The Internet and World Wide Web as a Resource for Mental Health Occupational Therapists

SUMMARY

The Information Superhighway, the buzzword referring to the Internet and World Wide Web system, is a new resource for occupational therapy. Therapists are discovering how the Internet and World Wide Web can allow them to access the information that they need for research, treatment planning, education, communication, and leisure pursuits. This article describes how the Internet and World Wide Web work, defines terms and tools common to these new technologies, and gives some specific locations that an occupational therapist may find useful. References are shared that relate to general mental health resources and occupational therapy in mental health resources.     

Technology and the evolution of clinical methods for stuttering

The World Wide Web (WWW) was 20 years old last year. Enormous amounts of information about stuttering are now available to anyone who can access the Internet. Compared to 20 years ago, people who stutter and their families can now make more informed choices about speech-language interventions, from a distance. Blogs and chat rooms provide opportunities for people who stutter to share their experiences from a distance and to support one another. New technologies are also being adopted into speech-language pathology practice and service delivery. Telehealth is an exciting development as it means that treatment can now be made available to many rural and remotely located people who previously did not have access to it. Possible future technological developments for speech-language pathology practice include Internet based treatments and the use of Virtual Reality. Having speech and CBT treatments for stuttering available on the Internet would greatly increase their accessibility. Second Life also has exciting possibilities for people who stutter.Educational objectives: The reader will (1) explain how people who stutter and their families can get information about stuttering from the World Wide Web, (2) discuss how new technologies have been applied in speech-language pathology practice, and (3) summarize the principles and practice of telehealth delivery of services for people who stutter and their families.     

Reprint of: technology and the evolution of clinical methods for stuttering

The World Wide Web (WWW) was 20 years old last year. Enormous amounts of information about stuttering are now available to anyone who can access the Internet. Compared to 20 years ago, people who stutter and their families can now make more informed choices about speech-language interventions, from a distance. Blogs and chat rooms provide opportunities for people who stutter to share their experiences from a distance and to support one another. New technologies are also being adopted into speech-language pathology practice and service delivery. Telehealth is an exciting development as it means that treatment can now be made available to many rural and remotely located people who previously did not have access to it. Possible future technological developments for speech-language pathology practice include Internet based treatments and the use of Virtual Reality. Having speech and CBT treatments for stuttering available on the Internet would greatly increase their accessibility. Second Life also has exciting possibilities for people who stutter.Educational objectives: The reader will (1) explain how people who stutter and their families can get information about stuttering from the World Wide Web, (2) discuss how new technologies have been applied in speech-language pathology practice, and (3) summarize the principles and practice of telehealth delivery of services for people who stutter and their families.     

Virtually Jewish

SUMMARY

The authors created a Web-based tutorial for novice-to-intermediate users of the World Wide Web using primarily Jewish content in order to encourage potential Jewish users of the World Wide Web. The lessons contain information on Jewish-themed Web sites and progressively complex information about how to use the Web. Tips and practice exercises are included.     

The internet, cyberporn, and sexual exploitation of children: Media moral panics and urban myths for middle-class parents?

The Internet as a popular media is not even one decade old. From its early days of wide access, concern with the dangers posed to children and teens has been a staple of news media and moral entrepreneurs. Concern with sexual predators, “cyberporn” (or “pornographic” material housed on “nodes” of the World Wide Web) became media-induced moral panics of the mid- and late-1990s. This paper examined the Internet and children in the context of the United States and Australia. Studies of children’s access to the Internet and it’s effects were examined. Particular attention was paid to the aspects of Internet danger as a form of “urban legend” aimed at middle-class parents who are able to provide access to the technology required to access the “dangers” of the Web. The intersection of urban mythology, technological change, and morals campaigns of the 1990s was explored. The role played by concern with the Internet in the on-going history of moral movements and parental responsibility was discussed.     

The Function of Web Catalogs in Theological Libraries

SUMMARY

The World Wide Web is an environment in which academic libraries are able to improve and extend their services, and help achieve the goals of their institutions. The Web catalog is one tool that can help advance these goals. Theological libraries are beginning to utilize Web catalogs in order to improve access to their unique collections. This article summarizes a study of 132 theological library Web catalogs in North America, and attempts to identify and interpret the roles these catalogs play. The essay concludes with thoughts on the future shape of Web OPACs, and an identification of the major gateways to these catalogs.     

Socially desirable responding on the web: investigating the candor hypothesis

The investigation presented here explores the hypothesis that participants are less likely to respond in a socially desirable fashion on self-report questionnaires completed on the Web relative to those completed in the laboratory--the candor hypothesis. A battery of social desirability questionnaires (i.e., Balanced Inventory of Desirable Responding [Paulhaus, 1984], Marlowe-Crowne Social Desirability Scale [Crowne & Marlowe, 1964], Eysenck Personality Questionnaire-Revised Lie Scale [Eysenck & Eysenck, 1994]) was administered to 3 groups: 2 groups consisted of undergraduate participants who were randomly assigned to complete the measures either in the laboratory (n = 60) or on the Web (n = 60), and 1 group consisted of self-selected participants who visited our experimental Web page and completed the measures online (n = 284). This design allowed us to assess the role of Web administration while controlling for differences in sample type, an oft-neglected issue in the Web literature. Results do not support the claim that administering self-report measures over the Web results in a decrease in socially desirable responding. Furthermore, these findings highlight the problems associated with confounding sample and medium. Implications for the use of Web as a research tool are discussed.     

