Testing of the Function Focused Environment Assessment and the Function Focused Policy Assessment in Assisted Living

This study tested two new instruments, the Function Focused Environment Assessment (FF-EA) and the Function Focused Policy Assessment (FF-PA). The measures were developed for clinical evaluation of assisted living (AL) settings to help optimize function and physical activity among residents. In total, 106 AL settings and 242 residents were included. There was evidence of item reliability (0.92) and interrater reliability (kappa =0.40, p = .015; agreement 85%) of FF-EA and item reliability (0.89) and interrater reliability (kappa =0.48, p = .001, agreement 82%) of the FF-PA, and support for validity of both measures based on INFIT and OUTFIT statistics and hypothesis testing.     

Journal Access Initiatives: Where Are They? Why the World Health Organization? and What Is HINARI?

Abstract

The move from print to online journal publishing has allowed the proliferation of journal access programs aimed at poor countries. These programs offer access to online journals on very favorable terms to developing country institutions and readers and are based on the premise that developing world scientists can contribute significantly to ameliorating the conditions of life in their countries. The authors give a brief overview of the environment in which these programs emerged, discuss different orientations of the major programs, examine the case of the Health InterNetwork Access to Research Initiative (HINARI), consider why the World Health Organization (WHO) runs a journal access program for developing countries, and conclude with the accomplishments of HINARI.     

The Effect of Child Mortality on Contraceptive Use and Fertility in Colombia,Costa Rica and Korea

In this paper the question whether reproductive behaviour is consciously altered by the death of a child is answered by using World Fertility Survey data from Colombia, Costa Rica, and Korea. Alternative strategies are proposed by which women replace children who have died. They may choose to contracept for a shorter period following the death of a child, or they may cease using contraception. Each strategy is analysed separately for selected birth intervals and its effect estimated with loglinear techniques. It is found that the timing and nature of the response to child mortality appear to depend on the stage reached in a country's fertility transition.     

Transforming mental health services to address gender disparities in depression risk factors

ABSTRACT

Depression in older women is a significant and growing problem. Women who experience life stressors across the life span are at higher risk for developing depression than their male counterparts. Research has focused primarily on identifying and reducing the symptoms of depression for the general aging population, disregarding gender-specific differences in the foundational causes of depression. This article examines how women’s unique experiences influence the development of depression and highlights how the current mental health system could better meet older women’s needs by moving from a gender-neutral model to one that emphasizes women’s experiences.     

Ego Development,Ego Strengths,and Ethnic Identity Among First Nation Adolescents

Three conceptualizations of psychosocial development were investigated among Canadian First Nation adolescents. Loevinger's social cognitive model of ego development reflects the way in which an individual views the self and social reality. From Eriksonian theory, ego strengths refer to the emergent values or outcomes that represent resolution of the eight psychosocial stages of development, and ethnic identity is a domain of personal identity with special relevance for minorities. As expected, age and biological gender differences were found for ego development. Associations between ego development and ego strengths were supported as were age differences in ethnic identity status. Traditional students (strongly identified with indigenous culture) demonstrated greater ego strengths than bicultural (identified with both their own and mainstream cultures) adolescents.     

Risk information processing and rational ignoring in the health context

Findings about the desire for health-risk information are heterogeneous and sometimes contradictory. In particular, they seem to be at variance with established psychological theories of information-seeking behavior.The present paper posits the decision about treating illness with medicine as the causal determinant for the expected net value of information, and attempts to explain idiosyncrasies in information-seeking behavior by using the notion of decision sensitivity to incoming information.Furthermore, active information avoidance is explained by modeling the expected emotional distress potentially brought about by “bad news” as a disutility factor in pay-off maximization.In this context two notions of uncertainty are distinguished: an epistemic uncertainty related to the prognostic probability assigned to the risk, and an emotional uncertainty related to the expected damage. Health-risk information can both reduce epistemic and increase emotional uncertainty, giving rise to idiosyncratic processing strategies.     

Jack Michael’s Musings on the 60th Anniversary of Skinner’s Verbal Behavior

The Analysis of Verbal Behavior - When the B. F. Skinner Foundation reprinted Skinner’s Verbal Behavior in 1992, Jack Michael wrote one of its two forewords, a detailed outline of the...     

Job Displacement and First Birth Over the Business Cycle

In this article, we investigate the impact of job displacement on women’s first-birth rates as well as the variation in this effect over the business cycle. We use mass layoffs to estimate the causal effects of involuntary job loss on fertility in the short and medium term, up to five years after displacement. Our analysis is based on rich administrative data from Germany, with an observation period spanning more than 20 years. We apply inverse probability weighting (IPW) to flexibly control for the observed differences between women who were and were not displaced. To account for the differences in the composition of the women who were displaced in a downturn and the women who were displaced in an upswing, we use a double weighting estimator. Results show that the extent to which job displacement has adverse effects on fertility depends on the business cycle. The first-birth rates were much lower for women who were displaced in an economic downturn than for those who lost a job in an economic upturn. This result cannot be explained by changes in the observed characteristics of the displaced women over the business cycle.