Constituents of healthy workplaces

The aim of the study presented here was to identify and characterize the constituents of a healthy workplace from the viewpoints of employees at four different companies with low rate of absenteeism due to illness. A non-randomized, purposive selection was made of 27 respondents -- four department heads, 16 white-collar workers, and seven blue-collar employees. The respondents were told to describe in writing how they experience factors contributing to good health at their workplace. The data analysis was carried out with a phenomenographic approach. Four main categories of health-related factors emerged: Good Work Environment, Active Keep-Fit Measures, Functional Leadership and Individual Responsibility. The employers fulfil demands for a good physical working environment, but the need for improvements in the psychosocial environment remains. The most promising finding is that the respondents' accept personal responsibility for maintaining their own good health.     

Synthesizing ENABLE-AGE Research Findings to Suggest Evidence-Based Home and Health Interventions

ABSTRACT

As the quest for knowledge translation from research to practice and policy contexts is growing stronger, researchers need to develop strategies for synthesizing research findings. Since home environments constitute an important context for the delivery of health care and social services to older adults and people aging with disabilities, research in this field can serve as an example for such endeavors. Using 35 original publications and one unpublished doctoral dissertation based on the European ENABLE-AGE Project, we aimed to demonstrate a systematic approach to synthesize research findings generated by large research projects as the basis for evidence-based interventions. The synthesized findings highlighted the complex interactions between objective and perceived aspects of housing and aspects of health in very old age, impacting on, for example, residential decision making. Independence in daily activity is influenced by the sociocultural care and service context. A familiar and safe neighborhood, a social network, and a good supply of services are important to perceptions of participation. Going further, we suggest housing-related interventions that address problems and challenges related to ongoing demographic changes. This article contributes to the development of strategies for knowledge translation, connecting research and practice and policy contexts struggling to meet the societal challenges that accompany population aging.     

Keynote Address: Impact of the Future on College Health

Abstract

Objective: The authors investigated the effect of gain-framed (GF) compared with loss-framed (LF) messages on exercise behaviors in normal weight and among overweight/class I obese. The authors also examined which groups would have significantly improved exercise behaviors over time. Participants: Sixty-four undergraduates were randomized to the 4 groups by message type and weight category from September 2008 to December 2011. Methods: After screening, students received messages and attended an exercise instruction session. Results: There were no significant differences between GF or LF message groups among normal weight or overweight/obese on the primary outcomes at posttest. After receiving the GF messages, the overweight/obese group was the only group to have a significant increase on all 3 primary outcomes: fitness center attendance (p = .038), combined moderate- and vigorous-intensity activity (p = .005), and strength training (p = .037). Conclusions: The exercise behaviors of undergraduate students who are overweight or obese can benefit from GF messages.     

Stratification of randomization is not required for a pre‐specified subgroup analysis

Published literature and regulatory agency guidance documents provide conflicting recommendations as to whether a pre‐specified subgroup analysis also requires for its validity that the study employ randomization that is stratified on subgroup membership. This is an important issue, as subgroup analyses are often required to demonstrate efficacy in the development of drugs with a companion diagnostic. Here, it is shown, for typical randomization methods, that the fraction of patients in the subgroup given experimental treatment matches, on average, the target fraction in the entire study. Also, mean covariate values are balanced, on average, between treatment arms in the subgroup, and it is argued that the variance in covariate imbalance between treatment arms in the subgroup is at worst only slightly increased versus a subgroup‐stratified randomization method. Finally, in an analysis of variance setting, a least‐squares treatment effect estimator within the subgroup is shown to be unbiased whether or not the randomization is stratified on subgroup membership. Thus, a requirement that a study be stratified on subgroup membership would place an artificial roadblock to innovation and the goals of personalized healthcare. Copyright © 2012 John Wiley & Sons, Ltd.     

Attitudes toward text recycling in academic writing across disciplines

Text recycling, the reuse of material from one’s own previously published writing in a new text without attribution, is a common academic writing practice that is not yet well understood. While some studies of text recycling in academic writing have been published, no previous study has focused on scholars’ attitudes toward text recycling. This article presents results from a survey of over 300 journal editors and editorial board members from 86 top English-language journals in 16 different academic fields regarding text recycling in scholarly articles. Responses indicate that a large majority of academic gatekeepers believe text recycling is allowable in some circumstances; however, there is a lack of clear consensus about when text recycling is or is not appropriate. Opinions varied according to the source of the recycled material, its structural location and rhetorical purpose, and conditions of authorship conditions—as well as by the level of experience as a journal editor. Our study suggests the need for further research on text recycling utilizing focus groups and interviews.     

Outpatient Dialectical Behavior Therapy for Adolescents Engaged in Deliberate Self-Harm: Conceptual and Methodological Considerations

The current review examines conceptual and methodological issues related to the use of dialectical behavior therapy for adolescents (DBT-A) in treating youth who engage in deliberate self-harm. A comprehensive review of the literature identified six studies appropriate for the review. Results indicated several inconsistencies and limitations across studies including the mixing of various forms of self-harm; variations in diagnostic inclusion/exclusion criteria, insufficient use of standardized self-harm outcome measures, variable lengths and intensity of provided treatment, and inadequate attention paid to DBT adherence. Each of these areas is reviewed along with a discussion of ways to improve the quality of future research.     

Soziologie und Geschlechterforschung in entsicherten Verhältnissen — Plädoyer für eine praxeologische Öffnung

Starting point of the article are the upheavals in post-Fordist societies. The author argues that the sometimes paradoxical social dynamics of these radical changes produce situations of social uncertainty. This is a great challenge for the analytic abilities of sociology and gender studies which are both strongly influenced by the thought patterns of ?organized modernity“. On the (empirical) example of a praxeological sociology of gender, the author tries to show what gender studies and sociology can contribute mutually to an opening of their own terms and categories.