INCREASING CALORIE CONSUMPTION IN CHILDREN WITH CYSTIC FIBROSIS: REPLICATION WITH 2-YEAR FOLLOW-UP

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.     

Defining the Assessment and Treatment Competencies to Deliver Low-Intensity Cognitive Behavior Therapy: A Multi-Center Validation Study

Despite the vastly increased dissemination of the low-intensity (LI) version of cognitive behavior therapy (CBT) for the treatment of anxiety and depression, no valid and reliable indices of the LI-CBT clinical competencies currently exist. This research therefore sought to develop and evaluate two measures: the low-intensity assessment competency scale (LIAC) and the low-intensity treatment competency scale (LITC). Inductive and deductive methods were used to construct the competency scales and detailed rating manuals were prepared. Two studies were then completed. The first study used a quantitative, fully-crossed design and the second a multi-center, quantitative longitudinal design. In study one, novice, qualified, and expert LI-CBT practitioners rated an LI-CBT assessment session (using the LIAC) and an LI-CBT treatment session (using the LITC). Study two used the LIAC and LITC across four training sites to analyze the competencies of LI-CBT practitioners over time, across raters, and in relation to the actor/patients’ feedback concerning helpfulness, the alliance, and willingness to return. Both the LIAC and LITC were found to be single factor scales with good internal, test-retest reliability and reasonable inter-rater reliability. Both measures were sensitive to measuring change in clinical competence. The LIAC had good concurrent, criterion, discriminant, and predictive validity, while the LITC had good concurrent, criterion, and predictive validity, but limited discriminant validity. A score of 18 accurately delineated a minimum level of competence in LI-CBT assessment and treatment practice, with incompetent practice associated with patient disengagement. These observational ratings scales can contribute to the clinical governance of the burgeoning use of LI-CBT interventions for anxiety and depression in routine services and also in the methods of controlled studies.     

Women's anxiety about social and exercise settings

This study involved a comparison of social physique anxiety, assessed through the application of a modified version of the Social Physique Anxiety Scale, with 28 women who were new members exercising at all-female facilities compared to 43 new female members exercising at coeducational facilities. Analyses indicated there were no significant differences in means between the groups. The scores of women attending all-female facilities were significantly more influenced by the sex of members when choosing a facility.     

An experimental study on fear of public speaking using a virtual environment.

This paper examines a necessary condition for successful exploitation of a virtual environment (VE) in therapeutic intervention for fear of public speaking. The condition is that clients experience a degree of anxiety in the VE that is similar to what they would have been expected to experience in a similar real world setting. We refer to this as a "presence" response. The experimental study involved 20 people who were confident public speakers and 16 who were phobic, assessed on a standard psychological scale. Half of each group spoke within a VE depicting an empty seminar room, and the other half within the same room but populated by a neutrally behaving virtual audience of five people. Three responses were measured--a questionnaire-based measure of anxiety, a measure of self-focused attention on somatic responses, and actual heart rate. On all responses, the people with phobia showed a significant increase in signs of anxiety when speaking to the virtual audience compared to the empty room, whereas the confident people did not. The result was strong in spite of the relatively low representational and behavioral fidelity of the virtual characters.     

Putting yourself in the skin of a black avatar reduces implicit racial bias

Although it has been shown that immersive virtual reality (IVR) can be used to induce illusions of ownership over a virtual body (VB), information on whether this changes implicit interpersonal attitudes is meager. Here we demonstrate that embodiment of light-skinned participants in a dark-skinned VB significantly reduced implicit racial bias against dark-skinned people, in contrast to embodiment in light-skinned, purple-skinned or with no VB. 60 females participated in this between-groups experiment, with a VB substituting their own, with full-body visuomotor synchrony, reflected also in a virtual mirror. A racial Implicit Association Test (IAT) was administered at least three days prior to the experiment, and immediately after the IVR exposure. The change from pre- to post-experience IAT scores suggests that the dark-skinned embodied condition decreased implicit racial bias more than the other conditions. Thus, embodiment may change negative interpersonal attitudes and thus represent a powerful tool for exploring such fundamental psychological and societal phenomena.     

