How Do Consumers Perceive the Quality-of-Life Impact of Durable Goods? A Consumer Well-Being Model Based on the Consumption Life Cycle

Consumer’s overall perception of quality-of-life impact of a consumer durable (PQOLI) refers to consumer’s subjective evaluation of the degree to which marketplace experiences related to a given product impacts one’s overall quality of life (QOL). What are the factors that impact PQOLI? A model based on the concept of the consumption life cycle is developed to answer this question. The model posits that PQOLI is mostly influenced by satisfaction with product purchase, preparation, ownership, consumption, and maintenance experiences. In turn, the model also posits that with satisfaction with purchase, preparation, ownership, consumption, and maintenance are influenced by a set of consumption experiences. The data was collected using a sample of college students. Each respondent was randomly assigned to one of eight product categories: photo cameras, cell phones, athletic shoes, cologne, televisions, watches, sunglasses, and video consoles. The results were generally supportive of the model. Theoretical and managerial implications are discussed.     

Development and validation of a Client Problem Profile and Index for drug treatment

The development of the Client Problem Profile and Index are described, and initial concurrent and predictive validity data are presented for a sample of 547 patients in outpatient methadone treatment. Derived from the TCU Brief Intake for drug treatment admissions, the profile covers 14 problem areas related to drug use (particularly cocaine, heroin/opiate, marijuana, other illegal drugs, and multiple drug use), HIV risks, psychosocial-functioning, health, employment, and criminality. Analyses of predictive validity show the profile and its index (number of problem areas) were significantly related to therapeutic engagement, during-treatment performance, and posttreatment follow-up outcomes. Low moderate to high moderate effect sizes were observed in analyses of the index's discrimination.     

Not well known, used little and needed: Canadian chaplains' experiences of published spiritual assessment tools

What are Canadian chaplains' experiences of published assessment tools? Utilizing a quantitative and qualitative methodology with multiple investigators and theoretical triangulation, this article reports the results of a survey of chaplains in the Canadian Association for Pastoral Practice and Education (CAPPE) and interview results of 15 chaplains in three focus groups. Findings indicated that published spiritual assessment tools are not well know, used little, criticized for being reductionistic and not fitting the clinical situation. Participants noted, however, that spiritual assessment is needed for spiritual care. Thirty percent reported the development of their own tools (not published) and three published tools were mentioned by 50% and more. Discussion, limitations of the research, and suggestions for education, practice, and future research are offered.     

Delayed detection of tonal targets in background noise in dyslexia

Individuals with developmental dyslexia are often impaired in their ability to process certain linguistic and even basic non-linguistic auditory signals. Recent investigations report conflicting findings regarding impaired low-level binaural detection mechanisms associated with dyslexia. Binaural impairment has been hypothesized to stem from a general low-level processing disorder for temporally fine sensory stimuli. Here we use a new behavioral paradigm to address this issue. We compared the response times of dyslexic listeners and their matched controls in a tone-in-noise detection task. The tonal signals were either Huggins Pitch (HP), a stimulus requiring binaural processing to elicit a pitch percept, or a pure tone-perceptually similar but physically very different signals. The results showed no difference between the two groups specific to the processing of HP and thus no evidence for a binaural impairment in dyslexia. However, dyslexic subjects exhibited a general difficulty in extracting tonal objects from background noise, manifested by a globally delayed detection speed.     

Rapid acquisition of choice and timing in pigeons

Pigeons were trained on a concurrent-chains procedure in which the initial link associated with the shorter terminal-link delay to food changed unpredictably across sessions. In the minimal-variation condition, delays were always 10 s and 20 s, whereas in the maximal-variation condition delays were generated pseudorandomly for each session. On some terminal links, food was withheld to obtain measures of temporal control. Measures of choice (log initial-link response ratios) and timing (start and stop times on no-food trials) showed temporal control and stabilized within the 1st half of each session. In the maximal-variation condition, choice was a nonlinear function of the log delay ratio, consistent with a categorical discrimination but contrary to models based on the matching law. Residuals from separate regressions of log response and log start and stop time ratios on log delay ratios were positively correlated. Overall, results support cognitive models that assume that initial-link choice is based on an all-or-none decision process, and that choice and timing are mediated by a common representation of delay.     

A simultaneous test of the relationship between identified psychosocial risk factors and recurrent events in coronary artery disease patients

Psychosocial factors are increasingly recognized as risk indicators for coronary artery disease (CAD) prognosis and they are likely interrelated. The objective of this study is to simultaneously test the relationship between key psychosocial constructs as independent factor scores and recurrent events in CAD patients. There were 1268 CAD outpatients of 97 cardiologists surveyed at two points. Recurrent events or hospitalization in the intervening nine months were reported. Factor analysis of items from the Hospital Anxiety and Depression Scale, Perceived Stress Scale, the ENRICHD Social Support Inventory, and Hostile Attitudes Scale was performed to generate orthogonal factor scores. With adjustment for prognostic variables, logistic regression analysis was performed to examine the relationship between these factor scores and recurrent events. Factor analysis resulted in a six-factor solution: hostility, stress, anxiety, depressive symptoms, support, and resilience. Logistic regression revealed that functional status and anxiety, with a trend for depressive symptoms, were related to experiencing a recurrent event. In this simultaneous test of psychosocial constructs hypothesized to relate to cardiac prognosis, anxiety may be a particularly hazardous psychosocial factor. While replication is warranted, efforts to investigate the potential benefits of screening and to investigate treatments are needed.     

Clinical and Counseling Experiences of Early Adopters of Whole Exome Sequencing

Currently, there are limited data regarding the practice of genetic counseling for whole exome sequencing (WES). Improved understanding of how genetic counselors and other providers are educating, counseling, and communicating results may identify practice trends, and patient or provider needs. Between April 2013 and December 2014, we surveyed providers who ordered WES testing from GeneDx, a CLIA-certified laboratory. Forty-nine respondents completed the survey; 41 % of participants reported board certification in genetic counseling. Pre-test and post-test counseling was completed in all but one case each. Pre-test counseling lasted less than 1 h for 53 % of cases and 1 to 2 h for 43 %. Topics discussed with all patients included consent for testing, and incidental findings; other topics were variable. In contrast to pre-test counseling, 59 % reported post-test counseling lasting 1 to 2 h and 33 % less than an hour; post-testing counseling was significantly longer in cases with a definitive diagnosis than those without (p?=?0.0129). The survey findings indicate some variability regarding the amount of time spent on counseling and the topics discussed during pre-test counseling. Additional exploration, patient and provider educational resources, and potentially more specific guidelines regarding counseling for WES may be warranted.