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Original Paper
Analysis of eHealth Search Perspectives Among Female College Students in the Health Professions Using Q Methodology
Michael Stellefson1, PhD; Bruce Hanik2, PhD; J. Don Chaney1, PhD; Bethany Tennant1
1Center for Digital Health and Wellness, Department of Health Education and Behavior, University of Florida, Gainesville, FL, United States
2Office of Health Informatics, Department of Health and Kinesiology, Texas A&M University, College Station, TX, United States
Center for Digital Health and Wellness
Department of Health Education and Behavior
University of Florida
P.O. Box 118210
Gainesville, FL, 32611
United States
Phone: 1 352 294 1805
Fax: 1 352 392 1909
Email:
(J Med Internet Res 2012;14(2):e60)
doi:10.2196/jmir.1969
KEYWORDS
eHealth literacy; college students; Q methodology; Internet search; health professionals; medical education
The Internet continues to be widely used to facilitate research and learning for health and medical information. Eight out of 10 Internet users look online for health information, making it the third most popular Web activity next to checking email and using search engines [1]. The pervasiveness of the Internet and the continued evolution of devices that employ Web-based technologies makes obtaining, processing, and understanding health information a critical competency area for medical professionals in training. Among medical professionals around the world, mobile information and communication technologies (eg, smartphones, iPads, and notebook computers) enable frequent Web 2.0 searches for health information [2-5]. Recent studies have highlighted limitations in measuring and evaluating the interchangeable and interrelated skills necessary for information gathering in the highly social Web 2.0 environment [6-8]. The ability to conduct an effective Internet search to locate health information is particularly important for health and medical professional students who represent an especially ?plugged in? subgroup of the future public health workforce. Approximately 76% of college students use the Internet frequently for research or homework, while 86% report spending at least some time on social networking sites each week [9]. Given the wealth of health and medical information that exists on the Internet, implementing evidence-based health and medical Internet searches becomes far more complex than simply entering a medical condition or health term into an Internet search engine (eg, Google or Bing) and clicking on the most prominent search result within the selected Web browser.
Obtaining health information using the Internet involves a variety of competencies that health information seekers generally lack [10,11], such as: (1) conducting both basic and advanced information searches; (2) applying Boolean operators to limit Internet search results; (3) differentiating between scholarly documents, authoritative sources, periodicals, and primary versus secondary sources of health information; and (4) comprehending ambiguous eHealth terminology.
Increasingly, health and medical professionals must use at least basic eHealth literacy skills to perform their job-related responsibilities [4,5]. ?eHealth literacy? refers to the ability of individuals to seek, understand, and evaluate health information from electronic resources and apply such knowledge to addressing or solving a health problem [12]. The construct reflects the composite of both analytic and context-specific skills that require cognitive-behavioral capabilities to work with technology, critically think about issues of media and science, and navigate through online decision-making resources. The literature has established the need to begin unraveling the basis for cognitive Internet search tasks among medical professionals, especially tasks that may be repeated over long periods of time [4,5,13]. Medical professionals are aware of the need to make evidence-based decisions using eHealth resources [4]; yet, they rarely make evaluative judgments regarding the sources of health and/or medical information they are consuming and habitually visit websites that are perceived to represent high levels of information quality, where cognitive authority is presumed to be high [13].
College students who are professionally trained in the health and medical professions should be taught the knowledge and skills necessary to conduct advanced eHealth information searches on the Internet. These search tasks are complemented by critical appraisals of both the information content and source [14]. The medical education community has recognized the important responsibility of fostering the use of eHealth technologies among future health professionals who will continue to work in the Internet age [15]. Although college students do not encounter the environmental, physical, and resource-related barriers associated with surfing the Internet [8], this population still reports an inability to find desired materials in the digital age [16]. Recent investigations have examined eHealth literacy among college students [14,17]. Stellefson and colleagues [14] conducted a systematic literature review of studies assessing eHealth literacy among college students and found that college students generally lack eHealth literacy skills. Few studies have examined the unique patterns and underlying reasons for college students? health information search behaviors on the Internet [18], which has led to an incomplete understanding of these tasks. The limited current understanding of eHealth literacy is especially disconcerting when considering the importance of Internet search capabilities among young people studying to become future health and medical professionals.
