Using communication to manage uncertainty about cervical cancer screening guideline adherence among Appalachian women

Changes to the United States Preventive Services Task Force (USPSTF) recommendations for cervical cancer preventive services have led to patient confusion, especially in medically underserved populations. We investigated how patient uncertainty concerning cervical cancer screening guidelines is appraised and managed through communication with healthcare providers by conducting in-depth, face-to-face interviews with 24 adult women between the ages of 24 and 65 (m?=?41, SD?=?14) living in Appalachia Kentucky. In general, participants expressed a high degree of uncertainty about the updated cervical cancer screening guidelines and appraised this uncertainty as both a danger and an opportunity. Communication with healthcare providers served both to exacerbate and to mitigate patient uncertainty. The study identifies how healthcare providers may use the change in USPSTF guidelines as a “teachable moment” to productively counsel patients on the importance of timely screening, the typical progression of certain types of high-risk HPV (human papillomavirus) infection to cervical cancer, and the importance of follow-up care.     

A Dialectical Rationale for Persistent Inadequate Response

Response to Intervention (RTI) is an approach that can address children's problems in school. However, research has not consistently supported positive effects of RTI. I use the dialectical method to suggest RTI researchers have not adequately focused on children's personal experiences. The effects of persistent, negative experience are observable in external behaviors associated with executive function variation. By means of cultural–historical theory, I outline improvements to experimental designs that incorporate collaboration with children and focus on observations during intervention and assessment.     

Combating greenwashing through public critique

Courses: Environmental Communication, Environmental Media, or Critical Media Studies courses

Objectives: This unit activity is designed to guide students in a critical examination of advertising that utilizes green appeals to sell products or brands. The assignment asks students to use concepts from media analysis, communication ethics, and social justice to critique advertising claims and potential influences of advertising on society's environmental discourse. Students should be able to identify greenwashing in advertisements, research whether the statements of the advertisements are accurate, and discuss the significance of the advertisements’ messages in shaping environmental and social thought. A secondary purpose of the assignment is to give students experience writing for a popular audience in a public forum.     

Teaching for the Pursuit of Truth in a Post-Truth World

Abstract

This study investigated teacher profiles with regards to their conception of truth. The explanatory sequential design began with the first phase administering a survey to a random sample from across the American southeast. Results were aggregated and each teacher was profiled with regards to four diverse views of truth: correspondence, relativist, pragmatist, and critical. The second phase of the study analyzed open-ended responses to a set of questions about instructional practices of teachers for comparison of common practices based on truth profile. The results of this investigation found a significant proportion of teachers hold contradictory views of truth while those who are firmly within one profile have noticeable distinctions among priorities, perspectives, and practices. Implications for these findings are discussed with practical consideration for the classroom regarding salient topics such as learning online, engaging in social media, and combatting fake news.     

An investigation of listening and listening‐while‐reading accommodations on reading comprehension levels and rates in students with emotional disorders

Researchers used alternating treatment designs to investigate the effects of listening‐while‐reading (LWR) and listening interventions on comprehension levels and rates in four middle school students with emotional disorders. During LWR, students were instructed to read passages silently along with experimenters. During the listening condition, we did not give students a printed copy of the passage but merely instructed them to listen as an experimenter read the passages aloud. The control condition consisted of students reading passages silently. After each condition, students answered 10 comprehension questions without referring back to the printed passage. Although neither intervention resulted in comprehension levels consistently superior to those of the silent reading control condition, LWR and listening resulted in higher rates of comprehension than the silent reading control condition across all four students. However, listening appeared to improve reading comprehension rates in only two students. These results suggest that LWR may be an efficient procedure for enhancing comprehension across content areas with groups of students who have heterogeneous reading skills. The discussion focuses on future applied research with students with disabilities. © 2005 Wiley Periodicals, Inc. Psychol Schs 42: 39–51, 2005.     

