Associations between aspects of spiritual well-being, alcohol use, and related social-cognitions in female college students

This research explores relationships between aspects of spiritual well-being, alcohol use and related social-cognitions in college women. The sample included 151 female college students ranging in age from 18 to 25 years. Participants read a behavioral vignette depicting alcohol use by a student and completed a survey that included measures of alcohol use, counterfactual attributions and beliefs about drinking, as well as religious and existential aspects of spiritual well-being. Results suggested religious- and existential well-being to be inversely associated with indices of alcohol use and the likelihood of attending a social event where alcohol is present. Further, religious well-being was found to be negatively associated with beliefs concerning the social-effects of alcohol, while existential well-being was observed to be a significant predictor of a composite set of attributions related to alcohol prevention. Importantly, these data suggest religious and existential aspects of spiritual well-being as moderators of behavior as well as causal attributions and beliefs that represent a cognitive mechanism of alcohol prevention in college women. Use of counterfactual exercises as an educational technique, and potential barriers of religious and existential oriented prevention programs are briefly discussed.     

Etiology and Management of Elder Self‐Neglect

This article addresses the challenges of defining and accurately identifying elder self‐neglect and explores an interdisciplinary team model, including counselors and mental health professionals, designed to implement prevention and intervention strategies. The challenge of striking a balance between the need to respect the individual elders' autonomy and the need to attend to their health care needs is underscored.     

Neural substrates of reduced walking activity after supratentorial stroke: A voxel-based lesion symptom mapping study

BackgroundMost stroke patients exhibit low levels of walking activity, a key component of secondary stroke prevention. The predictors of walking activity may be multifactorial and are thus far partially understood. We aimed to study the neuroanatomic correlates of low levels of daily walking activity following hemispheric stroke.MethodsIn this cross-sectional study, 33 community-dwelling stroke survivors (age: 63.9 ± 12.9 years; % female: 36.4%; NIHSS at admission: 3.3 ± 4.0) were prospectively recruited at least 3 months after a first ever, unilateral, supratentorial stroke confirmed by brain magnetic resonance imaging. Walking activity was measured by daily step counts (steps∙day⁻¹), recorded using an Actigraph GT3x+ triaxial accelerometer over 7 consecutive days. Voxel-based lesion-symptom mapping was performed to identify brain areas associated with walking activity following stroke.ResultsParticipants presented 4491.9 ± 2473.7 steps∙day⁻¹. Lower levels of walking activity were related to lesions of the posterior part of the putamen, of the posterior limb of the internal capsule and of the anterior part of the corona radiata. No cortical region was associated with walking activity.ConclusionsOur preliminary results identify subcortical neuroanatomical correlates for reduced walking activity following stroke. If confirmed, these results could serve as a rationale for the development of targeted rehabilitative strategy to improve mobility after stroke.     

Cognitive testing of an instrument to evaluate acceptability and use of pre-exposure prophylaxis products among women

Given the range of pre-exposure prophylaxis (PrEP) products currently being tested to prevent HIV in women, a standardized Acceptability and Use of PrEP Products Among Women Tool may facilitate comparisons of product acceptability and use across different geographies, trials, and users. We conducted three rounds of cognitive interviewing over 2 months in 2016, with 28 South African women who had experience participating in a range of PrEP product trials. The final instrument contained 41 items, including five new items that improved construct validity and 22 items modified for clarity. Changes were made due to unclear wording, difficulty answering, participant embarrassment, low response variability, and administrative formatting. Cognitive interviewing provided a means to address issues that would have inhibited this tool's ability to accurately collect data otherwise. This rapid, low-cost study provided valuable insight into participants' understanding of questions and demonstrated the utility of cognitive interviewing in international clinical trials.     

