The School Assessment for Environmental Typology (SAfETy): An Observational Measure of the School Environment

School safety is of great concern for prevention researchers, school officials, parents, and students, yet there are a dearth of assessments that have operationalized school safety from an organizational framework using objective tools and measures. Such a tool would be important for deriving unbiased assessments of the school environment, which in turn could be used as an evaluative tool for school violence prevention efforts. The current paper presents a framework for conceptualizing school safety consistent with Crime Prevention through Environmental Design (CPTED) model and social disorganization theory, both of which highlight the importance of context as a driver for adolescents’ risk for involvement in substance use and violence. This paper describes the development of a novel observational measure, called the School Assessment for Environmental Typology (SAfETy), which applies CPTED and social disorganizational frameworks to schools to measure eight indicators of school physical and social environment (i.e., disorder, trash, graffiti/vandalism, appearance, illumination, surveillance, ownership, and positive behavioral expectations). Drawing upon data from 58 high schools, we provide preliminary data regarding the validity and reliability of the SAfETy and describe patterns of the school safety indicators. Findings demonstrate the reliability and validity of the SAfETy and are discussed with regard to the prevention of violence in schools.     

Cyclists' perception of cycling infrastructure – A Repertory Grid approach

Previous research indicate that cyclists prefer safe and comfortable infrastructure. However, concepts like safety or comfort may be understood and defined in different ways by different individuals. Moreover, these concepts are so broad that it is unclear to which specific characteristics of the traffic infrastructure they are linked. Therefore, the aim of this study is to inductively examine individual evaluation criteria that cyclists use to perceive and evaluate certain route attributes. Using the Repertory Grid technique, we elicited the personal constructs of 23 participants about given route attributes and asked them to rate every attribute on every construct. The constructs were categorized and clustered resulting in five evaluation criteria, namely Mental Comfort, Physical Comfort, Interaction, Environment, and Ease of Use. Both comfort clusters were rated the most relevant for route choice, but they strengthen the suggestion of two distinct aspects of comfort, one referring to mental stress, the other referring to physical effort. Furthermore, the analyses revealed Interaction as a relatively new route criterion which also raises a new view on the negative evaluation of motor traffic and expands the concept of stress. Regarding the evaluation of route attributes, a high traffic volume and cobbled stone were rated the most negative, whereas separated cycling facilities were evaluated as most positive. Findings of this study expand existing research by qualitative insights and provide a more detailed understanding of route criteria like comfort or safety. This can be used to enhance cycling facilities and to offer preferable infrastructure for cyclists.     

生物医学人体受试者研究未来面临的挑战

人体受试者研究的伦理问题在今后将会愈益引起关注,如何看待知情同意的代理权？如何处理不同文化背景下的知情同意原则？在商业利益诱惑下背离本人健康利益和知情同意是否有效？受试者的利益回报,以及体试验研究要求的双盲,随机、对照等原则可能面临的新问是,都是人体受试者研究未来面临的挑战。     

Cyclists as a minority group?

In the social sciences, several definitions of minority group can be found. The definitions include different aspects such as power/status, number, distinctiveness, social category, group context, dispositions, and discrimination. Compared to motorized road users, cyclists are considered vulnerable road users because they lack physical protection. We argue that such definition does not capture the social and cultural aspects that characterize the membership within the group of cyclists. We offer arguments and reflections based on recent literature advocating that cyclists may share some features of the experience of minority groups. Although cyclists differ from other minorities in important respects, they manifest many of the characteristics by which minority groups are defined.     

Safe travel: Passenger assessment of trust and safety during seafaring

Across two studies, this paper explores passengers’ knowledge and perceptions of safety and risk during voyage at sea. Study 1 showed that, although overall safety knowledge can be considered good, some differences exist between groups of passengers. Younger passengers and passengers on shorter trips generally have less safety knowledge than older passengers and passengers on longer trips. Study 2 addressed the effects of two different formats of presenting safety relevant information on passengers’ perception of trust, safety and risk on board. Results showed that passengers receiving an in vivo safety demonstration and teaching session reported being better informed about safety and expressed higher levels of trust in the crew compared with passengers receiving on board video-only safety instructions. Thus, although video modelling can be an easy and inexpensive way to deliver safety information our results suggest that additional personalized and live demonstration quickly builds confidence and trust from passengers that represents an important asset for commercial transportation companies.     

Illness Perceptions,Coping, Benefit Finding,and Adjustment in Individuals with Hepatitis C

Objective

To investigate the ability of illness perceptions, adaptive, and maladaptive coping strategies, and benefit finding to predict physical and psychosocial adjustment among individuals diagnosed with the hepatitis C virus (HCV), within an expanded self‐regulatory model of illness (SRM).

Method

A total of 126 participants with HCV completed an online questionnaire assessing illness perceptions, coping, benefit finding, and four adjustment outcomes, depression, physical functioning, life satisfaction and positive affect.

