Effects of first exposure to plain cigarette packaging on smoking behaviour and attitudes: a randomised controlled study.

BACKGROUND: Plain packaging requires tobacco products to be sold in packs with a standard shape, method of opening and colour, leaving the brand name in a standard font and location. We ran a randomised controlled trial to investigate the impact of plain packaging on smoking behaviour and attitudes. METHODS: In a parallel group randomised trial design, 128 daily smokers smoked cigarettes from their usual UK brand, or a plain Australian brand that was closely matched to their usual UK brand for 24 hours. Primary outcomes were number of cigarettes smoked and volume of smoke inhaled per cigarette. Secondary outcomes were self-reported ratings of motivation to quit, cigarette taste, experience of using the pack, experience of smoking, attributes of the pack, perceptions of the health warning, changes in smoking behaviour, and views on plain packaging. RESULTS: There was no evidence that pack type had an effect on either of the primary measures (ps > 0.279). However, smokers using plain cigarette packs rated the experience of using the pack more negatively (-0.52, 95% CI -0.82 to -0.22, p = 0.001), rated the pack attributes more negatively (-1.59, 95% CI -1.80 to -1.39, p < 0.001), and rated the health warning as more impactful (+0.51, 95% CI 0.24 to 0.78, p < 0.001). CONCLUSIONS: Plain cigarette packs reduce ratings of the experience of using the cigarette pack, and ratings of the pack attributes, and increase the self-perceived impact of the health warning, but do not change smoking behaviour, at least in the short term. TRIAL REGISTRATION: Current Controlled Trials ISRCTN52982308. Registered 27 June 2013.

Line bisection by eye and by hand reveal opposite biases.

The vision-for-action literature favours the idea that the motor output of an action-whether manual or oculomotor-leads to similar results regarding object handling. Findings on line bisection performance challenge this idea: healthy individuals bisect lines manually to the left of centre and to the right of centre when using eye fixation. In case that these opposite biases for manual and oculomotor action reflect more universal compensatory mechanisms that cancel each other out to enhance overall accuracy, one would like to observe comparable opposite biases for other material. In the present study, we report on three independent experiments in which we tested line bisection (by hand, by eye fixation) not only for solid lines, but also for letter lines; the latter, when bisected manually, is known to result in a rightward bias. Accordingly, we expected a leftward bias for letter lines when bisected via eye fixation. Analysis of bisection biases provided evidence for this idea: manual bisection was more rightward for letter as compared to solid lines, while bisection by eye fixation was more leftward for letter as compared to solid lines. Support for the eye fixation observation was particularly obvious in two of the three studies, for which comparability between eye and hand action was increasingly adjusted (paper-pencil versus touch screen for manual action). These findings question the assumption that ocular motor and manual output are always inter-changeable, but rather suggest that at least for some situations ocular motor and manual output biases are orthogonal to each other, possibly balancing each other out.

Using eye movements to explore switch costs in working memory.

Updating object locations in working memory (WM) is faster when the same object is updated twice in a row compared to updating another object. In analogy to repetition priming effects in perceptual attention, this object-switch cost in WM is thought of as being due to the necessity to shift attention internally from one object to another. However, evidence for this hypothesis is only indirect. Here, we used eye tracking and a classic model of perceptual attention to get a more direct handle on the different processes underlying switch costs in spatial WM. Eye-movement data revealed three different contributors to switch costs. First, overt attention was attracted initially towards locations of the previously updated object. Second, longer fixation periods preceded eye movements between locations of different objects as compared to (previous and new) locations of the same object, most likely due to disengaging and reorienting focal attention between objects. Third, longer dwell times at the to-be-updated location preceded manual responses for switch updates as compared to repeats, probably indicating increased uncertainty between competing sources of activity after the actual attention shift. Results can easily be interpreted with existing (perceptual) attention models that propose competitive activation in an attention map for target objects.

Nature benefits revisited: Differences in gait kinematics between nature and urban images disappear when image types are controlled for likeability.

