Relationship of interpersonal behaviors and health-related control appraisals to patient satisfaction and compliance in a university health center

OBJECTIVE: The authors' aim was to evaluate patient-provider relationships in a college health center. PARTICIPANTS: Eighty student patients and their health-care providers. METHODS: Patients completed a measure of perceived health competence before a consultation and measures of provider participatory behavior and interpersonal behavior before and after the consultation. They evaluated their satisfaction with care and compliance after the consultation and again 2 weeks later. Providers completed measures of their participatory behavior and patients' interpersonal behavior after the consultation. RESULTS: Patients preferred to be well informed and to have their preferences taken into account, and generally felt competent at managing their own health affairs. They indicated they obtained the high level of participation they desired. Patients desired and actually experienced friendly and submissive providers. Degree of match between patients' desired and actual level of involvement in their care was associated with greater satisfaction. A greater match between the extent to which they desired the provider to be affiliative and the provider's actual affiliative behavior was associated with more satisfaction. No variables were predictive of patient compliance. CONCLUSION: The authors discuss results in terms of the influence of situational factors characteristic of a college health center.     

Illinois's child welfare research agenda: an approach to building consensus for practice-based research

This article presents a consensus-building initiative to develop a statewide research agenda that responds to the needs of Illinois's child welfare community. Researchers conducted this process through a university-community partnership to engage those interested in child welfare services. The process and findings resulted in a living document that will guide child welfare research throughout the state. Findings of the inquiry suggest that the development of best practice models may be one of the most important contributions research can make to practice.     

Temporal Relationships Among Depressive Symptoms,Risky Behavior Engagement,Perceived Control,and Gender in a Sample of Adolescents

The goals of the study were to examine whether (a) risky behaviors precede depressive symptoms or, conversely, depressive symptoms predict risky behavior engagement; (b) gender moderates the relationship between risky behavior engagement and depressive symptoms; and (c) perceived control strengthens the association between risky behavior engagement and depressive symptoms. At Time 1, 118 adolescents completed self‐report measures assessing perceived control, risky behavior engagement, and depressive symptoms. Follow‐up assessments occurred every 6 weeks (Times 2–5), and participants completed measures assessing risky behavior engagement and depressive symptoms. Results indicated that neither risky behavior engagement nor depressive symptoms emerged as main effects for the sample as a whole. When examining the relationship between depressive symptoms and risky behavior engagement as a function of gender, boys', but not girls', risky behavior engagement predicted higher levels of depressive symptoms. Irrespective of whether we examined boys or girls, depressive symptoms did not predict risky behavior engagement. With regards to the role of cognitive vulnerability, adolescents with lower levels of perceived control reported higher levels of depressive symptoms following risky behavior engagement. These findings suggest that both gender and cognitive vulnerability factors may potentiate the relationship between risky behavior engagement and subsequent depressive symptoms.     

Socioeconomic evaluation of a correctional programme in Sweden—long-term effects Samhällsekonomisk utvärdering av ett kriminalvårdsprogram i Sverige—långsiktiga effekter

The present article focuses on the long-term socioeconomic outcome of a correctional programme in Sweden, called KrAmi (n=62), using a systematic comparison with a control group of probation clients (n=51). The evaluation, which had a quasi-experimental design, was based on actual costs for each client (n=113) for a period of five years, from 1995 to 1999. The follow-up period was two years, during which the socioeconomic costs decreased step-wise for both groups, probation groups more so than programme groups. The deteriorations were 70–80% compared to the period before treatment. Rehabilitation to labour market, measured in pension points, was more successful for programme groups than for control groups. Thanks to this, as well as lower costs during the treatment period, the programme groups’ socioeconomic profitability, measured with a 15-year cost–benefit analysis (CBA), was greater than that of the control groups. The cost–effectiveness analysis (CEA) shows that the KrAmi groups are better off in work rehabilitation, depreciation time (one year compared with two and a half years for probation groups) and repayment ratio (14 SEK compared to 6 SEK for probation groups) although cost savings are greater for probation groups.     

