Using an empirical binomial hierarchical Bayesian model as an alternative to analyzing data from multisite studies

This article explores the statistical methodologies used in demonstration and effectiveness studies when the treatments are applied across multiple settings. The importance of evaluating and how to evaluate these types of studies are discussed. As an alternative to standard methodology, the authors of this article offer an empirical binomial hierarchical Bayesian model as a way to effectively evaluate multisite studies. An application of using the Bayesian model in a real-world multisite study is given.     

ACHIEVING INDIVIDUALLY SUSTAINED COMMITMENT TO TREATMENT THROUGH SELF-CONSTRUCTED MODELS OF MEDICAL ADHERENCE

One of the main challenges facing medication adherence research is to provide a framework that allows patients and practitioners to effectively use the many efficacious treatments that will undoubtedly be developed in the new millennium. This framework, especially for chronic disorders, must be based on requiring patients to make the long-term behavioral changes needed to achieve a high level of commitment to these treatments. The best way to generate this high level of commitment is through a paradigm shift away from medical and patient models toward models that incorporate the social psychological literature focusing on how people's sense of self is constructed, enacted, and sustained over the life course. This review demonstrates the need, value, and appearance of this shift. First, it describes a previous paradigm shift in the medication adherence literature and then argues that a new paradigm shift is necessary. Second, it identifies and describes the models currently used in adherence research and notes three critical shortcomings of these models. Finally, it demonstrates how symbolic interaction's identity theory may be used creatively to overcome these shortcomings and convert efficacious treatments into effective treatments. Developing such an approach would well position the medication adherence research field for excellent contributions to the treatment of chronic disorders in the twenty-first century.     

Housing Dissatisfaction and Cognitive Decline in Older Adults

Analysis of a nationally representative, longitudinal survey of community-dwelling Americans older than 50 years of age indicated that rating the physical condition of one's dwelling unit as “poor” predicted significantly more rapid cognitive decline in subsequent years. This relationship persisted after controlling for a variety of factors such as wealth, income, education, health, family status, neighborhood safety, depression, and initial cognitive ability. Dissatisfaction with the physical conditions of one's housing may have a direct effect on the rate of cognitive decline in older adults. Addressing housing inadequacy for older adults may thus produce a wider range of societal benefits than previously realized.     

The Differential Perceptions of Male and Female Deviants

Abstract

Hepburn (1975) stated that the definition of the audience determines whether deviance exists so that societal reaction can take place. However, the audience has not received systematic attention in the literature of the sociology of deviance. The existing literature examines mostly the reactions of official social control agents. Consequently, the purpose of this research is to determine the stereotypes held by a group besides social control agents. Further, the research explores whether the sex of the deviant affects the stereotypes associated with deviant behaviors. The data were gathered from a sample of college students attending a small liberal arts college. Twelve types of deviants representing a wide variety of behavior patterns were evaluated using an Osgood semantic differential scale. The data show that the respondents perceived each type of deviant as having a different stereotype and that the stereotypes did not overlap. Furthermore, the stereotypes were not complex ones, nor all negative. The data further indicate that the sex of the deviant was influential in how people responded to that deviant.     

Senate confirmation of cabinet appointments: Congress-centered,presidency-centered,and nominee-centered explanations

Recent presidents find greater proportions of their executive nominations encountering substantial opposition in the Senate. What accounts for failed nominations to senior-level executive positions? We address this question by examining 297 cabinet and other senior-level nominations between 1969 and 2012, testing multivariate models of the effects of the partisan and ideological composition of the Senate, the president's public approval and electoral mandate, and characteristics of the nominee. The analysis demonstrates that allegations of illegal or unethical behavior by the nominee and concerns over policy preferences best explain the Senate's response to executive nominations. It is clear that, unlike legislative outcomes, confirmation outcomes are the products of nominee-centered factors with presidency-centered factors and Congress-centered factors having little impact on Senate decisions.     

Transitioning Through College With Diabetes: Themes Found in Online Forums

Abstract

Objective: Content analysis of Internet-based diabetes forum text was used to examine the experiences encountered by students with diabetes transitioning into and through college. Participants: Forum posts (N = 238) regarding attending college with diabetes were collected and analyzed. Methods: Thematic coding was used to identify prominent topics, followed by analysis of theme distribution across college transitional stages. Three students with diabetes were recruited to review results and corroborate findings. Results: Twenty thematic categories were identified. Preparation for college involved efforts to move toward autonomous diabetes management. Transitioning in was marked by adjusting to a college lifestyle, then working to manage issues such as busy schedules and alcohol use as continuing students, and turning attention toward future career options and finances while transitioning out. Conclusions: As they move into and through college, students with diabetes negotiate developmental and diabetes-specific tasks within an environment that presents unique logistical, lifestyle, and psychological challenges.     

The Impact of Fathers’ Work and Family Conflicts on Children’s Self-Esteem: The Hong Kong Case

Work and family conflicts are always viewed as issues of human resource management or occupational health. Insufficient attention has been focused on the impact on child development and quality of parenting, especially regarding the impact of a father’s work. To examine the impact of work and family conflicts on the quality of father–child interactions in Hong Kong, a cross-sectional survey was conducted. In total, 556 pairs of working fathers and their school-aged children participated in the survey. The findings of the survey indicated that fathers’ work-to-family conflicts negatively affected the quality of father–child interactions, which in turn caused harm to children’s self-esteem. In addition to work-family conflicts, a low income level of the fathers, a larger number of children in the family, and the presence in the family of children approaching adolescence were significant risk factors to the quality of father–child interactions. The mothers’ active parental involvement and the complexity of the fathers’ occupation were significant protective factors of the quality of father–child interactions. To facilitate strong family bonding and good quality parenting, possible measures to ensure a healthy work-family balance among working fathers are discussed.     

The Impact of Poverty on Children and Young People’s Use of Services

This article describes a qualitative study exploring the impact of poverty on children’s access to and use of services, which took a comparative approach to gather the views of children from more and less affluent households. Findings suggest affordability and related factors including limited mobility constrained service use for less affluent children, resulting in cumulative missed opportunities. However, extended family, friends and agencies facilitated service access, mitigating the impact of poverty on service use to some extent. Research implications include the importance of listening to and taking account of the views of children from lower income families in service planning.     

Building the S&T Digital Library at the Naval Research Laboratory

Abstract

The Ruth H. Hooker Research Library has been delivering digital information to researchers' desktops at Naval Research Laboratory (NRL) sites across the country for over ten years. This article describes the current and planned efforts at unifying the various journals, databases, reference tools, and linking schemes into a comprehensive and integrated Web-based scientific and technical digital library for the benefit of the NRL and the broader naval research community. Serials Review 2003; 29:76–82.