Population norms and meaningful differences for the Assessment of Quality of Life (AQoL) measure

Objective: The Assessment of Quality of Life (AQoL) instrument is widely used in Australian health research. To assist researchers interpret and report their work, this paper reports population and health status norms, general minimal important differences (MIDs) and effect sizes.

Method: Data from the 1998 South Australian Health Omnibus Survey (n=3,010 population-based respondents) were analysed by gender, age group and health status. Data from four other longitudinal studies were analysed to obtain estimated MIDs.

Results: The mean (SD) AQoL utility score was 0.83 (0.20). Gender and age subgroup differences were apparent; the mean scores for women were consistent until their 50s, when scores declined. Greater variability was observed for males whose scores declined more slowly but consistently between 40–80 years. For both genders, those aged 80+ years had the lowest scores When assessed by health status, those reporting excellent health obtained the highest utility scores; progressive declines were observed with decreasing health status. Effect sizes of 0.13 or greater may reflect important differences between groups A difference in AQoL scores of 0.06 utility points over time suggests a general MID.

Conclusions: AQoL population norms, MIDs and effect sizes can be used as reference points for the interpretation of AQoL data. These findings add to the growing evidence that the AQoL is a robust and sensitive measure that has wide applicability.

Implications: The availability of population norms will assist researchers using the AQoL to more easily interpret and report their work.

Age-specific norms and determinants of anxiety and depression in 731 women with breast cancer recruited through a population-based cancer registry

The aim of this study was to determine population norms and determinants of anxiety and depression in a population-based sample of 731 women with breast cancer (aged 23–60 years) with the Hospital Anxiety and Depression scale (HADS). The prevalence of ‘probable’ psychological morbidity due to anxiety was 23% and due to depression was 3%. When the women identified as ‘possible’ cases were included, the respective proportions were 45 and 12%. Higher anxiety was present in younger, less educated women not born in Australia. There was no clear pattern of risk factors for depression. These population-based findings highlight the need for clinicians to be aware that age, education and country of birth may identify a particularly vulnerable subgroup. While brief scales such as the HADS are limited in their ability to accurately predict a clinical diagnosis, high scores identify those who may warrant referral for clinical evaluation.

Construction of k-Lipschitz triangular norms and conorms from empirical data

This paper examines the practical construction of k-Lipschitz triangular norms and conorms from empirical data. We apply a characterization of such functions based on k-convex additive generators and translate k-convexity of piecewise linear strictly decreasing functions into a simple set of linear inequalities on their coefficients. This is the basis of a simple linear spline-fitting algorithm, which guarantees k-Lipschitz property of the resulting triangular norms and conorms.

Investigating socialization, work-related norms and the ethical perceptions of marketing practitioners

This study examines the influence of socialization on work-related norms (WORKNORM). We tested the hypothesis that organizational (ORGSOC) and professional socialization (PROFSOC) are antecedent influences on WORKNORM, employing a sample of 339 marketing practitioners. The results of covariance structural analysis indicate that ORGSOC and PROFSOC and WORKNORM are discriminant constructs within the tested model. The study also reveals that the influence of ORGSOC on WORKNORM is stronger than the influence of PROFSOC on these same norms. Because this social learning occurs in work-related activities, in organizations, and in professional life, it is important that managers appreciate that these three separate domains influence decision making under ethical conditions. The limitations of the study and future research directions are discussed.

Is healthy behavior contagious : associations of social norms with physical activity and healthy eating

Background
Social norms are theoretically hypothesized to influence health-related behaviors such as physical activity and eating behaviors. However, empirical evidence relating social norms to these behaviors, independently of other more commonly-investigated social constructs such as social support, is scarce and findings equivocal, perhaps due to limitations in the ways in which social norms have been conceptualized and assessed. This study investigated associations between clearly-defined social norms and a range of physical activity and eating behaviors amongst women, adjusting for the effects of social support.

