Physical activity and diabetes: An application of the theory of planned behaviour to explain physical activity for Type 1 and Type 2 diabetes in an adult population sample

Physical activity (PA) plays a key role in the management of Type 1 (T1D) and Type 2 diabetes (T2D) but there are few theory-based, effective programs to promote PA for individuals with diabetes. The purpose of this study was to investigate the utility of the Theory of Planned Behaviour (TPB) in understanding PA in an adult population with T1D or T2D. A total of 2311 individuals (691 T1D; 1614 T2D) completed self-report TPB constructs of attitude, subjective norms, perceived behavioural control (PBC), intention and PA at baseline and 1717 (524 T1D; 1123 T2D) completed the PA measure again at 6-month follow-up. Multi-group Structural Equation Modelling was conducted to: (1) test the fit of the TPB structure (2) determine the TPB structural invariance between the two types of diabetes and (3) to examine the explained variances in PA and compare the strength of associations of the TPB constructs in the two types of diabetes. The TPB constructs explained ≥40% of the variance in intentions for both diabetes groups. In cross-sectional models, the TPB accounted for 23 and 19% of the variance in PA for T1D and T2D, respectively. In prospective models, the TPB explained 13 and 8% of the variance in PA for T1D and T2D, respectively. When adjusting for past PA behaviour, the impact of PBC and intention on behaviour was reduced in both groups. The findings provide evidence for the utility of the TPB for the design of PA promotion interventions for adults with either T1D or T2D.     

Quality-of-life after penile prosthesis placed at radical prostatectomy

Abstract

The clinical and psychosocial effects of immediate penile prosthesis implantation at the time of radical prostatectomy (RP) were investigated in 97 consecutive patients and 68 partners. Prosthesis recipients reported more frequent sexual contact, fewer marital problems and slightly fewer sexual functioning problems than the RP-alone patients. There were no group differences on any sociodemographic characteristics, on disease recurrence, on physical and psychosocial functioning, or on reported depression. Patients who chose the prosthesis did, however, evidence less of a link between depression and functional limitations and between depression and marital problems. They also had lower levels of agreement with their partners in reporting their own depression, as compared to the patients who opted for RP surgery alone. We conclude that the penile prosthesis was associated with an increased frequency of sexual contact, a reduction in reported marital problems, and stylistic differences between the two patient groups in dealing with affect.     

Exploring adversity and the potential for growth among elite female athletes

ObjectivesThe purposes of this study were to (a) explore experiences of adversity and (b) to examine perceptions of growth following adversity among elite female athletes.MethodsSemi-structured interviews were conducted with five elite female athletes (ages 18–23 years) who competed internationally in track and field, swimming, long-distance running, and basketball. Interviews were analyzed using an interpretative phenomenological approach (Smith, Flowers, & Larkin, 2009).ResultsIncidents of performance slumps, coach conflicts, bullying, eating disorders, sexual abuse, and injuries were reported. The shared ‘essential’ features of participants’ experiences of adversity were isolation/withdrawal, emotional disruption, questioning identity as an athlete, and understanding experiences within a context of perceived expectations. It appeared that as participants sought and found meaning in their experiences, they identified opportunities for growth associated with social support and also as they realized the role of sport in their lives. Aspects of growth include realizing strength, gaining perspective of their problems, and gaining a desire to help others. Athletes’ experiences with adversity were seen as part of an ongoing journey through elite sport.ConclusionsAthletes’ experiences of adversity may have initiated a process of questioning their identities and searching for meaning in their experiences. Findings highlighted the complexity associated with social support and athletes’ growth following adversity. Growth following adversity appears to be a valuable area of research among elite athletes.     

Theology as “Queen of Science” Reconsidered: A Basis for Scientific Realism

Abstract

Although currently unpopular, it will be argued that theology can still be regarded as the “queen of the sciences” because it can provide a basis for scientific realism (in the same way that it has in the past). This argument will unfold in three steps. First, it will be shown that scientific antirealism offers serious objections to scientific realism. Second, the basics of Neoplatonic theological metaphysics will be explained. Finally, it will be argued that Neoplatonic theological metaphysics dissolves (rather than solves) the arguments of scientific antirealism and succeeds in grounding scientific realism, thereby restoring theology as the queen of science.     

