“My Plate is Full”: Reasons for Declining a Genetic Evaluation of Hearing Loss

The aim of this study was to obtain patient and parent perspectives on genetic evaluation of hearing loss, in order to identify motivators, expectations, and barriers. Three focus groups were conducted following a semi-structured discussion guide, led by an independent moderator. Participants were hearing parents of children with permanent hearing loss or deaf adults. Qualitative content analysis was used to develop a codebook and identify major themes and subthemes. Participant views were compared to national guidelines. The 28 participants comprised 23 parents representing 21 unique families and 5 deaf adults. 13/21 families and 0/5 adults reported comorbidities, 4/21 families and 3/5 adults had a positive family history, and 12/21 families versus 0/5 adults had utilized genetics services. A common theme among adults and parents was a curiosity as to the cause of hearing loss. Parents were motivated to detect comorbidities and optimize care for hearing loss. Some parents felt overwhelmed by the hearing loss and unprepared to pursue early genetic evaluation as recommended in guidelines. Several reported positive experiences following genetics consultation, while others reported unease and unmet expectations. Notably, both parents and adults expressed ambivalence regarding the desire for genetic knowledge. Financial concerns and difficulties obtaining a referral were cited as extrinsic barriers. For parents of children with hearing loss, both the presence of comorbidities and a positive family history were drivers of genetics consultation and/or genetic testing. We identified educational opportunities for both patients and providers that would improve informed decision-making and increase access to genetic services. Consideration of the patient/family perspective and their decision-making processes, along with flexibility in the approach to genetics evaluation and its timing, will optimize both the development and implementation of guidelines.     

Transient sex differences during adolescence on auditory perceptual tasks

Many perceptual abilities differ between the sexes. Because these sex differences have been documented almost exclusively in adults, they have been attributed to sex‐specific neural circuitry that emerges during development and is maintained in the mature perceptual system. To investigate whether behavioral sex differences in perception can also have other origins, we compared performance between males and females ranging in age from 8 to 30 years on auditory temporal‐interval discrimination and tone‐in‐noise detection tasks on which there are no sex differences in adults. If sex differences in perception arise only from the establishment and subsequent maintenance of sex‐specific neural circuitry, there should be no sex differences during development on these tasks. In contrast, sex differences emerged in adolescence but resolved by adulthood on two of the six conditions, with signs of a similar pattern on a third condition. In each case, males reached mature performance earlier than females, resulting in a sex difference in the interim. These results suggest that sex differences in perception may arise from differences in the maturational timing of common circuitry used by both sexes. They also imply that sex differences in perceptual abilities may be more prevalent than previously thought based on adult data alone.     

A Response to Celmer and Winer

According to Celmer and Winer (1990). the presence of an absolute papal ban against women who aspire to the Roman Catholic priesthood creates both a unique opportunity for investigation of vocational theory (Holland, 1985) and a rare sample for the counselor and researcher. While acknowledging our respect for this ambitious and thought-provoking investigation, we found problems with the sample selection procedure, the choice of samples, and the instrument selection that threaten the external validity of the study. As a result of these limitations, the application of this study for the counselor and the researcher was diminished.     

The Social Phobia and Social Interaction Anxiety Scales: Evaluation of Psychometric Properties

The present investigations examined the factor structure and psychometric properties of two new self-report measures of social phobia, the Social Interaction Anxiety Scale (SIAS) and the Social Phobia Scale (SPS). A confirmatory factor analysis in Study I provided support for the fit of a two-factor model of the SIAS and SPS. Internal consistency estimates were high for the original two scales with a sample of 200 undergraduates. Also, using an item parceling procedure, the obtained internal consistency reliability indices for each parcel were acceptable. Results of the CFA in Study II provided support for the factorial stability of the model identified in Study I. Furthermore, multisample analyses showed invariant patterns for factor loadings and factor correlations across 138 men and 272 women. Gender differences were not observed in the mean SIAS and SPS scale and item scores. Both scales correlated negatively and significantly with measures of social desirability. Concurrent validity was established for the scales. The SPS was less specific than the SIAS to symptoms of social phobia.     

TEACHING CHILDREN TO SPELL: DECREASING CONSONANT CLUSTER ERRORS BY ELIMINATING SELECTIVE STIMULUS CONTROL

Six elementary-aged children were taught to spell words containing initial consonant clusters (CCs). They were trained to select printed words in response to the corresponding spoken words using computerized matching-to-sample procedures. After each training session, they were tested for spelling with a constructed-response transfer test. Based on previous selective stimulus control research, we hypothesized that only the first letter of an initial CC might control spelling when CC spelling errors are made. Thus, a critical-difference matching-to-sample training condition that required the children to respond to both letters of the CC to be correct was compared to a multiple-difference training condition that required the children to respond to only one letter of the pair. Results showed that children made fewer errors during the multiple-difference training condition than during the critical-difference training condition. On the constructed-response transfer tests, however, more overall errors and CC errors were made in the multiple-difference condition than in the critical-difference condition, and the words trained in the multiple-difference condition required more training sessions to reach criterion. All children improved their spelling of novel CC words by the completion of training. If normal classroom or home reading was to be supplemented by computer tasks of the kind used here, some spelling problems could be circumvented without costly intervention by a teacher or a special trainer.     

Managerial Work, Job Analysis, and Holland's RIASEC Vocational Environment Dimensions

We examined relations between the environmental dimensions underlying Holland's theory of vocational choice and skill requirements, context characteristics, and task frequency ratings for managerial jobs. The Holland environmental constructs were measured by the recently developedPosition Classification Inventory(PCI). The task, skill requirement, and context variables were measured using traditional job analysis surveys. Ten judges provided estimates of the expected correlations between the job analysis variables and the Holland constructs. The profile of observed correlations was generally consistent with the judges’ expectations based on Holland's theory, providing support for both that framework and the construct validity of the PCI. The one Holland dimension for which the data were least consistent with predictions was “Realistic.” Results provide a detailed picture of the work content, skills, and context variables within managerial work that are likely to be associated with the RIASEC dimensions. Implications for management development are discussed.     

EVALUATING STRATEGIES TO IMPROVE CAREPROVIDER PERFORMANCE ON HEALTH AND DEVELOPMENTAL TASKS IN AN INFANT CARE FACILITY

Responding to administrative staff and parental concerns, using modified reversal and withdrawal designs, two experiments evaluated a staff-managed feedback system to improve the hygiene and developmental skills of children in an infant/toddler center. Experiment 1 examined feedback designed to increase staff performance in checking and changing diapers, and recording those changes. A chart plus supervisory feedback produced increases in and maintenance of staff performance. Experiment 2 compared an existing staff management system with a “playchart” plus feedback in increasing careprovider-infant stimulation. The data (with follow-up on a new staff) supported the use of the new feedback system. Questionnaire data further supported the utility of the playchart system.     

Stereotypes versus behavioral judgments of sex differences in young children

Parents and child care workers were asked to rate 30 preschool child behaviors according to the cultural stereotypes concerning sex-typed behavior and actual behavioral differences between boys and girls. Both agreed on cultural stereotypes, with males rating more behaviors stereotyped than females. The behavioral ratings and cultural stereotypes of parents showed more agreement than those of child care workers. Parents overestimated sex differences in behavior, while child care workers underestimated them.This study was supported by a grant from the Office of Scientific and Scholarly Research, Graduate School, University of Oregon.