Genetic Library: Grief and Bereavement

As genetic counselors, we frequently encounter families that have experienced a significant loss, be it a pregnancy, a child, or a parent. The purpose of this Genetic Library is to introduce genetic counselors to some of the research that is currently being conducted in the areas of grief and bereavement support, as well as end-of-life care. Of course, it is impossible to capture the richness of these articles in one or two paragraphs. We therefore encourage interested genetic counselors to request and review the full version of these papers.     

iSTART 2: Improvements for efficiency and effectiveness

iSTART (interactive strategy training for active reading and thinking) is a Web-based reading strategy trainer that develops students’ ability to self-explain difficult text as a means to improving reading comprehension. Its curriculum consists of modules presented interactively by pedagogical agents: an introduction to the basics of using reading strategies in the context of self-explanation, a demonstration of self-explanation, and a practice module in which the trainee generates self-explanations with feedback on the quality of reading strategies contained in the self-explanations. We discuss the objectives that guided the development of the second version of iSTART toward the goals of increased efficiency for the experimenters and effectiveness in the training. The more pedagogically challenging high school audience is accommodated by (1) a new introduction that increases interactivity, (2) a new demonstration with more and better focused scaffolding, and (3) a new practice module that provides improved feedback and includes a less intense but more extended regimen. Version 2 also benefits experimenters, who can set up and evaluate experiments with less time and effort, because pre- and posttesting has been fully computerized and the process of preparing a text for the practice module has been reduced from more than 1 person-week to about an hour’s time.     

Condom use among high-risk adolescents: testing the influence of alcohol use on the relationship of cognitive correlates of behavior.

The goal of this study was the exploration of distal effects of alcohol use on condom use. Criminally involved adolescents completed an initial measure of attitudes, beliefs, and prior behavior. Of the 300 who completed the initial measurement, 267 (89%) completed a behavioral assessment 6 months later. Analyses validated a theoretical model of condom use intentions and indicated that intentions and attitudes measured at baseline were significant predictors of condom use behavior 6 months later. Neither alcohol use nor alcohol problems moderated relationships among model variables or the influence of intentions and attitudes on behavior. The findings do not support a distal role for alcohol use in altering the cognitive correlates of condom use intentions and behavior among high-risk adolescents.     

Spirituality in health-care reform

Much of the discussion about health-care reform has focused on questions of political and economic policies. By contrast, this article contends that this dispute involves deeper questions of meaning regarding the kinds of values, including spiritual values, that we wish to be present in health care. Communities of religious believers have a civic duty of responsibility and a theological duty of stewardship for health-care institutions. Such communities bring to the health-care debate spiritual meaning embedded in themes of humility, justice, and mercy. These virtues provide a moral test of the soundness of reform proposals.     

A skills training approach to the reduction of institutional offending

Offenses committed by those held in institutions can have repercussions at several levels: the individual must suffer the consequences of his or her actions; there may be a victim; and valuable staff time is spent adjudicating the outcome. A number of studies have suggested that an adjunct to behavioural training in institutions is a reduction in institutional misbehaviour—a suggestion which the present study sought to capitalize upon in a direct manner. In a borstal for young male law-breakers, referrals of individuals who received above average numbers of discipline reports in the institution were gathered. These people were then offered a place on a training course designed to attempt to modify behaviour towards authority figures, prison officers in particular. The course was carried out in two forms: a ‘Short’ Course of 4 days duration, and a ‘Long” Course spread over 8 weeks. Assessment of the effects of training was made by monitoring levels of discipline reports, and also by the administration of self-report and personality scales. Compared with No-training and Non-referred Controls, no significant changes in the frequency of receiving discipline reports was found following either mode of training. However, a number of changes on the self-report and personality measures suggested some degree of change after training. Implications for the construction of future courses with similar objectives are discussed.     

Naturalistic assessment of executive function and everyday multitasking in healthy older adults

ABSTRACT

Everyday multitasking and its cognitive correlates were investigated in an older adult population using a naturalistic task, the Day Out Task. Fifty older adults and 50 younger adults prioritized, organized, initiated, and completed a number of subtasks in a campus apartment to prepare for a day out (e.g., gather ingredients for a recipe, collect change for a bus ride). Participants also completed tests assessing cognitive constructs important in multitasking. Compared to younger adults, the older adults took longer to complete the everyday tasks and more poorly sequenced the subtasks. Although they initiated, completed, and interweaved a similar number of subtasks, the older adults demonstrated poorer task quality and accuracy, completing more subtasks inefficiently. For the older adults, reduced prospective memory abilities were predictive of poorer task sequencing, while executive processes and prospective memory were predictive of inefficiently completed subtasks. The findings suggest that executive dysfunction and prospective memory difficulties may contribute to the age-related decline of everyday multitasking abilities in healthy older adults.