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  • 1
    Online Resource
    Online Resource
    Relationships among affective factors and preferred engagement in science-related activities
    SAGE Publications ; 2013
    In:  Public Understanding of Science Vol. 22, No. 8 ( 2013-11), p. 941-954
    Details
    In: Public Understanding of Science, SAGE Publications, Vol. 22, No. 8 ( 2013-11), p. 941-954
    Abstract: This study investigated how affective factors impact participation in science learning using structural equation modeling. Using a dataset from Taiwan, a model was obtained that showed the relationships among science-related interest, enjoyment, self-efficacy, self-concept, competency, leisure time engagement, and future interest in science. The paths relating to engagement and future interest were much stronger for interest and enjoyment than for self-efficacy and self-concept. There was no significant path between science competency and future science interest or engagement. The results suggest that the affective and cognitive pathways to scientific competency are divergent and that they might be differentially activated by different contexts and activities. This indicates that school science educators might wish to reconsider the merit of overemphasizing achievement in comparison to interest. Finally, the results suggest that the development of science competency per se may not be the best way to ensure public engagement and understanding of science.
    Type of Medium: Online Resource
    ISSN: 0963-6625 , 1361-6609
    URL: Article
    DOI: 10.1177/0963662511429412
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2013
    detail.hit.zdb_id: 33479-0
    detail.hit.zdb_id: 1421272-9
    SSG: 11
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  • 2
    Online Resource
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    Adaptation and Testing of Instruments to Measure Cervical Cancer Screening Factors Among Vietnamese Immigrant Women
    SAGE Publications ; 2015
    In:  Journal of Transcultural Nursing Vol. 26, No. 3 ( 2015-05), p. 244-253
    Details
    In: Journal of Transcultural Nursing, SAGE Publications, Vol. 26, No. 3 ( 2015-05), p. 244-253
    Abstract: Purpose: Vietnamese American women diagnosed with cervical cancer are more likely to have advanced cancer than non-Hispanic White women. We sought to (a) develop a culturally sensitive Vietnamese translation of the Revised Susceptibility, Benefits, and Barriers Scale; Cultural Barriers to Screening Inventory; Confidentiality Issues Scale; and Quality of Care from the Health Care System Scale and (b) examine the psychometric properties. Design: Cross-sectional study with 201 Vietnamese immigrant women from the Portland, Oregon, metropolitan area. Method: We used a community-based participatory research approach and the U.S. Census Bureau’s team approach to translation. Results: Cronbach’s alpha ranged from .57 to .91. The incremental fit index ranged from .83 to .88. Discussion and Conclusions: The instruments demonstrated moderate to strong subscale internal consistency. Further research to assess structural validity is needed. Implications for Practice: Our approaches to translation and psychometric examination support use of the instruments in Vietnamese immigrant women.
    Type of Medium: Online Resource
    ISSN: 1043-6596 , 1552-7832
    URL: Article
    DOI: 10.1177/1043659614524245
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2069642-5
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  • 3
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    A Longitudinal Examination of Stages of Change Model Applied to Mammography Screening
    SAGE Publications ; 2016
    In:  Western Journal of Nursing Research Vol. 38, No. 4 ( 2016-04), p. 441-458
    Details
    In: Western Journal of Nursing Research, SAGE Publications, Vol. 38, No. 4 ( 2016-04), p. 441-458
    Abstract: Application of behavior change theories to ethnically diverse groups is limited. In a secondary analysis of intervention study data, we tested the validity of the transtheoretical model (TTM) of change among Chinese American immigrant women. Three hundred mammography non-adherent women were randomized to an intervention or control group. Compared with contemplators (60%), precontemplators reported higher perceived mammography barriers ( p 〈 .001) and lower breast cancer susceptibility ( p 〈 .01). Baseline contemplators were 1.5 times more likely to have a mammogram post intervention compared with precontemplators. Upward shift in stage of change was higher in the intervention than the control group at 3 months (odds ratio [OR] = 6.14), 6 months (OR = 4.82), and 12 months (OR = 2.85). Women with an upward shift at 3 months were more likely to complete mammography at 12 months (OR = 15.44). The results supported the TTM stages of change. Education targeted to Chinese women’s stages of change has significant potential to decrease breast cancer screening disparities.
