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排序方式: 共有108条查询结果,搜索用时 15 毫秒
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Shared decision making between patients and providers is becoming increasingly common, particularly when there is no clear preferred course of action. As a result, decision aids are being adopted with growing frequency and have been applied to many medical decision-making issues. One such issue where there is uncertainty is breast cancer risk management among BRCA1/BRCA2 carriers. We present the development of a CD-ROM decision aid to facilitate risk management decision making in this population. Our decision aid was developed with the intention of providing it through a randomized clinical trial. The CD-ROM is a multimedia, interactive intervention which provides information about breast cancer, risks associated with BRCA1 and BRCA2 mutations, risk management options for hereditary breast cancer, and a breast cancer risk management decision aid. The goal of this CD-ROM, offered as an adjunctive intervention, is to reduce decisional conflict and psychological distress and improve comprehension of risk information, decisional satisfaction, medical adherence, and quality of life for this population of women at increased risk for breast cancer.  相似文献   
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ABSTRACT

For over two decades, despite the downward crime trend, the American public has persisted in believing crime is on the rise. Cultivation theory holds that the media is responsible for the public’s crime trend perceptions. Previous cultivation studies heavily rely on cross-sectional data, which may lead to spurious conclusions due to reverse causation and omitted variable bias. This study aims to address these issues by utilizing longitudinal analyses. Drawing on three waves of the 2008–2009 American National Election Survey, we test the cultivation hypothesis using traditional OLS, OLS with lagged crime trend perceptions, fixed effects, and dynamic panel models. Newspaper and TV news consumption are related to crime trend perceptions in traditional OLS models. In other models, media consumption is not related to crime trend perceptions. The results do not support the cultivation hypothesis. It is likely that the cultivation effect of media has been overstated in the previous cross-sectional research.  相似文献   
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University inductees may be increasingly vulnerable to stressors during transition into higher education (HE), requiring psychological resilience to achieve academic success. This study aimed to profile inductees' resilience and to investigate links to prospective end of year academic outcomes. Scores for resilience were based on a validated Connor Davison Resilience Scale (CD-RISC) drawn from 1534 inductees in a single UK university. A four-stage analysis revealed that incremental resilience was more facilitative of females' prospective academic attainment, but less functional and more convoluted for males. This large, distinctive study has implications for student support practices and highlights that the relationship between resilience and academic achievement requires further consideration in HE.  相似文献   
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This study examined the psychometric properties of a Persian translation of the Career Adapt-Abilities Scale (CAAS—Iran Form) and its relationships with career satisfaction, business opportunity identification, and entrepreneurial intentions. It was hypothesized that career adaptability relates positively to these three outcomes, even when controlling for demographic and employment characteristics. Data were provided by 204 workers from Iran. Results showed that the overall CAAS score and sub-dimension scores (concern, control, curiosity, and confidence) were highly reliable. Moreover, confirmatory factor analyses indicated that the CAAS—Iran Form measures four distinct dimensions that can be combined into a higher-order career adaptability factor. Findings also demonstrated criterion-related validity of the scale with regard to career satisfaction and entrepreneurial intentions. In contrast, overall career adaptability was not significantly related to opportunity identification, while concern related positively, and control related negatively to opportunity identification. Overall, the CAAS—Iran Form has very good psychometric properties and predicts important career outcomes, suggesting that it can be used for career counseling and future research with Persian-speaking workers.  相似文献   
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Journal of Behavioral Education - Observation research can shed light on the degree to which students have access to research-based instruction and intervention. In this systematic review of...  相似文献   
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