How do socioeconomic attainment gaps in early mathematical ability arise?

Socioeconomic attainment gaps in mathematical ability are evident before children begin school, and widen over time. Little is known about why early attainment gaps emerge. Two cross-sectional correlational studies were conducted in 2018-2019 with socioeconomically diverse preschoolers, to explore four factors that might explain why attainment gaps arise: working memory, inhibitory control, verbal ability, and frequency of home mathematical activities (N = 304, 54% female; 84% White, 10% Asian, 1% black African, 1% Kurdish, 4% mixed ethnicity). Inhibitory control and verbal ability emerged as indirect factors in the relation between socioeconomic status and mathematical ability, but neither working memory nor home activities did. We discuss the implications this has for future research to understand, and work towards narrowing attainment gaps.

Parent Training for ADHD: No Generalization of Effects From Clinical to Neuropsychological Outcomes in a Randomized Controlled Trial.

OBJECTIVE: We examined whether neuropsychological function in ADHD can be improved by the New Forest Parenting Programme (NFPP), that combines standard parenting strategies with self-regulatory skills training, or predict ADHD and quality of life (QoL) treatment effects. METHOD: Participants were 93 medication-naive preschool children with ADHD (3-7 years) randomized to either NFPP (n = 49) or treatment as usual (TAU; n = 44) in a recent randomized trial. Laboratory measures of executive function, reaction time variability, and delay of gratification were collected along with parent ratings of ADHD and QoL at baseline and post treatment. Ratings were collected again at 3-month follow-up. RESULTS: NFPP did not improve neuropsychological function (compared to TAU), and baseline neuropsychological function did not predict treatment-related ADHD or QoL effects. CONCLUSION: Although NFPP includes a neuropsychological training element and has been shown to improve several clinical outcomes, it did not improve the neuropsychological functions it targets.

The Effect of Social Presence on Mentalizing Behavior.

Our behavior is frequently influenced by those around us. However, the majority of social cognition research is conducted using socially isolated paradigms, without the presence of real people (i.e., without a "social presence"). The current study aimed to test the influence of social presence upon a measure of mentalizing behavior in adults. Study 1 used a first-order theory of mind task; and study 2 used a second-order theory of mind task. Both studies included two conditions: live, where the task protagonists were physically present acting out the task, or recorded, where the same task protagonists demonstrated the task in a video recording. In both experiments, participants were affected by the social presence and demonstrated significantly different patterns of behavior in response to the presence of real people. This study, therefore, highlights the critical importance of understanding the effect of a social presence in mentalizing research, and suggests that the inclusion of a social presence needs to be given strong consideration across social cognition paradigms.

Why are some inhibitory tasks easy for preschool children when most are difficult? Testing two hypotheses.

Understanding the processes that create inhibitory demands is central to understanding the role of inhibitory control in all aspects of development. The processes that create inhibitory demands on most developmental tasks seem clear and well understood. However, there is one inhibitory task that appears substantially easier than the others: the Reverse Categorization task, in which children are asked to "reverse sort" items (e.g., put large items in a small box and put small items in a large box). This finding is both surprising and problematic because it cannot be explained by any existing account of inhibitory development. Four experiments with 3- and 4-year-olds sought to explain why the Reverse Categorization task is easy. Two experiments (N = 64) investigated the hypothesis that children conceptualize the task in a way that reduces its inhibitory demands; and two experiments (N = 56) tested the hypothesis that the task is easier because children sort items slowly. The data indicate that children spontaneously respond more slowly on the Reverse Categorization task than on other inhibitory tasks and that this slowing reduces the task's cognitive demands. The way in which slowed responding works, and its relation to other inhibition-reducing interventions, is discussed.

Can We Boost Preschoolers' Inhibitory Performance Just by Changing the Way They Respond?

Changing the way children make their response appears to sometimes, but not always, boost their inhibitory control-though interpreting existing findings is hampered by inconsistent methods and results. This study investigated the effects of delaying, and changing, the means of responding. Ninety-six preschoolers (Mage 46 months) completed tasks assessing inhibitory control, counterfactual reasoning, strategic reasoning, and false belief understanding. Children responded either immediately or after a delay, and either by pointing with their finger, or with a hand-held arrow. Delaying boosted performance on all tasks except false belief understanding; arrow-pointing only improved strategic reasoning. It is suggested that delay helps children work out the correct response; it is unlikely to help on tasks where this requirement is absent.

Implementation of an interdisciplinary tracheostomy care protocol to decrease rates of tracheostomy-related pressure ulcers and injuries.

