Strategic Interventions in Hospital Transitions

This paper describes two different strategic interventions designed to provide emotional and practical support to employees during downsizing in two large urban hospitals. The first program was hospital-wide and developed by a team of human resource professionals. The second program was smaller in scale and designed for a single hospital department. Both programs were initiated to minimize the negative impact of job loss and to address the concerns and heighten the morale of remaining employees.     

Developmental and individual differences in visual memory span

The effects of chronological age (5+, 7+, 10+, and adult), articulatory suppression and spatial ability were assessed on three measures (recognition memory, partial recall, and free recall) of visual memory span for patterns, using a procedure devised by Wilson, Scott & Power (1987). Although span increased into adulthood for all three tasks, concurrent articulatory suppression acted to reduce span for the 10-year-old and adult subjects. The ability to generate accurate visuo-spatial representations at retrieval is perfectly well developed by 7 years of age. Speed of response was lengthened for the youngest age group, but was immune to the effects of concurrent articulatory suppression. Good spatial ability was associated with higher span estimates on all tasks, regardless of age. Whilst the data support the existence of a system for representing visual patterns, which increases in capacity with increasing chronological age, the system (or processes accessing it at retrieval) is not immune to verbal recoding strategies. The independent association of spatial ability with span is taken to imply that nonverbal encoding and/or maintenance strategies can act to boost visual span from at least 5 years of age.     

Evaluation of an islandwide screening,assessment and treatment program

This article reports on the effectiveness of the Islandwide Screening, Assessment, and Treatment Program of the Child Development Project in Bermuda. From 1982 to 1984, approximately 1100 families with 2-year-old children were screened for children's cognitive and language delay, for behaviour management problems and for other home characteristics that put children at risk for later school failure. Children who failed the screening and subsequent assessment procedures (of whom random samples received treatment) and samples of others who passed screening and assessment were evaluated from 1984 to 1986 at 4 years of age. This article focuses on the results of the cognitive and language programs; the more problematic behaviour management analyses were reported elsewhere (Miller and Scarr, 1988). The screening procedures and assessment measures developed for this project were themselves evaluated and adjusted to maximize efficiency and costeffectiveness. The screening and assessment procedures proved effective in bringing to the attention of the Child Development Project those families and children who need developmental services, and in not overidentifying normal children as potentially delayed in development. Two kinds of treatment services were compared: The Mother-Child Home Program (MCHP), administered by paraprofessional toy demonstrators, and other interventions tailored by professionals to the language and cognitive problems of the child (called ‘tailored programs’). Children who were not extremely delayed or disturbed were randomly assigned either to the MCHP or to a tailored program. Neither intervention program was preferable to the other. Even though improved, the 4-year-olds identified as developmentally delayed at 24 months still lagged behind children who passed all parts of screening and those who failed screening but passed assessment 2 years earlier. The screening and assessment procedures were very effective in the early identification of children with developmental problems, but the treatment programs failed to bring most children to normal levels of cognitive and language functioning.     

Specificity of memory representations for spoken words

Many theories of spoken word recognition assume that lexical items are stored in memory as abstract representations. However, recent research (e.g., Goldinger, 1996) has suggested that representations of spoken words in memory are veridical exemplars that encode specific information, such as characteristics of the talker’s voice. If representations are exemplar based, effects of stimulus variation such as that arising from changes in the identity of the talker may have an effect on identification of and memory for spoken words. This prediction was examined for an implicit and explicit task (lexical decision and recognition, respectively). Comparable amounts of repetition priming in lexical decision were found for repeated words, regardless of whether the repetitions were in the same or in different voices. However, reaction times in the recognition task were faster if the repetition was in the same voice. These results suggest a role for both abstract and specific representations in models of spoken word recognition.     

Cuban Mothers' Schemas of ADHD: Development, Characteristics, and Help Seeking Behavior

Parents play a crucial role in the diagnosis and treatment of Attention-Deficit Hyperactivity Disorder (ADHD), one of the most prevalent developmental disorders of young children We report the findings of a qualitative study of Cuban-American mothers of 7 to 10 year old children with ADHD. Results suggest that mothers lacked a cultural model for ADHD and held a cultural model of normal child development which hampered their development of a schema of ADHD. Development of ADHD schemas were motivated by perplexity at their children's behavior and by the high value mothers ascribed to academic achievement. Although the schemas developed by the mothers were labeled as ADHD, their behavioral characterizations of their children, their attributions for the condition and for its causes, and their management strategies were not always in agreement with those of the biomedical model for the condition. However, once mothers classified their children's behavior as atypical, they actively sought assistance from the professional sector.     

Psychometric properties of the children's atypical development scale

The Children's Atypical Development Scale (CADS) is a 53-item rating scale designed to measure unusual behaviors in children. Principal-factor analysis on a clinic-referred and pediatric sample of 474 children resulted in a four-factor solution: Communication Deficits, Lability, Social Relatedness Deficits, and Preoccupation. The CADS is internally consistent and has adequate temporal stability. CADS factor scores were differentially associated with parent and teacher rating scales, IQ, and Continuous Performance Test errors. The scale shows promise as a clinical and research tool for assessing atypical behaviors associated with pervasive developmental disorder and other neurobehavioral disorders.This research was supported in part by a grant from the Smart Family Foundation. The authors are grateful to James P. O'Donnell, Catherine Lord, and Frank A. Zelko for their comments on an earlier draft.     

Women’s Income-generating Activity and Experiences of Economic Intimate Partner Violence in Rural Bangladesh

Sex Roles - Economic coercion is a form of intimate partner violence (IPV) that is distinct from but often co-occurs with physical, psychological, and sexual IPV. Women’s experiences of...     

A systematic review of physical guidance procedures as an open‐mouth prompt to increase acceptance for children with pediatric feeding disorders

This article reviews behavioral treatments of pediatric feeding disorders using physical guidance procedures as an open‐mouth prompt (i.e., jaw prompt, finger prompt, Nuk prompt, side deposit) to increase food acceptance. We identified 9 articles containing 35 systematic evaluations. We coded participant and study characteristics and assessed the experimental rigor, quality, and outcomes of each evaluation. Of the high‐quality research present, the finger prompt variation and side deposit reliably increased acceptance. We found mixed results on the efficacy of the jaw prompt, although it was the most widely researched procedure. Further, authors reported interobserver agreement for 100% of the participants, procedural integrity for 60%, social validity for 80%, fading for 5%, and follow‐up for 55%. Based on the invasive nature of physical guidance, we provide recommendations for researchers and clinicians to increase the quality of their treatment evaluations. We discuss limitations, implications for practice, and future research.