Using synthetic speech for remote access to information

The availability of unlimited text-to-speech synthesis systems provides the potential for remote access to databases over existing telephone systems. This paper describes some of the intelligibility and user interface problems associated with such applications and reports work aimed at understanding and solving these problems. In particular, it describes an approach to intelligibility problems based on the understanding and manipulation of listeners’ adaptation to synthetic speech, and user interface work examining use of a simulated travel information system.     

Elevation in Response to Entertainment Portrayals of Moral Virtue

Media psychologists have long puzzled over how individuals can experience enjoyment from entertainment such as tragedies that often elicit profound feelings of sadness. The present research examines the idea that a focus on “meaningful” entertainment and affective responses identified as “elevation” may provide a framework for understanding many examples of sad or dramatic entertainment. The results of this study suggest that many types of meaningful cinematic entertainment feature portrayals of moral virtues (e.g., altruism). These portrayals, in turn, elicit feelings of elevation (e.g., inspiration) that are signified in terms of mixed affect and unique physical responses (e.g., lump in throat). Ultimately, elevation also gives rise to motivations to embody moral virtues, such as being a better person or helping others.     

College Students’ Perceptions of and Responses to Academic Dishonesty: An Investigation of Type of Honor Code,Institution Size,and Student–Faculty Ratio

College students (n = 928) from small, medium, and large institutions with either a modified or no honor code were presented with cheating scenarios and asked to rate how dishonest they perceived the behavior to be and the likelihood that they would report it. No main effects were found for institution size or type of honor code. Student–faculty ratio was not correlated with responses to the cheating scenarios. Students from modified honor code schools perceived more severe punishments for cheating and understood the reporting process better than students from non–honor code schools. Implications for modified honor code systems are discussed.     

Aging “Hot”: Images and Narratives of Sexual Desirability on Television

As women age, their sexual desirability is likely to diverge from what is presented as most coveted in American society: youthful, slim but curvy, firm, and fit. Media rarely feature actresses over the age of 50 as leading characters and when they do, they are usually relegated to caretaker or partner roles and they usually conform to gender traditional stereotypes. However, more recently, there have been a few television programs that focus specifically on older women’s sexualities and feature plotlines that center on their desire and desirability. The premise of the program Hot in Cleveland is that desirability is in the eye of the beholder. Using a comedic format, the show highlights the tensions between media and celebrity fueled standards for desirability and “real life” desirability. In this paper, based on a close analysis of five seasons of Hot in Cleveland, we explore these competing messages about midlife and older women’s appearance and sexualities and the way comic framing both challenges and reinforces dominant narratives of aging.     

Non-binary youth: Access to gender-affirming primary health care

ABSTRACT

Background: Transgender (trans) youth who identify outside the gender binary are a growing subpopulation. In this article, we document differences in access to gender-affirming health care between binary and non-binary identified trans youth and explore ways of meeting the health needs of non-binary youth within primary care settings.

Methods: The Canadian Trans Youth Health Survey is a national online survey of trans youth, 14–25 years, conducted in 2013–2014. Among the 839 participants who responded to gender identity items in the survey, 41% identified as non-binary. We compared demographic, health outcome, and health care access responses between non-binary and binary (trans girls/women and trans boys/men) youth.

Results: Non-binary and binary youth were similar in most demographics, including age, geographic distribution, and ethnocultural backgrounds, however a larger proportion (82%) of non-binary youth were assigned female at birth. Older non-binary youth (aged 19–25) were significantly more likely to forego needed healthcare than older binary youth; no significant differences were found between younger (14–18) non-binary and binary youth in foregoing healthcare. Overall, non-binary youth (13%) were significantly less likely than binary youth (52%) to access hormone therapy, but they were more likely than binary youth to report experiencing barriers to accessing hormone therapy when needed.

Conclusions: Non-binary trans youth in Canada report challenges in accessing needed gender-affirming healthcare. Primary care providers are well-situated to integrate a broad range of gender-affirming care services into practice in order to address the unique needs of non-binary youth. Future research is warranted to explore experiences of non-binary youth related to barriers to care and to explore how services can be designed and delivered to better meet the needs of non-binary youth seeking gender-affirming primary care.     

Can Blended Classroom and Distributed Learning Approaches be Used to Teach Medical Students How to Initiate Behavior Change Counseling During a Clinical Clerkship?

Medical school curricula often provide insufficient time and instruction for health behavior change counseling. We examined the feasibility of blending classroom and distributed learning experiences to teach medical students how to initiate health behavior change counseling and analyzed the impact of this approach on their attitudes, knowledge, and skills. Usage patterns and pre- to post-class attitude and knowledge changes were assessed with self-report questions among 153 third year family medicine clerkship students. Most students viewed at least 90% of the online written content and took an average of 41 min (SD = 24 min 35 s) to view all of the content. Students’ confidence in their ability to help patients change unhealthy behaviors significantly improved (p < .01). The blended learning curriculum facilitated learning of behavior change skills, encouraged interaction with course materials, and improved medical students’ self confidence for using health behavior change skills.     

Providers’ Perceptions and Practices Regarding <Emphasis Type="BoldItalic">BRCA1/2</Emphasis> Genetic Counseling and Testing in African American Women

We examined healthcare providers’ perceptions of genetic counseling and testing in African American women at moderate to high-risk of carrying a BRCA1/2 mutation. We conducted 20 in-depth interviews with genetic counselors (n = 5), medical oncologists (n = 8), obstetrician/gynecologists (n = 2) and surgeons (n = 5). Interviews were audiotaped, transcribed and independently coded by two individuals using a content analysis approach. Seven themes emerged relevant to providers’ perceptions of African American women’s use of BRCA1/2 genetic services: access factors, cultural beliefs and preferences, effects of testing, patient motivators for genetic counseling and testing, patient-provider communication, reasons for provider referral, and reasons for patient refusal. Providers identified individual- and system-level barriers to African American women’s use of genetic services, including lack of follow-up after referrals to genetic specialists and challenges to obtaining financial coverage for under- and uninsured high-risk women. Results have implications for physician and patient education regarding appropriate referrals to and uptake of genetic services in at-risk African American women.     

Comparison of white, African American, Hispanic, and Asian children on the Naglieri Nonverbal Ability Test

This study examined differences between 3 matched samples of White (n = 2,306) and African American (n = 2,306), White (n = 1,176) and Hispanic (n = 1,176), and White (n = 466) and Asian (n = 466) children on the Naglieri Nonverbal Ability Test (NNAT; J. A. Naglieri, 1997a). The groups were selected from 22,620 children included in the NNAT standardization sample and matched on geographic region, socioeconomic status, ethnicity, and type of school setting (public or private). There was only a small difference between the NNAT scores for the White and African American samples (d ratio = .25) and minimal differences between the White and Hispanic (d ratio = .17) and between the White and Asian (d ratio = .02) groups. The NNAT was moderately correlated with achievement for the total sample and correlated similarly with achievement for the White and ethnic minority groups. The median correlation of NNAT with reading was .52 and NNAT with math was .63 across the samples. Results suggest that the NNAT scores have use for fair assessment of White and minority children.