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Pay-to-play fees in public schools place more support for sport participation in the hands of parents; this may disproportionately affect the ability of girls to garner the benefits of sports. Using an online survey of a national sample of parents (N = 814), we examined the relationship between parents' gender role beliefs, parents' beliefs about the benefits and monetary value of sports, and the types of sports their daughters play. The results indicate that parents placed somewhat greater value on sport for sons, than for daughters, both ideologically and financially. Gender role beliefs played a small, but significant role, in shaping parents' beliefs about their daughters' involvement in sport, and the types of sports their daughters play.

Purpose: Many older patients with common chronic conditions also experience chronic pain. We examined how chronic pain affects patients' difficulty with recommended self-management activities and the potential intervening role of self-efficacy (the level of confidence in one's own ability to perform a specific task). Design and Methods: We obtained data from a cross-sectional nationwide survey of older patients, primarily older men, with chronic health conditions (N = 543). We defined chronic pain as pain present most of the time for 6 months or more during the past year. We assessed ability to follow self-management recommendations by asking respondents to rate their level of difficulty in performing three commonly recommended activities as suggested by their doctor. Results: More than 60% of survey respondents reported chronic pain. Chronic pain was significantly associated with difficulty exercising regularly (odds ratio [OR] = 1.57, 95% confidence interval [Cl] = 1.04-2.37) and taking prescribed medications (OR = 3.08, 95% Cl = 1.10-8.59) but not with following a recommended eating plan (OR = 1.16, 95% Cl = 0.76-1.76). However, when we took self-efficacy into account, chronic pain was no longer significantly associated with either exercise or taking medications. Implications: Chronic pain is a prevalent condition among older patients and is associated with greater reported difficulty performing certain essential self-management activities. Self-efficacy, however, plays an important intervening role. Specifically, higher self-efficacy negated or reduced the association between chronic pain and reported difficulty exercising and taking medications. Promoting self-efficacy among older adults with multiple chronic health problems is a promising strategy to improve their ability to follow self-management recommendations. Key Words: Self-efficacy, Multimorbidity, Mediator, Chronic conditions, Adherence

An alcohol misuse prevention study (AMPS) was applied as a curriculum-based program for fifth- and sixth-graders numbering 5,000. The program trained students to combat socially related pressures that force individuals to misuse alcohol. It was evaluated after 26 months of implementation using measures such as peer pressure, curriculum understanding and the actual use of alcohol. Results vary according to grade level and prior drinking experience.

Differential Effectiveness of an Elementary School-based Alcohol Misuse Prevention Program Recent studies indicate children are beginning to use alcohol earlier [1] and are drinking more heavily at earlier ages. [2,3] [...]

Objective: To describe parents' experiences and preferences regarding the use of different communication modes for immunization reminder/recall messages., Methods: A cross-sectional, Internet-based survey of a nationally representative sample of parents of children 0 to 17 years of age was performed. Survey items included questions regarding previous receipt of reminder/recall notices; preferences for how to receive notices in the future; recentness of changes to home address, home telephone, cell phone, and e-mail information; child's usual site for immunization; and willingness to register cell phone numbers with the child's immunization provider to receive future cell phone or text messages about immunization., Results: Overall, 31% of parents had ever received an immunization reminder/recall notice, usually by mail. For future immunization messages, approximately one-third of parents preferred mail or calls to the home telephone, 16% preferred e-mail, and 8% preferred calls to a cell phone. More than one-half of parents had maintained the same home address, home telephone number, cell phone number, or e-mail address for the previous 3 years. More than one-half of parents were willing to register their cell phone numbers with their child's usual immunization provider., Conclusions: Although most parents continue to prefer the traditional modes for immunization reminder/recall messages, 1 in 4 preferred newer technologies, and parents' e-mail and cell phone information was surprisingly stable. More than one-half of the parents were willing to register their cell phone numbers for future immunization messaging via cell phone calls or text messages. Research and implementation efforts might benefit from focusing on this willing population.