Exposure to urban environments requires more cognitive processing than exposure to nature; an effect that can even be measured analysing gait kinematics whilst people walk towards photographic images. Here, we investigated whether differences in cognitive load between nature and urban scenes are still present when scenes are matched for their liking scores. Participants were exposed to images of nature and urban scenes that had been matched a priori for their liking scores by an independent participant sample (n = 300). Participants (N = 44) were either asked to memorise each image during walking or to rate each image for its visual discomfort after each walk. Irrespective of experimental task, liking score but not environment type predicted gait velocity. Moreover, subjective visual discomfort was predictive of gait velocity. The positive impact of nature described in the literature thus might, at least in part, be due to people's aesthetic preferences for nature images.

Walking on Visual Illusions.

In nature, sensory and physical characteristics of the environment tend to match; for example, a surface that looks bumpy is bumpy. In human-built environments, they often don't. Here, we report observations from people exploring if mismatch between visual and physical characteristics affected their perceived walking experience. Participants walked across four flat floors, each comprising of a visual illusion: two patterns perceived as alternating 3D "furrows and ridges," the Primrose Field illusion, and a variant of the Cafe Wall illusion as a control pattern without perceived 3D effects. Participants found all patterns intriguing to look at; some describing them as "playful" or "gentle." More than half found some of the patterns uncomfortable to walk on, aversive, affecting walking stability, and occasionally even evoking fear of falling. These experiences raise crucial research questions for the vision sciences into the impact of architectural design on well-being and walkability.

Avoidance of tobacco health warnings? An eye-tracking approach.

AIMS: Among three eye-tracking studies, we examined how cigarette pack features affected visual attention and self-reported avoidance of and reactance to warnings. DESIGN: Study 1: smoking status × warning immediacy (short-term versus long-term health consequences) × warning location (top versus bottom of pack). Study 2: smoking status × warning framing (gain-framed versus loss-framed) × warning format (text-only versus pictorial). Study 3: smoking status × warning severity (highly severe versus moderately severe consequences of smoking). SETTING: University of Bristol, UK, eye-tracking laboratory. PARTICIPANTS: Study 1: non-smokers (n = 25), weekly smokers (n = 25) and daily smokers (n = 25). Study 2: non-smokers (n = 37), smokers contemplating quitting (n = 37) and smokers not contemplating quitting (n = 43). Study 3: non-smokers (n = 27), weekly smokers (n = 26) and daily smokers (n = 26). MEASUREMENTS: For all studies: visual attention, measured as the ratio of the number of fixations to the warning versus the branding, self-reported predicted avoidance of and reactance to warnings and for study 3, effect of warning on quitting motivation. FINDINGS: Study 1: greater self-reported avoidance [mean difference (MD) = 1.14; 95% confidence interval (CI) = 0.94, 1.35, P < 0.001, ηp2  = 0.64] and visual attention (MD = 0.89, 95% CI = 0.09, 1.68, P = 0.03, ηp2  = 0.06) to long-term warnings, but not for reactance (MD = 0.14, 95% CI = -0.04, 0.32, P = 0.12, ηp2  = 0.03). Increased visual attention to warnings on the upper versus lower half of the pack (MD = 1.8; 95% CI = 0.33, 3.26, P = 0.02, ηp2  = 0.08). Study 2: higher self-reported avoidance of (MD = 0.70; 95% CI = 0.59,0.80, P < 0.001, ηp2  = 0.61) and reactance to (MD = 0.37; 95% CI = 0.27, 0.47, P < 0.001, ηp2  = 0.34) loss-framed warnings but little evidence of a difference for visual attention (MD = 0.52; 95% CI = -0.54, 1.58, P = 0.30, ηp2  = 0.01). Greater visual attention, avoidance and reactance to pictorial versus text-only warnings (all Ps < 0.001, ηp2  > 0.25). Study 3: greater self-reported avoidance of (MD = 0.37; 95% CI = 0.25, 0.48, P < 0.001, ηp2  = 0.33) and reactance to (MD = 0.14; 95% CI = 0.05, 0.23, P = 0.003, ηp2  = 0.11) highly severe warnings but findings were inconclusive as to whether there was a difference in visual attention (MD = -0.55; 95% CI = -1.5, 0.41, P = 0.24, ηp2  = 0.02). CONCLUSIONS: Subjective and objective (eye-tracking) measures of avoidance of health warnings on cigarette packs produce different results, suggesting these measure different constructs. Visual avoidance of warnings indicates low-level disengagement with warnings, while self-reported predicted avoidance reflects higher-level engagement with warnings.

