Stage of exercise change model and attitudes toward exercise in older adults.

This study examined the attitudes toward exercise held by older adults within different stages of the exercise change model for the purpose of aiding health professionals in developing effective approaches that engage older adults in physical activity. Men and women (n = 116) between the ages of 60 and 93 years (73.9+/-6.6) completed a questionnaire used to categorize them into one of five stages of exercise change: precontemplation, contemplation, preparation, action, and maintenance. Participants also completed a questionnaire to assess four attitude factors related to exercise: tension release, health promotion, vigorous exercise, and social benefits. The Active older adults in this study reported positive attitudes toward exer cising for health benefits, social interaction, and tension release. Of these, the health benefits of exercise appear to be the most important factor in their participation in exercise. Therefore, prograns designed to engage older adults in regular physical activity should promote positive attitudes toward exercise, especially regarding the health related aspects of exercise.     

Stranger at the gate: the effect of the plaintiff's use of an interpreter on juror decision-making

There exists a substantial literature examining the effect on juror decision-making of extraneous demographic characteristics of plaintiffs and defendants. In most of these studies, members of groups that are perceived as being minorities or as belonging to one of a variety of outgroups (lower socioeconomic status, immigrants) are treated more harshly by jurors, or are perceived as being less deserving or credible. In this study, the authors examine treatment by jurors of a relatively less well investigated outgroup: that of the non-English speaker. An experiment was conducted in which actual jurors in a large urban county were randomly assigned to view a videotape of a civil case. Three versions of the videotapes were identical except that, on one, the plaintiff required an interpreter to communicate and it is approximately three minutes longer than the other two. On the other two versions, the plaintiff spoke English, but differed in ethnicity (Hispanic or Anglo). The findings showed that the non-English-speaking plaintiff did not fare worse than the English speakers, and, in fact, was awarded higher mean damages than either of the English speakers.     

Space Fortress game training and executive control in older adults: a pilot intervention

We investigated the feasibility of using the Space Fortress (SF) game, a complex video game originally developed to study complex skill acquisition in young adults, to improve executive control processes in cognitively healthy older adults. The study protocol consisted of 36 one-hour game play sessions over 3 months with cognitive evaluations before and after, and a follow-up evaluation at 6 months. Sixty participants were randomized to one of three conditions: Emphasis Change (EC)--elders were instructed to concentrate on playing the entire game but place particular emphasis on a specific aspect of game play in each particular game; Active Control (AC)--game play with standard instructions; Passive Control (PC)--evaluation sessions without game play. Primary outcome measures were obtained from five tasks, presumably tapping executive control processes. A total of 54 older adults completed the study protocol. One measure of executive control, WAIS-III letter-number sequencing, showed improvement in performance from pre- to post-evaluations in the EC condition, but not in the other two conditions. These initial findings are modest but encouraging. Future SF interventions need to carefully consider increasing the duration and or the intensity of the intervention by providing at-home game training, reducing the motor demands of the game, and selecting appropriate outcome measures.     

Integrating Immigrants into the Life of Canadian Urban Christian Congregations: Findings from a National Survey

In just one generation the cultural face of Canadian society has been transformed. The relative level of immigration has increased rapidly as has diversity among those immigrants. This article reports on the findings of a national survey that offers a baseline of how and to what extent local Canadian Christian congregations are responding to this cultural diversity. In particular, it explores how churches are integrating immigrants within the life of their local congregations. This article uses a systems change perspective to frame immigrant integration. This perspective emphasizes three requirements for change: vision, structure and processes that promote immigrant integration. Data was collected using an online survey of urban congregations in the nine urban Canadian communities having an immigrant population above the national average (20% foreign-born). Using these data this article explores the full range of immigrant integration efforts from the initial welcome to inclusion into congregational life. It describes the present status of immigrant integration, details reported successes and challenges and notes respondent suggestions for better integration. Results of this survey provide first-time baseline insights into how a range of urban Christian congregations from across Canada are presently responding to the Canadian immigrant reality.     

22q11.2 Deletion Syndrome: Attitudes towards Disclosing the Risk of Psychiatric Illness

