A 1-year follow-up of an experimental study of a self-management arthritis programme with an added exercise component of clients with osteoarthritis of the knee

The aim was to assess the self-efficacy and health outcomes of an adopted Arthritis Self-Management Programme (ASMP) among osteoarthritic knee sufferers in Hong Kong at 1 year. An experimental study with 95 participants assigned randomly to the intervention (n=45) or control group (n=50). Seventy-seven (81.1%) participants joined at least one out of three follow-ups in the 12 month period. Participants in the intervention group received a 6-week ASMP with an added exercise component in two general clinics. Outcome measures included arthritis self-efficacy (ASE) and health outcomes including pain and fatigue rating, self-rated health, daily activities limitation and number of unplanned arthritis-related medical consultations. Mean change (12 months minus baseline) and the effect size of the outcome measures were calculated by Mann-Whitney U test and nQuery Advisor 4.0. At 12 months, there were significant reductions of current pain (p=0.0001), pain at night (p=0.001), pain during walking (p=0.01) and number of unplanned arthritis-related medical consultations (p=0.03) and a significant increase in ASE for pain (p=0.01) and other symptoms (p=0.02) and self-rated health (p=0.04) among the intervention group but not for the control group. However, there were similarities in outcome measures of pain while switching from a sitting to a standing position, fatigue rating and physical functional limitation (p=0.15; p=0.22 and p=0.91, respectively) for both groups. Our findings add to the evidence that the modified arthritis empowering programme improved perception of control of osteoarthritis and three health outcomes after 12 months of treatment.     

Police officers ability to detect deception in high stakes situations and in repeated lie detection tests

Thirty‐seven police officers, not identified in previous research as belonging to groups that are superior in lie detection, attempted to detect truths and lies told by suspects during their videotaped police interviews. In order to measure consistency in their ability, the officers each participated in four different tests, each of which was on a different day. They were asked to indicate their confidence in being able to distinguish between truths and lies prior to the first test and after completing all four tests. We predicted that accuracy rates would be higher than those typically found in research with police officers; that good or poor performances on an individual test would be partly caused by luck, and, consequently, participants' accuracy scores were likely to progress towards the mean if their performance on all four tests was to be combined; and that officers would underestimate their own performance. These hypotheses were supported. Copyright © 2006 John Wiley & Sons, Ltd.     

Detecting lies in young children,adolescents and adults

The ability of teachers, social workers, police officers and laypersons (undergraduate and postgraduate students) to detect truths and lies told by 5–6 year‐olds, adolescents and adults was tested in the present experiment. Lie detectors judged the veracity of statements from 18 liars and 18 truth tellers belonging to these three age groups. Accuracy scores were around 60% for each of these three age groups, both for detecting truths and for detecting lies. No occupational differences emerged. Moreover, judgements made by teachers, social workers and police officers showed an overlap, suggesting that an erroneous decision made by a member of one group may not easily be detected by a member of the other groups. The lie detectors were inclined to judge cues of nervousness, cognitive demand and attempted behavioural control as cues to deceit, even when truth tellers were displaying these cues. Copyright © 2006 John Wiley & Sons, Ltd.     

Prospective factors contribute little to within-session changes in responding

Five rats pressed levers for food delivered by a multiple variable interval 1-min variable interval 1-min schedule. In theunpredictable conditions, sessions were 20, 40, 60, 80, or 100 min long, determined randomly at the beginning of each session. In thepredictable conditions, each of these session durations was presented for 15 consecutive sessions. Rate of responding changed systematically within the session even when the end of the session was unpredictable. This implies that prospective factors related to anticipation of the end of the session are not necessary for producing withinsession changes in responding. Within-session patterns of responding were also similar for the predictable and unpredictable conditions. This suggests that prospective factors contributed little to the form of the within-session patterns under the present conditions.     

Facilitating memory‐based lie detection in immediate and delayed interviewing: The role of mnemonics

We experimentally investigated how different mnemonic techniques employed in an interview conducted immediately after an event affected truth tellers' and liars' responses when they were interviewed again after a 2‐week delay. We also compared how verbal accounts changed over time within truth tellers and liars, and how consistent both groups were. Participants (n = 143) were shown a mock intelligence operation video and instructed either to tell the truth or lie about its contents in two interviews, one of which was immediately after watching the video and the other after a 2‐week delay. In the immediate interview, they were asked to provide a free recall and then asked to provide further information via one of three mnemonics: context reinstatement, sketch, or event‐line. In the delayed interview, they were asked to provide only a free recall. Truth tellers reported more visual, spatial, temporal, and action details than did liars both immediately and after a delay. Truth tellers experienced more of a decline in reporting details after a delay than did liars, and this decline was affected by the mnemonic used. Truth tellers thus showed, more than liars, patterns of reporting indicative of genuine memory decay. Liars produced patterns of a “stability bias” instead. Truth tellers and liars were equally consistent between their immediate and delayed statements.     

A Feasibility Trial of Mental Health First Aid First Nations: Acceptability,Cultural Adaptation,and Preliminary Outcomes

The Mental Health First Aid First Nations course was adapted from Mental Health First Aid Basic to create a community‐based, culturally safe and relevant approach to promoting mental health literacy in First Nations contexts. Over 2.5 days, the course aims to build community capacity by teaching individuals to recognize and respond to mental health crises. This feasibility trial utilized mixed methods to evaluate the acceptability, cultural adaptation, and preliminary effectiveness of MHFAFN. Our approach was grounded in community‐based participatory research principles, emphasizing relationship‐driven procedures to collecting data and choice for how participants shared their voices. Data included participant interviews (n = 89), and surveys (n = 91) from 10 groups in four provinces. Surveys contained open‐ended questions, retrospective pre‐post ratings, and a scenario. We utilized data from nine facilitator interviews and 24 facilitator implementation surveys. The different lines of evidence converged to highlight strong acceptability, mixed reactions to the cultural adaptation, and gains in participants’ knowledge, mental health first aid skill application, awareness, and self‐efficacy, and reductions in stigma beliefs. Beyond promoting individual gains, the course served as a community‐wide prevention approach by situating mental health in a colonial context and highlighting local resources and cultural strengths for promoting mental well‐being.     

Optimizing Contingency Management With Methamphetamine-Using Men Who Have Sex With Men

Among men who have sex with men (MSM), methamphetamine use is associated with multiple, overlapping syndemic conditions including increased risk for HIV seroconversion and onward HIV transmission. Contingency management (CM) is an evidence-based behavioral intervention implemented to curb methamphetamine use and optimize HIV/AIDS prevention among MSM in San Francisco since 2003. We conducted a program evaluation to document the evolution of this 12-week CM program to include delivery of brief, individual counseling incorporating motivational interviewing and behavioral skills. A drop-in group delivered concurrently with CM urine-screening visits also provides peer support as well as referrals for other social and medical services. From December 2011–October 2013, a total of 131 clients enrolled in the CM program and provided a median of 22 urine samples (Interquartile Range = 10–34) that were nonreactive for methamphetamine. Findings support the feasibility and acceptability of integrating individual and group counseling with community-based CM for methamphetamine-using MSM.