Quality of Life and Bladder Management post Spinal Cord Injury: A Systematic Review

To explore the relationship between neurogenic bladder management techniques and quality of life (QoL) among individuals with spinal cord injury (SCI). A key terms literature search was conducted in multiple electronic databases (i.e., MEDLINE, CINAHL, EMBASE, and PsycINFO). Studies published up to and including May 2013 were reviewed and evaluated based on the following criteria: (1) full-length journal article published in the English language; (ii) human subjects ≥18 years; (iii) ≥?50 % of subjects had a SCI; (iv) results on QoL, as it related to bladder management method, were reported for at least three subjects. A total of 422 articles were extracted and upon review of titles and abstracts, 7 studies met the inclusion criteria. There were two level 2 cohort studies and five level 5 observational studies. Sample sizes ranged from 37 to 282 with an average of 117.1 individuals per study. All participants were at least six months post injury. Bladder management methods used included intermittent (patient/attendant), indwelling (suprapubic/transurethral), and condom catheterization, micturition assistive maneuvers, and electrical stimulation. Normal voiders scored better in all QoL measure domains compared to other management methods. Those using attendant intermittent and indwelling catheterization scored the poorest on the domains Personal Relationships, Emotions, and Mental Health. There is insufficient evidence to provide a definite conclusion as to the relationship between bladder management methods and QoL post SCI. However, individuals relying on others to aid in voiding may experience lower QoL compared to those who are independent.     

Subject Matter Expert Judgments Regarding the Relative Importance of Competencies are not Useful for Choosing the Test Batteries that Best Predict Performance

Several recent articles have suggested that assessments of the relative importance of different abilities or competencies to a job have little bearing on the criterion‐related validity of these selection tests that measure those abilities. We hypothesize that selection test batteries chosen to maximize the judged importance of knowledge, skills, and abilities will not predict performance better than batteries of tests chosen at random. The results in two independent samples consistently show that the validity of test batteries chosen based on subject matter expert judgments of importance is not different from the validity of batteries of a comparable number of tests chosen at random from a set of intercorrelated tests, or even those chosen to provide the worst possible match between test content and job content.     

Development and evaluation of school-based violence prevention programs

Discusses key issues in developing and evaluating school-based violence prevention interventions. Schools provide a natural setting for implementing programs directed at teaching youth attitudes, knowledge, and skills to reduce their involvement in violence. Although multitudes of these programs exist, few have been rigorously evaluated. Developers of violence prevention programs need to pay particular attention to the type of violence being addressed, the target population, relevant risk and protective factors, and the target of the intervention. Conducting sound evaluations of such programs requires careful attention to the unit of randomization, treatment conditions, outcome measures, timing of data collection, and potential moderator variables. Efforts to develop effective prevention programs can be greatly facilitated by adopting an action-research strategy in which evaluation findings provide a basis for continual program refinement.     

The structure of self-reported aggression, drug use, and delinquent behaviors during early adolescence

Examined the structure of self-report scales designed to assess the frequency of adolescent problem behaviors. Urban (n = 988) and rural (n = 1,895) middle school students completed the Problem Behavior Frequency Scale (Farrell, Danish, & Howard, 1992a) and measures of other relevant constructs. Confirmatory factor analyses supported a model that included specific factors related to aggression, drug use, and delinquent behaviors, and a higher order problem behavior factor. Findings did not support a distinction between physical and nonphysical aggression. Results were generally consistent across settings (i.e., urban vs. rural) and gender. Other relevant constructs, including peer pressure for drug use and attitudes favoring aggression, had both specific associations with relevant first-order factors and more general associations with the second-order factor. These findings support the construction of separate scales assessing specific domains of problem behaviors in studies of adolescents' problem behaviors.     

How Perceptions Impact Recovery from Concussion in Childhood and Adolescence: a Systematic Review

Neuropsychology Review - Perceptions about the causes and consequences of concussion, and individual representations and interpretations of these factors, can influence the post-concussive recovery...     

A Psychometric Investigation of the Suicide Status Form II with a Psychiatric Inpatient Sample

We investigated the psychometric validity and reliability of the Suicide Status Form‐II (SSF‐II) developed by Jobes, Jacoby, Cimbolic, and Hustead (1997) . Participants were 149 psychiatric inpatients (108 suicidal; 41 nonsuicidal) at the Mayo Clinic. Each participant completed assessment measures within 24 hours of admission and 48–72 hours later. Factor analyses of the SSF core assessment produced a robust two‐factor solution reflecting chronic and acute response styles. The SSF core assessment had good to excellent convergent and criterion validity; pre‐post SSF ratings also demonstrated moderate test‐retest reliability. The results replicated previous research and show that the SSF‐II is psychometrically sound with a high‐risk suicidal inpatient sample.     

Psychosocial mediators of antiretroviral nonadherence in HIV-positive adults with substance use and mental health problems.

This study used data from 1,889 HIV-positive patients on antiretroviral (ARV) medications who participated in the HIV Cost and Services Utilization Study to investigate whether nonadherence to ARV medications among patients with mental health and substance use problems could be explained by difficulty getting and negative attitudes toward ARV medications, poor fit of the regimen with lifestyle, lack of instruction and cues for remembering the regimen from a health care provider, and poor support from others for taking ARV medications. Difficulty getting ARV medications and poor fit with lifestyle were significant mediators of nonadherence for patients with a probable psychiatric disorder. Difficulty getting medication was a mediator for heavy drinkers, and poor fit with lifestyle was a mediator for drug users who drank heavily. Further research is needed to identify and address the barriers to adherence in these populations.     

The wisdom of the crowd in combinatorial problems

The "wisdom of the crowd" phenomenon refers to the finding that the aggregate of a set of proposed solutions from a group of individuals performs better than the majority of individual solutions. Most often, wisdom of the crowd effects have been investigated for problems that require single numerical estimates. We investigate whether the effect can also be observed for problems where the answer requires the coordination of multiple pieces of information. We focus on combinatorial problems such as the planar Euclidean traveling salesperson problem, minimum spanning tree problem, and a spanning tree memory task. We develop aggregation methods that combine common solution fragments into a global solution and demonstrate that these aggregate solutions outperform the majority of individual solutions. These case studies suggest that the wisdom of the crowd phenomenon might be broadly applicable to problem-solving and decision-making situations that go beyond the estimation of single numbers.     

Regret, Valuation, and Inaction Inertia

In three experiments we sought to determine the cause of the “inaction inertia” effect, which occurs when bypassing an initial opportunity decreases the likelihood that a subsequent similar action will be taken. Experiment 1 required some participants to estimate their likelihood of buying shoes as a function of the magnitude and geographical location of an earlier forsaken bargain; others estimated their amount of regret over failing to take advantage of the bargain. The inverse relation between regret and propensity to buy strongly implicated regret as the cause of inaction inertia. In Experiment 2 we found evidence that experienced regret over having missed an earlier bargain rather than anticipated regret over paying too much for the subsequent purchase was the source of our participants' inaction inertia. In Experiment 3 we demonstrated through a mediational analysis that those who had missed a large bargain placed a significantly lower value on the subsequent purchase opportunity than those who earlier had missed a more modest bargain. This difference in valuation, along with experienced regret, are two factors which play a significant mediational role in the inaction inertia effect.