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<title>Health Studies Publications</title>
<copyright>Copyright (c) 2013 Western University All rights reserved.</copyright>
<link>http://ir.lib.uwo.ca/healthstudiespub</link>
<description>Recent documents in Health Studies Publications</description>
<language>en-us</language>
<lastBuildDate>Sun, 27 Jan 2013 00:18:21 PST</lastBuildDate>
<ttl>3600</ttl>








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<title>Predicting Residential Treatment Outcomes for Emotionally and Behaviorally Disordered Youth: The Role of Pretreatment Factors</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/80</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/80</guid>
<pubDate>Thu, 15 Mar 2012 20:31:01 PDT</pubDate>
<description>
	<![CDATA[
	<p>This study examined outcomes with 170 children and youth admitted to  residential treatment with complex mental health problems. Overall,  outcomes at 2 years post-treatment was predicted by children and youth's  behavioral pretreatment status reflected in lower internalizing and  externalizing behavior at admission. These findings recognize a cluster  of variables upon admission that are differentially predictive of  specific outcomes. Higher school participation/achievement and an  absence of witnessing interparental abuse predicted educational status.  Family status was predicted at admission by higher family functioning,  being younger in the family, and children and youth who had poor  community behavior. The results are discussed as they relate to  pretreatment screening and the need to evaluate service outcomes.</p>

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<author>Wendy den Dunnen et al.</author>


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<title>A Behavior Genetic Investigation of the Relationship between Leadership and Personality</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/79</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/79</guid>
<pubDate>Fri, 09 Mar 2012 19:17:05 PST</pubDate>
<description>
	<![CDATA[
	<p>Phenotypic research on leadership style has long considered the importance of individual differences in personality when identifying the behaviors associated with good leaders. Although leadership and many personality traits have been separately shown to be heritable, these constructs have not been examined with genetically informative data to identify common sources of heritability in the two domains. A logical extension to current research, therefore, is to examine the extent to which factors of personality are predictive of leadership dimensions and the extent to which unique genetic contributions to the relationship between personality and leadership style may be identified. Adult twin pairs (183 MZ and 64 same-sex DZ) completed the Multifactor Leadership Questionnaire (MLQ) and the Personality Research Form (PRF). Univariate analyses indicated that both leadership factors (transformational and transactional leadership) and all five of the "Big Five" factors (openness, conscientiousness, extraversion, disagreeableness, and neuroticism) were best fit by genetic models. Multivariate genetic analyses suggest that transformational leadership shows a statistically significant positive genetic correlation with conscientiousness, extraversion, and openness to experience. Transactional leadership shows a significant negative genetic correlation with conscientiousness and extraversion, and a significant positive genetic correlation with disagreeableness. These results underscore the importance of conscientiousness and extraversion in predicting leadership style, and illustrate important differences between transformational and transactional leaders.</p>

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</description>

<author>Andrew M. Johnson et al.</author>


<category>Adult</category>

<category>Factor Analysis, Statistical</category>

<category>Female</category>

<category>Humans</category>

<category>Leadership</category>

<category>Male</category>

<category>Middle Aged</category>

<category>Multivariate Analysis</category>

<category>Personality</category>

<category>Questionnaires</category>

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<title>The Genetic Basis of Substance Abuse: Mediating Effects of Sensation Seeking</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/78</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/78</guid>
<pubDate>Fri, 09 Mar 2012 19:11:24 PST</pubDate>
<description>
	<![CDATA[
	<p>Most modern theories of personality are structured hierarchically, with broad higher-order dimensions predicting narrower trait-level variables. This approach is necessarily reductionist, proposing to summarize the majority of trait-specific variability with a smaller number of larger dimensions. Not surprisingly, therefore, significant research has been directed to determining what might be considered to be the most basic dimensions of personality—both with regards to the identification of how many factors are needed to describe personality, and what these factors might be called (Costa & McCrae 1992a; [29] and [30]; Tupes & Christal 1992; Zuckerman 1992; [121] and [122]. While these omnibus factors of personality have proven useful in the prediction of broadly defined behavioral criteria (Paunonen 2003), they raise the important question of “what makes a factor basic?” (Zuckerman 1992). Zuckerman (1992) suggested four characteristics that are critical to the identification of a “basic trait”: (1) replication across methods, genders, ages, and cultures; (2) at least moderate heritability; (3) evidence of similar “personality” traits in non-human species; and (4) at least a partial foundation in biology.</p>

