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PubMed2006

Why won't they come? Stakeholder perspectives on collaborative national forest planning by participation level.

Collaboration has taken root in national forest planning, providing expanded opportunities for stakeholder participation in decision-making, but are these processes considered meaningful by key stakeholders? Do the processes result in increased participation by key stakeholders? We present results of a study of stakeholder perspectives of a collaborative planning process on the Grand Mesa, Uncompahgre, and Gunnison National Forests in Western Colorado, U.S.A. The stakeholders were stratified by participation levels in order to explore a possible relationship between participation and perceptions of the collaborative process. We used a Q-methodology approach to compare and contrast perspectives across participant levels in the North Fork Valley Landscape Working Group process. The results demonstrate four distinct perspectives on the collaborative process: 1) The collaborative process is valued by the Forest Service and will directly influence planning decisions; 2) The Forest Service, the collaborative process, and other stakeholders are not to be trusted; 3) The collaborative process is most effective when emphasizing place-specific dialogue that primarily involves stakeholders educating the Forest Service about issues; and 4) Forest planning involves issues requiring the application of scientific knowledge and expertise rather than collaboration. These perspectives were not strongly associated with participation levels, with time constraint being the primary mediating factor affecting participation. There are several possible actions policymakers and planners can take to enhance participation and overcome high rates of nonparticipation.

Community Participation↗
PubMed1999

The effects of interpersonal trust on work group performance.

This study explored 2 questions: Does the level of trust within a group affect group performance? If so, how does this relationship operate? An experimental method was used to examine 2 roles through which interpersonal trust could affect group performance: a main effect and a moderating effect. The data do not support the main effect that has dominated the literature on interpersonal trust. The data do support the moderating role: Trust seems to influence how motivation is converted into work group processes and performance. On the basis of these findings, it is suggested that trust may be best understood as a construct that influences group performance indirectly by channeling group members' energy toward reaching alternative goals.

Attitude↗
PubMed2003

Changing practice in residential aged care using participatory methods.

BACKGROUND: Residential aged care staff play a significant role in the day-to-day lives of residents yet are faced with many barriers to providing care that promotes resident wellbeing. APPROACH: Action research is a useful approach for clarifying issues, identifying education and training needs, and identifying, and in some cases overcoming, organizational barriers to change. The Well for Life project aimed to enhance the social and physical health and well being of residents of aged care settings by empowering the staff of facilities to make change. The project had a particular focus on nutrition and physical activity. This paper reports on the action research group process undertaken during Phase I of the Well for Life project. Five residential aged care settings participated in the action research process facilitated by project staff independent of the facilities. The action plan and outcomes from one of these settings is used to illustrate the process and outcomes. FINDINGS: The main findings of the project indicate that using a process that encourages staff involvement in identification of issues and actions can facilitate change in the practice of resident care. The action research groups identified specific gaps in knowledge and skill leading to targeted education that addressed areas of need. The importance of presenting information and learning opportunities for staff in a variety of formats was also recognized, as was the importance of organizational context, management support and empowerment of staff to make change.

Aged↗
PubMed2004

Comparison of frozen and RNALater solid tissue storage methods for use in RNA expression microarrays.

BACKGROUND: Primary human tissues are an invaluable widely used tool for discovery of gene expression patterns which characterize disease states. Tissue processing methods remain unstandardized, leading to unanswered concerns of how to best store collected tissues and maintain reproducibility between laboratories. We subdivided uterine myometrial tissue specimens and stored split aliquots using the most common tissue processing methods (fresh, frozen, RNALater) before comparing quantitative RNA expression profiles on the Affymetrix U133 human expression array. Split samples and inclusion of duplicates within each processing group allowed us to undertake a formal genome-wide analysis comparing the magnitude of result variation contributed by sample source (different patients), processing protocol (fresh vs. frozen vs. 24 or 72 hours RNALater), and random background (duplicates). The dataset was randomly permuted to define a baseline pattern of ANOVA test statistic values against which the observed results could be interpreted. RESULTS: 14,639 of 22,283 genes were expressed in at least one sample. Patient subjects provided the greatest sources of variation in the mixed model ANOVA, with replicates and processing method the least. The magnitude of variation conferred by processing method (24 hours RNALater vs 72 hours RNALater vs. fresh vs frozen) was similar to the variability seen within replicates. Subset analysis of the test statistic according to gene functional class showed that the frequency of "outlier" ANOVA results within each functional class is overall no greater than expected by chance. CONCLUSIONS: Ambient storage of tissues for 24 or 72 hours in RNALater did not contribute any systematic shift in quantitative RNA expression results relative to the alternatives of fresh or frozen tissue. This nontoxic preservative enables decentralized tissue collection for expression array analysis without a requirement for specialized equipment.

