The Significance of Strategic Community Engagement in Recruiting African American Youth & Families for Clinical Research

We present baseline data and describe the utility of a community engaged, culturally relevant approach to recruiting African American youth and families for phase I of The AAKOMA Project. The AAKOMA Project is a two phase treatment development study to improve mental health service use among depressed African American youth. We completed capacity building activities using a community engaged framework and Community Based Participatory Research (CBPR) methods. Replicating the (Alvarez et al. in West J Nurs Res 28:541–560, 2006) model of systematic community outreach enhanced our ability to effectively recruit partners and evaluate outreach efforts as demonstrated by our Recruitment Success Factor (RSF—i.e. ‘an adjusted ratio of eligible participant yield to contacts made’). Using the chi-square goodness-of-fit statistic; we compared the RSFs of the various modes of participant study entry to determine which was most effective. Our target enrollment was 56 persons. We recruited 130 and enrolled 57. Our baseline data is drawn from a gender balanced and socioeconomically diverse sample who participated in youth focus groups and individual interviews and adult focus groups. We identified 3 study participant referral modes (self-referral, provider referral and participant-to-participant referral) with multiple sources per mode and an overall RSF of 0.41. Study findings support the effectiveness of assiduous and systematic community interaction, reflective review of recruitment efforts and the importance of disseminating information on strategic recruitment processes for engaging diverse populations in clinical research.     

Analysing the perceptions of pedestrians and drivers to shared space

Shared space is an approach to improving streets and places where both pedestrians and vehicles are present, with layouts related more to the pedestrian scale and with features encouraging drivers to assume priority having been reduced or removed. It creates a more pedestrian-friendly environment than conventional street layouts, which are based on greater segregation between pedestrians and vehicles, while at the same time introducing uncertainty, which makes drivers engage more fully with their surroundings, leading to lower vehicle speeds and improved safety. This paper investigates the importance of certain person-, context- and design-specific factors affecting the perceptions of pedestrians and drivers to shared space. Using two web-based stated-preference surveys, two sets of responses are collected from pedestrians and drivers, who are presented with different combinations of binary factors forming scenarios. Regression analysis is carried out with logit models for each survey. The results suggest that pedestrians feel most comfortable in shared space under conditions which ensure their presence is clear to other road users – these conditions include low vehicular traffic, high pedestrian traffic, good lighting and pedestrian-only facilities. Conversely, the presence of many pedestrians and, in particular, children and elderly, makes drivers feel uneasy and, therefore, enhances their alertness.     

Challenges in Transforming Military Training: Research and Application of Advanced Simulation and Training Technologies and Methods

This study addresses the need to validate estimates of cross-job retraining times against measures of actual retraining success. Specialty-level cross-job retraining time estimates were computed for 43 U.S. Air Force (USAF) enlisted specialties. The estimates were based on profiles of mean subject- matter-expert ratings of months to proficiency across 26 task categories. Individual-level criteria indicating previous job skill utilization, current skills and abilities, and current job performance were obtained from a separate study conducted 10 years earlier. Results were supportive: Correlations between retraining time estimates and performance criteria were negative and statistically significant. Future research needs and potential applications of retraining time estimates are discussed.     

Combat Stressors Predicting Perceived Stress Among Previously Deployed Soldiers

While combat exposures are considered principle stressors in developing mental health problems, research suggests social support can reduce this risk. Using data from 1,592 previously deployed soldiers, we found five classes of soldiers based on their patterns of responses to items measuring perceived stress. In subsequent analyses, we found increased combat exposure predicted membership in classes with greater combat-related stress, while greater unit cohesion predicted membership in classes with lower perceived stress. Also, greater willingness to report misconduct predicted greater unit cohesion. Results suggest that unit cohesion plays a vital role in the reduction of perceived stress among soldiers.     

Knowledge,learning, and freedom from thought

This paper discusses the acquisition of knowledge by one generation from another, and the problems inherent in the process. The difficulties are seen as falling into three areas: (i) the difficulty of understanding the knowledge itself; (ii) the difficulty that a fact or a theory becomes an internal object subject to all the vicissitudes of object relations; and (iii) the difficulty of finding a training method that will enable the learner to assimilate knowledge and use it judiciously rather than to swallow it in an uncomprehending way. Examples are drawn from the history of ideas in general, and from the author's experience of therapeutic communities, particularly the Cassel Hospital. The danger of allowing a body of knowledge to become, in its passage from one person to another, a mere set of never-to-be-questioned beliefs is illustrated. The common frailties of both trainers and trainees are discussed and methods suggested for understanding and overcoming them.     

Adaptive memory: enhanced source memory for animate entities

ABSTRACT

The animacy effect refers to enhanced memory for animate over inanimate items. In two studies, we examined whether this memory advantage generalises to source memory. A multinomial processing tree model was used to disentangle item recognition, source memory, and guessing processes. In Study 1, animate and inanimate words were presented at different spatial locations on the screen. Animacy was associated with enhanced source memory for the spatial locations of the items. In Study 2, pseudowords were associated with animate and inanimate properties. Replicating previous results, the pseudowords were better remembered when they were associated with animate properties than when they were associated with inanimate properties. What is more, participants had enhanced source memory for the association between the pseudowords and the animate properties. The results strengthen the idea that animate items are associated with richer mnemonic representations than inanimate items.     

Within-session spacing improves delayed recall in children

Multiple retrievals of a memory over a spaced manner improve long-term memory performance in infants, children, younger and older adults; however, few studies have examined spacing effects with young school-age children. To expand the understanding of the spacing benefit in children, the current study presented weakly associated English word-pairs to children aged 7–11 and cued their recall two times immediately (massed), after a delay of 5 or 10 items (spaced) or not at all (control). After this encoding session with or without two retrievals, participants were tested two times for memory of all word-pairs: immediately and 30 minutes after the encoding session. Multiple retrievals significantly improved memory on the tests. However, words repeated in a spaced design were remembered at higher rates than those that were massed, while gap size between repetitions (5 or 10) did not differentially impact performance. The data show that a within-session spacing strategy can benefit children's ability to remember word-pairs after 30 minutes. Thus, asking students to recall what they have learned within a lesson is a technique that can be used in a classroom to improve long-term recall.     

Dispersed and Undispersed Dependency

Abstract

This study was aimed at developing a measure of Kelly's concept of dispersion of dependency and providing evidence for its usefulness in differentiating degree of dispersion of dependency. Smith and Grassle's (1977) adaptation of Hurlbert's diversity index, a measure used by biologists to differentiate degrees of species diversity, was applied to dependency grids, specifically “being helped” grids. The diversity index was shown to be both useful in differentiating prototypes of relatively dispersed and undispersed grids and robust. Furthermore, evidence was provided for its predictive validity using predictions made by Kelly concerning dependency construing associated with differences in dispersion of dependency. Greater dispersion of dependency was related to making more discriminations about dependencies, and undispersed dependency was related to relatively impermeable and preemptive construing. Thus the measure was shown to be satisfactory for identifying dispersion of dependency, such that, used in this context, it could be aptly renamed the dispersion of dependency index.     

The Semantics of Power Among People With Eating Disorders

The study aimed to empirically test the hypothesis, developed within the systemic-constructionist theory of family semantic polarities, that the semantics of power are particularly meaningful for people with eating disorders. The repertory grid technique was used to elicit constructs from 30 young patients (10 anorexic, 10 bulimic, and 10 obese) and from a matched control group; the two sets of constructs were compared in terms of their semantic content. Overall the results confirmed the hypothesis, although further investigation into the semantic peculiarities of individual eating disorders is required. Methodological limitations and possible clinical applications are discussed.