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PubMed1995

Theories explaining racial differences in the utilization of diagnostic and therapeutic procedures for cerebrovascular disease.

Despite a higher risk of stroke, blacks are less likely than whites to receive the invasive procedures that are used to diagnose and treat cerebrovascular disease, particularly carotid endarterectomy. Explanations for the lower rate of procedural use include racial bias, racial differences in pathophysiology of cerebrovascular disease, affordability, and racial variation in patient decisions regarding care. Studies consistently indicate that blacks are less likely to have severe atherosclerotic lesions of the carotid arteries, reducing their likelihood of being appropriate candidates for carotid endarterectomy. Although ability to pay does not explain the observed variation in use of carotid endarterectomy, it may influence the evaluation process prior to hospitalization. A racial difference in patients' decisions about health care for cerebrovascular disease has never been investigated; it should be a topic of future studies.

Black or African American↗
PubMed2000

Towards a secure EPR: cultural and educational issues.

The broader adoption of the EPR in healthcare settings has brought with it much greater attention to the significant issues regarding security, confidentiality and privacy of healthcare information. The economic, social and political impact of these issues is also of major concern. In this paper, it is suggested that the application of contemporary evolutionary game theory has high utility for understanding the actual behaviour of stakeholders in such settings. Contemporary evolutionary game theory can explain the effects of cultural norms, institutional policies and economics on behavior. I also suggest that contemporary evolutionary game theory is sufficiently robust as to be useful in the rational design of a policy to encourage certain socially desired behaviour in this area.

Computer Security↗
PubMed2000

Relations between hope and graduate students' coping strategies for studying and examination-taking.

In 1998, Onwuegbuzie reported a negative relationship between scores on hope and anxiety about statistics among graduate students who were enrolled in statistics classes. In 1999, Snyder posited that hope theory provides a useful framework for assessing students' coping strategies. In support of the utility of hope theory for identifying students with debilitating test-related anxieties, lower scores on the Pathways and Agency subscales which assess hope were related to 87 graduate students' problematic coping strategies for studying and taking statistics examinations. After a brief review of other recent data linking hope to academic performance at both public school and college levels, further research seems appropriate.

Achievement↗
PubMed2002

Perceived psychosocial outcomes of gastric bypass surgery: a qualitative study.

BACKGROUND: Attempts to understand postoperative psychosocial changes in the lives of individuals who have undergone gastric bypass surgery for morbid obesity have 1) been guided by constructs emanating from the assumptions of researchers, and 2) have resulted in fragmented conclusions that catalogue changes without theoretically integrating them. MATERIALS AND METHODS: Using unstructured and semi-structured interviews and in-depth focus groups, 31 patients were asked in an open-ended fashion about the ways, if any, in which gastric bypass surgery had affected their lives. Grounded theory methodology was utilized in order to identify emergent themes and their interrelations, and build a meaningful, comprehensive theory of life after gastric bypass. RESULTS: Patients' report of a rebirth/transformation was identified as the core process of the theory. The changes marking this process were clearly conceptualized in dichotomous terms comparing pre to postsurgical life. Patients reported changes that they regarded as unequivocally positive, a number of which had not been previously reported in the literature. Unique to this particular study was the finding of numerous life changes that generated tension and posed challenges in various aspects of patients' lives. CONCLUSION: The grounded theory proposes that the extent to which patients successfully negotiate tension-generating changes may be a major determinant in the long-term outcome of gastric bypass, both weight loss and psychosocial adjustment.

Feeding Behavior↗
PubMed1995

The theory of planned behaviour: the effects of perceived behavioural control and self-efficacy.

The present study was undertaken to assess the utility of the theory of planned behaviour, using separate measures of the two variables that are considered to comprise the notion of perceived behavioural control, namely, beliefs concerning the controllability of the behaviour and efficacy expectancies. The study was concerned with the prediction of intentions to engage in regular exercise (for at least 20 minutes, three times a week for a fortnight) and actual exercise behaviour. A sample of 146 undergraduate subjects participated in the study. It was prospective in design; measures of attitudes, norms, intentions, perceived control and self-efficacy were obtained at the first wave of data collection, while actual behaviour was assessed two weeks later. The results of the study revealed support for the view that separate measures of self-efficacy and perceived behavioural control should be employed in the theory of planned behaviour. In the first instance, confirmatory factor analysis revealed that the two variables could be empirically distinguished. Second, the effects of perceived behavioural control and self-efficacy on behavioural intentions and actual behaviour differed. As predicted, efficacy expectancies influenced behavioural intentions, but not actual behaviour. In contrast, levels of perceived behavioural control had no effect on behavioural intentions, but emerged as a significant (positive) predictor of actual behaviour (there was also evidence that the effects of intentions on behaviour were moderated by the level of perceived behavioural control).

Adult↗
PubMed1970

Status inconsistency theory and flying saucer sightings.

