Behavioral versus Behavioral and Pharmacological Treatment in ADHD Children Attending a Summer Treatment Program

As part of the behavioral treatment in the Multimodal Treatment Study of Children with ADHD (MTA), children participated in an intensive summer treatment program (STP). This study examined the differences between 57 children in the combined treatment (Comb) group, who were medicated, and 60 children in the behavioral treatment (Beh) group, who were unmedicated throughout the STP. Comb children were significantly better than Beh on 5 measures: rule following, good sportsmanship, peer negative nominations, and STP teacher posttreatment ratings of inattention/overactivity. Groups did not differ on any of the other 30 measures, and responded similarly to the STP over time. Comparisons to normative data revealed that Comb children were more likely to fall within the normative range on 6 measures. The differences between these results and the main MTA results, in which Comb was always superior to Beh, are discussed in terms of the relative intensity of combined treatments. The implications for future studies of pharmacological and behavioral treatment for ADHD are discussed.     

Visual illusions affect both movement planning and on-line control: a multiple cue position on bias and goal-directed action

Over the last decade, there has been an interest in the impact of visual illusions on the control of action. Much of this work has been motivated by Milner and Goodale's two visual system model of visual processing. This model is based on a hypothesized dissociation between cognitive judgments and the visual control of action. It holds that action is immune to the visual context that provides the basis for the illusion-induced bias associated with cognitive judgments. Recently, Glover has challenged this position and has suggested that movement planning, but not movement execution is susceptible to visual illusions. Research from our lab is inconsistent with both models of visual-motor processing. With respect to the planning and control model, kinematic evidence shows that the impact of an illusion on manual aiming increases as the limb approaches the target. For the Ebbinghaus illusion, this involved a decrease in the time after peak velocity to accommodate the 'perceived' size of the target. For the Müller-Lyer illusion, the influence of the figure's tails increased from peak velocity to the end of the movement. Although our findings contradict a strong version of the two visual systems hypothesis, we did find dissociations between perception and action in another experiment. In this Müller-Lyer study, perceptual decisions were influenced by misjudgment of extent, while action was influenced by misjudgment of target position. Overall, our findings are consistent with the idea that it is often necessary to use visual context to make adjustments to ongoing movements.     

Self-selected visual information during discrete manual aiming

The authors examined strategic selection of visual samples during manual aiming. Participants (N = 12) wore liquid-crystal goggles while performing discrete movements to a small target. Initially, participants controlled a 40-ms visual sample via a switch in their nonaiming hand. Subsequently, experimenter-imposed strategies required participants to take visual samples before movement initiation or early or late in the movement. Although participants adopted a variety of strategies to optimize the use of vision, they were more likely to select a sample during the early stages of the movement. Experimenter-imposed early and late instructions resulted in longer movement times than did self-selected sampling. Compared with late sampling, early sampling resulted in a temporal advantage with similar accuracy.     

Roll-over characteristics of human walking on inclined surfaces

Roll-over characteristics of able-bodied human subjects walking on ramped surfaces were examined in this study. Ten subjects walked at their normal self-selected speed on a level surface, a 5-deg ramp, and a 10-deg ramped surface. Ramps were designed such that ground reaction forces and center of pressure of the ground reaction forces could be measured on their surfaces. This set-up facilitated calculation of the effective rockers that the ankle-foot (AF) and knee-ankle-foot (KAF) systems conformed to during single-limb stance (contralateral toe off to contralateral heel contact). Since our original "roll-over shapes" were characterized between heel contact and opposite heel contact, we label the shapes found during single-limb stance as "truncated roll-over shapes". We hypothesized that the ankle-foot system would adapt to the various surfaces, creating a roll-over shape that would change in orientation with different levels of inclination. The truncated AF roll-over shapes supported this hypothesis for uphill walking but did not support the hypothesis for downhill walking. However, truncated roll-over shapes of the KAF system did adjust their orientation to match both the positive and negative levels of surface inclination. In general, the ankle appears to be the main adapting joint when walking up inclined surfaces while the knee becomes important for the overall adaptation in downhill walking. Knowledge of physiological lower-limb roll-over characteristics on ramped surfaces may help in the development of biomimetic prostheses and orthoses that will automatically adapt to changes in walking surface inclination.     

