Training Community Leaders to Serve as Equal Partners in Research: Penn Community Scholars Program, 2015-2023.

An implementation and effectiveness evaluation of the Community Scholars Program was conducted at the University of Pennsylvania to enhance community capacity to collaborate with academics in mutually beneficial, equitable, and transformative research. Mixed methods were employed using administrative data, surveys, and key informant interviews. Participants expressed high satisfaction, valued interactive learning, and identified areas for improvement. The program increased knowledge and self-confidence in research-related skills and trust in the research process. The program serves as an institutional model to create long-term, mutually beneficial community-academic partnerships. (Am J Public Health. 2024;114(3):284-288. https://doi.org/10.2105/AJPH.2023.307549).

Pathways and processes to the embodiment of historical trauma secondary to settler colonialism.

AIM(S): This discursive article aims to examine how systemic factors of settler colonialism influence health outcomes among Indigenous peoples in the United States through pathways and processes that may lead to the embodiment of historical trauma. DESIGN: Discursive paper. METHODS: We completed a comprehensive search of empirical and grey literature between September 2022 and January 2023 in PubMed, CINAHL and Google Scholar. Using these articles as a foundation, we explored factors related to the pathways and processes leading to the embodiment of historical trauma rooted in settler colonialism. RESULTS: A conceptual framework of the pathways and processes of the embodiment of historical trauma secondary to settler colonialism was developed, and is presented. CONCLUSION: The societal and historical context for Indigenous peoples includes harmful settler colonial structures and ideologies, resulting in stressors and historical trauma that impact health outcomes and disparities through the phenomenon of the process of embodiment. IMPLICATIONS FOR NURSING: To provide holistic nursing care, nurses must be aware of settler colonialism as a determinant of health. They must be attuned to the pathways and processes through which settler colonial exposures may impact health among Indigenous peoples. Nurses must challenge existing structural inequities to advance health equity and social justice.

Emotional stimuli similarly disrupt attention in both visual fields.

People often need to filter relevant from irrelevant information. Irrelevant emotional distractors interrupt this process. But does the degree to which emotional distractors disrupt attention depend on which visual field they appear in? We thought it might for two reasons: (1) people pay slightly more attention to the left than the right visual field, and (2) some research suggests the right-hemisphere (which, in early visual processing, receives left visual field input) has areas specialised for processing emotion. Participants viewed a rapid image-stream in each visual field and reported the rotation of an embedded neutral target preceded by a negative or neutral distractor. We predicted that the degree to which negative (vs. neutral) distractors impaired target detection would be larger when targets appeared in the left than the right stream. This hypothesis was supported, but only when the distractor and target could appear in the same or opposite stream as each other (Experiments 2a-b), not when they always appeared in the same stream as each other (Experiments 1a-1b). However, this effect was driven by superior left-stream accuracy following neutral distractors, and similar left- and right-stream accuracy following negative distractors. Emotional distractors therefore override visuospatial asymmetries and disrupt attention, regardless of visual field.

The Real Ideal: Misestimation of Body Mass Index.

In Western cultures, the ideal body for women is thin and toned. Idealization of thinness has led many women to desire bodies with an underweight body mass index (BMI). The present study investigated women's knowledge of BMI, particularly relating to their own body ideals, to determine whether women knowingly idealize bodies categorized as "underweight." In August 2020, one-hundred and forty-seven US women aged 18 to 25 completed two online tasks in a repeated-measures design. First, participants estimated the BMIs of a series of bodies. Then, participants selected representations of their own and ideal bodies from a figure rating scale and estimated the BMIs of their selections. Participants generally mis-estimated the BMI of bodies, but did so to a greater extent when viewing bodies as an extension of their own, i.e., following the figure rating scale task. Further, if participants selected an underweight or overweight ideal body, they were likely to estimate this body was within a "normal" weight BMI range, demonstrating that women who idealize underweight-or overweight-bodies do so unknowingly. These findings suggest misperceptions of women's own ideal body size are often greater than misperceptions of other bodies, potentially driving the tendency to idealize underweight bodies.

The role of social context in own body size estimations: An investigation of the body schema.

