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Intentional and incidental visual memory as a function of cognitive level and color of the stimulus.

Performance of two groups of youngsters, educable mentally retarded (CA 15-5; MA 11-4; IQ 74.3) and those of average ability (CA 10-5; MA 11-3; IQ 109.1) was compared for intentional and incidental visual memory as a function of cognitive level and color of the stimulus. Nonretarded subjects performed significantly better than the retarded ones of equal MA. Both groups performed better with a color than black-white card, and both groups did better on the tasks involving intentional rather than incidental memory.

Attention↗

Job satisfaction and intent to continue working among individuals with serious mental illness.

This study investigated the relationship between job satisfaction and the intention to continue working in a sample of 87 individuals with psychiatric disabilities who worked in supported or supervised employment. Data were collected from respondents in Columbus, Ohio in 1996. After controlling for selected correlates (education, length of employment, contract type, social support, and attitudes concerning pay and toward work), standard multiple regression analyses indicated that job satisfaction was a significant predictor of intent to continue working. Analyses also indicated that respondents who completed high school and who said that they worked primarily for the money were less likely to want to continue working at current jobs. These findings may be used to improve the vocational success of individuals with psychiatric disabilities who work in supported and supervised employment.

Adult↗

Comparison of forced-choice and subjective probability scales measuring behavioral intentions.

Three surveys compared the accuracy of predictions based on forced-choice and subjective probability scales. The latter produced significantly more accurate election predictions and significantly reduced the percentage of undecided, or "Don't Know" responses, compared to forced-choice scales in all three surveys. Analysis indicates subjective probability scales decrease sampling error and confirms there is an inherent source of error in traditional forced-choice questions about voting intentions not attributable to sampling error. The results are discussed with respect to (1) sampling and measurement errors in forced-choice and subjective probability scales measuring behavioral intentions, (2) their practical application, and (3) cognitive theory, especially support theory.

Adolescent↗

Compulsive buying and sexual attitudes, intentions, and activity among adolescents: an extension of Roberts and Tanner (2000).

Roberts and Tanner in 2000 reported that compulsive buying among 896 adolescents was associated with cigarette smoking, alcohol use, drug use, and the likelihood of engaging in premarital sex. The present study concerned the relations of compulsive buying to sexual attitudes, intentions, and activity among adolescents. Results are consistent with the earlier findings as compulsive buying was significantly but weakly correlated (-.14) with intentions to engage in premarital sex; however, compulsive buying was not correlated with adolescents' attitudes regarding sex or sexual behavior.

Adolescent↗

Assessment of suicidal intent by a visual analogue scale.

The use of a visual analogue scale to assess feelings about living and dying at the time of suicidal acts is described. It appears to have face validity, and the results obtained correlate significantly with those of a validated suicidal intent scale. Of note, is the significant correlation between the visual analogue score and that part of the suicidal intent scale which rates the objective circumstances of the attempt, suggesting that suicidal subjects are aware of their mixed feelings of living and dying, and that their actions approximate these feelings. These findings, coupled with its ease of administration and scoring, suggesting that it has a place in the screening of suicidal patients.

Adolescent↗

Intentions to share injection paraphernalia: an empirical test of the AIDS Risk Reduction Model among injection drug users.

The AIDS Risk Reduction Model is a theory-based representation of sequential psychosocial processes by which people may attempt to change their HIV risk behavior. These processes are said to occur in three stages: 1) labeling one's risk behavior as problematic, 2) forming an intention to change behavior, and 3) taking action to accomplish change. Cognitive and perceptual factors are said to influence progress across stages. This study tests the degree to which hypothesized relationships among factors at Stages 1 and 2 are consistent with cross-sectional data collected from a sample of HIV-negative injection drug users who reported recent sharing of drug injection paraphernalia ("works"). Findings indicate that intentions to share works less often in the future may be influenced directly by drug users' perceived risk of infection, which in turn is influenced by their level of HIV knowledge, perceived susceptibility to HIV, and perceived peer norms regarding drug-related risk reduction.

Acquired Immunodeficiency Syndrome↗

Intentional versus unintentional use of contingencies between perceptual events.

