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Biomedical subjects

C L Hanson

Publications and source records attributed to C L Hanson.

35 records · Page 2Linked to original sources

The accuracy of self-reports of physical activity.

This investigation determined the accuracy of self-reports of physical activity compared to observations obtained surreptitiously. Subjects were 44 adults engaged in 1 h of their preferred physical activity while actual activity levels were surreptitiously obtained and compared to immediate self-reported estimates of physical activity. Results indicated that subjects were moderately accurate in recalling their physical activity levels (R = 0.62) but underestimated sedentary activities and overestimated aerobic activities by over 300%. Males overestimated their activity relative to females, and obese subjects underestimated their activity levels compared to normal-weight subjects. Finally, a number of two-way interactions that moderated the accuracy of those subjects engaging in high chronic levels of physical activity were observed.

Adult↗

The effects of applicant's health status and qualifications on simulated hiring decisions.

The effects of having diabetes or obesity on simulated job decisions was evaluated in a two (qualifications, high v. marginal) by three (diabetes, mildly obese, or normal) design. Subjects were 295 adults, averaging 5.02 years of full-time employment in white-collar settings, recruited in advanced level graduate or undergraduate business classes. Each subject examined a job description and a resume of the 'applicant' and viewed a 5-minute videotape. The applicant's face was never seen and an off-camera voice, constant across all conditions, was dubbed in for the applicant's responses to the interviewer's questions. Subjects were then asked to rate the applicant's qualification level and demeanor during the interview and to recommend whether or not to hire the individual. Subjects were also asked to make ratings about the applicant's work habits, work reliability and absenteeism, and interpersonal skills (e.g. emotional problems, likeability). Results indicated that level of quantification affected decisions to hire the applicant in the predicted direction. However, the obese applicant was rated as less qualified for the job, and both the diabetic and obese applicant were less likely to be hired, although they were rated similarly on personal appearance, attitude during the interview, and communication skills. Additionally, both the obese and the diabetic applicant were viewed as having poorer work habits. The diabetic was rated as much more likely to have medically-related job absences, whereas the obese applicant was rated as more likely to have other absences (e.g. abusing company privileges by feigning illness) and to have emotional and interpersonal problems.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

A prospective study of the reliability and convergent validity of three physical activity measures in a field research trial.

This investigation sought to determine the test-retest reliability and convergent validity of three commonly used physical activity measures. The Stanford Physical Activity Recall, the Caltrac Activity Monitor, and a daily physical activity log were administered to 45 subjects over a 3-week period. The results indicated high levels of test-retest reliability for the Stanford and the daily log; low test-retest reliability was obtained for the Caltrac. Convergent validity was also high between the Stanford and daily log but was low for both of these measures with the Caltrac. These results suggest that the Stanford Physical Activity Recall may be the self-report measure of choice for large studies due to its high reliability and convergent validity with a more time-consuming daily log, as well as its cost- and time-efficiency. Based on the results, it is recommended that the Caltrac activity sensors not be used for field studies of physical activity until the logistical problems of their use in clinical trials are solved.

Adult↗

Coping styles in youths with insulin-dependent diabetes mellitus.

The relationships between two coping styles (i.e., use of personal and interpersonal resources; ventilation and avoidance) and two health outcomes (i.e., adherence and metabolic control) were evaluated in 135 youths with insulin-dependent diabetes mellitus (IDDM). Individual characteristics (i.e., age, duration of illness) and contextual variables (i.e., stress, family relations) were used to predict coping styles. Poor adherence to treatment, older adolescent age, and long duration of IDDM were correlated with ventilation and avoidance coping. Youths with short duration of IDDM were more likely to cope through the use of personal and interpersonal resources, although this strategy was not associated with health outcomes. A multiple regression analysis indicated that high ventilation and avoidance coping was predicted by high stress, low family cohesion, and older adolescent age. In addition, the interaction between family adaptability and duration of IDDM significantly predicted ventilation and avoidance coping.

