Development and Preliminary Feasibility Testing of a Decision Support Tool for Childhood Anxiety Treatment

In this practical application, we describe the steps to build a decision-support tool using GeNIe 2.1 software. The method incorporates principles of decision analyses and allows for a systematic strategy to balance treatment efficacy data with patient preferences. We illustrate the utility for helping clinicians and patients choose between two or more efficacious treatment options (CBT, medication, or their combination). Preliminary pilot data from families (n = 5) seeking services at a specialty clinic for childhood anxiety disorders support the usability of the tool and high patient satisfaction. We use case examples and sample graphical output to illustrate how the decision-support system can be used to integrate data on (a) baseline symptom severity, (b) the relative effectiveness of two or more treatment options, and (c) patient preferences and values, to arrive at a personalized treatment recommendation. The decision-support tool enabled child and parent preferences to be explicitly stated and facilitated discussions about how best to incorporate their preferences into an evidence-based treatment strategy.     

责任共担促进新手的互动决策获益：超扫描研究

采用基于近红外脑成像的超扫描技术, 考察了责任共担(即共同承担决策结果)对个体(专家和新手)的互动决策获益(即互动决策后个体的能力提升)的影响及脑机制。结果显示, 相比于非责任共担, 责任共担条件下新手的互动决策获益更高, 其与互动同伴在额极区域存在增强的脑间活动同步性; 并且, 额极的脑间活动同步性可预测新手的互动决策获益。综上, 责任共担可以有效促进新手的互动决策获益, 额极脑间活动同步性可能是潜在的脑机制。     

Predicting pedestrians’ intention to cross the road in front of automated vehicles in risky situations

Due to the absence of a human driver, the introduction of fully automated vehicles (FAVs) may bring new safety challenges to the traffic system, especially when FAVs interact with vulnerable road users such as pedestrians. To ensure safer interactions between pedestrians and FAVs, this questionnaire-based study aims to understand Australian pedestrians’ intention to engage in risky road-crossing behaviors when they interact with FAVs vs. human-driven vehicles (HDVs). A 2 × 2 between-subject design was utilized, in which two risky road-crossing scenarios were designed and took into account the vehicle type (FAV vs. HDV) and vehicle speed (30 km/h vs. 50 km/h). A total of 493 participants (aged 18–77) were randomly assigned to one of the four experimental conditions and completed an online questionnaire based on the extended Theory of Planned Behavior (TPB). This questionnaire measured pedestrians’ intentions to cross the road in the assigned scenarios as well as the motivational factors behind these intentions in terms of attitude, subjective norm, perceived behavioral control, perceived risk and trust in the vehicle. The results show that pedestrians had significantly higher intentions to cross the road in front of approaching FAVs than HDVs. Participants also reported a lower risk perception of crossing in front of FAVs and greater trust in this type of vehicle. Attitude, subjective norm, and perceived behavioral control were significant predictors of intentions to engage in risky road-crossing behavior. Findings of this study provide important implications for the development and implementation of FAVs in the future road transport system.     

The relation between career decision-making strategies and person-job fit: A study of job changers

This study examined relations between three career decision-making strategies (rational, intuitive, and dependent) and person-job fit among 361 professionals who had recently changed jobs. We found that the relation between each decision-making strategy and fit was contingent upon the concurrent use of other strategies. A rational strategy related more strongly to fit when individuals also engaged in extensive intuitive decision making than when they engaged in limited intuitive decision making. In addition, a dependent strategy related negatively to fit only in the absence of extensive rational or intuitive strategies. Moreover, self-awareness and awareness of the environment mediated relations between career decision-making strategies and person-job fit. The implications of these findings for future research on career decision making were discussed.     

Crossing No Man's Land: Cooperation From the Trenches

This paper represents an attempt to bridge the gap between rational and psychological models of choice, as represented by expected utility theory and prospect theory, and to show how researchers from different traditions can start to work together on problems of interest to both. A central issue for both models concerns the origin of preferences and how they might be predicted. Two questions of interest to all social scientists are related to the formation of preferences: What determines what people want, and what determines what people do once they know what they want? The incorporation of emotion into models of decision‐making may help users of divergent models find common ground for exploration and investigation.     

借鉴循证医学方法促进SARS治疗决策科学化

面对突如其来的严重急性呼吸综合征(SARS),其预防和治疗方案层出不穷.究竟哪一种预防或治疗方法对SARS最有效?怎样面对现有的困难?如何借鉴循证医学的理念及方法,促进SARS治疗决策科学化至关重要.     

临床决策:医学哲学研究的一个重要领域

临床决策研究已成为临床医学中的一个重要领域.当下的临床决策问题涉及到医学信息学、循证医学、费用-效益评估、卫生技术评估、医学伦理与法律等学科领域.因此在临床决策中单一的经验-描述的研究纲领已不适应当代医学发展的需要,需要引入综合的决策方法.临床决策问题也为医学哲学研究提供了一个极佳的思想实验场所.临床决策的多维度研究,对于打通学科之间的壁垒,架构科学与人文之间的桥梁,更深刻地理解和把握医疗保健的整体性,使临床医疗达到最佳疗效具有重要意义.     

The good,the bad and the ugly thing to do when sharing information: Revealing,concealing and lying depend on social motivation,distribution and importance of information

Research on information sharing in group decision-making has widely assumed a cooperative context and focused on the exchange of shared or unshared information in the hidden profile paradigm (36 and 37), neglecting the role of information importance. We argue that information sharing is a mixed-motive conflict setting that gives rise to motivated strategic behavior. We introduce a research paradigm that combines aspects of the traditional information sampling paradigm with aspects of a public good dilemma: the information pooling game. In three experiments, we show that information sharing is strategic behavior that depends on people’s pro-social or pro-self motivation, and that people consider information sharedness and information importance when deciding whether to reveal, withhold, or falsify their private or public information. Pro-social individuals were consistently found to honestly reveal their private and important information, while selfish individuals strategically concealed or even lied about their private and important information.     

Blocking incidental frustration during bargaining

The current study examined the effects of an intervention aimed at blocking the transfer of frustration from a previous experience (i.e. recall task) to a subsequent and unrelated task (i.e. ultimatum bargaining task). Participants who went through the intervention were more likely to accept unfair offers in the ultimatum bargaining task than those who did not go through the intervention. These results show that participants who were blocked from transferring their feelings of frustration from the recall task to the subsequent bargaining task (no-transfer condition) more likely accepted unfair offers than those who inadvertently transferred their feelings of frustration (transfer condition). The effect of conditions on accept-reject decisions in the ultimatum bargaining was mediated by reported feelings of frustration.     

Perceived benefits of using an Internet-based interactive career planning system

Making Better Career Decisions (MBCD) is an Internet-based interactive career planning system designed to help deliberating individuals. The present research examined the benefits of a dialogue with MBCD, by analyzing 712 users’ perceptions of its contribution to their career decision-making process, and locating variables associated with these perceptions. A pre-dialogue and a post-dialogue questionnaire were used to collect the users’ perceptions of its benefits and measure the change in the degree of decidedness. Perceived benefit was derived from participants’ ratings of the degree of progress they had made in their career decision-making process, whether they had learned about additional factors to be considered and their career-related preferences, as well as their ratings of the quality of the list of “promising” career alternatives presented to them during their dialogue with MBCD. This composite perceived benefit was found to be positively associated with the users’ decidedness at the completion of the dialogue with MBCD. Users’ satisfaction with the length and variety of their personal “promising alternatives” list was associated with a higher perceived benefit.