Fifty-three married couples were randomly assigned to engage in activities for 1.5 hours each week for 10 weeks that were self-defined as (a) exciting or (b) pleasant, or couples were in a (c) no-special-activity control group. Pretest and post-test data were obtained on a standard marital satisfaction measure (adjusted for scores on a social desirability index). A planned linear contrast comparing the two activities groups to the control group was not significant and had a small effect size; thus the theory that any kind of activity enhances marital satisfaction was not supported as an explanation for the well-established association of time together and satisfaction. However, the other planned orthogonal contrast found significantly higher satisfaction for the exciting than the pleasant group, a difference that had a moderate effect size. This finding is consistent with views emphasizing habituation as an obstacle to relationship maintenance - for example, Aron & Aron's (1986) prediction from their self-expansion model that sharing stimulating activities will enhance marital satisfaction.

The procedure used to search for subjects' utility values strongly influences the results of preference-assessment experiments. Effects of search procedures persist on repeated testing. The results suggest that utility values are heavily influenced by, if not created during, the process of elicitation. Thus, utility values elicited using different search procedures may not be directly comparable.

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Women faculty members were able to clearly indicate specific interventions that would improve their career success and sense of well-being. Since administrators are committed to serious consideration of these recommendations, this was a key step in advancing women's careers in academic medicine at Stanford.

These findings provide useful information on the physician-learner's perception of needs, which is important in the design of effective continuing education efforts in geriatrics.