Social support, social control and health behavior change in spouses

Our work on support processes in intimate relationships has focused on how partners in committed relationships help one another contend with personal difficulties, and how partners elicit and provide support in their day-to-day interactions. We are particularly interested in how these support skills relate to marital outcomes (Pasch & Bradbury, 1998; Pasch, Harris, Sullivan, & Bradbury, 2004; Sullivan, Pasch, Eldridge, & Bradbury, 1998) and how they relate to behavior change in spouses (Sullivan, Pasch, Johnson, & Bradbury, 2006), especially health behavior changes. In this chapter, we review research examining the effects of social support and social control on spouses\u27 health behaviors, propose a theory to account for discrepancies in these findings, and report initial data examining the usefulness of this theory in understanding the relationship between social support, social control, and partner health behavior

Physical aggression, compromised social support, and 10-year marital outcomes: Testing a relational spillover model

The purpose of the present study was to test a relational spillover model of physical aggression whereby physical aggression affects marital outcomes due to its effects on how spouses ask for and provide support to one another. Newlywed couples (n = 172) reported levels of physical aggression over the past year and engaged in interactions designed to elicit social support; marital adjustment, and stability were assessed periodically over the first 10 years of marriage. Multilevel modeling revealed that negative support behavior mediated the relationship between physical aggression and 10-year marital adjustment levels whereas positive support behavior mediated the relationship between physical aggression and divorce status. These findings emphasize the need to look beyond conflict when explaining how aggression affects relationships and when working with couples with a history of physical aggression who are seeking to improve their relationships

Physical properties of 368 meteorites: Implications for meteorite magnetism and planetary geophysics

Petrophysical studies (susceptibility, intensity of natural remanent magnetisation (NRM) and dry bulk density) of 368 meteorites are reviewed together with magnetic hysteresis data for 50 achondrites and chondrites. The relationships between dry bulk density, metallic FeNi-content and porosity will be discussed in the case of L-chondrites. Using the petrophysical classification scheme the meteorite class and the petrologic group of a sample can be determined in most of the cases providing a rapid means for determining a preliminary classification of a new sample. In addition, the petrophysical database provides a direct source of basic physical properties of the small bodies in the solar system. Paleointensity determinations with Thellier technique will be presented for 16 meteorites representing different chondrite groups. The results yield high paleofield values ranging from 51μT to 728μT for the magnetically hardest meteorites consistent with previous studies. However, these values must be looked with caution, because of possible physico-chemical or mineralogical alterations during heating

Attitudes of a sample of English, Maltese and German teachers towards media education

Media education forms part of the National Minimum Curriculum of England, Malta and Germany. Teacher training courses differ greatly in how teachers are prepared to teach media education. In this paper we shall investigate the attitudes of a sample of teachers trained in England, Malta and in Germany towards their perceived importance of media education and the teachers’ preparedness to teach the subject. This preliminary study had a sample of 132 participants, 33 teachers from England, 47 from Germany and 52 teachers from Malta. The tool used to collect data was an online questionnaire. The results show that teachers taking part in this study were not given enough training, or any training at all to be able to teach media education with the result that they do not feel sufficiently prepared to teach the subject. It is suggested by the authors that media education becomes a compulsory component of the initial teacher training courses as well as advanced training for teachers.peer-reviewe

The reliability of the ICD-AIS map in identifying serious road traffic injuries from the Helsinki Trauma Registry

Objective: The EU has recommended that its member countries compile statistics on the number of serious road traffic injuries. In Finland, the number of seriously injured road traffic patients is assessed using the International Classification of Diseases, 10th Revision (ICD-10) and the automatic conversion tool (ICD-AIS map) developed by The Association for the Advancement of Automotive Medicine (AAAM). The aim of this study was to assess how reliably the ICD-AIS map identifies both serious injuries and seriously injured patients due to road traffic accidents. Methods: Data was derived from the Helsinki Trauma Registry (HTR) and included 215 severe (New Injury Severity Score >15) trauma patients injured in road traffic accidents from the years 2016 and 2017. The severity ratings of injuries (Abbreviated Injury Scale, AIS 3+) and patients (Maximum Abbreviated Injury Scale, MAIS 3+) were determined by direct AIS coding of the HTR and were also generated by the ICD-AIS map based on ICD-10 injury codes. These two ratings were compared by injury mechanism and Injury Severity Score (155) body regions. The strength of agreement was described using Cohen's kappa. The most common injury codes with errors in severity rating by the ICD-AIS map were presented. Results: The number of seriously injured patients by the ICD-AIS map was 21% lower, and the number of serious injuries was 36% lower than the corresponding numbers by direct coding. The exact agreement of the injury ratings was 72% (kappa = 0.44, 95% CI 0.42-0.46). Most of the conversion errors were due to the simplicity of the ICD-10 codes used in Finland compared to those used in the ICD-AIS map (ICD-10-CM) and the missing codes from the ICD-AIS map. The most frequent misclassifications were due to multiple rib fractures, visceral organ injuries, some open fractures of extremities, and specific head injuries. Missing codes were most common in face, chest, and limb injuries. Conclusions: The ICD-10 injury codes presently used in Finland should be more specific to permit reliable conversion results by the ICD-AIS map. The problem with missing codes should be considered more closely. When implementing the ICD-11, all detailed injury codes should be introduced. (C) 2019 Elsevier Ltd. All rights reserved.Peer reviewe

