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"Kelly, R."
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Social media’s contribution to political misperceptions in U.S. Presidential elections
There is considerable concern about the role that social media, such as Facebook and Twitter, play in promoting misperceptions during political campaigns. These technologies are widely used, and inaccurate information flowing across them has a high profile. This research uses three-wave panel surveys conducted with representative samples of Americans during both the 2012 and 2016 U.S. Presidential elections to assess whether use of social media for political information promoted endorsement of falsehoods about major party candidates or important campaign issues. Fixed effects regression helps ensure that observed effects are not due to individual differences. Results indicate that social media use had a small but significant influence on misperceptions about President Obama in the 2012 election, and that this effect was most pronounced among strong partisans. Social media had no effect on belief accuracy about the Republican candidate in that election. The 2016 survey focused on campaign issues. There is no evidence that social media use influenced belief accuracy about these topics in aggregate, but Facebook users were unique. Social media use by this group reduced issue misperceptions relative to those who only used other social media. These results demonstrate that social media can alter citizens' willingness to endorse falsehoods during an election, but that the effects are often small.
Journal Article
Polypharmacy prevalence in older adults seen in United States physician offices from 2009 to 2016
With an aging population suffering from increased prevalence of chronic conditions in the United States (U.S.), a large portion of these patients are on multiple medications. High-risk medications can increase the risk for drug-drug interactions and medication nonadherence. This study aims to describe the prevalence of polypharmacy and high-risk medication prescribing in U.S. physician offices.
This was a cross-sectional study of the Centers for Disease Control and Prevention's National Ambulatory Medical Care Survey from 2009 to 2016. All patients over 65 years old were included. Polypharmacy was categorized as no polypharmacy (< 2 medications), minor polypharmacy (2-3 medications), moderate polypharmacy (4-5 medications), and major polypharmacy (>5 medications). Medications were further categorized into high-risk medication categories (anticholinergics, cardiovascular agents, central nervous system (CNS) medications, pain medications, and other). Comparisons between the degrees of polypharmacy were performed utilizing chi-square or Wilcoxon rank-sum tests with JMP Pro 14® (SAS Institute, Cary, NC).
Over 2 billion patient visits were included. Overall, Polypharmacy was common (65.1%): minor polypharmacy (16.2%), moderate polypharmacy (12.1%), and major polypharmacy (36.8%). Patients with major polypharmacy were older compared to those with moderate or minor polypharmacy (75 vs. 73 years, respectively) and were most frequently prescribed pain medications (477.3 per 1,000 total visits). NSAIDs were the most frequently prescribed, with 232.4 per 1,000 total visits resulting in one high-risk NSAID prescription, while 21.9 per 1,000 total visits resulted in two or more high-risk NSAIDs.
Most patients over 65 years experienced some degree of polypharmacy, with many experiencing major polypharmacy. This indicates an increased need for expanded pharmacist roles through medication therapy management and safety monitoring in this patient population.
Journal Article
Divorce, Repartnering, and Stepfamilies: A Decade in Review
This article reviews key developments in the past decade of research on divorce, repartnering, and stepfamilies. Divorce rates are declining overall, but they remain high and have risen among people older than age 50. Remarriage rates have declined, but the overall proportion of marriages that are remarriages is rising. Transitions in parents' relationships continue to be associated with reduced child well-being, but shifting patterns of divorce and repartnering during the past decade have also reshaped the family lives of older adults. We review research on the predictors and consequences of these trends and consider what they reveal about the changing significance of marriage as an institution. Overall, recent research on divorce, repartnering, and stepfamilies points to the persistence of marriage as a stratified and stratifying institution and indicates that the demographic complexity of family life is here to stay.
Journal Article
Systematic review of the validity and reliability of consumer-wearable activity trackers
Background
Consumer-wearable activity trackers are electronic devices used for monitoring fitness- and other health-related metrics. The purpose of this systematic review was to summarize the evidence for validity and reliability of popular consumer-wearable activity trackers (Fitbit and Jawbone) and their ability to estimate steps, distance, physical activity, energy expenditure, and sleep.
