The Individualised Patient‐Progress System: A decade of international collaborative networking

Background: The backstage of research projects is seldom presented to the general audience, in particular, how the research questions emerged, how the team interacted and how the methods and design were decided upon. Aim: In this paper we will recount the story behind an international practice‐based research network for personalising health assessment, the joint journey of researchers and therapists from three different countries in creating the Individualised Patient‐Progress System (IPPS). Results: We first describe how the idea of the IPPS emerged; then we show how IPPS is being piloted and integrated into clinical practice. Next, we present the views of therapists and researchers who have been part of this project. Conclusions: We discuss some lessons learned from this 14‐year collaborative research programme.     

When saying no leads to compliance: The door-in-the-face technique for changing attitudes and behaviors towards smoking at work

IntroductionThe aim of this action research was to encourage workers to comply with an anti-smoking charter and get them to effectively reduce their tobacco use. Two change procedures were compared: a classic one based on an information campaign and an original one based on the door-in-the-face technique.MethodForty-three smoking workers participated in this study. They were assigned to one of the two groups: information campaign group or door-in-the-face group. Two types of measures were administered. The first assessed self-reported attitudes towards smoking, such as perceived dependence (Fagerström Test); the second assessed effective behavior, such as number of cigarettes smoked and physiological nicotine addiction.ConclusionTaken together, the results show that the door-in-the-face technique was more effective than the information campaign. These results are discussed in light of the social acceptability of the initial refusal.     

Language development at 18 months is related to multimodal communicative strategies at 12 months

The present study investigated the degree to which an infants’ use of simultaneous gesture–speech combinations during controlled social interactions predicts later language development. Nineteen infants participated in a declarative pointing task involving three different social conditions: two experimental conditions (a) available, when the adult was visually attending to the infant but did not attend to the object of reference jointly with the child, and (b) unavailable, when the adult was not visually attending to neither the infant nor the object; and (c) a baseline condition, when the adult jointly engaged with the infant's object of reference. At 12 months of age measures related to infants’ speech-only productions, pointing-only gestures, and simultaneous pointing–speech combinations were obtained in each of the three social conditions. Each child's lexical and grammatical output was assessed at 18 months of age through parental report. Results revealed a significant interaction between social condition and type of communicative production. Specifically, only simultaneous pointing–speech combinations increased in frequency during the available condition compared to baseline, while no differences were found for speech-only and pointing-only productions. Moreover, simultaneous pointing–speech combinations in the available condition at 12 months positively correlated with lexical and grammatical development at 18 months of age. The ability to selectively use this multimodal communicative strategy to engage the adult in joint attention by drawing his attention toward an unseen event or object reveals 12-month-olds’ clear understanding of referential cues that are relevant for language development. This strategy to successfully initiate and maintain joint attention is related to language development as it increases learning opportunities from social interactions.     

Relationships of career adaptabilities with explicit and implicit self-concepts

Career adaptability is a psychosocial construct that incorporates a set of essential resources to one's career development. The adaptability resources' relevance is even higher when it comes to former communist countries, such as Romania, where job security and stability were seen as central benefits for workers. The aim of this study was to provide a more comprehensive understanding of the stable underpinnings of career adaptabilities by exploring their relationships with aspects of the self that are driven by automatic processes and that are less affected by self-presentation biases. A sample of 359 participants completed the Career Adapt Abilities Scale (CAAS)-Romanian form, out of which a subsample of 212 participants also completed a set of scales comprising explicit and implicit measures of conscientiousness, extraversion, neuroticism, and self-esteem. Results revealed nonsignificant additive contributions of the implicit self-concept measures over what was already explained by the explicit self-concepts. The most noticeable effect resides in the significant interaction between explicit and implicit self-esteem in relation to control, confidence, and overall adaptability. These results reveal that individuals with high explicit and low implicit self-esteem perceive themselves as being the most adaptable. Notably, these results were obtained using a Romanian version of CAAS that possesses very good psychometric properties (i.e., excellent internal consistencies, the same four-factor multidimensional solution, replicated patterns of associations between CAAS and explicit self-concepts of personality).     

