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Migrant Latino day laborers and intentions to test for HIV.

This cross sectional study utilized convenience sampling to investigate the HIV testing intentions of 290 sexually active, male, migrant Latino day laborers, 18 years old or older. The findings indicate that day laborers are indeed at risk for HIV. Nearly two-thirds of the men intended to test for HIV in the next year. Men who were at higher risk of infection from their sexual encounters with female partners were more likely to intend to test, as were men making less money and men who did not perceive themselves to be at risk. Men who attended high school or beyond, and reported using a condom with casual female partners, were much more likely to intend to test than men who did not attend school and reported no such condom use. The prevalence of high risk sex and the low rates of condom use have implications for the increased transmission of HIV.

Consent Forms↗

The 'like me' framework for recognizing and becoming an intentional agent.

Infant imitation demonstrates that the perception and production of human action are closely linked by a 'supramodal' representation of action. This action representation unites observation and execution into a common framework, and it has far-reaching implications for the development of social cognition. It allows infants to see the behaviors of others as commensurate with their own-as 'like me.' Based on the 'like me' perception of others, social encounters are interpretable and informative. Infants can use themselves as a framework for understanding others and can learn about the possibilities and consequences of their own potential acts by observing the behavior of others. Through social interaction with other intentional agents who are viewed as 'like me,' infants develop a richer social cognition. This paper explores the early manifestations and cascading developmental effects of the 'like me' conception.

Cognition↗

College student drinking: perception of the norm and behavioral intentions.

Social norm campaigns assume that college students desire to increase their drinking, and may eventually do so, to match inflated perceptions of peer drinking. We assessed 171 college students on self-reported drinking, desired drinking and perception of peer drinking at baseline, and assessed 139 of those students one month later. Participants who believed their peers drank more than they were hypothesized to desire to increase their alcohol consumption to match the perceived norm. This hypothesis was not supported; however, 91% of participants believed their peers drank more than themselves. It was also hypothesized that participants who wished to drink more would drink more in the future. Participants who desired to increase their drinking did not report a significant change in drinking behavior one month later, but participants who initially desired to maintain or decrease their drinking reported significant decreases across the following month. College student overestimation of peer drinking and the college environment are discussed. Social norm campaigns should consider behavioral intentions, and the underlying assumptions of these campaigns should be further tested.

Adolescent↗

Correlates of problem recognition and intentions to change among caregivers of abused and neglected children.

OBJECTIVE: To identify individual, family, and caseworker characteristics associated with problem recognition (PR) and intentions to change (ITC) in a sample of caregivers who received in-home child welfare services following substantiated reports of child abuse or neglect. METHODS: Caregivers were interviewed at 4 weeks, 16 weeks, and 1 year after referral for in-home services. In these interviews, the University of Rhode Island Change Assessment scale assessed PR and ITC in relation to caregiving practices. Additional data were obtained from administrative records and surveys of in-home services caseworkers. We used growth models to identify caregiver, family, and caseworker characteristics associated with initial levels of PR and ITC, and with changes in PR and ITC over time. RESULTS: Contrary to expectations, there were no overall increases in PR and ITC during the first 4 months of in-home services. PR and ITC scores fluctuated over time, in relation to some external events, case characteristics, and caseworker characteristics; however, we were able to account for small portions of the variance in PR and ITC. Controlling for social desirability bias and other variables in the analysis, negative life events, lack of network support, and the severity of caregiver depression were associated with greater PR; housing problems were associated with lower PR. Caregiver depression and age were associated with ITC. Caregivers whose children had been removed from their homes showed significant increases in ITC in the first few months of in-home services. The duration of caseworkers' child welfare experience predicted increases in their clients' PR in the first 4 months and more frequent contacts with an experienced caseworker predicted small, but significant increases in ITC over time. CONCLUSIONS: PR and ITC are associated with somewhat different case characteristics and may be affected by caseworkers' experience.

Attitude↗

Intentional and unintentional medication non-adherence: a comprehensive framework for clinical research and practice? A discussion paper.

