Test–retest reliability of the Brunel Lifestyle Physical Activity Questionnaire

ObjectivesTo establish the test–retest reliability of planned physical activity (PPA) and unplanned physical activity (UPA) components of the Brunel Lifestyle Physical Activity Questionnaire (BLPAQ). To provide evidence of the BLPAQ's stability using the proportion of agreement (PoA) method over a 5-week period.DesignTest–retest over a 5-week period using three diverse samples of adults.MethodsThe 277 participants were subdivided into three adult samples: gymnasium users (n = 80), undergraduate students (n = 111), and university staff members (n = 86). They were asked to complete the test–retest measure in their places of exercise, study, or work respectively.ResultsCorrelation coefficients between test–retest administrations were calculated for each participant group and intraclass correlations were calculated for each item. Pearson's product-moment correlations ranged from r = 0.95 to r = 0.96 for the PPA subscale and r = 0.93 to r = 0.98 for the UPA subscale. Intraclass correlations ranged from R = 0.52 to R = 0.99 for PPA and R = 0.87 to R = 0.99 for UPA. Fisher's z tests indicated that the test–retest correlation coefficients for the BLPAQ subscales were, on the whole, significantly stronger than those of older, comparable subscales from lifestyle physical activity questionnaires. The PoA analysis for each item revealed that the test–retest administrations were in high agreement (>95%).ConclusionsOverall, the PPA and UPA factors of the BLPAQ demonstrated high reliability and stability. The present study also illustrates the utility of PoA analysis in establishing the stability of physical activity measures.     

Identity Status,Gender, and Social Comparison Among Young Adults

The aim of this study was to investigate identity status globally and across identity domains among young Swedish adult women and men. Also, potential differences in social comparison among identity statuses were evaluated. The results showed that most of the 124 participants (50% women, M_age 33.29 years) were assigned to an achieved global identity and had made identity-defining commitments across domains. Gender differences in identity status were found in the occupational and parenthood domains. In addition, differences in social comparison orientation were found only in the parenthood domain, whereas those assigned to moratorium scored higher in social comparison than did those assigned to foreclosure and diffusion. These results bring important knowledge to our understanding of identity during young adulthood.     

Complexity of online gender confirmation resources surpass patient literacy

Background: Increasing transgender health care coverage has resulted in easier access to gender confirmation surgery. Patients considering surgery consistently access medical information online to improve knowledge regarding surgical options, complications, recovery, and life after transitioning. As a result, national health institutes recommend that patient educational materials be written at a sixth-grade–reading level. The purpose of this study is to assess the complexity of online gender confirmation surgery information.

Methods: An Internet search was performed using the key phrase “transgender surgery”. Health care and non–health care websites were evaluated for pertinent articles regarding gender confirmation surgery. Readability analyses were conducted using Flesch-Kincaid Grade Level, Gunning Fog Index, Coleman-Liau Index, Simple Measure of Gobbledygook Index, and Automated Readability Index. A two-tailed z test was used to compare means; significance was set at p ≤ 0.05.

Results: A total of 108 articles from 87 websites were analyzed. The average readability for all online gender confirmation-surgery information was at an 11th-grade reading level. Materials written by health care entities were written at a 12th-grade–reading level compared to non–health care articles, which were written at a 10th-grade level (p < 0.001). Male-to-female surgery materials were written at a 12th-grade level, significantly higher than the 11th-grade reading level of female-to-male surgery materials (p = 0.04).

Conclusion: Online information regarding gender confirmation surgery is written at a level that is too complex for patients to understand. Informational materials should be written at lower grade levels to improve patient education, informed consent, and outcomes.     

Exploring rates of transgender individuals and mental health concerns in an online sample

Background: Prevalence estimates of adults identifying as transgender are scarce, particularly in the United States. Method: The current study endeavored to estimate the prevalence of individuals identifying as transgender in a large online sample of adult U.S. residents (n = 6,727) and compare the prevalence of common mental health disorders (depression, anxiety, attention-deficit/hyperactivity disorder) and the age of onset for individuals identifying as men or women versus those identifying as transgender. Results: The prevalence estimate of individuals identifying as transgender was 0.8%. Individuals identifying as transgender were significantly more likely than individuals identifying as men or women to report having had a single diagnosis or co-occurring diagnoses for all three disorders examined. Additionally, transgender individuals were more likely than individuals identifying as men or women to receive a diagnosis of anxiety or depression at a younger age. Conclusion: Given the prevalence of transgender individuals and the associations with common mental health conditions, clinicians must be informed and competent to care for their clinical needs. This study introduces online crowdsourcing resources as a potentially fruitful option for reaching and researching gender diversity.     

Relationships between gender self-esteem,sexual prejudice,and trans prejudice in cisgender heterosexual college students

Our understanding of sexual prejudice, or prejudice against gay men, lesbian women, bisexual people, and other sexual minorities, has improved substantially over the last few decades. Less is known about the factors that predict trans prejudice, or prejudice against trans people. Using the framework of social identity theory, we examined the relationship between gender self-esteem, sexual prejudice toward gay men and lesbian women, and trans prejudice in a sample of 391 self-identified cisgender heterosexual students from a Midwestern university in the United States. Compared to women, men reported more sexual prejudice, trans prejudice, more prejudice toward gay men than lesbian women, and more violence toward, teasing of, and discomfort around trans women than trans men. Whereas both men and women reported more teasing of trans women than of trans men, men reported more discomfort around trans women and women reported more discomfort around trans men. Gender self-esteem significantly predicted sexual prejudice and trans prejudice in men but not women. Consistent with other research, our results indicate that men's sexual prejudice and trans prejudice may be motivated by similar factors, whereas the predictors of women's prejudice may be more specific to the type of prejudice.     

