Direct assessment of quality of care in secure residential treatment facilities for criminal offenders with intellectual disabilities

Direct assessment was used to evaluate quality of care in 2 secure residential treatment facilities for criminal offenders with intellectual disabilities. This population and type of setting have not been previously studied in this context. Observations were conducted of environmental condition, resident condition, resident activity, and staff member activity at various times of day over a period of 3 weeks in Facility 1 and 2 days in Facility 2. An additional analysis was conducted to determine the optimal number of observations needed to obtain a representative sample. Results indicated high levels of quality in terms of environmental condition and resident condition in both facilities. Data on resident and staff activities were more variable but generally consistent with previous research. Implications for the optimal number of observations are discussed, as well as limitations and future directions for research.     

Universal Principles of Human Communication: Preliminary Evidence From a Cross‐cultural Communication Game

The present study points to several potentially universal principles of human communication. Pairs of participants, sampled from culturally and linguistically distinct societies (Western and Japanese, N = 108: 16 Western–Western, 15 Japanese–Japanese and 23 Western–Japanese dyads), played a dyadic communication game in which they tried to communicate a range of experimenter‐specified items to a partner by drawing, but without speaking or using letters or numbers. This paradigm forced participants to create a novel communication system. A range of similar communication behaviors were observed among the within‐culture groups (Western–Western and Japanese–Japanese) and the across‐culture group (Western–Japanese): They (a) used iconic signs to bootstrap successful communication, (b) addressed breakdowns in communication using other‐initiated repairs, (c) simplified their communication behavior over repeated social interactions, and (d) aligned their communication behavior over repeated social interactions. While the across‐culture Western–Japanese dyads found the task more challenging, and cultural differences in communication behavior were observed, the same basic findings applied across all groups. Our findings, which rely on two distinct cultural and linguistic groups, offer preliminary evidence for several universal principles of human communication.     

Promoting positive body image among university students: A collaborative pilot study

The purpose of the present study was to pilot a prevention program designed to promote positive body image among university students. Thirty-seven undergraduate students from three Canadian universities were recruited to participate in the study. They were selected from a pool of students enrolled in a peer health education program facilitated by the university-based health promotion staff. Borrowing from the tenets of the non-specific vulnerability stressor model and the disease-specific social cognitive theory, the intervention focused on media literacy, self-esteem enhancement strategies, stress management skills and ways to recognize healthy versus unhealthy relationships. Separate ANOVAs revealed that participants reported significant improvements in body satisfaction and reductions in the internalization of media stereotypes between the baseline and post-program period. The program received a favorable response from the participating students, who appreciated the face-to-face format of the intervention, and from the university staff who expressed interest in embedding the strategies into their routine peer mentoring training activities. Limitations of the study and suggestions for future research are discussed.     

Dilemmas of Practice: Challenges to Program Quality Encountered by Youth Program Leaders

To create and sustain high quality youth development programs it is important to understand the challenging situations and dilemmas that emerge in program leaders’ daily work with youth. In this research the experiences of leaders in 12 programs were followed over a 2–9 month period, which led to the identification of 250 dilemma situations. Qualitative analyses identified 5 categories and 12 subcategories of dilemmas that reflected distinct types of considerations (e.g., youth’s personalities, relationships with the community). The analyses also found that the experienced leaders in the study typically responded to these dilemmas in ways that were youth-centered and that balanced multiple considerations. It is argued that researchers need to go beyond identifying features of high quality programs, and more fully examine how effective leaders create and sustain high quality in response to the challenging situations of practice.     

