The role of risk perception in explaining parental sunscreen use

Objective: This study assessed: (1) whether risk perceptions about skin cancer were related to parent's use of sunscreen on their children; (2) which combination of assessments susceptibility and severity best explain parental sunscreen protection behaviours and (3) whether risk perceptions influence behaviour directly through intentions or through attitudes, subjective norms and self-efficacy.

Design: Two longitudinal studies assessed sunscreen protection behaviours of parents for their toddlers (N?=?391) and young children (N?=?436).

Main outcome measure: Parent's use of sunscreen on their children.

Results: Risk perceptions correlated with future sunscreen protection behaviours of parents but were lower than those of attitude, social influence and self-efficacy. Treating susceptibility and severity as an additive function resulted in the best model fit. Risk perceptions were related with future intention and future sunscreen protection behaviour, but the effects were mediated through attitude, social influence and self-efficacy.

Conclusions: Our path analyses suggest treating susceptibility and severity as an additive function. A multiplicative model without main effects – although often used – had the poorest fit. Risk perceptions influence behaviour by influencing attitudinal and self-efficacy beliefs. Addressing risk perceptions in health communication programs is relevant when the purpose is to increase awareness and to influence attitudes and self-efficacy.     

Capturing the Child’s Perspective: A Review of Self-Report Measures used with Children

Recent policy extends the patient-professional collaboration in making health care decisions to children. As a result, the development of self-reporting measures allowing children to express their concerns is growing. A literature review identified 33 self-report measures for children among a range of disciplines. While these tools allow children to be part of the rehabilitation process, the information obtained does not seem to capture what matters to children. This is particularly true for children with mental illness whose views are often ignored. More research is needed on clinical approaches that access the unique experiences of children with mental illness.     

Are smokers interested in genetic testing for smoking addiction? A socio-cognitive approach

Genetic advances have made genetically tailored smoking cessation treatments possible. In this study, we examined whether smokers are interested in undergoing a genetic test to identify their genetic susceptibility to nicotine addiction. In addition, we aimed to identify socio-cognitive determinants of smokers' intention to undergo genetic testing. Following the protection motivation theory (PMT), we assessed the following constructs using an online survey among 587 smokers: threat appraisal (i.e. susceptibility and severity), fear, coping appraisal (i.e. response efficacy and self-efficacy), response costs and intention. In addition, knowledge, social norms and information-seeking behaviour were measured. Mean intention rates were 2.57 on a 5-point scale. Intention was significantly associated with threat appraisal and coping appraisal, as predicted by the PMT. Fear of the outcome was negatively associated with the intention to undergo genetic testing, but response costs, knowledge and social influence were not. Intention to undergo genetic testing in turn was positively related to seeking information about genetic testing and genetically tailored smoking cessation treatments. Smokers seem ambivalent or 'on the fence' with regard to undergoing a genetic test for smoking addiction. Socio-cognitive concepts such as susceptibility, severity, response efficacy and self-efficacy may be used to inform or educate smokers about the value of genetically tailored smoking cessation treatments.     

The effect of short duration heart rate variability (HRV) biofeedback on cognitive performance during laboratory induced cognitive stress

The aim of this study was to examine the effect of 10 minutes of heart rate variability (HRV) biofeedback on cognitive performance and affect scores during induced stress. Eighteen healthy male volunteers (aged 23–41 years) exposed to work‐related stress, were randomised into an HRV biofeedback intervention (BIO) and a comparative intervention group (COM). Subjects completed a modified Stroop task, which included having to mentally count 18 white squares randomly presented between colour words, before and after a 10‐minute intervention. Subjects also completed questionnaires to rate their anxiety. BIO subjects improved their reaction times and consistency of responses, and made fewer mistakes in counting squares during the modified Stroop task. They also felt more relaxed, less anxious and less sleepy than the COM subjects. In conclusion our results suggest that short duration HRV biofeedback is associated with improved cognitive performance while concurrently aiding relaxation. Copyright © 2010 John Wiley & Sons, Ltd.     

