Development of an Interactive Decision Aid for Female BRCA1/BRCA2 Carriers

Shared decision making between patients and providers is becoming increasingly common, particularly when there is no clear preferred course of action. As a result, decision aids are being adopted with growing frequency and have been applied to many medical decision-making issues. One such issue where there is uncertainty is breast cancer risk management among BRCA1/BRCA2 carriers. We present the development of a CD-ROM decision aid to facilitate risk management decision making in this population. Our decision aid was developed with the intention of providing it through a randomized clinical trial. The CD-ROM is a multimedia, interactive intervention which provides information about breast cancer, risks associated with BRCA1 and BRCA2 mutations, risk management options for hereditary breast cancer, and a breast cancer risk management decision aid. The goal of this CD-ROM, offered as an adjunctive intervention, is to reduce decisional conflict and psychological distress and improve comprehension of risk information, decisional satisfaction, medical adherence, and quality of life for this population of women at increased risk for breast cancer.     

Quality of Life in the U.S. Navy: Impact on Performance and Career Continuance

Previous research has shown the importance of quality of life (QOL) for critical organizational outcomes such as the retention of U.S. Navy personnel (Wilcove, Schwerin, &; Wolosin, 2003 Wilcove, G., Schwerin, M. and Wolosin, D. 2003. An exploratory model of quality of life in the U.S. Navy.. Military Psychology, 15(2): 133–152. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) and Marines (Hindelang, Schwerin, &; Farmer, 2004 Hindelang, R. L., Schwerin, M. J. and Farmer, W. L. 2004. Quality of life (QOL) in the U.S. Marine Corps: The validation of a QOL model for predicting reenlistment intentions.. Military Psychology, 16(2): 115–134. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). These studies employed a life domains approach addressing a full range of work and non-work life needs as well as specific aspects of each life domain. In contrast, most other research exploring outcomes critical to military organizations focused only on work life needs of personnel (e.g., job satisfaction, organizational commitment, command climate). This study extends previous research by (a) including both performance and career-continuance plans of personnel as outcomes of interest, (b) exploring the contribution of an additional life need—spiritual well-being—to the measurement of QOL, and (c) examining changes in perceptions of QOL over time between 1999 and 2002 among U.S. Navy personnel. Implications of findings to military personnel, families, and manpower and personnel policy as well as future directions for research are discussed.     

Effects of Self-Perception of Reading Skill on Absolute Accuracy of Metacomprehension Judgements

The objective of this study is to investigate the role of self-perception of reading skill as a critical cue for metacomprehension assessment. To achieve our objective, we inspected how self-perception of reading skill explains judgements of reading comprehension and their absolute accuracy. The study results supported our hypotheses: (1) self-perception of reading skill was predictive of metacomprehension predictions even when actual reading skill was controlled for; (2) the extent to which self-perception of reading skill deviated from actual reading skill accounted for the degree to which absolute accuracy of predictions was limited; and (3) more-skilled readers were less likely to overestimate their general reading skill and their reading performance in specific texts than less-skilled readers. However, (4) self-perception of reading skill was more highly related to postdictions than predictions of test performance, which was counter to expectations. We conclude that self-perception of reading skill influences metacomprehension assessments and their absolute accuracy.     

Influence of the interests of children with autism on everyday learning opportunities

Findings from a pilot study investigating the influence of the interests of young children with autism on parents' provision of everyday informal child learning opportunities are described. 17 children (13 boys, 4 girls) were divided into two groups that received everyday learning opportunities of Low interest and High interest, based on parents' bi-weekly ratings of the interestingness of the opportunities to the children, using an investigator-developed measure. A brief intervention of 12 to 14 weeks showed that the children in the High interest-based group were provided more learning opportunities than were the Low interest-based group, and that the parents indicated that their children benefited more from the learning opportunities. Implications for future research are described.     

Children's understanding of the war in Iraq: views from Britain and Bosnia

Sixty‐one children (aged 9–17) from the United Kingdom (31) and Bosnia (30) were interviewed about the war in Iraq. Significant differences emerged in their views of the war. The Bosnian children were more affected by the Iraq War, more aware of who is involved in it, had different views about its causes, viewed the consequences of the war with greater gravity, and expressed a greater desire to end war and have peace. Two factors which might account for these differences – recent Bosnian history and the nature of media representations of the war in the two countries – are discussed.     

Moderating variables of the sexual “victim to offender cycle” in males

Most existing research shows that outcomes after sexual abuse (i.e., behavioral, social, and psychological) are similar for men and women. The sexual abuse “victim to offender cycle” is one clear exception, in that it is reported with much greater frequency in men than in women. This comprehensive, critical review examines potential moderator variables of the sexual victim to offender cycle in sexually abused men. A conceptual model is presented, which integrates existing empirically-tested potential moderators of the victim to offender cycle into: (a) victim characteristics, (b) perpetrator characteristics, (c) abuse characteristics, (d) post-abuse factors, and (e) family factors. The literature preliminarily suggests that post-abuse masturbation, fantasy, and pleasure related to the abuse moderate the victim to offender cycle. Additionally, family factors, including parental loss, experiencing multiple forms of abuse, and family support moderate this outcome. Contrary to expectations, existing research does not indicate that the victim's relationship with the offender, perpetrator gender, victim's age at abuse onset, or penetration during abuse moderate the victim to offender cycle.     

Innocence abroad: a pocket guide to psychological research on tourism

This article introduces tourism as a neglected topic of study for psychologists and discusses how ventures into this area provide opportunities for pioneering research and innovative applications. A coherent body of theory, drawn from experimental, social, and health psychology and synthesized by cross-cultural psychologists for the study of acculturation, is presented as one foundation for this area of inquiry. This includes stress and coping, culture learning, and social identification theories. The conceptual frameworks are applied to the interpretation of selected studies of tourism and are recommended for designing prospective investigations and guiding future research.     

Can children recognize pride?

Recent research has shown that pride, like the "basic" emotions of anger, disgust, fear, happiness, sadness, and surprise, has a distinct, nonverbal expression that can be recognized by adults (J. L. Tracy & R. W. Robins, 2004b). In 2 experiments, the authors examined whether young children can identify the pride expression and distinguish it from expressions of happiness and surprise. Results suggest that (a) children can recognize pride at above-chance levels by age 4 years; (b) children recognize pride as well as they recognize happiness; (c) pride recognition, like happiness and surprise recognition, improves from age 3 to 7 years; and (d) children's ability to recognize pride cannot be accounted for by the use of a process of elimination (i.e., an exclusion rule) to identify an unknown entity. These findings have implications for the development of emotion recognition and children's ability to perceive and communicate pride.     

A Meta-Analysis of the Effects of Adventure Programming on Locus of Control

Adventure programs utilize the outdoors and/or activities to accomplish goals that are recreational, educational, enrichment or preventive oriented, or therapeutic. These programs encourage active manipulation of surroundings and the utilization of pro-active survival skills. In the growing field of Adventure Programming (and within the more specific field of Adventure Therapy), there exists a need to link valuable program characteristics to specific outcomes. Locus of control has been theorized to be a moderator of change in adventure programs, however past research has yielded inconsistent and contradicting results. An attempt was made to replicate the effect size of 0.30 generated within the comprehensive meta-analyses of both D. R. Cason (1993) and J. Hattie, H. W. Harsh, J. T. Neill, and G. E. Richards (1997). A slightly higher effect size of 0.38 was computed, substantiating evidence that subjects across studies became significantly more internal as a result of participation. Investigation of specific outcomes yielded two possible variables as moderators of locus of control effect size: program goal and daily duration.