Women tend to overestimate their body size, including space needed to pass through gaps/apertures. These results were generated using static apertures resembling doorways. However, body image is influenced by other bodies around us, and how estimations of passability may be influenced by social context is unknown. To investigate, a series of apertures were created comprising two women facing each other, with the space between creating the 'doorway'. The apertures were created using either two larger-bodied or two smaller-bodied women. Non-social versions were generated using the social aperture silhouettes. Thirty-four undergraduate women viewed a series of apertures - varying in width relative to their own size - and judged whether they believed they could pass through them. State and trait body dissatisfaction measurements were also taken. Point of subjective equality (PSE) data suggested that participants did not overestimate the space needed to pass through apertures overall, but showed an overestimation of space for the larger-bodied social doorways. Correlations suggested higher levels of state body dissatisfaction associated with higher PSEs, but only in the social conditions. Results showed that participants may have been engaging in different mechanisms regarding social versus non-social doorways, and the importance of social context when investigating own body size estimations.

Characteristics and clinical implications of the relationship between veganism and pathological eating behaviours.

OBJECTIVE: Veganism may serve as a socially acceptable means to restrict food intake and disguise pathological eating behaviours. Studies that include vegan participants typically group them with other meat avoiders (e.g., vegetarians), potentially masking risk factors unique to veganism. METHOD: We addressed this issue by recruiting two Amazon Mechanical Turk samples of 110 vegan and 118 omnivore participants, with comparable gender composition. We aimed to examine whether vegans showed higher disordered eating than omnivores, and if motives for pursuing a vegan diet impacted disordered eating. We assessed disordered eating using the Eating Attitudes Test, the Eating Disorder Examination-Questionnaire, and the Eating Pathology Symptom Inventory. RESULTS: Vegans displayed more pathological eating behaviours than omnivores, which was significantly predicted by cognitive restraint. However, body dissatisfaction levels were higher in omnivores than vegans. Diet motives did not influence vegans' disordered eating. CONCLUSION: We propose vegans have high levels of cognitive restraint, possibly due to their intention to avoid animal products. In turn, cognitive restraint subscales in eating disorder measures might be over-pathologising rates of eating disorders in vegans. Future research should monitor the progression of people's eating-related attitudes and behaviours before and after they transition to veganism to establish whether veganism increases the risk of disordered eating, or vice versa. LEVEL OF EVIDENCE: IV, cross-sectional study.

Food and alcohol disturbance in a broad age-range adult sample.

Food and alcohol disturbance involves restricting, purging, or excessively exercising to compensate for the calories consumed from drinking alcohol, or to enhance intoxication levels. But these compensatory behaviors, colloquially termed "drunkorexia," have only been investigated in young adult samples-primarily college students-who are presumed to be at risk due to their high episodic drinking rates. Therefore, this study sought preliminary evidence that food and alcohol disturbance occurs in a broader age-range sample of adult drinkers. We recruited 253 participants aged 18 to 76 (Mage = 38.71) from Mechanical Turk. Rates of food and alcohol disturbance (measured by the Compensatory Eating Behaviors in Response to Alcohol Consumption) were high: 64% of the sample endorsed performing at least one compensatory behavior in the past three months. There were no gender differences in overall prevalence, though men were more likely than women to engage in food and alcohol disturbance to enhance intoxication levels. Drinking habits, drinking motivated by conformity, and abnormal eating attitudes were the strongest predictors of food and alcohol disturbance. However, eating attitudes were a stronger predictor of these behaviors in men than women, whilst drinking habits were a stronger predictor of these behaviors in women than men. The high prevalence of food and alcohol disturbance in our broad age-range sample, alongside the far-reaching health consequences of these behaviors, highlights the need for increased awareness in younger, middle, and older adults alike.

The dissociable influence of social context on judgements of facial attractiveness and trustworthiness.

The cheerleader effect occurs when the same face is rated to be more attractive when it is seen in a group compared to when seen alone. We investigated whether this phenomenon also occurs for trustworthiness judgements, and examined how these effects are influenced by the characteristics of the individual being evaluated and those of the group they are seen in. Across three experiments, we reliably replicated the cheerleader effect. Most faces became more attractive in a group. Yet, the size of the cheerleader effect that each face experienced was not related to its own attractiveness, nor to the attractiveness of the group or the group's digitally averaged face. We discuss the implications of our findings for the hierarchical encoding and contrast mechanisms that have previously been used to explain the cheerleader effect. Surprisingly, judgements of facial trustworthiness did not experience a 'cheerleader effect'. Instead, we found that untrustworthy faces became significantly more trustworthy in all groups, while there was no change for faces that were already trustworthy alone. Taken together, our results demonstrate that social context can have a dissociable influence on our first impressions, depending on the trait being evaluated.

Patient perceptions, opinions and satisfaction of telehealth with remote blood pressure monitoring postpartum.

