Mental Health Mobile Apps’ Instruction: Technology Adoption Theories Applied in a Mixed Methods Study of Counseling Faculty

This objective of this research was to determine factors influencing counselor educators’ behavioral intentions to teach counseling students about mental health mobile applications (MHMAs), factors influencing values of MHMAs as therapeutic tools, and to what extent counselor education programs are contributing to future counselors’ technological competence with regard to evaluating and integrating MHMAs. The conceptual basis was a theory triangulation approach using theories of technology use and acceptance and diffusion of innovations. Nine quantitative, two qualitative, and two mixed methods research questions served to guide the study. Participants were 132 faculty members from 99 university counseling programs. Participants completed an initial survey, an evaluation of an evidence-based mental health mobile application (app), and a postmeasure. Hierarchical multiple regression, analysis of covariance (ANCOVA), independent samples t-tests, and paired samples t-tests were used to analyze quantitative data. Results indicated that unified theory of acceptance and use of technology (UTAUT) variables along with anxiety/apprehension and ethical concerns are related to behavioral intentions to teach students about MHMAs. Semistructured video interviews were conducted and analyzed in the qualitative phase to add depth and explain quantitative findings. This study has implications for graduate counselor education programs and related accrediting agencies.     

Crossing over to cross-over trials

If you have never designed a cross-over trial before then Byron Jones and Scott Haughie give some helpful tips on how to do it.     

The impact of specific occupation on mortality in the U.S. National Longitudinal Mortality Study

We compare mortality differences for specific and general categories of occupations using a national cohort of approximately 380,000 persons aged 25-64 from the U.S. National Longitudinal Mortality Study. Based on comparisons of relative risk obtained from Cox proportional-hazards model analyses, higher risk is observed in moving across the occupational spectrum from the technical, highly skilled occupations to less-skilled and generally more labor-intensive occupations. Mortality differences obtained for social status groups of specific occupations are almost completely accounted for by adjustments for income and education. Important differences are shown to exist for selected specific occupations beyond those accounted for by social status, income, and education. High-risk specific occupations include taxi drivers, cooks, longshoremen, and transportation operatives. Low-risk specific occupations include lawyers, natural scientists, teachers, farmers, and a variety of engineers.     

The (em)bodiment of blackness in a visceral anti-black racism and ableism context

Over the years, many scholarly publications have extensively discussed disability ‘diagnoses’ and placement practices in special education programs in the United States and the United Kingdom. These publications argue that racism and classism rather than clinically predetermined factors appear to influence the disability diagnosis and placement practices in special education. The present essay is contributing to the debate by critically exploring the relationship(s) between race, class, and disability ‘diagnoses’ and placement practices in special education programs in Toronto, Canada. The core ideas noted in the essay are drawn from a personal story of an African-Canadian parent – a story of a daughter with a diagnosed disability and her mother’s struggle to resist the disability ‘diagnosis’ as well as her battle rejecting her daughter’s placement in the special education program in a Toronto public school. Using this personal account, other literature, and anti-black racism theory, I argue that special education programming in Toronto, Canada helps white middle/upper class Canadians achieve a de facto race/class-based segregation in the Toronto public school system. Whereas the Supreme Courts’ rulings on Brown vs. the Board of Education in the United States and Washington vs. the Trustees of Charlottesville in Canada have insisted that whites and non-whites attend the same school, special education identification practices ensure that whites and non-whites do not have to belong to the same classroom. I conclude that when educational practices move into spaces of pathologization, blacks and working-class students are continually at risk of facing exclusionary practices. One thing is clear: the significance of skin color in the mind of the racist cannot easily be dismissed.     

Am I allowed to be pregnant? Awareness of pregnancy protection laws among migrant domestic workers in Hong Kong

In Hong Kong, pregnancy is not legal grounds for employers to dismiss their migrant domestic workers (MDWs). However a survey of 589 Filipino and Indonesian MDWs in Hong Kong demonstrates that only a third of respondents know their pregnancy rights. Regression analysis of the survey data highlight the statistically significant positive role of being Filipino and length of tenure in Hong Kong in increasing respondents’ rights awareness. Follow-up conversations reveal that workers understand their rights to be contingent upon the presumed morality of their pregnancy (whether they are married, whether their husband is the father) and their employer’s generosity. These findings reveal the influence of the socio-structural frames migrants carry with them from their home countries, and the ones in which they are embedded in their host destinations, in the lack of purchase of a pregnancy rights discourse among MDWs in Hong Kong. Our findings provide new insight into the power of symbolic violence in women migrant workers’ understanding of their rights, and their emphasis on their ‘work ethics’ over their ‘work rights’.     

