The effect of interprofessional education on the work environment of health professionals: a scoping review.

To explore the existing literature on the effect of Interprofessional Education (IPE) on the work environment of health professionals. The research question was systematized according to the PCC (Population, Concept, and Context) format. A scoping review was performed. A search of multiple bibliographic databases identified 407 papers, of which 21 met the inclusion criteria. The populations of the 21 studies reviewed were composed of professionals in the fields of medicine, nursing, psychology, occupational therapy, physiotherapy, and social work, among others. The study contexts were both academic and nonacademic hospitals, mental health institutions, and community settings, and the topics examined were organizational climate, organizational culture, organizational attachment and job satisfaction. The findings from the reviewed studies showed positive effects of IPE interventions on organizational climate and culture, but the results on job satisfaction and organizational attachment were mixed (i.e., positive and no effects following IPE interventions). Research on IPE is worth more attention as IPE could be an effective alternative for the fulfillment of the Quadruple Aim and achieving the third of the United Nations Sustainable Development Goals, aimed at improving health and well-being. It seems critical for IPE to be positioned as a trend in global health, aiming at boosting human health resources as one of its building blocks and calling the attention of health decision-makers.

Do pictures influence memory and metamemory in Chinese vocabulary learning? Evidence from Russian and Colombian learners.

Despite the increasing interest in learning non-alphabetical languages such as Chinese, research about its learning process for alphabet users is scarce. Research conducted on Latin alphabet users on learning languages written in Latin alphabet, or on Chinese language learning in Chinese native speakers, users is undoubtedly useful but it does not inform about the peculiarities of leaning Chinese language by other alphabet users. Additionally, several authors have highlighted the need to inform and extend the current second language acquisition theories on the particular challenges of learning a language that uses another script. In this research we aim to contribute filling this research gap and studied the learning process of Chinese vocabulary by users of scripts different from Chinese. In particular, we examined the role of pictures and translations as learning aids for Chinese language vocabulary learning in participants familiarized with either one or two alphabetical scripts (different from the Chinese logographic script). One hundred thirteen participants studied word-aid pairs in different conditions: Hanzi (Chinese in Chinese characters)-picture; Pinyin (Chinese in Latin alphabet)-picture; Hanzi-translation; Pinyin-translation. Participants evaluated the future recallability of the words and their meanings (i.e., judgements of learning) and completed two recognition tests. Words in Pinyin and words-translation pairs were judged to be easier to remember than Hanzi and word-pictures pairs. Participants remembered the meaning of words written in Hanzi better than in Pinyin, and word-translations pairs better than pictures, but they were more confident about word-picture pairs. These results suggest that pictures boost confidence in learning Chinese, but do not affect performance. These findings suggest that while pictures may boost confidence in learning Chinese, they may not necessarily lead to better performance. Our study provides valuable insights into the interaction of learning aids and writing system in (meta)memory during vocabulary acquisition.

False memory in between-language conditions: a brief review on the effect of encoding and retrieving in different languages.

False memories have been extensively investigated over the past few decades using the Deese/Roediger-McDermott (DRM) paradigm. In this paradigm, participants study lists of words associatively related to a non-presented critical lure. During a memory test, these critical lures are falsely recalled or recognized. Most studies have focused on false memories that arise when both encoding and retrieval are conducted in the same language (i.e., within-language conditions), which is typically the participant's native or first language (L1). However, much less is known about false memories when critical lures appear in the memory test in a different language than the studied lists (i.e., between-language conditions), being one of them the participant's second language (L2). The main objective of this exhaustive review was to provide an overview of the current state of research on false recognition using the DRM paradigm in between-language conditions, where languages are switched between encoding and retrieval (i.e., L1L2 versus L2L1). The results revealed a language dominance effect in between-language false memories. In other words, false recognition rates were dependent on the study language, with a trend toward higher false recognition when words were enconded in the L1 (L1L2) compared to when words were encoded in the L2 (L2L1). This review enhances our understanding of how studying words in a first or second language affects false memory in the DRM paradigm, emphasizing the significance of investigating false memory in second language speakers and the necessity for further research in the field.

