What constitutes globalised evidence? Cultural tensions and critical reflections of the evidence-based movement in New Zealand

The evidence-based movement (EBM) is grounded in a well-intentioned desire to ensure resources are invested in high quality initiatives that generate the intended impact. Nevertheless, recent critiques contest the appropriateness of translating an approach rooted in a medical model to socially complex initiatives. Globalised notions of evidence can also be damaging for programs operating in small, culturally diverse countries with limited resources. Given these polemic views, our aim was to examine local perceptions of the EBM in New Zealand, a small, vibrant, bicultural society with a mix of homegrown and imported programs. Using a snowball sampling approach, 79 professionals working in the education and social sectors completed an anonymous online survey that contained a series of closed and open-ended questions. The results show that although participants positively endorsed a variety of quality evidence markers, traditionally positivist methodological leanings received lower and more varied endorsements compared to more inclusive and pluralistic approaches. Many also expressed concern that the EBM emphasises a narrow and colonised view of evidence that does not align with Māori and Pacific worldviews, and undermines innovation. We discuss the implications as an avenue for advancing intervention and social programming research in an increasingly multicultural and globalised world.     

Divergent and Convergent Group Creativity in an Asynchronous Online Environment

This study examined the influence of various group diversity dimensions on collaborative creativity related to the healthcare system. Research findings on the association between diversity and brainstorming performance has been mixed. Diversity that increases cognitive stimulation or promotes elaboration has been shown to increase group performance. Participants exchanged ideas, replied, and elaborated using an electronic discussion board in an asynchronous fashion in groups of five over a period of 4 weeks. The groups varied in diversity of ethnicity, gender, age, and political orientation, but participants were not made aware of this diversity. Age and gender diversity were related to lower levels of replying to ideas and lower idea novelty but political diversity was related to increased replies and novelty. If a topic engages people with different perspectives to actively respond to others’ ideas, this can increase the creative potential of idea sharing in groups. Political or value-based diversity has the potential for creative solutions if the other participants’ political or value-based identities are not made salient.     

The effect of varied physician affect on recall, anxiety, and perceptions in women at risk for breast cancer: an analogue study.

Evaluated the effect of varied physician affect on subject recall, anxiety, and perceptions in a simulated tense and ambiguous medical situation. Forty women at risk for breast cancer viewed videotapes of an oncologist presenting--with either worried or nonworried affect--mammogram results. Although the mammogram results and the oncologist were the same in both presentation, analyses indicated that, compared to the women receiving the results from a nonworried physician, the women receiving the results from a worried physician recalled significantly less information, perceived the clinical situation as significantly more severe, reported significantly higher levels of state anxiety, and had significantly higher pulse rates. These results suggest that physician affect plays a critical role in patient reaction to medical information. Implications for compliance research, patient satisfaction, and physician training are discussed.     

On the relation between feeling of knowing and lexical decision: persistent subthreshold activation or topic familiarity?

Experiment 1 replicated Yaniv and Meyer's (1987) finding that lexical decision and episodic recognition performance was better for words previously yielding high-accessibility levels (a combination of feeling-of-knowing and tip-of-the-tongue ratings) in comparison with those yielding low-accessibility levels in a rare word definition task. Experiment 2 yielded the same pattern even though lexical decisions preceded accessibility estimates by a full week. Experiment 3 dismissed the possibility that the Experiment 2 results may have been due to a long-term influence from the lexical decision task to the rare word judgment task. These results support a model in which Ss (a) retrieve topic familiarity information in making accessibility estimates in the rare word definition task and (b) use this information to modulate lexical decision performance.     

Biology of elderly suicide.

Most studies of suicide in younger patients have demonstrated significant alterations in the serotonin system. Although a high percentage of completed suicides occur in late-life, to date very few studies of the biology of suicide have focused on this age group. This chapter describes age-related changes in the central nervous system pertinent to the biology of suicide, then reviews post-mortem biological studies of the brains of suicides and suicide attempters. As suicide attempts in the elderly are characterized by the use of violent means, biologic studies of impulsive violence are discussed. Finally we describe data on the effect of degenerative diseases on the serotonin system and the possible link to increased suicidal behavior in affected patients. This review underscores the need for further study of the biology of suicide in the geriatric age group.