Ecologies of care: addressing the needs of immigrant origin children and youth

ABSTRACT

Immigrant origin children and youth are now, and will continue to be, a diverse and demographically important segment of all post-industrial nations’ populations. In order to realize their potential, receiving contexts will need to find effective ways to integrate them into the fabric of their society. Using an ethic of care approach, we must begin by taking a comprehensive perspective on integration, which incorporates both a risk and resilience framework and an ecological perspective. A number of practices have emerged that have promise for positive implications for the schooling performance and educational integration of immigrant students These practices include 1 – short-term newcomer programs; 2 – specialized services for Students with Interrupted Formal Education; 3 – sustained services focused on new language development; 4 – services focused on heritage language development; 5 – providing explicit college pathway knowledge; 6 – summer and after-school academic enrichment programs; 7 – facilitating parental involvement (including translation and interpretation services); and 8 – advisory groups, after-school academic supports, mentoring and health services, and postsecondary supports. Providing the kinds of ecologies of care outlined here will go a long way toward helping these children and youth thrive and become the kinds of contributing members to their new society that will serve our collective future well.     

自我—他人危机决策信息加工过程的差异:来自眼动的证据

本研究采用iView X-RED眼动仪,分两个实验来考察自我-他人危机决策的信息加工过程的差异。实验一采用单因素实验设计探讨自我-他人危机决策的信息加工过程,结果表明：为自我决策组的平均阅读时间、平均注视时间、平均注视次数、平均凝视时间、平均回视次数都显著高于为他人决策组。实验二采用2（任务框架：积极,消极）x2（决策者角色：为自我、为他人）混合实验设计,结果表明：在积极框架下,为自我决策组平均阅读时间、平均注视时间、平均注视次数、平均凝视时间、平均回视次数显著高于为他人决策组;在消极框架下,两个组没有显著差异。总体表现为,自我-他人危机决策的信息加工过程存在差异,且受任务框架的影响。     

Psychometric properties of the Shared Decision-Making Questionnaire (SDM-Q-9) in oncology practicePropiedades psicométricas del Questionnaire Shared Decision-Making (SDM-Q-9) en oncología

Background/Objective: This study sought to assess the psychometric properties of the 9-item Shared Decision-Making Questionnaire (SDM-Q-9) in patients with resected, non-metastatic cancer and eligible for adjuvant chemotherapy. Method: A total of 568 patients were recruited from a multi-institutional, prospective, transversal study. Patients answered the SDM-Q-9 after visiting their medical oncologist who, in turn, completed the SDM-Q–Physician version. Reliability, factorial structures [exploratory factor analysis (EFA), confirmatory factor analysis (CFA)], and convergent validity of the SDM-Q-9 scores were explored. Results: SDM-Q-9 showed a clear factorial structure, compatible with a strong and replicable general factor and a secondary group factor, in patients with resected, non-metastatic cancer. Total sum scores derived from the general factor showed good reliability in terms of omega coefficient: .90. The association between patient and physician perception of SDM was weak and failed to reach statistical significance. Males and patients over 60 years of age displayed the greatest satisfaction with SDM. Conclusions: SDM-Q-9 can aid in evaluating SDM from the cancer patients’ perspective. SDM-Q-9 is helpful in studies examining patient perspectives of SDM and as an indicator of the degree of quality and satisfaction with health care and patient-physician relationship.     

The role of the affect heuristic and cancer anxiety in responding to negative information about medical tests

Objective: Little is known about the affective implications of communicating negative information about medical tests. This research explored how affective processes – particularly the Affect Heuristic and cancer anxiety – influence the way in which people respond to such information.

Design: Participants received different types of information about PSA screening for prostate cancer and magnetic resonance imaging (MRI) scans for migraine headaches. This was a 2 (Test harm information: present vs. absent) × 2 (Test benefit information: present vs. absent) × 2 (Test recommendation: present vs. absent) between-participants design.

Outcome Measures: Perceived risk, perceived benefit and general attitudes towards PSA and MRI testing, cancer anxiety, preferences to receive the tests vs. not.