The analysis is completed. Through a series of propositions and hypothesized links between the reporting of UFO sightings and a particular kind of social position, the utility of social theory as a basis for explaining phenomena presumed to be in the domain of the physical sciences has been demonstrated. Nothing in the data rejects the possibility that some individuals have, in fact, seen objects propelled from another solar system or that all observations are of ill-understood or misperceived terrestrial phenomena. Empirical science, particularly social science, does not address itself to ultimate truth. What has been attempted here is the employment of a sociological theory to account successfully for observed regularity in patterns of UFO sightings. Another and reasonable, though not necessarily mutually exclusive, procedure for organizing social data might provide an equal degree of explanatory consistency. This analysis merely emphasizes the need to utilize such approaches outside the confines of laboratory groups and the more convenient and established domains of social science. Our analysis has presented just one application of sociological theory to the complex interplay among quasi-scientific phenomena, physical science knowledge, and human behavior in society.

Cognitive Dissonance↗
PubMed2002

Density functional theory investigation of the reaction of isodiiodomethane with acetylene: potential utility of isodiiodomethane for cyclopropenation reactions.

We present density functional theory calculations for the reactions of CH2I-I and CH2I with acetylene (HC triple bond CH) to form a cyclopropene product. CH2I-I readily reacts with HC triple bond CH to form a cyclopropene product and an I2 leaving group via a rate-determining step barrier of approximately 3.9 kcal/mol (B3LYP/Sadlej-pVTZ). Calculations indicated that the CH2I radical reacts to form an iodopropenyl radical, which can close to a cyclopropene only with difficulty. Our results indicate that CH2I-I may act as an effective carbenoid to produce cyclopropenated products from alkynes.

Journal Article↗
PubMedDate not supplied

Predicting drug use: application of behavioral theories of choice.

The current study sought to test the utility of Herrnstein's (1970) matching law in predicting drug use occurring in the natural environment. Participants were 206 college students. Behavioral allocation was measured across two concurrently available sets of activities: those engaged in while using or under the influence of drugs and/or alcohol (drug related) and those engaged in when drug free. Results from regression analyses indicate that predictions of drug use are improved with the addition of reinforcement received from drug-free activities, which enters the model with a negative coefficient value. The addition of a reinforcement ratio, based on matching law equations, also accounted for unique variance. Results demonstrate the utility of applying behavioral theories of choice to drug use and highlight the importance of viewing behaviors within their broader environmental context.

Adolescent↗
PubMed2026

Financial incentives and social messaging for repeat SARS-CoV-2 antibody testing among the underserved: A randomized trial.

Financial incentives may influence health behavior beyond their expected monetary value, and their effectiveness may depend on how the behavior is framed. Behavioral theories of decision making suggest that individuals may value protection against small-stakes losses more than expected utility predicts, while theories of family-centered health behavior suggest that messages emphasizing benefits to family members may strengthen participation in preventive health activities. We tested these ideas in a 2×2 factorial randomized trial involving 625 households recruited from a Federally Qualified Health Center serving low-income Latino/Hispanic communities. Participants completed repeat SARS-CoV-2 antibody testing. The trial crossed two messaging strategies (Family vs. Personal) with two incentive structures (Loss Protection vs. Lottery) that offered equivalent expected monetary value. Family Messaging emphasized protecting one's family from COVID-19, whereas Personal Messaging emphasized protecting oneself. Loss Protection allowed participants to secure an at-risk reward through repeat testing, whereas the Lottery condition offered a chance of a large reward. Repeat testing was approximately 8 percentage points higher under Family Messaging and 7 percentage points higher under Loss Protection. Baseline trust in medical providers, financial barriers to vaccination, and risk aversion were associated with initial testing, whereas household characteristics were not associated with repeat testing. Incentive design may matter beyond expected monetary value and that framing health behaviors in terms of family welfare may increase participation in repeated healthy activities. Broadly, the results support behavioral theories emphasizing loss aversion, anticipated regret, and family-centered motivations, and suggest practical approaches for improving engagement in repeat health behaviors. CLINICALTRIALS.GOV REGISTRATION NUMBER:: NCT01901624.

Adult↗
PubMed1994

A conditioning reinterpretation of cognitive events in alcohol and drug cue exposure.

Cue exposure treatments of alcohol and substance abuse disorders are based on a classical conditioning model of drug use and relapse. Recently, social learning theory has been utilized to explain the relationship of cognitive constructs (i.e., self-efficacy, outcome expectations) to measures of cue reactivity. However, social learning theory has not provided clear and testable mechanisms by which cognitions influence behavior. This paper proposes a mechanism, based on principles of classical conditioning, whereby cognitions may influence reactivity to alcohol and drug cues. This view of cognitions within a conditioning framework has several important implications for cue exposure research and treatment.

Alcoholism↗
PubMedDate not supplied

Understanding the determinants of exercise intentions in multiple myeloma cancer survivors: an application of the theory of planned behavior.

