Judith Cavazos-Arroyo

Applying the Fuzzy Delphi Method for determining socio-ecological factors that influence adherence to mammography screening in rural areas of Mexico

En Mexico la participacion regular en mastografia reporta baja frecuencia, aun cuando esta incrementa la supervivencia. El objetivo de esta investigacion es destacar procedimientos que necesitan ser optimizados y areas necesitadas de inversion, con el fin de incrementar la concientizacion acerca de los beneficios del diagnostico temprano. Tales caracteristicas socioecologicas (comunitarias, interpersonales e individuales) fueron puestas en listas a traves de la revision de la literatura especifica y el modelo de interaccion espacial del uso de mastografia, desarrollado por Mobley et al. La opinion de los expertos, respecto a la importancia de dichas caracteristicas, fue recogida por una encuesta, aplicando el metodo Fuzzy Delphi para reducir la incertidumbre implicita. Nuestros hallazgos sugieren que las conductas de salud de la poblacion, proximidad y densidad de facilidades y medicos, asi como factores de predisposicion, son necesarios para incrementar las tasas de examen. El uso de grupos de expertos desiguales en tamano podria afectar a la fiabilidad de las conclusiones. La aplicacion de un metodo de agregacion modificado proporciono un consenso grupal menos sensible a una malinterpretacion, ademas de ponderar la importancia de cada experto segun su experiencia en investigaciones con mastografia.In Mexico, regular participation in mammography screening is low, despite higher survival rates. The objective of our research is to highlight healthcare procedures to be optimized and target areas to encourage investment and to raise awareness about the benefits of early diagnosis. Those socio-ecological factors (community, interpersonal and individual) were collected through a review of literature and based on the spatial interaction model of mammography use developed by Mobley et al. The opinion of diverse groups of experts on the importance of those factors was collected by survey. The Fuzzy Delphi Method helped to solve the inherent uncertainty of the survey process. Our findings suggest that population health behaviors, proximity-density to facilities/ physicians and predisposing factors are needed to increase the screening rate. Variations in expert group size could affect the accuracy of the conclusions. However, the application of the enhanced aggregation method provided a group consensus that is less susceptible to misinterpretation and that weighs the opinion of each expert according to their clinical experience in mammography research.

Creative Self-Efficacy: The Influence of Affective States and Social Persuasion as Antecedents and Imagination and Divergent Thinking as Consequences

Two studies examined the influence of encouragement for creativity, curiosity, harmonious passion, and autonomy support as antecedents of creative self-efficacy and imagination and divergent thinking as consequences. College students completed a battery of questionnaires. Structural equation modeling treating the variables as latent and not normally distributed was used to test our hypotheses. Results from study 1 showed a positive influence of encouragement for creativity and curiosity on creative self-efficacy. Similarly, creative self-efficacy was a positive predictor of reproductive and creative imagination. Results from study 2 showed a positive effect of harmonious passion on creative self-efficacy. Creative self-efficacy was a positive predictor of fluency and originality scores from a divergent thinking task. The theoretical and applied implications of the results were discussed.

Socioecological determinants of mammography screening in Mexican rural areas

Purpose – The purpose of this paper is to determine which socioecological factors encourage rural women to participate in mammographies rather than avoiding taking the test. Design/methodology/approach – The study mainly uses data from the 2007 Rural Households Evaluation Survey (ENCEL-2007). These crossover data are analyzed using the framework proposed in the Spatial-Interaction Model of Mammography Use (SIMMU), through a three-level logistic regression model to examine the likelihood that a woman will choose to participate in a mammography. Findings – At the woman-household level, the completion of the Pap smear and the asset index is the strongest determinant of mammography participation. Obtaining preventive medicine services or being enrolled in the Popular Insurance System prevent women from undergoing screening. At the interpersonal level, the probability of screening use decreases with lower social coverage. At the intermediate level, availability of health centers is negatively related to the us...

The categorisation of brands: The case of P&G™ branding strategy.

In 2 studies, we tested what we considered to be the core of Procter and Gamble™ (P&G™) latest branding strategy: making the association between its corporate brand and its product brands explicit. Participants were randomly assigned to one of the conditions: explicit association between P&G™ and one of its product brands and a control condition. Results from Study 1 showed a positive influence of the corporate brand on judgements of brand quality for Crest™. Similarly, results from Study 2 showed a positive influence of the corporate brand on judgements of brand quality and trust for Oral-B™. From a multidisciplinary perspective, we discussed the theoretical and applied implications of our results.

