Investigation of the Use of a Family Health History Application in Genetic Counseling

The paper-based pedigree is the current standard for family health history (FHH) documentation in genetic counseling. Several tools for electronic capture of family health data have been developed to improve re-use and accessibility, data quality and standardization, ease of updating, and integration with electronic medical records. One such tool, the tablet-based Proband application, provides a flexible approach to data capture in dynamic and diverse clinical settings. This study compared Proband FHH collection to paper-based methods and investigated the usability of Proband in a clinical setting. After one use by 23 genetic counselors and students, Proband had 91% accuracy with a FHH audio scenario, which was significantly less (p?<?0.001) than paper’s 96% accuracy. These differences were attributed to incorrect or missing ages of grandparents (p?<?0.001) and great-aunts/uncles (p?=?0.012) and missing documentation of consanguinity (p?<?0.001). Possible explanations for these differences include greater experience with paper FHH documentation and pre-populated prompts for consanguinity on the paper template used. Proband’s perceived usability increased with use, with individual System Usability Scores increasing between first and last use (p?=?0.033). We conclude that tools for dynamic, provider-driven FHH documentation such as Proband show promise for improving risk assessment accuracy and quality patient care.     

School Competence among Adolescents in Low-Income Families: Does Parenting Style Matter?

In the present study, we investigated parenting styles and self-perceived school competence among low-income adolescents in Norway. The purpose of the study was threefold: (1) to identify differences, if any, in self-perceived school competence between low-income ethnic Norwegians and low-income ethnic minorities; (2) to determine differences, if any, in the perception of parenting styles between the groups; and (3) to determine if parenting styles predict self-perceived school competence in the two groups. The sample consisted of 253 adolescents 12–18 years of age; 130 adolescents were ethnic Norwegians, and 123 were from ethnic minorities. Self-perceived school competence was measured using the Scholastic Competence subscale of Harter’s Self-Perception Profile for Adolescents. Perception of parenting style was measured with the following three scales: support, monitoring and neglect. An independent-samples t-test revealed that ethnic minorities reported higher levels of self-perceived school competence than did ethnic Norwegians. No significant difference between the groups in their perception of parenting styles was observed. Support and monitoring were positively correlated with school competence, whereas neglect was negatively correlated with school competence. When all three parenting styles were entered separately into standard multiple regression analyses for the two groups, a high degree of perceived neglect significantly predicted low self-perceived school competence in both groups. This finding indicates how schools and policy makers can explore the types of support that families may need to adopt better upbringing styles.     

White Female Bystanders’ Responses to a Black Woman at Risk for Sexual Assault: Associations With Attitudes About Sexism and Racial Injustice

Women of color are affected by both sexism and racism. We examined White women’s attitudes about sexism (hostile and benevolent sexism) and racial injustice (White empathic responses to racism) as correlates of their responses to a Black woman at risk for an alcohol-related sexual assault. White undergraduate women (N = 172) reported on their attitudes and then completed measures of blame and willingness to intervene in response to a scenario in which a woman named “LaToya” is at risk. All 3 types of attitudes were directly related to victim blame, whereas only hostile sexism was directly, negatively related to willingness to intervene. White empathic responses to racism moderated the associations between benevolent sexism and both victim blame and willingness to intervene. Results suggest that among White female bystanders, both hostile and benevolent sexist attitudes were related to increased blame and reduced willingness to intervene to help Black women at risk. The adverse effects of benevolent sexism, however, were reduced for those with greater concerns about racial injustice.     

Neuroanatomical profiles of bilingual children

The goal of the present study was to examine differences in cortical thickness, cortical surface area, and subcortical volume between bilingual children who are highly proficient in two languages (i.e., English and Spanish) and bilingual children who are mainly proficient in one of the languages (i.e., Spanish). All children (N = 49) learned Spanish as a native language (L1) at home and English as a second language (L2) at school. Proficiency of both languages was assessed using the standardized Woodcock Language Proficiency Battery. Five‐minute high‐resolution anatomical scans were acquired with a 3‐Tesla scanner. The degree of discrepancy between L1 and L2 proficiency was used to classify the children into two groups: children with balanced proficiency and children with unbalanced proficiency. The groups were comparable on language history, parental education, and other variables except English proficiency. Values of cortical thickness and surface area of the transverse STG, IFG‐pars opercularis, and MFG, as well as subcortical volume of the caudate and putamen, were extracted from FreeSurfer. Results showed that children with balanced bilingualism had thinner cortices of the left STG, left IFG, left MFG and a larger bilateral putamen, whereas unbalanced bilinguals showed thicker cortices of the same regions and a smaller putamen. Additionally, unbalanced bilinguals with stronger foreign accents in the L2 showed reduced surface areas of the MFG and STS bilaterally. The results suggest that balanced/unbalanced bilingualism is reflected in different neuroanatomical characteristics that arise from biological and/or environmental factors.     