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<author>Andrew M. Johnson et al.</author>


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<title>Behavioral Genetic Studies of Personality: An Introduction and Review of the Results of 50+ Years of Research</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/77</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/77</guid>
<pubDate>Fri, 09 Mar 2012 18:57:57 PST</pubDate>
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<author>Andrew M. Johnson et al.</author>


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<title>Sublingual Atropine for Sialorrhea Secondary to Parkinsonism: A Pilot Study</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/76</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/76</guid>
<pubDate>Thu, 08 Mar 2012 20:39:10 PST</pubDate>
<description>
	<![CDATA[
	<p>Sialorrhea is a relatively common symptom in idiopathic Parkinson's disease and related conditions for which most of the accepted treatments are either highly invasive or may cause substantial systemic side effects. This study describes an open-label pilot study of sublingual atropine drops for the treatment of sialorrhea in 7 patients (6 with Parkinson's disease, 1 with progressive supranuclear palsy). Participants demonstrated statistically significant declines in saliva production, both objectively and subjectively. Self-reported drooling severity showed a significant decline between baseline and 180 minutes, t(6) = 3.240 P < 0.025 (eta(2) = 0.636), and between baseline and 1 week, t(6) = 4.583 P < 0.005 (eta(2) = 0.778). Objectively measured saliva production decreased significantly between baseline and the 1-week follow-up, t(6) = 2.711 P < 0.05 (eta(2) = 0.551). Delirium occurred in 1 patient (concurrent with a urinary tract infection), and 2 patients experienced worsening of hallucinations (active hallucinosis was concealed by both individuals to allow participation in the trial). The remaining trial participants did not experience any anticholinergic side effects. This trial shows that, in selected patient populations, sublingual atropine is a simple and inexpensive treatment for sialorrhea associated with parkinsonism.</p>

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</description>

<author>H. Christopher Hyson et al.</author>


<category>Administration, Sublingual</category>

<category>Aged</category>

<category>Aged, 80 and over</category>

<category>Atropine</category>

<category>Delusions</category>

<category>Female</category>

<category>Hallucinations</category>

<category>Humans</category>

<category>Male</category>

<category>Middle Aged</category>

<category>Parkinsonian Disorders</category>

<category>Pilot Projects</category>

<category>Salivation</category>

<category>Sialorrhea</category>

<category>Treatment Outcome</category>

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<title>The Impact of Exercise Rehabilitation and Physical Activity on the Management of Parkinson&apos;s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/75</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/75</guid>
<pubDate>Thu, 08 Mar 2012 20:29:08 PST</pubDate>
<description>
	<![CDATA[
	<p>Although medication therapy is generally effective in the clinical  management of Parkinson's disease (PD), additional improvement of some  gross motor symptoms may be achieved through the use of  nonpharmacological treatments, such as physical therapy and exercise  rehabilitation. Despite the fact that PD is a neurological disorder,  successful rehabilitation has been demonstrated with treatments that  combine cognitive and physical approaches. While the exact mechanism  through which these therapies obtain successful outcomes is still  largely unknown, it is worthwhile to explore these adjunctive approaches  to treating the motor output symptoms of PD.</p>

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</description>

<author>Andrew M. Johnson et al.</author>


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<title>Non-pharmacological Management of Hypokinetic Dysarthria in Parkinson’s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/74</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/74</guid>
<pubDate>Thu, 08 Mar 2012 20:29:07 PST</pubDate>
<description>
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<author>Andrew M. Johnson et al.</author>


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<title>Memory Perception and Strategy Use in Parkinson&apos;s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/73</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/73</guid>
<pubDate>Thu, 08 Mar 2012 20:29:05 PST</pubDate>
<description>
	<![CDATA[
	<p>Although there is growing support for the existence of memory deficits within Parkinson's disease (PD), little has been done to evaluate the extent to which PD patients demonstrate differences in their use of metacognitive strategies. In the present study, 79 PD patients (46 men and 33 women) and 49 age-matched healthy participants (19 men and 30 women) were compared on a metamemory questionnaire. PD patients reported significantly less strategy-use than age-matched controls, particularly with regards to external memory strategies (such as making lists). This suggests that auxiliary treatments such as memory strategy training might be effective in this population.</p>

