Index to Volume 112

For various nonnormal distributions, the power of the Student t test can be increased if continuous measures are transformed to ranks before the test is performed. The power of the test can also be increased almost as much and, even more for some distributions, if measures are replaced by dichotomous variables with the values 0 and 1, instead of ranks. Similarly, the power of a significance test of correlation can be increased if scores are transformed to ranks, that is, with the use of the Spearman rank correlation method. Power can also be increased almost as much and in some cases even more if dichotomous variables are introduced, that is, if the phi coefficient is used as a measure of correlation.     

Patients’ intention to speak up for health care providers’ hand hygiene in inpatient diabetic foot wound treatment: a cross-sectional survey in diabetes outpatient centres in Lower Saxony,Germany*

Hand hygiene in wound care by health care providers (HCPs) is a key principle in treating hospitalized patients with diabetic foot infections. This study aimed to estimate the extent to which patients with type-2-diabetes (T2D) intend to speak up for HCPs’ hand hygiene during inpatient foot treatment, test whether this motivation increases given the hospital would invite patients to speak up, and identify associations with socio-demographics, knowledge of hand hygiene requirements, and diabetes-related factors. A questionnaire-survey was conducted in eight diabetes outpatient centres in Lower Saxony/Germany. Intentions to speak up (without and with institutional encouragement) and knowledge about hand hygiene during foot-care were assessed. Analyses of variance were conducted, partly as repeated measures-models with intention-items as within-subject factor. N = 473 patients participated (response = 77.4%). N = 177 (41%) strongly intended to speak up. Institutional encouragement was associated with an increased rate of strong (54% vs. 41%; p < .001) and higher mean intention (M = 3.9 vs. 3.4 with vs. without encouragement [5-point-scales]; F(1, 434)?=?41.5, p < .001). In patients without diabetic foot syndrome, this effect was limited to those with at least medium school education (F(2, 292)?=?4.4, p = .013) and knowledge on HCPs’ hand hygiene (F(2, 294)?=?3.1, p = .047). In conclusion, a majority of T2D-patients in diabetes outpatient centres intend to speak for HCPs’ hand hygiene in inpatient foot treatment, and are receptive to institutional encouragement. However, this presupposes at least medium education and knowledge about hand hygiene, emphasizing that patient empowerment begins with knowledge.     

Links Between Identity Formation and Political Engagement in Young Adulthood

Young adults’ decreased engagement in politics has theoretically been linked to issues in personal identity formation, but there are few and limited empirical studies on the subject. We examined, in a Finnish community sample of young adults (N = 744), for the first time the associations of diverse measures of political engagement with the identity processes and identity statuses as measured by the Dimensions of Identity Development Scale. In general, both the variable- and person-oriented analyses indicated that having future commitments but also exploring alternatives to some extent were associated with stronger political engagement. The links and differences among identity processes, statuses, and political engagement were, nonetheless, weaker than could have been expected.     

The Impact of Social Anxiety on Occupational Participation in College Life

Social anxiety is a reality for many college students. This study explored the impact of social anxiety on the occupational participation in daily life of six Irish students. Semi-structured interviews were used to explore participants’ daily routines, coping mechanisms, and interaction with the environment. The study aims to inform occupational therapists, academics, and other healthcare professionals of the impact of the condition on the daily life of college students. Qualitative data analysis showed that participants described negative beliefs about themselves and had concerns about how they were perceived by others. This affected their ability to fully participate in the student role.     

“Big Organisations” Supporting “Small Involvement”: Lessons from Bosnia and Herzegovina on Enabling Community-Based Participation of Children Through PAR

The article presents the process and the outcomes of child participatory action research (PAR) conducted in Bosnia and Herzegovina (BiH), as part of UNICEF activities in this country. The study was implemented through children acting as co-researchers, organised in so-called Children’s PAR Groups, initiated in three BiH municipalities. Children collaborated with a Support Group in each of the municipalities, comprised of adults who helped children implement their activities. Children chose to focus their research on community participation and ensured a number of outcomes in a relatively brief period. The value of PAR in the development of child participation was highlighted by children and adults who took part in the study. Prejudices that children have toward adults, and vice versa, were issues identified as main barriers for wider children’s participation. This article also reviews a number of ethical challenges highlighted in the study, such as the organisational barriers to children’s participation and project-based support for its development.     