Results

Illness perceptions made significant contributions to the variance in adjustment outcomes across the four psychosocial and physical adjustment areas. At an individual level, personal control, identification with HCV symptoms, perceptions related to illness duration, illness coherence, and emotional responses to HCV made significant contributions to the prediction of adjustment. Similarly, the combined contributions of adaptive and maladaptive coping strategies explained significant variance across the four adjustment areas. Greater adoption of maladaptive coping strategies predicted poorer physical health, higher reported depression, greater life satisfaction, and positive affect outcomes, while increased engagement with adoptive coping strategies predicted higher positive affect. Increased benefit finding predicted greater positive affect, life satisfaction, and higher depression.

Conclusion

Results demonstrate the ability of the SRM features of illness perceptions and coping, and benefit finding to predict physical and psychosocial adjustment outcomes within the context of HCV.     

Joint consideration of energy expenditure,air quality,and safety by cyclists

Public health benefits are an important motivator and justification for urban cycling promotion. The health impacts of cycling are typically evaluated using three main effect pathways: physical activity (exercise), air pollution exposure, and safety (crashes). Effects of safety on cycling behaviour have been investigated, but little is known about how energy expenditure and air quality concerns influence cycling decisions. Understanding cyclist perceptions and preferences is important for planning and designing sustainable and healthy transportation networks. As such, research providing insights into the heterogeneity of these concerns is needed to inform models of behavioural change with evolving vehicles, technology, and infrastructure. The objective of this paper is to investigate the joint consideration of energy expenditure, air quality, and safety concerns by cyclists, and their relationships with cycling frequency. A structural equation model is developed based on data from a survey of 625 intercepted real-world cyclists. Air quality and energy expenditure were considered in routing decisions by 51% and 73% of the cyclists, respectively. Model results show that traffic safety and air pollution risks are perceived differently by cyclists, which has implications for modeling urban cycling behaviour in the context of evolving motor vehicle fleets. Safety concerns were associated with less frequent cycling, but not air quality concerns. Consideration of energy expenditure varies significantly among individuals and trip types, which will emerge with different preferences related to hills, stops, speeds, and electric-assistance. Energy and air quality concerns were significantly associated, suggesting health-conscious cyclists who tended to be older, have higher educational attainment, be more physically active, and cycle more recreationally. Utilitarian and recreational cycling trips had different relationships with health-related considerations and with weekly physical activity.     

When Parents Refuse: Resolving Entrenched Disagreements Between Parents and Clinicians in Situations of Uncertainty and Complexity

When shared decision making breaks down and parents and medical providers have developed entrenched and conflicting views, ethical frameworks are needed to find a way forward. This article reviews the evolution of thought about the best interest standard and then discusses the advantages of the harm principle (HP) and the zone of parental discretion (ZPD). Applying these frameworks to parental refusals in situations of complexity and uncertainty presents challenges that necessitate concrete substeps to analyze the big picture and identify key questions. I outline and defend a new decision-making tool that includes three parts: identifying the nature of the disagreement, checklists for key elements of the HP and ZPD, and a “think list” of specific questions designed to enhance use of the HP and ZPD in clinical decision making. These tools together will assist those embroiled in complex disagreements to disentangle the issues to find a path to resolution.     

An evaluation of the effectiveness of countermeasures for improving the safety of dilemma zones: A driving simulator study

The main objective of this driving simulator study is to analyze the behavior of the driver at the start of the yellow signal of a signalized rural intersection and identify the most effective countermeasures for tackling the dilemma zone, namely an area on the intersection approach where vehicles at the start of the yellow phase can neither safely stop before the stop line nor cross the intersection. The following countermeasures were tested in the study on a sample of 48 drivers: green signal countdown timers, GSCT (C₁); a new pattern of vertical and horizontal warning signs (C₂); and an advanced on-board driver assistance system based on augmented reality (AR) and connected vehicle technologies (C₃). These countermeasures were tested and compared to a baseline condition (B) where no countermeasures were applied. Based on the results of this study, the C₂ and C₃ countermeasures have proven to be valid tools for reducing driver indecision when approaching signalized intersections at the start of the yellow signal. In fact, using C₂ and C₃, the length of the dilemma zone was equal to 30 m and 36 m, respectively, with a reduction of about 50%, as compared to the baseline condition (B). Moreover, a reduced number of false behaviors was recorded, as well as a greater consistency in driver decision-making behaviors. Conversely, the C₁ countermeasure did not lead to a significant improvement in the dilemma zone: an unnecessary increase in early stop rates was recorded, resulting in reduced intersection efficiency and operations.     

Co‐authoring better futures for children and families – Anticipation Dialogue in children’s social care networks

Anticipation Dialogue (AD), in comparison to Open Dialogue, the lesser known form of dialogical network practices introduced by Seikkula and Arnkil, seems not to be used in children’s social care in the UK, and there is little literature about it. In this article I will introduce and explain Anticipation Dialogue and make links to other systemic ideas including Signs of Safety. I will review the literature and give a case example from my children’s social care practice.