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</description>

<author>Andrew M. Johnson et al.</author>


<category>Adaptation, Psychological</category>

<category>Aged</category>

<category>Cognition Disorders</category>

<category>Female</category>

<category>Humans</category>

<category>Male</category>

<category>Memory</category>

<category>Memory Disorders</category>

<category>Middle Aged</category>

<category>Parkinson Disease</category>

<category>Perception</category>

<category>Questionnaires</category>

<category>Self Efficacy</category>

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<title>Identification and Management of Impulse Control Disorders Among Individuals with Parkinson’s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/72</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/72</guid>
<pubDate>Sun, 04 Mar 2012 17:42:55 PST</pubDate>
<description>
	<![CDATA[
	<p>Although Parkinson’s disease is primarily considered to be a motor disorder, it has inarguable effects on cognition and personality. The cluster of neuropsychiatric sequelae known as impulse-control disorders has been of particular interest in recent years, perhaps owing to the potentially disastrous effects that such behaviors can have on individuals and families. Research has suggested that impulse control disorders are significantly more prevalent among individuals with Parkinson’s disease, particularly with regards to pathological gambling and hypersexuality, and has further suggested that these disorders are significantly and substantively affected by the use of dopamine agonists. Treatment options for impulse control disorders tend to revolve around dopamine agonist dose reduction or cessation. The use of psychosocial strategies, or deep-brain stimulation of the subthalamic nucleus may also be considered in the management of patients with impulse control disorders.</p>

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</description>

<author>Andrew M. Johnson et al.</author>


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<title>Identifying and Managing Caregiver Burden Among Spouses of Individuals with Parkinson&apos;s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/71</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/71</guid>
<pubDate>Sun, 04 Mar 2012 17:34:57 PST</pubDate>
<description>
	<![CDATA[
	<p>Burden is a psychological concept, a subjective interpretation by  caregivers of the extent to which the caregiving experience impacts on  one's health, social life, or financial status. In this article, we  examine some of the predictors of caregiver burden, and look  specifically at the burden experienced by caregivers of individuals with  Parkinson's disease.</p>

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</description>

<author>Kaitlyn Roland et al.</author>


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<title>Visual Inspection Time in Parkinson&apos;s Disease: Deficits in Early Stages of Cognitive Processing</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/70</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/70</guid>
<pubDate>Sun, 04 Mar 2012 17:08:37 PST</pubDate>
<description>
	<![CDATA[
	<p>Inspection time (IT) is a simple information processing paradigm dependent on a participant's ability to identify physical properties of a stimulus presented for a specified time interval. In contrast with reaction time (RT) studies, the dependent variable of interest in IT is not related to the motoric speed with which the individual is able to respond, but rather the minimum presentation time necessary for participants to reliably identify physical properties of the stimulus. It is well documented that individuals with Parkinson's disease (PD) experience significant impairment on tests of simple RT, but it is unclear whether such deficits can be interpreted as 'pure' slowness of information processing, or a delay in the selection and output of a motor response. In the first experiment described here, a sample of 'optimally medicated' PD patients was compared with an age-matched control group, on an IT task. Results of this experiment suggested that individuals with PD required significantly longer stimulus presentation times than healthy participants. The second experiment compared a sample of PD patients (tested both "ON" and "OFF" their typical dopaminergic medications), with an age-matched control group, on the same test of IT. Results again indicated a significant IT deficit in participants with PD, and suggested that these deficits do not significantly resolve with levodopa treatment. Overall, the results of these two experiments suggest that information processing deficits associated with PD are distinct from motor impairment. These findings are further discussed in terms of existing neurochemical models of information processing ability.</p>

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</description>

<author>Andrew M. Johnson et al.</author>


<category>Adult</category>

<category>Aged</category>

<category>Aged, 80 and over</category>

<category>Cognition</category>

<category>Cognition Disorders</category>

<category>Female</category>

<category>Humans</category>

<category>Intelligence Tests</category>

<category>Male</category>

<category>Mental Status Schedule</category>

<category>Middle Aged</category>

<category>Neuropsychological Tests</category>

<category>Parkinson Disease</category>

<category>Psychomotor Performance</category>

<category>Time Perception</category>

<category>Visual Perception</category>

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<title>A Role of the Basal Ganglia in Movement: The Effect of Precues on Discrete Bi-directional Movements in Parkinson&apos;s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/69</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/69</guid>
<pubDate>Sun, 04 Mar 2012 17:08:35 PST</pubDate>
<description>
	<![CDATA[
	<p>The effect of a precue on improving movement initiation (i.e., reaction time; RT) is well understood, whereas its influence on movement execution (i.e., movement time; MT) has rarely been examined. The current study investigated the influence of a directional precue (i.e., left vs. right) on the RT and MT of simple and discrete bi-directional movements in a large sample of Parkinson's disease patients and healthy control participants. Both patients and controls were tested twice, with testing sessions separated by 2 hours. Patients were tested first following an overnight levodopa withdrawal and again after they had taken their medication. Both patients and controls demonstrated a significant RT improvement when information was provided in advance. MT in both healthy participants and medicated patients was, however, slower with the provision of advance information, while unmedicated patients showed no significant MT effects. These results suggest that while the basal ganglia may not be involved in motor program selection, they may dynamically modulate movement execution.</p>