Hanik and Stellefson [17] attempted to fill the gap in this literature by investigating perceived and actual eHealth literacy among undergraduate health education students studying to become allied health professionals. Participants were asked to complete the Research Readiness Self-Assessment-Health (RRSA-h) [19] online assessment, which measures knowledge/skill sets necessary for performing eHealth searches on specific health and medical topics. The multi-part eHealth search task was operationally defined as: (1) making a determination into possible sources of quality health information; (2) conducting an actual health information search on the Internet; (3) evaluating the quality of the health information retrieved; and (4) answering questions following the analysis of health information that was located and evaluated. A total of 77 undergraduate students (88% female) completed this online assessment and earned subpar actual eHealth literacy test scores (mean overall ability score = 42.6%) [17] as compared to results from a previous study in a similar population [19]. However, it was noted that more advanced students (eg, juniors and seniors) had higher overall eHealth literacy than their younger counterparts did. Although the more senior level students exhibited higher levels of eHealth literacy, it could not be determined whether specific eHealth search attributes were qualitatively different among students possessing high versus low eHealth literacy. It was determined, however, that actual eHealth literacy was markedly inferior to ratings of perceived eHealth literacy [17].
In light of these preliminary research findings, it is important to better understand how personal eHealth search practices are perceived among health and medical professional students. These insights may provide a context for determining the types of characteristics that predict and explain eHealth literacy achievement within this population. The purpose of the current research study was to systematically identify health professional college student perspectives of eHealth search practices. The current study addressed three research questions in hopes of achieving this research aim:
1. How many clusters of health professional college students exist, given information about perceptions of personal eHealth search practices?
2. Which college students belong to the eHealth search clusters that emerge?
3. Which specific perceptions of personal eHealth search practices provide the basis for differentiating the clusters that emerge?
To systematically identify health professional college students? perspectives of their own eHealth search practices, Q methodology [20] was employed. The Q method is a systematic way to study subjectivity and it can be used to reveal various social perspectives that exist on a given topic [20-22]. The Q method fits under the broad umbrella of discourse analysis techniques, which constitutes a large category of research methods that systematically analyzes text-based statements in order to determine underlying patterns or meaning [22]. Within this analysis, individuals are clustered into different typologies based on how they describe themselves [23]. This method of inquiry can provide exceptional insight into how many types of people there are, which people belong to different groups, and which particular variables best differentiate types of people [24]. It also enables researchers to systematically explore a variety of perspectives about an issue to identify important areas that may overlap or differ among unique populations [25]. This methodology has been applied in various disciplines including general nursing research [26], clinical decision making among nurses [27,28], and health care informatics [29].
In Q-method research, participants are the independent variables and the text-based statements they are asked to evaluate are the subject of analysis. Participants are asked to systematically order (or ?Q sort?) text-based statements presented to them according to how those statements fit into their own belief system regarding how they believe themselves to be. After participants sort the text-based statements presented to them, the Q method seeks to identify patterns embedded within the Q sorts completed by different participants. Any existing patterns suggest intersubjective orderings of beliefs shared among participants, thus revealing social perspectives [22]. This research technique is valuable because it capitalizes on the strengths of both qualitative and quantitative research [30,31]. For more on the mechanics of Q methodology, the reader is directed to guideline tutorials published within the health and medical research literature [21,26,29].
In the context of the current study, it was hoped that the Q method would help detect any qualitative patterns within undergraduate health professional students asked to consider beliefs about their own personal eHealth search practices. Specifically, the researchers were interested in whether the intersubjective orderings of eHealth search beliefs were common among participants possessing distinct levels of eHealth literacy (eg, basic, intermediate, and proficient). To facilitate this analysis, the Q study protocol was split into three sequential steps: (1) development of the concourse, (2) facilitating the Q sort procedure, and (3) interpreting data from the Q sorts.
