Satisfaction with the Health Care Provider and Regimen Adherence in Minority Youth with Type 1 Diabetes

To assess whether satisfaction with the health-care provider is related to regimen adherence among primarily minority youth with type 1 diabetes. Youth with type 1 diabetes (n = 169; M age = 13.88; 52 % female; 70 % Hispanic) and their parents completed questionnaires that assessed their own satisfaction with the health-care provider and youths’ adherence to diabetes self-care behaviors. Higher youth and parent patient-provider relationship satisfaction was associated with higher regimen adherence. Gender affected the relationship between satisfaction and regimen adherence, such that for girls, greater satisfaction was associated with better adherence; this was not the case for boys. Patient satisfaction with the health care provider is important for regimen adherence among primarily minority youth with type 1 diabetes, particularly for girls. Future research might focus on improving youths’ relationships with their health care providers as a potential pathway to improve regimen adherence.     

The wizard behind the curtain: programmers as providers

It is almost universally accepted that traditional provider-patient relationships should be governed, at least in part, by the ethical principles set forth by Beauchamp and Childress (Beauchamp and Childress, Principles of biomedical ethics, 1979). These principles include autonomy, beneficence, non-maleficence and justice (Beauchamp and Childress, Principles of biomedical ethics, 1979). Recently, however, the nature of medial practice has changed. The pervasive presence of computer technology in medicine raises interesting ethical questions. In this paper we argue that some software designers should be considered health care providers and thus be subject the ethical principles incumbent upon “traditional” providers. We argue that these ethical responsibilities should be applied explicitly rather than as a passive, implicit, set of guidelines.     

Long-term negative priming: Support for retrieval of prior attentional processes

Negative priming reveals that participants respond slowly to a probe target that was a task-irrelevant distractor in the preceding prime display (e.g., Tipper, 1985) and is thought to reflect processes mediating short-term behaviour. However, since the first surprising reports that negative priming is found with meaningless stimuli across delays of 30 days (e.g., DeSchepper & Treisman, 1996), researchers have questioned the existence of long-term negative priming effects. Because long-term negative priming could indicate that task-irrelevant information leaves a memory trace that impacts performance over time, such a finding is of immense theoretical importance. Indeed, the current research finds support for the existence of long-term negative priming as well as its generality across different stimuli and conditions. The authors propose that the initial processes that prevent response to irrelevant stimuli may be stored in memory, where retrieval of these processes can mediate behaviour over time.     

Increased experience amplifies the activation of task-irrelevant category representations

Prior research has demonstrated the benefits (i.e., task-relevant attentional selection) and costs (i.e., task-irrelevant attentional capture) of prior knowledge on search for an individual target or multiple targets from a category. This study investigated whether the level of experience with particular categories predicts the degree of task-relevant and task-irrelevant activation of item and category representations. Adults with varying levels of dieting experience (measured via 3 subscales of Disinhibition, Restraint, Hunger; Stunkard & Messick, Journal of Psychosomatic Research, 29(1), 71–83, 1985) searched for targets defined as either a specific food item (e.g., carrots), or a category (i.e., any healthy or unhealthy food item). Apart from the target-present trials, in the target-absent “foil” trials, when searching for a specific item (e.g., carrots), irrelevant items from the target’s category (e.g., squash) were presented. The ERP (N2pc) results revealed that the activation of task-relevant representations (measured via Exemplar and Category N2pc amplitudes) did not differ based on the degree of experience. Critically, however, increased dieting experience, as revealed by lower Disinhibition scores, predicted activation of task-irrelevant representations (i.e., attentional capture of foils from the target item category). Our results suggest that increased experience with particular categories encourages the rapid activation of category representations even when category information is task irrelevant, and that the N2pc in foil trials could potentially serve as an indication of experience level in future studies on categorization.     

Effects of context on auditory stream segregation

The authors examined the effect of preceding context on auditory stream segregation. Low tones (A), high tones (B), and silences (-) were presented in an ABA- pattern. Participants indicated whether they perceived 1 or 2 streams of tones. The A tone frequency was fixed, and the B tone was the same as the A tone or had 1 of 3 higher frequencies. Perception of 2 streams in the current trial increased with greater frequency separation between the A and B tones (Delta f). Larger Delta f in previous trials modified this pattern, causing less streaming in the current trial. This occurred even when listeners were asked to bias their perception toward hearing 1 stream or 2 streams. The effect of previous Delta f was not due to response bias because simply perceiving 2 streams in the previous trial did not cause less streaming in the current trial. Finally, the effect of previous ?f was diminished, though still present, when the silent duration between trials was increased to 5.76 s. The time course of this context effect on streaming implicates the involvement of auditory sensory memory or neural adaptation.     

Dissociating the effects of angular disparity and image similarity in mental rotation and object recognition

Performance is often impaired linearly with increasing angular disparity between two objects in tasks that measure mental rotation or object recognition. But increased angular disparity is often accompanied by changes in the similarity between views of an object, confounding the impact of the two factors in these tasks. We examined separately the effects of angular disparity and image similarity on handedness (to test mental rotation) and identity (to test object recognition) judgments with 3-D novel objects. When similarity was approximately equated, an effect of angular disparity was only found for handedness but not identity judgments. With a fixed angular disparity, performance was better for similar than dissimilar image pairs in both tasks, with a larger effect for identity than handedness judgments. Our results suggest that mental rotation involves mental transformation procedures that depend on angular disparity, but that object recognition is predominately dependent on the similarity of image features.     

Compliance, conversion, and category induction

When children hear an object referred to with a label that is moderately discrepant from its appearance, they frequently make inferences about that object consistent with the label rather than its appearance. We asked whether 3-year-olds actually believe these unexpected labels (i.e., conversion) or whether their inferences simply reflect a desire to comply with the considerable experimental demands of the induction task (i.e., compliance). Specifically, we asked how likely children would be to pass an unexpected label on to another person who had not been present during the labeling event. Results showed that children who used an unexpected label as the basis for inference passed that label on to another person about as often as they could remember it. This suggests that children’s label-based inferences do reflect conversion rather than mere compliance.     

Qualitative differences in the representation of abstract versus concrete words: Evidence from the visual-world paradigm

In the present visual-world experiment, participants were presented with visual displays that included a target item that was a semantic associate of an abstract or a concrete word. This manipulation allowed us to test a basic prediction derived from the qualitatively different representational framework that supports the view of different organizational principles for concrete and abstract words in semantic memory. Our results confirm the assumption of a primary organizational principle based on association for abstract words, different from the semantic similarity principle proposed for concrete words, and provide the first piece of evidence in support of this view obtained from healthy participants. The results shed light on the representational structure of abstract and concrete concepts.