In three experiments we studied human ability to use statistical contingencies between visual stimuli (flankers and targets) to improve performance in a letter-digit classification task. We compared the performance of explicitly informed subjects with that of subjects who were told nothing of the contingencies. Simultaneous presentation of flankers and targets (Experiment 1) produced evidence of unintentional contingency use by both informed and uninformed subjects. When stimuli on trial n predicted target stimuli on trial n + 1 (Experiment 2) there was no evidence of unintentional processes, but informed subjects showed strong evidence of using intentional prediction strategies. When flanker onset preceded target stimuli presentation (Experiment 3), evidence of contingency use by both informed and uninformed subjects was found, but the data illustrated qualitative differences in response style (e.g., speed-accuracy tradeoffs) between the two groups. Intentional and unintentional uses of contingencies between perceptual events are qualitatively distinct with respect to the time frame in which they can be applied and the performance patterns they produce. Finally, we argue that the unintentional processes studied here are implicit in nature.

Adult↗

Attitudes and behavioral intentions regarding managed care: a comparison of academic and community physicians.

Physicians' attitudes toward managed care and the impact of these attitudes on behaviors that affect patient care are important factors in managed care reform. In addition, the attitudes of academic physicians may influence their willingness to reform medical education in an effort to prepare students to practice under managed care. Although it is a conventional opinion that the academic health center and its academic physicians are antagonistic toward managed care, there has not been a direct comparison of the attitudes of these physicians to those of practicing community physicians. We used a self-administered questionnaire to assess attitudes toward managed care and behavioral intentions regarding practices related to managed care; a sample of academic physicians (n = 129) was compared with a sample of community physicians (n = 307). Community physicians were less negative in their evaluations of the quality of care in a managed care environment, but no differences were identified between the two groups with regard to the cost-effectiveness, inevitability, or need to adapt to managed care. Academic specialists were more likely than academic primary care physicians to rate managed care as something to which they needed to adapt. Community physicians were less likely to report a willingness to change their referral patterns. Aggregating across practice type, we also uncovered systematic differences between primary care and specialist physicians. The data suggest that opinions about quality and cost-containment in managed care are significant correlates of intentions to change practice behaviors.

Attitude of Health Personnel↗

Medical devices; intent to initiate proceedings to establish effective dates of requirement for premarket approval for 31 class III preamendments devices--FDA. Advance notice of proposed rulemaking.

The Food and Drug Administration (FDA) is announcing its intent to initiate proceedings to establish the effective dates of the requirement for premarket approval for 31 class III preamendments devices. The devices subject to this notice were distributed commercially before May 28, 1976, or are devices that FDA has determined to be substantially equivalent to such devices. This notice of intent identifies the 31 class III preamendments devices to which FDA has assigned a high priority for the application of premarket approval requirements. FDA is taking this action under the Medical Device Amendments of 1976.

Commerce↗

Linking service quality, customer satisfaction, and behavioral intention.

Based on the service quality and script theory literature, a framework of relationships among service quality, customer satisfaction, and behavioral intention for service purchases is proposed. Specific models are developed from the general framework and the models are applied and tested for the highly complex and divergent consumer service of overnight hospital care. Service quality, customer satisfaction, and behavioral intention data were collected from recent patients of two hospitals. The findings support the specific models and general framework. Implications for theory, service marketing, and future research are discussed.

Consumer Behavior↗

'Primary intention' intracoronary stenting guided by angiography alone: a safe approach.

OBJECTIVE: To examine the outcome of intracoronary stent placement by 'primary intention', guided by angiography alone, and without the use of postprocedural anticoagulation. DESIGN: Prospective, observational study. SETTING: Canadian university teaching hospital. PATIENTS: Patients (n=559) undergoing urgent or elective percutaneous revascularization procedures (n=616) in whom a preprocedural decision to employ coronary stent placement was made. Emergency and bailout stent procedures were excluded. INTERVENTION: Stents were delivered at high pressure (1616 to 1818 kPa) on balloons matched to the proximal reference segment diameter. Adequacy of stent deployment was judged by angiographic criteria alone. Postprocedural medication included acetylsalicylic acid and ticlopidine. Quantitative coronary angiographic analysis was independently performed. Acute procedural outcomes were prospectively collected. Patients were followed for one year. RESULTS: All but one patient had a successful angiographic result. Periprocedural death (0.3%), Q wave myocardial infarction (MI) (0%), non-Q MI (1.6%) and stent thrombosis (0.6%) were uncommon events. At one year, 96% of patients were alive and free of MI, while 12% of patients required repeat target lesion revascularization. CONCLUSION: A primary intention strategy of intracoronary stenting, guided by angiography alone, is a safe and effective approach to percutaneous coronary revascularization.