In Q methodology, a ?concourse? is the list of statements that sufficiently represents the ?universe of viewpoints? about a topic [32]. To create a concourse of statements made by health professional students regarding attitudes and experiences conducting eHealth searches, a convenience sample of 42 health education majors were recruited from a large research institution in the southwestern United States. Traditional sampling principles and methods used in survey research are not of particular relevance to person sampling in Q methodology; thus, a pragmatic participant selection process was used [29]. Students were asked to respond to a set of statements meant to elicit responses about the students? personal experiences conducting eHealth searches. All statements were based on cognitive-behavioral constructs posited to be relational within the atomic components of thought theory (ACT) [33], which explains skill development as a process of encoding, strengthening, and proceduralizing declarative and procedural knowledge [34]. Declarative knowledge describes what one knows (eg, facts), whereas procedural knowledge describes whether individuals understand ?how to? complete tasks. Complex tasks, such as searching for eHealth information on the Internet, can be described as combinations of declarative and procedural knowledge put to work. The 12 open-ended statements that students were asked to respond to represented combinations of declarative and procedural knowledge necessary for locating and evaluating health information on the Internet.
The 12 statements informed by ACT were written on index cards, color coded, and numbered and each student was given corresponding index cards to write open-ended responses to each statement. For example, each student was asked to respond to the statement, ?List the source you use most when you search for health information on the Internet.? After all participants responded to each statement, 504 unique statements (42 students ? 12 statements) were generated. Repetitive responses were removed, and a literature review [14] informed the content validity of the 380 statements that were retained for the final concourse. The statements were edited for grammar and readability only to ensure face validity [26] and were grouped together into broad themes that emerged throughout the concourse by way of a constant comparison analysis [35]. To cultivate a greater sense of the most important concepts reported by participants, the number of times each code emerged (across each theme) was quantified to assess saturation within the statement pool. The four overarching identified themes were (frequency of emergent codes corresponding to each theme specified in parenthesis): educational experiences related to conducting eHealth searches (n = 111), confidence in ability to conduct eHealth searches (n = 99), knowledge about conducting eHealth searches (n = 87), and how students engaged the eHealth search process (n = 83).
After the final concourse was developed, a subset of 36 representative statements (known as a ?Q sample?) was selected to provide a miniature depiction of the larger concourse. This practice is suggested when using Fisher?s experimental design principles in Q methodology [36]. Each statement was randomly assigned a unique numerical identifier from 1 to 36 in order to reduce the probability that participants would recognize conceptually similar statements and cluster related statements together without cognitively processing each statement separately. Table 1 lists the 36 Q statements.
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The Philadelphia Union will look to keep their three-match shutout streak rolling against one of the hottest teams in MLS as the West-leading San Jose Earthquakes visit PPL Park tonight.
The Union defense has helped the team turn around a slow start to the season and consecutive 1-0 victories have Philadelphia feeling good heading into tonight's showdown against a San Jose side riding their own unbeaten streak.
Philly's defense will try to slow down Earthquakes striker Chris Wondolowski, who has been one of the top scorers in the league this season. Offensively, the Union will be counting on Freddy Adu to keep his recent run of good form rolling.
SBI will be providing live commentary from today's match so please feel free to follow along here. As always, you are welcome to share your own thoughts and opinions in the comments section below.
Enjoy the action (Commentary is after the jump):
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LONDON |
LONDON (Reuters) - Britain's military has told residents of an upscale apartment development near the Olympic Park in east London it is installing a missile battery on top of a tower within their housing complex to defend the 2012 Games this summer.
The site is one of a number around the capital the army is considering as bases for surface-to-air missiles to protect the London games from an aerial attack, the Ministry of Defence said.
It is the first time such missiles have been deployed in London since the end of World War Two, shocking some residents at the Bow Quarter housing development, sited in a converted red-brick Victorian match factory.
"There was no consultation, no one knocked on the door," Brian Whelan, a 28-year-old journalist, told Reuters. "You just wake up one morning, there's a leaflet telling you they are going to put missiles on the roof."
The measure was excessive and had upset his girlfriend, he said. "I can't imagine the circumstances that would require you to fire missiles over a highly populated area."
Defence Secretary Philip Hammond first announced the plans in November, saying Britain would follow the precedent set by previous Olympics such as the Beijing games in 2008 where surface to air missiles were stationed a kilometre south of its showpiece stadiums.
