Larkin Lamarche

The Gym as a Culture of Body Achievement: Exploring Negative and Positive Body Image Experiences in Men Attending University

This study qualitatively explored the body image experiences of men attending university (N = 20). Participants were interviewed about comfortable and uncomfortable body-related situations. Participants also completed a measure of drive for muscularity. A thematic analysis was conducted. The results showed that the most commonly identified comfortable situation was the gym and was characterized by opportunities for positive social comparison and to wear physique-salient clothing to emphasize those positive comparisons and feelings of achievement. The gym and the beach were identified as the most common uncomfortable body-related situations characterized by a negative social comparison and associated negative thoughts and feelings related to the self and body, as well as situations involving the presence of women. Coping strategies included exercise and diet to change one’s appearance, avoidance, self-talk, and social support. Findings add to the growing understanding of the complexity of both negative and positive body image in men.

Self-efficacy for medication management: a systematic review of instruments

Background Medication self-efficacy is a potentially important construct in research around optimal use of prescription medications. A number of medication self-efficacy measures are available; however, there is no systematic review of existing instruments and cataloguing of their theoretical underpinnings or psychometric properties, strengths, and weaknesses. The aim of the study was to identify instruments that measure self-efficacy for medication management. The study also aimed to examine the quality, theoretical grounding, and psychometric evaluation of existing measures of self-efficacy for medication management. The study was a systematic review. Methods Data were extracted from PubMed, OVID, and MEDLINE using a predefined search strategy. Citations were included if they reported the development and/or psychometric evaluation of an instrument to measure self-efficacy for medication management and were in English. Abstracts were screened for studies potentially meeting eligibility criteria. Full articles of these studies were then reviewed in depth. The review was carried out independently by two members of the research team. Results The search identified 158 citations of which 12 were included after screening. Full review identified 3 articles fitting inclusion criteria for the review. Generally, development was theoretically grounded and included patients and experts in the field. Psychometric testing showed evidence of internal consistency (2/3 instruments) and test–retest reliability (1/3 instruments). All instruments showed some validity; however, assessment of all forms of validity for each instrument was lacking. Conclusion Although our analysis would recommend the use of the Self-Efficacy for Appropriate Medication Use Scale because of the current evidence of validity and reliability, more psychometric evaluation is required, particularly in terms of responsiveness to change as self-efficacy is a malleable patient-level factor. Three measures of self-efficacy for medication management were identified. Overall, some evidence of reliability and/or validity was demonstrated for all instruments; however, other forms of validity were not tested (ie, responsiveness to change). Use of a well-validated measure of self-efficacy medication management is essential in order to understand relationships between medication self-efficacy and other patient-reported outcomes such as patient-centeredness, patient enablement, and burden of treatment, an important area of research that is currently lacking.

A Volunteer Program to Connect Primary Care and the Home to Support the Health of Older Adults: A Community Case Study

Primary care providers are critical in providing and optimizing health care to an aging population. This paper describes the volunteer component of a program (Health TAPESTRY) which aims to encourage the delivery of effective primary health care in novel and proactive ways. As part of the program, volunteers visited older adults in their homes and entered information regarding health risks, needs, and goals into an electronic application on a tablet computer. A total of 657 home visits were conducted by 98 volunteers, with 22.45% of volunteers completing at least 20 home visits over the course of the program. Information was summarized in a report and electronically sent to the health care team via clients’ electronic medical records. The report was reviewed by the interprofessional team who then plan ongoing care. Volunteer recruitment, screening, training, retention, and roles are described. This paper highlights the potential role of a volunteer in a unique connection between primary care providers and older adult patients in their homes.

Men Respond Too: The Effects of a Social-Evaluative Body Image Threat on Shame and Cortisol in University Men:

Framed within social self-preservation theory, the present study investigated men’s psychobiological responses to social-evaluative body image threats. University men (n = 66) were randomly assigned to either a high or low social-evaluative body image threat condition. Participants provided saliva samples (to assess cortisol) and completed measures of state body shame prior to and following their condition, during which anthropometric and strength measures were assessed. Baseline corrected values indicated men in the high social-evaluative body image threat condition had higher body shame and cortisol than men in the low social-evaluative body image threat condition. These findings suggest that social evaluation in the context of situations that threaten body image leads to potentially negative psychobiological responses in college men.