This study was designed to (1) evaluate the effect of narratives used in a popular, publicly available patient decision aid for early-stage breast cancer on hypothetical treatment decisions and attitudes toward the decision aid and (2) explore the moderating effects of participant numeracy, electronic health literacy and decision-making style. Two hundred women were asked to imagine that they had been diagnosed with early-stage breast cancer and viewed one of two versions of a video decision aid for early-stage breast cancer. The narrative version of the aid included stories from breast cancer survivors; the control version had no patient stories. After viewing the video decision aid, participants made a hypothetical treatment choice between lumpectomy with radiation and mastectomy, answered several questions about their decision, and evaluated the quality of the decision aid. Participants received $100 for completing the study. The two conditions differed in their motivations for the treatment decision and perceptions of the aid's trustworthiness and emotionality but showed no differences in preferences for surgical treatments or evaluations of the decision aid's quality. However, the impact of patient narratives was moderated by numeracy and electronic health literacy. Higher levels of numeracy were associated with decreased decisional confidence and lower ratings of trustworthiness for the decision aid in the narrative video condition but not in the control video condition. In contrast, higher levels of electronic health literacy were associated with increased decisional confidence and greater perceptions of trustworthiness and credibility of the decision aid in the narrative video condition but not the control video condition.

Resistance exercise training (RET) is a common and well-established method to induce hypertrophy and improvement in strength. Interestingly, fish oil supplementation (FOS) may augment RET-induced a...

This study investigated the prevalence of parentification in a nationwide cross-sectional study. There wereN = 47,984 Polish adolescents aged 12–21 (M = 15.60;SD = 1.98; female 52.7%, male 47.3%). The results indicated that more adolescents experienced emotional parentification (toward parents 35.9%; toward siblings 25.2%) as compared to instrumental parentification (toward parents 7.2%; toward siblings 15.5%), which is noteworthy, since emotional parentification is the most detrimental form of parentification in USA samples. Overall, 15.5% of the participants reported a sense of injustice related to their family caregiving roles and 61.2% reported satisfaction related to their family caregiving roles. The results are important given the dearth of prevalence studies.

While previous research has shown alcohol use to increase developmentally throughout adolescence, the age of alcohol initiation has rarely been incorporated into developmental trajectories. Simultaneous estimation of the effects of early alcohol initiation was made in relation to the recency and frequency of alcohol use utilizing a sample of 1,209 low-income, minority adolescents initiating alcohol between 12 and 18. Significant effects of both age of alcohol initiation and gender were found. Initial alcohol use was higher the later the adolescent initiated alcohol use. Following initiation, trajectories of the recency and frequency of alcohol use for female adolescents increased more rapidly the earlier they initiate alcohol use, while trajectories for male adolescents increased independent of their year of initiation. Modeling age of initiation using piecewise growth models provided more informative results regarding early alcohol initiation effects as compared to traditional longitudinal model.