Brief Behavioral Knowledge Questionnaire: Measuring Change in Caregiver's Knowledge Following Participation in a Brief Behavioral Training

Behavioral caregiver training programs are extensively used interventions, based on empirical research and applied concepts of behavior. As these interventions become more widespread in use across settings for various populations, the availability of efficient methods to evaluate program effectiveness is crucial. Currently, there is a lack of widely used and psychometrically sound measurement tools to assess change in caregivers' knowledge of behavioral principles following participation in such training. In the current study, we assessed change in caregivers' knowledge of behavioral principles following participation in a caregiver training based on the principles of Applied Behavior Analysis. Twenty caregivers participated in the evaluation, which included pre‐ and post‐Brief Behavioral Knowledge Questionnaire (BBKQ) completed before and after participation in a brief behavioral training (BBT). The measurement was found to have good internal consistency. Results also show that following participation in the BBT, caregivers' initial knowledge of behavioral principles increased significantly. The results suggest that the BBKQ may be a useful tool in detecting changes in caregiver's knowledge of behavior principles following BBT. Limitation and future directions are discussed. Copyright © 2016 John Wiley & Sons, Ltd.     

A randomized trial comparing the efficacy of cognitive-behavioral therapy for bulimia nervosa delivered via telemedicine versus face-to-face

OBJECTIVE: A major problem in the delivery of mental health services is the lack of availability of empirically supported treatment, particularly in rural areas. To date no studies have evaluated the administration of an empirically supported manual-based psychotherapy for a psychiatric condition via telemedicine. The aim of this study was to compare the relative efficacy and acceptability of a manual-based cognitive-behavioral therapy (CBT) for bulimia nervosa (BN) delivered in person to a comparable therapy delivered via telemedicine. METHOD: One hundred twenty-eight adults meeting DSM-IV criteria for BN or eating disorder-not otherwise specified with binge eating or purging at least once per week were recruited through referrals from clinicians and media advertisements in the targeted geographical areas. Participants were randomly assigned to receive 20 sessions of manual-based, CBT for BN over 16 weeks delivered either face-to-face (FTF-CBT) or via telemedicine (TV-CBT) by trained therapists. The primary outcome measures were binge eating and purging frequency as assessed by interview at the end of treatment, and again at 3- and 12-month follow-ups. Secondary outcome measures included other bulimic symptoms and changes in mood. RESULTS: Retention in treatment was comparable for TV-CBT and FTF-CBT. Abstinence rates at end-of-treatment were generally slightly higher for FTF-CBT compared with TV-CBT, but differences were not statistically significant. FTF-CBT patients also experienced significantly greater reductions in eating disordered cognitions and interview-assessed depression. However, the differences overall were few in number and of marginal clinical significance. CONCLUSIONS: CBT for BN delivered via telemedicine was both acceptable to participants and roughly equivalent in outcome to therapy delivered in person.     

Causal concepts and temporal ordering

Though common sense says that causes must temporally precede their effects, the hugely influential interventionist account of causation makes no reference to temporal precedence. Does common sense lead us astray? In this paper, I evaluate the power of the commonsense assumption from within the interventionist approach to causal modeling. I first argue that if causes temporally precede their effects, then one need not consider the outcomes of interventions in order to infer causal relevance, and that one can instead use temporal and probabilistic information to infer exactly when X is causally relevant to Y in each of the senses captured by Woodward’s interventionist treatment. Then, I consider the upshot of these findings for causal decision theory, and argue that the commonsense assumption is especially powerful when an agent seeks to determine whether so-called “dominance reasoning” is applicable.

     

Influence of vocal cues on learning about objects in joint attention contexts

An experimenter taught infants about a novel toy in two joint attention conditions, one with and one without vocal cues. In test trials, infants viewed the familiar toy and a novel toy. Infants in the Joint Attention plus Voice condition looked significantly longer to the novel toy.     

Young children know that trying is not pretending: a test of the "behaving-as-if" construal of children's early concept of pretense

In 3 studies, young children were tested for their understanding of pretend actions. In Studies 1 and 2, pairs of superficially similar behaviors were presented to 26- and 36-month-old children in an imitation game. In one case the behavior was marked as trying (signs of effort), and in the other case as pretending (signs of playfulness). Three-year-olds, and to some degree 2-year-olds, performed the real action themselves (or tried to really perform it) after the trying model, whereas after the pretense model, they only pretended. Study 3 ruled out a simple mimicking explanation by showing that children not only imitated differentially but responded differentially with appropriate productive pretending to pretense models and with appropriate productive tool use to trying models. The findings of the 3 studies demonstrate that by 2 to 3 years of age, children have a concept of pretense as a specific type of intentional activity.     

Angry and aggressive behavior across three generations: a prospective,longitudinal study of parents and children

This investigation examined intergenerational continuities in both angry, aggressive parenting and also the angry, aggressive behavior of children and adolescents. Data from 75 G2 youth (26 men, 49 women, M = 22-years old), their mothers (G1), and their G3 children (47 boys, 28 girls, M = 2.4-years old) were included in the analyses. The prospective, longitudinal design of the study, which included observational and multiinformant measures, overcame many of the methodological limitations found in much of the earlier research on intergenerational transmission. The results demonstrated a direct connection between observed G1 aggressive parenting and observed G2 aggressive parenting from 5 to 7 years later. G2 aggressive behavior as an adolescent and G3 aggressive behavior as a child were related to parenting behavior but not directly to one another. The results were consistent with a social learning perspective on intergenerational continuities in angry and aggressive behaviors.