Tuning Clinical Recruitment around Cultural Taboos in a Human Microbiome Study

ABSTRACT

Human microbial communities are bodies of microorganisms that reside in or on different body parts. Importantly, they have been found to affect human health. However, scientific research on human microbial communities has created new challenges for human subject recruitment. First, individuals are asked to collect samples of bodily substances that can be seen as repulsive (e.g. feces and urine). Second, because scientists want to understand how human microbial communities evolve over time, individuals are asked to commit to a regular sample collection for extended periods of time. A longitudinal qualitative study of the work of scientists, physicians, research staff, and study coordinators involved in a human microbiome research project has found that these actors can bypass some aspects of these recruitment and retention challenges through ‘tuning work’. Tuning work is a collaborative process where professionals agree to adjust their practices towards shared goals. Such professionals reconfigure their work practices, personal routines, and the study protocol in an effort to obviate cultural taboos against handling bodily substances. The burden of long-term participation provides fewer opportunities for tuning work for these professionals, however. As such, long-term commitment by human subjects remains a recruitment and retention obstacle.     

Enhancing Initial Parental Engagement in Interventions for Parents of Young Children: A Systematic Review of Experimental Studies

Low rates of participation in parenting interventions may undermine their effectiveness. Although a wide range of strategies to engage parents in interventions are described in the literature, little is known about which engagement strategies are most effective in enhancing parental engagement. This systematic review explores effective engagement strategies to encourage initial parental engagement (recruitment, enrolment, and first attendance) in parenting interventions for parents of children aged 2–8 years old. This review was conducted based on the guidelines of the Cochrane Handbook for Systematic Reviews of Interventions (Higgins and Green 2011) and the Preferred Reporting Items for Systematic Review and Meta-Analysis (Moher et al. 2009). Electronic systematic searches from January 1996 to August 2017 were conducted in PsycINFO, Scopus, ProQuest Social Sciences Journals, CINAHL, and PubMed databases. Eight studies met the inclusion criteria representing 1952 parents from four different countries. Of the engagement strategies tested in included studies (monetary incentive, setting, testimonial, advertisement, and engagement package), three strategies (advertisement, incentive, and engagement package) showed a significant effect on a stage of engagement, but none across stages. The low methodological quality of the selected studies limits their generalisability and thus provides limited evidence regarding effective engagement strategies to increase recruitment, enrolment, and first attendance rates in parenting interventions. There is a need for further, more methodologically rigorous, research evidence regarding how to engage parents more effectively in the early stages of parenting interventions.     

Barriers to primary prevention efforts in the schools: Are we the biggest obstacle to the transfer of knowledge?

Dialogue and debate regarding the definition of prevention has subsided and has been replaced by research and information regarding pathways to dysfunction and effective primary prevention strategies. In spite of the solid research base and the strong desire of practitioners to apply prevention strategies, there continues to be sporadic implementation in schools. Barriers to the implementation of primary prevention programs include traditional professional practice within psychology, lack of communicating pertinent information between professions and policymakers, commitment of resources, and limited understanding of the pathways to successful and widespread implementation. Recommendations to address these barriers are discussed.     

Eating disorder prevention on college campuses: Recruitment challenges

IntroductionUniversities are believed to present rich opportunities for eating disorder prevention research. However, the widespread recruitment from psychology subject pools and the attractive compensation offered widens the gap between efficacy trials and effectiveness studies, and raises concerns about the possibility of wide-scale dissemination.ObjectiveTo encourage thinking about how to disseminate prevention programs broadly.MethodWe provide a real-world example of the implementation of two prevention programs.ResultsThis paper illustrates the difficulties of recruiting for a disordered eating prevention intervention when offering minimal compensation despite the use of comprehensive and creative advertising.ConclusionsThese difficulties speak to the challenges in conducting widespread eating disorder prevention in university settings and highlight the need to develop strategies to help overcome challenges in prevention research and dissemination.     

Conducting Research with Latino Families: Examination of Strategies to Improve Recruitment, Retention, and Satisfaction with an At-Risk and Underserved Population

Difficulty recruiting and retaining Latino participants in clinical research may contribute to the limited number of studies addressing the mental health disparities that exist between Latino and Caucasian families in our country. The researchers developed and utilized culturally-modified research strategies to maximize recruitment, retention, and satisfaction of Latino families by targeting family systems, community, and cultural levels. Subsequently, the relationship between individual/family and cultural characteristics with participants’ motivation to participate and overall satisfaction with the research project was examined. As part of a larger research study, 70 Latino parents of children aged 5–12 years completed a measure designed to assess an individual’s motivation for participation, as well as his/her satisfaction with participating in psychological research (i.e., the Exit Survey). Parents also completed demographic questionnaire and two measures of acculturation (i.e., the Acculturation Rating Scale of Mexican–Americans-II and the Mexican–American Cultural Values Scale). Results indicate that families with more socioeconomic hardship and more acculturation to mainstream Anglo cognitions and traditional Latino behaviors were more pleased with the overall research project employing culturally-modified strategies aimed at individual/family, community, and cultural levels. Thus, researchers should strive to incorporate appropriate research strategies to recruit and retain “harder to reach” populations in clinical research studies. Better inclusion of Latinos in psychological research ultimately may lead to more culturally-appropriate mental health services and better service utilization for Latino families.     