The neural mechanisms of learning from competitors.

Learning from competitors poses a challenge for existing theories of reward-based learning, which assume that rewarded actions are more likely to be executed in the future. Such a learning mechanism would disadvantage a player in a competitive situation because, since the competitor's loss is the player's gain, reward might become associated with an action the player should themselves avoid. Using fMRI, we investigated the neural activity of humans competing with a computer in a foraging task. We observed neural activity that represented the variables required for learning from competitors: the actions of the competitor (in the player's motor and premotor cortex) and the reward prediction error arising from the competitor's feedback. In particular, regions positively correlated with the unexpected loss of the competitor (which was beneficial to the player) included the striatum and those regions previously implicated in response inhibition. Our results suggest that learning in such contexts may involve the competitor's unexpected losses activating regions of the player's brain that subserve response inhibition, as the player learns to avoid the actions that produced them.

What makes cast shadows hard to see?

Visual search is slowed for cast shadows lit from above, as compared to the same search items inverted and so not interpreted as shadows (R. A. Rensink & P. Cavanagh, 2004). The underlying mechanisms for such impaired shadow processing are still not understood. Here we investigated the processing levels at which this shadow-related slowing might operate, by examining its interaction with a range of different phenomena including eye movements, perceptual learning, and stimulus presentation context. The data demonstrated that the shadow mechanism affects the number of saccades during the search rather than the duration until first saccade onset and can be overridden by prolonged training, which then transfers from one type of shadow stimulus to another. Shadow-related slowing did not differ for peripheral and central search items but was reduced when participants searched unilateral displays as compared to bilateral ones. Together our findings suggest that difficulties with perceiving shadows are due to visual processes linked to object recognition, rather than to shadow-specific identification and suppression mechanisms in low-level sensory visual areas. Findings are discussed in the context of the need for the visual system to distinguish between illumination and material.

Using smartphone accelerometry to assess the relationship between cognitive load and gait dynamics during outdoor walking.

Research has demonstrated that an increase in cognitive load can result in increased gait variability and slower overall walking speed, both of which are indicators of gait instability. The external environment also imposes load on our cognitive systems; however, most gait research has been conducted in a laboratory setting and little work has demonstrated how load imposed by natural environments impact gait dynamics during outdoor walking. Across four experiments, young adults were exposed to varying levels of cognitive load while walking through indoor and outdoor environments. Gait dynamics were concurrently recorded using smartphone-based accelerometry. Results suggest that, during indoor walking, increased cognitive load impacted a range of gait parameters such as step time and step time variability. The impact of environmental load on gait, however, was not as pronounced, with increased load associated only with step time changes during outdoor walking. Overall, the present work shows that cognitive load is related to young adult gait during both indoor and outdoor walking, and importantly, smartphones can be used as gait assessment tools in environments where gait dynamics have traditionally been difficult to measure.

Psychiatric framing affects positive but not negative schizotypy scores in psychology and medical students.

When testing risk for psychosis, we regularly rely on self-report questionnaires. Yet, the more that people know about this condition, the more they might respond defensively, in particular with regard to the more salient positive symptom dimension. In two studies, we investigated whether framing provided by questionnaire instructions might modulate responses on self-reported positive and negative schizotypy. The O-LIFE (UK study) or SPQ (New Zealand study) questionnaire was framed in either a "psychiatric", "creativity", or "personality" (NZ only) context. We tested psychology students (without taught knowledge about psychosis) and medical students (with taught knowledge about psychosis; UK only). We observed framing effects in psychology students in both studies: positive schizotypy scores were lower after the psychiatric compared to the creativity instruction. However, schizotypy scores did not differ between the creativity and personality framing conditions, suggesting that the low scores with psychiatric framing reflect defensive responding. The same framing effect was also observed in medical students, despite their lower positive schizotypy scores overall. Negative schizotypy scores were not affected by framing in either study. These results highlight the need to reduce response biases when studying schizotypy, because these might blur schizotypy-behaviour relationships.