The defence ministry said in a leaflet sent to occupants on Saturday it had chosen the former water tower in the Bow Quarter complex because it offered "an excellent view of the surrounding area and the entire sky above the Olympic Park."
The tower was in fact "the only suitable site in this area for the HVM (High Velocity Missile) system," it added.
The rooftop missile battery is one of a number of extraordinary measures Londoners can expect during the high-profile sporting festival, including restrictions on road lanes for Olympic use and a security bill of more than a billion pounds.
(Editing by Eric Walsh)
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Four foreigners investigating debris from recent fighting between Sudan and South Sudan have been caught in the Heglig oilfield area, Khartoum said Saturday, but the UN identified them as deminers.
"This confirms what we said before, that South Sudan in its aggression against Heglig was supported by foreign experts," army spokesman Sawarmi Khaled Saad told reporters after the four were flown to Khartoum for "more investigation."
He identified the captives as a Briton, a Norwegian, a South African and a South Sudanese.
"We captured them inside Sudan's borders, in the Heglig area, and they were collecting war debris for investigation," Saad said at the airport.
Jan Ledang, country director for the Norwegian People's Aid (NPA) mission in South Sudan, identified one of the captives as John Sorbo, also of NPA.
"It's impossible that they were in Heglig -- they were in Pariang" about a 90-minute drive from Heglig in the South's Unity state, Ledang said.
They were doing some follow-up demining work in that area, he added.
Josephine Guerrero, a spokesperson for the United Nations Mission in South Sudan, said the four were on a de-mining mission "and one of them was from the UN."
In the most serious unrest since the South's independence, Juba's troops occupied Sudan's main oil region of Heglig for 10 days, a move which coincided with air strikes against the South and raised fears of wider war.
Sudan declared on April 20 that its army had forced the Southern soldiers out of Heglig, but the South said it withdrew of its own accord.
Each side blames the other for damaging the oil facility, which provided about half of Sudan's oil output and is now shut down pending repairs.
Sudan on Saturday ruled out UN Security Council involvement in efforts to end a month of border clashes with South Sudan, which on Saturday said it had repelled an attack by Khartoum-backed rebels.
"Sudan confirms that it rejects any efforts to disturb the African Union role and take the situation between Sudan and South Sudan to the UN Security Council," Foreign Minister Ali Karti said.
The African Union itself, in a decision last Tuesday, asked the Security Council to endorse its demand that the two Sudans halt hostilities in 48 hours, start talks within two weeks and complete a peace accord in three months.
But Karti -- while expressing full confidence in the AU's role -- said in a statement that Security Council involvement would "give priority to a political position which... has a hidden agenda."
He did not elaborate.
The South Sudanese army said it had repelled an attack by rebels outside Malakal, capital of the South's Upper Nile State.
"It was Sudan-supported militias that attacked SPLA (South Sudan army) positions" on Friday, Colonel Philip Aguer told AFP.
But the rebels claimed in a statement that the "South Sudan Democratic Army (SSDA) launched Operation Ending Corruption and surrounded Malakal... and captured its surroundings."
The Security Council on Thursday started talks on a resolution that could allow sanctions against Sudan and South Sudan if they do not follow an AU roadmap to end their fighting.
A resolution drafted by the United States backs the AU decision and calls for the two sides to "immediately" halt hostilities and pull their forces back into their own territory.
The roadmap also urged both sides to stop supporting rebel groups and refrain from making "inflammatory" public statements.
Both nations have denied backing rebels on each other's territory.
In the latest of many diplomatic calls for Sudan and South Sudan to pull back from the brink of war, the presidents of the East African Community nations urged both sides "to return to the negotiating table and find peaceful means of resolving all the outstanding issues in the Comprehensive Peace Agreement," a statement said.
The EAC groups Burundi, Kenya, Rwanda, Tanzania and Uganda.
South Sudan broke away from Sudan in July last year after a peace deal ended one of Africa's longest civil wars, which killed about two million people.
Tensions have risen over a series of unresolved issues including the border, the future of disputed territories and oil.
In a key dispute, the two sides were unable to agree on how much the South should pay to export its crude through a northern pipeline and port, leading the Juba government in January to shut its production after Khartoum began seizing the oil in lieu of payment.
