Understanding adolescent type 1 diabetes self-management as an adaptive process: A grounded theory approach

Objective: To develop a conceptual understanding of the process of adapting to the self-management of type 1 diabetes during adolescence.

Design: Participants were recruited from a National Health Service paediatric diabetes service within the south-west of England which runs six countywide diabetes clinics. Thirteen interviews were conducted using a social constructivist grounded theory approach.

Results: The findings illustrate how self-management can be understood in terms of a continuum-based framework, ranging from difficulties with, to successful self-management. Adaptation within the continuum can further be understood by specific transitional phases and process mechanisms, providing further depth to individuals’ experiences of adaptation.

Conclusion: This investigation provides a conceptual understanding of the complex issues adolescents encounter while adapting to and integrating a diabetes self-management regime into their lives. It provides an invaluable framework for exploring psychological mechanisms and contextualising them within a self-management continuum. Implications for healthcare professionals are discussed and further research proposes whether the model could be applicable to other chronic illnesses.     

Smoking-specific communication and children's smoking onset: An extension of the theory of planned behaviour

The aim of this study was to test whether maternal smoking-specific communication and parental smoking related to smoking cognitions (i.e. attitude, self-efficacy and social norm) derived from the Theory of Planned Behaviour in association with smoking onset during preadolescence. A total of 1478 pairs of mothers and children participated (mean age: 10.11; standard deviation?=?0.78). Structural equation models in Mplus were used to examine whether smoking-specific communication influences children's smoking cognitions, which in turn, affect smoking onset. A positive association was found between pro-smoking attitudes and smoking onset. Smoking-specific communication and parental smoking were related to smoking cognitions. Specifically, frequency of communication was negatively associated with pro-smoking attitudes, social norms of mother and best friend. Quality of communication related negatively to pro-smoking attitudes and positively to self-efficacy and norms of friends. Parental smoking was positively associated with pro-smoking attitudes and norms of mother and (best) friends. Additionally, more frequent communication and higher levels of parental smoking were associated with higher smoking onset. In conclusion, smoking-specific communication and parental smoking were associated with smoking cognitions and smoking onset. Already during preadolescence, parents contribute to shaping the smoking cognitions of their children, which may be predictive of smoking later in life.     

Comparing Chinese and Western Visitors’ Responses to Interpretive Signs at Chengdu Research Base of Giant Panda Breeding,China

ABSTRACT

Visitor experiences and interpretation at wildlife tourism sites are often designed to encourage visitors to adopt conservation actions. Typically, conservation messages are delivered via one-size-fits-all interpretive signage, with little consideration given to whether the same information attracts and engages different cultural groups. This study explores Chinese and international visitors’ perceptions of signage at the Chengdu Research Base of Giant Panda Breeding in China. Four sign prototypes were designed and a combination of visitor observations, interviews, and exit surveys were used to test their attracting and holding power. Comparisons of Chinese and Western visitors revealed no significant difference in the proportion who stopped to read signs. Preferences for signage elements were also similar across the two cultural groups; however, there were differences in terms of what visitors thought should be included in wildlife interpretation. Implications for the design and delivery of interpretation in Chinese wildlife tourism settings are discussed.     

Leaders’ receptivity to subordinates’ creative input: The role of achievement goals and composition of creative input

We identified leaders’ achievement goals and composition of creative input as important factors that can clarify when and why leaders are receptive to, and supportive of, subordinates’ creative input. As hypothesized, in two experimental studies, we found that relative to mastery goal leaders, performance goal leaders were less receptive to subordinates’ voiced creative input. In Study 1, we further showed that image threat appraisal and learning opportunity appraisal mediated this effect. In Study 2, we demonstrated that when merely creative ideas were expressed by the subordinate, performance goal leaders responded like mastery goal leaders. However, as in Study 1, performance goal leaders were less receptive to, and less supportive of, subordinates’ creative input than mastery goal leaders when the composition of subordinates’ creative input included both problem identifications and creative ideas.     

Working Memory Demands and Semantic Sensitivity for Prose in Mild Alzheimer's Disease

The debate continues with regard to whether degradation of semantic knowledge or deficits in information processing lead to impaired memory performance in patients with Alzheimer's disease (AD). This study examined the effects of semantic content and working memory demands on the recall and recognition abilities of patients with mild AD. Nineteen patients with probable AD and 19 demographically matched normal control participants were asked to remember prose passages that varied in semantic content (high, medium, and low level of idea importance) and working memory demands (narrative and expository passages). Compared to the controls, patients with mild AD lost the ability to recall prose in a manner consistent with the semantic structure of the passages as the demands on working memory increased. Furthermore, as the demands on working memory increased, patients recognized information in a manner that suggested their initial processing was of isolated details rather than by semantic structure. This study provides support for the hypothesis that information processing deficits contribute to impaired semantic processing in patients with mild AD.     

Personality Dysfunction and the Management of Chronic Medical Illness: A Community Health Sample

The purpose of this study was to determine the influence of personality disorders on perceived health status, self-efficacy for management of the chronic illness, and physician perception of patient health. A total of 607 patients with self-identified chronicillness(es) volunteered to participate in the study. Out of this sample, 147 had collaborative physician data indicating a chronic illness. The final sample was 143 due to incomplete data. Results suggested that maladaptive personality characteristics, as measured by the Short-Form of the Coolidge Axis II Inventory (SCATI), were related to a number of important factors that influence self-management of chronic illnesses. When the personality constellations were broken into 3 groups (normal, subclinical, and clinical) significant differences were found on the 3 groups of dependent variables (Subjective Health, Self-Efficacy, Physician Appraisal) for the different personality disorders. These data provide useful information on several factors that influence effective disease management. Clinical implications and directions for future research are provided.     

Self-Efficacy for Enhancing Students’ Career and College Readiness: A Survey of Professional School Counselors

Grounded in Bandura’s (1997) self-efficacy theory and Savickas’s (2011) career construction theory, this study examined school counselors’ beliefs about whether they can perform specific tasks related to supporting students’ career and college readiness. A national sample of school counselors (N = 2,047) completed the School Counselor Self-Efficacy for Enhancing Student Career and College Readiness Scale (Baker, Parikh-Foxx, & Martinez, 2017). Findings from a survey research design indicated that the extent of related training and the challenges associated with implementation of career service delivery were of concern to participants. Recommendations for training, practice, and further research are presented.