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Examining the Physician's View of Medication Adherence
Most physicians are likely to overestimate their own patients' adherence rates, according to a Healthprize survey.
There's still much work to be done in the adherence world, from measuring adherence to understanding the risk factors to intervening in the face of nonadherence.
By Katrina S. Firlik MD on Apr 27, 2015
As a neurosurgeon, I was commonly summoned to the emergency department to evaluate patients with spontaneous bleeding in the brain. One of the most frequent causes of this dangerous condition in older patients is long-standing hypertension and, in particular, poorly controlled hypertension. And, a typical reason for poor blood pressure control is, of course, poor adherence to anti-hypertensive medications.
Given my position at the end of the line in this otherwise slow-motion process that develops over years (with a gradual weakening of the blood vessels exposed to excess pressures), I often felt somewhat demoralized. Surgical intervention is rarely recommended, so my role was more custodial in nature while patients were stabilized in preparation for discharge to a rehabilitation facility or a nursing home.
I wondered how many of these bleeding events could have been prevented with greater medication adherence and, therefore, better blood pressure control.
Primary care physicians, of course, are even closer to the problem. They are the ones diagnosing the hypertension, prescribing the medication, and following up over the years. They understand the role of adherence in clinical outcomes. But what are their thoughts as to the severity of the problem? What do they think about the possible adherence solutions?
The Physician's View
To gain some insights into the physician's view, my company, HealthPrize, commissioned SurveyHealthCare to conduct a survey of 100 primary care physicians and asked them questions regarding adherence to medications for diabetes, hypertension and high cholesterol.
Perhaps one of the most interesting findings was that our respondents' estimates of their own patients' medication adherence rates were more optimistic than published reports in the medical literature.
Whereas published studies based on large-scale electronic prescribing databases demonstrate that anywhere from 15% to 30% of patients fail to fill a new prescription even once ("primary nonadherence"), over a third of physicians felt that the primary nonadherence rate in their own practices was less than 10%.
And regarding non-persistence, or failure to continue to refill, published studies show that across a number of primary care chronic conditions, about 50% or more of patients new to therapy quit refilling within the first 12 months. Among our respondents, however, only 14% felt that their own patients had such significant rates of non-persistence.
Do they know which patients are actually filling their prescriptions? Or, are they relying on patient self-reporting, guessing, or not even considering the question?
Need for Objective Data
Which leads to the questions: are physicians receiving objective adherence data on their patients? Do they know which patients are actually filling their prescriptions? Or, are they relying on patient self-reporting, guessing, or not even considering the question?
Twenty-three percent of physicians reported not receiving any adherence data on their patients. The remaining physicians do receive some form of adherence data from a number of sources, but then one wonders: what do they do with the data, and how do they feel about it?
Click here for the full infographic
When asked how they felt about receiving prescription fill data, 24% of physicians selected the response, "I don't want any more data. I already have enough data to deal with!" Twenty-five percent responded, "I am interested, but worried that I can't do anything to influence it" and 44% felt "It is helpful. I am able to spend more time on adherence counseling or other interventions with nonadherent patients."
To gain insight into their views on adherence interventions, we asked physicians to assign a level of influence—or potential influence—to a number of varied interventions, offering 3 levels: "weak or no influence," "moderate influence" and "strong influence."
Interestingly, the interventions receiving the greatest percentage of "strong influence" responses were rewards (40%), co-pay discounts (39%), and reminder phone calls (37%). Education (9%) and reminder letters (8%) fared worst in terms of "strong influence" responses, although education was felt to have a "moderate influence" by 57% of physicians (and a "weak or no influence" by 34%).
Although this sample of physicians' relative lack of faith in the influence of education may, at first, be surprising, it does point to an acknowledgment that adherence is often more of a motivational problem than an educational one. Just as patients often understand the benefits of exercise or healthy eating, yet fail to follow through, most patients do likely understand that the goal of a blood pressure pill is to lower blood pressure and decrease the chances of, among other things, a heart attack. Similar to other healthy behaviors, however, the taking of a chronic medication is often psychologically challenging in the absence of any immediate benefits.
The fact that rewards were granted equal weighting to discounts in the minds of physicians is also potentially an acknowledgment of this motivational barrier in medication adherence. Rewards can offer a needed motivational boost. Clearly, cost is a barrier to adherence for some patients, pointing to the importance of cost reductions. However, we also know that adherence typically remains poor even in the face of free medication.
We also asked physicians what percentage of daily doses they believe a patient needs to take over time to receive the intended clinical benefit of their medication (again, with a focus on diabetes, hypertension, and high cholesterol). In much of the adherence literature, a somewhat randomly chosen benchmark of 80% or 0.8, as measured by medication possession ratio (MPR) or proportion of days covered (PDC), is used to designate patients as "adherent" or "fully adherent."
But is that 80% target too low, or even too high? Although it's not an exact science (at least not yet), what do physicians think of this desired goal? Twenty-five percent of respondents chose this standard "80%" metric, but 42% chose "90%," and 27% chose percentages less than 80%.
Clearly, there's still much work to be done in the adherence world, from measuring adherence to understanding the risk factors to intervening in the face of nonadherence. But at least we're starting to ask the right questions.
Download entire whitepaper here: https://healthprize.com/whitepapers/the-physicians-view-of-medication-nonadherence/
Dr. Katrina Firlik is co-founder and chief medical officer of HealthPrize Technologies. Prior to founding HealthPrize, Katrina was a neurosurgeon in private practice at Greenwich Hospital in Connecticut, and on the clinical faculty at Yale University School of Medicine. In addition to her scientific publications, Katrina is the author of Another Day in the Frontal Lobe: A Brain Surgeon Exposes Life on the Inside. Twitter: @KatrinaFirlik
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text:
/****************************************************************************
** Meta object code from reading C++ file 'bitcoinamountfield.h'
**
**
** WARNING! All changes made in this file will be lost!
*****************************************************************************/

