the fellowship.     

Statistical resource needs to be increased in the European regulatory agencies

The following viewpoint from PSI and EFSPI regarding the current level of statistical resource in the European regulatory agencies was first presented as a position paper to a meeting of the EU Heads of Agencies in July 2009, and was endorsed by EFPIA. Copyright © 2010 John Wiley & Sons, Ltd.     

Action following the discovery of a global association between the whole genome and adverse event risk in a clinical drug‐development programme

Observation of adverse drug reactions during drug development can cause closure of the whole programme. However, if association between the genotype and the risk of an adverse event is discovered, then it might suffice to exclude patients of certain genotypes from future recruitment. Various sequential and non‐sequential procedures are available to identify an association between the whole genome, or at least a portion of it, and the incidence of adverse events. In this paper we start with a suspected association between the genotype and the risk of an adverse event and suppose that the genetic subgroups with elevated risk can be identified. Our focus is determination of whether the patients identified as being at risk should be excluded from further studies of the drug. We propose using a utility function to determine the appropriate action, taking into account the relative costs of suffering an adverse reaction and of failing to alleviate the patient's disease. Two illustrative examples are presented, one comparing patients who suffer from an adverse event with contemporary patients who do not, and the other making use of a reference control group. We also illustrate two classification methods, LASSO and CART, for identifying patients at risk, but we stress that any appropriate classification method could be used in conjunction with the proposed utility function. Our emphasis is on determining the action to take rather than on providing definitive evidence of an association. Copyright © 2008 John Wiley & Sons, Ltd.     

Savings–age profiles in the UK

We used UK Family Expenditure Surveys to analyse the relationship between savings and age structure. We address two key problems: the sample selection bias when data refer to households and not individuals, and the treatment of pension income when drawing inferences from individuals' savings–age profiles about the relationship between an economy's savings and age structure. Our principal findings are that household data exaggerate savings rates of young adults and the elderly whilst underestimating those of 45- to 60-year-olds, and individual saving rates follow more closely the ‘hump shape’ of the life-cycle model, although the savings rates of the elderly remain positive for some ages.

Black–White Marriages: The Moderating Role of Openness on Experience of Couple Discrimination and Marital Satisfaction

This study examined how open communication between spouses may buffer against discrimination experienced by Black–White couples. Results from 178 couples analyzed using a combination of common‐fate and actor–partner interdependence models, indicated that for Black partners, marital satisfaction was not contingent on the level of openness when experiences of couple discrimination were low. When experiences of couple discrimination were high, levels of marital satisfaction were maintained among partners who reported high openness and reduced among partners who reported low openness. Moderation effects were not found for White partners. The results suggest that because Black partners are more aware of and sensitized to discrimination, White partners’ abilities to attune to their partners’ needs for support could help enhance their relationships.     

Building Bridges into the Community: Social Capital in a Volunteering Project for Care Leavers

Volunteering to address poor life outcomes often experienced by care leavers is emphasised in UK policy. Although volunteering is credited with the ability to generate social capital, there is limited research on the impact of volunteering on the social capital of care leavers. This article re‐examines data from an evaluation of a volunteering project for care leavers. It explores in what ways young people's participation in the project constitutes social capital. The findings support the importance of regular face‐to‐face contact and co‐production for young people to become creators of their own social capital.     

The Urbanization Question: Deficient Evidence and Mistaken Diagnosis

Book reviewed in this article: The Living City: Towards a Sustainable Future. Edited by David Cadman and Geoffrey Payne The Urbanization of the Third World. Edited by Josef Gugler Housing Africa's Urban Poor. Edited by Philip Amis and Peter Lloyd Housing and Economic Adjustment. United Nations