One of the troubles with outcome measures: Lost in translation

This paper presents the concerns of a client diagnosed with autism spectrum disorder about completing outcome measures. He was asked to complete CORE‐10 each time he attended a therapy session with the first author. This paper takes an epistemological position of co‐production, and written in response to the client's concerns, but this is limited by the client's wish and capacity to be involved in the writing up of this article. Implications of his experiences are drawn out for both clients with this diagnosis and more generally for all clients. Recommendations are made to recognise the limitations of measures and how to use outcome measures with more validity.     

Challenges to addressing student mental health in embedded counselling services: a survey of UK higher and further education institutions

With reports continually demonstrating increased demand and severity of student mental health needs, it is important to gain a fuller understanding of the impact on embedded student counselling services. The aims of this research were to identify (a) service similarities, (b) factors which impact on services, (c) characteristics of service users, and (d) the use of therapeutic technology (e.g. online self-help). An online survey was completed by 113 heads of UK student counselling services across Higher Education (HE), Further Education (FE), and Sixth Form Colleges (SFCs), to capture service data from the academic year 2013/14. Students predominantly received high-intensity support (e.g. counselling) and referrals increased over 3 years. Challenges to embedded counselling services and their implications for development are discussed.     

Evaluation of two short-term stress interventions in the context of mobility

ObjectivesIn our lives we experience different types of stress that emanate from a variety of situations. This stress can potentially spill over into unrelated situations, including the operation of a vehicle in a safe manner. It is not well known which types of countermeasures can actually mitigate such stress during driving. For this purpose, one needs valid stress intervention methods for the different types of stress that commonly occur during driving. In this study, it was therefore evaluated whether or not two stress interventions were effective in reducing stress. These two stress interventions were Positive Psychology–i.e., being an activity to reflect about thankful moments–and Biofeedback–i.e., being an activity aimed at continued relaxation based on the display of the participants own stress level.MethodsA study with 41 (n = 21 male) participants was conducted in a stationary vehicle to evaluate the effectiveness of Positive Psychology and Biofeedback on stress reduction. Stress was induced using the Stroop Task. During a Stroop Task high stress is caused by naming color words displayed in another, incongruent color. In the Baseline Condition, participants looked at neutral images, which were expected to have no effect on stress levels. These conditions were then compared.FindingsThe results revealed that participant stress levels were significantly higher during each stress induction period in comparison to each stress intervention period. This indicated that a reduction of stress is possible by administering stress interventions in a stationary setting. Yet, there was no difference between Positive Psychology, Biofeedback, and the Baseline Condition, supposedly due to the short administration, stress-reducing attributes of the Baseline Condition itself, or regression to the mean effects.NoveltyThe overall goal of this research is the development of stress interventions to target different types of stress that can occur in the context of mobility, an application context not yet investigated. These interventions are expected to improve well-being and safety inside the vehicle by improving concentration, attention, and psychomotor control, which can be reduced by high stress. The study took a first step to achieve this goal by developing and evaluating Positive Psychology and Biofeedback as stress intervention activities to mitigate stress in a stationary vehicle–a situation comparable to automated driving. The developed interventions showed stress-reducing effects in the stationary setting whereas looking at neutral pictures–although serving as the baseline–was similarly stress-reducing. This enables the next step–adding the task of manual driving to the interventions to look into both the effectiveness of the interventions during manual driving and driving safety at the same time.     

Gender differences in implicit gender self‐categorization lead to stronger gender self‐stereotyping by women than by men

It was hypothesized that, in natural group contexts, low‐status in‐group membership would be highly accessible, whereas membership to high‐status groups would not. Therefore, gender group membership was predicted to be more accessible for women than for men. It was further hypothesized that the high accessibility of gender group membership would lead to stronger self‐stereotyping for women than for men. To measure the accessibility of gender group membership, participants performed a Gender Self‐Categorization Implicit Association Test (Studies 1 and 2), measuring the strength of automatic associations between the self and the gender in‐group. Participants also performed a Self‐Stereotyping Implicit Association Test (Study 2), assessing the strength of automatic associations between the self and the stereotypical traits of the in‐group. As expected, implicit gender self‐categorization and implicit gender self‐stereotyping were stronger for women than for men. Importantly, implicit gender self‐categorization mediated the relation between gender and self‐stereotyping. Therefore, implicit gender self‐categorization was the mechanism underlying stronger implicit self‐stereotyping by women. Copyright © 2012 John Wiley & Sons, Ltd.     

Measurement issues in health-related quality of life: Challenges for health psychology

Abstract

Quality of life assessment is a central element of clinical trials and related forms of evaluative research. Early efforts to establish appropriate methods of measuring quality of life drew on psychometric principles and emphasised the need for validated measures. However, it is increasingly clear that, whilst still a central requirement of quality of life measures, validity needs to be emphasised alongside a number of other essential properties that have become clearer as the field has developed. Moreover formal psychometric methodology has to be adapted to take account of the specific needs of evaluative research. Research is beginning to develop more appropriate methods of outcome assessment in this area. Further lines of research are suggested to examine psychometric with other approaches to measurement of health-related quality of life.     

Relaxation in Children: Effects of Extended and Intensified Training

Although relaxation training is often used with children, there are few comparative evaluations of different approaches to relaxation. This study examines the effects of Progressive Muscle Relaxation and imagination, both presented with five and ten sessions, as well as in a standard and an intensified version. Both techniques are compared to presenting nontension producing neutral stories and tension-inducing arithmetic problems. One hundred and sixty children aged 9-12 years participated in the study. Evaluative criteria included physiological parameters (heart rate, skin conductance level, and skin temperature) and self-report measurements of mood and physical well-being. The results show clear short-term effects of both relaxation techniques and of presenting neutral stories. However, there is nearly no benefit if the training is extended or intensified.     

Convergent,Discriminant, and Incremental Validity of the Pictorial Attitude Implicit Association Test and the Picture Story Exercise as Measures of the Implicit Power Motive

The Pictorial Attitude Implicit Association Test (PA‐IAT) has recently been proposed as new measure of implicit motives. We report a study that provides the first evidence for the convergent validity of the PA‐IAT by showing that the PA‐IAT correlates significantly with a standard measure of implicit motives [i.e. the Picture Story Exercise (PSE)]. Discriminant validity of the PA‐IAT was verified in the sense that the PA‐IAT shared virtually no common variance with explicit motive measures. Our analyses revealed that the PA‐IAT and PSE can best be conceived as related but distinct measures. We further showed that the PA‐IAT had incremental validity in predicting performance on a memory recall task over and above the PSE. In general, our results confirm that the PA‐IAT is a valid measure of implicit motives and can serve as valid alternative to the PSE. Copyright © 2012 John Wiley & Sons, Ltd.     

Contingency learning and stereotype formation: Illusory and spurious correlations revisited

The ability of implicit measures to predict behaviour varies greatly across studies, emphasising the need for accounts of this variability. In order to organise and review the literature on moderators that influence individuals' information processing, we suggest a classification system of moderators with two dimensions. One dimension distinguishes moderators according to their influence on the opportunity to control, the motivation to control, or the reliance on either automatic or controlled processes without changes in opportunity or motivation. The second dimension classifies moderators according to whether they pertain to a disposition of the acting person, the situation in which the behaviour occurs, or the behaviour itself. Increased predictive validity of implicit measures is associated with conditions that foster the impact of automatic processes on behaviour determination. In the discussion we derive several additional moderators from the classification system, delineate emerging research questions, and discuss implications of the reviewed studies for research on self-regulation.