The Relationship Between Provider Gender Preferences and Perceptions of Providers Among Veterans Who Experienced Military Sexual Trauma

2020 ◽  
pp. 088626052094453
Author(s):  
Sacha A. McBain ◽  
Jade Garneau-Fournier ◽  
Jessica A. Turchik
Keyword(s):  
Sexual Trauma ◽  
Outpatient Service ◽  
Future Research ◽  
Military Sexual Trauma ◽  
Gender Preference ◽  
Health Administration ◽  
Gender Preferences ◽  
Study Results ◽  
Provider Barriers ◽  
The Impact

Previous research has demonstrated that most veterans who have experienced military sexual trauma (MST) have provider gender preferences. Although provider gender mismatch, defined as not receiving a provider of the gender of one’s preference, may deter veterans from disclosing MST or seeking MST-related care, there is little research that has examined this issue. The current study aimed to explore how provider gender mismatch is related to veterans’ comfort with providers, perception of their providers’ competency, and their endorsement of perceived provider barriers when communicating about MST. The current study was conducted as part of a larger national survey of veterans’ barriers to accessing MST-related care. Participants in the study were identified using Veterans Health Administration (VHA) administrative data. Criteria for inclusion in the overall study were being enrolled in VHA health care, having screened positive for MST, and having received at least one VHA outpatient service. A subset of eligible veterans who had endorsed MST, reported a provider gender preference, and endorsed discussing MST with a VHA provider ( N = 1,591) were included in the current study. Results demonstrated that provider gender preference mismatch was associated with greater endorsement of perceived provider barriers, less comfort with providers, and lower perceived provider competency in women; and greater perceived provider barriers and less comfort with providers among men. The study demonstrates that provider gender preferences may affect care for veterans who have experienced MST, and that the impact may differ for men and women. These findings may be used to improve patient-centered care and inform future research regarding veterans’ provider gender preferences.

scholarly journals Advances of 2nd Life Applications for Lithium Ion Batteries from Electric Vehicles Based on Energy Demand

2021 ◽  
Vol 13 (10) ◽  
pp. 5726
Author(s):  
Aleksandra Wewer ◽  
Pinar Bilge ◽  
Franz Dietrich
Keyword(s):  
Life Cycle ◽  
Lithium Ion Batteries ◽  
Electric Vehicles ◽  
Energy Demand ◽  
Lithium Ion ◽  
Life Cycles ◽  
Future Research ◽  
Research Areas ◽  
Study Results ◽  
The Impact

Electromobility is a new approach to the reduction of CO2 emissions and the deceleration of global warming. Its environmental impacts are often compared to traditional mobility solutions based on gasoline or diesel engines. The comparison pertains mostly to the single life cycle of a battery. The impact of multiple life cycles remains an important, and yet unanswered, question. The aim of this paper is to demonstrate advances of 2nd life applications for lithium ion batteries from electric vehicles based on their energy demand. Therefore, it highlights the limitations of a conventional life cycle analysis (LCA) and presents a supplementary method of analysis by providing the design and results of a meta study on the environmental impact of lithium ion batteries. The study focuses on energy demand, and investigates its total impact for different cases considering 2nd life applications such as (C1) material recycling, (C2) repurposing and (C3) reuse. Required reprocessing methods such as remanufacturing of batteries lie at the basis of these 2nd life applications. Batteries are used in their 2nd lives for stationary energy storage (C2, repurpose) and electric vehicles (C3, reuse). The study results confirm that both of these 2nd life applications require less energy than the recycling of batteries at the end of their first life and the production of new batteries. The paper concludes by identifying future research areas in order to generate precise forecasts for 2nd life applications and their industrial dissemination.

The Parent–Child Relationship and Sport Parents’ Experiences of Burnout and Engagement

2018 ◽  
Vol 12 (2) ◽  
pp. 218-233
Author(s):  
J.D. DeFreese ◽  
Travis E. Dorsch ◽  
Travis A. Flitton
Keyword(s):  
Youth Sport ◽  
Self Report ◽  
Future Research ◽  
Parent Child Relationship ◽  
Psychosocial Experiences ◽  
Child Relationship ◽  
Study Results ◽  
The Impact ◽  
Parents Experiences ◽  
Parent Child

Burnout and engagement are important psychological outcomes in sport with potential to impact athletes as well as sport parents. The present study examined associations among markers of the sport-based parent child-relationship (warmth and conflict) and parent burnout and engagement in organized youth sport. Youth sport parents (N = 214) aged 26–66 years (M = 43.2,SD = 6.2) completed valid and reliable self-report assessments of study variables. Study results showcased warmth, but not conflict, in the parent–child relationship as a significant negative contributor to global burnout and a significant positive contributor to global engagement in sport parents. Results offer preliminary insight into the impact of parent–child warmth in sport on parents’ experiences of burnout and engagement. Findings have implications for future research and practice designed to promote positive psychosocial experiences for sport families.

