The importance of assessing treatment integrity: An example in the anxiety disorders

One purpose of this investigation was to examine the importance of assessing treatment integrity in a study evaluating a treatment for specific anxiety disorders. Three subjects, two social phobics and one simple phobic, received self-instruction training (Phase I) followed by exposure and self-instruction training (Phase II) in a multiple baseline across subjects design. All subjects were assessed during a pretreatment baseline and throughout treatment using measures of treatment integrity and measures of change in phobic severity. Improvement took place at different times for different subjects. Measures of treatment integrity, which consisted of monitoring of self-statements as well as practice outside the session, indicated that treatment was not always received as intended and that improvement was correlated with practice. The usefulness of measures of treatment integrity in both clinical and research settings is highlighted.     

Reactivity and unreliability of husbands as participant observers

This study examined the reliability and reactivity of participant observation. Twelve couples engaged in two discussions in a laboratory, one on a conflict topic and one on a consensus topic. For the eight couples in the experimental sequences, a baseline discussion was followed by participant observation in which the husband recorded his wife's use of I while continuing to converse. The four couples in the control sequences conversed without participant observation. Compared to observations made by a trained observer, the husbands were unreliable observers, underestimating their wives' use of I. Participant observation was reactive (P<.01), with more wives decreasing their use of I in the experimental sequences than in the control sequences (p<.094). The topic of discussion did not differentially influence reliability or reactivity.This research was conducted as the first author's independent doctoral research project. We extend gratitude to the Research Council of the University of North Carolina at Greensboro for Grant 0-2-110-218-XXXXX-7548; the Statistical Consulting Center of the University of North Carolina at Greensboro; two anonymous reviewers; and our research assistants, Suzanne Brannon, Ben Hardie, Kathy Lindamood, Amy Mitchem, Regina Pierce, and Elga Wulfert. Portions of this paper were presented at the meeting of the Association for Advancement of Behavior Therapy, Washington, D.C., December 1983.     

Developmental influences on speech-motor equivalence: some implications for articulatory disordered children

The peak amplitude of EMG activity was measured from the orbicularis oris superior (OOS), orbicularis oris inferior (OOI) and masseter muscles for 3 normal 4-yr.-old children and compared to past data gathered on a group of articulatory disordered children, normal children, and adults. The 4-yr.-olds evidenced greater average peak EMG activity than the other groups, suggesting that speech-sound production becomes more efficient with maturation. Also, levels of variability obtained for the younger children were considerably smaller than for the normal speakers across the three muscles, showing that motor equivalence changes with age whereby the flexibility in the control of articulators increases. The coefficient of variation for the OOI muscle for the disordered children, however, was similar to that for the 4-yr.-olds, while the corresponding data for the other two muscles paralleled those for normal ones. These findings were interpreted as reflecting a delay in the development of speech-motor equivalence that affects certain muscles while sparing others.     

Polydipsia's contribution to temporal discrimination of rats on a fixed interval schedule

This experiment concerned the contribution of polydipsia on the temporal discrimination of rats during a fixed-interval 60-sec. schedule. In this study, the timing accuracy of 12 rats which had access to water during training was compared to that of 12 rats which had no water during training. The rats were trained for 25 sessions on an FI 60-sec. schedule. In early sessions before polydipsia was fully developed, no differences existed between the timing accuracy of the water group and no-water group. As the amount of water drunk by the water group increased as the number of sessions increased, a parallel increase was noted in the timing accuracy of the water group. In the final sessions, a significant difference was found between the timing accuracy of rats in the water group and that of those in the no-water group. It was concluded that polydipsia facilitated the development of the temporal discrimination which is characteristic of a fixed-interval 60-sec. schedule.     

Cognitive, perceptual, and personal-social development of prematurely born preschoolers

This study was designed to determine possible differences in the cognitive, perceptual, and personal-social development of prematurely and maturely born 3-yr.-olds which might foreshadow later learning problems. The subjects were 40 prematurely born graduates of a neonatal intensive care unit (birth weight less than 2,500 gm, less than 37 wk. gestation) matched on the pair-level with full-term controls on sex, race, post-conceptual age, and socioeconomic background. All subjects were singletons and parity was matched at the group level. No differences were found between the groups on tests of higher mental processes including the General Cognitive, Verbal, Quantitative, and Memory Scales of the McCarthy Scales of Children's Abilities, and researcher-devised measures of problem-solving competence. No differences in parental reports of personal-social development were noted. Prematures did not perform as well as controls on perceptual performance tasks, and this difference was interpreted as reflecting relatively impaired visual-motor coordination.     

Motoric change subsequent to therapeutic intervention in infants and young children who have cerebral palsy: annotated listing of group studies

This annotated listing is of group reports pertaining to therapeutic strategies utilized with infants and young children who have cerebral palsy. The studies are organized by type of design used.     

A detailed study of sequential saccadic eye movements for normal- and poor-reading children

This paper presents the results of an in-depth study of parameters characterizing sequenced saccadic eye movements for a group of dyslexic children and a comparative normal control group with ages in the range greater than 8.0 yr. and less than 13.0 yr. No parameters were statistically different for the two groups, which supports the findings of Brown, et al. and contradicts the findings of Pavlidis. Our results indicate that sequenced saccadic eye movements are not diagnostically useful for early detection of dyslexia.     

Manual performance in the cold with gloves and bare hands

Previous research aimed at quantifying and reducing the decrements encountered in performing manual tasks in cold weather has not described the relationships between task characteristics and cold-induced impairments. The amount of decrement and, often times, the optimal means for reducing the decrement, appear to be task-specific. The research reported here is one in a series of studies formulated to explore those relationships. The strategy is to use tasks from the battery developed by Fleishman (1967) to measure the factorially 'pure' abilities needed to perform all manual tasks. 24 U.S. Marines performed this battery of nine tasks across a range of cold temperatures. To determine if the decrement due to wearing gloves might be less than the decrement due to cold hands as the air temperature decreased, performance on the battery of tasks was measured with and without gloves. Only three of the tasks (abilities) were affected by cold temperatures, and the amount of decrement increased as the air temperature decreased. Three tasks deteriorated due to wearing of gloves, two of those affected by cold and one other. Temperature affected performance independently of the glove effect. Half of the subjects did not complete bare-handed testing at -18 degrees C (approximately 20 min.), indicating this is the lower end of the temperature range in which bare-handed performance for more than a few minutes is practical.