BACKGROUND: Our aim was to conduct a post participation survey of respondent experiences with in-home remote patient monitoring via telehealth for blood pressure monitoring of women with postpartum hypertension. We hypothesized that the in-home remote patient monitoring application will be implemented with strong fidelity and have positive patient acceptability. METHODS: This analysis was a planned secondary analysis of a non-randomized controlled trial of telehealth with remote blood pressure patient monitoring for postpartum hypertension compared to standard outpatient monitoring in women with a hypertension-related diagnosis during pregnancy. In collaboration with survey experts, we developed a 41-item web-based survey to assess 1) perception of quality of care received, 2) ease of use/ease to learn the telehealth program, 3) effective orientation of equipment, 4) level of perceived security/privacy utilizing telehealth and 5) problems encountered. The survey included multiple question formats including Likert scale responses, dichotomous Yes/No responses, and free text. We performed a descriptive analysis on all responses and then performed regression analysis on a subset of questions most relevant to the domains of interest. The qualitative data collected through open ended responses was analyzed to determine relevant categories. Intervention participants who completed the study received the survey at the 6-week study endpoint. RESULTS: Sixty six percent of respondents completed the survey. The majority of women found the technology fit easily into their lifestyle. Privacy concerns were minimal and factors that influenced this included age, BMI, marital status, and readmissions. 95% of women preferred remote care for postpartum follow-up, in which hypertensive type, medication use and ethnicity were found to be significant factors in influencing location of follow-up. Most women were satisfied with the devices, but rates varied by hypertensive type, infant discharge rates and BMI. CONCLUSIONS: Postpartum women perceived the telehealth remote intervention was a safe, easy to use method that represented an acceptable burden of care and an overall satisfying method for postpartum blood pressure monitoring. TRIAL REGISTRATION: ClinicalTrials.gov identification number: NCT03111095 Date of registration: April 12, 2017.

Right Hemisphere Memory Bias Does Not Extend to Involuntary Memories for Negative Scenes.

Attention is unequally distributed across the visual field. Due to greater right than left hemisphere activation for visuospatial attention, people attend slightly more to the left than the right side. As a result, people voluntarily remember visual stimuli better when it first appears in the left than the right visual field. But does this effect-termed a right hemisphere memory bias-also enhance involuntary memory? We manipulated the presentation location of 100 highly negative images (chosen to increase the likelihood that participants would experience any involuntary memories) in three conditions: predominantly leftward (right hemisphere bias), predominantly rightward (left hemisphere bias), or equally in both visual fields (bilateral). We measured subsequent involuntary memories immediately and for 3 days after encoding. Contrary to predictions, biased hemispheric processing did not affect short- or long-term involuntary memory frequency or duration. Future research should measure hemispheric differences at retrieval, rather than just encoding.

The ever-changing ideal: The body you want depends on who else you're looking at.

The body positivity movement-celebrating bodies beyond the thin ideal-has gained traction on social media. In an online study of North American women, we aimed to determine how ideal body perceptions shift based on the presentation of more diverse body types. In Study 1, women (n = 115, aged 19-75) responded to arrays of bodies ranging from primarily small to primarily large bodies, selecting the body closest to their ideal body. Results showed that the BMI of the ideal body increased as the body sizes in the array increased. Participants were also less likely to select an underweight ideal when viewing larger bodies. In Study 2, women responded to arrays with either primarily small (n = 132, aged 20-68) or primarily large (n = 130, aged 20-75) bodies. Results suggested that ideal body perceptions only shifted around current societal standards, and not to extremes. The participants presented with the larger-bodied arrays were more likely to select a normal weight ideal body than those who saw the smaller-bodied arrays. Results suggest ideal body size is malleable, and shifting toward a more diverse perception of the ideal body is achievable with increased exposure beyond the thin ideal.

One-handed motor activity does not interfere with naming lateralized pictures of tools.

The motor interference hypothesis posits that performing a secondary motor task with a task relevant effector (e.g., the hand) impairs performance on a primary object-naming task wherein objects are used by the same effector. However, evidence in favor of this hypothesis has been mixed. We sought to replicate findings from a lateralized object-naming paradigm, which supports the motor interference hypothesis, and to expand upon this previous research by also examining handedness. Across four experiments, we examined whether performance on a primary object-naming task is impaired by a secondary motor task where participants either squeezed a ball or continually moved their fingers in and out of a fist posture. We failed to observe any significant effects on either response times or error rates on the primary task. Furthermore, handedness did not influence performance on the primary task. Overall, our findings do not provide strong support for a functional role for motor neural resources in object naming. This could suggest that the motor activation that accompanies object recognition is a byproduct of this process. We also argue for a contextual rather than invariant activation of motor information in object processing tasks and discuss the implications of this view on theories of object conceptual representation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

I'll cry instead: Mu suppression responses to tearful facial expressions.