Outliers in L2 Research in Applied Linguistics: A Synthesis and Data Re-Analysis

2020 ◽  
Vol 40 ◽  
pp. 26-55 ◽  
Author(s):  
Christopher Nicklin ◽  
Luke Plonsky
Keyword(s):  
Phase I ◽  
Relative Effectiveness ◽  
Reaction Time Data ◽  
Future Research ◽  
Time Data ◽  
Two Phase ◽  
Raw Data ◽  
Study Results ◽  
Using Data ◽  
The Impact

AbstractData from self-paced reading (SPR) tasks are routinely checked for statistical outliers (Marsden, Thompson, & Plonsky, 2018). Such data points can be handled in a variety of ways (e.g., trimming, data transformation), each of which may influence study results in a different manner. This two-phase study sought, first, to systematically review outlier handling techniques found in studies that involve SPR and, second, to re-analyze raw data from SPR tasks to understand the impact of those techniques. Toward these ends, in Phase I, a sample of 104 studies that employed SPR tasks was collected and coded for different outlier treatments. As found in Marsden et al. (2018), wide variability was observed across the sample in terms of selection of time and standard deviation (SD)-based boundaries for determining what constitutes a legitimate reading time (RT). In Phase II, the raw data from the SPR studies in Phase I were requested from the authors. Nineteen usable datasets were obtained and re-analyzed using data transformations, SD boundaries, trimming, and winsorizing, in order to test their relative effectiveness for normalizing SPR reaction time data. The results suggested that, in the vast majority of cases, logarithmic transformation circumvented the need for SD boundaries, which blindly eliminate or alter potentially legitimate data. The results also indicated that choice of SD boundary had little influence on the data and revealed no meaningful difference between trimming and winsorizing, implying that blindly removing data from SPR analyses might be unnecessary. Suggestions are provided for future research involving SPR data and the handling of outliers in second language (L2) research more generally.

Comparing PTSD treatment retention among survivors of military sexual trauma utilizing clinical video technology and in-person approaches

2019 ◽  
Vol 26 (7-8) ◽  
pp. 443-451 ◽  
Author(s):  
Lisa M Valentine ◽  
Shannon D Donofry ◽  
Rachel B Broman ◽  
Erin R Smith ◽  
Sheila AM Rauch ◽  
...  
Keyword(s):  
Cognitive Processing ◽  
Sexual Trauma ◽  
Prolonged Exposure ◽  
Cognitive Processing Therapy ◽  
Military Sexual Trauma ◽  
Health Administration ◽  
Video Technology ◽  
Post Traumatic Stress ◽  
Ptsd Treatment ◽  
Delivery Format

Introduction Interventions such as Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) have demonstrated efficacy for the treatment of post-traumatic stress disorder (PTSD) following military sexual trauma (MST). However, MST survivors report a number of logistical and social barriers that impede treatment engagement. In an effort to address these barriers, the Veterans Health Administration offers remote delivery of services using clinical video technology (CVT). Evidence suggests PE and CPT can be delivered effectively via CVT. However, it is unclear whether rates of veteran retention in PTSD treatment for MST delivered remotely is comparable to in-person delivery in standard care. Methods Data were drawn from veterans ( N = 171, 18.1% CVT-enrolled) with PTSD following MST who were engaged in either PE or CPT delivered either via CVT or in person. Veterans chose their preferred treatment modality and delivery format in collaboration with providers. Data were analysed to evaluate full completion (FP) of the protocol and completion of a minimally adequate care (MAC) number of sessions. Results FP treatment completion rates did not differ significantly by treatment delivery format. When evaluating receipt of MAC care, CVT utilizers were significantly less likely to complete. Kaplan–Meier analyses of both survival periods detected significant differences in attrition speed, with the CVT group having higher per-session attrition earlier in treatment. Discussion Disengagement from CVT-delivered treatment generally coincided with early imaginal exposures and writing of trauma narratives. CVT providers may have to take special care to develop rapport and problem-solve anticipated barriers to completion to retain survivors in effective trauma-focused interventions.

