The effects of psychological inoculation on cognitive barriers against condom use in women with HIV: A controlled pilot study

Past studies have shown that in attempts to prevent HIV, health education yields little change in condom use. The reason may be that education fails to target barriers for changing behaviour. The present controlled pilot study tested whether psychological inoculation (PI) reduces such barriers for using male condoms. Twenty-two Nigerian women with HIV were randomly assigned to receive PI or health education (control). In the PI condition, women learned to refute sentences reflecting barriers against condom use, while controls learned how to use condoms and the consequences of their non-use. Barriers for condom use, self-efficacy to negotiate condom use with partners and actual condom use were self-reported before and one week after interventions. Results revealed that only in the PI group were there statistically significant increases in condom use negotiating self-efficacy and reductions in barriers concerning motivation, sexual satisfaction and partners. Controls reported no statistically significant changes. However, actual reported condom use was unchanged in both groups. Thus, it is feasible to conduct PI interventions in an African sample of HIV patients. Furthermore, PI can reduce cognitive barriers for condom use, while health education yields little changes in such outcomes over time. If replicated in larger samples with longer follow-ups, these findings could eventually have implications for HIV prevention in several world regions.Keywords: Psychological inoculation, condom use, HIV prevention, barriers, Africa.Des études antérieures ont montré que dans les tentatives pour prévenir le VIH, les efforts d’éducation sanitaire modifiaient peu la fréquence d’utilisation d’un préservatif. C’est peut-être parce que l’éducation ne parvient pas à cibler les obstacles liés au changement de comportement. La présente étude pilote contrôlée a tenté de savoir si l’inoculation psychologique (IP) réduit ou non ces obstacles dans l’utilisation de préservatifs masculins. Vingt-deux femmes nigérianes contaminées par le VIH ont été désignées pour recevoir au hasard un PI ou une éducation sanitaire (témoin). Dans le cas du PI, les femmes ont appris à réfuter des phrases reflétant des barrières contre l’utilisation du préservatif, alors que les témoins ont appris à utiliser des préservatifs et les conséquences de leur non-utilisation. Les obstacles pour l’utilisation du préservatif, le sentiment d’efficacité personnelle à négocier l’utilisation du préservatif avec des partenaires et le réel taux d’utilisation du préservatif ont été auto-déclarés avant et une semaine après les interventions. Les résultats ont révélé que c’est seulement dans le groupe d’IP qu’il y avait eu des augmentations statistiquement significatives dans le sentiment d’efficacitépersonnelle à négocier l’utilisation du préservatif, et dans la réductions des obstacles concernant la motivation, la satisfaction sexuelle et les partenaires. Les témoins n’ont signalé aucun changement statistiquement significatif. Toutefois, le taux réel d’utilisation du préservatif est resté inchangé dans les deux groupes. Ainsi, il est possible de mener des interventions d’IP dans un échantillon de patients atteints du VIH et originaires d’Afrique. En outre, l’IP peut réduire les obstacles cognitifs pour l’utilisation du préservatif, alors que les efforts de politique sanitaire n’apportent guère de changement au cours du temps dans les résultats. Si les conclusions de cette étude pilote sont les mêmes avec de plus grands échantillons avec davantage de suivis, elles pourraient éventuellement avoir des implications pour la prévention du VIH dans plusieurs régions du monde

Spin-Dependent Enantioselective Electropolymerization

The electro-oxidative polymerization of an enantiopure chiral 3,4-ethylenedioxythiophene monomer, performed using spin-polarized currents, is shown to depend on the electron spin orientation. The spin-polarized current is shown to influence the initial nucleation rate of the polymerization reaction. This observation is rationalized in the framework of the chiral-induced spin selectivity effect

Moving beyond European and Latin American Typologies:The Peculiarities of AKP’s Populism in Turkey

Despite the growing literature on Turkish populism, there is yet no consensus on how best to categorise the Justice and Development Party (Adalet ve Kalkınma Partisi or AKP). This article argues that this lack of consensus is due to a selective focus on the attributes of AKP’s populism. Indeed, when the party’s features are examined holistically, it does not neatly conform to the dominant typologies of populism, which were conceived mostly for European and Latin American examples. For historical reasons, AKP’s populist discourse defines “the people” versus “the elite” in civilisational terms and combines this with strategies of neo-liberalism, strong party organisation and grassroots mobilisation. This blend of populism distinguishes the AKP case from the exclusionary/inclusionary and classical/neo-liberal/radical typologies previously identified by the literature. However, the Bharatiya Janata Party in India and the Thai Rak Thai Party in Thailand have similar attributes to the AKP, drawing attention to the need to move beyond the existing ideological and strategic approaches to populism and towards a more comprehensive socio-cultural approach. The article contributes to the literature on populism by highlighting possible avenues for further research based on such a comprehensive understanding of populism based also on cases from Asia