Utilisation de l’engagement pour limiter la valorisation des fumeurs chez les adolescents

IntroductionSocial psychology research about commitment has demonstrated that it is possible to change one people's cognition and behavior.ObjectiveThe aim of the present article is to show that commitment can be used as a reduction strategy of smokers’ valorization and smoking normativity in order to reduce smoking.MethodStudents have been followed into a longitudinal study from end of elementary school to 8th grade class. They have been divided into different groups representing the smoking prevention's degree of commitment.ResultsRsults suggest that the sooner they are engaged in schooling, the better is the prevention. Commitment intervention made later in schooling has no influence on students smoking valorization.ConclusionResults will be discussed in terms of commitment theory by highlighting that an intervention using commitment is efficient only if the target is not already committed in an opposite behavior.     

Dual Strategies Applied to AIDS Prevention: Influence on Attitudes

This article approches the problem of organizing an effective AIDS prevention campaign through the establishing of a dual-strategies technique based on persuasive and behavioral stategies that integrate the research into commitment psychology. The dual-strategies technique was tested in an actual environment within the campaign for the prevention of AIDS involving 17 and 18 years old subjects. A Likert-type attitude scale was created to measure the results of the campaign. The experimental plan permitted the verification of the effects of this strategy on attitudes by the comparison between the various groups that were subjected to different strategies and the control group. As we expected, the pupils who were the object of these strategies showed more favorable attitudes towards AIDS prevention in the post experimental phase than those who were not (control condition).     

Recruitment and Retention of Low‐SES Ethnic Minority Couples in Intervention Research at the Transition to Parenthood

Low‐SES couples have limited resources to manage the chronic and acute stressors with which they are disproportionately faced. Although these couples are at greater risk for negative individual and relationship outcomes, evaluations of the impact of couple relationship education (CRE) in low‐SES couples have been plagued by methodological problems, most notably challenges associated with recruitment and retention. We review the literature on challenges couples face associated with low‐SES, as well as on recruitment, retention, and CRE in low‐SES, ethnic minority populations. We illustrate some of these challenges in a case study of CRE for low‐SES couples transitioning to parenthood. In this pilot study, 21 couples were recruited from a community health clinic and randomized to either an experimental treatment condition (EXP; N = 11) or a treatment‐as‐usual control condition (TAU; N = 10). This study sought to mitigate documented challenges with recruitment and retention: We leveraged community partnerships, attempted to build and maintain strong relationships with study participants, provided incentives for assessments as well as intervention meetings, and attempted to reduce potential barriers to enrollment and retention. Nonetheless, we had low rates of recruitment and retention. We integrate these findings and experiences with our review of previous work in this area. We make recommendations for future CRE research and practice that have potential implications for public policy in this area.     

Reducing implicit prejudice: Matching approach/avoidance strategies to contextual valence and regulatory focus

Two general strategies for reducing prejudice are to approach equality and to avoid prejudice. The current research investigated the importance of matching two factors, contextual valence and regulatory focus, on the efficacy of these two strategies in reducing implicit prejudice. The findings demonstrate that although an approach strategy is more effective in decreasing prejudice on the Implicit Association Test in a positive rather than a negative context, an avoidance strategy is more effective in decreasing prejudice in a negative rather than a positive context (Study 1). In addition, the results show that although an approach strategy is more effective in decreasing prejudice when a promotion rather than a prevention focus is primed, an avoidance strategy is more effective in reducing prejudice when a prevention rather than a promotion focus is primed (Study 2). The implications of these findings for current interventions aimed at decreasing implicit prejudice are discussed.     

Documenting the Process of a Prospective Elementary Teacher’s Flexibility Development: Scaffolded Strategy Ranges and Sociomathematical Norms for Mental Computation

Abstract

This article contributes to the research literature concerning prospective elementary teachers’ mathematical thinking and learning with a focus on flexibility. We present a case study of a prospective elementary teachers’ development of flexibility in mental addition and subtraction during a Number and Operations course. Building upon the construct of strategy ranges, we introduce scaffolded strategy ranges, which describe the sets of strategies that people use given the opportunity to solve a task in multiple ways. Like many prospective elementary teachers, Brandy initially appeared inflexible in mental addition and subtraction. In fact, her unscaffolded strategy ranges were limited to just the mental analogs of the standard algorithms. However, Brandy’s scaffolded strategy ranges revealed greater potential for flexibility. Furthermore, the way of reasoning that appeared in Brandy’s scaffolded strategy ranges (a) influenced her interpretations of nonstandard strategies that she encountered in the Number and Operations course and (b) foreshadowed the direction in which her flexibility would develop.     

