The flu shot study: Using multiattribute utility theory to design a vaccination intervention

Differences between the multiattribute utility (MAU) profiles of participants who had previously gotten flu shots and those who had not done so were used to design an informational brochure urging influenza vaccination. The effectiveness of the MAU brochure was evaluated in a VA ambulatory care clinic with a long-standing influenza vaccination program. The target population for the intervention was high-risk clinic patients who had not gotten a shot the previous year. Participants received either a letter urging them to get a flu shot, or a letter plus the informational brochure. A significantly larger proportion of the patients who received the brochure got shots; 36% versus 23% for the letter only. While a 13 percentage point increase is modest, influenza and related complications (preventable through vaccination) are the fourth-leading killers of older persons. Adding a MAU-based brochure to an ongoing vaccination program is inexpensive and may save additional lives.     

Birth Planning Values and Decisions: The Prediction of Fertility1

This investigation was a prospective study based upon subjective expected utility theory, of the processes and determinants of birth planning decisions. The hypothesis tested was: Where maximum expected benefit will derive from having a (another) child, a pregnancy will occur and where maximum expected benefit will derive from not having a (another) child a pregnancy will not occur. Values associated with birth planning decisions for 74 married couples were found to be good predictors, one year later, of pregnancy status. The implications of these results were discussed as they related to birth planning counseling and to population policy.     

Sexual cycles in female dogs treated with androgen during development

This experiment was conducted to study hormonal and behavioral cycles in female dogs exposed to androgen during development. The four groups, each consisting of five subjects, were "Normal" females, "Prenatal" females exposed to testosterone propionate (TP) before birth, "Postnatal" females injected with TP for 3 months postpartum, and "Prepost" females exposed to TP in utero and again to testosterone for 4--6 weeks after birth. All Normal females had two estrous cycles during which they showed vaginal bleeding, ovulation, progesterone (P) secretion, sexual receptivity, and were attractive to males. All androgen-treated females showed at least 1 cycle with ovulation and P secretion. Three Postnatal females developed the delayed anovulatory syndrome. Genital bleeding through the vagina (Postnatal group), or through the "penis" (Prenatal and Prepost groups), occurred in 4 Postnatal, 3 Prenatal, and 1 Prepost female. Attractiveness for males was observed in all Prenatal and Postnatal females, but in no Prepost subject. Receptivity was present in four of five Prenatal females but not in any Postnatal or Prepost female. Occurrence of cycles in treated females indicated functional integrity and sensitivity to estrogen in brain mechanisms producing gonadotropin-releasing hormones. Absence of receptivity is referred to diminished responsiveness to ovarian hormones in brain mechanisms mediating receptive behavior. Absence of genital bleeding and lack of attractivity are due to lowered response to estrogen in uterine and vaginal epithelium which results in reduced extravasation of blood, and in failure to secrete the putative "pheromonal" agent normally responsible for attractiveness.     

The effects of strong belief structures on information-processing evaluations and choice

This study examined the influence of the strength of belief structures on selected aspects of the decision-making process. To examine these issues, a business-acquisition decision scenario was studied in an experiment. Subjects played the role of a CEO of an electronics firm and were asked to evaluate the attractiveness of six potential acquisition candidates and to rate various aspects of the associated decision process. We presented half the subjects with information that the belief structure of their organization was extreme, agreed upon, and clear. The other half was presented with information that there was disagreement about the belief structure and that it was more ambiguous and less extreme. The results clearly showed that the decision process is different for people who were presented with an agreed-upon, extreme, and tightly constructed belief structure when compared to those who received information reflecting a weak and loosely constructed belief structure. A strong belief structure resulted in less positive evaluations, information requested, and money allocated to explore incompatible acquisition candidates (and vice versa for a highly compatible candidate) when compared to subjects using a weak belief structure. In addition, subjects in the strong-belief condition reported that their decision process would be characterized by less doubt, less time, less difficulty, and less conflict compared to subjects in the weak-belief structure condition. Implications for both decision theory and practical decision processes are discussed.     

Decision Making When the Acceptable Options Become Unavailable

Research examined what decision makers do when, after screening out unacceptable options in preparation for making a choice from among the acceptable survivors, they find that all of the survivors have become unavailable and that no new options are forthcoming. Subjects were presented options in the form of rooms to rent and were required to screen them to prepare a "short list" from which a choice could be made. They also rated the importance of the room′s characteristics. Then they were told that the rooms on the short list all had been rented, and that no new rooms had become available so they would have to create a new short list from among the previously rejected rooms. Then they rescreened the rejected options and rerated the importance of the characteristics of the rooms. It was found that nearly 90% of the subjects would prefer to begin again with new options rather than rescreen rejected options. It also was found that when forced to rescreen rejected options, subjects reduced their ratings of the importance of the options′ characteristics, apparently in an effort to compensate, at least in part, for having to select options that, only moments before, had been regarded as unacceptable. Efforts to discourage ratings reductions proved futile. Implications of the results for screening and choice are discussed.     

Sexual exhaustion and recovery in the male rat

Twelve male rats were left with receptive females and allowed to copulate and ejaculate until they reached a criterion of “sexual exhaustion” They were then retested after 1, 3, 6 and 15 days of sexual inactivity. Following these observations males were tested once each day or once every other day and allowed to achieve a single ejaculation.

In the course of a period of unlimited access to the receptive female males usually need approximately 10 intromissions to produce the initial ejaculation, but successive ejaculations are produced by fewer and fewer intromissions. The time to recover from the effects of an ejaculation increases progressively as exhaustion is approached.

Very few animals copulate when tested 24 hours after sexual exhaustion. Considerably more recovery is evident in tests conducted after a 3-day rest, but it is not complete and rats are not capable of achieving as many ejaculations as they tend to achieve after longer periods of inactivity. As measured by ejaculation-frequency, the curve of sexual recovery is negatively accelerated and probably reaches asymptote after 7 to 10 days of rest.

Various other measures in addition to ejaculation-frequency support this conclusion. Males allowed to ejaculate once each day or every other day are somewhat less responsive than fully rested animals, but do not show any progressive loss in sexual excitability or capacity.

A working hypothesis is proposed to explain most of the findings. It postulates the existence of an Arousal Mechanism which is distinct from a Copulatory Mechanism. The ways in which these hypothetical mechanisms are affected by sexual performance and sexual rest arc discussed.