Adaptive Inferential Feedback Partner Training for Depression: A Pilot Study

Adaptive inferential feedback (AIF) partner training is a cognitive technique that teaches the friends and family members of depressed patients to respond to the patients’ dysfunctional thoughts in a targeted manner. These dysfunctional attributions, which AIF addresses, are a common residual feature of depression amongst remitted patients, and are associated with poor long-term consequences. Thus, an AIF partner training intervention, as a supplement to individual cognitive-behavioral therapy (CBT), may help to improve clinical outcomes through the continuing reinforcement of the cognitive restructuring that takes place in the context of the patient’s individual treatment. This 10-patient pilot study examines the feasibility and outcome of the augmentation of standard CBT with 4 sessions of AIF partner training. The patients’ depression, anxiety, negative inferences, and perception of social support, and their partners’ knowledge and provision of AIF significantly improved over the course of the study, with gains maintained at 2-month follow-up. Further research is needed to investigate any incremental value of this intervention beyond standard CBT. A detailed case example, illustrating the application of AIF partner training techniques, is included.     

Notes and Comments the Role of Action Feedback in the Acquisition of Simple Motor Responses

The use of visual action feedback (AIF) in learning a simple motor response can sometimes be as effective as the more conventional terminal feedback (TIF) but sometimes leads to gross overshooting errors when AIF is removed. Both the amplitude of movement and the gain of the AIF have strong and systematic effects on the error in attempted reproductions. Percent overestimation increases linearly with fog. gain and decreases linearly with log. amplitude. This may be due to an intersensory effect in which visual and kinesthetic feedback sum to form a unitary impression of the movement on which subsequent attempts at reproduction are based.     

Using Dual Tasks to Test Immediate Transfer of Training Between Naturalistic Movements: A Proof-of-Principle Study

Theories of motor learning predict that training a movement reduces the amount of attention needed for its performance (i.e., more automatic). If training one movement transfers, then the amount of attention needed for performing a second movement should also be reduced, as measured under dual task conditions. The authors’ purpose was to test whether dual task paradigms are feasible for detecting transfer of training between two naturalistic movements. Immediately following motor training, subjects improved performance of a second untrained movement under single and dual task conditions. Subjects with no training did not. Improved performance in the untrained movement was likely due to transfer, and suggests that dual tasks may be feasible for detecting transfer between naturalistic actions.     

On Stimulus Generalization and Stimulus Classes

Stimulus generalization has been defined as the spread of effect of reinforcement for responses emitted in the presence of one stimulus to different stimuli presented under extinction conditions. As a result of stimulus generalization, novel stimuli come to exert stimulus control over members of the response class. Studies in the applied behavior analysis literature, however, have reported experimental preparations that included prompting and reinforcement procedures during what were claimed to be stimulus generalization conditions. These studies violated the procedural requirement that stimulus generalization be tested under extinction conditions. Responses that come under the control of a class of stimuli may do so by direct training or by stimulus generalization. It is desirable for organisms to respond in the presence of members of an appropriately constructed stimulus class, but we should understand the mechanism of entry into the class by its members. If inaccurate claims of stimulus generalization are made when training procedures are used in the ostensible generalization conditions, the robustness of the original training procedures will be over estimated. By adhering to the operational requirements of behavioral definitions, we could better understand the power and limits of our educational and training procedures.     

Differential effects of pretraining influences on readiness to change

Training and development are integral to organizational change but are difficult to accomplish effectively in dynamic and complex work environments. Such environments can lead to nonoptimal training conditions that reduce individuals' readiness to change and training effectiveness. On the basis of the transtheoretical model of change (J. O. Prochaska, C. C. DiClemente, & J. C. Norcross, 1992), the authors examined pretraining influences (choice, social support, and motivation to learn) on readiness to change under nonoptimal training conditions. They examined specific dimensions of readiness to change rather than a global readiness to change construct. Participants were 183 driving under the influence (DUI) offenders participating in a court-mandated, alcohol-related Weekend Intervention Program. Perceived choice to attend training, social support, and motivation to learn affected readiness to change when individuals were resisting, considering, acting on, or maintaining behavior or attitude change. These effects were also dependent on age. Results suggest how training effectiveness could be improved when trainees are least likely to learn.     

