Somatovisceral interactions in visceral perception: Abdominal masking of colonic stimuli

Clinical and experimental evidence on referred pain and spinal-afferent convergence demonstrates a close relationship between visceral and somatosensory perception, which is important for current models of symptom perception and central body representation. The study uses a psychophysical approach to quantify these interactions at the perceptual level, taking into account problems of comparable intermodal scaling and the role of awareness. An experiment on somatosensory masking of distension stimuli in the colon is reported in which a multiple staircase method of forced choice discrimination with concurrent sensation ratings was employed. Results showed perceptual masking of visceral by abdominal stimuli but not vice versa. The masking effect was not enhanced by intratomal placement of the abdominal stimulus in the lower left quadrant. This contradicts the spinal sensory convergence model and points to perceptual interactions at higher brain levels. Loglinear analysis of relations between discrimination and subjective sensation revealed qualitative differences of somatovisceral perception at the preconscious as compared to the conscious level. This argues for a two-process model of integrative body perception.     

On the identification of clinically significant client changes: Reinterpretation of Jacobson's cut scores

Cut points or cut scores play a central role in Jacobson's popular method of identifying clinically significant changes in psychotherapy. When pre- and posttherapy scores of a client are on different sides of one of these cut scores, the change is considered clinically significant, provided that it is also reliable (i.e., not due to measurement errors). This article critically examines the meanings and implications of these cut scores. Contrary to popular beliefs, they are generallynot the test scores for which the probability of belonging to the Functional population is equal to the probability of belonging to the Dysfunctional population. When the Functional population distribution is above that of the Dysfunctional population, persons scoring above these cut scores can, in fact, have much greater probabilities of belonging to the Dysfunctional than to the Functional population. Goals of Jacobson's method can be attained only with Bayesian methods. Bayesian modifications of Jacobson's cut scores are proposed, although their use is limited by the availability of relevant base rates. Bayesian methods (a) can provide information about the probability that an individual belongs to each population, given his (her) score, and (b) are expected to yield total misdiagnosis rates that are many times lower than those of Jacobson's method. Users of Jacobson's method are cautioned against interpreting ratios of likelihoods as if they were ratios of posterior probabilities.     

Some suggestions for the conduct of biographical research

Despite the strong and growing interest in biography, few psychologists engage in such studies themselves or feel competent to supervise them. Yet biography is a naturalistic form of empirical research and a rich source of ideas about the development of the individual across the life span. I offer a set of five suggestions for the conduct of biographical research and illustrate its use with examples drawn from archival and biographical interviewing studies. Three of the five suggestions concern the selection, presentation, and interpretation of data, areas where the psychologist's concern about investigator bias and reliability of interpretation has been greatest.     

Toward a culturally anchored ecological framework of research in ethnic-cultural communities

Proposed a research framework (the “cube” model) in which community psychologists working in ethnic-cultural communities can make appropriate decisions on conceptual and methodological issues from a culturally anchored, ecological-contextualist perspective. The intent of the model is to articulate ethnic-cultural heterogeneity in community research by elucidating three metamethodological issues: (a) definition of an ethnic-cultural community, (b) applicability of cross-cultural theories and methods to ethnic-cultural community research, and (c) geographical or ecological stability of an ethnic-cultural community. The model posits that ethnic-cultural community research can be conceptualized as a three-dimensional structure that represents an interaction among research questions, methods, and cultural complexity (referring to the extent to which an ethnic-cultural group is defined in a larger ecological context or community both at the individual and collective levels). Future directions for research were discussed in terms of the utility and the limitations of the proposed research model.     

Assessment of In-Basket Performance by Quickly-Scored Methods: Development and Psychometric Evaluation

The present research was aimed primarily at establishing and evaluating an In-Basket exercise and scoring procedures that greatly reduce training and scoring time while retaining adequate reliability and validity. In the first of two studies, an optimal subset of In-Basket items was identified for scoring. Their reliability and concurrent validity were then re-evaluated in a second, cross-validation study. No loss in reliability and little in validity resulted from the scoring-item reduction. In addition, results emerged that shed light on attainable In-Basket reliability and criterion-related validity. Implications for In-Basket use are noted.     

An algorithm for generating artificial test clusters

An algorithm for generating artificial data sets which contain distinct nonoverlapping clusters is presented. The algorithm is useful for generating test data sets for Monte Carlo validation research conducted on clustering methods or statistics. The algorithm generates data sets which contain either 1, 2, 3, 4, or 5 clusters. By default, the data are embedded in either a 4, 6, or 8 dimensional space. Three different patterns for assigning the points to the clusters are provided. One pattern assigns the points equally to the clusters while the remaining two schemes produce clusters of unequal sizes. Finally, a number of methods for introducing error in the data have been incorporated in the algorithm.     

