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Role of Maternal Adverse Childhood Experiences on Infant Neglect: A Multi-Perspective Approach. 母亲的不良童年经历对婴儿疏忽的影响:多视角方法
IF 2.6 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-05-07 DOI: 10.1177/08862605241248437
Xuan Zhang, Yiping Xiao, Fangxiang Mao, Zhaojuan Xu, Fenglin Cao

We explored the intergenerational transmission effects of maternal adverse childhood experiences (ACEs) and infant neglect from multiple perspectives. The study included a sample of postpartum mothers and infants (N = 550) from the outpatient child health care department of a tertiary hospital in Jinan, Shandong Province, China. Our investigation followed three main lines of inquiry. First, the association of overall maternal ACEs with infant neglect was estimated. Secondly, the cumulative and independent effects of maternal ACEs on infant neglect were explored using the Adverse Childhood Experience Questionnaire-Revised (ACEQ-R) with 14 types of ACEs. Finally, the different patterns of 14 maternal ACEs were identified, and the association between the different patterns and infant neglect was explored. There were three main findings. First, infants born to mothers with ACEs experienced higher levels of neglect compared to those born to mothers without ACEs. Second, infants born to mothers with three or more subtypes of ACEs experienced the greatest levels of neglect, with maternal childhood physical neglect emerging as a particularly influential factor. Third, infants in the "median maternal ACEs" and "high maternal neglect and poor peer relationship" groups experienced more severe neglect than those in the "low maternal ACEs" group. These results suggest that early life experiences substantially shape future parenting behaviors, such as infant neglect.

我们从多个角度探讨了母亲不良童年经历(ACEs)和婴儿忽视的代际传递效应。研究对象包括山东省济南市一家三甲医院儿童保健科门诊的产后母婴样本(N = 550)。我们的调查主要从三个方面进行。首先,我们估算了母亲的整体 ACE 与婴儿忽视之间的关联。其次,利用包含14种ACE的《儿童不良经历问卷-修订版》(ACEQ-R),探讨了母亲ACE对婴儿忽视的累积效应和独立效应。最后,确定了 14 种母亲 ACE 的不同模式,并探讨了不同模式与婴儿忽视之间的关联。研究有三个主要发现。首先,与无 ACE 母亲所生的婴儿相比,有 ACE 母亲所生的婴儿被忽视的程度更高。其次,母亲有三种或三种以上亚型 ACE 的婴儿受到的忽视程度最高,其中母亲童年时期的身体忽视是一个特别有影响力的因素。第三,"中位数母亲ACEs "组和 "高母亲忽视和不良同伴关系 "组的婴儿比 "低母亲ACEs "组的婴儿遭受更严重的忽视。这些结果表明,早年的生活经历在很大程度上影响着未来的养育行为,如对婴儿的忽视。
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引用次数: 0
Emerging Trends in Intimate Partner Rape and Marital/Spousal Rape During the Biennium 2020 and 2021, Including the COVID-19 Pandemic in Greece. 2020 和 2021 双年度期间亲密伴侣强奸和婚内/配偶强奸的新趋势,包括 COVID-19 在希腊的流行。
IF 2.6 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-05-20 DOI: 10.1177/08862605241247552
Maria-Valeria Karakasi, Ioannis Nikolaidis, Eleni Fotou, Anestis Sapounas, Apostolos Patounas, Sofia Sakka, Charalampos Ntentopoulos, Pavlos Pavlidis, Polychronis Voultsos

Intimate partner or marital/spousal rape is a phenomenon with unique characteristics and dynamics. Furthermore, it is an under-explored, under-defined, under-reported, and widely tolerated phenomenon. Gender-based violence and intimate partner violence are the main topics of the present study. The study aimed at exploring the trends in reported intimate partner and marital/spousal rape, within the wider context of reported domestic violence during the years 2020 and 2021 in Greece. Statistical analysis has not indicated positive correlation between the rate of reported domestic violence per year and the rate of reported domestic rape per year, with the former following an upward trend and the latter maintaining an almost steady course. Similarly, the rate of reported victims of intimate partner rape per year remained almost stable within in the 2 years. Importantly however, in 2021, the rate of reported victims of marital rape per year increased remarkably compared to 2020. In 2021, the rates of reported domestic violence per month and reported domestic rape per month indicated remarkable increase over the period May to December 2021. Notwithstanding, the rates mentioned above remained almost stable over the year 2020, showing an upward trend during the summer months. In August 2020 and 2021 the abovementioned rates reached their peak. In both years, the vast majority of victims of domestic rape were females, mostly between 30 and 45 years of age. The present study indicated an increase in rates of reported domestic violence and reported domestic rape per month after the lockdowns, especially after the second long-lasting lockdown that ended in May 2021. This increase, however, might be only apparent. Further research is needed to study the epidemiology of intimate partner and marital rape over a much longer timespan to provide further insight into the dynamics surrounding a public health concern.

