Genetic Counselors’ Current Use of Personal Health Records-Based Family Histories in Genetic Clinics and Considerations for Their Future Adoption

Given the widespread adoption of electronic medical records and recent emergence of electronic family history tools, we examined genetic counselors’ perspectives on the emerging technology of the personal health record (PHR)-based family history tool that links to an electronic medical record (EMR). Two-hundred thirty-three genetic counselors responded to an on-line survey eliciting current use of electronic family history (EFH) tools and familiarity with PHR-based family history tools. Additionally, after being shown a series of screen shots of a newly developed PHR-based family history tool based on the U.S. Surgeon General’s My Family Health Portrait (United States Department of Health and Human Services 2009), participants were surveyed about the perceived usefulness, ease of use, and impact on current workflow that this kind of tool would have in their practices. Eighty-three percent reported that their institution has an EMR, yet only 35 % have a dedicated space for family history. Eighty-two percent reported that less than 5 % of their patients have a PHR, and only 16 % have worked with patients who have a PHR. Seventy-two percent or more agreed that a PHR-based family history tool would facilitate communication, increase accuracy of information, ensure consistency in recording information, increase focus on actual counseling, reduce repetitive questions, improve efficiency, and increase the legibility and clarity. Our findings suggest that participants were familiar with existing EFH tools, but that the majority did not use them in practice. Genetic counselors’ adoption of such tools is limited due to non-existence of this kind of technology or inability to integrate it into their clinics. They are also strongly in favor of adopting a PHR-based family history tool in genetics clinics, but have practical concerns that must be addressed before the tool can be implemented.     

Thinking Levels of Questions in Christian Reading Textbooks

If Christian schools desire students to achieve higher-level thinking, then the textbooks that teachers use should reflect such thinking. Using Risner's (1987 Risner, G. P. (1987). Cognitive levels of questioning demonstrated by test items that accompany selected fifth-grade science textbooks (Doctoral dissertation). Vanderbilt University, Nashville, TN. [Google Scholar]) methodology, raters classified questions from two Christian publishers’ fifth grade reading textbooks based on the revised Bloom's taxonomy (Anderson et al., 2001 Anderson, L. W., Krathwohl, D. R., Airasian, P. W., Cruikshank, K. A., Mayer, R. E., Pintrick, P. R., … Wittrock, M. C. (Eds.). (2001). A taxonomy for learning, teaching, and assessing: A revision of Bloom's taxonomy of educational objectives. New York, NY: Addison Wesley Longman. [Google Scholar]). The questions in the A Beka Book textbook contained 57.6% lower-level and 42.4% higher-level thinking; the questions in the Bob Jones University Press textbook contained 45.8% lower-level and 54.2% higher-level thinking. Analysis revealed a statistically significant difference between the percentages of thinking in the two publishers (p < .05).     

What’s left? An eye movement study of the influence of interword spaces to the left of fixation during reading

In English and other alphabetic systems read from left to right, the useful information acquired during each fixational pause is generally reported to extend 14–15 character spaces to the right of each fixation, but only 3–4 character spaces to the left, and certainly no farther than the beginning of the fixated word. However, this leftward extent is remarkably small and seems inconsistent with the general bilateral symmetry of vision. Accordingly, in the present study we investigated the influence of a fundamental component of text to the left of fixation—interword spaces—using a well-established eyetracking paradigm in which invisible boundaries were set up along individual sentence displays that were then read. Each boundary corresponded to the leftmost edge of a word in a sentence, so that as the eyes crossed a boundary, interword spaces in the text to the left of that word were obscured (by inserting a letter x). The proximity of the obscured text during each fixational pause was maintained at one, two, three, or four interword spaces from the left boundary of each fixated word. Normal fixations, regressions, and progressive saccades were disrupted when the obscured text was up to three interword spaces (an average of over 12 character spaces) away from the fixated word, while four interword spaces away produced no disruption. These findings suggest that influential information from text is acquired during each fixational pause from much farther leftward than is generally realized and that this information contributes to normal reading performance. Implications of these findings for reading are discussed.     

Males' Reactions to Participating in Research on Dating Violence Victimization and Childhood Abuse

Childhood abuse and dating violence victimization are prevalent and devastating problems. Although there has been an abundance of research on these topics in recent years, researchers and institutional review boards often struggle with determining whether asking respondents questions on previous violence will result in increased emotional distress or other negative research outcomes. Empirical data are therefore needed that examine the research reactions of individuals who participate in research on childhood abuse and dating violence. This study examined this topic among a sample of male college students (N?=?193). Results showed that victims of childhood sexual abuse had more negative emotional reactions and victims of physical dating violence had more negative perceived drawbacks to research participation than nonvictims. However, victims and nonvictims did not differ on positive research reactions. These findings suggest that there are few differences between victims and nonvictims on research reactions.     

