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PubMed2001

Neural activity associated with the realization of a delayed intention.

This study examines neural activity associated with the realization of a delayed intention within the context of the noticing+search model of prospective memory (PM) using event-related brain potentials (ERPs). The noticing+search model proposes that PM is supported by two related processes, noticing (the detection of a PM cue in the environment) and search (the retrieval of an intention from memory). In two experiments participants performed a PM task that permitted the dissociation of the noticing and search processes. Noticing was associated a phasic negativity over the occipital-parietal region (N320) and search was associated with a sustained modulation (slow-wave) reflecting a negativity over the right frontal region and a broadly distributed positivity over the parietal region. The amplitude of the N320 was greater when the PM cue was associated with an intention than when the cue was irrelevant to task performance, leading to the proposal that noticing may be accomplished through the attentional modulation of neural systems which support processing of the defining features of the PM cue. The topography of the slow-wave resembled that of modulations of the ERP associated with the recollection of information in studies of retrospective memory leading to the suggestion that similar neural processes may support the recovery of information from memory in both prospective and retrospective memory tasks.

Adult↗

PubMed2005

Ethical consideration of intentioned preimplantation genetic diagnosis to enable future tissue transplantation.

Recently, a case was presented where a couple with one normal child requested preimplantation genetic diagnosis (PGD) with human leukocyte antigen (HLA) typing in order to conceive children who could serve as mutual donors for future transplantations if needed. While PGD for medical reasons is well defined and accepted, application for non-medical conditions is less obvious and still in debate. The present case calls to further extend the indications for PGD and raises a moral question as to whether to allow such intentioned treatment. Although it seems that all siblings might benefit from the procedure, when weighing the risks benefits and the ethical issues included in performing intentioned PGD, it seems that the procedure harbours risks and ethical issues that outweigh the benefit it offers. Therefore, it is time to constrain the slippery slope and state that intentioned PGD for conceiving children who might serve as siblings for mutual tissue donations should be declined.

Directed Tissue Donation↗

PubMed2003

Barebacking among gay and bisexual men in New York City: explanations for the emergence of intentional unsafe behavior.

This study was undertaken to assess the frequency with which gay and bisexual men in New York City engage in intentional unprotected anal sex, or "barebacking," and to examine explanations about the emergence of barebacking. A total of 518 men completed a brief intercept survey. Of the 448 men who were familiar with the term "barebacking" 204 (45.5%) reported bareback sex in the past 3 months prior to assessment. HIV seropositive men were significantly more likely than HIV seronegative men to report this behavior and reported significantly more sexual partners with which they had engaged in intentional unprotected anal intercourse. Participants reported significantly more acts of seroconcordant bareback sex (intentional unprotected anal intercourse with a partner of the same HIV status) than those of serodiscordant bareback sex. Men who reported barebacking also reported significantly more benefits associated with this behavior. The Internet and the availability of sexually oriented chat rooms, HIV treatment advances, emotional fatigue regarding HIV, and the increased popularity of "club" drugs were commonly cited as reasons for the barebacking phenomenon.

Adolescent↗

PubMed1997

Employee stress levels and the intention to participate in a worksite smoking cessation program.

This study examines the nature and extent of the relationship between stress levels and intentions to participate in a worksite smoking cessation program among male current smokers (n = 220) employed in an automobile manufacturing plant. A plantwide survey was conducted which measured job stress, nonjob stress, smoking behavior, and intent to participate. The results of polychotomous logistic regressions suggest that among the current smokers in this plant, job and nonjob stress were positively associated with workers' intentions to participate in a worksite smoking cessation program. Thus, contrary to the popular notion that stress diminishes the motivation to quit, employees under high levels of stress may be most receptive to educational interventions intended to persuade smokers to commit to quitting.

Adult↗

PubMed2004

The effect of organizational conditions (role conflict, role ambiguity, opportunities for professional development, and social support) on job satisfaction and intention to leave among social workers in mental health care.

This study examined the relationships between the organizational conditions of social workers practicing in mental health agencies and their job satisfaction and intention to leave. A sample of 259 social workers, practicing in sixteen mental health agencies in New York State completed a questionnaire that included several measures: role conflict, role ambiguity, social support, extent of opportunities for professional development, type of work activities, job satisfaction and intention to leave. Results showed that the organizational conditions are strong predictors for job satisfaction and intention to leave. The author suggests that it is possible to find an appropriate balance between the professional expectations of social workers and the business-driven aspect of the mental health care environment.

