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Despite clear evidence that Americans’ economic standard of living has improved over the last half-century in terms of income, ownership of technology and housing among other indicators, there is scant evidence from non-economic quality-of-life (QOL) indicators of improved life quality to parallel these economic gains. The present article adds to this list in showing little if any progress in three QOL indicators (the first two about time and activity) that have received less or no attention in the social indicators literature, namely (1) frequency of the highly enjoyable activity of sex, (2) participation in various serious arts activities and (3) scores of verbal ability. The data on sexual activity and verbal ability come from the 1974–2008 General Social Surveys (GSS) from the University of Chicago, and for the arts from the 2008 Survey of Public Participation in the Arts (SPPA) conducted by the US Census Bureau for the National Endowment for the Arts since 1982. All three surveys interviewed nationally representative samples, with over 70% response rates and sample sizes of more than 15,000 adults. The GSS data on sexual frequency show no significant increase in estimated frequency of sex since 1989, despite its strong appeal and the availability of new societal conveniences. This held both before and after adjustment for the age, marital status and education in the population; contrary to expectation, working long hours was associated with increased sex both before and after adjustment for these other demographic predictors. The SPPA trend data on arts participation actually showed a decline in participation, especially after adjustment for its major predictor of years of education; again no decreased participation was found among those working long hours. While scores on verbal ability in the GSS have stayed rather steady since 1974, they have decreased after MCA adjustment for the increased college education in more recent years, as documented by Nie et al. (2009). Thus, contrary to expectations, increases in public education have not been accompanied by improvements on these three indicators.  相似文献   
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ABSTRACT

Researchers have examined preference for the format of delivery of feedback, however little research has examined strategies to increase feedback and praise desirability. The current study aimed to evaluate whether preference shifted for stimuli that signaled work and for manager-praise stimuli that were delivered after work. Moreover, we sought to understand if these preference shifts were greater when the work was higher-effort compared to lower-effort work tasks (a phenomenon described in the basic literature as within-trial contrast). The study took place in a simulated work environment. Sixteen university students clicked on a shape that produced the work task, completed a mock medical data-entry task, and received manager-praise on an FR1 and FR20 schedule. At the start of the study and following each contingency exposure trials, they completed a preference assessment for both the shapes and the manager-feedback stimuli. The primary dependent variable was the percentage of preference change for two categories of stimuli – shapes presented at the beginning of trials that signaled which condition participants were in and manager-praise stimuli presented at the end of trials. Preference for the shape stimuli for both high- and low-effort stimuli decreased indicating that stimuli that signal work may become less preferred. Preference for the manager-praise stimuli for both high- and low-effort stimuli increased suggesting that stimuli that follow work may become more preferred. Overall, these data suggest that the conditions under which managers deliver feedback and praise may influence preference for those stimuli.  相似文献   
35.
The community care reforms which followed the 1989 White Paper "Caring for People"were apparently focused on addressing the needs of people requiring long-term care, and on achieving improved outcomes and better quality of life.
The agenda set out by the White Paper was for community care in the next decade and beyond. Half way through this decade, we question the extent to which the objectives of promoting choice and independence for users and carers have been achieved. The paper draws particularly on a programme of monitoring conducted jointly by the Nuffield Institute for Health and the King's Fund, based on national and local focus groups meeting over a two-year period. It proposes a framework for evaluation which consists of four components: the definition of desired outcomes; specification of service systems necessary to deliver such outcomes; promotion of access to services; and the development of supporting operational policies and resource allocation mechanisms.
This framework offers a substantial step beyond much of the monitoring of the community care reforms which has taken place to date. This has assessed progress largely in terms of the establishment of new systems and processes. We conclude that such changes were essential building blocks for delivering better-quality community care services, and in the short term it may have been legitimate to view their establishment as proxies for progress towards delivering user-centred services. However, monitoring and evaluation should now be increasingly oriented towards ensuring that these changes are in fact producing the desired service outputs and urn outcomes. We propose that our framework offers one such way forward.  相似文献   
36.
This study assessed the playgrounds of developmental day care centers and compared them with playgrounds of regular certified day care centers. Twenty playgrounds, randomly selected from the listing of developmental day centers, were compared with a matched sample of 20 playgrounds from certified day care centers in one state. A revision of Frost's Playground Rating System (1978b) was employed to rate the two groups of playgrounds on content, safety, and function. Data were analyzed using an analysis of variance technique. The quality of developmental day center playgrounds for exceptional children was inferior to that of regular day care center playgrounds in terms of playground content. No significant differences were noted on safety or function.  相似文献   
37.
This article describes the third phase of a research study undertaken within a Canadian provincial regional health authority to explore and analyze mental health services and other resources used by rural consumers after discharge from inpatient mental health programs. The focus of this article is the qualitative research findings obtained from mental health service providers and members of allied agencies. This article will discuss the literature on rural consumers' access and use of mental health programs and services; describe the context and method used to conduct the focus groups with rural service providers; characterize access and use problems from the service providers' perspectives; and suggest strategies to address these problems.  相似文献   
38.
Gay men living with HIV/AIDS face a complex of health issues, including those associated with the aging process, long-term HIV infection (25 years or more), and side effects from Highly Active Anti-Retroviral Therapy (HAART). If aging can increase marginalization, this is more likely for the aging HIV positive gay man, who is already marginalized for being queer and living with a stigmatizing disease. This article presents findings from a study of a long-running HIV support group. It locates the members, all gay men living with HIV, in a specific historical and political context to explore how feelings of loss and the struggle to sustain community affect long-term survivors and other older HIV+ gay men. We identify specific challenges presented by aging for men who contracted HIV early in the epidemic, contrasting them with those faced by men infected with the virus later in life. While both groups appear to struggle with a vision of what life could have been, had AIDS not forced loss and change, they also celebrate the community their shared plight has enabled.  相似文献   
39.
Samples of size n are drawn from a finite population on each of two occasions. On the first occasion a variate x is measured, and on the second a variate y. In estimating the population mean of y, the variance of the best linear unbiased combination of means for matched and unmatched samples is itself minimized, with respect to the sampling design on the second occasion, by a certain degree of matching. This optimal allocation depends on the population correlation coefficient, which previous authors have assumed known. We estimate the correlation from an initial matched sample, then an approximately optimal allocation is completed and an estimator formed which, under a bivariate normal superpopulation model, has model expected mean square error equal, apart from an error of order n-2, to the minimum enjoyed by any linear, unbiased estimator.  相似文献   
40.
We show the second-order relative accuracy, on bounded sets, of the Studentized bootstrap, exponentially tilted bootstrap and nonparametric likelihood tilted bootstrap, for means and smooth functions of means. We also consider the relative errors for larger deviations. Our method exploits certain connections between Edgeworth and saddlepoint approximations to simplify the computations.  相似文献   
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