Responses to intimate partners’ attempts to change health behavior: The role of readiness

Intimate partners seeking to influence one another’s health may do so by providing support for positive health behavior and attempting to change negative health behavior (social control). Research findings examining the effectiveness of intimate partners’ attempts to influence health behavior are mixed however, and the purpose of the present research is to examine individuals’ responses to hypothetical health behavior influence attempts by an intimate partner. Specifically, we examine the role of readiness to change, cognitive appraisals, and affective responses to partner change attempts. Undergraduate students (n = 185) who reported infrequent exercise or unhealthy eating habits were asked to respond to a variety of tactics an intimate partner might use to try to change their health behavior. In the first phase of the study, we examine a model wherein individuals’ readiness to change influences their perceptions of, and affective reactions to, attempts to influence health behavior and the subsequent likelihood of making a behavioral change. In Phase 2, we use a within-subjects experimental design to simulate changes in readiness and assess resulting changes to affective and perceptual responses to a variety of hypothetical support and control attempts by an intimate partner. The findings indicate that a comprehensive model that includes readiness to change more fully accounts for variance in how individuals respond to partners’ change attempts. Theoretical and clinical implications are discussed

Predictors of participation in premarital prevention programs: The health belief model and social norms

The development of effective programs to prevent marital dysfunction has been a recent focus for marital researchers, but the effective dissemination of these programs to engaged couples has received relatively little attention. The purpose of this study is to determine which factors predict couples\u27 participation in premarital counseling. Predictive factors were derived from the health prevention literature, with a particular focus on the health belief model (HBM). Couples\u27 beliefs and attitudes about premarital counseling were assessed at least six months before their wedding, and participation was assessed after their wedding. Results indicate that the strongest predictors of couples\u27 participation were couples\u27 perceptions of barriers to counseling and whether they had counseling recommended to them. These variables predicted participation even after controlling for important demographic variables. Recommendations for recruiting engaged couples for premarital counseling are made based on the findings

Tibial Fractures in Alpine Skiing and Snowboarding in Finland : A Retrospective Study on Fracture Types and Injury Mechanisms in 363 Patients

Background and Aim: Alpine skiing and snowboarding share the hazards of accidents accounting for tibial fractures. The aim of this study was to evaluate the fracture patterns and mechanisms of injury of tibial fractures taking place in downhill skiing and snowboarding. Materials and methods: All patients with tibial fracture due to alpine skiing or snowboarding accident treated in four trauma centers next to the largest ski resorts in Finland were analyzed between 2006 and 2012. The hospital records were retrospectively reviewed for data collection: equipment used (skis or snowboard), age, gender, and mechanism of injury. Fractures were classified according to AO-classification. Results: There were 342 skiing and 30 snowboarding related tibial fractures in 363 patients. Tibial shaft fracture was the most common fracture among skiers (n=215, 63%), followed by proximal tibial fractures (n=92, 27%). Snowboarders were most likely to suffer from proximal tibial fracture (13, 43%) or tibial shaft fracture (11, 37%). Snowboarders were also more likely than skiers to suffer complex AO type C fractures (23% vs 9%, p Conclusion: The most important finding was the relatively high number of the tibial plateau fractures among adult skiers. The fracture patterns between snowboarding and skiing were different; the most common fracture type in skiers was spiral tibial shaft fracture compared to proximal tibial fractures in snowboarders. Children had more simple fractures than adults.Peer reviewe