Tears are a facial expression of emotion that readily elicit empathic responses from observers. It is currently unknown whether these empathic responses to tears are influenced by specific neural substrates. The EEG mu rhythm is one method of investigating the human mirror neuron system, purported to underlie the sharing of affective states and a facilitator of social cognition. The purpose of this research was to explore the mu response to tearful expressions of emotion. Sixty-eight participants viewed happy and sad faces, both with and without tears, in addition to a neutral control condition. Participants first completed an emotion discrimination task, and then an imitation condition where they were required to mimic the displayed expression. Mu enhancement was found in response to the discrimination task, whilst suppression was demonstrated in response to the imitation condition. Examination of the suppression scores revealed that greater suppression was observed in response to happy-tear and sad tear-free expressions. Planned contrasts exploring suppression to neutral faces revealed no significant differences between emotional and neutral conditions. The mu response to neutral expressions resembled that of the happy-tear and the sad tear-free conditions, lending support to the idea that ambiguous emotional expressions require greater sensorimotor engagement. This study provides preliminary evidence for the role of the mirror neuron system in discerning tearful expressions of emotion in the absence of context.

A Call for the Empirical Investigation of Tear Stimuli.

Emotional crying is a uniquely human behavior, which typically elicits helping and empathic responses from observers. However, tears can also be used to deceive. "Crocodile tears" are insincere tears used to manipulate the observer and foster prosocial responses. The ability to discriminate between genuine and fabricated emotional displays is critical to social functioning. When insincere emotional displays are detected, they are most often met with backlash. Conversely, genuine displays foster prosocial responses. However, the majority of crying research conducted to date has used posed stimuli featuring artificial tears. As such it is yet to be determined how the artificial nature of these displays impacts person perception. Throughout this article, we discuss the necessity for empirical investigation of the differences (or similarities) in responses to posed and genuine tearful expressions. We will explore the recent adoption of genuine stimuli in emotion research and review the existing research using tear stimuli. We conclude by offering suggestions and considerations for future advancement of the emotional crying field through investigation of both posed and genuine tear stimuli.

Through Doorways and Down Corridors: Investigating Asymmetries During Computer Maze Navigation.

Pseudoneglect causes neurologically intact individuals to bias their attention to the left in near space, and to the right in far space. These attentional asymmetries impact both ambulatory and non-ambulatory activities, causing individuals to deviate rightward. While most studies investigating real-world navigation have found a rightward deviation when passing through a door, some have found the opposite pattern for corridors. To explore this dissociation, the current experiment explicitly compared navigation through doorways and corridors. To allow for a direct comparison between these two environments, the navigation task was undertaken in a simulated environment. Dextral participants (n = 98) completed several trials in either the doorway or corridor condition and their mean lateral position and variance was analysed. A rightward deviation was observed for doorways, consistent with previous research. Rightward biases were also observed for corridors, irrespective of the position within the corridor. The results argue against an explanation based on near/far space for the leftward bias in corridors. An explanation based on elevation of view is proposed as an alternative. The study also demonstrates that simulated environments provide an efficient means of investigating asymmetries in navigation.

Cognitive load exacerbates rightward biases during computer maze navigation.

Neurologically healthy individuals exhibit subtle attentional asymmetries, such that attention is preferentially directed leftwards for objects in near space and rightwards for objects in far space. These attentional biases also affect navigation and cause people to deviate to the right when passing through an aperture. The current study examined whether the rightward deviations observed in real-world environments translate to simulated environments. As proof of concept and to determine whether rightward biases could be further exacerbated, the degree of cognitive load imposed on participants was manipulated. Experiment 1 asked participants to navigate through the centre of a computer-based doorway. In one block of trials, participants completed the task by itself (baseline condition), while in another block of trials they also completed a simple auditory discrimination task (load condition). While analyses revealed rightward biases for both conditions, the difference between conditions was not significant. Experiment 2 therefore increased the difficulty of the auditory task. Analyses revealed a significant difference between conditions, suggesting that the degree of cognitive load further exacerbates rightward biases, demonstrating that the rightward asymmetries in navigation observed in the real world generalises to a simulated environment and that this phenomenon behaves in a way that is consistent with pseudoneglect.

