Relative Efficacy of a Pregnancy,Sexually Transmitted Infection,or Human Immunodeficiency Virus Prevention–Focused Intervention on Changing Sexual Risk Behavior Among Young Adults

Abstract

Objectives: Despite findings suggesting that young adults are more concerned about experiencing an unplanned pregnancy or contracting a sexually transmitted infection (STI) than becoming human immunodeficiency virus (HIV) infected, no empirical work has investigated whether the specific focus of an intervention may be more or less efficacious at changing sexual behavior. Participants: Participants were 198 college students randomized to 1 of 4 conditions: pregnancy intervention, STI intervention, HIV intervention, or a control condition during 2008–2009. Methods: The authors compared the efficacy of 3 theory-based, sexual risk–reduction interventions that were exactly the same except for an exclusive focus on preventing pregnancy, STI, or HIV. Condom use and risky sexual behavior were assessed at baseline and 4-week and 8-week follow-up. Results: Participants exposed to the pregnancy or STI interventions reported greater condom use and less risky sexual behavior than those exposed to the HIV intervention. Conclusions: The focus of sexual risk–reduction interventions may lead to differential behavior change among young adults.     

The Relationship between a History of Childhood Sexual Abuse and Gender Role Attitudes

This study explored the relationship between childhood sexual abuse and gender role attitudes. Female university students rated themselves and their parents on gender role attitudes and history of childhood sexual abuse. Traditional participant gender role attitude and social isolation were associated with reporting being sexually abused as a child and may thus be risk factors for, or the result of a history of, CSA in women. Traditional participant gender role attitude and low income were associated with victim distress and therefore may be detrimental to coping with a history of childhood sexual abuse. Although replication of these results is needed, discovery of attitudinal and demographic variables associated with CSA may be important in the prevention and treatment of CSA.     

Rethinking Remedial Education and the Academic–Vocational Divide: Complementary Perspectives

This article is concerned with the social organization of mediation in learning environments. It seeks to further articulate the sociocultural notion of mediation in sociointeractional terms, combining insights from the sociocultural approach to cognition and the microinteractionist, especially ethnomethodological approach to social activities. A microanalysis of mediation in communicative 2nd-language classroom activities where the task at hand is the management of interaction itself is presented. The microanalysis stresses the fact that patterns of social interaction, tasks, and social contexts emerge from locally accomplished socioculturally shaped collaborative activities. The analysis serves as a basis for developing a pluridimensional notion of mediation-in-interaction, which accounts for its reciprocity-based, context-sensitive, and culture-related nature.     

Provider Selection, Bargaining, and Utilization Management in Managed Care

Managed care controls cost through a combination of provider selection, bargaining, and utilization management. Provider selection will reduce expenditures if patients are funneled to efficient providers. Bargaining will reduce expenditures through lower rates. Utilization management will reduce expenditures if providers reduce treatment intensity due to monitoring. We estimate that about 30% of the reduction in inpatient expenditures in a mental health carve-out was due to provider selection, 5% was due to bargaining, and the remaining 65% was due to utilization management. We find that both the provider selection and utilization management effects were likely to be welfare improving.     

Perspectives on the recent upturn in divorce and remarriage

The divorce rate per thousand married women under 45 years of age in the United States increased by two–thirds between the mid-1950’s and 1970. During the same period, the remarriage rate per thousand divorced or widowed women under 55 years of age rose about one-third. By contrast, first marriages per thousand single women under 45 years of age declined by one-tenth since the mid-1950’s. These changes reinforce the general impression that a fundamental modification of life styles and values relating to marriage has been taking place. An analysis of nationwide data on birth cohorts from 1900 to 1954 demonstrates that early marriage has declined since the mid-1950’s but leaves open the question as to whether lifelong singleness is becoming more prevalent. The cohort study shows that the upward trend in divorce is not “phasing out” yet, as it did after World War II. An estimated 25 to 29 percent of all women near 30 years old now have ended or will end their first marriage in divorce. About four-fifths of these divorced women have remarried or probably will do so. Of all women around 30 years old now, some five to ten percent may be expected to experience divorce at least twice during their lifetime.     

Overcoming barriers to time-saving: reminders of future busyness encourage consumers to buy time

Spending money on time saving purchases improves happiness. Yet, people often fail to spend their money in this way. Because most people believe that the future will be less busy than the present, they may underweight the value of these purchases. We examine the impact of debiasing this previously unexplored barrier of consumer decisions to ‘buy time’ in a field experiment with a US-based sharing economy (N = 78,726). Prompting people to think that they will be as busy in the future as they are today increased the likelihood that customers would both open the email and click a link to purchase various services. In sum, making the future feel as busy as the present encourages individuals to buy future time.     

Adventure Therapy: Nondeliberative Group Work in Action

ABSTRACT

Nondeliberative group work allows group members to generate their own solutions and provides experiential opportunities to transfer learning to life outside of a therapeutic setting. Adventure therapy is explored as a tool for engaging groups in a nondeliberative manner. The theoretical underpinnings of adventure therapy are presented and contextualized within the larger framework of experiential education. Specific methods and models of adventure work are presented and considered in relationship to nondeliberative social work with groups. Two case examples are presented to illustrate the nondeliberative nature of adventure therapy.