Using telehealth to teach valued skills to adults with intellectual and developmental disabilities

Telehealth uses electronic information and telecommunication technologies to deliver long-distance clinical services. It has successfully been used by clinical professionals to teach family and staff members to provide evidence-based assessment and treatment procedures. There is no research to date, however, evaluating the use of telehealth to directly teach individuals with intellectual and developmental disabilities (IDD). Thus, we evaluated the efficacy of a telehealth intervention using total task chaining with least-to-most prompting delivered via videoconference to 2 adults with IDD. Both participants demonstrated low independent responding during baseline with enhanced written instructions present. During intervention, which included vocal and model prompting, both participants met the mastery criterion for each skill in fewer than 15 sessions, which maintained after 2 weeks. Finally, both participants expressed satisfaction with the goals, procedures, and effects of the intervention. We discuss the broader scope of the intervention for individuals with disabilities when face-to-face services may not be feasible.     

Lossy-Context Surprisal: An Information-Theoretic Model of Memory Effects in Sentence Processing

A key component of research on human sentence processing is to characterize the processing difficulty associated with the comprehension of words in context. Models that explain and predict this difficulty can be broadly divided into two kinds, expectation-based and memory-based. In this work, we present a new model of incremental sentence processing difficulty that unifies and extends key features of both kinds of models. Our model, lossy-context surprisal, holds that the processing difficulty at a word in context is proportional to the surprisal of the word given a lossy memory representation of the context—that is, a memory representation that does not contain complete information about previous words. We show that this model provides an intuitive explanation for an outstanding puzzle involving interactions of memory and expectations: language-dependent structural forgetting, where the effects of memory on sentence processing appear to be moderated by language statistics. Furthermore, we demonstrate that dependency locality effects, a signature prediction of memory-based theories, can be derived from lossy-context surprisal as a special case of a novel, more general principle called information locality.     

Eye movements and spoken language comprehension: effects of visual context on syntactic ambiguity resolution

When participants follow spoken instructions to pick up and move objects in a visual workspace, their eye movements to the objects are closely time-locked to referential expressions in the instructions. Two experiments used this methodology to investigate the processing of the temporary ambiguities that arise because spoken language unfolds over time. Experiment 1 examined the processing of sentences with a temporarily ambiguous prepositional phrase (e.g., "Put the apple on the towel in the box") using visual contexts that supported either the normally preferred initial interpretation (the apple should be put on the towel) or the less-preferred interpretation (the apple is already on the towel and should be put in the box). Eye movement patterns clearly established that the initial interpretation of the ambiguous phrase was the one consistent with the context. Experiment 2 replicated these results using prerecorded digitized speech to eliminate any possibility of prosodic differences across conditions or experimenter demand. Overall, the findings are consistent with a broad theoretical framework in which real-time language comprehension immediately takes into account a rich array of relevant nonlinguistic context.     

台湾实践基因科技应用于临床试验的政策发展可能视野

台湾目前的基因科技发展存在着瓶颈和危机。在日前台湾举办的《基因治疗与临床试验－务实取向的共识凝聚研讨会》上,与会者提出了制约台湾目前基因研究的十大瓶颈,以及面对困境的十项解决方案。     

Chances and frequencies in probabilistic reasoning: rejoinder to Hoffrage,Gigerenzer, Krauss,and Martignon

Do individuals unfamiliar with probability and statistics need a specific type of data in order to draw correct inferences about uncertain events? Girotto and Gonzalez (Cognition 78 (2001) 247) showed that naive individuals solve frequency as well as probability problems, when they reason extensionally, in particular when probabilities are represented by numbers of chances. Hoffrage, Gigerenzer, Krauss, and Martignon (Cognition 84 (2002) 343) argued that numbers of chances are natural frequencies disguised as probabilities, though lacking the properties of true probabilities. They concluded that we failed to demonstrate that naive individuals can deal with true probabilities as opposed to natural frequencies. In this paper, we demonstrate that numbers of chances do represent probabilities, and that naive individuals do not confuse numbers of chances with frequencies. We conclude that there is no evidence for the claim that natural frequencies have a special cognitive status, and the evolutionary argument that the human mind is unable to deal with probabilities.     