Lateralized processing of emotional images: A left hemisphere memory deficit.

The right hemisphere plays a critical role in visuospatial attention and emotional perception, particularly for negative emotions. Therefore, preferential processing of emotional stimuli by the right, compared to the left, hemisphere could enhance our memory for emotional stimuli. We examined whether recognition memory for negative versus neutral IAPS images (Experiment 1) and negative versus positive IAPS and NAPS images (Experiment 2) differed depending on initial right or left hemisphere processing-manipulated by presenting images in the left (i.e., right hemisphere) or the right (i.e., left hemisphere) visual field. We tested recognition memory for valence-matched image pairs encoded for 500 ms. We manipulated image valence and visual field of presentation within-participants. In Experiment 1, valence and visual field interacted to influence recognition memory: people recognized negative images encoded from the left visual field (right hemisphere) more accurately than negative images encoded from the right visual field (left hemisphere). There were no visual field differences for neutral images. In Experiment 2, recognition memory for positive and negative images was equally enhanced when these images appeared in the left compared to the right visual field. Our findings suggest preferential right hemisphere processing of visuospatial and emotional information enhances recognition memory for emotional images. We interpret these findings as a left hemisphere memory deficit for emotional images, because right hemisphere processing led to similar recognition memory of emotional as neutral images, whereas left hemisphere processing led to worse recognition memory of emotional than neutral images. These findings aid our understanding of how lateralized functions contribute to emotional processing. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Using the landmark task to test the underlying assumptions of unilateral contraction research.

The unilateral contractions procedure (i.e., squeezing a ball with one hand) supposedly enhances a wide variety of cognitive functions, from episodic recall to choking under pressure. The practicality and affordability of this procedure makes it highly appealing. But does it work? We addressed this question by testing whether intermittent and sustained unilateral contractions shifted a well-supported hemispheric asymmetry: visuospatial attention. Based on prior research, contracting the left (or right) hand should lead baseline scores on the landmark task-a visuospatial attention measure-to deviate further left (or right). We meta-analysed the results of our six experiments and showed that the unilateral contractions procedure, particularly with intermittent contractions, does not reliably shift landmark task scores measured during (Experiments 4-6) or after (Experiments 1-3 & 6) performing unilateral contractions. Although we question if and how unilateral contractions activate the contralateral hemisphere, Experiment 6 provided some support for the utility of sustained contractions.

Left-handers know what's left is right: Handedness and object affordance.

We live in a right-hander's world. Although left-handers become accustomed to using right-handed devices, an underlying preference for objects that afford the dominant hand could remain. We employed eye tracking while left- and right-handed participants viewed advertisements for everyday products. Participants then rated aesthetic appeal, purchase intention, and perceived value. Left-handed participants found advertisements for products that more easily afforded them action to be more aesthetically appealing. They also indicated greater future purchase intention for products that were oriented towards the left hand, and gave these products a higher perceived value. Eye tracking data showed that object handles attracted attention, and were also able to retain participants' attention. Further, across multiple eye movement measures, our data show that participant eye movements were altered by the orientation of the handle, such that this side of the image was examined earlier and for longer, regardless of handedness. Left-handers' preferences might be stronger because they are more aware of object orientation, whereas right-handers do not experience the same difficulties. These findings highlight intrinsic differences in the way in which we perceive objects and our underlying judgments about those products, based on handedness.

Limited evidence of hierarchical encoding in the cheerleader effect.

"The cheerleader effect" refers to the increase in attractiveness that an individual face experiences when seen in a group of other faces. It has been proposed that the cheerleader effect occurs because (a) the visual system rapidly summarises a group of faces into an ensemble representation, (b) which is hypothesised to be highly attractive because of its average facial characteristics, and (c) observers remember individual faces to be more alike the ensemble representation than they were, due to hierarchical structure of visual working memory. Across three experiments, we investigated whether the cheerleader effect is consistent with hierarchical encoding, by asking observers to give attractiveness ratings to the same target faces shown in groups and alone. Consistent with hierarchical encoding, the largest attractiveness increases of 1.5-2.0% occurred when target faces were presented in groups of faces that could be mentally summarised to create an ensemble representation with average facial characteristics. Surprisingly, smaller cheerleader effects still occurred in conditions that were incompatible with hierarchical encoding (i.e., groups with non-human images). Together, these results offer only limited evidence for the role of hierarchical encoding in the cheerleader effect, suggesting that alternative mechanisms must be explored in future research.