Batting on a sticky wicket: Identifying sources of stress and associated coping strategies for professional cricket batsmen

ObjectivesThe purpose of this study was to examine the sources of stress and associated coping strategies as reported by professional cricket batters.MethodsNine male professional cricket batters completed a semi-structured interview to examine their stress sources and associated coping strategies. A combination of inductive and deductive content analyses provided a detailed data analysis for the two areas of investigation.ResultsThe interviews revealed a total of 25 general dimensions for the sources of stress and 23 general dimensions for the coping strategies.ConclusionsDespite the overlap between stress sources and coping strategies to previous literature, practitioners need to be aware of the specific demands of the sport in which they are working. Future research suggestions are made regarding the study of stress and coping in sport.     

Intimate partner violence in military couples: A review of the literature

IntroductionIntimate partner violence (IPV) is a serious public health concern that has not received an immense amount of attention in the military community. It is well documented in military literature that rates of IPV across US military populations range from 13.5% to 58%, with considerably lower rates obtained among samples not selected on the basis of psychopathology (Marshall, Panuzio, & Taft, 2005). The main objectives are to address the this gap in literature concerning the definitions of violence used, prevalence of IPV in military intimate relationships, the nature and patterns of violence, risk factors, and theories that may help to provide a better understanding of the violence attached to this unique population.Methods and theoryCivilian and military communities are urged to work towards using common definitions and practices to facilitate comparison of rates among the populations. Furthermore, methodological tools should move towards using more multi-method and longitudinal designs, more theoretical model applications and more diverse sample selection as strategies to further our understanding of the structure and inner workings of IPV in military couples.Conclusion and recommendationsMore exhaustive research, especially in Canada, including consistent definitions and methodology needs to be conducted. Also, future research needs to address the gap in the literature regarding theory application, risk factors associated with this phenomenon, and prevention methods.     

Culturally-Modified Recruitment Strategies for Latino Families in Clinical Child Research: A Critical First Step

The goals of the current study were to develop and employ culturally-modified recruitment strategies utilizing flexibility and creativity to combat practical and cultural barriers to Latino participation in clinical child research, as well as to quantitatively examine individual and cultural factors related to the different recruitment strategies. In total, 45 Latino parents were successfully recruited and primarily included married mothers of Mexican origin with varied socioeconomic backgrounds. To address the first study goal, an initial culturally-modified recruitment strategy (i.e., postcard strategy, n = 23) was developed to combat both practical and cultural barriers; an augmented strategy (i.e., face-to-face strategy, n = 22) was later employed to further combat potential barriers. Unfortunately, neither strategy resulted in the desired sample size of 150 parents. To examine the second study goal, an exploratory, quantitative examination of individual and cultural factors related to the different strategies was conducted. In general, results suggested that there were differences in the demographics of the parents who responded to the different recruitment strategies, such that those recruited through the face-to-face strategy were more educated, more acculturated, and spoke more English than those recruited through the postcard strategy. Much needed future directions are discussed.     

Forging Community Links to Address Abuse in Lesbian Relationships

Abstract

This study is a comprehensive review of lesbian domestic abuse in the psychological, sociological, legal, and social work literature. Planning intervention and prevention strategies is discussed in light of what is known and what remains to be known. A strong argument is made to turn attention away from the elusive tasks of documenting prevalence and incidence characteristics, and forge the community links needed to develop effective intervention and prevention strategies.     

RATIONALE AND RESEARCH CONCERNING PREREADING STUDY STRATEGIES WITH SECONDARY AND COLLEGE STUDENTS

Reading and content area teachers frequently teach secondary and college students to use prereading study strategies in the belief that the strategies will facilitate reading comprehension. This article, a review of the literature published from 1960 to 1981, reveals many articles extolling the use of a particular prereading activity, but failing to support the use of the strategy with research. Regardless of the prereading strategies reported in the literature, it is clear that there is a dearth of conclusive research in this area. Careful, well‐designed experiments need to be conducted to determine the degree that prereading strategies expedite comprehension.     

Recruiting Young Adult Cancer Survivors for Behavioral Research

Young adults have been dramatically underrepresented in cancer survivorship research. One contributing factor is the difficulty recruiting this population. To identify effective recruitment strategies, the current study assessed the yield of strategies used to recruit young survivors for an exercise intervention including: clinic-based recruitment, recruitment at cancer-related events, mailings, telephone-based recruitment, advertising on the internet, radio, television and social networking media, distributing brochures and word-of-mouth referrals. When taking into account the strategies for which we could track the number of survivors approached, recruitment at an oncology clinic was the most productive: 38 % of those approached were screened and 8 % enrolled. When evaluating which strategy yielded the greatest percentage of the sample, however, mailings were the most productive. Given widespread use of the internet and social networking by young adults, investigators should also consider these low-cost recruitment strategies.     

