Reliability and construct validity of the Participation in Life Activities Scale for children and adolescents with asthma: an instrument evaluation study

<p>Abstract</p> <p>Background</p> <p>The purpose of this study was to evaluate the reliability and construct validity of the Participation in Life Activities Scale, an instrument designed to measure older school-age child and early adolescent level of involvement in chosen pursuits.</p> <p>Methods</p> <p>A cross-sectional design was used. The convenience sample consisted of 313 school-age children and early adolescents with asthma, ages 9–15 years. The self-report summative scale of interest is a 3-indicator survey. Higher scores are reflective of higher levels of participation. Internal consistency reliability and construct validity for the entire sample and sub groups of the sample were evaluated.</p> <p>Results</p> <p>The instrument was deemed sound for the entire sample as well as sub groups based on sex, race, age, socioeconomic status, and severity of illness. Cronbach's alpha coefficient for internal consistency reliability for the entire sample was .74. Exploratory factor analysis indicated a single component solution (loadings .79–.85) accounting for 66% of the explained variance. Construct validity was established by testing the posed relationship between participation in life activities scores and severity of illness. Confirmatory factor analysis revealed a good fit between the data and specified model, χ²(10, <it>n </it>= 302) = 8.074, <it>p </it>= .62.</p> <p>Conclusion</p> <p>This instrument could be used (a) in clinical settings to diagnose restricted participation in desired activities, guide decision-making about treatment plans to increase participation, and motivate behavioral change in the management of asthma; and (b) in research settings to explore factors influencing and consequences of restricted and unrestricted participation, and as an outcome measure to evaluate the effectiveness of programs designed to foster child and early adolescent management of asthma.</p

Transfer of Training Emotionally Biased Interpretations

Non-anxious college students first performed a semantic-judgement task that was designed to train either threat-related or threat-unrelated interpretations of threat-ambiguous homographs (e.g. mug). Next they performed an ostensibly separate transfer task of constructing personal mental images for single words, in a series that included new, threat-ambiguous homographs. In two experiments, the number of threat-related interpretations in the transfer task significantly increased following threat-related experience during the training phase, compared to other training conditions. We conclude that interpretive biases typically shown by anxious people can be established in non-anxious students in ways that generalize to novel tasks and materials

The resilience in illness model, part 1: exploratory evaluation in adolescents and young adults with cancer

BACKGROUND: Resilience is a positive health outcome identified by the Committee on Future Direction for Behavioral and Social Sciences as a research priority for the National Institutes of Health. The Resilience in Illness Model (RIM) was developed from a series of qualitative and quantitative studies, to increase understanding of how positive health protective factors (ie, social integration, family environment, courageous coping, and derived meaning) may influence resilience outcomes. The RIM also includes 2 risk factors: illness-related distress and defensive coping. OBJECTIVE: The purpose of this 2-part article was to report on evaluation of the RIM for adolescents/young adults (AYAs) with cancer. Here, in part 1, our purpose was to describe the exploratory RIM evaluation, and in part 2 we describe the confirmatory RIM evaluation. METHODS: An exploratory evaluation of RIM was done using exploratory latent variable structural equation modeling with a combined sample from 2 studies of preadolescents and AYAs with cancer aged 10 to 26 years (n = 202). RESULTS: Results, including goodness-of-fit indices, support the RIM as a theory with a high level of explained variance for outcomes of resilience (67%) and self-transcendence (63%). Variance explained for proximal outcomes ranged from 18% to 76%. CONCLUSIONS: Findings indicate that, following confirmatory testing, the RIM may be a useful guide to developing targeted interventions that are grounded in the experiences of the AYAs. IMPLICATIONS FOR PRACTICE: Understanding of the AYA cancer experience to improve holistic care is increased

The Resilience in Illness Model Part 2: Confirmatory Evaluation in Adolescents and Young Adults With Cancer

BACKGROUND: Empirically derived and tested models are necessary to develop effective, holistic interventions to improve positive health outcomes in adolescents and young adults (AYA) with cancer, yet few exist. This article is the second of 2 articles reporting on evaluation of the Resilience in Illness Model (RIM) as a predictive model to guide positive health research and practice. OBJECTIVE: The aim of this study was to report the confirmatory model evaluation of the RIM. METHODS: A confirmatory evaluation of RIM was done using baseline data from a sample of 113 AYA aged 11 to 24 years who were undergoing hematopoietic stem cell transplant and enrolled in a randomized controlled trial of a behavioral intervention to enhance resilience. Data were analyzed using latent variable structural equation modeling. RESULTS: Goodness-of-fit indices supported RIM as a confirmed model that accounted for large amounts of variance in the outcomes of self-transcendence (62%) and resilience (72%), and in 3 of 5 mediators, specifically social integration (74%), courageous coping (80%), and hope-derived meaning (87%), as well as small to moderate amounts of variance in the remaining mediators of defensive coping (1%) and family environment (35%). CONCLUSIONS: Findings establish the RIM as a plausible predictive framework for explaining ways AYA with cancer transcend their illness and achieve resilience resolution and for guiding intervention studies in this population. Additional research is needed to explore RIM's transferability based on stage of illness, other chronic diseases, and cultural diversity. IMPLICATIONS FOR PRACTICE: Results support the RIM as an appropriate guide for developing and evaluating interventions to foster positive adjustment in AYA with cancer

