Evaluation of an Internet-short message service-based intervention for promoting physical activity in Hong Kong Chinese adolescent school children: a pilot study

Evaluation of acceptability and preliminary efficacy of an Internet and short message service (SMS) intervention for promoting physical activity (PA) in Hong Kong Chinese school children. An 8-week quasi-experimental study non-randomly assigned 78 school children (mean age=12.8 years) to (a) an intervention group that received a stage-matched, Internet PA program two times a week and tailored SMS messages daily; or (b) a no-treatment control. Data were collected from September 2008 until June 2009. Acceptability measures included exposure rate and participant's satisfaction. Efficacy measures were changes in stage of motivational readiness (SMR) and self-reported PA level. Intervention participants demonstrated significant pre-post increments in SMR (Z=-2.558, p=0.011) and self-reported PA level [F(1, 76)=4.50, p=0.04]. There was a non-significant trend between groups in both SMR (p=0.24) and PA (p=0.13). Despite the similar ratings of satisfaction between Internet (M=3.12±0.74) and SMS (M=3.12±0.84), participants displayed distinct patterns of exposure with 66% exhibiting a weekly login rate of 0.5 times/person and an average of 3.75 minutes/visit/person. In contrast, 79% of participants read an average of 1.3 SMS/person/week and 47% voluntarily replied to ～3.8 SMS/person. These findings demonstrate the acceptability and preliminary efficacy of an Internet-SMS-based intervention for promoting PA in Hong Kong school children. The divergent exposure rates between the Internet and SMS may be a unique pattern for adolescents in early SMR. Future research should be cognizant of the importance of SMR since it may influence utilization and/or adherence.     

Sexual Socialization Messages on Entertainment Television: Comparing Content Trends 1997–2002

Previous content analyses of sex on television have relied on differing measures and sampling strategies, which makes it difficult to compare patterns of sexual portrayals over time. This large-scale study (N = 2,817 programs) examines the sexual messages presented on television across both broadcast and cable channels over a 5-year period, applying identical measures to three biennial samples of program content. Results demonstrate that sexual talk and behavior are highly frequent aspects of the television environment. Talk about sex is shown more often than sexual behavior, though both types of content increased significantly from 1997/1998 to 2001/2002. Over that time span, the percentage of shows portraying sexual intercourse doubled from 7 to 14%. Results also show that topics related to sexual risks or responsibilities (e.g., condom use, abstinence) are increasingly included on television, but nonetheless remain infrequent overall. Such safe sex messages occur most frequently in program environments where they are most relevant (i.e., when sexual intercourse is included in the story). The content analysis findings are discussed in terms of their implications for audience effects.     

Change in Life Satisfaction Under Chronic Physical Multi-morbidity in Advanced Old Age: Potential and Limits of Adaptation

We examined the impact of chronic multi-morbidity on intra-individual change of life satisfaction (LS) in advanced old age, considering (1) adaptation in terms of stabilization or restoration of LS across accumulation of chronic conditions and (2) loss in functional competence to conduct activities of daily living (ADL) as potentially mediating the effect of chronic multi-morbidity on LS. Longitudinal data from a German sample (N = 451, aged 80–90 at baseline, 3 measurements covering 2.25 years) was analyzed by means of latent growth curve modeling. An adaptive curvilinear relationship between self-reported number of chronic conditions health constraints (NCC) at baseline and change in LS was confirmed, where the largest LS decline occurred under medium, but less worsening under highest levels of NCC. Change in ADL predicted LS change, but did not mediate the effects of NCC on LS. The findings confirmed the importance of both chronic multi-morbidity and loss of functional competence as independent predictors of decline in LS in very old age. Only limited evidence supported an adaptive stabilization of LS under accumulating levels of chronic multi-morbidity.     

The dangers of dating the “bad boy” (or girl): When does romantic desire encourage us to take on the negative qualities of potential partners?

People generally strive to maintain positive views of themselves. Even in the face of negative feedback, individuals frequently protect the self-concept from incorporating negative information. Two studies examined a potential exception to that rule: whether and when romantic desire may motivate individuals to spontaneously adopt the negative attributes of a potential partner. Study 1 demonstrated the basic effect such that single individuals spontaneously incorporated negative attributes of a potential romantic partner into their self-concepts, and incorporation was magnified by desire for the partner. Study 2 explored boundary conditions of these effects. Negative attributes were only incorporated if the potential partner expressed self-acceptance about possessing these attributes; when potential partners reported wishing to change the negative attribute, it was not adopted into the self-concept. Attribute extremity also moderated incorporation. The implications of these results for understanding the nuances of motivated self-malleability are discussed.     

Exploring experience of family relations by patients with anorexia nervosa and bulimia nervosa using a projective family test

Elements of family dynamics have been shown to be related to onset, course, as well as prognosis of anorexia nervosa and bulimia nervosa. The goal was to explore the experience of family relations in a group of patients with eating disorders using a projective family test. The Patient group (anorexia=21, bulimia=16), as well as a healthy Control group, were given a projective family test, the Eating Disorder Inventory-2, as well as Karolinska Scales of Personality. The Patient group expressed more discord within the family picture than the Control group, such as cold and loveless relationships and not feeling validated. The group of patients reporting the most family discord did not show more eating disorder pathology or general psychopathology. They did, however, have higher scores on the Eating Disorder Inventory-2 subscale Maturity Fears, as well as higher values on the Karolinska Scales of Personality subscale Socialization. These results are interpreted within the background of methodological challenges in this area of research.     

Risky decision making across three arenas of choice: are younger and older adults differently susceptible to framing effects?

In the present study, the authors investigated the effects of framing of options on risky decision making in groups of younger adults (M = 23.8 years, n = 192) and older adults (M = 69.1 years, n = 192). The participants were assigned to one of three scenarios varying in the goods at stake (human lives, paintings, money). The authors observed a majority preference in favor of the risky options after negative, but not positive framing. They also found, as they had predicted, that the type of framing effect varied across scenarios, with a bidirectional framing effect for the life-death scenario and unidirectional (risk averse) framing effects when public property (paintings) or personal property (money) were at stake. It is important to note that these choice preference patterns were highly similar across the age groups, which reinforced the conclusion that younger and older adults are equally susceptible to framing effects.     

Residual Effects of Slavery: A Delphi Study

Slavery and its aftermath have created multiple challenges that are unique to the African American community. Although literature exists within other disciplines, no published empirical study within the marriage and family therapy literature has examined the residual effects of slavery. We used a modified Delphi methodology to explore the residual effects of slavery on African Americans and to determine resultant clinical implications. To obtain information from panelists who have expertise in this area, we conducted three rounds of data collection: an open-ended questionnaire, a Likert-scale questionnaire, and a round of in-depth interviews. Based on our analysis of the data collected, this empirical study describes the influence of the residual effects of slavery, implications for clinicians and directions for future research.