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PubMed1999

Sources of influence on intention to breastfeed among African-American women at entry to WIC.

To examine how individuals within a woman's life influence her infant feeding intention, we interviewed 441 African-American women on the breastfeeding attitudes and experiences of their friends, relatives, mother, and the baby's father. Women were interviewed at entry into prenatal care at clinics associated with one of four Baltimore WIC clinics chosen for a breastfeeding promotion project. Qualitative data were also collected among 80 women. Friends and "other" relatives were not influential. Grandmothers' opinions and experiences were important, but their influence was reduced after considering the opinion of the baby's father. The opinion of the woman's doctor was an independent predictor of infant feeding intention. Breastfeeding promotion programs should recognize the separate influence of fathers, health providers, and grandmothers in women's infant feeding decisions.

Adolescent↗
PubMed1990

The compatibility of general managers' activities and intentions in managing change in the NHS.

As Hales (1986) has observed, the problem of much of the managerial research to date has been the reluctance to ask why managers behave in the way they do. The behaviour of general managers in tackling organisational change in the NHS needs to be viewed not only with respect to what is done but also with respect to how personal and organisational objectives are construed. In other words, the implementation of organisational change ultimately rests on how general managers perceive the nature of this change and their role in structuring their own personal and organisational objectives into appropriate activities. Examining the compatibility of managerial activities and the underlying values and intentions which support them is of critical importance in any cognitively-based approach. These intentions provide an important link between perceptions (i.e. how the organisation is construed) and behaviour (i.e. what activities managers choose to perform). Understanding the conceptual frameworks which underpin managerial activities could have profound implications for assessing the performance of general managers.

Administrative Personnel↗
PubMed1978

Locus of control and the intention to lose weight.

The relative importance of personal attitudes toward losing weight and the social pressures for weight loss in determining intentions to lose weight was compared for locus of control internals and externals who valued health and/or physical appearance highly. Findings consistent with the hypothesized differential importance of these two predictors of behavior intention for individuals designated internal and external by a behavior-specific locus of control scale are presented. Theoretical and practical applications of the findings are discussed.

Adolescent↗
PubMed1994

Using the health belief model to predict safer sex intentions of incarcerated youth.

The purpose of this study was to test constructs of an enhanced version of the health belief model (HBM) in predicting juvenile delinquents' safer sex intentions. An accessible sample (n = 452) of incarcerated youth between the ages of 13-18 years from a midwestern state were subjects. HBM constructs were measured with an instrument tested for face, content, and construct validity as well as internal reliability. HBM constructs accounted for 28% of the variance in safer sex intentions. The results of this study support the use of the HBM in understanding human immunodeficiency virus (HIV) risk behavior in this population. The implications of these results for theory-based HIV prevention among incarcerated youth are presented.

Adolescent↗
PubMed1998

Intention to have a mammogram in the future among women who have underused mammography in the past.

This study investigated associations between confidence in one's ability to discuss mammography with health providers and to obtain regular mammograms (self-efficacy), social network members' attitudes toward mammograms (social influence), mammography experiences, and intention to have a mammogram in the next 1 to 2 years among women who were not in adherence with screening guidelines. Data were collected as part of a baseline assessment for a work site intervention study. Women 52 years and older completed a self-administered survey. Those not in compliance with screening guidelines (n = 194) were included in the analyses. Logistic regression revealed that self-efficacy and strong supportive social influences were significantly associated with mammography intention (odds ratio [OR] = 2.50, OR = 2.22, respectively), adjusting for prior mammography use. Findings suggest that interventions designed to promote mammography should build women's confidence in their ability to discuss mammography with health providers and to obtain regular mammograms. Intervention among social networks may also be an effective means of promoting mammography.

Adult↗
PubMed2005

The impact of barriers to providing high-quality care on nurses' intentions to leave London hospitals.

OBJECTIVES: Previous research on nurse retention has focused mainly on its relationship with employment conditions. This study aimed to include an examination of the impact of nurses' perceived barriers to delivering high-quality patient-centred care on their intentions to leave their current employers. METHODS: An American employee questionnaire was adapted for use with British nurses. The questionnaire was mailed to 6160 nurses directly employed by 20 London hospitals. Up to two reminders were sent to non-responders. The questionnaire asked nurses to report on experiences in their working lives and to state their intentions to leave or stay with their current employer. Demographic and employment history information was also elicited. RESULTS: Responses were received from 2880 (47%). Nurses report that the care they are able to provide often falls short of recognised standards. Factor analysis combined 82 questions on nurses' experiences into four patient-centred and four nurse-centred dimensions. Nurses who report more problems in both nurse-centred and patient-centred dimensions are more likely to intend to leave their current employers. Satisfaction with pay and the cleanliness of work areas are also important factors. CONCLUSIONS: Standards of care are often perceived by nurses to be unacceptably poor. Furthermore, their experience of barriers to care has a demonstrable impact on their decision to leave or stay with their current employer. Nurse managers need to address the perceived barriers to providing high-quality care when considering nurse retention strategies.