Gender ratio,societal culture,and male and female leadership

Top management teams are worldwide largely composed of men, with relatively few female members. The gender ratio in top management is indicative of the position of women in management within the organization, as well as related to leadership behaviours of male and female managers. In the present study, the relative importance of societal culture, organizational, and individual characteristics in explaining leadership behaviours and the associations of gender and gender ratio with leadership behaviours are studied. Hypotheses are tested with multi‐level analyses using a dataset with information from subordinates rating leadership behaviours of 12,546 managers in 437 organizations in 32 countries. The results show that in a three‐level model (i.e., societal, organizational, and individual level) to explain leadership behaviours, differences in leadership behaviours are predominantly explained by individual differences, followed by organizational and societal differences. Further, after controlling for societal influences, a higher gender ratio (relatively more female managers), was positively associated with consideration and negatively related to initiating structure. Moreover, for male managers, there was a negative association between gender ratio and initiating structure, indicating that male managers in organizations with more female managers tend to engage less in initiating structure, whereas the leadership behaviours of female managers were not associated with the gender ratio.     

Depression in Primary Care: Comorbid Disorders and Related Problems

Identifying and treating depression has been a major focus in primary care over the last decade. Unfortunately, treatments have not been as successful as originally hoped. The current study investigated factors that may contribute to poor outcomes in a sample of VA primary care patients. Results indicate that 15.5% of the patients in this investigation had significant symptoms of depression. The vast majority (89.6%) of these patients also had significant symptoms of at least one additional comorbid psychiatric condition. Furthermore, an association between depression and unhealthy behaviors (smoking, not exercising) was demonstrated. Finally, sexual dysfunction and chronic pain were more frequently observed in individuals with depressive symptoms. These findings illustrate that depression is only one of many problems for most primary care patients identified with depression. A multidisciplinary team in primary care is recommended to provide a coordinated approach to the treatment of depression and its associated problems.     

Motivated responses to ‘senseless’ violence: explaining emotional and behavioural responses through person and position identification

We integrate and extend insights from just world theory (Lerner, 1980 ), appraisal and attribution theories of emotion (e.g. Scherer, Schorr, & Johnstone, 2001 ; Weiner, 1995 ), and the sacred value protection model (Tetlock, Kirstel, Elson, Green, & Lerner, 2000 ) to explain observers' emotional and behavioural responses to incidents of so‐called ‘senseless’ violence. The presence or absence of an opportunity to blame a victim for his or her violent fate resulted in stronger perceptions of ‘senselessness’ of the violence, stronger identification with the victim's suffering (i.e. person identification) and stronger identification with his or her violent fate (i.e. position identification). The presence or absence of an opportunity to blame the victim also influenced observers' feelings of anger and pity, and their willingness to protest and help. Importantly, both types of identification helped explain these emotional and behavioural responses. The results of this experiment suggest dual motivations for how observers come to feel and care for victims of ‘senseless’ violence. Copyright © 2005 John Wiley & Sons, Ltd.     

“SLANG”—Sensitive Language and the New Genetics—an Exploratory Study

SLANG—Sensitive Language and the New Genetics—is a concept that arose out of informal discussions between a number of interested parties, both consumers and professionals, who were becoming increasingly uneasy with some of the language commonly used in medical genetics. Some language choices were felt by the authors to be inappropriate for a variety of reasons. Poor language choice may impede an individual's understanding of a genetic condition or important medical information and the chosen words themselves may simply be perceived as discriminatory and even offensive. SLANG is an important concept to explore partly because literature in this area confirms that language choices in medical settings can be of great significance to both patients and families. Studies have shown how language choices impact on professional practice by, as one example, changing the intended meaning of medical information and affecting individual perception of risk and choice which, in turn, may affect individual or familial well-being. In addition language choice has the power to affect how individuals perceive themselves and are viewed by others. This paper presents the results from our pilot study and discusses the implications for health professionals with particular reference to medical genetics settings.     

Intervening to improve communication between parents, teachers, and primary care providers of children with ADHD or at high risk for ADHD

This study examines interventions designed to improve communication between individuals who take care of children with ADHD. A teacher rating of 6,171 elementary school children identifies 1,573 children with ADHD or with high risk for ADHD. Parent interviews and information from teachers are collected on 243 children who are randomized into treatment and control conditions and followed for 39 months. The interventions consisted of group workshops and single one-on-one tutorials with parents, teachers, and providers about the evaluation and treatment of ADHD that stressed the need for communication between the three parties. There are few significant effects on communication that are short lived. Results suggest that the interventions are insufficient to cause significant increase in communication. Future attempts to improve parent-teacher-provider coordination should be continuing rather than single-session interventions.