Letter Spacing Does not Affect Memory and Metamemory.

Some perceptual manipulations, such as font size or bolding, can affect the estimations of future memorability (i.e., judgments of learning or JOLs). In two experiments, we studied the effect on JOLs of another perceptual manipulation: the interletter spacing. Spacing may decrease JOLs via beliefs on the effect of spacing on memory, or it may increase JOLs via feelings of processing fluency. In Experiment 1, we found that people do not hold any particular belief on the effect of spacing on memory for a list of words. In Experiment 2, we found that letter spacing did not affect JOLs. We also replicated the results that participants believe that words in large font size will be better remembered and that they rate words in large font size with higher JOLs. In sum, this research showed that not all the perceptual characteristics are used as cues to metamemory.

Disentangling the Effects of Backward/Forward Associative Strength and Theme Identifiability in False Memory

BACKGROUND: False memory has been extensively studied using the Deese/Roediger-McDermott paradigm. Despite the robustness of the effect, there is wide variability in the results, which is not fully understood. METHOD: Three experiments independently examined the role of backward associative strength (BAS), forward associative strength (FAS), and theme identifiability (ID) on false memories. In Experiment 1, lists varied in BAS while controlling FAS and ID. In Experiment 2, FAS was manipulated while BAS and ID were controlled. Finally, in Experiment 3, lists varied in ID while controlling BAS and FAS. Data was analyzed using both frequentist and Bayesian analyses. RESULTS: We found false memories in all three experiments. Specifically, false recognition was higher in high-BAS than in low-BAS lists in Experiment 1. In Experiment 2, false recognition was higher in high-FAS than in low-FAS lists. In Experiment 3, false recognition was lower in high-ID than in low-ID lists. CONCLUSIONS: These findings suggest that both BAS and FAS─variables that promote error-inflating processes─and ID─which promotes error-editing processes─contribute independently to the production of false memories. Splitting apart the role of these variables helps to understand the variability of false memories and to extrapolate DRM tasks to explore other cognitive domains.

Monitoring and control processes in mock witnesses in under-represented non-WEIRD samples with high or low educational level.

A popular model proposes that metamemory is based on two processes, monitoring and control. The first examines memories and evaluates their quality and the second uses that information to decide on the most appropriate course of action. Monitoring and control processes have been studied mostly with university students, which raises the question of how well do they work in groups of people from under-represented samples such as people with a low educational level. In this research, we tested the monitoring and control processes of three groups of participants from a non-WEIRD (Western, Educated, Industrialized, Rich and Democratic) country (Colombia). Two groups of adults (aged 30-55 years) living in urban or rural areas and with a low educational level and a group of Colombian university students watched a bank robbery video and answered cued recall questions. To measure monitoring ability, participants rated their confidence that they had produced the correct answer, and to measure control they indicated whether they preferred to report or withhold the response were they in a trial. Results showed that the three groups had a functional ability to monitor their memories and control their behaviour, and that university students had better memory and metamemory than the two low education groups. The results support the concept that the basic metamemory processes of monitoring and control are functional in different groups of individuals, but the differences between groups highlight the need to test the generalizability of cognitive processes and phenomena across individuals.

Factors that Facilitate and Hinder the Comprehension of Patient Information Leaflets (PILs): A Brief Scoping Review.

