Qualitative Assessment of Vaccination Hesitancy Among Members of the Apostolic Church of Zimbabwe: A Case Study

Vaccine hesitancy or lack of confidence in vaccines is considered a threat to the success of vaccination programs. The rise and spread of measles outbreaks in southern Africa in 2009–2010 were linked to objections among Apostolic Church members, estimated at about 3.5 million in Zimbabwe as of 2014. To inform planning of interventions for a measles–rubella vaccination campaign, we conducted an assessment of the factors contributing to vaccine hesitancy using data from various stakeholders. Among nine districts in three regions of Zimbabwe, we collected data on religious attitudes toward, and perceptions of, vaccines through focus group discussions with health workers serving Apostolic communities and members of the National Expanded Programme on Immunization; semi-structured interviews with religious leaders; and open-ended questions in structured interviews with Apostolic parents/caregivers. Poor knowledge of vaccines, lack of understanding and appreciation of the effectiveness of vaccinations, religious teachings that emphasize prayers over the use of medicine, lack of privacy in a religiously controlled community, and low levels of education were found to be the main factors contributing to vaccine hesitancy among key community members and leaders. Accepting vaccination in public is a risk of sanctions. Poor knowledge of vaccines is a major factor of hesitancy which is reinforced by religious teachings on the power of prayers as alternatives. Because parents/caregivers perceive vaccines as dangerous for their children and believe they can cause death or disease, members of the Apostolic Church have more confidence in alternative methods such as use of holy water and prayers to treat diseases. Under these circumstances, it is important to debunk the myths about the power of holy water on the one hand and disseminate positive information of the efficacy of vaccines on the other hand in order to reduce hesitancy. Education about vaccines and vaccination in conjunction with government intervention, for example, through the use of social distancing policies can provide a framework for reducing hesitancy and increasing demand for vaccination.     

Age slowing down in detection and visual discrimination under varying presentation times

The reaction time has been described as a measure of perception, decision making, and other cognitive processes. The aim of this work is to examine age‐related changes in executive functions in terms of demand load under varying presentation times. Two tasks were employed where a signal detection and a discrimination task were performed by young and older university students. Furthermore, a characterization of the response time distribution by an ex‐Gaussian fit was carried out. The results indicated that the older participants were slower than the younger ones in signal detection and discrimination. Moreover, the differences between both processes for the older participants were higher, and they also showed a higher distribution average except for the lower and higher presentation time. The results suggest a general slowdown in both tasks for age under different presentation times, except for the cases where presentation times were lower and higher. Moreover, if these parameters are understood to be a reflection of executive functions, these findings are consistent with the common view that age‐related cognitive deficits show a decline in this function.     

Choices or Rights? Charter Schools and the Politics of Choice-Based Education Policy Reform

Simply put, charter schools have not lived up to their advocates’ promise of equity. Using examples of tangible civil rights gains of the twentieth century (e.g. Brown v. Board, Lau v. Nichols) and extending feminist theories of invisible labor to include the labor of democracy, the authors argue that the charter movement renders invisible the labor that secured civil protections for historically marginalized groups. The charter movement hangs a quality public education—previously recognized as a universal guarantee—on the education consumer’s ability to navigate a marketplace. The authors conclude that the neoliberal agenda of positioning choice as the best mechanism for securing an education rolls back the rights that were already secured through the labor of democracy.     

Predictors of Stress Generation in Adolescents in Mainland China

The current longitudinal study examined whether the personality vulnerabilities of self-criticism and dependency prospectively predicted stress generation in Chinese adolescents. Participants included 1,116 adolescents (588 girls and 528 boys), aged 15 to 18 years from rural, urban and ultra-urban mainland China. Participants completed self-report measures of personality, depressive and anxious symptoms and participated in a clinical interview assessing lifetime history of depression. The occurrence of negative life events was measured using a contextual-threat interview every 6-months for a total period of 18-months. Logistic regression analyses showed that after controlling for past depressive episodes and current depressive and anxious symptoms, self-criticism was prospectively associated with the occurrence of interpersonal stress generation, but not noninterpersonal stress generation. Dependency also predicted interpersonal stress generation, although only in girls and not boys. In line with previous Western findings, girls reported more interpersonal stress generation. Analyses across 3 levels of urbanization revealed several significant differences including higher reported interpersonal stress generation in urban girls than urban boys and overall higher levels of negative life events in ultra-urban youth. In sum, findings from the current study suggest that the stress generation process may be generalizable to Chinese youth.     