Paper-and-pencil or online? Evaluating mode effects on measures of emotional functioning and attachment

The viability of using the World Wide Web to collect data from three widely used instruments by clinicians and researchers was investigated. The instruments were the Inventory of Parental and Peer Attachment, the Negative Mood Regulation Scale, and the Trait Meta-Mood Scale. Data were collected from two comparable groups of college students, and differences in response patterns on paper-and-pencil and World Wide Web versions of the measures, at both the item level and scale score level, were documented. Although mode of administration effects were statistically significant, the magnitude of the effects was in general very small. The basic similarity of the properties of the measures using paper-and-pencil and online Internet modes of administration suggests the viability of the Internet for assessing these and other psychological phenomena.     

Electronic doors to education: study of high school website accessibility in Iowa

The Americans with Disabilities Act (ADA), and Sections 504 and 508 of the Rehabilitation Act, prohibit discrimination against people with disabilities in all aspects of daily life, including education, work, and access to places of public accommodations. Increasingly, these antidiscrimination laws are used by persons with disabilities to ensure equal access to e-commerce, and to private and public Internet websites. To help assess the impact of the anti-discrimination mandate for educational communities, this study examined 157 website home pages of Iowa public high schools (52% of high schools in Iowa) in terms of their electronic accessibility for persons with disabilities. We predicted that accessibility problems would limit students and others in obtaining information from the web pages as well as limiting ability to navigate to other web pages. Findings show that although many web pages examined included information in accessible formats, none of the home pages met World Wide Web Consortium (W3C) standards for accessibility. The most frequent accessibility problem was lack of alternative text (ALT tags) for graphics. Technical sophistication built into pages was found to reduce accessibility. Implications are discussed for schools and educational institutions, and for laws, policies, and procedures on website accessibility.     

Implications of document-level literacy skills for Web site design

The proliferation of World Wide Web (Web) sites and the low cost of publishing information on the Web have placed a tremendous amount of information at the fingertips of millions of people. Although most of this information is at least intended to be accurate, there is much that is rumor, innuendo, urban legend, and outright falsehood. This raises problems especially for students (of all ages) trying to do research or learn about some topic. Finding accurate, credible information requires document-level literacy skills, such as integration, sourcing, corroboration, and search. This paper discusses these skills and offers a list of simple ways that designers of educational Web sites can help their visitors utilize these skills.     

Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE)

The successful adoption of technology is becoming increasingly important to functional independence. The present article reports findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE) on the use of technology among community-dwelling adults. The sample included 1,204 individuals ranging in age from 18-91 years. All participants completed a battery that included measures of demographic characteristics, self-rated health, experience with technology, attitudes toward computers, and component cognitive abilities. Findings indicate that the older adults were less likely than younger adults to use technology in general, computers, and the World Wide Web. The results also indicate that computer anxiety, fluid intelligence, and crystallized intelligence were important predictors of the use of technology. The relationship between age and adoption of technology was mediated by cognitive abilities, computer self-efficacy, and computer anxiety. These findings are discussed in terms of training strategies to promote technology adoption.     

Meaning and Semantic Knowledge: Martin Davies

This paper was not available at the time of going to press. It will be published in a future volume of the Proceedings of The Aristotelian Society.
It is, however, now available on the World Wide Web at 'http://www.blackwellpublishers.co.uk/aristsoc.htm'.     

The missing piece: a sociological autopsy of firearm suicide in the United States

Social, economic, violence, political, and gun access predictors of suicide and gun suicide were examined via sociological autopsy. The model predicting suicide rates overall had the best results, χ(2) (9, N=50)=5.279 (CMIN, the goodness of fit statistic that represents the minimum discrepancy between the unrestricted sample covariance matrix and the restricted covariance matrix) p=.809, [the goodness of fit statistic that represents the minimum discrepancy between the unrestricted sample covariance matrix and the restricted covariance matrix] indicating an excellent fit of the data and theoretical model. The model explained 76% of the variance in state suicide rates and was a significantly better predictor than one could expect by chance, F(6,43)=22.889, p<.001). All path coefficients were significant predictors of suicide with the exception of violence climate, which was not included. This study contributes to the theoretical knowledge by adding a comprehensive framework of analysis and model useful for prevention.     

Age differences in personality traits from 10 to 65: Big Five domains and facets in a large cross-sectional sample

Hypotheses about mean-level age differences in the Big Five personality domains, as well as 10 more specific facet traits within those domains, were tested in a very large cross-sectional sample (N = 1,267,218) of children, adolescents, and adults (ages 10-65) assessed over the World Wide Web. The results supported several conclusions. First, late childhood and adolescence were key periods. Across these years, age trends for some traits (a) were especially pronounced, (b) were in a direction different from the corresponding adult trends, or (c) first indicated the presence of gender differences. Second, there were some negative trends in psychosocial maturity from late childhood into adolescence, whereas adult trends were overwhelmingly in the direction of greater maturity and adjustment. Third, the related but distinguishable facet traits within each broad Big Five domain often showed distinct age trends, highlighting the importance of facet-level research for understanding life span age differences in personality.     

