Trends in Telehealth versus On-site Clinical Genetics Appointments in Manitoba: A Comparative Study

Telehealth involves the use of information and communications technology to deliver health services to patients over distance. Canada is well suited to benefit from telehealth since many individuals live in remote, rural and isolated locations. Manitoba is the easternmost prairie province and MBTelehealth is an active Canadian program that currently has 105 sites in 73 communities. Although studies of patient satisfaction comparing telehealth to on-site clinical visits have been conducted, a comparative study of the types of genetics patients seen via these two modalities has not been performed previously. In this study we: (1) examined the uptake of telehealth in Genetics in Manitoba; (2) contrasted telehealth usage in Genetics with other clinical programs; and (3) performed a comparative study of the types of Genetics referrals seen in 2008 on-site versus via telehealth. Results indicate the uptake of telehealth is increasing and has made genetics outreach clinics unnecessary. The Program of Genetics and Metabolism is consistently one of the top ten utilizers of telehealth within the province. With respect to discipline, chi square analysis revealed the trends were not significantly different for on-site and telehealth encounters, with prenatal referrals being the most common and Hereditary Breast and Ovarian Cancer referrals being the least common. Referrals within each discipline varied depending on the need for fetal assessment and physical examination. Telehealth was utilized regularly for test results sessions across all disciplines.     

125 years of perceptual-motor skill research

This article celebrates the contribution that the American Journal of Psychology (AJP) has made to the area of perceptual-motor skill over its 125-year history. We highlight the articles published in AJP and trace the technical and theoretical developments that stem from this groundbreaking work. Included in our overview are AJP articles on the excitability of the motor system, motor learning, adaptation to visual rearrangement, the ecological approach to perception and action, and the measurement of human handedness. We conclude by identifying a number of areas associated with perceptual-motor skill where AJP continues to make an important contribution.     

Reichenbach’s cubical universe and the problem of the external world

This paper is a sympathetic critique of the argument that Reichenbach develops in Chap. 2 of Experience and Prediction for the thesis that sense experience justifies belief in the existence of an external world. After discussing his attack on the positivist theory of meaning, I describe the probability ideas that Reichenbach presents. I argue that Reichenbach begins with an argument grounded in the Law of Likelihood but that he then endorses a different argument that involves prior probabilities. I try to show how this second step in Reichenbach’s approach can be strengthened by using ideas that have been developed recently for understanding causation in terms of the idea of intervention.     

Process timing and its relation to the coding of tonal harmony

Advances in auditory research suggest that gamma-band synchronization of frequency-specific cortical loci could be responsible for the integration of pure tones (harmonics) into harmonic complex tones. Thus far, evidence for such a mechanism has been revealed in neurophysiological studies, with little corroborative psychophysical evidence. In six experiments, we observed a rate- and time-specific response-time advantage for a sequence of target pips when the defining frequency of the target was a fractional multiple of a priming frequency. The effect was only observed when the prime and target sequences were presented at 33 pips per second and when the interstimulus interval was approximately 100 and 250 ms. This evidence implicates oscillatory gamma-band activity in the representation of harmonic complex tones and suggests that synchronization with precise temporal characteristics is important for disambiguating related harmonic templates. An outline of a model is presented, which accounts for these findings in terms of fast resynchronization of relevant neuronal assemblies.     

Jandu Yani U (for all families): Tailored Triple P Training and Support Promote Empowerment in Remote Aboriginal Communities

Journal of Child and Family Studies - To enhance the accessibility and acceptability of evidence-based parenting programs in Indigenous communities, there is a need to build a confident and skilled...     

Force versus fury: Sex differences in the relationships among physical and psychological threat potential,the facial width‐to‐height ratio,and judgements of aggressiveness

Individuals with larger facial width‐to‐height ratios (FWHRs) are judged as more threatening, and engage in more threat‐related behavior, than do individuals with smaller FWHRs. Here we identified components of threat potential that are related to the FWHR. In Study 1, the FWHR was correlated positively with physical threat potential (bicep size) in women and with both physical and psychological (anger proneness) threat potential in men. Behavioral aggression was measured in a subset of these participants using the Point Subtraction Aggression Paradigm (costly aggression) and a Money Allocation Task (non‐costly aggression). Psychological (but not physical) threat potential predicted non‐costly aggression and physical (but not psychological) threat potential predicted costly aggression. In Study 2, a separate set of participants judged the anger proneness, strength, or aggressiveness of male participants photographed in Study 1. Participants’ judgements of all three characteristics were associated with the FWHR, and there were sex differences in how aggressiveness was conceptualized (for women, aggressiveness was associated with anger proneness, for men, aggressiveness was associated with strength). These results are consistent with the hypothesis that the FWHR may be an adaptation to cue the threat potential of men.

     

Patient preference as a predictor of outcomes in a pilot trial of person-centred counselling versus low-intensity cognitive behavioural therapy for persistent sub-threshold and mild depression

The aim of this analysis was to explore whether pre-treatment intervention preferences were related to outcomes for patients with persistent sub-threshold and mild depression who received one of two treatment types. Thirty-six patients took part in a two-arm, parallel group, pilot randomized controlled trial that compared short term (3 month and 6 month) outcomes of person-centred counselling (PCC) compared with low-intensity, CBT-based guided self-help (LICBT). Patient preferences for the two interventions were assessed at baseline assessment, and analysed as two independent linear variables (pro-PCC, pro-LICBT). Eight out of 30 interactions between baseline treatment preferences and treatment type were found to be significant at the p < .05 level. All were in the predicted direction, with patients who showed a stronger preference for a treatment achieving better outcomes in that treatment compared with the alternative. However, pro-LICBT was a stronger predictor of outcomes than pro-PCC. The findings provide preliminary support that treatment preferences should be taken into account when providing interventions for patients with persistent sub-threshold and mild depression. It is recommended that further research analyses preferences for different treatment types as independent variables, and examines preferences for format of treatment (e.g. guided self-help vs. face-to-face).     

Training the next generation of counseling psychologists in the practice of telepsychology

Training programs that integrate the use of technology are needed to prepare students for the future of service delivery in psychology. Training opportunities in telepsychology can equip students to develop, implement, and evaluate innovative modalities for mental health care. However, few options are available for trainees seeking to acquire these experiences, and while guidelines for service provision using technology are emerging, guidelines for and documented examples of training programs in telepsychology are virtually non-existent. The Telehealth Counseling Clinic, located at the Texas A&M Health Science Center, has developed a training model to prepare the next generation of psychologists to work with new technology to provide counseling services to low-income and uninsured individuals living in designated Mental Health Professional Shortage Areas in rural Texas. Training competencies necessary to serve this population through telepsychology are discussed and preliminary evaluation data of the training program are presented.