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811.
Recent legislative and regulatory developments have focused attention on older adults' capacity for involvement in health care decision-making. The Omnibus Budget Reconciliation Act of 1987 (OBRA 87) focused attention on the rights of nursing home residents to be involved in health care decision-making to the fullest extent possible. This article uses data from the 1987 National Medical Expenditure Survey (NMES) to examine rates of incapacity for health care decision-making among nursing home residents. Elements of the Oklahoma statute were used to operationalize decision-making incapacity: disability or disorder, difficulty in decision-making or communicating decisions, and functional disability. Fifty-three percent of nursing home residents had a combination of either physical or mental impairment and an impairment in either self-care or money management. The discussion focuses on the policy and practice implications of significant rates of incapacity among nursing home residents. 相似文献
812.
Contrast and reallocation of extraneous reinforcers as a function of component duration and baseline rate of reinforcement 总被引:1,自引:1,他引:0 下载免费PDF全文
McLean AP 《Journal of the experimental analysis of behavior》1995,63(2):203-224
Four pigeons responded on multiple schedules arranged on a “main” key in a two-key experimental chamber. A constant schedule component was alternated with another component that was varied over conditions. On an extra response key, conjoint schedules of reinforcement that operated in both components were arranged concurrently with the multiple schedule on the main key. On the main key, changes in reinforcement rate in the varied component were inversely related to changes in response rates in the constant component (behavioral contrast). On the extra key, some reinforcers were reallocated between components, depending on the schedules in effect on the main key in the varied component. In the varied component, the obtained rates of reinforcement on the extra key were inversely related to main-key reinforcement rate. In the constant component, extra-key reinforcer rates were positively related to main-key reinforcer rates obtained in the varied component, and were not a function of response rates on the extra key. In two comparisons, the rate at which components alternated and the value of the main-key schedule in the constant component were varied. Consistent with earlier work, long components reduced the extent of contrast. Reductions in contrast as a function of component duration were accompanied by similar reductions in the extent of reinforcer reallocation on the extra key. In the second comparison, lowering the rate of reinforcement in the constant component increased the rate at which extra-key reinforcers were obtained, reduced the extent of reinforcer reallocation, and reduced contrast. Overall, the results are consistent with the suggestion that some contrast effects are due to the changes in extraneous reinforcement during the constant component, and that manipulations of component duration, and manipulations of the rate of reinforcement in the constant component, affect contrast because they influence the extent of extraneous reinforcer real-location. 相似文献
813.
Resistance to reinforcement change in multiple and concurrent schedules assessed in transition and at steady state 总被引:3,自引:1,他引:2 下载免费PDF全文
Behavioral momentum theory relates resistance to change of responding in a multiple-schedule component to the total reinforcement obtained in that component, regardless of how the reinforcers are produced. Four pigeons responded in a series of multiple-schedule conditions in which a variable-interval 40-s schedule arranged reinforcers for pecking in one component and a variable-interval 360-s schedule arranged them in the other. In addition, responses on a second key were reinforced according to variable-interval schedules that were equal in the two components. In different parts of the experiment, responding was disrupted by changing the rate of reinforcement on the second key or by delivering response-independent food during a blackout separating the two components. Consistent with momentum theory, responding on the first key in Part 1 changed more in the component with the lower reinforcement total when it was disrupted by changes in the rate of reinforcement on the second key. However, responding on the second key changed more in the component with the higher reinforcement total. In Parts 2 and 3, responding was disrupted with free food presented during intercomponent blackouts, with extinction (Part 2) or variable-interval 80-s reinforcement (Part 3) arranged on the second key. Here, resistance to change was greater for the component with greater overall reinforcement. Failures of momentum theory to predict short-term differences in resistance to change occurred with disruptors that caused greater change between steady states for the richer component. Consistency of effects across disruptors may yet be found if short-term effects of disruptors are assessed relative to the extent of change observed after prolonged exposure. 相似文献
814.
What Do We Know When We Know a Person? 总被引:12,自引:1,他引:11
Dan P. McAdams 《Journal of personality》1995,63(3):365-396
815.
