Developing an informational tool for ethical engagement in medical tourism

Background

Medical tourism, the practice of persons intentionally travelling across international boundaries to access medical care, has drawn increasing attention from researchers, particularly in relation to potential ethical concerns of this practice. Researchers have expressed concern for potential negative impacts to individual safety, public health within both countries of origin for medical tourists and destination countries, and global health equity. However, these ethical concerns are not discussed within the sources of information commonly provided to medical tourists, and as such, medical tourists may not be aware of these concerns when engaging in medical tourism. This paper describes the methodology utilized to develop an information sheet intended to be disseminated to Canadian medical tourists to encourage contemplation and further public discussion of the ethical concerns in medical tourism.

Methods

The methodology for developing the information sheet drew on an iterative process to consider stakeholder feedback on the content and use of the information sheet as it might inform prospective medical tourists’ decision making. This methodology includes a literature review as well as formative research with Canadian public health professionals and former medical tourists.

Results

The final information sheet underwent numerous revisions throughout the formative research process according to feedback from medical tourism stakeholders. These revisions focused primarily on making the information sheet concise with points that encourage individuals considering travelling for medical tourism to do further research regarding their safety both within the destination country, while travelling, and once returning to Canada, and the potential impacts of their trip on third parties. This methodology may be replicated for the development of information sheets intending to communicate ethical concerns of other practices to providers or consumers of a certain service.

     

When kinesthetic information is neglected in learning a Novel bimanual rhythmic coordination

Many studies have shown that rhythmic interlimb coordination involves perception of the coupled limb movements, and different sensory modalities can be used. Using visual displays to inform the coupled bimanual movement, novel bimanual coordination patterns can be learned with practice. A recent study showed that similar learning occurred without vision when a coach provided manual guidance during practice. The information provided via the two different modalities may be same (amodal) or different (modality specific). If it is different, then learning with both is a dual task, and one source of information might be used in preference to the other in performing the task when both are available. In the current study, participants learned a novel 90° bimanual coordination pattern without or with visual information in addition to kinesthesis. In posttest, all participants were tested without and with visual information in addition to kinesthesis. When tested with visual information, all participants exhibited performance that was significantly improved by practice. When tested without visual information, participants who practiced using only kinesthetic information showed improvement, but those who practiced with visual information in addition showed remarkably less improvement. The results indicate that (1) the information is not amodal, (2) use of a single type of information was preferred, and (3) the preferred information was visual. We also hypothesized that older participants might be more likely to acquire dual task performance given their greater experience of the two sensory modes in combination, but results were replicated with both 20- and 50-year-olds.     

Adolescent adaptation before,during and in the aftermath of the Great Recession in the USA

This study examines the impact of the “Great Recession” (from December 2007 to June 2009) on 8th and 10th graders in the USA, using annual nationally representative data from the Monitoring the Future study. Historical changes in youth adjustment (self‐esteem, depressed mood, risk taking, aggression and property crime), school achievement (grade point average [GPA], time spent on homework and educational expectations) and structured and unstructured activities (volunteering, employment, sports and evenings out for fun) were examined between 1991 and 2014. Overall, there were only slight changes in mean levels of adjustment, achievement and most youth activities. However, the percentage of youth working during the school year did decline during the Great Recession. Several longer‐term trends were also evident, though not directly tied to the Great Recession. These include an increase in GPA, a decrease in time spent on homework, rising educational expectations and more time spent volunteering. Future work should assess how the shift to unpaid work activities (e.g. volunteering and internships) among youth is impacting the transition from school to work in the contemporary economy, and whether the Great Recession had deleterious impacts for younger children or among youth whose parents lost work or had their homes foreclosed.     

Predictors of Stress Generation in Adolescents in Mainland China

The current longitudinal study examined whether the personality vulnerabilities of self-criticism and dependency prospectively predicted stress generation in Chinese adolescents. Participants included 1,116 adolescents (588 girls and 528 boys), aged 15 to 18 years from rural, urban and ultra-urban mainland China. Participants completed self-report measures of personality, depressive and anxious symptoms and participated in a clinical interview assessing lifetime history of depression. The occurrence of negative life events was measured using a contextual-threat interview every 6-months for a total period of 18-months. Logistic regression analyses showed that after controlling for past depressive episodes and current depressive and anxious symptoms, self-criticism was prospectively associated with the occurrence of interpersonal stress generation, but not noninterpersonal stress generation. Dependency also predicted interpersonal stress generation, although only in girls and not boys. In line with previous Western findings, girls reported more interpersonal stress generation. Analyses across 3 levels of urbanization revealed several significant differences including higher reported interpersonal stress generation in urban girls than urban boys and overall higher levels of negative life events in ultra-urban youth. In sum, findings from the current study suggest that the stress generation process may be generalizable to Chinese youth.     

A Socioecological Approach to Relational Demography: How Relative Representation and Respectful Coworkers Affect Job Attitudes

Purpose

This paper advances a socioecological perspective toward understanding the relationship between demography and job attitudes by considering the joint effects of individual ethnicity and ethnic group relative representation—the degree to which an individual’s own demographic group is represented similarly in their organization and the community in which the organization is located.

