WorldWideScience

Sample records for identify credible health

  1. The Effect of Top-Level Domains and Advertisements on Health Web Site Credibility

    Science.gov (United States)

    Wang, Zuoming; Loh, Tracy

    2004-01-01

    Background Concerns over health information on the Internet have generated efforts to enhance credibility markers; yet how users actually assess the credibility of online health information is largely unknown. Objective This study set out to (1) establish a parsimonious and valid questionnaire instrument to measure credibility of Internet health information by drawing on various previous measures of source, news, and other credibility scales; and (2) to identify the effects of Web-site domains and advertising on credibility perceptions. Methods Respondents (N = 156) examined one of 12 Web-site mock-ups and completed credibility scales in a 3 x 2 x 2 between-subjects experimental design. Factor analysis and validity checks were used for item reduction, and analysis of variance was employed for hypothesis testing of Web-site features' effects. Results In an attempt to construct a credibility instrument, three dimensions of credibility (safety, trustworthiness, and dynamism) were retained, reflecting traditional credibility sub-themes, but composed of items from disparate sources. When testing the effect of the presence or absence of advertising on a Web site on credibility, we found that this depends on the site's domain, with a trend for advertisements having deleterious effects on the credibility of sites with .org domain, but positive effects on sites with .com or .edu domains. Conclusions Health-information Web-site providers should select domains purposefully when they can, especially if they must accept on-site advertising. Credibility perceptions may not be invariant or stable, but rather are sensitive to topic and context. Future research may employ these findings in order to compare other forms of health-information delivery to optimal Web-site features. PMID:15471750

  2. Trust and Credibility in Web-Based Health Information: A Review and Agenda for Future Research.

    Science.gov (United States)

    Sbaffi, Laura; Rowley, Jennifer

    2017-06-19

    Internet sources are becoming increasingly important in seeking health information, such that they may have a significant effect on health care decisions and outcomes. Hence, given the wide range of different sources of Web-based health information (WHI) from different organizations and individuals, it is important to understand how information seekers evaluate and select the sources that they use, and more specifically, how they assess their credibility and trustworthiness. The aim of this study was to review empirical studies on trust and credibility in the use of WHI. The article seeks to present a profile of the research conducted on trust and credibility in WHI seeking, to identify the factors that impact judgments of trustworthiness and credibility, and to explore the role of demographic factors affecting trust formation. On this basis, it aimed to identify the gaps in current knowledge and to propose an agenda for future research. A systematic literature review was conducted. Searches were conducted using a variety of combinations of the terms WHI, trust, credibility, and their variants in four multi-disciplinary and four health-oriented databases. Articles selected were published in English from 2000 onwards; this process generated 3827 unique records. After the application of the exclusion criteria, 73 were analyzed fully. Interest in this topic has persisted over the last 15 years, with articles being published in medicine, social science, and computer science and originating mostly from the United States and the United Kingdom. Documents in the final dataset fell into 3 categories: (1) those using trust or credibility as a dependent variable, (2) those using trust or credibility as an independent variable, and (3) studies of the demographic factors that influence the role of trust or credibility in WHI seeking. There is a consensus that website design, clear layout, interactive features, and the authority of the owner have a positive effect on trust or

  3. Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

    Science.gov (United States)

    Ghaddar, Suad F.; Valerio, Melissa A.; Garcia, Carolyn M.; Hansen, Lucy

    2012-01-01

    Background: Little research has examined adolescent health literacy and its relationship with online health information sources. The purpose of this study is to explore health literacy among a predominantly Hispanic adolescent population and to investigate whether exposure to a credible source of online health information, MedlinePlus[R], is…

  4. Evidence for the credibility of health economic models for health policy decision-making

    DEFF Research Database (Denmark)

    Søgaard, Rikke; Lindholt, Jes S.

    2012-01-01

    OBJECTIVE: To investigate whether the credibility of health economic models of screening for abdominal aortic aneurysms for health policy decision-making has improved since 2005 when a systematic review by Campbell et al. concluded that reporting standards were poor and there was divergence between...... benefited from general advances in health economic modelling and some improvements in reporting were noted. However, the low level of agreement between studies in model structures and assumptions, and difficulty in justifying these (convergent validity), remain a threat to the credibility of health economic...... models. Decision-makers should not accept the results of a modelling study if the methods are not fully transparent and justified. Modellers should, whenever relevant, supplement a primary report of results with a technical report detailing and discussing the methodological choices made....

  5. Students’ Trust Formation and Credibility Judgements in Online Health Information – A Review Article

    Directory of Open Access Journals (Sweden)

    Mahmood Khosrowjerdi

    2017-06-01

    Full Text Available Health information is a frequent subject for online information seeking. Research on the phenomenon has to a certain extent included students. This review, based on an analysis of 61 articles, shows the current state of the art of research on students’ trust in online health information. The review covers methodological approaches and findings of previous previous empirical studies: research design; trustworthy health information sources; credibility assessment; and factors impacting on trust formation. The analysis of research designs reveals that the survey method was most frequent, but small qualitative studies were also occurring. More than half of the studies were administered in the USA, while only a smaller part concerned ‘non-Western’ countries. Female subjects were more frequent than male.The concept of trust was not always explicitly defined in the studies. The students' actual propensity to use internet was generally taken as an expression of trust. The antecedents of trust identified in the studies can be summarized as the perceived quality of the information, the perceived credibility of the source or source provider, the users’ general inclination to trust, the actual use of information, and the perceived intelligibility of the information. The findings show that Internet was among the main sources for health information, but parents or other family members, friends, schools, health professionals were also frequent sources of health information, and students were not immediately accepting online information as trustworthy. The students’ trust and credibility judgments were influenced by social and demographic, cultural, psychological, knowledge and skills-related, and source, system and content-related factors. Governmental and organizational websites were reported as the most trustful sources, although some issues regarding website features and presentation of content were reported as barriers. Easy access were of

  6. Source attribution and credibility of health and appearance exercise advertisements: relationship with implicit and explicit attitudes and intentions.

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    Berry, Tanya R; Shields, Chris

    2014-02-01

    The relationship of attributed source (commercial or nonprofit) and credibility of exercise advertisements to explicit and implicit exercise-related attitudes and intentions was examined. Male and female participants (N = 227) were randomly assigned to watch health or appearance-related advertisements and then completed an implicit attitudes task and questionnaires. Health advertisements and those attributed to a nonprofit source were rated more credible. Appearance condition participants who attributed the advertisement to a nonprofit source also rated the advertisement as more credible. Participants who rated a commercial advertisement as credible reported higher implicit instrumental attitudes. Implications for exercise promotion are discussed.

  7. Credibility and advocacy in conservation science

    Science.gov (United States)

    Horton, Cristi C.; Peterson, Tarla Rai; Banerjee, Paulami

    2015-01-01

    Abstract Conservation policy sits at the nexus of natural science and politics. On the one hand, conservation scientists strive to maintain scientific credibility by emphasizing that their research findings are the result of disinterested observations of reality. On the other hand, conservation scientists are committed to conservation even if they do not advocate a particular policy. The professional conservation literature offers guidance on negotiating the relationship between scientific objectivity and political advocacy without damaging conservation science's credibility. The value of this guidance, however, may be restricted by limited recognition of credibility's multidimensionality and emergent nature: it emerges through perceptions of expertise, goodwill, and trustworthiness. We used content analysis of the literature to determine how credibility is framed in conservation science as it relates to apparent contradictions between science and advocacy. Credibility typically was framed as a static entity lacking dimensionality. Authors identified expertise or trustworthiness as important, but rarely mentioned goodwill. They usually did not identify expertise, goodwill, or trustworthiness as dimensions of credibility or recognize interactions among these 3 dimensions of credibility. This oversimplification may limit the ability of conservation scientists to contribute to biodiversity conservation. Accounting for the emergent quality and multidimensionality of credibility should enable conservation scientists to advance biodiversity conservation more effectively. PMID:26041036

  8. The effect of source credibility on consumers' perceptions of the quality of health information on the Internet.

    Science.gov (United States)

    Bates, Benjamin R; Romina, Sharon; Ahmed, Rukhsana; Hopson, Danielle

    2006-03-01

    Recent use of the Internet as a source of health information has raised concerns about consumers' ability to tell 'good' information from 'bad' information. Although consumers report that they use source credibility to judge information quality, several observational studies suggest that consumers make little use of source credibility. This study examines consumer evaluations of web pages attributed to a credible source as compared to generic web pages on measures of message quality. In spring 2005, a community-wide convenience survey was distributed in a regional hub city in Ohio, USA. 519 participants were randomly assigned one of six messages discussing lung cancer prevention: three messages each attributed to a highly credible national organization and three identical messages each attributed to a generic web page. Independent sample t-tests were conducted to compare each attributed message to its counterpart attributed to a generic web page on measures of trustworthiness, truthfulness, readability, and completeness. The results demonstrated that differences in attribution to a source did not have a significant effect on consumers' evaluations of the quality of the information.Conclusions. The authors offer suggestions for national organizations to promote credibility to consumers as a heuristic for choosing better online health information through the use of media co-channels to emphasize credibility.

  9. Information Literacy on the Web: How College Students Use Visual and Textual Cues to Assess Credibility on Health Websites

    Directory of Open Access Journals (Sweden)

    Katrina L. Pariera

    2012-12-01

    Full Text Available One of the most important literacy skills in today’s information society is the ability to determine the credibility of online information. Users sort through a staggering number of websites while discerning which will provide satisfactory information. In this study, 70 college students assessed the credibility of health websites with a low and high design quality, in either low or high credibility groups. The study’s purpose was to understand if students relied more on textual or visual cues in determining credibility, and to understand if this affected their recall of those cues later. The results indicate that when viewing a high credibility website, high design quality will bolster the credibility perception, but design quality will not compensate for a low credibility website. The recall test also indicated that credibility does impact the participants’ recall of visual and textual cues. Implications are discussed in light of the Elaboration Likelihood Model.

  10. Methodology for identifying credible disruptions to isolation of nuclear waste within Columbia River basalts

    International Nuclear Information System (INIS)

    Davis, J.D.

    1982-01-01

    Analysis of potential preclosure and postclosure disruptive events and processes is comprised of evaluation of (1) potential uncertainties and omissions associated with characterization of the site; (2) credible events and processes resulting from the dynamics of natural systems; (3) potential, credible changes in isolation conditions induced by the presence of the repository, and (4) potential, credible future changes impacting isolation capability resulting from man's activities, independent of repository construction/operation. This report presents the overall methodology for identification, classification and analysis of disruptive events based on Nuclear Regulatory Commission and Environmental Protection Agency guidelines proposed in drafts of 10 CFR 60 and 40 CFR 191. Potential credible disruptive events, processes, and conditions are considered with respect to whether they are anticipated or unanticipated, and determined to have reasonably foreseeable, very unlikely, or extremely unlikely probability of occurrence. 85 refs., 2 figs., 7 tabs

  11. The Importance of 'Likes': The Interplay of Message Framing, Source, and Social Endorsement on Credibility Perceptions of Health Information on Facebook.

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    Borah, Porismita; Xiao, Xizhu

    2018-01-01

    Online sources not only permeate the information-seeking environment of the younger generation, but also have profound influence in shaping their beliefs and behaviors. In this landscape, examining the factors responsible for credibility perceptions of online information is fundamental, particularly for health-related information. Using a 2 (frames: gain vs. loss) × 2 (source: expert vs. non-expert) × 2 (social endorsement: high vs. low) randomized between-subjects experimental design, this study examines the effect of health message framing and the moderating effects of social endorsement and source type on credibility perceptions of Facebook posts. Testing across two issues--physical activity and alcohol consumption--findings indicate that the gain-framed message was perceived as most credible. Additionally, significant three-way interactions suggest that social endorsement and source type affect the relationship between message framing and credibility perceptions. Specifically, the findings demonstrate that a gain-framed message from an expert source with high number of 'likes' is considered the most credible message. These findings have significant implications for information gathering from social media sources, such as the influence of 'likes' on health information.

  12. Comparison of credible patients of very low intelligence and non-credible patients on neurocognitive performance validity indicators.

    Science.gov (United States)

    Smith, Klayton; Boone, Kyle; Victor, Tara; Miora, Deborah; Cottingham, Maria; Ziegler, Elizabeth; Zeller, Michelle; Wright, Matthew

    2014-01-01

    The purpose of this archival study was to identify performance validity tests (PVTs) and standard IQ and neurocognitive test scores, which singly or in combination, differentiate credible patients of low IQ (FSIQ ≤ 75; n = 55) from non-credible patients. We compared the credible participants against a sample of 74 non-credible patients who appeared to have been attempting to feign low intelligence specifically (FSIQ ≤ 75), as well as a larger non-credible sample (n = 383) unselected for IQ. The entire non-credible group scored significantly higher than the credible participants on measures of verbal crystallized intelligence/semantic memory and manipulation of overlearned information, while the credible group performed significantly better on many processing speed and memory tests. Additionally, credible women showed faster finger-tapping speeds than non-credible women. The credible group also scored significantly higher than the non-credible subgroup with low IQ scores on measures of attention, visual perceptual/spatial tasks, processing speed, verbal learning/list learning, and visual memory, and credible women continued to outperform non-credible women on finger tapping. When cut-offs were selected to maintain approximately 90% specificity in the credible group, sensitivity rates were highest for verbal and visual memory measures (i.e., TOMM trials 1 and 2; Warrington Words correct and time; Rey Word Recognition Test total; RAVLT Effort Equation, Trial 5, total across learning trials, short delay, recognition, and RAVLT/RO discriminant function; and Digit Symbol recognition), followed by select attentional PVT scores (i.e., b Test omissions and time to recite four digits forward). When failure rates were tabulated across seven most sensitive scores, a cut-off of ≥ 2 failures was associated with 85.4% specificity and 85.7% sensitivity, while a cut-off of ≥ 3 failures resulted in 95.1% specificity and 66.0% sensitivity. Results are discussed in light of

  13. The dual impact of "appeal" and "researcher credibility" on mail survey response rate in the context of preventive health care.

    Science.gov (United States)

    Angur, M G; Nataraajan, R; Chawla, S K

    1994-01-01

    Health and fitness centers are becoming increasingly aware of their importance in the realm of preventive health care. Many hospitals have begun to open and run fitness centers, a trend that seems very likely to continue. In a competitive environment, every center would desire to obtain maximum valid customer information at minimum cost, and this paper addresses this issue. The authors investigate the confluence of both appeal and researcher credibility on mail questionnaire response rates from a metropolitan membership of a large fitness center. Personal appeal with high researcher credibility was found to generate significantly higher response rate followed by the hybrid appeal with low researcher credibility.

  14. Credibility elements of eWOM messages in the context of health care services. A Romanian perspective.

    Science.gov (United States)

    Purcarea, V L; Gheorghe, I R; Petrescu, C M

    2013-09-15

    The purpose of this paper is to investigate the Romanian consumers' determinants of eWOM messages' perceived credibility in the context of health care services. We selected a sample of 127 women and we administered a questionnaire. We used the partial least squares to uncover the established relationships between the variables of the model, namely the argument strength and the source credibility of a eWOM message and the intention to purchase a health care service based on the information embedded in the eWOM messages. The results revealed that all variables had positive direct correlations with each other but the argument strength of a message has the highest impact on the intention.

  15. The use of tags and tag clouds to discern credible content in online health message forums.

    Science.gov (United States)

    O'Grady, Laura; Wathen, C Nadine; Charnaw-Burger, Jill; Betel, Lisa; Shachak, Aviv; Luke, Robert; Hockema, Stephen; Jadad, Alejandro R

    2012-01-01

    Web sites with health-oriented content are potentially harmful if inaccurate or inappropriate medical information is used to make health-related decisions. Checklists, rating systems and guidelines have been developed to help people determine what is credible, but recent Internet technologies emphasize applications that are collaborative in nature, including tags and tag clouds, where site users 'tag' or label online content, each using their own labelling system. Concepts such as the date, reference, author, testimonial and quotations are considered predictors of credible content. An understanding of these descriptive tools, how they relate to the depiction of credibility and how this relates to overall efforts to label data in relation to the semantic web has yet to emerge. This study investigates how structured (pre-determined) and unstructured (user-generated) tags and tag clouds with a multiple word search feature are used by participants to assess credibility of messages posted in online message forums. The targeted respondents were those using web sites message forums for disease self-management. We also explored the relevancy of our findings to the labelling or indexing of data in the context of the semantic web. Diabetes was chosen as the content area in this study, since (a) this is a condition with increasing prevalence and (b) diabetics have been shown to actively use the Internet to manage their condition. From January to March 2010 participants were recruited using purposive sampling techniques. A screening instrument was used to determine eligibility. The study consisted of a demographic and computer usage survey, a series of usability tests and an interview. We tested participants (N=22) on two scenarios, each involving tasks that assessed their ability to tag content and search using a tag cloud that included six structured credibility terms (statistics, date, reference, author, testimonial and quotations). MORAE Usability software (version 3

  16. Assessing the credibility of diverting through containment penetrations

    International Nuclear Information System (INIS)

    Cooley, J.N.; Swindle, D.W. Jr.

    1980-01-01

    A viable approach has been developed for identifying those containment penetrations in a nuclear fuel reprocessing plant which are credible diversion routes. The approach is based upon systematic engineering and design analyses and is applied to each type of penetration to determine which penetrations could be utilized to divert nuclear material from a reprocessing facility. The approach is described and the results of an application are discussed. In addition, the concept of credibility is developed and discussed. For a typical reprocessing plant design, the number of penetrations determined to be credible without process or piping modifications was approx. 16% of the penetrations originally identified

  17. The Source and Credibility of Colorectal Cancer Information on Twitter.

    Science.gov (United States)

    Park, SoHyun; Oh, Heung-Kwon; Park, Gibeom; Suh, Bongwon; Bae, Woo Kyung; Kim, Jin Won; Yoon, Hyuk; Kim, Duck-Woo; Kang, Sung-Bum

    2016-02-01

    Despite the rapid penetration of social media in modern life, there has been limited research conducted on whether social media serves as a credible source of health information. In this study, we propose to identify colorectal cancer information on Twitter and assess its informational credibility. We collected Twitter messages containing colorectal cancer-related keywords, over a 3-month period. A review of sample tweets yielded content and user categorization schemes. The results of the sample analysis were applied to classify all collected tweets and users, using a machine learning technique. The credibility of the information in the sampled tweets was evaluated. A total of 76,119 tweets were analyzed. Individual users authored the majority of tweets (n = 68,982, 90.6%). They mostly tweeted about news articles/research (n = 16,761, 22.0%) and risk/prevention (n = 14,767, 19.4%). Medical professional users generated only 2.0% of total tweets (n = 1509), and medical institutions rarely tweeted (n = 417, 0.6%). Organizations tended to tweet more about information than did individuals (85.2% vs 63.1%; P users. Coupled with the Internet's potential to increase social support, Twitter may contribute to enhancing public health and empowering users, when used with proper caution.

  18. Instructor Credibility across Disciplines: Identifying Students' Differentiated Expectations of Instructor Behaviors

    Science.gov (United States)

    Obermiller, Carl; Ruppert, Bryan; Atwood, April

    2012-01-01

    Business communication instructors can face a unique set of challenges to maintain their credibility with students. Communication plays an important role in the instructor-student relationship, and students judge instructors' ability to teach communication based on their ability to practice what they teach. The authors' empirical study shows that…

  19. The role of negative affect and message credibility in perceived effectiveness of smokeless tobacco health warning labels in Navi Mumbai, India and Dhaka, Bangladesh: A moderated-mediation analysis.

    Science.gov (United States)

    Mutti-Packer, Seema; Reid, Jessica L; Thrasher, James F; Romer, Daniel; Fong, Geoffrey T; Gupta, Prakash C; Pednekar, Mangesh S; Nargis, Nigar; Hammond, David

    2017-10-01

    There is strong evidence showing that pictorial health warnings are more effective than text-only warnings. However, much of this evidence comes from high-income countries and is limited to cigarette packaging. Moreover, few studies have identified mechanisms that might explain the impact of warnings. The current study examined the potential mediating role of negative affect and the moderating influence of message credibility in perceived effectiveness of smokeless tobacco warnings in two low- and middle-income countries (LMICs). Field interviews were conducted in India and Bangladesh, with adult (19+ years) smokeless tobacco users (n=1053), and youth (16-18years) users (n=304) and non-users (n=687). Respondents were randomly assigned to view warnings in one of four conditions: (1) Text-only, (2) pictorial with symbolic imagery, (3) pictorial with graphic images of health effects, or (4) pictorial with personalized graphic images plus a personal testimonial. The findings provide support for the mediating influence of negative affect in perceived effectiveness, for adult and youth smokeless tobacco users who viewed pictorial warnings (vs. text-only), and graphic health warnings (vs. personal testimonials). Among adults, message credibility moderated the indirect effect; the association was stronger when credibility was high and weaker when it was low. Among youth users and non-users, message credibility did not moderate the indirect effect. Consistent with research from high-income countries, these findings highlight the importance of selecting imagery that will elicit negative emotional reactions and be perceived as credible. Differential effects among adults and youth highlight the importance of pre-testing images. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Brand emotional credibility: effects of mixed emotions about branded products with varying credibility.

    Science.gov (United States)

    Mileti, Antonio; Prete, M Irene; Guido, Gianluigi

    2013-10-01

    This research investigates the effects of mixed emotions on the positioning and on the intention to purchase different categories of branded products (i.e., Attractiveness-products, Expertise-products, and Trustworthiness-products), in relation to their main component of credibility (Ohanian, 1990). On the basis of a focus group (n = 12) aimed to identify the three branded products used as stimuli and a pre-test (n = 240) directed to discover emotions elicited by them, two studies (n = 630; n = 240) were carried out. Positioning and multiple regression analyses showed that positive and negative emotions are positively related with the positioning and the purchase intention of Attractiveness-products, and, respectively, positively and negatively related with those of Trustworthiness-products; whereas negative emotions are negatively associated with those of Expertise-products. Brand Emotional Credibility--i.e., the emotional believability of the brand positioning signals--may help to identify unconscious elements and the simultaneous importance of mixed emotions associated with different products to match consumers' desires and expectations.

  1. How Environmental Uncertainty Moderates the Effect of Relative Advantage and Perceived Credibility on the Adoption of Mobile Health Services by Chinese Organizations in the Big Data Era

    Directory of Open Access Journals (Sweden)

    Xing Chen

    2016-01-01

    Full Text Available Despite the importance of adoption of mobile health services by an organization on the diffusion of mobile technology in the big data era, it has received minimal attention in literature. This study investigates how relative advantage and perceived credibility affect an organization’s adoption of mobile health services, as well as how environmental uncertainty changes the relationship of relative advantage and perceived credibility with adoption. A research model that integrates relative advantage, perceived credibility, environmental uncertainty, and an organization’s intention to use mobile health service is developed. Quantitative data are collected from senior managers and information systems managers in 320 Chinese healthcare organizations. The empirical findings show that while relative advantage and perceived credibility both have positive effects on an organization’s intention to use mobile health services, relative advantage plays a more important role than perceived credibility. Moreover, environmental uncertainty positively moderates the effect of relative advantage on an organization’s adoption of mobile health services. Thus, mobile health services in environments characterized with high levels of uncertainty are more likely to be adopted because of relative advantage than in environments with low levels of uncertainty.

  2. How Environmental Uncertainty Moderates the Effect of Relative Advantage and Perceived Credibility on the Adoption of Mobile Health Services by Chinese Organizations in the Big Data Era.

    Science.gov (United States)

    Chen, Xing; Zhang, Xing

    2016-01-01

    Despite the importance of adoption of mobile health services by an organization on the diffusion of mobile technology in the big data era, it has received minimal attention in literature. This study investigates how relative advantage and perceived credibility affect an organization's adoption of mobile health services, as well as how environmental uncertainty changes the relationship of relative advantage and perceived credibility with adoption. A research model that integrates relative advantage, perceived credibility, environmental uncertainty, and an organization's intention to use mobile health service is developed. Quantitative data are collected from senior managers and information systems managers in 320 Chinese healthcare organizations. The empirical findings show that while relative advantage and perceived credibility both have positive effects on an organization's intention to use mobile health services, relative advantage plays a more important role than perceived credibility. Moreover, environmental uncertainty positively moderates the effect of relative advantage on an organization's adoption of mobile health services. Thus, mobile health services in environments characterized with high levels of uncertainty are more likely to be adopted because of relative advantage than in environments with low levels of uncertainty.

  3. Preferred providers and the credible commitment problem in health insurance: first experiences with the implementation of managed competition in the Dutch health care system.

    Science.gov (United States)

    Boonen, Lieke H H M; Schut, Frederik T

    2011-04-01

    We investigate the impact of the transition towards managed competition in the Dutch health care system on health insurers' contracting behaviour. Specifically, we examine whether insurers have been able to take up their role as prudent buyers of care and examine consumers' attitudes towards insurers' new role. Health insurers' contracting behaviour is investigated by an extensive analysis of available information on purchasing practices by health insurers and by interviews with directors of health care purchasing of the four major health insurers, accounting for 90% of the market. Consumer attitudes towards insurers' new role are investigated by surveys among a representative sample of enrollees over the period 2005-2009. During the first four years of the reform, health insurers were very reluctant to engage in selective contracting and preferred to use 'soft' positive incentives to encourage preferred provider choice rather than engaging in restrictive managed care activities. Consumer attitudes towards channelling vary considerably by type of provider but generally became more negative in the first two years after the reform. Insurers' reluctance to use selective contracting can be at least partly explained by the presence of a credible-commitment problem. Consumers do not trust that insurers with restrictive networks are committed to provide good quality care. The credible-commitment problem seems to be particularly relevant to the Netherlands, since Dutch enrollees are not used to restrictions on provider choice. Since consumers are quite sensitive to differences in provider quality, more reliable information about provider quality is required to reduce the credible-commitment problem.

  4. Consumer Health Information Websites with High Visual Design Ratings Likely to Be also Highly Rated for Perceived Credibility. A Review of: Robins, D., Holmes, J., & Stansbury, M. (2010. Consumer health information on the web: The relationship of visual design and perceptions of credibility. Journal of the American Society for Information Science and Technology, 61(1, 13-19.

    Directory of Open Access Journals (Sweden)

    Kate Kelly

    2010-09-01

    Full Text Available Objective – To answer two research questions: 1 What is the relationship between the visual design of a consumer health information web site and perceptions of the credibility of information found on it? 2 Is there a relationship between brand recognition, visual design preference, and credibility judgments?Design – Qualitative (correlation of rating of response to stimulus and quantitative (credibility coding of participant commentsSetting – Not stated; assumed to be academic institutions in the United States.Subjects – Thirty-four participants over the age of 35 (34 for statistical power and age over 35 on the hypothesis that this age group is most likely to seek health information on the Internet.Methods – Screen shots of 31 consumer health information sites chosen from the results of a Google search using the term “consumer health information” were converted to slide format and shown to participants. The 31 sites included 12 of the top ranked consumer health information sites derived from three sources: the Consumer and Patient Health Information Section (CAPHIS of the Medical Library Association (MLA, the MLA itself, and Consumer Reports. Participants were read and shown a script explaining the process prior to being asked to view and rate the 31 sites. Participants were first shown a blank slide with a crosshair to focus attention. Then a stimulus slide was shown for 2.8 seconds. A blank black screen was shown while they determined their rating. Participants were first asked to rate the visual design and aesthetics of the 31 web sites using a rating scale of -4 to -1 for negative judgments and +1 to +4 for positive judgments. Then they were asked to remember why they had made positive or negative ratings and why some web sites were preferred to others. The process was repeated with the slides re-ordered, and participants were asked to rate the credibility of the sites using the same rating scales. Upon completion

  5. Cross-validation of the Dot Counting Test in a large sample of credible and non-credible patients referred for neuropsychological testing.

    Science.gov (United States)

    McCaul, Courtney; Boone, Kyle B; Ermshar, Annette; Cottingham, Maria; Victor, Tara L; Ziegler, Elizabeth; Zeller, Michelle A; Wright, Matthew

    2018-01-18

    To cross-validate the Dot Counting Test in a large neuropsychological sample. Dot Counting Test scores were compared in credible (n = 142) and non-credible (n = 335) neuropsychology referrals. Non-credible patients scored significantly higher than credible patients on all Dot Counting Test scores. While the original E-score cut-off of ≥17 achieved excellent specificity (96.5%), it was associated with mediocre sensitivity (52.8%). However, the cut-off could be substantially lowered to ≥13.80, while still maintaining adequate specificity (≥90%), and raising sensitivity to 70.0%. Examination of non-credible subgroups revealed that Dot Counting Test sensitivity in feigned mild traumatic brain injury (mTBI) was 55.8%, whereas sensitivity was 90.6% in patients with non-credible cognitive dysfunction in the context of claimed psychosis, and 81.0% in patients with non-credible cognitive performance in depression or severe TBI. Thus, the Dot Counting Test may have a particular role in detection of non-credible cognitive symptoms in claimed psychiatric disorders. Alternative to use of the E-score, failure on ≥1 cut-offs applied to individual Dot Counting Test scores (≥6.0″ for mean grouped dot counting time, ≥10.0″ for mean ungrouped dot counting time, and ≥4 errors), occurred in 11.3% of the credible sample, while nearly two-thirds (63.6%) of the non-credible sample failed one of more of these cut-offs. An E-score cut-off of 13.80, or failure on ≥1 individual score cut-offs, resulted in few false positive identifications in credible patients, and achieved high sensitivity (64.0-70.0%), and therefore appear appropriate for use in identifying neurocognitive performance invalidity.

  6. Credibility and Usefulness of Health Information on Facebook: A Survey Study with U.S. College Students

    Science.gov (United States)

    Kim, Sung Un; Syn, Sue Yeon

    2016-01-01

    Introduction: This study examines ways in which college students perceive the credibility and usefulness of health information on Facebook, depending on topic sensitivity, information source and demographic factors. Method: With self-selection sampling, data were collected from two universities through an online survey; 351 responses were used for…

  7. Evaluation method of nuclear nonproliferation credibility

    International Nuclear Information System (INIS)

    Kwon, Eun-ha; Ko, Won Il

    2009-01-01

    This paper presents an integrated multicriteria analysis method for the quantitative evaluation of a state's nuclear nonproliferation credibility level. Underscoring the implications of policy on the sources of political demand for nuclear weapons rather than focusing on efforts to restrict the supply of specific weapons technology from the 'haves' to the 'have-nots', the proposed methodology considers the political, social, and cultural dimensions of nuclear proliferation. This methodology comprises three steps: (1) identifying the factors that influence credibility formation and employing them to construct a criteria tree that will illustrate the relationships among these factors; (2) defining the weight coefficients of each criterion through pairwise comparisons of the Analytical Hierarchy Process (AHP); and (3) assigning numerical scores to a state under each criterion and combining them with the weight coefficients in order to provide an overall assessment of the state. The functionality of this methodology is examined by assessing the current level of nuclear nonproliferation credibility of four countries: Japan, North Korea, South Korea, and Switzerland.

  8. Marginality, Credibility, and Impression Management: The Asian Sociologist in America.

    Science.gov (United States)

    Unnithan, N. Prabha

    1988-01-01

    Relates personal experiences of a sociologist of Asian origin in an effort to illustrate problems inherent in the process of becoming accepted as an academic sociologist. Identifies important themes of marginality, credibility, and impression management. Points out ways in which the Asian sociologists can go about achieving credibility. (KO)

  9. Credibility engineering in the food industry: linking science, regulation, and marketing in a corporate context.

    Science.gov (United States)

    Penders, Bart; Nelis, Annemiek P

    2011-12-01

    We expand upon the notion of the "credibility cycle" through a study of credibility engineering by the food industry. Research and development (R&D) as well as marketing contribute to the credibility of the food company Unilever and its claims. Innovation encompasses the development, marketing, and sales of products. These are directed towards three distinct audiences: scientific peers, regulators, and consumers. R&D uses scientific articles to create credit for itself amongst peers and regulators. These articles are used to support health claims on products. However, R&D, regulation, and marketing are not separate realms. A single strategy of credibility engineering connects health claims to a specific public through linking that public to a health issue and a food product.

  10. Development of a Severe Accident Mitigation Support with Speediness and Credibility

    International Nuclear Information System (INIS)

    Hur, Sup; Park, Jae Chang; Choi, Jong Gyun; Kim, Jung Taek; Kim, Chang Hwoi

    2014-01-01

    This study suggests a methodology of severe accident mitigation support with speediness and credibility. Using this methodology, the severe accident is automatically identified based on the information credibility check. And then, proper mitigation function, available mitigation routes, and an optimal mitigation path are automatically suggested. The basic logic of the information credibility is based on environmental evaluation, historical evaluation and some conventional methods such as redundancy and diversity comparison of instruments. To identify the available mitigation routes, availability of paths and components, source status, process limitation, expected adverse effect, and mitigation capability of the path are automatically were evaluated. Among the available routes, the optimal mitigation path was finally suggested based on the path priority criteria and physical relationship

  11. Credibility and music´s effect as therapeutic kind in health

    Directory of Open Access Journals (Sweden)

    Karyne Cristine da Fonseca

    2006-12-01

    Full Text Available This article has as purpose to analise the professional´s music therapist´s perception about the credibility and approval of music therapy by their clients. It´s a qualitative research, developed in Goiânia-GO, between 2003, august and 2004, june. We verified that the professional´s majority noted their client´s credibility related to music capacity in transmitting pleasant sensations and its capacity to act in a efficient way on the healing process of some diseases. They too evidence that the music therapy needs to be published with more effectiveness for the population.

  12. From intermediation to disintermediation and apomediation: new models for consumers to access and assess the credibility of health information in the age of Web2.0.

    Science.gov (United States)

    Eysenbach, Gunther

    2007-01-01

    This theoretical paper discusses the model that, as a result of the social process of disintermediation enabled by digital media, traditional intermediaries are replaced by what this author calls apomediaries, which are tools and peers standing by to guide consumers to trustworthy information, or adding credibility to information. For apomediation to be an attractive and successful model for consumers, the recipient has to reach a certain degree of maturity and autonomy. Different degrees of autonomy may explain differences in information seeking and credibility appraisal behaviours. It is hypothesized that in an apomediated environment, tools, influential peers and opinion leaders are the primary conveyors of trust and credibility. In this environment, apomediary credibility may become equally or more important than source credibility or even message credibility. It is suggested to use tools of network analysis to study the dynamics of apomediary credibility in a networked digital world. There are practical implications of the apomediation model for developers of consumer health websites which aspire to come across as "credible: Consumers need and want to be able to be co-creators of content, not merely be an audience who is broadcasted to. Web2.0 technology enables such sites. Engaging and credible Web sites are about building community and communities are built upon personal and social needs.

  13. Impact of Celebrity Credibility on Advertising Effectiveness

    Directory of Open Access Journals (Sweden)

    Sadia Aziz

    2013-05-01

    Full Text Available Advertisers often make use of endorsers or representatives as trustworthy sources of persuasion for consumers' attitudes. Promotion of products through celebrities is a trendy advertising practice around the world. The present study judged the impact of celebrity credibility on advertising effectiveness in terms of consumer’s attitude towards the advertisement, attitude towards the brand and their purchase intention. This study also explored the differences of respondent’s responses towards the advertisements of brand through famous celebrities as well as unknown celebrities. Different TV advertisements were used for the experiment. Several statistical tools were applied to test the hypotheses and identify significant differences & the proposed relationships among the variables. Overall findings suggests that the respondents considered the famous celebrities of the brand as the most credible celebrities, having positive impact on consumers attitude towards the advertisement, attitude to the brand and their favorable purchase intentions as compare to the unknown celebrity with less credibility.

  14. How credible are the study results? Evaluating and applying internal validity tools to literature-based assessments of environmental health hazards

    Science.gov (United States)

    Rooney, Andrew A.; Cooper, Glinda S.; Jahnke, Gloria D.; Lam, Juleen; Morgan, Rebecca L.; Boyles, Abee L.; Ratcliffe, Jennifer M.; Kraft, Andrew D.; Schünemann, Holger J.; Schwingl, Pamela; Walker, Teneille D.; Thayer, Kristina A.; Lunn, Ruth M.

    2016-01-01

    Environmental health hazard assessments are routinely relied upon for public health decision-making. The evidence base used in these assessments is typically developed from a collection of diverse sources of information of varying quality. It is critical that literature-based evaluations consider the credibility of individual studies used to reach conclusions through consistent, transparent and accepted methods. Systematic review procedures address study credibility by assessing internal validity or “risk of bias” — the assessment of whether the design and conduct of a study compromised the credibility of the link between exposure/intervention and outcome. This paper describes the commonalities and differences in risk-of-bias methods developed or used by five groups that conduct or provide methodological input for performing environmental health hazard assessments: the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) Working Group, the Navigation Guide, the National Toxicology Program’s (NTP) Office of Health Assessment and Translation (OHAT) and Office of the Report on Carcinogens (ORoC), and the Integrated Risk Information System of the U.S. Environmental Protection Agency (EPA-IRIS). Each of these groups have been developing and applying rigorous assessment methods for integrating across a heterogeneous collection of human and animal studies to inform conclusions on potential environmental health hazards. There is substantial consistency across the groups in the consideration of risk-of-bias issues or “domains” for assessing observational human studies. There is a similar overlap in terms of domains addressed for animal studies; however, the groups differ in the relative emphasis placed on different aspects of risk of bias. Future directions for the continued harmonization and improvement of these methods are also discussed. PMID:26857180

  15. Measuring Credibility Perceptions in CSR Communication: A Scale Development to Test Readers’ Perceived Credibility of CSR Reports

    Science.gov (United States)

    Lock, Irina; Seele, Peter

    2017-01-01

    Credibility is central to communication but often jeopardized by “credibility gaps.” This is especially true for communication about corporate social responsibility (CSR). To date, no tool has been available to analyze stakeholders’ credibility perceptions of CSR communication. This article presents a series of studies conducted to develop a scale to assess the perceived credibility of CSR reports, one of CSR communication’s most important tools. The scale provides a novel operationalization of credibility using validity claims of Habermas’s ideal speech situation as subdimensions. The scale development process, carried out in five studies including a literature review, a Delphi study, and three validation studies applying confirmatory factor analysis, resulted in the 16-item Perceived Credibility (PERCRED) scale. The scale shows convergent, discriminant, concurrent, and nomological validity and is the first validated measure for analyzing credibility perceptions of CSR reports. PMID:29278260

  16. Measuring Credibility Perceptions in CSR Communication: A Scale Development to Test Readers' Perceived Credibility of CSR Reports.

    Science.gov (United States)

    Lock, Irina; Seele, Peter

    2017-11-01

    Credibility is central to communication but often jeopardized by "credibility gaps." This is especially true for communication about corporate social responsibility (CSR). To date, no tool has been available to analyze stakeholders' credibility perceptions of CSR communication. This article presents a series of studies conducted to develop a scale to assess the perceived credibility of CSR reports, one of CSR communication's most important tools. The scale provides a novel operationalization of credibility using validity claims of Habermas's ideal speech situation as subdimensions. The scale development process, carried out in five studies including a literature review, a Delphi study, and three validation studies applying confirmatory factor analysis, resulted in the 16-item Perceived Credibility (PERCRED) scale. The scale shows convergent, discriminant, concurrent, and nomological validity and is the first validated measure for analyzing credibility perceptions of CSR reports.

  17. Credibility and Crisis Stress Testing

    Directory of Open Access Journals (Sweden)

    Li Lian Ong

    2014-02-01

    Full Text Available Credibility is the bedrock of any crisis stress test. The use of stress tests to manage systemic risk was introduced by the U.S. authorities in 2009 in the form of the Supervisory Capital Assessment Program. Since then, supervisory authorities in other jurisdictions have also conducted similar exercises. In some of those cases, the design and implementation of certain elements of the framework have been criticized for their lack of credibility. This paper proposes a set of guidelines for constructing an effective crisis stress test. It combines financial markets impact studies of previous exercises with relevant case study information gleaned from those experiences to identify the key elements and to formulate their appropriate design. Pertinent concepts, issues and nuances particular to crisis stress testing are also discussed. The findings may be useful for country authorities seeking to include stress tests in their crisis management arsenal, as well as for the design of crisis programs.

  18. Credibility enacted : Understanding the meaning of credible political leadership in the Dutch parliamentary election campaign of 2010

    NARCIS (Netherlands)

    van Zuydam, Sabine; Hendriks, Frank

    2018-01-01

    In times of perception politics, the credibility of electoral candidates is a crucial asset in political marketing. This raises the question to which political leaders citizens attribute credibility and how political credibility is gained and lost through media performance. We analyze and compare

  19. Credibility enacted : Understanding the meaning of credible political leadership in the Dutch parliamentary election campaign of 2010

    NARCIS (Netherlands)

    van Zuydam, Sabine; Hendriks, Frank

    2015-01-01

    In times of perception politics, the credibility of electoral candidates is a crucial asset in political marketing. This raises the question to which political leaders citizens attribute credibility and how political credibility is gained and lost through media performance. We analyze and compare

  20. Credible Phenomenological Research: A Mixed-Methods Study

    Science.gov (United States)

    Flynn, Stephen V.; Korcuska, James S.

    2018-01-01

    The authors conducted a 3-phase investigation into the credible standards for phenomenological research practices identified in the literature and endorsed by a sample of counselor education qualitative research experts. Utilizing a mixed-methods approach, the findings offer evidence that professional counseling has a distinctive format in which…

  1. Source Credibility and the Biasing Effect of Narrative Information on the Perception of Vaccination Risks.

    Science.gov (United States)

    Haase, Niels; Betsch, Cornelia; Renkewitz, Frank

    2015-08-01

    Immunization rates are below the Global Immunization Vision and Strategy established by the World Health Organization. One reason for this are anti-vaccination activists, who use the Internet to disseminate their agenda, frequently by publishing narrative reports about alleged vaccine adverse events. In health communication, the use of narrative information has been shown to be effectively persuasive. Furthermore, persuasion research indicates that the credibility of an information source may serve as a cue to discount or augment the communicated message. Thus, the present study investigated the effect of source credibility on the biasing effect of narrative information regarding the perception of vaccination risks. 265 participants were provided with statistical information (20%) regarding the occurrence of vaccine adverse events after vaccination against a fictitious disease. This was followed by 20 personalized narratives from an online forum on vaccination experiences. The authors varied the relative frequency of narratives reporting vaccine adverse events (35% vs. 85%), narrative source credibility (anti-vaccination website vs. neutral health forum), and the credibility of the statistical information (reliable data vs. unreliable data vs. control) in a between-subjects design. Results showed a stable narrative bias on risk perception that was not affected by credibility cues. However, narratives from an anti-vaccination website generally led to lower perceptions of vaccination risks.

  2. Credibility Discourse of PR Agencies

    DEFF Research Database (Denmark)

    Isaksson, Maria; Jørgensen, Poul Erik Flyvholm

    2008-01-01

    to giving assurance of their expertise, trustworthiness and empathy, thus confirming our overall expectation that corporate credibility discourse is relatively uniform from a European perspective. However, contrary to our assumptions, the results of our study show that PR credibility discourse demonstrates...

  3. Would a madman have been so wise as this?" The effects of source credibility and message credibility on validation.

    Science.gov (United States)

    Foy, Jeffrey E; LoCasto, Paul C; Briner, Stephen W; Dyar, Samantha

    2017-02-01

    Readers rapidly check new information against prior knowledge during validation, but research is inconsistent as to whether source credibility affects validation. We argue that readers are likely to accept highly plausible assertions regardless of source, but that high source credibility may boost acceptance of claims that are less plausible based on general world knowledge. In Experiment 1, participants read narratives with assertions for which the plausibility varied depending on the source. For high credibility sources, we found that readers were faster to read information confirming these assertions relative to contradictory information. We found the opposite patterns for low credibility characters. In Experiment 2, readers read claims from the same high or low credibility sources, but the claims were always plausible based on general world knowledge. Readers consistently took longer to read contradictory information, regardless of source. In Experiment 3, participants read modified versions of "The Tell-Tale Heart," which was narrated entirely by an unreliable source. We manipulated the plausibility of a target event, as well as whether high credibility characters within the story provided confirmatory or contradictory information about the narrator's description of the target event. Though readers rated the narrator as being insane, they were more likely to believe the narrator's assertions about the target event when it was plausible and corroborated by other characters. We argue that sourcing research would benefit from focusing on the relationship between source credibility, message credibility, and multiple sources within a text.

  4. Persuading girls to take elective physical science courses in high school: Who are the credible communicators?

    Science.gov (United States)

    Koballa, Thomas R., Jr.

    Eighth-grade girls (N=257) randomly selected from nine different public junior high schools in central Texas were questioned in order to identify the communicators whom they perceive as highly credible regarding reasons for taking elective physical science courses in high school and the attributes associated with these communicators. Four persons were each identified by better than 10 percent of the sample as the best person to try to convince junior high school girls to take elective physical science courses in high school. In order of perceived credibility, these persons are father, woman science teacher, mother, and boy high school student. Slight variations in the order of perceived credibility were found when the responses from girls of the different ethnic groups represented in the sample (Caucasian, Hispanic, Black, and Asian) were examined separately. Attributes listed by the respondents for father, woman science teacher, mother, and boy high school student were examined and classified into the categories of prestige, trustworthiness, similarity, attractiveness, and power. Prestige and trustworthiness are the attributes associates most frequently with communicators identified as highly credible. Implications of the present study and suggestions for further research are discussed.

  5. Effects of argument quality, source credibility and self-reported diabetes knowledge on message attitudes: an experiment using diabetes related messages.

    Science.gov (United States)

    Lin, Tung-Cheng; Hwang, Lih-Lian; Lai, Yung-Jye

    2017-05-17

    Previous studies have reported that credibility and content (argument quality) are the most critical factors affecting the quality of health information and its acceptance and use; however, this causal relationship merits further investigation in the context of health education. Moreover, message recipients' prior knowledge may moderate these relationships. This study used the elaboration likelihood model to determine the main effects of argument quality, source credibility and the moderating effect of self-reported diabetes knowledge on message attitudes. A between-subjects experimental design using an educational message concerning diabetes for manipulation was applied to validate the effects empirically. A total of 181 participants without diabetes were recruited from the Department of Health, Taipei City Government. Four group messages were manipulated in terms of argument quality (high and low) × source credibility (high and low). Argument quality and source credibility of health information significantly influenced the attitude of message recipients. The participants with high self-reported knowledge participants exhibited significant disapproval for messages with low argument quality. Effective health information should provide objective descriptions and cite reliable sources; in addition, it should provide accurate, customised messages for recipients who have high background knowledge level and ability to discern message quality. © 2017 Health Libraries Group Health Information & Libraries Journal.

  6. CPSFS: A Credible Personalized Spam Filtering Scheme by Crowdsourcing

    Directory of Open Access Journals (Sweden)

    Xin Liu

    2017-01-01

    Full Text Available Email spam consumes a lot of network resources and threatens many systems because of its unwanted or malicious content. Most existing spam filters only target complete-spam but ignore semispam. This paper proposes a novel and comprehensive CPSFS scheme: Credible Personalized Spam Filtering Scheme, which classifies spam into two categories: complete-spam and semispam, and targets filtering both kinds of spam. Complete-spam is always spam for all users; semispam is an email identified as spam by some users and as regular email by other users. Most existing spam filters target complete-spam but ignore semispam. In CPSFS, Bayesian filtering is deployed at email servers to identify complete-spam, while semispam is identified at client side by crowdsourcing. An email user client can distinguish junk from legitimate emails according to spam reports from credible contacts with the similar interests. Social trust and interest similarity between users and their contacts are calculated so that spam reports are more accurately targeted to similar users. The experimental results show that the proposed CPSFS can improve the accuracy rate of distinguishing spam from legitimate emails compared with that of Bayesian filter alone.

  7. Building credibility in international banking and financial markets

    DEFF Research Database (Denmark)

    Jørgensen, Poul Erik Flyvholm; Isaksson, Maria

    2008-01-01

    . There is also clear evidence that corporate advertising is in fact strongly focussed on communicating credibility with less than 10% of discourse and visuals devoted to credibility-free themes and issues. Research implications/limitations - The study takes a production perspective, using discourse......Purpose - The research draws a detailed picture of how international corporate banks and financial institutions approach image advertising to enhance impressions of their credibility. The purpose of the work is twofold, namely to demonstrate (1) how corporate credibility can be conceptualised...... appeal forms. A corpus of 74 print adverts was then analysed in order to establish how financial marketers use the appeal forms to strengthen their corporate reputations. The patterns of credibility appeals obtained were then linked to the supporting visuals to provide a fuller picture of the industry...

  8. Enhancing the quality and credibility of qualitative analysis.

    OpenAIRE

    Patton, M Q

    1999-01-01

    Varying philosophical and theoretical orientations to qualitative inquiry remind us that issues of quality and credibility intersect with audience and intended research purposes. This overview examines ways of enhancing the quality and credibility of qualitative analysis by dealing with three distinct but related inquiry concerns: rigorous techniques and methods for gathering and analyzing qualitative data, including attention to validity, reliability, and triangulation; the credibility, comp...

  9. Treatment credibility, expectancy, and preference: Prediction of treatment engagement and outcome in a randomized clinical trial of hatha yoga vs. health education as adjunct treatments for depression.

    Science.gov (United States)

    Uebelacker, Lisa A; Weinstock, Lauren M; Battle, Cynthia L; Abrantes, Ana M; Miller, Ivan W

    2018-06-02

    Hatha yoga may be helpful for alleviating depression symptoms. The purpose of this analysis is to determine whether treatment program preference, credibility, or expectancy predict engagement in depression interventions (yoga or a control class) or depression symptom severity over time. This is a secondary analysis of a randomized controlled trial (RCT) of hatha yoga vs. a health education control group for treatment of depression. Depressed participants (n = 122) attended up to 20 classes over a period of 10 weeks, and then completed additional assessments after 3 and 6 months. We assessed treatment preference prior to randomization, and treatment credibility and expectancy after participants attended their first class. Treatment "concordance" indicated that treatment preference matched assigned treatment. Treatment credibility, expectancy, and concordance were not associated with treatment engagement. Treatment expectancy moderated the association between treatment group and depression. Depression severity over time differed by expectancy level for the yoga group but not for the health education group. Controlling for baseline depression, participants in the yoga group with an average or high expectancy for improvement showed lower depression symptoms across the acute intervention and follow-up period than those with a low expectancy for improvement. There was a trend for a similar pattern for credibility. Concordance was not associated with treatment outcome. This is a secondary, post-hoc analysis and should be considered hypothesis-generating. Results suggest that expectancy improves the likelihood of success only for a intervention thought to actively target depression (yoga) and not a control intervention. Copyright © 2018. Published by Elsevier B.V.

  10. Credibility of Policy Announcements Under Asymmetric Information

    DEFF Research Database (Denmark)

    Christensen, Michael

    1999-01-01

    In a simple macro-economic model, where the monetary authorities process superior information about a real shocks, the scope for an active stabilization policy is shown to depend on the credibility of the policy maker. Lack of credibility increases the need for an active stabilization policy...

  11. Credibility of the Printed Media: The Swine Flu as a Case Study

    Directory of Open Access Journals (Sweden)

    Ksenija Žlof

    2011-12-01

    Full Text Available The issue of credibility becomes especially pronounced in times of crises, which characteristically abound in the unknown, uncertainty, and doubt. Such crises are mostly sudden, often complex, andsometimes mired in controversial events. The public subsequently craves more information in times of crises, such that they may obtain more precise guidance, and ease their ability to cope. Given the relatively low frequency of crisis situations, most people lack actual experience relevant to a given predicament. The appearance of Virus A (H1N1 at the onset of 2009 is one such case. Despite H1N1’s classification as a broad-scale, serious health hazard, preventive vaccinations failed to reach a large segment of the population. We contend that the lack of credibility in informing the public through the media contributed considerably to this failure. Therefore, the aim of this paper is to determine the level of credible information provided by the print media from which the general public could have taken an informed position on the crisis in question. Quantitative research and content analysis ascertained from a body of print media sources with national coverage reveals that the Croatian print media, contrary to our expectations, largely rely on official sources and transparently cite authors, which contributes to a higher degree of credibility. Yet further analysis of the number of sources suggests that most journalists used on average only one or no named sources, which significantly reduces the credibility of the published articles.

  12. A framework to establish credibility of computational models in biology.

    Science.gov (United States)

    Patterson, Eann A; Whelan, Maurice P

    2017-10-01

    Computational models in biology and biomedical science are often constructed to aid people's understanding of phenomena or to inform decisions with socioeconomic consequences. Model credibility is the willingness of people to trust a model's predictions and is often difficult to establish for computational biology models. A 3 × 3 matrix has been proposed to allow such models to be categorised with respect to their testability and epistemic foundation in order to guide the selection of an appropriate process of validation to supply evidence to establish credibility. Three approaches to validation are identified that can be deployed depending on whether a model is deemed untestable, testable or lies somewhere in between. In the latter two cases, the validation process involves the quantification of uncertainty which is a key output. The issues arising due to the complexity and inherent variability of biological systems are discussed and the creation of 'digital twins' proposed as a means to alleviate the issues and provide a more robust, transparent and traceable route to model credibility and acceptance. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  13. Credibility and trust in risk communication

    International Nuclear Information System (INIS)

    Renn, O.; Levine, D.

    1989-01-01

    The paper attempts to summarize the major findings of the psychological and sociological literature on trust and credibility, and to apply these findings to the specific arena of risk communication. A few guidelines for risk communication that appear appropriate for the social and institutional context in which the risk debate takes place are presented. The case studies of credibility of nuclear energy, biotechnology, medicine, and aviation are discussed. (DG)

  14. LCLS Maximum Credible Beam Power

    International Nuclear Information System (INIS)

    Clendenin, J.

    2005-01-01

    The maximum credible beam power is defined as the highest credible average beam power that the accelerator can deliver to the point in question, given the laws of physics, the beam line design, and assuming all protection devices have failed. For a new accelerator project, the official maximum credible beam power is determined by project staff in consultation with the Radiation Physics Department, after examining the arguments and evidence presented by the appropriate accelerator physicist(s) and beam line engineers. The definitive parameter becomes part of the project's safety envelope. This technical note will first review the studies that were done for the Gun Test Facility (GTF) at SSRL, where a photoinjector similar to the one proposed for the LCLS is being tested. In Section 3 the maximum charge out of the gun for a single rf pulse is calculated. In Section 4, PARMELA simulations are used to track the beam from the gun to the end of the photoinjector. Finally in Section 5 the beam through the matching section and injected into Linac-1 is discussed

  15. Credibility is the first principle

    International Nuclear Information System (INIS)

    Beecher, William

    2002-01-01

    The first principle of an effective public affairs program on nuclear energy is credibility. If credibility is lacking, no matter how artful the message, it will not be persuasive. There has long been a problem in the United States. For years much of the industry followed the practice, when there was an event at a nuclear power plant that resulted in an unplanned release of radioactivity, to tell the public there was 'no release' if in fact the release was below the technical specifications of what the NRC mandates as being safe. The NRC is a safety regulator. It can tell nuclear power plant operators what to do, or not do, when it comes to safety, but doesn't have the right to tell them what to say to the public. The example of an emergency exercise and the NRC press release on that occasion showed the direction how companies could be influenced to behave in order to prevent such avoidably negative news coverage, i.e. attaining credibility when public anxiety is concerned

  16. Strategies Employed by Citizen Science Programs to Increase the Credibility of Their Data

    Directory of Open Access Journals (Sweden)

    Amy Freitag

    2016-05-01

    Full Text Available The success of citizen science in producing important and unique data is attracting interest from scientists and resource managers. Nonetheless, questions remain about the credibility of citizen science data. Citizen science programs desire to meet the same standards of credibility as academic science, but they usually work within a different context, for example, training and managing significant numbers of volunteers with limited resources. We surveyed the credibility-building strategies of 30 citizen science programs that monitor environmental aspects of the California coast. We identified a total of twelve strategies: Three that are applied during training and planning; four that are applied during data collection; and five that are applied during data analysis and program evaluation. Variation in the application of these strategies by program is related to factors such as the number of participants, the focus on group or individual work, and the time commitment required of volunteers. The structure of each program and available resources require program designers to navigate tradeoffs in the choices of their credibility strategies. Our results illustrate those tradeoffs and provide a framework for the necessary discussions between citizen science programs and potential users of their data—including scientists and decision makers—about shared expectations for credibility and practical approaches for meeting those expectations. This article has been corrected here: http://dx.doi.org/10.5334/cstp.91

  17. INVESTIGATINGTHE SOURCEATTRIBUTES INFLUENCINGCONSUMERS’ CREDIBILITY EVALUATIONS OF AN ATHLETE-CELEBRITY ENDORSED PRODUCT

    Directory of Open Access Journals (Sweden)

    Bafokeng Bafokeng Mahao

    2017-01-01

    Full Text Available The use of celebrity endorsement as an advertising strategy has been widelyembraced by numerousorganisations. Nonetheless, scholarly wisdom suggests theneed for cumulative research that seeks to identify the unique set of source factorsthat enhance the credibility of advertising communication messages delivered bycelebrities across countries.Inthis vein, the primary purpose of this research wasto apply the dimensions of thesource attributes theory (Ohanian, 1990 tounderstand the underlying factors that influence South African consumers to havepositive perceptions towards purchasingaproductthat hasbeen endorsed by alocal athlete celebrity-endorser. A quantitative research approach was applied,wherein a self-administered survey questionnaire comprising20scale items wasadapted for this research. Data were collected from a consumer sample of 456consumers based in Gauteng, South Africa. Upon applying exploratory factoranalysisand mean score rankings, source likeability, source trust, source authorityand source credibility were established as the underlying factors influencingconsumers’ credibility evaluations, in descending order of importance. Moreover,the inter-factor correlation matrix revealed positive relationships among theidentified factors. Insights gained from this study could assist practitioners todesign effectiveadvertisementstrategies that fosterpositivecredibility evaluationsthrough known product endorsers.

  18. Credible nuclear waste management: a legislative perspective

    International Nuclear Information System (INIS)

    Jeffords, J.M.

    1978-01-01

    The past credibility of the AEC, ERDA, and NRC, along with the present credibility of DOE and NRC, are questioned. The results of voter responses to a moratorium on expansion of nuclear power are linked to the question of past credibility of these Federal agencies. It is proposed that the future of nuclear power be linked directly to the Executive Branch of the government via a new bureaucracy, a Waste Management Authority. This new bureaucracy would be completely separated from the construction or licensing phase of nuclear power, except it would have final say over any nuclear power expansion pending an acceptable solution to the waste reprocessing question

  19. The Credibility of Science Communication

    Directory of Open Access Journals (Sweden)

    Nielsen, L. H.

    2007-10-01

    Full Text Available Current developments in the media marketplace and an increased need for visibility to secure funding are leading inevitably to faster, simpler and more aggressive science communication. This article presents the results of an exploratory study of potential credibility problems in astronomy press releases, their causes, consequences and possible remedies. The study consisted of eleven open-ended interviews with journalists, scientists and public information officers. Results suggest that credibility issues are central to communication, deeply integrated into the workflow and can have severe consequences for the actors (especially the scientist, but are an unavoidable part of thecommunication process.

  20. Credible baseline analysis for multi-model public policy studies

    Energy Technology Data Exchange (ETDEWEB)

    Parikh, S.C.; Gass, S.I.

    1981-01-01

    The nature of public decision-making and resource allocation is such that many complex interactions can best be examined and understood by quantitative analysis. Most organizations do not possess the totality of models and needed analytical skills to perform detailed and systematic quantitative analysis. Hence, the need for coordinated, multi-organization studies that support public decision-making has grown in recent years. This trend is expected not only to continue, but to increase. This paper describes the authors' views on the process of multi-model analysis based on their participation in an analytical exercise, the ORNL/MITRE Study. One of the authors was the exercise coordinator. During the study, the authors were concerned with the issue of measuring and conveying credibility of the analysis. This work led them to identify several key determinants, described in this paper, that could be used to develop a rating of credibility.

  1. Reported credibility techniques in higher education evaluation studies that use qualitative methods: A research synthesis.

    Science.gov (United States)

    Liao, Hongjing; Hitchcock, John

    2018-06-01

    This synthesis study examined the reported use of credibility techniques in higher education evaluation articles that use qualitative methods. The sample included 118 articles published in six leading higher education evaluation journals from 2003 to 2012. Mixed methods approaches were used to identify key credibility techniques reported across the articles, document the frequency of these techniques, and describe their use and properties. Two broad sets of techniques were of interest: primary design techniques (i.e., basic), such as sampling/participant recruitment strategies, data collection methods, analytic details, and additional qualitative credibility techniques (e.g., member checking, negative case analyses, peer debriefing). The majority of evaluation articles reported use of primary techniques although there was wide variation in the amount of supporting detail; most of the articles did not describe the use of additional credibility techniques. This suggests that editors of evaluation journals should encourage the reporting of qualitative design details and authors should develop strategies yielding fuller methodological description. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. Exchange rate stabilization under imperfect credibility

    OpenAIRE

    Calvo, Guillermo; Vegh, Carlos

    1991-01-01

    This paper analyzes stabilization policy under predetermined exchange rates in a cash-in-advance, staggered-prices model. Under full credibility, a reduction in the rate of devaluation results in an immediate and permanent reduction in the inflation rate, with no effect on output or consumption. In contrast, a non-credible stabilization results in an initial expansion of output, followed by a later recession. The inflation rate of home goods remains above the rate of devaluation throughout...

  3. Credibility judgments of narratives: language, plausibility, and absorption.

    Science.gov (United States)

    Nahari, Galit; Glicksohn, Joseph; Nachson, Israel

    2010-01-01

    Two experiments were conducted in order to find out whether textual features of narratives differentially affect credibility judgments made by judges having different levels of absorption (a disposition associated with rich visual imagination). Participants in both experiments were exposed to a textual narrative and requested to judge whether the narrator actually experienced the event he described in his story. In Experiment 1, the narrative varied in terms of language (literal, figurative) and plausibility (ordinary, anomalous). In Experiment 2, the narrative varied in terms of language only. The participants' perceptions of the plausibility of the story described and the extent to which they were absorbed in reading were measured. The data from both experiments together suggest that the groups applied entirely different criteria in credibility judgments. For high-absorption individuals, their credibility judgment depends on the degree to which the text can be assimilated into their own vivid imagination, whereas for low-absorption individuals it depends mainly on plausibility. That is, high-absorption individuals applied an experiential mental set while judging the credibility of the narrator, whereas low-absorption individuals applied an instrumental mental set. Possible cognitive mechanisms and implications for credibility judgments are discussed.