The purpose of this study was to examine the demographic, medical, and social cognitive determinants of exercise intentions in a population-based sample of multiple myeloma cancer survivors. Using a cross-sectional survey, 70 multiple myeloma cancer survivors completed a questionnaire that assessed their medical and demographic characteristics, past exercise behavior, and social cognitive exercise beliefs using the theory of planned behavior. Seventy participants provided valuable data. Descriptive statistics indicated that participants had quite positive instrumental attitude, intentions, and subjective norms and moderate levels of perceived behavioral control and affective attitudes for exercise. Forced entry multiple regression showed that the theory of planned behavior explained 43% of the variance in exercise intentions. Instrumental attitude and perceived behavioral control were both independent predictors of exercise intentions. No demographic or medical variable moderated the association between the theory of planned behavior constructs and exercise intentions. The results of the present investigation support the growing body of evidence confirming the utility of the theory of planned behavior to understand the salient determinants of exercise in cancer survivors. Knowledge gained from this study provides important information to oncology practitioners who are responsible for delivering supportive care interventions, including exercise, to patients diagnosed with multiple myeloma.

Adult↗
PubMed2005

Endurance training adherence in elite junior netball athletes: a test of the theory of planned behaviour and a revised theory of planned behaviour.

This study examined the utility of Ajzen's (1985) theory of planned behaviour and Maddux's (1993) revised theory of planned behaviour to predict endurance training intentions and adherence of elite junior netball athletes. One hundred and fifteen athletes from the England Netball World Class Start Programme were assessed on constructs central to the predictions of the two theories. Adherence to a recommended endurance training programme was recorded in self-report diaries across a 9-week period. Validity for the diaries was supported by significant correlations (P < 0.001) with recalls across 7 days and 9 weeks. Adherence was moderate and variable between athletes (mean = 66.05, s = 25.75%). Two separate path analyses were conducted to examine the predictions of the theories. Goodness-of-fit indices suggested acceptable fit of the data to the models. Analyses showed that attitude towards the new behaviour, subjective norms and perceived behavioural control predicted training intentions. The relationship between intention and adherence was weak. The present results suggest that the constructs of the theory of planned behaviour offer some insight into the explanation of intentions to follow an endurance training programme. Constructs unique to the revised theory of planned behaviour did not significantly predict training intentions or behaviour. Implications for practitioners working with team sport performers are provided.

Adolescent↗
PubMed1989

Quantitative and morphological studies of the bones by mathematical morphology--theory and practice of mathematical morphology.

To quantitatively analyze internal bone structures, trabecular bones were quantitatively studied through the application of mathematical morphology. Mathematical morphology considers the shape of the analyze objects and utilizes image processing theory in an approach that is extremely effective on for studying the complex shapes of trabecular bones. This paper describes quantitative studies made of trabecular bone density and width, trabecular specific length per unit area, and trabecular bone orientation.

Bone Density↗
PubMed1988

The nature of unilateral neglect in the olfactory sensory system.

This study investigated two major theories of unilateral neglect utilizing the ipsilaterally innervated olfactory sense. The sensory theory states that unilateral neglect is due to a diminished or attenuated sensory input. The representational theory states that unilateral neglect is due to a disordered internal representation, which is not dependent on sensory input. Results of the study revealed that right hemisphere lesion patients with left unilateral neglect failed to respond to their left contralateral nostril on olfactory double simultaneous stimulation, consistent with the representational theory because the left nostril has no direct sensory input to the right hemisphere.

Attention↗
PubMed1997

Female life expectancy, gender stratification, health status, and level of economic development: a cross-national study of less developed countries.

A number of studies have attempted to account for cross-national differences in life expectancy, but relatively few have focused on female life expectancy, and even fewer on the relevance of predictors linked to gender stratification theory. The present study seeks to assess the utility of gender stratification theory in accounting for cross-national differences in female life expectancy in less developed countries. An incremental model building strategy is used to develop a final model that combines predictors linked to both industrialism theory and gender stratification theory. The analysis is based on multiple regression and cross-sectional samples that vary in size from 40 to 97 countries. Evidence is presented that several aspects of women's status have a positive effect on female life expectancy. Indicators of women's educational status, women's economic status, and women's reproductive autonomy all prove to be important predictors of female life expectancy. Analysis of interaction effects suggests that the strength of the effects of some aspects of women's economic status and the effect of some aspects of health status on female life expectancy vary with the level of economic development. A comprehensive assessment of the relative strength of alternative measures of women's education is carried out, and evidence is presented that it does make a difference how the level of women's education is measured.

Adolescent↗
PubMed1992

Treating women incest survivors: a bridge between "cumulative trauma" and "post-traumatic stress".

While the concept of traumatic stress plays an intrinsic part in the diagnosis and treatment of adult incest survivors, the developmental framework within which the victimization has occurred may be overlooked. This paper presents a treatment model that integrates theories of post-traumatic stress and early environmental trauma. A profile of women incest survivors is given and an overview of treatment strategies utilizing the above theories is discussed.

Adult↗
PubMed2004

Theory of dependent-care in research with parents of toddlers: the NEAT project.

This paper contains a description of the use of the theory of dependent-care in the Nutrition Aimed at Toddlers project, a nursing intervention study with parents of toddlers, and discusses the research and practice utility of the theory of dependent-care, a corollary theory to Orem's self-care theory. In particular, the concepts of dependent-care, dependent-care agency, therapeutic self-care demand and an educative-supportive nursing system are discussed within the context of the Nutrition Aimed at Toddlers project.

Activities of Daily Living↗