The poverty-stricken South said 98 percent of its pre-shutdown revenue came from oil. On Saturday it announced that China has agreed to lend it $8 billion for infrastructure development.
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It helps to be free on the fastest-growing mobile platform, but that shouldn't draw all the attention away from Rovio's latest announcement. It's space-based reinvention of Angry Birds has now topped 50 million downloads in under 35 days, breaking its (and presumably everyone else's) record for mobile game downloads. In Rovios's own way, it recently thanked eager gamers for their consistent downloading support by slathering ten additional levels on both the iOS and Android version last week.
Angry Birds Space hits 50 million milestone, smashes it, crushes pigs in the process originally appeared on Engadget on Mon, 30 Apr 2012 14:25:00 EDT. Please see our terms for use of feeds.
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Mr. President, Salaam.
That's how Jimmy Kimmel kicked off his hilarious 25-minute speech at last night's White House Correspondents Dinner, an annual event that brings reporters together with celebrities and features a humor-based segment by both an emcee and the President himself.
You can follow this link to watch Obama lay into Mitt Romney, Donald Trump and even himself - and then you can check out the following video to see Kimmel go off on Sofia Vergara's cleavage; Obama's ears; the Kardashians; the Secret Service scandal and much more.
Enjoy!
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Posted By admin on April 29, 2012
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Every year, above 5 thousand Americans are seriously injured in vehicle accidents, incidents at retail areas, commercial mishaps, and house damages. When someone in addition to the wounded man or women might well have and should have avoided the crash, then the seriously injured person could be eligible, beneath the rules, to settlement from the one that might well have and ought to have eliminated the automobile accident within a human body of municipal laws called ?tort law.Inch
You?ll find overall companies of lawyers who specialise not just in compensation for injuries lawsuits, in special forms of injuries a lawsuit. Some lawyers target auto accidents and truck crashes, any lawyers focus on employees? settlement boasts, any attorneys give attention to claims in opposition to community organizations like flow professionals, and then any legal professionals focus on claims about the manufacturers of residence kitchen appliances. For virtually every form of compensation for injuries state, you?ll find guidelines special to prospects states, and solicitors accustomed to bringing all those particular different types of says.
A common question is, when do you want a legal professional to go after your injury claim?
For any statements, this is conclusive evidence. If a member of family has deceased, one example is, within the plane lock up, or as a result of medical negligence, next the survivors will likely need to retain a legal professional to engage in the assert. As a rule of thumb, promises towards certified experts, and boasts relating to severe everlasting pain or dying, ought to be sought with an legal representative. The type of boasts are mostly so difficult, and so expensive to engage in, than a low-lawyer may perhaps be unable to gain settlement in any way ? and in case they certainly acquire, will win a significantly cheaper quantity whenever your attorney experienced showed them.
With that being said, almost all injury says don?t come up from specialist disregard or malfeasance, and a lot of accidental injury boasts usually do not call for critical lasting harm or passing. In those instances, a hurt man or women selecting calling make contact with an law firm really should initially independently two inquiries: do I know the way to launch my claim, and do you are aware of the final target time for filing?
If you do not have in mind the solution, then you certainly really should consult with a lawyer. Most injury attorneys give cost-free session during which they will let you know about the statute of limitations in your claims. At that time, you could freely discuss with the attorney at law the worth and cost of this state and attained a choice about representation by legal counsel.
If you choose not to ever be represented by your attorney, or if the legal professional reductions to fully handle your case (that?s sometimes the way it is in possibility or small importance, law suits) begin settling the assert oneself while using the insurance agency for any company or person liable for the car accident. As long as you?re alert to the statute of limitations, as well as any other limits on when and how you data file your lay claim, you are able to bargain directly with the insurance company. Generally, insurance providers are slowly to supply pay outs, but the location where the injured person support their assert with medical bills and property damage, and exactly where seems like clear which the insurance cover policyholder was at problem, insurance providers at times provide modest pay outs for those who have trivial and no-long lasting accidental injuries.
There?s no technique menu in talking with insurance agencies, but view that which you talk about for the reason that it could be made use of towards you in court in the future. Whenever you can vindicate your state and also your damages, the insurance company may very well be prepared decide to prevent the particular issue and cost negation. If you have trivial, low-long term accidents, that may be all they must return to their legs.