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</description>

<author>Andrew M. Johnson et al.</author>


<category>Adult</category>

<category>Aged</category>

<category>Aged, 80 and over</category>

<category>Basal Ganglia</category>

<category>Female</category>

<category>Humans</category>

<category>Male</category>

<category>Middle Aged</category>

<category>Motor Activity</category>

<category>Motor Cortex</category>

<category>Parkinson Disease</category>

<category>Photic Stimulation</category>

<category>Psychomotor Performance</category>

<category>Reaction Time</category>

<category>Severity of Illness Index</category>

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<title>Brain Nerve Conduction Velocity Is a Valid and Useful Construct for Studying Human Cognitive Abilities: A Reply to Saint-Amour et al</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/68</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/68</guid>
<pubDate>Sun, 04 Mar 2012 16:33:25 PST</pubDate>
<description>
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</description>

<author>Andrew M. Johnson et al.</author>


<category>Brain</category>

<category>Cognition</category>

<category>Female</category>

<category>Humans</category>

<category>Male</category>

<category>Neural Conduction</category>

<category>Reaction Time</category>

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<title>Metacognition and Metamovement: Links between Cognition and Motor Function in Parkinson&apos;s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/67</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/67</guid>
<pubDate>Sun, 04 Mar 2012 16:07:06 PST</pubDate>
<description>
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</description>

<author>Andrew M. Johnson et al.</author>


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<title>From Perception to Execution in Parkinson’s Disease</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/66</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/66</guid>
<pubDate>Sun, 04 Mar 2012 16:07:03 PST</pubDate>
<description>
	<![CDATA[
	<p>Parkinson’s disease (PD) is a progressive neurodegenerative disorder that affects one’s ability to control voluntary movements. Typically, PD is considered a disease of motor output, without considering neuropsychological variables that might contribute to the impairment of movement. The goal of this chapter is to investigate issues of motor control, in addition to the observable motor symptoms found in PD from a perceptual and cognitive perspective. To this end, we divide movement into three components: perception, initiation, and execution.</p>
<p>Perception is required initially, and throughout movement, and is generally used to define characteristics of a movement goal. Thus, in the earliest stages of movement preparation, an error in perceptual judgment might contribute to an overall motor deficit by incorrectly identifying parameters of the movement. Within this chapter, we will review recent research that demonstrates perceptual impairments in PD, and evaluate the impact that this may have on overall motor control.</p>
<p>Deficits early in the movement continuum would likely have observable consequences in the selection of a motor response, and might contribute to an overall deficit in movement initiation. The variable most commonly used to reflect deficits in movement initiation and preparation is ‘reaction time’. Significant impairment on tests of simple reaction time have frequently been demonstrated in PD, and yet there remains some controversy as to whether this impairment may be interpreted as ‘pure’ slowness at the input stage, or whether it represents a delay in the output of a selected motor response to the effector. We will review the evidence establishing the dissociation between motor initiation and stimulus perception in PD.</p>
<p>One of the more interesting controversies in contemporary motor control is something that may be referred to as the ‘movement time paradox’. While it is well known that healthy adults use advance information to prepare a movement (i.e., improve their reaction time), the ability of patients with PD to utilize this advance information has been debated. Historically, research has suggested that PD impairs the ability to utilize advance information. More recent research in this population has suggested, however, that certain stimuli can be used to enhance an individual’s reaction time, but only at the expense of their speed of motor execution (typically measured as ‘movement time’). We discuss this neuropsychological phenomenon, in the context of what it might mean to our understanding of the neurological control of movement.</p>

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<author>Andrew M. Johnson et al.</author>


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<title>Nutrient Intake</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/65</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/65</guid>
<pubDate>Tue, 28 Feb 2012 17:02:30 PST</pubDate>
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<author>Jennifer D. Irwin</author>