Factor Analysis, Statistical↗
PubMed2003

From 'I Wish' to 'I Will': social-cognitive predictors of behavioral intentions.

We tested the ability of several social-cognitive models to predict intentions to engage in two different health behaviors (resisting dieting and performing breast self-exam). All constructs from the health belief model (with and without self-efficacy), the theory of planned behavior (with and without perceived behavioral control) and the motivational process of the health action process approach were measured simultaneously in two subject samples. We hypothesized that models that include self-efficacy (or the related construct of perceived behavioral control) would be more effective than the models that do not include it. Our results supported this prediction. The health action process approach was the best predictor of intentions to engage in both behaviors. Implications for selecting appropriate models on which to base interventions are discussed.

Adolescent↗
PubMed2004

Improvement of upper limb ataxia and intention tremor allowing cessation of thalamic electrostimulation after four years.

A 34-year-old female patient suffering from multiple sclerosis was treated with thalamic electrostimulation for right dominant brachial ataxia and intention tremor. At the end of the fourth year, the energy of the battery of the impulse generator was depleted. However, the patient was able to use her hands without major impairment with the stimulator OFF; due to a stable reduction of the degree of ataxia and intention tremor. The opposite thalamus received an electrode that was never activated because of a permanent thalamotomy effect. Thus, it can be concluded that restoration of function by means of deep brain stimulation might have been beneficial towards achieving a reorganization and stabilization of subcortico-cortical and cerebellar circuitry, supporting the process of self-repair in this patient with a less aggressive course of multiple sclerosis. However, scientific proof has yet to be found. This exceptional observation emphasizes the need for longterm studies.

Adult↗
PubMed1977

Suicidal intent in self-injury.

The difficulties in measuring suicidal intent in cases of self-injury are discussed, and a scale is described to measure this intent. This scale has been used in 500 cases of self-injury. It is practical and reliable. Results show that the scores derived from it are closely related to the similar Beck Scale; they are also related to age, sex, social isolation method of self-injury, previous history of self-injury or of psychiatric treatment, physical health at the time of self-injury and alcohol abuse. These results are discussed with particular reference to suicide prediction and the future validation of the scale by long-term follow-up.

Adolescent↗
PubMed2003

Analysis and modeling of expressive intentions in music performance.

A performer can convey different expressive intentions when playing a piece of music. Perceptual and acoustic analysis of expressive music performances attempts to understand the musicians' strategies. Moreover, models for rendering different expressive intentions were developed for both analysis and deeper multimedia products fruition.

Acoustics↗
PubMed1996

Factor analysis of the suicide intent scale with adolescent suicide attempters.

Examined the factor structure of the Suicide Intent Scale (SIS; Beck, Schuyler, & Herman, 1974) when used with adolescent suicide attempters as well as the validity of these factors. Participants consisted of 190 hospitalized adolescent suicide attempters evaluated within 36 hr of the attempt. They responded to multiple self-report measures as part of a standard battery administered in the hospital that included the Suicide Ideation Questionnaire (Reynolds, 1987b), Reynolds Adolescent Depression Scale (Reynolds, 1987a), and the Hopelessness Scale for Children (Kazdin, French, Unis, Esveldt-Dawson, & Sherrick, 1983). A clinician rated suicide intent on the SIS. A common factor analysis, using the items of the SIS, revealed a three-factor solution. Factors were labeled Isolation Behaviors, Expected Outcome, and Planning Activities. The latter two factors correlated modestly with measures of depression, hopelessness, and suicidal ideation. Isolation Behaviors did not correlate with these measures. Results suggest that the Expected Outcome and Planning Activities factors may be more useful with adolescent suicide attempters than the total score.

Adolescent↗
PubMed2006

Intentional motor phantom limb syndrome.

OBJECTIVE: To investigate the clinical and anatomic correlates of a previously unreported form of chronic supernumerary phantom limb, which developed only in association with motor intent directed at a hemiplegic-anesthetic upper limb. METHODS: We explored the phenomenology of the phantom illusion in the light of motor control models. Hemodynamic correlates of supernumerary phantom limb were studied with an fMRI sensorimotor paradigm consisting of finger-thumb opposition movements. RESULTS: The kinesthetic-proprioceptive illusion of a third arm was triggered by any attempt to move the paretic limb, by bimanual actions, and by motor imagery involving the nonfunctional limb. The responsible lesion destroyed the posterior part of the posterior limb of the internal capsule on the opposite side, damaging corticospinal and thalamocortical tracts. Comparison between fMRI signals performed during virtual movement of the phantom hand vs imaginary movement of the paretic hand showed increased activation in thalamus and caudate nucleus in the first condition. CONCLUSIONS: A preserved sense of agency provided by intact premotor processes translating intention into action may lead to the vivid feeling of movement in a paralyzed limb, similar to kinesthetic illusions in amputees. The interruption of thalamic afferences may explain the persistence and stability of the phantom by preventing any correction of the mismatch between expected and effective movement. The increased blood oxygen level-dependent (BOLD) signal in the basal ganglia-thalamus-cortex pathway during movement of the supernumerary hand may reflect an abnormal closed-loop functioning of the thalamocortical system underlying the phantom phenomenon.

