Centering culture in the treatment of opioid use disorder with American Indian and Alaska Native Communities: Contributions from a National Collaborative Board

American Indian/Alaska Native (AI/AN) communities are disproportionally impacted by the opioid overdose epidemic. There remains a dearth of research evaluating methods for effectively implementing treatments for opioid use disorder (OUD) within these communities. We describe proceedings from a 2-day Collaborative Board (CB) meeting tasked with developing an implementation intervention for AI/AN clinical programs to improve the delivery of medications to treat OUD (MOUD). The CB was comprised of Elders, cultural leaders, providers, individuals with lived experience with OUD, and researchers from over 25 communities, organizations, and academic institutions. Conversations were audio-recorded, transcribed, and coded by two academic researchers with interpretation oversight provided by the CB. These proceedings provided a foundation for ongoing CB work and a frame for developing the program-level implementation intervention using a strength-based and holistic model of OUD recovery and wellbeing. Topics of discussion posed to the CB included engagement and recovery strategies, integration of extended family traditions, and addressing stigma and building trust with providers and clients. Integration of traditional healing practices, ceremonies, and other cultural practices was recommended. The importance of centering AI/AN culture and involving family were highlighted as priorities for the intervention.     

Comment on Cameron and Cameron (2002): "children of homosexual parents report childhood difficulties"

Cameron and Cameron's reanalysis of published data in 2002 indicates children being raised in a home environment with at least one homosexual parent report some negative consequences. However, a closer look at the information presented suggests (especially in the absence of control groups) that the negative consequences documented do not constitute major psychological trauma. Rather, they are more in the nature of the teasing and bullying that plagues any child who comes from a home that may be atypical in any fashion.     

Detection of acoustic repetition for very long stochastic patterns

Guttman and Julesz (1963) employed recycling frozen noise segments (RFNs) as model stimuli in their classic study of the lower limits for periodicity detection and short-term auditory memory. They reported that listeners can hear iteration of these stochastic signals effortlessly as "motorboating" for repetition periods ranging from 50 to 250 msec and as "whooshing" from 250 msec to 1 sec. Both motorboating and whooshing RFNs are global percepts encompassing the entire period, as are RFNs in the pitch range (repetition periods shorter than 50 msec). However, with continued listening to whooshing (but not motorboating) RFNs, individuals hear recurrent brief components such as clanks and thumps that are characteristic of the particular waveform. Experiment 1 of the present study describes a cross-modal cuing procedure that enables listeners to store and then recognize the recurrence of portions of frozen noise waveforms that are repeated after intervals of 10 sec or more. Experiment 2 compares the relative saliencies of different spectral regions in enabling listeners to detect repetition of these long-period patterns. Special difficulty was encountered with the 6-kHz band of RFNs, possibly due to the lack of fine-structure phase locking at this frequency range. In addition, a similarity is noted between the organizational principles operating over particular durational ranges of stochastic patterns and the characteristics of traditional hierarchical units of speech having corresponding durations.     

Barriers and Supports to Substance Abuse Service Use Among Homeless Adults

Although there is a great need for substance abuse services among the homeless, many homeless individuals do not use those services. This study examined barriers and supports related to service use. Participants recognized a need for treatment and significant barriers to accessing care.     

Spectral redundancy: Intelligibility of sentences heard through narrow spectral slits

The intelligibility of word lists subjected to various types of spectral filtering has been studied extensively. Although words used for communication are usually present in sentences rather than lists, there has been no systematic report of the intelligibility of lexical components of narrowband sentences. In the present study, we found that surprisingly little spectral information is required to identify component words when sentences are heard through narrow spectral slits. Four hundred twenty listeners (21 groups of 20 subjects) were each presented with 100 bandpass filtered CID ( “everyday speech ”) sentences; separate groups received center frequencies of 370, 530, 750, 1100, 1500, 2100, 3000, 4200, and 6000 Hz at 70 dBA SPL. In Experiment 1, intelligibility of single 1/3-octave bands with steep filter slopes (96 dB/octave) averaged more than 95% for sentences centered at 1100, 1500, and 2100 Hz. In Experiment 2, we used the same center frequencies with extremely narrow bands (slopes of 115 dB/octave intersecting at the center frequency, resulting in a nominal bandwidth of l/20 octave). Despite the severe spectral tilt for all frequencies of this impoverished spectrum, intelligibility remained relatively high for most bands, with the greatest intelligibility (77%) at 1500 Hz. In Experiments 1 and 2, the bands centered at 370 and 6000 Hz provided little useful information when presented individually, but in each experiment they interacted synergistically when combined. The present findings demonstrate the adaptive flexibility of mechanisms used for speech perception and are discussed in the context of the LAME model of opportunistic multilevel processing.     

Encouraging College Males to Perform Testicular Self-Examination: Evaluation of a Persuasive Message Based on the Revised Theory of Reasoned Action1

This study evaluated the effect of a persuasive message derived from a revised version of the theory of reasoned action on the performance of testicular self-examination (TSE). Subjects (114 male college students) were randomly assigned to listen to a taped persuasive message challenging unfavorable outcome beliefs (as suggested by the theory of reasoned action), a message on testicular cancer information, or no message. All subjects then completed a questionnaire operationalizing the components of the theory of reasoned action (revised to incorporate self-efficacy). As predicted, there was a significant relationship between exposure to the persuasive message and self-reported TSE performance (χ²(2) = 15.66, p < .0001). Sixty-three (71.23%) of the subjects contacted at a 4-week follow-up reported performing the exam. Of those, 44.23% had heard the theory-based message, 36.54% had heard the informational message, and 19.23% had not been exposed to a message. A path analysis of the relationships among components of the theoretical model provided partial support for the hypothesized causal pathways between message exposure and TSE intention and behavior.     

Rate and pause characteristics of oral reading

Twenty-three male subjects each read a paragraph aloud and graphic level recordings of their readings were measured in order to determine the average sentence rate, phrase rate, and duration of phrase and sentence pauses. It was found that noninitial sentences and phrases were significantly faster in rate and that pauses between sentences were significantly longer in duration. The findings are consistent with a reduction of uncertainty hypothesis that rate increases and pause decreases as uncertainty decreases.This research was supported in part by the Research Office of the College of Liberal Arts, The Pennsylvania State University.     

Auditory induction: Reciprocal changes in alternating sounds

When portions of a sound are replaced by a potential masker, the missing fragments may be perceptually restored, resulting in apparent continuity of the interrupted signal. This phenomenon has been examined extensively by using pulsation threshold, auditory induction, and phonemic restoration paradigms in which two sounds, the inducer and the inducee, are alternated (ABABA ... ), and the conditions required for apparent continuity of the lower amplitude inducee are determined. Previous studies have generally neglected to examine concomitant changes produced in the inducing sound. Results from the present experiments have demonstrated decreases in the loudness of inducers using inducer/inducee pairs consisting of tone/tone and noise/noise, as well as the noise/speech pairs associated with phonemic restorations. Interestingly, reductions in inducer loudness occurred even when the inducee was heard as discontinuous, and these decreases in loudness were accompanied by graded increases in apparent duration of the inducee, contrary to the conventional view of auditory induction as an all-or-none phenomenon. Under some conditions, the reduced loudness of the inducer was coupled with a marked alteration in its timbre. Especially profound changes in the inducer quality occurred when the alternating stimuli were tones having the same frequency and differing only in intensity-it seems that following subtraction of components corresponding to the inducee, an anomalous auditory residue remained that did not correspond to the representation of a tone.