  4. Credibility assessment in child sexual abuse investigations: A descriptive analysis.

    Science.gov (United States)

    Melkman, Eran P; Hershkowitz, Irit; Zur, Ronit

    2017-05-01

    A major challenge in cases of child sexual abuse (CSA) is determining the credibility of children's reports. Consequently cases may be misclassified as false or deemed 'no judgment possible'. Based on a large national sample of reports of CSA made in Israel in 2014, the study examines child and event characteristics contributing to the probability that reports of abuse would be judged credible. National data files of all children aged 3-14, who were referred for investigation following suspected victimization of sexual abuse, and had disclosed sexual abuse, were analyzed. Cases were classified as either 'credible' or 'no judgment possible'. The probability of reaching a 'credible' judgment was examined in relation to characteristics of the child (age, gender, cognitive delay, marital status of the parents,) and of the abusive event (abuse severity, frequency, perpetrator-victim relationship, perpetrator's use of grooming, and perpetrator's use of coercion), controlling for investigator's identity at the cluster level of the analysis. Of 1563 cases analyzed, 57.9% were assessed as credible. The most powerful predictors of a credible judgment were older age and absence of a cognitive delay. Reports of children to married parents, who experienced a single abusive event that involved perpetrator's use of grooming, were also more likely to be judged as credible. Rates of credible judgments found are lower than expected suggesting under-identification of truthful reports of CSA. In particular, those cases of severe and multiple abuse involving younger and cognitively delayed children are the ones with the lowest chances of being assessed as credible. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Aggregated trustworthiness: Redefining online credibility through social validation

    DEFF Research Database (Denmark)

    Jessen, Johan; Jørgensen, Anker Helms

    2012-01-01

    This article investigates the impact of social dynamics on online credibility. Empirical studies by Pettingill (2006) and Hargittai, et al. (2010) suggest that social validation and online trustees play increasingly important roles when evaluating credibility online. This dynamic puts pressure...

  6. Credibility Perceptions of User Generated Content

    OpenAIRE

    Murugan, S.; Nagarajan, Dr. P.S.

    2017-01-01

    Social media users generate a large volume of user generated content in various social media platforms to share their experiences in using a brand or a service. In the travel industry, the user generated content reviews are used by the prospective travellers to decide their travel plans. In the 1950’s credibility research of the media was started when television was introduced as a new media in the world dominated by newspapers. In the Social Media platforms, the credibility assessment is muc...

  7. Enhancing the quality and credibility of qualitative analysis.

    Science.gov (United States)

    Patton, M Q

    1999-12-01

    Varying philosophical and theoretical orientations to qualitative inquiry remind us that issues of quality and credibility intersect with audience and intended research purposes. This overview examines ways of enhancing the quality and credibility of qualitative analysis by dealing with three distinct but related inquiry concerns: rigorous techniques and methods for gathering and analyzing qualitative data, including attention to validity, reliability, and triangulation; the credibility, competence, and perceived trustworthiness of the qualitative researcher; and the philosophical beliefs of evaluation users about such paradigm-based preferences as objectivity versus subjectivity, truth versus perspective, and generalizations versus extrapolations. Although this overview examines some general approaches to issues of credibility and data quality in qualitative analysis, it is important to acknowledge that particular philosophical underpinnings, specific paradigms, and special purposes for qualitative inquiry will typically include additional or substitute criteria for assuring and judging quality, validity, and credibility. Moreover, the context for these considerations has evolved. In early literature on evaluation methods the debate between qualitative and quantitative methodologists was often strident. In recent years the debate has softened. A consensus has gradually emerged that the important challenge is to match appropriately the methods to empirical questions and issues, and not to universally advocate any single methodological approach for all problems.

  8. Chapter 8: The credibility crisis

    International Nuclear Information System (INIS)

    Poumadere, M.

    1991-01-01

    In the credibility crisis, a generalized state of conflicting cognitions is probably prevalent, along with possible individual and social pathologies. These cognitive conflicts and emotional traumas are linked to both the characteristics of Chernobyl as a human-made disaster and the specific nature of Chernobyl as a nuclear disaster. Three major elements as constituents of this nature are identified: The rupture of a social contract, the loss of a socially valued object, and the sudden removal of established distances. Further research and basic information are needed in this area where little specific observation is reported. A better grasp of the impact of nuclear energy on our societies can lead to better adapted policy, increased local and social solidarity, more decentralized initiative and risk management, and better organized primary prevention in nuclear disaster. (orig./DG)

  9. Institutional credibility and the future of Danish journalism

    DEFF Research Database (Denmark)

    Ørsten, Mark; Burkal, Rasmus

    Credibility is frequently represented as both an ideal goal for journalism as a profession (Vultree, 2010) and as an integral part of the survival strategy of the news industry (Meyer, 2004). Yet there exists no widely accepted operationalization of the concept of credibility. In this paper we...... ethics among Danish journalists....

  10. eWOM credibility on social networking sites: A framework

    OpenAIRE

    Moran, Gillian; Muzellec, Laurent

    2017-01-01

    Social networking sites (SNS) offer brands the ability to spread positive electronic Word of Mouth (eWOM) for the purposes of building awareness and acquiring new customers. However, the credibility of eWOM is threatened of late as marketers increasingly try to manipulate eWOM practices on SNS. A greater understanding of eWOM credibility is necessary to better enable marketers to leverage true consumer engagement by generating credible peer-to-peer communications. Yet, to date, there is no on...

  11. How Organizational Design Can Make Delegation Credible

    OpenAIRE

    Foss, Kirsten; Foss, Nicolai J.

    2005-01-01

    Credible delegation of discretion obtains when it is a rational strategy for managers not to overrule employee decisions that are based on delegated decision rights or renege on the level of delegated discretion (and this is common knowledge). Making delegation of discretion credible becomes a crucial issue when organizations want to sustain the advantages that may flow from delegation: Such advantages are dependent on motivated employees, and managerial overruling or reneging is harmful to m...

  12. Extension and Application of Credibility Models in Predicting Claim Frequency

    Directory of Open Access Journals (Sweden)

    Yuan-tao Xie

    2018-01-01

    Full Text Available In nonlife actuarial science, credibility models are one of the main methods of experience ratemaking. Bühlmann-Straub credibility model can be expressed as a special case of linear mixed models (LMMs with the underlying assumption of normality. In this paper, we extend the assumption of Bühlmann-Straub model to include Poisson and negative binomial distributions as they are more appropriate for describing the distribution of a number of claims. By using the framework of generalized linear mixed models (GLMMs, we obtain the generalized credibility premiums that contain as particular cases another credibility premium in the literature. Compared to generalized linear mixed models, our extended credibility models also have an advantage in that the credibility factor falls into the range from 0 to 1. The performance of our models in comparison with an existing model in the literature is also evaluated through numerical studies, which shows that our approach produces premium estimates close to the optima. In addition, our proposed model can also be applied to the most commonly used ratemaking approach, namely, the net, the optimal Bonus-Malus system.

  13. Plant identification credibility in ethnobotany: a closer look at Polish ethnographic studies

    Directory of Open Access Journals (Sweden)

    Łuczaj Łukasz J

    2010-12-01

    Full Text Available Abstract Background This paper is an attempt to estimate the percentage of erroneously identified taxa in ethnographic studies concerning the use of plants and to propose a code for recording credibility of identification in historical ethnobotany publications. Methods A sample of Polish-language ethnobotanical literature (45 published sources from 1874-2005 and four collections of voucher specimens (from 1894-1975 were analyzed. Errors were detected in the publications by comparing the data with existing knowledge on the distribution of plant names and species ranges. The voucher specimens were re-examined. A one-letter code was invented for quick identification of the credibility of data published in lists of species compiled from historical or ethnographic sources, according to the source of identification: voucher specimen, Latin binominal, botanical expert, obvious widespread name, folk name, mode of use, range, physical description or photograph. To test the use of the code an up-to-date list of wild food plants used in Poland was made. Results A significant difference between the ratio of mistakes in the voucher specimen collections and the ratio of detectable mistakes in the studies without herbarium documentation was found. At least 2.3% of taxa in the publications were identified erroneously (mean rate was 6.2% per publication, and in half of these mistakes even the genus was not correct. As many as 10.0% of voucher specimens (on average 9.2% per collection were originally erroneously identified, but three quarters of the identification mistakes remained within-genus. The species of the genera Thymus, Rumex and Rubus were most often confused within the genus. Not all of the invented credibility codes were used in the list of wild food plants, but they may be useful for other researchers. The most often used codes were the ones signifying identification by: voucher specimen, botanical expert and by a common name used throughout the

  14. Plant identification credibility in ethnobotany: a closer look at Polish ethnographic studies.

    Science.gov (United States)

    Łuczaj, Łukasz J

    2010-12-17

    This paper is an attempt to estimate the percentage of erroneously identified taxa in ethnographic studies concerning the use of plants and to propose a code for recording credibility of identification in historical ethnobotany publications. A sample of Polish-language ethnobotanical literature (45 published sources from 1874-2005) and four collections of voucher specimens (from 1894-1975) were analyzed. Errors were detected in the publications by comparing the data with existing knowledge on the distribution of plant names and species ranges. The voucher specimens were re-examined.A one-letter code was invented for quick identification of the credibility of data published in lists of species compiled from historical or ethnographic sources, according to the source of identification: voucher specimen, Latin binominal, botanical expert, obvious widespread name, folk name, mode of use, range, physical description or photograph. To test the use of the code an up-to-date list of wild food plants used in Poland was made. A significant difference between the ratio of mistakes in the voucher specimen collections and the ratio of detectable mistakes in the studies without herbarium documentation was found. At least 2.3% of taxa in the publications were identified erroneously (mean rate was 6.2% per publication), and in half of these mistakes even the genus was not correct. As many as 10.0% of voucher specimens (on average 9.2% per collection) were originally erroneously identified, but three quarters of the identification mistakes remained within-genus.The species of the genera Thymus, Rumex and Rubus were most often confused within the genus.Not all of the invented credibility codes were used in the list of wild food plants, but they may be useful for other researchers. The most often used codes were the ones signifying identification by: voucher specimen, botanical expert and by a common name used throughout the country. The results of this study support the rigorous use

  15. EVALUATION OF NATIONAL BANK OF ROMANIA MONETARY POLICY CREDIBILITY

    Directory of Open Access Journals (Sweden)

    Toader Valentin

    2008-05-01

    Full Text Available In this paper, using the models from the economic literature, the authors study the credibility level of National Bank of Romania (NRB during the time span Mars 2007 – Mars 2008. We will use three types of credibility indexes - two from the economic literature and one proposed by the authors. Also, we will emphasize the impact of unpredictable shocks - the natural calamities (drought which affected the aggregate supply in the summer of 2007 and the depreciation of RON against the euro - on the NBR credibility.

  16. Exchange-Rate-Based Stabilization under Imperfect Credibility

    OpenAIRE

    Guillermo Calvo; Carlos A. Végh Gramont

    1991-01-01

    This paper analyzes stabilization policy under predetermined exchange rates in a cash-in-advance, staggered-prices model. Under full credibility, a reduction in the rate of devaluation results in an immediate and permanent reduction in the inflation rate, with no effect on output or consumption. In contrast, a non-credible stabilization results in an initial expansion of output, followed by a later recession. The inflation rate of home goods remains above the rate of devaluation throughout th...

  17. Topic familiarity and information skills in online credibility evaluation

    NARCIS (Netherlands)

    Lucassen, T.; Schraagen, J.M.C.

    2013-01-01

    With the rise of user generated content, evaluating the credibility of information has become increasingly important. It is already known that various user characteristics influence the way credibility evaluation is performed. Domain experts on the topic at hand primarily focus on semantic features

  18. Conquering Credibility for Monetary Policy Under Sticky Confidence

    Directory of Open Access Journals (Sweden)

    Jaylson Jair da Silveira

    2015-06-01

    Full Text Available We derive a best-reply monetary policy when the confidence by price setters on the monetary authority’s commitment to price level targeting may be both incomplete and sticky. We find that complete confidence (or full credibility is not a necessary condition for the achievement of a price level target even when heterogeneity in firms’ price level expectations is endogenously time-varying and may emerge as a long-run equilibrium outcome. In fact, in the absence of exogenous perturbations to the dynamic of confidence building, it is the achievement of a price level target for long enough that, due to stickiness in the state of confidence, rather ensures the conquering of full credibility. This result has relevant implications for the conduct of monetary policy in pursuit of price stability. One implication is that setting a price level target matters more as a means to provide monetary policy with a sharper focus on price stability than as a device to conquer credibility. As regards the conquering of credibility for monetary policy, it turns out that actions speak louder than words, as the continuing achievement of price stability is what ultimately performs better as a confidence-building device.

  19. Framing Service, Benefit, and Credibility Through Images and Texts: A Content Analysis of Online Promotional Messages of Korean Medical Tourism Industry.

    Science.gov (United States)

    Jun, Jungmi

    2016-07-01

    This study examines how the Korean medical tourism industry frames its service, benefit, and credibility issues through texts and images of online brochures. The results of content analysis suggest that the Korean medical tourism industry attempts to frame their medical/health services as "excellence in surgeries and cancer care" and "advanced health technology and facilities." However, the use of cost-saving appeals was limited, which can be seen as a strategy to avoid consumers' association of lower cost with lower quality services, and to stress safety and credibility.

  20. Does the Credible Fiscal Policy Support the Prices Stabilization?

    Directory of Open Access Journals (Sweden)

    Kuncoro Haryo

    2015-06-01

    Full Text Available This paper aims at analyzing the co-movement between fiscal policy and monetary policy rules in the context of price stabilization. More specifically, we observe the potential impact of fiscal policy credibility on the price stabilization in the inflation targeting framework. Motivated by the fact that empirical studies concerning this aspect are still limited, we take the case of Indonesia over the period 2001-2013. Based on the quarterly data analysis, we found that the impact of credibility typically depends on characteristics of fiscal rules commitment. On one hand, the credibility of debt rule reduces the inflation rate. In contrast, the incredible deficit rule policy does not have any impact on the inflation rate and therefore does not support to inflation targeting. Given those results, we conclude that credibility matters in stabilizing price levels. Accordingly, those findings suggest tightening coordination between monetary and fiscal policy to maintain fiscal sustainability in accordance with price stabilization policy

  1. Credibility judgments in web page design - a brief review.

    Science.gov (United States)

    Selejan, O; Muresanu, D F; Popa, L; Muresanu-Oloeriu, I; Iudean, D; Buzoianu, A; Suciu, S

    2016-01-01

    Today, more than ever, knowledge that interfaces appearance analysis is a crucial point in human-computer interaction field has been accepted. As nowadays virtually anyone can publish information on the web, the credibility role has grown increasingly important in relation to the web-based content. Areas like trust, credibility, and behavior, doubled by overall impression and user expectation are today in the spotlight of research compared to the last period, when other pragmatic areas such as usability and utility were considered. Credibility has been discussed as a theoretical construct in the field of communication in the past decades and revealed that people tend to evaluate the credibility of communication primarily by the communicator's expertise. Other factors involved in the content communication process are trustworthiness and dynamism as well as various other criteria but to a lower extent. In this brief review, factors like web page aesthetics, browsing experiences and user experience are considered.

  2. Public confidence in local management officials: organizational credibility and emergency behavior

    Energy Technology Data Exchange (ETDEWEB)

    Sorensen, J.H.

    1984-01-01

    Confidence issues create potential risks for the public in any emergency situation. They do so because credibility and associated perceptions of legitimacy and competency of organizations are determinants of human behavior in disasters. Credibility, however, is only one of numerous factors that shape response of people or organizations to a threatening event. The purposes of this paper are to review what is known about the way in which credibility and related constructs influence emergency response, discuss how this knowledge applies to radiological emergency planning, and suggest how credibility-induced risk can be minimized in emergency planning and response.

  3. Public confidence in local management officials: organizational credibility and emergency behavior

    International Nuclear Information System (INIS)

    Sorensen, J.H.

    1984-01-01

    Confidence issues create potential risks for the public in any emergency situation. They do so because credibility and associated perceptions of legitimacy and competency of organizations are determinants of human behavior in disasters. Credibility, however, is only one of numerous factors that shape response of people or organizations to a threatening event. The purposes of this paper are to review what is known about the way in which credibility and related constructs influence emergency response, discuss how this knowledge applies to radiological emergency planning, and suggest how credibility-induced risk can be minimized in emergency planning and response

  4. How Experienced SoTL Researchers Develop the Credibility of Their Work

    Directory of Open Access Journals (Sweden)

    Jennie Billot

    2017-03-01

    Full Text Available Teaching and learning research in higher education, often referred to as the Scholarship of Teaching and Learning (SoTL, is still relatively novel in many academic contexts compared to the mainstay of disciplinary research. One indication of this is the challenges those who engage in SoTL report in terms of how this work is valued or considered credible amongst disciplinary colleagues and in the face of institutional policies and practices. This paper moves beyond the literature that describes these specific challenges to investigate how 23 experienced SoTL researchers from five different countries understood the notion of credibility in relationship to their SoTL research and how they went about developing credibility for their work. Semi-structured interviews were facilitated and analyzed using inductive analysis. Findings indicate that notions of credibility encompassed putting SoTL research into action and building capacity and community around research findings, as well as gaining external validation through traditional indicators such as publishing. SoTL researchers reported a variety of strategies and approaches they were using, both formal and informal, to develop credibility for their work. The direct focus of this paper on credibility of SoTL work as perceived by experienced SoTL researchers, and how they go about developing credibility, is a distinct contribution to the discussions about the valuing of SoTL work.

  5. Credibility of experts and institutions in emergency situations

    International Nuclear Information System (INIS)

    Renn, O.; Kastenholz, H.G.

    1997-01-01

    This article deals with the most important results of communication and psychological studies on credibility and trust in emergency situations. The central insight in this paper has been that communication about the different elements of credibility needs to start before any emergency in order to build trust among the various constituents. In addition, emergency handling institutions need to reflect the experiences they have made during an emergency and involve the public in a social learning process to improve the existing emergency plans. Credibility of institutions relies on the congruence between the expectations of the public with respect to the demanded performance and the preception of the actual performance. Any institution needs to adjust its communication about public expectations as well as institute sufficient control and monitoring to improve actual performance. (orig.) [de

  6. Predictors of premature termination from psychotherapy for anorexia nervosa: Low treatment credibility, early therapy alliance, and self-transcendence.

    Science.gov (United States)

    Jordan, Jennifer; McIntosh, Virginia V W; Carter, Frances A; Joyce, Peter R; Frampton, Christopher M A; Luty, Suzanne E; McKenzie, Janice M; Carter, Janet D; Bulik, Cynthia M

    2017-08-01

    Failure to complete treatment for anorexia nervosa (AN) is- common, clinically concerning but difficult to predict. This study examines whether therapy-related factors (patient-rated pretreatment credibility and early therapeutic alliance) predict subsequent premature termination of treatment (PTT) alongside self-transcendence (a previously identified clinical predictor) in women with AN. 56 women aged 17-40 years participating in a randomized outpatient psychotherapy trial for AN. Treatment completion was defined as attending 15/20 planned sessions. Measures were the Treatment Credibility, Temperament and Character Inventory, Vanderbilt Therapeutic Alliance Scale and the Vanderbilt Psychotherapy Process Scale. Statistics were univariate tests, correlations, and logistic regression. Treatment credibility and certain early patient and therapist alliance/process subscales predicted PTT. Lower self-transcendence and lower early process accounted for 33% of the variance in predicting PTT. Routine assessment of treatment credibility and early process (comprehensively assessed from multiple perspectives) may help clinicians reduce PTT thereby enhancing treatment outcomes. © 2017 Wiley Periodicals, Inc.

  7. Deposit Insurance Coverage, Credibility of Non-insurance, and Banking Crises

    DEFF Research Database (Denmark)

    Angkinand, Apanard; Wihlborg, Clas

    2005-01-01

    level require analyses of institutional factors affecting the credibility of non-insurance. In particular, the implementation of effective distress resolution procedures for banks would allow governments to reduce explicit deposit insurance coverage and, thereby, to strengthen market discipline......The ambiguity in existing empirical work with respect to effects of deposit insurance schemes on banks' risk-taking can be resolved if it is recognized that absence of deposit insurance is rarely credible and that the credibility of non-insurance can be enhanced by explicit deposit insurance...... schemes. We show that under reasonable conditions for effects on risk-taking of creditor protection in banking, and for effects on credibility of non-insurance of explicit coverage of deposit insurance schemes, there exists a partial level of coverage that maximizes market discipline and minimizes moral...

  8. Workshop on establishing institutional credibility for SEAB Task Force on Radioactive Waste Management

    International Nuclear Information System (INIS)

    1994-01-01

    At the request of the Secretary of Energy Advisory Board's Task Force on Civilian Radioactive Waste Management, the National Research Council sponsored a workshop on Establishing Institutional Credibility. The purpose of the workshop was to (1) identify the range of available knowledge regarding the theoretical and conceptual issues of how institutions establish their credibility and legitimacy with key constituents, and (2) to help explore and clarify fundamental concepts in management theory related to these issues. The examination was to include what is known about how organizations establish, maintain, lose, and regain public trust and confidence. There was to be no attempt to develop consensus on these issues or to suggest particular courses of action. The workshop was held on October 24-25, 1991, in Denver, Colorado

  9. CREDIBILITY OF WEBSITES THROUGH FACETS AND DIMENSIONS

    Directory of Open Access Journals (Sweden)

    Oana ȚUGULEA

    2017-05-01

    Full Text Available This study aims to investigate important aspects to concern on when building a commercial presentation website, in order to increase the credibility of the certain categories of a presentation website. Factor analysis was used in order to identify the dimensions of each category. The categories and resulted dimensions discussed were: “image” – with the following dimensions: Projected image, Specialist, Advert and Coherence, “relationship” – with the following dimensions: Bi-directional communication and Contact information, “product presentation” – with the following dimensions: In-depth description and Variety and “site functionality” – with the following dimensions: Usefulness, Official relationship, Complete communication, Exterior communication, Information format and References.

  10. Vigilance and reason - The keys to continued credibility

    International Nuclear Information System (INIS)

    Arlotto, G.A.

    1994-01-01

    I have entitle my speech open-quotes Vigilance and Reason-The Keys to Continued Credibilityclose quotes. A partitioning of the words gives insight into my view of where we are, where we may be going, and that we have control of our fate. open-quotes Continuedclose quotes indicates that I believe, at present, the American Society of Mechanical Engineers (ASME) Codes and Standards process has credibility. open-quotes Keysclose quotes connotes that we are at a crossroads and something must be done to stay on track. And open-quotes Vigilance and Reasonclose quotes suggest that we can achieve our goal of continued credibility through exercising vigilance and reason. We cannot rest on our laurels. We must take conscious, positive actions to strengthen the credibility of our products; otherwise we will backslide. It is up to us

  11. Mathematical Validation and Credibility of Diagnostic Blocks for Spinal Pain.

    Science.gov (United States)

    Engel, Andrew J; Bogduk, Nikolai

    2016-10-01

    Diagnostic blocks are used in different ways for the diagnosis of spinal pain, but their validity has not been fully evaluated. Four clinical protocols were analyzed mathematically to determine the probability of correct responses arising by chance. The complement of this probability was adopted as a measure of the credibility of correct responses. The credibility of responses varied from 50% to 95%, and was determined less by the agents used but more by what information was given to patients and if the agents were fully randomized for each block. Randomized, comparative local anesthetic blocks offer a credibility of 75%, but randomized, placebo-controlled blocks provide a credibility of 95%, and are thereby suitable as a criterion standard for diagnostic blocks. © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  12. Luka Brajnović – From Fidelity to Oneself towards Credibility of Profession

    Directory of Open Access Journals (Sweden)

    Danijel Labaš

    2010-12-01

    Full Text Available In certain periods, at certain places and in certain media, the reputation and credibility of the journalistic profession has suff ered for a number of reasons, including ignorance, mediocrity, dishonorable or morally questionable methods of journalists, or scandalous, fabricated or partial news stories. This is the opinion of Luka Brajnović, whose reflections in a comparative analysis with other authors comprise the ”contemplative axis” of this article. The fundamental task and goal of this article is to present and analyze Mr Brajnović’s refl ections on the possibility of saving or restoring the reputation and credibility of the journalistic profession. Journalists and the media will not be able to restore credibility as long as extravagant ideas exist about journalism as a profession that deals with ”public whispering, accusations and dissatisfaction with everything that has been established, or as a neutral profession that is ethically hybrid and indifferent towards good and evil”. Such an understanding of the journalistic profession runs against a positive image and reputation of journalism, a fi eld which is in itself worthy of respect of the entire public. In journalism, just as in other professions, unethical behavior on the part of a small number of journalists and media outlets casts a shadow on the journalistic profession as a whole, causing the reputation of the profession to become dependent upon a positive image and the reputation of those individuals working in it. As results of this article show – which for the fi rst time analytically approaches the scientific arguments and refl ections of Mr Brajnović in the Croatian public sphere – ethical and intellectual health, which can restore credibility to the journalistic profession, are the very elements rooted deep inside of it.

  13. Revisiting Organizational Credibility and Organizational Reputation – A Situational Crisis Communication Approach

    Directory of Open Access Journals (Sweden)

    Jamal Jamilah

    2017-01-01

    Full Text Available Organizational credibility, the extent of which an organization as the source of messages is perceived as trustworthy and reliable, is one important aspect to determine organization’s survival. The perceived credibility of the messages will either strengthen or worsen an organization reputation. The primary objective of this paper is to revisit the concept of organizational credibility and its interaction with organizational outcomes such as organizational reputation. Based on the situational crisis communication theory (SCCT, this paper focuses on the impact of organizational credibility on organizational reputation following a crisis. Even though the SCCT has been widely used in crisis communication research, the theory still has its own limitations in explaining factors that could potentially affect the reputation of an organization. This study proposes a model by integrating organizational credibility in the SCCT theoretical framework. Derived from the theoretical framework, three propositions are advanced to determine the relationships between organizational credibility with crisis responsibility and perceived organizational reputation. This paper contributes to further establishing the SCCT and posits key attributes in the organizational reputation processes..

  14. Surveillance of Washington OSHA exposure data to identify uncharacterized or emerging occupational health hazards.

    Science.gov (United States)

    Lofgren, Don J; Reeb-Whitaker, Carolyn K; Adams, Darrin

    2010-07-01

    Chemical substance exposure data from the Washington State Occupational Safety and Health Administration (OSHA) program were reviewed to determine if inspections conducted as a result of a report of a hazard from a complainant or referent may alert the agency to uncharacterized or emerging health hazards. Exposure and other electronically stored data from 6890 health inspection reports conducted between April 2003 and August 2008 were extracted from agency records. A total of 515 (7%) inspections with one or more personal airborne chemical substance samples were identified for further study. Inspections by report of a hazard and by targeting were compared for the following: number of inspections, number and percentage of inspections with workers exposed to substances above an agency's permissible exposure limit, types of industries inspected, and number and type of chemical substances assessed. Report of a hazard inspections documented work sites with worker overexposure at the same rate as agency targeted inspections (approximately 35% of the time), suggesting that complainants and referents are a credible pool of observers capable of directing the agency to airborne chemical substance hazards. Report of a hazard inspections were associated with significantly broader distribution of industries as well as a greater variety of chemical substance exposures than were targeted inspections. Narrative text that described business type and processes inspected was more useful than NAICS codes alone and critical in identifying processes and industries that may be associated with new hazards. Finally, previously identified emerging hazards were found among the report of a hazard data. These findings indicate that surveillance of OSHA inspection data can be a valid tool to identify uncharacterized and emerging health hazards. Additional research is needed to develop criteria for objective review and prioritization of the data for intervention. Federal OSHA and other state

  15. Improving credibility evaluations on Wikipedia

    NARCIS (Netherlands)

    Lucassen, T.; Schmettow, Martin; Wiering, Caro H.; Pieters, Jules M.; Boer, Henk

    2011-01-01

    In this chapter, ongoing research on trust in Wikipedia is used as a case study to illustrate the design process of a support tool for Wikipedia, following the ASCE-model. This research is performed from a cognitive perspective and aims at users actively evaluating the credibility of information on

  16. Data Credibility: A Perspective from Systematic Reviews in Environmental Management

    Science.gov (United States)

    Pullin, Andrew S.; Knight, Teri M.

    2009-01-01

    To use environmental program evaluation to increase effectiveness, predictive power, and resource allocation efficiency, evaluators need good data. Data require sufficient credibility in terms of fitness for purpose and quality to develop the necessary evidence base. The authors examine elements of data credibility using experience from critical…

  17. The Importance of Being…Social? Instructor Credibility and the Millennials

    Science.gov (United States)

    Gerhardt, Megan W.

    2016-01-01

    Using the framework of generational identity, the current study explores how a range of characteristics impact Millennial perceptions of instructor credibility. Millennial Generation student ratings of the impact of competence, character, and sociability on instructor credibility were compared to faculty ratings of the same characteristics.…

  18. Strategy to Increase U.S. Credibility

    National Research Council Canada - National Science Library

    Shanks, Wayne M

    2006-01-01

    ...) National Security Strategy (NSS). The public's mistrust of the United States is born out of a widespread misunderstanding and mistrust of its policies and a lack of USG credibility especially in the Greater Middle East...

  19. The effects of stakeholder involvement on perceptions of an evaluation's credibility.

    Science.gov (United States)

    Jacobson, Miriam R; Azzam, Tarek

    2018-06-01

    This article presents a study of the effects of stakeholder involvement on perceptions of an evaluation's credibility. Crowdsourced members of the public and a group of educational administrators read a description of a hypothetical program and two evaluations of the program: one conducted by a researcher and one conducted by program staff (i.e. program stakeholders). Study participants were randomly assigned versions of the scenario with different levels of stakeholder credibility and types of findings. Results showed that both samples perceived the researcher's evaluation findings to be more credible than the program staff's, but that this difference was significantly reduced when the program staff were described to be highly credible. The article concludes with implications for theory and research on evaluation dissemination and stakeholder involvement. Copyright © 2018 Elsevier Ltd. All rights reserved.

  20. Format as a False Judge of Credibility: Messages from Librarians and Faculty and Student Responses

    Directory of Open Access Journals (Sweden)

    Amy E. Mark

    2011-11-01

    Full Text Available The purpose of this case study is to explore how students make sense of and respond to messages about information in higher education. This study identifies the messages students in higher education receive about information gathering, conducting research, and the credibility and authority of information sources. This research revealed that students are receiving the message from faculty that format is a stand-in for credibility. Research to date focuses on how to steer students to information privileged by the academy: academic, peer reviewed articles, and books. The voice of students is often absent. This study employs the critical framework of Paulo Freire in order to give voice to student perceptions of information.

  1. Risky Business: Communicating with Credibility

    Science.gov (United States)

    Greenberger, Leonard S.

    2011-01-01

    In hostile situations, a communicator's goal is to establish and maintain trust and credibility with the audience. School business officials need the special skills and techniques of what's known as "risk communication." Few people are natural risk communicators. Those who do it well honed their skills over many years spent in hostile…

  2. Use of Credibility Heuristics in a Social Question-Answering Service

    Science.gov (United States)

    Matthews, Paul

    2015-01-01

    Introduction: This study looked at the effect of community peripheral cues (specifically voting score and answerer's reputation) on the user's credibility rating of answers. Method: Students in technology and philosophy were asked to assess the credibility of answers to questions posted on a social question-answering platform. Through the use of a…

  3. Revisiting Organizational Credibility and Organizational Reputation – A Situational Crisis Communication Approach

    OpenAIRE

    Jamal Jamilah; Abu Bakar Hassan

    2017-01-01

    Organizational credibility, the extent of which an organization as the source of messages is perceived as trustworthy and reliable, is one important aspect to determine organization’s survival. The perceived credibility of the messages will either strengthen or worsen an organization reputation. The primary objective of this paper is to revisit the concept of organizational credibility and its interaction with organizational outcomes such as organizational reputation. Based on the situational...

  4. Establishing model credibility involves more than validation

    International Nuclear Information System (INIS)

    Kirchner, T.

    1991-01-01

    One widely used definition of validation is that the quantitative test of the performance of a model through the comparison of model predictions to independent sets of observations from the system being simulated. The ability to show that the model predictions compare well with observations is often thought to be the most rigorous test that can be used to establish credibility for a model in the scientific community. However, such tests are only part of the process used to establish credibility, and in some cases may be either unnecessary or misleading. Naylor and Finger extended the concept of validation to include the establishment of validity for the postulates embodied in the model and the test of assumptions used to select postulates for the model. Validity of postulates is established through concurrence by experts in the field of study that the mathematical or conceptual model contains the structural components and mathematical relationships necessary to adequately represent the system with respect to the goals for the model. This extended definition of validation provides for consideration of the structure of the model, not just its performance, in establishing credibility. Evaluation of a simulation model should establish the correctness of the code and the efficacy of the model within its domain of applicability. (24 refs., 6 figs.)

  5. Credibility and Consumer Behavior of Islamic Bank in Indonesia: A Literature Review

    Directory of Open Access Journals (Sweden)

    Naufal BACHRI

    2016-06-01

    Full Text Available The concept “credibility” has become significant attention from academics and practitioners because it played an important role in creating and maintaining consumer behavior. This study uses twenty- seven references relates to credibility, customer value, satisfaction, and loyalty. Several studies have discussed the relationship between credibility and consumer behavior and also elaborated dimensions of credibility. It also presented the shortcomings of current research and the trends for future study in Islamic banking.

  6. Credibility and the media as a political institution

    DEFF Research Database (Denmark)

    Ørsten, Mark; Burkal, Rasmus

    2014-01-01

    of credibility in Danish news media. Credibility is defined at an institutional level by two dimensions: A) the accuracy and reliability of the news stories featured in leading Danish news media, and B) journalists’ knowledge and understanding of the Danish code of press ethics. The results show that sources...... only find objective errors in 14.1% of the news stories, which is a lower figure than most other studies report. The results also show that Danish journalists find bad press ethics to be an increasing problem and attribute this problem to increased pressure in the newsroom....

  7. Credibility improves topical blog post retrieval

    NARCIS (Netherlands)

    Weerkamp, W.; de Rijke, M.

    2008-01-01

    Topical blog post retrieval is the task of ranking blog posts with respect to their relevance for a given topic. To improve topical blog post retrieval we incorporate textual credibility indicators in the retrieval process. We consider two groups of indicators: post level (determined using

  8. The Credibility of Fiscal Rules Policy and Business Cycle Volatility

    Directory of Open Access Journals (Sweden)

    Kuncoro Haryo

    2016-06-01

    Full Text Available The aim of this paper is two-fold; first, it studies the impact of the credibility of fiscal rule policy on the stability of output growth; second, it compares the effectiveness of fiscal rule policy to discretionary and automatic stabilizer fiscal policies to address the fluctuation of output growth. Employing quarterly data over the period 2001-2013 in the case of Indonesia, we obtain that the credible debt rule leads to a decrease in the volatility of output growth while the non-credible deficit rule does not have any effect. Both unsystematic and systematic components of discretionary fiscal policy have a stabilizing function. Interestingly, the automatic stabilization tends to induce the volatility of output growth. Given those results, we infer that government spending is not a good automatic stabilizer. It seems that the lower ratio of government expenditure to GDP along with improving credibility of deficit rule policy has a smoother effect on the economy. Therefore, they implicitly support expenditure cuts when implementing fiscal adjustment with the purpose of reaching fiscal sustainability in the short-run and a stable economic growth in the long-run.

  9. Persuading Girls to Take Elective Physical Science Courses in High School: Who Are the Credible Communicators?

    Science.gov (United States)

    Koballa, Thomas R., Jr.

    1988-01-01

    Identifies communicators whom eighth-grade girls perceive as credible regarding reasons for taking elective physical science courses in high school. Finds that father, woman science teacher, mother, and boy high school student are ranked highly. Attributes associated with the communicators were classified as prestige, trustworthiness, similarity,…

  10. Trust and credibility: measured by multidimensional scaling

    International Nuclear Information System (INIS)

    Warg, L.E.; Bodin, L.

    1998-01-01

    Full text of publication follows: in focus of much of today's research interest in risk communication, is the fact that the communities do not trust policy and decision makers such as politicians, government or industry people. This is especially serious in the years to come when we are expecting risk issues concerning for example the nuclear industry, global warming and hazardous waste, to be even higher on the political and social agenda all over the world. Despite the research efforts devoted to trust, society needs an in depth understanding of trust for conducting successful communication regarding environmental hazards. The present abstract is about an experimental study in psychology where focus has been on the possibility to use the multidimensional scaling technique to explore the characteristics people consider to be of importance when they say that certain persons are credible. In the study, a total of 61 students of the University of Oerebro, Sweden, were required to make comparisons of the similarity between 12 well-known swedish persons from politics science, media, industry, 'TV-world' and literature (two persons at a time), regarding their credibility when making statements about risks in society. In addition, the subjects were rating the importance of 19 factors for the credibility of a source. These 61 persons comprised three groups of students: pedagogists, business economists, and chemists. There were 61 % women and 39% men and the mean age was 23 years. The results will be analyzed using multidimensional scaling technique. Differences between the three groups will be analyzed and presented as well as those between men and women. In addition, the 19 factors will be discussed and considered when trying to label the dimensions accounted for by the multidimensional scaling technique. The result from this study will contribute to our understanding of important factors behind human judgments concerning trust and credibility. It will also point to a

  11. Change your ways : Fostering health attitudes toward change through selective exposure to online health messages

    NARCIS (Netherlands)

    Westerwick, Axel; Johnson, Benjamin K.; Knobloch-Westerwick, Silvia

    2017-01-01

    Health information is often sought online, despite varying credibility of online sources, and may shape health behaviors. This investigation builds on the Selective Exposure Self- and Affect-Management model to examine selective exposure to online health information from low- and high-credibility

  12. Establishing Credibility in the Multicultural Classroom: When the Instructor Speaks with an Accent

    Science.gov (United States)

    McLean, Chikako Akamatsu

    2007-01-01

    Applying theories of cultural dimensions, teacher credibility, and nonverbal immediacy, this chapter explores classroom management techniques used by Asian female teachers to establish credibility. (Contains 1 note.)

  13. 8 CFR 1208.30 - Credible fear determinations involving stowaways and applicants for admission found inadmissible...

    Science.gov (United States)

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Credible fear determinations involving..., DEPARTMENT OF JUSTICE IMMIGRATION REGULATIONS PROCEDURES FOR ASYLUM AND WITHHOLDING OF REMOVAL Credible Fear of Persecution § 1208.30 Credible fear determinations involving stowaways and applicants for...

  14. Consider the source: persuasion of implicit evaluations is moderated by source credibility.

    Science.gov (United States)

    Smith, Colin Tucker; De Houwer, Jan; Nosek, Brian A

    2013-02-01

    The long history of persuasion research shows how to change explicit, self-reported evaluations through direct appeals. At the same time, research on how to change implicit evaluations has focused almost entirely on techniques of retraining existing evaluations or manipulating contexts. In five studies, we examined whether direct appeals can change implicit evaluations in the same way as they do explicit evaluations. In five studies, both explicit and implicit evaluations showed greater evidence of persuasion following information presented by a highly credible source than a source low in credibility. Whereas cognitive load did not alter the effect of source credibility on explicit evaluations, source credibility had an effect on the persuasion of implicit evaluations only when participants were encouraged and able to consider information about the source. Our findings reveal the relevance of persuasion research for changing implicit evaluations and provide new ideas about the processes underlying both types of evaluation.

  15. Extracting Credible Dependencies for Averaged One-Dependence Estimator Analysis

    Directory of Open Access Journals (Sweden)

    LiMin Wang

    2014-01-01

    Full Text Available Of the numerous proposals to improve the accuracy of naive Bayes (NB by weakening the conditional independence assumption, averaged one-dependence estimator (AODE demonstrates remarkable zero-one loss performance. However, indiscriminate superparent attributes will bring both considerable computational cost and negative effect on classification accuracy. In this paper, to extract the most credible dependencies we present a new type of seminaive Bayesian operation, which selects superparent attributes by building maximum weighted spanning tree and removes highly correlated children attributes by functional dependency and canonical cover analysis. Our extensive experimental comparison on UCI data sets shows that this operation efficiently identifies possible superparent attributes at training time and eliminates redundant children attributes at classification time.

  16. Information credibility for radiation contamination of foods after the Fukushima nuclear accident (3). Undergraduates panel data from one and four months after

    International Nuclear Information System (INIS)

    Kusumi, Takashi; Miura, Asako; Ogura, Kanayo

    2011-01-01

    We examined the changes in information credibility, attitude of mass media, and risk perception concerning radiation contamination of foods after the Fukushima nuclear accident. We used a two-wave panel data of 277 undergraduates who completed the scales twice, one month and four months after the accident. Our findings indicated that the information credibility of optimistic experts, citizens' web pages and government press conferences decreased with time. On the other hand, the credibility of newspaper and TV news programs increased. In addition, while the critical attitude of mass media and the knowledge of radiation health effects increased after four months, the risk perception for foods under legal limits of radiation contamination decreased. A causal analysis carried out with the panel data found that (1) critical thinking attitude affected media literacy. In turn, (2) media literacy affected bias perception of mass media, information credibility, active information search, and risk perception of contamination foods. Finally, (3) this causal relationship was constant from the first to the fourth month after the accident. (author)

  17. Effects of message repetition and negativity on credibility judgments and political attitudes

    NARCIS (Netherlands)

    Ernst, N.; Kühne, R.; Wirth, W.

    2017-01-01

    Research on the truth effect has demonstrated that statements are rated as more credible when they are repeatedly presented. However, current research indicates that there are limits to the truth effect and that too many repetitions can decrease message credibility. This study investigates whether

  18. Participatory approach to identify interventions to improve the health, safety, and work productivity of smallholder women vegetable farmers in the Gambia.

    Science.gov (United States)

    Vanderwal, Londa; Rautiainen, Risto; Ramirez, Marizen; Kuye, Rex; Peek-Asa, Corinne; Cook, Thomas; Culp, Kennith; Donham, Kelley

    2011-03-01

    This paper describes the qualitative, community-based participatory approach used to identify culturally-acceptable and sustainable interventions to improve the occupational health, safety, and productivity of smallholder women vegetable farmers in The Gambia (West Africa). This approach was used to conduct: 1) analysis of the tasks and methods traditionally used in vegetable production, and 2) selection of interventions. The most arduous garden tasks that were amenable to interventions were identified, and the interventions were selected through a participatory process for further evaluation. Factors contributing to the successful implementation of the participatory approach used in this study included the following: 1) ensuring that cultural norms were respected and observed; 2) working closely with the existing garden leadership structure; and 3) research team members working with the subjects for an extended period of time to gain first-hand understanding of the selected tasks and to build credibility with the subjects.

  19. The 'Thin film of gold': monetary rules and policy credibility

    OpenAIRE

    Niall Ferguson; Moritz Schularick

    2012-01-01

    This paper asks whether developing countries can reap credibility gains from submitting policy to a strict monetary rule. Following earlier work, we look at the gold standard era (1880-1914) as a "natural experiment" to test whether adoption of a rule-based monetary framework such as the gold standard increased policy credibility. On the basis of the largest possible dataset covering almost sixty independent and colonial borrowers in the London market, we challenge the traditional view that g...

  20. Credible accident analyses for TRIGA and TRIGA-fueled reactors

    International Nuclear Information System (INIS)

    Hawley, S.C.; Kathren, R.L.

    1982-04-01

    Credible accidents were developed and analyzed for TRIGA and TRIGA-fueled reactors. The only potential for offsite exposure appears to be from a fuel-handling accident that, based on highly conservative assumptions, would result in dose equivalents of less than or equal to 1 mrem to the total body from noble gases and less than or equal to 1.2 rem to the thyroid from radioiodines. Credible accidents from excess reactivity insertions, metal-water reactions, lost, misplaced, or inadvertent experiments, core rearrangements, and changes in fuel morphology and ZrH/sub x/ composition are also evaluated, and suggestions for further study provided

  1. Examining the Effect of Endorser Credibility on the Consumers' Buying Intentions: An Empirical Study in Turkey

    OpenAIRE

    Sertoglu, Aysegul Ermec; Catlı, Ozlem; Korkmaz, Sezer

    2014-01-01

    The purpose of this study is to test whether the source credibility affects buying intention and measure the perceived credibility differences between created spokesperson and celebrity endorser. The influence that endorser credibility dimensions (i.e. attractiveness, trustworthiness and expertise) have on purchase intentions of 326 young consumers has been examined. The results showed that all of the three credibility dimensions for both celebrity endorser and created spokesperson have a pos...

  2. EXAMINING THE EFFECT OF ENDORSER CREDIBILITY ON THE CONSUMERS' BUYING INTENTIONS: AN EMPIRICAL STUDY IN TURKEY

    OpenAIRE

    Aysegul Ermec Sertoglu; Ozlem Catli; Sezer Korkmaz

    2014-01-01

    The purpose of this study is to test whether the source credibility affects buying intention and measure the perceived credibility differences between created spokesperson and celebrity endorser. The influence that endorser credibility dimensions (i.e. attractiveness, trustworthiness and expertise) have on purchase intentions of 326 young consumers has been examined. The results showed that all of the three credibility dimensions for both celebrity endorser and created spokesperson have a pos...

  3. In Your Facebook: Examining Facebook Usage as Misbehavior on Perceived Teacher Credibility

    Science.gov (United States)

    Hutchens, Jason S.; Hayes, Timothy

    2014-01-01

    Teachers sometimes do things that negatively impact their own credibility in classroom settings. One way instructors maintain credibility among students is by keeping a veil between their personal and professional personas. The advent of Facebook presents new challenges for instructors seeking to keep their personal lives private in order to…

  4. Establishing the credibility of qualitative research findings: the plot thickens.

    Science.gov (United States)

    Cutcliffe, J R; McKenna, H P

    1999-08-01

    Qualitative research is increasingly recognized and valued and its unique place in nursing research is highlighted by many. Despite this, some nurse researchers continue to raise epistemological issues about the problems of objectivity and the validity of qualitative research findings. This paper explores the issues relating to the representativeness or credibility of qualitative research findings. It therefore critiques the existing distinct philosophical and methodological positions concerning the trustworthiness of qualitative research findings, which are described as follows: quantitative studies should be judged using the same criteria and terminology as quantitative studies; it is impossible, in a meaningful way, for any criteria to be used to judge qualitative studies; qualitative studies should be judged using criteria that are developed for and fit the qualitative paradigm; and the credibility of qualitative research findings could be established by testing out the emerging theory by means of conducting a deductive quantitative study. The authors conclude by providing some guidelines for establishing the credibility of qualitative research findings.

  5. The Influence of Peer Reviews on Source Credibility and Purchase Intention

    Directory of Open Access Journals (Sweden)

    Kristine L. Nowak

    2014-12-01

    Full Text Available Electronic Word of Mouth (eWOM is information shared on the Internet about a product, which allows people to receive information from others they may not otherwise encounter. Online product reviews are a type of eWOM where a user posts a comment about a product and selects an image to represent the self. The perception of the image and the text in the product review can influence source credibility and the perception of the product, as well as the likelihood that someone will purchase the product. This study examines the effect of the product reviews and their different images and text on perceived credibility, source trustworthiness and purchase intention. Consistent with predictions based on the information processing theory, perceived anthropomorphism influences perceived credibility, source trust, and purchase intention.

  6. Credible enough? Forward guidance and perceived National Bank of Poland’s policy rule

    OpenAIRE

    Baranowski, Paweł; Gajewski, Paweł

    2015-01-01

    Credible forward guidance should bring down the perceived impact of macroeconomic variables on the interest rate. Using a micro-level dataset we test the perception of monetary policy in Poland among professional forecasters and find evidence for forward guidance credibility.

  7. Credibility of the emotional witness: a study of ratings by court judges.

    Science.gov (United States)

    Wessel, Ellen; Drevland, Guri C B; Eilertsen, Dag Erik; Magnussen, Svein

    2006-04-01

    Previous studies have shown that the emotional behavior displayed during testimony may affect the perceived credibility of the witness. The present study compares credibility ratings by Norwegian court judges with those made by lay people. The participants viewed one of three video-recorded versions of a rape victim's statement, role played by a professional actress. The statement was given in a free-recall manner with one of three kinds of emotions displayed, termed congruent, neutral, and incongruent emotional expression. The results show that, in contrast to lay people, the credibility ratings of court judges and their votes for a guilty verdict were not influenced by the emotions displayed by the witness. Results are discussed in terms of professional expertise.

  8. Modeling Online Health Information-Seeking Behavior in China: The Roles of Source Characteristics, Reward Assessment, and Internet Self-Efficacy.

    Science.gov (United States)

    Cao, Weidan; Zhang, Xinyao; Xu, Kaibin; Wang, Yuanxin

    2016-09-01

    The outbreak of severe acute respiratory syndrome (SARS) in 2003 marked the explosion of health information seeking online in China and the increasing emergence of Chinese health websites. There are both benefits and potential hazards of people's online health information seeking. This article intended to test part of Wilson's second model of information behavior, including source characteristics and activating mechanisms, and to identify the relationships among perceived access, perceived expertise credibility, reward assessment, Internet self-efficacy, and online health information-seeking behavior. Data were drawn from face-to-face surveys and an online survey of health information seekers (N = 393) in China. The results showed that source characteristics predicted activating mechanisms, which in turn predicted online health information-seeking behavior. Activating mechanisms, that is, reward assessment and Internet self-efficacy, mediated the relationship between source characteristics (i.e., access and credibility) and online health information-seeking behavior. Strategies for improving information access, expertise credibility, and Internet self-efficacy are discussed in order to maximize the benefits of online health information seeking and to minimize the potential harm.

  9. Distribution system reliability evaluation using credibility theory

    African Journals Online (AJOL)

    Xufeng Xu, Joydeep Mitra

    have found that credibility theory, which broadens the scope of fuzzy set theory, is an effective tool for representing fuzzy events, and have developed a theoretical .... Based on the status of switches, the distribution system can be divided into multiple SPSS, which are connected with tie switches. For example, SPSS.

  10. Exposing therapists to trauma-focused treatment in psychosis: effects on credibility, expected burden, and harm expectancies

    Directory of Open Access Journals (Sweden)

    David P. G. van den Berg

    2016-09-01

    Full Text Available Background: Despite robust empirical support for the efficacy of trauma-focused treatments, the dissemination proves difficult, especially in relation to patients with comorbid psychosis. Many therapists endorse negative beliefs about the credibility, burden, and harm of such treatment. Objective: This feasibility study explores the impact of specialized training on therapists’ beliefs about trauma-focused treatment within a randomized controlled trial. Method: Therapist-rated (n=16 credibility, expected burden, and harm expectancies of trauma-focused treatment were assessed at baseline, post-theoretical training, post-technical training, post-supervised practical training, and at 2-year follow-up. Credibility and burden beliefs of therapists concerning the treatment of every specific patient in the trial were also assessed. Results: Over time, therapist-rated credibility of trauma-focused treatment showed a significant increase, whereas therapists’ expected burden and harm expectancies decreased significantly. In treating posttraumatic stress disorder (PTSD in patients with psychotic disorders (n=79, pre-treatment symptom severity was not associated with therapist-rated credibility or expected burden of that specific treatment. Treatment outcome had no influence on patient-specific credibility or burden expectancies of therapists. Conclusions: These findings support the notion that specialized training, including practical training with supervision, has long-term positive effects on therapists’ credibility, burden, and harm beliefs concerning trauma-focused treatment.

  11. Selling Health to the Distracted: Consumer Responses to Source Credibility and Ad Appeal Type in a Direct-to-Consumer Advertisement.

    Science.gov (United States)

    Lemanski, Jennifer L; Villegas, Jorge

    2015-01-01

    Since 1997, when the U.S. Food and Drug Administration first allowed prescription drug companies to release ads directly targeting the public, direct-to-consumer (DTC) advertising has become an integral part of the pharmaceutical industry marketing toolkit, reaching over $4 billion in 2005. In an experiment where cognitive load, a task that requires the investment of a subject's memory in an unrelated task; source credibility; and advertising appeal type (affective or cognitive) were manipulated, attitude toward the ad was measured for a print DTC meningitis vaccine ad. Main effect results for source credibility and advertising appeal type on attitude toward the ad were found, and interactions between manipulated variables were apparent when the individual difference variables related to a specific illness (vaccination history, living in a dorm, family members or friends who had suffered the illness) were taken into account.

  12. Credible enough? Forward guidance and per-ceived National Bank of Poland’s policy rule

    OpenAIRE

    Pawel Baranowski; Pawel Gajewski

    2015-01-01

    Credible forward guidance should reduce the perceived impact of macroeconomic variables on the interest rate. Using a micro-level dataset we test the perception of monetary policy in Poland among professional forecasters and find evidence for forward guidance credibility.

  13. The SADI Personal Health Lens: A Web Browser-Based System for Identifying Personally Relevant Drug Interactions.

    Science.gov (United States)

    Vandervalk, Ben; McCarthy, E Luke; Cruz-Toledo, José; Klein, Artjom; Baker, Christopher J O; Dumontier, Michel; Wilkinson, Mark D

    2013-04-05

    The Web provides widespread access to vast quantities of health-related information that can improve quality-of-life through better understanding of personal symptoms, medical conditions, and available treatments. Unfortunately, identifying a credible and personally relevant subset of information can be a time-consuming and challenging task for users without a medical background. The objective of the Personal Health Lens system is to aid users when reading health-related webpages by providing warnings about personally relevant drug interactions. More broadly, we wish to present a prototype for a novel, generalizable approach to facilitating interactions between a patient, their practitioner(s), and the Web. We utilized a distributed, Semantic Web-based architecture for recognizing personally dangerous drugs consisting of: (1) a private, local triple store of personal health information, (2) Semantic Web services, following the Semantic Automated Discovery and Integration (SADI) design pattern, for text mining and identifying substance interactions, (3) a bookmarklet to trigger analysis of a webpage and annotate it with personalized warnings, and (4) a semantic query that acts as an abstract template of the analytical workflow to be enacted by the system. A prototype implementation of the system is provided in the form of a Java standalone executable JAR file. The JAR file bundles all components of the system: the personal health database, locally-running versions of the SADI services, and a javascript bookmarklet that triggers analysis of a webpage. In addition, the demonstration includes a hypothetical personal health profile, allowing the system to be used immediately without configuration. Usage instructions are provided. The main strength of the Personal Health Lens system is its ability to organize medical information and to present it to the user in a personalized and contextually relevant manner. While this prototype was limited to a single knowledge domain

  14. The SADI Personal Health Lens: A Web Browser-Based System for Identifying Personally Relevant Drug Interactions

    Science.gov (United States)

    Vandervalk, Ben; McCarthy, E Luke; Cruz-Toledo, José; Klein, Artjom; Baker, Christopher J O; Dumontier, Michel

    2013-01-01

    Background The Web provides widespread access to vast quantities of health-related information that can improve quality-of-life through better understanding of personal symptoms, medical conditions, and available treatments. Unfortunately, identifying a credible and personally relevant subset of information can be a time-consuming and challenging task for users without a medical background. Objective The objective of the Personal Health Lens system is to aid users when reading health-related webpages by providing warnings about personally relevant drug interactions. More broadly, we wish to present a prototype for a novel, generalizable approach to facilitating interactions between a patient, their practitioner(s), and the Web. Methods We utilized a distributed, Semantic Web-based architecture for recognizing personally dangerous drugs consisting of: (1) a private, local triple store of personal health information, (2) Semantic Web services, following the Semantic Automated Discovery and Integration (SADI) design pattern, for text mining and identifying substance interactions, (3) a bookmarklet to trigger analysis of a webpage and annotate it with personalized warnings, and (4) a semantic query that acts as an abstract template of the analytical workflow to be enacted by the system. Results A prototype implementation of the system is provided in the form of a Java standalone executable JAR file. The JAR file bundles all components of the system: the personal health database, locally-running versions of the SADI services, and a javascript bookmarklet that triggers analysis of a webpage. In addition, the demonstration includes a hypothetical personal health profile, allowing the system to be used immediately without configuration. Usage instructions are provided. Conclusions The main strength of the Personal Health Lens system is its ability to organize medical information and to present it to the user in a personalized and contextually relevant manner. While this

  15. Inflation Targeting and Liquidity Traps under Endogenous Credibility

    NARCIS (Netherlands)

    Hommes, C.; Lustenhouwer, J.

    2015-01-01

    We derive policy implications for an inflation targeting central bank, who's credibility is endogenous and depends on its past ability to achieve its targets. We do this in a New Keynesian framework with heterogeneous agents and boundely rational expectations. Our assumptions about expectation

  16. Estimation of maximum credible atmospheric radioactivity concentrations and dose rates from nuclear tests

    International Nuclear Information System (INIS)

    Telegadas, K.

    1979-01-01

    A simple technique is presented for estimating maximum credible gross beta air concentrations from nuclear detonations in the atmosphere, based on aircraft sampling of radioactivity following each Chinese nuclear test from 1964 to 1976. The calculated concentration is a function of the total yield and fission yield, initial vertical radioactivity distribution, time after detonation, and rate of horizontal spread of the debris with time. calculated maximum credible concentrations are compared with the highest concentrations measured during aircraft sampling. The technique provides a reasonable estimate of maximum air concentrations from 1 to 10 days after a detonation. An estimate of the whole-body external gamma dose rate corresponding to the maximum credible gross beta concentration is also given. (author)

  17. Reactor safety research - visible demonstrations and credible computations

    Energy Technology Data Exchange (ETDEWEB)

    Loewenstein, W B; Divakaruni, S M

    1985-11-01

    EPRI has been conducting nuclear safety research for a number of years with the primary goal of assuring the safety and reliability of the nuclear plants. The visibility is emphasized by sponsoring or participating in large scale test demonstrations to credibly support the complex computations that are the basis for quantification of safety margins. Recognizing the success of the airline industry in receiving favorable public perception, the authors compare the design and operation practices of the airline industry with those of the nuclear industry practices to identify the elements contributing to public concerns and unfavorable perceptions. In this paper, authors emphasize the importance of proper communications of research results to the public in a manner that non-specialists understand. Further, EPRI supported research and results in the areas of source term, seismic and structural engineering research, analysis using probabilistic risk assessment (PRA), quantification of safety margins, digital technology development and implementation, and plant transient and performance evaluations are discussed in the paper. (orig./HP).

  18. Reactor safety research - visible demonstrations and credible computations

    International Nuclear Information System (INIS)

    Loewenstein, W.B.; Divakaruni, S.M.

    1985-01-01

    EPRI has been conducting nuclear safety research for a number of years with the primary goal of assuring the safety and reliability of the nuclear plants. The visibility is emphasized by sponsoring or participating in large scale test demonstrations to credibly support the complex computations that are the basis for quantification of safety margins. Recognizing the success of the airline industry in receiving favorable public perception, the authors compare the design and operation practices of the airline industry with those of the nuclear industry practices to identify the elements contributing to public concerns and unfavorable perceptions. In this paper, authors emphasize the importance of proper communications of research results to the public in a manner that non-specialists understand. Further, EPRI supported research and results in the areas of source term, seismic and structural engineering research, analysis using probabilistic risk assessment (PRA), quantification of safety margins, digital technology development and implementation, and plant transient and performance evaluations are discussed in the paper. (orig./HP)

  19. Building Credible Human Capital Analytics for Organizational Competitive Advantage

    DEFF Research Database (Denmark)

    Minbaeva, Dana

    2018-01-01

    Despite the enormous interest in human capital analytics (HCA), organizations have struggled to move from operational reporting to HCA. This is mainly the result of the inability of analytics teams to establish credible internal HCA and demonstrate its value. In this article, we stress the import......Despite the enormous interest in human capital analytics (HCA), organizations have struggled to move from operational reporting to HCA. This is mainly the result of the inability of analytics teams to establish credible internal HCA and demonstrate its value. In this article, we stress...... the importance of conceptualizing HCA as an organizational capability and suggest a method for its operationalization. We argue that the development of HCA within an organization requires working with three dimensions of HCA: data quality, analytics capabilities, and strategic ability to act. Moreover, such work...

  20. Can Simulation Credibility Be Improved Using Sensitivity Analysis to Understand Input Data Effects on Model Outcome?

    Science.gov (United States)

    Myers, Jerry G.; Young, M.; Goodenow, Debra A.; Keenan, A.; Walton, M.; Boley, L.

    2015-01-01

    Model and simulation (MS) credibility is defined as, the quality to elicit belief or trust in MS results. NASA-STD-7009 [1] delineates eight components (Verification, Validation, Input Pedigree, Results Uncertainty, Results Robustness, Use History, MS Management, People Qualifications) that address quantifying model credibility, and provides guidance to the model developers, analysts, and end users for assessing the MS credibility. Of the eight characteristics, input pedigree, or the quality of the data used to develop model input parameters, governing functions, or initial conditions, can vary significantly. These data quality differences have varying consequences across the range of MS application. NASA-STD-7009 requires that the lowest input data quality be used to represent the entire set of input data when scoring the input pedigree credibility of the model. This requirement provides a conservative assessment of model inputs, and maximizes the communication of the potential level of risk of using model outputs. Unfortunately, in practice, this may result in overly pessimistic communication of the MS output, undermining the credibility of simulation predictions to decision makers. This presentation proposes an alternative assessment mechanism, utilizing results parameter robustness, also known as model input sensitivity, to improve the credibility scoring process for specific simulations.

  1. A generalized fuzzy credibility-constrained linear fractional programming approach for optimal irrigation water allocation under uncertainty

    Science.gov (United States)

    Zhang, Chenglong; Guo, Ping

    2017-10-01

    The vague and fuzzy parametric information is a challenging issue in irrigation water management problems. In response to this problem, a generalized fuzzy credibility-constrained linear fractional programming (GFCCFP) model is developed for optimal irrigation water allocation under uncertainty. The model can be derived from integrating generalized fuzzy credibility-constrained programming (GFCCP) into a linear fractional programming (LFP) optimization framework. Therefore, it can solve ratio optimization problems associated with fuzzy parameters, and examine the variation of results under different credibility levels and weight coefficients of possibility and necessary. It has advantages in: (1) balancing the economic and resources objectives directly; (2) analyzing system efficiency; (3) generating more flexible decision solutions by giving different credibility levels and weight coefficients of possibility and (4) supporting in-depth analysis of the interrelationships among system efficiency, credibility level and weight coefficient. The model is applied to a case study of irrigation water allocation in the middle reaches of Heihe River Basin, northwest China. Therefore, optimal irrigation water allocation solutions from the GFCCFP model can be obtained. Moreover, factorial analysis on the two parameters (i.e. λ and γ) indicates that the weight coefficient is a main factor compared with credibility level for system efficiency. These results can be effective for support reasonable irrigation water resources management and agricultural production.