The Primacy of Discourse in the Study of Gender in Family Therapy

Family therapists and scholars increasingly adopt poststructural and postmodern conceptions of social reality, challenging the notion of stable, universal dynamics within family members and families and favoring a view of reality as produced through social interaction. In the study of gender and diversity, many envision differences as social constructed rather than as “residing” in people or groups. There is a growing interest in discourse or people's everyday use of language and how it may reflect and advance interests of dominant groups in a society. Despite this shift from structures to discourse, therapists struggle to locate the dynamics of power in concrete actions and interactions. By leaving undisturbed the social processes through which gendered and other subjectivities and relations of power are produced, therapists may inadvertently become complicit in the very dynamics of power they seek to undermine. In this article, we argue that discourse analysis can help family therapy scholars and practitioners clarify the link between language and power. We present published examples of discourse analytic studies of gender and sexism and examine the relevance of these ideas for family therapy practice and research.     

Impulsivity as a precedent factor for problematic Internet use: How can we be sure?

Previous research has suggested that problematic Internet use (PIU) is associated with impulse control disorder. Although researchers have suggested that impulsivity is a risk factor for PIU, the literature lacks longitudinal evidence on the relationship between impulsivity and PIU. We aimed to use a cross‐lagged analytic framework to identify temporal order effects and hypothesised that impulsivity was the precedent factor for PIU. In a panel sample of college students (N = 367), trait impulsivity and PIU were measured in the spring of freshman year and in their junior year. The measures included a self‐developed PIU Scale and the revised Impulsiveness Scale based on Barratt's concept. We found that “non‐planning impulsivity” was not associated with PIU. The “motor impulsivity” subfactor was thus adopted in the cross‐lagged model. The results suggest that motor impulsivity and PIU were stable across time. Motor impulsivity at Time 1 positively predicted PIU at Time 2, but PIU at Time 1 did not predict motor impulsivity at Time 2. A further investigation using gender as a moderator found a gender difference in the temporal relationship. Because motor impulsivity is a risk factor for PIU, potential prevention strategies based on this result are suggested.     

Impact of gendered ingroup/outgroup ostracism on women’s academic performances

This study investigated the impact of ostracism (vs. inclusion) for women in a same-sex vs. opposite-sex group on their cognitive performances. Female participants played Cyberball with other women or men and were either included or excluded. Participants then had to engage in the performance tasks. Results showed that women’s performance was decreased by ostracism in a math task (but not a verbal task) yet only in the same-sex condition. Furthermore, this result was obtained only among participants who did the numeric task first. No effect was observed in the verbal task. Two replications of the initial study were conducted using the math task. The result of the first study has been replicated one time. A meta-analysis revealed a small effect of ostracism on performance in the ingroup condition, whereas the effect seems to be non-existent in the outgroup condition. Results are discussed and future perspectives are proposed.     

Boys,girls, and the school cultural environment: Teachers’ judgment and students’ values

Due to gender socialization, girls are more likely to endorse self-transcendence values (e.g., helping people) compared to boys, whereas boys are more likely to endorse self-enhancement values (e.g., wanting to be in charge) compared to girls. In two studies, we investigated teachers’ judgment regarding the display of these values in school and students’ endorsement of the self-transcendence and self-enhancement values in two contexts: home and school. In Study 1 (N = 240), teachers evaluated a student perceived as strongly endorsing the self-transcendence values more positively compared to a student perceived as strongly endorsing the self-enhancement values, regardless of the student’s gender. In Study 2 (N = 151), boys endorsed the self-enhancement values more than the self-transcendence values at home, whereas the opposite occurred in the school context. Girls did not vary across contexts, endorsing the self-transcendence values more than the self-enhancement values in both contexts. Possible consequences on boys’ school-related outcomes are discussed.     

Negotiating Ethical Paradoxes in Conducting a Randomized Controlled Trial: Aligning Intervention Science with Participatory Values

In this article, we describe ethical tensions we have faced in the context of our work as intervention scientists, where we aim to promote social justice and change systems that impact girls involved in the juvenile legal system. These ethical tensions are, at their core, about resisting collusion with systems of control while simultaneously collaborating with them. Over the course of designing and implementing a randomized controlled trial (RCT) of an ecological advocacy intervention for girls, called ROSES, ethical paradoxes crystalized and prompted us to engage in critical reflection and action toward the aim of moving away from conducting research on legal‐system‐involved girls and moving toward a more democratic, participatory process of inquiry with girls. Our experience revealed two intertwined paradoxes that ultimately served generative purposes. First, in collaborating with legal system stakeholders, we observed a single story of girls’ pathology narrated for girls, without girls, and ultimately internalized by girls. Second, in reflecting critically on the ethical implications of our study design, it became clear that the design was grounded in a medical model of inquiry although the intervention we sought to evaluate was based, in part, on resistance to the medical model. We describe emergent ethical tensions and the solutions we sought, which center on creating counternarratives and counterspaces that leverage, extend, and disrupt our existing RCT. We detail these solutions, focusing on how we restructured our research team to enhance structural competence, shifted the subject of inquiry to include the systems in which youth are embedded, and created new opportunities for former research participants to become co‐researchers through formal roles on an advisory board.