The Production Effect Becomes Spatial.

In the verbal domain, it is well established that words read aloud are better remembered than their silently read counterparts. It has been hypothesized that this production effect stems from the addition of distinctive features, with the caveat that the processing that generates added features interferes with rehearsal. Here, we tested the idea that a similar trade-off is found in the visuospatial domain. In all experiments, a short series of single dots sequentially appeared at various locations on a screen. Participants produced the items by clicking on them at presentation, watched the items appear quietly, or produced an irrelevant click after each item to better even out rehearsal opportunities between produced and control conditions. In Experiment 1, the dots appeared within a visible grid and an order reconstruction task was used. Experiment 2 also called upon reconstruction, but with the grid removed. In Experiments 3, a recall task was used. The results show that producing items hindered performance compared to the control condition. Conversely, production improved performance compared to the control condition where rehearsal was hindered. This is the first demonstration of a visuospatial production effect. The key findings were successfully modeled by the Revised Feature Model (RFM).

Nonepisodic autobiographical memory details reflect attempts to tell a good story.

A persistent finding in the autobiographical memory (AM) literature is that older adults report more nonepisodic (or generalized/semantic) information than young adults. Since studies are usually focused on memory for episodic (or specific) autobiographical events, the reason for the age difference in nonepisodic AM remains understudied. This experiment investigated whether the higher rate of nonepisodic AM in older adults reflects (a) a difference incommunicative preferences or (b) cognitive decline, by way of either an inhibition deficit or as a means of compensating for a deficit in episodic AM. A sample of 54 young (N = 28, age range = 18-46) and older (N = 26, age range = 62-86) participants retrieved the same AM twice, under two different sets of instructions: to tell a good story for their autobiography, or to provide a detailed police witness statement. Both groups reported more general details when they were aiming to tell a good story. In addition, older adults also reported fewer specific details when the aim was to tell a good story. In a separate ranking task, young and older adults differed in their perceptions of what makes a good story; young adults ranked "detail," "grammar," and "full descriptions" more highly than older adults, whereas older ranked "linking ideas" and "explaining not just describing" more highly than young adults. The results suggest that age-related differences in nonepisodic AM might be explained by communicative preferences rather than cognitive decline. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Give me enough time to rehearse: presentation rate modulates the production effect.

This paper uses the production effect to test one of the important predictions of a view of memory that is embodied in the Revised Feature Model (RFM). When to-be-recalled lists contain items both read aloud and silently, words read aloud are less well recalled at the beginning of the list and better recalled at the end. According to the RFM, producing the items by reading them aloud adds distinctive features which supports recall, but production also interferes with rehearsal - a process that operates more significantly at the start of a list. This critical role assigned to rehearsal has never been systematically tested. We do this here through a systematic literature review and an experiment that manipulates presentation rate. With a faster presentation rate, rehearsal is less likely; the implication is that the advantage observed for silently read items in the primacy positions should vanish, while the recency advantage for produced items should remain. The systematic review collected an initial sample of 422 unique articles on the production effect in immediate serial recall and revealed the predicted pattern. In addition, in our experiment, the presentation rate was manipulated within an immediate serial recall task (500, 1,000, and 2,000 ms/word). As predicted, the recency advantage for produced items was observed for all presentation speeds. Critically, the production disadvantage for early serial positions was only present for the two slowest rates, but not at the fastest speed. Results were successfully modeled by calling upon the RFM.

The breadth of animacy in memory: New evidence from prospective memory.

Studies using retrospective memory tasks have revealed that animates/living beings are better remembered than are inanimates/nonliving things (the animacy effect). However, considering that memory is foremost future oriented, we hypothesized that the animacy effect would also occur in prospective memory (i.e., memory for future intentions). Using standard prospective memory (PM) procedures, we explored this hypothesis by manipulating the animacy status of the PM targets. Study 1a reports data collected from an American sample; these results were then replicated with a Portuguese sample (Study 1b). Study 2 employed a new procedure, and data were collected from a broader English-speaking sample. In these three studies, animate (vs. inanimate) targets consistently led to a better PM performance, revealing, for the first time, that the animacy advantage extends to PM. These results strengthen the adaptive approach to memory and stress the need to consider animacy as an important variable in memory studies.

