Barriers to Treatment in an Ethnically Diverse Sample of Families Enrolled in a Community-Based Domestic Violence Intervention

Using quantitative and qualitative data, we examined the association between barriers to treatment, motivating factors, treatment attendance, and outcome in a sample of 63 mothers (most of Asian or Pacific Islander descent) enrolled in a family-based domestic violence treatment program. A high number of perceived barriers was associated with lower attendance and lower scores on assessment of parenting practices at posttreatment. Mothers reported relying on their own motivation, observations of children's improvement, and the quality of their relationships with staff and group members to overcome barriers. A larger number of motivating factors was associated with positive parenting practices at posttreatment. Discussion includes the benefits of a mixed-method approach to measuring barriers and its clinical application to increase treatment participation.     

Adaptation effects in facial expression recognition

The effect of adaptation on facial expression recognition was investigated by measuring how identification performance of test stimuli falling along a particular expression continuum was affected after adapting to various prototype emotional faces or a control pattern. The results showed that for recognition of fear, happiness, and sadness, inhibition effects were observed on recognition of test expressions following 5 s adaptation to the same emotion, suggesting different neural populations tuned for the encoding of fearful, happy, and sad expressions. Facilitation of recognition of test stimuli differing in emotion to the adapting stimulus was also sometimes observed. The nature of these adaptation effects was investigated by introducing a size transformation or a delay between adapting and test stimuli and was found to survive these changes. The results of a further experiment argued against a criterion effect being the major source by demonstrating the importance of adapting time in generating the effects. Overall, the present study demonstrates the utility of adaptation effects for revealing functional characteristics of facial expression processing.     

The rise of chatbots: The effect of using chatbot agents on consumers' responses to request rejection

This research investigates consumers’ perceptions and evaluations of robot service agents compared with human service agents when service requests are rejected. Six studies were conducted. The results show that when consumers receive a rejection of their service request, they evaluate the service less negatively if the service is handled by a chatbot agent versus a human agent. The reason is that consumers have lower expectations that robots will be able to provide flexible services to them. Consequently, their dissatisfaction with the request rejection is lower when the service is handled by robots. However, the aforementioned effect is not observed (1) when consumers have not experienced the service yet, (2) when their service request has been accepted, or (3) when the service agent conveys emotions to apologize for request rejection.     

医疗改革与医学整合

医疗改革是以解决现阶段医学相关社会矛盾为重点的重大改革。而医学整合则是以促进保健服务公平与医学人文精神落实为目的的医学革命与创新。医学整合可以为医疗改革的深化提供理论导向和支撑,而医疗改革则可以促进医学整合的进程。     

The Development and Evaluation of a Parent Empowerment Program for Family Peer Advocates

Family-to-family services are emerging as an important adjunctive service to traditional mental health care and a vehicle for improving parent engagement and service use in children’s mental health services. In New York State, a growing workforce of Family Peer Advocates (FPA) is delivering family-to-family services. We describe the development and evaluation of a professional program to enhance Family Peer Advocate professional skills, called the Parent Engagement and Empowerment Program (PEP). We detail the history and content of PEP and provide data from a pre/post and 6-month follow up evaluation of 58 FPA who participated in the first Statewide regional training effort. Self-efficacy, empowerment, and skills development were assessed at 3 time points: baseline, post-training, and 6-month follow-up. The largest changes were in self-efficacy and empowerment. Regional differences suggest differences in Family Peer Advocate workforce across areas of the state. This evaluation also provides the first systematic documentation of Family Peer Advocate activities over a six-month period. Consistent with peer specialists within the adult health care field, FPA in the children’s mental health field primarily focused on providing emotional support and service access issues. Implications for expanding family-to-family services and integrating it more broadly into provider organizations are described.     