Community Mental Health Centers↗

PubMed2003

Relative influences of affect and cognition on behavior: are feelings or beliefs more related to blood donation intentions?

This study tested the relative predictive power of affect and cognition on global attitude and behavioral intention within the tripartite model of attitude structure. Participants (N = 264) completed questionnaires that included an item regarding blood donation experience, five semantic differential items, four behavioral intention items, and one global attitude item. Participants were randomly assigned to either an affective or cognitive instruction set for the semantic differential items. As predicted, semantic differentials were more highly correlated with both global attitude and behavioral intention when completed under the affective instructions than under the cognitive instructions. In addition, donors' and non-donors' attitudes on the semantic differential scales were distinguished from one another only when they were elicited under the affective instruction set. Results provide support for the tripartite model of attitude structure. Future research should examine the relative importance of affect and cognition in less emotion-laden domains.

Adult↗

PubMed1985

Intention, perceived control, and weight loss: an application of the theory of planned behavior.

Success at attempted weight reduction among college women was predicted on the basis of a theory of planned behavior. At the beginning of a 6-week period, participants expressed their attitudes, subjective norms, perceived control, and intentions with respect to losing weight. In addition, the extent to which they had made detailed weight reduction plans was assessed, as were a number of general attitudes and personality factors. In support of the theory, intentions to lose weight were accurately predicted on the basis of attitudes, subjective norms, and perceived control; perceived control and intentions were together moderately successful in predicting the amount of weight that participants actually lost over the 6-week period. Actual weight loss was also found to increase with development of a plan and with ego strength, factors that were assumed to increase control over goal attainment. Other factors, such as health locus of control, perceived competence, and action control, were found to be unrelated to weight reduction.

Adult↗

PubMed1991

Dimensions of the severity of a health threat: the persuasive effects of visibility, time of onset, and rate of onset on young women's intentions to prevent osteoporosis.

Examined the persuasive effects of information about different aspects of the severity of a health threat. The research participants were 170 young women who were at risk for osteoporosis because they neither consumed an adequate amount of calcium daily nor performed an adequate amount of weight-bearing exercise. A message describing osteoporosis as disfiguring and highly visible increased beliefs in its severity and strengthened intentions to adopt the communicator's recommended preventive responses. In addition, compared with control conditions, describing the threat as likely to occur in the near future, as opposed to the distant future, also strengthened intentions. Furthermore, motivation to prevent osteoporosis remained high regardless of whether subjects believed it might occur to them in the near or distant future if they believed it was highly visible or disfiguring. The rate of onset (sudden or gradual) had no effect on intentions. Several implications for preventive health psychology are discussed. First, health promotion campaigns should, whenever possible, emphasize the immediate onset of a health threat and any visible features. Second, in order to convince people a health threat can be severe, the sudden rate of onset should be emphasized whenever possible.

Adolescent↗

PubMed1996

The experience of work and turnover intentions: interactive effects of value attainment, job satisfaction, and positive mood.

The researchers proposed that the phenomenological experience of work is multifaceted and that simultaneously considering the combined effects of the different aspects of the work experience holds considerable promise for increasing understanding of turnover intentions and other organizationally relevant outcomes. Research in subjective well-being and other areas suggests that there are 3 important aspects of the experience of work: attainment of values, attitudes, and moods. It was hypothesized and found that the relationship between job satisfaction and turnover intentions is jointly moderated by value attainment and positive mood. The nature of this triple interaction was such that the job satisfaction-turnover intention relationship was strongest when workers' jobs did not help them to attain terminal values and positive moods were experienced, and the relationship was weakest when jobs helped workers to attain terminal values and positive moods were experienced.

Adult↗

PubMed2000

Extending overjustification: the effect of perceived reward-giver intention on response to rewards.

The perceived intention model incorporates a new moderator, beliefs about reward-giver intention, into the overjustification paradigm. In 2 simulated shopping studies featuring products paired with promotional rewards, consumers who believed the marketer was promotion focused (reward used to encourage purchase) reported lower purchase intentions and brand attitudes for promoted products after promotion, whereas consumers who believed the marketer was reward focused (promotion used to distribute the reward) showed no attitude change. Promotion-focus beliefs lowered attitudes by heightening the contingency between the promotion and purchase and thereby increasing the perceived causal role of the reward. This effect was contingent on initial behavior--postpromotion attitude change occurred for consumers who actively engaged in product decisions but not for consumers who passively observed the choice sets.