#include "qt/bitcoinamountfield.h"
#include <QtCore/qbytearray.h>
#include <QtCore/qmetatype.h>
#if !defined(Q_MOC_OUTPUT_REVISION)
#error "The header file 'bitcoinamountfield.h' doesn't include <QObject>."
#elif Q_MOC_OUTPUT_REVISION != 67
#error "This file was generated using the moc from 5.2.1. It"
#error "cannot be used with the include files from this version of Qt."
#error "(The moc has changed too much.)"
#endif

QT_BEGIN_MOC_NAMESPACE
struct qt_meta_stringdata_BitcoinAmountField_t {
    QByteArrayData data[6];
    char stringdata[56];
};
#define QT_MOC_LITERAL(idx, ofs, len) \
    Q_STATIC_BYTE_ARRAY_DATA_HEADER_INITIALIZER_WITH_OFFSET(len, \
    offsetof(qt_meta_stringdata_BitcoinAmountField_t, stringdata) + ofs \
        - idx * sizeof(QByteArrayData) \
    )
static const qt_meta_stringdata_BitcoinAmountField_t qt_meta_stringdata_BitcoinAmountField = {
    {
QT_MOC_LITERAL(0, 0, 18),
QT_MOC_LITERAL(1, 19, 12),
QT_MOC_LITERAL(2, 32, 0),
QT_MOC_LITERAL(3, 33, 11),
QT_MOC_LITERAL(4, 45, 3),
QT_MOC_LITERAL(5, 49, 5)
    },
    "BitcoinAmountField\0valueChanged\0\0"
    "unitChanged\0idx\0value\0"
};
#undef QT_MOC_LITERAL

static const uint qt_meta_data_BitcoinAmountField[] = {

 // content:
       7,       // revision
       0,       // classname
       0,    0, // classinfo
       2,   14, // methods
       1,   28, // properties
       0,    0, // enums/sets
       0,    0, // constructors
       0,       // flags
       1,       // signalCount

