Toward International Harmonization of Breast Implant Registries: International Collaboration of Breast Registry Activities Global Common Data Set.

BACKGROUND: The Poly Implant Prothèse incident and breast implant-associated anaplastic large cell lymphoma have pointed to the need for uniform registries for breast implants as key features to monitoring the outcomes of breast implant surgeries internationally. The purpose of this study was to identify and harmonize common data elements collected by breast implant registries across the International Collaboration of Breast Registry Activities (ICOBRA) global consortium. METHODS: The authors convened an international group of surgeons, consumers, nurses, registry experts, and regulators to review the data points. A modified Delphi approach was applied, to rate the importance of each point on a six-point Likert scale. RESULTS: Data points from six national breast implant registries were divided into categories: clinical, implant-related, patient-reported findings; operation details and implanting technique details; patient characteristics; unique device identifiers; unique patient identifiers; and clinical demographics. A total of 52 data points collected by over 33 percent of national registries were identified. After five rounds, 34 data points formed the final set with agreed definitions. The group recognized the critical importance of additional elements that are currently not uniformly collected (e.g., patient-reported outcomes and long-term data) and set out the process for the dynamic global set updates driven by evidence gaps. CONCLUSIONS: The authors defined internationally agreed on common data elements and definitions used in breast implant registries. This collaboration will allow data sets to be combined, enabling an effective global early warning system of implant-related problems and further work on data sets.

When goals are known: The effects of audience relative status on goal commitment and performance.

To better understand how the social context affects self-regulation, we present 4 studies investigating how the perceived relative status of a goal audience influences goal commitment. As a set, these studies use different samples and methods to examine this phenomenon across a variety of contexts, goals, and audiences. Results are highly consistent, supportive of our hypotheses, and demonstrate that it matters to whom goals are made known. Specifically, the perceived relative status of the goal audience is positively related to goal commitment, and downstream performance, via evaluation apprehension. Our findings highlight that it is not enough for goals to be made known to facilitate commitment but that they should be made known to someone perceived as having higher status. Together, these results help to clarify when and how it is beneficial to make goals known to others, provide a greater understanding of social influences on self-regulation, and yield implications for performance management practices aimed at facilitating goal commitment, motivation, and performance. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Defining Quality Indicators for Breast Device Surgery: Using Registries for Global Benchmarking.

Breast device registries monitor devices encompassing breast implants, tissue expanders and dermal matrices, and the quality of care and patient outcomes for breast device surgery. Defining a standard set of quality indicators and risk adjustment factors will enable consistency and adjustment for case-mix in benchmarking quality of care across breast implant registries. This study aimed to develop a set of quality indicators to enable assessment and reporting of quality of care for breast device surgery which can be applied globally. METHODS: A scoping literature review was undertaken, and potential quality indicators were identified. Consensus on the final list of quality indicators was obtained using a modified Delphi approach. This process involved a series of online surveys, and teleconferences over 6 months. The Delphi panel included participants from various countries and representation from surgical specialty groups including breast and general surgeons, plastic and reconstructive surgeons, cosmetic surgeons, a breast-care nurse, a consumer, a devices regulator (Therapeutic Goods Administration), and a biostatistician. A total of 12 candidate indicators were proposed: Intraoperative antibiotic wash, intraoperative antiseptic wash, preoperative antibiotics, nipple shields, surgical plane, volume of implant, funnels, immediate versus delayed reconstruction, time to revision, reoperation due to complications, patient satisfaction, and volume of activity. RESULTS: Three of the 12 proposed indicators were endorsed by the panel: preoperative intravenous antibiotics, reoperation due to complication, and patient reported outcome measures. CONCLUSION: The 3 endorsed quality indicator measures will enable breast device registries to standardize benchmarking of care internationally for patients undergoing breast device surgery.

The assessment of commitment: advantages of a unidimensional, target-free approach.