OBJECTIVES: Tracheostomy-related pressure injuries (TRPI) have been demonstrated to occur in approximately 10% of tracheostomy patients. In this study, we present TRPI outcomes after implementation of a standardized tracheostomy care protocol. METHODS: A tracheostomy care protocol was developed by an interdisciplinary quality improvement program and implemented on July 1, 2016. The protocol was designed to minimize factors that contribute to the development of TRPI. Rates of TRPI over the subsequent 20 months were compared to the year before implementation. RESULTS: 9 out of 85 patients (10.6%) developed TRPI in the pre-protocol cohort compared to 0 of 137 (0%) in the post-protocol cohort, which was a statistically significant decrease by Fisher's exact test with a p-value of 0.0001. Pearson's correlation coefficient demonstrated a negative correlation between age and post-operative day of diagnosis (r = -0.641, p = 0.063), indicating that older patients develop TRPI more quickly. CONCLUSIONS: Interdisciplinary peri-operative tracheostomy care protocols can be effective in decreasing rates of TRPI.

The Role of Executive Functions in Socioeconomic Attainment Gaps: Results From a Randomized Controlled Trial.

The socioeconomic attainment gap in mathematics starts early and increases over time. This study aimed to examine why this gap exists. Four-year-olds from diverse backgrounds were randomly allocated to a brief intervention designed to improve executive functions (N = 87) or to an active control group (N = 88). The study was preregistered and followed CONSORT guidelines. Executive functions and mathematical skills were measured at baseline, 1 week, 3 months, 6 months, and 1 year posttraining. Executive functions mediated the relation between socioeconomic status and mathematical skills. Children improved over training, but this did not transfer to untrained executive functions or mathematics. Executive functions may explain socioeconomic attainment gaps, but cognitive training directly targeting executive functions is not an effective way to narrow this gap.

Understanding Early Inhibitory Development: Distinguishing Two Ways That Children Use Inhibitory Control.

Inhibitory control is the capacity to suppress inappropriate responses. It is central to many aspects of development, most notably executive function and effortful control. Despite its importance, however, there are significant gaps in our understanding of inhibitory control's early development, and several findings that remain hard to explain. Here, a new account of inhibitory control is presented, explaining previous findings by distinguishing between two distinct ways that inhibitory control is used. According to this "Strength/Endurance" account, inappropriate responses which are highly prepotent tax inhibitory strength; whereas inappropriate responses which remain active for a long time tax inhibitory endurance. The developmental trajectories of these two aspects of inhibitory control, and their separate impacts on broader development, are discussed.

Elevated Depressive Symptoms Among Hired Crop Workers in the United States: Variation by Sociodemographic and Employment Characteristics.

We present prevalence rates, along with demographic and economic characteristics associated with elevated depressive symptoms (EDS), in a nationally representative sample of hired crop workers in the United States. We analyzed in-person interviews with 3,691 crop workers collected in 2009-2010 as part of a mental health and psychosocial supplement to the National Agricultural Workers Survey. The prevalence of EDS was 8.3% in men and 17.1% in women. For men, multivariate analysis showed that EDS was associated with years of education, family composition, having a great deal of difficulty being separated from family, having fair or poor general health, ability to read English, fear of being fired from their current farm job, and method of payment (piece, salary, or a combination). Interactions were found between region of the country and family composition. Multivariate analyses for women showed that fear of being fired, fair or poor general health, having children ≤15 years of age, being unaccompanied by their nuclear family, expectation for length of time continuing to do farm work in the United States, and authorization status were associated with EDS. Interactions were found with Hispanic ethnicity and region of the country, as well as presence of the nuclear family and region. The present study identifies important risk factors in this first population-based assessment of EDS in a nationally representative sample of U.S. crop workers. The importance of social support from family, job insecurity, and high prevalence of EDS in female crop workers support the need for screening and outreach in this primarily rural group of men and women crop workers.

Not All Distractions Are the Same: Investigating Why Preschoolers Make Distraction Errors When Switching.

When switching between tasks, preschoolers frequently make distraction errors-as distinct from perseverative errors. This study examines for the first time why preschoolers make these errors. One hundred and sixty-four 2- and 3-year-olds completed one of four different conditions on a rule-switching task requiring children to sort stimuli according to one rule and then switch to a new rule. Conditions varied according to the type of information that children needed to ignore. Children made significantly more distraction errors when the to-be-ignored information was related to the previous rule. When it was not related to a previous rule, even young preschoolers could disregard this information. This demonstrates that distraction errors are caused by children's initial goal representations that continue to affect performance.

