Psychometric Validation of the Preschool Outcome Questionnaire: A Preschool Treatment Outcome Instrument

Developing normed treatment outcome measures is important to research addressing treatment effectiveness and to improved clinical care. The Preschool Outcome Questionnaire (POQ) is a new measure designed for use with preschool children aged two to six. Designed in collaboration with parents and clinicians, the POQ is brief, easy to administer, score and interpret. This study reports on the instrument’s psychometric evaluation, contains preliminary normative data, and provides a clinical cut-off and a reliable change index to facilitate clinical use of the instrument. Results show that the POQ has acceptable test–retest and internal reliability, concurrent validity and criterion validity. Importantly, results also show that the instrument is sensitive to clinically relevant change. Clinical implications are discussed as well as suggestions for further research.     

Motion adaptation from surrounding stimuli.

When a narrow uniform gap was surrounded by a moving grating, the gap appeared as a grating in the opposite phase to that of the surround, moving in the same direction with the same speed. Contrast thresholds for moving test-gratings placed in the region of the uniform gap were found to be elevated after prolonged viewing of this pattern, thus demonstrating the existence of motion adaptation in a retinal region surrounded by, but not covered by, a moving pattern. The amplitude of the moving induced-grating was measured by nulling with a real grating moving in the same direction and with the same speed as the surround. When the speed of the inducing grating was varied, the amplitude of the induced effect did not correlate with the magnitude of the threshold elevation. Therefore, it is unlikely that motion adaptation in the uniform gap was due to induced gratings. In some conditions, the adaptation effect of surrounding gratings was no less than the adaptation effect of gratings covering the test region. This result rules out an explantation involving scattered light, and indicates that motion adaptation occurs at a later stage than that consisting of simple motion mechanisms which confound the contrast and velocity of a moving stimulus.     

The Effects of a Couples‐Based Health Behavior Intervention During Pregnancy on Latino Couples’ Dyadic Satisfaction Postpartum

Many couples tend to report steadily decreasing relationship quality following the birth of a child. However, little is known about the postpartum period for Latino couples, a rapidly growing ethnic group who are notably underserved by mental and physical health caregivers in the United States. Thus, this study investigated whether a brief couples’ intervention focused on helping couples support each other while increasing healthy behaviors might improve dyadic functioning postpartum. This study presents secondary analyses of data regarding couple functioning from a larger randomized controlled trial with 348 Latino couples to promote smoking cessation. Portions of the intervention taught the couple communication and problem‐solving skills to increase healthy behavior. Couples participated in four face‐to‐face assessments across 1 year starting at the end of the first trimester. Latent growth curve analyses revealed that the treatment group reported an increase in relationship satisfaction and constructive communication after the intervention, which diminished by 1‐year follow‐up, returning couples to their baseline levels of satisfaction. Results suggest that incorporating a brief couple intervention as part of a larger health intervention for Latinos may prevent postpartum decreases in relationship satisfaction.     

Accuracy and repeatability of the Yale physical activity survey in assessing physical activity of older adults.

The purpose of this study was to extend the initial evaluation of the Yale Physical Activity Survey to assess physical activity in older adults. The survey yields three indicators of physical activity reflecting activities performed during a typical week of the previous month (Total Time, Total Energy Expenditure) and the past month (Total Activity Summary Index). Questionnaire validity was studied in 56 men and women, ages 56 to 86 years, by comparing the average of 3- or 7 day 24-hr. physical activity records (n=56), predicted maximal oxygen consumption (VO2 max) (n = 23) and the sum of three skinfold measurements. Two-week repeatability was estimated by calculating an intraclass coefficient using an analysis of variance with repeated measures. Spearman rhos were used to study questionnaire validity. Analysis showed the survey was easily administered and scored and exhibited moderate-to-good repeatability. For the first administration the Total Energy Expenditure Index was significantly associated with the physical activity diary (r = .27). On the second administration, correlations were significant for the physical activity diary with the Total Energy Expenditure Index (r = .30), the Total Activity Summary Index (r = .36), and the Total Time Index (r = .27), and for VO2 max and the Total Time Index (r = .49) and Total Activity Summary Index (r = .64). Relative to the criterion measures used in this study, some validity was evident for the second administration in this relatively active and healthy sample of older adults.