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.     

Timing Problems: When Care and Violence Converge in Stephen King's Horror Novel Christine

Judith Butler, Joan Tronto, and Stephen King all hinge human experience on shared ontological vulnerability, but whereas Butler and Tronto use vulnerability to build ethical commitments, King exploits aging, disability, and death to frighten us. King's horror genre is provocative for the imaginative landscape of feminist theory precisely because he uses vulnerability to magnify the anxieties of mass culture. In Christine, the characters' shared susceptibility to psychic and physical injury blurs the boundary between care and violence. Like Butler, King depicts our social worlds encrusted with normative violence: the mundane ways that norms police gender, race, class, and disability identities. And like Butler, King makes undecidability a key feature of human identity: the idea that needs and identities are uncertain. Normative violence and undecidability trouble the starting point of Tronto's care theory—attentiveness to needs—because both concepts invest interdependency with ambiguity and conflict. But like Tronto, King recognizes that care‐actors must act, even amid ambiguity and even when their actions make care and aggression converge. Christine's supernatural plot details the psychic possession of an American teenager, but the novel's more terrifying story is about interdependency and how normative violence is not the antithesis of care, but its dark underbelly.     

Factor Structure of the Difficulties in Emotion Regulation Scale (DERS) in Adult Outpatients Receiving Dialectical Behavior Therapy (DBT)

The Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer in Journal of Psychopathology and Behavioral Assessment, 26, 41–54, 2004) is a widely used measure of emotion regulation, however, few studies have examined the scale’s psychometric properties in clinical samples. The current study examined the latent factor structure of the scale, in addition to other psychometric properties, in a naturalistic sample of adult outpatients (n = 344) receiving dialectical behavior therapy (DBT). A number of models were fitted, including a bifactor model, which has not previously been examined with the DERS, but which may be more appropriate for addressing the study’s two primary aims. These aims were to: (1) investigate some of the prior concerns raised about the Awareness subscale items; and (2) evaluate the appropriateness of using DERS total vs. subscale scores. Results indicated that a modified bifactor model which excluded the Awareness items from the general factor fit the data best. Additional findings suggested that the DERS total score (excluding Awareness items) was reliable and had good criterion-related validity in this sample. However, the findings related to the DERS subscales were mixed. This study extends prior research on the DERS by demonstrating the utility of the scale with individuals receiving DBT for problems with emotion regulation, as well as by clarifying some of the prior questions about the scale’s latent structure.     

Examining the Merit of Grit in Women's Soccer: Questions of Theory,Measurement, and Application

The purpose of the current study was to examine the factorial validity of existing grit measures and to examine differences in the grit level of athletes across performance tiers (i.e., collegiate, professional, Olympic). Female soccer players (N = 305) of varying competitive levels completed measures of grit. Results revealed preliminary support for the 8-item Grit Scale factorial validity, as well as a significant age-adjusted difference in grit level between Division I and Division II collegiate athletes. Taken together, study results prompt questions regarding the theoretical underpinnings, and consequent measurement, of the grit construct in sport psychology practice.     

Focusing on fear: Attentional disengagement from emotional faces

Evidence suggests that anxiety is associated with a shift of visual attention toward threatening stimuli in the environment, such as facial expressions (Mogg & Bradley, 1999). More recent evidence, however, indicates that anxiety may be better characterized by a failure to rapidly disengage the visual attention system away from threat-related facial expressions (Fox, Russo, Bowles, & Dutton, 2001). The present study further investigates this delayed disengagement hypothesis. Results show that high trait-anxious individuals, in contrast to low trait-anxious individuals, take longer to classify peripheral target letters when fearful facial expressions were presented at fixation relative to sad, happy, or neutral expressions. These findings demonstrate a specific tendency to dwell on fear-relevant stimuli, as opposed to negative information in general. These findings are considered from an evolutionary perspective and the possible role of delayed disengagement from threat in the maintenance of anxiety states is also discussed.     

