Knowledge and Concern about STIs/HIV and Sociodemographic Variables Associated with Getting Tested for HIV Among the General Population in Spain

HIV testing is important in terms of prevention and treatment. However, HIV testing rates in the Spanish general population remains low. Therefore, HIV testing promotion constitutes a key issue. A high level of knowledge about HIV/AIDS is associated with having been tested for HIV. The general aim of this study was to determine the prevalence of people who had ever been tested for HIV in Spain. The sample consisted of 1,106 participants from the general population — 60.0% females and 40.0% males — aged between 17 and 55 years old. The assessment instruments were a questionnaire on sociodemographic data and HIV testing, a scale of knowledge about STIs and HIV/AIDS, and a scale of concern about STIs/HIV. Results showed that greater knowledge about STIs and HIV was associated with a greater likelihood of being tested for HIV (OR = .77; 95.0% CI = .73–.82; p < .05). In addition, higher concern about HIV/AIDS decreased the likelihood of not having been tested for HIV (OR = .87; 95.0% CI = .83–.92; p < .05). In fact, the higher participants concern about STIs was, the lower their likelihood of not having been tested for HIV was (OR = .87; 95.0% CI = .83–.91; p < .05). It is necessary to promote HIV testing in the general population as well as to consider their socio-demographic and psychological characteristics.     

Do tests facilitate decision‐making performance on a transfer task?

Testing can improve later recall of information. However, much less is known about the potential use of testing in promoting the transfer of learning. In this study, we investigated whether testing improves decision‐making performance on a transfer task in a sample of 98 university students using a between‐subjects design. After studying several statements about a fictional disease under different learning conditions (restudy, free recall, and multiple‐choice), participants were asked to recall this information and subsequently make medical decisions concerning the fictional disease (i.e., the transfer task). The present study found no advantage of testing conditions over restudy condition on the 30‐min delayed memory task. However, participants in the active retrieval practice (i.e., free recall) group performed significantly better on the transfer task over those in both restudy and multiple‐choice groups. These results suggest free‐recall tests promote the transfer of learning.     

Production on hold: delaying vocal production enhances the production effect in free recall

The Production Effect (PE) represents superior memory for produced (read aloud) relative to non-produced (silently read) items. Another method of improving memory is taking a test on the study material – the Testing Effect. We evaluated the combined influence of both effects on free recall memory, using delayed vocal production, in which study words were vocally produced only after their disappearance. Such procedure involves an initial instant test since participants had to vocally retrieve the words (rather than read them aloud). In five experiments, participants were presented with study words that they were instructed to learn by no-production (reading silently), immediate production (reading aloud), delayed reading aloud, or delayed vocal production (instant retrieval). The results showed superior recall for delayed production over all other conditions. We suggest that the source of this superiority is the desirable difficulty induced by the addition of the initial test (retrieval effort) to the vocal production. The novel delayed production condition forms a superior mnemonic.     

The Effect of Type of Feedback in Multiple-Choice Testing on Long-Term Retention

We investigated how different types of feedback in multiple-choice testing influence long-term retention. Participants completed an initial multiple-choice test on general-knowledge questions. Then, they were randomly placed into one of the following four conditions: feedback displaying the original question and four alternative options including the correct answer (Feedback 1); feedback displaying the original question and the correct answer (Feedback 2); feedback displaying only the correct answer (Feedback 3); and no feedback (Control). On the final test two days later, participants in the feedback conditions showed improved retention—even participants who received Feedback 3 outperformed the control group, regardless of whether feedback followed correct or incorrect responses. There was no difference between the feedback conditions when feedback followed correct responses, but Feedback 1 was superior to Feedback 3 when feedback followed incorrect responses. The function of feedback in multiple-choice testing is to maintain correct responses and to correct erroneous responses.     

非严重遗传病产前诊断及PGT的伦理思考

随着近年基因诊断技术的飞速发展,出现了要求通过产前诊断或胚胎植入前遗传学检测（preimplantation genetic testing,PGT）技术阻断某些非严重遗传病在家族中传递的新需求。从非严重遗传病定义,目前产前诊断及PGT技术发展现状、适应证及各自本身存在的伦理问题,遗传咨询原则等进行阐述,并以白化病和成人多囊肾为例,讨论遗传咨询医师应该如何根据国情、现行法律以及伦理原则对这类患者进行知情同意并实现医患共同决策。呼吁国家组织专家探讨共识,明确相关规定,遵循相关医学伦理学原则。     

国外关于测试效应的研究概述

测试效应的研究表明,“学习”并非只发生在编码阶段,测试或提取练习除了可评估知识掌握程度之外,在某些情况下它比再次学习能更好地促进长时记忆保持。文章从如下方面概述了国外关于测试效应的研究：（1）在自由回忆、配对联想学习、再认和模拟教育情境等不同性质的实验任务下测试对学习的积极作用;（2）测试可能导致的消极作用,介绍有关提取导致遗忘,测试的消极暗示效应,测试与错误记忆等方面的研究;（3）介绍信息额外呈现理论,过度学习理论,提取努力理论,必要难度理论,迁移适当加工理论等测试效应的有关理论及其发展沿革。最后,结合研究中的争议及教学应用做了思考,并指出有待进一步研究的问题     

基于项目区分度的双目标CD-CAT选题策略

针对双目标CD-CAT,将六种项目区分度（鉴别力D、一般区分度GDI、优势比OR、2PL的区分度a、属性区分度ADI、认知诊断区分度CDI）分别与IPA方法结合,得到新的选题策略。模拟研究比较了它们的表现,还考察了区分度分层在控制项目曝光的表现。结果发现：新方法都能明显提高知识状态的判准率和能力估计精度;分层选题均能很好地提高题库利用率。总体上,OR加权能显著提高测量精度;OR分层选题在保证测量精度条件下显著提高项目曝光均匀性。     

Depression and Suicidal Ideation After Predictive Testing for Huntington's Disease: A Two-Year Follow-up Study

The present study reports a two-year follow-up of psychological effects of predictive testing for Huntington's disease. Questionnaires assessing depression, general health, well-being, self injurious behavior, life satisfaction, and lifestyle were completed by 35 carriers and 58 non-carriers before the predictive test, and 2, 6, 12, and 24 months afterwards. Both carriers and non-carriers showed high suicidal ideation before the predictive testing. Depression scores and frequency of suicidal thoughts increased for carriers, compared to non-carriers, over time. There were no differences regarding life satisfaction or life style between carriers and non-carriers. Predictive testing was beneficial in reducing overall ill-health symptoms and increasing well-being for those initially expressing concern about Huntington's disease. The importance of assessing suicidal ideation and of continuing to provide adequate support is emphasized.