INCREASING NURSES' USE OF FEEDBACK TO PROMOTE INFECTION-CONTROL PRACTICES IN A HEAD-INJURY TREATMENT CENTER

This study established regular implementation of a simple feedback procedure by supervisory nurses with their assistants at a head-injury treatment center. Five nurses were trained to distribute brief written comments to their assistants about infection-control practices, including using gloves to avoid contact with body fluids. Following low rates of written feedback, nurses met with the trainer weekly to set goals for using the system, to review feedback rates, and to examine contingent letters of appreciation. Written feedback increased from 0.09 to 0.58 per day. When outcome data on glove use were subsequently added to the feedback provided to nurses, nurses' feedback on glove use increased and overall glove use by assistants increased by 36.7% for 66.7% of assistants who responded to feedback. Assistants rated feedback as highly accurate and indicated some interest in receiving future feedback. However, nurses and assistants expressed a preference for oral over written feedback.     

政策执行偏差严重程度对公众地方政府 责任判断的影响:多重中介模型的检验

为探讨地方政府政策执行偏差严重程度对公众地方政府责任判断的影响机制。采用问卷法对678名社会公众进行调查,结果显示:(1)地方政府政策执行偏差情境下,公众地方政府愿望判断和公众地方政府信念判断在政策执行偏差严重程度和公众地方政府责任判断之间起多重中介作用。(2)公众地方政府信念判断在政策执行偏差严重程度和公众地方政府责任判断之间的中介效应量大于公众地方政府愿望判断的中介效应量。     

Teaching Bioethics to a Large Number of Biology and Pharma Students: Lessons Learned

To be made aware of bioethical issues related to their disciplines, undergraduate students in biology and pharmaceutical sciences at the University of Basel are required to enroll in the bioethics course called “Introduction to Bioethics”. This article describes the chances and challenges faced when teaching a large number of undergraduate biology and pharmaceutical sciences students. Attention is drawn to the relevance and specific ethical issues that biology and pharmaceutical sciences students may be confronted with and to how these could be integrated into ethics curricula. Results from a survey addressing the knowledge and opinion of students taking the course in spring semester 2012, 2013, and 2014 are presented and discussed. Finally, we describe the lessons learned and how we have improved the course based on students’ feedback throughout the following years.     

Implementation in a Changing Landscape: Provider Experiences During Rapid Scaling of Use of Evidence-Based Treatments

This study examined 133 service providers’ perspectives on a rapid shift to mandated evidence-based treatment delivery, utilizing an inductive coding process to capture themes present in their qualitative feedback. The majority of provider comments were negatively valenced, but attitudes varied considerably across response categories: comments regarding practice context and support were nearly uniformly negative, while comments regarding treatment fit and therapeutic consequences were more balanced. Treatment fit was the most commonly cited category; the fit to therapist (e.g., ease of use) subcategory was predominantly positive in contrast with the fit to client (e.g., flexibility) subcategory, which was predominantly negative. Results illustrate the intended and unintended consequences of large-scale implementation efforts on community providers, and may aid implementation researchers and system decision makers optimize the conditions under which community providers are asked to implement evidence-based treatment.     

Does message framing affect changes in behavioural intentions in people with psoriasis? A randomized exploratory study examining health risk communication

Message framing is important in health communication research to encourage behaviour change. Psoriasis, a long-term inflammatory skin condition, has additional comorbidities including high levels of anxiety and cardiovascular disease (CVD), making message framing particularly important. This experimental study aimed to: (1) identify whether health messages about psoriasis presented as either gain- or loss-framed were more effective for prompting changes in behavioural intentions (BI), (2) examine whether BI were driven by a desire to improve psoriasis or reduce CVD risk; (3) examine emotional reactions to message frame; and (4) examine predictors of BI. A two by two experiment examined the effects on BI of message frame (loss vs. gain) and message focus (psoriasis symptom reduction vs. CVD risk reduction). Participants with psoriasis (n = 217) were randomly allocated to one of four evidence-based health messages related to either smoking, alcohol, diet or physical activity, using an online questionnaire. BI was the primary outcome. Analysis of variance tests and hierarchical multiple regression analyses were conducted. A significant frame by focus interaction was found for BI to reduce alcohol intake (p = .023); loss-framed messages were more effective for CVD risk reduction information, whilst gain-framed messages were more effective for psoriasis symptom reduction information. Message framing effects were not found for BI for increased physical activity and improving diet. High CVD risk was a significant predictor of increased BI for both alcohol reduction (β = .290, p < .01) and increased physical activity (β = ?.231, p < .001). Message framing may be an important factor to consider depending on the health benefit emphasised (disease symptom reduction or CVD risk reduction) and patient-stated priorities. Condition-specific health messages in psoriasis populations may increase the likelihood of message effectiveness for alcohol reduction.     