Aged↗
PubMed1976

Intention myoclonus: successful treatment with clonazepam.

Clonazepam, a new benzodiazepine derivative, was used in the treatment of intention myoclonus with excellent results. Five patients, three with postanoxic encephalopathy and two with degenerative central nervous system disorders, all refractory to other therapy, responded with marked decrease in myoclonus. The effective dosage was 7 to 12 mg a day in divided doses. One patient has been treated for over 4 years with no toxicity or breakthrough of symptoms. Except for transient sedation, there have been no untoward side effects. Clonazepam is an important addition to the therapy of intention myoclonus.

Adult↗
PubMed1995

Intentional cranial deformation: a disappearing form of self-mutilation.

Of the forms of human self-mutilation that have been recorded, few have been so widespread and long lasting as intentional cranial deformation. The earliest known record of the practice is from Iraq and dates back to 45,000 BC. The custom, which was practiced in many areas of the world, continued well into this century. Although tatooing, ear piercing, and circumcision are commonly practiced in our society, cranial deformation has almost completely disappeared from contemporary cultures, with the exception of isolated groups in Africa and South America. Intentional cranial deformation is intriguing for those who study the human cranium.

Ethnicity↗
PubMed1989

Intentionally induced abnormalities in optokinetic pattern tests.

Abnormalities of optokinetic nystagmus are easily detected by administering an optokinetic pattern test, in which optokinetic nystagmus responses to acceleration and deceleration of a series of optokinetic stimuli are recorded at slow paper speed, and the results are visually assessed based on the response pattern. Although optokinetic pattern tests are regarded as valuable in diagnosing lesions of the nervous system that directly or indirectly relate to the reflex route of optokinetic nystagmus, these tests can be significantly influenced by the intention of the person being tested. The present study revealed that the majority of abnormal optokinetic patterns can be induced intentionally. This indicates that optokinetic pattern tests are of limited diagnostic value, and a definite diagnosis should not be made based solely on the optokinetic pattern test result.

Brain Diseases↗
PubMed1998

The transprofessional model: blending intents in terminal care of AIDS.

Current terminal care services present dying patients and their families with a dichotomy in service delivery and the intent care between curative treatments and palliative treatments. This arbitrary dichotomy reduces patients' quality of life in many cases and robs patients and families of benefiting from the psychosocial aspects of treatment until the last few weeks of life. This article presents a blended model of care, the Transprofessional Model, in which patients receive both curative and palliative service throughout their care process. The blended intent model differs from traditional home care in that services are provided by a care coordination team composed of nurses and social workers; the traditional model of care is often case managed by a single, registered nurse. The combination of the multi-disciplinary approach to care coordination and training in both curative and palliative services in the Transprofessional Model demonstrates that this blended model of care produces a bio-psychosocial focus to terminal care as compared to a primary focus on curative services present in the traditional model of home care.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Intentions to join HMOs: perceived relative performance versus satisfaction/dissatisfaction.

This study employed a national sample to investigate the determinants of consumers' intentions to join HMOs by considering different health care attributes. It employed two models, a performance model and a satisfaction model. The study found that the robustness of the performance model was substantially stronger in explaining intentions to join HMOs than the satisfaction model. More specific findings indicated that the health care attributes of cost and quality of care were important in both models, although to a far greater extent in the performance model, and that availability of physicians was also important in the performance model, albeit to a lesser degree. The study also examined demographic characteristics that may serve as a basis for segmenting the health care market. Of those considered, only two, age and urban/rural residence, were found to be significant. Age was considerably the more important of the two and younger respondents were far more interested in joining HMOs than their older counterparts. The pattern of results for the young subsample paralleled those found for the entire sample.

Adult↗
PubMed2004

Career intentions and prospects of basic surgical trainees in the Northern Region of England.

OBJECTIVE: To determine the seniority and career intentions of doctors in posts recognised for basic surgical training in the Northern Region of England and to relate it to the number of specialist registrar posts available. METHODS: Postal questionnaire to and telephone interviews with 270 doctors. The main outcome measures were: demographic details, career stage, and intentions regarding subspecialties of choice. RESULTS: Of the post-holders, 171 (63%) intended to pursue a surgical career and, of these, 69% (118/171) were graduates of British universities. Of these 171, 28% (48) were uncertain of their subspecialty of choice and 10% (17) intended to work abroad. The overall ratio for SHO:SpR posts was 1.6:1 for this region and 40% of all basic surgical trainees were in favour of a specialist training programme after PRHO. CONCLUSIONS: Planning for surgical training and workforce needs to be supported by information about trainees' career plans and prospects.

Career Choice↗