    Type of Medium: Online Resource
    ISSN: 0193-9459 , 1552-8456
    URL: Article
    DOI: 10.1177/0193945915618398
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2067773-X
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  • 4
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    Measuring Breast Cancer and Mammography Screening Beliefs Among Chinese American Immigrants
    SAGE Publications ; 2008
    In:  Western Journal of Nursing Research Vol. 30, No. 7 ( 2008-11), p. 852-868
    Details
    In: Western Journal of Nursing Research, SAGE Publications, Vol. 30, No. 7 ( 2008-11), p. 852-868
    Abstract: Disparities in breast cancer outcomes persist among Asian American women. Breast cancer is the most commonly diagnosed cancer among Chinese American women. This article describes the psychometric evaluation of an instrument measuring knowledge and beliefs related to breast cancer and screening among Chinese American women aged 40 or older. A sample of 100 foreign-born Chinese American women were recruited from an Asian community. Guided by the health belief model, a questionnaire was adapted from three existing questionnaires. Principal axis factoring analyses yielded a three-factor solution that accounted for 53% of the variance in the breast cancer items and a four-factor solution that accounted for 69% of the variance in the cultural items (Cronbach's alphas = .71—.89). Whereas these findings contribute to the understanding of the psychometric properties of an instrument targeted for Chinese American women, additional research is needed to evaluate its utility and efficacy for other Asian Americans.
    Type of Medium: Online Resource
    ISSN: 0193-9459 , 1552-8456
    URL: Article
    DOI: 10.1177/0193945908319247
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2008
    detail.hit.zdb_id: 2067773-X
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  • 5
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    Prevalence of psychological distress: How do Australia and Canada compare?
    SAGE Publications ; 2018
    In:  Australian & New Zealand Journal of Psychiatry Vol. 52, No. 3 ( 2018-03), p. 227-238
    Details
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 52, No. 3 ( 2018-03), p. 227-238
    Abstract: To compare equivalent population-level mental health indicators in Canada and Australia, and articulate recommendations to support equitable mental health services. These are two somewhat similar resource-rich countries characterized by extensive non-metropolitan and rural regions as well as significant areas of socioeconomic deprivation. Methods: A cross-national epidemiology and equity study: primary outcome was Kessler Psychological Distress Scale (K10) in recent national surveys. A secondary outcome was mental disorders rate since these surveys were 5-years apart. Results: Elevated distress, defined by K10 scores (0–40 range) of 12 and over, affected 11.1% Australians and 12.0% Canadians. Elevated distress in both countries affected more people in the lowest income quintile (21–27%) compared to the richest (6%). In the lowest income quintile, 1-in-4 Australians and 1-in-5 Canadians reported elevated distress – twice the national average in both countries. Australians in the lowest income quintile (over 5 million people) have a significantly higher risk by over a 5% for elevated distress compared to their low-income Canadian counterparts. After adjusting for effects of age and gender, the relative odds in the lowest quintile compared to richest was 6.4 for Australians and 3.5 for Canadians, which remained significantly different thus confirming greater inequity in Australia. Mental disorders affected approximately 1-in-10 people in both countries. Conclusions: This adds to the mental health prevalence monitoring in these two countries by supporting an overall prevalence of elevated distress in approximately 1-in-10 people. It supports large-scale public health interventions that target elevated distress in people with low incomes to order to achieve the biggest impact, and, to reduce the greater inequity in mental health indicators in Australians, policy-makers should consider eliminating gap-fees as they are illegal in Canada. As encouraged by World Health Organization, we highlight the importance of such population-level studies so that cross-national results can be reliably compared.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.1177/0004867417708612
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2003849-5
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  • 6
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    A Breast Health Educational Program for Chinese-American Women: 3- to 12-Month Postintervention Effect
    SAGE Publications ; 2015
    In:  American Journal of Health Promotion Vol. 29, No. 3 ( 2015-01), p. 173-181
    Details
    In: American Journal of Health Promotion, SAGE Publications, Vol. 29, No. 3 ( 2015-01), p. 173-181
