N-of-1 methods: A practical guide to exploring trajectories of behaviour change and designing precision behaviour change interventions

Objectives(1) To introduce N-of-1 methods and how they can help the researchers identify predictors of behavioural outcomes, (2) to provide examples of studies that test individual theory-based predictions of physical activity and/or exercise; (3) to provide a practical example dataset to illustrate how to design and undertake a basic analysis for an N-of-1 study; and (4) to suggest a future agenda for N-of-1 physical activity and exercise research.DesignFactors for consideration when designing an N-of-1 study include variability of predictors and outcomes, assessment frequency and appropriate analysis methods. Existing literature and piloting can help inform these aspects.MethodsWe use a dataset of 24 individuals who collected data over 28 days to illustrate example analysis procedures. Data, guidance and associated SPSS and R syntax are made available to provide researchers with tools to learn about and practice N-of-1 analysis.ResultsGuidance on dealing with missing data, looking at graphical representations of N-of-1 data, managing autocorrelation using the prewhitening method and analysing N-of-1 datasets is provided. Using the example dataset, we demonstrate how to identify antecedents of physical activity (steps) to assess directionality of associations. We also include an overview of aggregating N-of-1 datasets using multilevel modelling.ConclusionsN-of-1 methodology provides a means of tracking individual patterns of behaviour and identifying potential antecedents of physical activity and exercise to help determine causality. Assisted by mobile technologies, there is great potential to enrich our understanding of movement behaviour using this approach to inform interventions.     

Transgender and gender non-conforming adult preparedness for aging: Concerns for aging,and familiarity with and engagement in planning behaviors

Abstract

Background: Research on transgender and gender-nonconforming (TGNC) aging is limited. To date, most of the literature about TGNC aging has focused on discrimination (particularly in healthcare), violence and abuse, caregiving and family relations, and religiosity.

Aims: The purposes of this study were to: (a) document concerns about aging among TGNC adults, including concerns that are identity-specific; (b) examine preparation for aging and end of life (i.e., familiarity and planning) among TGNC adults; and (c) examine potential differences in familiarity and planning based on gender identity.

Methods: One hundred fifty-four individuals who currently or have ever identified as TGNC completed a national online survey assessing these constructs.

Results: TGNC individuals reported many concerns about aging, both gender identity-specific and not. The most common aging concern was losing the ability to care for themselves followed by having to go into a nursing home or assisted living facility. The age preparatory behaviors individuals were most commonly aware of included: life insurance, wills, organ donation, regular medical checkups, living wills, durable power of attorney for healthcare, and trusts. Gender-nonconforming individuals had significantly more familiarity with age preparatory behaviors than trans feminine individuals, but had lower levels of planning to engage in age preparatory behaviors than both trans masculine and trans feminine individuals.

Conclusion: The current findings highlight the need for providers to address age preparatory behaviors with TGNC individuals or provide referrals to support individuals in this planning.     

ISOLATING THE INDIVIDUAL: THEOLOGY,THE EVOLUTION OF RELIGION,AND THE PROBLEM OF ABSTRACT INDIVIDUALISM

Debates about the theological implications of recent research in the cognitive and evolutionary study of religion have tended to focus on the question of theism. The question of whether there is any disagreement about the conceptualization of the individual human being has been largely overlooked. In this article, I argue that evolutionary and cognitive accounts of religion typically depend upon a view of cognition that conceptually isolates the mind from its particular social and physical environmental contexts. By embracing this view of the mind, these accounts also unwittingly embrace an abstract individualist view of individual personhood that Christian theologians have explicitly battled against. Taken as a whole, the field leaves sufficient room for supplementary theories that are compatible with theological accounts of the relational individual, but in practice, no effort has been made to engage, or even to accommodate, any other view of individual personhood.     

A Pearson-Type-VII item response model for assessing person fluctuation

Using Lumsden’s Thurstonian fluctuation model as a starting point, this paper attempts to develop a unidimensional item response theory model intended for binary personality items. Under some additional assumptions, a new model is obtained in which the item characteristic curves are defined by a cumulative Pearson-Type-VII distribution, and the person response curves are two-parameter normal ogives. Procedures for fitting the new model are proposed. Furthermore, the relations between individual fluctuation and scalability are discussed, and a scalability index based on the new model is proposed. All the developments in this paper are illustrated using two empirical examples.     

