The Contribution of Physical Activity to Health-Related Quality of Life: New Population Estimates from National Survey Data

Sedentary lifestyles have been linked to higher rates of stroke, hypertension, depression, certain types of cancers, and cardiovascular disease, and increased risk of mortality. The link between physical inactivity and health has led to research on how physical activity (PA) interventions might improve health-related quality of life (HRQoL). Estimates of HRQoL improvements are typically focused on targeted at-risk groups, however. Given that almost half of the U.S. adult population is physically inactive, it would be helpful to broaden our understanding of how PA relates to quality of life for the population at large. In this study, we calculated the HRQoL gains attributable to PA across three nationally representative data sets that use different quality of life measures, and assessed the reliability in the results. The data sets used were the Medical Expenditure Panel Survey (MEPS), the Behavioral Risk Factor Surveillance System (BRFSS), and the National Health Interview Survey (NHIS). Quasi-likelihood regression modeling with a beta distribution was used to generate the estimates. We found mean HRQoL scores were very similar across the three data sets and the estimated HRQoLs gained from PA varied only slightly, suggesting that all three provide reliable estimates for the general population.

     

Latina breast cancer survivors' lived experiences: diagnosis, treatment, and beyond

Latina breast cancer survivors are not benefiting from advances in psychosocial interventions. Despite their greater breast cancer burden, there is a dearth of information about this population. This qualitative study examined the experiences of 18 immigrant Latina breast cancer survivors along the survivorship continuum, from diagnosis to long-term survivorship. The authors conducted separate focus groups with women in the acute, reentry, and long-term survivorship stages. Through grounded theory analysis, the authors uncovered 5 themes of experience: perceptions of psychological well-being, impact of diagnosis, impact of treatment, need for social support, and development of new attitudes. Some themes were applicable across all survivorship stages, whereas others were more salient at a particular stage. Within themes, the authors identified experiences reported in the general literature (i.e., the debilitating effect of chemotherapy) and distinct cultural experiences (i.e., fear that a cancer diagnosis leads to certain death). Results suggest that treatments tailored for each survivorship stage are more likely to be effective than generic interventions. These findings have the potential to lessen health disparities in utilization of psychosocial treatments by Latina breast cancer survivors.     

A shift in task routines during the learning of a motor skill: group-averaged data may mask critical phases in the individuals' acquisition of skilled performance

The authors describe a transient phase during training on a movement sequence wherein, after an initial improvement in speed and decrease in variability, individual participants' performance showed a significant increase in variability without change in mean performance speed. Subsequent to this phase, as practice continued, variability again decreased, performance significantly exceeded the gains predicted by extrapolation of the initial learning curve, the type of errors committed changed, and performance became more coherent. The transient phase of increased variability may reflect a mixture of 2 (or more) performance routines before the more effective one is set and mastered, presumably the setting up of a sequence-specific representation. Both group and individual analyses indicated a departure from the single process (e.g., power-law) model of learning. However, although similar phases appeared in the mean group data, there was little correspondence to individual participants' time courses, and the individuals' gains in the second low-variability phase were masked.     

Detection and validation of unscalable item score patterns using item response theory: an illustration with Harter's Self-Perception Profile for Children

We illustrate the usefulness of person-fit methodology for personality assessment. For this purpose, we use person-fit methods from item response theory. First, we give a nontechnical introduction to existing person-fit statistics. Second, we analyze data from Harter's (1985) Self-Perception Profile for Children (Harter, 1985) in a sample of children ranging from 8 to 12 years of age (N = 611) and argue that for some children, the scale scores should be interpreted with care and caution. Combined information from person-fit indexes and from observation, interviews, and self-concept theory showed that similar score profiles may have a different interpretation. For some children in the sample, item scores did not adequately reflect their trait level. Based on teacher interviews, this was found to be due most likely to a less developed self-concept and/or problems understanding the meaning of the questions. We recommend investigating the scalability of score patterns when using self-report inventories to help the researcher interpret respondents' behavior correctly.     