Abordagem Fuzzy Delphi para determinar os fatores socioecológicos que influenciam a adesão à mamografia de rastreio em áreas rurais do México

En Mexico la participacion regular en mastografia reporta baja frecuencia, aun cuando esta incrementa la supervivencia. El objetivo de esta investigacion es destacar procedimientos que necesitan ser optimizados y areas necesitadas de inversion, con el fin de incrementar la concientizacion acerca de los beneficios del diagnostico temprano. Tales caracteristicas socioecologicas (comunitarias, interpersonales e individuales) fueron puestas en listas a traves de la revision de la literatura especifica y el modelo de interaccion espacial del uso de mastografia, desarrollado por Mobley et al. La opinion de los expertos, respecto a la importancia de dichas caracteristicas, fue recogida por una encuesta, aplicando el metodo Fuzzy Delphi para reducir la incertidumbre implicita. Nuestros hallazgos sugieren que las conductas de salud de la poblacion, proximidad y densidad de facilidades y medicos, asi como factores de predisposicion, son necesarios para incrementar las tasas de examen. El uso de grupos de expertos desiguales en tamano podria afectar a la fiabilidad de las conclusiones. La aplicacion de un metodo de agregacion modificado proporciono un consenso grupal menos sensible a una malinterpretacion, ademas de ponderar la importancia de cada experto segun su experiencia en investigaciones con mastografia.In Mexico, regular participation in mammography screening is low, despite higher survival rates. The objective of our research is to highlight healthcare procedures to be optimized and target areas to encourage investment and to raise awareness about the benefits of early diagnosis. Those socio-ecological factors (community, interpersonal and individual) were collected through a review of literature and based on the spatial interaction model of mammography use developed by Mobley et al. The opinion of diverse groups of experts on the importance of those factors was collected by survey. The Fuzzy Delphi Method helped to solve the inherent uncertainty of the survey process. Our findings suggest that population health behaviors, proximity-density to facilities/ physicians and predisposing factors are needed to increase the screening rate. Variations in expert group size could affect the accuracy of the conclusions. However, the application of the enhanced aggregation method provided a group consensus that is less susceptible to misinterpretation and that weighs the opinion of each expert according to their clinical experience in mammography research.

Aproximación Fuzzy Delphi para determinar los factores socioecológicos que influyen en la adherencia a la mastografía en áreas rurales de México

En Mexico la participacion regular en mastografia reporta baja frecuencia, aun cuando esta incrementa la supervivencia. El objetivo de esta investigacion es destacar procedimientos que necesitan ser optimizados y areas necesitadas de inversion, con el fin de incrementar la concientizacion acerca de los beneficios del diagnostico temprano. Tales caracteristicas socioecologicas (comunitarias, interpersonales e individuales) fueron puestas en listas a traves de la revision de la literatura especifica y el modelo de interaccion espacial del uso de mastografia, desarrollado por Mobley et al. La opinion de los expertos, respecto a la importancia de dichas caracteristicas, fue recogida por una encuesta, aplicando el metodo Fuzzy Delphi para reducir la incertidumbre implicita. Nuestros hallazgos sugieren que las conductas de salud de la poblacion, proximidad y densidad de facilidades y medicos, asi como factores de predisposicion, son necesarios para incrementar las tasas de examen. El uso de grupos de expertos desiguales en tamano podria afectar a la fiabilidad de las conclusiones. La aplicacion de un metodo de agregacion modificado proporciono un consenso grupal menos sensible a una malinterpretacion, ademas de ponderar la importancia de cada experto segun su experiencia en investigaciones con mastografia.In Mexico, regular participation in mammography screening is low, despite higher survival rates. The objective of our research is to highlight healthcare procedures to be optimized and target areas to encourage investment and to raise awareness about the benefits of early diagnosis. Those socio-ecological factors (community, interpersonal and individual) were collected through a review of literature and based on the spatial interaction model of mammography use developed by Mobley et al. The opinion of diverse groups of experts on the importance of those factors was collected by survey. The Fuzzy Delphi Method helped to solve the inherent uncertainty of the survey process. Our findings suggest that population health behaviors, proximity-density to facilities/ physicians and predisposing factors are needed to increase the screening rate. Variations in expert group size could affect the accuracy of the conclusions. However, the application of the enhanced aggregation method provided a group consensus that is less susceptible to misinterpretation and that weighs the opinion of each expert according to their clinical experience in mammography research.