Assessment of proximal outcomes of self-management programs : translation and psychometric evaluation of a German version of the Health Education Impact Questionnaire (heiQtm)

Purpose This paper describes the translation, cultural adaption, and psychometric evaluation of a German version of the Health Education Impact Questionnaire (heiQ™), a widely used generic instrument assessing a wide range of proximal outcomes of self-management programs.

Methods The translation was carried out according to international standards and included forward and backward translations. Comprehensibility and content validity were tested using cognitive interviews with 10 rehabilitation inpatients. Psychometric properties were examined in rehabilitation inpatients (n = 1,202) with a range of chronic conditions. Factorial validity was assessed using confirmatory factor analysis; concurrent validity was explored by correlations with comparator scales.

Results The items of the German heiQ™ were well understood by rehabilitation inpatients. The structure of the eight heiQ™ scales was replicated after minor adjustment. heiQ™ scales had higher correlations with comparator scales with similar constructs, particularly mental health concepts than with physical health. Moreover, all heiQ™ scales differentiated between individuals across different levels of depression.

Conclusion The German heiQ™ is comprehensible for German-speaking patients suffering from different types of chronic conditions; it assesses relevant outcomes of self-management programs in a reliable and valid manner. Further studies involving its practical application are warranted.

An anarchy of cultures: aesthetics and the changing school

It is the contention of this paper that schools are currently sandwiched between demands of the economy on one side and increasingly fundamentalist communities on the other; that schools need some degree of autonomy from each; that the greatest challenge of the century is how we can live together despite our differences; and that the only way of successfully meeting this challenge is for schools to put social justice at the heart of their activities, activities that are best informed by the cultivation of reasoned imagination – that is, by an aesthetic approach to the development of intellectual, social, cultural, economic and personal identities.

Delight and revolution: literary studies, aesthetics and ideology

 A commissioned article for the special edition on the future of English as a discipline.

Looking and aesthetics: beyond literary representations of voyeurism

This thesis examines looking in literary and filmic representations to discover its aims and capacities beyond the conventional interpretations of the act as voyeurism.

The German SCREEN project - design and evaluation of the communication strategy

Background: Skin cancer is the most common cancer in light-skinned populations worldwide. Primary and secondary preventive activities such as skin cancer screening are intended to reduce skin cancer burden. In 2003, a population-based skin cancer screening project [SCREEN (Skin Cancer Research to Provide Evidence for Effectiveness of Screening in Northern Germany)] was conducted in Northern Germany with more than 360 000 people screened. SCREEN was supported by a communication intervention that was aimed at informing the population about skin cancer, its risk factors and the screening intervention as well as preparing the health professionals for the project. Within SCREEN both physicians and practice nurses were educated in counselling. The aim of the present article is to describe and evaluate the communication strategy accompanying SCREEN. Methods: Two computer-assisted telephone interview surveys were performed in April/May 2003 and May 2004. Participants had to be members of the statutory health insurance and be aged ≥20 years. They were asked about knowledge of skin cancer, perception of physicians' performance and skin cancer screening in general. Data are mainly presented in a descriptive manner. For statistical analyses, Mann-Whitney U test and Pearson's chi-square test were used. Results: Knowledge about sunburn in childhood and high ultraviolet exposure as skin cancer risk factors increased during SCREEN. Simultaneously, the awareness for early detection of skin cancer increased significantly from 41.3 to 74.0% (P < 0.001). A total of 21.5% of the interviewees participated in the skin cancer screening project, similar to the population-based participation rate reached. Conclusion: A comprehensive communication strategy accompanying a screening intervention improves the knowledge of potential screenees and may additionally increase the participation rate.

Alien aesthetics

Melbourne was visited by Bruce Sterling, one of the founders of the science fiction genre of cyberpunk, for the very first time. Bruce's work as a future thinker and visionary who has been shaping the forefront of design and technology can be followed at his Wired column, Beyond the Beyond. His public lecture at Deakin Edge on August 18th tackled the bleeding edge of contemporary culture: Alien Aesthetics. The idea of Alien Aesthetics is better known through the work of Ian Bogost. According to Bogost, Alien Aesthetics is not concerned with trying to "satisfy our human drive for art and design, but to fashion design fictions". These kinds of alien design fictions can be seen in the images produced by Google's Inceptionism, which capture the deep dreams of artificial neural networks. Alien Aesthetics is also present in pop culture, as in the work of artist Holly Herndon, whose new album Platform has been heralded as a fusion between critical thinking about technology and creative exploration of what she calls "alien sounds". This kind of cross-pollination between contemporary theory and creative practice also took place at a free parallel event at LOOP Bar on August 17th: Conversations about Alien Aesthetics. This event was organised by a partnership between the School of Communication and Creative Arts at Deakin University and The New Centre of Research & Practice, a global research platform dedicated to transdisciplinary exchanges between art and science, and featured local and virtual speakers from the United Kingdom, United States, Canada and Brazil.