Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers

Enhancing the public health impact of evidence-based practices (EBPs) in usual care settings is a key priority of the National Institute of Mental Health. Longitudinal data from community mental health providers (N = 268) participating in a series of state-sponsored workshops in modular approaches to EBPs for youth are presented. EBP workshop attendance for youth anxiety resulted in increased knowledge for EBPs for anxiety (and not other conditions) and EBP workshop attendance for youth disruptive behaviors resulted in increased knowledge for EBPs for disruptive behaviors (and not other conditions). Providers' tendencies toward incorrectly classifying non-EBP therapies as evidence-based increased over time, suggesting that providers over-generalize the EBP label as a result of attending these types of workshops. Regarding EBP attitudes, most measures of attitudes improved when providers attended a workshop. Additionally, an overly inclusive view of what constitutes an EBP at intake was related to significant decreases in openness to trying EBPs over time, whereas more positive attitudes at intake was related to achieving a more refined view of what constitutes an EBP over the course of attending trainings. Study limitations and implications for implementation of EBPs in usual care settings are discussed.     

Immediate use of prosody and context in predicting a syntactic structure

Numerous studies have reported an effect of prosodic information on parsing but whether prosody can impact even the initial parsing decision is still not evident. In a visual world eye-tracking experiment, we investigated the influence of contrastive intonation and visual context on processing temporarily ambiguous relative clause sentences in Japanese. Our results showed that listeners used the prosodic cue to make a structural prediction before hearing disambiguating information. Importantly, the effect was limited to cases where the visual scene provided an appropriate context for the prosodic cue, thus eliminating the explanation that listeners have simply associated marked prosodic information with a less frequent structure. Furthermore, the influence of the prosodic information was also evident following disambiguating information, in a way that reflected the initial analysis. The current study demonstrates that prosody, when provided with an appropriate context, influences the initial syntactic analysis and also the subsequent cost at disambiguating information. The results also provide first evidence for pre-head structural prediction driven by prosodic and contextual information with a head-final construction.     

Developmental trajectories in toddlers' self-restraint predict individual differences in executive functions 14 years later: a behavioral genetic analysis

We examined whether self-restraint in early childhood predicted individual differences in 3 executive functions (EFs; inhibiting prepotent responses, updating working memory, and shifting task sets) in late adolescence in a sample of approximately 950 twins. At ages 14, 20, 24, and 36 months, the children were shown an attractive toy and told not to touch it for 30 s. Latency to touch the toy increased with age, and latent class growth modeling distinguished 2 groups of children that differed in their latencies to touch the toy at all 4 time points. Using confirmatory factor analysis, we decomposed the 3 EFs (measured with latent variables at age 17 years) into a Common EF factor (isomorphic to response inhibition ability) and 2 factors specific to updating and shifting. Less-restrained children had significantly lower scores on the Common EF factor, equivalent scores on the Updating-Specific factor, and higher scores on the Shifting-Specific factor than did the more-restrained children. The less-restrained group also had lower IQ scores, but this effect was entirely mediated by the EF components. Twin models indicated that the associations were primarily genetic in origin for the Common EF variable but split between genetics and nonshared environment for the Shifting-Specific variable. These results suggest a biological relation between individual differences in self-restraint and EFs, one that begins early in life and persists into late adolescence.     

Is approximate numerical judgment truly modality-independent? Visual, auditory, and cross-modal comparisons

The numerosity of any set of discrete elements can be depicted by a genuinely abstract number representation, irrespective of whether they are presented in the visual or auditory modality. The accumulator model predicts that no cost should apply for comparing numerosities within and across modalities. However, in behavioral studies, some inconsistencies have been apparent in the performance of number comparisons among different modalities. In this study, we tested whether and how numerical comparisons of visual, auditory, and cross-modal presentations would differ under adequate control of stimulus presentation. We measured the Weber fractions and points of subjective equality of numerical discrimination in visual, auditory, and cross-modal conditions. The results demonstrated differences between the performances in visual and auditory conditions, such that numerical discrimination of an auditory sequence was more precise than that of a visual sequence. The performance of cross-modal trials lay between performance levels in the visual and auditory conditions. Moreover, the number of visual stimuli was overestimated as compared to that of auditory stimuli. Our findings imply that the process of approximate numerical representation is complex and involves multiple stages, including accumulation and decision processes.     

