Building,Engaging, and Sustaining a Continuum of Care From Harm Reduction to Recovery Support: The Rutgers Alcohol and Other Drug Assistance Program

Since 1983, the focus of the Rutgers Alcohol and Other Drug Assistance Program (ADAP) has been developing policies, training staff to identify students at risk, developing and implementing evidence-based screening and brief interventions, providing short-term counseling by professionals trained in alcohol and other drug abuse to assist students beyond brief interventions, identifying effective treatment for college students, developing a campus recovery program, on-campus recovery housing, and other supports for students in recovery. This article presents a case study of the Rutgers ADAP program, of building and sustaining a program committed to engaging students in both evidence-based risk reduction interventions and an on-campus recovery community given their stage of change and motivation to make changes. Historical milestones are described as part of a creative model for intervention. We identify the challenges of integrating substance abuse recovery into campus mental health programs, and of integrating recovery into other university communities.     

Middle‐Class Parents and Urban Public Schools: Current Research and Future Directions

Middle‐class flight from urban public schools to suburban districts or private schools is a key source of educational inequality. Recently, however, a number of studies have focused on middle‐class and upper‐middle‐class families who have made a different choice, opting to remain in the city and send their children to neighborhood public schools. While the movement of advantaged families into urban public schools has received positive attention in the media, this growing body of research tells a more complicated story. Middle‐class families – with their economic, cultural, and social capital – can bring important resources to schools, resulting in widespread benefits. However, their engagement in urban public schools can also lead to marginalization and exclusion. We review the emergent literature on this topic, highlighting four themes: (i) parent preferences, identities, and values; (ii) the role of marketing campaigns and informal networks in attracting the middle class; (iii) the nature and consequences of middle‐class parent engagement in urban schooling; and (iv) the relationship between neighborhood change and school change. We conclude by outlining a research agenda aimed at deepening our understanding of the mechanisms by which middle‐class parent engagement in urban schooling may serve to mitigate, reproduce, or exacerbate educational inequalities.     

The effect of visualization method on the performance of simulated microsurgery tasks

The operating microscopes may be a significant cause of fatigue and discomfort in surgeons. The need for the microscope to be placed over the operating field forces surgeons to remain at the microscope's eyepieces at an uncomfortable posture for the entirety of the surgery. This study compared the effects on microsurgical task performance for four visualization methods: a monocular microscope, a binocular microscope, a three-dimensional (3D) flat-panel television display and a two-dimensional (2D) flat-panel television display. Eleven subjects each performed two microsurgical tasks and their performance was documented by video camera. The statistical analysis performed indicated utilization of the microscope as a visualization method increased subject performance. No significant difference in performance between the 2D and stereoscopic visualization methods.     

Associations Between Observed Mother–Adolescent Interactions and Adolescent Information Management

Associations between observed mother–adolescent interactions during a conflict task and adolescents’ information management strategies were examined in 108 primarily middle class, European‐American adolescents (M = 13.80 years, SD = 1.52) and their mothers. Teens who communicated more clearly disclosed more about personal and multifaceted activities, lied less about personal activities, and engaged in less avoidance regarding multifaceted and prudential activities. Mothers’ clear communication was associated with less adolescent disclosure and more avoidance about personal and multifaceted activities. Teens with more receptive mothers omitted less prudential information but avoided discussing prudential issues more. Maternal warmth was not associated with information management. The results highlight the need to distinguish between parent and teen behaviors and between affective quality and specific communicative behaviors.     

Consolidated findings from 6 years research on the age-differentiated design of human-computer interaction

The fast aging of many western and eastern societies and their increasing reliance on information technology create a compelling need to reconsider older users' interactions with computers. This paper summarizes the results of 6 years of research on the age-differentiated design of human-computer interaction. The well-known model of human information processing served as the theoretical framework. The model components 'sensory processing', 'perception', 'working memory', 'decision and response selection' and 'response execution' were analyzed exemplarily in task settings on project management. In seven empirical studies with a total number of 405 participants between 20 and 77 years the human-computer interaction was analyzed regarding effectiveness, efficiency and user satisfaction. For most but not all studies the results reveal that age-induced differences in human-computer interaction can best be compensated by an ergonomic 'design for all'. In some cases however an age-specific approach is favorable.     