Www. PersonalInjuryClaimLawyer. Org. Uk A personal injury claim lawyer is in charge of lawsuits which have as a purpose helping people who have become innocent victims of personal injuries. Such victims have been injured without having anything to do with the accident, and therefore are lawfully entitled to the right treatment. They also have to be compensated for their pain and suffering.
Max Kennerly -
About the Author:
Max Kennerly is the author of this article on Personal Injury Lawyers. Find more information about Accident Liability Attorneys here.
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Ghana is an African destination and also very ideal places for tourists a part of this Ghana is established recently and has many requests of tourist to visit this place from all over the world. Ghana does not have very established places to visit but this African area has its own importance as it is very rich in gold and also a stable country with great potential for growth.
You can see there a mix culture of Africa and Europe, as there colonial style is like Europe. The season of Ghana has 2 parts Wet season and Dry season. Among the sites are equipped for tourists are the castles of the slaves in the coastal cities, including Cape Coast, enamel, and others.
You can go there by Cheap Flights to Ghana. TRO-TRO and walk away from Accra is the Kakum National Park, where you can walk through the wooden bridges and rope in spite of the rain forest canopy.
Flights to Ghana?A great experience albeit 1 tourist bit. Prices have risen in recent years, however it is a great opportunity to see some plants and animals (if not a lot of tourists, you have a good chance to see some monkeys in the trees).There are many safari opportunities in Ghana Flights, and the cheapest in the Mole National Park, where you can have a chance to see the elephant while enjoying a beer in motel room your yard. You can organize your camping trip for several days at the reception.
Ghana has also very importance regarding food. Traditional food is interesting to try and easy to enjoy. Fufu, the most traditional food supply, hit a ball of yam, the front side of the grass, yucca, or soup and goat meat or fish.
The soup is usually peanuts, palm kernels, okra and other vegetables. banku is fermented corn version of the food consumption of fish or grilled tilapia gumbo. You can found the traditional food there in full delicious form and the restaurants over there will also show you the pure African environment.You can also do shopping from Ghana but in their style as the markets over there are also like there tradition and show you the reflection of their beloved culture. The people of Ghana are very reserved and can be selfish at the start so you will find some difficulty at start but with the passage of time you?ll find everything going to be all right.
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When President Obama holds his first public campaign rallies this week, he'll take direct control of a populist re-election narrative that Vice President Joe Biden and senior Obama strategists have spent weeks honing on the campaign trail.
The message: incumbent Obama is a firewall against a return to the "failed" foreign, social and economic policies of the George W. Bush administration, which are now embodied by presumptive Republican nominee Mitt Romney.
Romney "basically wants to do what they did before - on steroids," former President Bill Clinton told a crowd of high-dollar donors at an Obama campaign fundraiser Sunday night, "which will get you the same consequences you got before, on steroids."
Biden has used a month-long series of five speeches on key campaign issues to methodically lay out the same argument, signaling that Democrats will focus less on positive promises for a second Obama term than on a negative message about Romney.
"He offers his prescription as if somehow it's a new idea, folks, like something we haven't seen before, even worse, like something we haven't actually tried before," Biden said of Romney's tax-cut focused economic plan during a speech in New Hampshire earlier this month.
"Folks, we've seen the movie before," Biden said. "It doesn't end well.? It does not end well.? Where has he been?"
At campaign rallies in Toledo, Ohio, and Davenport, Iowa, Biden highlighted the resurgence of the U.S. auto industry and manufacturing sector - both of which received financial support under the administration - as case studies in contrast with Romney.
The former Massachusetts governor famously opposed the 2009 auto bailout and has suggested the administration's emphasis on greater investment in U.S. manufacturers may be misplaced.
Biden warned retirees in Coconut Creek, Fla., that a President Romney would "dismantle" Medicare and roll back health care benefits for women, including abortion rights and contraception coverage.
And last week, in a foreign policy address in New York City, Biden publicly lashed Romney for a "Cold War mindset" and argued that "we cannot afford to go back to the future."