Not all executive functions are related to intelligence

Accumulating evidence suggests that executive functions (EFs) are related to intelligence, despite neuropsychological results initially considered evidence of no such relation. However, findings that EFs are not unitary raise the issue of how intelligence relates to different EFs. This study examined the relations of fluid and crystallized intelligence and Wechsler Adult Intelligence Scale IQ to three separable EFs--inhibiting prepotent responses (inhibiting), shifting mental sets (shifting), and updating working memory (updating)--in young adults. Updating was highly correlated with the intelligence measures, but inhibiting and shifting were not. Furthermore, in structural equation models controlling for the inter-EF correlations, updating remained strongly related to intelligence, but the relations of inhibiting and shifting to intelligence were small and not significant. The results indicate that intelligence measures differentially relate to these three EFs, suggesting that current intelligence measures do not equally assess a wide range of executive control abilities likely required for many "intelligent" behaviors.     

Constraints on using the dual-task methodology to specify the degree of central executive involvement in cognitive tasks

The dual-task paradigm has been used to examine the role of the central executive in various cognitive tasks. In these studies, performance decrements in primary cognitive tasks performed concurrently with secondary executive tasks have been interpreted as evidence for the involvement of the central executive in those primary tasks. In the present study, we examined the effects of different secondary tasks on performance of three psychometric visuospatial tasks. The decrement in performance of these tasks when they were paired with secondary executive tasks was smallest for the psychometric task considered to most heavily involve the central executive and largest for the task considered least demanding of executive mechanisms. We propose that, when applied to the assessment of central executive involvement, the prevalent simple dual-task logic does not always apply. Special conditions that limit the application of the dual-task methodology include two inherently related factors--a response selection bottleneck and a strategic tradeoff between primary and secondary tasks.     

Synchronization error in bilateral simultaneous flexion of elbows.

Using 7 left- and 7 right-handed subjects, the difference in time between left and right arms in the initiation of bilateral simultaneous flexion of elbows (synchronization error) was measured under three conditions: response to a sound stimulus with a warning signal, response to a sound stimulus without a warning signal, and self-initiated trial (option). The absolute value of synchronization errors depended upon experimental conditions. In conditions 'with warning' and 'option' the dominance shown in performance of left-handed subjects was the mirror-image of that shown by the right-handed subjects. The right biceps muscle responded faster in left-handed subjects and vice versa. Right-handed subjects showed rather a constant value in their dispersion of synchronization errors.     

A simple device for detecting saccades and judging their intervals

A simple device is described with which the occurrence of saccades can be detected and their intervals classified by reference intervals determined by experimental requirements. The device reliably detects saccades of greater than 2 deg.     

Lactate threshold prediction by blood glucose and rating of perceived exertion in people with type 2 diabetes

The validity of rating of perceived exertion (RPE) in predicting lactate threshold during an incremental test was analyzed in 15 men with type 2 diabetes (M age = 53.4 yr., SD = 12.9). Blood glucose, lactate, and minute ventilation (VE)/VO2 responses identified the lactate, ventilatory, and glucose thresholds. Workloads (W) corresponding to RPEs 12, 13, 14, and 15 were determined. Second-order polynomials fit to VE/W and [lac]/W ratios corresponding to RPEs of 9-10, 12-13, and 16-17 also identified workloads above which there was an overproportional increase in VE and [lac]. These workload breakpoints did not differ, although at RPE 12 underestimated and at RPE 15 overestimated lactate threshold. RPE 13 and 14 and the responses of VE/W and [lac]/W to submaximal exercise accurately predicted lactate threshold.