Validation of a new multidimensional health locus of control scale (form c) in asthma research

Abstract

This study developed and validated an Asthma Multidimensional Health Locus of Control (AMHLC) scale using 186 asthmatics aged 13 to 55 years recruited from 46 pharmacies in the Hunter Valley, Australia. The construct validity and internal consistency of the scale were demonstrated using principal components factor analysis and Cronbach's alpha respectively. Although correlations were modest, findings indicate that asthmatics with higher “Powerful Others” locus of control perceived they had a better quality of doctor-patient relationship; the opposite was found for those with higher “Chance” scores. Powerful Others orientation was also associated with expectations and valuation of services doctors' provide. Knowledge of asthma was not related in the expected direction with the new scale, nor were clinical indices of asthma severity. Younger asthmatics had higher Chance scores while older asthmatics tended toward higher Powerful Others orientation. Overall, the AMHLC instrument achieved suitable measurement properties to allow further investigation of health care behavior in people with asthma.     

Methylphenidate improves some but not all measures of ATTENTION,as measured by the TEA-Ch in medication-naïve children with ADHD

The Test of Everyday Attention for Children (TEA-Ch) is a reliable neuropsychological assessment of attention control in children. Methylphenidate (MPH) is an effective treatment to improve attentional difficulties in children with attention deficit/hyperactivity disorder (ADHD). Previous studies investigating the effects of MPH on attention performance of children with ADHD have produced mixed results and prior MPH usage may have confounded these results. No previous study has tested the effects of MPH on the entire TEA-Ch battery. This study investigated the effects of MPH on attention performance using the entire TEA-Ch in 51 medication-naïve children with ADHD compared with 35 nonmedicated typically developing children. All children were tested at baseline and after 6 weeks: The children with ADHD were medication-naïve at baseline, received MPH for 6 weeks and were tested whilst on medication at the second testing session. A beneficial effect of MPH administration was found on at least one subtest of each of the three forms of attention (selective, sustained, and attentional control) assessed by the TEA-Ch, independent of practice effects. MPH aided performance on the TEA-Ch tasks that were inherently nonarousing and that might require top-down control of attention. It is recommended that the TEA-Ch measures—Sky Search Count (selective attention),Score! (sustained attention), Creature Counting Time Taken for older children (attentional control), and Same Worlds (attentional control) be prioritized for use in future pharmacological studies using MPH.     

Domestic Workers' Experiences of Power and Oppression in South Africa

This study examines the work experiences of domestic workers in the context of socio-economic-political legislation promulgated to protect their social rights in the new South Africa. It gains insight into the power relations and embedded tensions between employers and domestic workers with the aim of identifying forms of oppression affecting domestic workers. In-depth interviews were conducted with nine female domestic workers employed in African households and analyzed using thematic content analysis. Results indicate that despite inclusion in labour legislation, domestic workers remain a vulnerable group. They experience oppression in the form of exploitation, marginalization, powerlessness, violence and some class-based cultural imperialism. Despite this, agency and resistance in the face of oppression was a key finding. Although some gains may have been obtained through inclusion in legislation, the asymmetrical power relationship with employers remains problematic.     

Who? What? When? Using a timeline technique to facilitate recall of a complex event

Accurately recalling a complex multi-actor incident presents witnesses with a cognitively demanding retrieval task. Given the important role played by temporal context in the retrieval process, the current research tests an innovative timeline technique to elicit information about multiple perpetrators and their actions. Adopting a standard mock witness paradigm, participants were required to provide an account of a witnessed event. In Experiment 1, the timeline technique facilitated the reporting of more correct details than a free recall, immediately and at a two-week retention interval, at no cost to accuracy. Accounts provided using the timeline technique included more correct information about perpetrator specific actions and fewer sequencing errors. Experiment 2 examined which mnemonic components of the timeline technique might account for these effects. The benefits of exploiting memory organization and reducing cognitive constraints on information flow are likely to underpin the apparent timeline advantage.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.