Design/Methodology/Approach

Hierarchical polynomial regression analyses of census and survey data from 57,000 employees of 142 hospitals in the United Kingdom suggest that ethnic group relative representation is related to ethnic minority employees’ job satisfaction and turnover intentions.

Findings

An asymmetric pattern emerged wherein the effect of under-representation on turnover intentions was stronger than the effect of over-representation. Moreover, the effects of relative representation varied with respectful treatment by coworkers; relative representation had little effect on attitudes of employees who reported low levels of coworker respect but generally enhanced attitudes when respect was high.

Originality/Value

This work points to the meaningful role that socioecological factors can play in what are typically considered to be intraorganizational phenomena, thereby highlighting the need for organizational research to assess relevant aspects of the communities in which organizations are embedded.

     

Running on Empty: The Effects of Aggregate Travel Stress on Team Performance

Purpose

In this study, we explore the effects of travel on performance at the team level using conservation of resources (COR) theory as an explanatory mechanism. We investigate the effects of aggregate travel stress, which we define as the accumulated strain experienced by a team when traveling, on key components of team functioning and performance including team task performance, team concentration level, and counterproductive work behaviors (CWB).

Design/Methodology/Approach

We analyze 3054 games played in the National Football League across six seasons using multilevel structural equation modeling. Replicating our findings, we also analyzed an additional 11,802 games played in the National Basketball Association across five seasons.

Findings

Aggregate travel stress, as a latent construct, negatively impacts team task performance and team concentration level. Team concentration partially mediates the relationship between aggregate travel stress and CWB.

Implications

Findings suggest that travel has a deleterious effect on various forms of team functioning and performance. As a result, organizations and leaders need to be aware of the potential side effects of travel, and researchers need to further incorporate travel into models and examinations of workplace stress.

Originality/Value

This is the first study to provide a theoretically driven investigation of the effects of business travel on team outcomes and to apply COR theory to team-level phenomena. Results put forth offer a more nuanced understanding of the effects of travel as well as open up new avenues of exploration for COR theory.

     

途径偏向矫正训练对药物成瘾相关线索反应的调节

研究目的:通过针对"相关线索-习惯性用药行为"联结的消退训练,降低渴求感,建立新联结,达到减弱或消退成瘾记忆的目的。探索以"动作消退动作"的方法对成瘾动作记忆进行消退的效果和可行性。方法:采用途径偏向矫正方法对28名男性药物成瘾者开展为期4周的训练。训练前后,分别测试渴求感、生理指标、途径偏向效应和Addiction-stroop task的干扰效应量,比较训练前后的指标变化,了解训练的效果。结果:训练组和对照组在训练前后的途径偏向效应没有显著的组间和交互效应,但训练组在训练前后途径偏向效应发生变化,趋向显著性,t=1.26,p=0.071。渴求感在训练组显著降低:t=1.38,p=0.05。Stroop的反应时间呈训练时间主效应:t=4.18,p=0.04。结论:途径偏向矫正消退训练可以改善成瘾者的途径偏向效应和渴求感状况,预示着通过身体动作建立"相关线索-拒绝用药行为"联结替代原有的"相关线索-自动化用药行为"联结,降低渴求感,减弱或消退成瘾记忆是有可能的。未来的研究需要采用更为精确的影像手段进行测试,验证基于动作认知的成瘾记忆消退训练的有效性。     

阅读中的快速启动范式述评

快速启动范式（Sereno & Rayner, 1992）是一种基于呈现随眼动变化技术而设计的眼动范式,主要用于研究中央凹视野内字词识别的瞬时启动,通过精确控制启动条件和启动时窗,以考察词汇通达过程中词汇水平（如,词频、词长等）、亚词汇水平（如,语音、语义、字形等）信息的加工时序。本文从基本原理、设计基础、应用领域、注意事项等方面对快速启动范式进行了较为深入的解读和介绍,并结合已有的研究成果,指出了该范式在汉语阅读中的应用价值。     

不同反应重复量对反应抑制后效应的影响*

研究不同反应重复量对反应抑制后效应的影响。采用停止信号范式,让被试完成不同反应重复量的反应抑制任务。结果显示,总的来说反应重复量因素和重复类型因素的主效应都显著;信号抑制条件下重复一次后比重复三次后无信号试次反应时要显著地长,但都与总的无信号试次反应时没有显著差异;信号反应条件下重复三次后与重复一次后无信号试次反应时没有显著差异,但都比总的无信号试次反应时显著地长。结果表明,不同反应重复量反应抑制后效应在信号抑制条件下既有认知控制调整也有自动化记忆提取,在信号反应条件下仅存在认知控制的执行加工。     

Putting It on the Line: Telephone Counseling for Adolescent Smokers

Adolescent smokers need cessation help, but the question of how best to intervene remains unanswered. This article describes the empirically validated protocol of an established, well‐utilized adolescent telephone counseling program for smoking cessation, tailored to adolescent developmental needs and shown to increase clients' 6‐month prolonged abstinence rate significantly. Clinical issues addressed include client assessment, motivation, self‐efficacy, familial and social support, planning, coping, relapse‐sensitive call scheduling, and self‐image. Counselor training considerations are also discussed.