Adaptation, Psychological↗

Family system variables and the health status of adolescents with insulin-dependent diabetes mellitus.

This study investigated the associations between important dimensions of family relations and the metabolic control of adolescents with insulin-dependent diabetes mellitus (IDDM). Participants were 94 intact families (mother, father, and adolescent) of adolescents with IDDM. Metabolic control was determined by the adolescents' level of HbA(1c), and family relations were assessed with the Marital Adjustment Scale and the Family Adaptability and Cohesion Evaluation Scales-II. Although zero-order correlations showed that good metabolic control was associated with high family cohesion, family flexibility, and high marital satisfaction, hierarchical regression analyses revealed that these associations were considerably attenuated when participant demographic variables, especially the duration of IDDM, were controlled. Follow-up analyses showed that the associations between family relations and metabolic control were mediated by the duration of IDDM. Under conditions of short duration, there were strong associations between family relations and metabolic control. As duration lengthened, however, these associations decreased substantially. These results suggest that the associations between family relations and health are relatively complex in this sample of adolescents with IDDM.

Adaptation, Psychological↗

Recall of a child's intake from one meal: are parents accurate?

Although the accuracy of dietary intake information for children has previously been studied, methodological issues make the results of those studies difficult to interpret. In order to address one of the major methodological issues, unobtrusive observations were performed on the lunch meal of 34 children. These children ranged in age from 4.0 to 9.5 years (mean = 5.8 years, standard deviation = 1.6 years). Each child was accompanied by both parents. Dietary recalls were obtained the following day from (a) the mother alone, (b) the father alone, and (c) the mother, father, and child reporting as a group (consensus recall). Recalls were analyzed with nutrition software that yields information on energy, protein, carbohydrate, sugar, total fat, cholesterol, sodium, iron, and calcium. Strong correlations were seen between each recall and the observation (mean r = .86). However, the group accuracy in correctly reporting different types of foods varied from the fathers' under-reporting of breads (-27%) to fathers' over-reporting of fruit (+50%). When regression analyses were used, only the consensus recall resulted in a regression line not significantly different from 1.0 for the majority of the nutrients analyzed. Thus, it appears that the consensus recall produced a better estimate of the observed intake from one meal than did recalls obtained from mother or father.

Child↗

Accuracy of self-reports of food intake in obese and normal-weight individuals: effects of obesity on self-reports of dietary intake in adult females.

The purpose of this study was to determine the accuracy of self-reported 24-h dietary recalls of overweight and normal-weight adults. Forty female college students (21 overweight, 19 normal weight) consumed a lunch meal at the university cafeteria while being unobtrusively observed. The following day subjects returned to the lab and completed a 24-h recall of their food intake. Accuracy of recalls was assessed by comparing directly observed intake with self-reported intake. Correlated t tests comparing observed and reported intake found a significant amount of overreporting of consumption for the entire sample. When analyses were conducted on individual groups (normal weight vs overweight), no between-group differences were found. A series of one-way analyses of variance (ANOVA) (normal weight vs overweight) and a multivariate ANOVA were performed for total calories, nutrients, and the amount of over- and underreporting. No significant differences between groups were observed.

Adolescent↗

Accuracy of self-reports of food intake in obese and normal-weight individuals: effects of parental obesity on reports of children's dietary intake.

The purpose of this investigation was to determine the accuracy of dietary-intake information of normal-weight vs overweight parents in their reports of their children's food intake. Subjects were 36 families with either normal-weight (n = 20) or overweight (n = 16) children aged 4-9 y. Unobtrusive observers recorded the types and amounts of food eaten by the children at one meal. The next day families were visited in their homes and were asked to provide dietary-intake information from the previous day on their child. Results indicated that parental reports of the dietary intake of their children correlated significantly with the observers' measures of food intake. Neither the father's, the mother's, nor the family's obesity status had an effect on the accuracy of recalled information. The results indicated that the lack of differences consistently observed in dietary intake between obese and normal-weight children could not be explained by differential accuracy of recalled dietary information.