Is "earth" an animate thing? Cross-language and inter-age analyses of animacy word ratings in European Portuguese and British English young and older adults.

Animacy plays an important role in cognition (e.g., memory and language). Across languages, a processing advantage for animate words (representing living beings), comparatively to inanimate words (i.e., non-living things), has been found mostly in young adults. Evidence in older adults, though, is still unclear, possibly due to the use of stimuli not properly characterised for this age group. Indeed, whereas several animacy word-rating studies already exist for young adults, these are non-existent for older adults. This work provides animacy ratings for 500 British English and 224 European Portuguese words, rated by young and older adults from the corresponding countries. The comparisons across languages and ages revealed a high interrater agreement. Nonetheless, the Portuguese samples provided higher mean ratings of animacy than the British samples. Also, the older adults assigned, on average, higher animacy ratings than the young adults. The Age X Language interaction was non-significant. These results suggest an inter-age and inter-language consistency in whether a word represents an animate or an inanimate thing, although with some differences, emphasising the need for age- and language-specific word rating data. The animacy ratings are available via OSF: https://osf.io/6xjyv/.

Decisional needs assessment for patient-centred pain care in Canada: the DECIDE-PAIN study protocol.

INTRODUCTION: The 2021 Action Plan for Pain from the Canadian Pain Task Force advocates for patient-centred pain care at all levels of healthcare across provinces. Shared decision-making is the crux of patient-centred care. Implementing the action plan will require innovative shared decision-making interventions, specifically following the disruption of chronic pain care during the COVID-19 pandemic. The first step in this endeavour is to assess current decisional needs (ie, decisions most important to them) of Canadians with chronic pain across their care pathways. METHODS AND ANALYSIS: DesignGrounded in patient-oriented research approaches, we will perform an online population-based survey across the ten Canadian provinces. We will report methods and data following the CROSS reporting guidelines.SamplingThe Léger Marketing company will administer the online population-based survey to its representative panel of 500 000 Canadians to recruit 1646 adults (age ≥18 years old) with chronic pain according to the definition by the International Association for the Study of Pain (eg, pain ≥12 weeks). ContentBased on the Ottawa Decision Support Framework, the self-administered survey has been codesigned with patients and contain six core domains: (1) healthcare services, consultation and postpandemic needs, (2) difficult decisions experienced, (3) decisional conflict, (4) decisional regret, (5) decisional needs and (6) sociodemographic characteristics. We will use several strategies such as random sampling to improve survey quality. AnalysisWe will perform descriptive statistical analysis. We will identify factors associated with clinically significant decisional conflict and decision regret using multivariate analyses. ETHICS AND DISSEMINATION: Ethics was approved by the Research Ethics Board at the Research Centre of the Centre Hospitalier Universitaire de Sherbrooke (project #2022-4645). We will codesign knowledge mobilisation products with research patient partners (eg, graphical summaries and videos). Results will be disseminated via peer-reviewed journals and national and international conferences to inform the development of innovative shared decision-making interventions for Canadians with chronic pain.

Modeling verbal short-term memory: A walk around the neighborhood.

When remembering over the short-term, long-term knowledge has a large effect on the number of correctly recalled items and little impact on memory for order. This is true, for example, when the effects of semantic category are examined. Contrary to what these findings suggest, Poirier et al. in 2015 proposed that memory for order relies on the level of activation within long-term networks. Importantly, although their view has been criticized, they showed that manipulating semantic associations led to item migrations that were atypical. In this article, we show that similar migrations can be obtained with another knowledge-based factor: orthographic neighborhood. In three experiments, we manipulated the orthographic neighborhood of to-be-recalled items. The latter is a sublexical factor; as such, it is much less likely than semantic relatedness to involve demand characteristics or grouping strategies. The first experiment established that the neighborhood manipulation produced the pattern of item migrations previously observed with semantic relatedness, confirming that the migration effect can generalize to other variables. The last two experiments suggested that migrations were due to the features shared across list items rather than to item co-activation (as in Poirier et al.). The results were successfully modeled by calling upon the Revised Feature Model, where recall depends on selecting a retrieval candidate based on the features of the cueing information. Overall, our findings underline the usefulness of a model where retrieval is determined by relative distinctiveness and underline that multiple mechanisms can lead to order errors in recall. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Chronic conditions patient's perception of post-COVID-19 pandemic teleconsulting continuation in primary care clinics: a qualitative descriptive study.