Conceptualizing the Religious Dimensions of Armed Conflicts: A Response to “Shrouded: Islam,War, and Holy War in Southeast Asia”

Here I react to an article published in Volume 53 of the Journal for the Scientific Study of Religion by Ian Barter and Zatkin‐Osburn. My principal disagreement with Barter and Zatkin‐Osburn concerns their operational and methodological critiques of my work. However, the exchange also speaks to larger questions of how to conceptualize and measure religious dimensions of armed conflicts. It also highlights the importance of methodological pluralism in the study of religion and conflict.     

The embodiment of emotional words in a second language: An eye-movement study

The hypothesis that word representations are emotionally impoverished in a second language (L2) has variable support. However, this hypothesis has only been tested using tasks that present words in isolation or that require laboratory-specific decisions. Here, we recorded eye movements for 34 bilinguals who read sentences in their L2 with no goal other than comprehension, and compared them to 43 first language readers taken from our prior study. Positive words were read more quickly than neutral words in the L2 across first-pass reading time measures. However, this emotional advantage was absent for negative words for the earliest measures. Moreover, negative words but not positive words were influenced by concreteness, frequency and L2 proficiency in a manner similar to neutral words. Taken together, the findings suggest that only negative words are at risk of emotional disembodiment during L2 reading, perhaps because a positivity bias in L2 experiences ensures that positive words are emotionally grounded.     

Developmental neuropsychological assessment of 4- to 5-year-old children born following Preimplantation Genetic Diagnosis (PGD): A pilot study

The purpose of this pilot study was to evaluate developmental neuropsychological profiles of 4- to 5-year-old children born after Preimplantation Genetic Diagnosis (PGD). Twenty-seven participants received a neurological examination and a battery of neuropsychological assessments including Wechsler Preschool & Primary Scale of Intelligence - Third Edition (WPPSI-III; cognitive development), Preschool Language Scale, Fourth Edition (PLS-4; language development), Wide Range Assessment of Visual Motor Abilities (visual motor abilities), Childhood Autism Rating Scales II (a screening test for autistic spectrum disorders), and the Miles ABC Test (ocular dominance). Parental questionnaires included the Behavior Rating Inventory of Executive Function Preschool Version (BRIEF-P; executive function), Child Behavior Checklist (CBCL) and the Carey Temperament Scales Behavioral Style Questionnaire (socioemotional development and temperament), and the Vineland Adaptive Behavior Scales, Interview Edition, Second Edition (general adaptive behavior). Subjects’ tests results were compared to each test’s norms. Children born after PGD demonstrated scores within the normal or above-normal ranges for all developmental outcomes (mean ± SD): WPPSI-III-VIQ 107.4 ± 14.4 (p = .013), PLS-4-Total 113.2 ± 12.4, p < .001), CBCL-Total 41.1 ± 8.6 (p < .001), BRIEF-P-Global Executive Composite 44.8 ± 9.5 (p = .009). Twelve (44%) of the PGD children had a significant difference between their VIQ and PIQ scores (compared to 27% in the general population). One subject was found to show possible signs of autistic spectrum disorder, although a family history of autism was noted. In conclusion, in this pilot study, children assessed at age 4–5 years and conceived after PGD displayed developmental neuropsychological outcomes within normal limits as compared to their chronologic peers. A larger study is needed to evaluate and follow the neuropsychological development of children born after PGD.     

Being positive despite illness: The contribution of positivity to the quality of life of cancer patients

Objective: The purpose of this study was to examine the longitudinal relationship between Positivity (POS), defined as a stable disposition to view at experience under a positive outlook, and physical and psychological functioning in a sample of cancer patients immediately after diagnosis and one year later.

Methods: A total of 110 patients (40% males) with pulmonary, colorectal and breast cancer, aged 30–75 (M age = 59.62; SD = 10.33), have been prospectively enrolled between 2012 and 2013, at the S. Andrea Hospital in Rome. All patients were previously aware of their diagnosis. A follow-up one year after diagnosis was conducted. We used structural equation modeling in order to analyse the specific effects of POS on functioning impairment from diagnosis to follow up.

Results: POS was associated with less functioning impairment both at diagnosis and follow-up assessments. Furthermore, POS level at diagnosis continued to be associated with less functioning impairment one year later, after controlling for its stability.

Conclusions: Patients with higher level of POS tended to report less symptoms associated with negative affect such as anxiety and despondency and to preserve their habitual relationships and social roles. POS may act as a basic disposition that sustains patients’ efforts to deal efficaciously with severe illness, by complying with medical treatment and using cognitive strategies that enable individuals to cope with concurrent and prospective challenges of illness.