Neural mechanisms underlying visual attention to health warnings on branded and plain cigarette packs.

AIMS: To (1) test if activation in brain regions related to reward (nucleus accumbens) and emotion (amygdala) differ when branded and plain packs of cigarettes are viewed, (2) test whether these activation patterns differ by smoking status and (3) examine whether activation patterns differ as a function of visual attention to health warning labels on cigarette packs. DESIGN: Cross-sectional observational study combining functional magnetic resonance imaging (fMRI) with eye-tracking. Non-smokers, weekly smokers and daily smokers performed a memory task on branded and plain cigarette packs with pictorial health warnings presented in an event-related design. SETTING: Clinical Research and Imaging Centre, University of Bristol, UK. PARTICIPANTS: Non-smokers, weekly smokers and daily smokers (n = 72) were tested. After exclusions, data from 19 non-smokers, 19 weekly smokers and 20 daily smokers were analysed. MEASUREMENTS: Brain activity was assessed in whole brain analyses and in pre-specified masked analyses in the amygdala and nucleus accumbens. On-line eye-tracking during scanning recorded visual attention to health warnings. FINDINGS: There was no evidence for a main effect of pack type or smoking status in either the nucleus accumbens or amygdala, and this was unchanged when taking account of visual attention to health warnings. However, there was evidence for an interaction, such that we observed increased activation in the right amygdala when viewing branded as compared with plain packs among weekly smokers (P = 0.003). When taking into account visual attention to health warnings, we observed higher levels of activation in the visual cortex in response to plain packaging compared with branded packaging of cigarettes (P = 0.020). CONCLUSIONS: Based on functional magnetic resonance imaging and eye-tracking data, health warnings appear to be more salient on 'plain' cigarette packs than branded packs.

A method for detecting characteristic patterns in social interactions with an application to handover interactions.

Social interactions are a defining behavioural trait of social animals. Discovering characteristic patterns in the display of such behaviour is one of the fundamental endeavours in behavioural biology and psychology, as this promises to facilitate the general understanding, classification, prediction and even automation of social interactions. We present a novel approach to study characteristic patterns, including both sequential and synchronous actions in social interactions. The key concept in our analysis is to represent social interactions as sequences of behavioural states and to focus on changes in behavioural states shown by individuals rather than on the duration for which they are displayed. We extend techniques from data mining and bioinformatics to detect frequent patterns in these sequences and to assess how these patterns vary across individuals or changes in interaction tasks. To illustrate our approach and to demonstrate its potential, we apply it to novel data on a simple physical interaction, where one person hands a cup to another person. Our findings advance the understanding of handover interactions, a benchmark scenario for social interactions. More generally, we suggest that our approach permits a general perspective for studying social interactions.

Luminosity--a perceptual "feature" of light-emitting objects?

Light-emitting objects are perceived as qualitatively different from light-reflecting objects, and the two categories elicit different cortical activity. However, it is unclear whether object luminosity is treated as an independent visual feature, comparable to orientation, motion or colour. Visual search tasks revealed that light-emitting targets led to efficient search when presented with light-reflecting distractors of similar luminance, but this efficiency was induced by the presence of luminance gradients producing the percept of luminosity rather than by luminosity itself. This implies that luminance gradients (not object luminosity) are encoded as features, questioning the existence of specific sensory mechanisms to detect light-emitting objects.

Iconic Gestures for Robot Avatars, Recognition and Integration with Speech.

Co-verbal gestures are an important part of human communication, improving its efficiency and efficacy for information conveyance. One possible means by which such multi-modal communication might be realized remotely is through the use of a tele-operated humanoid robot avatar. Such avatars have been previously shown to enhance social presence and operator salience. We present a motion tracking based tele-operation system for the NAO robot platform that allows direct transmission of speech and gestures produced by the operator. To assess the capabilities of this system for transmitting multi-modal communication, we have conducted a user study that investigated if robot-produced iconic gestures are comprehensible, and are integrated with speech. Robot performed gesture outcomes were compared directly to those for gestures produced by a human actor, using a within participant experimental design. We show that iconic gestures produced by a tele-operated robot are understood by participants when presented alone, almost as well as when produced by a human. More importantly, we show that gestures are integrated with speech when presented as part of a multi-modal communication equally well for human and robot performances.

