Psychological models in predicting uptake of prenatal screening

Abstract

The purpose of the current study was to determine which psychological models are most useful in predicting uptake of a prenatal screening test, maternal-serum alphafetoprotein screening for spina bifida and Down's syndrome. 1000 women eligible for the test completed standardised self-report questionnaires at two routine clinic visits to an antenatal clinic prior to the time when the test could take place. 902 underwent the screening test; 51 declined the test; and 47 did not undergo the test, giving no reason for this to staff. Knowledge of the test, the subjective expected utility attached to the test, and attitudes to doctors and medicine were all significant predictors of uptake behaviour. Results of a discriminant function analysis demonstrated distinct psychological processes underlying each of these three uptake behaviours, explaining 21% of the variance in uptake of screening. If uptake of screening is examined not as a dichotomous variable but as a group of behaviours, predictive models are identified accordingly. This would lead to rnodels of health-related behaviours as a heterogeneous rather than homogeneous phenomena, predicted and influenced by different causes.     

Toddlers use speech disfluencies to predict speakers' referential intentions

The ability to infer the referential intentions of speakers is a crucial part of learning a language. Previous research has uncovered various contextual and social cues that children may use to do this. Here we provide the first evidence that children also use speech disfluencies to infer speaker intention. Disfluencies (e.g. filled pauses 'uh' and 'um') occur in predictable locations, such as before infrequent or discourse-new words. We conducted an eye-tracking study to investigate whether young children can make use of this distributional information in order to predict a speaker's intended referent. Our results reveal that young children (ages 2;4 to 2;8) reliably attend to speech disfluencies early in lexical development and are able to use disfluencies in online comprehension to infer speaker intention in advance of object labeling. Our results from two groups of younger children (ages 1;8 to 2;2 and 1;4 to 1;8) suggest that this ability emerges around age 2.     

Therapists facing masks: A qualitative study of the nature of relationships between masks and relational depth

Background

Central to this research was exploring characteristics facilitating and disinhibiting meetings at relational depth to explore underlying driving factors of change. The overall aim was to explore relationships between masks and relational depth. Viewing masks as a characteristic sought to understand further the socio-cultural impacts of masks on client/patient care and decision-making to meet at depth. This research demonstrates immediate social and international context due to COVID-19.

Methods

A phenomenological methodology was utilised. The primary research vehicle was an examination of primary data from semi-structured interviews. Four therapists who had used masks within sessions (where both therapist and clients wore masks) provided data on meetings at relational depth.

Findings

Interpretative phenomenological analysis revealed four themes: ‘epicentre of aetiology’, ‘loss’, ‘masked-disinhibition’ and ‘disconnection paradox: depth through disconnection’. Findings suggest masks are a characteristic that can facilitate and inhibit meetings at depth—acknowledging common factors, including how therapists related to masks as an extended part of the client, and mutuality within disconnection to masks, not one another, was significant.

Conclusions

Findings suggest the exigent presence of masks could facilitate or inhibit meetings at depth, regulated by what masks represented to therapists/clients at moments of contact. Yet, when both therapist and client appeared mutually disconnected (to masks, not each other), they found moments of relational depth within the disconnection. Masks are suggested as a characteristic that can influence meetings at depth. Opportunities for depth seemed reliant on individual capabilities to offer depth, emphasising therapists' experiential awareness of their interoceptive process.     

Native Amazonian children forego egalitarianism in merit‐based tasks when they learn to count

Cooperation often results in a final material resource that must be shared, but deciding how to distribute that resource is not straightforward. A distribution could count as fair if all members receive an equal reward (egalitarian distributions), or if each member's reward is proportional to their merit (merit‐based distributions). Here, we propose that the acquisition of numerical concepts influences how we reason about fairness. We explore this possibility in the Tsimane’, a farming‐foraging group who live in the Bolivian rainforest. The Tsimane’ learn to count in the same way children from industrialized countries do, but at a delayed and more variable timeline, allowing us to de‐confound number knowledge from age and years in school. We find that Tsimane’ children who can count produce merit‐based distributions, while children who cannot count produce both merit‐based and egalitarian distributions. Our findings establish that the ability to count – a non‐universal, language‐dependent, cultural invention – can influence social cognition.     

Post-16 course choice: A challenge for guidance

Some of the findings of a study of young people who had left post-16 education prematurely or switched courses are discussed. The experiences of those who had switched or dropped out from courses once only are compared with those who changed courses several times. The main influences on the young people's decisions, the extent to which they felt prepared for their transitions, and their views of career education and guidance before the end of year 11 and at their post-16 destination, are examined. The findings provide some support for the beneficial effects of career education, but for many it seemed that career education and guidance had little impact. Parents, teachers, friends and the judgements of the young people themselves appeared to be more influential than guidance practitioners on choice of destination. It is argued that it may be unrealistic to expect guidance alone to fully prepare young people for post-compulsory education, particularly when institutional constraints often require premature closures on choices. Some respondents recognised this, and in some ways their limited expectations of career guidance were realistic. It is also argued that from young people's perspectives, at least, switching courses often has positive benefits.