Creation and Implementation of an Environmental Scan to Assess Cancer Genetics Services at Three Oncology Care Settings

An environmental scan (ES) is an efficient mixed-methods approach to collect and interpret relevant data for strategic planning and project design. To date, the ES has not been used nor evaluated in the clinical cancer genetics setting. We created and implemented an ES to inform the design of a quality improvement (QI) project to increase the rates of adherence to national guidelines for cancer genetic counseling and genetic testing at three unique oncology care settings (OCS). The ES collected qualitative and quantitative data from reviews of internal processes, past QI efforts, the literature, and each OCS. The ES used a data collection form and semi-structured interviews to aid in data collection. The ES was completed within 6 months, and sufficient data were captured to identify opportunities and threats to the QI project’s success, as well as potential barriers to, and facilitators of guideline-based cancer genetics services at each OCS. Previously unreported barriers were identified, including inefficient genetic counseling appointment scheduling processes and the inability to track referrals, genetics appointments, and genetic test results within electronic medical record systems. The ES was a valuable process for QI project planning at three OCS and may be used to evaluate genetics services in other settings.     

Changing Kinematics as a Means of Reducing Vulnerability to Physical Attack1

Three experiments investigated whether women can change their walking style and hence reduce their vulnerability to physical attack. In Experiment 1, women were videotaped walking normally and when imagining themselves in a situation of low personal safety. Women were rated as harder to attack in the low safety condition. Differences in walking style accounted for differences in ease‐of‐attack ratings. Experiment 2 compared walking styles and vulnerability of women before and after completing a self‐defense course. No differences were seen across sessions. Experiment 3 investigated walking styles and vulnerability of women before and after completing individualized walking training programs. Differences in vulnerability between sessions were revealed and could be accounted for by changes in walking‐style features.     

Positive Psychology Factors as Predictors of Latina/o College Students’ Psychological Grit

Latina/o college students (N = 130) provided perceptions of psychological grit, presence of meaning in life, search for meaning in life, hope, life satisfaction, and mindfulness. Hope and mindfulness were significant predictors of psychological grit. A discussion regarding the importance of these findings and implications for counselors are presented. Un grupo de estudiantes universitarios latinos (N = 130) aportó sus percepciones de perseverancia psicológica, presencia de sentido en la vida, búsqueda de sentido en la vida, esperanza, satisfacción vital y atención plena. Se presenta una discusión sobre la importancia de estos hallazgos y sus implicaciones para los consejeros.     

Two hands are better than one: a new assessment method and a new interpretation of the non-visual illusion of self-touch

A simple experimental paradigm creates the powerful illusion that one is touching one’s own hand even when the two hands are separated by 15 cm. The participant uses her right hand to administer stimulation to a prosthetic hand while the Examiner provides identical stimulation to the participant’s receptive left hand. Change in felt position of the receptive hand toward the prosthetic hand has previously led to the interpretation that the participant experiences self-touch at the location of the prosthetic hand, and experiences a sense of ownership of the prosthetic hand. Our results argue against this interpretation. We assessed change in felt position of the participant’s receptive hand but we also assessed change in felt position of the participant’s administering hand. Change in felt position of the administering hand was significantly greater than change in felt position of the receptive hand. Implications for theories of ownership are discussed.     

Cognitive-behavioral treatment of high anger drivers

Relaxation and cognitive-relaxation interventions were compared to a no treatment control in the treatment of high anger drivers. The cognitive portion of the cognitive-relaxation condition adapted the style of Beck's cognitive therapy, particularly use of Socratic questions and behavioral experiments and tryouts, to driving anger reduction. Both interventions lowered indices of driving anger and hostile and aggressive forms of expressing driving anger and increased adaptive/constructive ways of expressing driving anger. The cognitive-relaxation intervention also lowered the frequency of risky behavior. Both interventions lowered trait anger as well. Limitations and implications for treatment and research were discussed.     

