Background: Interprofessional collaborative practice (IPCP) offers great potential to improve healthcare. Increases in IPCP will require educating learners in authentic IPCP settings and will generate opportunities and challenges. Methods: In January 2015, we implemented an IPCP model called Collaborative Care (CC) for hospitalized adult medical patients. We explored learner perspectives regarding their educational experiences. We deductively coded transcripts from semi-structured interviews with medical learners. Data related to educational experiences were thematically analyzed. Results: Twenty-four of 28 (85.7%) medical learners rotating on CC from January to May 2015 completed interviews. Subsequent inductive analysis of these interviews identified four themes: Loss of Educational Opportunities during Rounds, Feelings of Uncertainty during New Situations, Strategies for Adaptation, and Improved Communication with Patients and the Team. Conclusions: Increased implementation of IPCP will lead to a greater number of learners being exposed to authentic IPCP settings and will generate opportunities and challenges. Though learners perceived improved communication skills in an IPCP model, they also described loss of profession-specific learning opportunities and feelings of uncertainty. These findings corroborate the need for novel teaching methods aligned with IPCP clinical learning environments and educational assessment strategies that reflect attainment of both profession-specific and interprofessional competencies.

Authenticity has emerged over recent decades as a prominent theme in both the press and in political research-and peaked in the 2016 presidential contest that pitted Donald Trump against Hillary Clinton, Bernie Sanders, Marco Rubio, and Ted Cruz. In this context, we attempted to answer the question: How do voters judge a presidential candidate's authenticity? Here we use motivated reasoning and correspondent inference theory as theoretical frameworks to examine how partisan preference combines with perceptions of unfettered speech and strategic impression management to influence voter judgments of a candidate's authenticity. An online survey of 525 respondents demonstrated that individuals' partisan preferences influenced both judgments of a candidate's authenticity and their perceptions of behaviors signifying authenticity (use of unfettered speech versus strategic impression management). These behavioral signals partially mediated the relation between candidate preferences and authenticity judgments. Moreover, voters, given their partisan preferences, differentially weighted candidates' use of unfettered speech and strategic impression management tactics in their judgments of authenticity. Finally, unfiltered/politically incorrect speech was found to have both positive and negative effects on authenticity judgments. Findings further elucidate the nature of authenticity as perceived in others and identify intermediary variables and boundary conditions that influence those perceptions.

Who am I? While the quality of answers to this question will vary from person to person, most can provide several answers with ease. These answers represent the elements comprising a person's subjective identity structure, reflecting their values, goals, traits, characteristics, preferences, social collectives and categories, and relationships and roles (Vignoles, 2011). Subsumed within this simple question is another, more complex one: "How do I know that who I say I am is truly me?" The question is not merely philosophical; in fact, individuals' perceptions of what it means to be true to themselves have strong links to their psychological health and social functioning (Kernis & Goldman, 2006). In the following two studies, we argue that how authentic an identity element feels depends on whether that element (a) is highly enacted or concealed, and (b) satisfies or thwarts certain identity-specific motives. In our second study, we apply this model of authentic identity construction to better understand how stigmatization impacts individuals' felt authenticity for the stigmatized identities within their subjective identity structures. In order to advance research in this area, we draw on two foundational theories concerning authentic identity construction and motive fulfillment. First, Self-Determination Theory (SDT; Ryan & Deci, 2000) posits a link between identity enactment and felt

Diabetes is a chronic disease requiring extensive self-care. Different impulsivity constructs, including choice-based and self-report personality measures are associated with decreasing diabetes self-care adherence. However, both choice-based and self-report impulsivity have never been measured for individuals diagnosed with either Type 2 or prediabetes in the same study. The current study examined the relationship between impulsivity and diabetes self-care in 101 adults diagnosed with either Type 2 or prediabetes. Results indicated that increasing self-reported impulsiveness was significantly correlated with decreasing Type 2 diabetic self-care, whereas the choice-based measure was not associated with any self-care measure. No association between impulsivity and self-care was significant for individuals diagnosed with prediabetes. Path analyses showed that self-reported impulsiveness directly and positively predicted problems controlling blood sugar levels in individuals diagnosed with either prediabetes or Type 2 diabetes. However, self-reported impulsiveness only indirectly and negatively predicted exercise and diet adherence via diabetes management self-efficacy for individuals diagnosed with Type 2 diabetes. These results show what specific impulsivity constructs and diabetes management self-efficacy may be incorporated into interventions for increasing specific self-care behaviors.

Posttraumatic stress disorder (PTSD) occurs at high rates among college students, and there is an urgent need to develop brief and accessible interventions to help these at-risk students achieve academic and career success. This open-trial pilot study tested the feasibility and effectiveness of Written Exposure Therapy (WET; Sloan & Marx, 2019), a brief, five-session exposure-based treatment, when delivered in a real-world Counseling Services Center. Students who met criteria for probable PTSD were assessed at baseline, posttreatment, and 3-month follow-up using self-report assessments of PTSD and depression. Of 28 eligible college students, 22/28 (78.6%) completed at least one treatment session, and of those students, 14/22 (63.6%) completed the full five sessions, 12 of whom completed both the posttreatment assessment and the 3-month follow-up assessment. Data were analyzed using intent-to-treat (N = 22) and per-protocol (n = 12) samples. As hypothesized, in both samples, PTSD symptoms decreased from baseline to posttreatment (η2 = .60–.81; very large effects), and these improvements were maintained at the 3-month follow-up. Similar findings were observed with respect to decreases in self-reported depression, but not with respect to decreases in educational impairment or increases in academic self-efficacy. Qualitative data indicated that both students and therapists found the treatment credible and acceptable. These findings offer preliminary support for the utility of WET for PTSD when delivered in a student counseling services center. Suggestions for adapting WET within a student counseling services environment are discussed.

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Objectives. To present data for opioid misuse among US reservation-based American Indian (AI) adolescents and to compare these data with national rates from Monitoring the Future (MTF). Methods. Data were from a national sample of 33 schools participating in a substance use epidemiological survey of reservation-based AI adolescents during 2018 and 2019. Participants were 8th-, 10th-, and 12th-grade AI students (n = 1592). Measures included 12-month and 30-day use of OxyContin, Vicodin, heroin, and narcotics. We computed prevalence and compared it with MTF national prevalence. Results. Across grades, AI youths demonstrated significantly greater past 12-month and 30-day opioid use relative to a national sample. Significant absolute differences in 12-month and 30-day prevalence levels ranged from 1.6% (8th-grade heroin) to 4.7% (12th-grade narcotics) and from 1.6% (12th-grade narcotics) to 1.8% (12th-grade heroin), respectively. Conclusions. Opioid misuse prevalence levels were significantly greater for reservation-based AI adolescents relative to national prevalence levels. Public Health Implications. Findings suggest that implementation of evidence-based efforts, adapted or developed to be culturally appropriate, should be significantly increased in tribal communities, along with policies to address the unique social, economic, and health issues they face. (Am J Public Health. Published online ahead of print January 21, 2021: e1–e4. https://doi.org/10.2105/AJPH.2020.306039 )