631 research outputs found
Emotional Strategies as Catalysts for Cooperation in Signed Networks
The evolution of unconditional cooperation is one of the fundamental problems
in science. A new solution is proposed to solve this puzzle. We treat this
issue with an evolutionary model in which agents play the Prisoner's Dilemma on
signed networks. The topology is allowed to co-evolve with relational signs as
well as with agent strategies. We introduce a strategy that is conditional on
the emotional content embedded in network signs. We show that this strategy
acts as a catalyst and creates favorable conditions for the spread of
unconditional cooperation. In line with the literature, we found evidence that
the evolution of cooperation most likely occurs in networks with relatively
high chances of rewiring and with low likelihood of strategy adoption. While a
low likelihood of rewiring enhances cooperation, a very high likelihood seems
to limit its diffusion. Furthermore, unlike in non-signed networks, cooperation
becomes more prevalent in denser topologies.Comment: 24 pages, Accepted for publication in Advances in Complex System
From theory to 'measurement' in complex interventions: methodological lessons from the development of an e-health normalisation instrument
<b>Background</b> Although empirical and theoretical understanding of processes of implementation in health care is advancing, translation of theory into structured measures that capture the complex interplay between interventions, individuals and context remain limited. This paper aimed to (1) describe the process and outcome of a project to develop a theory-based instrument for measuring implementation processes relating to e-health interventions; and (2) identify key issues and methodological challenges for advancing work in this field.<p></p>
<b>Methods</b> A 30-item instrument (Technology Adoption Readiness Scale (TARS)) for measuring normalisation processes in the context of e-health service interventions was developed on the basis on Normalization Process Theory (NPT). NPT focuses on how new practices become routinely embedded within social contexts. The instrument was pre-tested in two health care settings in which e-health (electronic facilitation of healthcare decision-making and practice) was used by health care professionals.<p></p>
<b>Results</b> The developed instrument was pre-tested in two professional samples (N = 46; N = 231). Ratings of items representing normalisation 'processes' were significantly related to staff members' perceptions of whether or not e-health had become 'routine'. Key methodological challenges are discussed in relation to: translating multi-component theoretical constructs into simple questions; developing and choosing appropriate outcome measures; conducting multiple-stakeholder assessments; instrument and question framing; and more general issues for instrument development in practice contexts.<p></p>
<b>Conclusions</b> To develop theory-derived measures of implementation process for progressing research in this field, four key recommendations are made relating to (1) greater attention to underlying theoretical assumptions and extent of translation work required; (2) the need for appropriate but flexible approaches to outcomes measurement; (3) representation of multiple perspectives and collaborative nature of work; and (4) emphasis on generic measurement approaches that can be flexibly tailored to particular contexts of study
The acute-to-chronic workload ratio:An inaccurate scaling index for an unnecessary normalisation process?
BACKGROUND: Problematic use of alcohol and other drugs (AOD) is highly prevalent among people living with the human immunodeficiency virus (PLWH), and untreated AOD use disorders have particularly detrimental effects on human immunodeficiency virus (HIV) outcomes. The Healthcare Effectiveness Data and Information Set (HEDIS) measures of treatment initiation and engagement are important benchmarks for access to AOD use disorder treatment. To inform improved patient care, we compared HEDIS measures of AOD use disorder treatment initiation and engagement and health care utilization among PLWH and patients without an HIV diagnosis.
METHODS: Patients with a new AOD use disorder diagnosis documented between October 1, 2014, and August 15, 2015, were identified using electronic health records (EHR) and insurance claims data from 7 health care systems in the United States. Demographic characteristics, clinical diagnoses, and health care utilization data were also obtained. AOD use disorder treatment initiation and engagement rates were calculated using HEDIS measure criteria. Factors associated with treatment initiation and engagement were examined using multivariable logistic regression models.
RESULTS: There were 469 PLWH (93% male) and 86,096 patients without an HIV diagnosis (60% male) in the study cohort. AOD use disorder treatment initiation was similar in PLWH and patients without an HIV diagnosis (10% vs. 11%, respectively). Among those who initiated treatment, few engaged in treatment in both groups (9% PLWH vs. 12% patients without an HIV diagnosis). In multivariable analysis, HIV status was not significantly associated with either AOD use disorder treatment initiation or engagement.
