Genetics Education for Health Professionals: Strategies and Outcomes from a National Initiative in the United Kingdom

The National Health Service (NHS) National Genetics Education and Development Centre was established by the Department of Health in 2004 to help drive and co-ordinate genetics education for health professionals working outside specialist genetic services. This paper reviews the experiences and lessons learned to date. At the outset, it was clear that understanding the learning ethos, preferred delivery methods and attitudes towards genetics of different NHS healthcare groups was vital. We collected evidence by undertaking needs assessments with educators, practitioners and patients. We have determined the genetics knowledge, skills and attitudes which they said were needed and translated these into learning outcomes and workforce competences in a continuum of education. Beginning with core concepts introduced (and examined) pre-registration, the continuum continues with development of concepts post-registration as appropriate for role, leading to practical application and assessment of competences in the workplace. These are supported by a portfolio of resources which draw heavily on patient based scenarios to demonstrate to staff that genetics is relevant to their work, and to convince educators and policy makers that genetic education is likely to result in real clinical benefit. A long term educational policy, inclusive of learners, educationalists and their institutions must be evidence based, flexible and responsive to changes in workforce structure, provision of clinical services and conceptual and financial commitments to education. The engagement of national policy, regulatory and professional bodies is vital ().     

Rats’ anticipation of current and future trial outcomes in the ordered RNR/RNN serial pattern task

In the ordered RNR/RNN serial pattern task, rats often reduce their running speeds on trial 2 less within the RNR than within the RNN series. Initially, investigators (Capaldi, 1985; Capaldi et al., 1983) considered this trial 2 differential speed effect evidence for rats’ anticipation of inter-trial outcomes within each series. Later findings, however, suggest that this effect reflects some generalization of the ordinal position of trial 3 (Burns et al., 1986) or its similar runway cues during trial 2 (Capaldi et al., 1999). To test these generalization hypotheses, we made trial 2 more distinct from trial 3 in each series by forcing rats to alternate runways in a T-maze only on the last trial rather than on trial 2 in each series in Experiment 1, or by forcing rats to alternate runways between trials rather than to run down the same runway on all trials within each series in Experiment 2. Although enhancing the distinctiveness between these trials reduced the trial 2 differential speed effect, extensive training failed to eliminate it. Therefore, this residual difference between trial 2 speeds could reflect rats’ anticipation of trial 3 outcomes during trial 2 as originally proposed by Capaldi (1985) Experiment 3 was designed to determine whether we could enhance rats’ final trial outcome expectancies during trial 2 by making different trial 2 choices distinctive cues for each trial 3 outcome. The trial 2 speed effect was greater when rats were forced to alternate over all trials only within one of the series than when they were sometimes forced to do so in either series. Post-training probe tests revealed that both series position and the relevant within-series runway events contributed to this enhanced anticipation of trial 3 outcomes.     

跨期选择的变易程度正向预测中华文化圈国民的自评扛疫成效：亚非欧美大洋洲18国跨国研究

跨期选择是对不同时间点的得失的权衡与选择。伊索寓言《蚂蚁和蚱蜢》假借群居型昆虫的跨期选择偏爱暗喻投资未来的慢策略比只顾眼前的快策略更利于生存。用跨期选择领域通用的语言解读这一寓言便是：选择大而迟选项的蚂蚁比选择小而早选项的蚱蜢更可能扛过严冬而生存下来。为了探索何种跨期选择策略更有助于我们扛过疫情,本研究调查了亚非欧美大洋洲这5大洲18个国家共计26355名受测者对混合得失双结果的跨期选择偏爱,测量了人们平时和疫时跨期选择偏爱的变易程度(2类变易的程度指标),以及人们自评的扛疫成效。跨文化比较结果的主要发现是：不同通货的选择变易程度(指标1)和不同时期的选择变易程度(指标2)能联合预测中国/新加坡文化圈国民的自评扛疫成效;不同时期的选择变易程度(指标2)也可以单独预测印度/马来西亚/菲律宾/尼日利亚文化圈国民的自评扛疫成效;这2类选择偏爱变易的程度指标不能预测其他文化圈国民的自评扛疫成效(或者预测方向和假设相反)。基于易经“穷则变,变则通”的要旨和跨国比较的发现,我们认为：面临历史危机时善于变通的特长抑或成就了中华民族特有的竞争优势;在应对危机时,与中国文化距离越相近的国家或民族抑或也能...     

分段是视频学习的有效方式吗?