Introduction: Patient information leaflets (PILs) of medicinal products are informative documents that accompany medicines and explain their components, modes of use, interactions with other medicines, and other relevant issues. When patients do not adequately understand the information in the leaflets, they may engage in behaviors that affect their health (e.g., self-medication). Objective: To identify patient-related factors and characteristics of PILs that can promote cognitive, emotional, and behavioral changes that lead to appropriate drug use practices. Additionally, we aimed to determine strategies that could be implemented to design leaflets that convey adequate information and are easier to understand. Method and Results: We evaluated scientific articles published in databases and containing information on PILs suitability to be used in a patient population. A total of 51 articles were selected as the sample. Certain leaflet factors that favored or hindered understanding were identified (e.g., format in which the leaflets are presented, their structure, their adaptation to the sociodemographic and linguistic characteristics of the population, their wording…). Similarly, we also identified patient factors, such as previous experience taking the drugs referred to in the leaflet; the type of emotions experienced when reading the leaflets; the emphasis on the adverse effects of the medications; sociodemographic variables (i.e., age or educational level); and degree of interest in their own healthcare. Conclusion: Patient and leaflet factors influence the comprehension of information in the PIL; hence, emphasis should be placed on these factors to increase treatment and medication adherence and to reduce health-risk behaviors.

Feelings of Contrast at Test Reduce False Memory in the Deese/Roediger-McDermott Paradigm.

False memories in the Deese/Roediger-McDermott (DRM) paradigm are explained in terms of the interplay between error-inflating and error-editing (e.g., monitoring) mechanisms. In this study, we focused on disqualifying monitoring, a decision process that helps to reject false memories through the recollection of collateral information (i.e., recall-to-reject strategies). Participants engage in recall-to-reject strategies using one or two metacognitive processes: (1) applying the logic of mutual exclusivity or (2) experiencing feelings of contrast between studied items and unstudied lures. We aimed to provide, for the first time in the DRM literature, evidence favorable to the existence of a recall-to-reject strategy based on the experience of feelings of contrast. One hundred and forty participants studied six-word DRM lists (e.g., spy, hell, fist, fight, abduction, mortal), simultaneously associated with three critical lures (e.g., WAR, BAD, FEAR). Lists differed in their ease to identify their critical lures (extremely low-BAS lists vs. high-BAS lists). At recognition test, participants saw either one or the three critical lures of the lists. Participants in the three-critical-lure condition were expected to increase their monitoring, as they would experience stronger feelings of contrast than the participants in the one-critical-lure condition. Results supported our hypothesis, showing lower false recognition in the three-critical-lure condition than in the one-critical-lure condition. Critically, in the three-critical-lure condition, participants reduced even more false memory when they could also resort to another monitoring strategy (i.e., identify-to-reject). These findings suggest that, in the DRM context, disqualifying monitoring could be guided by experiencing feelings of contrast between different types of words.

Exploring the role of context on the existing evidence for reconsolidation of episodic memory.

Recent research has provided evidence for memory modifications when a post-reactivation treatment (e.g., drugs, new learning) interferes with the memory re-stabilisation (reconsolidation) process. This finding contradicts the long-standing consolidation theory and has high practical and theoretical implications. With an object-learning paradigm, it was shown that episodic memory is highly susceptible to interfering material presented after its reactivation [Hupbach, A., Gomez, R., Hardt, O., & Nadel, L. (2007). Reconsolidation of episodic memories: A subtle reminder triggers integration of new information. Learning & Memory, 14, 47-53. doi: 10.1101/lm.365707 ]. The reactivation of a learned list (List 1) before a second learned list (List 2) led to intrusion errors from List 2 when trying to recall List 1, but not vice-versa. Their work has been widely cited and their findings have been explained according to reconsolidation theory. For the first time, we systematically explored the role of retrieval context as an alternative explanation for Hupbach's results. Our results showed that the intrusion effect occurs independently of the retrieval context (Experiment 1). Additionally, even when the intrusion rate probability is increased (i.e., List 1 memory test is performed in the List 2 learning context), the groups that did not reactivate the original list did not commit intrusion errors (Experiment 2). In sum, we found that the intrusion effect critically depends on the presence of reactivation, discarding alternative interpretations of the results.

Memory Distortion and Its Avoidance: An Event-Related Potentials Study on False Recognition and Correct Rejection.

