Online health information search and evaluation: observations and semi-structured interviews with college students and maternal health experts

Background: While the Internet is a popular source of health information, health seekers’ inadequate skills to locate and discern quality information pose a potential threat to their healthcare decision‐making. Objectives: We aimed to examine health information search and appraisal behaviours among young, heavy users of the Internet. Methods: In study 1, we observed and interviewed 11 college students about their search strategies and evaluation of websites. In study 2, three health experts evaluated two websites selected as the best information sources in study 1. Results: Familiarity with health websites and confidence in search strategies were major factors affecting search and evaluation behaviours. Website quality was mostly judged by aesthetics and peripheral cues of source credibility and message credibility. In contrast to users’ favourable website evaluation, the experts judged the websites to be inappropriate and untrustworthy. Conclusion: Our results highlight a critical need to provide young health seekers with resources and training that are specifically geared toward health information search and appraisal. The role of health seekers’ knowledge and involvement with the health issue in search effort and success warrants future research.     

Editorial

Ohne Zusammenfassung

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Editorial

     

Editorial

Ohne Zusammenfassung

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Editorial

     

Entry-Level Activities in System Consultation

System-level consultation or organizational development in schools is an area in great need of theoretical models and definitions. The three articles in this special issue provide a unique learning opportunity not only for consultation across borders but also for consultation within the same nation. In my commentary, I limit my remarks to a few general principles about school-based system-level consultation with particular attention to entry processes to consultation. Specifically, I attempt to answer the following questions: (a) Are the principles guiding system-level consultation different from those guiding case consultation? (b) Are there specific principles that guide consultation when working in another country? and (c) Can what we see in these articles to a large extent be described as entry processes to system consultation?     

Effects of Head Start REDI on Children's Outcomes 1 Year Later in Different Kindergarten Contexts

One year after participating in the Research‐based, Developmentally Informed (REDI) intervention or “usual practice” Head Start, the learning and behavioral outcomes of 356 children (17% Hispanic, 25% African American; 54% girls; M_age = 4.59 years at initial assessment) were assessed. In addition, their 202 kindergarten classrooms were evaluated on quality of teacher–student interactions, emphasis on reading instruction, and school‐level student achievement. Hierarchical linear analyses revealed that the REDI intervention promoted kindergarten phonemic decoding skills, learning engagement, and competent social problem‐solving skills, and reduced aggressive–disruptive behavior. Intervention effects on social competence and inattention were moderated by kindergarten context, with effects strongest when children entered schools with low student achievement. Implications are discussed for developmental models of school readiness and early educational programs.     

Dimensions of Eighteenth‐century Educational Thinking in Germany: Rhetoric and Gender Anthropology

The development of pedagogical science in eighteenth‐century Germany unfolded in close connection with the emergence of the modern bourgeoisie and its emancipation from a still absolutist society. While social and political structures in Britain and France were changed by revolutions, the relative weakness of the German bourgeoisie led to the adoption of a reformist strategy to effect social modernization. In this context, pedagogics, education, schools and schooling became a vital means of political and economic transformation towards a modern, bourgeois‐capitalist society. Therein the emergence of modern pedagogical thought and the development of the bourgeoisie were mutual preconditions: several initially quite disparate strands of thought coalesced to form a new pedagogical thinking in Germany during the later Enlightenment. The essay reconstructs how new thinking emerged by charting the integration of two bodies of knowledge into this renewal and refounding of pedagogics: the transformation of elements of rhetoric into building blocks of modern pedagogical thought, on the one hand, and of gender anthropology as its foundation, on the other.     

Childhood neglect and increased withdrawal and depressive severity in crack cocaine users during early abstinence

Studies have shown that environmental factors, such as exposure to childhood maltreatment, might shift the course of addiction. Little is known, however, about whether childhood physical neglect (PN) influences the severity of withdrawal and depressive symptoms during the detoxification period. This is a 3 weeks follow-up study. The participants were divided into 2 groups: those with a history of PN (PN+) (n = 32) and those without a history of PN (PN−) (n = 48). Clinical variables were assessed with the SCID-I, BDI-II, Childhood Trauma Questionnaire, Addiction Severity Index and Cocaine Selective Severity Assessment. Depressive symptom assessments were repeated at three time points. Withdrawal symptom assessments were repeated at five different points following detoxification. A repeated measures analysis of covariance indicated that the PN+ group exhibited a significantly lower reduction in the severity of withdrawal symptoms compared to the PN− group (p < 0.05). Post hoc analyses showed that after 12 days of treatment, the severity of withdrawal symptoms in the PN+ group did not decrease in the same level as was observed in the PN− group. Moreover, a strong correlation was found between the severity of depression and the intensity of the abstinence symptoms during treatment. Patients who reported more depressive symptoms also exhibited more severe withdrawal symptoms. The ASI-6 indicated higher severity problems related to alcohol and psychiatric disorders in the PN+ groups. Our data support the role of childhood PN in the contingencies of the detoxification process of crack cocaine-dependent women.     

Performance Indicator Maps: A Visual Tool for Understanding,Managing, and Continuously Improving Your Business Metrics

Organizations are complex systems that require managers and employees alike to understand the interdependencies between their performance accomplishments and those of others, as well as the specific means and actions that affect them. Performance indicator maps (PIMs) are graphical representations that illustrate the relationships among organizational performance indicators. When properly designed, performance indicator maps can increase the effectiveness of feedback generated by dashboards, trigger tangible improvement actions today, and allow us to get the results we want tomorrow.