The role of lexical expertise in reading homophones

In Experiment 1, university students classified on lexical expertise on the basis of spelling plus nonword pronunciation accuracy made lexical decisions to homophones and control words. Homophones were accepted as words more slowly than control words, but lexical experts showed a smaller homophone cost than the less skilled group. In Experiment 2, similarly classified groups showed a large difference in their ability to detect homophones, with the low-expertise group showing a yes bias to high-frequency words, and having difficulty detecting homophones when mate-frequency was low. The results suggest superior use of orthography in the lexical experts and more reliance on semantic information in nonexperts, and support the importance of facility with orthography–phonology mappings in lexical expertise.     

Eye See What You Are Saying: Testing Conversational Influences on the Information Gleaned from Home‐Loan Disclosure Forms

The federal government mandates the use of home‐loan disclosure forms to facilitate understanding of offered loans, enable comparison shopping, and prevent predatory lending. Predatory lending persists, however, and scant research has examined how salespeople might undermine the effectiveness of these forms. Three eye‐tracking studies (a laboratory simulation and two controlled experiments) investigated how conversational norms affect the information consumers can glean from these forms. Study 1 was a laboratory simulation that recreated in the laboratory; the effects that previous literature suggested is likely happening in the field, namely, that following or violating conversational norms affects the information that consumers can glean from home‐loan disclosure forms and the home‐loan decisions they make. Studies 2 and 3 were controlled experiments that isolated the possible factors responsible for the observed biases in the information gleaned from these forms. The results suggest that attentional biases are largely responsible for the effects of conversation on the information consumers get and that perceived importance plays little to no role. Policy implications and how eye‐tracking technology can be employed to improve decision‐making are considered. Copyright © 2015 John Wiley & Sons, Ltd.     

“Not Tied Up Neatly with a Bow”: Professionals’ Challenging Cases in Informed Consent for Genomic Sequencing

As the use of genomic technology has expanded in research and clinical settings, issues surrounding informed consent for genome and exome sequencing have surfaced. Despite the importance of informed consent, little is known about the specific challenges that professionals encounter when consenting patients or research participants for genomic sequencing. We interviewed 29 genetic counselors and research coordinators with considerable experience obtaining informed consent for genomic sequencing to understand their experiences and perspectives. As part of this interview, 24 interviewees discussed an informed consent case they found particularly memorable or challenging. We analyzed these case examples to determine the primary issue or challenge represented by each case. Challenges fell into two domains: participant understanding, and facilitating decisions about testing or research participation. Challenges related to participant understanding included varying levels of general and genomic literacy, difficulty managing participant expectations, and contextual factors that impeded participant understanding. Challenges related to facilitating decision-making included complicated family dynamics such as disagreement or coercion, situations in which it was unclear whether sequencing research would be a good use of participant time or resources, and situations in which the professional experienced disagreement or discomfort with participant decisions. The issues highlighted in these case examples are instructive in preparing genetics professionals to obtain informed consent for genomic sequencing.     

The Experience of Vicarious Posttraumatic Growth in Mental Health Workers

In order to add to the body of research that examines the phenomenon of vicarious posttraumatic growth, this study sought to illuminate the lived experiences of mental health professionals who work on a day-to-day basis with multiply traumatized children and adolescents and, as a result, experience measurably high levels of vicarious trauma and compassion satisfaction. The findings from this qualitative study support positive vicarious experiences derived from trauma work and expose the pathologically focused nature of the profession.     

Psychosocial Factors Relating to Adaptive Capacity in a New Zealand District Health Board

ABSTRACT

Communities assume that health care systems are adequately preparing for disasters, yet health sector capacities are restricted. The current research examined factors associated with adaptive capacity of staff in the New Zealand health sector. Two studies were carried out in the context of large-scale emergency management exercises, with the assumption that such exercises provide information about psychosocial responses to real emergency situations. The focus of the research was on adaptive capacity to address routine work-related stressors, as high levels of routine demands in the health sector have implications for staff health and organizational functioning, both of which are important for managing the stressful demands arising from emergency situations. The implications of these findings are discussed.     

Evaluation of the Informational Content,Readability and Comprehensibility of Online Health Information on Monogenic Diabetes

The purpose of this study was to assess the informational content, readability, suitability and comprehensibility of websites offering educational information about monogenic diabetes available to patients. The top 20 results from 15 queries in four search engines were screened. Content analysis was performed by two independent coders. Readability was determined using Flesch-Kincaid grade level (FKGL) and Simplified Measure of Goobledygook (SMOG). The Comprehensibility Assessment of Materials (SAM + CAM) scale was utilized to evaluate website suitability and comprehensibility. Only 2% (N = 29) of 1200 screened websites met inclusion criteria. Content analysis showed that 16 websites presented information on at least the most common forms of MODY (1, 2 and 3), four addressed the utility of genetic counseling, and none included support resources for patients. All websites exceeded the consensus readability level (6th grade) as assessed by FKGL (10.1 grade) and SMOG (12.8 ± 1.5 grades). Although the majority (N = 20) of websites had an overall “adequate” to “superior” quality score (SAM + CAM score > = 40%), more than one-third scored “not suitable” in categories of content, literacy demand, graphics, and learning motivation. The online educational resources for monogenic diabetes have a high readability level and require improvement in ease of use and comprehensibility for patients with diabetes.     

A multicomponent approach to thinning reinforcer delivery during noncontingent reinforcement schedules

We evaluated a noncontingent reinforcement procedure that involved initially providing three subjects with signaled, continuous access to the functional reinforcer for aggression and slowly increasing the amount of time subjects were exposed to the signaled unavailability of the reinforcer. Additionally, alternative potential reinforcers were available throughout the sessions. Results showed immediate and substantial reductions in aggression for all three subjects. The clinical utility of this intervention is discussed, and future research directions are recommended.