"One thing that could bring all this momentum to a screeching halt is turning over the keys to the White House to [Rick] Santorum or Romney," Biden said of the administration's record while in Davenport on March 28.
The targeted, populist pitch - to which Obama will more forcefully lend his voice this week - tracks closely with positions backed by large or increasing numbers of Americans.
Majorities of voters in recent public opinion polls side with Obama on higher taxes for millionaires and billionaires, for example, and resisting bold changes to Medicare as proposed by Rep. Paul Ryan and backed by Romney.
Growing numbers of Americans also say they support the taxpayer-funded auto bailout, and withdrawing U.S. troops from Iraq and Afghanistan.
Republicans say Obama's argument is shaping up as a diversion from the unpopular aspects of his first term, including the health care overhaul and lingering high unemployment.
Romney aides say the president's pitch offers little substance for how he would accelerate the recovery and job growth or reduce the deficit, which a recent Pew Center poll found is the third most important issue to voters behind the economy and jobs.
"If [voters] want to continue down a path that we've seen with this president where the government is making decisions on our healthcare and on the kind of cars we can drive, the kind of energy we can use, the investments in Solyndra ? and the wasteful spending that we're seeing now and higher taxes," then they can support Obama, Romney adviser Ed Gillespie said Sunday on "Meet the Press."
But Team Romney is confident they can create a wedge with voters using the economy while defending against Obama's attacks.
The latest ABC News/Washington Post poll found Romney leading Obama on handling of the economy, with 47 percent of voters saying the Republican would do a better job with just 43 percent backing the president.
Romney also holds a narrow edge on energy policy and is tied with Obama on who would do better to support small businesses, according to the poll.
"I don't believe most Americans think that [continuing Obama's policies] is going to result actually in economic growth.? I think they think it'll continue what we have now, which is a pretty stifled economy that's limping along," Gillespie said.
"The American people are going to have a very clear choice in November," he added.
That's a statement on which both Team Romney and Team Obama agree.
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Stanford quarterback Andrew Luck walks on stage after he was selected as the first pick overall by the Indianapolis Colts in the first round of the NFL football draft at Radio City Music Hall, Thursday, April 26, 2012, in New York. (AP Photo/Mary Altaffer)
Stanford quarterback Andrew Luck walks on stage after he was selected as the first pick overall by the Indianapolis Colts in the first round of the NFL football draft at Radio City Music Hall, Thursday, April 26, 2012, in New York. (AP Photo/Mary Altaffer)
Baylor quarterback Robert Griffin III, right, poses for photographs with NFL Commissioner Roger Goodell after he was selected as the second pick overall by the Washington Redskins in the first round of the NFL football draft at Radio City Music Hall, Thursday, April 26, 2012, in New York. (AP Photo/Jason DeCrow)
Baylor quarterback Robert Griffin III speaks to reporters after he was selected as the second pick overall by the Washington Redskins in the first round of the NFL football draft at Radio City Music Hall, Thursday, April 26, 2012, in New York. (AP Photo/Mary Altaffer)
NEW YORK (AP) ? Once the NFL draft got past quarterbacks Andrew Luck and Robert Griffin III, it was like a day on Wall Street. Everybody wanted to make a trade.
The wheeling and dealing started even before the Colts opened the proceedings as expected Thursday night by taking Luck and the Redskins followed by selecting RG3.
Behind closed doors, general managers around the league were gabbing away, jockeying to position their teams to land the most coveted player on their draft board.
When it was over, there were eight trades involving 12 of the league's 32 teams and draftniks breathlessly trying to keep up with the organized mayhem. It all started when Minnesota swapped its No. 3 choice for Cleveland's No. 4 pick. The Browns, who also gave up a fourth, fifth and seventh-rounder, desperately wanted Alabama running back Trent Richardson. The Vikings still got the guy they sought in Southern California tackle Matt Kalil.
"Unfortunately, we had to make a little trade to secure the pick," said Browns coach Pat Shurmur, who later added quarterback Brandon Weeden with the No. 22 selection. "We knew as we went through the process that he was our guy and so we did what we had to do to secure it. We had pretty good knowledge that there were teams behind that wanted him as well, so we gave up a couple of picks to make sure we got him. We're thrilled a bunch about Trent."