Analysis of Variance↗
PubMed2006

Therapists' group attachments and their expectations of patients' attitudes about group therapy.

A large body of literature has supported the application of attachment theory to the understanding of psychotherapy. In addition, a more recent social psychological literature is exploring the application of attachment theory to the area of group dynamics and group process. The current study is designed to integrate these two distinct bodies of literature. In a preliminary fashion, we examined the relationship between group therapists' group attachment styles and their assumptions and expectations of their patients' attitudes about group psychotherapy. Seventy-six therapists completed the Smith, Murphy & Coats (1999) measure of group attachment style. They also completed the Revised Group Therapy Survey (Carter, Mitchell, & Krautheim, 2001) from the viewpoint of a typical patient they treat. As hypothesized, therapists with more group attachment anxiety assumed that patients would hold more negative myths and misconceptions about group treatment than therapists with less group attachment anxiety. The utility of a group attachment construct in future research and practice is discussed.

Attitude↗
PubMed1990

Common processes underlie enhanced recency effects for auditory and changing-state stimuli.

For some stimuli, dynamic changes are crucial for identifying just what the stimuli are. For example, spoken words (or any auditory stimuli) require change over time to be recognized. Kallman and Cameron (1989) have proposed that this sort of dynamic change underlies the enhanced recency effect found for auditory stimuli, relative to visual stimuli. The results of three experiments replicate and extend Kallman and Cameron's finding that dynamic visual stimuli (that is visual stimuli in which movement is necessary to identify the stimuli), relative to static visual stimuli, engender enhanced recency effects. In addition, an analysis based on individual differences is used to demonstrate that the processes underlying enhanced recency effects for auditory and dynamic visual stimuli are substantially similar. These results are discussed in the context of perceptual grouping processes.

Adult↗
PubMed1998

Group Dynamics in Janis's Theory of Groupthink: Backward and Forward.

Janis's groupthink theory is an appealing explanation of how group process can get in the way of optimal decision making. Unfortunately, Janis was selective and not always consistent in his application of research in group dynamics. This paper traces groupthink to its theoretical roots in order to suggest how a broader and more consistent use of research in group dynamics can advance understanding of decision-making problems. In particular, the paper explores and reinterprets the groupthink prediction that poor decision making is most likely when group cohesion is based on the personal attractiveness of group members. Copyright 1998 Academic Press.

Journal Article↗
PubMed2005

An adaptive reflexive processing model of neurocognitive function: supporting evidence from a large scale (n = 100) fMRI study of an auditory oddball task.

Recent hemodynamic imaging studies have shown that processing of low probability task-relevant target stimuli (i.e., oddballs) and low probability task-irrelevant novel stimuli elicit widespread activity in diverse, spatially distributed cortical and subcortical systems. The nature of this distributed response supports the model that processing of salient and novel stimuli engages many brain regions regardless of whether said regions were necessary for task performance. However, these latter neuroimaging studies largely employed small sample sizes and fixed-effect analyses, limiting the characterization and inference of the results. The present study addressed these issues by collecting a large sample size (n = 100) and employed random effects statistical models. Analyses were also conducted to determine the inter-subject reliability of the hemodynamic response and the effects of gender and age on target detection and novelty processing. Group data demonstrated highly significant activation in all 34 specified regions of interest for target detection and all 24 specified regions of interest for processing of novel stimuli. Neither age nor gender systematically influenced the results. These data are discussed within the context of a model that proposes that the mammalian brain has evolved to adopt a strategy of engaging distributed neuronal systems when processing salient stimuli despite the low probability that many of these brain regions are required for successful task performance. This process may be termed 'adaptive reflexive processing.' The implications of these results for interpreting functional MRI studies are discussed.

Adolescent↗
PubMed1989

An innovative method of processing short-term inpatient groups.

Inexperienced group leaders can benefit from using a system to process groups. A system or model can help to reduce anxiety. It can help group leaders make connections between group behavior and theoretical concepts, and move the group toward its goal. The author presents such a system. This one provides a specific recording format and step-by-step guidelines for organizing and interpreting the collected data.

