Facilitators and barriers to adaptive implementation of the Meeting Centers Support Program (MCSP) in three European countries; the process evaluation within the MEETINGDEM study.

ABSTRACTBackground:In the MEETINGDEM project, the Meeting Centers Support Program (MCSP) was adaptively implemented and evaluated in three European countries: Italy, Poland, and the United Kingdom. The aim of this study was to investigate overall and country-specific facilitators and barriers to the implementation of MCSP in these European countries. METHODS: A qualitative multiple case study design was used. Based on the theoretical model of adaptive implementation, a checklist was composed of potential facilitators and barriers to the implementation of MCSP. This checklist was administered among stakeholders involved in the implementation of MCSP to trace the experienced facilitators and barriers. Twenty-eight checklists were completed. RESULTS: Main similarities between countries were related to the presence of suitable staff, management, and a project manager, and the fact that the MCSP is attuned to needs and wishes of people with dementia and informal caregivers. Main differences between countries were related to: communication with potential referrers, setting up an inter-organizational collaboration network, receiving support of national organizations, having clear discharge criteria for the MCSP and continuous PR in the region. CONCLUSION: The results of this study provide insight into generic and country specific factors that can influence the implementation of MCSP in different European countries. This study informs further implementation and dissemination of MCSP in Europe and may also serve as an example for the dissemination and implementation of other effective psychosocial support interventions for people with dementia and their informal caregivers across and beyond Europe.

Neural correlates of the implicit processing of grammatical and stereotypical gender violations: A masked and unmasked priming study.

The aim of this study was to explore the neural correlates of the automatic activation of gender stereotypes by using the masked and unmasked priming technique. Event-related potentials (ERPs) were recorded while participants were presented with an Italian third-person singular pronoun (lui or lei) that were preceded by either a grammatically-marked (e.g., passeggeraFEM, pensionatoMASC) or stereotypically-associated (e.g., insegnanteFEM, conducenteMASC) role noun. Participants were required to judge the grammatical gender of the personal pronoun ignoring the preceding word. This word was presented in a masked or unmasked way. The results revealed slower reaction times and larger N400, in both the masked and unmasked conditions, when the pronouns were preceded by gender-incongruent than gender-congruent grammatical and stereotypical primes. A P300 effect also emerged in both masked and unmasked conditions for the grammatical gender mismatch between the antecedent and the pronoun. These results provide evidence that gender stereotypes can strongly influence our behavior even under unconscious conditions.

Relative prevalence of different fetishes.

The aim of this study was to estimate the relative frequency of Fetishes in a large sample of individuals. Using the Internet as a data source, we examined 381 discussion groups. We estimate, very conservatively, that at least 5000 individuals were targeted. The relative frequency of each preference category was estimated considering (a) the number of groups devoted to the category, (b) the number of individuals participating in the groups and (c) the number of messages exchanged. The three measures agree both parametrically (Cronbach's alpha=0.91) and non-parametrically (Kendall's W=0.94, P<0.01). Preferences for body parts or features and for objects usually associated with the body were most common (33 and 30%, respectively), followed by preferences for other people's behavior (18%), own behavior (7%), social behavior (7%) and objects unrelated to the body (5%). Feet and objects associated with feet were the most common target of preferences. These findings provide the first large database in an area, where the knowledge is particularly scarce.