Creation and Implementation of an Environmental Scan to Assess Cancer Genetics Services at Three Oncology Care Settings

An environmental scan (ES) is an efficient mixed-methods approach to collect and interpret relevant data for strategic planning and project design. To date, the ES has not been used nor evaluated in the clinical cancer genetics setting. We created and implemented an ES to inform the design of a quality improvement (QI) project to increase the rates of adherence to national guidelines for cancer genetic counseling and genetic testing at three unique oncology care settings (OCS). The ES collected qualitative and quantitative data from reviews of internal processes, past QI efforts, the literature, and each OCS. The ES used a data collection form and semi-structured interviews to aid in data collection. The ES was completed within 6 months, and sufficient data were captured to identify opportunities and threats to the QI project’s success, as well as potential barriers to, and facilitators of guideline-based cancer genetics services at each OCS. Previously unreported barriers were identified, including inefficient genetic counseling appointment scheduling processes and the inability to track referrals, genetics appointments, and genetic test results within electronic medical record systems. The ES was a valuable process for QI project planning at three OCS and may be used to evaluate genetics services in other settings.     

Everyday creative activity as a path to flourishing

Recent experience sampling and diary studies have shown that spending time on creative goals during a day is associated with higher activated positive affect (PA) on that day. Based on models of creativity as a tool for promoting well-being, the present study examined cross-day relationships between creative activity, affect, and flourishing. A large sample of young adults (n = 658) took part in a 13-day daily diary study. Each day, they reported how much time they spent on creative activities, daily positive and negative affect, and daily flourishing. Lagged multilevel models revealed that people felt higher activated PA and flourishing following days when they reported more creative activity than usual. The other direction – PA predicting next-day creative activity – was not supported, suggesting that the cross-day effect was specific to creative activity predicting well-being. Overall, these findings support the emerging emphasis on everyday creativity as a means of cultivating positive psychological functioning.     

Cross-modality translations improve recognition by reducing false alarms

Conway and Gathercole [(1990). Writing and long-term memory: Evidence for a “translation” hypothesis. The Quarterly Journal of Experimental Psychology, 42, 513–527] proposed a translation account to explain why certain types of encoding produce benefits in memory: Switching modalities from what is presented to what is encoded enhances item distinctiveness. We investigated this hypothesis in a recognition experiment in which the presentation modality of a study list (visual vs. auditory) and the encoding activity (speaking vs. typing vs. passive encoding) were manipulated between-subjects. Manipulating encoding activity between-subjects ruled out any potential influence of the relationally distinct processing that can occur in a within-subject manipulation (in which all previous translation effects have been demonstrated). We found no overall difference in memory for words presented auditorily vs. visually nor for visual vs. auditory encoding, but critically presentation modality and encoding activity did interact. Translating from one modality to another – particularly from auditory presentation to visual encoding (typing) – led to the best memory discrimination. This was largely because of reduced false alarms, not increased hits, consistent with the distinctiveness heuristic.     

Specific Onboarding Practices for the Socialization of New Employees

Onboarding is frequently used by organizations to help socialize newcomers, but little research has focused on the specific onboarding practices organizations use or the effectiveness of those practices in facilitating newcomer adjustment. To begin addressing this gap, this study explores specific onboarding practices and evaluates the Inform‐Welcome‐Guide framework of onboarding practices. Data are presented from representatives of 10 organizations regarding what onboarding practices they offer and how those practices are offered. Three hundred seventy‐three new employees from those same 10 organizations also shared their perceptions of the practices they experienced, when those practices were experienced, and the perceived helpfulness of those practices. Lastly, the extent to which new employees were socialization was assessed. Several research questions and hypotheses among these variables were examined, and most of the hypotheses supported. Implications of these findings for future research and practice are discussed.     

The effects of memory load on the time course of inhibition of return

Inhibition of return (IOR) refers to a processing disadvantage at a recently attended location. It is generally agreed that when elicited in a cue-target task, IOR will not be apparent until attention is disengaged from the originally cued location and returned to a neutral state. Here we test the hypothesis that when such disengagement is dependent on endogenous control, a secondary task that taxes working memory capacity should delay the appearance of IOR. Participants were given a six-item verbal working memory load prior to the peripheral cue in a cue-target detection task. Consistent with the hypothesis, the appearance of IOR was delayed on trials for which participants had to hold information in working memory. Converging evidence was derived from a second experiment in which the time course of IOR’s appearance, when we added a central cue to exogenously remove attention from the peripheral cue, was unaffected by the memory load.     

Etiology of strokes in children with sickle cell anemia

The most devastating complication of sickle cell anemia is cerebral infarction, affecting approximately 30% of all individuals with sickle cell anemia. Despite being one of the most common causes of stroke in infants and children, the mechanism of cerebral infarction in this population has not been extensively studied and is poorly understood. Multiple, synergistic factors are important in the pathogenesis of stroke including the hemodynamic effects of cerebral arterial occlusive disease, viscosity, chronic and acute anemia and acute medical events. This review focuses on the relationship between these factors in order to provide a foundation for further study of the etiology of strokes in this high-risk population.     

Facilitated cognitive disengagement in depression

The present study was conducted to test predictions derived from the hypothesis that depression may serve the purpose of adaptively facilitating disengagement from obsolete cognitive plans. Groups of students with either low or high depression scores were contrasted using a procedure that featured an initial learning phase, within which participants learned to perform a task, followed by a relearning phase within which they needed to disengage from initial learning in order to relearn to perform an altered task. It was assumed that performance in the relearning phase would be affected by the degree to which participants could readily disengage from their initial learning. As predicted, participants in the high depression group, relative to those in the low depression group, demonstrated superior performance in the relearning phase alone. The theoretical and applied implications of this finding are discussed.     

Predictors of suicidal ideation among "at risk" cocaine-using African American women

The focus of this study was to identify factors that differentiate women drug abusers who had experienced suicidal ideation from those who did not. Face-to-face interviews were conducted with 221 cocaine-using women in Atlanta, GA, 88 (39.8%) of whom reported thinking about committing suicide at least once during the 90 days prior to interview and 133 (60.2%) of whom did not. Multivariate logistic regression was used to identify predictors of suicidal ideation, and post hoc goodness-of-fit tests were conducted to assess the robustness of final models derived. Model 1 excluded all psychosocial functioning measures and Model 2 included these items. Both models showed that suicidal ideation was more common among women who were unemployed, had been abused sexually, engaged in sexual relations to cope with stresses, or had less helpful relatives. In addition, Model 1 revealed a heightened risk for women experiencing financial problems and those who had a previous mental health diagnosis, whereas Model 2 showed an elevated risk among women who experienced anxiety and those who had lower levels of self-esteem. These findings suggest the need for prevention and intervention programs that target at-risk women, and for such programs to include an emphasis on suicidal ideation in addition to focusing on risk factors that are addressed more commonly.     

Intermanual interactions related to movement amplitudes and endpoint locations

In almost all studies of bimanual movements with same and different amplitudes, the difference between amplitudes has been confounded with a difference between endpoint locations. The present authors varied those parameters orthogonally. In addition, they presented target locations on the surface on which the movements were produced (direct cues) and on a monitor (indirect cues). Participants' (N = 12) reaction times were longer when both amplitudes and endpoint locations differed than when they were the same. Intermanual amplitude correlations were reduced whenever 1 of the movement parameters differed for the 2 hands; only when cues were presented on the monitor was the amplitude correlation further reduced when both movement parameters were different. The results indicate that structural constraints on bimanual movements take effect on both amplitudes and endpoint locations. The relative importance of those 2 parameters is largely independent of the type of cue.