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PubMed2004

Communication strategies of people with ALS and their partners.

There are wider issues relating to the communication difficulties experienced by people with amyotrophic lateral sclerosis (ALS) than simply the physical problems caused by diminished oral control. In addition, existing literature on ALS rarely considers communication to be a joint interaction which depends on the strategies adopted by both communication partners, nor does it present communication in real life settings. This paper presents some of the findings from a 3-year research project which investigated the communication of people with ALS and their partners in their own homes. It discusses the purpose of human communication, and through examination of conversations in people's own homes has identified a range of strategies and techniques that families with ALS employ. For some people with ALS, although speech may deteriorate, they are still able to communicate closely and in a way that is more focused on topics that are particularly important to them. The findings from this study will be of interest to those who work with people with ALS.

Aged↗
PubMed2005

Predictors of participation in an HIV risk reduction intervention for socially deprived Latino women: a cross sectional cohort study.

BACKGROUND: Little is known about predictors of participation and attrition in HIV prevention programs for socially deprived Latino women. OBJECTIVES: The purpose of this study was to examine factors that predict program participation and attrition among Latino women in a community-based, culturally specific HIV risk reduction intervention. DESIGN: This was a cross-sectional comparison of baseline data drawn from a randomized HIV risk reduction trial. SETTINGS: Information was drawn from study subjects residing in a predominately Latino low-income community in Chicago. PARTICIPANTS: Among 404 study subjects in the intervention group, 214 of Latino women who had attended at least 5 of 6 intervention sessions were considered participants. One hundred and twelve women who never attended and 29 of women who attended fewer than 3 sessions were considered dropouts. METHODS: The baseline data of program participants were compared to those of dropouts. The influence of the following factors on program participation was examined: sociodemographic characteristics, self-esteem, HIV knowledge, intimate partner violence, depression, and communication with partner. RESULTS: Logistic regression analysis showed that Mexican women were more likely to participate in the intervention program than Puerto Rican women (odds ratio (OR)=1.88, 95% confidence interval (CI)=1.64, 4.23). Other significant predictors of program participation included: being older (OR=1.08, 95% CI=1.03, 1.14), unemployed (OR=0.46, 95% CI=0.25, 0.83), having higher risk reduction behavior intentions score (OR=1.16, 95% CI=1.06, 1.26), and lower level of depressive symptoms (OR=0.97, 95% CI=0.95, 0.99). CONCLUSIONS: The recruitment and retention strategies should be developed by considering those important predictors of intervention participation to prevent Latino women from dropping out of the HIV prevention program.

Adolescent↗
PubMed1998

Country watch: Kenya.

Explore the source record for details and available documents.

Acquired Immunodeficiency Syndrome↗
PubMed2001

Effects of discourse context on the intelligibility of synthesized speech for young adult and older adult listeners: applications for AAC.

The use of speech synthesis in electronic communication aids allows individuals who use augmentative and alternative communication (AAC) devices to communicate with a variety of partners. However, communication will only be effective if the speech signal is readily understood by the listener. The intelligibility of synthesized speech is influenced by a variety of factors, including the provision of context. Although the facilitative effects of context have been demonstrated extensively in studies with young adults, there are few investigations into older adults' ability to decode the synthesized speech signal. The present study investigated whether discourse context affected the intelligibility of synthesized sentences for young adult and older adult listeners. Listeners were asked to repeat 15-word sentences that were either presented in isolation or preceded by a story that set the context for the sentence. Participants correctly repeated significantly more words in the sentences when they were preceded by related sentences than when the sentences were presented in isolation. This research shows a facilitating effect of context in discourse, wherein previous words and sentences are related to later sentences, for both younger and older adult listeners. These results have direct implications for AAC system message transmission.

Adult↗
PubMed1985

Emotional communication in close relationships.

Emotional communication patterns characterizing interactions between partners in close relationships were investigated by asking 29 couples who were married or living together to engage in a videotaped discussion of a problem they were having in their relationship. In a later experimental session, partners identified specific communications that they believed had an important influence on the discussion and then rated the communications in terms of the feelings the communicator intended to convey and the recipient's reactions. Partners attempted to reciprocate both the positive and negative feelings that they perceived their partner to express toward them. However, only negative feelings were actually reciprocated. This was because subjects were sensitive to differences in the negative feelings their partners reported expressing and interpreted those feelings correctly, but they were inaccurate in perceiving their partners' expressions of positive feelings. Men (but not women) interpreted their partners' failures to express love as an indication of hostility, whereas women (but not men) interpreted their partners' lack of hostility as an indication of love. These and other results were conceptualized in terms of a general model of emotional communication. Parameters of the model pertaining to the hostility of partners' communications were often related to women's satisfaction with their relationship and their beliefs about relationships in general. However, they were unrelated to men's satisfaction and general beliefs. This suggested that women are generally more adversely affected by overt expression of hostility than are men.

Adolescent↗
PubMedDate not supplied

Something to talk about: sexual risk communication between young women and their partners.