Group Processes↗
PubMed2002

Using focus groups for continuing veterinary medical education needs assessment and program planning.

Needs assessments are essential to educational program development. Methods of needs assessment include environmental scans, surveys, and focus groups. Focus groups are valuable and acceptable tools to identify learner needs. The method is a qualitative research technique that is most useful to identify the range of opinions or ideas on a topic. The purposes of this paper are to explore the literature in focus groups for continuing education research, to provide information on the reasons and methods to conduct focus groups, and to present findings of participants' views of the focus group process.

Education, Veterinary↗
PubMed1989

An analysis of 1986 drug procurement practices in hospitals within the United States.

The purpose of this study was to statistically answer a set of predefined objectives concerning pharmaceutical procurement. The key indicators were assumed to be cost per patient day and turnover rate. Of the 5,911 surveys mailed, 709 surveys were returned for a 12% response rate. The following statements were based on attempts to answer the six predetermined objectives. Pharmaceutical purchasing is controlled by pharmacy departments to the extent that comparisons to pharmaceutical purchasing by materials management departments was not possible. Prime vendor purchasing is the procurement method of choice. Competitive bidding through a group process is so popular that a valid comparison to nongroup bidding could not be accomplished with the results of this survey. Certain variables of group purchasing such as group age, contract adherence, and volume commitment, do not appear to be correlated to purchasing outcomes in this study. When comparing government to private hospitals, the private sector seems to have an advantage in managing turnover rates. Cost per patient day results were less conclusive. As single and multiple hospital systems were compared for purchasing outcomes, the results were not totally conclusive. Although, multiple hospital systems had a significantly higher turnover rate. Finally, a comparison based on the use, or lack of use, of prime vendor arrangements demonstrated interesting results. The duration of contract did not significantly affect the purchasing outcomes. Other hospital variables such as size, type, ownership, and organization, demonstrated notable trends. The importance of examining hospitals based on case mix and mission seems to be most important. Also, the ability to relate purchasing outcomes with formulary management strategies needs further study before conclusive statements can be adopted.

Contract Services↗
PubMed1998

[Not Available].

The history of application of psychoanalysis in groups in Frankfurt a. M., which was closely connected to the establishment of the Sigmund-Freud-Institut is described from the author's point of view. Group work was begun with Balint groups for doctors. Later, it continued with teachers and theologists. Interest in group processes and the demands on a polyclinic to provide a wide array of psychoanalytic psychotherapies lead to the development of a form of psychoanalytic group therapy which was called group analysis. The change to the university, with the task of teaching psychoanalysis to students, led to new concepts of the application of psychoanalysis to groups in the form of therapy and supervision groups. These experiences culminated in a model of "counseling under supervision" in which students could experience the efficacy of a psychoanalytic method of counseling which they practiced themselves under supervision.

Germany↗
PubMed1991

[Balint groups. A psychoanalytic critique].

The author refers to two examples taken from the work of Balint groups in arguing that the social environment of the several participants is an integral component of what the group must reflect on. The notion of a group process dealing with "pure" cases is ideology. The author relates his argument to Parin's comments about "social critique in the interpretive process".

Countertransference↗
PubMed1996

A school-based self-management program for youth with chronic health conditions and their parents.

The Self-Management Program was a school-based intervention for 65 school-aged children with a chronic health condition and their parents. Through the peer group process, a cognitive-behavioural intervention was used to promote the child's self-management of the stresses associated with the chronic condition. Groups were also held to support parents in helping the child to use the newly acquired self-management strategies. A pre- and post-test waiting control group design examined treatment effects on therapeutic adherence, child self-responsibility, and child self-efficacy. Children in the intervention group, in comparison to those in the control group, showed significantly higher therapeutic adherence and more self-responsibility in the management of the health condition. By two months, the improvements in self-responsibility had begun to fade as reported by the children, but remained significant as reported by the parents. No significant differences were found on the self-efficacy measure. Goal attainment, child and parent learning, and consumer satisfaction were also found to be evident.

Adaptation, Psychological↗
PubMed2006

Student perceptions about the characteristics of an effective discussion during the reporting phase in problem-based learning.