Non-adherence to medications is a prevalent and persistent healthcare problem, particularly for patients with a chronic disorder. Researchers have endeavoured to address poor adherence for the past five decades resulting in the accumulation of a vast body of literature. Despite the enormity of research conducted, interventions to date have neither been cost-effective nor predictably clinically effective in enhancing medication adherence. Though concerning, such contemporary information serves to refocus attention on the adequacy of knowledge regarding the factors influencing medication non-adherence. Although little consensus exists regarding the optimal categorisation of these influencing factors, increasingly, the broad and 'all encompassing' categorisation of intentional and unintentional factors is being used to account for patient medication-taking behaviours and actions. An extensive review of the related literature provides the basis for a critical discussion on the value and comprehensiveness of this current classification in guiding future adherence research and consequent clinical interventions. An appraisal of this categorisation is important if decisions regarding interventions are not to be made in a vacuum of insufficient understanding, which would result in the continued ineffective use and distribution of valuable resources to combat non-adherence.

Chronic Disease↗

Predicting bicycle helmet wearing intentions and behavior among adolescents.

INTRODUCTION: Cycling accidents in Australia, especially those resulting in head injuries, are a substantive cause of death and disability; but despite legislation and evidence that helmets reduce the risk of head injury, few adolescents wear them. METHOD: This study employed a revised version of the Theory of Planned Behavior (TPB; [Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179-211]) to investigate the determinants of helmet use among a sample of adolescents. Participants in the initial data collection were 294 high school students in Year 8 and Year 11, with 266 completing a follow-up questionnaire measuring behavior over the previous two weeks. RESULTS: Social norms, perceptions of control, and past behavior significantly predicted intentions to use helmets and perceptions of control and past behavior predicted actual helmet use. CONCLUSIONS: Strengthening the routine of helmet use and building young people's confidence that they can overcome any perceived barriers to helmet use will improve adherence to helmet wearing behavior.

Adolescent↗

Intentional false responding shares neural substrates with response conflict and cognitive control.

The ability to deceive others is a high-level social and cognitive function. It has been suggested that response conflict and cognitive control increase during deceptive acts but this hypothesis has not been evaluated directly. Using fMRI, we tested this prediction for the execution of an intentional false response. Subjects were instructed to respond truthfully or falsely to a series of yes/no questions that were also varied in autobiographical and nonautobiographical content to further examine the influence of personal relevance when lying. We observed an interference effect (longer reaction times for false versus true responses) that was accompanied by increased activation within the anterior cingulate, caudate and thalamic nuclei, and dorsolateral prefrontal cortex (DLPFC), a circuit that has been implicated in response conflict and cognitive control. Behavioral and neural effects were more robust when falsifying autobiographical responses relative to nonautobiographical responses. Furthermore, a correlation between reaction time and left caudate activity supported the presence of increased response inhibition when falsifying responses. When presented with self-relevant (autobiographical) stimuli regardless of response condition, the mesial prefrontal and posterior cingulate cortices were recruited. Neural activity within these two regions and the anterior cingulate cortex (ACC) also showed correlations with self-report personality measures from the Psychopathic Personality Inventory (PPI). Overall, we conclude that the process of interference is inherent to the act of falsifying information and that the amount of conflict induced and cognitive control needed to successfully execute false responses is greater when dealing with personal information.

Adult↗

The attention-intention-effort pathway in the development of psychophysiologic insomnia: a theoretical review.

Psychophysiologic insomnia (PI) is the most common form of persistent primary insomnia. Its 'behavioral phenotype', comprising elements such as conditioned arousal, sleep-incompatible behavior and sleep preoccupation, has not changed markedly across several generations of diagnostic nosology. Moreover, a substantial outcome literature demonstrates that PI can be treated effectively using a range of psychological interventions. It seems evident that behavioral and cognitive factors play a part. What is less clear is exactly how PI develops and what are its crucial maintaining factors. This paper proposes an explanatory model, that we call the attention-intention-effort pathway. The argument is that sleep normalcy is a relatively automatic process. Consequently, it is vulnerable, and may be inhibited, by focused attention and by direct attempts to control its expression. Drawing upon parallels in the literature on adult psychopathology, and upon recent clinical and experimental studies on insomnia, the evidence for this pathway is considered and a research agenda is outlined. In particular, computerized tests of cognitive bias are seen as offering an objective means of appraising mental processes in insomnia. These may be applied concurrently with somatic measurements in future studies to better understand this common psycho-physiologic condition.