OBJECTIVES: To describe sexual risk communication between young women and their male sexual partners and examine its impact on women's perceptions of sexual risk. DESIGN: The study and results reported were part of a larger descriptive, retrospective study in which data were collected from young women and their male partners via telephone interviews. PARTICIPANTS: Participants included 93 unmarried, sexually active heterosexual women, ages 17 to 26 years, and 82 of their male sexual partners. The sample was predominantly white; all other ethnic groups were underrepresented. RESULTS: Nearly all of the women described their partners as "no risk" or "low risk," despite the fact that nearly half never discussed their partner's sexual risk histories. Women gave three primary reasons why sexual risk was not discussed: (a) did not know the partner well enough/too embarrassed to ask; (b) "knew" the partner was low risk/no need to discuss it; and (c) did not think of it. CONCLUSIONS: Nurses should adopt and promote the premise that all sexually active women are at some risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV). Furthermore, sexually active women should be advised to distinguish between what they think they know about their partners and what they actually know. As client advocates, nurses should empower women to recognize that they have the right to insist on full sexual history disclosure and STD/HIV testing, to question whether they want to have sexual relations, and to refuse to engage in sexual activity if they wish.

Adolescent↗
PubMed1995

Factors associated with Hispanic women's HIV-related communication and condom use with male partners.

To determine factors influencing Hispanic women's HIV-related communication and condom use with their primary male partner, 189 Dominican, Puerto Rican, and Mexican women were interviewed regarding sexual behaviour and condom use, relationship characteristics, perceived risk for HIV, and HIV-related communication with the primary male partner. Level of HIV-related communication with the primary male partner was associated with the woman's perceived risk for HIV and her rating of the openness with which she could communicate with her primary partner. Mexican women were less likely than Puerto Rican or Dominican women and women with multiple partners were less likely than those with one partner to communicate about HIV-related issues with their primary partner. Women reporting more condom use with their primary partner were younger, had discussed HIV-related issues more with the primary partner, and were less likely to expect negative reactions to requests for condom use than those reporting less condom use. These results suggest that prevention programmes that increase both general and HIV-specific communication between members of a couple may facilitate safer sex practices by the couple. Prevention programmes that encourage women to insist on condom use should consider the woman's expectations about her partner's reaction as a potential barrier to the initiation of safer sex practices.

Acculturation↗
PubMed2004

Selective interaction between nonribosomal peptide synthetases is facilitated by short communication-mediating domains.

Nonribosomal peptide synthetases (NRPSs) catalyze the formation of structurally diverse and biologically important peptides. Given their modular organization, NRPSs provide an enormous potential for biocombinatorial approaches to generate novel bioactive compounds. Crucial for the exploitation of this potential is a profound knowledge of the intermolecular communication between partner NRPSs. The overall goal of this study was to understand the basis of protein-protein communication that facilitates the selective interaction in these multienzyme complexes. On this account, we studied the relevance of short regions at the termini of the NRPSs tyrocidine (Tyc) synthetases TycA, TycB, and TycC, constituting the Tyc biosynthetic template. In vitro and in vivo investigations of C-terminal deletion mutants of the initiation module TycA provided evidence for the existence and impact of short communication-mediating (COM) domains. Their decisive role in protein-protein recognition was subsequently proven by means of COM domain-swapping experiments. Substitution of the terminal COM domains between the donor modules TycA and TycB3, as well as between the acceptor modules TycB1 and TycC1, clearly demonstrated that matching pairs of COM domains are both necessary and sufficient for the establishment of communication between partner NRPSs in trans. These results corroborated the generality of COM domains, which were subsequently exploited to induce crosstalk, even between NRPSs derived from different biosynthetic systems. In conclusion, COM domains represent interesting tools for biocombinatorial approaches, which, for example, could be used for the generation of innovative natural product derivatives.

Amino Acid Sequence↗
PubMed1997

Effects of couples' characteristics on contraceptive use in sub-Saharan Africa: the Ghanaian example.

Using data from the 1988 Ghana Demographic and Health Survey, this study examines couples' demographic and socioeconomic characteristics in the context of their attitudes towards family planning, and the impact of these factors on the use of contraceptives. The characteristics of the husbands and their influence on wives' behaviour illustrate the role of intra-household relations between men and women and their effect on fertility-related behaviour in patriarchal African societies.

Adult↗
PubMed1982

Childlessness and marital satisfaction: a further assessment.

Utilizing a stratified random sample of respondents married after the age of 21, this article estimates models of marital satisfaction for theoretically relevant groups of women--voluntarily childless wives, undecided wives, postponing wives, and mothers. Results indicate that all three groups of childless wives have higher mean levels of marital satisfaction than do mothers. More important, the results also suggest that the processes generating marital satisfaction for wives differ depending not only on the presence or absence of children, but also on future childbearing intentions among the childless. Specifically, models of marital satisfaction for the voluntarily childless and undecideds are quite different from those for postponers and mothers. These results are discussed in terms of differences in marital structures and differences in the implied systems of reciprocities characterizing marital interaction and bargaining.

Behavior↗