  2. Vote Buying or Campaign Promises? Electoral Strategies When Party Credibility is Limited

    OpenAIRE

    Hanusch, Marek; Keefer, Philip; Vlaicu, Razvan

    2016-01-01

    What explains significant variation across countries in the use of vote buying instead of campaign promises to secure voter support? This paper explicitly models the tradeoff parties face between engaging in vote buying and making campaign promises, and explores the distributional consequences of this decision, in a setting where party credibility can vary. When parties are less credible they spend more on vote buying and target vote buying more heavily toward groups that do not believe campa...

  3. Credible knowledge: A pilot evaluation of a modified GRADE method using parent-implemented interventions for children with autism

    Directory of Open Access Journals (Sweden)

    Perry Adrienne

    2011-03-01

    Full Text Available Abstract Background Decision-making in child and youth mental health (CYMH care requires recommendations that are developed through an efficient and effective method and are based on credible knowledge. Credible knowledge is informed by two sources: scientific evidence, and practice-based evidence, that reflects the "real world" experience of service providers. Current approaches to developing these recommendations in relation to CYMH will typically include evidence from one source or the other but do not have an objective method to combine the two. To this end, a modified version of the Grading Recommendations Assessment, Development and Evaluation (GRADE approach was pilot-tested, a novel method for the CYMH field. Methods GRADE has an explicit methodology that relies on input from scientific evidence as well as a panel of experts. The panel established the quality of evidence and derived detailed recommendations regarding the organization and delivery of mental health care for children and youth or their caregivers. In this study a modified GRADE method was used to provide precise recommendations based on a specific CYMH question (i.e. What is the current credible knowledge concerning the effects of parent-implemented, early intervention with their autistic children?. Results Overall, it appeared that early, parent-implemented interventions for autism result in positive effects that outweigh any undesirable effects. However, as opposed to overall recommendations, the heterogeneity of the evidence required that recommendations be specific to particular interventions, based on the questions of whether the benefits of a particular intervention outweighs its harms. Conclusions This pilot project provided evidence that a modified GRADE method may be an effective and practical approach to making recommendations in CYMH, based on credible knowledge. Key strengths of the process included separating the assessments of the quality of the evidence and

  4. Credibility, Replicability, and Reproducibility in Simulation for Biomedicine and Clinical Applications in Neuroscience

    Science.gov (United States)

    Mulugeta, Lealem; Drach, Andrew; Erdemir, Ahmet; Hunt, C. A.; Horner, Marc; Ku, Joy P.; Myers Jr., Jerry G.; Vadigepalli, Rajanikanth; Lytton, William W.

    2018-01-01

    Modeling and simulation in computational neuroscience is currently a research enterprise to better understand neural systems. It is not yet directly applicable to the problems of patients with brain disease. To be used for clinical applications, there must not only be considerable progress in the field but also a concerted effort to use best practices in order to demonstrate model credibility to regulatory bodies, to clinics and hospitals, to doctors, and to patients. In doing this for neuroscience, we can learn lessons from long-standing practices in other areas of simulation (aircraft, computer chips), from software engineering, and from other biomedical disciplines. In this manuscript, we introduce some basic concepts that will be important in the development of credible clinical neuroscience models: reproducibility and replicability; verification and validation; model configuration; and procedures and processes for credible mechanistic multiscale modeling. We also discuss how garnering strong community involvement can promote model credibility. Finally, in addition to direct usage with patients, we note the potential for simulation usage in the area of Simulation-Based Medical Education, an area which to date has been primarily reliant on physical models (mannequins) and scenario-based simulations rather than on numerical simulations. PMID:29713272

  5. Credibility, Replicability, and Reproducibility in Simulation for Biomedicine and Clinical Applications in Neuroscience

    Directory of Open Access Journals (Sweden)

    Lealem Mulugeta

    2018-04-01

    Full Text Available Modeling and simulation in computational neuroscience is currently a research enterprise to better understand neural systems. It is not yet directly applicable to the problems of patients with brain disease. To be used for clinical applications, there must not only be considerable progress in the field but also a concerted effort to use best practices in order to demonstrate model credibility to regulatory bodies, to clinics and hospitals, to doctors, and to patients. In doing this for neuroscience, we can learn lessons from long-standing practices in other areas of simulation (aircraft, computer chips, from software engineering, and from other biomedical disciplines. In this manuscript, we introduce some basic concepts that will be important in the development of credible clinical neuroscience models: reproducibility and replicability; verification and validation; model configuration; and procedures and processes for credible mechanistic multiscale modeling. We also discuss how garnering strong community involvement can promote model credibility. Finally, in addition to direct usage with patients, we note the potential for simulation usage in the area of Simulation-Based Medical Education, an area which to date has been primarily reliant on physical models (mannequins and scenario-based simulations rather than on numerical simulations.

  6. A comparison of inflation expectations and inflation credibility in South Africa: results from survey data

    Directory of Open Access Journals (Sweden)

    Jannie Rossouw

    2011-08-01

    Full Text Available This paper reports a comparison of South African household inflation expectations and inflation credibility surveys undertaken in 2006 and 2008. It tests for possible feed-through between inflation credibility and inflation expectations. It supplements earlier research that focused only on the 2006 survey results. The comparison shows that inflation expectations differed between different income groups in both 2006 and 2008. Inflation credibility differed between male and female respondents, but this difference did not feed through to inflation expectations. More periodic survey data will be required for developing final conclusions on the possibility of feed-through effects. To this end the structure of credibility surveys should be reconsidered, as a large percentage of respondents indicated that they ‘don’t know’ whether the historic rate of inflation is an accurate indication of price increases.

  7. Credible or not : A study on the factors influencing consumers' credibility assessment of product placements on Instagram

    OpenAIRE

    Kulin, Elin; Blomgren, Linnéa

    2016-01-01

    Background: To align with the new trend of using social media in the marketing mix, product placement has been adapted to social media platforms as one strategy to create attention. Especially on Instagram, product placements have gained popularity among companies. While scholars have focused on measuring the effectiveness of the strategy, suggesting that credibility is one component necessary for success, a gap in the research is illuminated when focusing on what makes a product placement on...

  8. Distribution system reliability evaluation using credibility theory | Xu ...

    African Journals Online (AJOL)

    In this paper, a hybrid algorithm based on fuzzy simulation and Failure Mode and Effect Analysis (FMEA) is applied to determine fuzzy reliability indices of distribution system. This approach can obtain fuzzy expected values and their variances of reliability indices, and the credibilities of reliability indices meeting specified ...

  9. Contributing factors to the use of health-related websites.

    Science.gov (United States)

    Hong, Traci

    2006-03-01

    This study explicates the influence of audience factors on website credibility and the subsequent effect that credibility has on the intention to revisit a site. It does so in an experimental setting in which participants were given two health-related search tasks. Reliance on the web for health-related information positively influenced website credibility in both searches. Knowledge was a significant predictor for the search task that required more cognitive ability. Of the credibility dimensions, trust/expertise and depth were significant predictors of intention to revisit a site in both searches. Fairness and goodwill were nonsignificant predictors in both searches.

  10. Credibility assessment of testimonies provided by victims with intellectual disabilities

    Directory of Open Access Journals (Sweden)

    Antonio L. MANZANERO

    2017-09-01

    Full Text Available One of the main obstacles in the way of access to justice for the victims with intellectual disability comes from the stereotypes referred to their ability to produce a statement at police legal procedures, with the consequence that some consider their statements less reliable than the rest of the victims, and others considerate their statements more reliable given their inability to create complex lies. This article reviews three of the most recent studies done by the UCM group of Psychology of Testimony, with the objective of analyzing the role of experience and intuition in the evaluation of credibility in people with intellectual disability (ID, and also it aims to prove whether the credibility analysis procedures such as Reality Monitoring (RM and Statement Validity Assessment (SVA would be valid procedures to discriminate between real and false statements within these collectives. From the results of these studies, it can be deducted that experience may not seem to be enough in order to discriminate between real and simulated victims, but analyzing the characteristics of the statements as the only indicator doesn’t seem to be enough either. As an alternative, the general procedure HELPT is proposed for the evaluation of credibility of people with ID.

  11. Empirical Bayes Credibility Models for Economic Catastrophic Losses by Regions

    Directory of Open Access Journals (Sweden)

    Jindrová Pavla

    2017-01-01

    Full Text Available Catastrophic events affect various regions of the world with increasing frequency and intensity. The number of catastrophic events and the amount of economic losses is varying in different world regions. Part of these losses is covered by insurance. Catastrophe events in last years are associated with increases in premiums for some lines of business. The article focus on estimating the amount of net premiums that would be needed to cover the total or insured catastrophic losses in different world regions using Bühlmann and Bühlmann-Straub empirical credibility models based on data from Sigma Swiss Re 2010-2016. The empirical credibility models have been developed to estimate insurance premiums for short term insurance contracts using two ingredients: past data from the risk itself and collateral data from other sources considered to be relevant. In this article we deal with application of these models based on the real data about number of catastrophic events and about the total economic and insured catastrophe losses in seven regions of the world in time period 2009-2015. Estimated credible premiums by world regions provide information how much money in the monitored regions will be need to cover total and insured catastrophic losses in next year.

  12. Eletronuclear's relationship with the Brazilian media: transparency and credibility

    International Nuclear Information System (INIS)

    Alvarez, Gloria

    2013-01-01

    In a capitalist economy the most valued assets are not money, shares or facilities, but credibility. Lack of money can ruin a company, but often it is reputation that delivers the final blow. It has become challenging to safeguard reputation in a world where Communication is increasingly connected and with such an intense and lightning fast flow of information. This is particularly true for the electricity sector - a commodity so prevalent in everyday modern life, but, whose business dealings, are hardly known by the general public. When it comes to nuclear energy, the challenge of establishing an effective Communication with transparency and credibility touches on even more complex elements. The topic of this paper is the scenario through which the Communication process, along with its characteristics and approaches, unfolds between the nuclear sector and the Brazilian media. (author)

  13. Integrating national community-based health worker programmes into health systems: a systematic review identifying lessons learned from low-and middle-income countries.

    Science.gov (United States)

    Zulu, Joseph Mumba; Kinsman, John; Michelo, Charles; Hurtig, Anna-Karin

    2014-09-22

    Despite the development of national community-based health worker (CBHW) programmes in several low- and middle-income countries, their integration into health systems has not been optimal. Studies have been conducted to investigate the factors influencing the integration processes, but systematic reviews to provide a more comprehensive understanding are lacking. We conducted a systematic review of published research to understand factors that may influence the integration of national CBHW programmes into health systems in low- and middle-income countries. To be included in the study, CBHW programmes should have been developed by the government and have standardised training, supervision and incentive structures. A conceptual framework on the integration of health innovations into health systems guided the review. We identified 3410 records, of which 36 were finally selected, and on which an analysis was conducted concerning the themes and pathways associated with different factors that may influence the integration process. Four programmes from Brazil, Ethiopia, India and Pakistan met the inclusion criteria. Different aspects of each of these programmes were integrated in different ways into their respective health systems. Factors that facilitated the integration process included the magnitude of countries' human resources for health problems and the associated discourses about how to address these problems; the perceived relative advantage of national CBHWs with regard to delivering health services over training and retaining highly skilled health workers; and the participation of some politicians and community members in programme processes, with the result that they viewed the programmes as legitimate, credible and relevant. Finally, integration of programmes within the existing health systems enhanced programme compatibility with the health systems' governance, financing and training functions. Factors that inhibited the integration process included a rapid

  14. Uncertainty quantification's role in modeling and simulation planning, and credibility assessment through the predictive capability maturity model

    Energy Technology Data Exchange (ETDEWEB)

    Rider, William J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Witkowski, Walter R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Mousseau, Vincent Andrew [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-04-13

    The importance of credible, trustworthy numerical simulations is obvious especially when using the results for making high-consequence decisions. Determining the credibility of such numerical predictions is much more difficult and requires a systematic approach to assessing predictive capability, associated uncertainties and overall confidence in the computational simulation process for the intended use of the model. This process begins with an evaluation of the computational modeling of the identified, important physics of the simulation for its intended use. This is commonly done through a Phenomena Identification Ranking Table (PIRT). Then an assessment of the evidence basis supporting the ability to computationally simulate these physics can be performed using various frameworks such as the Predictive Capability Maturity Model (PCMM). There were several critical activities that follow in the areas of code and solution verification, validation and uncertainty quantification, which will be described in detail in the following sections. Here, we introduce the subject matter for general applications but specifics are given for the failure prediction project. In addition, the first task that must be completed in the verification & validation procedure is to perform a credibility assessment to fully understand the requirements and limitations of the current computational simulation capability for the specific application intended use. The PIRT and PCMM are tools used at Sandia National Laboratories (SNL) to provide a consistent manner to perform such an assessment. Ideally, all stakeholders should be represented and contribute to perform an accurate credibility assessment. PIRTs and PCMMs are both described in brief detail below and the resulting assessments for an example project are given.

  15. Looking into the Credibility of Appearance: Exploring the Role of Color in Interface Aesthetics and How it Affects our Perception on System’s Credibility

    Directory of Open Access Journals (Sweden)

    Achmad Syarief

    2007-03-01

    Full Text Available Dalam penelitian  ini dikaji hasil tiga eksperimen sebagai kelanjutan studi yang pernah dilakukan oleh Kurosu-Kashimura [1] dan Noam Tractinsky [2] tentang  relasi antara persepsi pengguna dengan kualitas estetik dan usability tampilan interface. Berdasar dua premis utama yaitu bahwa persepsi estetik dipengaruhi latar belakang kultural serta tampilan yang atraktif dapat mempengaruhi persepsi kehandalan sebuah produk., Dalam penelitian ini dievaluasi bagaimana persepsi pengguna migran (:orang Indonesia yang berada di Jepang terhadap relasi antara tampilan estetik  dan apparent usability pada sebuah interface produk. Dalam eksperimen dilakukan investigasi efek tampilan warna pada sebuah interface produk terhadap persepsi trustworthy (tingkat kepercayaan dan credibility (tingkat kredibilitas produk secara umum. Sebagai stimulus, digunakan tampilan  layout-utama (hasil modifikasi layar ATM bank di Jepang. Hasil eksperimen menunjukkan bahwa nilai estetik tampilan interface mempengaruhi persepsi user atas credibility (tingkat kredibilitas dan trustworthy (tingkat kepercayaan sebuah objek. Latar belakang budaya pengguna tidak memiliki pengaruh signifikan terhadap persepsi estetik tampilan interface apabila pengguna telah melakukan adaptasi eksperiential  atau memiliki pengalaman interaksi dengan produk dengan komposisi layout sejenis. Lebih lanjut hasil penelitian menunjukkan bahwa warna memiliki pengaruh penting dalam meningkatkan kualitas ke-atraktif-an, persepsi kredibiltas (credibility, dan tingkat penerimaan (acceptability pengguna (user. Eksperimen lebih lanjut perlu dilakukan untuk mengetahui bagaimana dan seperti apa sebuah kombinasi warna pada sebuah tampilan interface, dapat memiliki pengaruh yang bermakna  pada keterpakaian sebuah  produk.

  16. GROWTH, LIQUIDITY CONSTRAINTS, CREDIBILITY AND THE EFFECTS OF SHOCKS UNDER A NON-CREDIBLE GOVERNMENT

    Directory of Open Access Journals (Sweden)

    DURMUŞ ÖZDEMİR

    2013-06-01

    Full Text Available This paper presents an overlapping generations model for a small open economy. The model is calibrated to fit data for Turkey. Simulations suggest that for a fairly open economy such as Turkey, credibility and liquidity constraints matter and the choice of income taxation rate, the mix of government spending and the long-run government debt/GDP ratio can all significantly affect the economic growth. The paper also examines the effectiveness of fiscal policy under different levels of liquidity constraint in an open economy within a dynamic framework. It shows that liquidity constraints can affect the outcome of any fiscal policy. Hence fiscal policy is even more important for the less developed economies of the world.

  17. Excess Claims and Data Trimming in the Context of Credibility Rating Procedures,

    Science.gov (United States)

    1981-11-01

    Triining in the Context of Credibility Rating Procedures by Hans BShlmann, Alois Gisler, William S. Jewell* 1. Motivation In Ratemaking and in Experience...work on the ETH computer. __.1: " Zen * ’ ’ II / -2- 2. The Basic Model Throughout the paper we work with the most simple model in the credibility...additional structure are summed up by stating that the density -3- f 8 (x) has the following form 1) fe(x) -(1-r)po (x/e) + rape(x) 3. The Basic Problem As

  18. Controversy matters: Impacts of topic and solution controversy on the perceived credibility of a scientist who advocates.

    Directory of Open Access Journals (Sweden)

    Lindsey Beall

    Full Text Available In this article, we focus on the potential influence of a scientist's advocacy position on the public's perceived credibility of scientists as a whole. Further, we examine how the scientist's solution position (information only, non-controversial, and controversial affects the public's perception of the scientist's motivation for sharing information about specific issues (flu, marijuana, climate change, severe weather. Finally, we assess how perceived motivations mediate the relationship between solution position and credibility. Using data from a quota sample of American adults obtained by Qualtrics (n = 2,453, we found that in some conditions advocating for a solution positively predicted credibility, while in one condition, it negatively predicted scientist credibility. We also found that the influence of solution position on perceived credibility was mediated by several motivation perceptions; most notably through perception that the scientist was motivated to: (a serve the public and (b persuade the public. Further results and implications are discussed.

  19. Impact of Celebrity Credibility on Advertising Effectiveness

    OpenAIRE

    Sadia Aziz; Usman Ghani; Abdullah Niazi

    2013-01-01

    Advertisers often make use of endorsers or representatives as trustworthy sources of persuasion for consumers' attitudes. Promotion of products through celebrities is a trendy advertising practice around the world. The present study judged the impact of celebrity credibility on advertising effectiveness in terms of consumer’s attitude towards the advertisement, attitude towards the brand and their purchase intention. This study also explored the differences of respondent’s responses towards t...

  20. Investors Assessment of the Credibility of Management Disclosures ...

    African Journals Online (AJOL)

    The objective of this study, is to examine the issue of the assessment of the credibility of management disclosures about a company from the perspective of the investors. It presents the results from a questionnaire survey of a sample of financial Analysts, accountants and other investor. The data were analyzed using the one ...

  1. Source credibility and the effectiveness of firewise information

    Science.gov (United States)

    Alan D. Bright; Andrew W. Don Carlos; Jerry J. Vaske; James D. Absher

    2007-01-01

    Understanding how residents of the wildlandurban interface (WUI) react to information about firewise behavior can enhance efforts to communicate safety information to the public. This study explored the multiple roles of source credibility on the elaboration and impact of messages about conducting firewise behaviors in the WUI. A mail-back survey to residents of the...

  2. Moderators of Framing Effects on Political Attitudes: Is Source Credibility Worth Investigating?

    Directory of Open Access Journals (Sweden)

    Dana Raluca Buturoiu

    2015-08-01

    Full Text Available This research paper focuses on indirect (mediated media effects. In particular, we discuss which independent variables might intervene in and moderate the impact of framing effects on public attitudes (namely political trust, both in short-term and medium-term contexts. Among these, we focus on source credibility as a possible moderator of framing effects over time. The purpose of this study was to examine if and how source credibility influences individuals’ political trust. The moderator role of source credibility is analysed according to the exposure to different types of frames (repetitive or competitive at different moments (one week or one month. By means of a framing experiment (N=769 on political topics, we argue that media frames could influence political trust: Source credibility has a marginal influence, which suggests that, with stronger stimulus material (video, as opposed to written press articles, the source could play an important role in the willingness of people to trust political figures in general. Thus, we might argue that the media play a significant role not only in offering information about politics and politicians, but also in altering people’s perceptions about them. On the other hand, time seems to matter, since framing effects are more powerful after competitive media exposures. This study proposes new theoretical insights into framing effects, in the sense that classical theories should be revisited in various cultural or political contexts

  3. Evaluation measures for relevance and credibility in ranked lists

    DEFF Research Database (Denmark)

    Lioma, Christina; Simonsen, Jakob Grue; Larsen, Birger

    2017-01-01

    Recent discussions on alternative facts, fake news, and post truth politics have motivated research on creating technologies that allow people not only to access information, but also to assess the credibility of the information presented to them by information retrieval systems. Whereas technology...

  4. Ranking the Online Documents Based on Relative Credibility Measures

    Directory of Open Access Journals (Sweden)

    Ahmad Dahlan

    2013-09-01

    Full Text Available Information searching is the most popular activity in Internet. Usually the search engine provides the search results ranked by the relevance. However, for a certain purpose that concerns with information credibility, particularly citing information for scientific works, another approach of ranking the search engine results is required. This paper presents a study on developing a new ranking method based on the credibility of information. The method is built up upon two well-known algorithms, PageRank and Citation Analysis. The result of the experiment that used Spearman Rank Correlation Coefficient to compare the proposed rank (generated by the method with the standard rank (generated manually by a group of experts showed that the average Spearman 0 < rS < critical value. It means that the correlation was proven but it was not significant. Hence the proposed rank does not satisfy the standard but the performance could be improved.

  5. Ranking the Online Documents Based on Relative Credibility Measures

    Directory of Open Access Journals (Sweden)

    Ahmad Dahlan

    2009-05-01

    Full Text Available Information searching is the most popular activity in Internet. Usually the search engine provides the search results ranked by the relevance. However, for a certain purpose that concerns with information credibility, particularly citing information for scientific works, another approach of ranking the search engine results is required. This paper presents a study on developing a new ranking method based on the credibility of information. The method is built up upon two well-known algorithms, PageRank and Citation Analysis. The result of the experiment that used Spearman Rank Correlation Coefficient to compare the proposed rank (generated by the method with the standard rank (generated manually by a group of experts showed that the average Spearman 0 < rS < critical value. It means that the correlation was proven but it was not significant. Hence the proposed rank does not satisfy the standard but the performance could be improved.

  6. How Experts' Use of Medical Technical Jargon in Different Types of Online Health Forums Affects Perceived Information Credibility: Randomized Experiment With Laypersons.

    Science.gov (United States)

    Zimmermann, Maria; Jucks, Regina

    2018-01-23

    Online health forums are widely used, but the quality of advice differs as much as the knowledge backgrounds of the audience members who receive the advice. It is important to understand how people judge the information given online. In line with the communication accommodation theory (CAT), online forums represent specific social contexts of communication which can present either accommodative or nonaccommodative language to an audience. Accordingly, use of accommodative or nonaccommodative language might affect people's perceived trust in the communicator. The objective of this study was to investigate how experts who use accommodative (vs nonaccommodative) language are evaluated by passive users of an online forum. Participants (n=98) took part in an online experiment and read experts' posts about 10 nutrition myths. Following a 2 x 2 mixed design, experts' posts were written using either low or high amounts of medical technical jargon (MTJ) (within factor) and were directed at different audiences (mainly other medical experts [in a professional forum] vs a user group mainly comprising laypersons [in an advisory forum]) (between factor). Accommodation occurred where experts used high amounts of MTJ to address other medical experts in the professional forum; it also occurred when experts used low amounts of MTJ to address laypersons in the advisory forum. Conversely, nonaccommodation occurred when experts used high amounts of MTJ in the advisory forum and low amounts of MTJ in the professional forum. In each condition, participants evaluated the credibility of the information, the trustworthiness of the experts, and the accommodation by the experts. Overall, participants judged the credibility of information to be higher when experts used MTJ that was accommodative to the designated audience, F 1,95 =3.10, P=.04, η p 2 =.031. In addition, participants judged the experts in professional forums to be more trustworthy than experts in advisory forums (all F 1,96

  7. Extent, accuracy, and credibility of breastfeeding information on the Internet.

    Science.gov (United States)

    Shaikh, Ulfat; Scott, Barbara J

    2005-05-01

    Our objective was to test and describe a model for evaluating Websites related to breastfeeding. Forty Websites most likely to be accessed by the public were evaluated for extent, accuracy, credibility, presentation, ease of use, and adherence to ethical and medical Internet publishing standards. Extent and accuracy of Website content were determined by a checklist of critical information. The majority of Websites reviewed provided accurate information and complied with the International Code of Marketing of Breast-milk Substitutes. Approximately half the Websites complied with standards of medical Internet publishing. While much information on breastfeeding on the Internet is accurate, there is wide variability in the extent of information, usability of Websites, and compliance with standards of medical Internet publishing. Results of this study may be helpful to health care professionals as a model for evaluating breastfeeding-related Websites and to highlight considerations when recommending or designing Websites.

  8. Online health information on obesity in pregnancy: a systematic review.

    Science.gov (United States)

    Al Wattar, Bassel H; Pidgeon, Connie; Learner, Hazel; Zamora, Javier; Thangaratinam, Shakila

    2016-11-01

    To assess the quality of health information available online for healthcare users on obesity in pregnancy and evaluate the role of the internet as an effective medium to advocate a healthy lifestyle in pregnancy. We used the poly-search engine Polymeta and complimented the results with Google searches (till July 2015) to identify relevant websites. All open access websites in English providing advice on the risks and management of obesity in pregnancy. Two independent reviewers assessed the quality of information provided in each of the included websites for credibility, accuracy, readability, content quality and technology. We compared websites 'quality according to their target population, health topic and source of funding'. Fifty-three websites were included. A third of websites were focused on obesity in pregnancy and two thirds targeted healthcare users. The median value for the overall credibility was 5/9, 7/12 for accuracy, 57.6/100 for readability, 45/80 for content quality and 75/100 for technology. Obesity specific websites provided lower credibility compared to general health websites (p=0.008). Websites targeting health users were easier to read (p=0.001). Non-governmental funded websites demonstrated higher content quality (p=0.005). Websites that are obesity focused, targeting health users and funded by non-governmental bodies demonstrated higher composite quality scores (p=0.048). Online information on obesity in pregnancy is varied. Governmental bodies in particular need to invest more efforts to improve the quality of online health information. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  9. Ferrocyanide safety program: Credibility of drying out ferrocyanide tank waste by hot spots

    International Nuclear Information System (INIS)

    Dickinson, D.R.; McLaren, J.M.; Borsheim, G.L.; Crippen, M.D.

    1993-04-01

    The single-shell waste tanks at the Hanford Site that contain significant quantities of ferrocyanide have been considered a possible hazard, since under certain conditions the ferrocyanide in the waste tanks could undergo an exothermic chemical reaction with the nitrates and nitrites that are also present in the tanks. The purpose of this report is to assess the credibility of local dryout of ferrocyanide due to a hotspot. This report considers the following: What amount of decay heat generation within what volume would be necessary to raise the temperature of the liquid in the sludge to its boiling point? What mechanisms could produce a significant local concentration of heat sources? Is it credible that a waste tank heat concentration could be as large as that required to reach the dryout temperatures? This report also provides a recommendation as to whether infrared scanning of the ferrocyanide tanks is needed. From the analyses presented in this report it is evident that formation of dry, and thus chemically reactive, regions in the ferrocyanide sludge by local hotspots is not credible. This conclusion is subject to reevaluation if future analyses of tank core samples show much higher 137 Cs or 90 Sr concentrations than expected. Since hotspots of concern are not credible, infrared scanning to detect such hotspots is not required for safe storage of tank waste

  10. Identifying interprofessional global health competencies for 21st-century health professionals.

    Science.gov (United States)

    Jogerst, Kristen; Callender, Brian; Adams, Virginia; Evert, Jessica; Fields, Elise; Hall, Thomas; Olsen, Jody; Rowthorn, Virginia; Rudy, Sharon; Shen, Jiabin; Simon, Lisa; Torres, Herica; Velji, Anvar; Wilson, Lynda L

    2015-01-01

    At the 2008 inaugural meeting of the Consortium of Universities for Global Health (CUGH), participants discussed the rapid expansion of global health programs and the lack of standardized competencies and curricula to guide these programs. In 2013, CUGH appointed a Global Health Competency Subcommittee and charged this subcommittee with identifying broad global health core competencies applicable across disciplines. The purpose of this paper is to describe the Subcommittee's work and proposed list of interprofessional global health competencies. After agreeing on a definition of global health to guide the Subcommittee's work, members conducted an extensive literature review to identify existing competencies in all fields relevant to global health. Subcommittee members initially identified 82 competencies in 12 separate domains, and proposed four different competency levels. The proposed competencies and domains were discussed during multiple conference calls, and subcommittee members voted to determine the final competencies to be included in two of the four proposed competency levels (global citizen and basic operational level - program oriented). The final proposed list included a total of 13 competencies across 8 domains for the Global Citizen Level and 39 competencies across 11 domains for the Basic Operational Program-Oriented Level. There is a need for continued debate and dialog to validate the proposed set of competencies, and a need for further research to identify best strategies for incorporating these competencies into global health educational programs. Future research should focus on implementation and evaluation of these competencies across a range of educational programs, and further delineating the competencies needed across all four proposed competency levels. Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

  11. Machine learning methods for credibility assessment of interviewees based on posturographic data.

    Science.gov (United States)

    Saripalle, Sashi K; Vemulapalli, Spandana; King, Gregory W; Burgoon, Judee K; Derakhshani, Reza

    2015-01-01

    This paper discusses the advantages of using posturographic signals from force plates for non-invasive credibility assessment. The contributions of our work are two fold: first, the proposed method is highly efficient and non invasive. Second, feasibility for creating an autonomous credibility assessment system using machine-learning algorithms is studied. This study employs an interview paradigm that includes subjects responding with truthful and deceptive intent while their center of pressure (COP) signal is being recorded. Classification models utilizing sets of COP features for deceptive responses are derived and best accuracy of 93.5% for test interval is reported.

  12. Motivation and treatment credibility predict alliance in cognitive behavioral treatment for youth with anxiety disorders in community clinics.

    Science.gov (United States)

    Fjermestad, K W; Lerner, M D; McLeod, B D; Wergeland, G J H; Haugland, B S M; Havik, O E; Öst, L-G; Silverman, W K

    2017-11-16

    We examined whether motivation and treatment credibility predicted alliance in a 10-session cognitive behavioral treatment delivered in community clinics for youth anxiety disorders. Ninety-one clinic-referred youths (mean age  = 11.4 years, standard deviation = 2.1, range 8-15 years, 49.5% boys) with anxiety disorders-rated treatment motivation at pretreatment and perceived treatment credibility after session 1. Youths and therapists (YT) rated alliance after session 3 (early) and session 7 (late). Hierarchical linear models were applied to examine whether motivation and treatment credibility predicted YT early alliance, YT alliance change, and YT alliance agreement. Motivation predicted high early YT alliance, but not YT alliance change or alliance agreement. Youth-rated treatment credibility predicted high early youth alliance and high YT positive alliance change, but not early therapist alliance or alliance agreement. Conclusion Efforts to enhance youth motivation and treatment credibility early in treatment could facilitate the formation of a strong YT alliance. © 2017 Wiley Periodicals, Inc.

  13. Pengaruh Brand Credibility Terhadap Information Efficiency Dan Risk Reduction, Serta Dampaknya Atas Repurchase Intention

    OpenAIRE

    Faisal, Aekram

    2015-01-01

    This research conducted to know the influence of Brand Credibility to Information efficiency and Risk reduction, also the influence of Information efficiency and Risk reduction to Repurchase intention. This research aimed to know the influence of Brand Credibility to Repurchase intention that mediated by Information efficiency and Risk reduction. The methodology of this research is testing hypothesis research. The sample collecting by questionnaire of 150 respondents from Starb...

  14. Gender as an Influencer of Online Health Information-Seeking and Evaluation Behavior

    OpenAIRE

    Rowley, J.; Johnson, F.; Sbaffi, L.

    2016-01-01

    This article contributes to the growing body of research that explores the significance of context in health information behavior. Specifically, through the lens of trust judgments, it demonstrates that gender is a determinant of the information evaluation process. A questionnaire-based survey collected data from adults regarding the factors that influence their judgment of the trustworthiness of online health information. Both men and women identified credibility, recommendation, ease of use...

  15. The Credibility of Policy Reporting Across Learning Disciplines

    Energy Technology Data Exchange (ETDEWEB)

    Carley, S.; Youtie, J.; Solomon, G.; Porter, A.

    2016-07-01

    The notion of a credibility map argues that everyone has a distinctive map that dictates the preference given to different types and sources of information. When seeking to influence other academic fields, scholars will likely turn to scientific and technical information though other types, such as policy reports, may also be relevant. We draw on the credibility mapping concept to understand how a major policy report is taken up by the target academic community. The report, How People Learn, was published by the US National Academies in 2000, to expose the education community (mainly educational researchers but also knowledge-seeking practitioners) to major cognitive science research findings of relevance to learning. We applied several search strings to measure the take up of this report in the target community. We used Google Scholar to evince that that How People Learn was cited in nearly 15,000 publications, these citations grew particularly steeply from 2000 to 2008, and most were in education-related journal papers. We performed a similar analysis using the Web of Science, which showed that most of the citations were substantial as opposed to perfunctory. (Author)

  16. EXAMINING THE EFFECT OF ENDORSER CREDIBILITY ON THE CONSUMERS' BUYING INTENTIONS: AN EMPIRICAL STUDY IN TURKEY

    Directory of Open Access Journals (Sweden)

    Aysegul Ermec Sertoglu

    2014-01-01

    Full Text Available The purpose of this study is to test whether the source credibility affects buying intention and measure the perceived credibility differences between created spokesperson and celebrity endorser. The influence that endorser credibility dimensions (i.e. attractiveness, trustworthiness and expertise have on purchase intentions of 326 young consumers has been examined. The results showed that all of the three credibility dimensions for both celebrity endorser and created spokesperson have a positive relationship with purchase intention. Created spokesperson is perceived to be more trustworthy and competent whereas the celebrity endorser is found to be more attractive by the respondents. This study is unique in a way that it covers fairly new and rapidly growing Turkish market. One factor that makes this study unique in Turkey, in which the usage of celebrity endorsers holds significant part in the marketing of products, is the lack of studies that would measure the effectiveness of this method.

  17. Identifiable Data Files - Health Outcomes Survey (HOS)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Medicare Health Outcomes Survey (HOS) identifiable data files are comprised of the entire national sample for a given 2-year cohort (including both respondents...

  18. Simulating Terrorism: Credible Commitment, Costly Signaling, and Strategic Behavior

    Science.gov (United States)

    Siegel, David A.; Young, Joseph K.

    2009-01-01

    We present two simulations designed to convey the strategic nature of terrorism and counterterrorism. The first is a simulated hostage crisis, designed primarily to illustrate the concepts of credible commitment and costly signaling. The second explores high-level decision making of both a terrorist group and the state, and is designed to…

  19. I FEEL CONNECTED: A COMPARATIVE STUDY OF STUDENT ENGAGEMENT AND LECTURERS’ CREDIBILITY

    Directory of Open Access Journals (Sweden)

    Padma Pillai

    2016-12-01

    Full Text Available Communication is essential. Having the ability to communicate thoughts, ideas, and feelings is crucial in all environments. The education industry regards communication as a core business to transfer knowledge. This paper focuses on how two different groups of students at Sunway University, Malaysia, perceived Lecturers’ Credibility (LC in a class that enhances the Students’ Engagement (SE. A group of 50 to 60 students from the Faculty of Arts (FoA and School of Business (SoB completed measures of LC and SE using McCroskey and Teven’s (1999 Source Credibility Questionnaire (SCQ and Students Engagement Survey from Indicators of Positive Development Conference, Child Trends. The variables for LC comprise competence, character and caring (CCC, and the variables for SE consist of cognitive, behaviour and emotion (CBE. The study aims to determine if there are any differences in SE between students from FoA and SoB with their perceived LC. Hopefully, the study sheds some light on the research question: “Are there any differences among Faculty of Arts students and School of Business students in the relationship between lecturers’ credibility and students’ engagement?”

  20. Truth and Credibility in Sincere Policy Analysis: Alternative Approaches for the Production of Policy-Relevant Knowledge.

    Science.gov (United States)

    Bozeman, Barry; Landsbergen, David

    1989-01-01

    Two competing approaches to policy analysis are distinguished: a credibility approach, and a truth approach. According to the credibility approach, the policy analyst's role is to search for plausible argument rather than truth. Each approach has pragmatic tradeoffs in fulfilling the goal of providing usable knowledge to decision makers. (TJH)

  1. Scientific risk communication about controversial issues influences public perceptions of scientists' political orientations and credibility.

    Science.gov (United States)

    Vraga, Emily; Myers, Teresa; Kotcher, John; Beall, Lindsey; Maibach, Ed

    2018-02-01

    Many scientists communicate with the public about risks associated with scientific issues, but such communication may have unintended consequences for how the public views the political orientations and the credibility of the communicating scientist. We explore this possibility using an experiment with a nationally representative sample of Americans in the fall of 2015. We find that risk communication on controversial scientific issues sometimes influences perceptions of the political orientations and credibility of the communicating scientist when the scientist addresses the risks of issues associated with conservative or liberal groups. This relationship is moderated by participant political ideology, with liberals adjusting their perceptions of the scientists' political beliefs more substantially when the scientist addressed the risks of marijuana use when compared with other issues. Conservatives' political perceptions were less impacted by the issue context of the scientific risk communication but indirectly influenced credibility perceptions. Our results support a contextual model of audience interpretation of scientific risk communication. Scientists should be cognizant that audience members may make inferences about the communicating scientist's political orientations and credibility when they engage in risk communication efforts about controversial issues.

  2. Currency option pricing in a credible exchange rate target zone

    NARCIS (Netherlands)

    Veestraeten, D.

    2013-01-01

    This article examines currency option pricing within a credible target zone arrangement where interventions at the boundaries push the exchange rate back into its fluctuation band. Valuation of such options is complicated by the requirement that the reflection mechanism should prevent the arbitrage

  3. Currency option pricing in a credible exchange rate target zone

    NARCIS (Netherlands)

    Veestraeten, D.

    2012-01-01

    This article examines currency option pricing within a credible target zone arrangement where interventions at the boundaries push the exchange rate back into its fluctuation band. Valuation of such options is complicated by the requirement that the reflection mechanism should prevent the arbitrage

  4. Student Perceptions of Peer Credibility Based on Email Addresses

    Science.gov (United States)

    Livermore, Jeffrey A.; Scafe, Marla G.; Wiechowski, Linda S.; Maier, David J.

    2013-01-01

    The purpose of this study was to evaluate students' perceptions of their peer's credibility based on email addresses. The survey was conducted at a community college in Michigan where all students were registered and actively taking at least one course. The survey results show that a student's selection of an email address does influence other…

  5. Student Perceptions of Faculty Credibility Based on Email Addresses

    Science.gov (United States)

    Livermore, Jeffrey A.; Scafe, Marla G.; Wiechowski, Linda S.

    2010-01-01

    The purpose of this study was to evaluate students' perceptions of faculty credibility based on email addresses. The survey was conducted at an upper division business school in Michigan where all students have completed at least two years of college courses. The survey results show that a faculty member's selection of an email address does…

  6. Determinants of Judgments of Explanatory Power: Credibility, Generality, and Statistical Relevance

    Science.gov (United States)

    Colombo, Matteo; Bucher, Leandra; Sprenger, Jan

    2017-01-01

    Explanation is a central concept in human psychology. Drawing upon philosophical theories of explanation, psychologists have recently begun to examine the relationship between explanation, probability and causality. Our study advances this growing literature at the intersection of psychology and philosophy of science by systematically investigating how judgments of explanatory power are affected by (i) the prior credibility of an explanatory hypothesis, (ii) the causal framing of the hypothesis, (iii) the perceived generalizability of the explanation, and (iv) the relation of statistical relevance between hypothesis and evidence. Collectively, the results of our five experiments support the hypothesis that the prior credibility of a causal explanation plays a central role in explanatory reasoning: first, because of the presence of strong main effects on judgments of explanatory power, and second, because of the gate-keeping role it has for other factors. Highly credible explanations are not susceptible to causal framing effects, but they are sensitive to the effects of normatively relevant factors: the generalizability of an explanation, and its statistical relevance for the evidence. These results advance current literature in the philosophy and psychology of explanation in three ways. First, they yield a more nuanced understanding of the determinants of judgments of explanatory power, and the interaction between these factors. Second, they show the close relationship between prior beliefs and explanatory power. Third, they elucidate the nature of abductive reasoning. PMID:28928679

  7. On the credibility of scientific findings

    International Nuclear Information System (INIS)

    Maier-Leibnitz, H.

    1987-01-01

    Since the beginning of the so-called nuclear controversy, problems of risk and of safety increasingly have come to be discussed also by persons not really qualified for the job; often, results and findings were presented which, although technically unfounded or based on wrong assumptions or conclusions, have greatly helped to create fear and concern about the peaceful uses of nuclear energy. In a study of the credibility gap faced by science, criteria are given for the competency of experts vis-a-vis specific problems. The most important aspect in arriving at the truth is felt to be the weighing of alternative decisions. (orig./HP) [de

  8. Faculty Perceptions of Student Credibility Based on Email Addresses

    Science.gov (United States)

    Livermore, Jeffrey A.; Wiechowski, Linda S.; Scafe, Marla G.

    2011-01-01

    The purpose of this study was to evaluate faculty perceptions of student credibility based on email addresses. The survey was conducted at an upper division business school in Michigan where all students have completed at least two years of college courses. The survey results show that a student's selection of an email address does influence the…

  9. CredibleMeds.org: What does it offer?

    Science.gov (United States)

    Woosley, Raymond L; Black, Kristin; Heise, C William; Romero, Klaus

    2018-02-01

    Since the 1990s, when numerous non-cardiac drugs were first recognized to have the potential to prolong the QT interval and cause torsades de pointes (TdP), clinicians, drug regulators, drug developers, and clinical investigators have become aware of the complexities of assessing evidence and determining TdP causality for the many drugs being marketed or under development. To facilitate better understanding, the Arizona Center for Education and Research on Therapeutics, known as AZCERT, has developed the CredibleMeds.org website which includes QTdrugs, a listing of over 220 drugs placed in four risk categories based on their association with QT prolongation and TdP. Since the site was launched in 1999, it has become the single and most reliable source of information of its kind for patients, healthcare providers, and research scientists. Over 96,000 registered users rely on the QTdrugs database as their primary resource to inform their medication use, their prescribing or their clinical research into the impact of QT-prolonging drugs and drug-induced arrhythmias. The QTdrugs lists are increasingly used as the basis for clinical decision support systems in healthcare and for metrics of prescribing quality by healthcare insurers. A free smartphone app and an application program interface enable rapid and mobile access to the lists. Also, the CredibleMeds website offers numerous educational resources for patients, educators and healthcare providers that foster the safe use of medications. Copyright © 2018 Elsevier Inc. All rights reserved.

  10. How influencers’ credibility on Instagram is perceived by consumers and its impact on purchase intention

    OpenAIRE

    Rebelo, Marta Figueiredo

    2017-01-01

    The purpose of this thesis is to understand the perception Instagram users, in other words consumers, have of influencers they follow on Instagram. Consumer perceived credibility of influencers, and its impact on the purchase intention, is therefore studied. This dissertation aims to highlight which credibility dimensions better explain the purchase intention. Gender is also explored to verify behavior differences between female and male consumers. To better analyze the perc...

  11. Mentalizing skills do not differentiate believers from non-believers, but credibility enhancing displays do.

    Directory of Open Access Journals (Sweden)

    David L R Maij

    Full Text Available The ability to mentalize has been marked as an important cognitive mechanism enabling belief in supernatural agents. In five studies we cross-culturally investigated the relationship between mentalizing and belief in supernatural agents with large sample sizes (over 67,000 participants in total and different operationalizations of mentalizing. The relative importance of mentalizing for endorsing supernatural beliefs was directly compared with credibility enhancing displays-the extent to which people observed credible religious acts during their upbringing. We also compared autistic with neurotypical adolescents. The empathy quotient and the autism-spectrum quotient were not predictive of belief in supernatural agents in all countries (i.e., The Netherlands, Switzerland and the United States, although we did observe a curvilinear effect in the United States. We further observed a strong influence of credibility enhancing displays on belief in supernatural agents. These findings highlight the importance of cultural learning for acquiring supernatural beliefs and ask for reconsiderations of the importance of mentalizing.

  12. The relationship between clients' depression etiological beliefs and psychotherapy orientation preferences, expectations, and credibility beliefs.

    Science.gov (United States)

    Tompkins, Kelley A; Swift, Joshua K; Rousmaniere, Tony G; Whipple, Jason L

    2017-06-01

    The purpose of this study was to examine the relationship between clients' etiological beliefs for depression and treatment preferences, credibility beliefs, and outcome expectations for five different depression treatments-behavioral activation, cognitive therapy, interpersonal psychotherapy, pharmacotherapy, and psychodynamic psychotherapy. Adult psychotherapy clients (N = 98) were asked to complete an online survey that included the Reasons for Depression Questionnaire, a brief description of each of the five treatment options, and credibility, expectancy, and preference questions for each option. On average, the participating clients rated pharmacotherapy as significantly less credible, having a lower likelihood of success, and being less preferred than the four types of psychotherapy. In general, interpersonal psychotherapy was also rated more negatively than the other types of psychotherapy. However, these findings depended somewhat on whether the participating client was personally experiencing depression. Credibility beliefs, outcome expectations, and preferences for pharmacotherapy were positively associated with biological beliefs for depression; however, the other hypothesized relationships between etiological beliefs and treatment attitudes were not supported. Although the study is limited based on the specific sample and treatment descriptions that were used, the results may still have implications for psychotherapy research, training, and practice. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  13. Deflation Risk in the Euro Area and Central Bank Credibility

    NARCIS (Netherlands)

    G. Galati (Gabriele); Z. Gorgi (Zion); R. Moessner (Richhild); C. Zhou (Chen)

    2016-01-01

    textabstractThis paper investigates how the perceived risk that the euro area will experience deflation has evolved over time, and what this risk implies for the credibility of the ECB. We use a novel data set on market participants’ perceptions of short- to long-term deflation risk implied by

  14. Cultural Variation in Situation Assessment: Influence of Source Credibility and Rank Status

    National Research Council Canada - National Science Library

    Heacox, N

    2000-01-01

    .... Although information content, rank status, and source credibility have received much attention by researchers in command and control decision-making, cultural variations in these factors have seldom been studied...

  15. Questioning History, Nationality and Identity in Timberlake Wertenbaker’s Credible Witness

    Directory of Open Access Journals (Sweden)

    Nursen Gömceli

    2014-05-01

    Full Text Available The aim of this paper is to examine the Anglo-American playwright Timberlake Wertenbaker’s approach to the issues of history, nationality and identity in her play Credible Witness (2001, and to discuss the significance of these concepts in our modern world through a close analysis of the play. In Credible Witness, the playwright brings together people from diverse countries, such as Sri Lanka, Algeria, Eritrea, Somalia and Macedonia in a detention centre in London, and via the stories of these asylum seekers, and particularly through the dramatic encounter between Petra, a Macedonian woman with strong nationalistic pride, and her son Alexander, a history teacher forced to seek refuge in Britain for political reasons, Wertenbaker tries to demonstrate “what happens to people when they step outside, or are forced outside, their history, their identity” (Aston 2003, 13.

  16. Eletronuclear's relationship with the Brazilian media: transparency and credibility

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez, Gloria, E-mail: galvarez@eletronuclear.gov.br [Eletrobras Termonuclear S.A. (ELETRONUCLEAR), Rio de Janeiro, RJ (Brazil)

    2013-07-01

    In a capitalist economy the most valued assets are not money, shares or facilities, but credibility. Lack of money can ruin a company, but often it is reputation that delivers the final blow. It has become challenging to safeguard reputation in a world where Communication is increasingly connected and with such an intense and lightning fast flow of information. This is particularly true for the electricity sector - a commodity so prevalent in everyday modern life, but, whose business dealings, are hardly known by the general public. When it comes to nuclear energy, the challenge of establishing an effective Communication with transparency and credibility touches on even more complex elements. The topic of this paper is the scenario through which the Communication process, along with its characteristics and approaches, unfolds between the nuclear sector and the Brazilian media. (author)

  17. Perceptions of Credibility of Male and Female Syndicated Political Columnists.

    Science.gov (United States)

    Andsager, Julie L.

    1990-01-01

    Examines perceptions of the credibility of male and female syndicated political columnists. Finds that college students exhibited little prejudice against female versus male bylines in political interpretive columns. Finds a small tendency for male readers to evaluate male bylines higher in stereotypical ways, but female readers do not do this.…

  18. Consistency between verbal and non-verbal affective cues: a clue to speaker credibility.

    Science.gov (United States)

    Gillis, Randall L; Nilsen, Elizabeth S

    2017-06-01

    Listeners are exposed to inconsistencies in communication; for example, when speakers' words (i.e. verbal) are discrepant with their demonstrated emotions (i.e. non-verbal). Such inconsistencies introduce ambiguity, which may render a speaker to be a less credible source of information. Two experiments examined whether children make credibility discriminations based on the consistency of speakers' affect cues. In Experiment 1, school-age children (7- to 8-year-olds) preferred to solicit information from consistent speakers (e.g. those who provided a negative statement with negative affect), over novel speakers, to a greater extent than they preferred to solicit information from inconsistent speakers (e.g. those who provided a negative statement with positive affect) over novel speakers. Preschoolers (4- to 5-year-olds) did not demonstrate this preference. Experiment 2 showed that school-age children's ratings of speakers were influenced by speakers' affect consistency when the attribute being judged was related to information acquisition (speakers' believability, "weird" speech), but not general characteristics (speakers' friendliness, likeability). Together, findings suggest that school-age children are sensitive to, and use, the congruency of affect cues to determine whether individuals are credible sources of information.

  19. Civil Society and the Conduct of Free, Fair and Credible Election ...

    African Journals Online (AJOL)

    Civil Society and the Conduct of Free, Fair and Credible Election: Lessons from ... of Non Governmental agencies like civil society to prevent the government of the ... fair so as to rid the continent of its notorious record of post election violence.

  20. Investigating the impact of viral message appeal and message credibility on consumer attitude toward brand

    Directory of Open Access Journals (Sweden)

    Majid Esmaeilpour

    2016-12-01

    Full Text Available Background - Due to the rapid growth of the Internet and use of e-commerce in recent years, viral marketing has drawn the attention of manufacturing and service organizations. However, no research has been conducted to examine the impact of message appeal and message source credibility on consumers' attitude with mediating role of intellectual involvement of consumers and their risk taking level. Purpose - The aim of this study was to examine the impact of appeal and message source credibility on consumers’ attitude with mediating role of consumers’ intellectual involvement and their risk taking level. Design/methodology/approach – The population of this study includes consumers of mobile phones (Samsung, Sony, Nokia, LG and iPhone in Bushehr city (Iran. As the population of the study is unlimited, 430 questionnaires were distributed using available sampling method, and 391 questionnaires were collected and analyzed. Using structural equation modeling, data were analyzed through smart PLS software. Findings –The results show that the appeal and credibility of the message source have impact on consumer attitudes toward the brand. It was also found that intellectual involvement of consumers plays the mediating role in the relationship between message appeal and consumer attitudes toward brand. In the relationship between message source credibility and customer attitude towards the brand, the level of risk taking of people has no mediating role. Research limitations/implications – Data collection tool was questionnaire in this study, and questionnaire has some disadvantages that can affect the results. Additionally, this study was conducted in Bushehr city (Iran. Therefore, we should be cautious in generalizing the findings. Originality/value – In this study, the effect of message appeal and message source credibility on consumer attitude to brand was examined. The risk taking level of consumer and his involvement level were considered

  1. Identifying public health competencies relevant to family medicine.

    Science.gov (United States)

    Harvey, Bart J; Moloughney, Brent W; Iglar, Karl T

    2011-10-01

    Public health situations faced by family physicians and other primary care practitioners, such as severe acute respiratory syndrome (SARS) and more recently H1N1, have resulted in an increased interest to identify the public health competencies relevant to family medicine. At present there is no agreed-on set of public health competencies delineating the knowledge and skills that family physicians should possess to effectively face diverse public health challenges. Using a multi-staged, iterative process that included a detailed literature review, the authors developed a set of public health competencies relevant to primary care, identifying competencies relevant across four levels, from "post-MD" to "enhanced." Feedback from family medicine and public health educator-practitioners regarding the set of proposed "essential" competencies indicated the need for a more limited, feasible set of "priority" areas to be highlighted during residency training. This focused set of public health competencies has begun to guide relevant components of the University of Toronto's Family Medicine Residency Program curriculum, including academic half-days; clinical experiences, especially identifying "teachable moments" during patient encounters; resident academic projects; and elective public health agency placements. These competencies will also be used to guide the development of a family medicine-public health primer and faculty development sessions to support family medicine faculty facilitating residents to achieve these competencies. Once more fully implemented, an evaluation will be initiated to determine the degree to which these public health competencies are being achieved by family medicine graduates, especially whether they attained the knowledge, skills, and confidence necessary to effectively face diverse public health situations-from common to emergent. Copyright © 2011 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  2. Preserving medical correctness, readability and consistency in de-identified health records

    DEFF Research Database (Denmark)

    Pantazos, Kostas; Lauesen, Søren; Lippert, Søren

    2016-01-01

    A health record database contains structured data fields that identify the patient, such as patient ID, patient name, e-mail and phone number. These data are fairly easy to de-identify, that is, replace with other identifiers. However, these data also occur in fields with doctors’ free-text notes...... database, ending up with 323,122 patient health records. We had to invent many methods for de-identifying potential identifiers in the free-text notes. The de-identified health records should be used with caution for statistical purposes because we removed health records that were so special...

  3. How Adolescents Search for and Appraise Online Health Information: A Systematic Review.

    Science.gov (United States)

    Freeman, Jaimie L; Caldwell, Patrina H Y; Bennett, Patricia A; Scott, Karen M

    2018-04-01

    To conduct a systematic review of the evidence concerning whether and how adolescents search for online health information and the extent to which they appraise the credibility of information they retrieve. A systematic search of online databases (MEDLINE, EMBASE, PsycINFO, ERIC) was performed. Reference lists of included papers were searched manually for additional articles. Included were studies on whether and how adolescents searched for and appraised online health information, where adolescent participants were aged 13-18 years. Thematic analysis was used to synthesize the findings. Thirty-four studies met the inclusion criteria. In line with the research questions, 2 key concepts were identified within the papers: whether and how adolescents search for online health information, and the extent to which adolescents appraise online health information. Four themes were identified regarding whether and how adolescents search for online health information: use of search engines, difficulties in selecting appropriate search strings, barriers to searching, and absence of searching. Four themes emerged concerning the extent to which adolescents appraise the credibility of online health information: evaluation based on Web site name and reputation, evaluation based on first impression of Web site, evaluation of Web site content, and absence of a sophisticated appraisal strategy. Adolescents are aware of the varying quality of online health information. Strategies used by individuals for searching and appraising online health information differ in their sophistication. It is important to develop resources to enhance search and appraisal skills and to collaborate with adolescents to ensure that such resources are appropriate for them. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Using the National Provider Identifier for Health Care...

    Data.gov (United States)

    U.S. Department of Health & Human Services — The establishment in recent years of a National Provider Identifier (NPI) offers a new method for counting and categorizing physicians and other health care...

  5. Factors that optimise the credibility of advertisements whilst promoting feelings of emotional well-being and satisfaction

    OpenAIRE

    Duck, Nicholas

    2017-01-01

    The aim of this thesis is to demonstrate that advertisements that challenge the security of consumers can undermine the impact and lasting influence of these messages. Conversely, advertisements could be used to evoke feelings of security and enhance emotional well-being whilst optimising the credibility and impact of messages. Specifically, research demonstrates that advertisements might elicit different motivational styles, referred to as an individual’s regulatory focus. The credibility of...

  6. Influence of Source Credibility on Consumer Acceptance of Genetically Modified Foods in China

    Directory of Open Access Journals (Sweden)

    Mingyang Zhang

    2016-09-01

    Full Text Available This paper examines the reasoning mechanism behind the consumer acceptance of genetically modified foods (GMFs in China, and investigates influence of source credibility on consumer acceptance of GMFs. Based on the original Persuasion Model—which was developed by Carl Hovland, an American psychologist and pioneer in the study of communication and its effect on attitudes and beliefs—we conducted a survey using multistage sampling from 1167 urban residents, which were proportionally selected from six cities in three economic regions (south, central, and north in the Jiangsu province through face to face interviews. Mixed-process regression that could correct endogeneity and ordered probit model were used to test the impact of source credibility on consumers’ acceptance of GMFs. Our major finding was that consumer acceptance of GMFs is affected by such factors as information source credibility, general attitudes, gender, and education levels. The reliability of biotechnology research institutes, government offices devoted to management of GM organisms (GMOs, and GMO technological experts have expedited urban consumer acceptance of GM soybean oil. However, public acceptance can also decrease as faith in the environmental organization. We also found that ignorance of the endogeneity of above mentioned source significantly undervalued its effect on consumers’ acceptance. Moreover, the remaining three sources (non-GMO experts, food companies, and anonymous information found on the Internet had almost no effect on consumer acceptance. Surprisingly, the more educated people in our survey were more skeptical towards GMFs. Our results contribute to the behavioral literature on consumer attitudes toward GMFs by developing a reasoning mechanism determining consumer acceptance of GMFs. Particularly, this paper quantitatively studied the influence of different source credibility on consumer acceptance of GMFs by using mixed-process regression to

  7. Public Affairs: An Operational Planning Function to Safeguard Credibility and Public Opinion

    National Research Council Canada - National Science Library

    Cutler, Dawn

    2004-01-01

    ... context throughout all phases of conflict. Although the target audiences may differ when a commander is considering message dissemination through either the PA or IC channel, the consistency of the messages is important to credibility...

  8. Health care consumer reports: an evaluation of consumer perspectives.

    Science.gov (United States)

    Longo, Daniel R; Everet, Kevin D

    2003-01-01

    There has been a proliferation of health care consumer reports, also known as "consumer guides," "report cards," and "performance reports," which are designed to assist consumers in making more informed health care decisions. While there is evidence that providers use such reports to identify and make changes in practice, thus improving the quality of care, there is little empirical evidence on how consumer guides/report cards are used by consumers. This study fills that gap by surveying 925 patients as they wait for ambulatory care in several clinics in a midwestern city. Findings indicate that consumers are selective in their use of these reports and quickly identify those sections of the report of most interest to them. Report developers should take precautions to ensure such reports are viewed as credible sources of health care information.

  9. Identifying the core competencies of mental health telephone triage.

    Science.gov (United States)

    Sands, Natisha; Elsom, Stephen; Gerdtz, Marie; Henderson, Kathryn; Keppich-Arnold, Sandra; Droste, Nicolas; Prematunga, Roshani K; Wereta, Zewdu W

    2013-11-01

    The primary aim of this study was to identify the core competencies of mental health telephone triage, including key role tasks, skills, knowledge and responsibilities, in which clinicians are required to be competent to perform safe and effective triage. Recent global trends indicate an increased reliance on telephone-based health services to facilitate access to health care across large populations. The trend towards telephone-based health services has also extended to mental health settings, evidenced by the growing number of mental health telephone triage services providing 24-hour access to specialist mental health assessment and treatment. Mental health telephone triage services are critical to the early identification of mental health problems and the provision of timely, appropriate interventions. In spite of the rapid growth in mental health telephone triage and the important role these services play in the assessment and management of mental illness and related risks, there has been very little research investigating this area of practice. An observational design was employed to address the research aims. Structured observations (using dual wireless headphones) were undertaken on 197 occasions of mental health telephone triage over a three-month period from January to March 2011. The research identified seven core areas of mental health telephone triage practice in which clinicians are required to be competent in to perform effective mental health telephone triage, including opening the call; performing mental status examination; risk assessment; planning and action; termination of call; referral and reporting; and documentation. The findings of this research contribute to the evidence base for mental health telephone triage by articulating the core competencies for practice. The mental health telephone triage competencies identified in this research may be used to define an evidence-based framework for mental health telephone triage practice that aims to

  10. The Effects of Source Credibility in the Presence or Absence of Prior Attitudes: Implications for the Design of Persuasive Communication Campaigns.

    Science.gov (United States)

    Kumkale, G Tarcan; Albarracín, Dolores; Seignourel, Paul J

    2010-06-01

    Most theories of persuasion predict that limited ability and motivation to think about communications should increase the impact of source credibility on persuasion. Furthermore, this effect is assumed to occur, regardless of whether or not the recipients have prior attitudes. In this study, the effects of source credibility, ability, and motivation (knowledge, message repetition, relevance) on persuasion were examined meta-analytically across both attitude formation and change conditions. Findings revealed that the Source Credibility × Ability/Motivation interaction emerged only when participants lacked prior attitudes and were unable to form a new attitude based on the message content. In such settings, the effects of source credibility decayed rapidly. The implications of these findings for applied communication campaigns are discussed.

  11. Dose assessment around TR-2 reactor due to maximum credible accident

    International Nuclear Information System (INIS)

    Turgut, M. H.; Adalioglu, U.; Aytekin, A.

    2001-01-01

    The revision of safety analysis report of TR-2 research reactor had been initiated in 1995. The whole accident analysis and accepted scenario for maximum credible accident has been revised according to the new safety concepts and the impact to be given to the environment due to this scenario has been assessed. This paper comprises all results of these calculations. The accepted maximum credible accident scenario is the partial blockage of the whole reactor core which resulted in the release of 25% of the core inventory. The DOSER code which uses very conservative modelling of atmospheric distributions were modified for the assessment calculations. Pasquill conditions based on the local weather observations, topography, and building affects were considered. The thyroid and whole body doses for 16 sectors and up to 10 km of distance around CNAEM were obtained. Release models were puff and a prolonged one of two hours of duration. Release fractions for the active isotopes were chosen from literature which were realistic

  12. The 'credibility paradox' in China's science communication: Views from scientific practitioners.

    Science.gov (United States)

    Zhang, Joy Yueyue

    2015-11-01

    In contrast to increasing debates on China's rising status as a global scientific power, issues of China's science communication remain under-explored. Based on 21 in-depth interviews in three cities, this article examines Chinese scientists' accounts of the entangled web of influence which conditions the process of how scientific knowledge achieves (or fails to achieve) its civic authority. A main finding of this study is a 'credibility paradox' as a result of the over-politicisation of science and science communication in China. Respondents report that an absence of visible institutional endorsements renders them more public credibility and better communication outcomes. Thus, instead of exploiting formal channels of science communication, scientists interviewed were more keen to act as 'informal risk communicators' in grassroots and private events. Chinese scientists' perspectives on how to earn public support of their research sheds light on the nature and impact of a 'civic epistemology' in an authoritarian state. © The Author(s) 2015.