Training for Dangerous Task Performance: The Effects of Expectations and Feedback1

The training of individuals to perform dangerous tasks confronts theorists and practitioners with a critical issue: To what extent should individuals be exposed during training to stressors that characterize the conditions under which the task will eventually be performed? The present study evaluated two variables that might help resolve this dilemma. The first, a personality variable, consists of a person's generalized expectation that he or she will not be physically hurt while exposed to danger. The other, which is more sitution-specific, consists of the feeling of success or failure that the trainee experiences at the conclusion of training under physically dangerous conditions. The quality of soldiers' performance and the intensity of experienced stress were tested in a combat simulation. Individuals who tend to assign a low probability to their being physically injured in dangerous situations were found to benefit more from dangerous than from non-dangerous training. The opposite was found for individuals who assign a high probability to their being injured in dangerous situations. Moreover, exposure to serious physical threats during training yielded better training results than training that did not involve such threats only when the subjects concluded their training with a feeling of success. The subjective feelings of success or failure had no effect, however, under training conditions that did not expose trainees to danger. Theoretical and practical implications of these findings are discussed.     

Training school personnel to implement a universal school-based prevention of depression program under real-world conditions

The present study evaluated the impact of a universal prevention of depression program [the Resourceful Adolescent Program (RAP)] when implemented under real-world conditions in a school setting. Prior research has found the RAP program to be beneficial for high-school students when the program was implemented by university staff selected, trained, and supervised by a research team. The present study evaluated the RAP program when implemented by existing school personnel. Separately, we measured the impact of a training program for facilitators, the quality of subsequent program implementation, and the student's response to the RAP Program. Results showed that, in response to the training program, facilitators believed they had acquired the knowledge and confidence to implement the program and that the quality of program implementation was acceptable. The study did not demonstrate a beneficial impact of the RAP program for the students. The results raise important questions regarding the extent of training and ongoing supervision facilitators require if the beneficial outcomes for students are to be maintained when interventions are implemented under real-world conditions in school settings.     

The effectiveness of unitization in mitigating age-related relational learning impairments depends on existing cognitive status

Binding relations among items in the transverse patterning (TP) task is dependent on the integrity of the hippocampus and its extended network. Older adults have impaired TP learning, corresponding to age-related reductions in hippocampal volumes. Unitization is a training strategy that can mitigate TP impairments in amnesia by reducing reliance on hippocampal-dependent relational binding and increasing reliance on fused representations. Here we examined whether healthy older adults and those showing early signs of cognitive decline would also benefit from unitization. Although both groups of older adults had neuropsychological performance within the healthy range, their TP learning differed both under standard and unitized training conditions. Healthy older adults with impaired TP learning under standard training benefited from unitized training. Older adults who failed the Montreal Cognitive Assessment (MoCA) showed greater impairments under standard conditions, and showed no evidence of improvement with unitization. These individuals’ failures to benefit from unitization may be a consequence of early deficits not seen in older adults who pass the MoCA.     

The effect of dividing attention between walking and auxiliary tasks in people with Parkinson's disease

This controlled study examined the effects of dividing attention between walking and the performance of a secondary cognitive task in people with mild to moderate Parkinson's disease (Hoehn and Yahr stages 2-3.5). Participants in the training group (n=6) received 30 min divided attention training in taking big steps while simultaneously performing serial three subtractions. Participants in the control group (n=6) received no training. Stride length, gait velocity and accurate enumeration rate were measured at baseline, immediate after training and 30 min after training under single-task (walk only or subtract only) and dual-task (walk and subtract) conditions. Data were also collected at training in the training group. Immediate improvement in stride length and gait velocity was found when instruction was given to participants to pay equal attention to gait and subtractions (p=0.001, p=0.05) compared to baseline. Short-term improvement in the gait variables was also found after training when compared to the controls (p=0.001, p=0.001). Nevertheless, there was no significant difference in the accurate enumeration rate. Based on the findings, we conclude that divided attention can be used as a strategy to improve slow and short-stepped gait under dual-task conditions. Divided attention can also be used in gait training for short term stride length and gait velocity improvement.     

A theory of learning and transfer: II

The theory of discrimination learning developed in Part I of this paper is extended to more complex learning situations such as those used for differentiating relative from absolute habits. The greater difficulty of learning an absolute discrimination than of learning a relative discrimination is predicted. The theory is also extended to cover cases of transfer. It predicts that under the ordinary training conditions transfer to new stimulus situations will be on a relative basis, and it predicts the type of transfer to be expected under other training conditions. A number of additional established facts of learning and transfer can be deduced from the theory. Methods of testing the adequacy of the theory by new and more crucial experiments are suggested.     

