Risk factors for preterm,low birthweight and small for gestational age births among Aboriginal women from remote communities in Northern Australia

Objective

To identify the risk factors for preterm birth, low birthweight and small for gestational age babies among remote-dwelling Aboriginal women.

Attaining Status at the Expense of Likeability: Pilfering Power Through Conversational Interruption

Do status expectations affect how we interpret interruption in conversation? Two experiments examined how interrupters and their targets are perceived in same- and mixed-gender dyads. In Experiment 1, participants listened to a brief audiotaped conversation in which one person interrupted the other five times. In Experiment 2, four confederates (two men and two women) systematically interrupted naïve participants while discussing an article. In general, interrupters gained in status and targets of interruption lost status. In addition, participants who were interrupted rated themselves as less influential than those who were not interrupted. As expected, interrupters, especially female interrupters, were liked less than those who did not interrupt. Theoretical implications are discussed.     

Reactions to research participation in vulnerable subgroups

This paper describes the extent to which vulnerable individuals (defined by economic, social, psychological, physical health, and child maltreatment status) react to research participation. As part of an ongoing longitudinal study, participants (N=896) completed a lengthy and intrusive in-person interview and provided a small amount of blood through finger pricks. At the end of the interview, participants were asked eight questions about their reactions to the research experience. Vulnerable individuals in general agreed more strongly about having an emotional reaction, but were not less willing to continue to participate. In addition, psychologically vulnerable individuals more strongly agreed they would continue to participate, were treated with respect and dignity, and found their participation meaningful. Compared to whites, nonwhites reported stronger agreement about the meaningfulness of the research and the belief that their responses would be kept private. Like others, individuals vulnerable by virtue of their prisoner status or homelessness (past or current) agreed more strongly about having an emotional reaction to the interview, but otherwise did not differ in their reactions. These results suggest that researchers and institutional review boards should not be deterred from conducting research on sensitive topics with potentially vulnerable populations.     

The analysis of the AB/BA cross‐over trial in the medical literature

The evolution of opinion as to how to analyse the AB/BA cross‐over trials is described by examining the recommendations of three key papers. The impact of these papers on the medical literature is analysed by looking at citation rates as a function of various factors. It is concluded that amongst practitioners there is a highly imperfect appreciation of the issues raised by the possibility of carry‐over. Copyright © 2004 John Wiley & Sons, Ltd.     

Examination of the Role of Therapeutic Alliance,Treatment Dose,and Treatment Completion in the Effectiveness of The Seven Challenges

Adolescent alcohol and illicit drug (AOD) use is a major public health concern. This longitudinal study examines the effectiveness of The Seven Challenges in reducing adolescent substance use and mental health problems, as well as the process by which it is effective. Participants were 89 adolescents (72 male, 17 female) enrolled in a 3 month intensive outpatient adolescent substance abuse treatment program using The Seven Challenges and who provided self-report data at pre- and post-treatment. Results indicated that The Seven Challenges was effective at increasing the number of days refrained from using AOD, reducing use of tetrahydrocannabinol (THC) and other drugs, and reducing substance use problems and internal mental distress. Results also indicated that The Seven Challenges drug counselors effectively established and maintained therapeutic alliance but this seems to not play a role in the effectiveness of The Seven Challenges. Both treatment dose and completion played a role in the effectiveness of The Seven Challenges; they were both positively related to post-treatment days refrained from AOD use, and negatively related to days of THC use, substance use problems, and internal mental distress. However, the strength of the influence of treatment completion was stronger when treatment dose was low than when it was high. Despite a small sample and other limitations, findings add to existing literature that suggests that The Seven Challenges is an effective substance abuse treatment for adolescents. Furthermore, findings suggest that adolescent substance abuse treatment should focus on clients meeting pre-determined program goals as well as on dose.     

Sleepless in school? The social dimensions of young people’s bedtime rest and routines

There are increasing concerns that social pressures, such as family changes and social media, are ‘invading’ the sanctuary of the bedroom with the result that students arrive at school tired and stressed. This paper seeks to examine whether these concerns are justified and contribute to the growing literature on the social dimensions of sleep through examining the rest and routines of two cohorts of young people aged 12–13 and 14–15 years old. Our research indicates that, in general, most young people have ‘reasonable’ amounts of sleep and routines. But, a significant proportion does go to school tired, with apparent negative consequences for their well-being. The paper examines some of the within-cohort variations, in particular, the significance of volume of sleep, routines and engagement with social media and how these may reflect the material and cultural circumstances of the young people. The paper concludes by arguing for more research on the complex social causes and consequences of sleep deprivation among today’s youth.