  13. Perception of quality and trustworthiness of Internet resources by personal health information seekers.

    Science.gov (United States)

    Stavri, P Zoë; Freeman, Donna J; Burroughs, Catherine M

    2003-01-01

    This paper focuses on one dimension of personal health information seeking: perception of quality and trustworthiness of information sources. Intensive interviews were conducted using a conversational, unstructured, exploratory interview style. Interviews were conducted at 3 publicly accessible library sites in Arizona, Hawaii and Nevada. Thirty-eight non-experts were interviewed. Three separate and distinct methods used to identify credible health information resources were identified. Consumers may have strong opinions about what they mistrust; use fairly rigorous evaluation protocols; or filter information based on intuition or common sense, eye appeal or an authoritative sounding sponsor or title. Many people use a mix of rational and/or intuitive criteria to assess the health information they use.

  14. Evaluating the quality of Websites related to Hospital-Based Home Care: The Credibility Indicator as a prognostic factor

    Directory of Open Access Journals (Sweden)

    María Sanz-Lorente

    2017-04-01

    Full Text Available Objective: To evaluate the documental quality of websites related to Home Care Services. Method: This is a descriptive cross-sectional study of websites based on Home Care Services, using searches on Google to access the study population. The “fallacy sample” of this search engine was take into account. The quality was studied thought the 8 variables of the Credibility Indicator (CI. Results: A total of 215 active websites, mainly belonging to the media, were evaluated. None of the websites met all 8 items in the CI. Mean of 2,12 ± 0,07; Minimum of 0 and Maximum of 5; Median equal to 3. Within the studied websites, 74 (34,42% presented both authorship and affiliation. There was an association between the CI accomplishment and websites that had these 2 variables (p <0.001. Conclusions: The quality of websites covering issues of Hospital-Based Home Care services is still poor. It is confirmed that identifying authorship and affiliation is an important factor in predicting the quality of the information. The Credibility Indicator is a useful aid when determining the quality of a website.

  15. Establishing the credibility of archaeoastronomical sites

    Science.gov (United States)

    Ruggles, Clive L. N.

    2015-08-01

    This is not a talk about archaeoastronomy per se, but rather about how the Astronomy and World Heritage Initiative helps us deal with archaeoastronomical sites as potential World Heritage.In 2011, an attempt to nominate a prehistoric “observatory” site onto the World Heritage List proved unsuccessful because UNESCO rejected the interpretation as statistically and archaeologically unproven. The case highlights an issue at the heart of archaeoastronomical methodology and interpretation: the mere existence of astronomical alignments in ancient sites does not prove that they were important to those who constructed and used the sites, let alone giving us insights into their likely significance and meaning. Advances in archaeoastronomy over several decades have resulted in the development of a substantial body of theory and practice (Ruggles 2014) where the most favoured interpretations depend upon integrating methods from astronomy, anthropology and other disciplines, but individual cases can still engender considerable controversy.The fact that more archaeoastronomical sites are now appearing on national tentative lists prior to their WHL nomination means that this is no longer just an academic issue; establishing the credibility of the archaeoastronomical interpretations is crucial to any assessment of their value in heritage terms.In this talk I shall describe progress that has been made within the Astronomy and World Heritage Initiative towards establishing broadly acceptable measures of archaeoastronomical credibility that make sense in the context of the heritage evaluation process. I will focus particularly, but not exclusively, on sites that are included in the Thematic Studies and/or are already included on national Tentative Lists, such as the Portuguese/Spanish seven-stone antas (Neolithic dolmens) and Chankillo in Peru (solar observation device dating to c. 300BC). I will also mention how the recognition of astronomical attributes of potential

  16. The Effects of Teacher Self-Disclosure via "Facebook" on Teacher Credibility

    Science.gov (United States)

    Mazer, Joseph P.; Murphy, Richard E.; Simonds, Cheri J.

    2009-01-01

    Research suggests that teachers who personalize their teaching through the use of humor, stories, enthusiasm, and self-disclosure are perceived by their students to be effective in explaining course content. This experimental study examined the effects of computer-mediated teacher self-disclosure on perceptions of teacher credibility. Participants…

  17. Twitter Use and Its Effects on Student Perception of Instructor Credibility

    Science.gov (United States)

    DeGroot, Jocelyn M.; Young, Valerie J.; VanSlette, Sarah H.

    2015-01-01

    This study investigates college student perceptions of instructor credibility based on the content of an instructor's Twitterfeed and student beliefs about Twitter as a communication tool. Quantitative and qualitative methods were utilized to explore the effects of three manipulated Twitter feeds (e.g., tweeting social topics, professional topics,…

  18. Towards Credible City Branding Practices: How Do Iran’s Largest Cities Face Ecological Modernization?

    Directory of Open Access Journals (Sweden)

    Negar Noori

    2018-04-01

    Full Text Available City branding is not only increasingly practiced in cities in established economies, but also among municipal governments in countries, until quite recently, rather closed off from the outside world. One country with a strong drive to engage in urban (redevelopment in the post-oil era through enhancing its ‘ecological modernization’ is Iran. Megacities in Iran have all begun to venture into making profiles of what they think they are or would like to be. However, some of the adopted city branding strategies lack sophistication. In this article, the authors examine what indicators can be used for evaluating the credibility of city brands and apply these to Iran’s 15 megacities. After offering brief descriptions of the generic features of each of these cities, they map their use of city brand identities and popular city labels related to ecological modernization and analyze the credibility of their city branding practices. Based on their findings, the authors distinguish five types of cities and explain what makes some types more credible in their use of brands than others. Generally speaking, compared to cities in other nations, Iranian cities pay special attention to historical, natural, cultural, and religious aspects.

  19. Why Follow the Leader? Collective Action, Credible Commitment and Conflict

    OpenAIRE

    Keefer, Philip

    2012-01-01

    Most analyses of conflict assume that conflicting groups act in a unitary fashion. This assumption is often violated: to reduce their risk of replacement, group leaders prevent both group members and soldiers from acting collectively, making it difficult for leaders to make credible commitments to them. Lifting the assumption that groups are unitary shifts the analysis of a wide range of c...

  20. Supply Chain Risk Management: An Introduction to the Credible Threat

    Science.gov (United States)

    2016-08-01

    van.poindexter@dau.mil. Figure 3. Trusted Suppliers Source: “ Managing Information Communications Technology Global Supply Chain Risk Awareness...Defense AT&L: July-August 2016 18 Supply Chain Risk Management An Introduction to the Credible Threat Heath Ferry n Van Poindexter 19...cybersecurity breach. This article examines the elements of supply chain risk management , the national security risks associated with exploitation, and

  1. Influence of User Ratings, Expert Ratings and Purposes of Information Use on the Credibility Judgments of College Students

    Science.gov (United States)

    Lim, Sook; Steffel, Nick

    2015-01-01

    Introduction: This study examined whether user ratings, expert ratings and the purpose of the use of a book on a user-generated site influenced the credibility of the book. It also examined whether the effects of user ratings and expert ratings on credibility judgments of the book varied according to the purpose of information use. In addition,…

  2. The Emotional Moves of a Rational Actor: Smiles, Scowls, and Other Credible Messages

    Directory of Open Access Journals (Sweden)

    Lawrence Ian Reed

    2017-03-01

    Full Text Available Many scholars turn to emotions to understand irrational behavior. We do the opposite: we turn to rationality and game theory to understand people’s emotions. We discuss a striking theory of emotions that began with the game theory of credible threats and promises, then was enriched by evolutionary biology and psychology, and now is being tested in psychological experiments. We review some of these experiments which use economic games to set up strategic situations with real payoffs. The experiments test whether a player’s emotional expressions lend credibility to promises, threats, and claims of danger or hardship. The results offer insights into the hidden strategies behind a warm smile, an angry scowl, a look of terror, and eyes of despair.

  3. Investigating the impact of viral message appeal and message credibility on consumer attitude toward the brand

    Directory of Open Access Journals (Sweden)

    Esmaeilpour Majid

    2016-07-01

    Full Text Available Due to the rapid growth of the Internet and use of e-commerce in the recent years, viral marketing has drawn the attention of manufacturing and service organizations. However, no research has been conducted to examine the impact of message appeal and message source credibility on consumers’ attitude with mediating role of intellectual involvement of consumers and their risk taking level. The aim of this study was to examine the impact of appeal and message source credibility on consumers’ attitude with mediating role of consumers’ intellectual involvement and their risk taking level. The population of this study includes consumers of mobile phones (Samsung, Sony, Nokia, LG and iPhone in the Bushehr city (Iran. As the population of the study is unlimited, 430 questionnaires were distributed using available sampling method, and 391 questionnaires were collected and analyzed. Using structural equation modeling, we analysed the data through smart PLS software. The results show that the appeal and credibility of the message source impact the consumer attitudes toward the brand. We also found that the intellectual involvement of consumers plays the mediating role in the relationship between message appeal and consumer attitudes toward brands. In the relationship between message source credibility and customer attitude towards the brand, the level of risk taking of people has no mediating role.

  4. Global Zero and Deterrence Credibility : A Critical Analysis of Obama`s Nuclear Policy and Extended Nuclear Deterrence Credibility on the Korean Peninsula

    OpenAIRE

    Ganss, Mathias

    2012-01-01

    This thesis is a qualitative case study analysis of the whether the nuclear policies of President Obama has weakened the U.S. extended nuclear deterrence credibility on the Korean Peninsula. To answer this, the thesis employs two strategies: First, two variables are discussed; a nuclear capabilities-variable; and a nuclear policy-variable. The purpose is to assess the impact the New START treaty has on U.S. nuclear capabilities, and to assess the implications of Obama`s nuclear policy, expres...

  5. How did the public respond to the 2015 expert consensus public health guidance statement on workplace sedentary behaviour? A qualitative analysis

    Directory of Open Access Journals (Sweden)

    Benjamin Gardner

    2017-02-01

    Full Text Available Abstract Background In June 2015, an expert consensus guidance statement was published recommending that office workers accumulate 2–4 h of standing and light activity daily and take regular breaks from prolonged sitting. This paper describes public responses to media coverage of the guidance, so as to understand public acceptability of the recommendations within the guidance, and perceptions of sitting and standing as health behaviours. Methods UK news media websites that had reported on the sedentary workplace guidance statement, and permitted viewers to post comments responding to the story, were identified. 493 public comments, posted in a one-month period to one of six eligible news media websites, were thematically analysed. Results Three themes were extracted: (1 challenges to the credibility of the sedentary workplace guidance; (2 challenges to the credibility of public health; and (3 the guidance as a spur to knowledge exchange. Challenges were made to the novelty of the guidance, the credibility of its authors, the strength of its evidence base, and its applicability to UK workplaces. Public health was commonly mistrusted and viewed as a tool for controlling the public, to serve a paternalistic agenda set by a conspiracy of stakeholders with hidden non-health interests. Knowledge exchanges focused on correcting others’ misinterpretations, raising awareness of historical or scientific context, debating current workplace health policies, and sharing experiences around sitting and standing. Conclusions The guidance provoked exchanges of health-promoting ideas among some, thus demonstrating the potential for sitting reduction messages to be translated into everyday contexts by lay champions. However, findings also demonstrated confusion, misunderstanding and misapprehension among some respondents about the health value of sitting and standing. Predominantly unfavourable, mistrusting responses reveal significant hostility towards

  6. The Age of Emotionality? – How emotions influence consumers’ perception of credibility and trust in CSR communication

    OpenAIRE

    Reupsch, Anika

    2017-01-01

    Companies around the world are using different strategies for their corporate social responsibility (CSR) communication, but finding an appropriate strategy to enhance trust and credibility on the consumer side remains challenging. The constitutive aspect of emotions in CSR communication has long been overlooked. Therefore, this study investigates the influence emotions in CSR communication have on the credibility and trust consumers have in a firm’s CSR. Quantitative research with group divi...

  7. Investigating electronic word-of-mouth effects on online discussion forums: the role of perceived positive electronic word-of-mouth review credibility.

    Science.gov (United States)

    Chih, Wen-Hai; Wang, Kai-Yu; Hsu, Li-Chun; Huang, Su-Chen

    2013-09-01

    Electronic word of mouth (eWOM) has been an important factor influencing consumer purchase decisions. Using the ABC model of attitude, this study proposes a model to explain how eWOM affects online discussion forums. Specifically, we propose that platform (Web site reputation and source credibility) and customer (obtaining buying-related information and social orientation through information) factors influence purchase intentions via perceived positive eWOM review credibility, as well as product and Web site attitudes in an online community context. A total of 353 online discussion forum users in an online community (Fashion Guide) in Taiwan were recruited, and structural equation modeling (SEM) was used to test the research hypotheses. The results indicate that Web site reputation, source credibility, obtaining buying-related information, and social orientation through information positively influence perceived positive eWOM review credibility. In turn, perceived positive eWOM review credibility directly influences purchase intentions and also indirectly influences purchase intentions via product and Web site attitudes. Finally, we discuss the theoretical and managerial implications of the findings.

  8. Radiological health risks from accidents during transportation of spent nuclear fuels

    International Nuclear Information System (INIS)

    Chen, S.Y.; Yuan, Y.C.

    1988-01-01

    Potential radiological health risks from severe accident scenarios during the transportation of spent nuclear fuels are estimated. These extremely low probability, but potentially credible, scenarios are characterized by the U.S. Nuclear Regulatory Commission's Modal Study in terms of the maximum credible structural responses and/or the maximum credible cask temperature responses. In some accident scenarios, the spent nuclear fuel casks are assumed to be breached, resulting in the release of radioactivity to the atmosphere. Models have been developed to estimate radiological health consequences, including potential short-term exposures and health effects to individuals and potential long-term environmental dose commitments and health effects to the population. The population risks are calculated using state-level data, and the resulting overall health risks are compared for several levels of cleanup effort to determine the relative effects on long-term risks to the population in the event of an accident. 4 refs., 3 figs., 3 tabs

  9. Health assessments for Indigenous Australians at Orange Aboriginal Medical Service: health problems identified and subsequent follow up.

    Science.gov (United States)

    Dutton, Tegan; Stevens, Wendy; Newman, Jamie

    2016-01-01

    This study aimed to document the types, management and follow up of health issues identified by all Aboriginal Health Assessments (AHA) performed at Orange Aboriginal Medical Service from 1 January 2011 to 31 December 2012. This was done with a retrospective audit of clinical records. In total, 1169 AHAs were performed: 41% child, 53% adult and 6% older person AHAs. Newly identified health issues were documented in 85% (984). Being overweight (41%; 476) and smoking (26%; 301) were the common risk factors identified. As a result of the AHA, most children who were not up-to-date with their vaccinations received catch-up immunisations; 11% (36) of adult women (n=314) received a Pap smear, although Pap smear status was unknown or not up-to-date for 61% (192); 27% (311) of cases were prescribed new medication; and 1239 referrals were made but only 40% were attended. At 6 months following the AHA, 26% (240) of cases with newly identified health issues were completely managed and followed up, whereas 25% (226) received no follow up. The AHAs are useful for identifying new health issues; however, follow up of the identified health issues should be improved. If AHAs are to improve health outcomes, appropriate management and follow up of the identified health issues are essential.

  10. Identifying Factors for Worker Motivation in Zambia's Rural Health Facilities.

    Science.gov (United States)

    Cross, Samuel S; Baernholdt, Dr Marianne

    2017-01-01

    Within Zambia there is a shortage of health workers in rural areas. This study aims to identify motivating factors for retaining rural health workers. Sixty rural health workers completed surveys and 46 were interviewed. They rated the importance of six motivating factors and discussed these and other factors in interviews. An interview was conducted with a Government Human Resources Manager (HR Manager) to elicit contextual information. All six factors were identified as being very important motivators, as were two additional factors. Additional career training was identified by many as the most important factor. Comparison of results and the HR Manager interview revealed that workers lacked knowledge about opportunities and that the HR manager was aware of barriers to career development. The Zambian government might better motivate and retain rural health workers by offering them any combination of identified factors, and by addressing the barriers to career development.

  11. Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use.

    Science.gov (United States)

    Dixon, Brian E; Colvard, Cyril; Tierney, William M

    2014-06-24

    Objective: To support collation of data for disability determination, we sought to accurately identify facilities where care was delivered across multiple, independent hospitals and clinics. Methods: Data from various institutions' electronic health records were merged and delivered as continuity of care documents to the United States Social Security Administration (SSA). Results: Electronic records for nearly 8000 disability claimants were exchanged with SSA. Due to the lack of standard nomenclature for identifying the facilities in which patients received the care documented in the electronic records, SSA could not match the information received with information provided by disability claimants. Facility identifiers were generated arbitrarily by health care systems and therefore could not be mapped to the existing international standards. Discussion: We propose strategies for improving facility identification in electronic health records to support improved tracking of a patient's care between providers to better serve clinical care delivery, disability determination, health reform and meaningful use. Conclusion: Accurately identifying the facilities where health care is delivered to patients is important to a number of major health reform and improvement efforts underway in many nations. A standardized nomenclature for identifying health care facilities is needed to improve tracking of care and linking of electronic health records.

  12. Incorrect, fake, and false: Journalists' perceived online source credibility and verification behavior

    NARCIS (Netherlands)

    Vergeer, M.R.M.

    2018-01-01

    This study focuses on the extent journalists verify information provided by online sources, and tests to what extent this verification behavior can be explained by journalists' perceived credibility of online information and other factors, such as journalism education of journalists, work and

  13. Correction: An Indicator of Media Credibility

    Directory of Open Access Journals (Sweden)

    Gordana Vilović

    2010-12-01

    Full Text Available The regularity of publishing corrections, clarifi cations, and letters to the editor, entail a high level of respect among the media for their audiences as they signify accountability and media credibility.This study began on the general assumption that the Croatian media is reluctant to publish corrections regularly, projecting an image that errors simply do not occur. Certainly errorless reporting is impossible due to fact that journalism is a profession prone to human error. Therefore, this study has enacted a content analysis methodology to follow the four primary Croatian daily newspapers, Jutarnji list, Večernji list, 24 sata and Vjesnik, for the period between May 6 and 30, 2010. The primary conclusion is that Croatian newspaper editors are hesitant to publish corrections if they are not under pressure from the Media Law.

  14. Freedom and Responsibility in First Amendment Theory: Defamation Law and Media Credibility.

    Science.gov (United States)

    Hunsaker, David M.

    1979-01-01

    Explores the concepts of freedom and responsibility in the context of First Amendment theory through an examination of the interrelationships between defamation law, access to media, and media credibility. Calls for a reassessment of the importance of defamation law in First Amendment theory. (JMF)

  15. Lack of Annual Reports Make it Difficult to Analyze Library Strategic Credibility. A Review of: Staines, G. (2009. Towards an assessment of strategic credibility in academic libraries. Library Management, 30(3, 148-162.

    Directory of Open Access Journals (Sweden)

    Kirsty Thomson

    2011-06-01

    Full Text Available Objective – To investigate whether libraries achieve strategic credibility by assessing if strategic planning goals match the achievements described in annual reports.Design – Content analysis of annual reports and strategic plans from a sample of Association of Research Libraries (ARL.Setting – Academic libraries in Canada and the United States of America.Subjects – A random sample of 12 Canadian and 16 American academic libraries. All libraries were members of ARL.Methods – The researcher contacted the directors of 28 ARL libraries and asked for copies of their strategic plans and annual reports. She also visited the websites of libraries to obtain the reports. The contents of the strategic plans and annual reports were analyzed, and trends in the Canadian and American strategic plans were identified.Main Results – This study found that only 39% of ARL libraries produce annual reports, making it difficult to assess if libraries have strategic credibility, as their strategic plans cannot be assessed against annual reports. The strategic plans gathered in this study were analyzed and emerging themes were identified. These included physical library space (renovations, expansions or new buildings; offsite storage; assessment (both of the libraries’ services, and of information literacy training; development activities such as fundraising and marketing; and personnel issues. Cultural differences also were found inthe strategic plans, with American libraries being more focused on trends such as digitization and institutional repositories, andCanadian libraries’ plans being more focused on users’ needs. Trends in annual reports were not reported due to the small number ofannual reports in the sample.Conclusion – This study gives a snapshot ofthe trends in strategic plans of ARL members. It shows that many ARL members do not produce an annual report, and that it istherefore difficult to assess if their strategicplans are

  16. Identifying research priorities for public health research to address health inequalities: use of Delphi-like survey methods.

    Science.gov (United States)

    Turner, S; Ollerhead, E; Cook, A

    2017-10-09

    In the funding of health research and public health research it is vital that research questions posed are important and that funded research meets a research need or a gap in evidence. Many methods are used in the identification of research priorities, however, these can be resource intensive, costly and logistically challenging. Identifying such research priorities can be particularly challenging for complex public health problems as there is a need to consult a number of experts across disciplines and with a range of expertise. This study investigated the use of Delphi-like survey methods in identifying important research priorities relating to health inequalities and framing tractable research questions for topic areas identified. The study was conducted in two phases, both using Delphi-like survey methods. Firstly, public health professionals with an interest in health inequalities were asked to identify research priorities. Secondly academic researchers were asked to frame tractable research questions relating to the priorities identified. These research priorities identified using Delphi-like survey methods were subsequently compared to those identified using different methods. A total of 52 public health professionals and 21 academics across the United Kingdom agreed to take part. The response rates were high, from public health professionals across three survey rounds (69%, 50% and 40%) and from academics across one round (52%), indicating that participants were receptive to the method and motivated to respond. The themes identified as encompassing the most important research priorities were mental health, healthy environment and health behaviours. Within these themes, the topic areas that emerged most strongly included community interventions for prevention of mental health problems and the food and alcohol environment. Some responses received from academic researchers were (as requested) in the form of tractable research questions, whereas others

  17. The Effects of Source Credibility in the Presence or Absence of Prior Attitudes: Implications for the Design of Persuasive Communication Campaigns1

    Science.gov (United States)

    Kumkale, G. Tarcan; AlbarracÍn, Dolores; Seignourel, Paul J.

    2011-01-01

    Most theories of persuasion predict that limited ability and motivation to think about communications should increase the impact of source credibility on persuasion. Furthermore, this effect is assumed to occur, regardless of whether or not the recipients have prior attitudes. In this study, the effects of source credibility, ability, and motivation (knowledge, message repetition, relevance) on persuasion were examined meta-analytically across both attitude formation and change conditions. Findings revealed that the Source Credibility × Ability/Motivation interaction emerged only when participants lacked prior attitudes and were unable to form a new attitude based on the message content. In such settings, the effects of source credibility decayed rapidly. The implications of these findings for applied communication campaigns are discussed. PMID:21625405

  18. Further Validation of the Conner's Adult Attention Deficit/Hyperactivity Rating Scale Infrequency Index (CII) for Detection of Non-Credible Report of Attention Deficit/Hyperactivity Disorder Symptoms.

    Science.gov (United States)

    Cook, Carolyn M; Bolinger, Elizabeth; Suhr, Julie

    2016-06-01

    Attention deficit/hyperactivity disorder (ADHD) can be easily presented in a non-credible manner, through non-credible report of ADHD symptoms and/or by non-credible performance on neuropsychological tests. While most studies have focused on detection of non-credible performance using performance validity tests, there are few studies examining the ability to detect non-credible report of ADHD symptoms. We provide further validation data for a recently developed measure of non-credible ADHD symptom report, the Conner's Adult ADHD Rating Scales (CAARS) Infrequency Index (CII). Using archival data from 86 adults referred for concerns about ADHD, we examined the accuracy of the CII in detecting extreme scores on the CAARS and invalid reporting on validity indices of the Minnesota Multiphasic Personality Inventory-2 Restructured Format (MMPI-2-RF). We also examined the accuracy of the CII in detecting non-credible performance on standalone and embedded performance validity tests. The CII was 52% sensitive to extreme scores on CAARS DSM symptom subscales (with 97% specificity) and 20%-36% sensitive to invalid responding on MMPI-2-RF validity scales (with near 90% specificity), providing further evidence for the interpretation of the CII as an indicator of non-credible ADHD symptom report. However, the CII detected only 18% of individuals who failed a standalone performance validity test (Word Memory Test), with 87.8% specificity, and was not accurate in detecting non-credible performance using embedded digit span cutoffs. Future studies should continue to examine how best to assess for non-credible symptom report in ADHD referrals. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  19. Investing without credible inter-period regulations. A bargaining approach with application to investments in natural resources

    International Nuclear Information System (INIS)

    Nordal, Kjell Bjoern

    2002-01-01

    A government's lack of credibility when promising future taxation and regulation of foreign direct investment is often regarded as an obstacle to foreign investment. As shown in this paper, the total lack of inter-period credibility may not necessarily prevent investments from taking place. Both the government and the investor can benefit from negotiating a series of short-lived agreements in which the investor obtains a share of the revenue generated from previous investments against the undertaking of making new investments. This assumes that intra-period agreements are respected by the parties

  20. A multicriteria decision making approach based on fuzzy theory and credibility mechanism for logistics center location selection.

    Science.gov (United States)

    Wang, Bowen; Xiong, Haitao; Jiang, Chengrui

    2014-01-01

    As a hot topic in supply chain management, fuzzy method has been widely used in logistics center location selection to improve the reliability and suitability of the logistics center location selection with respect to the impacts of both qualitative and quantitative factors. However, it does not consider the consistency and the historical assessments accuracy of experts in predecisions. So this paper proposes a multicriteria decision making model based on credibility of decision makers by introducing priority of consistency and historical assessments accuracy mechanism into fuzzy multicriteria decision making approach. In this way, only decision makers who pass the credibility check are qualified to perform the further assessment. Finally, a practical example is analyzed to illustrate how to use the model. The result shows that the fuzzy multicriteria decision making model based on credibility mechanism can improve the reliability and suitability of site selection for the logistics center.

  1. Counselor Bilingual Ability, Counselor Ethnicity, Acculturation, and Mexican Americans' Perceived Counselor Credibility

    Science.gov (United States)

    Ramos-Sanchez, Lucila

    2009-01-01

    This study examined the effects of counselor bilingual ability and counselor ethnicity on client-perceived counselor credibility and cultural competence. Participants were assigned to 1 of 4 treatment conditions created by crossing counselor ethnicity with counselor language. No significant differences were found. Regarding rank ordering of the…

  2. Practicing What We Teach: Credibility and Alignment in the Business Communication Classroom

    Science.gov (United States)

    Ruppert, Bryan; Green, David A.

    2012-01-01

    The authors investigate the importance of instructor communication behaviors in a course on business communication, arguing that alignment between instructor behaviors and the precepts of the discipline has a pronounced effect on perceived instructor credibility in this field. Student evaluations were analyzed qualitatively for their comments on…

  3. The Concept of Credibility (Validity in Television and Internet News Discourse: Critical Analysis

    Directory of Open Access Journals (Sweden)

    Boris Ružić

    2010-12-01

    Full Text Available This article reverses the traditional notion of media (television, radio or news papers as a unidirectional agent of communication from producer to receiver to a more appropriate paradigm inwhich information is not embedded with hierarchy. The new media perspective and the appropriation of technology (Internet have changed the nature of information dissemination. One cannot discuss authenticity or credibility in terms of ”telling the truth or lying”. On the contrary, users today can verify information by contrasting traditional media, or by autonomous investigation on the Internet. In this manner, the obtained information is rendered semantically ambiguous. With an approach akin to cultural studies, the authority of the speakers becomes important (unlike today in mainstream television media where a speaker is hidden behind his or her program. New media provides a unique perspective in which the user is always the arbiter of informational usefulness. The crisis that is manifested in traditional media by the lack of subjectivity of the reporter becomes diametrically opposite on the Internet. The all-knowing subject vanishes and gives place to an inter-subjective exchange which deletes hierarchy and the ontology of the ”truth”. A mirror perspective becomes the dominant order, by which one becomes inter-subjective par excellence. Within the present and future of new media, credibility will not be reserved for the ideological mass producers of information, but rather the credibility of the users. By becoming media, users begin to bear the burden of subjective analysis and multivocality.

  4. The effects of similarity, parasocial identification, and source credibility in obesity public service announcements on diet and exercise self-efficacy.

    Science.gov (United States)

    Phua, Joe

    2016-05-01

    This study examined the effect of the audience's similarity to, and parasocial identification with, spokespersons in obesity public service announcements, on perceived source credibility, and diet and exercise self-efficacy. The results (N = 200) indicated that perceived similarity to the spokesperson was significantly associated with three dimensions of source credibility (competence, trustworthiness, and goodwill), each of which in turn influenced parasocial identification with the spokesperson. Parasocial identification also exerted a positive impact on the audiences' diet and exercise self-efficacy. Additionally, significant differences were found between overweight viewers and non-overweight viewers on perceived similarity, parasocial identification with the spokesperson, and source credibility. © The Author(s) 2014.

  5. Exploration Into the Business Priorities Related to Corporate Engagement in Community Health Improvement Partnerships.

    Science.gov (United States)

    Pronk, Nicolaas P; Baase, Catherine; May, Jeanette; Terry, Paul; Moseley, Karen

    2017-11-01

    To explore factors that matter to business in making decisions regarding engagement in community health improvement efforts. Using qualitative methods, domains of interest were identified through literature reviews and expert interviews. Relevance of the domains in terms of potential priorities for action was tested through employer and community stakeholder interviews. Factors that employers considered important to sustained community collaboration as a business priority included (1) credibility of the convener, (2) broad representation of the community, (3) strong mission and goals, (4) individual commitment to health, (5) organizational commitment to health, and (6) demonstrated commitment from leadership. Priorities have been identified for engaging business in community health efforts. Implications for research, practice, and policy include the need for measurement, transparency in reporting, and agreement on principles for public-private partnership in this area.

  6. Verification, Validation and Credibility Assessment of a Computational Model of the Advanced Resistive Exercise Device (ARED)

    Science.gov (United States)

    Werner, C. R.; Humphreys, B. T.; Mulugeta, L.

    2014-01-01

    The Advanced Resistive Exercise Device (ARED) is the resistive exercise device used by astronauts on the International Space Station (ISS) to mitigate bone loss and muscle atrophy due to extended exposure to microgravity (micro g). The Digital Astronaut Project (DAP) has developed a multi-body dynamics model of biomechanics models for use in spaceflight exercise physiology research and operations. In an effort to advance model maturity and credibility of the ARED model, the DAP performed verification, validation and credibility (VV and C) assessment of the analyses of the model in accordance to NASA-STD-7009 'Standards for Models and Simulations'.

  7. The public information challenge: confidence and credibility through communications

    International Nuclear Information System (INIS)

    Spence, H.J.M.

    1994-01-01

    Canada's Atomic Energy Control Board, considered the oldest independent nuclear regulatory body in the world, has made significant progress toward openness and visibility through public information policy initiatives and communications activities, particularly in the last five years. A number of public information projects are described, and successes as well as disappointments are outlined. The importance in terms of enhanced credibility and public confidence in the regulatory agency is stressed. In looking toward the future, the linking of communications to the operational functions and activities of the regulator is presented as a key requirement. (author)

  8. Attitude Similarity and Therapist Credibility as Predictors of Attitude Change and Improvement in Psychotherapy

    Science.gov (United States)

    Beutler, Larry E.; And Others

    1975-01-01

    This study attempts to (1) assess the effects of therapist credibility and patient-therapist similarity on interpersonal persuasion; and (2) to further assess the relationship between patient attitude change and psychotherapy outcome. (HMV)

  9. Applying Semantic Web technologies to improve the retrieval, credibility and use of health-related web resources.

    Science.gov (United States)

    Mayer, Miguel A; Karampiperis, Pythagoras; Kukurikos, Antonis; Karkaletsis, Vangelis; Stamatakis, Kostas; Villarroel, Dagmar; Leis, Angela

    2011-06-01

    The number of health-related websites is increasing day-by-day; however, their quality is variable and difficult to assess. Various "trust marks" and filtering portals have been created in order to assist consumers in retrieving quality medical information. Consumers are using search engines as the main tool to get health information; however, the major problem is that the meaning of the web content is not machine-readable in the sense that computers cannot understand words and sentences as humans can. In addition, trust marks are invisible to search engines, thus limiting their usefulness in practice. During the last five years there have been different attempts to use Semantic Web tools to label health-related web resources to help internet users identify trustworthy resources. This paper discusses how Semantic Web technologies can be applied in practice to generate machine-readable labels and display their content, as well as to empower end-users by providing them with the infrastructure for expressing and sharing their opinions on the quality of health-related web resources.

  10. Patient perspectives on online health information and communication with doctors: a qualitative study of patients 50 years old and over.

    Science.gov (United States)

    Silver, Michelle Pannor

    2015-01-13

    As health care systems around the world shift toward models that emphasize self-care management, there is increasing pressure for patients to obtain health information online. It is critical that patients are able to identify potential problems with using the Internet to diagnose and treat a health issue and that they feel comfortable communicating with their doctor about the health information they acquire from the Internet. Our aim was to examine patient-identified (1) problems with using the Internet to identify and treat a health issue, (2) barriers to communication with a doctor about online health information seeking, and (3) facilitators of communication with a doctor about patient searches for health information on the Internet. For this qualitative exploratory study, semistructured interviews were conducted with a sample of 56 adults age 50 years old and over. General concerns regarding use of the Internet to diagnose and treat a health issue were examined separately for participants based on whether they had ever discussed health information obtained through the Internet with a doctor. Discussions about barriers to and facilitators of communication about patient searches for health information on the Internet with a doctor were analyzed using thematic analysis. Six higher-level general concerns emerged: (1) limitations in own ability, (2) credibility/limitations of online information, (3) anxiety, (4) time consumption, (5) conflict, and (6) non-physical harm. The most prevalent concern raised by participants who communicated with a doctor about their online health information seeking related to the credibility or limitations in online information. Participants who had never communicated with a doctor about their online health information seeking most commonly reported concerns about non-physical harm. Four barriers to communication emerged: (1) concerns about embarrassment, (2) concerns that the doctor doesn't want to hear about it, (3) belief that there

  11. Identifying and assessing strategies for evaluating the impact of mobile eye health units on health outcomes.

    Science.gov (United States)

    Fu, Shiwan; Turner, Angus; Tan, Irene; Muir, Josephine

    2017-12-01

    To identify and assess strategies for evaluating the impact of mobile eye health units on health outcomes. Systematic literature review. Worldwide. Peer-reviewed journal articles that included the use of a mobile eye health unit. Journal articles were included if outcome measures reflected an assessment of the impact of a mobile eye health unit on health outcomes. Six studies were identified with mobile services offering diabetic retinopathy screening (three studies), optometric services (two studies) and orthoptic services (one study). This review identified and assessed strategies in existing literature used to evaluate the impact of mobile eye health units on health outcomes. Studies included in this review used patient outcomes (i.e. disease detection, vision impairment, treatment compliance) and/or service delivery outcomes (i.e. cost per attendance, hospital transport use, inappropriate referrals, time from diabetic retinopathy photography to treatment) to evaluate the impact of mobile eye health units. Limitations include difficulty proving causation of specific outcome measures and the overall shortage of impact evaluation studies. Variation in geographical location, service population and nature of eye care providers limits broad application. © 2017 National Rural Health Alliance Inc.

  12. Developing Health-Related Indicators of Climate Change: Australian Stakeholder Perspectives.

    Science.gov (United States)

    Navi, Maryam; Hansen, Alana; Nitschke, Monika; Hanson-Easey, Scott; Pisaniello, Dino

    2017-05-22

    Climate-related health indicators are potentially useful for tracking and predicting the adverse public health effects of climate change, identifying vulnerable populations, and monitoring interventions. However, there is a need to understand stakeholders' perspectives on the identification, development, and utility of such indicators. A qualitative approach was used, comprising semi-structured interviews with key informants and service providers from government and non-government stakeholder organizations in South Australia. Stakeholders saw a need for indicators that could enable the monitoring of health impacts and time trends, vulnerability to climate change, and those which could also be used as communication tools. Four key criteria for utility were identified, namely robust and credible indicators, specificity, data availability, and being able to be spatially represented. The variability of risk factors in different regions, lack of resources, and data and methodological issues were identified as the main barriers to indicator development. This study demonstrates a high level of stakeholder awareness of the health impacts of climate change, and the need for indicators that can inform policy makers regarding interventions.

  13. Preserving professional credibility: grounded theory study of medical trainees' requests for clinical support.

    Science.gov (United States)

    Kennedy, Tara J T; Regehr, Glenn; Baker, G Ross; Lingard, Lorelei

    2009-02-09

    To develop a conceptual framework of the influences on medical trainees' decisions regarding requests for clinical support from a supervisor. Phase 1: members of teaching teams in internal and emergency medicine were observed during regular clinical activities (216 hours) and subsequently completed brief interviews. Phase 2: 36 in depth interviews were conducted using videotaped vignettes to probe tacit influences on decisions to request support. Data collection and analysis used grounded theory methods. Three teaching hospitals in an urban setting in Canada. 124 members of teaching teams on general internal medicine wards and in the emergency department, comprising 31 attending physicians, 57 junior and senior residents, 28 medical students, and eight nurses. Purposeful sampling to saturation was conducted. Trainees' decisions about whether or not to seek clinical support were influenced by three issues: the clinical question (clinical importance, scope of practice), supervisor factors (availability, approachability), and trainee factors (skill, desire for independence, evaluation). Trainees perceived that requesting frequent/inappropriate support threatened their credibility and used rhetorical strategies to preserve credibility. These strategies included building a case for the importance of requests, saving requests for opportune moments, making a plan before requesting support, and targeting requests to specific team members. Trainees consider not only clinical implications but also professional credibility when requesting support from clinical supervisors. Exposing the complexity of this process provides the opportunity to make changes to training programmes to promote timely supervision and provides a framework for further exploration of the impact of clinical training on quality of care of patients.

  14. A conceptual model of the automated credibility assessment of the volunteered geographic information

    International Nuclear Information System (INIS)

    Idris, N H; Jackson, M J; Ishak, M H I

    2014-01-01

    The use of Volunteered Geographic Information (VGI) in collecting, sharing and disseminating geospatially referenced information on the Web is increasingly common. The potentials of this localized and collective information have been seen to complement the maintenance process of authoritative mapping data sources and in realizing the development of Digital Earth. The main barrier to the use of this data in supporting this bottom up approach is the credibility (trust), completeness, accuracy, and quality of both the data input and outputs generated. The only feasible approach to assess these data is by relying on an automated process. This paper describes a conceptual model of indicators (parameters) and practical approaches to automated assess the credibility of information contributed through the VGI including map mashups, Geo Web and crowd – sourced based applications. There are two main components proposed to be assessed in the conceptual model – metadata and data. The metadata component comprises the indicator of the hosting (websites) and the sources of data / information. The data component comprises the indicators to assess absolute and relative data positioning, attribute, thematic, temporal and geometric correctness and consistency. This paper suggests approaches to assess the components. To assess the metadata component, automated text categorization using supervised machine learning is proposed. To assess the correctness and consistency in the data component, we suggest a matching validation approach using the current emerging technologies from Linked Data infrastructures and using third party reviews validation. This study contributes to the research domain that focuses on the credibility, trust and quality issues of data contributed by web citizen providers

  15. Credible occurrence probabilities for extreme geophysical events: earthquakes, volcanic eruptions, magnetic storms

    Science.gov (United States)

    Love, Jeffrey J.

    2012-01-01

    Statistical analysis is made of rare, extreme geophysical events recorded in historical data -- counting the number of events $k$ with sizes that exceed chosen thresholds during specific durations of time $\\tau$. Under transformations that stabilize data and model-parameter variances, the most likely Poisson-event occurrence rate, $k/\\tau$, applies for frequentist inference and, also, for Bayesian inference with a Jeffreys prior that ensures posterior invariance under changes of variables. Frequentist confidence intervals and Bayesian (Jeffreys) credibility intervals are approximately the same and easy to calculate: $(1/\\tau)[(\\sqrt{k} - z/2)^{2},(\\sqrt{k} + z/2)^{2}]$, where $z$ is a parameter that specifies the width, $z=1$ ($z=2$) corresponding to $1\\sigma$, $68.3\\%$ ($2\\sigma$, $95.4\\%$). If only a few events have been observed, as is usually the case for extreme events, then these "error-bar" intervals might be considered to be relatively wide. From historical records, we estimate most likely long-term occurrence rates, 10-yr occurrence probabilities, and intervals of frequentist confidence and Bayesian credibility for large earthquakes, explosive volcanic eruptions, and magnetic storms.

  16. Integrated Medical Model (IMM) Project Verification, Validation, and Credibility (VVandC)

    Science.gov (United States)

    Walton, M.; Boley, L.; Keenan, L.; Kerstman, E.; Shah, R.; Young, M.; Saile, L.; Garcia, Y.; Meyers, J.; Reyes, D.

    2015-01-01

    The Integrated Medical Model (IMM) Project supports end user requests by employing the Integrated Medical Evidence Database (iMED) and IMM tools as well as subject matter expertise within the Project. The iMED houses data used by the IMM. The IMM is designed to forecast relative changes for a specified set of crew health and mission success risk metrics by using a probabilistic model based on historical data, cohort data, and subject matter expert opinion. A stochastic approach is taken because deterministic results would not appropriately reflect the uncertainty in the IMM inputs. Once the IMM was conceptualized, a plan was needed to rigorously assess input information, framework and code, and output results of the IMM, and ensure that end user requests and requirements were considered during all stages of model development and implementation, as well as lay the foundation for external review and application. METHODS: In 2008, the Project team developed a comprehensive verification and validation (VV) plan, which specified internal and external review criteria encompassing 1) verification of data and IMM structure to ensure proper implementation of the IMM, 2) several validation techniques to confirm that the simulation capability of the IMM appropriately represents occurrences and consequences of medical conditions during space missions, and 3) credibility processes to develop user confidence in the information derived from the IMM. When the NASA-STD-7009 (7009) [1] was published, the Project team updated their verification, validation, and credibility (VVC) project plan to meet 7009 requirements and include 7009 tools in reporting VVC status of the IMM. Construction of these tools included meeting documentation and evidence requirements sufficient to meet external review success criteria. RESULTS: IMM Project VVC updates are compiled recurrently and include updates to the 7009 Compliance and Credibility matrices. Reporting tools have evolved over the lifetime of

  17. The Relation of Source Credibility and Message Frequency to Program Evaluation and Self-Confidence of Students in a Job Shadowing Program

    Science.gov (United States)

    Linnehan, Frank

    2004-01-01

    Using a pre- and post-test design, this study examined the relation of an adult's credibility and message frequency to the beliefs of female high school students participating in a job-shadowing program. Hypotheses were based on the Elaboration Likelihood Model of attitude formation and change. Findings indicate that credibility of the adult…

  18. Maximum credible accident analysis for TR-2 reactor conceptual design

    International Nuclear Information System (INIS)

    Manopulo, E.

    1981-01-01

    A new reactor, TR-2, of 5 MW, designed in cooperation with CEN/GRENOBLE is under construction in the open pool of TR-1 reactor of 1 MW set up by AMF atomics at the Cekmece Nuclear Research and Training Center. In this report the fission product inventory and doses released after the maximum credible accident have been studied. The diffusion of the gaseous fission products to the environment and the potential radiation risks to the population have been evaluated

  19. The ‘credibility paradox’ in China’s science communication: Views from scientific practitioners

    Science.gov (United States)

    Zhang, Joy Yueyue

    2015-01-01

    In contrast to increasing debates on China’s rising status as a global scientific power, issues of China’s science communication remain under-explored. Based on 21 in-depth interviews in three cities, this article examines Chinese scientists’ accounts of the entangled web of influence which conditions the process of how scientific knowledge achieves (or fails to achieve) its civic authority. A main finding of this study is a ‘credibility paradox’ as a result of the over-politicisation of science and science communication in China. Respondents report that an absence of visible institutional endorsements renders them more public credibility and better communication outcomes. Thus, instead of exploiting formal channels of science communication, scientists interviewed were more keen to act as ‘informal risk communicators’ in grassroots and private events. Chinese scientists’ perspectives on how to earn public support of their research sheds light on the nature and impact of a ‘civic epistemology’ in an authoritarian state. PMID:26307594

  20. Bayesian inference for partially identified models exploring the limits of limited data

    CERN Document Server

    Gustafson, Paul

    2015-01-01

    Introduction Identification What Is against Us? What Is for Us? Some Simple Examples of Partially Identified ModelsThe Road Ahead The Structure of Inference in Partially Identified Models Bayesian Inference The Structure of Posterior Distributions in PIMs Computational Strategies Strength of Bayesian Updating, Revisited Posterior MomentsCredible Intervals Evaluating the Worth of Inference Partial Identification versus Model Misspecification The Siren Call of Identification Comp

  1. The corporation and the community: Credibility, legitimacy, and imposed risk

    International Nuclear Information System (INIS)

    Wade, C.; Rosenthal, I.

    1991-10-01

    In this age of rapid changes, large segments of society no longer trust any institution or authority in regard to pronouncements on what is safe. Because of this distrust, the public has demanded and obtained increased rights for individuals to intervene directly in decisions affecting them. Rosenthal warns that an organization that just fulfills its legal requirements for safety is no longer doing enough. Industry leaders must work toward re-establishing credibility by identifying persons who are potentially at risk as a result of industry activities, involving them in the communication process, and justifying the firm's social benefits. Seeking social legitimacy, chemical manufacturers have formed self-assessment groups and community councils, which have reaped unexpected benefits but have forced them to deal with issues they would have preferred to avoid. To industry leaders who contend that these types of activities are not worth the effort, Rosenthal presents a timely warning. Government and business must reduce public concerns significantly and make stakeholders more willing to tolerate imposed risk because of perceived benefits. It the public's concern is not reduced, we will all be required to make greater and greater investments in an inefficient and largely fruitless pursuit of absolute safety. 16 refs

  2. The corporation and the community: Credibility, legitimacy, and imposed risk

    Energy Technology Data Exchange (ETDEWEB)

    Wade, C. (ed.) (Los Alamos National Lab., NM (United States)); Rosenthal, I. (Pennsylvania Univ., Philadelphia, PA (United States). Center for Risk and Decision Processes)

    1991-10-01

    In this age of rapid changes, large segments of society no longer trust any institution or authority in regard to pronouncements on what is safe. Because of this distrust, the public has demanded and obtained increased rights for individuals to intervene directly in decisions affecting them. Rosenthal warns that an organization that just fulfills its legal requirements for safety is no longer doing enough. Industry leaders must work toward re-establishing credibility by identifying persons who are potentially at risk as a result of industry activities, involving them in the communication process, and justifying the firm's social benefits. Seeking social legitimacy, chemical manufacturers have formed self-assessment groups and community councils, which have reaped unexpected benefits but have forced them to deal with issues they would have preferred to avoid. To industry leaders who contend that these types of activities are not worth the effort, Rosenthal presents a timely warning. Government and business must reduce public concerns significantly and make stakeholders more willing to tolerate imposed risk because of perceived benefits. It the public's concern is not reduced, we will all be required to make greater and greater investments in an inefficient and largely fruitless pursuit of absolute safety. 16 refs.

  3. Shifting Roles, Enduring Values: The Credible Journalist in a Digital Age

    OpenAIRE

    Hayes, A.; Singer, J.; Ceppos, J.

    2007-01-01

    When everyone can be a publisher, what distinguishes the journalist? This article considers contemporary challenges to institutional roles in a digital media environment, then focuses on three broad journalistic normative values -- authenticity, accountability and autonomy -- that affect the credibility of both the journalist and the content he or she provides. A set of questions that can help citizens determine the trustworthiness of the information available to them also is provided.

  4. Identification of elements at risk for a credible tsunami event for Istanbul

    Science.gov (United States)

    Hancilar, U.

    2012-01-01

    Physical and social elements at risk are identified for a credible tsunami event for Istanbul. For this purpose, inundation maps resulting from probabilistic tsunami hazard analysis for a 10% probability of exceedance in 50 yr are utilised in combination with the geo-coded inventories of building stock, lifeline systems and demographic data. The built environment on Istanbul's shorelines that is exposed to tsunami inundation comprises residential, commercial, industrial, public (governmental/municipal, schools, hospitals, sports and religious), infrastructure (car parks, garages, fuel stations, electricity transformer buildings) and military buildings, as well as piers and ports, gas tanks and stations and other urban elements (e.g., recreational facilities). Along the Marmara Sea shore, Tuzla shipyards and important port and petrochemical facilities at Ambarlı are expected to be exposed to tsunami hazard. Significant lifeline systems of the city of Istanbul such as natural gas, electricity, telecommunication and sanitary and waste-water transmission, are also under the threat of tsunamis. In terms of social risk, it is estimated that there are about 32 000 inhabitants exposed to tsunami hazard.

  5. Identification of elements at risk for a credible tsunami event for Istanbul

    Directory of Open Access Journals (Sweden)

    U. Hancilar

    2012-01-01

    Full Text Available Physical and social elements at risk are identified for a credible tsunami event for Istanbul. For this purpose, inundation maps resulting from probabilistic tsunami hazard analysis for a 10% probability of exceedance in 50 yr are utilised in combination with the geo-coded inventories of building stock, lifeline systems and demographic data. The built environment on Istanbul's shorelines that is exposed to tsunami inundation comprises residential, commercial, industrial, public (governmental/municipal, schools, hospitals, sports and religious, infrastructure (car parks, garages, fuel stations, electricity transformer buildings and military buildings, as well as piers and ports, gas tanks and stations and other urban elements (e.g., recreational facilities. Along the Marmara Sea shore, Tuzla shipyards and important port and petrochemical facilities at Ambarlı are expected to be exposed to tsunami hazard. Significant lifeline systems of the city of Istanbul such as natural gas, electricity, telecommunication and sanitary and waste-water transmission, are also under the threat of tsunamis. In terms of social risk, it is estimated that there are about 32 000 inhabitants exposed to tsunami hazard.

  6. Nuclear snow job: utilities struggle to avoid credibility meltdown

    International Nuclear Information System (INIS)

    Feeney, A.

    1979-01-01

    Electric utilities and the US nuclear industry are criticized for giving a public relations response to safety concerns following the accident at Three Mile Island and for passing the cost of the response on to utility customers. The large amounts of money budgeted by Babcock and Wilcox, Bechtel Power Corporation, the Atomic Industrial Forum, Electric Power Research Institute, Nuclear Energy Women, and others to minimize the incident and counter anti-nuclear arguments with media events are seen here by Feeney as evidence that the utilities and nuclear industry are afraid of political consequences as their technical credibility vanishes

  7. Identification of potential opinion leaders in child health promotion in Sweden using network analysis.

    Science.gov (United States)

    Guldbrandsson, Karin; Nordvik, Monica K; Bremberg, Sven

    2012-08-08

    Opinion leaders are often local individuals with high credibility who can influence other people. Robust effects using opinion leaders in diffusing innovations have been shown in several randomized controlled trials, for example regarding sexually transmitted infections (STI), human immunodeficiency virus (HIV) prevention, mammography rates and caesarean birth delivery rates. In a Cochrane review 2010 it was concluded that the use of opinion leaders can successfully promote evidence-based practice. Thus, using opinion leaders within the public health sector might be one means to speed up the dissemination of health promoting and disease preventing innovations. Social network analysis has been used to trace and map networks, with focus on relationships and positions, in widely spread arenas and topics. The purpose of this study was to use social network analysis in order to identify potential opinion leaders at the arena of child health promotion in Sweden. By using snowball technique a short e-mail question was spread in up to five links, starting from seven initially invited persons. This inquiry resulted in a network consisting of 153 individuals. The most often mentioned actors were researchers, public health officials and paediatricians, or a combination of these professions. Four single individuals were mentioned by five to seven other persons in the network. These individuals obviously possess qualities that make other professionals within the public health sector listen to and trust them. Social network analysis seemed to be a useful method to identify influential persons with high credibility, i.e. potential opinion leaders, at the arena of child health promotion in Sweden. If genuine opinion leaders could be identified directed measures can be carried out in order to spread new and relevant knowledge. This may facilitate for public health actors at the local, regional and national level to more rapidly progress innovations into everyday practice. However

  8. On Manipulating Nonverbal Interaction Style to Increase Anthropomorphic Computer Character Credibility

    Energy Technology Data Exchange (ETDEWEB)

    Cowell, Andrew J.; Stanney, Kay M.

    2003-09-01

    This study examined the effectiveness of enhancing humanagentinteraction through the use of nonverbal behaviors. Ataxonomy is described, which organizes nonverbal behaviorsinto functional categories and the manner in which they can beembodied (i.e. through gesture, posture, paralanguage, eyecontact and facial expression). Prototype computer characterswere created according to guidelines extracted from thetaxonomy and their efficacy was empirical evaluated. Theresults indicate that by including trusting nonverbal behaviors,the perceived credibility of a computer character was enhanced,although addition of trusting bodily nonverbal behaviorprovided little in addition to trusting facial nonverbal behavior.Perhaps more importantly, a character expressing non-trustingnonverbal behaviors was perceived to be the least credible of allcharacters examined (including a character that expressed nononverbal behavior). Participants that interacted with thispersona perceived the task to be more demanding, madesignificantly more errors, and rated their interaction lesspositively and more monotonous than those using trustingpersonas. They also rated this character to be less likable,accurate, and intelligent. Taken together, the results from thisstudy suggest that there may indeed be benefit to endowingcomputer characters with nonverbal trusting behaviors, as longas those behaviors are accurately and appropriately portrayed.Such behaviors may lead to a more trusting environment andpositive experience for users. Negative character behavior,however, such as non-trusting behavior, may squander theadvantages that embodiment brings.

  9. Health literacy and barriers to health information seeking: A nationwide survey in South Korea.

    Science.gov (United States)

    Jeong, Seok Hee; Kim, Hyun Kyung

    2016-11-01

    To identify the level of health literacy and barriers to information seeking and to explore the predictors of health literacy. A cross-sectional descriptive design was used. A total of 1000 Korean adults were recruited through proportional quota sampling. Health literacy, barriers to health information seeking, sociodemographics, and health-related characteristics were surveyed. Descriptive statistics and binary logistic regression were performed for data analysis. About 61% of participants were classified as inadequately health literate. "No health fairs/activities near home" was the most frequently reported barrier. Older age, lower education, living in the capital city, barriers regarding how to get information and access to expensive books and magazines were predictors of inadequate health literacy. Strategies for improving health literacy and reducing barriers to health information seeking should be designed. Education on how to access health-related information with easily accessible sources either free or inexpensive could be a way to help adults with limited health literacy. Health care professionals should assess clients' health literacy levels, particularly amongst those who are older or have less education. They should provide clients with information on how to access credible and readily available sources of health-related information, considering their health literacy level. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. Facts, perception of facts, and the credibility of the process

    International Nuclear Information System (INIS)

    Rossin, A.D.

    1983-01-01

    This paper analyses nuclear opposition in the United States, in particular as concerns construction of new facilities. The US adopted in 1969 the National Environmental Policy Act and subsequently, other regulations designed to assure public access to the decision-making process. However nuclear opponents continue to use every level of legal recourse open which results in doubts, delays and erosion of the credibility of the regulatory process. The author concludes that the most important objective is the continued safe operation of nuclear power plants. (NEA) [fr

  11. Response expectancies, treatment credibility, and hypnotic suggestibility: mediator and moderator effects in hypnotic and cognitive-behavioral pain interventions.

    Science.gov (United States)

    Milling, Leonard S; Shores, Jessica S; Coursen, Elizabeth L; Menario, Deanna J; Farris, Catherine D

    2007-04-01

    Several studies have shown that response expectancies are an important mechanism of popular psychological interventions for pain. However, there has been no research on whether response expectancies and treatment credibility independently mediate hypnotic and cognitive-behavioral pain interventions and whether the pattern of mediation is affected by experience with the interventions. Also, past research has indicated that hypnotic pain interventions may be moderated by hypnotic suggestibility. However, these studies have typically failed to measure the full range of suggestibility and have assessed pain reduction and suggestibility in the same experimental context, possibly inflating the association between these variables. To clarify the mediator role of response expectancies and treatment credibility, and the moderator role of hypnotic suggestibility in the hypnotic and cognitive-behavioral reduction of pain. Approximately 300 participants were assessed for suggestibility. Then, as part of an apparently unrelated experiment, 124 of these individuals received analogue cognitive-behavioral, hypnotic, or placebo control pain interventions. Response expectancies and credibility independently mediated treatment. The extent of mediation increased as participants gained more experience with the interventions. Suggestibility moderated treatment and was associated with relief only from the hypnotic intervention. Response expectancies and treatment credibility are unique mechanisms of hypnotic and cognitive-behavioral pain interventions. Hypnotic suggestibility predicts relief from hypnotic pain interventions and this association is not simply an artifact of measuring suggestibility and pain reduction in the same experimental context. The relationship between suggestibility and hypnotic pain reduction appears to be linear in nature.

  12. To tweet or to retweet? That is the question for health professionals on twitter.

    Science.gov (United States)

    Lee, Ji Young; Sundar, S Shyam

    2013-01-01

    Guided by the MAIN model ( Sundar, 2008 ), this study explored the effects of three interface cues conveying source attributes on credibility of health messages in Twitter: authority cue (whether a source is an expert or not), bandwagon cue (the number of followers that a source has-large vs. small), and source proximity cue (distance of messages from its original source-tweet vs. retweet). A significant three-way interaction effect on perceived credibility of health content was found, such that when a professional source with many followers tweets, participants tend to perceive the content to be more credible than when a layperson source with many followers tweets. For retweets, however, the exact opposite pattern was found. Results also show that for tweets, content credibility was significantly associated with the perceived expertise of proximal source, whereas for retweets, it was associated with the perceived trustworthiness of proximal source. Theoretical and practical implications are discussed.

  13. Enacting Effective Climate Policy Advice: Institutional Strategies to Foster Saliency, Credibility and Legitimacy

    Science.gov (United States)

    Bauer, Anja; Pregernig, Michael; Reinecke, Sabine

    2016-01-01

    This article asks how scientific advisory institutions (SAIs) in climate policy strive towards effectiveness. Our analysis is grounded on the assumption that effectiveness is not passively experienced but is deliberately enacted by SAIs. We draw on a widely used set of criteria, namely saliency, credibility and legitimacy (SCL). Based on an…

  14. MARKETING COMMUNICATION IN ONLINE SOCIAL PROGRAMS: OHANIAN MODEL OF SOURCE CREDIBILITY

    OpenAIRE

    Serban Corina

    2010-01-01

    The development of the Internet as a medium for interaction with customers has resulted in many changes regarding the promotion of organizations. Online marketing is nowadays used not only to sell a product on the market, but also requires ideas and behavioral change. Non-profit organizations active in online communication are based on the quality of their provided information. Crediblity, attractiveness and usefullness are the key elements that provide effective online social programs. This ...

  15. Online health information search and evaluation: observations and semi-structured interviews with college students and maternal health experts.

    Science.gov (United States)

    Kim, Hyojin; Park, Sun-Young; Bozeman, Ingrid

    2011-09-01

    While the Internet is a popular source of health information, health seekers' inadequate skills to locate and discern quality information pose a potential threat to their healthcare decision-making. We aimed to examine health information search and appraisal behaviours among young, heavy users of the Internet. In study 1, we observed and interviewed 11 college students about their search strategies and evaluation of websites. In study 2, three health experts evaluated two websites selected as the best information sources in study 1. Familiarity with health websites and confidence in search strategies were major factors affecting search and evaluation behaviours. Website quality was mostly judged by aesthetics and peripheral cues of source credibility and message credibility. In contrast to users' favourable website evaluation, the experts judged the websites to be inappropriate and untrustworthy. Our results highlight a critical need to provide young health seekers with resources and training that are specifically geared toward health information search and appraisal. The role of health seekers' knowledge and involvement with the health issue in search effort and success warrants future research. © 2011 The authors. Health Information and Libraries Journal © 2011 Health Libraries Group.

  16. Poll of radiation health scientists

    International Nuclear Information System (INIS)

    Cohen, B.L.

    1986-01-01

    A sampling of 210 university-employed radiation health scientists randomly selected from the membership lists of the Health Physics Society and the Radiation Research Society was polled in a secret ballot. The results support the positions that the public's fear of radiation is substantially greater than realistic, that TV, newspapers and magazines substantially exaggerate the dangers of radiation, that the amount of money now being spent on radiation protection is sufficient, and that the openness and honesty of U.S. government agencies about dangers of radiation were below average before 1972 but have been above average since then. Respondents give very high credibility ratings to BEIR, UNSCEAR, ICRP, and NCRP and to the individual scientists associated with their reports, and very low credibility ratings to those who have disputed them

  17. Identifying Twitter influencer profiles for health promotion in Saudi Arabia.

    Science.gov (United States)

    Albalawi, Yousef; Sixsmith, Jane

    2017-06-01

    New media platforms, such as Twitter, provide the ideal opportunity to positively influence the health of large audiences. Saudi Arabia has one of the highest number of Twitter users of any country, some of whom are very influential in setting agendas and contributing to the dissemination of ideas. Those opinion leaders, both individuals and organizations, influential in the new media environment have the potential to raise awareness of health issues, advocate for health and potentially instigate change at a social level. To realize the potential of the new media platforms for public health, the function of opinion leaders is key. This study aims to identify and profile the most influential Twitter accounts in Saudi Arabia. Multiple measures, including: number of followers and four influence scores, were used to evaluate Twitter accounts. The data were then filtered and analysed using ratio and percentage calculations to identify the most influential users. In total, 99 Saudi Twitter accounts were classified, resulting in the identification of 25 religious men/women, 16 traditional media, 14 sports related, 10 new media, 6 political, 6 company and 4 health accounts. The methods used to identify the key influential Saudi accounts can be applied to inform profile development of Twitter users in other countries. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  18. Data Speak: Influencing School Health Policy through Research

    Science.gov (United States)

    Ryberg, Jacalyn Wickline; Keller, Teresa; Hine, Beverly; Christeson, Elisabeth

    2003-01-01

    School nurses occupy a unique position in relation to school health policy. In addition to facing the demands of promoting and maintaining the health of students, they collect the information that is used to document the implementation of school health policy. Effective school health policy is guided by reliable, credible data regarding what…

  19. Smartphone Medical Applications for Women’s Health: What Is the Evidence-Base and Feedback?

    Directory of Open Access Journals (Sweden)

    Emma Derbyshire

    2013-01-01

    Full Text Available Background. Smartphone medical applications have a major role to play in women’s health with their roles being very broad, ranging from improving health behaviours to undertaking personalised tests. Objective(s. Using Medline, Web of Knowledge, and the PRISMA guidelines 15 randomized controlled trials (RCTs were identified, with mobile interventions being tested on 1603 females, in relation to key aspects of health. Using a similar systematic approach an iPhone database search identified 47 applications (apps developed to improve women’s health. Findings. Ten RCTs used text messaging or app interventions to support weight loss, with significant improvements being observed in eight studies. For other aspects of women’s health RCTs are needed to determine possible health benefits. iPhone store data analysis identified that a substantial number of women’s health apps did not have star ratings or feedback comments (68 and 49 per cent, resp., raising concerns about their validity. Conclusion. Peer-review systems, supporting statements of evidence, or certification standards would be beneficial in maintaining the quality and credibility of future health-focused apps. Patient groups should also ideally be involved in the development and testing of mobile medical apps.