 // signals: name, argc, parameters, tag, flags
       1,    0,   24,    2, 0x06,

 // slots: name, argc, parameters, tag, flags
       3,    1,   25,    2, 0x08,

 // signals: parameters
    QMetaType::Void,

 // slots: parameters
    QMetaType::Void, QMetaType::Int,    4,

 // properties: name, type, flags
       5, QMetaType::LongLong, 0x00595103,

 // properties: notify_signal_id
       0,

       0        // eod
};

void BitcoinAmountField::qt_static_metacall(QObject *_o, QMetaObject::Call _c, int _id, void **_a)
{
    if (_c == QMetaObject::InvokeMetaMethod) {
        BitcoinAmountField *_t = static_cast<BitcoinAmountField *>(_o);
        switch (_id) {
        case 0: _t->valueChanged(); break;
        case 1: _t->unitChanged((*reinterpret_cast< int(*)>(_a[1]))); break;
        default: ;
        }
    } else if (_c == QMetaObject::IndexOfMethod) {
        int *result = reinterpret_cast<int *>(_a[0]);
        void **func = reinterpret_cast<void **>(_a[1]);
        {
            typedef void (BitcoinAmountField::*_t)();
            if (*reinterpret_cast<_t *>(func) == static_cast<_t>(&BitcoinAmountField::valueChanged)) {
                *result = 0;
            }
        }
    }
}

const QMetaObject BitcoinAmountField::staticMetaObject = {
    { &QWidget::staticMetaObject, qt_meta_stringdata_BitcoinAmountField.data,
      qt_meta_data_BitcoinAmountField,  qt_static_metacall, 0, 0}
};

const QMetaObject *BitcoinAmountField::metaObject() const
{
    return QObject::d_ptr->metaObject ? QObject::d_ptr->dynamicMetaObject() : &staticMetaObject;
}

void *BitcoinAmountField::qt_metacast(const char *_clname)
{
    if (!_clname) return 0;
    if (!strcmp(_clname, qt_meta_stringdata_BitcoinAmountField.stringdata))
        return static_cast<void*>(const_cast< BitcoinAmountField*>(this));
    return QWidget::qt_metacast(_clname);
}

int BitcoinAmountField::qt_metacall(QMetaObject::Call _c, int _id, void **_a)
{
    _id = QWidget::qt_metacall(_c, _id, _a);
    if (_id < 0)
        return _id;
    if (_c == QMetaObject::InvokeMetaMethod) {
        if (_id < 2)
            qt_static_metacall(this, _c, _id, _a);
        _id -= 2;
    } else if (_c == QMetaObject::RegisterMethodArgumentMetaType) {
        if (_id < 2)
            *reinterpret_cast<int*>(_a[0]) = -1;
        _id -= 2;
    }
#ifndef QT_NO_PROPERTIES
      else if (_c == QMetaObject::ReadProperty) {
        void *_v = _a[0];
        switch (_id) {
        case 0: *reinterpret_cast< qint64*>(_v) = value(); break;
        }
        _id -= 1;
    } else if (_c == QMetaObject::WriteProperty) {
        void *_v = _a[0];
        switch (_id) {
        case 0: setValue(*reinterpret_cast< qint64*>(_v)); break;
        }
        _id -= 1;
    } else if (_c == QMetaObject::ResetProperty) {
        _id -= 1;
    } else if (_c == QMetaObject::QueryPropertyDesignable) {
        _id -= 1;
    } else if (_c == QMetaObject::QueryPropertyScriptable) {
        _id -= 1;
    } else if (_c == QMetaObject::QueryPropertyStored) {
        _id -= 1;
    } else if (_c == QMetaObject::QueryPropertyEditable) {
        _id -= 1;
    } else if (_c == QMetaObject::QueryPropertyUser) {
        _id -= 1;
    } else if (_c == QMetaObject::RegisterPropertyMetaType) {
        if (_id < 1)
            *reinterpret_cast<int*>(_a[0]) = -1;
        _id -= 1;
    }
#endif // QT_NO_PROPERTIES
    return _id;
}

