Counsellor-delivered HIV risk reduction intervention addresses safer sex barriers of people living with HIV in KwaZulu-Natal,South Africa

This study developed an HIV risk reduction intervention for people living with HIV (PLWH) obtaining care at primary healthcare clinics in KwaZulu-Natal, South Africa by (1) conducting elicitation research to understand the dynamics of risk behaviour among PLWH, (2) modifying an existing HIV risk reduction intervention based on research findings and (3) conducting a pilot study to evaluate feasibility, acceptability and fidelity of the modified intervention implemented by trained lay counsellors at a rural clinic in KwaZulu-Natal. A total of 61 healthcare providers and 77 HIV+ patients from four primary healthcare clinics participated in 14 focus groups and 20 individual interviews to identify informational, motivational and behavioural skills (IMB) factors contributing to PLWH's sexual risk behaviour. Elicitation research findings were incorporated into a revised version of Options for Health, an evidence-based risk reduction intervention for PLWH in clinical care. In a 5-day training, lay counsellors learned strategies to address IMB barriers to safer sex identified in elicitation research. The revised intervention, which was implemented by six counsellors with 39 patients, was feasible to implement, acceptable to patients and counsellors, and implemented with good fidelity. This study makes an important contribution towards development of a theory-based HIV risk reduction intervention for PLWH linking prevention with treatment in South Africa.     

Religion/spirituality and quality of life of international tertiary students in New Zealand: an exploratory study

Previous research links religion/spirituality to beneficial health outcomes, but the majority of these studies used samples from populations with long-term illness or older people. The present study explored whether the links between religion/spirituality and quality of life can be observed in a sample of younger adults, and also whether religion/spirituality could function as a coping mechanism in international tertiary students who are often subjected to significant stressors related to acculturation and being away from their families. The sample consisted of 218 domestic and 164 international students at a New Zealand university who were given the quality of life inventory and the additional special module about spirituality/religion/personal beliefs, both developed by the World Health Organization in collaboration with many member states. Religion/spirituality was significantly correlated with psychological quality of life in both groups, and social quality of life in international students. The results also show that religion/spirituality might function as a coping mechanism in international students in response to stressors of acculturation.     

Semantic Degradation and Lexical Access in Age-Related Naming Failures

This study investigated the impaired lexical access and semantic degradation hypotheses as two potential explanations of naming failures in normal aging. Naming responses on the Boston Naming Test (BNT) and Action Naming Test (ANT) were analyzed across three test sessions for 39 adults from three age groups (50s, 60s, and 70s). Failures to name before and after cues were classified as either impaired access if failures occurred at an earlier test session followed by successful naming at a later test session or semantic degradation if naming was successful at an earlier test session followed by failures at a later test session. The results indicated that on both the BNT and ANT all age groups produced more naming failures attributed to impaired access than to semantic degradation. However, for object naming, the failures showed significantly more semantic degradation for people in their 70s compared to the younger age groups. By contrast, for action naming, semantic degradation was negligible, possibly masked by a ceiling effect, and the only age-difference result that approached significance indicated that adults in their 70s produced more naming failures attributed to impaired access than adults in their 50s.     

Naming ability across the adult life span

Abstract

Longitudinal performance on the Boston Naming Test (BNT) was evaluated in 53 normal subjects aged 30 to 79 who were each tested three times over a 7-year span. Naming performance showed a significant decline over time that was greatest for the oldest subjects. These results confirm that decline in naming is a real phenomenon in normal aging that cannot be attributable primarily to cohort effects. We conclude that the changes in naming ability across the life span reflect more than simply a breakdown in lexical retrieval and that perceptual and semantic processing may be implicated.     

Alcohol consumption,dating relationships,and preliminary sexual outcomes in collegiate natural drinking groups

This study tested the effects of committed relationships and presence of dates on alcohol consumption and preliminary sexual outcomes in natural drinking groups (NDGs). Undergraduate drinkers (N = 302) answered an online questionnaire on their most recent participation in a NDG. The interaction between relationship commitment and presence of a date on alcohol consumption was significant. Among students not in committed relationships, those dating within their NDG reported heavier drinking than those not dating. Students in committed relationships drank less than those who were not committed only when their partners were present. The positive correlation between drinking and sexual contact was significant only for those who were not in committed relationships. Implications for future research and interventions are discussed.     

