The proportion of time in therapeutic activity was low in all locations, with patients spending many hours sitting and doing nothing. Despite this, stroke unit patients had more therapeutic contact with staff and were more often in the recommended position. These two features may account for some of the differences in outcome.

No abstract

The relationship between the Child Abuse Potential Inventory (CAP) and the Parenting Stress Index was examined across four groups of maltreating parents. Parents who were self-referred or referred due to high risk obtained significantly higher scores, and neglecting parents obtained significantly lower scores, than either physically abusive parents or spouses of maltreating parents. Significant gender differences were also obtained, with males scoring lower than females. Classification rates for the recommended CAP abuse potential cutoff score were lower than reported in previous research. The two measures appear to be tapping similar constructs but also measuring unique aspects of subjects' functioning.The specification of attributes across parents differing in their forms of child maltreatment is an area in need of further investigation (Wolfe, 1985). Self-report inventories that assess parents' perceptions of themselves, their children, and the stresses that they encounter in their families as well as the community at large represent one method for evaluating differences among maltreating parents. Two self-report instruments-the Child Abuse Potential Inventory (CAP; Milner, 1986) and the Parenting Stress Index (PSI; Abidin, 1983)-have displayed moderate utility in the evaluation of factors conceptually important in child maltreatment. The literature on the CAP has focused primarily on identification rates with physically abusive parents (Milner, Gold, Ayoub, & Jacewitz, 1984;Milner, Gold, & Wimberley, 1986), whereas the literature on the PSI has described a number of different samples of parents under varying degrees of stress (Loyd & Abidin, 1985;McKinney & Peterson, 1987). Only one unpublished study has compared responses to these two instruments across a mixed sample of maltreating parents (cf. Milner, 1986). The two different self-report instruments were moderately related. 64This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

The Balance Study is a randomized controlled trial designed to reduce cardiovascular disease (CVD) risk in 200 American Indian (AI) participants with metabolic syndrome who reside in southwestern Oklahoma. Major risk factors targeted include weight, diet, and physical activity. Participants are assigned randomly to one of two groups, a guided or a self-managed group. The guided group attends intervention meetings that comprise education and experience with the following components: diet, exercise, AI culture, and attention to emotional wellbeing. The self-managed group receives printed CVD prevention materials that are generally available. The duration of the intervention is 24 months. Several outcome variables will be compared between the two groups to assess the effectiveness of the intervention program.

In 1990, there were approximately 2.5 million reports of child abuse in the United States. Twelve hundred of these resulted in death. And over the last decade, child abuse rates jumped high enough for the U.S. Advisory Board on Child Abuse and Neglect to declare a national emergency.