Results: As predicted by the Affect Heuristic, test harm information reduced perceived test benefits. However, information about uncertain test benefit did not increase perceived test risks. Information about the test reduced cancer anxiety, indicating defensive coping. These variables – affect, anxiety, perceived risks and benefits – all uniquely predicted test preferences.

Conclusion: Affective processes play an important role in how people respond to and interpret negative information about medical tests. Information about harms and information about the lack of benefit can both make a test seem less beneficial, and will reduce cancer anxiety as a result.     

Cigarette graphic warning labels increase both risk perceptions and smoking myth endorsement

Objective: Cigarette graphic warning labels elicit negative emotion, which increases risk perceptions through multiple processes. We examined whether this emotion simultaneously affects motivated cognitions like smoking myth endorsement (e.g. ‘exercise can undo the negative effects of smoking’) and perceptions of cigarette danger versus other products.

Design: 736 adult and 469 teen smokers/vulnerable smokers viewed one of three warning label types (text-only, low emotion graphic or high emotion graphic) four times over two weeks.

Main outcome measures: Emotional reactions to the warnings were reported during the first and fourth exposures. Participants reported how often they considered the warnings, smoking myth endorsement, risk perceptions and perceptions of cigarette danger relative to smokeless tobacco and electronic cigarettes.

Results: In structural equation models, emotional reactions influenced risk perceptions and smoking myth endorsement through two processes. Emotion acted as information about risk, directly increasing smoking risk perceptions and decreasing smoking myth endorsement. Emotion also acted as a spotlight, motivating consideration of the warning information. Warning consideration increased risk perceptions, but also increased smoking myth endorsement. Emotional reactions to warnings decreased perceptions of cigarette danger relative to other products.

Conclusions: Emotional reactions to cigarette warnings increase smoking risk perceptions, but also smoking myth endorsement and misperceptions that cigarettes are less dangerous than potentially harm-reducing tobacco products.     

Greater delay discounting among girls,but not boys,with ADHD correlates with cognitive control

Cognitive neuroscience models suggest both reward valuation and cognitive control contribute to reward-based decision-making. The current study examined the relationship between cognitive control and delay discounting (i.e., choosing smaller, immediate over larger, delayed rewards) in a large sample of boys and girls diagnosed with attention-deficit/hyperactivity disorder (ADHD; N = 95) and typically developing control children (TD; N = 59). Specifically, we examined performance on multiple measures of cognitive control (i.e., Go/No-Go task, Stop Signal task, and Spatial Span task) and delay discounting (i.e., Classic Delay Discounting and Real-Time Delay Discounting tasks), as well as the relationship between these measures. Results indicated that sex moderated the effects of group on task performance. Specifically, girls with ADHD, but not boys with the disorder, exhibited atypical delay discounting of real-time rewards. Results from correlational analyses indicated that delay discounting and cognitive control were not significantly correlated in the overall sample. Multiple regression analyses demonstrated that among girls with ADHD poorer spatial working memory and inhibitory control predicted greater real-time discounting. Collectively, findings provide support for distinct patterns of cognitive control and delay discounting among school-aged girls and boys with ADHD. Additionally, findings suggest that among girls with ADHD, those who exhibit relatively poor working memory and inhibitory control might be a particularly vulnerable subgroup with the greatest propensity to exhibit maladaptive decision-making.     