Attention↗

Interpreting gaze in Turner syndrome: impaired sensitivity to intention and emotion, but preservation of social cueing.

Women with Turner's syndrome (TS), who lack a complete X-chromosome, show an impairment in remembering faces and in classifying "fear" in face images. Could their difficulties extend to the processing of gaze? Three tasks, all of which rely on the ability to make use of the eye-region of a pictured face, are reported. Women with TS were impaired at judging mental state from images of the upper face ("reading the mind in the eyes"). They were also specifically impaired at interpreting "fear" from displays of the eye-region of the face. However, they showed normal susceptibility to direction of gaze as an attentional cue (social cueing), since they were as sensitive as controls to the validity of the cue, under conditions where it should be ignored. In this task, unlike those of reading the upper face for intention or expression, PIQ accounted for a significant amount of individual variance in task performance. The processing of displays of the eye region affording social and affective information is specifically affected in TS. We speculate that amygdala dysfunction is likely to be implicated in this anomalous behaviour. The presence in the female karyotype of two complete X-chromosomes is protective for some socio-cognitive abilities related to the modulation of behaviour by the interpretation of gaze.

Adolescent↗

Infants' behavioral reenactment of "failed attempts": exploring the roles of emulation learning, stimulus enhancement, and understanding of intentions.

Two studies were conducted to examine whether infants' reenactment of intended but unconsummated acts in A. N. Meltzoff's (1995) failed-attempt paradigm is due to reading the adult's underlying intention or to the effects of nonimitative social learning processes. Two novel conditions that emphasized the object affordances and the spatial contiguity of the object sets were devised. When infants' first actions only were counted, infants who observed the full-demonstration model produced more target acts. When all target acts produced within the 20-s response period were counted, infants in the emulation-learning and spatial contiguity conditions produced as many target acts as infants in the full-demonstration and failed-attempt conditions. This pattern of findings suggests that nonimitative social learning processes may influence infants' response in the behavioral reenactment paradigm.

Attention↗

Hospitalized African American mental health consumers: some antecedents to service satisfaction and intent to comply with aftercare.

This study evaluated antecedents to (a) African Americans' satisfaction with inpatient mental health service provision, (b) their willingness to attend aftercare appointments on discharge from the hospital, and (c) their primary therapists' satisfaction with the services they provided. Subjects were 121 African Americans recruited from the admissions unit of a psychiatric hospital serving a rural southern population. Results indicated that determinants of satisfaction with service provision included increased quality of life and perceived empathy. The only significant determinant of intent to comply with aftercare was perceived staff empathy. For the primary therapists, quality of life was positively related to service satisfaction, whereas low levels of symptom improvement and perceived empathy were negatively related to service provision satisfaction.

Adolescent↗

Unwilling versus unable: infants' understanding of intentional action.

Infants experienced a female adult handling them toys. Sometimes, however, the transaction failed, either because the adult was in various ways unwilling to give the toy (e.g., she teased the child with it or played with it herself) or else because she was unable to give it (e.g., she accidentally dropped it). Infants at 9, 12, and 18 months of age reacted with more impatience (e.g., reaching, looking away) when the adult was unwilling to give them the toy than when she was simply unable to give it. Six-month-olds, in contrast, showed no evidence of this differentiation. Because infants' behavioral responses were appropriately adapted to different kinds of intentional actions, and because the adult's actions sometimes produced results that did not match her goal (when having accidents or failed attempts), these findings provide especially rich evidence that infants first begin to understand goal-directed action at around 9 months of age.

Aptitude↗

Examining psychokinesis: the interaction of human intention with random number generators--a meta-analysis.

Séance-room and other large-scale psychokinetic phenomena have fascinated humankind for decades. Experimental research has reduced these phenomena to attempts to influence (a) the fall of dice and, later, (b) the output of random number generators (RNGs). The meta-analysis combined 380 studies that assessed whether RNG output correlated with human intention and found a significant but very small overall effect size. The study effect sizes were strongly and inversely related to sample size and were extremely heterogeneous. A Monte Carlo simulation revealed that the small effect size, the relation between sample size and effect size, and the extreme effect size heterogeneity found could in principle be a result of publication bias.