Adolescent risk-taking is predicted by individual differences in cognitive control over emotional,but not non-emotional,response conflict

While much research on adolescent risk behaviour has focused on the development of prefrontal self-regulatory mechanisms, prior studies have elicited mixed evidence of a relationship between individual differences in the capacity for self-regulation and individual differences in risk taking. To explain these inconsistent findings, it has been suggested that the capacity for self-regulation may be, for most adolescents, adequately mature to produce adaptive behaviour in non-affective, “cold” circumstances, but that adolescents have a more difficult time exerting control in affective, “hot” contexts. To further explore this claim, the present study examined individual differences in self-control in the face of affective and non-affective response conflict, and examined whether differences in the functioning of cognitive control processes under these different conditions was related to risk taking. Participants completed a cognitive Stroop task, an emotional Stroop task, and a risky driving task known as the Stoplight game. Regression analyses showed that performance on the emotional Stroop task predicted laboratory risk-taking in the driving task, whereas performance on the cognitive Stroop task did not exhibit the same trend. This pattern of results is consistent with theories of adolescent risk-taking that emphasise the impacts of affective contextual influences on the ability to enact effective cognitive control.     

Adjustment modes in the trajectory of progressive multiple sclerosis: a qualitative study and conceptual model

Objective: We examined cognitive and behavioural challenges and adaptations for people with progressive multiple sclerosis (MS) and developed a preliminary conceptual model of changes in adjustment over time.

Design: Using theoretical sampling, 34 semi-structured interviews were conducted with people with MS. Participants were between 41 and 77 years of age. Thirteen were diagnosed with primary progressive MS and 21 with secondary progressive MS. Data were analysed using a grounded theory approach.

Results: Participants described initially bracketing the illness off and carrying on their usual activities but this became problematic as the condition progressed and they employed different adjustment modes to cope with increased disabilities. Some scaled back their activities to live a more comfortable life, others identified new activities or adapted old ones, whereas at times, people disengaged from the adjustment process altogether and resigned to their condition. Relationships with partners, emotional reactions, environment and perception of the environment influenced adjustment, while people were often flexible and shifted among modes.

Conclusions: Adjusting to a progressive condition is a fluid process. Future interventions can be tailored to address modifiable factors at different stages of the condition and may involve addressing emotional reactions concealing/revealing the condition and perceptions of the environment.     

Perceptions of the Social Psychological Climate and Sport Commitment in Adolescent Athletes: A Multilevel Analysis

The present study investigated the relationship between the social psychological climate and sport commitment on both the individual and team level. High school athletes (n = 400) competing on 27 different teams completed motivational climate, caring climate, and sport commitment measures. Multilevel models were constructed to examine the hierarchical relationship between the climates and commitment. Task-involving (γ₂₀ =.15, t = 2.31, p =.02) and caring climates (γ₁₀ =.33, t = 3.48, p =.002) were significantly related to commitment on the individual level, and a task-involving climate (γ₀₂ = 1.13, t = 2.90, p =.008) was significantly related to commitment on the team level. In an effort to enhance commitment, coaches and sport psychology consultants may wish to employ strategies targeted toward the facilitation of task-involving and caring climates.     

Correspondence Bias and American Sentiment in the Wake of September 11, 20011

This experiment examined correspondence bias associated with the expression of pro‐ or anti‐American sentiment in the months following September 11, 2001. Participants read a pro‐ or anti‐United States essay written by a person whose name was varied to suggest that he either was or was not a Muslim. Participants were informed either that the position taken in the essay had been chosen or assigned. Inferences made about the essay writer's true opinions demonstrated strong and consistent correspondence bias only when participants believed the essay writer was not a Muslim. When participants believed the essay writer was a Muslim, correspondence bias was diminished on one measure and disappeared completely on another. These findings are consistent with the notion that participants were concerned about rushing to incorrect conclusions about a Muslim target person. The strong correspondence bias exhibited by participants making judgments about a non‐Muslim is consistent with Gilbert and Malone's (1995) assertion that unrealistic expectations lead to correspondence bias.