The emotional toll of postfeminist fatherhood

Postfeminism shapes the political economy of the workforce and household, constituting a re-entrenchment of traditional heterosexual gender regimes and the pressure to transgress them. Focusing on the understudied area of postfeminist masculinity, we analyze the emotional toll some fathers experience as a result of the fraught expectations to be the breadwinner, nurturing parent, and enlightened feminist spouse who completes equal domestic duties. Using empirical data of parents’ participation in a family-based health intervention, we argue that the paradoxical expectation to enact traditional gender relations and to adopt gender egalitarianism is exhausting, upsetting, and confusing for fathers. By focusing on the affective dimensions of postfeminism, we demonstrate how working to achieve the impossible expectation of doing “it all,” a bind that women have been caught in for centuries, takes an emotional toll on fathers and couples, leading to discontent at work and home, and in regard to their self-concept, parental role, and spousal relationship. We close by offering counter examples of fathers and couples who have disengaged from postfeminist parenting relations and have reached a state of contentment. Contrary to the alignment of postfeminism with positive affect, the experience of resisting postfeminist resulted in feelings of joy, pride, and satisfaction.     

Incapsulating hands: on the (in)dependence of young adults in the UNHCR’s Maratane Refugee Camp

Drawing on research with a small group of young women and men in Maratane Refugee Camp, Mozambique, this paper argues that youth envisage themselves as incapsulated in the camp’s physical and ideological boundaries. It shows that the United Nations’ (UN) mandate of finding durable solutions to international problems is difficult to achieve when young people envisage themselves as reliant or dependent on the UN. It argues that greater attention needs to be given to the mentoring of young people within the UN system, so that they are equipped with viable and realistic life expectations and skills.     

Social Work Educators' Views and Experiences of Grow Your Own Qualifying Programmes in England

Little is known about the impact on social work educators and social work programmes of employer sponsorship of social work students through secondment or traineeship schemes, often referred to as Grow Your Own (GYO) schemes. This article reports on social work educators' views of sponsorship, the effects on their activities and the dynamics of mixed student cohorts. The study took place in England during 2007–2009 and comprised a review of the literature, interviews with a range of social work educators (n = 23), GYO students (n = 35), and employers (n = 27), and the production of a good practice guide based on stakeholder contributions. Social work educators reported that GYO activity may enhance and enrich social work programmes. They valued secured and guaranteed practice placements, considered that employer-sponsored students enriched the total student cohort, facilitated an expansion of student numbers, and strengthened partnerships with local employers. A further advantage was that GYO benefited the teaching programme overall with more robust employer/university relationships. Social work educators reported that such schemes required careful management and investment of time and might lead to some tensions about the balance between education and training. These findings are placed in the context of developments in social work education in England.     

HIV and PTSD: A Confirmatory Factor Analysis of the PCL Screening Instrument

ABSTRACT

The findings are reported from a confirmatory factor analysis (CFA) of the posttraumatic screening checklist (PCL) created by Weathers et al. (1993) Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A. and Keane, T. M. 1993. The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility, Presented at Annual Meeting of the International Society for Traumatic Stress Studies, San Antonio, TX. [Google Scholar]. One hundred and eighty-six individuals receiving either preventive HIV information or ongoing HIV counseling from community-based AIDS organizations in the New York City area completed the PCL checklist. To identify a model relevant to screening posttraumatic stress disorder (PTSD) within the HIV/AIDS community, six CFAs were conducted. Results indicated that the PTSD scale should include attention to four general areas: a) reexperiencing the traumatic event; b) avoidance of anything associated with the traumatic event; c) a sense of numbing; and d) a hyperarousal state. The CFA produced a more concise model of 12 items, relevant to the HIV community. Future research suggests that the relationships between different components of trauma exposure and different manifestations of PTSD should be examined further.     

Mental Health Needs Assessment of a Major Urban University

Abstract

A questionnaire surveying mental health needs was administered in class to 1,412 Virginia Commonwealth University (VCU) students, and a service utilization questionnaire was administered to 154 students applying for mental health services at four campus-based agencies. The nature of the specific problems of concern to students tended to remain stable over the course of a semester. Study habits and grades was the most frequently cited problem area on the needs survey, though help was sought most frequently for physically oriented concerns. Students lacking important sources of social support reported the most difficulties. Students who sought help had more problems and higher levels of concern than those not seeking help. A comparison of the two data sources indicated a slight but significant tendency for agencies to deal with the greatest areas of need at the severity levels indicated in the needs survey.