Results of a social norm intervention to prevent binge drinking among first-year residential college students

The effects of a primary prevention social norm intervention on binge drinking among 1st-year residential college students were examined. Six hundred thirty-four students attending a medium-sized public university in the South were randomly assigned to receive a two-phase social norm intervention or the standard campus psychoeducational prevention program. At posttest, no differences were found between intervention and control group students on any of the alcohol use and alcohol-use risk factor measures. Significant subgroup differences were found by stage of initiating binge drinking behaviors, for frequency of alcohol use, F(3, 507) = 3.69, p = .01; quantity of alcohol use, F(3, 507) = 2.51, p = .05; and social norms, F(3, 505) = 2.53, p = .05. These findings suggest the need for tailoring social norm binge drinking interventions to students' stage of initiating heavy drinking and carefully monitoring for potential negative, as well as positive, effects of norm-based prevention messages.     

Barriers and facilitators to adherence to group exercise in institutionalized older people living with dementia: a systematic review

Objectives

Research suggests targeted exercise is important for people living with dementia, especially those living in residential care. The aim of this review was to collect and synthesize evidence on the known barriers and facilitators to adherence to group exercise of institutionalized older people living with dementia.

Methods

We searched all available electronic databases. Additionally, we searched trial registries (clinicaltrial.gov, and WHO ICTRP) for ongoing studies. We searched for and included papers from January 1990 until September 2017 in any language. We included randomized, non-randomized trials. Studies were not eligible if participants were either healthy older people or people suffering from dementia but not living in an institution. Studies were also excluded if they were not focused on barriers and facilitators to adherence to group exercise.

Results

Using narrative analysis, we identified the following themes for barriers: bio-medical reasons and mental wellbeing and physical ability, relationships dynamics, and socioeconomic reasons. The facilitators were grouped under the following thematic frames: bio-medical benefits and benefits related to physical ability, feelings and emotions and confidence improvements, therapist and group relationships dynamics and activity related reasons.

Conclusions

We conclude that institutionalized older people living with dementia, even those who are physically frail, incontinent and/or have mild dementia can demonstrate certain level of exercise adherence, and therefore can respond positively to exercise programs. Tailored, individually-adjusted and supported physical activity, led by a knowledgeable, engaging and well communicating therapist/facilitator improves the adherence to group exercise interventions of institutionalized older people living with dementia.

     

The Negative Effects of Populism on Gay and Lesbian Rights*

Objective. The objective of this article is to examine the degree to which populist features of state governments affect minority interests, particularly gays, lesbians, and bisexuals (GLB) Method. We examine the effects of specific institutional features that affect state government responsiveness to majority preferences on GLB policies: bans on same‐sex marriage and hate crime. We also control for variations in political environment. Results. Features that increase popular control over policy making and policymakers advance anti‐GLB policies but have little effect on pro‐GLB policies; however, legislative term limits have the opposite effect. Further, constituency size and senators' term length increases both types of policies. Conclusions. The findings indicate that an unpopular minority is likely to be harmed by populist features that increase the role of citizens and may be helped by features that shield legislators from majoritarian preferences.     

ON THE SELECTION OF CRITICAL VALUES IN SEQUENTIAL DECISION PROBLEMS

This paper explores the effect which the choice of critical values in sequential decisions has on the overall distribution of payoffs. It demonstrates in the context of a simple two-stage sequential decision model that the mean and variance of the overall distribution can be highly sensitive to the choice of critical values. Finally, it considers the problem of selecting optimal critical values when a standard meanvariance approach is used.