// SIGNAL 0
void BitcoinAmountField::valueChanged()
{
    QMetaObject::activate(this, &staticMetaObject, 0, 0);
}
QT_END_MOC_NAMESPACE

redpajama_set_name: RedPajamaGithub


text:
Making a Comeback: More Than A Game #3
Kristina Mathews
Categories Romance Contemporary, Lyrical Shine
Better Than Perfect: More Than A Game #1 by Kristina Mathews
Earning A Ring: More than a Game #4 by Kristina Mathews
With a divorce in the works, Annabelle Jones heads out to Southern California, the land of sun and starting over. She wants to prove to herself and her young daughters that she still has what it takes to turn heads as a swimsuit model—that she doesn't need a man to take care of her. Until an accident forces her to rely on the hunky, yet mysterious man next door...
Nathan Cooper is trying to revive his own career. Once a top left-handed relief pitcher, he tried to get over a hidden injury with the aid of banned substances. Not only was he caught and suspended, he was traded and missed out on winning the championship. Now he's a free agent without a contract, and that means life is ready to play ball…
About Kristina Mathews:
Kristina Mathews doesn't remember a time when she didn't have a book in her hand. Or in her head. But it wasn't until she turned forty that she confessed the reason the laundry never made it out of the dryer was because she was busy writing. While she resigned from teaching with the arrival of her second son, she's remained an educator in some form. As a volunteer, parent club member or para educator, she finds the most satisfaction working with emergent and developing readers, helping foster confidence and a lifelong love of books. Kristina lives in Northern California with her husband of more than twenty years, two sons and a black lab. A veteran road tripper, amateur renovator and sports fanatic. She hopes to one day travel all 3,073 miles of Highway 50 from Sacramento, CA to Ocean City, MD, replace her carpet with hardwood floors and serve as a "Ball Dudette" for the San Francisco Giants.

redpajama_set_name: RedPajamaCommonCrawl


text:
Runge is een historisch merk van motorfietsen.

Fahrzeugfabrik Harold Runge, Hannover (1923-1926).

Duits merk dat kleine aantallen 197 cc eencilinder zijkleppers bouwde, die ook als inbouwmotor (bijvoorbeeld aan het merk Freco) geleverd werden.