  20. Patient Perspectives on Online Health Information and Communication With Doctors: A Qualitative Study of Patients 50 Years Old and Over

    Science.gov (United States)

    2015-01-01

    Background As health care systems around the world shift toward models that emphasize self-care management, there is increasing pressure for patients to obtain health information online. It is critical that patients are able to identify potential problems with using the Internet to diagnose and treat a health issue and that they feel comfortable communicating with their doctor about the health information they acquire from the Internet. Objective Our aim was to examine patient-identified (1) problems with using the Internet to identify and treat a health issue, (2) barriers to communication with a doctor about online health information seeking, and (3) facilitators of communication with a doctor about patient searches for health information on the Internet. Methods For this qualitative exploratory study, semistructured interviews were conducted with a sample of 56 adults age 50 years old and over. General concerns regarding use of the Internet to diagnose and treat a health issue were examined separately for participants based on whether they had ever discussed health information obtained through the Internet with a doctor. Discussions about barriers to and facilitators of communication about patient searches for health information on the Internet with a doctor were analyzed using thematic analysis. Results Six higher-level general concerns emerged: (1) limitations in own ability, (2) credibility/limitations of online information, (3) anxiety, (4) time consumption, (5) conflict, and (6) non-physical harm. The most prevalent concern raised by participants who communicated with a doctor about their online health information seeking related to the credibility or limitations in online information. Participants who had never communicated with a doctor about their online health information seeking most commonly reported concerns about non-physical harm. Four barriers to communication emerged: (1) concerns about embarrassment, (2) concerns that the doctor doesn’t want

  1. Assessing the Credibility of Climate Science Information: A Roadmap for Educators

    Science.gov (United States)

    Mandia, S. A.

    2017-12-01

    Although there is an overwhelming scientific consensus that humans are driving modern day climate change, a significant portion of Americans are still not convinced. One reason for this gap in understanding results from a large body of misinformation that is easily accessible by students and educators. Here the author presents an effective teaching model to allow students to assess the credibility of organizations and their authors who publish climate science information aimed toward the general public.

  2. Accountability in health care: an essay on mechanisms, muddles, and mires.

    Science.gov (United States)

    Bjorkman, J W; Altenstetter, C

    1979-01-01

    This paper presents a critical evaluation of several theories of accountability and their applicability to health care concerns. The authors first provide a preliminary refinement of the imprecise concept of accountability itself and then examine four major types (political; bureaucratic; professional; and economic-consumer). Then, by using disciplinary perspectives provided by several schools of thought in political science (legislative supremacy; general manager theory; government by bureaucracy; objective responsibility; citizen participation), they discuss the degree of accountability presently found in various American health policies. After identifying the inherent dilemmmas within any credible accountability approach to health care programs as now utilized in the United States, the authors recommend that all types of accountability be integrated and strengthened by relying more explicitly on practices characteristic of development administration.

  3. Risk analysis of gravity dam instability using credibility theory Monte Carlo simulation model.

    Science.gov (United States)

    Xin, Cao; Chongshi, Gu

    2016-01-01

    Risk analysis of gravity dam stability involves complicated uncertainty in many design parameters and measured data. Stability failure risk ratio described jointly by probability and possibility has deficiency in characterization of influence of fuzzy factors and representation of the likelihood of risk occurrence in practical engineering. In this article, credibility theory is applied into stability failure risk analysis of gravity dam. Stability of gravity dam is viewed as a hybrid event considering both fuzziness and randomness of failure criterion, design parameters and measured data. Credibility distribution function is conducted as a novel way to represent uncertainty of influence factors of gravity dam stability. And combining with Monte Carlo simulation, corresponding calculation method and procedure are proposed. Based on a dam section, a detailed application of the modeling approach on risk calculation of both dam foundation and double sliding surfaces is provided. The results show that, the present method is feasible to be applied on analysis of stability failure risk for gravity dams. The risk assessment obtained can reflect influence of both sorts of uncertainty, and is suitable as an index value.

  4. Improving speed behaviour : the potential of in-car speed assistance and speed limit credibility.

    NARCIS (Netherlands)

    Nes, C.N. van Houtenbos, M. & Schagen, I.N.L.G. van

    2009-01-01

    Speeding is still a common practice on many roads and it contributes to a significant number of crashes. Two new approaches to solve speeding issues are focused on: intelligent speed assistance systems (ISA) and speed limit credibility. Research has indicated that ISA is promising with respect to

  5. Text mining electronic health records to identify hospital adverse events

    DEFF Research Database (Denmark)

    Gerdes, Lars Ulrik; Hardahl, Christian

    2013-01-01

    Manual reviews of health records to identify possible adverse events are time consuming. We are developing a method based on natural language processing to quickly search electronic health records for common triggers and adverse events. Our results agree fairly well with those obtained using manu...

  6. Developing a workbook to support the contextualisation of global health systems guidance: a case study identifying steps and critical factors for success in this process at WHO.

    Science.gov (United States)

    Alvarez, Elizabeth; Lavis, John N; Brouwers, Melissa; Schwartz, Lisa

    2018-03-02

    Global guidance can help countries strengthen their health systems to deliver effective interventions to their populations. However, to have an impact, guidance needs to be contextualised or adapted to local settings; this process includes consideration of health system arrangements and political system factors. To date, methods to support contextualisation do not exist. In response, a workbook was designed to provide specific methods and strategies to enable the contextualisation of WHO's 'Optimizing health worker roles to improve maternal and newborn health' (OptimizeMNH) guidance at the national or subnational level. The objective of this study was to describe the process of developing the workbook and identify key steps of the development process, barriers that arose and facilitators that helped overcome some of these barriers. A qualitative single case study design was carried out. Interviews, documents and a reflexive journal were used. Constant comparison and an edit-style of organisation were used during data analysis to develop concepts, themes, subthemes and relationships among them. Thirteen interviews were conducted and 52 documents were reviewed. Three main steps were identified in the process of developing the workbook for health systems guidance contextualisation, namely (1) determining the need for and gaining approval to develop the workbook, (2) developing the workbook (taking on the task, creating the structure of the workbook, operationalising its components, undergoing approval processes and editing it), and (3) implementing the workbook both at the WHO level and at the national/subnational level. Five barriers and/or facilitators emerged relevant to each step, namely (1) having well-placed and credible champions, (2) creating and capitalising on opportunities, (3) finding the right language to engage various actors and obtain buy-in, (4) obtaining and maintaining meaningful buy-in, and (5) ensuring access to resources. Understanding the key

  7. Source credibility and evidence format: examining the effectiveness of HIV/AIDS messages for young African Americans.

    Science.gov (United States)

    Major, Lesa Hatley; Coleman, Renita

    2012-01-01

    Using experimental methodology, this study tests the effectiveness of HIV/AIDS prevention messages tailored specifically to college-aged African Americans. To test interaction effects, it intersects source role and evidence format. The authors used gain-framed and loss-framed information specific to young African Americans and HIV to test message effectiveness between statistical and emotional evidence formats, and for the first time, a statistical/emotional combination format. It tests which source--physician or minister--that young African Americans believe is more effective when delivering HIV/AIDS messages to young African Americans. By testing the interaction between source credibility and evidence format, this research expands knowledge on creating effective health messages in several major areas. Findings include a significant interaction between the role of physician and the combined statistical/emotional format. This message was rated as the most effective way to deliver HIV/AIDS prevention messages.

  8. Regulatory theory: commercially sustainable markets rely upon satisfying the public interest in obtaining credible goods.

    Science.gov (United States)

    Warren-Jones, Amanda

    2017-10-01

    Regulatory theory is premised on the failure of markets, prompting a focus on regulators and industry from economic perspectives. This article argues that overlooking the public interest in the sustainability of commercial markets risks markets failing completely. This point is exemplified through health care markets - meeting an essential need - and focuses upon innovative medicines as the most desired products in that market. If this seemingly invulnerable market risks failure, there is a pressing need to consider the public interest in sustainable markets within regulatory literature and practice. Innovative medicines are credence goods, meaning that the sustainability of the market fundamentally relies upon the public trusting regulators to vouch for product quality. Yet, quality is being eroded by patent bodies focused on economic benefits from market growth, rather than ensuring innovatory value. Remunerative bodies are not funding medicines relative to market value, and market authorisation bodies are not vouching for robust safety standards or confining market entry to products for 'unmet medical need'. Arguably, this failure to assure quality heightens the risk of the market failing where it cannot be substituted by the reputation or credibility of providers of goods and/or information such as health care professionals/institutions, patient groups or industry.

  9. The Role of Credibility In the Design of Mobile Solutions To Enhance the Social Skill-Set of Teenagers Diagnosed with Autism

    DEFF Research Database (Denmark)

    Gerdes, Anne; Øhrstrøm, Peter

    2011-01-01

    Purpose – Helping Autism-diagnosed teenagers navigate and develop socially (HANDS) is an EU research project in progress. The aim of HANDS is to investigate the potential of persuasive technology as a tool to help young people diagnosed, to whatever degree, as autistic. The HANDS project set out...... the necessity of certain preconditions requisite for evaluating the credibility of a system; and, in this way, seek to establish an ethically sound evaluation procedure for analysing credibility, by combining quantitative (i.e. electronic footprints) and qualitative assessments (i.e. dialogue between teacher...... to develop mobile ICT solutions to help young people with autism become more fully integrated into society and the purpose of this paper is to present an overview of the design behind the HANDS toolset. Design/methodology/approach – The topic of credibility is approached from an analytical, as well...

  10. Disagreement in expectations and the credibility of monetary authorities in the Brazilian inflation targeting regime

    Directory of Open Access Journals (Sweden)

    Luciano Vereda Oliveira

    2016-01-01

    Full Text Available Based on market expectations reported by the Central Bank of Brazil for the SELIC interest rate, the IPCA inflation, the exchange rate (BRL/USD and the growth rate of industrial production for four different forecasting horizons, this work analyzes the term structures of disagreement in expectations regarding the future values of these variables. It also investigates the driving factors of disagreement, paying special attention to the influence of monetary authorities’ credibility. An extensive regression analysis shows that the levels of the term structures of disagreement are negatively related to the output gap (although this result is not very robust; and that the levels of the term structures of disagreement in expectations about the IPCA inflation rate and the SELIC interest rate have a strong negative relationship with central bankers’ credibility; this relationship is positive in the case of the growth rate of industrial production.

  11. Labont? Identifies Key Issues for Health Promoters in the New World Order

    OpenAIRE

    Raphael, Dennis

    2016-01-01

    For over 35 years Ronald Labonté has been critically analyzing the state of health promotion in Canada and the world. In 1981, he identified the shortcomings of the groundbreaking Lalonde Report by warning of the seductive appeal of so-called lifestyle approaches to health. Since then, he has left a trail of critical work identifying the barriers to — and opportunities for —health promotion work. More recently, he has shown how the rise of economic globalization and acceptance of neo-liberal ...

  12. The Influence of Peer Reviews on Source Credibility and Purchase Intention

    OpenAIRE

    Nowak, Kristine; McGloin, Rory

    2014-01-01

    Electronic Word of Mouth (eWOM) is information shared on the Internet about a product, which allows people to receive information from others they may not otherwise encounter. Online product reviews are a type of eWOM where a user posts a comment about a product and selects an image to represent the self. The perception of the image and the text in the product review can influence source credibility and the perception of the product, as well as the likelihood that someone will purchase the pr...

  13. Relationship between green marketing strategies and green marketing credibility among Generation Y

    OpenAIRE

    Garcia Sandoval, Michelle Haeberli; Manon Padilla, Alejandro

    2016-01-01

    Since terms like “sustainability” and “consumer consciousness” were introduced, green products began being integrated into consumers’ lifestyles. But due to the greenwashing practices that took place during the 90’s consumers refrain to buy green products because they do not trust the advertising released by marketers. The purpose of this thesis is to explore the relationship between green advertising credibility (dependent variable) and price sensitiveness, and the four proposed green market...

  14. Exploring trust in online health information: a study of user experiences of patients.co.uk.

    Science.gov (United States)

    Cunningham, Anna; Johnson, Frances

    2016-12-01

    This feature has been co-authored by Anna Cunningham and her supervisor Frances Johnson. It is based on the research Anna conducted for her dissertation, which she completed as part of her MA in Library and Information Management at Manchester Metropolitan University. The study explored how people assess the trustworthiness of online health information, and the participants were asked to talk aloud whilst viewing information on the consumer health information website patients.co.uk. The study confirmed that their assessment was based on the information usefulness and credibility as well as identifying the factors relating to information quality and website design that helped to form these judgements. A. M. © 2016 Health Libraries Group.

  15. A proactive public information policy: a key element for regulator independence and credibility

    International Nuclear Information System (INIS)

    Kindelan, J.M.

    2001-01-01

    The future of the nuclear industry will depend to a large extent on the perception that the members of the public have of it. However, our mission as regulatory bodies is not to change the pro-or anti- nuclear feelings of the public, but to set in them the confidence that the use currently made of nuclear energy is carried out with the greatest guarantees of safety. We should continue to avoid their feeling of fear without reasons or their perception of uncertainty regarding processes that are duly controlled and supervised. I am convinced that whatever progress we make in increasing transparency will lead to an increase in the public credibility of the organisations that we represent. The reason underlying our need for this credibility, this reputation for autonomy and efficiency, for good performance, is that without it we will not have sufficient authority in the eyes of the regulated sector or other private political and economic interests, and will not, therefore, be in a position to provide a sensation of confidence to the members of the public, whose tranquillity and interests are our obligation. (author)

  16. The Effects of Source Credibility in the Presence or Absence of Prior Attitudes: Implications for the Design of Persuasive Communication Campaigns1

    OpenAIRE

    Kumkale, G. Tarcan; AlbarracÍn, Dolores; Seignourel, Paul J.

    2010-01-01

    Most theories of persuasion predict that limited ability and motivation to think about communications should increase the impact of source credibility on persuasion. Furthermore, this effect is assumed to occur, regardless of whether or not the recipients have prior attitudes. In this study, the effects of source credibility, ability, and motivation (knowledge, message repetition, relevance) on persuasion were examined meta-analytically across both attitude formation and change conditions. Fi...

  17. Consumers’ Health-Related Motive Orientations and Reactions to Claims about Dietary Calcium

    Directory of Open Access Journals (Sweden)

    Christine Hoefkens

    2013-01-01

    Full Text Available Health claims may contribute to better informed and healthier food choices and to improved industrial competitiveness by marketing foods that support healthier lifestyles in line with consumer preferences. With the more stringent European Union regulation of nutrition and health claims, insights into consumers’ health-related goal patterns and their reactions towards such claims are needed to influence the content of lawful claims. This study investigated how consumers’ explicit and implicit health-related motive orientations (HRMOs together with the type of calcium-claim (nutrition claim, health claim and reduction of disease risk claim influence perceived credibility and purchasing intention of calcium-enriched fruit juice. Data were collected in April 2006 through a consumer survey with 341 Belgian adults. The findings indicate that stronger implicit HRMOs (i.e., indirect benefits of calcium for personal health are associated with higher perceived credibility, which is not (yet translated into a higher purchasing intention. Consumers’ explicit HRMOs, which refer to direct benefits or physiological functions of calcium in the body — as legally permitted in current calcium-claims in the EU — do not associate with reactions to the claims. Independently of consumers’ HRMOs, the claim type significantly affects the perceived credibility and purchasing intention of the product. Implications for nutrition policy makers and food industries are discussed.

  18. Tacit knowledge of public health nurses in identifying community health problems and need for new services: a case study.

    Science.gov (United States)

    Yoshioka-Maeda, Kyoko; Murashima, Sachiyo; Asahara, Kiyomi

    2006-09-01

    The purpose of this study was to explore the tacit knowledge of public health nurses in identifying community health problems and developing relevant new projects. Previous research only roughly showed those skills for creating new community health services, such as lobbying. Nine Japanese public health nurses who had created new projects in their municipalities were selected by theoretical sampling and interviewed in 2002-2003. Yin's Case Study Method, especially the multiple-case study design, was used. All 9 public health nurses used similar approaches in identifying community health problems and the need for creating new services, even though their experiences differed and the kinds of projects varied. They identified the difficulties of clients, recognized clients who had the same problems, elucidated the limitations of existing services, and forecasted outcomes from the neglect of the clients' problems. Then they succeeded in creating a new project by examining individual health problems in the context of their community's characteristics, societal factors, and using existing policies to support their clients. This is the first study to explore the skills of public health nurses and their intention to use such skills in creating new projects as well as the exact process. They could identify community health problems that will be the basis for developing new services to provide care for individual clients. This is different from the traditional community assessment approach that requires the collection of a huge amount of information to clarify community health problems. The tacit knowledge of public health nurses will help to create needs-oriented new services more smoothly.

  19. Foot health education for people with rheumatoid arthritis — some patient perspectives

    Directory of Open Access Journals (Sweden)

    Graham Andrea S

    2012-08-01

    Full Text Available Abstract Background Patient education is an important component of foot health management for people with rheumatoid arthritis (RA. The content and strategies for delivery require investigation in relation to the patients’ needs. This study explores patients’ experiences of foot health education, to inform how the patients’ needs could be identified in clinical practice and inform effective education delivery. Method A focus group was used to collect data. The dialogue was recorded digitally, transcribed verbatim and analysed using a structured thematic approach. Member checking and peer review added to credibility of the data. Six themes emerged; (i content and purpose of patient education – what it should be, (ii content of patient education – what it should not be, (iii timing of information on foot health, (iv method of delivery, (v ability to engage with foot health education and (vi the patient/practitioner relationship. Conclusions This study identified aspects of patient education considered important by this group of patients in relation to content, timing and delivery, forming the basis for further research on clinical and patient focussed outcomes of patient education. Identifying health education needs and provision of supportive verbal and written information can foster an effective therapeutic relationship, supporting effective foot health education for people with RA.

  20. Preparing for the data revolution: identifying minimum health information competencies among the health workforce.

    Science.gov (United States)

    Whittaker, Maxine; Hodge, Nicola; Mares, Renata E; Rodney, Anna

    2015-04-01

    Health information is required for a variety of purposes at all levels of a health system, and a workforce skilled in collecting, analysing, presenting, and disseminating such information is essential to fulfil these demands. While it is established that low- and middle-income countries (LMICs) are facing shortages in human resources for health (HRH), there has been little systematic attention focussed on non-clinical competencies. In response, we developed a framework that defines the minimum health information competencies required by health workers at various levels of a health system. Using the Delphi method, we consulted with leading global health information system (HIS) experts. An initial list of competencies and draft framework were developed based on results of a systematic literature review. During the second half of 2012, we sampled 38 experts with broad-based HIS knowledge and extensive development experience. Two rounds of consultation were carried out with the same group to establish validity of the framework and gain feedback on the draft competencies. Responses from consultations were analysed using Qualtrics® software and content analysis. In round one, 17 experts agreed to participate in the consultation and 11 (65%) completed the survey. In the second round, 11 experts agreed to participate and eight (73%) completed the survey. Overall, respondents agreed that there is a need for all health workers to have basic HIS competencies and that the concept of a minimum HIS competency framework is valid. Consensus was reached around the inclusion of 68 competencies across four levels of a health system. This consultation is one of the first to identify the HIS competencies required among general health workers, as opposed to specialist HIS roles. It is also one of the first attempts to develop a framework on minimum HIS competencies needed in LMICs, highlighting the skills needed at each level of the system, and identifying potential gaps in current

  1. Interviewing to assess credibility in the Swedish asylum procedure: analyzing question style, type and theme

    NARCIS (Netherlands)

    van Veldhuizen, T.S.; Horselenberg, R.; Landström, S.; Granhag, P.A.; van Koppen, P.J.

    2017-01-01

    The aim of the current vignette study is to map the style, type, and themes of questions that are asked when assessing the credibility of asylum seekers' claims. Sixty-five officials from the Swedish Migration Agency (Migrationsverket), were asked to respond to one out of four different vignettes

  2. Building credibility in public studies: Lessons learned from the Hanford environmental Dose Reconstruction project may apply to all public studies

    International Nuclear Information System (INIS)

    Till, J.E.

    1995-01-01

    This article describes the process by which the author came to recognize the importance of openness to the public in environmental studies, during the Hanford Environmental Dose Reconstruction Project. Using the Dose reconstruction public involvement, the article goes on to describe a general guide to the construction of a new, positive framework for conducting future public studies. The steps include the following: putting the public in the study; building credibility into a public study (1 -search for proof in historical records; 2-define the domain and the exposed population; 3-characterize the material released; 4-identify key materials, pathways and receptors; 5-encouraging public participation; 6 -explaining the meaning of the results) and reconciling scientific and public issues

  3. Building credibility in public studies: Lessons learned from the Hanford environmental Dose Reconstruction project may apply to all public studies

    Energy Technology Data Exchange (ETDEWEB)

    Till, J.E. [Radiological Assessment Corp., Neeses, SC (United States)

    1995-09-01

    This article describes the process by which the author came to recognize the importance of openness to the public in environmental studies, during the Hanford Environmental Dose Reconstruction Project. Using the Dose reconstruction public involvement, the article goes on to describe a general guide to the construction of a new, positive framework for conducting future public studies. The steps include the following: putting the public in the study; building credibility into a public study (1 -search for proof in historical records; 2-define the domain and the exposed population; 3-characterize the material released; 4-identify key materials, pathways and receptors; 5-encouraging public participation; 6 -explaining the meaning of the results) and reconciling scientific and public issues.

  4. Motivation and Treatment Credibility Predicts Dropout, Treatment Adherence, and Clinical Outcomes in an Internet-Based Cognitive Behavioral Relaxation Program: A Randomized Controlled Trial.

    Science.gov (United States)

    Alfonsson, Sven; Olsson, Erik; Hursti, Timo

    2016-03-08

    In previous research, variables such as age, education, treatment credibility, and therapeutic alliance have shown to affect patients' treatment adherence and outcome in Internet-based psychotherapy. A more detailed understanding of how such variables are associated with different measures of adherence and clinical outcomes may help in designing more effective online therapy. The aims of this study were to investigate demographical, psychological, and treatment-specific variables that could predict dropout, treatment adherence, and treatment outcomes in a study of online relaxation for mild to moderate stress symptoms. Participant dropout and attrition as well as data from self-report instruments completed before, during, and after the online relaxation program were analyzed. Multiple linear and logistical regression analyses were conducted to predict early dropout, overall attrition, online treatment progress, number of registered relaxation exercises, posttreatment symptom levels, and reliable improvement. Dropout was significantly predicted by treatment credibility, whereas overall attrition was associated with reporting a focus on immediate consequences and experiencing a low level of intrinsic motivation for the treatment. Treatment progress was predicted by education level and treatment credibility, whereas number of registered relaxation exercises was associated with experiencing intrinsic motivation for the treatment. Posttreatment stress symptoms were positively predicted by feeling external pressure to participate in the treatment and negatively predicted by treatment credibility. Reporting reliable symptom improvement after treatment was predicted by treatment credibility and therapeutic bond. This study confirmed that treatment credibility and a good working alliance are factors associated with successful Internet-based psychotherapy. Further, the study showed that measuring adherence in different ways provides somewhat different results, which

  5. The Project Based Mechanisms of the Kyoto Protocol. Credible Instruments or Challenges to the Integrity of the Kyoto Protocol?

    Energy Technology Data Exchange (ETDEWEB)

    Takeuchi Waldegren, Linn

    2006-03-15

    The project based mechanisms of the Kyoto Protocol are innovative instruments which allow projects to earn credits for reducing greenhouse gas (GHG) emissions. The credits can in turn be used by countries to reach their emissions targets according to the Kyoto Protocol. The Project based mechanisms are known as the Clean Development Mechanism (CDM) and the Joint Implementation (JI). If the project based mechanisms are to be effective policy instruments they must ensure the integrity of the Kyoto Protocol, and their ability to promote and prove real emission reductions is critical. The environmental credibility of the project based mechanisms will also ensure their ability to promote cost effectiveness. Key concepts in this context are environmental and project additionality, and their role and value for the project based mechanisms are analyzed. Environmental additionality is established by comparing a project's emissions to a baseline. The baseline's credibility is thus vital. The concept of project additionality is somewhat controversial, but is nonetheless of equal importance. The case studies of CDM approved methodologies (AMs) and proposed projects suggest that there are credibility issues that need to be addressed if the project based mechanisms are to promote real emissions reductions.

  6. Challenges faced by public health nursing leaders in hyperturbulent times.

    Science.gov (United States)

    Reyes, David J; Bekemeier, Betty; Issel, L Michele

    2014-01-01

    This study discusses the challenges and characteristics of effective public health nursing leaders in local health departments and barriers to effective leadership during the hyperturbulent conditions of 2008-2010. Participants were drawn from a purposive sample of seven directors of nursing (DON) in six county LHDs in two states for this qualitative study using inductive methods. Semistructured telephone interviews were conducted, using open-ended questions. Data analysis consisted of coding, pattern identification, and theme development, assisted by the use of ATLAS.ti™. Credibility was achieved through intercoder agreement and resonance of the findings with participants. Two underlying challenges emerged: leadership dissonance and leading through ambiguity. Three key effective leadership attributes identified were as follows: collaborative change management, life-long learning, and being visionary. DONs identified extrinsic and intrinsic barriers to leadership effectiveness and leading change in public health systems and PHN practice. Results suggest ways to support PHN leaders in order to overcome barriers to effective leadership such as defined leadership competencies, continuing education, and mentorship opportunities. © 2013 Wiley Periodicals, Inc.

  7. eHealth Literacy and Health Behaviors Affecting Modern College Students: A Pilot Study of Issues Identified by the American College Health Association

    Science.gov (United States)

    Collins, William Bart; Wilson, Kari; Linnemeier, Georgiann; Englebert, Andrew Mark

    2017-01-01

    Background The eHealth Literacy Scale (eHEALS) has been widely adopted by researchers to understand how eHealth literacy can be put into context. eHealth researchers need to know how to promote positive health behavior changes across college students, given the importance of the Internet to acquire and use health information. The American College Health Association identified a set of key health issues that affect college students today. By understanding how eHEALS might be related to college students’ maintenance of their health and their use of online health resources, researchers will be provided with a better understanding of eHealth literacy and its pragmatic implications for health campaigns and future interventions. Objective The goal of the study was to examine what eHEALS reveals about college student health behaviors identified by the American College Health Association. To understand college student current health maintenance and their intentions to maintain their health and use online resources, the theory of planned behavior was used as the theoretical framework for the study. Methods Data were collected via a survey of 422 college students that included the eHEALS measure and questions about health issues based on the recommendations of the American College Health Association. These questions asked about college student current health, subsequent use of online health resources, and their intention to maintain their health and make use of such resources in the future. Results eHEALS was positively and significantly associated with all 8 areas of health issues identified by the American College Health Association for college student current maintenance of health and use of online health resources and for future intention of health maintenance and use of online resources. Key issues that emerged with eHealth literacy were maintaining safe sex practices and seeking out related information, seeking out information on an exercise regime, information on

  8. Establishing credibility in the environmental models used for safety and licensing calculations in the nuclear industry

    International Nuclear Information System (INIS)

    Davis, P.A.

    1997-01-01

    Models that simulate the transport and behaviour of radionuclides in the environment are used extensively in the nuclear industry for safety and licensing purposes. They are needed to calculate derived release limits for new and operating facilities, to estimate consequences following hypothetical accidents and to help manage a real emergency. But predictions generated for these purposes are essentially meaningless unless they are accompanied by a quantitative estimate of the confidence that can be placed in them. For example, in an emergency where there has been an accidental release of radioactivity to the atmosphere, decisions based on a validated model with small uncertainties would likely be very different from those based on an untested model, or on one with large uncertainties. This paper begins with a discussion of some general methods for establishing the credibility of model predictions. The focus will be on environmental transport models but the principles apply to models of all kinds. Establishing the credibility of a model is not a trivial task, It involves a number of tasks including face validation, verification, experimental validation and sensitivity and uncertainty analyses. The remainder of the paper will present quantitative results relating to the credibility of environmental transport models. Model formation, choice of parameter values and the influence of the user will all be discussed as sources of uncertainty in predictions. The magnitude of uncertainties that must be expected in various applications of the models will be presented. The examples used throughout the paper are drawn largely from recent work carried out in BIOMOVS and VAMP. (DM)

  9. Identifying health disparities across the tobacco continuum.

    Science.gov (United States)

    Fagan, Pebbles; Moolchan, Eric T; Lawrence, Deirdre; Fernander, Anita; Ponder, Paris K

    2007-10-01

    Few frameworks have addressed work-force diversity, inequities and inequalities as part of a comprehensive approach to eliminating tobacco-related health disparities. This paper summarizes the literature and describes the known disparities that exist along the tobacco disease continuum for minority racial and ethnic groups, those living in poverty, those with low education and blue-collar and service workers. The paper also discusses how work-force diversity, inequities in research practice and knowledge allocation and inequalities in access to and quality of health care are fundamental to addressing disparities in health. We examined the available scientific literature and existing public health reports to identify disparities across the tobacco disease continuum by minority racial/ethnic group, poverty status, education level and occupation. Results indicate that differences in risk indicators along the tobacco disease continuum do not explain fully tobacco-related cancer consequences among some minority racial/ethnic groups, particularly among the aggregate groups, blacks/African Americans and American Indians/Alaska Natives. The lack of within-race/ethnic group data and its interactions with socio-economic factors across the life-span contribute to the inconsistency we observe in the disease causal paradigm. More comprehensive models are needed to understand the relationships among disparities, social context, diversity, inequalities and inequities. A systematic approach will also help researchers, practitioners, advocates and policy makers determine critical points for interventions, the types of studies and programs needed and integrative approaches needed to eliminate tobacco-related disparities.

  10. Identifying Lesbian, Gay, Bisexual, and Transgender Search Terminology: A Systematic Review of Health Systematic Reviews.

    Directory of Open Access Journals (Sweden)

    Joseph G L Lee

    Full Text Available Research on the health of lesbian, gay, bisexual, and transgender (LGBT populations can provide important information to address existing health inequalities. Finding existing research in LGBT health can prove challenging due to the plethora of terminology used. We sought to describe existing search strategies and to identify more comprehensive LGBT search terminology. We iteratively created a search string to identify systematic reviews and meta-analyses about LGBT health and implemented it in Embase, PubMed/MEDLINE, and PsycINFO databases on May 28-29, 2015. We hand-searched the journal LGBT Health. Inclusion criteria were: systematic reviews and meta-analyses that addressed LGBT health, used systematic searching, and used independent coders for inclusion. The published search terminology in each record and search strings provided by authors on request were cross-referenced with our original search to identify additional terminology. Our search process identified 19 systematic reviews meeting inclusion criteria. The number of search terms used to identify LGBT-related records ranged from 1 to 31. From the included studies, we identified 46 new search terms related to LGBT health. We removed five search terms as inappropriate and added five search terms used in the field. The resulting search string included 82 terms. There is room to improve the quality of searching and reporting in LGBT health systematic reviews. Future work should attempt to enhance the positive predictive value of LGBT health searches. Our findings can assist LGBT health reviewers in capturing the diversity of LGBT terminology when searching.

  11. Using Initial, Derived, and Terminal Credibility to Help Students Understand How They Are Perceived by Others

    Science.gov (United States)

    Berry, Marcia

    2018-01-01

    Courses: Public Speaking, Interpersonal Communication, Organizational Communication, Introduction to Communication Studies, Business Communication. Objectives: The goal for this activity is not only to provide students with an understanding of their initial, derived, and terminal credibility when relating a personal, edifying story but also to…

  12. The Concept of Credibility (Validity) in Television and Internet News Discourse: Critical Analysis

    OpenAIRE

    Boris Ružić

    2010-01-01

    This article reverses the traditional notion of media (television, radio or news papers) as a unidirectional agent of communication from producer to receiver to a more appropriate paradigm inwhich information is not embedded with hierarchy. The new media perspective and the appropriation of technology (Internet) have changed the nature of information dissemination. One cannot discuss authenticity or credibility in terms of ”telling the truth or lying”. On the contrary, users today can verify ...

  13. How to recover credibility of nuclear technologies in Japan where people wish to have 'Anshin'

    International Nuclear Information System (INIS)

    Yasui, Itaru

    2014-01-01

    Although it is inevitable to recover credibility of utilities, there are no clear ways to realize a final target yet. Credibility issue is a very difficult especially in Japan, where the word of 'Anshin' has special importance in the mind of people. In this paper, the word of 'Anshin' in Japan was discussed in order to find out differences in other countries by comparison of culture and customs, especially ways to prepare food, i.e. agriculture and hunting and gathering and so on. The meanings of 'Anshin' were decomposed into several elements, and each element was discussed and clarified. Human factor is important in both operation of plants and risk communication. The philosophy and attitude of COE of utilities are those of very important factors to regain credibility. The utilities' responsibilities are important, but not enough by themselves. In order to assure transparency of information used in risk communication, improvement of people's scientific literacy and their attitude to elect their representatives are absolutely necessary. Especially, risk information related to Level 3 RPA to be opened to public have to be fully transparent. Risk is one of most difficult concept for Japanese people to handle. The reoperation issue of nuclear power plants will involve several difficulties, but challenges to overcome this issue will be a good chance to change a way of decision making in Japan. (author)

  14. eHealth Literacy and Health Behaviors Affecting Modern College Students: A Pilot Study of Issues Identified by the American College Health Association.

    Science.gov (United States)

    Britt, Rebecca Katherine; Collins, William Bart; Wilson, Kari; Linnemeier, Georgiann; Englebert, Andrew Mark

    2017-12-19

    The eHealth Literacy Scale (eHEALS) has been widely adopted by researchers to understand how eHealth literacy can be put into context. eHealth researchers need to know how to promote positive health behavior changes across college students, given the importance of the Internet to acquire and use health information. The American College Health Association identified a set of key health issues that affect college students today. By understanding how eHEALS might be related to college students' maintenance of their health and their use of online health resources, researchers will be provided with a better understanding of eHealth literacy and its pragmatic implications for health campaigns and future interventions. The goal of the study was to examine what eHEALS reveals about college student health behaviors identified by the American College Health Association. To understand college student current health maintenance and their intentions to maintain their health and use online resources, the theory of planned behavior was used as the theoretical framework for the study. Data were collected via a survey of 422 college students that included the eHEALS measure and questions about health issues based on the recommendations of the American College Health Association. These questions asked about college student current health, subsequent use of online health resources, and their intention to maintain their health and make use of such resources in the future. eHEALS was positively and significantly associated with all 8 areas of health issues identified by the American College Health Association for college student current maintenance of health and use of online health resources and for future intention of health maintenance and use of online resources. Key issues that emerged with eHealth literacy were maintaining safe sex practices and seeking out related information, seeking out information on an exercise regime, information on vaccinations, and maintaining a balanced

  15. Do adult mental health services identify child abuse and neglect? A systematic review.

    Science.gov (United States)

    Read, John; Harper, David; Tucker, Ian; Kennedy, Angela

    2018-02-01

    Child abuse and neglect play a causal role in many mental health problems. Knowing whether users of mental health services were abused or neglected as children could be considered essential for developing comprehensive formulations and effective treatment plans. In the present study we report the findings of a systematic review, using independent searches of three databases designed to discover how often mental health staff find out whether their clients were abused or neglected as children. Twenty-one relevant studies were identified. Most people who use mental health services are never asked about child abuse or neglect. The majority of cases of child abuse or neglect are not identified by mental health services. Only 28% of abuse or neglect cases identified by researchers are found in the clients' files: emotional abuse, 44%; physical abuse, 33%; sexual abuse, 30%; emotional neglect, 17%; and physical neglect, 10%. Between 0% and 22% of mental health service users report being asked about child abuse. Men and people diagnosed with psychotic disorders are asked less than other people. Male staff ask less often than female staff. Some improvement over time was found. Policies compelling routine enquiry, training, and trauma-informed services are required. © 2017 Australian College of Mental Health Nurses Inc.

  16. Can Optimism, Pessimism, Hope, Treatment Credibility and Treatment Expectancy Be Distinguished in Patients Undergoing Total Hip and Total Knee Arthroplasty?

    Directory of Open Access Journals (Sweden)

    Tsjitske M Haanstra

    Full Text Available The constructs optimism, pessimism, hope, treatment credibility and treatment expectancy are associated with outcomes of medical treatment. While these constructs are grounded in different theoretical models, they nonetheless show some conceptual overlap. The purpose of this study was to examine whether currently available measurement instruments for these constructs capture the conceptual differences between these constructs within a treatment setting.Patients undergoing Total Hip and Total Knee Arthroplasty (THA and TKA (Total N = 361; 182 THA; 179 TKA, completed the Life Orientation Test-Revised for optimism and pessimism, the Hope Scale, the Credibility Expectancy Questionnaire for treatment credibility and treatment expectancy. Confirmatory factor analysis was used to examine whether the instruments measure distinct constructs. Four theory-driven models with one, two, four and five latent factors were evaluated using multiple fit indices and Δχ2 tests, followed by some posthoc models.The results of the theory driven confirmatory factor analysis showed that a five factor model in which all constructs loaded on separate factors yielded the most optimal and satisfactory fit. Posthoc, a bifactor model in which (besides the 5 separate factors a general factor is hypothesized accounting for the commonality of the items showed a significantly better fit than the five factor model. All specific factors, except for the hope factor, showed to explain a substantial amount of variance beyond the general factor.Based on our primary analyses we conclude that optimism, pessimism, hope, treatment credibility and treatment expectancy are distinguishable in THA and TKA patients. Postdoc, we determined that all constructs, except hope, showed substantial specific variance, while also sharing some general variance.

  17. Can Optimism, Pessimism, Hope, Treatment Credibility and Treatment Expectancy Be Distinguished in Patients Undergoing Total Hip and Total Knee Arthroplasty?

    Science.gov (United States)

    Haanstra, Tsjitske M; Tilbury, Claire; Kamper, Steven J; Tordoir, Rutger L; Vliet Vlieland, Thea P M; Nelissen, Rob G H H; Cuijpers, Pim; de Vet, Henrica C W; Dekker, Joost; Knol, Dirk L; Ostelo, Raymond W

    2015-01-01

    The constructs optimism, pessimism, hope, treatment credibility and treatment expectancy are associated with outcomes of medical treatment. While these constructs are grounded in different theoretical models, they nonetheless show some conceptual overlap. The purpose of this study was to examine whether currently available measurement instruments for these constructs capture the conceptual differences between these constructs within a treatment setting. Patients undergoing Total Hip and Total Knee Arthroplasty (THA and TKA) (Total N = 361; 182 THA; 179 TKA), completed the Life Orientation Test-Revised for optimism and pessimism, the Hope Scale, the Credibility Expectancy Questionnaire for treatment credibility and treatment expectancy. Confirmatory factor analysis was used to examine whether the instruments measure distinct constructs. Four theory-driven models with one, two, four and five latent factors were evaluated using multiple fit indices and Δχ2 tests, followed by some posthoc models. The results of the theory driven confirmatory factor analysis showed that a five factor model in which all constructs loaded on separate factors yielded the most optimal and satisfactory fit. Posthoc, a bifactor model in which (besides the 5 separate factors) a general factor is hypothesized accounting for the commonality of the items showed a significantly better fit than the five factor model. All specific factors, except for the hope factor, showed to explain a substantial amount of variance beyond the general factor. Based on our primary analyses we conclude that optimism, pessimism, hope, treatment credibility and treatment expectancy are distinguishable in THA and TKA patients. Postdoc, we determined that all constructs, except hope, showed substantial specific variance, while also sharing some general variance.

  18. Is debt restructuring needed to make the Stability and Growth Pact (more credible?

    Directory of Open Access Journals (Sweden)

    Jens Körner

    2011-01-01

    Full Text Available The emergence of the so-called PIIGS crisis which in 2009 became acute due to strongly diverging risk premiums, marked the beginning of a new phase for the European Monetary Union. Whilst the run-up to EMU had been characterized by an encouraging convergence of macroeconomic fundamentals of its member countries, it is now facing a serious threat in particular due to excessive levels of public debt. In 1997, the Stability and Growth Pact introduced a mechanism designed to prevent excessive public debt of the type currently observed; the fact of the matter, however, seems to be that levels of public debt has continuously grown from one economic cycle to the next. But the SGP apparently not only failed to fulfil its aim to keep the deficit and the debt level within its limits but also suffered from a severe loss of credibility; unless some profound action is taken it may further diminish, severely hampering the loose structure of the European Monetary Union. In order to regain some credibility, mitigate financial market’s concerns and, hence, lower borrowing cost, a consolidation path is needed to returns to acceptable levels of debt in the foreseeable future. This process has already started and measures have been taken by several eurozone countries to speed up fiscal consolidation. The aim of the paper is to analyze whether or not the group of the PIIGS countries are likely to return to debt levels in accordance with the SGP criteria or if it might be necessary to undergo a process of debt restructuring or default. By analysing different scenarios where nominal interest rates on debt (r and nominal growth rates (n as well as gaps thereof (r-n, herein called the automatic debt dynamics, are varied, this paper comes to the conclusion, that debt restructuring or default is a likely outcome for some of the PIIGS; arithmetics is in particular playing against Greece. As disillusioning and disappointing this outcome might be for some observers, it

  19. Using social media to monitor mental health discussions - evidence from Twitter.

    Science.gov (United States)

    McClellan, Chandler; Ali, Mir M; Mutter, Ryan; Kroutil, Larry; Landwehr, Justin

    2017-05-01

    Given the public health importance of communicating about mental illness and the growing use of social media to convey information, our goal was to develop an empirical model to identify periods of heightened interest in mental health topics on Twitter. We collected data on 176 million tweets from 2011 to 2014 with content related to depression or suicide. Using an autoregressive integrated moving average (ARIMA) data analysis, we identified deviations from predicted trends in communication about depression and suicide. Two types of heightened Twitter activity regarding depression or suicide were identified in 2014: expected increases in response to planned behavioral health events, and unexpected increases in response to unanticipated events. Tweet volume following expected increases went back to the predicted level more rapidly than the volume following unexpected events. Although ARIMA models have been used extensively in other fields, they have not been used widely in public health. Our findings indicate that our ARIMA model is valid for identifying periods of heightened activity on Twitter related to behavioral health. The model offers an objective and empirically based measure to identify periods of greater interest for timing the dissemination of credible information related to mental health. Spikes in tweet volume following a behavioral health event often last for less than 2 days. Individuals and organizations that want to disseminate behavioral health messages on Twitter in response to heightened periods of interest need to take this limited time frame into account. Published by Oxford University Press on behalf of the American Medical Informatics Association 2016. This work is written by US Government employees and is in the public domain in the United States.

  20. The Emotional Moves of a Rational Actor: Smiles, Scowls, and Other Credible Messages

    OpenAIRE

    Lawrence Ian Reed; Peter DeScioli

    2017-01-01

    Many scholars turn to emotions to understand irrational behavior. We do the opposite: we turn to rationality and game theory to understand people’s emotions. We discuss a striking theory of emotions that began with the game theory of credible threats and promises, then was enriched by evolutionary biology and psychology, and now is being tested in psychological experiments. We review some of these experiments which use economic games to set up strategic situations with real payoffs. The exper...

  1. Auto-Vetting Transiting Planet Candidates Identified by the Kepler Pipeline

    Science.gov (United States)

    Jenkins, Jon M.; McCauliff, Sean; Burke, Christopher; Seader, Shawn; Twicken, Joseph; Klaus, Todd; Sanderfer, Dwight; Srivastava, Ashok; Haas, Michael R.

    2014-04-01

    The Kepler Mission simultaneously measures the brightness of more than 150,000 stars every 29.4 minutes primarily for the purpose of transit photometry. Over the course of its 3.5-year primary mission Kepler has observed over 190,000 distinct stars, announcing 2,321 planet candidates, 2,165 eclipsing binaries, and 105 confirmed planets. As Kepler moves into its 4-year extended mission, the total number of transit-like features identified in the light curves has increased to as many as ~18,000. This number of signals has become intractable for human beings to inspect by eye in a thorough and timely fashion. To mitigate this problem we are developing machine learning approaches to perform the task of reviewing the diagnostics for each transit signal candidate to establish a preliminary list of planetary candidates ranked from most credible to least credible. Our preliminary results indicate that random forests can classify potential transiting planet signatures with an accuracy of more than 98.6% as measured by the area under a receiver-operating curve.

  2. Credible checklists and quality questionnaires a user-centered design method

    CERN Document Server

    Wilson, Chauncey

    2013-01-01

    Credible Checklists and Quality Questionnaires starts off with an examination of the critical but commonly overlooked checklist method. In the second chapter, questionnaires and surveys are discussed. Asking questions sounds simple, but the hard truth is that asking questions (and designing questionnaires) is a difficult task. This chapter discusses being mindful of the choice of words, order of questions and how early questions influence later questions, answer scales and how they impact the user response, questionnaire design, and much more. The final chapter provides examples of some common questionnaires (both free and fee-based) for assessing the usability of products. After reading this book, readers will be able to use these user design tools with greater confidence and certainty.

  3. When Information from Public Health Officials is Untrustworthy: The Use of Online News, Interpersonal Networks, and Social Media during the MERS Outbreak in South Korea.

    Science.gov (United States)

    Jang, Kyungeun; Baek, Young Min

    2018-03-20

    Public health officials (PHOs) are responsible for providing trustworthy information during a public health crisis; however, there is little research on how the public behaves when their expectations for such information are violated. Drawing on media dependency theory and source credibility research as our primary theoretical framework, we tested how credibility of information from PHOs is associated with people's reliance on a particular communication channel in the context of the 2015 Middle East Respiratory Syndrome (MERS) outbreak in South Korea. Using nationally representative data (N = 1036) collected during the MERS outbreak, we found that less credible information from PHOs led to more frequent use of online news, interpersonal networks, and social media for acquiring MERS-related information. However, credibility of information from PHOs was not associated with the use of television news or print newspapers. The theoretical and practical implications of our results on communication channels usage are discussed.

  4. The Bank of Canada's Monetary Policy Framework; Have Recent Changes Enhanced Central Bank Credibility?

    OpenAIRE

    Takatoshi Ito; Brenda Gonzalez-Hermosillo

    1997-01-01

    In recent years the Bank of Canada has made important changes in the way it conducts monetary policy. In particular, the bank has adopted explicit inflation targets and introduced significant changes to its operational framework designed to increase transparency and reduce market uncertainty. This paper examines the key issues associated with the recent changes in the Bank of Canada’s monetary policy framework and analyzes various indicators of central bank credibility.

  5. The Relationship between Students' Motives to Communicate with Their Instructors and Perceived Instructor Credibility, Attractiveness, and Homophily

    Science.gov (United States)

    Myers, Scott A.; Huebner, Alex D.

    2011-01-01

    This study investigated the relationship between students' motives to communicate (i.e., relational, functional, participatory, excuse making, and sycophantic) with their instructors and perceived instructor credibility, attractiveness, and homophily. 150 undergraduate students (85 men, 64 women, one did not indicate sex) enrolled at a large…

  6. Disclosing celebrity endorsement in a television program to mitigate persuasion: how disclosure type and celebrity credibility interact

    NARCIS (Netherlands)

    Dekker, K.; van Reijmersdal, E.A.

    2013-01-01

    This experiment (N = 165) examined the effects of two aspects of in-program celebrity endorsement on brand attitudes and product claim acceptance: credibility of the celebrity and the effects of disclosure types. Although there is an increasing call for endorsement disclosures, the effects of these

  7. Identifying patients with hypertension: a case for auditing electronic health record data.

    Science.gov (United States)

    Baus, Adam; Hendryx, Michael; Pollard, Cecil

    2012-01-01

    Problems in the structure, consistency, and completeness of electronic health record data are barriers to outcomes research, quality improvement, and practice redesign. This nonexperimental retrospective study examines the utility of importing de-identified electronic health record data into an external system to identify patients with and at risk for essential hypertension. We find a statistically significant increase in cases based on combined use of diagnostic and free-text coding (mean = 1,256.1, 95% CI 1,232.3-1,279.7) compared to diagnostic coding alone (mean = 1,174.5, 95% CI 1,150.5-1,198.3). While it is not surprising that significantly more patients are identified when broadening search criteria, the implications are critical for quality of care, the movement toward the National Committee for Quality Assurance's Patient-Centered Medical Home program, and meaningful use of electronic health records. Further, we find a statistically significant increase in potential cases based on the last two or more blood pressure readings greater than or equal to 140/90 mm Hg (mean = 1,353.9, 95% CI 1,329.9-1,377.9).

  8. A dynamic model for firm-response to non-credible incentive regulation regimes

    International Nuclear Information System (INIS)

    Agrell, Per J.; Grifell-Tatjé, Emili

    2016-01-01

    Economic network regulation increasingly use quantitative performance models (from econometrics and engineering) to set revenues. In theory, high-powered incentive regulation, such as revenue-caps, induces firms to cost-efficient behavior independent of underlying model. However, anecdotal evidence shows regulated firms occasionally maintaining cost-inefficiency under incentive regulation even under slumping profitability. We present a model for firm-level efficiency under a regime with a probability of failure explaining this phenomenon. The model is based on the hypothesis that the regulatory choice of method can be associated with intrinsic flaws leading to judicial repeal and replacement of it by a low-powered regime. The results show that the cost efficiency policy is proportional to the type of firm (cost of effort), value of time (discount factor) and the credibility of the method (risk of failure). A panel data set for 2000–2006 for 128 electricity distributors in Sweden is used to validate the model predictions (radical productivity slowdown, failing profitability and efficiency) at the launch and demise of a non-credible regulation method. The work highlights the fallacy of viewing incentive regulation as a method-independent instrument, a result applicable in any infrastructure regulation. - Highlights: • Incentive regulation relies on fixed revenue for operators. • In existing theory the efficiency-inducing effect is model-independent. • A dynamic game exposes the firm to a regulation that may fail. • One optimal policy is to pad cost and wait for the failure. • The Swedish DSOs show this policy 2003–2006, when the regime failed.

  9. The Perceived Credibility of Scientific Claims, Paranormal Phenomena, and Miracles among Primary Teacher Students: A Comparative Study.

    Science.gov (United States)

    Keranto, Tapio

    2001-01-01

    Presents data collected concerning scientific, religious, and magic-occult connections from Finnish, Estonian, and Michigan primary teacher students to answer questions such as Do we find any differences between the credibility estimates?, Are there any differences between primary teacher students raised in different societies and educated in…

  10. Crisis of confidence: utilities, public relations, and credibility

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, F.C.

    1977-01-01

    This book deals principally with the role of the public utility in the business sector and specifically with its patterns of communications in this turbulent era of changing public opinion. Offering the premise that time has almost run out to achieve public understanding in today's mounting energy crisis, Frank C. Sullivan diagnoses the problems, examines available communication techniques, and offers a pragmatic approach to action which will stimulate and challenge neophyte and professional alike. The book touches on the history of public relations, discusses its functions and role in utility management, and provides practical suggestions and sound advice on corporate credibility and accounting. Following a ''Rationale for Action'' the book's twenty-two chapters are grouped in four major sections: Public Relations and the Utility; Planning for Rate Increases; The Utility and its Publics, and Private vs. Public Ownership. In his epilogue, ''The Dimensions of Disbelief,'' the author sets forth his candid and provocative thesis for action and change.

  11. Improving interpretation of publically reported statistics on health and healthcare: the Figure Interpretation Assessment Tool (FIAT-Health).

    Science.gov (United States)

    Gerrits, Reinie G; Kringos, Dionne S; van den Berg, Michael J; Klazinga, Niek S

    2018-03-07

    Policy-makers, managers, scientists, patients and the general public are confronted daily with figures on health and healthcare through public reporting in newspapers, webpages and press releases. However, information on the key characteristics of these figures necessary for their correct interpretation is often not adequately communicated, which can lead to misinterpretation and misinformed decision-making. The objective of this research was to map the key characteristics relevant to the interpretation of figures on health and healthcare, and to develop a Figure Interpretation Assessment Tool-Health (FIAT-Health) through which figures on health and healthcare can be systematically assessed, allowing for a better interpretation of these figures. The abovementioned key characteristics of figures on health and healthcare were identified through systematic expert consultations in the Netherlands on four topic categories of figures, namely morbidity, healthcare expenditure, healthcare outcomes and lifestyle. The identified characteristics were used as a frame for the development of the FIAT-Health. Development of the tool and its content was supported and validated through regular review by a sounding board of potential users. Identified characteristics relevant for the interpretation of figures in the four categories relate to the figures' origin, credibility, expression, subject matter, population and geographical focus, time period, and underlying data collection methods. The characteristics were translated into a set of 13 dichotomous and 4-point Likert scale questions constituting the FIAT-Health, and two final assessment statements. Users of the FIAT-Health were provided with a summary overview of their answers to support a final assessment of the correctness of a figure and the appropriateness of its reporting. FIAT-Health can support policy-makers, managers, scientists, patients and the general public to systematically assess the quality of publicly reported

  12. When Can Forensic Psychologists Comment on the Credibility of Criminal Defendants?

    Directory of Open Access Journals (Sweden)

    Roberto Flores de Apodaca

    2015-06-01

    Full Text Available Forensic psychological examiners are often confronted with assessments in the guilt phase of criminal cases in which a Defendant denies his/her charged conduct, but the existing evidence clearly contradicts their account. This happens often in cases involving charges of violence, sex offending and or substance abuse (Langton, Barbaree, Harkins, Arenovich, McNamee & Peacock, 2008. What is the proper role of the examiner in such instances?; granting the benefit of the doubt and accepting the Defendant’s account, using the one contained in the differing evidence, or making an independent judgment about which is more likely to be true? Does accepting any version mean the expert is offering an opinion on the Ultimate Issue in the case, and encroaching on the role of the Trier of Fact? The Federal Rules of Evidence (FREE dictate that judgments about Ultimate Issues belong solely to the Trier of Fact, yet the DSM-5 Manual (APA, 2013 instructs us to consider Malingering in every forensic situation; i.e. is the Defendant being honest about his mental state, and by implication, his/her credibility?  Our recommendation is that examiners offer no opinions about which conflicting version in a criminal case is the more credible during the guilt phase, and instead, offer “if, then” assessments about a Defendant’s propensity for violence or sexual offending; i.e. if the charges are true, then s/he poses certain levels of risk going forward, for reasons detailed in the report. Such a stance avoids experts “taking sides” during the guilt phase of a case and allows them to fully inform the adversarial, legal process as it deliberates on possible Plea Bargains or Sentencing decisions. We argue that this impartial approach serves a useful function in legal proceedings while adhering to our Ethical Guidelines (APA, 2010.

  13. Promoting Continuous Quality Improvement in the Alabama Child Health Improvement Alliance Through Q-Sort Methodology and Learning Collaboratives.

    Science.gov (United States)

    Fifolt, Matthew; Preskitt, Julie; Rucks, Andrew; Corvey, Kathryn; Benton, Elizabeth Cason

    Q-sort methodology is an underutilized tool for differentiating among multiple priority measures. The authors describe steps to identify, delimit, and sort potential health measures and use selected priority measures to establish an overall agenda for continuous quality improvement (CQI) activities within learning collaboratives. Through an iterative process, the authors vetted a list of potential child and adolescent health measures. Multiple stakeholders, including payers, direct care providers, and organizational representatives sorted and prioritized measures, using Q-methodology. Q-methodology provided the Alabama Child Health Improvement Alliance (ACHIA) an objective and rigorous approach to system improvement. Selected priority measures were used to design learning collaboratives. An open dialogue among stakeholders about state health priorities spurred greater organizational buy-in for ACHIA and increased its credibility as a statewide provider of learning collaboratives. The integrated processes of Q-sort methodology, learning collaboratives, and CQI offer a practical yet innovative way to identify and prioritize state measures for child and adolescent health and establish a learning agenda for targeted quality improvement activities.

  14. I Sought It, I Reddit: Examining Health Information Engagement Behaviors among Reddit Users.

    Science.gov (United States)

    Record, Rachael A; Silberman, Will R; Santiago, Joshua E; Ham, Taewook

    2018-01-01

    Given the wide use of social media, these platforms have become important channels for understanding health-related information engagement processes. Reddit is a social media platform dedicated to user-generated content and discourse around the world. However, little research exists regarding use of the platform. Guided by the diffusion of innovation theory, the purpose of this study was to analyze Reddit users' behaviors on the platform related to perceptions of information credibility, health information seeking, and behavioral enactment of information found. Data were collected via survey from Reddit users around the world (n = 389). Data suggest that although Reddit use and perceived information credibility are unrelated to acting on the information found on Reddit, users who are specifically seeking health-related information are more likely to enact the information in their lives. Implications from the findings suggest important considerations for communication scholars, media advocates, and health promotion practitioners.

  15. "Playing Hooky" Health Messages: Apprehension, Impression Management, and Deception.

    Science.gov (United States)

    Barrett, Ashley; Murphy, Melissa; Blackburn, Kate

    2018-03-01

    This study investigates playing hooky in higher education classrooms and associates this behavior with students' communicative dispositions, instructor perceptions, and language use. We define "playing hooky" as students skipping class and explaining their absence to their instructor with deceptive health messages. The purpose of Study 1, an online survey (N = 177), is to further understand the characteristics of students who engage in this type of deceptive health communication. Study 1 measures communication apprehension and perceived instructor credibility in students who had played hooky from class and those who had not. Findings reveal that students who communicate playing hooky health messages (a) reported more instructor communication apprehension and (b) perceived the instructors with whom they had played hooky to be less credible. Study 2 uses facework theory and MEH analysis to reveal the different linguistic strategies students use to communicate (a) truthful health messages (N = 165) and (b) deceptive heath messages (N = 82) to their instructor following an absence. Results demonstrate that students' facework strategies are more geared toward saving instructors' negative face in the deceptive health message condition. Implications of both studies are offered.

  16. Standards of practice for forensic mental health nurses--identifying contemporary practice.

    Science.gov (United States)

    Martin, Trish; Maguire, Tessa; Quinn, Chris; Ryan, Jo; Bawden, Louise; Summers, Monica

    2013-01-01

    Forensic mental health nursing is a recognized field of nursing in most countries. Despite a growing body of literature describing aspects of practice, no publication has been found that captures the core knowledge, skills, and attitudes of forensic mental health nurses. One group of nurses in Australia have pooled their knowledge of relevant literature and their own clinical experience and have written standards of practice for forensic mental health nursing. This paper identifies the need for standards, provides a summary of the standards of practice for forensic mental health nurses, and concludes with how these standards can be used and can articulate to others the desired and achievable level of performance in the specialty area.

  17. Nuclear strategy: India's march towards credible deterrence

    International Nuclear Information System (INIS)

    Sethi, Manpreet

    2009-01-01

    May 1998 was a momentous event in India's life. At one level, the five nuclear tests marked the culmination of the long debate on India's nuclear status. At another level, they initiated the country's journey towards credible nuclear deterrence. In the eleventh year of its existence as a state with nuclear weapons, India is engaged in a range of activities to meaningfully integrate the nuclear weapon into its national security strategy. The US and the USSR, at the same stage of their lives were engaged in pretty much a similar exercise. However, unlike the superpowers, for whom the immense destructive potential of the atomic weapon and its implications for inter-state relations suddenly burst on the scene and sent them scrambling to craft strategies that could fit the new reality, India's acquisition of nuclear weapons capability, though dictated by circumstances, came with a basic understanding of the ground rules of the game of nuclear deterrence. In fact, it may be recalled that soon after the tests, there was a spate of books and studies on India's nuclear strategy. A draft nuclear doctrine was made public just fifteen months after the tests and operational issues were beginning to be grappled with

  18. The Relationship of Instructor Self-Disclosure, Nonverbal Immediacy, and Credibility to Student Incivility in the College Classroom

    Science.gov (United States)

    Miller, Ann Neville; Katt, James A.; Brown, Tim; Sivo, Stephen A.

    2014-01-01

    In this study, we examined the potential mediating role of instructor credibility in the relationship of instructor self-disclosure and nonverbal immediacy to student incivility in the college classroom. Four hundred thirty-eight students completed online questionnaires regarding the instructor of the class they attended prior to the one in which…

  19. Institutions, credibility and crisis: the inconsistencies of Argentine exchange rate policy (1991-2006

    Directory of Open Access Journals (Sweden)

    NICOLÁS CHERNY

    2015-03-01

    Full Text Available The purpose of this article is twofold. The first is to explain the time inconsistencies of the convertibility regime that led to the 2001 crisis. The argument suggests that the credibility requirements for convertibility induced a dynamic of legal, fiscal, financial and external commitments that increased exit costs and time inconsistencies. The second objective is to explain the tensions of the floating regime that replaced convertibility in 2002. We describe the effects of a floating exchange rate on macroeconomic imbalance and the growing tension between competitiveness and inflation.

  20. Profile of an excellent nurse manager: identifying and developing health care team leaders.

    Science.gov (United States)

    Kallas, Kathryn D

    2014-01-01

    The purpose of this research was to identify the profile of an excellent nurse manager who can lead effective health care teams. Leadership attributes and competencies that characterize an excellent nurse manager and tools to identify them are lacking in the literature but are required to efficiently and effectively address the growing shortage of registered nurses (RNs) in health care team leadership roles and the critical linkage of these roles to patient outcomes. A profile of an excellent nurse manager was developed on the basis of the responses of nurse managers across the United States who had been identified as excellent or competent by chief nurse executive assessment or/and the Nurse Manager Ability, Leadership, and Support of Nurses staff survey to the Kouzes and Posner Leadership Practices Inventory: Self Instrument. Statistically significant distinctions exist between nurse managers who are excellent and those who are competent as assessed by the Five Practices of Exemplary Leadership, which together comprise the profile of an excellent nurse manager. The Kouzes and Posner Leadership Practices Inventory: Self Instrument can be used to identify, recruit, and develop RNs in the nurse manager role as excellent leaders of effective health care teams.