Postdisaster stress in the United States and Mexico: a cross-cultural test of the multicriterion conceptual model of posttraumatic stress disorder.

Data on symptoms of posttraumatic stress disorder (PTSD) were collected 6 months after Hurricanes Paulina (N = 200; Mexico) and Andrew (non-Hispanic n = 270; United States) using the Revised Civilian Mississippi Scale. A 4-factor measurement model that represented the accepted multicriterion conceptualization of PTSD fit the data of the U.S. and Mexican samples equally well. The 4 factors of Intrusion, Avoidance, Numbing, and Arousal correlated significantly and equivalently with severity of trauma in each sample. A single construct explained much of the covariance of the symptom factors in each sample. However, modeling PTSD as a unidimensional construct masked differences between samples in symptom severity. With severity of trauma controlled, the Mexican sample was higher in Intrusion and Avoidance, whereas the U.S. sample was higher in Arousal. The results suggest that PTSD is a meaningful construct to study in Latin American societies.     

Differences in responses to Web and paper surveys among school professionals

This experiment investigated the effects of survey administration mode (Web vs. paper and pencil) and survey length (short or long) on the responses of a large sample of primary and secondary school professionals in the U.S. The 812 participants in this study were part of an initial random sample of 1,000 individuals representing 5.81% of the membership of a national professional organization. The participants were randomly assigned to each of the four treatment conditions. Results indicated (1) substantially lower response rates for Web surveys than for same-length paper surveys; (2) a higher response rate for short surveys than for long surveys with paper, but not Web, questionnaires; and (3) a younger age for Web respondents, as compared with their paper counterparts. In light of prior research, we suggest that paper-and-pencil methods be used for surveying professionals in primary and secondary school settings.     

Internet accessibility and usage among urban adolescents in Southern California: implications for web-based health research.

The World Wide Web (WWW) poses a distinct capability to offer interventions tailored to the individual's characteristics. To fine tune the tailoring process, studies are needed to explore how Internet accessibility and usage are related to demographic, psychosocial, behavioral, and other health related characteristics. This study was based on a cross-sectional survey conducted on 2373 7th grade students of various ethnic groups in Southern California. Measures of Internet use included Internet use at school or at home, Email use, chat-room use, and Internet favoring. Logistic regressions were conducted to assess the associations between Internet uses with selected demographic, psychosocial, behavioral variables and self-reported health statuses. The proportion of students who could access the Internet at school or home was 90% and 40%, separately. Nearly all (99%) of the respondents could access the Internet either at school or at home. Higher SES and Asian ethnicity were associated with higher internet use. Among those who could access the Internet and after adjusting for the selected demographic and psychosocial variables, depression was positively related with chat-room use and using the Internet longer than 1 hour per day at home, and hostility was positively related with Internet favoring (All ORs = 1.2 for +1 STD, p < 0.05). Less parental monitoring and more unsupervised time were positively related to email use, chat-room use, and at home Internet use (ORs for +1 STD ranged from 1.2 to 2.0, all p < 0.05), but not related to at school Internet use. Substance use was positively related to email use, chat-room use, and at home Internet use (OR for "used" vs. "not used" ranged from 1.2 to 4.0, p < 0.05). Self-reported health problems were associated with higher levels of Internet use at home but lower levels of Internet use at school. More physical activity was related to more email use (OR = 1.3 for +1 STD), chat room use (OR = 1.2 for +1 STD), and at school ever Internet use (OR = 1.2 for +1 STD, all p < 0.05). Body mass index was not related to any of the Internet use-related measures. In this ethnically diverse sample of Southern California 7(th) grade students, 99% could access the Internet at school and/or at home. This suggests that the Internet is already a potential venue for large scale health communication studies. Adolescents with more psychosocial risk factors or detrimental health behaviors were more likely to use the Internet. Therefore, if used properly, Internet interventions could effectively address the high risk populations. Additional research is needed to gain a more complete understanding of the positive and negative consequences of Internet use among adolescents.     

Transition to motherhood and the self: measurement, stability, and change

Different ways of conceptualizing and measuring change in attitudes during transition to motherhood are examined. A series of analyses was performed on data from a cross-sectional sample (N = 667) and a smaller longitudinal sample (n = 48) to demonstrate sound psychometric properties for 2 new scales and to show construct comparability across different phases of childbearing. For Childbearing Attitudes Questionnaire, results demonstrated equality of covariance for 16 scales and comparability of structure and meaning of 4 higher order factors--identification with motherhood, social orientation, self-confidence, and negative aspects of giving birth. For Mothering Self-Definition Questionnaire, results demonstrated equality of covariance of 5 scales and comparability of structure and meaning of a single higher order factor, interpreted as reflecting positive feelings about one's mothering characteristics. Analyses of correlations and mean differences identified areas of change and stability.