“Statistical,” “Practical,” and “Clinical”: How Many Kinds of Significance Do Counselors Need to Consider?

The present article reviews and distinguishes 3 related but different types of significance: “statistical,” “practical,” and “clinical.” A framework for conceptualizing the many “practical” effect size indices is described. Several effect size indices that counseling researchers can use, or that counselors reading the literature may encounter, are summarized. A way of estimating “corrected” intervention effects is proposed. It is suggested that readers should expect authors to report indices of “practical” or “clinical” significance, or both, within their research reports; and it is noted that indeed some journals now require such reports.     

Confirmation in Couples' Communication About Weight Management: An Analysis of How Both Partners Contribute to Individuals' Health Behaviors and Conversational Outcomes

Using confirmation theory, this study investigated how romantic couples' (N = 100) accepting and challenging communication was associated with several weight management (WM) outcomes (i.e., partners' general effectiveness in motivating each other to enact healthy behaviors, productivity of WM conversations, and diet and exercise behaviors). Actor–partner interdependence model analyses showed that acceptance and challenge from partners simultaneously predicted how effective partners were in motivating healthy behaviors, but these components of confirmation predicted the other outcomes in different ways. Analyses across the outcomes also revealed that similar partner communication styles predicted general effectiveness, more productive WM conversations, and healthier eating habits. The findings of this study highlight the importance of assessing the interdependence of partners' WM efforts.     

Weigh(t)ing for Awareness

We wished to learn if weight perception can be extinguished by studying two patients with right hemisphere brain damage. When lifting weights simultaneously, a patient with right frontal damage was not biased in her judgments of which weight was heavier. By contrast, a patient with right parietal damage reported left-sided weights as being lighter than those on the right. Psychophysical power functions revealed that her awareness of increasing weights on the left was dampened compared to the right when lifting weights individually on each side. Strikingly, her awareness of weight changes on the left was completely abolished when she lifted weights in both hands simultaneously. She demonstrated an unusual split in awareness, being motorically aware of and actively engaged with left-sided weights while being unaware of their incremental changes.     

INCREASING RURAL HEAD START CHILDREN'S CONSUMPTION OF MIDDLE-CLASS MEALS1

Rural black, economically impoverished Head Start children, whose normal diets were deficient in nutritional requirements, were not consuming the nutritional breakfasts of, to them, unfamiliar foods provided by the county school system. This study investigated a positive simple method to increase the amount of food consumed and thereby ensure proper nutrition. Teachers dispensed sugar-coated cereal and small candies paired with praise contingent on eating behaviors and rewarded children who finished the entire meal with additional treats and praise. Substantial increases were produced in the proportion of meals consumed and in the number of children observed engaged in eating behaviors. These simple traditional behavioral procedures are readily available for any staff working with economically impoverished children as one method of increasing their sampling and consumption of unfamiliar nutritious foods.