  1. DIRECT AND INDIRECT EFFECT OF BRAND CREDIBILITY, BRAND COMMITMENT AND LOYALTY INTENTIONS ON BRAND EQUITY

    OpenAIRE

    Veeva Mathew; Sam Thomas; Joseph I Injodey

    2012-01-01

    Brand equity has been and will be an area of interest for marketing managers. All marketing efforts are directed toward the development ofbrand equity. Therefore efforts are taken among the researchers, to understand the concept of brand equity as deep as possible.This paper attempts to understand the interrelationships among key formative indicators of brand equity, using beliefattitude- intention hierarchy of effects. The formative indicators include brand credibility, brand commitment, and...

  2. Identifying and describing feelings and psychological flexibility predict mental health in men with HIV.

    Science.gov (United States)

    Landstra, Jodie M B; Ciarrochi, Joseph; Deane, Frank P; Hillman, Richard J

    2013-11-01

    Difficulty identifying and describing feelings (DIDF) and psychological flexibility (PF) predict poor emotional adjustment. To examine the relationship between DIDF and PF and whether DIDF and low PF would put men undergoing cancer screening at risk for poor adjustment. Longitudinal self-report survey. Two hundred and one HIV-infected men who have sex with men participated in anal cancer screening at two time points over 14 weeks. Psychological flexibility was assessed by the Acceptance and Action Questionnaire II and DIDF by the Toronto Alexithymia Scale-20. We also measured depression, anxiety, stress (DASS) and health-related quality of life (QOL; SF-12). Both DIDF and PF were reliable predictors of mental health. When levels of baseline mental health were controlled, greater DIDF predicted increases in Time 2 depression, anxiety and stress and decreases in mental and physical QOL. The link between PF and mental health was entirely mediated by DIDF. Being chronically low in PF could lead to greater DIDF and thereby worse mental health. Having more PF promotes the ability to identify and differentiate the nuances of pleasant and unpleasant emotions, which enhances an individual's mental health. Intentionally enhancing men's ability to identify and describe feelings or PF may assist them to better manage a range of difficult life experiences such as health screenings and other potentially threatening information. © 2013 The British Psychological Society.

  3. Assessing Perceived Credibility of Web Sites in a Terrorism Context: The PFLP, Tamil Tigers, Hamas, and Hezbollah

    Science.gov (United States)

    Spinks, Brandon Todd

    2009-01-01

    The purpose of the study was to contribute to the overall understanding of terrorist organizations' use of the Internet and to increase researchers' knowledge of Web site effectiveness. The methodological approach was evaluation of the perceived credibility of Web sites based on existing criteria derived from information users. The Web sites of…

  4. Identifying key hospital service quality factors in online health communities.

    Science.gov (United States)

    Jung, Yuchul; Hur, Cinyoung; Jung, Dain; Kim, Minki

    2015-04-07

    The volume of health-related user-created content, especially hospital-related questions and answers in online health communities, has rapidly increased. Patients and caregivers participate in online community activities to share their experiences, exchange information, and ask about recommended or discredited hospitals. However, there is little research on how to identify hospital service quality automatically from the online communities. In the past, in-depth analysis of hospitals has used random sampling surveys. However, such surveys are becoming impractical owing to the rapidly increasing volume of online data and the diverse analysis requirements of related stakeholders. As a solution for utilizing large-scale health-related information, we propose a novel approach to identify hospital service quality factors and overtime trends automatically from online health communities, especially hospital-related questions and answers. We defined social media-based key quality factors for hospitals. In addition, we developed text mining techniques to detect such factors that frequently occur in online health communities. After detecting these factors that represent qualitative aspects of hospitals, we applied a sentiment analysis to recognize the types of recommendations in messages posted within online health communities. Korea's two biggest online portals were used to test the effectiveness of detection of social media-based key quality factors for hospitals. To evaluate the proposed text mining techniques, we performed manual evaluations on the extraction and classification results, such as hospital name, service quality factors, and recommendation types using a random sample of messages (ie, 5.44% (9450/173,748) of the total messages). Service quality factor detection and hospital name extraction achieved average F1 scores of 91% and 78%, respectively. In terms of recommendation classification, performance (ie, precision) is 78% on average. Extraction and

  5. Communicating soil carbon science to farmers: Incorporating credibility, salience and legitimacy

    DEFF Research Database (Denmark)

    Ingram, Julie; Mills, Jane; Dibari, Camilla

    2016-01-01

    A key narrative within climate change science is that conserving and improving soil carbon through agricultural practices can contribute to agricultural productivity and is a promising option for mitigating carbon loss through sequestration. This paper examines the potential disconnect between...... science and practice in the context of communicating information about soil carbon management. It focuses on the information producing process and on stakeholder (adviser, farmer representative, policy maker etc) assessment of the attributes credibility, salience and legitimacy. In doing this it draws...... on results from consultations with stakeholders in the SmartSOIL project which aimed to provide decision support guidelines about practices that optimise carbon mitigation and crop productivity. An iterative methodology, used to engage stakeholders in developing, testing and validating a range of decision...

  6. Traditional health practitioners and the authority to issue medical ...

    African Journals Online (AJOL)

    to face in selecting the credible practitioners from the bogus ones for registration ... for registration. It is clear that the definition of a traditional health ... medical certificate and its validity can bring about came sharply to the fore in Kievits Kroon ...

  7. Identifying management competencies for health care executives: review of a series of Delphi studies.

    Science.gov (United States)

    Hudak, R P; Brooke, P P; Finstuen, K

    2000-01-01

    This analysis reviews a selected body of research that identifies the essential areas of management expertise required of future health care executives. To ensure consistency, six studies are analyzed, utilizing the Delphi technique, to query a broad spectrum of experts in different fields and sites of health care management. The analysis identifies a number of management competencies, i.e., managerial capabilities, which current and aspiring health care executives, in various settings and with differing educational backgrounds, should possess to enhance the probability of their success in current and future positions of responsibility. In addition, this review identifies the skills (technical expertise), knowledge (facts and principles) and abilities (physical, mental or legal power) required to support achievement of these competencies. Leadership and resource management, including cost and finance dimensions, are the highest-rated requisite management competencies. The dominant skills, knowledge and abilities (SKAs) are related to interpersonal skills. The lowest-rated SKAs are related to job-specific, technical skills. Recommendations include the review of this research by formal and continuing education programs to determine the content of their courses and areas for future research. Similarly, current health care executives should assess this research to assist in identifying competency gaps. Lastly, this analysis recommends that the Delphi technique, as a valid and replicable methodology, be applied toward the study of non-executive health care managers, e.g., students, clinicians, mid-level managers and integrated systems administrators, to determine their requisite management competencies and SKAs.

  8. Adoption of Soil Health Improvement Strategies by Australian Farmers: II. Impediments and Incentives

    Science.gov (United States)

    Bennett, J. McL.; Cattle, S. R.

    2014-01-01

    Purpose: Many farmers remain hesitant to implement structured management plans and strategies tailored to address soil health, irrespective of mounting scientific evidence for the credibility of certain soil health indicators, an increase in the reporting of program benefits and progress in communicating these benefits. Hence, the purpose of this…

  9. "Your body is your business card": Bodily capital and health authority in the fitness industry.

    Science.gov (United States)

    Hutson, David J

    2013-08-01

    Although scholars have noted the connection between appearance and assumptions of health, the degree to which these assumptions matter for establishing authority in social interaction remains less clear. Using a theoretical framework involving "bodily capital"--that is, the value generated from appearance, attractiveness, and physical ability--I investigate the role of appearance in the U.S. fitness industry. Drawing on data from interviews with 26 personal trainers and 25 clients between 2010 and 2011, I find that a trainer's fit-appearing physique imbues their interactions with a degree of moral and health authority. This corporeal credibility engenders trust among clients and allows exercise to be understood as a form of health work. The implications for academics and medical practitioners reach beyond the gym setting and extend recent research linking appearance to health, authority, and medical credibility. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Projections of Flood Risk using Credible Climate Signals in the Ohio River Basin

    Science.gov (United States)

    Schlef, K.; Robertson, A. W.; Brown, C.

    2017-12-01

    Estimating future hydrologic flood risk under non-stationary climate is a key challenge to the design of long-term water resources infrastructure and flood management strategies. In this work, we demonstrate how projections of large-scale climate patterns can be credibly used to create projections of long-term flood risk. Our study area is the northwest region of the Ohio River Basin in the United States Midwest. In the region, three major teleconnections have been previously demonstrated to affect synoptic patterns that influence extreme precipitation and streamflow: the El Nino Southern Oscillation, the Pacific North American pattern, and the Pacific Decadal Oscillation. These teleconnections are strongest during the winter season (January-March), which also experiences the greatest number of peak flow events. For this reason, flood events are defined as the maximum daily streamflow to occur in the winter season. For each gage in the region, the location parameter of a log Pearson type 3 distribution is conditioned on the first principal component of the three teleconnections to create a statistical model of flood events. Future projections of flood risk are created by forcing the statistical model with projections of the teleconnections from general circulation models selected for skill. We compare the results of our method to the results of two other methods: the traditional model chain (i.e., general circulation model projections to downscaling method to hydrologic model to flood frequency analysis) and that of using the historic trend. We also discuss the potential for developing credible projections of flood events for the continental United States.

  11. Facebook versus Twitter: Which one is more credible in a South African context?

    Directory of Open Access Journals (Sweden)

    Kim L. Viljoen

    2016-07-01

    Full Text Available Background: Studies conducted have shown that half of the South African population uses either or both Facebook and Twitter social networking sites for social satisfaction and for the evaluation of products and purchase decisions. This is a direct result of the continuous technological advancements worldwide and the permeative nature of social media. Objective: The focus of this study is to evaluate the credibility of Facebook and Twitter messages while establishing which of the mediums is perceived as more believable by consumers. The results of this research direct information technology practitioners, business managers, business owners, and marketing managers on the viability of these communication mediums. Method: A positivistic paradigm was used in this study through the use of a descriptive research design which consisted of a survey of 446 respondents located in East London, Eastern Cape Province of South Africa. Respondents were either selected randomly or through convenience sampling and were between age 18 and 55. Results: It was established that both Facebook and Twitter are significantly related to the independent variable of ‘intention to purchase’, with Twitter having a stronger correlation with the independent variable than Facebook. The context of the study was set in relation to the purchase intention of specific mobile phone brands. Conclusion: Based on these results, it can be concluded that Twitter electronic word-of-mouth can be considered to be more credible than Facebook electronic word-of-mouth; thus this should be considered when advertising or promoting products via these mediums.

  12. Networking between community health programs: a case study outlining the effectiveness, barriers and enablers.

    Science.gov (United States)

    Grills, Nathan J; Robinson, Priscilla; Phillip, Maneesh

    2012-07-19

    In India, since the 1990s, there has been a burgeoning of NGOs involved in providing primary health care. This has resulted in a complex NGO-Government interface which is difficult for lone NGOs to navigate. The Uttarakhand Cluster, India, links such small community health programs together to build NGO capacity, increase visibility and better link to the government schemes and the formal healthcare system. This research, undertaken between 1998 and 2011, aims to examine barriers and facilitators to such linking, or clustering, and the effectiveness of this clustering approach. Interviews, indicator surveys and participant observation were used to document the process and explore the enablers, the barriers and the effectiveness of networks improving community health. The analysis revealed that when activating, framing, mobilising and synthesizing the Uttarakhand Cluster, key brokers and network players were important in bridging between organisations. The ties (or relationships) that held the cluster together included homophily around common faith, common friendships and geographical location and common mission. Self interest whereby members sought funds, visibility, credibility, increased capacity and access to trainings was also a commonly identified motivating factor for networking. Barriers to network synthesizing included lack of funding, poor communication, limited time and lack of human resources. Risk aversion and mistrust remained significant barriers to overcome for such a network. In conclusion, specific enabling factors allowed the clustering approach to be effective at increasing access to resources, creating collaborative opportunities and increasing visibility, credibility and confidence of the cluster members. These findings add to knowledge regarding social network formation and collaboration, and such knowledge will assist in the conceptualisation, formation and success of potential health networks in India and other developing world countries.

  13. #SupportTheCause: Identifying Motivations to Participate in Online Health Campaigns

    NARCIS (Netherlands)

    Nguyen, Dong-Phuong; van den Broek, Tijs Adriaan; Hauff, C.; Hiemstra, Djoerd; Ehrenhard, Michel Léon

    We consider the task of automatically identifying participants’ motivations in the public health campaign Movember and investigate the impact of the different motivations on the amount of campaign donations raised. Our classification scheme is based on the Social Identity Model of Collective Action

  14. A mixed methods evaluation of televised health promotion advertisements targeted at older adults.

    Science.gov (United States)

    Berry, Tanya R; Spence, John C; Plotnikoff, Ronald C; Bauman, Adrian; McCargar, Linda; Witcher, Chad; Clark, Marianne; Stolp, Sean

    2009-08-01

    The purpose of this research was to evaluate television advertisements targeted at 55-70-year olds that promoted physical activity and fruit and vegetable consumption. Awareness of the campaign, perceived credibility of the source, intentions to visit a promoted website, and intentions to perform the healthy behaviors were evaluated using mixed methods research. Results from a population level survey (n=1600) showed low unprompted and prompted awareness of the campaign and no differences in intentions or behaviors among those who were aware of the campaign. Unprompted recall resulted in a very wide range of responses including the citation of many commercial advertisers. Qualitative themes that emerged from the focus groups included neutral, positive, and negative comments about the advertisements, source credibility, website considerations specific to seniors, and suggestions about appropriate advertising for older adults. This research showed that the increased attention paid to the advertisements was due in a large part to negative reactions to the character used in the advertisements. Another important finding was the government was not considered to be a credible source of health information. Finally, health promoters should be cautious about websites as the primary source of information, particularly for older adults.

  15. Ensuring VGI Credibility in Urban-Community Data Generation: A Methodological Research Design

    Directory of Open Access Journals (Sweden)

    Jamie O'Brien

    2016-06-01

    Full Text Available In this paper we outline the methodological development of current research into urban community formations based on combinations of qualitative (volunteered and quantitative (spatial analytical and geo-statistical data. We outline a research design that addresses problems of data quality relating to credibility in volunteered geographic information (VGI intended for Web-enabled participatory planning. Here we have drawn on a dual notion of credibility in VGI data, and propose a methodological workflow to address its criteria. We propose a ‘super-positional’ model of urban community formations, and report on the combination of quantitative and participatory methods employed to underpin its integration. The objective of this methodological phase of study is to enhance confidence in the quality of data for Web-enabled participatory planning. Our participatory method has been supported by rigorous quantification of area characteristics, including participant communities’ demographic and socio-economic contexts. This participatory method provided participants with a ready and accessible format for observing and mark-making, which allowed the investigators to iterate rapidly a system design based on participants’ responses to the workshop tasks. Participatory workshops have involved secondary school-age children in socio-economically contrasting areas of Liverpool (Merseyside, UK, which offers a test-bed for comparing communities’ formations in comparative contexts, while bringing an under-represented section of the population into a planning domain, whose experience may stem from public and non-motorised transport modalities. Data has been gathered through one-day participatory workshops, featuring questionnaire surveys, local site analysis, perception mapping and brief, textual descriptions. This innovative approach will support Web-based participation among stakeholding planners, who may benefit from well-structured, community

  16. Public involvement and risk communiction for the Rocky Flats health studies

    International Nuclear Information System (INIS)

    Zoda, S.M.; Lockhart, A.J.

    1993-01-01

    In 1990, the State of Colorado and the U.S. Department of Energy entered into an Agreement in Principle that provides funding for state studies and monitoring of the Rocky Flats Nuclear Weapons Plant. The Colorado Department of Health initiated a two-phase study to identify releases of radioactive and other contaminants from the year 1952, when Rocky Flats opened, through 1989, and to estimate the potential offsite exposures and health effects. Because one of the main goals for the study is to answer citizen questions about past operations and impacts from the Rocky Flats Plant, the Department of Health designed an open study process featuring a multi-faceted program for public involvement and two-way communication. To provide independent scientific oversight and increase public accountability, Governor Roy Romer appointed a 12-member Health Advisory Panel that includes local and national technical experts and community members. This paper describes the study process and the public involvement and risk communication program designed to address citizen concerns, foster understanding and build credibility

  17. Standards for collection of identifying information for health record keeping

    International Nuclear Information System (INIS)

    Carpenter, M.; Fair, M.E.; Lalonde, P.; Scott, T.

    1988-09-01

    A new recommended guideline for the standard data collection of individual identifying information has been developed and tested by Statistics Canada. The purpose of developing a standard method is to improve health record keeping in Canada: in particular for long term medical follow-up studies of individuals exposed to potentially hazardous agents for detection of possible health risks or delayed harm, e.g. individuals exposed to radiation through occupations, the environment, emergencies, or therapeutic practice. A data collection standard is also useful for epidemiological follow-up studies for other occupation groups such as chemical workers and miners, or for lifestyle, genetic and other studies. Statistics Canada, Health Division, Occupational and Environmental Health Research Unit (OEHRU), from their experience with long term health studies using the Canadian Mortality Data Base, has prepared a 'Data Collection Package' to include the developed and tested data collection guideline. It is anticipated this will help produce more thorough and comparable on-going record keeping while saving costs and time for many organizations e.g. Atomic Energy Control Board licensees who report radiation doses to the National Dose Registry, as well as for other companies and organizations across the country where long term medical follow-up studies are anticipated now or in the future. It may also allow for broader industrial, national and international comparisons. The guideline consists of a two page Individual Identity Summary (IIS): the first page for completion by the individual/employee to give unique identifying information; the second page for the study organizer/employer to include essential additional information (work history etc.). A third optional page can be used by organizations wishing to collect data on children. The Data Collection Package also includes brief explanatory notes, a suggested file record layout and detailed computer coding advice for entering

  18. The potential for research-based information in public health: Identifying unrecognised information needs

    Directory of Open Access Journals (Sweden)

    Forsetlund Louise

    2001-01-01

    Full Text Available Abstract Objective To explore whether there is a potential for greater use of research-based information in public health practice in a local setting. Secondly, if research-based information is relevant, to explore the extent to which this generates questioning behaviour. Design Qualitative study using focus group discussions, observation and interviews. Setting Public health practices in Norway. Participants 52 public health practitioners. Results In general, the public health practitioners had a positive attitude towards research-based information, but believed that they had few cases requiring this type of information. They did say, however, that there might be a potential for greater use. During five focus groups and six observation days we identified 28 questions/cases where it would have been appropriate to seek out research evidence according to our definition. Three of the public health practitioners identified three of these 28 cases as questions for which research-based information could have been relevant. This gap is interpreted as representing unrecognised information needs. Conclusions There is an unrealised potential in public health practice for more frequent and extensive use of research-based information. The practitioners did not appear to reflect on the need for scientific information when faced with new cases and few questions of this type were generated.

  19. Benchmarking in health care: using the Internet to identify resources.

    Science.gov (United States)

    Lingle, V A

    1996-01-01

    Benchmarking is a quality improvement tool that is increasingly being applied to the health care field and to the libraries within that field. Using mostly resources assessible at no charge through the Internet, a collection of information was compiled on benchmarking and its applications. Sources could be identified in several formats including books, journals and articles, multi-media materials, and organizations.

  20. AN EMPIRICAL INVESTIGATION OF THE RELATIONSHIP BETWEEN DEMOGRAPHICS AND THE USAGE AND PERCEIVED CREDIBILITY OF SOURCES OF INFORMATION ON ACCOMMODATION PROVIDERS

    Directory of Open Access Journals (Sweden)

    Ovidiu I. MOISESCU

    2013-11-01

    Full Text Available The purpose of this paper is to investigate the relationship between the usage and perceived credibility of several sources of information domestic travelers take into consideration when gathering information on potential accommodation providers, on one hand, and, respectively, travelers’ demographic characteristics, on the other hand. After analyzing data from an online questionnaire based study conducted among a sample of 346 young Romanian Facebook users (between 19 and 35 years old, the results showed that, considering types of information sources usually taken into consideration, personal sources and Facebook are more frequently found among travelers with a lower income, travel agencies are more frequently mentioned as usual sources of information among older travelers and among those with a higher level of education, while women are more inclined than men to use leaflets and booklets as sources of information on accommodation providers. Moreover, the research showed that the higher the income, the higher the level of perceived credibility of online portals is. Also, travel agencies and personal sources are more frequently mentioned among the most credible sources by women, than by men, while men are slightly more confident than women in online banners and blogs. The findings can be very useful and relevant from a practical perspective, especially for communication and promotion purposes in the hospitality industry.

  1. Community health center provider ability to identify, treat and account for the social determinants of health: a card study.

    Science.gov (United States)

    Lewis, Joy H; Whelihan, Kate; Navarro, Isaac; Boyle, Kimberly R

    2016-08-27

    The social determinants of health (SDH) are conditions that shape the overall health of an individual on a continuous basis. As momentum for addressing social factors in primary care settings grows, provider ability to identify, treat and assess these factors remains unknown. Community health centers care for over 20-million of America's highest risk populations. This study at three centers evaluates provider ability to identify, treat and code for the SDH. Investigators utilized a pre-study survey and a card study design to obtain evidence from the point of care. The survey assessed providers' perceptions of the SDH and their ability to address them. Then providers filled out one anonymous card per patient on four assigned days over a 4-week period, documenting social factors observed during encounters. The cards allowed providers to indicate if they were able to: provide counseling or other interventions, enter a diagnosis code and enter a billing code for identified factors. The results of the survey indicate providers were familiar with the SDH and were comfortable identifying social factors at the point of care. A total of 747 cards were completed. 1584 factors were identified and 31 % were reported as having a service provided. However, only 1.2 % of factors were associated with a billing code and 6.8 % received a diagnosis code. An obvious discrepancy exists between the number of identifiable social factors, provider ability to address them and documentation with billing and diagnosis codes. This disparity could be related to provider inability to code for social factors and bill for related time and services. Health care organizations should seek to implement procedures to document and monitor social factors and actions taken to address them. Results of this study suggest simple methods of identification may be sufficient. The addition of searchable codes and reimbursements may improve the way social factors are addressed for individuals and populations.

  2. Credibility and Authenticity of Digitally Signed Videos in Traffic

    Directory of Open Access Journals (Sweden)

    Ivan Grgurević

    2008-11-01

    Full Text Available The paper presents the possibilities of insuring the credibilityand authenticity of the surveillance camera video by digitalsigning, using the public key infrastructure as part of interoperabletraffic and information system in the future intelligenttransport systems. The surveillance camera video is a sequenceof individual frames and a unique digital print, i. e. hash valueis calculated for each of these. By encryption of the hash valuesof the frames using private encryption key of the surveillancecentre, digital signatures are created and they are stored in thedatabase. The surveillance centre can issue a copy of the videoto all the interested subjects for scientific and research workand investigation. Regardless of the scope, each subsequentmanipulation of the video copy contents will certainly changethe hash value of all the frames. The procedure of determiningthe authenticity and credibility of videos is reduced to the comparisonof the hash values of the frames stored in the databaseof the surveillance centre with the values obtained from the interestedsubjects such as the traffic experts and investigators,surveillance-security services etc.

  3. Simulation of the WWER-440/213 maximum credible accident at the EhNITs stand

    International Nuclear Information System (INIS)

    Blinkov, V.N.; Melikhov, O.I.; Melikhov, V.I.; Davydov, M.V.; Sokolin, A.V.; Shchepetil'nikov, Eh.Yu.

    2000-01-01

    The calculations of thermohydraulic processes through the ATHLET code for determining optimal conditions for modeling the coolant leakage at the EhNITs stand by the maximum credible accident at the NPP with WWER-440/213 reactor are presented. The diameters of the nozzle at the stand, whereby the local criterion of coincidence with the data on the NPP (by the maximum flow) and integral criterion of coincidence (by the mass and energy of the coolant, effluent during 10 s) are determined in the process of parametric calculations [ru

  4. Adoption of Soil Health Improvement Strategies by Australian Farmers: I. Attitudes, Management and Extension Implications

    Science.gov (United States)

    Bennett, J. McL.; Cattle, S. R.

    2013-01-01

    Purpose: There is inconsistency in the design, understanding, implementation and monitoring of soil health programmes. Despite mounting scientific evidence for the credibility of certain soil health indicators, an increase in the reporting of programme benefits, and progress in communicating these benefits, many farmers remain hesitant to…

  5. Global health indicators and maternal health futures: The case of Intrauterine Growth Restriction.

    Science.gov (United States)

    Erikson, Susan L

    2015-01-01

    Public health indicators generally operate in the world as credible, apolitical and authoritative. But indicators are less stable than they appear. Clinical critiques of Intrauterine Growth Restriction (IUGR) criteria have been forthcoming for decades. This article, though, takes up the measuring and calculation gradients of IUGR in the ultrasound machine itself, including the software algorithms that identify IUGR. One hospital where research was conducted incorrectly predicted pathological birth outcomes 14 of 14 times. We are at a historical moment when the global use of prenatal diagnostic ultrasound for the express purpose of assessing IUGR is set to escalate. Medical imaging device corporations like Siemens, Toshiba, General Electric and Phillips are quite literally banking on it, and new forms of ultrasound technology and diagnostic software are increasingly available on smartphones, tablets and laptops. Clinical guidelines for IUGR--assumed to be authoritative and evidence-based--are evolving right along with the installation throughout the world of the technology capable of diagnosing it. Maternal malnutrition remains the single strongest predictive factor for IUGR, regardless of the technological investments currently amassing to identify the indicator, which is cause for a reassessment of priority spending and investment.

  6. IS MISS SYMPATHY A CREDIBLE DEFENDANT ALLEGING INTIMATE PARTNER VIOLENCE IN A TRIAL FOR MURDER?

    Directory of Open Access Journals (Sweden)

    Francisca Expósito

    2012-07-01

    Full Text Available Current research has postulated that judicial inferencing and judgement-making are subject to biased appraisals. This study assessed the factors reported in the literature associated to the appraisal of criminality in a mock case of a battered woman standing trial for murdering her husband, and who pleaded legitimate self-defence in response to an instance of intimate partner violence. A nationwide sample of 169 police officers from different cities in Spain freely volunteered to participate in the study. Using a mock trial design, the defendant´s prototypicality (prototypical vs. non-prototypical, and physical attractiveness (attractive vs. unattractive were manipulated. Participants were required to assess the criminality (credibility, responsibility, and controllability of a battered woman accused of murdering her husband, and who alleged legitimate self-defence in response to an incident of intimate partner violence. The results showed that a defendant perceived as the prototype of a battered woman was judged as having less or no control of the situation; physical attractiveness increased the perception of the defendant´s responsibility in committing the crime; and an interaction between prototypicality and attractiveness in assigning credibility to the defendant´s testimony. Moreover, hostile sexism mediated the relationship between the defendant´s prototypicality and controllability. The results are discussed in terms of their implications for judicial judgement making in cases of battered women who kill their aggressors.

  7. PLAN FOR PRIMARY HEALTH CARE IN MINAS GERAIS AND SCIENTIFIC PRODUCTION

    Directory of Open Access Journals (Sweden)

    Tatiana Oliveira Silva Bittencourt

    2014-05-01

    Full Text Available This study aimed to identify studies on the Master Plan for Primary Health Care from the year 2003. We conducted a bibliographic study on MEDLINE, LILACS, SCIELO , BDENF and Google Scholar . The results are detailed in tables and discussed from four themes. The Master Plan for Primary Health Care is an innovative and daring in the reorganization of primary care in the municipalities miners. Gave the participants an important opportunity for professional qualification. Difficulties in its implementation outperformed the potential and were present in most of the municipalities surveyed. Among the main challenges for its implementation highlights the lack of professional motivation and credibility by some involved in this process. The literature made little progress on this issue , and we hope that further research be undertaken in order to contribute to studies of evaluation of public policies and in particular the extension and consolidation of this plan.

  8. Can optimism, pessimism, hope, treatment credibility and treatment expectancy be distinguished in patients undergoing Total Hip and Total Knee Arthroplasty?

    NARCIS (Netherlands)

    Haanstra, T.M.; Tilbury, C.; Kamper, S.J.; Tordoir, R.L.; Vliet Vlieland, T.P.M.; Nelissen, R.G.H.H.; Cuijpers, P.; de Vet, H.C.W.; Dekker, J.; Knol, D.L.; Ostelo, R.W.J.G.

    2015-01-01

    Objectives: The constructs optimism, pessimism, hope, treatment credibility and treatment expectancy are associated with outcomes of medical treatment. While these constructs are grounded in different theoretical models, they nonetheless show some conceptual overlap. The purpose of this study was to

  9. Social Persuasions by Teachers as a Source of Student Self-Efficacy: The Moderating Role of Perceived Teacher Credibility

    Science.gov (United States)

    Won, Sungjun; Lee, Sun-Young; Bong, Mimi

    2017-01-01

    The primary purpose of this study was to ascertain whether the degree to which Korean middle school students perceived their teachers to be credible made a difference in the effectiveness of teachers' persuasion as a source of students' academic self-efficacy. In the contexts of both general school learning and a specific subject of Korean…

  10. Shilling attack detection for recommender systems based on credibility of group users and rating time series.

    Science.gov (United States)

    Zhou, Wei; Wen, Junhao; Qu, Qiang; Zeng, Jun; Cheng, Tian

    2018-01-01

    Recommender systems are vulnerable to shilling attacks. Forged user-generated content data, such as user ratings and reviews, are used by attackers to manipulate recommendation rankings. Shilling attack detection in recommender systems is of great significance to maintain the fairness and sustainability of recommender systems. The current studies have problems in terms of the poor universality of algorithms, difficulty in selection of user profile attributes, and lack of an optimization mechanism. In this paper, a shilling behaviour detection structure based on abnormal group user findings and rating time series analysis is proposed. This paper adds to the current understanding in the field by studying the credibility evaluation model in-depth based on the rating prediction model to derive proximity-based predictions. A method for detecting suspicious ratings based on suspicious time windows and target item analysis is proposed. Suspicious rating time segments are determined by constructing a time series, and data streams of the rating items are examined and suspicious rating segments are checked. To analyse features of shilling attacks by a group user's credibility, an abnormal group user discovery method based on time series and time window is proposed. Standard testing datasets are used to verify the effect of the proposed method.

  11. The quality report of national ever-awarded health websites in Taiwan.

    Science.gov (United States)

    Fang, Li-Ping; Chang, Polun

    2009-01-01

    The Ministry of Health in Taiwan has promoted the award campaign to assure the health web information since 2002. The 98 ever-awarded web sites were reexamined with the new set of quality indicators in 2007. The results show that the overall quality only at an acceptance level and much work needs to be done in credibility and site interaction.

  12. Interviewing asylum seekers : A vignette study on the questions asked to assess credibility of claims about origin and persecution

    NARCIS (Netherlands)

    van Veldhuizen, Tanja S.; Horselenberg, Robert; Landström, Sara; Granhag, Pär Anders; van Koppen, Peter J.

    2017-01-01

    The aim of the current vignette study is to map the style, type, and themes of questions that are asked when assessing the credibility of asylum seekers' claims. Sixty-five officials from the Swedish Migration Agency (Migrationsverket), were asked to respond to one out of four different vignettes

  13. Perceived Teacher Credibility and Students' Affect as a Function of Instructors' Use of PowerPoint and Email

    Science.gov (United States)

    Ledbetter, Andrew M.; Finn, Amber N.

    2018-01-01

    In this study, we extend previous work on instructors' use of technology by examining how students' perceptions of teacher credibility and affective experience differ depending on how frequently instructors use two common forms of instructional technology: PowerPoint, which is typically used "inside" the classroom; and email, which is…

  14. Systematic reviews addressing identified health policy priorities in Eastern Mediterranean countries: a situational analysis.

    Science.gov (United States)

    El-Jardali, Fadi; Akl, Elie A; Karroum, Lama Bou; Kdouh, Ola; Akik, Chaza; Fadlallah, Racha; Hammoud, Rawan

    2014-08-20

    Systematic reviews can offer policymakers and stakeholders concise, transparent, and relevant evidence pertaining to pressing policy priorities to help inform the decision-making process. The production and the use of systematic reviews are specifically limited in the Eastern Mediterranean region. The extent to which published systematic reviews address policy priorities in the region is still unknown. This situational analysis exercise aims at assessing the extent to which published systematic reviews address policy priorities identified by policymakers and stakeholders in Eastern Mediterranean region countries. It also provides an overview about the state of systematic review production in the region and identifies knowledge gaps. We conducted a systematic search of the Health System Evidence database to identify published systematic reviews on policy-relevant priorities pertaining to the following themes: human resources for health, health financing, the role of the non-state sector, and access to medicine. Priorities were identified from two priority-setting exercises conducted in the region. We described the distribution of these systematic reviews across themes, sub-themes, authors' affiliations, and countries where included primary studies were conducted. Out of the 1,045 systematic reviews identified in Health System Evidence on selected themes, a total of 200 systematic reviews (19.1%) addressed the priorities from the Eastern Mediterranean region. The theme with the largest number of systematic reviews included was human resources for health (115) followed by health financing (33), access to medicine (27), and role of the non-state sector (25). Authors based in the region produced only three systematic reviews addressing regional priorities (1.5%). Furthermore, no systematic review focused on the Eastern Mediterranean region. Primary studies from the region had limited contribution to systematic reviews; 17 systematic reviews (8.5%) included primary

  15. Systematic reviews addressing identified health policy priorities in Eastern Mediterranean countries: a situational analysis

    Science.gov (United States)

    2014-01-01

    Background Systematic reviews can offer policymakers and stakeholders concise, transparent, and relevant evidence pertaining to pressing policy priorities to help inform the decision-making process. The production and the use of systematic reviews are specifically limited in the Eastern Mediterranean region. The extent to which published systematic reviews address policy priorities in the region is still unknown. This situational analysis exercise aims at assessing the extent to which published systematic reviews address policy priorities identified by policymakers and stakeholders in Eastern Mediterranean region countries. It also provides an overview about the state of systematic review production in the region and identifies knowledge gaps. Methods We conducted a systematic search of the Health System Evidence database to identify published systematic reviews on policy-relevant priorities pertaining to the following themes: human resources for health, health financing, the role of the non-state sector, and access to medicine. Priorities were identified from two priority-setting exercises conducted in the region. We described the distribution of these systematic reviews across themes, sub-themes, authors’ affiliations, and countries where included primary studies were conducted. Results Out of the 1,045 systematic reviews identified in Health System Evidence on selected themes, a total of 200 systematic reviews (19.1%) addressed the priorities from the Eastern Mediterranean region. The theme with the largest number of systematic reviews included was human resources for health (115) followed by health financing (33), access to medicine (27), and role of the non-state sector (25). Authors based in the region produced only three systematic reviews addressing regional priorities (1.5%). Furthermore, no systematic review focused on the Eastern Mediterranean region. Primary studies from the region had limited contribution to systematic reviews; 17 systematic reviews

  16. The Influence of Sports Celebrity Credibility on Purchase Intention: The Moderating Effect of Gender and Consumer Sports-Involvement

    Directory of Open Access Journals (Sweden)

    Natalie Bragança Düsenberg

    2016-01-01

    Full Text Available This study investigates the effects of sport’s celebrity endorsement on purchase intention. More specifically, this study seeks to (1 identify the extent to which the sports celebrity’s credibility influences consumer purchase intention; (2 the extent to which gender moderates the effect of sports celebrity endorsement on purchase intention; and (3 to what extent consumer sports-involvement moderates the effect of a sports celebrity endorsement on purchase intention. One famous Brazilian soccer player and four product categories were used as stimuli. The research method used was a survey, which has included 1,025 respondents. Data analysis was performed using exploratory factor analysis (EFA and confirmatory factor analysis (CFA. Structural equation modeling (SEM, using the ADF technique, was applied to test the substantive hypotheses. To test the hypotheses of the moderating effect of gender and consumer sports-involvement, the research used the multigroup analysis technique. The empirical results support the relationship between a sport celebrity’s endorsement and purchase intention. The moderating effects of gender and sports-involvement were also empirically supported, but only partially.

  17. Cognitive health messages in popular women's and men's magazines, 2006-2007.

    Science.gov (United States)

    Friedman, Daniela B; Laditka, James N; Laditka, Sarah B; Mathews, Anna E

    2010-03-01

    Growing evidence suggests that physical activity, healthy diets, and social engagement may promote cognitive health. Popular media helps establish the public health agenda. In this study, we describe articles about cognitive health in top-circulating women's and men's magazines. To identify articles on cognitive health, we manually searched all pages of 4 top-circulating women's magazines and 4 top-circulating men's magazines published in 2006 and 2007 to identify articles on cognitive health. We examined article volume, narrative and illustrative content, information sources, and contact resources. Women's magazines had 27 cognitive health articles (5.32/1,000 pages), and men's magazines had 26 (5.26/1,000 pages). Diet was the primary focus (>75% of content) in 30% of articles in women's magazines and 27% of men's magazines. Vitamins/supplements were the focus of 15% of articles in men's magazines and 11% in women's magazines. Articles mentioned physical activity, cognitive activity, and social interaction, although these subjects were rarely the focus. Articles focused more on prevention than treatment. Topics were primarily "staying sharp," memory, and Alzheimer's disease. Colleges/universities were most often cited as sources; contacts for further information were rare. Most articles were illustrated. Although the volume of cognitive health articles was similar in the magazines, content differed. More articles in men's magazines discussed multiple chronic conditions (eg, Alzheimer's disease), whereas more in women's magazines discussed memory. Including more articles that focus on physical activity and direct readers to credible resources could enhance the quality of cognitive health communication in the popular media.

  18. Networking between community health programs: a case study outlining the effectiveness, barriers and enablers

    Directory of Open Access Journals (Sweden)

    Grills Nathan J

    2012-07-01

    Full Text Available Abstract Background In India, since the 1990s, there has been a burgeoning of NGOs involved in providing primary health care. This has resulted in a complex NGO-Government interface which is difficult for lone NGOs to navigate. The Uttarakhand Cluster, India, links such small community health programs together to build NGO capacity, increase visibility and better link to the government schemes and the formal healthcare system. This research, undertaken between 1998 and 2011, aims to examine barriers and facilitators to such linking, or clustering, and the effectiveness of this clustering approach. Methods Interviews, indicator surveys and participant observation were used to document the process and explore the enablers, the barriers and the effectiveness of networks improving community health. Results The analysis revealed that when activating, framing, mobilising and synthesizing the Uttarakhand Cluster, key brokers and network players were important in bridging between organisations. The ties (or relationships that held the cluster together included homophily around common faith, common friendships and geographical location and common mission. Self interest whereby members sought funds, visibility, credibility, increased capacity and access to trainings was also a commonly identified motivating factor for networking. Barriers to network synthesizing included lack of funding, poor communication, limited time and lack of human resources. Risk aversion and mistrust remained significant barriers to overcome for such a network. Conclusions In conclusion, specific enabling factors allowed the clustering approach to be effective at increasing access to resources, creating collaborative opportunities and increasing visibility, credibility and confidence of the cluster members. These findings add to knowledge regarding social network formation and collaboration, and such knowledge will assist in the conceptualisation, formation and success of

  19. Identifying research priorities for patient safety in mental health: an international expert Delphi study

    Science.gov (United States)

    Murray, Kevin; Thibaut, Bethan; Ramtale, Sonny Christian; Adam, Sheila; Darzi, Ara; Archer, Stephanie

    2018-01-01

    Objective Physical healthcare has dominated the patient safety field; research in mental healthcare is not as extensive but findings from physical healthcare cannot be applied to mental healthcare because it delivers specialised care that faces unique challenges. Therefore, a clearer focus and recognition of patient safety in mental health as a distinct research area is still needed. The study aim is to identify future research priorities in the field of patient safety in mental health. Design Semistructured interviews were conducted with the experts to ascertain their views on research priorities in patient safety in mental health. A three-round online Delphi study was used to ascertain consensus on 117 research priority statements. Setting and participants Academic and service user experts from the USA, UK, Switzerland, Netherlands, Ireland, Denmark, Finland, Germany, Sweden, Australia, New Zealand and Singapore were included. Main outcome measures Agreement in research priorities on a five-point scale. Results Seventy-nine statements achieved consensus (>70%). Three out of the top six research priorities were patient driven; experts agreed that understanding the patient perspective on safety planning, on self-harm and on medication was important. Conclusions This is the first international Delphi study to identify research priorities in safety in the mental field as determined by expert academic and service user perspectives. A reasonable consensus was obtained from international perspectives on future research priorities in patient safety in mental health; however, the patient perspective on their mental healthcare is a priority. The research agenda for patient safety in mental health identified here should be informed by patient safety science more broadly and used to further establish this area as a priority in its own right. The safety of mental health patients must have parity with that of physical health patients to achieve this. PMID:29502096

  20. The Fukushima radiological emergency and challenges identified for future public health responses.

    Science.gov (United States)

    Miller, Charles W

    2012-05-01

    On 11 March 2011, northern Japan was rocked by first a magnitude 9.0 earthquake off the eastern coast and then an ensuing tsunami. The Fukushima Daiichi Nuclear Power Plant complex was hit by these twin disasters, and a cascade of events was initiated that led to radionuclide releases causing widespread radioactive contamination of residential areas, agricultural land, and coastal waters. Radioactive material from Japan was subsequently transmitted to locations around the globe, including the U.S. The levels of radioactive material that arrived in the U.S. were never large enough to be a concern for health effects, but the presence of this material in the environment was enough to create a public health emergency in the U.S. The radiation safety and public health communities in the U.S. are identifying challenges they faced in responding to this incident. This paper discusses three of those challenges: (1) The growing shortage of trained radiation subject matter experts in the field of environmental transport and dosimetry of radionuclides; (2) the need to begin expressing all radiation-related quantities in terms of the International System of Units; and (3) the need to define when a radiation dose is or is not one of "public health concern." This list represents only a small subset of the list of challenges being identified by public health agencies that responded to the Fukushima incident. However, these three challenges are fundamental to any radiological emergency response. Addressing them will have a significant positive impact on how the U.S. responds to the next radiological emergency.

  1. Identifying and Prioritizing Information Needs and Research Priorities of Public Health Emergency Preparedness and Response Practitioners.

    Science.gov (United States)

    Siegfried, Alexa L; Carbone, Eric G; Meit, Michael B; Kennedy, Mallory J; Yusuf, Hussain; Kahn, Emily B

    2017-10-01

    This study describes findings from an assessment conducted to identify perceived knowledge gaps, information needs, and research priorities among state, territorial, and local public health preparedness directors and coordinators related to public health emergency preparedness and response (PHPR). The goal of the study was to gather information that would be useful for ensuring that future funding for research and evaluation targets areas most critical for advancing public health practice. We implemented a mixed-methods approach to identify and prioritize PHPR research questions. A web survey was sent to all state, city, and territorial health agencies funded through the Public Health Emergency Preparedness (PHEP) Cooperative Agreement program and a sample of local health departments (LHDs). Three focus groups of state and local practitioners and subject matter experts from the Centers for Disease Control and Prevention (CDC) were subsequently conducted, followed by 3 meetings of an expert panel of PHPR practitioners and CDC experts to prioritize and refine the research questions. We identified a final list of 44 research questions that were deemed by study participants as priority topics where future research can inform PHPR programs and practice. We identified differences in perceived research priorities between PHEP awardees and LHD survey respondents; the number of research questions rated as important was greater among LHDs than among PHEP awardees (75%, n=33, compared to 24%, n=15). The research questions identified provide insight into public health practitioners' perceived knowledge gaps and the types of information that would be most useful for informing and advancing PHPR practice. The study also points to a higher level of information need among LHDs than among PHEP awardees. These findings are important for CDC and the PHPR research community to ensure that future research studies are responsive to practitioners' needs and provide the information

  2. Survived so what? Identifying priorities for research with children and families post-paediatric intensive care unit.

    Science.gov (United States)

    Manning, Joseph C; Hemingway, Pippa; Redsell, Sarah A

    2018-03-01

    The involvement of patients and the public in the development, implementation and evaluation of health care services and research is recognized to have tangible benefits in relation to effectiveness and credibility. However, despite >96% of children and young people surviving critical illness or injury, there is a paucity of published reports demonstrating their contribution to informing the priorities for aftercare services and outcomes research. We aimed to identify the service and research priorities for Paediatric Intensive Care Unit survivors with children and young people, their families and other stakeholders. We conducted a face-to-face, multiple-stakeholder consultation event, held in the Midlands (UK), to provide opportunities for experiences, views and priorities to be elicited. Data were gathered using write/draw and tell and focus group approaches. An inductive content analytical approach was used to categorize and conceptualize feedback. A total of 26 individuals attended the consultation exercise, including children and young people who were critical care survivors; their siblings; parents and carers; health professionals; academics; commissioners; and service managers. Consultation findings indicated that future services, interventions and research must be holistic and family-centred. Children and young people advisors reported priorities that focused on longer-term outcomes, whereas adult advisors identified priorities that mapped against the pathways of care. Specific priorities included developing and testing interventions that address unmet communication and information needs. Furthermore, initiatives to optimize the lives and longer-term functional and psycho-social outcomes of Paediatric Intensive Care Unit survivors were identified. This consultation exercise provides further evidence of the value of meaningful patient and public involvement in identifying the priorities for research and services for Paediatric Intensive Care Unit survivors

  3. Improving credibility and transparency of conservation impact evaluations through the partial identification approach.

    Science.gov (United States)

    McConnachie, Matthew M; Romero, Claudia; Ferraro, Paul J; van Wilgen, Brian W

    2016-04-01

    The fundamental challenge of evaluating the impact of conservation interventions is that researchers must estimate the difference between the outcome after an intervention occurred and what the outcome would have been without it (counterfactual). Because the counterfactual is unobservable, researchers must make an untestable assumption that some units (e.g., organisms or sites) that were not exposed to the intervention can be used as a surrogate for the counterfactual (control). The conventional approach is to make a point estimate (i.e., single number along with a confidence interval) of impact, using, for example, regression. Point estimates provide powerful conclusions, but in nonexperimental contexts they depend on strong assumptions about the counterfactual that often lack transparency and credibility. An alternative approach, called partial identification (PI), is to first estimate what the counterfactual bounds would be if the weakest possible assumptions were made. Then, one narrows the bounds by using stronger but credible assumptions based on an understanding of why units were selected for the intervention and how they might respond to it. We applied this approach and compared it with conventional approaches by estimating the impact of a conservation program that removed invasive trees in part of the Cape Floristic Region. Even when we used our largest PI impact estimate, the program's control costs were 1.4 times higher than previously estimated. PI holds promise for applications in conservation science because it encourages researchers to better understand and account for treatment selection biases; can offer insights into the plausibility of conventional point-estimate approaches; could reduce the problem of advocacy in science; might be easier for stakeholders to agree on a bounded estimate than a point estimate where impacts are contentious; and requires only basic arithmetic skills. © 2015 Society for Conservation Biology.

  4. [Health information on the Internet: Who is searching for what, when and how?].

    Science.gov (United States)

    Zschorlich, Beate; Gechter, Dorothea; Janßen, Inger M; Swinehart, Thomas; Wiegard, Beate; Koch, Klaus

    2015-01-01

    The Institute for Quality and Efficiency in Health Care (IQWiG, Germany) has a statutory mandate to provide patients and their family members as well as the wider public with evidence-based health information (www.informedhealthonline.org). Since 2006 IQWiG has maintained the publicly available website gesundheitsinformation.de. Currently, about 80 million people live in Germany, and the majority of them have internet access. The goal of this project was to evaluate published studies examining health information seeking behaviour (who, when and how) on the internet. A systematic search was conducted in several databases (PubMed, MEDLINE [Ovid)], PsycInfo [Ovid] und CINAHL [Ebsco]) for studies on internet searches for health information. No study type restrictions were imposed. Data were extracted from the relevant studies, and then discussed in the project group and summarised qualitatively. Of the 1,150 abstracts identified, 169 publications were analysed in full. 74 studies were included, most of which were surveys (n=59). The data were extracted from these studies and then summarised qualitatively to obtain an overview of the current state of research in this field. The results suggest that the group most often searching for health-related information on the internet - either on their own behalf or on behalf of others - consists of middle-aged women with a higher level of education and income. The most common reason for initiating a search for health information is a visit to the doctor, and the most common starting point is a search engine. Page layout and user-friendliness are the main criteria for assessing the credibility of websites and the information they provide. Users are more likely to trust information that is consistent with their own experiences and opinions. There is a growing trend of using the internet as a source for health information. It seems that trust in the credibility of a given website or information mostly depends on factors that are

  5. The current and potential health benefits of the National Health Service Health Check cardiovascular disease prevention programme in England: A microsimulation study.

    Science.gov (United States)

    Mytton, Oliver T; Jackson, Christopher; Steinacher, Arno; Goodman, Anna; Langenberg, Claudia; Griffin, Simon; Wareham, Nick; Woodcock, James

    2018-03-01

    The National Health Service (NHS) Health Check programme was introduced in 2009 in England to systematically assess all adults in midlife for cardiovascular disease risk factors. However, its current benefit and impact on health inequalities are unknown. It is also unclear whether feasible changes in how it is delivered could result in increased benefits. It is one of the first such programmes in the world. We sought to estimate the health benefits and effect on inequalities of the current NHS Health Check programme and the impact of making feasible changes to its implementation. We developed a microsimulation model to estimate the health benefits (incident ischaemic heart disease, stroke, dementia, and lung cancer) of the NHS Health Check programme in England. We simulated a population of adults in England aged 40-45 years and followed until age 100 years, using data from the Health Survey of England (2009-2012) and the English Longitudinal Study of Aging (1998-2012), to simulate changes in risk factors for simulated individuals over time. We used recent programme data to describe uptake of NHS Health Checks and of 4 associated interventions (statin medication, antihypertensive medication, smoking cessation, and weight management). Estimates of treatment efficacy and adherence were based on trial data. We estimated the benefits of the current NHS Health Check programme compared to a healthcare system without systematic health checks. This counterfactual scenario models the detection and treatment of risk factors that occur within 'routine' primary care. We also explored the impact of making feasible changes to implementation of the programme concerning eligibility, uptake of NHS Health Checks, and uptake of treatments offered through the programme. We estimate that the NHS Health Check programme prevents 390 (95% credible interval 290 to 500) premature deaths before 80 years of age and results in an additional 1,370 (95% credible interval 1,100 to 1,690) people

  6. The role of CEDR in worker health protection

    International Nuclear Information System (INIS)

    Brooks, B.G.

    1992-01-01

    'Full Text:' The development of the Comprehensive Epidemiologic Data Resource (CEDR) is one of the major elements in the Secretary of Energy's initiatives to establish a credible state-of-the-art epidemiologic and health surveillance program in the Department of Energy (DOE). The aim of this program is to identify human health effects that may be associated with energy production and technology. The CEDR program being undertaken by the Department of Energy (DOE) will be the focus for organizing, integrating, and disseminating data from the DOE's epidemiologic activities. The CEDR information system will facilitate the acquisition, storage, access, and analysis of data collected from past and ongoing research, as well as from future activities. It is anticipated that substantial use of CEDR will be made by DOE staff, scientists at national labs, persons with university affiliations and public interest groups. The paper will describe with university affiliations and public interest groups. The paper will describe the structure of the CEDR information system, the types of data being incorporated, the accessibility of the data and the uses being made of the data. (author)

  7. MARKETING COMMUNICATION IN ONLINE SOCIAL PROGRAMS: OHANIAN MODEL OF SOURCE CREDIBILITY

    Directory of Open Access Journals (Sweden)

    Serban Corina

    2010-07-01

    Full Text Available The development of the Internet as a medium for interaction with customers has resulted in many changes regarding the promotion of organizations. Online marketing is nowadays used not only to sell a product on the market, but also requires ideas and behavioral change. Non-profit organizations active in online communication are based on the quality of their provided information. Crediblity, attractiveness and usefullness are the key elements that provide effective online social programs. This paper aims to extend the scope of research in the field of social marketing by studying the Ohanian model in the online environment. The goal is to highlight the important theories and social models intrinsic to the online non-profit organizations’ communication. The results show that the efficiency of social programs depends on the level of incorporated elements of social theories in the design, content and structure of the website.

  8. Famous North American wolves and the credibility of early wildlife literature

    Science.gov (United States)

    Gipson, P.S.; Ballard, W.B.; Nowak, R.M.

    1999-01-01

    We evaluated the credibility of early literature about famous North American wolves (Canis lupus). Many famous wolves were reported to be older than they actually were, and we estimated they did not live long enough to have caused purported damage to livestock and game animals. Wolf kill rates on free-ranging livestock appeared to be inflated compared to recently published kill rates on native ungulates and livestock. Surplus killing of sheep and goats may have accounted for some high kill rates, but surplus killing of free-ranging longhorn cattle probably did not occur. Some famous wolves may actually have been dogs (C. familiaris), wolf-dog hybrids, or possibly coyote (C. latrans)-dog hybrids. We documented instances where early authors appeared to embellish or fabricate information about famous wolves. Caution should be exercised when using early literature about wolves as a basis for wolf management decisions.

  9. Rejoinder to commentary on Palmatier and Rovner (2015): credibility assessment: Preliminary Process Theory, the polygraph process, and construct validity.

    Science.gov (United States)

    Palmatier, John J; Rovner, Louis

    2015-01-01

    We briefly review comments submitted in response to the target article in this series (Palmatier & Rovner, 2015) arguing that a scientifically defensible construct for the instrumental assessment of credibility (i.e. polygraph) may be found in Barry's Preliminary Process Theory (PPT). Our review of the relevant scientific literature discovered a growing body of converging evidence, particularly from the neurosciences that focus not only on deception, but more broadly on memory, emotion, and the orienting response (OR), leading to this conclusion. After reviewing the submitted comments, we are further convinced, especially as applied scientists, that at this time the most viable direction forward is in the context of the PPT. Concurrently, we candidly acknowledge that research must be conducted to address not only commentator concerns but, if warranted, modification of existing theory. Although disagreement continues to exist regarding the order in which questions are asked, the most significant finding, is perhaps that not a single commentator argues against this growing, and vital applied science (i.e., the instrumental assessment of credibility - polygraph). Copyright © 2014 Elsevier B.V. All rights reserved.

  10. Interviewee Perceptions of Employment Screening Interviews: Relationships among Perceptions of Communication Satisfaction, Interviewer Credibility and Trust, Interviewing Experience, and Interview Outcomes.

    Science.gov (United States)

    Jablin, Fredric M.; And Others

    A study examined employment screening interviews to determine the relationships between an interviewee's perceptions of interview communication satisfaction, interviewer credibility and trust, previous interviewing experiences, and a number of interview outcomes, including expectation of a second interview. Data were collected from 69 students…

  11. Framework for Selecting Best Practices in Public Health: A Systematic Literature Review.

    Science.gov (United States)

    Ng, Eileen; de Colombani, Pierpaolo

    2015-11-17

    Evidence-based public health has commonly relied on findings from empirical studies, or research-based evidence. However, this paper advocates that practice-based evidence derived from programmes implemented in real-life settings is likely to be a more suitable source of evidence for inspiring and guiding public health programmes. Selection of best practices from the array of implemented programmes is one way of generating such practice-based evidence. Yet the lack of consensus on the definition and criteria for practice-based evidence and best practices has limited their application in public health so far. To address the gap in literature on practice-based evidence, this paper hence proposes measures of success for public health interventions by developing an evaluation framework for selection of best practices. The proposed framework was synthesised from a systematic literature review of peer-reviewed and grey literature on existing evaluation frameworks for public health programmes as well as processes employed by health-related organisations when selecting best practices. A best practice is firstly defined as an intervention that has shown evidence of effectiveness in a particular setting and is likely to be replicable to other situations. Regardless of the area of public health, interventions should be evaluated by their context, process and outcomes. A best practice should hence meet most, if not all, of eight identified evaluation criteria: relevance, community participation, stakeholder collaboration, ethical soundness, replicability, effectiveness, efficiency and sustainability. Ultimately, a standardised framework for selection of best practices will improve the usefulness and credibility of practice-based evidence in informing evidence-based public health interventions. Significance for public healthBest practices are a valuable source of practice-based evidence on effective public health interventions implemented in real-life settings. Yet, despite the

  12. Learning to Promote Health at an Emergency Care Department: Identifying Expansive and Restrictive Conditions

    Science.gov (United States)

    Gustavsson, Maria; Ekberg, Kerstin

    2015-01-01

    This article reports on the findings of a planned workplace health promotion intervention, and the aim is to identify conditions that facilitated or restricted the learning to promote health at an emergency care department in a Swedish hospital. The study had a longitudinal design, with interviews before and after the intervention and follow-up…

  13. Identifying Health Beliefs Influencing Hispanic College Men's Willingness to Vaccinate against HPV

    Science.gov (United States)

    Stephens, Dionne P.; Thomas, Tami L.; Eaton, Asia

    2016-01-01

    This study identifies health beliefs influencing Hispanic college men's human papillomavirus (HPV) vaccine uptake decision making processes. Hispanic college men were interviewed about their HPV vaccine knowledge, and information seeking behaviors. Overall, participants did not view HPV infection or vaccination as an immediate concern or priority;…

  14. Interventions to assist health consumers to find reliable online health information: a comprehensive review.

    Directory of Open Access Journals (Sweden)

    Kenneth Lee

    Full Text Available BACKGROUND: Health information on the Internet is ubiquitous, and its use by health consumers prevalent. Finding and understanding relevant online health information, and determining content reliability, pose real challenges for many health consumers. PURPOSE: To identify the types of interventions that have been implemented to assist health consumers to find reliable online health information, and where possible, describe and compare the types of outcomes studied. DATA SOURCES: PubMed, PsycINFO, CINAHL Plus and Cochrane Library databases; WorldCat and Scirus 'gray literature' search engines; and manual review of reference lists of selected publications. STUDY SELECTION: Publications were selected by firstly screening title, abstract, and then full text. DATA EXTRACTION: Seven publications met the inclusion criteria, and were summarized in a data extraction form. The form incorporated the PICOS (Population Intervention Comparators Outcomes and Study Design Model. Two eligible gray literature papers were also reported. DATA SYNTHESIS: Relevant data from included studies were tabulated to enable descriptive comparison. A brief critique of each study was included in the tables. This review was unable to follow systematic review methods due to the paucity of research and humanistic interventions reported. LIMITATIONS: While extensive, the gray literature search may have had limited reach in some countries. The paucity of research on this topic limits conclusions that may be drawn. CONCLUSIONS: The few eligible studies predominantly adopted a didactic approach to assisting health consumers, whereby consumers were either taught how to find credible websites, or how to use the Internet. Common types of outcomes studied include knowledge and skills pertaining to Internet use and searching for reliable health information. These outcomes were predominantly self-assessed by participants. There is potential for further research to explore other avenues for

  15. Interventions to assist health consumers to find reliable online health information: a comprehensive review.

    Science.gov (United States)

    Lee, Kenneth; Hoti, Kreshnik; Hughes, Jeffery D; Emmerton, Lynne M

    2014-01-01

    Health information on the Internet is ubiquitous, and its use by health consumers prevalent. Finding and understanding relevant online health information, and determining content reliability, pose real challenges for many health consumers. To identify the types of interventions that have been implemented to assist health consumers to find reliable online health information, and where possible, describe and compare the types of outcomes studied. PubMed, PsycINFO, CINAHL Plus and Cochrane Library databases; WorldCat and Scirus 'gray literature' search engines; and manual review of reference lists of selected publications. Publications were selected by firstly screening title, abstract, and then full text. Seven publications met the inclusion criteria, and were summarized in a data extraction form. The form incorporated the PICOS (Population Intervention Comparators Outcomes and Study Design) Model. Two eligible gray literature papers were also reported. Relevant data from included studies were tabulated to enable descriptive comparison. A brief critique of each study was included in the tables. This review was unable to follow systematic review methods due to the paucity of research and humanistic interventions reported. While extensive, the gray literature search may have had limited reach in some countries. The paucity of research on this topic limits conclusions that may be drawn. The few eligible studies predominantly adopted a didactic approach to assisting health consumers, whereby consumers were either taught how to find credible websites, or how to use the Internet. Common types of outcomes studied include knowledge and skills pertaining to Internet use and searching for reliable health information. These outcomes were predominantly self-assessed by participants. There is potential for further research to explore other avenues for assisting health consumers to find reliable online health information, and to assess outcomes via objective measures.

  16. Investigation of gamma-ray fingerprint identifying mechanism for the types of radiation sources

    CERN Document Server

    Liu Su Ping; Gu Dang Chang; Gong-Jian; Hao Fan Hua; Hu Guang Chun

    2002-01-01

    Radiation fingerprints sometimes can be used to label and identify the radiation resources. For instance, in a future nuclear reduction treaty that requires verification of irreversible dismantling of reduced nuclear warheads, the radiation fingerprints of nuclear warheads are expected to play a key role in labelling and identifying the reduced warheads. It would promote the development of nuclear warheads deep-cuts verification technologies if authors start right now some investigations on the issues related to the radiation fingerprints. The author dedicated to the investigation of gamma-ray fingerprint identifying mechanism for the types of radiation resources. The purpose of the identifying mechanism investigation is to find a credible way to tell whether any two gamma-ray spectral fingerprints that are under comparison are radiated from the same resource. The authors created the spectrum pattern comparison (SPC) to study the comparability of the two radiation fingerprints. Guided by the principle of SPC,...

  17. Vaginal health and hygiene practices and product use in Canada: a national cross-sectional survey.

    Science.gov (United States)

    Crann, Sara E; Cunningham, Shannon; Albert, Arianne; Money, Deborah M; O'Doherty, Kieran C

    2018-03-23

    The vaginal microbiome influences quality of life and health. The composition of vaginal microbiota can be affected by various health behaviors, such as vaginal douching. The purpose of this study was to examine the types and prevalence of diverse vaginal/genital health and hygiene behaviors among participants living in Canada and to examine associations between behavioral practices and adverse gynecological health conditions. An anonymous online survey, available in English and French, was distributed across Canada. The sample consisted of 1435 respondents, 18 years or older, living in Canada. Respondents reported engaging in diverse vaginal/genital health and hygiene behavioral practices, including the use of commercially manufactured products and homemade and naturopathic products and practices. Over 95% of respondents reported using at least one product in or around the vaginal area. Common products and practices included vaginal/genital moisturizers, anti-itch creams, feminine wipes, washes, suppositories, sprays, powders, and waxing and shaving pubic hair. The majority of the sample (80%) reported experiencing one or more adverse vaginal/genital symptom in their lifetime. Participants who had used any vaginal/genital product(s) had approximately three times higher odds of reporting an adverse health condition. Several notable associations between specific vaginal/genital health and hygiene products and adverse health conditions were identified. This study is the first of its kind to identify the range and prevalence of vaginal/genital health and hygiene behaviors in Canada. Despite a lack of credible information about the impact of these behaviors on women's health, the use of commercially manufactured and homemade products for vaginal/genital health and hygiene is common. Future research can extend the current exploratory study by identifying causal relationships between vaginal/genital health and hygiene behaviors and changes to the vaginal microbiome.