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<title>The Quantitative Assessment of Motivational Interviewing Using Co-Active Life Coaching Skills as a Treatment for Adults Struggling with Obesity</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/64</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/64</guid>
<pubDate>Mon, 20 Feb 2012 16:35:56 PST</pubDate>
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<author>Courtney Newnham-Kanas et al.</author>


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<title>Response to ‘Reply to Van Zandvoort, Tucker, Irwin and Burke: Physical Activity at Daycare: Issues, Challenges and Perspectives’ by Albon</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/63</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/63</guid>
<pubDate>Mon, 20 Feb 2012 16:17:16 PST</pubDate>
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<author>Melissa van Zandvoort et al.</author>


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<title>Screen-viewing Behaviors among Preschoolers Parents&apos; Perceptions</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/62</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/62</guid>
<pubDate>Mon, 20 Feb 2012 16:07:22 PST</pubDate>
<description>
	<![CDATA[
	<p>BACKGROUND: Childhood obesity has emerged as a public health concern in Canada. It has been suggested that excessive screen viewing (i.e., television, computer, video) is a major factor contributing to the increased risk of obesity in children. Exploring young children's experiences with this modifiable behavior may be beneficial to the creation of a multifaceted program aimed at the primary prevention of obesity.</p>
<p>OBJECTIVES: To seek parents' perceptions and insights pertaining to their preschoolers' screen-viewing behaviors.</p>
<p>METHODS: This qualitative study targeted a heterogeneous sample of parents with children aged 2.5 to 5 years. Two experienced moderators using a semistructured interview guide conducted the ten focus groups between September and November 2003. All focus groups were audio-recorded and transcribed verbatim. In fall 2003 to spring 2004, inductive content analysis was conducted independently by a minimum of two qualitative researchers.</p>
<p>RESULTS: Many parents were not concerned with the amount of screen viewing their children engaged in, although the content of what was on the screen was of particular interest to them. Very few parents seemed to appreciate the linkage between preschoolers' screen-viewing habits and their potential risk for obesity.</p>
<p>CONCLUSIONS: Public health interventions are needed to increase parents' awareness with respect to the harmful effects of excessive screen viewing in preschoolers.</p>

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</description>

<author>Meizi He et al.</author>


<category>Adult</category>

<category>Attitude</category>

<category>Child Behavior</category>

<category>Child, Preschool</category>

<category>Computers</category>

<category>Female</category>

<category>Focus Groups</category>

<category>Humans</category>

<category>Interviews as Topic</category>

<category>Male</category>

<category>Middle Aged</category>

<category>Obesity</category>

<category>Ontario</category>

<category>Parents</category>

<category>Television</category>

<category>Video Games</category>

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<title>Effective Social Marketing to Promote a Campus-Based Physical Activity Intervention: Students&apos; Perspectives</title>
<link>http://ir.lib.uwo.ca/healthstudiespub/61</link>
<guid isPermaLink="true">http://ir.lib.uwo.ca/healthstudiespub/61</guid>
<pubDate>Mon, 20 Feb 2012 16:07:21 PST</pubDate>
<description>
	<![CDATA[
	<p>Social marketing has the potential to increase knowledge of preventive health issues and to elevate participation in health promotion programs (Bloch, 1984). Health promoters would be wise to utilize social marketing principles and strategies for promoting programs because this could bring forth more cost-effective programs that reach a wider segment of the target audience. Lefebvre and Flora (1988) argued that it is the target population's needs and input, in as many areas as possible, that are the essential foci throughout all phases of the social marketing process. Conducting audience analysis garners information concerning the needs, demographics, and preferences of the specific target population (Blair, 1995; Lefebvre & Flora, 1988). Consequently, this study explored methods for the effective social marketing of a physical activity intervention for university students, specifically a buddy system and record-keeping device.</p>
<p>A heterogeneous sample of 65 undergraduate students from the University of Western Ontario (UWO) participated in 13 focus groups. Data collection and analysis took place simultaneously using a combination of the editing and template organizing styles outlined by Miller and Crabtree (1999). Two researchers independently conducted inductive content analysis on each transcript and compared their findings. Many strategies were used to ensure trustworthiness of the data, as outlined by Guba and Lincoln (1989). NVivo software was used to code and categorize emerging themes. The University of Western Ontario Academic Development Fund funded this project and ethical approval was obtained through The University of Western Ontario.</p>

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<author>Patricia Tucker et al.</author>


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