Training for Task Performance Under Stress: The Effectiveness of Phased Training Methods

Studies on the training of individuals for task performance in stressful situations have typically considered two approaches. One approach requires that, while training on the task, trainees be exposed to stressors of a kind and intensity characteristic of the situations for which they are being trained ("high fidelity" training). Such an approach might suffer from the interference of stressors with task acquisition. Another approach allows the trainee to train on the task in a stress-free environment or under low-intensity stressors ("low fidelity" training). This approach leaves the trainee insufficiently prepared for task performance under stress. The present study compared these two basic approaches to three forms of "phased" training, which consisted of different combinations of three separate and distinct training phases: a phase which allows the trainee to acquire the task under stress- free conditions; a phase which allows him or her to passively experience the stressor; and a phase in which newly acquired skills are practiced under stress. The results showed that a phased training process which combines the first and third phases just described, is more effective than either "high fidelity" training or "low fidelity" training.     

Serial adaptation to conflicting prismatic rearrangement effects in monkey and man.

Seven adult male squirrel monkeys adapted successfully to prisms displacing in equal and opposite directions. After protracted training under certain conditions, they succeeded in conserving adaptation to both prisms without benefit of readaptation trials. Results obtained with thirty-six undergraduates under similar conditions of test (although for a much shorter period) are also reported.     

Role of magnitude of reinforcement in spaced-trial instrumental learning in turtles (Geoclemys reevesii)

The runway performance of turtles (Geoclemys reevesii) was studied as a function of magnitude of reinforcement under spaced training conditions (one trial per day). A large reward magnitude (24 pellets) produced faster acquisition than a small magnitude (2 pellets). After a shift from the large to the small magnitude, latencies of the shifted animals continued to be significantly lower than the latencies of the non-shifted, small-magnitude controls, and similar to those of the non-shifted, large-magnitude controls. There was no evidence of the successive negative contrast effect. Extinction latencies were also significantly lower after training with the large magnitude than after training with the small magnitude; that is, there was no evidence of the magnitude of reinforcement extinction effect. The results are discussed in relation to the comparative analysis of the so-called paradoxical effects of reward, a family of learning phenomena that has not yet been found in a variety of experiments with fish, amphibians, and reptiles trained under widely spaced conditions.     

TRAINING OF PERIPHERAL VISUAL ACUITY

An experiment was performed to investigate whether the duration of exposure and the size of the test objects are factors critical for obtaining a training effect in peripheral visual acuity. Contrary to previous results it is shown that considerable improvement may be obtained even under conditions of flash stimulation, provided that the test object used for training is sufficiently small to be just discriminable. The results are interpreted in terms of shifts in the maximum momentary level of attention from the central to the peripheral area of the visual field.     

Foot Motion Character During Forward and Backward Walking With Shoes and Barefoot

Abstract

Backward walking (BW) has been extensively used in athletic training and orthopedic rehabilitation as it may have value for enhancing balance. This study identified the differences in foot intersegment kinematics (forward walking (FW) vs. time-reversed BW) and plantar pressure parameters of 16 healthy habitually shod individuals walking FW and BW using flexible shoes (SH) and under barefoot conditions (BF). BW was found to have shorter stride length (SL) and higher stride frequency (SF) under BF conditions compared with SH, which indicates a better BW gait stability under BF conditions. Decreased HX/FF dorsiflexion at HO in BW induces less plantar aponeurosis tension which may inhibit the windlass mechanism compared to FW walking. Increased forefoot relative to hindfoot (FF/HF) pronation and sequentially hindfoot relative to tibia (HF/TB) eversion combined with medially distributed plantar pressure and a higher plantar contact area in the medial side in BW–BF maybe beneficial in maintaining balance. These results indicate that BW training may be more reliable under BF conditions compared to the SH conditions based on greater sensory information feedback from the plantar area resulting in better biomechanical behavior.     