Memory researchers have long been captivated by the nature of memory distortions and have made efforts to identify the neural correlates of true and false memories. However, the underlying mechanisms of avoiding false memories by correctly rejecting related lures remains underexplored. In this study, we employed a variant of the Deese/Roediger-McDermott paradigm to explore neural signatures of committing and avoiding false memories. ERP were obtained for True recognition, False recognition, Correct rejection of new items, and, more importantly, Correct rejection of related lures. With these ERP data, early-frontal, left-parietal, and late right-frontal old/new effects (associated with familiarity, recollection, and monitoring processes, respectively) were analysed. Results indicated that there were similar patterns for True and False recognition in all three old/new effects analysed in our study. Also, False recognition and Correct rejection of related lures activities seemed to share common underlying familiarity-based processes. The ERP similarities between False recognition and Correct rejection of related lures disappeared when recollection processes were examined because only False recognition presented a parietal old/new effect. This finding supported the view that actual false recollections underlie false memories, providing evidence consistent with previous behavioural research and with most ERP and neuroimaging studies. Later, with the onset of monitoring processes, False recognition and Correct rejection of related lures waveforms presented, again, clearly dissociated patterns. Specifically, False recognition and True recognition showed more positive going patterns than Correct rejection of related lures signal and Correct rejection of new items signature. Since False recognition and Correct rejection of related lures triggered familiarity-recognition processes, our results suggest that deciding which items are studied is based more on recollection processes, which are later supported by monitoring processes. Results are discussed in terms of Activation-Monitoring Framework and Fuzzy Trace-Theory, the most prominent explanatory theories of false memory raised with the Deese/Roediger-McDermott paradigm.

Normative study of theme identifiability: Instructions with and without explanation of the false memory effect.

False-memory illusions have been widely studied using the Deese/Roediger-McDermott paradigm (DRM). In this paradigm, words semantically related to a single nonpresented critical word are studied. In a later memory test, critical words are often falsely recalled and recognized. The present normative study was conducted to measure the theme identifiability of 60 associative word lists in Spanish that include six words (e.g., stove, coat, blanket, scarf, chill, and bonnet) that are simultaneously associated with three critical words (e.g., HEAT, COLD, and WINTER; Beato & Díez, Psicothema, 26, 457-463, 2011). Different levels of backward associative strength were used in the construction of the DRM lists. In addition, we used two types of instructions to obtain theme identifiability. In the without-explanation condition, traditional instructions were used, requesting participants to write the theme list. In the with-explanation condition, the false-memory effect and how the lists were built were explained, and an example of a DRM list and critical words was shown. Participants then had to discover the critical words. The results showed that all lists produced theme identifiability. Moreover, some lists had a higher theme identifiability rate (e.g., 61 % for the critical words LOVE, BOYFRIEND, COUPLE) than others (e.g., 24 % for CITY, PLACE, VILLAGE). After comparing the theme identifiabilities in the different conditions, the results indicated higher theme identifiability when the false-memory effect was explained than without such an explanation. Overall, these new normative data provide a useful tool for those experiments that, for example, aim to analyze the wide differences observed in false memory with DRM lists and the role of theme identifiability.

Novel Human Embryonic Stem Cell Regulators Identified by Conserved and Distinct CpG Island Methylation State.

Human embryonic stem cells (hESCs) undergo epigenetic changes in vitro which may compromise function, so an epigenetic pluripotency "signature" would be invaluable for line validation. We assessed Cytosine-phosphate-Guanine Island (CGI) methylation in hESCs by genomic DNA hybridisation to a CGI array, and saw substantial variation in CGI methylation between lines. Comparison of hESC CGI methylation profiles to corresponding somatic tissue data and hESC mRNA expression profiles identified a conserved hESC-specific methylation pattern associated with expressed genes. Transcriptional repressors and activators were over-represented amongst genes whose associated CGIs were methylated or unmethylated specifically in hESCs, respectively. Knockdown of candidate transcriptional regulators (HMGA1, GLIS2, PFDN5) induced differentiation in hESCs, whereas ectopic expression in fibroblasts modulated iPSC colony formation. Chromatin immunoprecipitation confirmed interaction between the candidates and the core pluripotency transcription factor network. We thus identify novel pluripotency genes on the basis of a conserved and distinct epigenetic configuration in human stem cells.