    Abstract: To test the efficacy of a culturally targeted breast cancer screening educational program in increasing mammogram completion in Chinese-American immigrant women. Design. Randomized controlled study Setting. Chinese communities, Portland, Oregon. Subjects. From April 2010 to September 2011, 300 women were randomized to receive a theory-based, culturally targeted breast cancer screening educational intervention (n = 147) or a mammography screening brochure published by the National Cancer Institute (n = 153). Intervention. The two-part intervention consisted of group teaching with targeted, theory-based messages followed by individual counseling sessions. Measures. Mammography completion, perceived susceptibility, perceived benefits, perceived barriers, perceived cultural barriers, and demographic variables. Analysis. A 2 × 3 mixed logistic model was applied to determine odds ratio of mammogram completion. Results. Behavior changed in both groups, with a total of 170 participants (56.7%) reporting a mammogram at 12 months. The logistic model indicated increased odds of mammogram completion in the intervention compared to the control group at 3, 6, and 12 months. When controlling for marital status, age, and age moved to the United States, the intervention group was nine times more likely to complete mammograms than the control group. Conclusion. The culturally targeted educational program significantly increased mammogram use among Chinese immigrant women. Further testing of effectiveness in larger community settings is needed. The intervention may also serve as a foundation from which to develop education to increase cancer screening among other minority subgroups.
    Type of Medium: Online Resource
    ISSN: 0890-1171 , 2168-6602
    URL: Article
    DOI: 10.4278/ajhp.130228-QUAN-91
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2134271-4
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  • 7
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    Couple’s Narratives of Communion and Isolation Following Abnormal Prenatal Microarray Testing Results
    SAGE Publications ; 2016
    In:  Qualitative Health Research Vol. 26, No. 14 ( 2016-12), p. 1975-1987
    Details
    In: Qualitative Health Research, SAGE Publications, Vol. 26, No. 14 ( 2016-12), p. 1975-1987
    Abstract: In 2% to 3% of cases, prenatal microarray testing detects deletions and duplications in a fetus’ genome that are undetected by conventional cytogenetics. Many of these changes are associated with variable or uncertain symptomatology. Little is known about how couples experience uncertain results. This study analyzed 24 interviews with members of 12 heterosexual U.S. couples who received pathogenic or uncertain microarray prenatal testing results. Researchers used narrative analysis to examine couples’ understanding and incorporation of findings into decision making regarding pregnancy termination. Couples felt unprepared for these findings and frustrated because scant information was available to aid interpretation. Women sought information and made decisions, and men marginalized their distress to support their wives. A shift in voice from first to second person indicated attempts to normalize emotional responses by making the process “common” to all couples. Families pursuing highly sensitive prenatal testing may need expert guidance to support decision making.
    Type of Medium: Online Resource
    ISSN: 1049-7323 , 1552-7557
    URL: Article
    DOI: 10.1177/1049732315603367
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2016
    detail.hit.zdb_id: 2010333-5
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  • 8
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    Health Care Providers’ Perspectives on Barriers and Facilitators to Cervical Cancer Screening in Vietnamese American Women
    SAGE Publications ; 2018
    In:  Journal of Transcultural Nursing Vol. 29, No. 5 ( 2018-09), p. 441-448
    Details
    In: Journal of Transcultural Nursing, SAGE Publications, Vol. 29, No. 5 ( 2018-09), p. 441-448
    Abstract: Introduction: Vietnamese American women (VAW) are diagnosed and die at twice the rate than White non-Hispanic American women (16.8/100,000 vs. 8.1/100,000 and 4.4/100,000 vs. 2.4/100,000, respectively). Despite efforts to increase cervical cancer (CC) screening among VAW, the participation rates are persistently low (69% to 81%). The purpose of this study was to explore health care providers’ (HCPs) perspectives on barriers and facilitators to CC screening in VAW. Method: This qualitative descriptive pilot study, used open-ended semistructured interviews with 10 HCPs. Results: The HCPs had two to 23 years treating VAW. Major barriers and facilitators identified by the HCPs were as follows: VAW’s decision making about CC screening; sexual health divide; language discordance, relying on interpreters; breaking suspicion; VAW’s exposure to health sources of CC screening; sustainable trust; and motivated health care practices. Discussion: HCPs perceived the reasons for VAW not being screened or delaying CC screening were due to their lack of knowledge, cultural barriers, language, and issues related to trust.