Auroral Ion Outflow: Low Altitude Energization

The SIERRA nightside auroral sounding rocket made observations of the origins of ion upflow, at topside F-region altitudes (below 700 km), comparatively large topside plasma densities (above 20 000/cc), and low energies (10 eV). Upflowing ions with bulk velocities up to 2 km/s are seen in conjunction with the poleward edge of a nightside substorm arc. The upflow is limited within the poleward edge to a region (a) of northward convection, (b) where Alfvenic ´ and Pedersen conductivities are well-matched, leading to good ionospheric transmission of Alfvenic power, and (c) of ´ soft electron precipitation (below 100 eV). Models of the effect of the soft precipitation show strong increases in electron temperature, increasing the scale height and initiating ion upflow. Throughout the entire poleward edge, precipitation of moderate-energy (100s of eV) protons and oxygen is also observed. This ion precipitation is interpreted as reflection from a higher-altitude, time-varying field-aligned potential of upgoing transversely heated ion conics seeded by the low altitude upflow

Dayside Field-Aligned Current Impacts on Ionospheric Irregularities

Global Navigation Satellite Systems (GNSS) are subject to disturbances caused by plasma irregularities in the ionosphere. Studies have suggested that in addition to the gradient drift and Kelvin‐Helmholtz instabilities, electron precipitation may be important for phase scintillations in the dayside auroral region. This study combines in situ Swarm data with ground GNSS observations to investigate the potential role of filamentary field‐aligned currents (FACs) on phase scintillations in the dayside auroral region by analyzing 22 events with phase scintillations exceeding 0.45 radians. We observe colocation between regions of severe phase scintillations and highly filamented FACs with fluctuations measured in the spacecraft frame of the order of 20 Hz. The observations indicate that filamentary FACs are crucial drivers for irregularities responsible for creating severe phase scintillations measured in the dayside auroral region and are thus of significant importance in the context of space weather impact on satellite communication.publishedVersio

Electron temperature in the cusp as measured with the SCIFER-2 sounding rocket

It is expected that energy deposited by soft auroral electron precipitation in the ionosphere should result in heating of ionospheric electrons in that location, and this heating is an important step in the ion outflow process. We present coordinated observations from the SCIFER-2 sounding rocket in the cusp region overflying optical observing sites in Svalbard. The rocket payload included a sensor which is designed to measure the temperature of thermal electrons. We show that elevated electron temperatures measured in situ are correlated with electron precipitation as inferred from auroral emissions during the 60–120 s preceding the passage of the rocket. This integrated “cooking time” is an important factor in determining the origin and resulting flux of outflowing ions

Stimulation of Na⁺/H⁺ Exchanger Isoform 1 Promotes Microglial Migration

Regulation of microglial migration is not well understood. In this study, we proposed that Na+/H+ exchanger isoform 1 (NHE-1) is important in microglial migration. NHE-1 protein was co-localized with cytoskeletal protein ezrin in lamellipodia of microglia and maintained its more alkaline intracellular pH (pHi). Chemoattractant bradykinin (BK) stimulated microglial migration by increasing lamellipodial area and protrusion rate, but reducing lamellipodial persistence time. Interestingly, blocking NHE-1 activity with its potent inhibitor HOE 642 not only acidified microglia, abolished the BK-triggered dynamic changes of lamellipodia, but also reduced microglial motility and microchemotaxis in response to BK. In addition, NHE-1 activation resulted in intracellular Na+ loading as well as intracellular Ca2+ elevation mediated by stimulating reverse mode operation of Na+/Ca2+ exchange (NCXrev). Taken together, our study shows that NHE-1 protein is abundantly expressed in microglial lamellipodia and maintains alkaline pHi in response to BK stimulation. In addition, NHE-1 and NCXrev play a concerted role in BK-induced microglial migration via Na+ and Ca2+ signaling. © 2013 Shi et al