Aggression in the Laboratory: Problems with the Validity of the Modified Taylor Competitive Reaction Time Test as a Measure of Aggression in Media Violence Studies

Many laboratory studies of aggression use a measure known as the modified Taylor Competitive Reaction Time Test (TCRTT), for which validation studies are lacking. Using sound blasts administered by the participant against a fictional human opponent, the TCRTT also allows for multiple methods of measuring aggression. The validity of the TCRTT was tested in 53 college student participants. Participants took a self-report measure of aggressiveness as well as neuropsychological measures of frontal lobe functioning predictive of aggression. Results were not supportive of the TCRTT's validity and indicated concerns regarding the use of the TCRTT as a measure of aggression. Results suggest that labaratory studies of media violence using the TCRTT are of questionable validity.     

Sole Expression: A Trauma-Informed Dance Intervention

The primary treatment for individuals who have encountered violence and/or abuse is trauma-focused cognitive and behavioral modalities. However, these therapeutic approaches are not always effective for youth who have encountered this type of trauma. Trauma is often communicated through the body via physical ailments, particularly when words are insufficient to capture an individual’s experience or when adequate processing of the trauma is not possible due to profound stress. Dance offers an alternative form of therapy that can address “where” the trauma is held, relieve tension, and restore a sense of ownership with one’s body and mind. In this article, we discuss the development of Sole Expression, a trauma-informed hip-hop dance program for youth who have experienced abuse and/or exposure to violence. We provide an overview of establishing the team, securing funding, trauma training, program curriculum, and the related research. We conclude with recommendations for best practices that benefit both practitioners and the young people served.     

Unsegmented text delays word identification: Evidence from a survival analysis of fixation durations

The present study employed distributional analyses of fixation times to examine the impact of removing spaces between words during reading. Specifically, we presented high and low frequency target words in a normal text condition that contained spaces (e.g., “John decided to sell the table in the garage sale”) and in an unsegmented text condition that contained random numbers instead of spaces (e.g., “John4decided8to5sell9the7table2in3the9garage6sale”). The unsegmented text condition produced larger word frequency effects relative to the normal text condition for the gaze duration and total time measures (for similar findings, see Rayner, Fischer, & Pollatsek, 1998), which indicates that removing spaces can impact the word identification stage of reading. To further examine the effect of spacing on word identification, we used distributional analyses of first-fixation durations to contrast the time course of word frequency effects in the normal versus the unsegmented text conditions. In replication of prior findings (Reingold, Reichle, Glaholt, & Sheridan, 2012; Staub, White, Drieghe, Hollway, & Rayner, 2010), ex-Gaussian fitting revealed that the word frequency variable impacted both the shift and the skew of the distributions, and this pattern of results occurred for both the normal and unsegmented text conditions. In addition, a survival analysis technique revealed a later time course of word frequency effects in the unsegmented relative to the normal condition, such that the earliest discernible influence of word frequency was 112 ms from the start of fixation in the normal text condition, and 152 ms in the unsegmented text condition. This delay in the temporal onset of word frequency effects in the unsegmented text condition strongly suggests that removing spaces delays the word identification stage of reading. Possible underlying mechanisms are discussed, including lateral masking and word segmentation.     

See an object,hear an object file: Object correspondence transcends sensory modality

An important task of perceptual processing is to parse incoming information into distinct units and to keep track of those units over time as the same, persisting representations. Within the study of visual perception, maintaining such persisting object representations is helped by “object files”—episodic representations that store (and update) information about objects' properties and track objects over time and motion via spatiotemporal information. Although object files are typically discussed as visual, here we demonstrate that object–file correspondence can be computed across sensory modalities. An object file can be initially formed with visual input and later accessed with corresponding auditory information, suggesting that object files may be able to operate at a multimodal level of perceptual processing.     

The recognition of mental states from dynamic and static facial expressions

The ability to recognize mental states from facial expressions is essential for effective social interaction. However, previous investigations of mental state recognition have used only static faces so the benefit of dynamic information for recognizing mental states remains to be determined. Experiment 1 found that dynamic faces produced higher levels of recognition accuracy than static faces, suggesting that the additional information contained within dynamic faces can facilitate mental state recognition. Experiment 2 explored the facial regions that are important for providing dynamic information in mental state displays. This involved using a new technique to freeze motion in a particular facial region (eyes, nose, mouth) so that this region was static while the remainder of the face was naturally moving. Findings showed that dynamic information in the eyes and the mouth was important and the region of influence depended on the mental state. Processes involved in mental state recognition are discussed.