The Illness Perceptions and Treatment Beliefs of Individuals with Severe Haemophilia and their Role in Adherence to Home Treatment

The majority of individuals in the UK with severe haemophilia treat themselves at home with clotting factor. The aim of this study was to examine patient's beliefs about their haemophilia, their beliefs regarding treatment with clotting factor and to assess whether relationships existed between these factors and adherence to home treatment. Patient beliefs were assessed by posting individuals with severe haemophilia A and B ( n = 104) the Illness Perceptions Questionnaire (IPQ) and the Beliefs about Medicines Questionnaire (BMQ). The final analysis was based on 65 questionnaires yielding a response rate of 63%. Adherence to the frequency and to the amount of each clotting factor dose was assessed for individuals treating prophylactically and the amount of each clotting factor dose for those only treating 'on-demand'. Adherence scores were calculated by comparing individual patient treatment records with recommended regimens. Regression analysis indicated that perceptions of illness identity and treatment necessity explained a significant amount of the variance in adherence to frequency of prophylactic infusions and that illness identity was associated with the adherence to the amount of each prophylactic dose. Further regression analysis also showed that the amount of each dose of clotting factor administered on-demand was associated with perceptions regarding the necessity of treatment. Analysis with a combined measure of adherence to dose amount indicated that patients treating on-demand or with prophylaxis who under treated, recorded significantly lower perceptions of illness consequence than individuals who were fully adherent or who over-treated. The results suggest that assessing illness perceptions, especially beliefs regarding identity , consequence and necessity of treatment, may play a valuable role in identifying which individuals are least likely to adhere to treatment.     

Elaboration and Autonomy Support in Low-Income Mothers' Reminiscing: Links to Children's Autobiographical Narratives

Maternal elaboration and autonomy support during reminiscing facilitate middle-class children's autobiographical narrative skills. In this study, low-income Hispanic, White, and Black mothers' elaboration and autonomy support in reminiscing were examined in relation to children's joint and independent autobiographical narratives and engagement. Sixty preschool children discussed three past events with their mothers and one past event with a researcher. Maternal elaboration was related to children's joint and independent autobiographical narratives, and autonomy support was related to children's joint and independent engagement. Hispanic mothers used a less elaborative style during conversations about misbehavior, and Hispanic children tended to have less advanced independent autobiographical narratives. Maternal elaboration and autonomy support appear to play different roles in children's autobiographical narratives. Further, reminiscing may serve different purposes in different racial/ethnic groups.     

SEQUENTIAL APPLICATION OF CAREGIVER TRAINING TO IMPLEMENT PEDIATRIC FEEDING PROTOCOLS

The purpose of this study was to evaluate the effectiveness of current caregiver training practices by implementing training components sequentially, to teach parents mealtime protocols. A multiple baseline design was implemented across two caregiver dyads. Therapist‐fed meals were conducted prior to training to identify an effective intervention to increase food acceptance and decrease food refusal. The package consisted of seven components: observation, written and verbal protocol review, video review, structured observation, modeling, role play, and immediate feedback. Correct implementation of mealtime protocols, by caregivers, were evaluated throughout the training process by having caregivers conduct meal sessions following each training component to determine if additional training was necessary. Results showed that the training procedures were effective in teaching caregivers to implement mealtime protocols, and systematic introduction of the training components produced systematic and incremental changes in correct caregiver implementation. In addition, all participants completed training without requiring all seven training components. Copyright © 2012 John Wiley & Sons, Ltd.     

Applicant Gender and Family Structure: Effects on Perceived Relocation Commitment and Spouse Resistance

Within the context of a controlled laboratory study, the effects of applicant gender, marital type (single earner, dual earner), and parental status (child, no child) on perceptions of job applicant commitment to a move involving geographic relocation and expected family resistance to the move were investigated. The results indicated that gender and family structure variables interacted in their influence on the dependent variables. Participants also provided reasons for their ratings of perceived commitment. Content analysis revealed 4 themes underlying participant responses: family concerns, goals and motivation of applicant, experience of applicant, and individual differences.     

White Racial Identity and White Racial Consciousness: Similarities,Differences, and Recommendations

To dispel apparent confusion, White racial identity and White racial consciousness are described and contrasted in terms of theoretical conceptualization and measures used. It is recommended that priority be given to the validation of existing or new measurement instruments to provide a sound basis for future findings. Para disipar la confusión aparente, la identidad racial Bianca, y el conocimiento racial Blanco, se describen y son contrastados en términos de sus conceptos teóricos y las medidas empleadas. Se recomienda dar prioridad a la validación de instrumentos existentes o nuevos para proporcionar una base sólida para los deseubrimientos futuros.     

Brief functional analysis and treatment of eye poking

A brief functional analysis suggested that eye poking exhibited by a 5‐year‐old boy diagnosed with cortical visual impairment was maintained by automatic reinforcement. Levels of eye poking in additional conditions suggested that the behavior might be maintained by visual stimulation. Response blocking through the use of safety goggles effectively reduced eye poking in the analog setting. Data from the natural environment suggest that, during intervention, eye poking was confined to times when response blocking was not in effect. Copyright © 2002 John Wiley & Sons, Ltd.     

Why Do High Self‐Monitors Emerge as Leaders in Small Groups? A Comparative Analysis of the Behaviors of High Versus Low Self‐Monitors1

The current study examined the relationship between self‐monitoring and leader emergence focusing on the specific observable behaviors that differentiate high and low self‐monitors in small decision groups. Consistent with previous research, high self‐monitors were more likely to emerge as leaders than were low self‐monitors. Further, observational ratings of task‐oriented and relationship‐oriented leader behaviors made by trained raters blind to the purpose of the study indicated that high self‐monitors emerged as leaders by engaging in significantly more task‐oriented leader behaviors. In contrast, no differences were found in relationship‐oriented leader behaviors between high and low self‐monitors. The findings are discussed in the context of behavioral approaches to the study of leadership and research on self‐monitoring. Implications for research on leader emergence, group process, and research methods are also provided, along with directions for future research.