The present study sought to determine the role that knowledge of abortion information and various demographic variables play in discriminating between those who approve and those who disapprove of abortion. Four hundred and fifty-four college students completed the Abortion Knowledge Test, constructed by the researchers, as well as an abortion attitudes questionnaire which asked subjects to indicate their degree of approval or disapproval of abortion in the case of 7 different scenarios. Attitudes toward abortion were significantly predicted by knowledge of abortion-related information above and beyond the significant influence of degree of religiosity, religion, and age. No significant gender differences were found. Respondents who indicated approval of abortion scored significantly higher on the Abortion Knowledge Test and tended to be older, less religious, and non-Catholic compared to those who disapproved of abortion. 相似文献
816.
Toussaint HM Commissaris DA Van Dieeumlant;n JH Reijnen JS Praet SF Beek PJ 《Journal of motor behavior》1995,27(3):225-234
The control of the ground reaction force vector relative to the center of gravity (CoG) was examined while subjects performed a back-lifting task. Six male subjects (aged 24.0 +/- 2.5 years) repeatedly lifted a barbell. A biomechanical analysis that used a linked segment model revealed that the summed rotations of body segments during lifting yielded a specific rate of change of the angular momentum of the entire body. This equaled the external moment provided by Fsubg; relative to CoG. This implies that multisegment movements involve control of the angular momentum of the entire body through an appropriately directed Fsubg;. Thus, in dynamic tasks Fsubg; is pointed away from rather than lined up with the CoG, as is the case in static tasks. 相似文献
817.
Susan E. Middlestadt Martin Fishbein Dolores Albarracin Claudette Francis M. Ann Eustace Michael Helquist Anton Schneider 《Journal of applied social psychology》1995,25(1):21-34
Based on extensive formative research in the three Eastern Caribbean countries of St. Lucia, St. Vincent and the Grenadines, and Grenada (Fishbein, Middlestadt, & Trafimow, 1993; Fishbein, Trafimow, et al., 1993), a three-nation, mass media, condom use campaign was developed. In order to assess the impact of the campaign, a follow-up survey was conducted in St. Vincent and the Grenadines. This paper examines the effectiveness of the campaign by comparing responses on this survey by respondents who were or were not exposed to the campaign. A statistically significant impact of exposure to the campaign was obtained, indicating that a well-designed, empirically based, mass media campaign can be an effective tool in the battle to prevent the spread of AIDS. 相似文献
818.
819.
The literature is reviewed to define a sense of community in the workplace and to identify factors that may foster it. A model
is developed and estimated with survey data from a culturally diverse sample of men and women performing lower-level jobs
at a medium-sized manufacturing firm. Results of regression analyses are reported that correct for sample selection bias resulting
from the lower response rates of minority workers. Findings suggest that well-designed jobs and supportive workplace relationships
and policies are important in explaining workers' sense of community, defined as workers' perceptions of mutual commitment
between employee and employer. Informal sources of support play a larger role in explaining men's sense of community, while
formal sources of support are more important in explaining women's sense of community. Findings further suggest that African
American workers, especially women, have a difficult time experiencing a sense of community at work.
The authors thank the employees of Fel-Pro for their participation in this study and Melissa Roderick, Michael Sosin, and
anonymous reviewers for their thoughtful comments. This research was funded by the Fel-Pro/Mecklenberger Foundation and the
Lois and Samuel Silberman Fund. 相似文献
820.
Manuel Barrera Jr. Susan A. Li Laurie Chassin 《American journal of community psychology》1995,23(4):479-507
Investigated ethnicity and parental alcoholism as factors that might influence the stress vulnerability of adolescents. It
extended an initial cross-sectional study of this same sample by adding two annual assessments which allowed for additional
cross-sectional analyses and longitudinal tests. Hispanic and Caucasian adolescents (N=306 at Time 1) completed measures of their own life stress, family conflict, and alcohol use. Their parents reported on adolescents'
internalizing and externalizing symptoms. Cross-sectional analyses at Time 2, and prospective analyses involving Time 1 and
Time 2 measures were, for the most part, consistent with the original study's results. Caucasian adolescents and children
of alcoholic parents appeared to be more vulnerable to stress than Hispanic adolescents and children of nonalcoholic parents.
Family conflict was a partial explanation for this increased vulnerability.
This research was supported by National Institute on Drug Abuse Grant DA05227 to Laurie Chassin (pricipal investigator) and
Manuel Barrera, Jr. (coprincipal investigator). Susan Li was supported by an American Psychological Association Minority Fellowship
Award. Portions of this research were presented at the conference, “Resiliency in Families: Racial and Ethnic Minority Families
in America” that was held at the University of Wisconsin, May 31–June 2, 1994. 相似文献