P. Neal Ritchey

The Georgia Cognitive Skills Experiment A Replication of Reasoning and Rehabilitation

Effects of the Georgia Cognitive Skills Program, a replication of Ross and Fabiano’s Reasoning and Rehabilitation, were examined for 468 parolees randomly assigned to treatment and comparison groups between May 1997 and July 1998. The evaluation tested the effects on arrests/revocations, technical violations, and employment at 9 months and returns to prison at 18 to 30 months. Survival analysis found slightly lower (statistically insignificant) recidivism rates for experimental participants than comparisons. No significant differences were found between experimental and comparison participants on technical violations and employment. Statistically controlling for offender risk factors, program completers had significantly fewer rearrests/revocations and returns to prison and more favorable employment outcomes than comparisons and dropouts. Results were similar for low-risk and medium/high-risk parolees.

Modeling the Effects of Spirituality/Religion on Patients’ Perceptions of Living with HIV/AIDS

BackgroundSpirituality/religion is an important factor in health and illness, but more work is needed to determine its link to quality of life in patients with HIV/AIDS.ObjectiveTo estimate the direct and indirect effects of spirituality/religion on patients’ perceptions of living with HIV/AIDS.DesignIn 2002 and 2003, as part of a multicenter longitudinal study of patients with HIV/AIDS, we collected extensive demographic, clinical, and behavioral data from chart review and patient interviews. We used logistic regression and path analysis combining logistic and ordinary least squares regression.SubjectsFour hundred and fifty outpatients with HIV/AIDS from 4 sites in 3 cities.MeasuresThe dependent variable was whether patients felt that life had improved since being diagnosed with HIV/AIDS. Spirituality/religion was assessed by using the Duke Religion Index, Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being—Expanded, and Brief RCOPE measures. Mediating factors included social support, self-esteem, healthy beliefs, and health status/health concerns.ResultsApproximately one-third of the patients felt that their life was better now than it was before being diagnosed with HIV/AIDS. A 1-SD increase in spirituality/religion was associated with a 68.50% increase in odds of feeling that life has improved—29.97% due to a direct effect, and 38.54% due to indirect effects through healthy beliefs (29.15%) and health status/health concerns (9.39%). Healthy beliefs had the largest effect on feeling that life had improved; a 1-SD increase in healthy beliefs resulted in a 109.75% improvement in feeling that life changed.ConclusionsIn patients with HIV/AIDS, the level of spirituality/religion is associated, both directly and indirectly, with feeling that life is better now than previously. Future research should validate our new conceptual model using other samples and longitudinal studies. Clinical education interventions should focus on raising awareness among clinicians about the importance of spirituality/religion in HIV/AIDS.

Assessment of the influence of cognition and cognitive processing speed on three tests of olfaction

The extent to which measures of working memory, cognitive speed, and verbal retrieval are associated with performance on tests of olfaction was evaluated in a sample of 138 older adults. Structural equation modeling techniques indicated that verbal retrieval difficulties significantly affect performance on the University of Pennsylvania Smell Identification Test (UPSIT). Further, poor working memory and slow cognitive speed significantly affect performance on the UPSIT and the phenyl ethyl alcohol threshold test. The Sniff Magnitude Test was not influenced by any of the cognitive variables. Odor threshold and identification tasks may overestimate olfactory loss when cognitive impairment is not taken into account.

Does financial self-efficacy explain gender differences in retirement saving strategies?

ABSTRACT Research indicates that women remain less financially prepared for retirement than are men. Little research has examined the gender difference in use of retirement plans. The present research assessed the gender difference in use of employer-sponsored and private retirement plans, and sought to account for this difference. Social status and human capital factors, occupation and industry of employment, and sense of financial self-efficacy were expected to account for gender differences. Findings indicated gender has no relationship with use of private retirement plans. However, females were found to be less likely to use an employer-sponsored plan, and this was largely accounted for by gender differences in occupation.