Adult↗

PubMed2001

The effect of arbitration program characteristics on applicants' intentions toward potential employers.

The authors examined intentions toward prospective employers with different alternative dispute resolution (ADR) policies and no ADR policy. In Study 1, students (N = 124) were randomly assigned to 1 of 4 conditions in which 2 variables, arbitration policy presence or absence and firm desirability, were manipulated. The presence of a voluntary, nonbinding arbitration policy had no impact on intentions and did not interact with firm desirability. In Study 2, students (N = 273) were randomly assigned to 1 of 8 conditions (mandatory vs. voluntary arbitration, binding vs. nonbinding arbitration, and highly desirable vs. less desirable employer). Both mandatory and binding arbitration policies were related to less favorable intentions toward firms. Predictions regarding the interaction of ADR policy and firm desirability were partially supported. Some support was found for the interaction between ADR policy and ethnicity.

Adult↗

PubMed2003

Neural correlates of age-related declines in the formation and realization of delayed intentions.

Neural correlates of age-related declines in prospective memory were studied by using event-related brain potentials (ERPs) in a task in which individuals formed and later realized simple intentions. The behavioral data revealed that prospective responding was less accurate and slower in older than in younger adults. The electrophysiological data revealed age-related differences in the amplitude of modulations of the ERPs associated with the encoding of intentions, the detection of cues, and disengagement from the ongoing activity. These findings support the hypothesis that age-related declines in prospective memory result from a reduction in the efficiency with which older adults encode intentions and detect cues.

Adolescent↗

PubMed2003

The immediate effect on knowledge, attitudes and intentions in primary care attenders of a patient information leaflet: a randomized control trial replication and extension.

AIM: To determine whether the influence of a leaflet on mouth cancer improves knowledge, related attitudes and intention to accept a mouth screen. DESIGN: Randomized controlled trial. SETTING: Dental and medical waiting rooms in the North West of England. SAMPLE: Nine hundred and forty nine patients from 16 practices were invited to participate. MEASURES: Standardized multi-item scales of six outcome measures including knowledge, beliefs and intention to accept an oral cancer screen. PROCEDURE: A patient information leaflet was given to a randomized intervention group of patients. A single sheet questionnaire was completed by both groups of patients (immediately following leaflet administration in the intervention arm of study). STATISTICAL ANALYSIS: t tests were used to compare outcome variables between patients with and without access to the leaflet with Boneferroni correction. RESULTS: Participation rate was high (91%). Knowledge (P <0.001) and intentions (P = 0.003) benefited from patient access to leaflet. Anxiety was not raised with leaflet exposure. Some beliefs about the screening procedure appeared to be slightly improved by reading the leaflet (p <0.05). CONCLUSION: This study supports previous findings of an immediate positive effect of an information leaflet on patients' knowledge of oral cancer and willingness to accept an oral cancer screen.

Adult↗

PubMed1988

Analysis of intentional communication of normal children from the prelinguistic to the multiword stage.

The purpose of this study was to collect quantitative measures describing the use of intentional communication by 15 normal children during the prelinguistic, one-word, and multiword stages. A standard communication sample was collected at each language stage from each subject interacting with a clinician. Measures of rates of intentional communicative acts indicated an average of about 1 act per min at the prelinguistic stage, 2 acts per min at the one-word stage, and 5 acts per min by the multiword stage. Analysis of communicative functions indicated that virtually all of the subjects displayed some acts for regulating behavior, engaging in social interaction, and referencing joint attention at all language stages. Changes in the proportions of specific communicative functions at each language stage were found. Analysis of discourse structure using these sampling procedures indicated that most subjects engaged in more initiated than respondent acts. Analysis of communicative means showed that the predominant means were gestural and vocal during the prelinguistic and one-word stage and verbal by the multiword stage. Changes in the proportions of isolated and coordinated gestures and vocalizations at each language stage were found. General descriptions of the syllabic shapes of intentional vocal acts at the prelinguistic and one-word stages demonstrated that most of the subjects used a substantial proportion of consonants in both mono- and multisyllabic vocalizations. Clinical applications of these findings to the early identification of children with the potential for language impairments will be discussed.

Child Language↗

PubMed1998

Maternal responsivity predicts the prelinguistic communication intervention that facilitates generalized intentional communication.