The Ninian Smart Archive and Bibliography

The late Professor Smart wrote extensively, at many different levels, on a wide variety of topics, with papers and articles appearing in a bewildering variety of publications worldwide. Previous bibliographies of his work have proved to be incomplete and inaccurate. An accurate, comprehensive bibliography is attempted here, along with a summary of the contents of the Ninian Smart Archive.     

Organizational Inhibitions to Addressing Occupational Fraud: A Theory of Differential Rationalization

ABSTRACT

This article examines organizational inhibitions in relation to addressing occupational fraud. The a priori assumption would be if an organization discovers occupational fraud it would deal with it. However, this research illustrates, drawing upon 24 semi-structured interviews, two case studies and participant observation, a range of avoidant rationalizations constructed by representatives of organizational victims to justify not tackling occupational fraud. These rationalizations bear great similarity to the rationalizations constructed by offenders, and the article argues they constitute a theory of differential rationalization. The research may have wider relevance to explaining why organizations fail to deal with other negative behaviors.     

The Oxford Happiness Questionnaire: Transformation from an Ordinal to an Interval Measure Using Rasch Analysis

The scientific study of happiness requires accurate measurement of the construct that satisfies assumptions of parametric statistics and thus allows both researchers and clinicians to make reliable and valid comparisons with the relevant data sources. The 29-item Oxford Happiness Questionnaire (OHQ) is a widely-used scale for assessment of personal happiness. While its psychometric properties are acknowledged to be acceptable, it presents scores on an ordinal scale and may thus not discriminate precisely between individual happiness levels. The current study aimed to improve precision and item functioning of the OHQ by applying Rasch analysis to a sample of 281 participants. To correct disordered thresholds items were rescored in a uniform fashion. Four items displayed poor relationships with the latent trait of happiness and were removed. Best fit to the unidimensional Rasch model was achieved after locally dependent items were combined into subtests and adjusted for personal differences. Using the ordinal-to-interval conversion tables published here, ordinal OHQ scores can now be transformed to interval level data and thus subjected to parametric statistical analysis without violating fundamental assumptions. The precision of the instrument can be improved significantly by these minor modifications without the need to modify the original response format.     

The role of fear in predicting sexually transmitted infection screening

Objective: This study assessed the extent to which social-cognitive factors (attitude, subjective norm and perceived control) and the fear of a positive test result predict sexually transmitted infection (STI) screening intentions and subsequent behaviour.

Design: Study 1 (N = 85) used a longitudinal design to assess the factors that predict STI screening intention and future screening behaviour measured one month later at Time 2. Study 2 (N = 102) used an experimental design to determine whether the relationship between fear and screening varied depending on whether STI or HIV screening was being assessed both before and after controlling for social-cognitive factors.

Main Outcome Measures: Across the studies the outcome measures were sexual health screening.

Results: In both studies, the fear of having an STI positively predicted STI screening intention. In Study 1, fear, but not the social-cognitive factors, also predicted subsequent STI screening behaviour. In Study 2, the fear of having HIV did not predict HIV screening intention, but attitude negatively and response efficacy positively predicted screening intention.

Conclusion: This study highlights the importance of considering the nature of the health condition when assessing the role of fear on health promotion.     

Preference for symmetry: only on mars?

Preference for symmetry is a robust bias found throughout the animal kingdom. In humans, the bias for symmetry has been documented in numerous domains, including faces and visual patterns. The function of this potent aesthetic bias still eludes us, but prominent accounts focus on its role in mate selection and perceptual fluency. Previous studies have shown that both males and females find symmetrical faces to be more attractive, but here we show that the preference for symmetry in neutral stimuli (ie everyday and meaningless visual objects) is, on the other hand, unique to male participants. Our findings indicate that symmetry preference cannot be explained exclusively by perceptual or computational efficiency, because such an account is domain-independent yet females did not show any bias for the objects tested here. Further studies are needed to elucidate the utility of the male preference for visual object symmetry.