Clinical Use of the Surgeon General’s “My Family Health Portrait” (MFHP) Tool: Opinions of Future Health Care Providers

This study examined medical students’ and house officers’ opinions about the Surgeon General’s “My Family Health Portrait” (MFHP) tool. Participants used the tool and were surveyed about tool mechanics, potential clinical uses, and barriers. None of the 97 participants had previously used this tool. The average time to enter a family history was 15 min (range 3 to 45 min). Participants agreed or strongly agreed that the MFHP tool is understandable (98%), easy to use (93%), and suitable for general public use (84%). Sixty-seven percent would encourage their patients to use the tool; 39% would ensure staff assistance. Participants would use the tool to identify patients at increased risk for disease (86%), record family history in the medical chart (84%), recommend preventive health behaviors (80%), and refer to genetics services (72%). Concerns about use of the tool included patient access, information accuracy, technical challenges, and the need for physician education on interpreting family history information.     

Coherent career practice

Coherent career practice is conceptualized as an integrated reciprocal system involving 4 core elements: career literacy, career gumption, career context, and career integrity. Within this framework, clients are clients because 1 or more of the elements is either poorly developed or disconnected from the others.     

Does Friendship Matter? An Examination of Social Physique Anxiety in Adolescence1

The role of peer group composition and influence variables on social physique anxiety was examined. Peer network data were gathered on 375 adolescents (181 male, 194 female). Females reported experiencing higher social physique anxiety, more pressure and encouragement to alter their physique from peers, greater body‐related discussion, and greater identification with the peer group than did males. Regression analyses revealed 2 peer influence variables—peer pressure and relative attractiveness of peers—to be significant predictors of social physique anxiety. A third variable—extent to which the individual identified with peer network—was a significant predictor for females. Results are discussed in reference to previous research, and future research directions are identified.     

Cognitive motivation correlates of coping style in decisional conflict

Can personality traits account for the handling of internal conflicts? The authors explored how individual differences in information-processing style affect coping patterns displayed before making important decisions. Need for cognition and need for cognitive closure were linked to the major tendencies identified in the conflict theory of decision making: vigilance, hypervigilance, and defensive avoidance (buck passing and procrastination). A sample of 1,119 Belgian human resource professionals completed the Melbourne Decision Making Questionnaire, the 18-item short-form Need for Cognition Scale, and the Need for Closure Inventory. Ordinary least squares regression analysis indicated that significant relationships existed between need for cognition, need for closure, and conflict decision-making styles. The authors also found significant effects of gender and age.     

An investigation of the psychometric evidence of CBM-R passage equivalence: Utility of readability statistics and equating for alternate forms

Claims have been made that grade appropriate curriculum-based measurement of reading (CBM-R) passages are of comparable difficulty and can be used interchangeably to monitor student progress. Empirical evidence to support claims of equivalence has been lacking. This research investigated the basis for making claims of equivalence. The use of readability statistics to justify passage equivalence was found to be lacking. Using a general measurement model for congeneric tests, CBM-R passages were found to measure a single latent factor with a high degree of reliability. However, evidence indicated that the raw scores, words read correctly per minute, across passages did not provide equivalent measurements. Statistical equating was investigated as an approach to overcome the lack of equivalence with promising results.     

What is the value of mentoring in a small business? Using narrative evaluation to find out

The paper examines the case of one small business manager (Alistair) and the value he gave to a mentoring intervention demonstrated by the use of narrative evaluation. Doubts about the efficacy of orthodox approaches to evaluation when applied to management development activities lead to the view that narratives are more appropriate. Narrative evaluation techniques are applied to a story told by Alistair, the Managing Director of a small business in Sheffield, concerning his view of his involvement in a mentoring programme. Alistair's initial reservations about the value of the programme are revealed rhetorically through a range of arguments. After such doubts, through a process of conversation, the story reveals how Alistair is able to find value from mentoring.     

Applied pluralism in the evaluation of employee counselling

The method and major findings of a complex, 'pluralist' evaluation, which investigated the effectiveness of the counselling provision of an employee support and counselling service in a local authority education department over 22 months, are outlined. Reference is made to the underlying philosophical approach of integrated pluralist evaluation, which may represent a significant step forward from the accepted methods of triangulation. In addition to achieving predicted high satisfaction rates from clients, counsellors and clients both indicated significant improvements in all measures used. These were maintained at follow-up which took place at intervals from 1 to 18 months after counselling had ended. Reduction in absenteeism post-counselling suggested the possibility of very substantial revenue savings. Responses also indicated the acute, and often chronic, need for employee counselling provision in the education system.