Casting an ergonomic eye on university libraries

Research in the field of Ergonomics of the Built Environment has been developed with a view to consolidating studies in this area, the objective of which is to provide evidence that the joint participation of users and designers on drawing up projects is important. In this context, the theme of this study is to investigate the interactions between users and the environment in a university library. To do so, well-established techniques from Ergonomics, Architecture and Environmental Psychology were used to make a functional and behavioral evaluation to identify the level of user satisfaction in six libraries in the various study centers of the Federal University of Pernambuco in Recife, northeast Brazil, so as to identify the strengths and also weaknesses in these spatial structures.     

Sex differences in the development of mild cognitive impairment and probable Alzheimer’s disease as predicted by hippocampal volume or white matter hyperintensities

This study examined biological sex differences in the development of mild cognitive impairment (MCI) and probable Alzheimer’s disease (AD) development as predicted by changes in the hippocampus or white matter hyperintensities. A secondary data analysis of the National Alzheimer’s Coordinating Center Uniform Data Set was conducted. We selected samples of participants with normal cognition at baseline who progressed to MCI (n = 483) and those who progressed to probable AD (n = 211) to determine if hippocampal volume or white matter hyperintensities (WMH) at baseline predicted progression to probable AD or MCI and whether the rate of progression differed between men and women. The survival analyses indicated that changes in hippocampal volumes affected the progression to probable AD (HR = 0.535, 95% CI [0.300–0.953]) only among women. White men had an increased rate of progression to AD (HR = 4.396, CI [1.012–19.08]; HR = 4.665, 95% CI [1.072–20.29]) compared to men in other race and ethnic groups. Among women, increases in hippocampal volume ratio led to decreased rates of progressing to MCI (HR = 0.386, 95% CI [0.166–0.901]). Increased WMH among men led to faster progression to MCI (HR = 1.048. 95% CI [1.011–1.086]). Women and men who were older at baseline were more likely to progress to MCI. In addition, results from longitudinal analyses showed that women with a higher CDR global score, older age at baseline, or more disinhibition symptoms experienced higher odds of MCI development. Changes in hippocampal volumes affect the progression to or odds of probable AD (and MCI) more so among women than men, while changes in WMH affected the progression to MCI only among men.     

Why spouses depress each other: A cross‐national study to test the shared resource hypothesis in depressive symptom concordance within older adult couples

The shared resource hypothesis suggests that married couples share the same environmental resources, which shape their health concordance. This study tests its cross‐national applicability. Cross‐sectional 2012–2013 Health and Retirement Study data from China, England, Mexico, and the United States were analyzed. Heterosexual couples (age ≥60) who were married or partnered were studied (N = 20,565 pairs). Dyadic data were analyzed by multilevel models to examine the effect of self and spousal social and physical health statuses on depressive symptoms. Regression models were used to test the relationship between couples' shared resources and depressive symptom concordance. Results indicated both husbands and wives' depressive symptoms were associated with their own and spouses' social and health statuses. Most couple‐level resources were insignificant predictors for Chinese and Mexican couples' concordance, but having more social and financial resources was associated with higher concordance among British and American couples. Self‐reported health was the most consistent predictor in all countries. The shared resource hypothesis was more applicable to depressive symptom concordance within couples in the United States and England, but not in China and Mexico. Couple‐centered intervention is suggested for clinical practice, and the spousal effect should be considered in policymaking.     

Leadership’s Role in Process Safety: An Understanding of Behavioral Science Among Managers and Executives Is Needed

ABSTRACT

A recent prevalence of high visibility catastrophic events has garnered increased attention to process safety issues. While the use of Behavior-Based Safety interventions demonstrate a reduction in workplace injuries by targeting employee behavior, we believe that process safety requires a greater focus on the behavior of leaders (e.g., creating and executing strategy). One effective method to begin targeting leader behavior for the improvement of process safety is to teach leaders about the principles of behavior, including ways by which the science may be applied within their own organizational models.