Methods
Searches included only full-length English language studies published in PubMed, Embase, SPORTDiscus, and Google Scholar through July 31, 2015. Two people reviewed and abstracted each included study.
Results
In total, 22 studies were included in the review (20 on adults, 2 on youth). For laboratory-based studies using step counting or accelerometer steps, the correlation with tracker-assessed steps was high for both Fitbit and Jawbone (Pearson or intraclass correlation coefficients (CC) > =0.80). Only one study assessed distance for the Fitbit, finding an over-estimate at slower speeds and under-estimate at faster speeds. Two field-based studies compared accelerometry-assessed physical activity to the trackers, with one study finding higher correlation (Spearman CC 0.86, Fitbit) while another study found a wide range in correlation (intraclass CC 0.36–0.70, Fitbit and Jawbone). Using several different comparison measures (indirect and direct calorimetry, accelerometry, self-report), energy expenditure was more often under-estimated by either tracker. Total sleep time and sleep efficiency were over-estimated and wake after sleep onset was under-estimated comparing metrics from polysomnography to either tracker using a normal mode setting. No studies of intradevice reliability were found. Interdevice reliability was reported on seven studies using the Fitbit, but none for the Jawbone. Walking- and running-based Fitbit trials indicated consistently high interdevice reliability for steps (Pearson and intraclass CC 0.76–1.00), distance (intraclass CC 0.90–0.99), and energy expenditure (Pearson and intraclass CC 0.71–0.97). When wearing two Fitbits while sleeping, consistency between the devices was high.
Conclusion
This systematic review indicated higher validity of steps, few studies on distance and physical activity, and lower validity for energy expenditure and sleep. The evidence reviewed indicated high interdevice reliability for steps, distance, energy expenditure, and sleep for certain Fitbit models. As new activity trackers and features are introduced to the market, documentation of the measurement properties can guide their use in research settings.
Journal Article
Film, television and the psychology of the social dream
\"From the flickering images of the earliest silent films to today's billion-dollar blockbusters, films have captivated the public's eyes, hearts, and psyches. Reflecting - and often creating - the tenor of their times, they combine layers of symbolic and metaphorical images to make a stronger internal impact on their viewers than the still image or the printed word. The compelling pages of Film, Television and the Psychology of the Social Dream illuminate the profound emotional processes involved as films inform and transform our unconscious and conscious minds. Drawing on original and classic scholarship in its field, this provocative volume analyzes these interactions through a wide array of influential films, including pioneering German expressionist works, the Star Trek cycle, and The Godfather. Movies' transformative role in molding philosophies and ethics is shown as the larger meanings of public heroes, stars, fears, and desires evolve, and as salient genres embody more than simply a good story. But despite this century of evolution, the authors assert, one thing remains constant: the critical place of film in communicating individual dreams as well as the shared dreams of a society\"--Back cover.
Book
Epistemic beliefs’ role in promoting misperceptions and conspiracist ideation
Widespread misperceptions undermine citizens' decision-making ability. Conclusions based on falsehoods and conspiracy theories are by definition flawed. This article demonstrates that individuals' epistemic beliefs-beliefs about the nature of knowledge and how one comes to know-have important implications for perception accuracy. The present study uses a series of large, nationally representative surveys of the U.S. population to produce valid and reliable measures of three aspects of epistemic beliefs: reliance on intuition for factual beliefs (Faith in Intuition for facts), importance of consistency between empirical evidence and beliefs (Need for evidence), and conviction that \"facts\" are politically constructed (Truth is political). Analyses confirm that these factors complement established predictors of misperception, substantively increasing our ability to explain both individuals' propensity to engage in conspiracist ideation, and their willingness to embrace falsehoods about high-profile scientific and political issues. Individuals who view reality as a political construct are significantly more likely to embrace falsehoods, whereas those who believe that their conclusions must hew to available evidence tend to hold more accurate beliefs. Confidence in the ability to intuitively recognize truth is a uniquely important predictor of conspiracist ideation. Results suggest that efforts to counter misperceptions may be helped by promoting epistemic beliefs emphasizing the importance of evidence, cautious use of feelings, and trust that rigorous assessment by knowledgeable specialists is an effective guard against political manipulation.
Journal Article