  18. Climate Feedback: Bringing the Scientific Community to Provide Direct Feedback on the Credibility of Climate Media Coverage

    Science.gov (United States)

    Vincent, E. M.; Matlock, T.; Westerling, A. L.

    2015-12-01

    While most scientists recognize climate change as a major societal and environmental issue, social and political will to tackle the problem is still lacking. One of the biggest obstacles is inaccurate reporting or even outright misinformation in climate change coverage that result in the confusion of the general public on the issue.In today's era of instant access to information, what we read online usually falls outside our field of expertise and it is a real challenge to evaluate what is credible. The emerging technology of web annotation could be a game changer as it allows knowledgeable individuals to attach notes to any piece of text of a webpage and to share them with readers who will be able to see the annotations in-context -like comments on a pdf.Here we present the Climate Feedback initiative that is bringing together a community of climate scientists who collectively evaluate the scientific accuracy of influential climate change media coverage. Scientists annotate articles sentence by sentence and assess whether they are consistent with scientific knowledge allowing readers to see where and why the coverage is -or is not- based on science. Scientists also summarize the essence of their critical commentary in the form of a simple article-level overall credibility rating that quickly informs readers about the credibility of the entire piece.Web-annotation allows readers to 'hear' directly from the experts and to sense the consensus in a personal way as one can literaly see how many scientists agree with a given statement. It also allows a broad population of scientists to interact with the media, notably early career scientists.In this talk, we will present results on the impacts annotations have on readers -regarding their evaluation of the trustworthiness of the information they read- and on journalists -regarding their reception of scientists comments.Several dozen scientists have contributed to this effort to date and the system offers potential to

  19. Credibility and Accountability in Academic Discourse: Increasing the Awareness of Ghanaian Graduate Students

    Directory of Open Access Journals (Sweden)

    Adika Gordon S. K.

    2015-08-01

    Full Text Available Drawing from a social constructionist perspective to written scholarly communication, this paper argues that training in academic writing for students in higher education especially in second language contexts should go beyond emphasis on grammatical correctness and paragraphing strategies, and also focus on the rhetorical character of academic discourse together with the mastery of its communicative protocols. Using the University of Ghana as a reference point, the paper reviews a selection of Ghanaian graduate students’ awareness of the protocols that govern academic discourses in scholarly writing, and in consideration of their unique educational and socio-cultural circumstances, the paper proposes strategies, from the pedagogical and institutional standpoints, aimed at increasing students’ awareness of the relevant communicative practices that engender credibility and accountability.

  20. Psychosocial Clusters and their Associations with Well-Being and Health: An Empirical Strategy for Identifying Psychosocial Predictors Most Relevant to Racially/Ethnically Diverse Women’s Health

    Science.gov (United States)

    Jabson, Jennifer M.; Bowen, Deborah; Weinberg, Janice; Kroenke, Candyce; Luo, Juhua; Messina, Catherine; Shumaker, Sally; Tindle, Hilary A.

    2016-01-01

    BACKGROUND Strategies for identifying the most relevant psychosocial predictors in studies of racial/ethnic minority women’s health are limited because they largely exclude cultural influences and they assume that psychosocial predictors are independent. This paper proposes and tests an empirical solution. METHODS Hierarchical cluster analysis, conducted with data from 140,652 Women’s Health Initiative participants, identified clusters among individual psychosocial predictors. Multivariable analyses tested associations between clusters and health outcomes. RESULTS A Social Cluster and a Stress Cluster were identified. The Social Cluster was positively associated with well-being and inversely associated with chronic disease index, and the Stress Cluster was inversely associated with well-being and positively associated with chronic disease index. As hypothesized, the magnitude of association between clusters and outcomes differed by race/ethnicity. CONCLUSIONS By identifying psychosocial clusters and their associations with health, we have taken an important step toward understanding how individual psychosocial predictors interrelate and how empirically formed Stress and Social clusters relate to health outcomes. This study has also demonstrated important insight about differences in associations between these psychosocial clusters and health among racial/ethnic minorities. These differences could signal the best pathways for intervention modification and tailoring. PMID:27279761

  1. The role of surgeons in identifying emerging technologies for health technology assessment.

    Science.gov (United States)

    Stafinski, Tania; Topfer, Leigh-Ann; Zakariasen, Ken; Menon, Devidas

    2010-04-01

    Health technology assessment (HTA) is a tool intended to help policy-makers decide which technologies to fund. However, given the proliferation of new technologies, it is not possible to undertake an HTA of each one before it becomes funded. Consequently, "horizon-scanning" processes have been developed to identify emerging technologies that are likely to have a substantial impact on clinical practice. Although the importance of physicians in the adoption of new technologies is well recognized, their role in horizon scanning in Canada has been limited. The purpose of this project was to pilot an approach to engage physicians, specifically surgeons, in provincial horizon-scanning activities. We invited 18 surgeons from Alberta's 2 medical schools to a horizon-scanning workshop to solicit their views on emerging technologies expected to impact surgical practice within the next 5 years and/or the importance of different attributes or characteristics of new technologies. Surgeons, regardless of specialty, identified developments designed to enhance existing minimally invasive surgical techniques, such as endoscopic, robotic and image-guided surgery. Several nonsurgical areas, including molecular genetics and nano technology, were also identified. Of the 13 technology attributes discussed, safety or risk, effectiveness and feasibility were rated as most important. Lastly, participating surgeons expressed an interest in becoming further involved in local HTA initiatives. Surgeons, as adopters and users of health technologies, represent an important and accessible information source for identifying emerging technologies for HTA. A more formal, ongoing relationship between the government, HTA and surgeons may help to optimize the use of HTA resources.

  2. Identifying Health Consumers' eHealth Literacy to Decrease Disparities in Accessing eHealth Information.

    Science.gov (United States)

    Park, Hyejin; Cormier, Eileen; Gordon, Glenna; Baeg, Jung Hoon

    2016-02-01

    The increasing amount of health information available on the Internet highlights the importance of eHealth literacy skills for health consumers. Low eHealth literacy results in disparities in health consumers' ability to access and use eHealth information. The purpose of this study was to assess the perceived eHealth literacy of a general health consumer population so that healthcare professionals can effectively address skills gaps in health consumers' ability to access and use high-quality online health information. Participants were recruited from three public library branches in a Northeast Florida community. The eHealth Literacy Scale was used. The majority of participants (n = 108) reported they knew how and where to find health information and how to use it to make health decisions; knowledge of what health resources were available and confidence in the ability to distinguish high- from low-quality information were considerably less. The findings suggest the need for eHealth education and support to health consumers from healthcare professionals, in particular, how to access and evaluate the quality of health information.

  3. Identifying best-fitting inputs in health-economic model calibration: a Pareto frontier approach.

    Science.gov (United States)

    Enns, Eva A; Cipriano, Lauren E; Simons, Cyrena T; Kong, Chung Yin

    2015-02-01

    To identify best-fitting input sets using model calibration, individual calibration target fits are often combined into a single goodness-of-fit (GOF) measure using a set of weights. Decisions in the calibration process, such as which weights to use, influence which sets of model inputs are identified as best-fitting, potentially leading to different health economic conclusions. We present an alternative approach to identifying best-fitting input sets based on the concept of Pareto-optimality. A set of model inputs is on the Pareto frontier if no other input set simultaneously fits all calibration targets as well or better. We demonstrate the Pareto frontier approach in the calibration of 2 models: a simple, illustrative Markov model and a previously published cost-effectiveness model of transcatheter aortic valve replacement (TAVR). For each model, we compare the input sets on the Pareto frontier to an equal number of best-fitting input sets according to 2 possible weighted-sum GOF scoring systems, and we compare the health economic conclusions arising from these different definitions of best-fitting. For the simple model, outcomes evaluated over the best-fitting input sets according to the 2 weighted-sum GOF schemes were virtually nonoverlapping on the cost-effectiveness plane and resulted in very different incremental cost-effectiveness ratios ($79,300 [95% CI 72,500-87,600] v. $139,700 [95% CI 79,900-182,800] per quality-adjusted life-year [QALY] gained). Input sets on the Pareto frontier spanned both regions ($79,000 [95% CI 64,900-156,200] per QALY gained). The TAVR model yielded similar results. Choices in generating a summary GOF score may result in different health economic conclusions. The Pareto frontier approach eliminates the need to make these choices by using an intuitive and transparent notion of optimality as the basis for identifying best-fitting input sets. © The Author(s) 2014.

  4. Using Evidence Credibility Decay Model for dependence assessment in human reliability analysis

    International Nuclear Information System (INIS)

    Guo, Xingfeng; Zhou, Yanhui; Qian, Jin; Deng, Yong

    2017-01-01

    Highlights: • A new computational model is proposed for dependence assessment in HRA. • We combined three factors of “CT”, “TR” and “SP” within Dempster–Shafer theory. • The BBA of “SP” is reconstructed by discounting rate based on the ECDM. • Simulation experiments are illustrated to show the efficiency of the proposed method. - Abstract: Dependence assessment among human errors plays an important role in human reliability analysis. When dependence between two sequent tasks exists in human reliability analysis, if the preceding task fails, the failure probability of the following task is higher than success. Typically, three major factors are considered: “Closeness in Time” (CT), “Task Relatedness” (TR) and “Similarity of Performers” (SP). Assume TR is not changed, both SP and CT influence the degree of dependence level and SP is discounted by the time as the result of combine two factors in this paper. In this paper, a new computational model is proposed based on the Dempster–Shafer Evidence Theory (DSET) and Evidence Credibility Decay Model (ECDM) to assess the dependence between tasks in human reliability analysis. First, the influenced factors among human tasks are identified and the basic belief assignments (BBAs) of each factor are constructed based on expert evaluation. Then, the BBA of SP is discounted as the result of combining two factors and reconstructed by using the ECDM, the factors are integrated into a fused BBA. Finally, the dependence level is calculated based on fused BBA. Experimental results demonstrate that the proposed model not only quantitatively describe the fact that the input factors influence the dependence level, but also exactly show how the dependence level regular changes with different situations of input factors.

  5. Strategic questions for consumer-based health communications.

    Science.gov (United States)

    Sutton, S M; Balch, G I; Lefebvre, R C

    1995-01-01

    Using the consumer-oriented approach of social and commercial marketers, this article presents a process for crafting messages designed to improve people's health behaviors. The process, termed consumer-based health communications (CHC), transforms scientific recommendations into message strategies that are relevant to the consumer. The core of CHC is consumer research conducted to understand the consumer's reality, and thereby allowing six strategic questions to be answered. The immediate result of the CHC process is a strategy statement--a few pages that lay out who the target consumer is, what action should be taken, what to promise and how to make the promise credible, how and when to reach him or her, and what image to convey. The strategy statement then guides the execution of all communication efforts, be they public relations, mass media, direct marketing, media advocacy, or interpersonal influence. It identifies the most important "levers" for contact with the consumer. Everyone from creative specialists through management and program personnel can use the strategy statement as a touchstone to guide and judge the effectiveness of their efforts. The article provides a step by step illustration of the CHC process using the 5 A Day campaign as an example.

  6. Why Do Students Use Mobile Technology for Social Purposes during Class? Modeling Teacher Credibility, Learner Empowerment, and Online Communication Attitude as Predictors

    Science.gov (United States)

    Ledbetter, Andrew M.; Finn, Amber N.

    2016-01-01

    Following research indicating prevalent and deleterious use of social communication technology in college classrooms, this study investigated teacher credibility, learner empowerment, and online communication attitude as predictors of such use. The sample included 379 participants who completed an online survey about a college course. Results…

  7. Implementation of eMental Health care: viewpoints from key informants from organizations and agencies with eHealth mandates.

    Science.gov (United States)

    Wozney, Lori; Newton, Amanda S; Gehring, Nicole D; Bennett, Kathryn; Huguet, Anna; Hartling, Lisa; Dyson, Michele P; McGrath, Patrick

    2017-06-02

    The use of technology such as computers, tablets, and smartphones to improve access to and the delivery of mental health care (eMental Health care) is growing worldwide. However, despite the rapidly expanding evidence base demonstrating the efficacy of eMental Health care, its implementation in clinical practice and health care systems remains fragmented. To date, no peer-reviewed, key-informant studies have reported on the perspectives of decision-makers concerned with whether and how to implement eMental Health care. From September to November 2015, we conducted 31 interviews with key informants responsible for leadership, policy, research, and/ or information technology in organizations influential in the adoption of technology for eMental Health care. Deductive and inductive thematic analyses of transcripts were conducted using the Behavior Change Wheel as an organizing framework. Frequency and intensity effect sizes were calculated for emerging themes to further explore patterns within the data. Key informant responses (n = 31) representing 6 developed countries and multiple organizations showed consensus on common factors impacting implementation: individual and organizational capacities (e.g., computer literacy skills [patients and providers], knowledge gaps about cyber security, limited knowledge of available services); motivational drivers of technology-based care (e.g., extending care, data analytics); and opportunities for health systems to advance eMental Health care implementation (e.g., intersectoral research, rapid testing cycles, sustainable funding). Frequency effect sizes showed strong associations between implementation and credibility, knowledge, workflow, patient empowerment, electronic medical record (EMR) integration, sustained funding and intersectoral networks. Intensity effect sizes showed the highest concentration of statements (>10% of all comments) related to funding, credibility, knowledge gaps, and patient empowerment. This study

  8. Information resources for assessing health effects from chemical exposure: Challenges, priorities, and future issues

    Energy Technology Data Exchange (ETDEWEB)

    Seigel, S. [National Library of Medicine, Bethesda, MD (United States)

    1990-12-31

    Issues related to developing information resources for assessing the health effects from chemical exposure include the question of how to address the individual political issues relevant to identifying and determining the timeliness, scientific credibility, and completeness of such kinds of information resources. One of the important ways for agencies to share information is through connection tables. This type of software is presently being used to build information products for some DHHS agencies. One of the challenges will be to convince vendors of data of the importance of trying to make data files available to communities that need them. In the future, information processing will be conducted with neural networks, object-oriented database management systems, and fuzzy-set technologies, and meta analysis techniques.

  9. Genetic variants associated with subjective well-being, depressive symptoms and neuroticism identified through genome-wide analyses

    Science.gov (United States)

    Derringer, Jaime; Gratten, Jacob; Lee, James J; Liu, Jimmy Z; de Vlaming, Ronald; Ahluwalia, Tarunveer S; Buchwald, Jadwiga; Cavadino, Alana; Frazier-Wood, Alexis C; Davies, Gail; Furlotte, Nicholas A; Garfield, Victoria; Geisel, Marie Henrike; Gonzalez, Juan R; Haitjema, Saskia; Karlsson, Robert; van der Laan, Sander W; Ladwig, Karl-Heinz; Lahti, Jari; van der Lee, Sven J; Miller, Michael B; Lind, Penelope A; Liu, Tian; Matteson, Lindsay; Mihailov, Evelin; Minica, Camelia C; Nolte, Ilja M; Mook-Kanamori, Dennis O; van der Most, Peter J; Oldmeadow, Christopher; Qian, Yong; Raitakari, Olli; Rawal, Rajesh; Realo, Anu; Rueedi, Rico; Schmidt, Börge; Smith, Albert V; Stergiakouli, Evie; Tanaka, Toshiko; Taylor, Kent; Thorleifsson, Gudmar; Wedenoja, Juho; Wellmann, Juergen; Westra, Harm-Jan; Willems, Sara M; Zhao, Wei; Amin, Najaf; Bakshi, Andrew; Bergmann, Sven; Bjornsdottir, Gyda; Boyle, Patricia A; Cherney, Samantha; Cox, Simon R; Davis, Oliver S P; Ding, Jun; Direk, Nese; Eibich, Peter; Emeny, Rebecca T; Fatemifar, Ghazaleh; Faul, Jessica D; Ferrucci, Luigi; Forstner, Andreas J; Gieger, Christian; Gupta, Richa; Harris, Tamara B; Harris, Juliette M; Holliday, Elizabeth G; Hottenga, Jouke-Jan; De Jager, Philip L; Kaakinen, Marika A; Kajantie, Eero; Karhunen, Ville; Kolcic, Ivana; Kumari, Meena; Launer, Lenore J; Franke, Lude; Li-Gao, Ruifang; Liewald, David C; Koini, Marisa; Loukola, Anu; Marques-Vidal, Pedro; Montgomery, Grant W; Mosing, Miriam A; Paternoster, Lavinia; Pattie, Alison; Petrovic, Katja E; Pulkki-Råback, Laura; Quaye, Lydia; Räikkönen, Katri; Rudan, Igor; Scott, Rodney J; Smith, Jennifer A; Sutin, Angelina R; Trzaskowski, Maciej; Vinkhuyzen, Anna E; Yu, Lei; Zabaneh, Delilah; Attia, John R; Bennett, David A; Berger, Klaus; Bertram, Lars; Boomsma, Dorret I; Snieder, Harold; Chang, Shun-Chiao; Cucca, Francesco; Deary, Ian J; van Duijn, Cornelia M; Eriksson, Johan G; Bültmann, Ute; de Geus, Eco J C; Groenen, Patrick J F; Gudnason, Vilmundur; Hansen, Torben; Hartman, Catharine A; Haworth, Claire M A; Hayward, Caroline; Heath, Andrew C; Hinds, David A; Hyppönen, Elina; Iacono, William G; Järvelin, Marjo-Riitta; Jöckel, Karl-Heinz; Kaprio, Jaakko; Kardia, Sharon L R; Keltikangas-Järvinen, Liisa; Kraft, Peter; Kubzansky, Laura D; Lehtimäki, Terho; Magnusson, Patrik K E; Martin, Nicholas G; McGue, Matt; Metspalu, Andres; Mills, Melinda; de Mutsert, Renée; Oldehinkel, Albertine J; Pasterkamp, Gerard; Pedersen, Nancy L; Plomin, Robert; Polasek, Ozren; Power, Christine; Rich, Stephen S; Rosendaal, Frits R; den Ruijter, Hester M; Schlessinger, David; Schmidt, Helena; Svento, Rauli; Schmidt, Reinhold; Alizadeh, Behrooz Z; Sørensen, Thorkild I A; Spector, Tim D; Starr, John M; Stefansson, Kari; Steptoe, Andrew; Terracciano, Antonio; Thorsteinsdottir, Unnur; Thurik, A Roy; Timpson, Nicholas J; Tiemeier, Henning; Uitterlinden, André G; Vollenweider, Peter; Wagner, Gert G; Weir, David R; Yang, Jian; Conley, Dalton C; Smith, George Davey; Hofman, Albert; Johannesson, Magnus; Laibson, David I; Medland, Sarah E; Meyer, Michelle N; Pickrell, Joseph K; Esko, Tõnu; Krueger, Robert F; Beauchamp, Jonathan P; Koellinger, Philipp D; Benjamin, Daniel J; Bartels, Meike; Cesarini, David

    2016-01-01

    We conducted genome-wide association studies of three phenotypes: subjective well-being (N = 298,420), depressive symptoms (N = 161,460), and neuroticism (N = 170,910). We identified three variants associated with subjective well-being, two with depressive symptoms, and eleven with neuroticism, including two inversion polymorphisms. The two depressive symptoms loci replicate in an independent depression sample. Joint analyses that exploit the high genetic correlations between the phenotypes (|ρ^| ≈ 0.8) strengthen the overall credibility of the findings, and allow us to identify additional variants. Across our phenotypes, loci regulating expression in central nervous system and adrenal/pancreas tissues are strongly enriched for association. PMID:27089181

  10. Leveraging Diverse Data Sources to Identify and Describe U.S. Health Care Delivery Systems.

    Science.gov (United States)

    Cohen, Genna R; Jones, David J; Heeringa, Jessica; Barrett, Kirsten; Furukawa, Michael F; Miller, Dan; Mutti, Anne; Reschovsky, James D; Machta, Rachel; Shortell, Stephen M; Fraze, Taressa; Rich, Eugene

    2017-12-15

    Health care delivery systems are a growing presence in the U.S., yet research is hindered by the lack of universally agreed-upon criteria to denote formal systems. A clearer understanding of how to leverage real-world data sources to empirically identify systems is a necessary first step to such policy-relevant research. We draw from our experience in the Agency for Healthcare Research and Quality's Comparative Health System Performance (CHSP) initiative to assess available data sources to identify and describe systems, including system members (for example, hospitals and physicians) and relationships among the members (for example, hospital ownership of physician groups). We highlight five national data sources that either explicitly track system membership or detail system relationships: (1) American Hospital Association annual survey of hospitals; (2) Healthcare Relational Services Databases; (3) SK&A Healthcare Databases; (4) Provider Enrollment, Chain, and Ownership System; and (5) Internal Revenue Service 990 forms. Each data source has strengths and limitations for identifying and describing systems due to their varied content, linkages across data sources, and data collection methods. In addition, although no single national data source provides a complete picture of U.S. systems and their members, the CHSP initiative will create an early model of how such data can be combined to compensate for their individual limitations. Identifying systems in a way that can be repeated over time and linked to a host of other data sources will support analysis of how different types of organizations deliver health care and, ultimately, comparison of their performance.

  11. Identifying and Intervening in Child Maltreatment and Implementing Related National Guidelines by Public Health Nurses in Finland and Japan

    Directory of Open Access Journals (Sweden)

    Kayoko Suzuki

    2017-01-01

    Full Text Available Aim. This study aimed to investigate how public health nurses identify, intervene in, and implement the guidelines on child maltreatment in Finland and Japan and to compare the data between the two countries. Method. This study employed a cross-sectional design. Public health nurses’ knowledge and skills with respect to child maltreatment prevention were assessed using a questionnaire consisting of three categories: identification, intervention, and implementation of guidelines. Public health nurses working in the area of maternal and child health care in Finland (n=193 and Japan (n=440 were the participants. Results. A significantly higher percentage of Japanese public health nurses identified child maltreatment compared to Finnish public health nurses, while Finnish nurses intervened in child maltreatment better than their Japanese counterparts. In both countries, public health nurses who had read and used the guidelines dealt with child maltreatment better than those who did not. Conclusion. The results suggest that effective training on child maltreatment and the use of guidelines are important to increase public health nurses’ knowledge and skills for identifying and intervening in child maltreatment.

  12. Stress and mental health among midlife and older gay-identified men.

    Science.gov (United States)

    Wight, Richard G; LeBlanc, Allen J; de Vries, Brian; Detels, Roger

    2012-03-01

    We investigated associations between stress and mental health (positive affect, depressive symptoms) among HIV-negative and HIV-positive midlife and older gay-identified men, along with the mediating and moderating effects of mastery and emotional support. We also studied the mental health effects of same-sex marriage. We obtained data from self-administered questionnaires completed in 2009 or 2010 by a subsample (n = 202; average age = 56.91 years; age range = 44-75 years) of participants in the University of California, Los Angeles component of the Multicenter AIDS Cohort Study, one of the largest and longest-running natural-history studies of HIV/AIDS in the United States. Both sexual minority stress (perceived gay-related stigma, excessive HIV bereavements) and aging-related stress (independence and fiscal concerns) appeared to have been detrimental to mental health. Sense of mastery partially mediated these associations. Being legally married was significantly protective net of all covariates, including having a domestic partner but not being married. Education, HIV status, and race/ethnicity had no significant effects. Sexual minority and aging-related stress significantly affected the emotional lives of these men. Personal sense of mastery may help to sustain them as they age. We observed specific mental health benefits of same-sex legal marriage.

  13. RA reactor safety analysis I-III, Part III - Environmental effect of the maximum credible accident; Analiza sigurnosti rada Reaktora RA I-III, III deo - Posledica maksimalno moguceg akcidenta na okolinu reaktora

    Energy Technology Data Exchange (ETDEWEB)

    Raisic, N [Institute of Nuclear Sciences Boris Kidric, Vinca, Beograd (Serbia and Montenegro)

    1963-02-15

    The objective of the maximum credible accident analysis was to determine the integral radiation doses in the vicinity of the reactor and in the environment. In case of RA reactor the maximum credible accident, meaning release of the fission products, would be caused by fuel elements meltdown. This analysis includes the following calculation results: activity of the fission products, volatility of the fission products, concentration of radioactive materials in the air, analysis of the accident environmental effects.

  14. Biological, psychological and social processes that explain celebrities' influence on patients' health-related behaviors.

    Science.gov (United States)

    Hoffman, Steven J; Tan, Charlie

    2015-01-01

    Celebrities can have substantial influence as medical advisors. However, their impact on public health is equivocal: depending on the advice's validity and applicability, celebrity engagements can benefit or hinder efforts to educate patients on evidence-based practices and improve their health literacy. This meta-narrative analysis synthesizes multiple disciplinary insights explaining the influence celebrities have on people's health-related behaviors. Systematic searches of electronic databases BusinessSource Complete, Communication & Mass Media Complete, Humanities Abstracts, ProQuest Political Science, PsycINFO, PubMed, and Sociology Abstracts were conducted. Retrieved articles were used to inform a conceptual analysis of the possible processes accounting for the substantial influence celebrities may have as medical advisors. Fourteen mechanisms of celebrity influence were identified. According to the economics literature, celebrities distinguish endorsed items from competitors and can catalyze herd behavior. Marketing studies tell us that celebrities' characteristics are transferred to endorsed products, and that the most successful celebrity advisors are those viewed as credible, a perception they can create with their success. Neuroscience research supports these explanations, finding that celebrity endorsements activate brain regions involved in making positive associations, building trust and encoding memories. The psychology literature tells us that celebrity advice conditions people to react positively toward it. People are also inclined to follow celebrities if the advice matches their self-conceptions or if not following it would generate cognitive dissonance. Sociology explains how celebrities' advice spreads through social networks, how their influence is a manifestation of people's desire to acquire celebrities' social capital, and how they affect the ways people acquire and interpret health information. There are clear and deeply rooted biological

  15. Practical differences among probabilities, possibilities, and credibilities

    Science.gov (United States)

    Grandin, Jean-Francois; Moulin, Caroline

    2002-03-01

    This paper presents some important differences that exist between theories, which allow the uncertainty management in data fusion. The main comparative results illustrated in this paper are the followings: Incompatibility between decisions got from probabilities and credibilities is highlighted. In the dynamic frame, as remarked in [19] or [17], belief and plausibility of Dempster-Shafer model do not frame the Bayesian probability. This framing can however be obtained by the Modified Dempster-Shafer approach. It also can be obtained in the Bayesian framework either by simulation techniques, or with a studentization. The uncommitted in the Dempster-Shafer way, e.g. the mass accorded to the ignorance, gives a mechanism similar to the reliability in the Bayesian model. Uncommitted mass in Dempster-Shafer theory or reliability in Bayes theory act like a filter that weakens extracted information, and improves robustness to outliners. So, it is logical to observe on examples like the one presented particularly by D.M. Buede, a faster convergence of a Bayesian method that doesn't take into account the reliability, in front of Dempster-Shafer method which uses uncommitted mass. But, on Bayesian masses, if reliability is taken into account, at the same level that the uncommited, e.g. F=1-m, we observe an equivalent rate for convergence. When Dempster-Shafer and Bayes operator are informed by uncertainty, faster or lower convergence can be exhibited on non Bayesian masses. This is due to positive or negative synergy between information delivered by sensors. This effect is a direct consequence of non additivity when considering non Bayesian masses. Unknowledge of the prior in bayesian techniques can be quickly compensated by information accumulated as time goes on by a set of sensors. All these results are presented on simple examples, and developed when necessary.

  16. Identifying Knowledge Gaps in Clinicians Who Evaluate and Treat Vocal Performing Artists in College Health Settings.

    Science.gov (United States)

    McKinnon-Howe, Leah; Dowdall, Jayme

    2018-05-01

    The goal of this study was to identify knowledge gaps in clinicians who evaluate and treat performing artists for illnesses and injuries that affect vocal function in college health settings. This pilot study utilized a web-based cross-sectional survey design incorporating common clinical scenarios to test knowledge of evaluation and management strategies in the vocal performing artist. A web-based survey was administered to a purposive sample of 28 clinicians to identify the approach utilized to evaluate and treat vocal performing artists in college health settings, and factors that might affect knowledge gaps and influence referral patterns to voice specialists. Twenty-eight clinicians were surveyed, with 36% of respondents incorrectly identifying appropriate vocal hygiene measures, 56% of respondents failing to identify symptoms of vocal fold hemorrhage, 84% failing to identify other indications for referral to a voice specialist, 96% of respondents acknowledging unfamiliarity with the Voice Handicap Index and the Singers Voice Handicap Index, and 68% acknowledging unfamiliarity with the Reflux Symptom Index. The data elucidated specific knowledge gaps in college health providers who are responsible for evaluating and treating common illnesses that affect vocal function, and triaging and referring students experiencing symptoms of potential vocal emergencies. Future work is needed to improve the standard of care for this population. Copyright © 2018 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  17. Using Active Learning to Identify Health Information Technology Related Patient Safety Events.

    Science.gov (United States)

    Fong, Allan; Howe, Jessica L; Adams, Katharine T; Ratwani, Raj M

    2017-01-18

    The widespread adoption of health information technology (HIT) has led to new patient safety hazards that are often difficult to identify. Patient safety event reports, which are self-reported descriptions of safety hazards, provide one view of potential HIT-related safety events. However, identifying HIT-related reports can be challenging as they are often categorized under other more predominate clinical categories. This challenge of identifying HIT-related reports is exacerbated by the increasing number and complexity of reports which pose challenges to human annotators that must manually review reports. In this paper, we apply active learning techniques to support classification of patient safety event reports as HIT-related. We evaluated different strategies and demonstrated a 30% increase in average precision of a confirmatory sampling strategy over a baseline no active learning approach after 10 learning iterations.

  18. The digital object identifier (DOI in electronic scientific journals of communication and information

    Directory of Open Access Journals (Sweden)

    Erik André de Nazaré Pires

    2017-06-01

    Full Text Available The present study seeks to investigate the use of the Digital Object Identifier (DOI in the scientific journals of Communication and Information and, providing new integration utilities with the Lattes Platform. In this sense, it aims to inform the existing titles in Communication Information in electronic format, demonstrate the importance of DOI in the integration with the Lattes Platform in order to guarantee author credibility and analyze the characteristics of publications that have DOI. The methodology used for the development of this study is bibliographic, research with descriptive-descriptive characteristics. From the development of the research, it is inferred that of all the analyzed journals (33 journals, 10 titles in the evaluation of 2013 and 06 titles of the evaluation of 2014 present DOI in their publications, all have WebQualis classification, Qualis A1 in the area Communication and Information. Most publications are international and only 3 titles are national. It is necessary that journals, principally national ones, accompany new technologies such as DOI for objects and ORCID for the identification of people, bringing more mechanisms that guarantee authors 'credibility and to bring the researchers' connection, and both can already be adopted in the Platform Lattes.

  19. Identifying Mental Health Elements among Technical University Students Using Fuzzy Delphi Method

    Science.gov (United States)

    Pua, P. K.; Lai, C. S.; Lee, M. F.

    2017-08-01

    Mental health is a part of our daily life that is often experienced. As a student, mental health issue often encounters a variety of difficult challenges at the higher education institution. A student with good mental health can handle and cope the normal stress of life, capable work productivity, enhance academic performance and able to make contribute to the community. However, rapidly transformation and changing of society have been impacted on students’ mental health, and it will be deteriorated and negatively impact on students if it absence of preventive controlled. This study aimed to identify the element of mental health among the technical university students. A total of 11 experts were selected to analyze the fuzziness consensus of experts. All collected data was analyzed by using the fuzzy Delphi method and the result shows that there are 4 elements of 8 elements that fulfill the requirement consensus of experts, which threshold value is equal and less than 0.2, the percentage of the expert group is more than 75%. The four elements were depression, anxiety, stress, and fear are often experienced by technical university students. In conclusion, precocious actions have to be taken by university and counseling center, parents and non-government organization in order to mitigate the mental health problem faced by students to improve the quality lifestyle students at the university.

  20. Understanding the acceptability of e-mental health--attitudes and expectations towards computerised self-help treatments for mental health problems.

    Science.gov (United States)

    Musiat, Peter; Goldstone, Philip; Tarrier, Nicholas

    2014-04-11

    E-mental health and m-mental health include the use of technology in the prevention, treatment and aftercare of mental health problems. With the economical pressure on mental health services increasing, e-mental health and m-mental health could bridge treatment gaps, reduce waiting times for patients and deliver interventions at lower costs. However, despite the existence of numerous effective interventions, the transition of computerised interventions into care is slow. The aim of the present study was to investigate the acceptability of e-mental health and m-mental health in the general population. An advisory group of service users identified dimensions that potentially influence an individual's decision to engage with a particular treatment for mental health problems. A large sample (N = 490) recruited through email, flyers and social media was asked to rate the acceptability of different treatment options for mental health problems on these domains. Results were analysed using repeated measures MANOVA. Participants rated the perceived helpfulness of an intervention, the ability to motivate users, intervention credibility, and immediate access without waiting time as most important dimensions with regard to engaging with a treatment for mental health problems. Participants expected face-to-face therapy to meet their needs on most of these dimensions. Computerised treatments and smartphone applications for mental health were reported to not meet participants' expectations on most domains. However, these interventions scored higher than face-to-face treatments on domains associated with the convenience of access. Overall, participants reported a very low likelihood of using computerised treatments for mental health in the future. Individuals in this study expressed negative views about computerised self-help intervention and low likelihood of use in the future. To improve the implementation and uptake, policy makers need to improve the public perception of such

  1. Identifying Multi-Level Culturally Appropriate Smoking Cessation Strategies for Aboriginal Health Staff: A Concept Mapping Approach

    Science.gov (United States)

    Dawson, Anna P.; Cargo, Margaret; Stewart, Harold; Chong, Alwin; Daniel, Mark

    2013-01-01

    Aboriginal Australians, including Aboriginal Health Workers (AHWs), smoke at rates double the non-Aboriginal population. This study utilized concept mapping methodology to identify and prioritize culturally relevant strategies to promote smoking cessation in AHWs. Stakeholder participants included AHWs, other health service employees and tobacco…

  2. A two-states Markov-switching model of inflation in France and the USA: credible target VS inflation spiral

    OpenAIRE

    B. HEITZ

    2005-01-01

    This paper seeks to apply the general framework of Markov-switching models to inflation in France and in the USA. We propose a model where inflation can, alternatively, follow two regimes: the first one, where inflation is stationary, is interpreted as a situation where there exists a credible inflation target, even if it is not explicit; the second one where inflation is integrated. Moreover, observing that the two oil shocks were followed by accelerating inflation periods, we allow dependen...

  3. Does Exonerating an Accused Researcher Restore the Researcher's Credibility?

    Directory of Open Access Journals (Sweden)

    Tobias Greitemeyer

    Full Text Available Scientific misconduct appears to be on the rise. However, an accused researcher may later be exonerated. The present research examines to what extent participants adhere to their attitude toward a researcher who allegedly committed academic misconduct after learning that the researcher is innocent. In two studies, participants in an exoneration and an uncorrected accusation condition learned that the ethics committee of a researcher's university demanded the retraction of one of the researcher's articles, whereas participants in a control condition did not receive this information. As intended, this manipulation led to a more favorable attitude toward the researcher in the control compared to the exoneration and the uncorrected accusation conditions (pre-exoneration attitude. Then, participants in the exoneration condition learned that the researcher was exonerated and that the article was not retracted. Participants in the uncorrected accusation and the control condition were not informed about the exoneration. Results revealed that the exoneration effectively worked, in that participants in the exoneration condition had a more favorable attitude (post-exoneration attitude toward the researcher than did participants in the uncorrected accusation condition. Moreover, the post-exoneration attitude toward the researcher was similar in the exoneration and the control conditions. Finally, in the exoneration condition only, participants' post-exoneration attitude was more favorable than their pre-exoneration attitude. These findings suggest that an exoneration of an accused researcher restores the researcher's credibility.

  4. Does Exonerating an Accused Researcher Restore the Researcher's Credibility?

    Science.gov (United States)

    Greitemeyer, Tobias; Sagioglou, Christina

    2015-01-01

    Scientific misconduct appears to be on the rise. However, an accused researcher may later be exonerated. The present research examines to what extent participants adhere to their attitude toward a researcher who allegedly committed academic misconduct after learning that the researcher is innocent. In two studies, participants in an exoneration and an uncorrected accusation condition learned that the ethics committee of a researcher's university demanded the retraction of one of the researcher's articles, whereas participants in a control condition did not receive this information. As intended, this manipulation led to a more favorable attitude toward the researcher in the control compared to the exoneration and the uncorrected accusation conditions (pre-exoneration attitude). Then, participants in the exoneration condition learned that the researcher was exonerated and that the article was not retracted. Participants in the uncorrected accusation and the control condition were not informed about the exoneration. Results revealed that the exoneration effectively worked, in that participants in the exoneration condition had a more favorable attitude (post-exoneration attitude) toward the researcher than did participants in the uncorrected accusation condition. Moreover, the post-exoneration attitude toward the researcher was similar in the exoneration and the control conditions. Finally, in the exoneration condition only, participants' post-exoneration attitude was more favorable than their pre-exoneration attitude. These findings suggest that an exoneration of an accused researcher restores the researcher's credibility.

  5. Resonant communicators, effective communicators. Communicator’s flow and credibility

    Directory of Open Access Journals (Sweden)

    Irene García-Ureta, Ph.D

    2012-01-01

    Full Text Available Communication studies have been integrating the latest developments in cognitive sciences and acknowledging the importance of understanding the subjective processes involved in communication. This article argues that communication studies should also take into account the psychology of the communicator. This article presents the theoretical basis and the results of a training programme designed for audiovisual communicators. The programme is based on the theories of self-efficacy and flow and seeks to improve students’ communication competencies through the use of presentation techniques and psychological skills to tackle communication apprehension. The programme involves an active methodology that is based on modelling, visualisation, immediate feedback and positive reinforcement. A repeated-measures ANOVA shows that the programme successfully decreases the level of communication apprehension, improves the perceived self-efficacy, improves the psychological state needed to perform better in front of the cameras (flow, and improves students’ communication skills. A path analysis proved that the perceived self-efficacy and anxiety levels predict the level of flow during the communication act. At the end of the training programme, those who experienced higher levels of flow and enjoyment during the communication task achieved higher quality levels in their communication exercise. It is concluded that the concepts of self-efficacy and flow facilitate advancing in the understanding of the factors that determine a communicator’s credibility and ability to connect with the audience.

  6. Association of intimate partner violence and health-care provider-identified obesity.

    Science.gov (United States)

    Davies, Rhian; Lehman, Erik; Perry, Amanda; McCall-Hosenfeld, Jennifer S

    2016-07-01

    The association of physical and nonphysical intimate partner violence (IPV) with obesity was examined. Women (N = 1,179) were surveyed regarding demographics, obesity, and IPV exposure using humiliate-afraid-rape-kick (HARK), an IPV screening tool. A three-level lifetime IPV exposure variable measured physical, nonphysical or no IPV. Health-care provider-identified obesity was defined if participants were told by a medical provider within the past 5 years that they were obese. Bivariate analyses examined obesity by IPV and demographics. Multivariable logistic regression assessed odds of obesity by IPV type, adjusting for age, race/ethnicity, education, and marital status. Among participants, 44% reported lifetime IPV (25% physical, 19% nonphysical), and 24% reported health-care provider-identified obesity. In unadjusted analyses, obesity was more prevalent among women exposed to physical IPV (30%) and nonphysical IPV (27%), compared to women without IPV (20%, p = .002). In multivariable models, women reporting physical IPV had 1.67 times greater odds of obesity (95% confidence interval [CI] 1.20, 2.33), and women reporting nonphysical IPV had 1.46 times greater odds of obesity (95% CI 1.01, 2.10), compared to women reporting no exposure. This study extends prior data by showing, not only an association between physical IPV and obesity, but also an association between obesity and nonphysical IPV.

  7. The evaluation of trustworthiness to identify health insurance fraud in dentistry.

    Science.gov (United States)

    Wang, Shu-Li; Pai, Hao-Ting; Wu, Mei-Fang; Wu, Fan; Li, Chen-Lin

    2017-01-01

    According to the investigations of the U.S. Government Accountability Office (GAO), health insurance fraud has caused an enormous pecuniary loss in the U.S. In Taiwan, in dentistry the problem is getting worse if dentists (authorized entities) file fraudulent claims. Several methods have been developed to solve health insurance fraud; however, these methods are like a rule-based mechanism. Without exploring the behavior patterns, these methods are time-consuming and ineffective; in addition, they are inadequate for managing the fraudulent dentists. Based on social network theory, we develop an evaluation approach to solve the problem of cross-dentist fraud. The trustworthiness score of a dentist is calculated based upon the amount and type of dental operations performed on the same patient and the same tooth by that dentist and other dentists. The simulation provides the following evidence. (1) This specific type of fraud can be identified effectively using our evaluation approach. (2) A retrospective study for the claims is also performed. (3) The proposed method is effective in identifying the fraudulent dentists. We provide a new direction for investigating the genuineness of claims data. If the insurer can detect fraudulent dentists using the traditional method and the proposed method simultaneously, the detection will be more transparent and ultimately reduce the losses caused by fraudulent claims. Copyright © 2016 Elsevier B.V. All rights reserved.

  8. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies.

    Science.gov (United States)

    Gillies, Donna; Chicop, David; O'Halloran, Paul

    2015-01-01

    The ability to predict imminent risk of suicide is limited, particularly among mental health clients. Root cause analysis (RCA) can be used by health services to identify service-wide approaches to suicide prevention. To (a) develop a standardized taxonomy for RCAs; (b) to quantitate service-related factors associated with suicides; and (c) to identify service-related suicide prevention strategies. The RCAs of all people who died by suicide within 1 week of contact with the mental health service over 5 years were thematically analyzed using a data collection tool. Data were derived from RCAs of all 64 people who died by suicide between 2008 and 2012. Major themes were categorized as individual, situational, and care-related factors. The most common factor was that clients had recently denied suicidality. Reliance on carers, recent changes in medication, communication problems, and problems in follow-through were also commonly identified. Given the difficulty in predicting suicide in people whose expressions of suicidal ideation change so rapidly, services may consider the use of strategies aimed at improving the individual, stressor, support, and care factors identified in this study.

  9. Call to action for Scottish health care.

    Science.gov (United States)

    2001-03-07

    SCOTLAND'S NEWLY published strategy for nursing and midwifery, Caring for Scotland, is a reminder of how different professional life can be for nurses across the UK. For example, while developments in telehealth and telemedicine facilities are certainly not unique to the remote rural areas of Scotland, there can be few nurses who can claim to be the sole health professional on a non-doctor island. One such district nurse looks forward with optimism to seeing the effect of the World Health Organization pilot family health nursing programme on her professional credibility. Perhaps not surprisingly, there is a fair bit of emphasis on helping nurses who work in remote and rural areas to develop their practice.

  10. How Public Health Nurses Identify and Intervene in Child Maltreatment Based on the National Clinical Guideline

    Directory of Open Access Journals (Sweden)

    Paavilainen Eija

    2014-01-01

    Full Text Available Objectives. To describe how Finnish public health nurses identify and intervene in child maltreatment and how they implement the National Clinical Guideline in their work. Design and Sample. Cross-sectional survey of 367 public health nurses in Finland. Measures. A web-based questionnaire developed based on the content areas of the guideline: identifying, intervening, and implementing. Results. The respondents reported they identify child maltreatment moderately (mean 3.38, intervene in it better (4.15, and implement the guideline moderately (3.43, scale between 1 and 6. Those with experience of working with maltreated children reported they identify them better P<0.001, intervene better P<0.001, and implement the guideline better P<0.001 than those with no experience. This difference was also found for those who were aware of the guideline, had read it, and participated in training on child maltreatment, as compared to those who were not aware of the guideline, had not read it, or had not participated in such training. Conclusions. The public health nurses worked quite well with children who had experienced maltreatment and families. However, the results point out several developmental targets for increasing training on child maltreatment, for devising recommendations for child maltreatment, and for applying these recommendations systematically in practice.

  11. A Framework for Developing the Structure of Public Health Economic Models.

    Science.gov (United States)

    Squires, Hazel; Chilcott, James; Akehurst, Ronald; Burr, Jennifer; Kelly, Michael P

    2016-01-01

    A conceptual modeling framework is a methodology that assists modelers through the process of developing a model structure. Public health interventions tend to operate in dynamically complex systems. Modeling public health interventions requires broader considerations than clinical ones. Inappropriately simple models may lead to poor validity and credibility, resulting in suboptimal allocation of resources. This article presents the first conceptual modeling framework for public health economic evaluation. The framework presented here was informed by literature reviews of the key challenges in public health economic modeling and existing conceptual modeling frameworks; qualitative research to understand the experiences of modelers when developing public health economic models; and piloting a draft version of the framework. The conceptual modeling framework comprises four key principles of good practice and a proposed methodology. The key principles are that 1) a systems approach to modeling should be taken; 2) a documented understanding of the problem is imperative before and alongside developing and justifying the model structure; 3) strong communication with stakeholders and members of the team throughout model development is essential; and 4) a systematic consideration of the determinants of health is central to identifying the key impacts of public health interventions. The methodology consists of four phases: phase A, aligning the framework with the decision-making process; phase B, identifying relevant stakeholders; phase C, understanding the problem; and phase D, developing and justifying the model structure. Key areas for further research involve evaluation of the framework in diverse case studies and the development of methods for modeling individual and social behavior. This approach could improve the quality of Public Health economic models, supporting efficient allocation of scarce resources. Copyright © 2016 International Society for Pharmacoeconomics

  12. The effects of online review message appeal and online review source across two product types on review credibility, product attitude, and purchase intention

    NARCIS (Netherlands)

    Beldad, Ardion; Avicenna, Fitria; De Vries, Sjoerd; Fui-Hoon, Fiona; Tan, Chuan-Hoo

    2017-01-01

    The study reported in this paper investigated the effects of online review message appeal and online review source type on review credibility perception, product attitude, and purchase intention across two types of products, namely technical and non-technical. A between-respondent 2 (message appeal:

  13. Importance of Health-Related Fitness Knowledge to Increasing Physical Activity and Physical Fitness

    Science.gov (United States)

    Ferkel, Rick C.; Judge, Lawrence W.; Stodden, David F.; Griffin, Kent

    2014-01-01

    Physical inactivity is expanding across all ages in the United States. Research has documented a deficiency in health-related fitness knowledge (HRFK) among elementary- through college-aged students. The need for a credible and reliable resource that provides research-based information regarding the importance of HRFK is significant. The purpose…

  14. Credible Leadership-In the Eyes of the Follower: A Historical Review of Leadership Theory throughout the Twentieth Century in the United States

    Science.gov (United States)

    Hoffman, Sharon C.

    2008-01-01

    The purpose of this historical review was to trace the credible leadership construct of trustworthiness, integrity, honesty, and consistency in leadership theory development during the last 100 years in the United States. Theory focus, key U.S. pivotal events, and follower importance influenced the construct's occurrence in leadership theory. …

  15. LOGISTICS RISK RESEARCH OF PREFABRICATED HOUSE CONSTRUCTION ENGINEERING BASED ON CREDIBILITY METHOD

    Directory of Open Access Journals (Sweden)

    Xiaoping Bai

    2017-07-01

    Full Text Available In recent years, the prefabricated house industry has rapid development,.Because of fewer suppliers, higher demand transport scheme and complex quality test, the risks of construction engineering logistics links are relatively high. Studying how to effectively evaluate the risks of construction engineering logistics links is significant. According to the characteristics of the prefabricated house construction engineering, we analyse the construction engineering logistics risks and use the combined weights method to determine the weight of indexes which contains both subjective and objective factors, to improve the scientific value and the validity of the assessment. Based on credibility measure method, a new logistics risk evaluation model in prefabricated housing is established to estimate the risk during making prefabricated house construction engineering. The presented model can avoid the subjectivity of selecting the membership function and solve the problem of how to comprehensively assess the construction engineering logistics risk in a certain extent.

  16. Safety analysis of RA reactor operation, I-III, Part III - Environmental effect of the maximum credible accident

    International Nuclear Information System (INIS)

    Raisic, N.

    1963-02-01

    Maximum credible accident at the RA reactor would consider release of fission products into the environment. This would result from fuel elements failure or meltdown due to loss of coolant. The analysis presented in this report assumes that the reactor was operating at nominal power at the moment of maximum possible accident. The report includes calculations of fission products activity at the moment of accident, total activity release during the accident, concentration of radioactive material in the air in the reactor neighbourhood, and the analysis of accident environmental effects

  17. For two regional health foundations, returns from the Kentucky Health Issues Poll are worth the investments.

    Science.gov (United States)

    Walsh, Sarah E; Myers, Gail; Chubinski, Jennifer; Zepeda, Susan G

    2014-09-01

    With finite resources to advance their missions, regional health foundations should critically evaluate the investments they make. This article reviews the costs and associated benefits of large-scale public opinion polling--specifically, the annual Kentucky Health Issues Poll, which is sponsored by the Foundation for a Healthy Kentucky and Interact for Health, formerly the Health Foundation of Greater Cincinnati. In addition to the information generated by the poll, the sponsoring foundations have benefited from increased name recognition and credibility with key stakeholders, including state policy makers and the media. Furthermore, jointly funding the poll has strengthened the relationship between the sponsoring foundations and has fostered other key collaborations. We find that the benefits from this poll more than justify its modest costs ($120,000 per year) and hope that this assessment may prove informative for other funders considering similar investments. Project HOPE—The People-to-People Health Foundation, Inc.

  18. Identifying features of pocket parks that may be related to health promoting use

    DEFF Research Database (Denmark)

    Peschardt, Karin Kragsig; Stigsdotter, Ulrika K.; Schipperijn, Jasper

    2016-01-01

    . The results show that ‘green features’ do not seem to be of crucial importance for ‘socialising’ whereas, as expected, features promoting gathering should be prioritised. For ‘rest and restitution’, the main results show that ‘green ground cover’ and ‘enclosed green niches’ are important, while ‘disturbing......Urban green spaces have been shown to promote health and well-being and recent research indicates that the two primary potentially health promoting uses of pocket parks are ‘rest and restitution’ and ‘socialising’. The aim of this study is to identify features in pocket parks that may support...... features’ (playground, view outside park) should be avoided. The results add knowledge about the features which support the health promoting use of pocket parks to the existing body of research....

  19. Parent-identified barriers to pediatric health care: a process-oriented model.

    Science.gov (United States)

    Sobo, Elisa J; Seid, Michael; Reyes Gelhard, Leticia

    2006-02-01

    To further understand barriers to care as experienced by health care consumers, and to demonstrate the importance of conjoining qualitative and quantitative health services research. Transcripts from focus groups conducted in San Diego with English- and Spanish-speaking parents of children with special health care needs. Participants were asked about the barriers to care they had experienced or perceived, and their strategies for overcoming these barriers. Using elementary anthropological discourse analysis techniques, a process-based conceptual model of the parent experience was devised. The analysis revealed a parent-motivated model of barriers to care that enriched our understanding of quantitative findings regarding the population from which the focus group sample was drawn. Parent-identified barriers were grouped into the following six temporally and spatially sequenced categories: necessary skills and prerequisites for gaining access to the system; realizing access once it is gained; front office experiences; interactions with physicians; system arbitrariness and fragmentation; outcomes that affect future interaction with the system. Key to the successful navigation of the system was parents' functional biomedical acculturation; this construct likens the biomedical health services system to a cultural system within which all parents/patients must learn to function competently. Qualitative analysis of focus group data enabled a deeper understanding of barriers to care--one that went beyond the traditional association of marker variables with poor outcomes ("what") to reveal an understanding of the processes by which parents experience the health care system ("how,"why") and by which disparities may arise. Development of such process-oriented models furthers the provision of patient-centered care and the creation of interventions, programs, and curricula to enhance such care. Qualitative discourse analysis, for example using this project's widely applicable

  20. Technical attributes, health attribute, consumer attributes and their roles in adoption intention of healthcare wearable technology.

    Science.gov (United States)

    Zhang, Min; Luo, Meifen; Nie, Rui; Zhang, Yan

    2017-12-01

    This paper aims to explore factors influencing the healthcare wearable technology adoption intention from perspectives of technical attributes (perceived convenience, perceived irreplaceability, perceived credibility and perceived usefulness), health attribute (health belief) and consumer attributes (consumer innovativeness, conspicuous consumption, informational reference group influence and gender difference). By integrating technology acceptance model, health belief model, snob effect and conformity and reference group theory, hypotheses and research model are proposed. The empirical investigation (N=436) collects research data through questionnaire. Results show that the adoption intention of healthcare wearable technology is influenced by technical attributes, health attribute and consumer attributes simultaneously. For technical attributes, perceived convenience and perceived credibility both positively affect perceived usefulness, and perceived usefulness influences adoption intention. The relation between perceived irreplaceability and perceived usefulness is only supported by males. For health attribute, health belief affects perceived usefulness for females. For consumer attributes, conspicuous consumption and informational reference group influence can significantly moderate the relation between perceived usefulness and adoption intention and the relation between consumer innovativeness and adoption intention respectively. What's more, consumer innovativeness significantly affects adoption intention for males. This paper aims to discuss technical attributes, health attribute and consumer attributes and their roles in the adoption intention of healthcare wearable technology. Findings may provide enlightenment to differentiate product developing and marketing strategies and provide some implications for clinical medicine. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Determinants of Internet use as a preferred source of information on personal health.

    Science.gov (United States)

    Lemire, Marc; Paré, Guy; Sicotte, Claude; Harvey, Charmian

    2008-11-01

    To understand the personal, social and cultural factors likely to explain recourse to the Internet as a preferred source of personal health information. A cross-sectional survey was conducted among a population of 2923 Internet users visiting a firmly established website that offers information on personal health. Multiple regression analysis was performed to identify the determinants of site use. The analysis template comprised four classes of determinants likely to explain Internet use: beliefs, intentions, user satisfaction and socio-demographic characteristics. Seven-point Likert scales were used. An analysis of the psychometric qualities of the variables provided compelling evidence of the construct's validity and reliability. A confirmatory factor analysis confirmed the correspondence with the factors predicted by the theoretical model. The regression analysis explained 35% of the variance in Internet use. Use was directly associated with five factors: perceived usefulness, importance given to written media in searches for health information, concern for personal health, importance given to the opinions of physicians and other health professionals, and the trust placed in the information available on the site itself. This study confirms the importance of the credibility of information on the frequency of Internet use as a preferred source of information on personal health. It also shows the potentially influential role of the Internet in the development of personal knowledge of health issues.

  2. Toward a Better Understanding of Patient Health Literacy: A Focus on the Skills Patients Need to Find Health Information.

    Science.gov (United States)

    Champlin, Sara; Mackert, Michael; Glowacki, Elizabeth M; Donovan, Erin E

    2017-07-01

    While many health literacy assessments exist, this area of research lacks an instrument that isolates and reflects the four components driving this concept (abilities to find, understand, use, and communicate about health information). The purpose of this study was to determine what abilities comprise the first component, how a patient finds health information. Low ( n = 13) and adequate ( n = 14) health literacy patients, and health professionals ( n = 10) described their experiences when looking for health information and the skills they employed to complete these tasks. Major skills/themes elicited included knowing when to search, credibility assessments, finding text and numerical information, interpersonal seeking, technology and online search, and spatial navigation. Findings from this study suggest that each of the dimensions included in the definition of health literacy warrants specific attention and assessment. Given identification of the skills comprising each dimension, interventions targeting deficits across health literacy dimensions could be developed to improve patient health.

  3. Identifying indigenous peoples for health research in a global context: a review of perspectives and challenges.

    Science.gov (United States)

    Bartlett, Judith G; Madariaga-Vignudo, Lucia; O'Neil, John D; Kuhnlein, Harriet V

    2007-09-01

    Identifying Indigenous Peoples globally is complex and contested despite there being an estimated 370 million living in 70 countries. The specific context and use of locally relevant and clear definitions or characterizations of Indigenous Peoples is important for recognizing unique health risks Indigenous Peoples face, for understanding local Indigenous health aspirations and for reflecting on the need for culturally disaggregated data to plan meaningful research and health improvement programs. This paper explores perspectives on defining Indigenous Peoples and reflects on challenges in identifying Indigenous Peoples. Literature reviews and Internet searches were conducted, and some key experts were consulted. Pragmatic and political definitions by international institutions, including the United Nations, are presented as well as characterizations of Indigenous Peoples by governments and academic researchers. Assertions that Indigenous Peoples have about definitions of indigeneity are often related to maintenance of cultural integrity and sustainability of lifestyles. Described here are existing definitions and interests served by defining (or leaving undefined) such definitions, why there is no unified definition and implications of "too restrictive" a definition. Selected indigenous identities and dynamics are presented for North America, the Arctic, Australia and New Zealand, Latin America and the Caribbean, Asia and Africa. While health researchers need to understand the Indigenous Peoples with whom they work, ultimately, indigenous groups themselves best define how they wish to be viewed and identified for research purposes.

  4. Health Behaviours As a Mechanism in the Prospective Relation between Workplace Reciprocity and Absenteeism: A Bridge too Far ?

    Directory of Open Access Journals (Sweden)

    Bart De Clercq

    Full Text Available The persistent lack of evidence on causal mechanisms between social capital and health threatens the credibility of the social capital-health association. The present study aims to address this ongoing problem by investigating whether health behaviours (i.e. smoking, alcohol consumption, and physical activity mediate the prospective relation between workplace reciprocity and future sickness absence.A cohort of 24,402 Belgian employees was followed up during 12 months for sickness absence. Workplace reciprocity was measured with four indicators-colleague help, colleague interest, supervisor help, and supervisor concern. Three types of multilevel mediation models were applied.Overall, workplace reciprocity negatively related to high sickness absence (≥ 10 days mainly independently from health behaviours. Uniquely, colleague interest positively related to smoking (OR = 1.058, 95% CI = 1.019, 1.098 and smoking in turn, positively related to sickness absence (OR = 1.074, 95% CI = 1.047, 1.101. No behavioural pathways could be identified between company-level reciprocity and sickness absence, and company-level health-related behaviours did not mediate the relation between company-level reciprocity and individual sickness absence.These results suggest that both social capital and health behaviours are relevant for employee health, but health behaviours seem not to be the underlying explanatory mechanism between workplace reciprocity and health.

  5. Health Behaviours As a Mechanism in the Prospective Relation between Workplace Reciprocity and Absenteeism: A Bridge too Far ?

    Science.gov (United States)

    De Clercq, Bart; Clays, Els; Janssens, Heidi; De Bacquer, Dirk; Casini, Annalisa; Kittel, France; Braeckman, Lutgart

    2015-01-01

    The persistent lack of evidence on causal mechanisms between social capital and health threatens the credibility of the social capital-health association. The present study aims to address this ongoing problem by investigating whether health behaviours (i.e. smoking, alcohol consumption, and physical activity) mediate the prospective relation between workplace reciprocity and future sickness absence. A cohort of 24,402 Belgian employees was followed up during 12 months for sickness absence. Workplace reciprocity was measured with four indicators-colleague help, colleague interest, supervisor help, and supervisor concern. Three types of multilevel mediation models were applied. Overall, workplace reciprocity negatively related to high sickness absence (≥ 10 days) mainly independently from health behaviours. Uniquely, colleague interest positively related to smoking (OR = 1.058, 95% CI = 1.019, 1.098) and smoking in turn, positively related to sickness absence (OR = 1.074, 95% CI = 1.047, 1.101). No behavioural pathways could be identified between company-level reciprocity and sickness absence, and company-level health-related behaviours did not mediate the relation between company-level reciprocity and individual sickness absence. These results suggest that both social capital and health behaviours are relevant for employee health, but health behaviours seem not to be the underlying explanatory mechanism between workplace reciprocity and health.

  6. A qualitative study of user perceptions of mobile health apps

    Directory of Open Access Journals (Sweden)

    Wei Peng

    2016-11-01

    Full Text Available Abstract Background Mobile apps for health exist in large numbers today, but oftentimes, consumers do not continue to use them after a brief period of initial usage, are averse toward using them at all, or are unaware that such apps even exist. The purpose of our study was to examine and qualitatively determine the design and content elements of health apps that facilitate or impede usage from the users’ perceptive. Methods In 2014, six focus groups and five individual interviews were conducted in the Midwest region of the U.S. with a mixture of 44 smartphone owners of various social economic status. The participants were asked about their general and health specific mobile app usage. They were then shown specific features of exemplar health apps and prompted to discuss their perceptions. The focus groups and interviews were audio recorded, transcribed verbatim, and coded using the software NVivo. Results Inductive thematic analysis was adopted to analyze the data and nine themes were identified: 1 barriers to adoption of health apps, 2 barriers to continued use of health apps, 3 motivators, 4 information and personalized guidance, 5 tracking for awareness and progress, 6 credibility, 7 goal setting, 8 reminders, and 9 sharing personal information. The themes were mapped to theories for interpretation of the results. Conclusions This qualitative research with a diverse pool of participants extended previous research on challenges and opportunities of health apps. The findings provide researchers, app designers, and health care providers insights on how to develop and evaluate health apps from the users’ perspective.

  7. A qualitative study of user perceptions of mobile health apps.

    Science.gov (United States)

    Peng, Wei; Kanthawala, Shaheen; Yuan, Shupei; Hussain, Syed Ali

    2016-11-14

    Mobile apps for health exist in large numbers today, but oftentimes, consumers do not continue to use them after a brief period of initial usage, are averse toward using them at all, or are unaware that such apps even exist. The purpose of our study was to examine and qualitatively determine the design and content elements of health apps that facilitate or impede usage from the users' perceptive. In 2014, six focus groups and five individual interviews were conducted in the Midwest region of the U.S. with a mixture of 44 smartphone owners of various social economic status. The participants were asked about their general and health specific mobile app usage. They were then shown specific features of exemplar health apps and prompted to discuss their perceptions. The focus groups and interviews were audio recorded, transcribed verbatim, and coded using the software NVivo. Inductive thematic analysis was adopted to analyze the data and nine themes were identified: 1) barriers to adoption of health apps, 2) barriers to continued use of health apps, 3) motivators, 4) information and personalized guidance, 5) tracking for awareness and progress, 6) credibility, 7) goal setting, 8) reminders, and 9) sharing personal information. The themes were mapped to theories for interpretation of the results. This qualitative research with a diverse pool of participants extended previous research on challenges and opportunities of health apps. The findings provide researchers, app designers, and health care providers insights on how to develop and evaluate health apps from the users' perspective.