Duits historisch motorfietsmerk
Inbouwmotormerk

redpajama_set_name: RedPajamaWikipedia


text:
Philippa Tristram
Philippa Tristram most recent book, Living Space, is discussed by Peter Campbell in this issue. She is a senior lecturer in English at the University of York.
Tiananmen Revisited
Philippa Tristram, 19 November 1992
'China must go forward; you shouldn't dwell on what's past,' an American told me in Beijing last summer. He had decades of experience in China, and I could see what he meant, from a Chinese point of view. But from a Western one, Tiananmen does need to be revisited. If the bookstalls in Beijing offer only grossly biased accounts of 'the Beijing turmoil', at least few read them and fewer still believe them: the Chinese press is government-controlled. Western accounts of 'the Tiananmen massacre' are also biased and even more inaccurate, but many read them and most believe them: the British press is 'free'.
'China must go forward; you shouldn't dwell on what's past,' an American told me in Beijing last summer. He had decades of experience in China, and I could see what he...
Little Bottles
Philippa Tristram, 22 February 1990
In the days of the Boxer Rebellion, when Chinese wore pigtails and exposure to foreign values was compulsory, they knew that Westerners were Chinese upside-down. As Yang remarks in The Miraculous Pigtail, which is set in that period: 'Chinese shave their heads, foreigners their faces; Chinese write from right to left, foreigners from left to right; Chinese call the compass the "needle for fixing the south", foreigners call it the "needle which points north"; Chinese have their tea-cup lids on top, foreigners have their, tea-cup lids underneath.' Since 1900, time has removed some of these oppositions and introduced others, but that perception endures. To the farm hands in Mimosa, set in the early Sixties, America is 'an outlandish, promiscuous, immoral country, but so rich that no one worries about food or clothing'. When six years ago one of my Chinese students described a Westerner's day, he was succinct: his Western businessman rose at six o'clock to take his two snakes for an airing in his chauffeur-driven Mercedes; they stopped at a pub en route, emerged blind-drunk, and crashed the car into a scholartree. Sarah Lubman recently explained in the Washington Post that Chinese students are the victims 'of an educational system which presents limited – and biased – information about the West', but my student at least had merely been reading some American magazines donated by a foreign visitor. Among the advertisements for drink, expensive cars and sexual aids, I remember finding one for a cat's four-poster, complete with curtains and fur underlay. In the context of that Beijing institute where even hot water (for all purposes, especially drinking) was rationed to one thermos per student per day, his account seemed inaccurate in details, not essentials. According to Sarah Lubman, the way to counter such misinterpretation is cultural exchange: then Chinese travelling abroad can see what Western democracy really is, while those at home can receive unbiased information from foreign experts. As in the days of the Boxer Rebellion, 'exchange', it seems, is not a two-way process.'
The Miraculous Pigtail
by Feng Jicai.
by Zhang Xianliang.
Dialogues in Paradise
by Can Xue, translated by Ronald Jansson.
4 more books reviewed
In the days of the Boxer Rebellion, when Chinese wore pigtails and exposure to foreign values was compulsory, they knew that Westerners were Chinese upside-down. As Yang remarks in The Miraculous...
Miss Simpson stayed to tea
Philippa Tristram, 20 April 1989
Most great writers, if only in indirect ways, offer some representation of their own life, but the biographer faces a particular problem where interpretation has already been shaped by his subject in autobiography. Wordsworth was not the only writer of his period to dislike the public appetite for private information, or to seek to forestall the biographer's 'abominable use' of letters and personal anecdote by trying himself to control what should, and should not, be offered to the public. Moreover, in the different versions of The Prelude, and in the notes dictated late in life, he offered different interpretations.
William Wordsworth: A Life
by Stephen Gill.
Most great writers, if only in indirect ways, offer some representation of their own life, but the biographer faces a particular problem where interpretation has already been shaped by his...
The intensity of feeling expressed by correspondents reacting to my article confirms that it was necessary to write it. A.C. Grayling, Professor MacDougall and Denis MacShane do not address the issues; they preclude discussion. Although my sympathies naturally lie, as theirs do, with the victims, I do not feel that this exonerates me from considering all other points of view. It is alarming when an...
Pieces about Philippa Tristram in the LRB
Four Walls
Peter Campbell, 20 April 1989
The Picturesque, with its cottages ornées and simulations of Tuscan rusticity, is hard to take seriously. Yet it accompanied a radical change in English architectural thinking. This happens...


The Western Bay Regional Adoption Service has invested in and re-developed its' services and has an exciting and challenging agenda to deliver. Since the creation of the Service in 2015, together with our partner agencies NPT and Swansea, we have been continuously improving our services, and moving in the right direction by achieving an increase in the number of adoptive placements as well as reducing the time taken to place children.
The Service consists of three distinct operational functions; Recruitment and Assessment, Twin Tracking & Family Finding and Adoption Support.
An opportunity has arisen for a suitably qualified and experienced individual to join a team of committed and enthusiastic professionals who are hardworking and supportive. You will need to have at least three years post-qualifying experience with significant experience of working in children and young people's services, experience/ knowledge and understanding of adoption work and processes; supporting families to care for children and experience of working directly with families using therapeutic and direct work models.
You will ideally have some experience in working with adoption or suitable transferrable skills and be willing to train to undertake the full range of adoption responsibilities.
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The recruitment process for this post will be underpinned by rigorous safer recruitment assessment to ensure that children and young people are protected. This post is subject to a Disclosure and Barring Service Enhanced Disclosure (Child/Adult).