The move allowed the Vikings to deal for another first-round pick, gaining the No. 29 spot in a trade with Baltimore and choosing Notre Dame safety Harrison Smith.
"That trade with Cleveland kind of set the tone for this draft, and us being able to do some things," Vikings GM Rick Spielman said. "That was a huge, huge thing to get done right before the draft started.
The Jaguars, Cowboys and Eagles also traded up, and the Patriots did it twice to select players they wanted.
Credit the rookie wage scale for so much buying and selling, with GMs making last-minute moves knowing that extravagant salaries for top picks have been replaced by a compensation plan.
There were no such concerns for Indianapolis and Washington.
Stanford's Luck heads for Indianapolis and the burden of replacing Peyton Manning, who merely won four MVP awards and a Super Bowl. Baylor's RGIII answers the call in Washington, where he will try to soothe a devout but highly critical fan base.
"You don't really replace a guy like that," Luck said. "You can't. You just try to do the best you can. Obviously, he was my hero growing up."
His selection as the top pick was hardly a stunner. The Colts informed Luck last week that Commissioner Roger Goodell would announce his name first. Right behind him was Griffin; no suspense attached to that pick, either.
After being loudly booed at the start, Goodell told a raucous crowd at Radio City Music Hall that "the season begins tonight, so let's kick if off." Then he did, congratulating Luck to chants of "RG3, RG3."
Luck left the stage, slapped hands with some fans in Colts shirts and headed to the interview room.
"I realize you could go crazy trying to measure yourself to Peyton Manning every day. That would be an insane way to live," Luck said. "I know his legendary status, really. Huge shoes to try and fill if you're trying to do that. ... If one day I can be mentioned alongside Peyton as one of the football greats, that would be a football dream come true."
To get Griffin, Washington had dealt a second-round pick this year and its first-rounders in 2013 and '14 to St. Louis to move up four spots. They wound up with the QB that beat out Luck for the Heisman Trophy.
RG3 sang the team's fight song during a conference call:
"Hail to the Redskins! Hail vic-tor-y!" Griffin said. "That's how I felt. It felt that good."
After Minnesota took Kalil, Jacksonville jumped up two spots to No. 5, trading with Florida neighbor Tampa Bay to get Oklahoma State's Justin Blackmon, the top receiver in this crop.
"It just goes to show you that anything can happen," Blackmon said, referring to the Jaguars going after him.
St. Louis must have liked dealing down because the Rams did it again, trading with Dallas, which was 14th overall. The Cowboys selected LSU's Morris Claiborne, the top cornerback, adding him to free agent signing Brandon Carr and shoring up what was a Swiss cheese secondary.
St. Louis got a second-rounder in the deal.
Tampa Bay finished off a wild 30 minutes of bartering by grabbing Alabama safety Mark Barron seventh overall.
A third quarterback went eighth where Miami stayed put. The Dolphins took Texas A&M's Ryan Tannehill, who played wide receiver for most of his time in college. His coach at A&M, Mike Sherman, is the Dolphins offensive coordinator.
Carolina selected Boston College linebacker Luke Kuechly, the nation's leading tackler. Buffalo chose cornerback Stephon Gilmore of South Carolina and Memphis defensive tackle Dontari Poe went to Kansas City before the next trade occurred.
Philadelphia moved up from 15 to 12, giving Seattle two later picks, then took Mississippi State defensive tackle Fletcher Cox.
Notre Dame receiver Michael Floyd went to Arizona, then the Rams finally got involved, taking LSU defensive tackle Michael Brockers.
New England's first deal was with Cincinnati to get Syracuse DE Chandler Jones at No. 21, and the second was with Denver to draft Crimson Tide linebacker Dont'a Hightower at No. 25.
Like Minnesota, Tampa Bay also got back into the first round, at No. 31 after dealing with Denver. The Bucs took Boise State running back Doug Martin.
The Super Bowl champion Giants concluded a swift but hectic round by choosing Virginia Tech running back David Wilson.
Bengals coach Marvin Lewis may have summed up the first of three draft sessions.
"I guess maybe this one-night format is a good thing," he said. "Everybody was fired up to do something on the night."
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