Usability of a Smartphone Application to Support the Prevention and Early Intervention of Anxiety in Youth

Mental, emotional, and behavioral disorders are common in youth with anxiety problems being among the most prevalent, typically failing to spontaneously remit, and placing some youth at risk for additional difficulties. Mobile health (mHealth) might be a novel avenue to strengthen prevention efforts for child anxiety, since program effects are generally small. However, although a significant number of mHealth tools have been developed, few have been evaluated in terms of usability (or even clinical effectiveness). Usability testing is the first level of evaluation in responsible mHealth efforts as it is one of the main barriers to usage and adoption. As such, the objective of this research was to evaluate the usability of a smartphone application (app) corresponding to an indicated prevention and early intervention targeting youth anxiety. To accomplish this, 132 children (M_age = 9.65, 63% girls) and 45 service providers (M_age = 29.13, 87% female) rated our app along five established dimensions of usability (ease of use, ease of learning, quality of support information, satisfaction, and stigma). Findings showed that the app was highly and positively rated by youth and providers, with some variations (lower ratings when errors occurred). Path analyses also showed that system understanding was significantly related to greater system satisfaction, but that such relation occurred through the quality of support information offered by the app. Together, this has research and clinical implications as it highlights avenues for advancing youth care via mHealth usability evaluation, including prior to establishing effectiveness.     

Children's Moods,Fears and Worries Questionnaire: Validity with Young Children at Risk for Internalizing Problems

This study tested psychometric properties of the Children's Moods, Fears and Worries Questionnaire (CMFWQ) with a population sample of children at risk for developing internalizing problems. The CMFWQ was completed by 489 parents of 5‐year‐old children who had been screened for temperamental inhibition in preschools across eight government areas of Melbourne, Australia. Parents also completed the Strengths and Difficulties Questionnaire (SDQ) and Anxiety Diagnostic Interview Schedule (ADIS‐P‐IV). In this inhibited sample of children, the CMFWQ showed high internal consistency of items (α = .95). The CMFWQ demonstrated convergent validity with the SDQ ‘emotional symptoms’ subscale and discriminant validity with the ‘conduct problems’ subscale. Supporting criterion validity, the CMFWQ significantly distinguished between groups of inhibited children with versus without ADIS anxiety disorders. Psychometric properties of the CMFWQ now extend to young inhibited children who are at risk for developing internalizing problems as they grow. Copyright © 2016 John Wiley & Sons, Ltd.     

The Role of Recruiting Source Informativeness and Organizational Perceptions in Decisions to Apply

Although recruitment researchers often discuss influences on decisions to apply for jobs, few studies assess actual application behavior. This study of individuals who expressed an interest in a firefighter job revealed that applying was related to recruiting source informativeness and organizational familiarity. Source informativeness was not related to self‐selection out of the process after application or performance on the selection process, but was related to perceptions of familiarity and to applicant demographics. Implications for recruitment are discussed.     

Memory for temporally dynamic scenes

Recognition memory was investigated for individual frames extracted from temporally continuous, visually rich film segments of 5–15 min. Participants viewed a short clip from a film in either a coherent or a jumbled order, followed by a recognition test of studied frames. Foils came either from an earlier or a later part of the film (Experiment 1) or from deleted segments selected from random cuts of varying duration (0.5 to 30?s) within the film itself (Experiment 2). When the foils came from an earlier or later part of the film (Experiment 1), recognition was excellent, with the hit rate far exceeding the false-alarm rate (.78 vs. 18). In Experiment 2, recognition was far worse, with the hit rate (.76) exceeding the false-alarm rate only for foils drawn from the longest cuts (15 and 30?s) and matching the false-alarm rate for the 5?s segments. When the foils were drawn from the briefest cuts (0.5 and 1.0 s), the false-alarm rate exceeded the hit rate. Unexpectedly, jumbling had no effect on recognition in either experiment. These results are consistent with the view that memory for complex visually temporal events is excellent, with the integrity unperturbed by disruption of the global structure of the visual stream. Disruption of memory was observed only when foils were drawn from embedded segments of duration less than 5?s, an outcome consistent with the view that memory at these shortest durations are consolidated with expectations drawn from the previous stream.     