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text:
Anthony Lemieux
Associate Professor of Communication and Lead Researcher of the Transcultural Conflict and Violence Program
25 Park Place, #1118, Atlanta, GA 30303
alemieux@gsu.edu
Dr. Anthony (Tony) F. Lemieux, is a START investigator and an associate professor of communication at Georgia State University, where he is a lead researcher in a newly established interdisciplinary Second Century Initiative on trans-cultural conflict and violence. In addition, he is an adjunct associate professor in both the School of Medicine in the Department of Pediatrics and the Rollins School of Public Health at Emory University. Lemieux is also an affiliate of the Emory Neuropolicy Center. His current experimental research on support for terrorism is supported by START and his collaborative work on psychological, communicative and behavioral aspects of cyber security is supported by the National Science Foundation. Previous research on health behavior change and HIV prevention has been supported by the National Institute of Mental Health and Concerned Citizens for Humanity.
Lemieux has lectured at a wide range of academic institutions, as well as the United Nations headquarters in New York, the headquarters of the U.S. Central Intelligence Agency, the U.S. Department of Homeland Security, the U.S. Transportation Security Administration and the National Counterterrorism Center / Office of the Director of National Intelligence. Lemieux's extensive record of peer reviewed publications includes articles in Terrorism and Political Violence, Critical Terrorism Studies, AIDS & Behavior, The Journal of Personality & Social Psychology, The Dynamics of Asymmetric Conflict and Health Psychology. He has taught extensively and has served as a subject matter expert on radicalization, behavioral screening technologies and innovative survey methods. Lemieux has a blog at Psychology Today on the motivations and methods of terrorism. Prior to moving to Atlanta, he was an associate professor of psychology at Purchase College, State University of New York where he chaired the University's Strategic Planning Committee. Lemieux earned his Ph.D. and M.A. in social psychology at the University of Connecticut and his B.A. in psychology and sociology at Boston College.
Terrorism and Society Violent Groups and Movements Individual Behavior Countering Violent Extremism Radical Beliefs and Behavior
Ethnic Conflict and Violence Group Behavior Media and Terrorism Political Conflict and Violence Psychology of Terrorism
University of Connecticut, Ph.D., Social Psychology, 2003
University of Connecticut, M.A., Social Psychology, 2000
Boston College, B.A., Cum Laude, Psychology and Sociology, 1997
Selected as a Fellow of the National Consortium for the Study of Terrorism and Responses to Terrorism (START), A Center of Excellence of the U.S. Department of Homeland Security. Mentor: Jonathan Wilkenfeld. August 2006 - July 2008.
"A theoretical approach to music based HIV prevention." Individual NRSA Grant # F31 MH65060-01, awarded by NIMH. Period of funding: 2 years, December 2001 - December 2003
Curriculum Development Grant from the National Consortium for the Study of Terrorism and Responses to Terrorism, A U. S. Department of Homeland security Center of Excellence based at the University of Maryland. Creating. Creation of course modules for use in online and blended environments focusing on research methods in studying terrorist motivations, Summer 2009
Elected Chair, Purchase College Strategic Planning Committee takes effect, Fall 2010
Psi Chi, Psychology International Honors Society, elected lifetime member, Fall 2007
Current Affiliations:
Associate Professor, Department of Communication, Georgia State University; Transcultural Conflict and Violence Initiative, Aug. 2012 - present
Adjunct Associate Professor, Department of Pediatrics, Emory University School of Medicine, Aug. 2011 – present
Adjunct Associate Professor, Department of Behavioral Sciences & Health Education, Rollins School of Public Health, Emory University, Oct. 2011 – present
Investigator, Emory University Center for Neuropolicy, Oct. 2011 – present
Investigator, National Consortium for the Study of Terrorism and Responses to Terrorism (START), Jul. 2008 – present
Instructor, National Consortium for the Study of Terrorism and Responses to Terrorism (START), Graduate Certificate Program (Terrorist Motivations and Behavior Course), May 2010 – present
Affiliated Faculty, Partnership for Urban Health Research, Georgia State University, Oct. 2012 – present
Affiliated Faculty, Experimental Economics Center, Georgia State University, Oct. 2012 – present
Associate Professor of Psychology, Purchase College – State University of New York, Aug. 2010 – Aug. 2012
Assistant Professor of Psychology, Purchase College – State University of New York, Aug. 2001 – Aug. 2010
Decision Making and Simulation
June 2005 to May 2008
START-Oxford University Press Book Series
Using Experimental Research to Study the Dynamics of Radicalization, Terrorism, and Counterterrorism