This study presents a new approach to assessing commitment reflecting the Klein, Molloy, and Brinsfield (2012) reconceptualization. Klein et al. recast the construct to address issues hindering commitment scholarship, but their claims cannot be tested with existing measures. This paper presents a 4-item measure consistent with the Klein et al. conceptual definition, a measure intended to be unidimensional and applicable across all workplace targets. Our purpose is to present the development of and provide initial validity evidence for this new commitment measure and to compare it to existing alternative measures. Hypotheses around these objectives were tested with data gathered across 5 samples yielding 2,487 participants representing a wide range of jobs, organizations, and industries. Each sample examined a unique set of variables and targets that together provide a comprehensive test of this new measure relative to 8 different targets, several constructs within the nomological network, and 4 prior commitment measures. Results support our hypotheses regarding (a) the measure's properties and structure, (b) convergence and divergence with prior measures of commitment and other constructs in the nomological network, and (c) advantages over prior measures. These findings support the validity of this new approach to assessing commitment, laying the foundation for future research to address critiques of the commitment construct; better examine the multiple commitments individuals simultaneously hold; and bring consistency, synergy, and integration to commitment scholarship across workplace targets. The conceptual, methodological, and practical benefits of the measure are discussed, along with study limitations and future research opportunities.

The effect of negative feedback on tension and subsequent performance: the main and interactive effects of goal content and conscientiousness.

The purpose of this experiment was to examine the interplay of goal content, conscientiousness, and tension on performance following negative feedback. Undergraduate students were assigned either a learning or performance goal and then were provided with false feedback indicating very poor performance on the task they performed. After assessing tension, participants performed the task again with the same learning or performance goal. A mediated moderation model was tested, and results were supportive of our hypotheses. Specifically, individuals assigned a learning goal experienced less tension and performed better following negative feedback than individuals assigned a performance goal. Individuals high in conscientiousness experienced greater tension than individuals low in conscientiousness. Conscientiousness and goal content interacted in relating to both tension and performance, with tension as a mediator, such that high conscientiousness amplified the detrimental effect of a performance goal on tension following negative feedback leading to lower performance. High conscientiousness facilitated performance for participants with a learning goal.

Perception in consequences of free riding.

This study examined the relationships between perceptions of group members' free riding and group outcomes using Mulvey and Klein's 1998 perceived free riding scale. In a laboratory study, three free riding conditions were created (no free riding, free riding, free riding with justification) in which 97 college students performed two short number-finding tasks as members of temporary ad hoc three-person groups. 55% of the students were male and the average age was 22.9 yr. (SD= 3.0). Participants' perceptions of free riding were negatively related to commitment to the assigned group goal, task performance, and goals for group performance and individual performance. In the condition wherein free riding was justified by low ability, participants set lower goals for their future task performance than did those in the other two conditions.

Relationships between conscientiousness, self-efficacy, self-deception, and learning over time.

The present study examined the dual mediating effects of self-efficacy and self-deception on the relationship between conscientiousness and learning over time. Data from 134 college students were used to investigate the relative impact of self-efficacy and self-deception. Consistent with the hypothesized model, conscientiousness was significantly and positively related to both early training self-efficacy and self-deception, and both self-efficacy and self-deception had significant effects on learning but in opposite directions. Furthermore, the relative impact of self-efficacy and self-deception on learning changed over time as expected. The negative effect of self-deception in early stages of training disappeared at later stages of training but the positive effects of self-efficacy remained. Support was not found for self-efficacy and self-deception as mediators of the conscientiousness-learning relationship.

The Assessment of Goal Commitment: A Measurement Model Meta-Analysis.

Goals are central to current treatments of work motivation, and goal commitment is a critical construct in understanding the relationship between goals and performance. Inconsistency in the measurement of goal commitment hindered early research in this area but the nine-item, self-report scale developed by Hollenbeck, Williams, and Klein (1989b), and derivatives of that scale, have become the most commonly used measures of goal commitment. Despite this convergence, a few authors, based on small sample studies, have raised questions about the dimensionality of this measure. To address the conflicting recommendations in the literature regarding what items to use in assessing goal commitment, the current study combines the results of 17 independent samples and 2918 subjects to provide a more conclusive assessment by combining meta-analytic and multisample confirmatory factor analytic techniques. This effort reflects the first combined use of these techniques to test a measurement model and allowed for the creation of a database substantially larger than that of previously factor analyzed samples containing these scale items. By mitigating sampling error, the results clarified a number of debated issues that have arisen out of previous small sample factor analyses and revealed a five-item scale that is unidimensional and equivalent across measurement timing, goal origin, and task complexity. It is recommended that this five-item scale be used in future research assessing goal commitment. Copyright 2001 Academic Press.