Parent perceptions of an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering

PurposeRecent research has identified approximately half of children who stutter present with self-regulation challenges. These manifest in elevated inattentive and/or impulsive behaviours, aligned with attention deficit hyperactivity disorder (ADHD) symptoms. These symptoms have been found to influence the child’s responsiveness to their stuttering treatment, and may exacerbate the psychosocial consequences of stuttering for them and their families. Early stuttering intervention identifies parents as key agents of change in the management of their children’s stuttering. This study sought feedback from parents regarding their experiences with an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering, addressing the child’s self-regulation challenges.MethodEight parents of children who stutter who had co-occurring self-regulation challenges completed the integrated program. This incorporated the Triple P--Positive Parenting Program adapted for the developmental stuttering population, and the Curtin University Stuttering Program (CUSP). Semi-structured qualitative interviews were conducted to capture parents’ reflections on, and experiences with, the integrated program.ResultsThematic analysis identified several major themes regarding the parents’ experiences with the integrated program: emotional impact on parents, child self-regulation, link between stuttering and behaviour, parent self-regulation, impact on family dynamics, and overall positive perceptions of the integrated program. All of the parents indicated they would recommend the program to future parents of children who stutter.ConclusionThis study provides insights into parents’ perceptions regarding an integrated intervention approach for early stuttering and behavior management. It also indicates how adopting a holistic approach to stuttering intervention is positive and has social validity.     

Supporting Out‐of‐School Time Staff in Low Resource Communities: A Professional Development Approach

Federally funded out‐of‐school time (OST) programs provide academic support, enrichment, and safety for students and families in low‐resource communities. However, programs struggle to meet these aims, in part because of the lack of program structure and limited training and support for staff. This observational case study documents the training and technical assistance (TA) delivered to OST frontline staff and program leadership to implement Positive Behavior in Out‐of‐School Time (Positive BOOST), an adaptation of positive behavior interventions and supports conducted in multiple settings. Findings across three programs indicate that varied levels of TA (i.e., business as usual, performance feedback, coaching) are associated with different levels of staff‐ and program‐level implementation. Taken together with previous research, these findings suggest that targeted investment in developing the skills of OST staff and improving program‐wide outcomes is critical for supporting youth in low‐resource communities.     

Inter- and intra-individual variability in the kinematics of the back squat

The purpose of this study was to explore the level of inter- and intra-individual variability in the kinematic profiles of the back squat movement among skilled weightlifters. Ten competitive weightlifters volunteered for participation in this study. Barbell velocity (V_Barbell) and angular velocity of the ankle (ω_Ankle), knee (ω_Knee) and hip joint (ω_Hip) were obtained by kinematic recording of six trials at 90% of 1RM in the back squat. Inter-individual variability was assessed by analysing inter-individual differences in the velocity curves through the statistical parametric mapping method. Intra-individual variability was assessed through a correlation analysis between the barbell velocity curves of each trial for each participant. Partial least squares regression analysis, was performed to relate changes in intra-individual variability to movement and anthropometric characteristics. Significant inter- and intra-individual differences were identified in V_Barbell, ω_Ankle, ω_Knee, and ω_Hip (p ≤ 0.05). Having a short trunk and thigh, and a long shin in combination with greater anterior-posterior displacement of the barbell and slower velocities during the acceleration phase increased intra-individual movement consistency over movement variability. The results of the present study clearly demonstrate that skilled weightlifters display both significant inter- and intra-individual variability in the successful execution of the back squat.     