Eye movements reveal readers’ lexical quality and reading experience

Two experiments demonstrate that individual differences among normal adult readers, including lexical quality, are expressed in silent reading at the word level. In the first of two studies we identified major dimensions of variability among college readers and among words using factor analysis. We then examined the effects of these dimensions of variability on eye movements during paragraph reading. More experienced readers (who also were higher in reading speed) read words more quickly, especially less frequent words, while readers with higher lexical knowledge showed shorter early fixations, especially for more frequent words. These results suggest that individual differences in reading may reflect differences in the quality of lexical representations and in reading experience, which is a source of lexical quality. In a second study, we controlled the lexical knowledge readers obtained from new words through a training paradigm that varied exposure to a word’s orthographic, phonological, and meaning constituents. Training exposure to orthographic and phonological constituents affected first pass reading measures, and phonological and meaning training affected second pass measures. Incomplete knowledge of word components slowed first pass reading times, compared to both more complete knowledge and no knowledge. Training effects were mediated by individual differences, pointing to lexical quality and reading experience—which, combined reflect reading expertise—as important in word reading as part of text reading.     

College Counselor Attitudes Toward Spiritual and Religious Issues and Practices in Counseling

In this study, 86 mental health professionals employed in university counseling centers in the United States were surveyed on their attitudes toward discussing religious and spiritual topics and toward using religious and spiritual practices in counseling. These participants viewed the use and discussion of spiritual topics/practices more favorably than the use and discussion of religious topics/practices. Differences in attitudes toward specific topics and practices are reported, as are implications for practice.     

The contribution of science‐rich resources to public science interest

This preliminary study examined the effect that five major sources of public science education—schools, science centers, broadcast media, print media, and the Internet—had on adults' science interest values and cognitive predispositions. Over 3,000 adults were sampled in three U.S. metropolitan areas: Los Angeles, California, Phoenix, Arizona, and Philadelphia, Pennsylvania. To minimize potential sampling bias, the results were weighted by current U.S. Census data to be comparable to demographics from each of the three jurisdictions. Participants were asked to self‐report their current and early adolescent usage of these five science‐related resources, the quality of their experiences with each, and their current abilities, values, and cognitive predispositions relative to science. Data showed that overall, a broad cross‐section of adults living in these cities engaged in a wide array of science‐related activities and that large majorities did so frequently. Nearly two‐thirds of all respondents self‐reported currently participating in some kind of science‐related activity every week and nearly half doing so daily. Results suggested that having frequent; positive science‐related experiences in‐ and out‐of‐school, both early and later in life, correlated with having a strong interest in and positive perception of science as an adult. Although a diversity of positive science‐related experiences correlated with current adult science interest values and cognitive predispositions, only five factors uniquely and significantly predicted adult science interest, values, and cognitive predispositions in the multivariate models: (a) early adolescent experiences visiting a science center, (b) early adolescent experiences watching science‐related television, (c) adult visits to a science center, (d) adults reading books and magazines about science, and (e) adults using the internet to learn more about science. Discussed are issues of self‐selection, quality of experiences, and the complex and synergistic nature of the science learning ecosystem.     

The impact of National Qualifications Frameworks: by which yardstick do we measure dreams?

National Qualifications Frameworks (NQFs) are a global phenomenon. This is evidenced by their scale, coverage and intrinsic link with education policy across Europe and beyond. Research into their impact has encompassed a number of perspectives; theoretical, practical and evaluative. Yet, despite the existence of critical literature related to the development, design and impact of NQFs, little research has questioned the actual feasibility of researching the ‘impact’ of NQFs per se. The arguments in this paper position such research as both unfeasible and futile: a dream for which it is impossible to identify a suitable yardstick to measure. We base our argument around three broad themes: linguistics and semantics; homogeneity; and methodological complexity. Around these themes, we aim to show why such research has proved problematic and, in doing so, contribute to the field as it explores the impact of NQFs in the future.