Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.     

Processing resources and age differences in working memory

This study investigated the performance of young and old subjects on a modified version of the working memory task developed by Baddeley and Hitch (1974). Subjects were required to verify a set of sentences of varying complexity while they repeated aloud zero, two, or four words. The older subjects took longer to verify the sentences, especially when the sentences were grammatically complex, but the effect of concurrent memory load on verification latency was the same in both groups. These results cast doubt on the notion that there is an age-related decline in one general pool of processing resources. They also suggest that older people have greater difficulty with the active processing aspects, rather than with the passive holding aspects, of working memory tasks.     

Assessing Client Satisfaction with Mental Health Treatment among French-Canadians

La présente étude fournit des résultats à verser au dossier de validation de la version française "Client Satisfaction Questionnaire" (CSQ): une courte échelle en 18 items créée pour mesurer le degré de satisfaction de l'utilisation de différents aspects des services de santé mentale. L'échantillon comprenait 89 anciens patients (en secteur) d'une clinique psychologique universitaire. Les résultats montrent la fidélité et la validité factorielle du CSQ dans le contexte franco-canadien. De plus, comportant des similitudes avec les observations anglaises, espagnoles et hollandaises, ils représentent un important premier pas pour fonder l'équivalence inter-culturelle de la version franco-canadienne de l'échelle.
The present study provides data for the cross-cultural validity of the French version of the Client Satisfaction Questionnaire (CSQ); a short 18-item scale which was designed to assess degree of satisfaction with different aspects of mental health services. The sample consisted of 89 former outpatients of a University Psychology Clinic. Results supported the reliability and factorial validity of the CSQ in a French-Canadian context. In addition, the results were similar to those observed for English, Spanish and Dutch versions and represent an important first step towards the cross-cultural equivalence of the French-Canadian version of the scale.     

Perception of translational heading from optical flow

Radial patterns of optical flow produced by observer translation could be used to perceive the direction of self-movement during locomotion, and a number of formal analyses of such patterns have recently appeared. However, there is comparatively little empirical research on the perception of heading from optical flow, and what data there are indicate surprisingly poor performance, with heading errors on the order of 5 degrees-10 degrees. We examined heading judgments during translation parallel, perpendicular, and at oblique angles to a random-dot plane, varying observer speed and dot density. Using a discrimination task, we found that heading accuracy improved by an order of magnitude, with 75%-correct thresholds of 0.66 degrees in the highest speed and density condition and 1.2 degrees generally. Performance remained high with displays of 63-10 dots, but it dropped significantly with only 2 dots; there was no consistent speed effect and no effect of angle of approach to the surface. The results are inconsistent with theories based on the local focus of outflow, local motion parallax, multiple fixations, differential motion parallax, and the local maximum of divergence. But they are consistent with Gibson's (1950) original global radial outflow hypothesis for perception of heading during translation.     

Self-perceived information needs and concerns of elderly persons.

The research was intended to identify the dimensions underlying self-perceived information needs and concerns of an elderly population. The spontaneously mentioned needs and concerns expressed in 271 letters from a sample of the population were extracted and a multidimensional scaling procedure was used to represent the 58 most frequently mentioned items in configurations of varying dimensionality. To interpret the multidimensional spaces, another sample of 176 elderly subjects was asked to rate the 58 concerns on eight properties. These ratings were then regressed onto the multidimensional configurations. The results indicate that the most frequently mentioned information needs and concerns of elderly persons can be parsimoniously understood in terms of three underlying dimensions: (1) Improving the Quality of Life vs Securing the Necessities of Life, (2) Health-related vs Not Health-related, and (3) Individual vs Societal Responsibility.     

Eye movement control in reading: evidence against semantic preprocessing.

Prior experiments reported by Underwood and his colleagues have suggested that information about the informative parts of parafoveal words that have not yet been fixated can influence where readers fixate next. The basic finding that they have reported is that the eyes move farther into a word when the information that uniquely identifies the word is at the end of the word rather than at the beginning of the word. On the basis of such results, it has been suggested that semantic preprocessing influences eye movement behavior in reading. Some theoretical and methodological problems are raised with the prior experiments and then an attempt to replicate the finding is reported. With a highly accurate eyetracking system, the basic finding could not be replicated. An alternative account of eye movement control in reading is discussed.     

STRATÉGIES COGNITIVES ET PROCESSUS D'AUTORÉGULATION CHEZ DES FAMILLES EN SITUATION DE RÉSOLUTION DE PROBLÈMES LOGIQUES*

The family is a fundamental learning environment for many basic skills such as the ability to solve everyday domestic problems. A lack of competence in this type of problem solving would expose the individual to more frustration and possibly create the conditions for greater aggression. Forty-two low SES families, each including an aggressive boy, were invited to the laboratory for a problem-solving session on two occasions, at an interval of two years. Subjects were asked to find four preset combinations of colours by systematic permutations of four colours using a computer. Three types of cognitive performance were examined: resolution strategies, autoregulation strategies and the success rate in finding the solution. Results showed that most of the families were consistent in their use of a non-systematic strategy. Although some improvement in planning is observed during the second testing, no other improvement in autoregulation strategies was observed. In general, families had a better rate of success in finding the solution in the second session. The low cognitive level of these families and its stability are discussed. Étant donné que la famille constitue un terrain privilégié d'apprentissage, l'aggressivité comportementale de certains enfants pourrait résider dans le peu d'opportunités offertes par leur famille d'apprendre à affronter les problèmes de la vie quotidienne d'une manière réfléchie. Quarante-deux familles de milieu socio-économique faible, dont un des enfants est à risque d'inadaptation sociale et dont les parents sont peu scolarisés, ont à résoudre un problème nécessitant l'intelligence logique et ce, à deux ans d'intervalle (T-1 et T-2). La tâche consite à résoudre un problème de permutations à quatre éléments et se présente sous la forme d'un jeu d'ordinateur. Le fonctionnement cognitif est examiné selon trois dimensions: les stratégies cognitivcs de résolution, les stratégies d'autorégulation exercées, sur la démarche cognitive et l'issue de la démarche cognitive. L'examen des stratégies cognitives révèle que la majorité des familles utilisent une approche non stratégique et que cette approche est maintenue aussi bien à l'intérieur d'une séance donnée que d'une séance à l'autre. Exception faite de l'amélioration relevée à la séance 2 quant au contrôle exercé par les familles sur le déroulement de leur démarche cognitive, aucun changement n'émerge sur les autres critères de l'autorégulation. Finalement, les familles obtiennent une meilleure performance à la deuxième séance. La discussion porte sur la relative stabilité du niveau de fonctionnement cognitif des familles ainsi que sur la pauvreté apparente de leur répertoire de schèmes.