    Type of Medium: Online Resource
    ISSN: 1043-6596 , 1552-7832
    URL: Article
    DOI: 10.1177/1043659617745135
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
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  • 9
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    How is community based ‘out-of-hours’ care provided to patients with advanced illness near the end of life: A systematic review of care provision
    SAGE Publications ; 2023
    In:  Palliative Medicine Vol. 37, No. 3 ( 2023-03), p. 310-328
    Details
    In: Palliative Medicine, SAGE Publications, Vol. 37, No. 3 ( 2023-03), p. 310-328
    Abstract: Deaths in the community are increasing. However, community palliative care out-of-hours is variable. We lack detailed understanding of how care is provided out-of-hours and the associated outcomes. Aim: To review systematically the components, outcomes and economic evaluation of community-based ‘out-of-hours’ care for patients near the end of life and their families. Design: Mixed method systematic narrative review. Narrative synthesis, development and application of a typology to categorise out-of-hours provision. Qualitative data were synthesised thematically and integrated at the level of interpretation and reporting. Data sources: Systematic review searching; MEDLINE, EMBASE, PsycINFO, CINAHL from January 1990 to 1st August 2022. Results: About 64 publications from 54 studies were synthesised (from 9259 retrieved). Two main themes were identified: (1) importance of being known to a service and (2) high-quality coordination of care. A typology of out-of-hours service provision was constructed using three overarching dimensions (service times, focus of team delivering the care and type of care delivered) resulting in 15 categories of care. Only nine papers were randomised control trials or controlled cohorts reporting outcomes. Evidence on effectiveness was apparent for providing 24/7 specialist palliative care with both hands-on clinical care and advisory care. Only nine publications reported economic evaluation. Conclusions: The typological framework allows models of out-of-hours care to be systematically defined and compared. We highlight the models of out-of-hours care which are linked with improvement of patient outcomes. There is a need for effectiveness and cost effectiveness studies which define and categorise out-of-hours care to allow thorough evaluation of services.
    Type of Medium: Online Resource
    ISSN: 0269-2163 , 1477-030X
    URL: Article
    DOI: 10.1177/02692163231154760
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 2027566-3
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  • 10
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    Willingness to Discuss “Official English”: A Test of Three Communities
    SAGE Publications ; 1994
    In:  Journalism Quarterly Vol. 71, No. 2 ( 1994-06), p. 282-290
    Details
    In: Journalism Quarterly, SAGE Publications, Vol. 71, No. 2 ( 1994-06), p. 282-290
    Abstract: This study surveyed respondents in three disparate communities regarding their willingness to express their opinions about “Official English.” The findings raised questions as to whether perceived media opinion influenced their willingness to “speak out.” People were more likely to express their opinions when they perceived that national opinion (public and media) corresponded with their own opinions.
    Type of Medium: Online Resource
    ISSN: 0022-5533
    URL: Article
    DOI: 10.1177/107769909407100203
    RVK:
    AP 10100
    RVK:
    AP 20100
    RVK:
    MA 1000
    Language: English
    Publisher: SAGE Publications
    Publication Date: 1994
    detail.hit.zdb_id: 2070253-X
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