Prospective memory in young and older adults: The effects of ongoing-task load

ABSTRACT

Prospective memory involves remembering to perform intended actions in the future. Previous work with the multinomial model of event-based prospective memory indicated that adult age-related differences in prospective-memory performance were due to the prospective (not the retrospective) component of the task (Smith & Bayen, 2006 Smith, R. E. and Bayen, U. J. 2006. The source of age differences in event-based prospective memory: A multinomial modeling approach. Journal of Experimental Psychology: Learning, Memory, and Cognition, 32: 623–635. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar], Journal of Experimental Psychology: Learning, Memory, and Cognition, 32, 623). However, ongoing-task performance was also lower in older adults in that study. In the current study with young and older adults, the difficulty of the ongoing task was manipulated by varying the number of colors per trial to create easier and harder versions of the ongoing task for each age group. The easier version included 2 colors per trial for older adults and 4 colors for young adults. The harder version included 4 colors for older adults and 6 colors for young adults. By adjusting the ongoing-task difficulty, older adults were able to perform the ongoing task as well or better than the young adults. Analyses with the multinomial model revealed that making the ongoing task easier for older adults (or more difficult for young adults) did not eliminate age-related differences in prospective-memory performance and the underlying prospective component.     

Spatial limits on the nonvisual self-touch illusion and the visual rubber hand illusion: Subjective experience of the illusion and proprioceptive drift

The nonvisual self-touch rubber hand paradigm elicits the compelling illusion that one is touching one’s own hand even though the two hands are not in contact. In four experiments, we investigated spatial limits of distance (15 cm, 30 cm, 45 cm, 60 cm) and alignment (0°, 90° anti-clockwise) on the nonvisual self-touch illusion and the well-known visual rubber hand illusion. Common procedures (synchronous and asynchronous stimulation administered for 60 s with the prosthetic hand at body midline) and common assessment methods were used. Subjective experience of the illusion was assessed by agreement ratings for statements on a questionnaire and time of illusion onset. The nonvisual self-touch illusion was diminished though never abolished by distance and alignment manipulations, whereas the visual rubber hand illusion was more robust against these manipulations. We assessed proprioceptive drift, and implications of a double dissociation between subjective experience of the illusion and proprioceptive drift are discussed.     

Providing support for distinctive processing: the isolation effect in young and older adults

The isolation paradigm is the classic method for studying the effects of distinctiveness on memory (Hunt, 1995). Previous studies using the isolation paradigm with older adults (Bireta, Suprenant, & Neath, 2008; Cimbalo & Brink, 1982; Geraci, McDaniel, Manzano, & Roediger (2009); Vitali et al., 2006) placed the isolated items late in the study list. The current experiments, which are the first to investigate the isolation effect in young and older adults when the isolated item occurs early in the list, were motivated by a new framework for understanding age-related differences in the beneficial effects of distinctive processing. The framework, which is motivated by Hunt's (2006) discussion of distinctiveness and Craik's (1986) environmental support view, proposes that when contextual support is provided for the processing of both the difference and similarity components, older adults are more likely to show beneficial effects of distinctiveness. In Experiment 1, young adults showed both early and late isolation effects, while older adults showed only a late isolation effect. In the first experiment the isolated item was the word "table" in a list of fish names. In Experiment 2, the contrast between the isolated item and background items was increased by isolating numbers in a list of words. In the second experiment older adults, as well as young adults, showed an early isolation effect.     

The multinomial model of prospective memory: validity of ongoing-task parameters

The objective of this research was to provide additional experimental validation of the multinomial processing tree (MPT) model of event-based prospective memory (Smith & Bayen, 2004). In particular, the parameters that measure trial-type detection in the ongoing task were examined. In three experiments with different response instructions, event-based prospective memory tasks were embedded in ongoing color-matching tasks. The results support the validity of the MPT model, that is, manipulations of ongoing-task difficulty affected the ongoing-task parameters of the MPT model, while leaving the estimates for the prospective and the retrospective components of prospective memory unaffected.