The Relation of Parent and Child Gender to Parental Tolerance of Child Disruptive Behaviors

Parental tolerance has been defined as the degree to which a parent tends to be annoyed by his or her child’s disruptive behavior. The purpose of the current study is to examine the relation of both parent and child gender to parental tolerance of child disruptive behaviors. Participants were 150 parents with 3–6 year-old at-risk children (47.5 % girls) who sought help with parenting of their child’s oppositional defiant behaviors. Tolerance was measured by the difference between parent ratings of intensity on 36 disruptive behaviors and whether each behavior was identified as a problem (resulting in a score of either high, expected, or low tolerance). A 2 (child gender) by 2 (parent gender) analysis of variance was conducted on the tolerance score. A significant interaction between child and parent gender emerged: Mothers were equally tolerant of boys’ and girls’ oppositional defiant behavior but fathers were more tolerant of boys’ than girls’ oppositional behavior. Exploratory analyses suggested that this interaction may be qualified by clinical status of the child. Implications and future directions are discussed.     

Supporting Universal Prevention Programs: A Two-Phased Coaching Model

Schools are adopting evidence-based programs designed to enhance students’ emotional and behavioral competencies at increasing rates (Hemmeter et al. in Early Child Res Q 26:96–109, 2011). At the same time, teachers express the need for increased support surrounding implementation of these evidence-based programs (Carter and Van Norman in Early Child Educ 38:279–288, 2010). Ongoing professional development in the form of coaching may enhance teacher skills and implementation (Noell et al. in School Psychol Rev 34:87–106, 2005; Stormont et al. 2012). There exists a need for a coaching model that can be applied to a variety of teacher skill levels and one that guides coach decision-making about how best to support teachers. This article provides a detailed account of a two-phased coaching model with empirical support developed and tested with coaches and teachers in urban schools (Becker et al. 2013). In the initial universal coaching phase, all teachers receive the same coaching elements regardless of their skill level. Then, in the tailored coaching phase, coaching varies according to the strengths and needs of each teacher. Specifically, more intensive coaching strategies are used only with teachers who need additional coaching supports, whereas other teachers receive just enough support to consolidate and maintain their strong implementation. Examples of how coaches used the two-phased coaching model when working with teachers who were implementing two universal prevention programs (i.e., the PATHS^® curriculum and PAX Good Behavior Game [PAX GBG]) provide illustrations of the application of this model. The potential reach of this coaching model extends to other school-based programs as well as other settings in which coaches partner with interventionists to implement evidence-based programs.     

Speed isn't everything: complex processing speed measures mask individual differences and developmental changes in executive control

The rate at which people process information appears to influence many aspects of cognition across the lifespan. However, many commonly accepted measures of ‘processing speed’ may require goal maintenance, manipulation of information in working memory, and decision‐making, blurring the distinction between processing speed and executive control and resulting in overestimation of processing speed contributions to cognition. This concern may apply particularly to studies of developmental change, as even seemingly simple processing speed measures may require executive processes to keep children and older adults on task. We report two new studies and a re‐analysis of a published study, testing predictions about how different processing speed measures influence conclusions about executive control across the lifespan. We find that the choice of processing speed measure affects the relationship observed between processing speed and executive control, in a manner that changes with age, and that choice of processing speed measure affects conclusions about development and the relationship among executive control measures. Implications for understanding processing speed, executive control, and their development are discussed.     

Measuring attitude towards Buddhism and Sikhism: internal consistency reliability for two new instruments

This paper describes and discusses the development and empirical properties of two new 24-item scales – one measuring attitude towards Buddhism and the other measuring attitude towards Sikhism. The scale is designed to facilitate inter-faith comparisons within the psychology of religion alongside the well-established Francis Scale of Attitude towards Christianity. Data were obtained from a multi-religious sample of 369 school pupils aged between 13 and 15 in London. Application of the two scales demonstrated that adolescents had a more positive attitude to Buddhism than Sikhism. The findings confirm the reliability of the scales and commend them for further use.     

The validation of a religiosity measure for individuals with schizophrenia

Measures of religiosity validated for psychotic patients do not exist. This study sought to examine the psychometric properties of a modified version of the Religious Life Inventory (RLI) in this population. It was anticipated that religiosity would be affected by psychotic symptoms. The religiosity of patients with schizophrenia was assessed while symptoms were more evident and again after treatment, to evaluate changes in religiosity. Four factors were found which characterized the religiosity of people with schizophrenia. These factors were found to have good construct validity. Patient's responses indicated a reduced need for religion when re-assessed once symptom scores were reduced.