Family systems theory posits that the relative effectiveness of early interventions will vary depending on various aspects of the family. This study tested whether maternal responsivity would predict the extent to which Prelinguistic Milieu Teaching (PMT) facilitated generalized intentional communication better than a contrast treatment that was conducted in a small group by a responsive adult (i.e., Responsive Small Group, RSG). Fifty-eight children with developmental disabilities in the prelinguistic communication period of development were randomly assigned to one of the two staff-implemented treatment groups. Thirty were assigned to RSG; 28 were assigned to PMT. Mothers were kept naive to the intervention methods, hypotheses, and measures. In families with mothers who responded to a high percentage of the children's communication acts at the pre-treatment period, the children in the PMT group used more frequent intentional communication in post-treatment generalization sessions with a trainer and mothers than did children in the RSG group. In the families with mothers who responded to fewer than 39% of their children's communication acts, children in the RSG intervention used more frequent intentional communication in post-treatment generalization sessions with the mothers than did children in the PMT intervention. Other family variables and no child variables that we measured could account for these findings.

Child↗

PubMed1999

Substance use among young people: the relationship between perceived functions and intentions.

AIMS: To explore the relationship between young people's use of psychoactive substances, perceived functions for using, the experience of negative effects, and the influences of these variables on their intention to use substances again. DESIGN: Cross-sectional survey in which respondents were purposively recruited using snowballing techniques. SETTING: Interviews were conducted in informal community settings. PARTICIPANTS: One hundred young drug and alcohol users (45 females) aged between 16 and 21 years. MEASUREMENTS: Life-time prevalence, current frequency and intensity of substance use and intentions to use again were assessed for four target substances (alcohol, cannabis, amphetamines and ecstasy) together with measures of the perceived functions for their use and peer substance involvement. FINDINGS: The life-time experience of negative effects from using the assessed substances was not found to correlate with current consumption patterns. Statistically significant associations were observed between the reported frequency of taking substances and the perceived social/contextual and/or mood altering functions cited for their consumption. The substance use function measures together with the reported extent of peer use were significant predictors of intentions to use again. CONCLUSIONS: If these findings are confirmed in larger studies, educational and preventative efforts may need to acknowledge the positive personal and social functions which different substances serve for young people. The results also call into question the extent to which the experience of negative effects influences future patterns of use.

Adolescent↗

PubMed2001

Screening for diabetic retinopathy is well received by patients and may improve self-management intentions.

AIMS: To investigate patients' views of screening for diabetic retinopathy and the effects of the screening process on health beliefs and behavioural intentions. SETTING: A retinal screening clinic at a GP surgery in SW England. METHODS: Questionnaires administered before and immediately after screening by retinal photography. RESULTS: One hundred patients attended (94% of those invited); 12 had Type 1 and 88 Type 2 diabetes. Over 90% found the information, and seeing their retinal photograph, helpful. Sixty-three were found to have no problem and 37 had some type of eye problem detected. Overall, patients rated the news given at screening as better than expected (P < 0.001) and even those found to have problems mostly rated the news as good (P < 0.001). Detection of problems led patients to rate their recent eye health more negatively, but to be less pessimistic about future deterioration (P < 0.01). Patients with diabetes-related eye problems were more likely (P < 0.05) to say that they both should and would make changes to their self-management, but only after controlling for duration of diabetes. Those who had had diabetes longest declared least intention to change. CONCLUSIONS: Screening by retinal photography is acceptable to patients. Results suggest that screening modified health beliefs but had limited effect on behavioural intentions, with patients of longer disease duration being more reluctant to change their self-management. Opportunities during retinal screening for advice on self-management could be more effectively exploited.

Adult↗

PubMed2001

Disorders in intentional gestural organization in Alzheimer's disease: combined or selective impairment of the conceptual and production systems?

This study examines disorders which affect the intentional gestural organization in Alzheimer's disease. An original and prospective protocol which assessed both the conceptual and production systems (with reference to the Roy and Square model 1985) was presented to 16 patients with Alzheimer's disease (mild to moderate dementia) and 40 healthy elderly subjects. Our study showed impairment of both systems in the Alzheimer's patients group. Two patients presented reverse performance profiles, which were characterized in one case by preservation of the conceptual system and impairment of the production system and in the other by the reverse dissociation. The findings demonstrated that disorders in the intentional gestural organization in Alzheimer's disease usually affect both the conceptual and production systems. The hypothesis concerning the existence of two functionally distinct systems underlying the organization of intentional body movement was corroborated (1) by a lack of significant correlation between the scores obtained in the assessment of the two systems and (2) by the demonstration of the double dissociation.

Aged↗