Dream recall and the full moon

There is ongoing debate on whether the full moon is associated with sleep and dreaming. The analysis of diaries kept by the participants (N = 196) over 28 to 111 nights showed no association of a full moon and dream recall. Psychological factors might explain why some persons associate a full moon with increased dream recall.     

Pursuing Academic Interests: The Role of Implicit Theories

Students can believe that their academic interests are fixed (entity theory) or malleable (incremental theory). A measure of implicit theories of academic interests was developed to examine how such theories influence students' decisions to retain or change their majors. As hypothesized, entity theorists who believed that they were not doing well in their majors were more likely to choose a new major than were all other groups. This result is consistent with previous findings that entity theorists tend to give up in the face of adversity.     

What do Patients Prefer: Informed Consent Models for Genetic Carrier Testing

The recent increased number of conditions for which patients can undergo genetic carrier testing raises the question of how best to obtain pre-test informed consent. Clinical approaches vary from a minimalist model to a model where patients are given detailed information about all conditions to be screened for. Few data exist as to patient preferences, or how information impacts decision-making. Eight high-literacy focus groups were conducted to assess the knowledge and preferences of pregnant patients and their male partners. Most groups indicated that some balance between details and brevity was optimal, recognizing that anxiety can occur when patients are provided with too much information and that the wide range of tests offered during pregnancy often led to confusion. Critical areas for the informed consent process included (1) details about the conditions and risk of being a carrier, (2) logistics of testing, (3) next steps if the test is positive, and (4) prognosis, options and resources if the child were to be affected with a disorder. It will be useful to develop model consent programs and prospectively assess their impact on informed consent and patient satisfaction, both when positive and negative results are received.     

What we know about what we have never heard: evidence from perceptual illusions

Are speakers equipped with preferences concerning grammatical structures that are absent in their language? We examine this question by investigating the sensitivity of English speakers to the sonority of onset clusters. Linguistic research suggests that certain onset clusters are universally preferred (e.g., bd>lb). We demonstrate that such preferences modulate the perception of unattested onsets by English speakers: Monosyllabic auditory nonwords with onsets that are universally dispreferred (e.g., lbif) are more likely to be classified as disyllabic and misperceived as identical to their disyllabic counterparts (e.g., lebif) compared to onsets that are relatively preferred across languages (e.g., bdif). Consequently, dispreferred onsets benefit from priming by their epenthetic counterpart (e.g., lebif-lbif) as much as they benefit from identity priming (e.g., lbif-lbif). A similar pattern of misperception (e.g., lbif-->lebif) was observed among speakers of Russian, where clusters of this type occur. But unlike English speakers, Russian speakers perceived these clusters accurately on most trials, suggesting that the perceptual illusions of English speakers are partly due to their linguistic experience, rather than phonetic confusion alone. Further evidence against a purely phonetic explanation for our results is offered by the capacity of English speakers to perceive such onsets accurately under conditions that encourage precise phonetic encoding. The perceptual illusions of English speakers are also irreducible to several statistical properties of the English lexicon. The systematic misperception of universally dispreferred onsets might reflect their ill-formedness in the grammars of all speakers, irrespective of linguistic experience. Such universal grammatical preferences implicate constraints on language learning.     

Family Environment in Inner-City African-American and Latino Parents/Caregivers: A Comparison of the Reliability of Instruments

Inner-city, African American and Latino youth are at higher risk for the development of obesity and type 2 diabetes. Interventions usually focus on changing physical activity and dietary behaviors, yet family environment has the potential to influence response to these interventions. We aimed to identify instruments that could reliably be used to assess the family environment of children from high-risk populations. Selected indices from four instruments were used; the Family Environment Scale (FES), the Family Adaptability and Cohesion Evaluation Scales IV (FACES IV), the Self-report Family Inventory (SFI), and the Family Assessment Device (FAD). Out of 15 indices evaluated, 9 were reliable in both ethnicities including FES cohesion, conflict and organization, SFI emotional expressiveness, conflict and family health/competence, FACES IV family communication and family satisfaction, and FAD general functioning. Perceived family environment characteristics did not differ significantly for inner-city African American and Hispanic families.