Implementation of a Suicide Nomenclature within Two VA Healthcare Settings

Suicide and suicide attempts are significant issues for military, Veterans Affairs (VA), and civilian healthcare systems. The lack of uniform terms related to self-directed violence (SDV) has inhibited epidemiological surveillance efforts, limited the generalizability of empirical studies of suicide and non-lethal forms of SDV, and complicated the implementation of evidence-based assessment and treatment strategies for individuals with suicidal thoughts and/or behaviors. The Department of Veterans Affairs recently adopted the Centers for Disease Control and Prevention’s (CDC) SDV Classification System (SDVCS). This paper describes an implementation study of the SDVCS in two VA Medical Centers. The Veterans Integrated Service Network (VISN) 19 Mental Illness Research, Education and Clinical Center (MIRECC) training program for the SDVCS, including the SDVCS Clinical Tool (CT), will be discussed. Although preliminary data suggest that the CT and SDVCS are generally perceived as being acceptable and useful, further work will likely be required to facilitate widespread adoption. Potential next steps in this process are presented.     

Septal area lesions impair spatial working memory in homing pigeons (Columba livia)

The septo-hippocampal system in birds resembles that of mammals, motivating research into the function of the avian hippocampus while surprisingly little attention has been given to the septum. To investigate a possible role of the avian septum in memory, the effects of septal area lesions on a spatial working memory (SpWM) task was tested in homing pigeons. After preoperative training on an analogue eight-arm (feeders) radial maze, now sham-operated control and septal lesioned pigeons were then trained again on the same task of locating the four feeders on the test phase of a trial that were not baited during the sample phase of a trial. During the test phase of a working memory trial, septal lesioned pigeons, compared to both their own preoperative performance and the performance of the controls, required significantly more choices to locate the four baited feeders not baited during the sample phase of a trial, and they made significantly fewer correct responses to the now baited feeders on their first four choices. The results demonstrate that, like its mammalian counterpart, the avian septum plays an important role in SpWM, suggesting that at least some functional properties of the septum are evolutionarily conserved in birds and mammals.     

Justice: Metaphysical,After All?

Political liberals, following Rawls, believe that justice should be ‘political’ rather than ‘metaphysical.’ In other words, a conception of justice ought to be freestanding from first-order moral and metaethical views. The reason for this is to ensure that the state’s coercion be justified to citizens in terms that meet political liberalism’s principle of legitimacy. I suggest that privileging a political conception of justice involves costs—such as forgoing the opportunity for political theory to learn from other areas of philosophy. I argue that it is not clear that it provides any benefit in return. Whether a political conception of justice more adequately satisfies the liberal principle of legitimacy than a metaphysical conception of justice is an open question. To show this, I describe three ways in which political conceptions of justice have been developed within the literature. I then argue that while each might be helpful in finding reasons that reasonable citizens can accept, all face challenges in satisfying the liberal principle of legitimacy. Political conceptions of justice confront the same set of justificatory problems as ‘metaphysical’ conceptions. The question of whether a political conception is preferable should receive greater scrutiny.     

Self-regulation and academic achievement in elementary school children

Self-regulation is a key construct in children's healthy and adaptive development. In this chapter, the authors situate self-regulation in a theoretical context that describes its underlying components that are most important for early school success: flexible attention, working memory, and inhibitory control. The authors review evidence that supports substantive links between these aspects of self-regulation and academic achievement in young children. They also discuss methodological challenges in reliably and validly assessing these skills (involving measures that are biased, are not applicable across broad age ranges, or triangulated) and describe some recent advances in measures of self-regulation (involving the NIH Toolbox or the Head-Toes-Knees-Shoulders assessment) that are reliable, ecologically valid, and predictive of children's school achievement.