教育心理学中的分段原则认为,将视频学习材料分割成几个小片段进行学习的效果更好。以往关于分段的研究通过两个角度的操纵考察了分段在学习中的作用,一方面是交互性角度,学习者自己控制的分段及系统分段;另一方面是结构性角度,分段是在任意时间点划分和有意义时间点上划分。通过对以往研究结果的整理发现,大部分研究证明分段学习相较于连续学习的成绩更好,并且能降低学习者在学习过程中的感知难度, 提高积极的情感状态,但是对心理努力的影响比较微弱。研究者们从事件分割理论和认知负荷理论的视角对分段的效果做出了解释。未来研究需要继续关注分段的边界条件、拓宽研究的范围、探究分段的认知神经基础等不断完善分段原则在教学中的应用。     

多时点结果跨期选择的决策效应及其心理机制

多时点结果跨期选择涉及两个及两个以上多个时点结果的权衡, 正日益成为跨期选择的研究重点。现有研究主要从两时点结果和序列结果两方面深入探讨了多时点结果跨期选择中的诸多决策效应, 包括：隐藏的零效应、象征效应、额外金额效应、前端金额效应以及序列效应, 并运用序列模型和权衡模型对上述决策效应进行阐释。未来还应深入探索同时涉及损益结果混合的多时点结果跨期选择, 运用决策过程追踪技术揭示决策效应的过程机制。     

主管承诺理论研究述评

主管承诺（supervisory commitment or commitment to supervisor）是20世纪80年代以来在组织承诺（organizational commitment or commitment to organization）基础上发展起来的员工承诺理论的一个分支。对它的测量,学者们主要是借鉴Allen和Meyer与O’Reilly和Chatman对组织承诺的测量方法,目前属香港学者陈振雄的测量最为细致和全面。对影响主管承诺的前因,学者们目前探索到文化、感受主管支持（PSS）和领导—成员交换（LMX）三个因素。对主管承诺的结果,学者们普遍认为,主管承诺比组织承诺更能影响员工的工作绩效和组织公民行为（OCB）,但在对工作满意感和跳槽意图的影响上还存在不同的意见。另外,在目前大多数学者的研究中,主管承诺与组织承诺是并列关系,但Hunt和Morgan更主张二者是因果关系,而且是主管承诺带来组织承诺。在全面述评的基础上,作者对未来的研究提出了四点展望。     

儿童入学准备状态的理论模型与干预途径

入学准备状态是指学龄前儿童为了能够从即将开始的正规学校教育中受益所需要具备的各种关键特征或基础条件。本文从三个方面介绍了国外关于儿童入学准备状态研究的新进展：（1）儿童学校适应结果的早期预测因素和儿童入学准备状态的生态学模型;（2）入学准备状态评定工具的发展状况和效度评价; （3）国外针对入学准备状态不足儿童采用的干预措施及其效果评价。最后,对当前研究的不足和未来发展方向进行了讨论,并结合文化差异对开展中国儿童入学准备状态研究提出了建议。     

Sober adolescence–Predictor of psychosocial maladjustment in young adulthood?

We have explored how age at first intoxication with alcohol relates to mental health, social integration and adjustment to the adult role. The data stem from a longitudinal representative study of 2000 Norwegians. The sample was assessed at ages 19–22, 21–24 and 25–28. Among females, only early intoxication was related to young adult symptoms of poor mental health. A U-shaped association between intoxication debut and psychological problems was revealed among males, implying that both early and late beginners had more such problems than those who had followed the mainstream. These associations persisted without change over time. However, males who remained abstainers in adulthood were psychologically healthy, but they showed indications of a delayed entry into the adult role. Male late beginners were also somewhat reluctant to adopt adult role-behaviors. Thus, getting drunk for the first time in mid-adolescence seems to be an ingredient in the normal developmental process in young males.     

Integrating Systems of Care in California for Youth with Severe Emotional Disturbance IV: Educational Attendance and Achievement

Empirical results are presented from school-based interventions in three California counties that are pioneering participants in a carefully evaluated effort to create an innovative system of care for youth with severe emotional disturbance. Data are presented about the educational attendance and achievement of youth enrolled in clinical and academic programs designed to provide collaborative mental health and education services. Attendance levels were uniformly high. The youth were below expected grade level as measured by standardized tests at program admission. Across programs, two counties demonstrated grade level increases of one year or more for one year in school on all subscales of established measures of educational achievement. The third county demonstrated increases of slightly less than one year on two of three subscales of the educational achievement measures. These results are the first from a multisite demonstration of integrated education and mental health programs embedded within a broader system of care for youth. The findings, combined with those from our prior studies, illustrate that is possible to reduce and control placements in restrictive levels of care while improving the academic performance of a vast majority of the youth enrolled in specialized programs within the care systems.     

Blending qualitative and behavior analytic research methods to evaluate outcomes in inclusive schools

Following Haring's (1992) recommendation, we have utilized qualitative research techniques to assist us in designing a program of research on inclusive education which is responsive to the outcome values and priorities identified by teachers and parents. Using interviews, observations, and document analysis to follow 35 children in full inclusion classrooms over a period of two years, we have described outcomes for these children in three major domains. These outcome domains, and subthemes within them, have been evaluated and revised based on interviews and social validation ratings by parents and teachers. Dependent measures based on our qualitative research findings are currently being used in a series of behavior analytic studies designed to evaluate the effects of specific interventions on outcomes of inclusion for children with and without disabilities.