Promotion of Cancer Family History Awareness: Jameslink Cancer Risk Assessment Tool at Community Health Fairs

This article examines the impact of providing personalized familial cancer risk assessments with the Jameslink Cancer Risk Assessment Tool. Users of the Jameslink (N = 166) at eight community health fairs completed a survey including demographic, psychosocial and behavioral variables to better understand responses to the Jameslink. No differences were found between whites and those of other races for variables of interest, indicating suitability of the Jameslink for diverse populations. Those with higher Jameslink-assessed risk had higher perceived risk of cancer. Approximately half (53.8%) reported that they would speak to their physician about their Jameslink-assessed risk. A regression found Jameslink-assessed risk, cancer worry, and perceived risk of cancer predicted intentions to speak to a physician about their risk. In addition, open-ended data provided suggestions to improve the Jameslink. Changes in content and format were suggested; however most were happy with the program and encouraged its promotion. The lack of findings for differences as a function of race bolsters the use of computerized Cancer Risk Assessment Tools in diverse communities. The positive feedback of users and the close association between cancer risk assessment, perceived risk, and intention to speak to a physician are supportive of continued use and development of Cancer Risk Assessment Tools in the community to promote awareness of cancer risk.     

Children's metacognitive judgments in an eyewitness identification task

Two experiments examined children's metacognitive monitoring of recognition judgments within an eyewitness identification paradigm. A confidence-accuracy (CA) calibration approach was used to examine patterns of calibration, over-/underconfidence, and resolution. In Experiment 1, children (n=619, mean age=11 years 10 months) and adults (n=600) viewed a simulated crime and attempted two separate identifications from 8-person target-present or target-absent lineups given lineup instructions that manipulated witnesses choosing patterns by varying the degree of social pressure. For choosers, but not nonchoosers, meaningful CA relations were observed for adults but not for children. Experiment 2 tested a guided hypothesis disconfirmation manipulation designed to improve the realism of children's metacognitive judgments. Children (N=796, mean age=11 years 11 months) in experimental and control conditions viewed a crime and attempted two separate identifications. The manipulation had minimal impact on the CA relation for choosers and nonchoosers. In contrast to adults, children's identification confidence provides no useful guide for investigators about the likely guilt or innocence of a suspect. These experiments revealed limitations in children's metacognitive monitoring processes that have not been apparent in previous research on recall and recognition with younger children.     

Expanding Our Reach: Marriage and Family Therapists in the Public School System

As states change their legislation to include Marriage and Family Therapists (MFTs) as approved mental health providers in schools, it is important to understand the experiences of MFTs in this context to improve training and increase our effectiveness. MFTs with experience working in public schools (N = 21) discuss the advantages and rewards of working in schools, challenges they have experienced, how they have dealt with those challenges, and training they recommend for MFTs seeking to work in schools. Qualitative results have implications for practitioners, training, and supervision. The possibility of a specialization in School-Based Family Therapy is discussed.     

Training working memory: Limits of transfer

In two experiments (totaling 253 adult participants), we examined the extent to which intensive working memory training led to improvements on untrained measures of cognitive ability. Although participants showed improvement on the trained task and on tasks that either shared task characteristics or stimuli, we found no evidence that training led to general improvements in working memory. Using Bayes Factor analysis, we show that the data generally support the hypothesis that working memory training was ineffective at improving general cognitive ability. This conclusion held even after controlling for a number of individual differences, including need for cognition, beliefs in the malleability of intelligence, and age.     

A Study of the Multiple and Complex Needs of Australian Young Adult Offenders

Youth offending is an important issue; it has significant social, psychological, interpersonal, and financial impacts on the society. International research has shown that young offenders generally have multiple and complex needs across a wide range of domains; however, research examining the depth and breadth of difficulties faced by young offenders in Australia is lacking. Arguably, such information is critical to help guide the development of valid preventative and treatment initiatives. This article describes a study examining the prevalence of mental illness, low intelligence, psychopathy, risk for reoffending, and criminogenic needs in 75 youth and young adult offenders in Victoria, Australia. Results suggest that the prevalence of mental illness and low intelligence is high in this population. Most (86%) of the sample had likely Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision Axis I disorders (including mood, anxiety, substance use, eating, and psychotic disorders); 15% had a Full Scale Intellectual Quotient (FSIQ) below 70; and an additional 25.7% had an FSIQ in the borderline range. The majority (80%) of the sample was considered to be at a high or very high risk of reoffending. The high prevalence of mental health issues found in this population highlights the need for comprehensive and multifaceted assessment, and for psychosocial treatment and management to be comprehensive, addressing clinical, criminogenic, and social domains.     

Comparison Versus Contrast: Task Specifics Affect Category Acquisition

A large literature has documented that comparison and contrast lead to better performance in a variety of tasks. However, studies of comparison and contrast present contradictory conclusions as to when and how these processes benefit learners. Across four studies, we examined how the specifics of the comparison and contrast task affect performance by systematically manipulating the feature variation and category structure in a category extension task performed by 3‐year‐old and 4‐year‐old children. Studies 1 (n = 48, M = 42.6 months) and 2 (n = 48, M = 42. 4 months) investigated comparison and contrast with high‐density categories. Studies 3A (n = 60, M = 43.47 months), 3B (n = 48, M = 53. 2 months) and 4 (n = 48, M = 53.7 months) investigated comparison and contrast with low‐density categories. Results indicated both category structure and feature variation affect the efficacy of comparison and contrast. Copyright © 2012 John Wiley & Sons, Ltd.     

Developmental Changes in Young Children's Spatial Memory and Language in Relation to Landmarks

Two experiments investigated how young children and adults understand whether objects are by a landmark and remember their locations. Three- and 4-year-old children and adults were asked to judge whether several blocks were by a landmark. The blocks were arranged so that their absolute and relative distances from the landmark varied. Later, the blocks were removed, and participants were asked to place them in their original locations. All ages relied on relative distance between objects and a landmark when making by judgments; however, older children and adults showed systematic judgments. Relative distance also affected block placement, and systematicity increased across development. Children's understanding of the relative nature of by and their ability to remember locations precisely increased during the preschool years, indicating developmental changes in the adaptive combination of location cues for spatial language and memory.     

Improving Fairness in Coverage Decisions: Performance Expectations for Quality Improvement

Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by those organizations involved in the design and administration of health benefits packages, such as purchasers, health plans, benefits consultants, and practitioner groups.