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Selected AbstractsThe relative efficacy of two levels of a primary care intervention for family members affected by the addiction problem of a close relative: a randomized trialADDICTION, Issue 1 2009Alex Copello ABSTRACT Objectives A randomized trial to compare two levels of an intervention (full versus brief) for use by primary health-care professionals with family members affected by the problematic drug or alcohol use of a close relative. Design A prospective cluster randomized comparative trial of the two interventions. Setting A total of 136 primary care practices in two study areas within the West Midlands and the South West regions of England. Participants A total of 143 family members affected by the alcohol or drug problem of a relative were recruited into the study by primary health-care professionals. All recruited family members were seen on at least one occasion by the professional delivering the intervention and 129 (90 %) were followed-up at 12 weeks. Main outcome measures Two validated and standardized self-completion questionnaires measuring physical and psychological symptoms of stress (Symptom Rating Test) and behavioural coping (Coping Questionnaire) experienced by the family members. It was predicted that the full intervention would show increased reduction in both symptoms and coping when compared to the brief intervention. Results The primary analysis adjusted for clustering, baseline symptoms and stratifying variables (location and professional group) showed that there were no significant differences between the two trial arms. The symptom score at follow-up was 0.23 [95% confidence interval (CI): ,3.65, +4.06] higher in the full intervention arm than in the brief intervention arm, and the coping score at follow-up was 0.12 (95% CI: ,5.12, +5.36) higher in the full intervention arm than in the brief intervention arm. Conclusions A well-constructed self-help manual delivered by a primary care professional may be as effective for family members as several face-to-face sessions with the professional. [source] Survey ranking of job competencies by perceived employee importance: Comparing China's three regionsHUMAN RESOURCE DEVELOPMENT QUARTERLY, Issue 4 2006Jin Xiao The acquisition of skills that match job requirements has become an issue in human resource development. A uniform but vague list of desirable skills often provided by policymakers or advocated by scholars is used as a guide in education and training programs in China. Using survey data, this study analyzes the core skills that workforces in China consider to be important in carrying out job routines in different jobs, different industries, and different geographical regions. This study surveyed 25,933 employees from 397 randomly sampled firms of four counties in each of the East, Central, and West regions of China. Twenty kinds of job skills were deduced from interviews conducted in the field. Five categories of skills were identified by the employees: dispositional characteristics, technical know-how skills, job basics, problem solving, and communication. Using a hierarchical model, the analysis is focused on whether employees in different occupations ( for example, managerial, professional, salesperson, frontline workers) had different perceptions of required job skills. The results show both differences related to occupation and work experience and similarities in perceived job competencies among industries and across three regions. [source] Persistent Policy Effects on the Division of Domestic Tasks in Reunified GermanyJOURNAL OF MARRIAGE AND FAMILY, Issue 4 2007Lynn Prince Cooke We are only beginning to unravel the mechanisms by which the division of domestic tasks varies in its sociopolitical context. Selecting couples from the German SocioEconomic Panel who married between 1990 and 1995 in the former East and West regions of Germany and following them until 2000 (N= 348 couples), I find evidence of direct, interaction, and contextual effects predicting husbands' hours in and share of household tasks but not child care. East German men perform a greater share of household tasks than West German men after controlling for individual attributes and regional factors. Child care remains more gendered, and the first child's age proves the most important predictor of fathers' involvement. These findings further our understanding of how the state shapes gender equity in the home. [source] Opening up Australian preschoolers' lunchboxesAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 3 2010Bridget Kelly Abstract Objective: Early childhood services have been identified as key settings for promoting healthy eating and obesity prevention. However, little is known about the obesity-related behaviours of preschool-aged children or food-related policies in these settings. The purpose of this study was to describe the contents of preschoolers' lunchboxes to inform future interventions. Methods: Cross-sectional survey of 259 children attending preschools in the Sydney West and Sydney South West regions of New South Wales in 2008. Lunchbox data were collected using a purpose-designed audit tool. Food and beverages were classified as fruit, vegetables, dairy, breads and cereals, ,extra' (energy-dense) foods, ,extra' drinks or water. Results: Sandwiches and home-cooked meals were the most frequently identified food item, found in 92% of children's lunchboxes, followed by fresh fruit. However, 60% of lunchboxes contained more than one serve of extra food or drink. Conclusion: While nutrition guidelines allow one to two serves of extra foods per day for preschool-aged children, the majority of children appear to consume most of this allocation during their school day, potentially contributing to over-consumption of extra foods and excess kilojoule intake. Implications: Preschool food policies may help to guide the content of children's lunchboxes, however this study emphasises the need for better communication and enforcement of these policies, as well as broader public policy changes. [source] |