OBJECTIVES: The COVID-19 pandemic has led to the prioritisation of teleconsultation instead of face-to-face encounters. However, teleconsultation revealed some shortcomings and undesirable effects that may counterbalance benefits. This study aims to explore the perspective of patients with chronic diseases on teleconsultation in primary care. This article also proposes recommendations to provide patient-oriented and appropriate teleconsultations. DESIGN: We conducted a qualitative descriptive study that explored the patients' perception regarding teleconsultation services and the following themes: access, perceived benefits and disadvantages, interprofessional collaboration, patient-centred approach, specific competencies of professionals, and patient's global needs and preferences. SETTING: Six primary care clinics in three regions of Quebec. PARTICIPANTS: 39 patients were interviewed by telephone through semistructured qualitative interviews. RESULTS: Patients want to maintain teleconsultation for the postpandemic period as long as their recommendations are followed: be able to choose to come to the clinic if they wish to, feel that their individual and environmental characteristics are considered, feel involved in the choice of the modality of each consultation, feel that interprofessional collaboration and patient-centred approach are promoted, and to maintain the professionalism, which must not be lessened despite the remote context. CONCLUSION: Patients mainly expressed high satisfaction with teleconsultation. However, several issues must be addressed. Patients do and should contribute to the implementation of teleconsultation in primary care. They wish to be frequently consulted about their preferred consultation modality, which may change over time. The patient perspective must, therefore, be part of the balanced implementation of optimal teleconsultation that is currently taking place.

Expression of ABCB1, ABCC1 and 3 and ABCG2 in glioblastoma and their relevance in relation to clinical survival surrogates.

PURPOSE: Glioblastoma (GBM) is the most common and aggressive malignant primary brain tumors in adults. Patients invariably relapse during or after first-line therapy and the median overall survival is 14.6 months. Such poor clinical response is partly ascribed to the activity of ATP-binding cassette (ABC) transporters. The activity of these proteins, severely reduces the amount of therapeutics that penetrates the tumor cells. We hypothesized that ABC transporter expression could correlate with survival surrogates. In this study, we assessed the expression of four commonly expressed ABC transporters in GBM samples and investigated if mRNA levels could serve as a prognostic biomarker. METHODS: Human specimens were analyzed by qPCR to assess ABCB1, ABCC1/3 and ABCG2 expression. Kaplan-Meier and multivariate analyses were then used to evaluate the correlation with overall survival (OS) and progression-free survival (PFS). RESULTS: Our cohort included 22 non-tumoral samples as well as 159 GBM tumor specimens. ABC transporters were significantly more expressed in GBM samples compared to non-tumoral tissue. Moreover ABCC1 and 3 mRNA expression were significantly increased at recurrence. Statistical analyses revealed that increased expression of either ABCC1 or ABCC3 did not confer a poorer prognosis. However, increased ABCC1 mRNA levels did correlate with a significantly shorter PFS. CONCLUSION: In this manuscript, the analyses we conducted suggest that the expression of the four ABC transporters evaluated would not be suitable prognostic biomarkers. We believe that, when estimating prognosis, the plethora of mechanisms implicated in chemoresistance should be analyzed as a multi-facetted entity rather than isolated units.

Retrospective and Prospective Evaluations of Mammography Screening Narratives.

We investigated the role of previous experience when providing summary judgments of mammography narratives. A total of 807 women who either did or did not have previous experience of a mammogram were presented with a written description of a mammography visit. We manipulated the presentation position of a negative element within the narrative to alter its accessibility in memory and determine whether the latter impacted equally on two types of summary judgments. After the narrative presentation, participants were asked to provide both retrospective and prospective evaluations, that is, summary judgments about the described event and an appraisal of the likelihood of participating in future instances of such event, respectively. A recency effect was observed only for retrospective but not for prospective evaluations. When examined only for the subset of women who had undergone a mammography visit themselves, prospective evaluations were shown to be predicted by the reported quality of the mammography participants experienced themselves. The findings support and extend the accessibility model of emotional self-report and suggest that own experience leaks into evaluations of hypothetical scenarios by selectively impacting on prospective evaluations.