助推手卫生的行为干预策略

保持手卫生是感染防控的重要策略,但是如何提高其依从性成为预防传染性疾病和减少医疗机构获得性感染的一大挑战。以行为科学为基础的手卫生助推干预以更“隐性”的方式将洗手转变为一种可自动触发的行为习惯,弥补了以知识分享和健康宣教为主的传统手卫生干预策略的诸多局限性。基于影响机制的不同,手卫生助推干预策略可分为提供决策信息、优化决策选项、影响决策结构、提醒决策方向4个大类的框架体系。多模式助推策略的有效性也已在实践中得到印证,但目前还非常缺乏在中国社会文化情境下开展的助推洗手行为的干预研究,今后可尝试基于行为科学理论有针对性地在医院、学校和社区等公共场所开展此类干预研究和实践,为感染防控、疾病预防和改善公共健康做出相应的贡献。     

A systematic review of primary prevention strategies for sexual violence perpetration

This systematic review examined 140 outcome evaluations of primary prevention strategies for sexual violence perpetration. The review had two goals: 1) to describe and assess the breadth, quality, and evolution of evaluation research in this area; and 2) to summarize the best available research evidence for sexual violence prevention practitioners by categorizing programs with regard to their evidence of effectiveness on sexual violence behavioral outcomes in a rigorous evaluation. The majority of sexual violence prevention strategies in the evaluation literature are brief, psycho-educational programs focused on increasing knowledge or changing attitudes, none of which have shown evidence of effectiveness on sexually violent behavior using a rigorous evaluation design. Based on evaluation studies included in the current review, only three primary prevention strategies have demonstrated significant effects on sexually violent behavior in a rigorous outcome evaluation: Safe Dates (Foshee et al., 2004); Shifting Boundaries (building-level intervention only, Taylor, Stein, Woods, Mumford, & Forum, 2011); and funding associated with the 1994 U.S. Violence Against Women Act (VAWA; Boba & Lilley, 2009). The dearth of effective prevention strategies available to date may reflect a lack of fit between the design of many of the existing programs and the principles of effective prevention identified by Nation et al. (2003).     

Cost Effectiveness of Strategies for Recruiting Low-Income Families for Behavioral Parent Training

The goal of this study was to assess cost, effectiveness, and cost-effectiveness of recruitment strategies used to engage low-income families of young children with disruptive behavior disorder to participate in a Behavioral Parent Training (BPT) program. For this analysis, we used data on labor and non-labor resources associated with 13 recruitment strategies implemented in February 2014 through February 2016. We assessed the effectiveness of each strategy as the number of families that enrolled into the study. Cost-effectiveness of each recruitment strategy was expressed as cost per family enrolled; analysis was conducted in 2016. We calculated the cost of total recruitment effort for 13 strategies during the 2-year period to be $11,496 with an average cost of $885 per recruitment strategy or $255 per enrolled family. Across strategies, total costs ranged from $25 to $2540. “University mass e-mail” and “school flyers” resulted in the most phone screens (34 each); however, only 10% of these families enrolled in the study (three and four families, respectively). “Craigslist” was the most effective strategy with 30 families screened and 11 of them enrolling. Three strategies did not yield any participants. The four strategies with the lowest cost per family enrolled were “Facebook page,” “Craigslist,” “university mass e-mail,” and “organization/agency” (<$90). In conclusion, we found that some recruitment strategies were more successful at engaging low-income families to participate in a BPT program than others. Our results indicate that using a combination of recruitment strategies may be the optimal approach for recruiting low-income families.     

认知诊断CAT选题策略及初始题选取方法

计算机化认知诊断自适应测验(CD_CAT)是将认知诊断的基本理论、方法与计算机化自适应测验相结合的产物,是现代测量学发展的新领域。对于计算机化自适应测验（CAT）中的选题策略研究一直是国内外学者关注的问题,然而对于计算机化认知诊断自适应测验的选题策略研究却很少报导,而对于计算机化认知诊断自适应测验的初始题选取方法的研究却更少。本研究采用计算机模拟程序对HO-DINA模型下CD_CAT的五种选题策略及二种初始题选取方法进行研究。研究表明：不同初始题选取方法及选题策略均会影响对被试诊断的准确性及能力估计的精度;总体来看,对于二种初始题选取方法,本研究提出的“T阵法”优于传统的随机法;对于五种选题策略,SL_GDI法最优;初始题选取方法及选题策略的搭配中,“T阵法”和SL_GDI法的搭配最佳。