Aged↗

Do adolescents' own intentions regarding healthy behaviours affect outcome? A two-year prospective study.

Adolescents' own intentions regarding health behaviours, in addition to their context, are believed to be important for the health habits they chose. This was studied prospectively over a 2-y period. A total of 552 students, 391 aged 13 y and 161 aged 15 y, reported their health and problem behaviours, socioeconomic background and intentions regarding health behaviours through questionnaires in 1991 and in 1993. Outcome dealt with three domains: health habits; acquisition of adult lifestyles; and problem behaviours. The material was analysed for correlations. Significant results were entered into multiple regression stepwise procedures. As expected, already having initiated adult lifestyles or problem behaviours were the most important factors associated with such behaviours 2 y later. Further analyses were then limited to those students who had not started such lifestyles, in order to determine what factors kept them from doing so in a 2-y span. Key predictors for healthy behaviours were adolescents' own decisions not to engage in adult lifestyles or risky behaviours, family processes consistent with support and school satisfaction. Association with peer groups where smoking and drinking were commonplace predicted less optimal behaviours. Gender or socioeconomic factors were not predictive. The results support a comprehensive approach to health promotion during adolescence.

Adolescent↗

Effects of predeposit and intentional perioperative haemodilution on blood saving program in major orthopaedic surgery.

In this study we evaluated the effects of predeposit and intentional perioperative haemodilution on a blood saving program in major orthopaedic surgery. We demonstrated that autologous blood phlebotomy and maintenance of optimal levels of perioperative haemodilution by delaying blood transfusion, even autologous, are efficient techniques in reducing homologous, red blood cell (HRBC) transfusion. Patients who received autologous red blood cell (ARBC) or HRBC more than one day after surgery, while having Hb values <8 g/dl, are less at risk of needing the first or additional HRBCs. In conclusion, predeposit and intentional haemodilution obtained by delaying blood transfusions, even autotransfusional, is a correct way of conducting a blood saving program (BSP) in major orthopaedic surgery. These techniques are clinically effective in avoiding or reducing HRBC transfusion.

Aged↗

Repair of a root perforation with a resin-ionomer using an intentional replantation technique.

The repair of a root perforation can be accomplished using different materials and techniques. When the defect is surgically inaccessible, the tooth can be carefully extracted, repaired extraorally, and placed back into the socket. This procedure, known as intentional replantation, is often a measure of last resort in an heroic effort to save a hopeless tooth. This case report describes the treatment of a tooth with an iatrogenic root perforation and the subsequent healing of the surrounding periodontium using an intentional replantation technique and resin-ionomer to repair the root defect.

Dental Restoration, Permanent↗

Antecedents and moderators of behavioral intention: differences between U.S. and Taiwanese students.

The purpose of this study was to investigate the relative influence of attitude toward the act, subjective norm, and perceived behavioral control on consumers' purchase intention when consumers possess different levels of product knowledge (subjective and objective). The magnitude of the influence is compared across two different societies (U.S. and Taiwanese). U.S. (N = 295) and Taiwanese (N = 297) college students participated. The results showed that the relative importance of attitude toward the act, subjective norm, and perceived behavioral control in predicting purchase intention varied across consumers with different levels of product knowledge (subjective or objective) for the U.S. participants. However, the moderating effect of product knowledge was less profound for the Taiwanese participants.

Behavior↗

The correspondence between intention to avoid childbearing and subsequent fertility: a prospective analysis.

