Development of a Communication Aid to Facilitate Risk Communication in Consultations with Unaffected Women from High Risk Breast Cancer Families: A Pilot Study

The literature on risk perception in women from high-risk breast cancer families reveals persistent over-estimation of risk, even after counseling. In this study, a communication aid was designed to facilitate discussion of risk between clinical geneticists and genetic counselors and women from this high-risk population. Method: Stage 1. The aid was developed by an expert panel of clinical geneticists, genetic counselors, psychologists, an epidemiologist, an oncologist, linguists and a consumer. It was guided by the international literature on risk communication and a large multi-centre Australian study of risk communication. The 13 page full-color communication aid used varying formats of words, numbers, graphs and pie-charts to address (a) the woman’s subjective risk; (b) the population risk of breast cancer; c) the risk of inherited breast cancer; (d) the cumulative risk for women with BRCA1 and BRCA2 mutations; (e) family risk factors; (f) the woman’s suitability for genetic testing; (h) screening and management recommendations, and (i) a re-assessment of the woman’s subjective risk. Stage 2: A before–after pilot study of 38 women who were unaffected with breast cancer and were attending four Australian familial cancer clinics was undertaken. Baseline and follow-up questionnaires were completed by 27 women. Outcomes were compared to those observed in 107 similar women undergoing genetic counseling without the communication aid in 2001. Results: The risk communication aid appears to be beneficial; breast cancer genetics knowledge improved in some areas and importantly, risk perceptions improved in the cohort receiving the communication aid. Psychological measures showed no difference in anxiety or depression between the group receiving the communication aid and the comparison cohort. Women and clinicians were very positive about the usefulness of the communication aid as an adjunct to the genetic counseling consultation.     

Effective Ways to Develop and Maintain Robust Sport-Confidence: Strategies Advocated by Sport Psychology Consultants

Based on recent evidence, this study identified 10 strategies advocated by sport psychology consultants as effective at developing and maintaining robust sport-confidence in athletes. Due to the study's exploratory nature, qualitative interviews were conducted and content analyzed. Six themes emerged for developing robust sport-confidence and 4 emerged for maintaining robust sport-confidence. Findings reveal a need to develop an athlete's signature strengths, increase pressure experienced in training, and identify broad stable sources of confidence to develop robust sport-confidence. Consultants reported that maintaining robust sport-confidence occurs through constant development. Theoretical implications and future research directions are discussed.     

Factors Underpinning Football Officiating Excellence: Perceptions of English Premier League Referees

The purpose of the present study was to identify factors perceived to underpin football officiating excellence. Semi-structured interviews were conducted to collect data from 15 English Premier League referees. Through inductive content analysis, emerging themes were identified and comprised a variety of physical, environmental, and psychological factors: (a) mental toughness attributes, (b) support networks and services, (c) effective game management qualities, (d) multifaceted pre-match preparation, (e) performance-level enhancement, (f) opportunities to thrive, (g) personal characteristics, and (h) superior physical components. Findings acknowledge theoretical and applied implications for sport psychology professionals operating in elite football officiating.     

Combined Effects of Positive and Negative Affectivity and Job Satisfaction on Job Performance and Turnover Intentions

Capturing data from employee–supervisor dyads (N = 321) from eight organizations in Pakistan, including human service organizations, an electronics assembly plant, a packaging material manufacturing company, and a small food processing plant, we used moderated regression analysis to examine whether the relationships between trait affect (positive affectivity [PA] and negative affectivity [NA]) and two key work outcome variables (job performance and turnover) are contingent upon the level of job satisfaction. We applied the Trait Activation Theory to explain the moderating effect of job satisfaction on the relationship between affect and performance and between affect and turnover. Overall, the data supported our hypotheses. Positive and negative affectivity influenced performance and the intention to quit, and job satisfaction moderated these relationships. We discuss in detail the results of these findings and their implications for research and practice.     

Solid-solution hardening in dilute and concentrated alloys

Abstract

Numerical analysis of the temperature dependence of the critical resolved shear stress of several binary copper-based alloy single crystals containing 0·11 to 7·6 at.% Mn, 0·01 to 14·0 at.% Al, 0·5 to 8·0 at.% Ge and 5 to 30 at.% Zn, has been carried out in terms of the kink-pair formation model of solid-solution hardening. Several solute atoms are found to be involved in the unit activation process not only in concentrated alloys but also in dilute ones. A single mechanism of solution hardening, which involves the interaction between a dislocation and many solute atoms, is therefore operative in all the alloys referred to above.     

Sensitivity of the Informant Questionnaire on Cognitive Decline: An Application of Item Response Theory

ABSTRACT

The Informant Questionnaire on Cognitive Decline (IQCODE) is a formal informant report instrument, originally developed by Jorm and Jacomb (1989 Jorm, A. F. and Jacomb, P. A. 1989. The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): Socio-demographic correlates, reliability, validity and some norms. Psychological Medicine, 19(4): 1015–1022. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Psychological Medicine, 19(4), 1015). The goal of the present study was to evaluate the range of cognitive decline in which the IQCODE is most sensitive, using item response theory (IRT). Existing data (N = 740) from a sample of community-dwelling older adults was used for this purpose. A 2-parameter model estimating item difficulty and discrimination fit the data best. Additionally, the IQCODE provided the most psychometric information in the range of ?0.5 < θ < 1.5, with peak information obtained at approximately θ = 0.4. Based on individuals' latent score (θ) estimates, items on the IQCODE are adequate for use as a screening tool for dementia. Results of the item calibration may be useful for targeted assessment needs, such as the development of short forms.     

Corrupting the Youth: Should Parents Feed their Children Meat?

Ethical Theory and Moral Practice - This article is concerned with choices that parents or guardians make about the food they give to their children. Those with primary responsibility for the care...