Is Age Just a Number? Cognitive Reserve as a Predictor of Divergent Thinking in Late Adulthood

The purpose of the study was to test a model of causal relationships among cognitive reserve (CR), personality variables such as Neuroticism and Openness to experience, and divergent thinking (DT), independently evaluating performance in different domains (verbal and graphic). It was hypothesized that CR, Openness, and Neuroticism would each directly influence verbal and graphic DT. A total of 135 subjects between 55 and 84 years old participated in the study and were interviewed in individual sessions. For a correct fit Neuroticism was eliminated from the measurement model. The goodness-of-fit indexes of the measurement model, the adequate composite reliability index and the discriminant validity supported the viability of the structural equation model (SEM). The goodness-of-fit indexes confirmed the existence of a significant effect of CR and Openness to experience in predicting both verbal and graphic DT. The three CR indicators had high loadings in their theoretical factor, with the observed variables study-work and WAIS vocabulary showing the highest loads. In summary, subjects with CR and Openness to experience were more flexible and original when solving verbal problems, and to a lesser degree, graphic problems.     

Ethics and Undergraduate Research in the Study of Religion: Place‐Based Pedagogy and Reciprocal Research Relations

In the undergraduate religious studies classroom at the University of Leeds students are introduced to the complexity of religion in locality. One of the most engaging ways to do this is through a place‐based pedagogy utilizing independent fieldwork as part of the learning process. However, undergraduates, like seasoned researchers, must learn to balance and understand the way insider representations influence academic interpretations, and the way their academic interpretations and representations can lead to change in the community being studied. Place‐based pedagogy has, therefore, an important ethical dimension that is not accounted for in the existing literature. Engaging with reciprocal research relations as a way to navigate this terrain introduces students to the human impacts of their research and develops their self‐awareness as researchers and religion specialists. This paper will draw on the Leeds experience to build an understanding of the interaction between place‐based pedagogy and reciprocal research relations which informs both teaching and research in the study of religion, and extends the existing discourse on the ethical dimensions of undergraduate research.     

Differences in false recollection according to the cognitive reserve of healthy older people

We present an associative recognition experiment comparing three samples of healthy people (young people, older people with high cognitive reserve [HCR], and older people with low cognitive reserve [LCR], with each sample consisting of 40 people), manipulating stimuli repetition during the study phase. The results show significant differences among the three samples in their overall performance. However, these differences are not due to a different use of familiarity, but rather due to a different way of using recollection: although there are no differences in the hit rates between the HRC and LRC samples, the LCR group makes significantly more recollective false alarms than the HCR group. Moreover, repetition provokes an increase in the recollective false alarms in the LCR group, but this does not occur in the group of young people or in the HCR group. These findings are explained in terms of recollection-based monitoring errors and seem to provide support for the cognitive reserve hypothesis.     

A dispositional approach to employability: Development of a measure and test of implications for employee reactions to organizational change

This study develops and validates a dispositional measure of employability (DME). Dispositional employability was defined as a constellation of individual differences that predispose individuals to (pro)active adaptability specific to work and careers. A dispositional approach to employability represents an alternative conceptualization to those previously found in the literature. Three independent studies were conducted to establish construct validity. Using exploratory factor analysis (Study 1) and confirmatory factor analysis (Study 2), a 25‐item DME instrument was confirmed. Study 2 supported the hypothesized second‐order latent multidimensional factor structure of the DME. Study 3 confirmed the stability of the DME and provided support for its construct validity by longitudinally showing that dispositional employability was significantly related to employees' positive emotions and affective commitment related to organizational changes. It was shown that these effects were above and beyond those found for tolerance for ambiguity, work locus of control, self‐esteem, and optimism. Implications for future organizational research and practice are discussed.