A curved honulo improves your short-term and long-term memory.

During his distinguished career, Bill Hockley contributed to memory research in many ways, with work characterized by rigorous and innovative experimental designs. One of the areas he has explored is that of memory for associative information. We echo this interest here and attempt to emulate his careful experimental attitude. We report four experiments which examined how previously established links can support the development of new episodic associations. More specifically, we tested the idea that sound-symbolism links can support learning of new associations. Sound-symbolism links are relationships between phonemes and object characteristics that participants find natural-even if they have never encountered the items before. For instance, the nonword "honulo" is more readily seen to refer to a shape with curved contours than to a shape that has sharp angles. In Experiment 1, 70 participants studied three pairs and their memory for the associations between the members of each pair was tested in a paired-recognition task. Results demonstrate that sound-symbolism associations support the learning of new associations. Experiment 2 confirmed that the effect is replicated in a between-participants design. In Experiment 3, we replicated the findings with a 30-s filled interval between presentation and test, and in Experiment 4, we extended the delay to 2 min, establishing that the pattern is also found with a paradigm more typical of episodic memory. The results are discussed in terms of the importance of associative memory, while referring to some of the ideas Bill Hockley championed in his own work. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Co-design, implementation, and evaluation of an expanded train-the-trainer strategy to support the sustainability of evidence-based practice guides for registered nurses and social workers in primary care clinics: a developmental evaluation protocol.

BACKGROUND: The implementation of evidence-based innovations is incentivized as part of primary care reform in Canada. In the Province of Québec, it generated the creation of interprofessional care models involving registered nurses and social workers as members of primary care clinics. However, the scope of practice for these professionals remains variable and suboptimal. In 2019, expert committees co-designed and published two evidence-based practice guides, but no clear strategy has been identified to support their assimilation. This project's goal is to support the implementation and deployment of practice guides for both social workers and registered nurses using a train-the-trainer educational intervention. METHODS/DESIGN: This three-phase project is a developmental evaluation using a multiple case study design across 17 primary care clinics. It will involve trainers in healthcare centers, patients, registered nurses and social workers. The development and implementation of an expanded train-the-trainer strategy will be informed by a patient-oriented research approach, the Kirkpatrick learning model, and evidence-based practice guides. For each case and phase, the qualitative and quantitative data will be analyzed using a convergent design method and will be integrated through assimilation. DISCUSSION: This educational intervention model will allow us to better understand the complex context of primary care clinics, involving different settings and services offered. This study protocol, based on reflective practice, patient-centered research and focused on the needs of the community in collaboration with partners and patients, may serve as an evidence based educational intervention model for further study in primary care.

Mechanisms of Self-Inflicted Injuries at an Urban City Hospital.

BACKGROUND: Suicide is a major public health issue with root causes including psychological, economical, and societal factors. METHODS: Retrospective review identified self-inflicted traumatic injuries (SITIs) at Grady Health System between 2009 and 2017. Patients were categorized by penetrating or blunt mechanism of injury (MOI). Outcomes included hospital length of stay (HLOS) and ventilator duration, mortality, and location of death. RESULTS: 678 patients in total were identified. Penetrating MOI was most prevalent (n = 474). Patients with a blunt MOI were significantly younger (32 Y vs. 37 Y; P < .0001). Psychiatric illness was equally common between MOI at more than 50%. Penetrating traumas required longer ventilator times (1 D vs. 0 D; P < .0001) but shorter overall HLOS (4 D vs. 6 D; P = .0013). Mortality was twice as high in the penetrating group (29.8% vs. 11.8%; P < .0001). CONCLUSION: Self-inflicted traumatic injuries occurred most often among younger adults and those with history of psychiatric illness. Penetrating traumas result in worse outcomes. Self-inflicted traumatic injuries carry high morbidity and mortality. Improved prevention strategies targeting high-risk groups are needed.

Factors associated with reunification and placement move for children placed in kinship care under the age of thirteen.

