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91.
Evaluating collaboration between community partners presents a series of methodological challenges (Roussos and Fawcett in Annu Rev Public Health 21:369-402, 2000; Yin and Kaftarian 1997), one of which is selection of the appropriate level of analysis. When data are collected from multiple members of multiple settings, multilevel analysis techniques should be used. Multilevel confirmatory factor analysis (MCFA) is an analytic approach that incorporates the advantages of latent variable measurement modeling and multilevel modeling for nested data. This study utilizes MCFA on data obtained from an evaluation survey of collaborative functioning provided to members of 157 community collaboratives in Georgia. This study presents a well-fitting measurement model that includes five dimensions of collaborative functioning, and a structural component with individual- and collaborative-level covariates. Findings suggest that members' role and meeting attendance significantly predicted their assessment of collaboration at the individual level, and that tenure of collaborative leaders predicted the overall functioning of the collaborative at the collaborative level. Dimensionality of collaborative functioning and implications of potentially substantial measurement biases associated with selection of respondents are addressed.  相似文献   
92.
I give two arguments for the claim that all events which occur at the actual world and are such that they could be caused, are also such that they must actually be caused. The first argument is an improvement of a similar argument advanced by Alexander Pruss, which I show to be invalid. It uses Pruss’s Brouwer Analog for counterfactual logic, and, as a consequence, implies inconsistency with Lewis’s semantics for counterfactuals. While (I suggest) this consequence may not be objectionable, the argument founders on the fact that Pruss’s Brouwer Analog has a clear counterexample. I thus turn to a second, “Lewisian” argument, which requires only an affirmation of one element of Lewis’s analysis of causation and one other, fairly weak possibility claim about the nature of wholly contingent events. The final section of the paper explains how both arguments escape objections from supposed indeterminacy in quantum physics.  相似文献   
93.
The trial-based functional analysis (FA) is a useful alternative to the traditional FA in contexts in which it is challenging to establish environmental control for extended periods of time. Previous researchers have demonstrated that others can be trained to conduct trial-based FAs with high procedural fidelity by providing a didactic presentation, small group instruction, and then a performance evaluation. However, one barrier to replicating this training sequence is that didactic presentations are not standardized and presentations can vary considerably across different groups of trainers or researchers. We designed an automated didactic presentation with video models embedded throughout for trainers and researchers to use when training others to conduct trial-based FAs. The purpose of this study was to evaluate the effect of this presentation on participant fidelity to trial-based FA procedures. Results demonstrate improved fidelity following the presentation. However, the presentation alone was insufficient to establish consistently high levels of fidelity across all conditions for all participants. Thus, additional training components are required when teaching others to conduct trial-based FAs.  相似文献   
94.
Despite the importance of life-cycle models to sensation seeking research, past studies have typically focused on adolescents and adults. This is especially problematic for researchers studying the role of media use in the development of risky behaviors (e.g., violent video game consumption and aggressive behavior). To facilitate research with child populations, a brief sensation seeking scale for children (BSSS-C) is developed and validated with a sample of fourth, fifth, and sixth graders (N = 136). The BSSS-C is found to be internally reliable (α = .82) as well as a strong predictor of several risky child behaviors. Higher sensation seeking children were more likely to play video games, including violent subgenres (e.g., shooters), and to enjoy playing video games that contained specific acts of violence (e.g., weapon use). Higher sensation seekers were also more likely to engage in rule-breaking behavior, such as bringing prohibited cell phones to school. The results suggest that sensation seeking may be related to risky behavior at a very young age.  相似文献   
95.
This study examines framed messages as a novel approach to promote self-management of chronic pain. Primary care patients reporting chronic pain (pain rated?≥?4 on 0–10 NRS-I for ≥3 months) were randomly assigned to receive a gain- or loss-framed message promoting self-management of pain. Impact of the framed message on behavioural self-management (including communicating with providers, relaxation, activity pacing, pleasant activities and healthy lifestyle) was assessed. Post-message, individuals in the loss-frame condition reported significantly greater interest in and more knowledge gained from the information presented in the message (p?≤?0.03). Loss-frame participants were significantly more likely to express confidence that they would practice relaxation (p?≤?0.03). Pain readiness to change, pain self-efficacy and message frame independently influenced motivation to engage in relaxation as a self-management strategy. Across all behaviours assessed, there were no observed interactions between message frame and either pain self-efficacy or pain readiness to change (p?>?0.05). Framing may be useful to promote pain self-management; larger trials are needed to fully evaluate its potential and to further assess the applicability of framed communication to impact a broader range of chronic conditions.  相似文献   
96.
Community research and action projects undertaken by community–university partnerships can lead to contextually appropriate and sustainable community improvements in rural and urban localities. However, effective implementation is challenging and prone to failure when poorly executed. The current paper seeks to inform rural community–university partnership practice through consideration of first-person accounts from five stakeholders in the Rural Embedded Assistants for Community Health (REACH) Network. The REACH Network is a unique community–university partnership aimed at improving rural health services by identifying, implementing, and evaluating innovative health interventions delivered by local caregivers. The first-person accounts provide an insider’s perspective on the nature of collaboration. The unique perspectives identify three critical challenges facing the REACH Network: trust, coordination, and sustainability. Through consideration of the challenges, we identified several strategies for success. We hope readers can learn their own lessons when considering the details of our partnership’s efforts to improve the delivery infrastructure for rural healthcare.  相似文献   
97.
98.
I argue that the Carroll–Chen cosmogonic model does not provide a plausible scientific explanation of the past hypothesis (the thesis that our universe began in an extremely low-entropy state). I suggest that this counts as a welcomed result for those who adopt a Mill–Ramsey–Lewis best systems account of laws and maintain that the past hypothesis is a brute fact that is a non-dynamical law.  相似文献   
99.
Contemporary Roman Catholic ethics endeavors to take sin seriously by offering theologies of sin that emphasize it as a force and as a basic, personal orientation. Such efforts rightly counter the Catholic tradition's earlier reduction of sin to sins, and sins to external acts and moral culpability. But perhaps they go too far in this regard. By engaging Charles Curran, this study argues that inattention to sins undermines the theological referent of sin as a discourse that concerns more than moral culpability, obscures God as the source of freedom and value, and neglects the way in which acts express and sustain sin and fashion a personal orientation. Drawing on the work of Jean Porter, the essay shows that attention to sins highlights the historicity, particularity, and provisionality of human acts because of the theological referent and analogical character of sin and sins.  相似文献   
100.
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