Young children can overcome their weak inhibitory control, if they conceptualize a task in the right way.

This article investigates the process of task conceptualization, through which participants turn the instructions on a task into a mental representation of that task. We provide the first empirical evidence that this process of conceptualization can directly influence the inhibitory demands of a task. Data from Experiments 1 and 2 (both n = 24) suggested that robust difficulties on inhibitory tasks can be overcome if preschoolers conceptualize the tasks in a way that avoids the need for inhibitory control. Experiment 3 (n = 60) demonstrated that even when all other aspects of a task are identical, simply changing how the rules are introduced can influence whether such a conceptualization is adopted - thereby influencing children's performance on the task. An appreciation of the process of conceptualization is essential for our understanding of how inhibitory control and knowledge interact in early development.

Neural Correlates of Response Inhibition in Early Childhood: Evidence From a Go/No-Go Task.

We examined the neural correlates underlying response inhibition in early childhood. Five-year-old children completed a Go/No-go task with or without time pressure (Fast vs. Slow condition) while scalp EEG was recorded. On No-go trials where inhibition was required, the left frontal N2 and posterior P3 were enhanced relative to Go trials. Time pressure was detrimental to behavioral performance and modulated the early-occurring P1 component. The topography of ERPs related to response inhibition differed from patterns typically seen in adults, and may indicate a compensatory mechanism to make up for immature inhibition networks in children.

Where does prepotency come from on developmental tests of inhibitory control?

Understanding the processes that make responses prepotent is central to understanding the role of inhibitory control in cognitive development. The question of what makes responses prepotent was investigated using the two most widely studied measures of preschoolers' inhibitory control. Across two experiments, 80 children were tested either on a series of stimulus-response compatibility (SRC) tasks or on a series of Go/No-go tasks. Results indicated that high levels of prepotency on SRC tasks (such as the Day/Night task) occur only under specific conditions; making a verbal response can be highly prepotent if the stimulus and response are associated with each other (e.g., saying "cup" to a cup) but is less prepotent when they are unassociated (e.g., saying "cup" to a doorstop). Action responses (e.g., lifting a cup to your mouth) show little prepotency irrespective of whether the stimulus and response are associated. In contrast, with Go/No-go tasks, a much wider variety of behaviors are highly prepotent regardless of whether the stimulus and response are associated. These data suggest that prepotency arises in very different ways, depending on the type of task used. Although both Go/No-go tasks and SRC tasks can make inhibitory demands, they do so for fundamentally different reasons.

The feasibility of pediatric TORS for lingual thyroglossal duct cyst.

A six-year-old boy who presented with symptoms of obstructive sleep apnea was found to have a midline tongue mass suspicious for lingual thyroglossal duct cyst (TGDC). Surgery was scheduled after workup confirmed the presence of functional, orthotopic thyroid tissue. The surgical robot was used to excise the mass endoscopically without removing any hyoid. He was extubated at the conclusion of the case. The child tolerated a soft diet and was discharged after an uneventful overnight stay in the ICU. Pathology confirmed TGDC. There have been no reported issues in eleven months of follow-up. Our report adds to the scarce literature on performing such a surgery in a child and demonstrates that with the correct circumstances, prompt extubation, discharge, and prolonged remission are possible.

Different Executive Functions Support Different Kinds of Cognitive Flexibility: Evidence From 2-, 3-, and 4-Year-Olds.

Improvements in cognitive flexibility during the preschool years have been linked to developments in both working memory and inhibitory control, though the precise contribution of each remains unclear. In the current study, one hundred and twenty 2-, 3-, and 4-year-olds completed two rule-switching tasks. In one version, children switched rules in the presence of conflicting information, and in the other version, children switched rules in the presence of distracting information. Switching in the presence of conflict improved rapidly between the ages of 3 and 3.5 years, and was associated with better working memory. Conversely, switching in the presence of distraction developed significantly between the ages of 2 and 3 years, and was associated with better inhibitory control.

A Short Executive Function Training Program Improves Preschoolers' Working Memory.

Cognitive training has been shown to improve executive functions (EFs) in middle childhood and adulthood. However, fewer studies have targeted the preschool years-a time when EFs undergo rapid development. The present study tested the effects of a short four session EF training program in 54 four-year-olds. The training group significantly improved their working memory from pre-training relative to an active control group. Notably, this effect extended to a task sharing few surface features with the trained tasks, and continued to be apparent 3 months later. In addition, the benefits of training extended to a measure of mathematical reasoning 3 months later, indicating that training EFs during the preschool years has the potential to convey benefits that are both long-lasting and wide-ranging.