Effects of cultural background on WAIS‐III and WMS‐III performances after moderate‐severe traumatic brain injury

The assessment of cognitive function in individuals of culturally and linguistically diverse background poses considerable challenges for the psychologist, particularly when English proficiency is limited. This study explored the effects of diverse cultural background and non‐Western educational background on Wechsler Adult Intelligence Scale‐Third edition (WAIS‐III) and Wechsler Memory Scale‐Third Edition (WMS‐III) performances in moderate‐severe traumatic brain injury within an outpatient rehabilitation setting. Participants were aged 16–65 years and met careful selection criteria. IQ, index and age‐scaled subtest scores were compared across three groups: (a) English‐speaking background (n = 130), (b) culturally and linguistically diverse background and education completed in English (n = 33), and (c) culturally and linguistically diverse background and non‐English education (n = 33). Cultural backgrounds included people of Asian, European, Middle Eastern, African and Oceania origin. Results were that the English‐educated culturally and linguistically diverse group performed lower than the English‐speaking background group on some verbal WAIS‐III measures; effect sizes were small‐moderate. The non‐English‐educated culturally and linguistically diverse group performed lower than both groups on several WAIS‐III and one WMS‐III measure, with large effect sizes. Clinical implications included the need for caution in interpreting test scores to avoid diagnostic errors and the need for further development of valid assessment tools.     

Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment

Mental health systems need scalable solutions that can reduce the efficacy–effectiveness gap and improve mental health outcomes in community mental health service settings. Two major challenges to delivery of high-quality care are providers’ fidelity to evidence-based treatment models and children’s and caregivers’ engagement in the treatment process. We developed a novel, tablet-based application designed to enhance via technology the quality of delivery of trauma-focused cognitive-behavioral therapy (TF-CBT). We piloted its use in four community mental health service organizations using a blocked randomized controlled trial to examine the feasibility of implementing tablet-facilitated TF-CBT versus standard TF-CBT with 13 providers and 27 families. Provider fidelity and child engagement in treatment were observationally measured via session audio recording. Parent and child perceptions of the tablet application were assessed using structured interviews and mixed-method analyses. Providers actively and appropriately used tablet TF-CBT to facilitate treatment activities. Providers and families expressed high satisfaction with its use, demonstrating acceptability of this approach. Youth and caregivers in both conditions reported high alliance with their providers. Overall, we found that tablet-facilitated treatment is accepted by providers and families and may be integrated into mental health treatment with minimal training. Further study is needed to examine the extent to which technology-based applications may enhance the reach, quality, and clinical outcomes of mental health treatment delivered to children and families.     

A comparison of blocked and mixed‐trial methods for teaching auditory–visual discriminations

Behavior analysts typically teach conditional discriminations in a mixed‐trial format but may switch to a blocked‐trial format for learners displaying limited acquisition. No known research has shown that mixed‐trial methods are more effective or efficient than blocked‐trial methods for teaching discriminations, so it is not clear why this format has been adopted as the “first‐line” intervention. We compared blocked and mixed‐trial formats for teaching novel auditory–visual discriminations to three adults with intellectual and developmental disabilities (IDD). Results show blocked‐trial methods resulted in faster skill acquisition in all cases, suggesting this format may be a preferable starting point for instruction.     

A Social Justice Approach to Measuring Bystander Behavior: Introducing the Critically Conscious Bystander Scale

Sex Roles - Researchers studying bystander behavior in the context of sexual violence are informed by the five-step process of bystander intervention that was described by Latané and Darley...     

A connectionist implementation of the theory of planned behavior: association of beliefs with exercise intention.

The theory of planned behavior suggests attitudes are a product of salient beliefs. This study examined whether aggregating salient beliefs was plausible within a more biologically centered information-processing environment. A neural network was used to examine associations among beliefs relating to exercise intention. Data on intentions and behavioral, normative, and control beliefs from 114 respondents were used to train (by error backpropagation) a neural network to associate beliefs with intention. The R-sup-2 between the network's estimated and self-reported intention was.66. The network's representation comprised 6 belief profiles associated with high, moderate, or low behavioral intention. The neural network accommodated complex relationships among beliefs and belief-intention associations and indicated how high-level constructs such as attitudes may be viewed as the best fit (compromise state) between aroused beliefs.