Utilization of Hospital-Based Chaplain Services Among Newly Diagnosed Male Veterans Affairs Colorectal Cancer Patients

The aim of the study was to examine utilization of chaplain services among Veterans Affairs patients with colorectal cancer (CRC). In 2009, the Cancer Care Assessment and Responsive Evaluation Studies questionnaire was mailed to VA CRC patients diagnosed in 2008 (67 % response rate). Multivariable logistic regression examined factors associated with chaplain utilization. Of 918 male respondents, 36 % reported utilizing chaplains. Chaplain services were more likely to be utilized by patients with higher pain levels (OR = 1.017; 95 % CI = 0.999–1.035), younger age (age OR = 0.979; 95 % CI = 0.964–0.996), and later cancer stage (early stage OR = 0.743; 95 % CI = 0.559–0.985). Chaplain services are most utilized by younger, sicker patients.     

The Ability to Identify Criteria: Its Relationship with Social Understanding,Preparation, and Impression Management in Affecting Predictor Performance in a High-Stakes Selection Context

The ability to correctly identify the criteria (ATIC) that are being evaluated in a selection procedure is a relatively new construct attracting attention because of its significant relationship with performance in selection assessments and its potential for explaining their criterion validity. Multiple source data from 319 applicants undergoing a high-stakes medical student selection procedure were used to test a moderated mediation model that extends current understanding of the nomological net of this construct. Results show that ATIC fully mediated the relationship between interview preparation and performance, partially mediated the effect of social understanding on performance, and moderated the effect of impression management on performance. Findings are explained in terms of cognitive theories of cue recognition, and practical implications are discussed.     

A naturalistic study of the effectiveness of time-limited counselling with low-income clients

The role of counselling and psychotherapy services in relation to the needs of economically disadvantaged individuals has been largely neglected in the recent research literature. Although a small number of theoretical papers and case analyses have been published, there is an absence of studies that examine the effectiveness of counselling with this client group. The present paper reports on a naturalistic outcome study of the effectiveness of time-limited counselling (seven sessions) with low-income clients. Analysis of pre-counselling, postcounselling and follow-up measures of mental health and problem ratings indicated levels of change equivalent to those achieved in controlled studies of counselling and psychotherapy with other client groups. Factors influencing the effectiveness of counselling included gender and employment status. Qualitative client reports suggested that the main benefits experienced by clients were in the areas of self-understanding and self-belief. For illustrative purposes, data from low-income clients are compared with results from employee counselling clients receiving a similar service. The implications of these findings for further research are discussed.     

The Influence of Confirmation Bias on Memory and Source Monitoring

Two experiments were conducted to examine whether recognition memory for information and/or its source are influenced by confirmation bias. During Phase 1, subjects were shown a summary about the issue of gun control and asked to indicate a position on the issue. During Phase 2, 12 abstracts (Experiment 1) or social media posts (Experiment 2) were shown, one at a time. Posts in Experiment 2 were associated with either friends or strangers. Participants indicated whether they wanted to read a more extensive version of each abstract (Experiment 1) or post (Experiment 2). Phase 3 was the memory phase. Thirty-two abstract titles (Experiment 1) or posts (Experiment 2) were shown one at a time. Participants indicated yes or no, and whether they recognized the titles/posts from the last phase. Recognition memory for information that supported the participants' viewpoint was higher than that for opposing information.     

The Witness Credibility Scale: An outcome measure for expert witness research

The judge or jury makes a subjective determination of when an expert is credible. However, no published measure exists for assessment of the credibility of expert witnesses. The current study addressed this gap by developing and cross‐validating the Witness Credibility Scale (WCS). Drawing on the narrative literature, we hypothesized that credibility was a product of four factors: “likeability,” “believability,” “trustworthiness,” and “intelligence.” A 41‐item measure was initially constructed based on successive iterations of ratings by a panel of judges using items from the Osgood Semantic Differential measure and was subsequently administered to 264 undergraduates. A factor analysis of the data yielded a factor structure that consisted of four factors labeled, “knowledge,” “likeability,” “trustworthiness,” and “confidence.” The final version of the WCS used 20 adjectives with four subscales of five items, each subscale reflecting high loadings on the respective factors. The scale was then tested in five additional studies, in which the scale successfully differentiated between groups of videotaped experts testifying in manipulated conditions. The empirical data from these studies permit a foundation for comparing outcome data in future research investigations. Copyright © 2010 John Wiley & Sons, Ltd.     

Sufficiency of care in disasters: ventilation, ventilator triage, and the misconception of guideline-driven treatment

This essay examines the management of ventilatory failure in disaster settings where clinical needs overwhelm available resources. An ethically defensible approach in such settings will adopt a "sufficiency of care" perspective that is: (1) adaptive, (2) resource-driven, and (3) responsive to the values of populations being served. Detailed, generic, antecedently written guidelines for "ventilator triage" or other management issues typically are of limited value, and may even impede ethical disaster response if they result in rescuers' clumsily interpreting events through the lens of the guideline, rather than customizing tactics to the actual context. Especially concerning is the tendency of some expert planners to mistakenly assume that medical treatment of respiratory failure: (1) always requires full-feature mechanical ventilators, (2) will always occur in hospitals, and (3) can be planned in advance without sophisticated public consultation about likely ethical dilemmas.     

Help or hinder? When recommendation signage expands consideration sets and heightens decision difficulty

This research examines whether recommendation signage helps or hinders the consumer when faced with choosing from large product assortments. In spite of frequent usage and retailer intuition suggesting that providing recommendation signs (e.g., “Best Seller,” “Award Winner”) should help consumers in the choice process, we propose that signs can hinder choice for consumers with more developed preferences by adding to the complexity and difficulty of the decision process. In three experiments using horizontally differentiated products in multiple categories, we provide evidence that recommendation signs create preference conflict for consumers with more developed preferences, leading these consumers to form larger consideration sets and ultimately experience more difficulty from the decision-making process. In addition, we show that these effects are mitigated for consumers with less developed preferences and when the choice is from a small assortment. The results suggest that recommendation signage may not be an effective tool for aiding choice from large assortments; instead signage can exacerbate the difficulties associated with having too many choices, with implications on purchase quantity.     

Voluntary and reflexive eye movements to illusory lengths

Considerable debate surrounds the extent and manner that motor control is, like perception, susceptible to visual illusions. Using the Brentano version of the Müller-Lyer illusion, we measured the accuracy of voluntary and reflexive eye movements to the endpoints of equal length line segments that appeared different (Experiment 1) and different length line segments that appeared equal (Experiment 3). Voluntary and reflexive saccades were both influenced by the illusion, but the former were more strongly biased and closer to the subjective percept. Experiment 2 demonstrated that these data were the results of the illusion and not centre-of-gravity effects. The representations underlying perception and action interact and this interaction produces biases for actions, particularly voluntary actions.