Attentional processes in low-socioeconomic status bilingual children: are they modulated by the amount of bilingual experience?

Recent research indicates that bilingual children are more proficient in resolving cognitive conflict than monolinguals. However, the replicability of such findings has been questioned, with poor control of participants' socioeconomic status (SES) as a possible confounding factor. Two experiments are reported here, in which the main attentional functions and pragmatic ability of 54 bilingual and 56 monolingual low-SES children were assessed (Experiment 1: 6- to 12-year-olds; Experiment 2: 6- to 8-year-olds). A language-switching task was also employed, to measure bilingual proficiency. Overall, the monolingual and bilingual groups did not differ significantly in any of the tasks employed, although the ability to resolve conflict was related to children's level of bilingual experience.

Evaluating Job Demands and Control Measures for Use in Farm Worker Health Surveillance.

Workplace stress likely plays a role in health disparities; however, applying standard measures to studies of immigrants requires thoughtful consideration. The goal of this study was to determine the appropriateness of two measures of occupational stressors ('decision latitude' and 'job demands') for use with mostly immigrant Latino farm workers. Cross-sectional data from a pilot module containing a four-item measure of decision latitude and a two-item measure of job demands were obtained from a subsample (N = 409) of farm workers participating in the National Agricultural Workers Survey. Responses to items for both constructs were clustered toward the low end of the structured response-set. Percentages of responses of 'very often' and 'always' for each of the items were examined by educational attainment, birth country, dominant language spoken, task, and crop. Cronbach's α, when stratified by subgroups of workers, for the decision latitude items were (0.65-0.90), but were less robust for the job demands items (0.25-0.72). The four-item decision latitude scale can be applied to occupational stress research with immigrant farm workers, and potentially other immigrant Latino worker groups. The short job demands scale requires further investigation and evaluation before suggesting widespread use.

Primed to be inflexible: the influence of set size on cognitive flexibility during childhood.

One of the hallmarks of human cognition is cognitive flexibility, the ability to adapt thoughts and behaviors according to changing task demands. Previous research has suggested that the number of different exemplars that must be processed within a task (the set size) can influence an individual's ability to switch flexibly between different tasks. This paper provides evidence that when tasks have a small set size, children's cognitive flexibility is impaired compared to when tasks have a large set size. This paper also offers insights into the mechanism by which this effect comes about. Understanding how set size interacts with task-switching informs the debate regarding the relative contributions of bottom-up priming and top-down control processes in the development of cognitive flexibility. We tested two accounts for the relationship between set size and cognitive flexibility: the (bottom-up) Stimulus-Task Priming account and the (top-down) Rule Representation account. Our findings offered support for the Stimulus-Task Priming account, but not for the Rule Representation account. They suggest that children are susceptible to bottom-up priming caused by stimulus repetition, and that this priming can impair their ability to switch between tasks. These findings make important theoretical and practical contributions to the executive function literature: theoretically, they show that the basic features of a task exert a significant influence on children's ability to flexibly shift between tasks through bottom-up priming effects. Practically, they suggest that children's cognitive flexibility may have been underestimated relative to adults', as paradigms used with children typically have a smaller set size than those used with adults. These findings also have applications in education, where they have the potential to inform teaching in key areas where cognitive flexibility is required, such as mathematics and literacy.

What's so special about verbal imitation? Investigating the effect of modality on automaticity in children.

Young children experience difficulty across a wide variety of situations that require them to suppress automatic responses. Verbal imitation, in contrast, is easy for children to suppress. This is all the more surprising because data from adult studies appear to be at odds with this observation. In two experiments, we investigated whether this surprising developmental finding with verbal imitation reflects a more general phenomenon-relating either to verbal responses or to auditory stimuli-or whether verbal imitation itself represents a unique case. In Experiment 1 (N=24), it was found that verbal responses were not inherently easier for 3-year-olds to inhibit than manual responses. Experiment 2 (N=24) showed that auditory stimuli did not evoke less automatic activation than visual stimuli. Taken together, these data suggest that verbal imitation is unique, or at least unusual, in being particularly easy for children to resist. It is suggested that the automaticity of verbal imitation may develop slowly and that the relation between word complexity and automaticity is likely to be a fruitful topic of further investigation.