Trigger warning: no proximal intentions required for intentional action

In this paper, I argue that some intentional actions are not triggered by proximal intentions; i.e. there are actions which are intentional, but lack relevant proximal intentions in their immediate causal history. More specifically, I first introduce various properties of intentions. I then argue that some actions (such as some spontaneous actions) are triggered by mental states which lack properties typically ascribed to intentions, yet these actions are still intentional. The view that all intentional actions are triggered by proximal intentions is thus false.     

Exploring the Factor Structure of the RTI Readiness and Implementation Survey

Response to intervention (RtI) models have increasingly been adopted to improve outcomes for all students through the delivery of a continuum of supports and making timely responsive instructional decisions based on data. With this increasing popularity, researchers and practitioners have developed several RtI-related assessments, many of which have no known psychometric properties. As a result, there is an urgent need to develop psychometrically sound RtI readiness and implementation assessments that possess technical adequacy and practical utility. This study surveyed 377 participants to examine the factor structure of the author-developed RtI survey. An exploratory factor analysis identified seven relevant factors (system support, belief, conceptual knowledge, practical knowledge, resource, time, and system barrier) from the initial pool of 49 items. Results of reliability estimates supported the internal consistency of each subscale. Collectively, this validated RtI survey can be used to help district and school leaders efficiently screen a system's current RtI readiness and implementation status. The data may also inform successful RtI initiation and sustainment of the reform. Limitations and future directions for research are discussed.     

First and second language vowel perception in early bilinguals

Previous research has shown that the perception of speech sounds is strongly influenced by the internal structure of maternal language categories. Specifically, it has been shown that stimuli judged as good exemplars of a phonemic category are more difficult to discriminate from similar sounds than bad exemplars from equally similar sounds. This effect seems to be restricted to phonemes present in the maternal language, and is acquired in the first months of life. The present study investigates the malleability of speech acquisition by analysing the discrimination capacities for L2 phonemes in highly proficient Spanish-Catalan bilinguals born in monolingual families. In Experiment I subjects were required to give goodness of fit judgments to establish the best exemplars corresponding to three different vowel categories (Catalan /e/ and /ε/ Spanish /e/). In Experiments 2 and 3, bilinguals were asked to perform a discrimination task with materials in their maternal language (Exp. 2) and in their second language (Exp. 3). Results reveal that bilinguals show a reduced discrimination capacity only for good exemplars of their maternal language, but not for good exemplars of their second language. The same pattern of results was obtained in Experiment 4, using a within-subjects design and a bias-free discrimination measure (d'). These findings support the hypothesis that phonemic categories are not only acquired early in life, but under some circumstances, the acquisition of new phonemic categories can be seriously compromised, in spite of early and extensive exposure to L2.     

ESID,Dissemination, and Community Psychology: A Case of Partial Implementation?

Dissemination, the second stage of Experimental Social Innovation and Dissemination (ESID) is a critical, if not defining, element of this social change model. This paper attempts to assess the extent to which community psychology has adopted and implemented ESID's dissemination focus in its training and publications. We identify four levels of commitment to dissemination: dissemination advocate, dissemination activist, dissemination researcher, and experimental dissemination researcher. Content analyses of textbooks, journal publications, and conference papers and a brief survey of doctoral training in the field were conducted. Findings suggest that the dissemination aspects of ESID have been modestly and partially implemented within the field. That is, although there is some evidence of a commitment to dissemination practice (advocate, activist), there is much less evidence of a commitment to dissemination research. The implications of these findings for the effectiveness of the ESID model and for training and practice in community psychology are discussed.     

CREATING NEW REALITIES: PROGRAM DEVELOPMENT AND DISSEMINATION

Program development and dissemination in human services present challenges and opportunities for social scientists. Over the past 27 years the Teaching-Family Model of group home treatment has moved from prototype development to widespread dissemination across North America. Reviewing concepts in industry related to product development and dissemination, the application of these concepts to a human services delivery system, and program replication and dissemination data offer information about how innovative human services can be widely adapted and adopted.