Post-choice information processing by pigeons

In a conditional discrimination (matching-to-sample), a sample is followed by two comparison stimuli, one of which is correct, depending on the sample. Evidence from previous research suggests that if the stimulus display is maintained following an incorrect response (the so-called penalty-time procedure), acquisition by pigeons is facilitated. The present research tested the hypothesis that the penalty-time procedure allows the pigeons to review and learn from the maintained stimulus display following an incorrect choice. It did so by including a penalty-time group for which, following an incorrect choice, the sample changed to match the incorrect comparison, thus providing the pigeons with post-choice misinformation. This misinformation group acquired the matching task significantly slower than the standard penalty-time group (that had no change in the sample following an error). Furthermore, acquisition of matching by a control group that received no penalty time fell midway between the other two groups, suggesting that the pigeons did not merely take more care in making choices because of the aversiveness of penalty-time. Thus, it appears that in the acquisition of matching-to-sample, when the stimulus display is maintained following an incorrect choice, the pigeons can review or acquire information from the display. This is the first time that such an effect has been reported for a nonhuman species.     

Innovation in HIV prevention: organizational and intervention characteristics affecting program adoption

A multiple case study design was used to explore the organizational characteristics of community-based organizations that provide HIV prevention programs and the criteria these organizations employ when judging the merits of externally-developed HIV prevention programs. In-depth interviews were conducted with organizational representatives of 38 randomly-selected HIV prevention providers throughout Illinois. Results indicated that there were three main types of adopting organizations: adopters of entire programs, adopters of program components and practices, and adopters of common ideas. These three types of organizations were distinguished by their level of organizational commitment to HIV prevention, organizational resources, and level of organizational maturity. Narrative data from the interviews are used to describe the dimensions that underlie the organizations' program adoption criteria. The criteria of merit used by these organizations to evaluate prevention programs provide partial empirical support for existing theories of technology transfer. Implications for designing and disseminating HIV prevention programs are discussed.     

The case for responsibility of the IT industry to promote equality for women in computing

This paper investigates the relationship between the role that information technology (IT) has played in the development of women’s employment, the possibility of women having a significant influence on the technology’s development, and the way that the IT industry perceives women as computer scientists, users and consumers. The industry’s perception of women and men is investigated through the portrayal of them in computing advertisements. While women are increasingly updating their technological skills and know-how, and through this process are entering some positions in the workplace traditionally occupied by men, these achievements are not mirrored in their social and occupational status. The computer industry and higher education have worryingly low numbers of women, while the possibility of women influencing the development of computer technology is just emerging in feminist research. This paper argues that, though the IT industry, through their self-regulatory codes, subscribes to equal treatment of sexes, races and persons with disabilities, the industry nevertheless paints a stereotyped picture of inequality when portraying men and women in computer advertisements. As long as such a perception of women prevails within the industry, it will stand as a barrier to women having equal access to computer technology. If advertisements influence the way society perceives major social constructs and issues, then the computing industry has a social responsibility to portray men and women in an equal and non-stereotypical fashion. An earlier version of this paper was presented at the ETHICOMP98 Conference, Rotterdam, Holland, March 1998.     

The Use of Communication Technology in Private Practice: Ethical Implications and Boundary Dilemmas in Therapy

This study investigates the use of communication technology (CT) by therapists in private practice. CT has exploded in the last decade and therapists have begun to implement this technology in their work. It is important to understand better the types of technology therapists are using and how they decide which devices are most useful for clinical practice. Additionally, the availability of the therapist has long been debated and CT provides media to make therapists readily available. Results show that therapists have boundary concerns and ethical dilemmas regarding CT and often feel unprepared to handle inappropriate out-of-session contacts when they occur.