Effects on weight reduction of strong monetary contracts for calorie restriction or weight loss

Thirty-one severely obese adults participated in behavioral weight control groups. In three groups utilizing powerful monetary contracts, subjects deposited substantial sums of money which were returned contingent on either attendance, calorie restriction, or weight loss. Subjects in a fourth no-contract control condition made no monetary deposits. Weight and calorie contract groups lost an average of nearly 20 lb in 10 weeks. They did not differ from each other, but both produced significantly more weight loss than the attendance contract group. High dropout rates in the no-contract condition precluded statistical evaluation of this group. Results are discussed in terms of the potential clinical value of contracting procedures.     

Phonological processing in Broca's aphasics

Phonological processing was investigated in nine Broca's aphasics. A receptive phonological task examined knowledge of phonotactic rules. Three lists of “word” pairs, phoneme sequences, were constructed such that one member was possible in English and the other was not. The lists varied in distance from English or phonemic structure (CCVC vs. CCVCC). Following auditory presentation, the aphasic was required to indicate which of the two “words” was possible in English. The productive task was an articulation test for monosyllabic and polysyllabic words. The high positive correlation between receptive and productive scores suggested that, rather than motor speech sequencing problems being exclusively involved, more general phonological-articulatory processes were disrupted. Several hypotheses were advanced to describe the nature of this disruption.     

Evaluating programs in applied settings through behavioral consultation

A behavioral consultation school psychology service model is presented which provides a vehicle for services and communication of process and outcome measures in program evaluation research. Within the context of the problem-solving perspective of applied behavior analysis, the consultation model (a) promotes process and outcome evaluation across a wide variety of settings, situations, and time; (b) leads to use of an applied research technology with wide applicability in educational settings; and (c) provides a communication technology for the program evaluation process through a four-stage problem-solving strategy. It is argued that the professional behavioral school psychologist can provide technical expertise to function as a system change agent within this evaluation model.     

Developing a Partnership Model for Cancer Screening with Community-Based Organizations: The ACCESS Breast Cancer Education and Outreach Project

There is growing enthusiasm for community-academic partnerships to promote health in underserved communities. Drawing upon resources available at a comprehensive cancer center, we developed the ACCESS program to guide community based organizations through a flexible program planning process. Over a three-year period, ACCESS partnered with 67 agencies serving various medically underserved populations. Organizations included hospitals, parishes, senior centers, harm reduction programs, and recreational facilities. Program outcomes at the organizational level were quantified in terms of introduction of new cancer information, referral or screening programs, as well as organizational capacity building. ACCESS represents a viable model for promoting partnership to transfer behavioral health programs and adapt interventions for new audiences. Plans to further evaluate and enhance this model to promote cancer screening efforts are discussed. We argue that, ultimately, formation and development of community partnerships need to be understood as a fundamental area of practice that must be systematically integrated into the mission of major academic medical institutions in every area of public health.     

Right hemispheric specialization for mental imagery: A review of the evidence

An implicit assumption in the literature on functional hemispheric asymmetry is that the right hemisphere plays a special role in mental imagery. Using a definition of mental imagery as quasi-perceptual experience, we draw distinctions among visual imagery, visual recognition memory, and visuospatial abilities. We then review the research literature to evaluate the hypothesis that mental imagery is a specialized function of the right cerebral hemisphere, and find that it receives little unambiguous support. Case reports of loss of imagery are no more frequent with right than with left unilateral brain damage. Systematic studies of brain-injured patients provide some support for the hypothesis, but are also consistent with the alternative hypothesis of bilateral representation of imagery. Commissurotomized patients report dreaming and being able to form visual images. Behavioral and psychophysiological studies of non-brain-injured patients either fail to provide evidence in favor of the hypothesis or can be interpreted as compatible with the alternate hypothesis of bilateral hemispheric involvement in imagery. We conclude that there is, presently, insufficient empirical basis for considering imagery a right hemispheric function. We then discuss implications of this conclusion for future research.     

Issues in Professional Training to Implement Evidence‐based Parenting Programs: The Preferences of Indigenous Practitioners

Indigenous children have elevated risk for poor health, behavioural, emotional, and social outcomes. Significant evidence exists that parenting programs can reduce family risk factors and improve outcomes for children and families; however, mainstream programs have had slower uptake in Indigenous communities than other communities. Culturally sensitive delivery of evidence‐based programs can enhance engagement of parents, yet the development of a workforce to deliver programs to Indigenous parents faces many obstacles. This project seeks to identify professional training processes that enhance Indigenous practitioners’ skills and confidence in delivering an evidence‐based parenting program. A survey of trained parenting practitioners via an online practitioner network assessed their views of the training and post‐training support processes they had experienced. Respondents were 57 Indigenous and 720 non‐Indigenous practitioners from 15 countries. Most training processes were rated equally helpful by Indigenous and non‐Indigenous practitioners. However, several training processes were identified as important for the delivery of culturally competent training, such as tailoring the pace of training and simplifying the language in teaching resources. Practitioners with higher ratings of the helpfulness of peer support following training reported higher program uptake and implementation. Qualitative themes also focused on the helpfulness of program resources, and having a peer support network and mentoring. Increasing access to appropriate, flexibly delivered training and post‐training support for Indigenous professionals will support the development of a skilled workforce with local knowledge and connections, and further increase the reach of evidence‐based services in Indigenous communities.