22q11.2 Deletion Syndrome (22q11.2DS) is a common microdeletion syndrome with multisystem features. There is a strong association with psychiatric disorders. One in every four to five patients develop schizophrenia. Despite studies showing that early diagnosis and treatment are likely to lead to improved outcome, genetic counselors may be reluctant to discuss the risk of psychiatric illness. The aim of this research was to explore parental attitudes and genetic counselors’ perspectives and practice regarding disclosure of the clinical manifestations of 22q11.2DS, particularly the risk of psychiatric illness. We delivered a questionnaire to genetic counselors via established list-serves, 54 of which were completed. We also conducted interviews with four parents of adults with 22q11.2DS and schizophrenia. The majority of counselors and parents felt that the increased risk to develop a psychiatric illness is important to disclose. However, in the initial counseling session when the diagnosis was made in infancy genetic counselors were significantly less likely to discuss the risk of psychiatric disorders compared to other later onset features such as hypothyroidism (41?% vs. 83?%, p?=?0.001). When the diagnosis of 22q11.2DS was made in infancy, counselors’ responses in regard to timing of disclosure about psychiatric illnesses were fairly evenly divided between infancy, childhood and adolescence. In contrast, for other major features of 22q11.2DS, disclosure would predominantly be in infancy. The respondents reported that the discussion of psychiatric issues with parents was challenging due to the stigma associated with mental illness. Some also noted limited knowledge about psychiatric illness and treatment. These results suggest that genetic counselors could benefit from further education regarding psychiatric illness in 22q11.2DS and best strategies for discussing this important subject with parents and patients.     

Probable PTSD and Impairment in Witnesses of Work-Related Fatalities

According to the U.S. Bureau of Labor Statistics, steel, oil, and mining are among the nation's most dangerous industries. This study assessed probable posttraumatic stress disorder (PTSD), depressive symptoms, life functioning, and well-being in a unique sample of 89 members of the United Steelworkers who reported directly witnessing an occupational fatality. Of the sample, 25.8% reported symptoms consistent with probable PTSD, while 21.3% reported symptoms consistent with subthreshold PTSD. These two groups differed significantly from the non-PTSD group on measures of depressive symptoms, well-being, and life functioning. These findings highlight the further need for assessment and intervention for workers exposed to fatalities.     

Using Brief Academic Assessments to Determine Generalization Strategies

This study examined the utility of brief academic assessments to identify effective generalization procedures for individual students. Specifically, the study built on the proposal that brief assessments of antecedent and consequence manipulations can identify the most effective generalization strategy for individual students. The design was an alternating treatments design nested within a multiple baseline across six students. Students learned how to solve a set of multiplication facts using a common strategy while spontaneous generalization to other sets of facts was measured. Next, researchers determined whether an antecedent- or consequent-based generalization strategy would be more effective for increasing generalization across multiplication skills and conducted an extended analysis with an alternating treatment phase to confirm results of the brief assessment. Results indicated that the assessment correctly identified the most effective generalization strategy for five of the six students.     

The use of self-talk during elite cricket batting performance

ObjectiveThe purpose of this study was to qualitatively investigate the use of self-talk during cricket batting performance through an innovative approach that allowed for within performance responses to be examined.Design and methodFive elite cricketers were interviewed alongside edited video footage of their batting innings. Semi-structured interviews were conducted to gather in-depth information and explanations about the participants' use of self-talk during each critical incident.Results and conclusionsThe findings of this study highlighted the use of instructional and motivational self-talk as a fluctuating continual narrative that enhanced skill execution, self-efficacy and focus of attention, whilst reducing performance anxiety. In particular, the athletes described the effectiveness of self-determined self-talk on their performance. Specifically, they advocated self-talk that narrowed their attentional focus and redirected their thoughts to performance-related cues during periods of declining performance.     

Inattentive listening undermines self-verification in personal storytelling

Two studies explore the narrative construction of self-perceptions in conversational storytelling among pairs of same-sex friends. Specifically, the studies examined how listener behavior can support or undermine attempts to self-verify in personal storytelling. In two studies (n=100 dyads), speakers told attentive, distracted, or disagreeable (Study 1 only) friends about a recent experience. Distracted, but not disagreeable, friends tended to undermine participants' attempts to verify their self-perception of being interested in an activity (Study 1) or their self-perception that an event was typical for them (Study 2). These results support the notion that friends can be an important source of influence on self-perceptions and, perhaps surprisingly, suggest that responsiveness from friends, rather than agreement per se, may be crucial for supporting self-verification processes.     

Defining and Delineating a Duty to Prognosticate

Prognostication, the process offormulating and communicating a prognosis, isno longer considered by most physicians to bean essential task in caring for patients withserious illness. Because of this fact, it isnot surprising to find that when physiciansattempt to engage in prognostication, they doit poorly. What may be surprising to thoseoutside the medical community is the extent towhich professional norms have developed whichactively discourage physicians from engaging inprognostication. This article explores thecauses of this state of affairs and thejustifications offered for it. The conclusionis reached that physicians have a professionalresponsibility to competently engage inprognostication based upon the doctrine ofinformed consent, and that a failure or refusalto do so has not only potential legalramifications, but serious negativeimplications for many of the core issues inbioethics, such as the use of advancedirectives, palliative medicine, and medicalfutility.