CONTEXT: Retrospective studies of pregnancy intendedness have revealed some characteristics that can help identify which women are more likely than others to experience an unintended birth. A comparison of these findings with those from a prospective analysis may shed greater light on the characteristics associated with unintended pregnancy. METHODS: Data were taken from the 1988 National Survey of Fertility Growth and a telephone reinterview of respondents conducted in 1990. Separate analyses were conducted of women intending to postpone childbearing for at least three years and of women intending to forgo all future childbearing. Logistic regression models were used to identify the effects of social and demographic characteristics, as well as change in marital status and certainty of intentions, on the odds of experiencing a birth in the interval between interviews. RESULTS: Only 10% of women intending to postpone pregnancy for more than three years and 8% of respondents seeking to forgo future childbearing had a birth in the interval between interviews. (These births, referred to as unpredicted births in this article, are roughly analogous to those labeled unintended in retrospective analyses.) Women with incomes below the poverty level were 2-3 times as likely as women with incomes between 100% and 199% of poverty to experience an unpredicted birth. Race was not a significant factor among women intending to avoid future childbearing, and became nonsignificant among those intending to postpone when change in marital status and contraceptive status were taken into account. Women aged 35 and older who wanted no more children were significantly less likely than women aged 20-29 to have an unpredicted birth. Women aged 30-34 who wanted to postpone childbearing were roughly 70% less likely than women aged 20-29 to experience an unpredicted birth. Overall, women who were at risk for a pregnancy but not practicing contraception were 2-3 times more likely than women using an effective method to have an unpredicted birth. CONCLUSIONS: There are at least two potential explanations for instances where the correlates of unintended births in the prospective analysis differ from those identified in retrospective studies. Certain subgroups of women may be more likely to classify births as wanted when they are asked retrospectively; alternatively, they may be more likely to experience changes in their living conditions that alter their fertility intentions.

Adolescent↗

Intention of private hospitals to become contractors in the prepaid social security scheme in Thailand: why and why not?

The objective of the study was to examine whether private hospitals wanted be main contractors (MCs) under the social security scheme. Data were obtained from a cross-sectional survey of 94 private hospitals in Bangkok and its vicinity area conducted between August 1995 and May 1996 using in-person interview and hospital survey forms. The overall response rate was 88.3%. The results showed that some 46 hospitals (55%) expressed their intention to become MCs. However, nearly 40% of MCs in 1995 indicated that they really did not want to join the scheme while several non-MC hospitals said that they wanted to participate. The most prevalent justifications for the intention of the hospitals to become MCs, or not, were operational and marketing-related in nature. While the scheme was considered a profitable market opportunity by many, it affected hospital positioning. Participation in the scheme might also complicate health services delivery. Whether private hospitals wanted, or did not want, to become MCs was associated with ownership status (p = 0.001) and leading competitive strategies of the hospitals (p = 0.041).

Adult↗

Healing of untidy traumatic skin defect of the face by secondary intention.

BACKGROUND: Untidy facial skin defects manifest extensive soft tissue injury and contamination. Since modern surgical principles emphasize immediate wound closure, most surgeons should learn to convert an untidy wound to a tidy one and to reconstruct defects immediately if possible with the use of grafts and flaps. However, in some situations, healing by secondary intention remains advantageous. The purpose of this study is to reevaluate this traditional approach. METHODS: Twenty patients with untidy facial skin defects were treated conservatively over a 4-year period. The defects ranged from 2 x 2 cm2 to 6 x 4 cm2 in size. The depths of wounds were classified into partial-thickness in 9 patients, full-thickness in 7 patients, and deep defects in 4 patients. Each patient was instructed on wound care, which included daily cleaning with normal saline, followed by application of hydrocolloid occlusive dressing. Prophylactic antibiotics were not used. RESULTS: The mean follow-up period was 17 months. All wounds healed within 3 to 5 weeks. There was no wound infection. One patient developed a hypertrophic scar over the cheek, and received excision of the scar and resurfacing with full-thickness skin graft. Two patients had residual traumatic tattooing which was resolved by laser therapy. Two patients had hypopigmentation/hyperpigmentation problems. Most patients (18/20) were satisfied with both functional and cosmetic results. CONCLUSION: Conservative wound care with hydrocolloid occlusive dressing allows good healing by secondary intention for traumatic facial defects in selected patients.

Adolescent↗