Modality-match effect in false recognition: an event-related potential study.

In the Deese-Roediger-McDermott (DRM) paradigm, participants falsely recall or recognize a nonpresented word (critical lure), highly associated with previously studied words. As numerous DRM studies have found a robust false memory effect at the behavioural level, event-related potentials (ERPs) studies have searched for possible overlapping in brain electrical activity between true and false memory. Using the DRM paradigm, the present experiment manipulated the sensory modality of stimulus presentation (auditory vs. visual) in the study phase to analyse the effect of modality match between study and test on true and false recognition. Words were therefore presented either visually or auditorily at study and always visually at test. True recognition was found to be significantly higher in the modality 'match' condition (visual-visual) than in the 'mismatch' condition (auditory-visual), whereas there was no modality-match effect on false recognition of critical lures. A general, overlapping was found between ERP correlates of true and false recognition: FN400 (300-500 ms), left-parietal (400-800 ms) and late right-frontal (1000-1500 ms) old/new effects were similar for both studied words and critical lures. No sensory modality-match effect was associated with FN400 or left-parietal old/new effects. Only the late right-frontal activity was modulated by modality manipulation, with significantly more positive ERPs in the modality-match condition. Sensory modality match of stimulus presentation, therefore, dissociated true and false recognition memory only at the behavioural level but not at the ERP level. Overall, true and false recognition memories seem to share common underlying processes.

No effect of stress on false recognition.

BACKGROUND: The present study aimed to analyze the effect of acute stress on false recognition in the Deese/Roediger-McDermott (DRM) paradigm. In this paradigm, lists of words associated with a non-presented critical lure are studied and, in a subsequent memory test, critical lures are often falsely remembered. METHOD: In two experiments, participants were randomly assigned to either the stress group (Trier Social Stress Test) or the no-stress control group. Because we sought to control the level-of-processing at encoding, in Experiment 1, participants created a visual mental image for each presented word (deep encoding). In Experiment 2, participants performed a shallow encoding (to respond whether each word contained the letter "o"). RESULTS: The results indicated that, in both experiments, as predicted, heart rate and STAI-S scores increased only in the stress group. However, false recognition did not differ across stress and no-stress groups. CONCLUSIONS: Results suggest that, although psychosocial stress was successfully induced, it does not enhance the vulnerability of individuals with acute stress to DRM false recognition, regardless of the level of processing.

False memory and level of processing effect: an event-related potential study.

Event-related potentials (ERPs) were used to determine the effects of level of processing on true and false memory, using the Deese-Roediger-McDermott (DRM) paradigm. In the DRM paradigm, lists of words highly associated to a single nonpresented word (the 'critical lure') are studied and, in a subsequent memory test, critical lures are often falsely remembered. Lists with three critical lures per list were auditorily presented here to participants who studied them with either a shallow (saying whether the word contained the letter 'o') or a deep (creating a mental image of the word) processing task. Visual presentation modality was used on a final recognition test. True recognition of studied words was significantly higher after deep encoding, whereas false recognition of nonpresented critical lures was similar in both experimental groups. At the ERP level, true and false recognition showed similar patterns: no FN400 effect was found, whereas comparable left parietal and late right frontal old/new effects were found for true and false recognition in both experimental conditions. Items studied under shallow encoding conditions elicited more positive ERP than items studied under deep encoding conditions at a 1000-1500 ms interval. These ERP results suggest that true and false recognition share some common underlying processes. Differential effects of level of processing on true and false memory were found only at the behavioral level but not at the ERP level.