To explore student perceptions of factors contributing to the effectiveness of discussions in the reporting phase of the problem-based learning (PBL) process, where students report and synthesise the results of self-study. Forty-eight Year 1 and 2 medical students participated in 6 focus group interviews about the characteristics of effective group discussions and possible improvements. The data were analysed qualitatively in several stages. The analysis yielded 4 main characteristics of effective discussions: asking for, giving and receiving explanations; integrating and applying knowledge; discussing differences with regard to learning content, and guiding and monitoring the content and the group process of the discussion. Integrating and applying knowledge included structuring, relating and summarising information and providing examples from practice. Discussing different opinions included discussing a variety of literature resources and disagreements. The main learning effects mentioned by the students were retention, understanding, integration and application of knowledge. Students have clear ideas about what promotes effective discussions during the reporting phase. Their PBL experience has provided them with some insights that are in line with theory and research on collaborative learning. Future research should examine differences between student and tutor perceptions of the quality of discussions. Introductions to PBL for students and tutors should include training in asking open but focused questions, supporting explanations with arguments and dealing with conflicts about learning content. Tutors should be trained in giving effective and personal feedback. Collaborative creation of external knowledge representations (i.e. concept maps) should be advocated, as should variety of literature resources.

Adolescent↗
PubMed2003

Negotiating multiple identities in a queer Vietnamese support group.

My participant-observation with O-Môi, a support group for Vietnamese lesbians, bisexual women and female-to-male transgenders, and interviews with members, focusing on how different identity issues are negotiated, suggest that despite O-Môi's claim of supporting its members' multiple marginalized identities, group processes in everyday pragmatic interactions construct a hierarchy that centers and normalizes experiences of bilingual Vietnamese lesbians. This renders the marginalization of bisexual women, transgender men, and Vietnamese/English monolingual members. Using the concept of "identity work" to examine the intersection of race/ethnicity, class, and gender/sexuality as everyday (counter)hegemonic processes, I discuss how organizational structure, discourse resources, and personal politics orient and mold members' talk and interactions leading to normalization and/or marginalization of certain groups' experiences.

Female↗
PubMed2002

Auditory and visual sustained attention in adolescents prenatally exposed to alcohol.

BACKGROUND: Sustained attention problems and impulsivity are reported in association with prenatal alcohol exposure and fetal alcohol syndrome, but research in this area is limited and contradictory. METHODS: Auditory and visual sustained attention were investigated in 265 low-income, predominantly African-American, adolescents (mean age, 15.12 years; SD, 0.92). Included were 53 unexposed controls and 128 exposed to alcohol and other drugs prenatally, with 46 of these exhibiting dysmorphic features and growth retardation, as well as a special-education contrast group (n = 84). Sustained attention was measured with "AK" subtests from a commercially available Continuous Performance Task program. Outcomes included total correct, total errors, omissions, commissions, preservations, hit rate, false alarms, reaction time, and response sensitivity (d'). A repeated-measures multivariate analysis of variance procedure was used with the exposure group (four groups) as the independent variable and presentation mode (visual or auditory) and trial block (four blocks) as within-subject repeated measures. RESULTS: There was an interaction of group with presentation mode for total correct, errors, error type, hit rate, and d'. Most groups processed visual information more effectively than auditory information. In contrast, dysmorphic adolescents performed as effectively when presented with auditory stimuli but were less efficient in processing visual information. Significantly higher error rates, particularly omission errors [F(3,261) = 7.16; p < 0.000], as well as lower d' [F(3,261) = 5.77; p < 0.001], were noted in this group. CONCLUSIONS: These results suggest that there may be specific patterns to the effect of prenatal alcohol exposure on cognitive performance that can be identified during adolescence. In this study of sustained attention, processing in the visual modality was more affected than that in the auditory modality. Deficits in visual processing seemed to result from insensitivity to target stimuli.

Acoustic Stimulation↗
PubMed1978

Primitive group treatment.

Although it has been known for many years that hallucinogenic drugs are used by witch doctors in the Peruvian jungles for therapeutic purposes, there have been no descriptions of their use. We studied one type of treatment carried out in groups of about 10 to 12 'patients', where the healer makes a magical diagnosis and provides a potion, usually ayahuasca (active hallucinogenic agent: harmine) which is drunk by the witch doctor, his assistant and the patients. The groups meet one a week in the open air in the jungle, at dawn and for an average of 5 h. The patient attends the weekly sessions until he feels well enough to leave, and only then does he pay a voluntary fee. One of our main tasks was to study the group processes.

Anxiety↗