BACKGROUND: When a child needs to be placed in substitute care by child protection services, social workers are encouraged to use kinship care (KC), mainly because of the greater stability associated with it. However, current state of knowledge on reunification and placement stability is essentially based on studies that combined children in KC and children in other types of substitute care setting. OBJECTIVES: This paper aims to describe longitudinally the placement trajectory of children placed in KC and to identify the factors associated with the type of exit from KC (move to another substitute care setting or reunification). METHOD: All children in a Québec child protection services agency who started a KC placement in 2014-15 under the age of 13 are observed for three years (N = 172). Data come from the child's casefile and from telephone questionnaires with the caseworker at the beginning and at the end of placement (or at the end of observation if the child has not exited). RESULTS: Several children remained in the same KC setting during the observation (39%). The others were reunified (34%) or moved to another substitute setting (27%). Multivariate regression analyzes indicated that reunification was mostly determined by higher frequency of parent-child contacts, less registrations in clinical programs and absence of parental mental health problems, while placement move was mostly associated with placement beginning as provisional measure, higher frequency of parent-child contacts and presence of parental mental health problems. CONCLUSIONS: This study highlights determinants of stability and permanency that may be specific to kinship placements.

How collective interactions and institutional logics influence permanency planning in child protection in Quebec.

BACKGROUND: In the Canadian province of Quebec, placing children in foster care is an exceptional measure whose ultimate goal is family reunification. When child-protection workers decide that reunification is unlikely, they must design permanency plans that ensure continuity of care and stable relationships for the child. Most studies of this important decision-making process have focused on individual practitioners as if they acted alone. This process is collective, interactive, and influenced by various contextual elements. OBJECTIVE: The objective of this exploratory study was to examine the collective, interactive aspects of the decision-making process involved in permanency planning. PARTICIPANTS AND SETTING: The participants were key players involved in child-protection decisions at an Integrated University Health and Social Services Centre (CIUSSS). METHODS: The theoretical approach of this study combines Giddens's structuration theory with ethnomethodology. Data were collected through interviews with 16 key players and nine months of observing advisory-committee meetings. RESULTS: In making permanent placement decisions, the participants must engage in extensive interactions with one another. They must also apply various institutional (clinical, legal, and managerial) logics with differing goals and differing operational frameworks, the tensions among which make the process more complex and challenging. CONCLUSIONS: Our findings highlight the complexity of making permanent placement decisions and the importance of interaction and collaboration in this process. These findings suggest that management of this process should focus not on holding practitioners accountable and penalizing them for mistakes, but rather on providing adequate conditions for practice to facilitate thoughtful collective deliberation and learning and ethical decision-making.

Practitioners' views on the effects of the "For caring supervised visitation in child welfare" training.

BACKGROUND: In youth protection, the supervision of visits between children and their parent(s) with whom they no longer live is a complex clinical practice. The "For Caring Supervised Visitation in Child Welfare" training was designed to equip workers on the subject. The training was developed in Quebec (Canada), based on a co-construction approach (clinical and scientific) of knowledge and a rigorous pedagogical engineering methodology. OBJECTIVES: This article presents the results of a research study that sought to explore the perceived impact of the training, from the worker's perspective. PARTICIPANTS AND SETTINGS: Semi-directed interviews were conducted with 20 workers who had completed the training. METHOD: A thematic analysis of the full content of the interviews was carried out (Braun & Clarke, 2006). RESULTS: This project has produced initial exploratory findings that the training has made it possible to develop a more rigorous analysis of the need for supervision, better planning of visits, greater uniformity of practices among workers and adoption of practices that promote parental engagement. According to workers, these effects of the training are influenced by factors such as time devoted solely to training in the schedule, a workload adapted to the practice to be put in place and sufficient support from managers and organization. CONCLUSIONS: These results suggest that training improves practices in the context of supervised visits. To maximize these benefits, it is suggested that workers benefit from ongoing clinical support and adequate practice conditions.

Foster family assessment: The assessor's perspective - A qualitative study.