CONCLUSIONS: AOD use disorder treatment initiation and engagement rates were low in both PLWH and patients without an HIV diagnosis. Future studies need to focus on developing strategies to efficiently integrate AOD use disorder treatment with medical care for HIV
Primordialists and Constructionists: a typology of theories of religion
This article adopts categories from nationalism theory to classify theories of religion. Primordialist explanations are grounded in evolutionary psychology and emphasize the innate human demand for religion. Primordialists predict that religion does not decline in the modern era but will endure in perpetuity. Constructionist theories argue that religious demand is a human construct. Modernity initially energizes religion, but subsequently undermines it. Unpacking these ideal types is necessary in order to describe actual theorists of religion. Three distinctions within primordialism and constructionism are relevant. Namely those distinguishing: a) materialist from symbolist forms of constructionism; b) theories of origins from those pertaining to the reproduction of religion; and c) within reproduction, between theories of religious persistence and secularization. This typology helps to make sense of theories of religion by classifying them on the basis of their causal mechanisms, chronology and effects. In so doing, it opens up new sightlines for theory and research
The Diffusion of Inclusion: An Open Polity Model of Ethnic Power Sharing
While there is a growing consensus that ethnic inclusion produces peace, less is known about what causes transitions to power sharing between ethnic groups in central governments in multiethnic states. The few studies that have addressed this question have proposed explanations stressing exclusively domestic factors. Yet, power sharing is spatially clustered, which suggests that diffusion may be at play. Inspired by studies of democratic diffusion, we study the spread of inclusive policies with an âopen polity modelâ that explicitly traces diffusion from inclusion in other states. Our findings indicate that the relevant diffusion processes operate primarily at the level of world regions rather than globally or between territorial neighbors. Thus, the more inclusive the region, the more likely a shift to power sharing becomes. Shifts away from inclusion to dominance are less common since World War II, but they are more likely in regional settings characterized by ethnic exclusion
Tipping Points for Norm Change in Human Cultures
Humans interact with each other on a daily basis by developing and
maintaining various social norms and it is critical to form a deeper
understanding of how such norms develop, how they change, and how fast they
change. In this work, we develop an evolutionary game-theoretic model based on
research in cultural psychology that shows that humans in various cultures
differ in their tendencies to conform with those around them. Using this model,
we analyze the evolutionary relationships between the tendency to conform and
how quickly a population reacts when conditions make a change in norm
desirable. Our analysis identifies conditions when a tipping point is reached
in a population, causing norms to change rapidly.Comment: SBP-BRiMS 201
Taking it personally: the effect of ethnic attachment on preferences for regionalism
This article presents three related findings on regional decentralization. We use an original dataset collected in Uganda to establish, for the first time in a developing country context, that individuals have meaningful preferences over the degree of regional decentralization they desire, ranging from centralism to secessionism. Second, multilevel models suggest that a small share of this variation is explained at the district and ethnic group levels. The preference for regional decentralization monotonically increases with an ethnic group or a districtâs average ethnic attachment. However, the relationship with an ethnic group or districtâs income is U-shaped: both the richest and the poorest groups desire more regionalism, reconciling interest-based and identity-based explanations for regionalism. Finally, we show that higher individual ethnic attachment increases preferences for regionalism using fixed effects and a new matching method
Friends or foes? migrants and sub-state nationalists in Europe
How do sub-state nationalists respond to the growing presence of cultural diversity in their âhomelandsâ resulting from migration? Sub-state nationalists in Europe, in ânations without statesâ such as Catalonia and Scotland, have been challenging the traditional nation-state model for many decades. While the arguments in favour of autonomy or independence levelled by these movements have become more complex, sub-state nationalist movements remain grounded by their perceived national community that is distinct from the majority nation. Migration to the âhomelandâ of a sub-state nation, then, presents a conundrum for sub-state elites that we label the âlegitimation paradoxâ: too much internal diversity may undermine the claim to cultural distinctiveness. We engage with three common intervening variables thought to influence how sub-state nationalists confront the âlegitimation paradoxâ: civic/ethnic nationalism, degree of political autonomy, and party competition. Our overarching argument is that none of these factors have a unidirectional or determinate effect on the sub-state nationalism-immigration nexus, which is why the nuanced case studies that comprise this Special Issue are worthwhile endeavours
Glasgow 2014, the media and Scottish politics â the (post)imperial symbolism of the Commonwealth Games
This article critically examines print media discourses regarding the 2014 Glasgow Commonwealth Games. The forthcoming analysis considers the political symbolism of the Commonwealth Games with regards to the interlinkages between the British Empire, sport and the global political status of the UK, with specific consideration given to the UKâs declining global power as well as the interconnections between the 2014 Games and the Scottish independence referendum. Hechterâs (1975) âinternal colonialismâ thesis, which portrays Scotlandâs marginalised status within the UK, is drawn upon to critically explore the political symbolism of sport for Scottish nationalism, before discussion focuses upon the extent to which the modern Commonwealth is symptomatic of the UKâs declining status as a global power. Finally, the existence of these narrative tropes in print media coverage of the Commonwealth Games is examined, allowing for critical reflections on the continuing interconnections between the media, sport, nationalism and post-imperial global politics
Picturing the nation : The Celtic periphery as discursive other in the archaeological displays of the museum of Scotland
Using the archaeological displays at the Museum of Scotland in Edinburgh, this paper examines the exhibition as a site of identity creation through the negotiations between categories of same and Other. Through an analysis of the poetics of display, the paper argues that the exhibition constructs a particular relationship between the Celtic Fringe and Scottish National identity that draws upon the historical discourses of the Highlands and Islands of Scotland as a place and a time \u27apart\u27. This will be shown to have implications for the display of archaeological material in museums but also for contemporary understandings of Scottish National identity. <br /
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