NGO Legitimacy: Four Models

The aim of this paper is to examine NGOs’ legitimacy in the context of global politics. In order to yield a better understanding of NGOs’ legitimacy at the international level it is important to examine how their legitimacy claims are evaluated. This paper proposes dividing the literature into four models based on the theoretical and analytical approaches to their legitimacy claims: the market model, social change model, new institutionalism model and the critical model. The legitimacy criteria generated by the models are significantly different in their analytical scope of how one is to assess the role of NGOs operating as political actors contributing to democracy. The paper argues that the models present incomplete, and sometimes conflicting, views of NGOs’ legitimacy and that this poses a legitimacy dilemma for those assessing the political agency of NGOs in world politics. The paper concludes that only by approaching their legitimacy holistically can the democratic role of NGOs be explored and analysed in the context of world politics

Nonprofits and business:toward a subfield of nonprofit studies

Although the field of nonprofit studies now encompasses a substantial body of literature on the relationship between governmental and nonprofit organizations, the relationship between the business and nonprofit sectors has been less addressed by specialist nonprofit scholars. This Research Note aims to encourage further studies by nonprofit scholars of the business-nonprofit sector relationship. It looks at descriptive evidence to date, proposes a tentative resource-based framework for understanding how nonprofits and business relate to each other in practice and suggests some initial directions for developing a subfield within nonprofit studies

Loneliness, social support and cardiovascular reactivity to laboratory stress

Self-reported or explicit loneliness and social support have been inconsistently associated with cardiovascular reactivity (CVR) to stress. The present study aimed to adapt an implicit measure of loneliness, and use it alongside the measures of explicit loneliness and social support, to investigate their correlations with CVR to laboratory stress. Twenty-five female volunteers aged between 18 and 39 years completed self-reported measures of loneliness and social support, and an Implicit Association Test (IAT) of loneliness. The systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) reactivity indices were measured in response to psychosocial stress induced in the laboratory. Functional support indices of social support were significantly correlated with CVR reactivity to stress. Interestingly, implicit, but not explicit, loneliness was significantly correlated with DBP reactivity after one of the stressors. No associations were found between structural support and CVR indices. Results are discussed in terms of validity of implicit versus explicit measures and possible factors that affect physiological outcomes

Evaluation Research and Institutional Pressures: Challenges in Public-Nonprofit Contracting

This article examines the connection between program evaluation research and decision-making by public managers. Drawing on neo-institutional theory, a framework is presented for diagnosing the pressures and conditions that lead alternatively toward or away the rational use of evaluation research. Three cases of public-nonprofit contracting for the delivery of major programs are presented to clarify the way coercive, mimetic, and normative pressures interfere with a sound connection being made between research and implementation. The article concludes by considering how public managers can respond to the isomorphic pressures in their environment that make it hard to act on data relating to program performance.This publication is Hauser Center Working Paper No. 23. The Hauser Center Working Paper Series was launched during the summer of 2000. The Series enables the Hauser Center to share with a broad audience important works-in-progress written by Hauser Center scholars and researchers

New Developments in Understanding Cardiovascular Disease and the Implications for Social Work

Cardiovascular disease is now viewed as an inflammatory disease. An index of chronic inflammation (viz., C-Reactive Protein) is as good a predictor of heart attacks as are fats in blood. The data suggest that stressful events are so closely associated with chronic inflammatory states, that the body’s stress response can be viewed as an inflammatory state. This paper summarizes and explains the link between stress and cardiovascular disease. Negative health outcomes, particularly for cardiovascular diseases, are higher among those of lower socio-economic status. Differential stress among socio-economic tiers is considered as an explanation for the disparities. The literature linking cardiovascular risk factors to the stressors of workplace unfairness and lack of control over working conditions is reviewed. The role of the stressor of racism in explaining the higher rates of cardiovascular mortality in African Americans is discussed. Finally, for societies with wider gaps in income between the rich and the poor, increased stress is explored as a possible explanation for the diminished health outcomes found across all socio-economic tiers. The implications for social work direct practice and macro-practice are considered