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In Indonesia, where stroke is the leading cause of death, we designed and tested a brief intervention to increase physician-patient conversations about stroke prevention in community health centers. The pilot study used a quasi-experimental design involving repeated cross-sectional data collection over 15 weeks to compare pre- and during-intervention differences within four centers. We conducted exit interviews with 675 patients immediately following their medical appointments to assess whether physicians discussed stroke risks and provided recommendations to modify their risk behaviors. From pre-intervention to during intervention, patients reported more frequent physician recommendations to modify their stroke risk behaviors. We also conducted interviews with eight providers (physicians and nurses) after the intervention to get their feedback on its implementation. This study demonstrated that a brief intervention to motivate physician-patient conversations about stroke prevention may improve these conversations in community health centers. While interventions to reduce risk hold considerable promise for reducing stroke burden, barriers to physician-patient conversations identified through this study need to be addressed.

Research suggests that the integrative complexity of political rhetoric tends to drop during election season, but little research to date directly addresses if this drop in complexity serves to increase or decrease electoral success. The two present studies help fill this gap. Study 1 demonstrates that, during the Democratic Party primary debates in 2003–2004, the eventual winners of the party nomination showed a steeper drop in integrative complexity as the election season progressed than nonwinning candidates. Study 2 presents laboratory evidence from the most recent presidential campaign demonstrating that, while the complexity of Obama's rhetoric had little impact on college students' subsequent intentions to vote for him, the complexity of McCain's rhetoric was significantly positively correlated with their likelihood of voting for him. Taken together, this research is inconsistent with an unqualified simple is effective view of the complexity-success relationship. Rather, it is more consistent with a compensatory view: Effective use of complexity (or simplicity) may compensate for perceived weaknesses. Thus, appropriately timed shifts in complexity levels, and/or violations of negative expectations relevant to complexity, may be an effective means of winning elections. Surprisingly, mere simplicity as such seems largely ineffective.