Co‐occurrence of depression and delinquency in personality types

Although the co‐occurrence between adolescent depression and delinquency has been well‐studied, the nature of the longitudinal associations is not yet clear. To clarify this we examined whether personality type is a moderator in the longitudinal co‐occurrence of depression and delinquency. A total of 338 young and middle adolescents completed questionnaires about depression, delinquency and personality in 3 yearly waves of the CONflict And Management Of RElationships (CONAMORE). We found that the stable overcontrollers showed the highest mean level on depression and that the stable undercontrollers showed the highest mean level on delinquency. Furthermore, we demonstrated that the longitudinal co‐occurrence between depression and delinquency was best described by means of a stability model, in which personality type membership proved to be an important moderator. The three personality types differed significantly on the rank‐order stability of both depression and delinquency. Copyright © 2006 John Wiley & Sons, Ltd.     

Perceived organizational structure for teacher liking: the role of peers’ perceptions of teacher liking in teacher–student relationship quality,motivation, and achievement

Previous research has identified the role of perceived peer hierarchies, or organizational structures, in affecting students’ adjustment to school (Lease et al. 2003, Journal of Early Adolescence, 23, 194–217). The purpose of this study was to examine whether middle school classrooms can be described in terms of the perceived status individual students hold for who will and will not be ‘liked’ by the teacher. Specifically we examined: (1) Do students share a mutually agreed on representation, a perceived organizational structure, for describing relative status with their teacher? (2) Are teachers perceived as systematically favoring girls or boys? (3) Are peers’ perceptions of teacher liking associated with individual students’ social and academic motivation and relationship quality with teachers? (4) Are students identified by peers as ‘not liked’ at risk for long-term teacher rejection and underachievement? And, (5) What are the underlying criteria students use to judge teacher likeability? Data for this study were drawn from peer ratings from 516 (262 boys, 254 girls) middle school students in 20 classrooms. Findings indicate multidimensional scaling techniques can be used to map the ‘teacher-liking space,’ accounting for  > 90% of the variability in peers’ ratings of teacher likeability. Additionally, findings indicate perceived status in the teacher-liking space has consequences for students’ achievement and teacher relationship quality.     

Who Belongs to Me? Social Relationship and Personality Characteristics in the Transition to Young Adulthood

Not much is known about how social network characteristics change in the transition out of school and what role Big Five personality plays in this context. The aim of this paper was twofold. First, we explored changes in social network and relationship characteristics across the transition out of secondary school. Second, we examined within‐person and between‐person effects of personality on these social network changes. Results based on a series of multilevel models to a longitudinal sample of 2287 young adults revealed four main findings. First, social networks increased in size, and this increase was mainly due to a larger number of nonkin. Stable social networks during the transition consisted mainly of family ties but were generally characterized by high closeness. Second, extraversion and openness consistently predicted network size, whereas agreeableness predicted network overlap. Third, increases in emotional closeness were found only for kin; closeness was generally lower for unstable relationships. Fourth, changes in emotional closeness were related to personality, particularly neuroticism, agreeableness, and conscientiousness for stable relationships; for unstable relationships, however, closeness was related to extraversion and openness. The article concludes by discussing the role of personality for social relationship development and the active moulding of social networks in young adulthood. Copyright © 2014 European Association of Personality Psychology     

The You Turn

This introductory paper sets out a framework for approaching some of the claims about the second person made by the papers collected in the special edition of Philosophical Explorations on The Second Person (2014, 17:3). It does so by putting centre stage the notion of a ‘bipolar second person relation’, and examining ways of giving it substance suggested by the authors of these papers. In particular, it focuses on claims made (and denied) in these papers (a) about the existence and/or nature of second person thought, second person reasons for action and second person reasons for belief and (b) about possible connections among thought-theoretical, ethical and epistemological issues and debates in this area.     

THE ANALYST'S WAY OF BEING: RECOGNIZING SEPARABLE SUBJECTIVITIES AND THE PENDULUM'S SWING

Whether the analyst finds the patient's emerging transference affectively tolerable or intolerable plays an important role in the analytic couple's negotiation of the configuration that the transference‐countertransference relationship ultimately assumes. If the analyst is deeply repelled by transference‐related roles to which he is assigned, patient‐ascribed attributions, or projection‐drenched interactions, he may react in violent protest, engaging in enactments that say more about his separable subjectivity than about the intersubjective situation. While there has been a recent trend to view enactments as a crucial aspect of psychoanalytic technique, this trend risks overlooking the way in which the analyst's way of being comes into play in the treatment.