Cycling under the influence of alcohol in Germany

Cyclists have a relatively high risk of being injured in traffic accidents. In Germany, statistics have shown that cyclists injured in police-reported traffic accidents are often found to have cycled with high blood alcohol levels. Relevant research has discussed the ability of the Theory of Planned Behavior (TPB; Ajzen, 1991), deterrence factors, and habitual behavior to predict unsafe and rule-violating behavior in traffic. To promote safer cycling, the relative contributions of these predictors must be determined to design efficient countermeasures. In an online survey, N = 353 participants reported cycling and drinking behaviors for 1 week and answered questions on the TPB, deterrence, and additional predictors. Perceived social norms were quite permissive and perceived behavioral control when cycling under the influence (CUI) of alcohol was quite high. Furthermore, a third of the cyclists reported CUI. Participants with experience of CUI reported having consumed large amounts of alcohol before cycling. High levels of cycling, a permissive attitude, and greater alcohol consumption per drinking episode predicted the number of CUI trips. The amount of alcohol consumed before one CUI trip was predicted by high perceived behavioral control when CUI, a high level of need for stimulation, and higher habitual alcohol consumption per drinking episode. Deterrence factors were found to have no influence on reported CUI. Overall, the findings suggested that Germans who habitually drink a large amount of alcohol are not deterred from CUI in the same manner that they would be from driving under the influence (DUI). The generally permissive perceived social norms did not differentiate between CUI and non-CUI cyclists, which indicated that a societal effort is required to balance the mismatch between CUI and DUI. In addition, changing the general drinking behaviors of highly educated Germans who cycle, would be beneficial for their health.     

Parental involvement and health risk behaviours among school-going adolescents in six African countries

The aim of this study was to assess the association between parental involvement (support and monitoring) and health risk behaviours among adolescents in six African countries. Data were from the cross-sectional Global School-Based Student Health Survey (GSHS) which sampled a total of 16 587 adolescents (mean age 14.6 years, SD = 1.6) from 2009 to 2013. In multivariable regression analyses, adjusted for relevant variables, higher levels of parental involvement were negatively associated with substance use (smoking, other tobacco use, drunkenness and illicit drug use) and violence (being bullied, in a physical fight), injury and truancy. Only high-level parental involvement was associated with use of contraception at most recent sex. Interventions for reducing various health risk behaviours should consider the positive impact of parental involvement.     

Personal and socio-ecological resilience resources among school-going teenage mothers: An exploratory study

This qualitative study explored the self-perceived personal and socio-ecological resilience resources that enabled teenage mothers to cope with early parenthood and school in a South African school. Participants were a convenient sample of ten school-going teenage mothers in the Gauteng Province of South Africa. Their ages ranged from 16–19 years and they were in grades 10 to 12. Four teenage mothers took part in individual semi-structured interviews while six took part in a focus group interview. The interviews focused on personal and socio-ecological resilience resources that enabled their resilience as early mothers and learners. Thematic analysis of the data suggested personal resilience resources of the teenage mothers that include a positive outlook on life, a sense of humour, tenacity, toughness, determination, religiosity, and prayerfulness. Regarding social-ecological resilience resources, the teen mothers self-reported social capital from biological parents, partners, peers, teachers and pastors.     

Overtraining and the complexities of coaches’ decision-making: managing elite athletes on the training cusp

In many elite sport performance contexts, overtraining is a critical issue for coaches to understand, recognise and respond to. While the indicators and effects of overtraining have attracted considerable research interest, there are no diagnostic tests that reliably predict impending overtraining. This study explores the practices and beliefs of three highly successful professional elite rowing coaches as they predict and manage the risk of athlete overtraining during crucial periods of intensive training. These coaches took part in a series of semi-structured interviews that explored their practices, philosophies and experiences. The research draws on sociological perspectives pertinent to coaching pedagogy and, more specifically, the tenets of naturalistic decision-making in exploring how the coaches define and make decisions about overtraining. In doing so it recognizes that coaching involves decision-making in complex and demanding situations. The coaches were found to monitor the fatigue of their rowers through observation, communication and measures of training pace. In general, the intuitions and cues that were used by coaches had little in common with overtraining markers or indicators that are promoted in the sport science literature. Coaches’ decision-making was based largely on subjective information and processes that were influenced by a range of stressors unique to their positions. We contend that the research provides an important new perspective on coaches’ definitions and management of overtraining and enables management of overtraining to be better understood as a key element of coaching pedagogy in elite performance settings. In this article we argue successful coaches have unique insights into this topical area and this is worthy of future exploration.