Testing a self-determination theory process model for promoting glycemic control through diabetes self-management.

A longitudinal study tested the self-determination theory (SDT) process model of health behavior change for glycemic control within a randomized trial of patient activation versus passive education. Glycosylated hemoglobin for patients with Type 2 diabetes (n=159) was assessed at baseline, 6 months, and 12 months. Autonomous motivation and perceived competence were assessed at baseline and 6 months, and the autonomy supportiveness of clinical practitioners was assessed at 3 months. Perceptions of autonomy and competence were promoted by perceived autonomy support, and changes in perceptions of autonomy and competence, in turn, predicted change in glycemic control. Self-management behaviors mediated the relation between change in perceived competence and change in glycemic control. The self-determination process model fit the data well.     

Enhancing the language development of toddlers in foster care by promoting foster parents’ sensitivity: Results from a randomized controlled trial

Young children in foster care are at increased risk for problematic language development, making early intervention a critical tool in enhancing these children's foundational language abilities. This study examined the efficacy of an early preventative intervention, Attachment and Biobehavioral Catch‐up for Toddlers (ABC‐T), in improving the receptive vocabulary abilities of toddlers placed in foster care. All the children had been removed from their biological parents’ care and placed into foster care. When children were between 24 and 36 months old, foster parents were contacted by research staff and consented to participate. Parents were randomly assigned using a random number generator to receive either ABC‐T (n = 45), which aimed to promote sensitive parenting for children who have experienced early adversity, or a control intervention (n = 43). Foster children's receptive vocabulary skills were assessed post‐intervention using the Peabody Picture Vocabulary Test, Third Edition, when children were between 36 and 60 months old. Children whose foster parents received ABC‐T demonstrated more advanced receptive vocabulary abilities than children whose foster parents received the control intervention. The positive effect of ABC‐T on foster children's receptive vocabulary was mediated by increases in foster parents’ sensitivity during parent–child interactions. Trial registration: ClinicalTrials.gov NCT01261806.     

Safeguarding Youth Interrogation Rights: The Effect of Grade Level and Reading Complexity of Youth Waiver Forms on the Comprehension of Legal Rights

The extent to which youths understand their interrogation rights was examined. High school students (N = 160) from five different grades were presented with one of two Canadian youth waiver forms—varying widely in reading complexity—and tested on their knowledge of their legal rights. Results showed that comprehension of both waiver forms was equally deficient, and systematic misunderstandings of vital legal rights were discovered (e.g., the right to remain silent). There was also a positive linear relationship between high school grade level and amount of comprehension. Potential ways to enhance youths' understanding of their rights and provide them protection during interrogations are discussed. Copyright © 2014 John Wiley & Sons, Ltd.     

Changes to the object recognition system in patients with dementia of the Alzheimer's type

Do DAT patients show category-specific deficits in object identification, and do they arise from semantic or visual damage? Participants decided whether line drawings of living and nonliving objects matched names at superordinate, basic, or subordinate levels. Patients were most impaired with superordinate decisions. Controls had most difficulty with subordinate decisions. No category-specific deficit was found with patients. Impaired superordinate decisions by the patients support semantic damage. If category-specific deficits arise from damaged semantics, they should have been found. Since they were not, and since patients performed subordinate decisions the best, a visual basis to category specificity is supported. Finally, a living advantage was found with normal observers which cannot be spurious due to differences in concept familiarity since living and nonliving objects were matched for this variable.     

What infants know about syntax but couldn't have learned: experimental evidence for syntactic structure at 18 months

Generative linguistic theory stands on the hypothesis that grammar cannot be acquired solely on the basis of an analysis of the input, but depends, in addition, on innate structure within the learner to guide the process of acquisition. This hypothesis derives from a logical argument, however, and its consequences have never been examined experimentally with infant learners. Challenges to this hypothesis, claiming that an analysis of the input is indeed sufficient to explain grammatical acquisition, have recently gained attention. We demonstrate with novel experimentation the insufficiency of this countervailing view. Focusing on the syntactic structures required to determine the antecedent for the pronoun one, we demonstrate that the input to children does not contain sufficient information to support unaided learning. Nonetheless, we show that 18-month-old infants do have command of the syntax of one. Because this syntactic knowledge could not have been gleaned exclusively from the input, infants' mastery of this aspect of syntax constitutes evidence for the contribution of innate structure within the learner in acquiring a grammar.     

A thermal vascular test for distinguishing between patients with Raynaud's phenomenon and healthy controls. Raynaud's Treatment Study Investigators.

This study tested the reliability and validity of a diagnostic thermal vascular test (TVT) for patients with Raynaud's Phenomenon (RP). The TVT examined digital blood pressure responses to combined cooling and occlusion and was developed as part of the Raynaud's Treatment Study, a multicenter clinical trial comparing the efficacy of biofeedback and pharmacological treatment. A computerized system permitted efficient, accurate, and uniform testing at different geographical sites. A comparison of 199 patients with RP and 52 healthy controls is reported. The TVT showed a sensitivity of 79% and a specificity of 88%. Test-retest reliability was acceptable (r = .80). Addition of a psychological challenge failed to improve the discrimination between patients with RP and controls. The TVT separated patients with RP and controls as well as or better than existing tests and did so with enhanced ease of operation.