Gender Differences in the Salaries and Salary Growth Rates of University Faculty: An Exploratory Study:

This study uses individual growth modeling to examine gender differences in salaries and salary growth rates between 1985 and 1995 for a sample of 306 faculty members at a research university. We analyze gender differences in estimated annual salary in 1985, the start of the ten-year period of study, as well as differences in the rate of salary growth during subsequent years. Individual growth modeling is particularly well suited to an analysis of salary changes over time, since it has the advantage of making use of all available data points rather than only two, as is the case with traditional change models. Findings show that a sizable gap between mens and womens estimated 1985 salaries remains after controlling for relevant factors. However, women show higher rates of salary growth during the ten-year period. Faculty with the highest growth rates are those most likely to leave the university, and, as a result, the salary growth rates for women and men are virtually identical by the end of the ten-year period.

Current Screening Instruments Related to Alcohol Consumption in Pregnancy and a Proposed Alternative Method

Because alcohol is a known teratogenic substance that negatively affects the fetus, screening for alcohol use is included in maternal child texts for nurses. They present no standard screening approach, however. In the general literature, a multitude of screening instruments exist for the purpose of detecting maternal alcohol dependence but few allow the nurse to detect fetal alcohol exposure in the absence of maternal alcohol dependence. After a comparative analysis of existing screening instruments, we concluded that the Timeline Followback method has the most utility as a screening instrument to detect fetal exposure to alcohol. The purpose of this article is to present a critical review of current screening instruments related to alcohol consumption in pregnant women and to propose the use of the Timeline Followback method as the preferred approach.

Measurement of maternal alcohol consumption in a pregnant population.

Alcohol is a known teratogenic substance that operates under a dose‐response mechanism. Before we conducted a larger study that examines the use of alcohol both before pregnancy and during pregnancy, it was important to pilot our method for measuring a pregnant mothers alcohol use that would allow us to capture the number of drinks consumed per day while addressing recall bias. The purpose of this study was 1) to pilot the Time Line Followback (TLFB) method developed by Sobell and Sobell (1992, Measuring Alcohol Use. Totowa, NJ: Humana Press) as a method for examining alcohol use during pregnancy and 2) to determine if the use of a study protocol that included biological markers of alcohol use would affect our ability to recruit subjects. Using a descriptive design, we tested our protocol for collecting alcohol use data with 10 mothers receiving prenatal care. We measured alcohol use using the TLFB method (Sobell and Sobell, 1992, Measuring Alcohol Use. Totowa, NJ: Humana Press, 1996). We also collected collected biological blood markers for heavy alcohol use. Of the 10 maternal subjects we recruited, 5 mothers (50%) reported alcohol use during pregnancy. We successfully recruited 10 out of 11 mothers approached and had a 100% retention rate for the second interview. The TLFB method is viable for measuring fetal alcohol exposure over the pregnancy, and the collection of blood samples did not impact our ability to recruit or retain mothers.

Multidimensional Assessment of Spirituality/Religion in Patients with HIV: Conceptual Framework and Empirical Refinement

A decade ago, an expert panel developed a framework for measuring spirituality/religion in health research (Brief Multidimensional Measure of Religiousness/Spirituality), but empirical testing of this framework has been limited. The purpose of this study was to determine whether responses to items across multiple measures assessing spirituality/religion by 450 patients with HIV replicate this model. We hypothesized a six-factor model underlying a collective of 56 items, but results of confirmatory factor analyses suggested eight dimensions: Meaning/Peace, Tangible Connection to the Divine, Positive Religious Coping, Love/Appreciation, Negative Religious Coping, Positive Congregational Support, Negative Congregational Support, and Cultural Practices. This study corroborates parts of the factor structure underlying the Brief Multidimensional Measure of Religiousness/Spirituality and some recent refinements of the original framework.

Predicting the Number of Headache Visits by Type of Patient Seen in Family Practice

Objective.—To examine the number of visits involving a headache diagnosis among patients to four family practice sites between July 1, 1995 and December 31, 1998.

Quantifying Headache Symptoms and Other Headache Features From Chart Notes

Objectives.—To describe a method for quantifying headache symptoms/features in family practice charts for patients diagnosed with headache NOS (not otherwise specified, ICD‐9: 784) and to determine the share of NOS headache diagnoses with clinical data strongly suggestive of migraine or probable migraine headache.