Sense of Community, Neighboring, and Social Capital as Predictors of Local Political Participation in China

This study examines the state of sense of community, neighboring behavior, and social capital in the People’s Republic of China, and explores their ability to predict local political participation, in the form of voting in elections for Urban Resident/Rural Villager Committees. Using a nationally representative survey, rural, older and married residents and those with a primary or high school education and higher perceived socio-economic status are more likely to participate. In rural areas, men are more likely than women to vote. For urban residents, knowing one’s neighbors is more important whereas in rural areas, neighboring behavior is more important, but both predict voting. Social capital does not generally predict Chinese people’s local political participation. Western definitions of social capital derived from theories about networking, bonding and bridging ties may be too culturally individualistic for China, whose collectivist society and agrarian kinship networks predate Communism. Simply knowing and helping one’s neighbors, rather than more abstract notions of trust, reciprocity or membership, may lead to the development of local democracy.     

Post‐traumatic factors and resilience: the role of shelter management and survivours' attitudes after the earthquakes in El Salvador (2001)

A participatory research action was undertaken in the two largest shelters established after the earthquakes in El Salvador (2001). One hundred fifteen semi‐structured interviews were carried out among refugees, which later formed the basis for a self‐managed community plan. Comparisons between the two shelters—which differed primarily in whether the grouping of tents was made to reflect the community of origin of the survivors (shelter Santa Gertrudis) or not (shelter El Cafetalón)—showed that refugees in Santa Gertrudis participated more often in community activities, and had more positive emotional memories, fewer feelings of having been humiliated and less emotional discomfort than refugees in El Cafetalón. The results suggest that forms of organisation and management which consider elements of dignity, participation and respect for the capacity of the victims to control their own lives are relevant factors for effective individual and community coping after a catastrophe. Copyright © 2005 John Wiley & Sons, Ltd.     

Empowerment to participate: a case study of participation by indian sex workers in HIV prevention

The popularity of ‘participation’ and ‘empowerment’ in international development discourse is not matched by sophisticated conceptualisation of these terms. Critics have argued that their vagueness allows ‘participation’ and ‘empowerment’ to be used indiscriminately to describe interventions which vary from tokenism to genuine devolving of power to the community. This paper suggests that conceptualising empowerment and participation simply in terms of a scale of ‘more or less’ participation or ‘more or less’ empowerment does not capture the qualitatively different forms of empowerment that are necessary for different activities. Instead, the paper conceptualises participation in terms of concrete domains of action in which people may be empowered to take part. An ethnographic case study of a participatory HIV prevention project run by sex workers in Kolkata illustrates the argument. Four domains of activity in which sex workers may participate are distinguished: (1) participating in accessing project services; (2) participating in providing project services; (3) participating in shaping project workers' activity; (4) participating in defining project goals. To be empowered to participate in each domain depends upon a different set of resources. Asking the question ‘empowerment to do what?’ of health promotion projects is proposed as a way of facilitating appropriate project design. Copyright © 2006 John Wiley & Sons, Ltd.     

A survey on adverse incidents in legal psychology studies: Reflections on ethics review

Ethics committees (ECs) regulate research activities to maintain research participants' autonomy and to protect them from harm and injury. No research to date attempted to establish how much risk is involved in social‐science research. Using a survey approach, we set out to estimate the risk of being involved in an incident for research participants in legal psychology and assessed researchers' views of ECs. Fifty‐nine of 188 respondents (31%) stated that they had experienced one or more incidents with a participant. The estimated risk of being involved in an incident was one to three per 10,000 participants, which according to biomedical standards defines a rare risk. Although some researchers were satisfied with their EC, the general tenor was one of discontent due to conservative decision‐making, lacking expertise, and overstepping demands. Whether ECs succeed in protecting participants from loss of autonomy, harm and injury are unknown but are open to empirical research.     

Peaceful waters: Community action in sustainable scarce resource management in a rural Zimbabwean setting

I explored community collation approaches to sustainable water management by a rural Zimbabwean community for social justice and equity with inclusivity. Informants were a convenience sample of 27 community dwellers; including villagers (n = 20), community leaders (n = 2), and policy makers (n = 5). They responded to semi-structured interviews regarding their engagement in community action for sustainable water resource management. Thematic analysis of the data yielded themes to suggest diversity in stakeholder interest, the importance of collective community participation, and attending to group cohesion processes. Regular community dwellers appeared to value local oversight and control of the water resource management; while policy makers were more invested in water resource management institution building than the mundane water resource management issues. Sustainable water resource management in rural settings is likely with identifying and bridging any gaps between local user interests and institutional policy interests.