Measurement Equivalence of 360°-Assessment Data: Are different raters rating the same constructs?

This study uses data collected using a 360°-assessment instrument to investigate the structural equivalence of 360°-assessment ratings, according to rater type, controlling for organizational level. Data from 533 managers and their raters were employed in the study, which used multi-group structural equations modeling. Issues central to the implementation and use of 360°-assessment data are also considered within the context of current research and practice.     

Randomized controlled trial of an intervention to prevent adherence failure among HIV-infected patients initiating antiretroviral therapy.

OBJECTIVE: Compare the efficacy of a multicomponent social support intervention to standard-of-care counseling on medication adherence among HIV-infected patients initiating antiretroviral therapy. DESIGN: Randomized controlled trial. Generalized estimating equations tested for differences in the percentage of participants achieving 90% adherence. MAIN OUTCOME MEASURES: Pill-taking, electronically monitored over 6 consecutive months; plasma viral load (VL), assessed at 3 and 6 months following initiation of therapy. RESULTS: Of 226 participants who were randomized and began the trial, 87 (38%) were lost to the study by 6 months. The proportion of adherent participants declined steadily over time, with no time by group interaction. Sustained adherence was associated with increased odds of achieving an undetectable VL (OR=1.78; 95% CI=1.01, 3.13). In intention-to-treat analyses, a larger proportion of the intervention group than the control group was adherent (40.15% vs. 27.59%, p=.02) and achieved an undetectable VL p=.04). However, the majority of participants who remained on study experienced some reduction in VL (>or=1-log drop or undetectable), regardless of experimental condition. CONCLUSION: The multicomponent social support intervention significantly improved medication adherence over standard-of-care counseling; evidence for improved virologic outcomes was inconsistent. Early discontinuation of care and treatment may be a greater threat to the health of HIV patients than imperfect medication-taking.     

Grounding: Necessary or Contingent?

Recent interest in the nature of grounding is due in part to the idea that purely modal notions are too coarse‐grained to capture what we have in mind when we say that one thing is grounded in another. Grounding not being purely modal in character, however, is compatible with it having modal consequences. Is grounding a necessary relation? In this article I argue that the answer is ‘yes’ in the sense that propositions corresponding to full grounds modally entail propositions corresponding to what they ground. The argument proceeds upon two substantive principles: the first is that there is a broadly epistemic constraint on grounding, while the second links this constraint with Fine's Aristotelian notion of essence. Many think grounding is necessary in something like the sense specified above, but just why it's necessary is an issue that hasn't been carefully addressed. If my argument is successful, we now know why grounding is necessary.     

Stress in time

The goals of this research were to determine whether speakers adjust the stress patterns of words within sentences to create an alternation between strong and weak beats and to explore whether this rhythmic alternation contributes to the characteristics stress differences between two major lexical categories of English. Two experiments suggested that speakers do alter lexical stress in accordance with rhythmic biases. When speakers produced disyllabic pseudowords in sentence contexts, they were more likely to place stress on the first syllable when the pseudoword was preceded by a weak stress and followed by a strong one than when the strong stress preceded and the weak followed. This occurred both when the pseudowords served as nouns and when they served as verbs. Text analyses further revealed that weakly stressed elements precede nouns more often than verbs, whereas such elements follow verbs more often than nouns. Thus, disyllabic nouns are more likely than disyllabic verbs to occupy contexts biased toward trochaic rhythm, a finding consistent with leftward dominant stress in disyllabic English nouns. The history of stress changes in English nouns and verbs also conforms with the view that rhythmic context may have contributed to the evolution of stress differences. Together, the findings suggest that the citation stress patterns of words may to some degree reflect adaptations of lexical knowledge to conditions of language performance.     

The valuing process: A study of favorite songs and the inner experience of persons diagnosed with schizophrenia

Since valuing is a process grounded in the organizational tendency of human behavior, the characteristics of a highly valued object should reflect the experience of the individual who selects it. This research compared the favorite songs of fourteen individuals diagnosed with schizophrenia to their inner experience as assessed in a standard interview. Many relationships were revealed between the two, often pertaining to important issues identified in theories of schizophrenia. Results may have therapeutic applications and shed light on processes through which psychological difficulties persist.     

As If Your Life Depended on It: Promoting Cognitive Development to Promote Wellness

In this article the authors discuss key elements of the cognitive-developmental perspective and the need to integrate it as an important component of the wellness model. Each speaks to the personal empowerment of every person to live a rewarding and responsible life. Each also emphasizes the ongoing promotion of growth rather than secondary prevention or remediation.     

Age differences in cardiovascular and cognitive performance under noise conditions

Ambient white noise (80 dB), compared with quiet (52-dB) testing conditions, improved the performance of elderly and younger subjects on simple addition. Reliable age-related interactions were found on health measures of systolic and diastolic blood pressure, as well as heart rate. Heightened sensory conditions reduced the physiological measures of arousal in the younger group, whereas significant cardiovascular reactivity was found among the older group. The results are suggestive of the potential for increased cardiovascular risk as a function of sensory stimulation in the elderly despite improvements on cognitive tasks. Additional research is needed to evaluate the multidimensional effects of extended sensory stimulation on the elderly.