Developing a Prevention Synthesis and Translation System to Promote Science‐Based Approaches to Teen Pregnancy,HIV and STI Prevention

The Interactive Systems Framework for Dissemination and Implementation (ISF) is a multi‐system framework that can guide research‐to‐practice efforts by building and supporting the work of three interacting systems: the Prevention Delivery, Support, and Synthesis and Translation Systems. The Synthesis and Translation system is vital to bridging science and practice, yet how to develop it and train support system partners to use it is under‐researched. This article bridges this gap by offering a case example of the planning, development, and use of a synthesis and translation product called Promoting Science‐based Approaches to Teen Pregnancy Prevention using Getting To Outcomes. The case presented documents the process used for developing the synthesis and translation product, reports on efforts to engage the Prevention Support system to use the product, and how we approached building interaction between the Synthesis and Translation System and the Support System partners. Practice‐oriented evaluation data are also presented. Implications for practice, policy and research are discussed. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Applying the Interactive Systems Framework to the Dissemination and Adoption of National and State Recommendations for Hypertension

The Centers for Disease Control and Prevention (CDC), Division for Heart Disease and Stroke Prevention (DHDSP), commissioned an Institute of Medicine (IOM) report to identify the highest priority action areas for CDC, state health departments, and other public health partners in their efforts to reduce and control hypertension. To assess the dissemination and adoption of the IOM report recommendations, DHDSP developed an evaluation based on the Interactive Systems Framework for Dissemination and Implementation (ISF). The evaluation incorporates data collection at critical points across 3 years. In this article, we focus on the ISF systems to describe the role of funded state partners and their relationship with CDC in implementing public health recommendations. We describe baseline results for three data collection activities: (1) key informant interviews, (2) a Web‐based survey, and (3) content analysis of state workplans to determine the degree of alignment with IOM recommendations. For example, currently 30 % of surveyed programs are implementing most (or all) of the recommendations in the IOM report, however 76 % intend to change hypertension program priorities based on the recommendations of the IOM report. Qualitative data suggest that there are several facilitators and barriers in implementing public health policy recommendations. DHDSP will use these baseline results to provide additional technical assistance and support to state health departments in their efforts to implement the IOM report's recommendations. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

New Directions in Capacity Building: Incorporating Cultural Competence into the Interactive Systems Framework

The UMBC Psychology Department's Center for Community Collaboration (CCC) provides training and support for capacity building to promote substance abuse and mental health treatment as well as adherence improvement in community agencies funded through the Ryan White Act serving persons living with HIV/AIDS. This article describes an approach to dissemination of Evidence Based Practices (EBPs) for these services that uses the Interactive Systems Framework (ISF) and incorporates a collaborative process involving trainer cultural competence, along with a comprehensive assessment of organizational needs, culture, and climate that culminates in tailored training and ongoing collaboration. This article provides: (1) an overview of the CCC's expanded ISF for the effective dissemination of two EBPs—motivational interviewing and the stages of change perspective; (2) an examination of the role of trainer cultural competence within the ISF framework, particularly attending to organizational culture and climate; and (3) case examples to demonstrate this approach for both general and innovation‐specific capacity building in two community based organizations. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

The Interactive Systems Framework Applied to the Strategic Prevention Framework: The Rhode Island Experience

The Interactive Systems Framework for Dissemination and Implementation (ISF) was introduced as a heuristic systems level model to help bridge the gap between research and practice (Wandersman et al., in Am J Commun Psychol 41:171–181, 2008). This model describes three interacting systems with distinct functions that (1) distill knowledge to develop innovations; (2) provide supportive training and technical assistance for dissemination to; (3) a prevention delivery system responsible for implementation in the field. The Strategic Prevention Framework (SPF) is a major prevention innovation launched by the Center for Substance Abuse Prevention (CSAP) of the Substance Abuse and Mental Health Services Administration (SAMHSA). The SPF offers a structured, sequential, data‐driven approach that explicitly targets environmental conditions in the community and aims for change in substance use and problems at the population level. This paper describes how the ISF was applied to the challenges of implementing the SPF in 14 Rhode Island communities, with a focus on the development of a new Training and Technical Assistance Resources Center to support SPF efforts. More specifically, we (1) describe each of the three ISF interacting systems as they evolved in Rhode Island; (2) articulate the lines of communication between the three systems; and (3) examine selected evaluation data to understand relationships between training and technical assistance and SPF implementation and outcomes. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith