The Use of a Family History Risk Assessment Tool within a Community Health Care System: Views of Primary Care Providers

Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and "just-in-time" educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up.     

Predictors of physical activity among rural and small town breast cancer survivors: An application of the theory of planned behaviour

The primary objective of this study was to investigate the utility of the two-component theory of planned behaviour (TPB) in understanding physical activity intentions and behaviour in rural and small town breast cancer survivors. The secondary objective was to elicit the most common behavioural, normative and control beliefs of rural and small town survivors regarding physical activity. Using a cross-sectional survey design, 524 rural and small town breast cancer survivors completed a mailed survey that assessed physical activity and TPB variables. Physical activity intention explained 12% of the variance in physical activity behaviour (p?相似文献   

Technology-based intervention to help persons with minimally conscious state and pervasive motor disabilities perform environmentally relevant adaptive behavior

Persons with a diagnosis of minimally conscious state and pervasive motor disabilities tend to be passive and isolated. A way to help them improve their adaptive behavior (relate to their environment) involves the use of intervention packages combining assistive technology with motivational strategies. The types of assistive technology included in those packages may consist of (a) microswitches allowing direct access to environmental stimuli, (b) combinations of microswitches and voice output communication devices (VOCAs) allowing stimulus access and calls for caregivers' attention, respectively, and (c) computer presentations of stimulus options and microswitches allowing choice among those options and access to them.     

THE INFLUENCE OF MOTIVATING OPERATIONS ON GENERALIZATION PROBES OF SPECIFIC MANDS BY CHILDREN WITH AUTISM

We investigated the influence of motivating operations on the generalization of newly taught mands across settings and communication partners for 3 children with autism. Two conditions were implemented prior to generalization probes. In the first condition, participants were given access to a preferred item until they rejected the item (i.e., abolishing operation). In the second condition, the item was not available to participants prior to generalization probes (i.e., establishing operation). The effects of these conditions on the generalization of newly taught mands were evaluated in a multielement design. Results indicated differentiated responding during generalization probes in which more manding with the target mand was observed following the presession no‐access condition than in the presession access condition. These results support the consideration of motivating operations when assessing generalization of target mands to various untrained contexts.     

Access to environmental stimulation via eyelid responses for persons with acquired brain injury and multiple disabilities: a new microswitch arrangement

This study assessed a new microswitch arrangement for eyelid responses using an optic sensor placed above the cheekbone and a small sticker on the person's eyelid. This new arrangement, which was designed to avoid interference of the microswitch with the person's visual functioning, was tested on three adults with acquired brain injury and multiple (consciousness, communication, and motor) disabilities. The study was carried out according to a non-concurrent multiple baseline design across participants. Data showed the new microswitch arrangement was suitable for all three participants, who increased their responding during the intervention phase of the study when their responses allowed them to access preferred stimulation. Practical implications of the findings are discussed.     

The effects of existential threat on reading comprehension of worldview affirming and disconfirming information

Terror management theory posits that cultural worldviews buffer people from thoughts and concerns about death. In support of this claim, numerous studies have shown that mortality salience (MS) increases an individual's motivation to uphold and defend important cultural worldviews. We hypothesized that the motivation to defend cultural worldviews following MS would also enhance people's ability to comprehend worldview affirming (vs. disconfirming) information. Three studies investigated this possibility. Study 1 showed that MS (vs. control) increased reading comprehension of a pro‐evolution essay among participants with a strongly evolutionist worldview, but decreased reading comprehension among participants with a strongly creationist worldview. With the use of a pro‐creation essay, Study 2 conceptually replicated these effects and demonstrated that the interactive effect of worldview and death anxiety on reading comprehension was mediated by defensive motivation. Study 3 replicated the results of Studies 1 and 2 among participants with a strongly evolutionist worldview, but only when the information in the essay was perceived as veridical. Discussion focused on the specific process through which MS affects reading comprehension of worldview relevant ideas. Copyright © 2012 John Wiley & Sons, Ltd.     

Individual differences in the mixture ratio of rotation and nonrotation trials during rotated mirror/normal letter discriminations

Mental rotation is thought to underlie the increase in response times (RTs) for deciding whether rotated letters are normal or mirrored versions. However, mental rotation predicts a linear increase in RTs, whereas the mirror/normal letter discrimination task typically produces a curved function. Recently, Kung and Hamm suggested that this curved function results from a mixture of trials in which mental rotation is employed and trials in which it is not. The mixture ratio may vary between individuals, with some individuals relying more on mental rotation than others. There is no factor in the Kung and Hamm model that reflects such individual differences. In the present study, we suggest that a possible exponent parameter could be added to the Kung and Hamm model to capture individual differences in the mixture ratio. This exponent parameter appears to capture an individual characteristic since the value obtained correlates between the mirror/normal letter task and a left/right object facing task. The development of a quantity that represents the mixture ratio will aid further testing of processes involved in the visual imagery system.     

Promotion orientation explains why future-oriented people exercise and eat healthy: evidence from the two-factor consideration of future consequences-14 scale

The authors extended research linking individual differences in consideration of future consequences (CFC) with health behaviors by (a) testing whether individual differences in regulatory focus would mediate that link and (b) highlighting the value of a revised, two-factor CFC-14 scale with subscales assessing concern with future consequences (CFC-Future) and concern with immediate consequences (CFC-Immediate) proper. Exploratory and confirmatory factor analyses of the revised CFC-14 scale supported the presence of two highly reliable factors (CFC-Future and CFC-Immediate; αs from .80 to .84). Moreover, structural equation modeling showed that those high in CFC-Future engage in exercise and healthy eating because they adopt a promotion orientation. Future use of the two-factor CFC-14 scale is encouraged to shed additional light on how concern with future and concern with immediate consequences (proper) differentially impact the way people resolve a host of intertemporal dilemmas (e.g., health, financial, and environmental behavior).     

Judaism and Health: Reflections on an Emerging Scholarly Field

This paper surveys the field of Judaism and health. The authors trace the history of discourse on health and healing within Judaism, from the biblical and rabbinic eras to contemporary research and writing on Jewish bioethics, pastoral care, communal services, and aging, including congregational and community programming related to health and illness and the emergence of the Jewish healing movement. The work of the Kalsman Institute on Judaism and Health is described, focusing on efforts to unite these various threads into a scholarly field emphasizing basic and applied research on the instrumental functions of Jewish religious life for health and well-being.