Comparison of response formats for Multidimensional Health Locus of Control Scales: six levels versus two levels

Two formats of the Multidimensional Health Locus of Control (MHLC) Scales were administered to 54 college students. Each subject completed the MHLC Scales in the standard 6-level response format (ranging from strongly disagree to strongly agree) and in a revised 2-level format (ranging from disagree to agree). Comparisons of internal consistency measures, principal components, and classification of subjects into groups indicate that the 2-level response format yields comparable data to those obtained with the 6-level format, particularly when classification of subjects is the goal.     

Effects of Social Demand on Reports of Self-Monitored Blood Glucose in Adolescents with Type 1 Diabetes Mellitus

The purpose of this study was to test the hypothesis that social demand could substantially affect reports of self-monitored blood glucose (BG) in adolescents with insulin-dependent diabetes mellitus. Of 34 patients initially enrolled in the study, 10 were excluded because they did not bring any BG records with them to an outpatient clinic appointment. The remaining 24 patients were randomly assigned to either a low or high social demand condition that provided instructions for monitoring of BG for the week following the appointment. The subjects' BG records were quantified to provide frequency of measurement and mean reported BG for the week prior to and after the clinic visit. Five subjects did not return their BG records for the week following the intervention. The analyses were therefore based on the 19 subjects from whom complete records were obtained. The 12 subjects in the low social demand group and 7 subjects in the high social demand group were equivalent with regard to age, duration of diabetes, socioeconomic status, and glycosylated hemoglobin. Frequency of BG measurement was similar in both groups during both weeks. The mean BG value reported in the week prior to intervention was similar for the groups. However, analyses of the post-intervention BGs revealed that subjects in the low-demand group reported significantly higher BGs compared to pre-intervention and to subjects in the high-demand group. These findings suggest that self-monitoring and reporting of BG is a social behavior that is affected by the demand characteristics of the interpersonal patient-health provider relationship. Because optimal treatment planning for individuals with diabetes requires accurate BG records, care must be taken to interpret them in light of the social demand characteristics associated with clinical assessment.     

Heat and Violence: New Findings from Dallas Field Data, 1980–19811

Research in both laboratory and field settings has suggested a link between thermal stress and violent behavior, and both linear and curvilinear models have been investigated. A dearth of field studies prompted the analysis reported here, which is based on data for some 10,000 aggravated assaults occurring the City of Dallas in 1980 (a summer of severe heat stress) and 1981. This analysis replicates and extends certain aspects of recent work by Anderson and Anderson (1984) relating to the so-called linear and curvilinear hypotheses. Thermal stress is measured in two ways: a Discomfort Index (DI), which takes into account the influence of humidity acting in concert with temperature, and ambient temperature. Regression analyses were performed in two stages. In the first, data for all neighborhoods and all days of the study period were combined into ambient temperature and DI models. At the second stage, models differentiated between the three levels of neighborhood socioeconomic status. With weekend controlled, DI and ambient temperature were significant independent variables in the ‘overall’ model and in medium and low status neighborhoods. However, when linear effects were controlled, the curvilinear measures were never significant. The analysis generally tended to confirm Anderson and Anderson's suggestion that a reduction of aggression with increasing temperature does not appear to occur within the normal range of temperatures. This analysis further suggested that the hypothesized curvilinear effect is weak, if not entirely absent, even during conditions of extreme heat.