Emerging quality improvement measures in genetic counseling

The need to establish guidelines for total quality management in genetic counseling is now recognized as new genetic technologies are being introduced into genetics services and primary care. Genetic counselors have an important role in developing methods for assuring quality in the genetic counseling process. Emerging quality improvement measures as well as selected examples from the Quality Assurance Program in the Genetics Services Division at the Foundation for Blood Research are presented as examples of direct genetic counselor involvement. Suggestions for future directions of quality improvement activities for genetic counselors are discussed.     

A review of functional assessment use in data-based intervention studies

We reviewed the extent and variety of functional assessment procedures used in behavioral intervention studies. The contents of six research journals dating from 1986 to 1992 were searched for articles describing single-subject intervention studies that targeted problematic social behaviors. Articles meeting this initial criteria were examined to determine if a functional assessment was conducted. If so, the various procedures comprising the functional assessment, types of interventions conducted, and demographic characteristics of study participants were recorded for each study. Results are compared to similar reviews of research dating from 1980–1985. Potential reasons for the paucity of studies incorporating functional assessment procedures are discussed. Finally, directions for future research and applied practice are provided.     

Reminiscence as Continuity: Comparison of Young and Older Adults

This study empirically investigates key propositions of a continuity theory approach to reminiscence. According to continuity theory, individuals seek familiarity in the face of uncertainty or impending change, which can accompany the aging process. The reminiscence behavior of young (n = 43) and older (n = 47) adults was compared to ascertain whether significant differences would emerge between the two populations concerning how often they reminisce and their use of reminiscence during transitional periods. Also of interest were differences in potential links between the content of reminiscence episodes and postreminiscence affect. Young adults in this sample reminisced significantly more frequently than older adults and were more likely to reminisce during times of change than were older adults. In addition, there was a direct relationship between the content of reminiscence episodes and postreminiscence affect, with older adults reporting greater emotional satisfaction after recalling the past than did younger adults. Findings lend support to continuity theory: Reminiscence occurs throughout the life span and should not be conceptualized as occurring most frequently in old age.     

Interpersonal Skills Training to Reduce Aggressive and Delinquent Behavior: Limited Evidence and the Need for an Evidence-Based System of Care

The prevention of aggressive and delinquent behavior during childhood and adolescence is one of the highest priorities for public health and crime prevention. The most common approach to preventing or treating these conduct problems has been to provide interpersonal skills training to the affected youth. This paper reviews all randomized controlled trials evaluating interpersonal skills training programs as an intervention to reduce conduct problems. Research shows that such programs have weak empirical support as isolated interventions. An alternative evidence-based system of care is described. Such a system would include behavioral parent training and behavioral classroom-based interventions for young children at risk of developing problems, as well as multisystemic family therapy or multidimensional treatment foster care for chronic delinquents. Within such a network of services, interpersonal skills training could play an important supportive role. Such a system holds the greatest promise for reducing the prevalence of aggressive and delinquent behavior in communities.     

Research ethics committees: a regional approach

Guidelines for Institutional Review Boards (IRBs) or research ethics committees exist at national and international levels. These guidelines are based on ethical principles and establish an internationally acceptable standard for the review and conduct of medical research. Having attained a multinational consensus about what these fundamental guidelines should be, IRBs are left to interpret the guidelines and devise their own means of implementing them. Individual and community values bear on the interpretation of the guidelines so different IRBs attain different levels of effectiveness. In the Caribbean and Pan American regions there are few IRBs. Obstacles to the establishment and function of IRBs are exacerbated in developing regions like these by differences in language, literacy, and local value systems; education, administrative expertise, facilities, and access to information are also limited. A regional IRB network might facilitate more uniform ethical review in developing countries, and simplify IRB procedures. This revised version was published online in August 2006 with corrections to the Cover Date.     

Referees, editors, and publication practices: Improving the reliability and usefulness of the peer review system

The documented low levels of reliability of the peer review process present a serious challenge to editors who must often base their publication decisions on conflicting referee recommendations. The purpose of this article is to discuss this process and examine ways to produce a more reliable and useful peer review system. The author is a Senior Research Scientist & Biostatistician, Child Study Center and Department of Psychiatry in the Yale University School of Medicine. Note: The main points of this report were presented at the Annual Meeting of the American Association for the Advancement of Science (AAAS) in Baltimore, Maryland, on February 9, 1996.     

拼音在儿童分享阅读中的作用

本研究采用真实课堂中的教学实验法,探讨了拼音在小学一年级儿童分享阅读中的作用。结果发现：(1)分享阅读是一种适合于我国低年级教学的理想早期阅读法;(2)阅读材料的注音方式是影响儿童学习效果的重要因素,生字注音方式不利于学生的学习;(3)全体学生都能在分享阅读中进行伴随学习,学生的语文能力越高,伴随学习率越高;(4)注音方式对不同能力学生的作用不同,其中,生字注音方式最不利于差等生的学习。     

Focus on clinical psychology postgraduate training: Taking the curriculum into the next decade

Abstract: Clinical psychology, like many applied disciplines, often suffers from a lack of congruence between best‐practice in terms of pedagogy and evidence‐based practice and the actual structure and content of training programs. A small but growing international literature addresses such issues. A small group of researchers from five Australian Universities, led by a team at the University of Queensland, has received grant money over two years to examine and offer constructive strategies for revising and revitalising the clinical psychology training curriculum in Australia, with reference to international pedagogy and training standards.     

Efficacy of the third wave of behavioral therapies: a systematic review and meta-analysis

During the last two decades a number of therapies, under the name of the third wave of cognitive behavior therapy (CBT), have been developed: acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), cognitive behavioral analysis system of psychotherapy (CBASP), functional analytic psychotherapy (FAP), and integrative behavioral couple therapy (IBCT). The purposes of this review article of third wave treatment RCTs were: (1) to describe and review them methodologically, (2) to meta-analytically assess their efficacy, and (3) to evaluate if they currently fulfil the criteria for empirically supported treatments. There are 13 RCTs both in ACT and DBT, 1 in CBASP, 2 in IBCT, and none in FAP. The conclusions that can be drawn are that the third wave treatment RCTs used a research methodology that was significantly less stringent than CBT studies; that the mean effect size was moderate for both ACT and DBT, and that none of the third wave therapies fulfilled the criteria for empirically supported treatments. The article ends with suggestions on how to improve future RCTs to increase the possibility of them becoming empirically supported treatments.     

A Troubled Dance: Doing the Work of Research Ethics Review

The fast growing interest in the work of university ethics review boards is evident in the proliferation of research and literature in the area. This article focuses on a Research Ethics Board (REB) in the Canadian context. In-depth, open-ended interviews with REB members and findings from a qualitative study designed to examine the ethics review of school-based research are used to illustrate points raised in the paper. The author’s experiences as academic researcher, advisor to student researchers and a 3-year term as an REB member inform the discussion. Macro issues related to the general workings of the board (e.g., maintaining appropriate membership) and micro issues connected to individual REB members’ experiences of reviewing research applications are examined. The author’s goal is to contribute to a fastgrowing conversation related to the issues that influence university ethics review while drawing attention to the contribution that faculty members’ understandings of their work as REB members can make to that conversation.