The Impact of Memorable Tourism Experiences on Loyalty Behaviors: The Mediating Effects of Destination Image and Satisfaction

2017 ◽  
Vol 57 (7) ◽  
pp. 856-870 ◽  
Author(s):  
Jong-Hyeong Kim
Keyword(s):  
Behavioral Intentions ◽  
Destination Image ◽  
Future Research ◽  
Important Indicator ◽  
Visitor Satisfaction ◽  
Tourist Satisfaction ◽  
Structural Relationships ◽  
Study Results ◽  
Managerial Implications ◽  
The Impact

The current study develops a theoretical model of the effect of memorable tourism experiences (MTEs) on behavioral intentions by examining the structural relationships between destination image (DI), tourist satisfaction, revisit intention, and word-of-mouth (WOM) publicity. The results show that MTEs influence future behavioral intentions both directly and indirectly through DI and tourist satisfaction. Moreover, MTEs are found to be the most influential determinant of behavioral intentions. Thus, the results challenge those practitioners and researchers who perceive visitor satisfaction to be the most important indicator of destination performance. Theoretical and managerial implications are discussed based on the study results, and directions for future research are provided.

Parental Models of Infancy: A Note on Gender Preferences for Firstborns

1980 ◽  
Vol 47 (3) ◽  
pp. 763-768 ◽  
Author(s):  
Mary E. Pharis ◽  
Martin Manosevitz
Keyword(s):  
Sex Ratios ◽  
Past Research ◽  
Future Research ◽  
Gender Preference ◽  
Social Changes ◽  
Gender Preferences ◽  
First Child ◽  
Expectant Mothers

In past research individuals and couples without children have consistently expressed a preference for a male firstborn. Recent social changes have generated some expectation for a shift toward more equality of preference. The present study confirms a continuing preference for male firstborns in a population of couples expecting a first child. There was an increase in the number of subjects who would not specify a preference. When subjects were also asked to state a belief about gender of the fetus, most expectant mothers, but not their husbands, believed they were carrying males. These results have implications for future research on gender preference and for predicting sex ratios at birth should methods of gender preselection become available.

scholarly journals The Impact of Assessment Modality and Demographic Characteristics on Endorsement of Military Sexual Trauma

2019 ◽  
Vol 29 ◽  
pp. S67-S73 ◽  
Author(s):  
Michelle J. Bovin ◽  
Shimrit K. Black ◽  
Sarah E. Kleiman ◽  
Meaghan E. Brown ◽  
Laurel G. Brown ◽  
...  
Keyword(s):  
Sexual Trauma ◽  
Demographic Characteristics ◽  
Military Sexual Trauma ◽  
The Impact ◽  
Assessment Modality

A simulation study of loss to follow up: The impact on time to event and prevention.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e14097-e14097
Author(s):  
Donna Elise Levy ◽  
Bingyan Wu ◽  
Daniel Quinn ◽  
Sophie Jentzsch ◽  
Christine Lusk ◽  
...  
Keyword(s):  
Treatment Options ◽  
Patient Treatment ◽  
Future Research ◽  
Time To Event ◽  
Loss To Follow Up ◽  
Study Results ◽  
Patient Attrition ◽  
The Impact ◽  
Future Patient

e14097 Background: Patient attrition during study follow up is a concern in all clinical trials, although its impact on study results has rarely been assessed. In oncology, in particular, where studies are lengthier and may be extended into longitudinal studies, there is an increased likelihood of loss to follow up (LTFU) (Gill et al., 2018). This creates a heightened need to understand how it affects the trial’s validity. The loss of data from patients who have been LTFU can reduce a study’s precision and power. This imprecision not only impacts the results of the current study but can also affect future research as well as future patient treatment options. Studies have found that participant characteristics differ in individuals LTFU as compared to those who remain in follow up (Childs et al., 2011; Geng et al., 2008; Hochheimer et al., 2016). This further emphasizes how attrition can skew study results and their interpretation and supports the need to minimize patient attrition during follow up in order to reduce bias and generate robust study estimates. Methods: This study assessed the impact of LTFU rates on the study estimates through simulations using SAS software. While all endpoints can be affected by LTFU, this study assessed time-to-event endpoints. Exponential distribution was assumed with varying rates of LTFU. In addition, the work covered suggestions for reducing LTFU. Results: Even for low rates of LTFU, biases are introduced in time-to event endpoints. Conclusions: Researchers should make every effort to minimize the extent of LTFU in the design and of and conduct of their trials.

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