July 2012 to December 2017
Massive Online Open Course: Understanding Terrorism and the Terrorist Threat
January 2014 to March 2014
Turning to Terrorism: Ethnic, Religious, and Extremist Organizations
Impact of Perceived Peer Attitudes and Social Network Diversity on Violent Extremist Intentions (Journal Article)
An Information, Motivation, and Behavioral Skills Perspective on Terrorist Propaganda (Book Chapter)
Trends of Anashid Usage in Da'esh Video Messaging and Implications for Identifying Terrorist Audio and Video (Journal Article)
When Data Do Not Matter: Exploring Public Perceptions of Terrorism (Journal Article)
Political Action as a Function of Grievances, Risk, and Social Identity: An Experimental Approach (Journal Article)
Validating Extremism: Strategic Use of Authority Appeals in al-Naba' Infographics (Journal Article)
Images of Death and Dying in ISIS Media: A Comparison of English and Arabic Print Publications (Journal Article)
START Annual Meeting 2016: Quick-Fire Presentation - Terrorism and Radicalization (Presentation)
The Medium is Terrorism: Transformation of the About to Die Trope in Dabiq (Journal Article)
Exposure to Muslims in Media and Support for Public Policies Targeting Muslims (Journal Article)
Inspire Magazine: A Critical Analysis of its Significance and Potential Impact Through the Lens of the Information, Motivation, and Behavioral Skills Model (Journal Article)
Grievance, Social Dominance Orientation, and Authoritarianism in the Choice and Justification of Terror Versus Protest (Journal Article)
Across the Divide: Reflections of a Collaborative Class on Terrorism (Journal Article)
Protecting the Homeland from International and Domestic Terrorism Threats: Current Multi-Disciplinary Perspectives on Root Causes, the Role of Ideology, and Programs for Counter-radicalization and Disengagement (White Paper)
Collaborative Online International Learning: The Example of a Course in the Psychology of Terrorism in the United States and Iran (Journal Article)
Review of Psychology of Terrorism: Classic and Contemporary Insights (Book Review)
An Experimental Investigation of the Choice of Terror and Support for Taking Action (Research Brief)
Social Psychological Approaches to Understanding and Preventing Terrorism: Toward an Interdisciplinary Perspective (Journal Article)
New editor will take on post for START-Oxford University Press book series (News)
Business Insider: Telling people 'don't panic' over coronavirus doesn't work. Here's what you should say instead, according to social scientists (START in the News)
History: Why the Hunt for the Real Atlanta Bomber Took Nearly 7 Years (START in the News)
The Washington Post: Who's a terrorist and who's mentally ill? We looked at 10 years of news coverage to find out. (START in the News)
TIME: 'A Game of Whack-a-Mole.' Why Facebook and Others Are Struggling to Delete Footage of the New Zealand Shooting (START in the News)
Newsweek: Muslim terror attacks get 357 percent more media coverage than others: Study (START in the News)
WSB-TV: FBI lays groundwork to prevent truck attacks in Georgia (START in the News)
Indian Express: US terror attacks received five times more media coverage when perpetrator was Muslim: Study (START in the News)
Washington Post: Yes, the media do underreport some terrorist attacks. Just not the ones most people think of. (START in the News)
News media affects how Muslims are perceived, treated (Featured Research)
The Daily Beast: Yes, Anti-Refugee Rhetoric Helps ISIS (START in the News)
Al Jazeera America: Canadian Shootings: Terrorism/Copy Cats (START in the News)
PRWeb: Georgia State University Hosts Symposium (START in the News)
CNN: What led another American to ISIS? (START in the News)
CBS Connecticut: Security Breaches Happen Daily Across US That No One Knows About (START in the News)
HuffPost Live: Las Vegas Shooting is Domestic Terrorism (START in the News)
Discussion Point: Why isn't anyone calling this terrorism, still? (Discussion Point)
New study evaluates English-language jihadist magazine (Featured Research)
NBC: Local terrorism expert weighs in on missing plane (START in the News)
Georgia State University: What Causes Terrorist Attacks? (START in the News)
START to offer Massive Open Online Course (News)
The Takeaway: Was the Colorado Shooter a Terrorist? (START in the News)
Researcher spotlight: Anthony Lemieux (People Spotlight)
CNN: Alleged 9/11 Plotters Facing Justice; Obama's Campaign Kickoff; Bin Laden's Secret Letters (START in the News)
START Releases 2011 Research Review (Featured Research)
Various: START Investigators comment on 9/11 ten year anniversary (START in the News)
START Researchers Participate in Session on Psychology of Terrorism (News)
START Announces 2009 Curriculum Development Grant Recipients (News)
START Announces 2009-2010 Undergraduate Research Program Award Recipients (News)
START Expands its Research Brief Series (Featured Research)
New Research Briefs Available from START (Featured Research)
START Announces 2007-08 Fellowship Awards (News)