Children in foster care are more likely to exhibit emotional, behavioral, social, and developmental problems. Accordingly, foster families should provide them with a safe family environment that promotes their development. Therefore, to ensure that foster families adequately meet children's needs, it is crucial for youth protection services to properly assess prospective foster family applicants. However, the specific assessment methods are understudied. This study aims to capture the experiences of caseworkers and the challenges they face in assessing and selecting potential foster caregivers, as well as their needs for support to perform the assessments. Focus groups were held in child protection services agencies in the province of Québec (Canada). Three group interviews with a total of 15 caseworkers were transcribed and subjected to content analysis using NVivo 11. The caseworkers identified nine most important dimensions for assessing prospective foster families, notably motivation and engagement. Differences in the assessment process between caseworkers were observed, particularly for the type of foster family assessed. The caseworkers reported certain common needs for assessment training, primarily in interview techniques and the handling of multicultural issues. They also complained of lack of time allocated for clinical support during assessments. The results call for collaborative efforts between researchers and practitioners to provide appropriate training and tools to support the assessment process.

The production effect over the long term: Modeling distinctiveness using serial positions.

The production effect is a well-established finding: If some words within a list are read aloud, that is, produced, they are better remembered than their silently read neighbors. The effect has been extensively studied with long-term memory tasks. Recently, using immediate serial recall and short-term order reconstruction, Saint-Aubin et al. (2021) reported informative interactions between the production effect and serial positions. Here, we asked whether these interactions would also be observed with the long-term memory tasks used in the field. In Experiment 1, pure and mixed lists of eight words were presented in both order reconstruction and free recall tasks, with a 30-s filled retention interval. In Experiment 2, the list length was extended to 24 words; in Experiment 3, 10-word lists were used with a 2-min retention interval. Results from all experiments aligned well with those observed in short-term memory. With mixed lists, where produced and silently read words alternated, produced items were better recalled, leading to sawtooth serial position curves. With pure lists, produced items were better recalled when studied in the last serial positions, but they were less well recalled for the primacy positions. Results were readily accounted for by the revised feature model, originally developed to explain short-term memory performance. The findings and model suggest that produced items are encoded with more item-specific, modality-related features and that this generates a relative distinctiveness advantage in short- and long-term memory. However, the richer encoding comes at a cost: It appears to disrupt rehearsal. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Age effects in autobiographical memory depend on the measure.

Studies examining age effects in autobiographical memory have produced inconsistent results. This study examined whether a set of typical autobiographical memory measures produced equivalent results in a single participant sample. Five memory tests (everyday memory, autobiographical memory from the past year, autobiographical memory from age 11-17, word-cued autobiographical memory, and word-list recall) were administered in a single sample of young and older adults. There was significant variance in the tests' sensitivity to age: word-cued autobiographical memory produced the largest deficit in older adults, similar in magnitude to word-list recall. In contrast, older adults performed comparatively well on the other measures. The pattern of findings was broadly consistent with the results of previous investigations, suggesting that (1) the results of the different AM tasks are reliable, and (2) variable age effects in the autobiographical memory literature are at least partly due to the use of different tasks, which cannot be considered interchangeable measures of autobiographical memory ability. The results are also consistent with recent work dissociating measures of specificity and detail in autobiographical memory, and suggest that specificity is particularly sensitive to ageing. In contrast, detail is less sensitive to ageing, but is influenced by retention interval and event type. The extent to which retention interval and event type interact with age remains unclear; further research using specially designed autobiographical memory tasks could resolve this issue.

Implementation and evaluation of eight virtual surgical electives for medical students during the COVID-19 pandemic.

BACKGROUND: Eight novel virtual surgery electives (VSEs) were developed and implemented in April-May 2020 for medical students forced to continue their education remotely due to COVID-19. METHODS: Each VSE was 1-2 weeks long, contained specialty-specific course objectives, and included a variety of teaching modalities. Students completed a post-course survey to assess changes in their interest and understanding of the specialty. Quantitative methods were employed to analyze the results. RESULTS: Eighty-three students participated in the electives and 67 (80.7%) completed the post-course survey. Forty-six (68.7%) respondents reported "increased" or "greatly increased" interest in the course specialty completed. Survey respondents' post-course understanding of each specialty increased by a statistically significant amount (p-value = <0.0001). CONCLUSION: This initial effort demonstrated that VSEs can be an effective tool for increasing medical students' interest in and understanding of surgical specialties. They should be studied further with more rigorous methods in a larger population.