  8. Maximum Credible Event Analysis Methods-Tools and Applications in Biosecurity Programs

    International Nuclear Information System (INIS)

    Rao, V.

    2007-01-01

    Maximum Credible Event (MCE) analyses are analogous to worst-case scenarios involving a likely mishap scenario in biotechnology bioprocessing operations, biological products testing laboratories, and biological specimen repository facilities, leading to release of particulate/aerosolized etiologic agents into the environment. The purpose of MCE analyses is to estimate the effectiveness of existing safeguards such as the engineering controls, administrative procedures and the attributes of facility design that, in combination, prevent the probability of release of potentially pathogenic or toxic material from the test facility to external environment. As part of our support to the United States Chemical Biological Defense Program, we have developed a unique set og realistic MCE worst-case scenarios for all laboratory and industrial aspects of a biological product development process. Although MCE analysis is a part of an overall facility biosafety assessment, our approach considered biosecurity related issues such as facility vulnerability, employment procedures and workers background investigations, exercise and drills involving local law enforcement and emergency response community, records and audits process, and facility biosafety and biosecurity oversight and governance issues. our standard operating procedure for tracking biological material transfer agreements and operating procedures for materials transfer, together with an integrated checklist of biosafety/biosecurity facility inspection and evaluation was to ensure compliance with all biosafety and biosecurity guidelines.The results of MCE analysis, described in terms of potential hazard of exposure for workers and immediate environment to etiologic agents from the manufacturing process, is a quasi-quantitative estimate of the nature and extent of adverse impact on the health and immediate environment at the vicinity. Etiologic agent exposure concentrations are estimated based on a Gaussian air depression

  9. Unmet health needs identified by Haitian women as priorities for attention: a qualitative study.

    Science.gov (United States)

    Peragallo Urrutia, Rachel; Merisier, Delson; Small, Maria; Urrutia, Eugene; Tinfo, Nicole; Walmer, David K

    2012-06-01

    This 2009 qualitative study investigated Haitian women's most pressing health needs, barriers to meeting those needs and proposed solutions, and how they thought the community and outside organizations should be involved in addressing their needs. The impetus for the study was to get community input into the development of a Family Health Centre in Leogane, Haiti. Individual interviews and focus group discussions were conducted with 52 adult women in six communities surrounding Leogane. The most pressing health needs named by the women were accessible, available and affordable health care, potable water, enough food to eat, improved economy, employment, sanitation and education, including health education. Institutional corruption, lack of infrastructure and social organization, the cost of health care, distance from services and lack of transport as barriers to care were also important themes. The involvement of foreign organizations and local community groups, including grassroots women's groups who would work in the best interests of other women, were identified as the most effective solutions. Organizations seeking to improve women's health care in Haiti should develop services and interventions that prioritize community partnership and leadership, foster partnerships with government, and focus on public health needs. Copyright © 2012 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  10. Contrasting the Efficiency of the CBCA in the Assessment of Credibility in Violence Against Women Cases

    Directory of Open Access Journals (Sweden)

    Ramón Arce

    2010-06-01

    Full Text Available Archival data reveal that in Spain the conviction rate for cases of gender violence is approximately 70%, whereas the conviction rate for other crimes is in the region of 90%. This dysfunction arises from a multiplicity of factors, chiefly the lack of evidence. As most gender violence occurs within the privacy of the home, the burden of proof rests exclusively or primarily on the victim’s testimony. Testimonies admitted in a court of law are often corroborated by circumstantial evidence (e.g., legal criteria of plausibility, and in particular the psychological report on testimonial credibility that plays a critical role in verdict outcome. An archive study of cases of gender violence revealed that psychological reports were admitted in 20% of the cases reviewed. Although Criteria Based Content Analysis (CBCA; Steller and Köhnken, 1994 is not valid for legal contexts, it has been observed to be the standard procedure for the evaluation of testimonial credibility in the archive cases of gender violence under review. Thus, a study involving 50 women (25 real victims and 25 feigners of gender violence was undertaken to assess the efficacy of this procedure for the discrimination of real victims from feigners. The results reveal that real testimonies contained more reality criteria than faked testimonies. Nevertheless, the procedure, in line with the demands of forensic evidence in terms of the unacceptability of false positives (i.e., feigned case classed as real, erroneously detected 44% of real testimonies as false negatives (i.e., detected real case as feigned. The results are discussed in terms of the practical implications for forensic psychology.

  11. Individual uncertainty and the uncertainty of science: The impact of perceived conflict and general self-efficacy on the perception of tentativeness and credibility of scientific information

    Directory of Open Access Journals (Sweden)

    Danny eFlemming

    2015-12-01

    Full Text Available We examined in two empirical studies how situational and personal aspects of uncertainty influence laypeople’s understanding of the uncertainty of scientific information, with focus on the detection of tentativeness and perception of scientific credibility. In the first study (N = 48, we investigated the impact of a perceived conflict due to contradicting information as a situational, text-inherent aspect of uncertainty. The aim of the second study (N = 61 was to explore the role of general self-efficacy as an intra-personal uncertainty factor. In Study 1, participants read one of two versions of an introductory text in a between-group design. This text provided them with an overview about the neurosurgical procedure of deep brain stimulation (DBS. The text expressed a positive attitude toward DBS in one experimental condition or focused on the negative aspects of this method in the other condition. Then participants in both conditions read the same text that dealt with a study about DBS as experimental treatment in a small sample of patients with major depression. Perceived conflict between the two texts was found to increase the perception of tentativeness and to decrease the perception of scientific credibility, implicating that text-inherent aspects have significant effects on critical appraisal. The results of Study 2 demonstrated that participants with higher general self-efficacy detected the tentativeness to a lesser degree and assumed a higher level of scientific credibility, indicating a more naïve understanding of scientific information. This appears to be contradictory to large parts of previous findings that showed positive effects of high self-efficacy on learning. Both studies showed that perceived tentativeness and perceived scientific credibility of medical information contradicted each other. We conclude that there is a need for supporting laypeople in understanding the uncertainty of scientific information and that

  12. Sharing for Health: A Study of Chinese Adolescents' Experiences and Perspectives on Using Social Network Sites to Share Health Information.

    Science.gov (United States)

    Zhang, Ni; Teti, Michele; Stanfield, Kellie; Campo, Shelly

    2017-07-01

    This exploratory qualitative study examines Chinese adolescents' health information sharing habits on social network sites. Ten focus group meetings with 76 adolescents, ages 12 to 17 years, were conducted at community-based organizations in Chicago's Chinatown. The research team transcribed the recording and analyzed the transcripts using ATLAS.ti. Chinese adolescents are using different social network sites for various topics of health information including food, physical activity, and so on. Adolescents would share useful and/or interesting health information. Many adolescents raised credibility concerns regarding health information and suggested evaluating the information based on self-experience or intuition, word-of-mouth, or information online. The findings shed lights on future intervention using social network sites to promote health among Chinese adolescents in the United States. Future interventions should provide adolescents with interesting and culturally sensitive health information and educate them to critically evaluate health information on social network sites.

  13. Training strategic community agents in health effects of ionizing radiation

    International Nuclear Information System (INIS)

    Leite, Teresa C.S.B.; Silva, IIson P.M. da; Jannuzzi, Denise M.S.; Maurmo, Alexandre M.

    2013-01-01

    The main motivation for the development of training was the need to train agents (opinion makers) with proximity and credibility among the population, to clarify the most frequently asked questions in relation to ionizing radiation, the operation of nuclear power plants, emergency plans and about the possibility of there effects of radiation on the health of inhabitants in regions close to the central Nuclear Almirante Alvaro Alberto - CNAAA. The project has a target audience of 420 agents, 60 of them have already been trained in a pilot project . The results indicate that the topics of training were adequate and the agents have expanded their knowledge. On the other hand, the information passed on to communities by agents, recognized by this population as ' the most reliable people', is of greater credibility and likelihood of success in communicating important issues for the population living in the vicinity of the CNAAA. (author)

  14. Baccalaureate Nursing Students' Abilities in Critically Identifying and Evaluating the Quality of Online Health Information.

    Science.gov (United States)

    Theron, Maggie; Redmond, Anne; Borycki, Elizabeth M

    2017-01-01

    Both the Internet and social media have become important tools that patients and health professionals, including health professional students, use to obtain information and support their decision-making surrounding health care. Students in the health sciences require increased competence to select, appraise, and use online sources to adequately educate and support patients and advocate for patient needs and best practices. The purpose of this study was to ascertain if second year nursing students have the ability to critically identify and evaluate the quality of online health information through comparisons between student and expert assessments of selected online health information postings using an adapted Trust in Online Health Information scale. Interviews with experts provided understanding of how experts applied the selected criteria and what experts recommend for implementing nursing informatics literacy in curriculums. The difference between student and expert assessments of the quality of the online information is on average close to 40%. Themes from the interviews highlighted several possible factors that may influence informatics competency levels in students, specifically regarding the critical appraisal of the quality of online health information.

  15. Structural health monitoring (vibration) as a tool for identifying structural alterations of the lumbar spine

    DEFF Research Database (Denmark)

    Kawchuk, Gregory N; Hartvigsen, Jan; Edgecombe, Tiffany

    2016-01-01

    Structural health monitoring (SHM) is an engineering technique used to identify mechanical abnormalities not readily apparent through other means. Recently, SHM has been adapted for use in biological systems, but its invasive nature limits its clinical application. As such, the purpose of this pr......Structural health monitoring (SHM) is an engineering technique used to identify mechanical abnormalities not readily apparent through other means. Recently, SHM has been adapted for use in biological systems, but its invasive nature limits its clinical application. As such, the purpose...... of this project was to determine if a non-invasive form of SHM could identify structural alterations in the spines of living human subjects. Lumbar spines of 10 twin pairs were visualized by magnetic resonance imaging then assessed by a blinded radiologist to determine whether twin pairs were structurally...... concordant or discordant. Vibration was then applied to each subject's spine and the resulting response recorded from sensors overlying lumbar spinous processes. The peak frequency, area under the curve and the root mean square were computed from the frequency response function of each sensor. Statistical...

  16. Towards a Transparent, Credible, Evidence-Based Decision-Making Process of New Drug Listing on the Hong Kong Hospital Authority Drug Formulary: Challenges and Suggestions.

    Science.gov (United States)

    Wong, Carlos King Ho; Wu, Olivia; Cheung, Bernard M Y

    2018-02-01

    The aim of this article is to describe the process, evaluation criteria, and possible outcomes of decision-making for new drugs listed in the Hong Kong Hospital Authority Drug Formulary in comparison to the health technology assessment (HTA) policy overseas. Details of decision-making processes including the new drug listing submission, Drug Advisory Committee (DAC) meeting, and procedures prior to and following the meeting, were extracted from the official Hong Kong Hospital Authority drug formulary management website and manual. Publicly-available information related to the new drug decision-making process for five HTA agencies [the National Institute of Health and Care Excellence (NICE), the Scottish Medicines Consortium (SMC), the Australia Pharmaceutical Benefits Advisory Committee (PBAC), the Canadian Agency for Drugs and Technologies in Health (CADTH), and the New Zealand Pharmaceutical Management Agency (PHARMAC)] were reviewed and retrieved from official documents from public domains. The DAC is in charge of systemically and critically appraising new drugs before they are listed on the formulary, reviewing submitted applications, and making the decision to list the drug based on scientific evidence to which safety, efficacy, and cost-effectiveness are the primary considerations. When compared with other HTA agencies, transparency of the decision-making process of the DAC, the relevance of clinical and health economic evidence, and the lack of health economic and methodological input of submissions are the major challenges to the new-drug listing policy in Hong Kong. Despite these challenges, this review provides suggestions for the establishment of a more transparent, credible, and evidence-based decision-making process in the Hong Kong Hospital Authority Drug Formulary. Proposals for improvement in the listing of new drugs in the formulary should be a priority of healthcare reforms.

  17. Nutraceuticals and Their Potential to Treat Duchenne Muscular Dystrophy: Separating the Credible from the Conjecture.

    Science.gov (United States)

    Woodman, Keryn G; Coles, Chantal A; Lamandé, Shireen R; White, Jason D

    2016-11-09

    In recent years, complementary and alternative medicine has become increasingly popular. This trend has not escaped the Duchenne Muscular Dystrophy community with one study showing that 80% of caregivers have provided their Duchenne patients with complementary and alternative medicine in conjunction with their traditional treatments. These statistics are concerning given that many supplements are taken based on purely "anecdotal" evidence. Many nutraceuticals are thought to have anti-inflammatory or anti-oxidant effects. Given that dystrophic pathology is exacerbated by inflammation and oxidative stress these nutraceuticals could have some therapeutic benefit for Duchenne Muscular Dystrophy (DMD). This review gathers and evaluates the peer-reviewed scientific studies that have used nutraceuticals in clinical or pre-clinical trials for DMD and thus separates the credible from the conjecture.

  18. Probabilistic accident consequence uncertainty analysis -- Late health effects uncertain assessment. Volume 2: Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Little, M.P.; Muirhead, C.R. [National Radiological Protection Board (United Kingdom); Goossens, L.H.J.; Kraan, B.C.P.; Cooke, R.M. [Delft Univ. of Technology (Netherlands); Harper, F.T. [Sandia National Labs., Albuquerque, NM (United States); Hora, S.C. [Univ. of Hawaii, Hilo, HI (United States)

    1997-12-01

    The development of two new probabilistic accident consequence codes, MACCS and COSYMA, was completed in 1990. These codes estimate the consequence from the accidental releases of radiological material from hypothesized accidents at nuclear installations. In 1991, the US Nuclear Regulatory Commission and the Commission of the European Communities began cosponsoring a joint uncertainty analysis of the two codes. The ultimate objective of this joint effort was to systematically develop credible and traceable uncertainty distributions for the respective code input variables. A formal expert judgment elicitation and evaluation process was identified as the best technology available for developing a library of uncertainty distributions for these consequence parameters. This report focuses on the results of the study to develop distribution for variables related to the MACCS and COSYMA late health effects models. This volume contains appendices that include (1) a summary of the MACCS and COSYMA consequence codes, (2) the elicitation questionnaires and case structures, (3) the rationales and results for the expert panel on late health effects, (4) short biographies of the experts, and (5) the aggregated results of their responses.

  19. Probabilistic accident consequence uncertainty analysis -- Early health effects uncertainty assessment. Volume 2: Appendices

    Energy Technology Data Exchange (ETDEWEB)

    Haskin, F.E. [Univ. of New Mexico, Albuquerque, NM (United States); Harper, F.T. [Sandia National Labs., Albuquerque, NM (United States); Goossens, L.H.J.; Kraan, B.C.P. [Delft Univ. of Technology (Netherlands)

    1997-12-01

    The development of two new probabilistic accident consequence codes, MACCS and COSYMA, was completed in 1990. These codes estimate the consequence from the accidental releases of radiological material from hypothesized accidents at nuclear installations. In 1991, the US Nuclear Regulatory Commission and the Commission of the European Communities began cosponsoring a joint uncertainty analysis of the two codes. The ultimate objective of this joint effort was to systematically develop credible and traceable uncertainty distributions for the respective code input variables. A formal expert judgment elicitation and evaluation process was identified as the best technology available for developing a library of uncertainty distributions for these consequence parameters. This report focuses on the results of the study to develop distribution for variables related to the MACCS and COSYMA early health effects models. This volume contains appendices that include (1) a summary of the MACCS and COSYMA consequence codes, (2) the elicitation questionnaires and case structures, (3) the rationales and results for the panel on early health effects, (4) short biographies of the experts, and (5) the aggregated results of their responses.

  20. The Influence of Consumers€™ Tie Strength, Homophily and Source Credibility Toward Electronic Word-of-mouth (Ewom) Behavior

    OpenAIRE

    Oroh, Winda Lely

    2014-01-01

    Electronic word-of-mouth (eWOM) in the form of online product reviews can influence the sales of a product and/or service, and that informational€based determinants are very important to consumers when evaluating reviews. The purpose of this research is to analyze the influence of consumers€™ tie strength, homophily, and source credibility toward electronic word-of-mouth behavior (eWOM). This research used quantitative analyze. The method used to analyze the data is the Multiple Regression A...

  1. Identifying Health Needs in Peru Through Use of a Community Survey.

    Science.gov (United States)

    Renn, McCartney; Steffen, Lori

    2016-11-01

    Students and faculty from a Midwestern college conducted a neighborhood community needs assessment in an impoverished area of a Peruvian city to identify health needs of residents. Students interviewed residents in their homes, asking about the need for medical, dental, and ophthalmic care and screening for chronic conditions such as diabetes, heart disease, and tuberculosis. The survey provided necessary information to medical mission workers and allowed students to directly observe family living conditions while assessing psychosocial needs of the families interviewed. The challenges of this survey included differing expectations, language barriers, recruiting neighborhood volunteers, safety risks to students, and mistrust by neighborhood residents.

  2. Using an engaging approach to products to help create long-term credibility

    International Nuclear Information System (INIS)

    McNeill, G.; Larkin, E.

    1993-01-01

    A long-term, thorough and engaging public information products plan is essential for supporting interaction between Nevadans and the scientists and staff of the US DOE Yucca Mountain Site Characterization Project (YMP). As members of the Institutional and External Affairs office on the YMP in Nevada, our focus is to create successful products for a Nevada audience, in accordance with DOE regulations. Our product plan is broad, but has the same theoretical foundation whether we are developing a new fact sheet of working with a scientist to help him or her communicate effectively. Our goals are to: Create products that help build long-term credibility; communicate honestly about risk; engage the public in meaningful, effective ways; be receptive to hearing Nevadans' concerns and questions; respond in ways that indicate that the public has been heard and respected; and to keep away from the open-quotes usclose quotes versus open-quotes themclose quotes orientation, distinguishing our communication approach from others. Explanations of our rationale, products plan, and goals and techniques for achieving them are stated, and related problems are described

  3. Quality indicators for blogs and podcasts used in medical education: modified Delphi consensus recommendations by an international cohort of health professions educators.

    Science.gov (United States)

    Lin, Michelle; Thoma, Brent; Trueger, N Seth; Ankel, Felix; Sherbino, Jonathan; Chan, Teresa

    2015-10-01

    Quality assurance concerns about social media platforms used for education have arisen within the medical education community. As more trainees and clinicians use resources such as blogs and podcasts for learning, we aimed to identify quality indicators for these resources. A previous study identified 151 potentially relevant quality indicators for these social media resources. To identify quality markers for blogs and podcasts using an international cohort of health professions educators. A self-selected group of 44 health professions educators at the 2014 International Conference on Residency Education participated in a Social Media Summit during which a modified Delphi consensus study was conducted to determine which of the 151 quality indicators met the a priori ≥90% inclusion threshold. Thirteen quality indicators classified into the domains of credibility (n=8), content (n=4) and design (n=1) met the inclusion threshold. The quality indicators that were identified may serve as a foundation for further research on quality indicators of social media-based medical education resources and prompt discussion of their legitimacy as a form of educational scholarship. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  4. Labonté Identifies Key Issues for Health Promoters in the New World Order; Comment on “Health Promotion in an Age of Normative Equity and Rampant Inequality”

    Directory of Open Access Journals (Sweden)

    Dennis Raphael

    2017-07-01

    Full Text Available For over 35 years Ronald Labonté has been critically analyzing the state of health promotion in Canada and the world. In 1981, he identified the shortcomings of the groundbreaking Lalonde Report by warning of the seductive appeal of so-called lifestyle approaches to health. Since then, he has left a trail of critical work identifying the barriers to — and opportunities for —health promotion work. More recently, he has shown how the rise of economic globalization and acceptance of neo-liberal ideology has come to threaten the health of those in both developed and developing nations. In his recent commentary, Labonté shows how the United Nations’ 2015 Sustainable Development Goals (SDGs can offer a new direction for health promoters in these difficult times.

  5. Past speculations of the future: a review of the methods used for forecasting emerging health technologies.

    Science.gov (United States)

    Doos, Lucy; Packer, Claire; Ward, Derek; Simpson, Sue; Stevens, Andrew

    2016-03-10

    Forecasting can support rational decision-making around the introduction and use of emerging health technologies and prevent investment in technologies that have limited long-term potential. However, forecasting methods need to be credible. We performed a systematic search to identify the methods used in forecasting studies to predict future health technologies within a 3-20-year timeframe. Identification and retrospective assessment of such methods potentially offer a route to more reliable prediction. Systematic search of the literature to identify studies reported on methods of forecasting in healthcare. People are not needed in this study. The authors searched MEDLINE, EMBASE, PsychINFO and grey literature sources, and included articles published in English that reported their methods and a list of identified technologies. Studies reporting methods used to predict future health technologies within a 3-20-year timeframe with an identified list of individual healthcare technologies. Commercially sponsored reviews, long-term futurology studies (with over 20-year timeframes) and speculative editorials were excluded. 15 studies met our inclusion criteria. Our results showed that the majority of studies (13/15) consulted experts either alone or in combination with other methods such as literature searching. Only 2 studies used more complex forecasting tools such as scenario building. The methodological fundamentals of formal 3-20-year prediction are consistent but vary in details. Further research needs to be conducted to ascertain if the predictions made were accurate and whether accuracy varies by the methods used or by the types of technologies identified. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  6. Correlates of consumer trust in online health information: findings from the health information national trends survey.

    Science.gov (United States)

    Ye, Yinjiao

    2011-01-01

    The past few decades have witnessed a dramatic increase in consumers seeking health information online. However, the quality of such information remains questionable, and the trustworthiness of online health information has become a hot topic, whereas little attention has been paid to how consumers evaluate online health information credibility. This study builds on theoretical perspectives of trust such as personal-capital-based, social-capital-based, and transfer-based, and it examines various correlates of consumer trust in online health information. The author analyzed the 2007 Health Information National Trends Survey data (N = 7,674). Results showed that consumer trust in online health information did not correlate with personal capital such as income, education, and health status. Social capital indicated by visiting social networking Web sites was not associated with trust in online health information either. Nevertheless, trust in online health information transferred from traditional mass media and government health agencies to the Internet, and it varied by such information features as easiness to locate and to understand. Age appeared to be a key factor in understanding the correlates of trust in online health information. Theoretical and empirical implications of the results are discussed.

  7. One Health approach to identify research needs in bovine and human babesioses: workshop report

    Directory of Open Access Journals (Sweden)

    McElwain Terry F

    2010-04-01

    Full Text Available Abstract Background Babesia are emerging health threats to humans and animals in the United States. A collaborative effort of multiple disciplines to attain optimal health for people, animals and our environment, otherwise known as the One Health concept, was taken during a research workshop held in April 2009 to identify gaps in scientific knowledge regarding babesioses. The impetus for this analysis was the increased risk for outbreaks of bovine babesiosis, also known as Texas cattle fever, associated with the re-infestation of the U.S. by cattle fever ticks. Results The involvement of wildlife in the ecology of cattle fever ticks jeopardizes the ability of state and federal agencies to keep the national herd free of Texas cattle fever. Similarly, there has been a progressive increase in the number of cases of human babesiosis over the past 25 years due to an increase in the white-tailed deer population. Human babesiosis due to cattle-associated Babesia divergens and Babesia divergens-like organisms have begun to appear in residents of the United States. Research needs for human and bovine babesioses were identified and are presented herein. Conclusions The translation of this research is expected to provide veterinary and public health systems with the tools to mitigate the impact of bovine and human babesioses. However, economic, political, and social commitments are urgently required, including increased national funding for animal and human Babesia research, to prevent the re-establishment of cattle fever ticks and the increasing problem of human babesiosis in the United States.

  8. Building confidence and credibility amid growing model and computing complexity

    Science.gov (United States)

    Evans, K. J.; Mahajan, S.; Veneziani, C.; Kennedy, J. H.

    2017-12-01

    As global Earth system models are developed to answer an ever-wider range of science questions, software products that provide robust verification, validation, and evaluation must evolve in tandem. Measuring the degree to which these new models capture past behavior, predict the future, and provide the certainty of predictions is becoming ever more challenging for reasons that are generally well known, yet are still challenging to address. Two specific and divergent needs for analysis of the Accelerated Climate Model for Energy (ACME) model - but with a similar software philosophy - are presented to show how a model developer-based focus can address analysis needs during expansive model changes to provide greater fidelity and execute on multi-petascale computing facilities. A-PRIME is a python script-based quick-look overview of a fully-coupled global model configuration to determine quickly if it captures specific behavior before significant computer time and expense is invested. EVE is an ensemble-based software framework that focuses on verification of performance-based ACME model development, such as compiler or machine settings, to determine the equivalence of relevant climate statistics. The challenges and solutions for analysis of multi-petabyte output data are highlighted from the aspect of the scientist using the software, with the aim of fostering discussion and further input from the community about improving developer confidence and community credibility.

  9. On the shape of posterior densities and credible sets in instrumental variable regression models with reduced rank: an application of flexible sampling methods using neural networks

    NARCIS (Netherlands)

    Hoogerheide, L.F.; Kaashoek, J.F.; van Dijk, H.K.

    2007-01-01

    Likelihoods and posteriors of instrumental variable (IV) regression models with strong endogeneity and/or weak instruments may exhibit rather non-elliptical contours in the parameter space. This may seriously affect inference based on Bayesian credible sets. When approximating posterior

  10. On the shape of posterior densities and credible sets in instrumental variable regression models with reduced rank: an application of flexible sampling methods using neural networks

    NARCIS (Netherlands)

    L.F. Hoogerheide (Lennart); J.F. Kaashoek (Johan); H.K. van Dijk (Herman)

    2005-01-01

    textabstractLikelihoods and posteriors of instrumental variable regression models with strong endogeneity and/or weak instruments may exhibit rather non-elliptical contours in the parameter space. This may seriously affect inference based on Bayesian credible sets. When approximating such contours

  11. Identifying organisational principles and management practices important to the quality of health care services for chronic conditions

    DEFF Research Database (Denmark)

    Frølich, Anne

    2012-01-01

    are limited, it is necessary to identify efficient methods to improve the quality of care. Comparing health care systems is a well-known method for identifying new knowledge regarding, for instance, organisational methods and principles. Kaiser Permanente (KP), an integrated health care delivery system...... in the U.S., is recognized as providing high-quality chronic care; to some extent, this is due to KP's implementation of the chronic care model (CCM). This model recommends a range of evidence-based management practices that support the implementation of evidence-based medicine. However, it is not clear...... which management practices in the CCM are most efficient and in what combinations. In addition, financial incentives and public reporting of performance are often considered effective at improving the quality of health care services, but this has not yet been definitively proved....

  12. Differences in health insurance and health service utilization among Asian Americans: method for using the NHIS to identify unique patterns between ethnic groups.

    Science.gov (United States)

    Ruy, Hosihn; Young, Wendy B; Kwak, Hoil

    2002-01-01

    The purpose of this study is to outline a method to identify the characteristics of socioeconomic variables in determining the differences in health insurance coverage and health services utilization patterns for different ethnic groups, using the behavioural model of health service utilization. A sample drawn from Asian American adult respondents to the 1992, 1993, and 1994 National Health Interview Surveys (NHIS) in the USA formed the data set. The results showed Asian Americans as not being homogeneous. There were distinctly different demographic and socioeconomic characteristics between six Asian American ethnic groups that affect health insurance coverage and health service utilization. The study method is useful for constructing health policy and services to address the general public need without adversely affecting smaller minority groups. Secondary analysis of well-constructed national data sets such as the specific Asian ethnic groups in NHIS, offers a rich method for predicting the differential impact of specific health policies on various ethnic groups.

  13. An exploratory study identifying where local government public health decision makers source their evidence for policy.

    Science.gov (United States)

    Stoneham, Melissa; Dodds, James

    2014-08-01

    The Western Australian (WA) Public Health Bill will replace the antiquated Health Act 1911. One of the proposed clauses of the Bill requires all WA local governments to develop a Public Health Plan. The Bill states that Public Health Plans should be based on evidence from all levels, including national and statewide priorities, community needs, local statistical evidence, and stakeholder data. This exploratory study, which targeted 533 WA local government officers, aimed to identify the sources of evidence used to generate the list of public health risks to be included in local government Public Health Plans. The top four sources identified for informing local policy were: observation of the consequences of the risks in the local community (24.5%), statewide evidence (17.6%), local evidence (17.6%) and coverage in local media (16.2%). This study confirms that both hard and soft data are used to inform policy decisions at the local level. Therefore, the challenge that this study has highlighted is in the definition or constitution of evidence. SO WHAT? Evidence is critical to the process of sound policy development. This study highlights issues associated with what actually constitutes evidence in the policy development process at the local government level. With the exception of those who work in an extremely narrow field, it is difficult for local government officers, whose role includes policymaking, to read the vast amount of information that has been published in their area of expertise. For those who are committed to the notion of evidence-based policymaking, as advocated within the WA Public Health Bill, this presents a considerable challenge.

  14. Case-mix adjustment of consumer reports about managed behavioral health care and health plans.

    Science.gov (United States)

    Eselius, Laura L; Cleary, Paul D; Zaslavsky, Alan M; Huskamp, Haiden A; Busch, Susan H

    2008-12-01

    To develop a model for adjusting patients' reports of behavioral health care experiences on the Experience of Care and Health Outcomes (ECHO) survey to allow for fair comparisons across health plans. Survey responses from 4,068 individuals enrolled in 21 managed behavioral health plans who received behavioral health care within the previous year (response rate = 48 percent). Potential case-mix adjustors were evaluated by combining information about their predictive power and the amount of within- and between-plan variability. Changes in plan scores and rankings due to case-mix adjustment were quantified. The final case-mix adjustment model included self-reported mental health status, self-reported general health status, alcohol/drug treatment, age, education, and race/ethnicity. The impact of adjustment on plan report scores was modest, but large enough to change some plan rankings. Adjusting plan report scores on the ECHO survey for differences in patient characteristics had modest effects, but still may be important to maintain the credibility of patient reports as a quality metric. Differences between those with self-reported fair/poor health compared with those in excellent/very good health varied by plan, suggesting quality differences associated with health status and underscoring the importance of collecting quality information.

  15. Identifying organisational principles and management practices important to the quality of health care services for chronic conditions.

    Science.gov (United States)

    Frølich, Anne

    2012-02-01

    The quality of health care services offered to people suffering from chronic diseases often fails to meet standards in Denmark or internationally. The population consisting of people with chronic diseases is large and accounts for about 70% of total health care expenses. Given that resources are limited, it is necessary to identify efficient methods to improve the quality of care. Comparing health care systems is a well-known method for identifying new knowledge regarding, for instance, organisational methods and principles. Kaiser Permanente (KP), an integrated health care delivery system in the U.S., is recognized as providing high-quality chronic care; to some extent, this is due to KP's implementation of the chronic care model (CCM). This model recommends a range of evidence-based management practices that support the implementation of evidence-based medicine. However, it is not clear which management practices in the CCM are most efficient and in what combinations. In addition, financial incentives and public reporting of performance are often considered effective at improving the quality of health care services, but this has not yet been definitively proved. The aim of this dissertation is to describe the effect of determinants, such as organisational structures and management practices including two selected incentives, on the quality of care in chronic diseases. The dissertation is based on four studies with the following purposes: 1) macro- or healthcare system-level identification of organisational structures and principles that affect the quality of health care services, based on a comparison of KP and the Danish health care system; 2) meso- or organisation-level identification of management practices with positive effects on screening rates for hemoglobin A1c and lipid profile in diabetes; 3) evaluation of the effect of the CCM on quality of health care services and continuity of care in a Danish setting; 4) micro- or practice-level evaluation of the

  16. Nutraceuticals and Their Potential to Treat Duchenne Muscular Dystrophy: Separating the Credible from the Conjecture

    Directory of Open Access Journals (Sweden)

    Keryn G. Woodman

    2016-11-01

    Full Text Available In recent years, complementary and alternative medicine has become increasingly popular. This trend has not escaped the Duchenne Muscular Dystrophy community with one study showing that 80% of caregivers have provided their Duchenne patients with complementary and alternative medicine in conjunction with their traditional treatments. These statistics are concerning given that many supplements are taken based on purely “anecdotal” evidence. Many nutraceuticals are thought to have anti-inflammatory or anti-oxidant effects. Given that dystrophic pathology is exacerbated by inflammation and oxidative stress these nutraceuticals could have some therapeutic benefit for Duchenne Muscular Dystrophy (DMD. This review gathers and evaluates the peer-reviewed scientific studies that have used nutraceuticals in clinical or pre-clinical trials for DMD and thus separates the credible from the conjecture.

  17. Celiac disease on YouTube - a study of the Polish content available on the popular video-sharing website.

    Science.gov (United States)

    Kiedrowski, Mirosław; Mróz, Andrzej; Gajewska, Danuta; Nurzyński, Paweł; Deptała, Andrzej

    2017-10-23

    Celiac disease affects about 1% of the population. Since most Polish households have a broadband Internet connection, a lot of people use web resources to learn about health and disease. YouTube service (www.youtube.com) offers a lot of videos concerning celiac disease. However, the credibility of the Polish videos available on YouTube and concerning celiac disease has never been analyzed. The aim of the study was to determine whether the YouTube service offers valuable content for Polish people affected by celiac disease. One hundred and fifty-four unique videos devoted to celiac disease and available in the Polish language were identified and critically assessed. Each video was categorized due to its topic(s), and evaluated for its credibility by two independent researchers. In general, 127 (82.5%) videos were found to be credible. The most credible categories of content presented organizations and events related to celiac disease/celiac society, followed by culinary recipes (100.0, 100.0, and 95.6% of credible videos, respectively). The least trustworthy categories were devoted to pathobiology and advertisements (55.6 and 54.3% of credible videos, respectively). YouTube service can serve as a supplementary source of knowledge for people affected by celiac disease, after careful selection of trustworthy content.

  18. Why so many "rigorous" evaluations fail to identify unintended consequences of development programs: How mixed methods can contribute.

    Science.gov (United States)

    Bamberger, Michael; Tarsilla, Michele; Hesse-Biber, Sharlene

    2016-04-01

    Many widely-used impact evaluation designs, including randomized control trials (RCTs) and quasi-experimental designs (QEDs), frequently fail to detect what are often quite serious unintended consequences of development programs. This seems surprising as experienced planners and evaluators are well aware that unintended consequences frequently occur. Most evaluation designs are intended to determine whether there is credible evidence (statistical, theory-based or narrative) that programs have achieved their intended objectives and the logic of many evaluation designs, even those that are considered the most "rigorous," does not permit the identification of outcomes that were not specified in the program design. We take the example of RCTs as they are considered by many to be the most rigorous evaluation designs. We present a numbers of cases to illustrate how infusing RCTs with a mixed-methods approach (sometimes called an "RCT+" design) can strengthen the credibility of these designs and can also capture important unintended consequences. We provide a Mixed Methods Evaluation Framework that identifies 9 ways in which UCs can occur, and we apply this framework to two of the case studies. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Evidence for a neural correlate of a framing effect: bias-specific activity in the ventromedial prefrontal cortex during credibility judgments.

    Science.gov (United States)

    Deppe, M; Schwindt, W; Krämer, J; Kugel, H; Plassmann, H; Kenning, P; Ringelstein, E B

    2005-11-15

    Neural processes within the medial prefrontal cortex play a crucial role in assessing and integrating emotional and other implicit information during decision-making. Phylogenetically, it was important for the individual to assess the relevance of all kinds of environmental stimuli in order to adapt behavior in a flexible manner. Consequently, we can in principle not exclude that environmental information covertly influences the evaluation of actually decision relevant facts ("framing effect"). To test the hypothesis that the medial prefrontal cortex is involved into a framing effect we employed functional magnetic resonance imaging (fMRI) during a binary credibility judgment task. Twenty-one subjects were asked to judge 30 normalized news magazine headlines by forced answers as "true" or "false". To confound the judgments by formally irrelevant framing information we presented each of the headlines in four different news magazines characterized by varying credibility. For each subject the susceptibility to the judgment confounder (framing information) was assessed by magazine-specific modifications of the answers given. We could show that individual activity changes of the ventromedial prefrontal cortex during the judgments correlate with the degree of an individual's susceptibility to the framing information. We found (i) a neural correlate of a framing effect as postulated by behavioral decision theorists that (ii) reflects interindividual differences in the degree of the susceptibility to framing information.

  20. Identifying paediatric nursing-sensitive outcomes in linked administrative health data

    Directory of Open Access Journals (Sweden)

    Wilson Sally

    2012-07-01

    Full Text Available Abstract Background There is increasing interest in the contribution of the quality of nursing care to patient outcomes. Due to different casemix and risk profiles, algorithms for administrative health data that identify nursing-sensitive outcomes in adult hospitalised patients may not be applicable to paediatric patients. The study purpose was to test adult algorithms in a paediatric hospital population and make amendments to increase the accuracy of identification of hospital acquired events. The study also aimed to determine whether the use of linked hospital records improved the likelihood of correctly identifying patient outcomes as nursing sensitive rather than being related to their pre-morbid conditions. Methods Using algorithms developed by Needleman et al. (2001, proportions and rates of records that identified nursing-sensitive outcomes for pressure ulcers, pneumonia and surgical wound infections were determined from administrative hospitalisation data for all paediatric patients discharged from a tertiary paediatric hospital in Western Australia between July 1999 and June 2009. The effects of changes to inclusion and exclusion criteria for each algorithm on the calculated proportion or rate in the paediatric population were explored. Linked records were used to identify comorbid conditions that increased nursing-sensitive outcome risk. Rates were calculated using algorithms revised for paediatric patients. Results Linked records of 129,719 hospital separations for 79,016 children were analysed. Identification of comorbid conditions was enhanced through access to prior and/or subsequent hospitalisation records (43% of children with pressure ulcers had a form of paralysis recorded only on a previous admission. Readmissions with a surgical wound infection were identified for 103 (4.8/1,000 surgical separations using linked data. After amendment of each algorithm for paediatric patients, rates of pressure ulcers and pneumonia reduced by

  1. Identifying paediatric nursing-sensitive outcomes in linked administrative health data.

    Science.gov (United States)

    Wilson, Sally; Bremner, Alexandra P; Hauck, Yvonne; Finn, Judith

    2012-07-20

    There is increasing interest in the contribution of the quality of nursing care to patient outcomes. Due to different casemix and risk profiles, algorithms for administrative health data that identify nursing-sensitive outcomes in adult hospitalised patients may not be applicable to paediatric patients. The study purpose was to test adult algorithms in a paediatric hospital population and make amendments to increase the accuracy of identification of hospital acquired events. The study also aimed to determine whether the use of linked hospital records improved the likelihood of correctly identifying patient outcomes as nursing sensitive rather than being related to their pre-morbid conditions. Using algorithms developed by Needleman et al. (2001), proportions and rates of records that identified nursing-sensitive outcomes for pressure ulcers, pneumonia and surgical wound infections were determined from administrative hospitalisation data for all paediatric patients discharged from a tertiary paediatric hospital in Western Australia between July 1999 and June 2009. The effects of changes to inclusion and exclusion criteria for each algorithm on the calculated proportion or rate in the paediatric population were explored. Linked records were used to identify comorbid conditions that increased nursing-sensitive outcome risk. Rates were calculated using algorithms revised for paediatric patients. Linked records of 129,719 hospital separations for 79,016 children were analysed. Identification of comorbid conditions was enhanced through access to prior and/or subsequent hospitalisation records (43% of children with pressure ulcers had a form of paralysis recorded only on a previous admission). Readmissions with a surgical wound infection were identified for 103 (4.8/1,000) surgical separations using linked data. After amendment of each algorithm for paediatric patients, rates of pressure ulcers and pneumonia reduced by 53% and 15% (from 1.3 to 0.6 and from 9.1 to 7.7 per

  2. Using social media to communicate child health information to low-income parents.

    Science.gov (United States)

    Stroever, Stephanie J; Mackert, Michael S; McAlister, Alfred L; Hoelscher, Deanna M

    2011-11-01

    The objective of this study was to determine the value of using social media to communicate child health information to low-income parents. We evaluated qualitative data obtained through focus groups with low-income, predominantly Hispanic parents. Results were mixed; lack of time and credibility were the primary objections parents cited in using social media to obtain information about their children's health. Social media has value as part of an overall communication strategy, but more work is needed to determine the most effective way to use this channel in low-income populations.

  3. Research Priorities for Fertility and Conception Research as Identified by Multidisciplinary Health Care Practitioners and Researchers

    Directory of Open Access Journals (Sweden)

    Lisa J. Moran

    2016-01-01

    Full Text Available The Robinson Research Institute of the University of Adelaide convened a multidisciplinary group of n = 33 clinicians, researchers and representatives of government organisations on the 2 October 2014 for a workshop entitled “Promoting fertility and healthy conception. How do we generate greater reproductive health awareness?” The key aim of the workshop was to assess the body of knowledge that informs clinical practice and government policy, and to identify questions and additional information needed by health practitioners and government representatives working in the field of reproductive health and to frame future research and policy. The workshop identified topics that fell mostly into three categories: lifestyle-related, societal and biological factors. The lifestyle topics included nutrition and diet, exercise, obesity, shift work and other factors deemed to be modifiable at the level of the individual. The societal topics included discussions of matters that are structural, and resistant to change by individuals, including specific ethical issues, social disadvantage, government and educational policies. The biological factors are intrinsic physical states of the individual, and included many factors where there is a dense body of scientific knowledge which may not be readily accessible in less academic language. This workshop thus provided an opportunity to identify further actions that could be undertaken to meet the needs of diverse organisations and groups of professionals with an interest in human fertility. Since so many factors in our social and biological environment can impact fertility and preconception health, it is imperative to involve many disciplines or levels of government or societal organisations that have not traditionally been involved in this area.

  4. Framework for selecting best practices in public health: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Eileen Ng

    2015-11-01

    Full Text Available Evidence-based public health has commonly relied on findings from empirical studies, or research-based evidence. However, this paper advocates that practice-based evidence derived from programmes implemented in real-life settings is likely to be a more suitable source of evidence for inspiring and guiding public health programmes. Selection of best practices from the array of implemented programmes is one way of generating such practice-based evidence. Yet the lack of consensus on the definition and criteria for practice-based evidence and best practices has limited their application in public health so far. To address the gap in literature on practice-based evidence, this paper hence proposes measures of success for public health interventions by developing an evaluation framework for selection of best practices. The proposed framework was synthesised from a systematic literature review of peer-reviewed and grey literature on existing evaluation frameworks for public health programmes as well as processes employed by health-related organisations when selecting best practices. A best practice is firstly defined as an intervention that has shown evidence of effectiveness in a particular setting and is likely to be replicable to other situations. Regardless of the area of public health, interventions should be evaluated by their context, process and outcomes. A best practice should hence meet most, if not all, of eight identified evaluation criteria: relevance, community participation, stakeholder collaboration, ethical soundness, replicability, effectiveness, efficiency and sustainability. Ultimately, a standardised framework for selection of best practices will improve the usefulness and credibility of practice-based evidence in informing evidence-based public health interventions.

  5. Legal abortion for mental health indications.

    Science.gov (United States)

    Cook, R J; Ortega-Ortiz, A; Romans, S; Ross, L E

    2006-11-01

    Where legal systems allow therapeutic abortion to preserve women's mental health, practitioners often lack access to mental health professionals for making critical diagnoses or prognoses that pregnancy or childcare endangers patients' mental health. Practitioners themselves must then make clinical assessments of the impact on their patients of continued pregnancy or childcare. The law requires only that practitioners make assessments in good faith, and by credible criteria. Mental disorder includes psychological distress or mental suffering due to unwanted pregnancy and responsibility for childcare, or, for instance, anticipated serious fetal impairment. Account should be taken of factors that make patients vulnerable to distress, such as personal or family mental health history, factors that may precipitate mental distress, such as loss of personal relationships, and factors that may maintain distress, such as poor education and marginal social status. Some characteristics of patients may operate as both precipitating and maintaining factors, such as poverty and lack of social support.

  6. A methodological survey identified eight proposed frameworks for the adaptation of health related guidelines.

    Science.gov (United States)

    Darzi, Andrea; Abou-Jaoude, Elias A; Agarwal, Arnav; Lakis, Chantal; Wiercioch, Wojtek; Santesso, Nancy; Brax, Hneine; El-Jardali, Fadi; Schünemann, Holger J; Akl, Elie A

    2017-06-01

    Our objective was to identify and describe published frameworks for adaptation of clinical, public health, and health services guidelines. We included reports describing methods of adaptation of guidelines in sufficient detail to allow its reproducibility. We searched Medline and EMBASE databases. We also searched personal files, as well manuals and handbooks of organizations and professional societies that proposed methods of adaptation and adoption of guidelines. We followed standard systematic review methodology. Our search captured 12,021 citations, out of which we identified eight proposed methods of guidelines adaptation: ADAPTE, Adapted ADAPTE, Alberta Ambassador Program adaptation phase, GRADE-ADOLOPMENT, MAGIC, RAPADAPTE, Royal College of Nursing (RCN), and Systematic Guideline Review (SGR). The ADAPTE framework consists of a 24-step process to adapt guidelines to a local context taking into consideration the needs, priorities, legislation, policies, and resources. The Alexandria Center for Evidence-Based Clinical Practice Guidelines updated one of ADAPTE's tools, modified three tools, and added three new ones. In addition, they proposed optionally using three other tools. The Alberta Ambassador Program adaptation phase consists of 11 steps and focused on adapting good-quality guidelines for nonspecific low back pain into local context. GRADE-ADOLOPMENT is an eight-step process based on the GRADE Working Group's Evidence to Decision frameworks and applied in 22 guidelines in the context of national guideline development program. The MAGIC research program developed a five-step adaptation process, informed by ADAPTE and the GRADE approach in the context of adapting thrombosis guidelines. The RAPADAPTE framework consists of 12 steps based on ADAPTE and using synthesized evidence databases, retrospectively derived from the experience of producing a high-quality guideline for the treatment of breast cancer with limited resources in Costa Rica. The RCN outlines

  7. Identifying Natural Alignments Between Ambulatory Surgery Centers and Local Health Systems: Building Broader Communities of Surgical Care.

    Science.gov (United States)

    Funk, Russell J; Owen-Smith, Jason; Landon, Bruce E; Birkmeyer, John D; Hollingsworth, John M

    2017-02-01

    To develop and compare methods for identifying natural alignments between ambulatory surgery centers (ASCs) and hospitals that anchor local health systems. Using all-payer data from Florida's State Ambulatory Surgery and Inpatient Databases (2005-2009), we developed 3 methods for identifying alignments between ASCS and hospitals. The first, a geographic proximity approach, used spatial data to assign an ASC to its nearest hospital neighbor. The second, a predominant affiliation approach, assigned an ASC to the hospital with which it shared a plurality of surgeons. The third, a network community approach, linked an ASC with a larger group of hospitals held together by naturally occurring physician networks. We compared each method in terms of its ability to capture meaningful and stable affiliations and its administrative simplicity. Although the proximity approach was simplest to implement and produced the most durable alignments, ASC surgeon's loyalty to the assigned hospital was low with this method. The predominant affiliation and network community approaches performed better and nearly equivalently on these metrics, capturing more meaningful affiliations between ASCs and hospitals. However, the latter's alignments were least durable, and it was complex to administer. We describe 3 methods for identifying natural alignments between ASCs and hospitals, each with strengths and weaknesses. These methods will help health system managers identify ASCs with which to partner. Moreover, health services researchers and policy analysts can use them to study broader communities of surgical care.

  8. Using Market Research to Characterize College Students and Identify Potential Targets for Influencing Health Behaviors

    Science.gov (United States)

    Berg, Carla J.; Ling, Pamela M.; Guo, Hongfei; Windle, Michael; Thomas, Janet L.; Ahluwalia, Jasjit S.; An, Lawrence C.

    2013-01-01

    Marketing campaigns, such as those developed by the tobacco industry, are based on market research, which defines segments of a population by assessing psychographic characteristics (i.e., attitudes, interests). This study uses a similar approach to define market segments of college smokers, to examine differences in their health behaviors (smoking, drinking, binge drinking, exercise, diet), and to determine the validity of these segments. A total of 2,265 undergraduate students aged 18–25 years completed a 108-item online survey in fall 2008 assessing demographic, psychographic (i.e., attitudes, interests), and health-related variables. Among the 753 students reporting past 30-day smoking, cluster analysis was conducted using 21 psychographic questions and identified three market segments – Stoic Individualists, Responsible Traditionalists, and Thrill-Seeking Socializers. We found that segment membership was related to frequency of alcohol use, binge drinking, and limiting dietary fat. We then developed three messages targeting each segment and conducted message testing to validate the segments on a subset of 73 smokers representing each segment in spring 2009. As hypothesized, each segment indicated greater relevance and salience for their respective message. These findings indicate that identifying qualitatively different subgroups of young adults through market research may inform the development of engaging interventions and health campaigns targeting college students. PMID:25264429

  9. Labonté Identifies Key Issues for Health Promoters in the New World Order Comment on "Health Promotion in an Age of Normative Equity and Rampant Inequality".

    Science.gov (United States)

    Raphael, Dennis Raphael

    2016-11-02

    For over 35 years Ronald Labonté has been critically analyzing the state of health promotion in Canada and the world. In 1981, he identified the shortcomings of the groundbreaking Lalonde Report by warning of the seductive appeal of so-called lifestyle approaches to health. Since then, he has left a trail of critical work identifying the barriers to - and opportunities for -health promotion work. More recently, he has shown how the rise of economic globalization and acceptance of neo-liberal ideology has come to threaten the health of those in both developed and developing nations. In his recent commentary, Labonté shows how the United Nations' 2015 Sustainable Development Goals (SDGs) can offer a new direction for health promoters in these difficult times. © 2017 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  10. Why the Distilled Spirits Industry Council of Australia is not a credible partner for the Australian government in making alcohol policy.

    Science.gov (United States)

    Munro, Geoffrey

    2012-06-01

    In 2008 the Australian government increased the excise rate on ready-to-drink premixed spirits or 'alcopops' by 70% to reduce their attraction to young people. A campaign against the decision was led by the Distilled Spirits Industry Council of Australia, whose members include representatives of the world's largest spirits producers and which aspires to partner the government in making alcohol policy. Distilled Spirits Industry Council of Australia's central thesis appeared to lack substance and sincerity: first, it promoted industry data that were evidently premature and misleading; second, it claimed ready-to-drinks were a safer alternative to the consumption of full-strength spirits because spirits pose a threat to drinkers due to their higher alcoholic content. For spirits producers to concede that drinking spirits is generically hazardous may be unprecedented and contradicts the spirits industry's long-standing opposition to the introduction of health warnings on product labels. Although that admission did not survive the resolution of the case, the effect may be profound, as it might justify the demand for greater control of the labelling and marketing of spirits, and reduce the credibility of spirits producers, and the broader alcohol industry, on matters of policy. © 2011 Australasian Professional Society on Alcohol and other Drugs.

  11. THE COST OF CREDIBILITY: THE COMPANY OF GENERAL FARMS AND FISCAL STAGNATION IN EIGHTEENTH-CENTURY FRANCE

    Directory of Open Access Journals (Sweden)

    Noel D. Johnson

    2006-01-01

    Full Text Available The Company of General Farms, a quasi-private collector of about half the French taxes in the eighteenth century, was one of the largest lenders to the Crown. The relationship between the Crown and General Farms fits the model of sovereign debt as a contingent claim. Lending is sustained in contingent claims models if the lender credibly commits to withhold funds from the sovereign if he defaults. The General Farms maintained this commitment with amonopsony of the Crown's access to taxes and borrowed funds. When revolution threatened, the monopsony stood between the Crown and reform of the fiscal system. The history of the Company of General Farms shows how a contingent claims equilibrium can raise the cost of legitimate reform.

  12. The MCE (Maximum Credible Earthquake) - an approach to reduction of seismic risk

    International Nuclear Information System (INIS)

    Asmis, G.J.K.; Atchison, R.J.

    1979-01-01

    It is the responsibility of the Regulatory Body (in Canada, the AECB) to ensure that radiological risks resulting from the effects of earthquakes on nuclear facilities, do not exceed acceptable levels. In simplified numerical terms this means that the frequency of an unacceptable radiation dose must be kept below 10 -6 per annum. Unfortunately, seismic events fall into the class of external events which are not well defined at these low frequency levels. Thus, design earthquakes have been chosen, at the 10 -3 - 10 -4 frequency level, a level commensurate with the limits of statistical data. There exists, therefore, a need to define an additional level of earthquake. A seismic design explicitly and implicitly recognizes three levels of earthquake loading; one comfortably below yield, one at or about yield, and one at ultimate. The ultimate level earthquake, contrary to the first two, has been implicitly addressed by conscientious designers by choosing systems, materials and details compatible with postulated dynamic forces. It is the purpose of this paper to discuss the regulatory specifications required to quantify this third level, or Maximum Credible Earthquake (MCE). (orig.)

  13. Rupture, resilience, and risk: relationships between mental health and migration among gay-identified men in North America.

    Science.gov (United States)

    Lewis, Nathaniel M

    2014-05-01

    An established body of research in psychology, psychiatry and epidemiology links social stigma and stress with poor mental and sexual health outcomes among gay-identified men. Less work considers how these linkages are mediated by place and almost none considers the role of movement across places. This qualitative study, based on the migration narratives of 48 gay-identified men living in Ottawa, Ontario, Canada, and Washington, D.C., U.S.A. gives more careful consideration to the ways in which mental and emotional health issues (e.g., anxiety, depression, substance use) in this population both precipitate migration and stem from migration. The narratives show that decisions to migrate often emerge from men׳s experiences of place-based minority stress and associated health outcomes. At the same time, moving to urban gay communities, when coupled with other life circumstances, can create or reinforce physical and emotional insecurities that lead to low self-esteem, substance use and sexual risk-taking. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. A history of health-related quality of life outcomes in psychiatry.

    Science.gov (United States)

    Revicki, Dennis A; Kleinman, Leah; Cella, David

    2014-06-01

    Health-related quality of life (HRQoL) is a multidimensional concept that includes subjective reports of symptoms, side effects, functioning in multiple life domains, and general perceptions of life satisfaction and quality. Rather than estimating it from external observations, interview, or clinical assessment, it is best measured by direct query. Due to a perception that respondents may not be reliable or credible, there has been some reluctance to use self-report outcomes in psychiatry. More recently, and increasingly, HRQoL assessment through direct patient query has become common when evaluating a range of psychiatric, psychological, and social therapies. With few exceptions, psychiatric patients are credible and reliable reporters of this information. This article summarizes studies that highlight the development, validation, and application of HRQoL measures in psychiatry. Thoughtful application of these tools in psychiatric research can provide a much-needed patient perspective in the future of comparative effectiveness research, patient-centered outcomes research, and clinical care.

  15. The role of mental health professionals in political asylum processing.

    Science.gov (United States)

    Meffert, Susan M; Musalo, Karen; McNiel, Dale E; Binder, Renée L

    2010-01-01

    Applying for asylum in the United States can be a strenuous process for both applicants and immigration attorneys. Mental health professionals with expertise in asylum law and refugee trauma can make important contributions to such cases. Not only can mental health professionals provide diagnostic information that may support applicants' claims, but they can evaluate how culture and mental health symptoms relate to perceived deficits in credibility or delays in asylum application. They can define mental health treatment needs and estimate the possible effects of repatriation on mental health. Mental health professionals can also provide supportive functions for clients as they prepare for testimony. Finally, in a consultative role, mental health experts can help immigration attorneys to improve their ability to elicit trauma narratives from asylum applicants safely and efficiently and to enhance their resilience in response to vicarious trauma and burnout symptoms arising from work with asylum seekers.

  16. Maximum credibly yield for deuteriuim-filled double shell imaging targets meeting requirements for yield bin Category A

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, Douglas Carl [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Loomis, Eric Nicholas [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-08-17

    We are anticipating our first NIF double shell shot using an aluminum ablator and a glass inner shell filled with deuterium shown in figure 1. The expected yield is between a few 1010 to a few 1011 dd neutrons. The maximum credible yield is 5e+13. This memo describes why, and what would be expected with variations on the target. This memo evaluates the maximum credible yield for deuterium filled double shell capsule targets with an aluminum ablator shell and a glass inner shell in yield Category A (< 1014 neutrons). It also pertains to fills of gas diluted with hydrogen, helium (3He or 4He), or any other fuel except tritium. This memo does not apply to lower z ablator dopants, such as beryllium, as this would increase the ablation efficiency. This evaluation is for 5.75 scale hohlraum targets of either gold or uranium with helium gas fills with density between 0 and 1.6 mg/cc. It could be extended to other hohlraum sizes and shapes with slight modifications. At present only laser pulse energies up to 1.5 MJ were considered with a single step laser pulse of arbitrary shape. Since yield decreases with laser energy for this target, the memo could be extended to higher laser energies if desired. These maximum laser parameters of pulses addressed here are near the edge of NIF’s capability, and constitute the operating envelope for experiments covered by this memo. We have not considered multiple step pulses, would probably create no advantages in performance, and are not planned for double shell capsules. The main target variables are summarized in Table 1 and explained in detail in the memo. Predicted neutron yields are based on 1D and 2D clean simulations.

  17. Training tomorrow's global health leaders: applying a transtheoretical model to identify behavior change stages within an intervention for health leadership development.

    Science.gov (United States)

    Daniels, Joseph; Farquhar, Carey; Nathanson, Neal; Mashalla, Yohana; Petracca, Frances; Desmond, Michelle; Green, Wendy; Davies, Luke; O'Malley, Gabrielle

    2014-12-01

    Training health professionals in leadership and management skills is a key component of health systems strengthening in low-resource settings. The importance of evaluating the effectiveness of these programs has received increased attention over the past several years, although such evaluations continue to pose significant challenges. This article presents evaluation data from the pilot year of the Afya Bora Fellowship, an African-based training program to increase the leadership capacity of health professionals. Firstly, we describe the goals of the Afya Bora Fellowship. Then, we present an adaptation of the transtheoretical model for behavior change called the Health Leadership Development Model, as an analytical lens to identify and describe evidence of individual leadership behavior change among training participants during and shortly after the pilot year of the program. The Health Leadership Development Model includes the following: pre-contemplation (status quo), contemplation (testing and internalizing leadership), preparation - (moving toward leadership), action (leadership in action), and maintenance (effecting organizational change). We used data from surveys, in-depth interviews, journal entries and course evaluations as data points to populate the Health Leadership Development Model. In the short term, fellows demonstrated increased leadership development during and shortly after the intervention and reflected the contemplation, preparation and action stages of the Health Leadership Development Model. However, expanded interventions and/or additional time may be needed to support behavior change toward the maintenance stages. We conclude that the Health Leadership Development Model is useful for informing health leadership training design and evaluation to contribute to sustainable health organizational change. © The Author(s) 2014.

  18. Imperatives of Bridging the Audit Expectation Gap and Enhancing the Credibility of Corporate Financial Information

    Directory of Open Access Journals (Sweden)

    John Otalor

    2013-07-01

    Full Text Available he study sought to ascertain if reducing the audit expectation gap would led to greater public confidence in corporate financial information. Self-administered questionnaires were used in the study. The data generated from the responses of the subjects were analyzed using descriptive and statistical analysis through the computer (Eview3.1.   The result showed that the higher the audit expectation gap, the higher the negative impact on the credibility of corporate financial reports. Thus, audit expectation gap creates doubt on the reliability of financial statements. Based on the findings and conclusion, it was recommended that the scope of auditors’ responsibilities should be expanded; companies should create a forum for regular interface between management, auditors and financial statement users to enhance confidence in financial reports and strengthening the audit committee and regulatory oversight of auditors to enhance their respective performances.

  19. Corporation as Civil Organization in a CSR Campaign: The Challenge of Maintaining Credibility

    DEFF Research Database (Denmark)

    Trapp, Leila

    2011-01-01

    CSR understandings and practices, including ways corporations communicate about CSR, are in constant flux due to innovation and changing stakeholder expectations, which in turn are influenced by inevitable changes in social, political and economic circumstances. In this paper, focus in on the gro......CSR understandings and practices, including ways corporations communicate about CSR, are in constant flux due to innovation and changing stakeholder expectations, which in turn are influenced by inevitable changes in social, political and economic circumstances. In this paper, focus...... in on the growing expectation that companies address large, global issues (Stohl, Stohl & Popova, 2009). Through a case study of a unique and innovative CSR campaign that addresses global climate change, this paper revisits the understanding of CSR as a shift in roles and responsibilities between corporations...... are recognized and maintained in CSR campaigns, challenges to a company’s credibility and reputation can arise. Key words: corporate social responsibility, corporate communication, cross-sector partnerships, corporate sustainability, campaigns, collaboration Paper type: case study Googins, B. K., Rochlin, S. A...

  20. How do aggregated patient-reported outcome measures data stimulate health care improvement? A realist synthesis

    Science.gov (United States)

    Dalkin, Sonia; Gibbons, Elizabeth; Wright, Judy; Valderas, Jose Maria; Meads, David; Black, Nick

    2017-01-01

    Objectives Internationally, there has been considerable debate about the role of data in supporting quality improvement in health care. Our objective was to understand how, why and in what circumstances the feedback of aggregated patient-reported outcome measures data improved patient care. Methods We conducted a realist synthesis. We identified three main programme theories underlying the use of patient-reported outcome measures as a quality improvement strategy and expressed them as nine ‘if then’ propositions. We identified international evidence to test these propositions through searches of electronic databases and citation tracking, and supplemented our synthesis with evidence from similar forms of performance data. We synthesized this evidence through comparing the mechanisms and impact of patient-reported outcome measures and other performance data on quality improvement in different contexts. Results Three programme theories were identified: supporting patient choice, improving accountability and enabling providers to compare their performance with others. Relevant contextual factors were extent of public disclosure, use of financial incentives, perceived credibility of the data and the practicality of the results. Available evidence suggests that patients or their agents rarely use any published performance data when selecting a provider. The perceived motivation behind public reporting is an important determinant of how providers respond. When clinicians perceived that performance indicators were not credible but were incentivized to collect them, gaming or manipulation of data occurred. Outcome data do not provide information on the cause of poor care: providers needed to integrate and interpret patient-reported outcome measures and other outcome data in the context of other data. Lack of timeliness of performance data constrains their impact. Conclusions Although there is only limited research evidence to support some widely held theories of how