False recognition of abstract versus common objects in older and younger adults: testing the semantic categorization account

Older adults often demonstrate higher levels of false recognition than do younger adults. However, in experiments using novel shapes without preexisting semantic representations, this age-related elevation in false recognition was found to be greatly attenuated. Two experiments tested a semantic categorization account of these findings, examining whether older adults show especially heightened false recognition if the stimuli have preexisting semantic representations, such that semantic category information attenuates or truncates the encoding or retrieval of item-specific perceptual information. In Experiment 1, ambiguous shapes were presented with or without disambiguating semantic labels. Older adults showed higher false recognition when labels were present but not when labels were never presented. In Experiment 2, older adults showed higher false recognition for concrete but not abstract objects. The semantic categorization account was supported.     

Variations in mood state as a function of a football season

Scores on the Profile of Mood States were collected from football players at a small university each week prior to a Saturday football contest. The scores were analyzed to assess whether mood varied as a function of the outcome of the previous week's game. Although the subjects' overall mood state was not influenced by the outcome of the games, scores on Tension, Vigor, Fatigue, and Confusion varied. Fatigue and Confusion were related to the outcomes of the games and gave partial support to the hypothesis that the players' mood would vary according to the outcome of the games played.     

Incremental exercise, plasma concentrations of catecholamines, reaction time, and motor time during performance of a noncompatible choice response time task

The primary purpose was to examine the effect of incremental exercise on a noncompatible response time task. Participants (N=9) undertook a 4-choice noncompatible response time task under 3 conditions, following rest and during exercise at 70% and 100% of their maximum power output. Reaction and movement times were the dependent variables. Maximum power output had been previously established on an incremental test to exhaustion. A repeated-measures multivariate analysis of variance yielded a significant effect of exercise intensity on the task, observation of the separate univariate repeated-measures analyses of variance showed that only movement time was significantly affected. Post hoc Tukey tests indicated movement time during maximal intensity exercise was significantly faster than in the other two conditions. The secondary purpose of the study was to assess whether increases in plasma concentrations of adrenaline and nor-adrenaline during exercise and power output would act as predictor variables of reaction and movement times during exercise. Catecholamine concentrations were based on venous blood samples taken during the maximum power output test. None of the variables were significant predictors of reaction time. Only power output was a significant predictor of movement time (R2 = .24). There was little support for the notion that peripheral concentrations of catecholamines directly induce a central nervous system response.     

An ESID Case Study at the Federal Level

The D (dissemination) phase of the ESID model has been often overlooked in our efforts to create innovative and widespread social change. The process of replicating successful social innovations is both a prerequisite for dissemination (in order to assess the consistency of effects) and an obvious outcome of a successful dissemination effort. Fidelity, the extent to which a replicated program is implemented in a manner consistent with the original program model, is an important dimension of replication. This study was designed to provide empirical data related to three questions. Can complex social programs be implemented with fidelity? How much fidelity is appropriate or desired? What are the organizational dynamics of adoption with fidelity? Data were collected from grantees of a national replication initiative funded by the Center for Substance Abuse Prevention. Data suggest that high fidelity can be achieved, at least in the context in which programs are mandated to do so as part of the funding agreement and are given technical assistance in achieving fidelity. Secondly, programs perceived high fidelity as having positive effects on the program and its participants, a finding consistent with a limited assessment of the relationship of program outcomes and fidelity. Finally, much was learned about the human and organizational dynamics of replicating with fidelity. Implications for policy and direction regarding replication are discussed.