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.     

RELIABILITY AND FACTORIAL VALIDITY OF THE JUNIOR EYSENCK PERSONALITY QUESTIONNAIRE IN ZIMBABWE

Six-hundred and thirteen girls and 601 boys in Zimbabwe completed the Junior Eysenck Personality Questionnaire (JEPQ). The reliability of the Neuroticism (N) and Social Desirability (L) factors was acceptable but the Psychoticism (P) and Extraversion (E) factors possessed modest reliability. While the factorial validity of the P, N and L scales was acceptable, the factorial validity of the E scale was poor. L scores were significantly correlated with N and P scores among girls and boys. Whereas Zimbabwean girls reported higher P scores than did Canadian girls, Zimbabwean boys reported lower P scores than did Canadian boys. Zimbabwean girls and boys reported lower E and N and higher P scores than their Canadian counterparts. This study provides broad support for Eysenck's basic personality model, but it does not support the use of this version of the JEPQ, and especially the E scale, among Zimbabwean children.     

Moral Judgment in Extreme Social Contexts: Soldiers Who Refuse to Fight and Physicians Who Strike?1

This paper compares two examples of moral action within extreme social contexts: the refusal of Israeli reserve soldiers to perform their military service during the war in Lebanon (1982–1983), and the refusal of Israeli physicians to provide medical care during a “labor war”, that is a strike. This paper examines the cognitive developmental premise that with an increase in the actors' stage of moral development there will be a greater consistency between hypothetical and actual moral reasoning (Kohlberg, 1984). Blasi's (1983) concept of personal integrity, that is, the consistency between the actors' judgment concerning the morality of an action and the action that was actually performed, is examined as well. The findings show that the “refusing” soldiers manifested stage consistency in their action, whereas the physicians failed to justify their action in line with their moral competence. Whereas the soldiers viewed their action as highly moral, the physicians viewed their strike action as unfortunate but necessary. The motivation of the two groups of actors to act in line with their behavioral choices is discussed.     

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.     

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.     

PROMOTING STIMULUS CONTROL WITH TEXTUAL PROMPTS AND PERFORMANCE FEEDBACK FOR PERSONS WITH MILD DISABILITIES

We assessed whether written task analyses would serve as textual prompts for performing functional tasks by persons with mild disabilities. Several variables that could influence the effectiveness of textual prompts to promote stimulus control were examined across four groups. A consistent finding was that written specific task analyses combined with end-of-trial performance feedback were effective for promoting the acquisition and generalization of several tasks. Performance transferred immediately to natural discriminative stimuli when the written task analyses and feedback were withdrawn for most tasks and participants. For 2 participants, transfer of stimulus control was accomplished by prompt fading, using individualized written task analyses either with or without performance feedback (Group 1). When feedback was not provided, the effectiveness of written specific task analyses was inconsistent across groups. In contrast to the controlling effects of written specific task analyses, written generic task analyses, which specified only major task outcomes, when combined with performance feedback (Group 1) did not control responding. Overall, this research demonstrated the effectiveness of written specific task analyses and performance feedback to promote stimulus control for persons with mild disabilities.     

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.