Analysis of Variance↗

A comparison of four commonly used nutrient database programs.

The present study evaluated the comparability of two microcomputer systems and two mainframe nutrient database systems. Sixty 24-hour recalls were analyzed on each system. Analysis of the nutrient values obtained from each system revealed several significant differences between Short Report and the other three systems. There were no significant differences between DINE, NCC, and UTNDB. Attempts to reveal the source of this error were not successful.

Adult↗

An evaluation of the Family Adaptability and Cohesion Evaluation Scales and the Circumplex Model.

Two basis assumptions of the Circumplex Model of family systems were evaluated: Healthy families evidence balanced degrees of cohesion and adaptability, whereas problem families evidence extreme degrees, and families with balanced degrees of cohesion and adaptability possess more positive communication skills than families with extreme degrees. Subjects were 58 mother-son dyads from father-absent families. In 29 of the families the adolescent was a juvenile offender, while in the remaining families there was no history of arrest or psychiatric referral. The dyads completed the Family Adaptability and Cohesion Scales (FACES) and an unrevealed differences interaction task. FACES was highly proficient at differentiating delinquent from nondelinquent families. Moreover, in families with balanced degrees of cohesion and adaptability, the mothers' communication was significantly more supportive and explicit, and the dyads evidenced significantly greater warmth and affection than dyads with extreme degrees.

Adaptation, Psychological↗

Frontal sinus size in Eskimo populations.

The frontal sinuses of 143 Eskimo skulls from two sites in the Hudson Bay region of Canada were examined radiographically. No between-site or sex differences were noted in the size of the sinuses. On average, the sinuses are small and often bilaterally absent. The Canadian samples have smaller sinuses than reported for Alaskan Eskimos or American Indian groups.

Alaska↗

Race and sex differences in metabolic control of adolescents with IDDM: a function of psychosocial variables?

Race and sex differences have been reported in the prevalence of complications from insulin-dependent diabetes mellitus (IDDM). Because metabolic control is assumed to be associated with the probability of developing future complications, race and sex differences in metabolic control were assessed in a group of adolescents. Subjects were 27 Black and 27 White adolescents who were similar in age, age at diagnosis, and social class. Girls did not differ on number of days since their last menses. A 2-by-2 (race-by-sex) analysis of variance revealed that the Black female group had worse HbA1c than each of the other groups (P less than .012). Multivariate analyses of variance were conducted to determine whether the poor metabolic control of the Black girls was associated with pertinent psychosocial variables. The analyses revealed that their poor control was not associated with a deficiency in the girls' knowledge about IDDM, adherence to treatment, self-concept, coping patterns, family functioning, stress, social support, or involvement in the health-care system. If the poor control of the Black girls is not associated with psychosocial deficiencies, biological variables or psychosocial variables not assessed in this study are probably operative.

Adolescent↗

Model of associations between psychosocial variables and health-outcome measures of adolescents with IDDM.

The purpose of this study was to develop a model that describes the contributions of key psychosocial variables to the health outcome of adolescents with insulin-dependent diabetes mellitus (IDDM). Subjects were 93 adolescents with IDDM and their parents. Health-outcome measures included adherence and metabolic control (HbA1c). Psychosocial variables included adolescent age, chronic life stress, social competence, family relations, and family knowledge about IDDM. Multiple regression analyses showed that adherence (P less than .029) and stress (P less than .052) were directly related to metabolic control and that knowledge about IDDM (P less than .029), family relations (P less than .099), and adolescent age (P less than .086) had direct effects on adherence. Combined, the independent variables accounted for 14.5% of the variance in predicting HbA1c and 18.5% of the variance in predicting adherence. In general, these findings are consistent with extant theory. The direct link between stress and metabolic control, however, contrasts with the current view that psychosocial variables affect metabolic control indirectly through their influence on adherence behavior. The methodological limitations of the findings are noted, directions for future research are suggested, and the implications for clinical interventions are described.

Adaptation, Psychological↗