THE SOCIAL SECURITY CRISIS: AN INTERNATIONAL DILEMMA1

Social security systems throughout the world are in a dilemma. The over-expansion of the sixties has compounded the current recession's unemployment and other problems and created an “ideal” system difficult for the economically depressed countries to alter. Older workers are particularly hard hit during recessions. They are often pressured into retirement, with no financial or career alternatives, in an attempt to free up jobs for younger and hard-to-place workers. Many schemes have been devised to compensate older workers for their losses: high unemployment compensation, partial unemployment benefits and a liberal interpretation of disability insurance and other assistance programmes not specifically designed for the elderly. The author exposes many proposals for altering social security but concludes that most schemes have not yet been implemented. While international economic recovery would surely heal the ailing systems, the author contends there are remedial measures, largely ignored at present, that could be taken to soothe the systems' wounds.     

Jography: Exploring Meanings,Experiences and Spatialities of Recreational Road-running

Jogging is a relatively under-researched mobile practice with much existing literature focusing on ‘serious’ and competitive running. In this paper, we provide an account of some of the movements, meanings and experiences that together help produce the practice of jogging in the south-western English city of Plymouth. Drawing upon participant diaries and interviews, we uncover rich detail about how joggers ascribe not one but a number of meanings to their practice. Some of these are positive, some are negative; some complement each other and some compete with each other. We also consider how the experiences of joggers can be shaped by their ongoing need to develop tactics capable of enabling them to negotiate space with non-joggers. This is in some contrast to more competitive running that occurs in the separated space of an athletics track. Our sense is that better awareness of the meanings and experiences of jogging will be of value if the advertised health and sustainability benefits of the practice are to be more effectively encouraged and promoted.     

Handling missing data in a composite outcome with partially observed components: simulation study based on clustered paediatric routine data

Composite scores are useful in providing insights and trends about complex and multidimensional quality of care processes. However, missing data in subcomponents may hinder the overall reliability of a composite measure. In this study, strategies for handling missing data in Paediatric Admission Quality of Care (PAQC) score, an ordinal composite outcome, were explored through a simulation study. Specifically, the implications of the conventional method employed in addressing missing PAQC score subcomponents, consisting of scoring missing PAQC score components with a zero, and a multiple imputation (MI)-based strategy, were assessed. The latent normal joint modelling MI approach was used for the latter. Across simulation scenarios, MI of missing PAQC score elements at item level produced minimally biased estimates compared to the conventional method. Moreover, regression coefficients were more prone to bias compared to standards errors. Magnitude of bias was dependent on the proportion of missingness and the missing data generating mechanism. Therefore, incomplete composite outcome subcomponents should be handled carefully to alleviate potential for biased estimates and misleading inferences. Further research on other strategies of imputing at the component and composite outcome level and imputing compatibly with the substantive model in this setting, is needed.KEYWORDS: Composite outcome, multiple imputation, paediatrics, PAQC score, pneumonia     

Technology selection in the absence of standardised materials and processes: a survey in the UK composite materials supply chain

Composite materials is an industry where technology selection has major consequences as there is not a standard manufacturing process, nor are there standardised materials with defined or proscribed properties for companies to select as multiple solutions are technically viable. This research aims to identify key factors for manufacturing technology selection in the UK composite materials supply chain. Literature review and managers’ opinions were used to identify 18 factors affecting manufacturing technology selection. This was followed by a survey comprising the multi-tier supply chain of the composite materials industry. The results of the survey show ‘on time deliveries/service level to customers’, ‘improve quality’ and ‘reduce cycle time’ received the highest average ratings. In this study a correlation analysis was performed to identify the underlying dependencies between the factors investigated. The identification and use of underlying dependencies rather than highest average provided a more comprehensive picture of the factors that affect technology selection in the composite materials industry. For this study, experts in composite materials were asked to comment on the findings of the survey and their value to the industry. The results presented may assist companies in the composite materials industry with technology selection decision-making processes.     

Masstige model and measure for brand management

The purpose of this article is to reconceptualize the term “masstige” (Mass Prestige) marketing, develop a masstige model for brand management, and extend the use of the Masstige Mean Scale (MMS). The study was conducted based on the data from 600 individuals living in the United States, France, and India using a structured questionnaire consisting of different factors/sources of brand equity, such as mass prestige, brand knowledge, and perceived quality. On the basis of the findings, we establish that the greater the brand's Masstige Mean Index (MMI) value (“MMIV”), the higher the potential customers' top-of-mind brand awareness. Low MMIVs imply that firms have a long way to go to build their brands. We argue that MMI may allow firms to measure brand equity in different regions, within a country or in foreign countries, to derive insights into the popularity of their brands. We posit three theoretical propositions and develop two theoretical models (i) a hexagon model and (ii) a three-stage model for masstige marketing to define, reconceptualize, and explain the phenomenon.