Effects of training with added difficulties on RADAR detection

Three experiments simulating military RADAR detection addressed a training difficulty hypothesis (training with difficulty promotes superior later testing performance) and a procedural reinstatement hypothesis (test performance improves when training conditions match test conditions). Training and testing were separated by 1 week. Participants detected targets (either alphanumeric characters or vehicle pictures) occurring among distractors. Two secondary tasks were used to increase difficulty (a concurrent, irrelevant tone‐counting task and a sequential, relevant action‐firing response). In Experiment 1 , involving alphanumeric targets with rapid displays, tone counting during training degraded test performance. In Experiment 2, involving vehicle targets with both sources of difficulty and slower presentation times, training under relevant difficulty aided test accuracy. In Experiment 3, involving vehicle targets and action firing with slow presentation times, test accuracy tended to be worst when neither training nor testing involved difficult conditions. These results show boundary conditions for the training difficulty and procedural reinstatement hypotheses. Copyright © 2010 John Wiley & Sons, Ltd.     

Conditional discrimination in mentally retarded subjects: programming acquisition and learning set.

In Experiment 1, 3 subjects with retardation were exposed to two visual-visual arbitrary matching-to-sample problems each day. One conditional discrimination was presented under trial-and-error conditions, and the other was presented under a component training procedure. The latter began by establishing the comparison discrimination and its rapid reversal. The successive discrimination between the sample stimuli was established through differential naming. Then, sample naming was maintained in conditional discrimination sessions in which the same sample was presented in blocks of consecutive trials. Block size was decreased across sessions until sample presentation was randomized as in trial-and-error training (but with naming maintained). Two subjects initially learned only with component training. The performance of the 3rd subject was inconsistent across conditional discriminations. One of the successful subjects ultimately learned rapidly and consistently with trial-and-error procedures. Experiment 2 sought to demonstrate learning set in the other 2 subjects. Elements of the component training procedure were withdrawn over successive conditional discriminations. Ultimately, 1 subject nearly always learned under trial-and-error conditions, and the other learned under trial-and-error conditions combined with differential sample naming.     

Perceptual training methods compared: the relative efficacy of different approaches to enhancing sport-specific anticipation

The comparative efficacy of different perceptual training approaches for the improvement of anticipation was examined using a goalkeeping task from European handball that required the rapid prediction of shot direction. Novice participants (N = 60) were assigned equally to four different training groups and two different control groups (a placebo group and a group who undertook no training). The training groups received either (i) explicit rules to guide anticipation; (ii) direction as to the location of the key anticipatory cues provided either just verbally (verbal cueing) or supplemented with color highlighting (color cueing); or (iii) undertook a matching judgment task to encourage implicit learning. Performance of the groups was compared on an anticipation test administered before training, after the training intervention, under a condition involving evaluative stress, and after a 5-month retention period. The explicit learning, verbal cueing, and implicit learning conditions provided the greatest sustained improvements in performance whereas the group given color cueing performed no better than the control groups. Only the implicit learning group showed performance superior to the control groups under the stress situation. The verbal cueing, color cueing, and implicit learning groups formulated the lowest number of explicit rules related to the critical shoulder cue although the reported use of general cues and rules based on all cues did not differ between any of the groups. Anticipation can be improved through a variety of different perceptual training approaches with the relative efficacy of the different approaches being contingent upon both the time scale and conditions under which learning is assessed.     

Evaluating the quality of training delivered by direct-care staff in a state mental retardation center

This study evaluated a center-wide training system in a state-operated mental retardation center. Staff performance was assessed under varying conditions with collateral measures collected on resident behavior. The quality of training delivered by direct-care staff was measured following the completion of an inservice training program and when individual feedback and praise were available or a group contingency where feedback, praise, and money were available. Inservice training was not found to be sufficient to maintain staff training skills. Providing feedback and praise had mixed results in maintaining staff behavior. A group contingency using feedback, praise, and money was found to be immediately effective in improving and maintaining staff behavior. Collateral measures on student behavior were also provided that indicated that consistent, quality training by staff resulted in increased student skill acquisition. These results are discussed within the framework of conducting research in applied settings.     

Maintenance and generalization of trained metamnemonic awareness by educable retarded children

The majority of educable retarded children (young group, MA 6; old group, MA 8) required to estimate their memory span was found to be unrealistic estimators. Following training in span estimation the older subjects improved under both explicit and implicit feedback conditions, while younger children only benefited from explicit feedback. Three posttests of the effects of training revealed long-term (1-year) maintenance of training for older subjects but younger subjects showed post-test improvement only on an immediate test. While long-term maintenance was found for older subjects, generalization to similar span-estimation tests was not found. The utility of training metamnemonic knowledge which does not generalize was questioned and alternate training procedures were proposed.