‘It’s the unknown’ – understanding anxiety: from the perspective of people with multiple sclerosis

Objective: A qualitative study of PwMS who had clinically significant levels of anxiety was conducted to gain a richer perspective on their experience. The objective was to explore PwMS’ experiences of anxiety and their perspectives on causes and outcomes. Design: Twenty in-depth, semi-structured interviews were conducted with PwMS consecutively recruited from the Neurology Department of a NHS University Hospital. Sixteen had a relapsing-remitting course, three had a secondary progressive course and one person had primary progressive multiple sclerosis (MS). Interviews were recorded, transcribed and analysed using inductive thematic analysis. Results: Although participants thought different factors had initially triggered their anxiety, being given the diagnosis of MS appeared to be the most significant factor for many participants. Difficulties in the workplace and in relationships, particularly related to perceived dependence on others were also important themes. A wide range of emotional responses and negative thinking patterns were associated with anxiety; this suggested the presence of comorbid depression. Participants were able to acknowledge the positive and negative coping strategies that impacted on their anxiety. Conclusion: This review confirms that anxiety can have many negative implications for PwMS and suggests that early detection and intervention are necessary in order to improve patient’s well-being.     

Are seductive details seductive only when you think they are relevant? An experimental test of the moderating role of perceived relevance

We investigated whether seductive details (i.e., interesting but irrelevant adjuncts) are harmful to learning only when students (mistakenly) think that they are relevant. We therefore conducted a study in which participants (N = 86) learned either without seductive details (control condition) or with seductive details—in the latter case with or without being informed about the seductive details' irrelevance. In line with our hypotheses, only participants who were not informed about the irrelevance of seductive details revealed worse learning outcomes than those in the control condition, thereby revealing a seductive details effect. Extraneous cognitive load, but not perceived time pressure, mediated the negative effects of being uninformed about the irrelevance of seductive details on learning outcomes. Taken together, our results suggest that the perceived relevance of seductive details is a boundary condition of the seductive details effect.     

Getting scarred and winning lotteries: effects of exemplar cuing and statistical format on imagining low‐probability events

Three experiments tested the exemplar cuing and frequency format accounts of how the ‘imaginability’ of low‐probability events is enhanced. The experiments manipulated imaginability by varying the statistics used to describe negative (e.g. being scarred as a result of laser surgery) and positive (e.g. winning a lottery) low‐probability events. The results strongly supported the frequency format account, whereby imaginability is enhanced through the use of frequency formats for conveying statistical information (e.g. 20 out of 2000 as opposed to 0.01%). However, only limited support was found for exemplar cuing (EC) theory. Overall the results support the claim that the imaginability of outcomes plays a key role in thinking about low‐probability events, but question the mechanisms specified by EC theory for mediating such effects. Copyright © 2007 John Wiley & Sons, Ltd.     

Multiple options in the past and the present: The impact on inaction inertia

Inaction inertia is the effect that people do not act on an attractive opportunity only because they previously missed a more attractive opportunity. We investigated the effect of the presence of alternative options on the occurrence of this effect. We hypothesized and found that the likelihood to act on a current opportunity increases when evaluated in the context of another current option compared to when it is presented separately (Experiments 1 and 2). Likelihood of action decreases when the missed opportunity is presented next to another missed opportunity (Experiment 3). We conclude that when multiple options are currently present, the impact of the missed opportunity as a point of reference decreases, and that when multiple options are missed, the impact of these missed opportunities as a point of reference increases. These results are discussed in light of the literatures about inaction inertia and multiple options. Copyright © 2008 John Wiley & Sons, Ltd.     

Training and education for therapeutic practitionership: “Trans-modern” perspectives

In this paper I revisit the theme of therapy training, examined in this journal a decade ago in House (1996 House, R. 1996. The professionalization of counselling: A coherent ‘case against’?. Counselling Psychology Quarterly, 9(4): 343–358. [Taylor & Francis Online] [Google Scholar]. I first outline what I mean by the term “trans-modern” in the context of debates about “postmodern” and deconstructive approaches to therapy. I then explore the configuration that therapy training might plausibly take when technological rationality's positivistic certainties are dramatically undermined, and the path to becoming a therapy practitioner coheres more closely with the trans-modern, “New Paradigm” Zeitgeist–a world-view which both acknowledges the (albeit unbalanced) contributions of modernity, yet takes us well beyond modernity's constraining limitations. To illustrate my argument I focus on and problematize the role of theory in therapy training. I conclude with some speculations about plausible paths that a trans-modern approach to therapy training might profitably take in future.