Risperidone nonadherence and return of positive symptoms in the early course of schizophrenia.

Objective: This study examined the effect of medication nonadherence on the return of positive symptoms among recent-onset schizophrenia patients.

Method: Three sets of operational criteria for medication nonadherence with differing levels of severity were compared for their ability to predict relapse. Explicit operational criteria are provided with the hope that they will be adopted by others.

Storying the temporal nature of emotion work among volunteers: bearing witness to the lived traumas of others.

Through an ethnographic field study of the River Valley, a rural rape crisis center, we explored how volunteers experienced and expressed emotion as it relates to temporality in the volunteering process. We sought to map the relatively unexplored terrain of emotion work among volunteers and disrupt dominant disciplinary and lay notions of what counts as "real work." Narrative theory offered a lens through which to observe the interconnected nature of volunteers' stories, organizational and societal scripts, traumatic events, and conceptual narratives of emotion work developed by scholars.

Altering school climate through school-wide Positive Behavioral Interventions and Supports: findings from a group-randomized effectiveness trial.

Positive Behavioral Interventions and Supports (PBIS) is a universal, school-wide prevention strategy that is currently implemented in over 7,500 schools to reduce disruptive behavior problems. The present study examines the impact of PBIS on staff reports of school organizational health using data from a group-randomized controlled effectiveness trial of PBIS conducted in 37 elementary schools. Longitudinal multilevel analyses on data from 2,596 staff revealed a significant effect of PBIS on the schools' overall organizational health, resource influence, staff affiliation, and academic emphasis over the 5-year trial; the effects on collegial leadership and institutional integrity were significant when implementation fidelity was included in the model.

Are our investments paying off?: a study of reading level and bereavement materials.

The purpose of this article is to discuss the findings of a study that examined bereavement materials for reading level. The main research question for the study was: are printed hospice bereavement materials written at an eighth grade level or below? Readability was determined for approximately 90 individual pieces of hospice bereavement literature. The literature came from materials that were collected in a larger study and included bereavement letters to families and other educational and resource materials available to the bereaved families, the caregivers, and the public.

Knowledge of rural nurses' aides about end-of-life care.

Currently, little is known about the role of nurses' aides (NAs) in rural long-term care facilities or their impact on the process of death and dying in rural healthcare environments. Focus groups with NAs were held in 6 rural counties located in 5 states to assess attitudes and perceptions about end-of-life care and training needs. Key informants from 8 states and the District of Columbia added to the understandings.