Utility of the Millon Behavioral Medicine Diagnostic to Predict Medication Adherence in Patients Diagnosed with Heart Failure

Medication non-adherence is common and a primary reason for poor medical outcomes among individuals with heart failure (HF). This study's aims were to determine whether depression, hostility, and the personality-based Millon Behavioral Medicine Diagnostic (MBMD) Medication Abuse scale were associated with medication adherence (e.g., beta-blockers, ACE inhibitors, diuretics, statins) beyond contributions of demographic, medical, and psychosocial variables in an ethnically-diverse sample of 105 men and women diagnosed with HF. In hierarchical regression, greater MBMD Medication Abuse scale scores were associated with poorer adherence above and beyond both depression (β?=?.236, t[102]?=?2.113, p?=?.037) and hostility (β?=?.244, t[102]?=?2.506, p?=?.014). The Medication Abuse scale also completely mediated the relationship between adherence and depression. These findings suggest that personality measures such as the MBMD and hostility scales might be utilized in future studies investigating predictors of adherence and also used clinically to predict medication adherence among HF patients.     

Development and initial validation of the internalization of Asian American stereotypes scale

This research consists of four studies on the initial reliability and validity of the Internalization of Asian American Stereotypes Scale (IAASS), a self-report instrument that measures the degree Asian Americans have internalized racial stereotypes about their own group. The results from the exploratory and confirmatory factor analyses support a stable four-factor structure of the IAASS: Difficulties with English Language Communication, Pursuit of Prestigious Careers, Emotional Reservation, and Expected Academic Success. Evidence for concurrent and discriminant validity is presented. High internal-consistency and test-retest reliability estimates are reported. A discussion of how this scale can contribute to research and practice regarding internalized stereotyping among Asian Americans is provided.     

Urban African-American Girls’ Participation and Future Intentions Toward Physical Education

Despite the fact that physical education holds great promise for the promotion of public health, urban African American girls’ interest and participation in physical education tends to decline with age. Using the Theory of Planned Behavior and feminist poststructuralist theory, this study was designed to examine African American girls’ physical education participation and possible social, cognitive, and motivational factors that drive them away from future intentions toward physical education. Participants were 168 African American girls (age range?=?14–17?years, mean age?=?14.7?years) enrolled in three public high schools from a large urban inner-city school district in the Midwestern United States. Both quantitative and word-data were collected. Results revealed that participation in physical education played an important role in urban African-American girls’ overall physical activity engagement. However, unfavorable attitudes and lack of perceived support impeded their intentions toward future enrollment in physical education. Major factors related to their intentions were: anticipated short- and long-term outcomes, body image concerns, the influence of their mothers, and scheduling conflicts. The findings indicate opportunities for early intervention.     

Overpredicting and Underprofiting in Pricing Decisions

This research examines sellers' price‐setting behavior and discovers a naturally occurring mismatch between sellers and buyers: Sellers who make a price decision often consider alternative prices and engage in the joint evaluation mode, whereas buyers who make a purchase decision see only the finally set price and are in the single evaluation mode. This mismatch in evaluation modes leads sellers to overpredict buyers' price sensitivity and underprice their products. However, these effects apply only to products unfamiliar to buyers and without salient reference prices and can be alleviated if sellers are encouraged to mimic single evaluation when making pricing decisions. These propositions are empirically tested and verified. Copyright © 2011 John Wiley & Sons, Ltd.     

The Role of Socioeconomic Status in SAT-Grade Relationships and in College Admissions Decisions

This article examines the role of socioeconomic status (SES) in the relationships among college admissions-test scores, secondary school grades, and subsequent academic performance. Scores on the SAT (a test widely used in the admissions process in the United States), secondary school grades, college grades, and SES measures from 143,606 students at 110 colleges and universities were examined, and results of these analyses were compared with results obtained using a 41-school data set including scores from the prior version of the SAT and using University of California data from prior research on the role of SES. In all the data sets, the SAT showed incremental validity over secondary school grades in predicting subsequent academic performance, and this incremental relationship was not substantially affected by controlling for SES. The SES of enrolled students was very similar to that of specific schools' applicant pools, which suggests that the barrier to college for low-SES students in the United States is a lower rate of entering the college admissions process, rather than exclusion on the part of colleges.