Methods
Self-report survey data about particular physical activity (leisure-time moderate-vigorous activity; volitional walking; cycling for transport) and eating behaviors (fast food, soft drink and fruit and vegetable consumption), and social norms and support for these, were provided by 3,610 women aged 18-46 years living in socioeconomically disadvantaged neighborhoods in Victoria, Australia.

Results
Results of regression analyses showed that social norms for physical activity and eating behaviors predicted these respective behaviors relatively consistently; these associations generally remained significant after adjustment for social support.

Conclusions
Acknowledging the cross-sectional study design, these data confirm theoretical accounts of the importance of social norms for physical activity and eating behaviors, and suggest that this is independent from social support. Intervention strategies aimed at promoting physical activity and healthy eating could incorporate strategies aimed at modifying social norms relating to these behaviors.

A characterization theorem for t-representable n-dimensional triangular norms

n-dimensional fuzzy sets are an extension of fuzzy sets that includes interval-valued fuzzy sets and interval-valued Atanassov intuitionistic fuzzy sets. The membership values of n-dimensional fuzzy sets are n-tuples of real numbers in the unit interval [0,1], called n-dimensional intervals, ordered in increasing order. The main idea in n-dimensional fuzzy sets is to consider several uncertainty levels in the memberships degrees. Triangular norms have played an important role in fuzzy sets theory, in the narrow as in the broad sense. So it is reasonable to extend this fundamental notion for n-dimensional intervals. In interval-valued fuzzy theory, interval-valued t-norms are related with t-norms via the notion of t-representability. A characterization of t-representable interval-valued t-norms is given in term of inclusion monotonicity. In this paper we generalize the notion of t-representability for n-dimensional t-norms and provide a characterization theorem for that class of n-dimensional t-norms. © 2011 Springer-Verlag Berlin Heidelberg.

Exercising sociomathematical norms in classroom discourse about data representation : insights from one case study of a grade 6 lesson in Indonesia

This paper examines a research study to foster mathematical discourse about data representations among Indonesian students. It was situated in the context of implementing an Indonesian version of Realistic Mathematics Education, labelled as PMRI, in primary schools. A case study of one lesson involving Grade 6 students on the choice of data representations in Yogyakarta will be discussed. The analysis focused on the enacted social norms and sociomathematical norms during a wholeclass discussion and their impacts on students’ knowledge of data representations. The need for constant effort to enact these norms in classroom mathematical discourse is highlighted.

Negations generated by bounded lattices t-norms

From the birth of fuzzy sets theory, several extensions have been proposed changing the possible membership values. Since fuzzy connectives such as t-norms and negations have an important role in theoretical as well as applied fuzzy logics, these connectives have been adapted for these generalized frameworks. Perhaps, an extension of fuzzy logic which generalizes the remaining extensions, proposed by Joseph Goguen in 1967, is to consider arbitrary bounded lattices for the values of the membership degrees. In this paper we extend the usual way of constructing fuzzy negations from t-norms for the bounded lattice t-norms and prove some properties of this construction.

Conceptual overlap between moral norms and anticipated regret in the prediction of intention: implications for theory of planned behaviour research

Moral norms and anticipated regret are widely used extensions to the theory of planned behaviour, yet there is some evidence to suggest that these constructs may conceptually overlap as predictors of intention. Two health-related behaviours with distinct moral implications (Study 1: organ donation registration, N = 352 and Study 2: condom usage, N = 1815) were therefore examined to ascertain whether moral norms and anticipated regret are indeed conceptually distinct. While evidence consistent with conceptual overlap was identified in Study 1, the evidence for such overlap in Study 2 was more ambiguous. In Study 3, a meta-analysis of existing literature revealed that the relationship between moral norms and anticipated regret was moderated by the extent of the moral implications arising from the behaviour under examination. Taken together, these findings suggest that conceptual overlap between moral norms and anticipated regret is more likely to occur among behaviours with obvious moral implications. Researchers wishing to examine the predictive utility of moral norms and anticipated regret among such behaviours would therefore be advised to aggregate these measures to form a composite variable (personal norms).