General and Domain-Specific Effectiveness of Cognitive Remediation after Stroke: Systematic Literature Review and Meta-Analysis

Cognitive remediation (CR) has been shown to improve cognitive abilities following a stroke. However, an updated quantitative literature review is needed to synthesize recent research and build understanding of factors that may optimize training parameters and treatment effects. Randomized controlled trials of CR were retrieved from seven electronic databases. Studies specific to adult stroke populations were included. Treatment effects were estimated using a random effects model, with immediate and longer-term follow-up outcomes, and moderator effects, examined for both overall and domain-specific functioning. Twenty-two studies were identified yielding 1098 patients (583 in CR groups). CR produced a small overall effect (g?=?0.48, 95% CI 0.35–0.60, p?<?0.01) compared with control conditions. This effect was moderated by recovery stage (p?<?0.01), study quality (p?=?0.04), and dose (p?=?0.04), but not CR approach (p?=?0.63). Significant small to medium (g?=?0.25–0.75) post-intervention gains were evident within each individual outcome domain examined. A small overall effect (g?=?0.27, 95% CI 0.04–0.51, p?=?0.02) of CR persisted at follow-up (range 2–52 weeks). CR is effective and efficient at improving cognitive performance after stroke. The degree of efficacy varies across cognitive domains, and further high-quality research is required to enhance and sustain the immediate effects. Increased emphasis on early intervention approaches, brain-behavior relationships, and evaluation of activity and participation outcomes is also recommended.     

When do stereotypes become really consensual? Investigating the group-based dynamics of the consensualization process

Although it has long been recognized that stereotypes achieve much of their force from being shared by members of social groups, relatively little empirical work has examined the process by which such consensus is reached. This paper tests predictions derived from self-categorization theory that stereotype consensus will be enhanced (a) by factors which make the shared social identity of perceivers salient and (b) by group interaction that is premised upon that shared identity. In Experiment 1 (N=40) the consensus of ingroup stereotypes is enhanced where an ingroup is judged after (rather than before) an outgroup. In Experiment 2 (N=80) when only one group is judged, group interaction is shown to enhance the consensus of outgroup stereotypes more than those of the ingroup—an apparent ‘outgroup consensus effect’. In Experiment 3 (N=135) this asymmetry is extinguished and group interaction found to produce equally high consensus in both ingroup and outgroup stereotypes when the ingroup is explicitly contrasted from an outgroup. Implications for alternative models of consensus development are discussed. © 1998 John Wiley & Sons, Ltd.     

User involvement in research: power and compromise

The extent to which collaborative research can redress power imbalances is debated with reference to some of the relevant literature. Different ways in which research can be collaborative and power shared between researchers and participants are discussed. The benefits and challenges specific to collaboration in the area of mental health research are considered, illustrated with examples from research we conducted into the experience of taking antipsychotic medication. Copyright © 2001 John Wiley & Sons, Ltd.     

Predictors of time-based prospective memory in children

This study identified age differences in time-based prospective memory performance in school-aged children and explored possible cognitive correlates of age-related performance. A total of 56 7- to 12-year-olds performed a prospective memory task in which prospective memory accuracy, ongoing task performance, and time monitoring were assessed. Additional tests of time estimation, working memory, task switching, and planning were performed. Results showed a robust relationship between age and prospective memory performance even after controlling for ongoing task performance. Developmental differences in time monitoring were also observed, with older children generally adopting a more strategic monitoring strategy than younger children. The majority of age-related variance in prospective memory task performance could be explained by cognitive resources, in particular planning and task switching. In contrast, no further independent contribution of time estimation was observed. Findings are in line with the development of strategic behavior, as well as executive functioning, in school-aged children.     

Regulatory Fit,Processing Fluency,and Narrative Persuasion

For millennia, people have used narratives to inform and persuade. However, little social psychological research addresses how and when narrative persuasion occurs, perhaps because narratives are complex stimuli that are difficult to vary without significantly changing the plot or characters. Existing research suggests that regulatory fit and/or processing fluency can be varied easily and in ways completely exterior to narrative content but that nonetheless affect how much narratives engage, transport, and persuade. We review research on narrative transportation and persuasion and then discuss regulatory fit and its relationship to processing fluency. Afterward, we discuss how regulatory fit and processing fluency may affect psychological engagement, transportation, and persuasion via narratives.