Job demands and resources: Flourishing and job performance in South African universities of technology settings

We investigated the extent to which perceived job demands and resources influenced work-related flourishing and job performance among academic staff in South African universities of technology. Participants were 339 lecturers from three universities of technology (female = 53.8%; junior lecturers = 15.7%; mean age = 45 years, SD = 10 years; job tenure = 77.3% more than five years). Lecturers completed job demands, job resources, flourishing at work, and job performance measures. We utilised latent variable modelling to predict flourishing at work and job performance scores from job demands and resources scores. The results indicated job resources (specifically role clarity, advancement, and remuneration) to predict flourishing at work. Role clarity and flourishing at work predicted job performance. In line with job demands theory, the availability of resources was positively associated with flourishing at work and job performance of academic employees.     

Supporting families of transgender children/youth: Parents speak on their experiences,identity, and views

ABSTRACT

Background: Transgender children/youth demonstrate the best possibility for resilience and positive mental health when they are part of an affirming and supportive family. To optimize families in supporting transgender children/youth, parents/caregivers need to be supported. Transgender children/youth and their families regularly navigate a myriad of challenges through society.

Aims: Within the extant literature on transgender children and youth, relatively little attention is focused on the experiences of parents/caregivers and how their close family relationships are affected. The present qualitative study addresses this gap in knowledge through its exploration of the experiences, identities, and views of parents/caregivers of transgender children/youth.

Method: The study is longitudinal and this article represents the first wave. Fourteen parents of 12 transgender children/youth, aged 6–17, participated in in-depth semistructured interviews. Participants were recruited via social media and at an on-site conference for transgender youth and their families. All children/youth had socially transitioned. Those who were eligible for puberty suppression and/or hormone therapy were receiving those. The interviews were inductively coded for themes by two coders using the constant comparative method.

Results: Participants' reports on their experiences yielded three themes: (1) transgender issues as the family's focus; (2) proactivity, child-focused: preemptive actions to prevent adverse consequences; and (3) self-care. These themes included subthemes on effective coping strategies to mitigate struggles. Three themes related to participants' identity and views emerged: (1) identity reformation, (2) self-evaluation, and (3) views of future. These themes included subthemes that reflected how participants viewed themselves, their child, and the future.

Discussion: A transgender identity in one family member affects all household members. Parents/guardians may experience guilt and self-doubt over decisions. Factors that may improve outcomes with extended family and schools include families' preemptive dissemination of information on transgender identities and explicating expectations of respect and nonintrusion. Ingrained traditions may force life-altering decisions.     

Internet-delivered cognitive behavior therapy for anxiety and insomnia in a higher education context

Background and Objectives: Anxiety and insomnia can be treated with internet-delivered Cognitive Behavioral Therapy (iCBT). iCBT may be well-suited to students who are known to be poor help-seekers and suffer these symptoms. iCBT can offer easy access to treatment and increase service availability. The aim of this study was to evaluate the efficacy of anxiety and insomnia iCBT programs in students. Design: A randomized, controlled study. Methods: Students were randomly allocated to intervention (“Anxiety Relief”: n?=?43; “Insomnia Relief”: n?=?48; control: n?=?47). Interventions lasted six weeks. Outcome measures were the State-Trait Anxiety Inventory and the Pittsburgh Sleep Quality Index. Results: Significant within-group reductions in anxiety (t(31)?=?2.00, p?=?.03) with moderate between-groups (compared to control) effect size (d?=?.64) and increases in sleep quality (t(31)?=?3.46, p?=?.002) with a moderate between-groups effect size (d?=?.55) were found for completers of the anxiety program from pre- to post-intervention. Significant within-group increases in sleep quality were found for completers of the insomnia program from pre- to post-intervention (t(35)?=?4.28, p?>?.001) with a moderate between-groups effect size (d?=?.51). Conclusions: Findings support the use of iCBT for anxiety and insomnia in students, and indicate that further research is needed.