Threatening pictures induce shortened time-to-contact estimates

The ability to estimate the time remaining until collision occurs with an approaching object (time-to-collision, TTC) is crucial for any mobile animal. In the present study, we report three experiments examining whether higher level cognitive factors, represented by affective value of approaching objects, could affect judgments of TTC. A theory of TTC estimates based purely on the optical variable tau does not predict an influence of the affective value of an approaching object. In Experiments 1 and 2, we compared TTC estimates of threatening and neutral pictures that approached our participants on a screen and disappeared from view before a collision would have occurred. Images were taken from the International Affective Picture System. Threatening pictures??in particular, the picture of a frontal attack??were judged to collide earlier than neutral pictures. In Experiment 3, the approaching stimuli were faces with different emotional expressions. TTC tended to be underestimated for angry faces. We discuss these results, considering the roles of affective and cognitive mechanisms modulating TTC estimation and general time perception.     

The role of faith in intuition, need for cognition and method of attitude formation in implicit–explicit brand attitude relationship strength

We tested the hypothesis that Faith in Intuition (FI) would moderate implicit–explicit attitude relationship strength for attitudes formed via associative processes, but not propositional processes. Experiments 1 and 2 demonstrated that FI moderated I–E relationship strength for attitudes formed via evaluative conditioning. High FI people had stronger I–E correlations. Experiment 2 showed that FI did not moderate I–E relationship strength for attitudes formed via propositional reasoning. Those low in Need for Cognition (NC), however, showed stronger I–E correlations than those high in NC. The importance of considering trait variables in combination with the method of attitude formation is discussed.     

For There is Work to be Done: Poetry and Commentary

Poetry illuminates the work of health care professionals well beyond procedure guidelines, clinic schedules or best practice policy. Poems and commentary from the perspective of a nurse, an emergency medical technician and two physicians are accompanied by an exploration of the meaning of work and the role of medical humanities.     

Samples in applied psychology: over a decade of research in review

This study examines sample characteristics of articles published in Journal of Applied Psychology (JAP) from 1995 to 2008. At the individual level, the overall median sample size over the period examined was approximately 173, which is generally adequate for detecting the average magnitude of effects of primary interest to researchers who publish in JAP. Samples using higher units of analyses (e.g., teams, departments/work units, and organizations) had lower median sample sizes (Mdn ≈ 65), yet were arguably robust given typical multilevel design choices of JAP authors despite the practical constraints of collecting data at higher units of analysis. A substantial proportion of studies used student samples (~40%); surprisingly, median sample sizes for student samples were smaller than working adult samples. Samples were more commonly occupationally homogeneous (~70%) than occupationally heterogeneous. U.S. and English-speaking participants made up the vast majority of samples, whereas Middle Eastern, African, and Latin American samples were largely unrepresented. On the basis of study results, recommendations are provided for authors, editors, and readers, which converge on 3 themes: (a) appropriateness and match between sample characteristics and research questions, (b) careful consideration of statistical power, and (c) the increased popularity of quantitative synthesis. Implications are discussed in terms of theory building, generalizability of research findings, and statistical power to detect effects.     

A simple and effective decision rule for choosing a significance test to protect against non-normality

There is no formal and generally accepted procedure for choosing an appropriate significance test for sample data when the assumption of normality is doubtful. Various tests of normality that have been proposed over the years have been found to have limited usefulness, and sometimes a preliminary test makes the situation worse. The present paper investigates a specific and easily applied rule for choosing between a parametric and non-parametric test, the Student t test and the Wilcoxon-Mann-Whitney test, that does not require a preliminary significance test of normality. Simulations reveal that the rule, which can be applied to sample data automatically by computer software, protects the Type I error rate and increases power for various sample sizes, significance levels, and non-normal distribution shapes. Limitations of the procedure in the case of heterogeneity of variance are discussed.