Hey kids – did everyone have a good weekend? I hope you each felt loved and safe this Valentine's Day weekend. I know I did.
On Saturday night, C and I went to see Valentine's Day – it was GREAT! He had low expectations for it, something I discovered while we were sitting in Opry Mills mall traffic for 45 minutes. Knowing it would be a busy night, I had bought tickets ahead of time on Fandango. But sitting in that traffic, I was intensely scared we were going to miss the movie and I would be out $22. I started calling the movie theater to find out what would happen if I was too late to get a seat because they had the traffic equivalent of the Iron Bowl in their backyard, but luckily, we parked the car and made it inside with just enough time. Honestly, you would have thought they were giving away money at Opry Mills. I have NEVER seen it that crowded. Picture mall traffic on the five days before Christmas… then combine all five days. That's what we were dealing with Saturday night. From what I could tell, it ended up being a bunch of people teenagers just going to the mall. If we had not have already purchased tickets, I would have not even bothered getting off the interstate. It. Was. Insane.
But I digress. After the super cute movie, I figured someone* would want to go home post-haste to watch some Olympic coverage. Turns out, he had other plans. C surprised me and drove us to Rumba, the restaurant where we had our Valentine's dessert last year. How cute! We enjoyed a drink and dessert each. And no one was upset that there was a TV showing the luge footage in the bar behind us.
Sunday night, we started off the day as all days should start – with a big fat breakfast at Waffle House. Full as ticks, we spent the day together on the couch, watching - Olympic coverage - before I split to finish gift shopping and get ready. C picked me up and we went to eat at J. Alexander's, which was delicious. I love dressing up and eating out, but more importantly, spending time with C. Really. We could have just as well gone to Shoney's. And we have! He's just so fun to share a booth with, it doesn't matter where we go. Or, as Sugar said in Some Like It Hot, "It's not how long it takes, it's who's taking you." He's a good one.
Anyway - pardon the Hallmark moment. After dinner, I wanted Chris to try the wonderful cookie-dough egg rolls at Jackson's, so we made our way over there. In a shocking turn of events, he was more interested in the accompanying ice cream than the cookie-dough egg rolls, which meant more for me except I was so stuffed from dinner that I couldn't finish them. Oh well.
We headed home and swapped presents. I received some dark chocolates, some new perfume and my favorite gift, a stuffed kitten with big blue eyes like Chris's. Hilarious. This way I don't have to subject him to a real kitten (except I might still get a real kitten). But this one is a good sub! For instance, the stuffed kitten—which was promptly named Delilah—spent the night doing pretty close to what a real cat does (unless the real cat is Kate's cat): sitting pretty in my lap and keeping quiet. Chris received equally silly/useful gifts – some sweets, some toys and games, and in the useful department, a pizza stone and the Hangover DVD. But both of those useful gifts? Not just useful for him, my friends. I love pizza, and I love the Hangover. So a happy Valentine's Day it was indeed.
Hope you all had a good weekend. It flew by too quickly and left snow in it's wake. Boo. Spring, where are you?!?!
*Chris LOVES the Olympics. Ever heard of a hunter's widow? This weekend withstanding, I am an Olympic widow. See you in March babe.
I LOVE the Olympics. I cannot get enough. Luckily, Travis is just as obsessed as I am, so our televisions have been on NBC 24/7. I always get a little sad the week after the closing ceremonies.
Glad you had such a great Valentine's Day!
I love it when you talk about C... you two sound so happy. Makes me happy just to read about it!