Cortical distinction between the neural encoding of objects that appear to glow and those that do not.

Objects that appear to glow appear very different from those that do not. However, the neural representation of glow has not been investigated. We present data from an fMRI study which suggest that an extra-striate visual area is involved in the encoding of glowing stimuli, and that this activation does not arise from luminance or contrast factors. Possible functional reasons for the existence of such an area are discussed.

Idiosyncratic initiation of saccadic face exploration in humans.

Visual processing and subsequent action are limited by the effectiveness of eye movement control: where the eyes fixate determines what part of the visual environment is seen in detail. Visual exploration consists of stereotypical sequences of saccadic eye movements which are known to depend upon both external factors, such as visual stimulus features, and internal cognition-related factors, such as attention and memory. However, how these two factors are balanced is unknown. One determinant might be the familiarity or ecological importance of the visual stimulus being explored. Recordings of saccades for human face stimuli revealed that their exploration was subject to strong individual biases for the initial saccade direction: subjects tended to look first to one particular side. We attribute this to internal factors. In contrast, exploration of landscapes, fractals or inverted faces showed no significant direction bias for initial saccades, suggesting more externally driven exploration patterns. Thus the balance between external and internal factors in scene exploration depends on stimulus type. An analysis of saccade latencies suggested that this individual preference for first saccade direction during face exploration leads to higher effectiveness through automation. The findings have implications for the understanding of both normal and abnormal eye movements.

Does contextual information influence positive and negative schizotypy scores in healthy individuals? The answer is maybe.

Defensive responding in schizotypy questionnaires might depend on context. Students completed a schizotypy questionnaire in a "psychiatric" context or a "creativity" context. Positive, but not negative, schizotypy scores were lower in the psychiatry than in the creativity group, but findings applied mainly to male participants. The implications of these findings are critically discussed.

Selection in spatial working memory is independent of perceptual selective attention, but they interact in a shared spatial priority map.

We examined the relationship between the attentional selection of perceptual information and of information in working memory (WM) through four experiments, using a spatial WM-updating task. Participants remembered the locations of two objects in a matrix and worked through a sequence of updating operations, each mentally shifting one dot to a new location according to an arrow cue. Repeatedly updating the same object in two successive steps is typically faster than switching to the other object; this object switch cost reflects the shifting of attention in WM. In Experiment 1, the arrows were presented in random peripheral locations, drawing perceptual attention away from the selected object in WM. This manipulation did not eliminate the object switch cost, indicating that the mechanisms of perceptual selection do not underlie selection in WM. Experiments 2a and 2b corroborated the independence of selection observed in Experiment 1, but showed a benefit to reaction times when the placement of the arrow cue was aligned with the locations of relevant objects in WM. Experiment 2c showed that the same benefit also occurs when participants are not able to mark an updating location through eye fixations. Together, these data can be accounted for by a framework in which perceptual selection and selection in WM are separate mechanisms that interact through a shared spatial priority map.

How visual perceptual grouping influences foot placement.

Everybody would agree that vision guides locomotion; but how does vision influence choice when there are different solutions for possible foot placement? We addressed this question by investigating the impact of perceptual grouping on foot placement in humans. Participants performed a stepping stone task in which pathways consisted of target stones in a spatially regular path of foot falls and visual distractor stones in their proximity. Target and distractor stones differed in shape and colour so that each subset of stones could be easily grouped perceptually. In half of the trials, one target stone swapped shape and colour with a distractor in its close proximity. We show that in these 'swapped' conditions, participants chose the perceptually groupable, instead of the spatially regular, stepping location in over 40% of trials, even if the distance between perceptually groupable steps was substantially larger than normal step width/length. This reveals that the existence of a pathway that could be traversed without spatial disruption to periodic stepping is not sufficient to guarantee participants will select it and suggests competition between different types of visual input when choosing foot placement. We propose that a bias in foot placement choice in favour of visual grouping exists as, in nature, sudden changes in visual characteristics of the ground increase the uncertainty for stability.