Cognition↗

Understanding other people's actions: intention and attention.

This study investigated the extent to which observation of an action performed by a human actor or a robotic arm may kinematically prime the performance of an observer subsequently required to perform a similar action. In Experiment 1, an actor reached for a target presented in isolation or flanked by a distractor object. Subsequently, an observer was required to perform a similar action toward the target object, but always in the absence of the distractor. The kinematics of both the human actor and the observer were affected by the presence of the distractor. Unexpectedly, similar effects were found in the observer's kinematics during the trials in which the actor was seated in front of the observer but no action was demonstrated (catch trials). Results from 4 subsequent experiments suggest that the motor intentions of the actor can be inferred by monitoring his or her gaze. To support this conclusion, results are discussed in terms of recent work spanning many disciplines involved in combining gaze direction and body movements.

Adult↗

Intentions determine the effect of invisible metacontrast-masked primes: evidence for top-down contingencies in a peripheral cuing task.

In 5 experiments, the authors tested whether the processing of nonconscious spatial stimulus information depends on a prior intention. This test was conducted with the metacontrast dissociation paradigm. Experiment 1 demonstrated that masked primes that could not be discriminated above chance level affected responses to the visible stimuli that masked them. Experiments 2 and 3 showed that this effect was abolished when the task instruction was changed in such a way that the primes ceased to be task relevant. Experiments 4 and 5 demonstrated that a prime's effect depended on whether it was associated with the same response as the target or with an opposite response.

Adult↗

The cost of remembering to remember in event-based prospective memory: investigating the capacity demands of delayed intention performance.

Prospective memory tasks are often accomplished during the performance of other activities. Despite the dual-task nature of prospective memory, little attention has been paid to how successful prospective memory performance affects ongoing activities. In the first 2 experiments, participants performing an embedded prospective memory task had longer response times on nonprospective memory target trials of a lexical decision task than participants performing the lexical decision task alone. In the prospective memory groups, longer lexical decision response times were associated with better prospective memory performance (Experiments 1, 2, and 3), a pattern not demonstrated with an embedded retrospective memory task (Experiment 2). The results of Experiment 3 suggest that the retrieval of a delayed intention, or the prospective component, can require capacity.

Aptitude↗

The representation of delayed intentions: a prospective subject-performed task?

To-be-enacted material is more accessible in tests of recognition and lexical decision than material not intended for action (T. Goschke & J. Kuhl, 1993; R. L. Marsh, J. L. Hicks, & M. L. Bink, 1998). This finding has been attributed to the superior status of intention-related information. The current article explores an alternative (action-superiority) account that draws parallels between the intended enactment effect (IEE) and the subject performed task effect. Using 2 paradigms, the authors observed faster recognition latencies for both enacted and to-be-enacted material. It is crucial to note that there was no evidence of an IEE for items that had already been executed during encoding. The IEE was also eliminated when motor processing was prevented after verbal encoding. These findings suggest an overlap between overt and intended enactment and indicate that motor information may be activated for verbal material in preparation for subsequent execution.

Attention↗

Intentional control and implicit sequence learning.

Sequence knowledge acquired by repeated exposure to targets in a speeded localization task was studied in 3 experiments that sought to test A. Destrebecqz and A. Cleeremans's (2001, 2003) claim that, under certain circumstances, the expression of such sequence knowledge cannot be brought under intentional control. In Experiment 1 participants were trained on either a deterministic or a probabilistic sequence and then performed a free-generation test under either inclusion or exclusion instructions. Participants were found to be capable of both expressing (inclusion) and avoiding expressing (exclusion) sequence knowledge. These results were confirmed in Experiment 2 with a more exact replication of Destrebecqz and Cleeremans's methodology. In Experiment 3 participants performed a trial-by-trial generation test under both inclusion and exclusion conditions after a much longer period of training. All the findings are consistent with the proposal that information acquired during sequence learning is explicit in nature.

Adult↗