Conceived Through Rape/Incest? Adoptive Parents’ Experiences Managing Uncertainty and Disclosure Surrounding their Children's Origins

Adoptive parents may be placed with children conceived under difficult circumstances, such as via rape or incest. At the same time, adoptive parents are generally encouraged to communicate openly with their children about their adoption stories and birth families. No research has examined the experiences of parents who adopt children who were conceived through rape or incest. This exploratory study examines how parents discuss their decision-making when adopting children conceived via rape or incest, how they manage varying levels of uncertainty about their children's origins, and whether and how they plan to disclose this information to children. The researchers used thematic analysis to examine the experiences of 11 couples (22 parents) interviewed at four time points after adopting children who were reportedly conceived via rape or incest. Findings revealed that even soon after adopting, parents discussed the need to eventually talk to their children about their conception circumstances. Parents generally struggled to determine how and when to disclose this information, particularly when they felt uncertain about the veracity of the conception stories they had been told. Some hoped to rely on professionals or birth mothers to guide them in these communications. Findings have implications for supporting adoptive families as they navigate the complexity of managing sensitive information and uncertainty when adopting children conceived through rape or incest. Practitioners should provide ongoing guidance to adoptive parents about how and when to disclose developmentally appropriate information to children about difficult conception circumstances.     

Intrapreneurial Self‐Capital: A New Construct for the 21st Century

This article presents a new career construct, intrapreneurial self‐capital, and provides empirical evidence to verify it. Intrapreneurial self‐capital is defined as a core of individual intrapreneurial resources used to cope with career and life construction challenges and includes dimensions of core self‐evaluation, hardiness, creative self‐efficacy, resilience, goal mastery, decisiveness, and vigilance. The Intrapreneurial Self‐Capital Scale was developed to measure this new construct. It was administered to 171 Italian high school students, and confirmatory factor analysis supported the existence of the construct and its dimensions. Intrapreneurial self‐capital is a construct that will be useful for further research as well as for use in career interventions.     

A Protective Factors Model for Alcohol Abuse and Suicide Prevention Among Alaska Native Youth

This study provides an empirical test of a culturally grounded theoretical model for prevention of alcohol abuse and suicide risk with Alaska Native youth, using a promising set of culturally appropriate measures for the study of the process of change and outcome. This model is derived from qualitative work that generated an heuristic model of protective factors from alcohol (Allen et al. in J Prev Interv Commun 32:41–59, 2006; Mohatt et al. in Am J Commun Psychol 33:263–273, 2004a; Harm Reduct 1, 2004b). Participants included 413 rural Alaska Native youth ages 12–18 who assisted in testing a predictive model of Reasons for Life and Reflective Processes about alcohol abuse consequences as co-occurring outcomes. Specific individual, family, peer, and community level protective factor variables predicted these outcomes. Results suggest prominent roles for these predictor variables as intermediate prevention strategy target variables in a theoretical model for a multilevel intervention. The model guides understanding of underlying change processes in an intervention to increase the ultimate outcome variables of Reasons for Life and Reflective Processes regarding the consequences of alcohol abuse.     

Is There Life After DEBI? Examining Health Behavior Maintenance in the Diffusion of Effective Behavioral Interventions Initiative

The evidence-based interventions that are identified, packaged, and disseminated by the Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention as part of the Diffusion of Effective Behavioral Interventions (DEBI) initiative—commonly referred to the "DEBIs"—currently represent a primary source of HIV prevention interventions for community-based providers. To date, little attention has focused on whether the intended outcomes of the DEBIs, i.e., reductions in HIV-related risk behaviors, are maintained over time. This review summarized evidence for the sustainability of the effects of the DEBIs on HIV sexual risk behavior and intravenous drug use from studies of original and adapted DEBIs. Evidence of intervention decay or a lack of any intervention effect was identified in several original and adapted versions of the DEBIs included in this review. Recommendations include modifications to current criteria for inclusion in the DEBI portfolio, in addition to the development of remediation strategies to address intervention decay. Further, theoretical models that specify the processes that underlie the maintenance of health behaviors over time should be used in developing HIV prevention interventions.     

联合预防阿尔茨海默病与缺血性脑卒中的构想

阿尔茨海默病（AD）与缺血性脑卒中（IS）是中枢神经系统常见的两种高发病率和高致残率疾病。传统观点认为这两种疾病的病因、发病机制、病理生理以及临床表现均截然不同,长期以来它们的预防工作是分别展开的。随着 AD 研究的不断深化,AD 与 IS 之间的共性也不断增多,AD 可能与 IS 有着共同的血管相关发病机制以及相似的预防措施。为此,结合近年来 AD 血管机制领域的研究进展,提出 AD 与 IS 联合预防的新概念,并探讨了最佳的开始时间和预防策略。