亲密伴侣或婚内/配偶强奸是一种具有独特特征和动态的现象。此外,它也是一种探索不足、定义不清、报告不足且被广泛容忍的现象。性别暴力和亲密伴侣暴力是本研究的主要议题。本研究旨在探讨 2020 年和 2021 年希腊家庭暴力报告的大背景下,亲密伴侣强奸和婚内/配偶强奸报告的趋势。统计分析表明,每年报告的家庭暴力发生率与每年报告的家庭强奸发生率之间没有正相关关系,前者呈上升趋势,后者几乎保持稳定。同样,在这两年中,每年报告的亲密伴侣强奸受害者比率几乎保持稳定。但重要的是,与 2020 年相比,2021 年每年报告的婚内强奸受害者比率显著上升。2021 年 5 月至 12 月期间,每月家庭暴力报案率和每月家庭强奸报案率均显著上升。尽管如此,上述比率在 2020 年几乎保持稳定,但在夏季呈上升趋势。2020 年 8 月和 2021 年 8 月,上述比率达到顶峰。在这两年中,绝大多数家庭强奸受害者为女性,年龄大多在 30 至 45 岁之间。本研究表明,在封锁之后,特别是在 2021 年 5 月结束的第二次长期封锁之后,每月报告的家庭暴力和报告的家庭强奸率有所上升。不过,这种增加可能只是表面现象。需要进一步研究亲密伴侣和婚内强奸在更长时间跨度内的流行病学,以进一步了解围绕公共健康问题的动态。
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引用次数: 0
Is Less Sometimes More? An Experimental Comparison of Four Measures of Perceived Usability. 有时越少越好?四种感知可用性测量方法的实验比较
IF 2.9 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-03-14 DOI: 10.1177/00187208241237862
Elisa Gräve, Axel Buchner

Objective: In usability studies, the subjective component of usability, perceived usability, is often of interest besides the objective usability components, efficiency and effectiveness. Perceived usability is typically investigated using questionnaires. Our goal was to assess experimentally which of four perceived-usability questionnaires differing in length best reflects the difference in perceived usability between systems.

Background: Conventional measurement wisdom strongly favors multi-item questionnaires, as measures based on more items supposedly yield better results. However, this assumption is controversial. Single-item questionnaires also have distinct advantages and it has been shown repeatedly that single-item measures can be viable alternatives to multi-item measures.

Method: N = 1089 (Experiment 1) and N = 1095 (Experiment 2) participants rated the perceived usability of a good or a poor web-based mobile phone contract system using the 35-item ISONORM 9241/10 (Experiment 1 only), the 10-item System Usability Scale (SUS), the 4-item Usability Metric for User Experience (UMUX), and the single-item Adjective Rating Scale.

Results: The Adjective Rating Scale represented the perceived-usability difference between both systems at least as good as, or significantly better than, the multi-item questionnaires (significantly better than the UMUX and the ISONORM 9241/10 in Experiment 1, significantly better than the SUS in Experiment 2).

Conclusion: The single-item Adjective Rating Scale is a viable alternative to multi-item perceived-usability questionnaires.

Application: Extremely short instruments can be recommended to measure perceived usability, at least for simple user interfaces that can be considered concrete-singular in the sense that raters understand which entity is being rated and what is being rated is reasonably homogenous.

客观在可用性研究中,除了可用性的客观要素--效率和效果之外,可用性的主观要素--感知可用性--往往也会引起人们的兴趣。感知可用性通常采用问卷调查的方式进行研究。我们的目标是通过实验来评估四种不同长度的感知可用性问卷中,哪种问卷最能反映不同系统在感知可用性方面的差异:背景:传统的测量智慧更倾向于多项目问卷,因为基于更多项目的测量应该会产生更好的结果。然而,这一假设是有争议的。单项问卷也有明显的优势,而且事实一再证明,单项问卷可以替代多项目问卷:N=1089人(实验1)和N=1095人(实验2)的参与者使用35个项目的ISONORM 9241/10(仅实验1)、10个项目的系统可用性量表(SUS)、4个项目的用户体验可用性度量(UMUX)和单项目的形容词评定量表对一个好的或差的基于网络的移动电话合同系统的可用性进行评定:结果:形容词评定量表对两个系统之间可用性差异的描述至少与多项目问卷相当,甚至明显优于多项目问卷(在实验 1 中明显优于 UMUX 和 ISONORM 9241/10,在实验 2 中明显优于 SUS):结论:单项目形容词评定量表是多项目感知可用性问卷的可行替代方案:应用:可以推荐使用非常简短的工具来测量感知可用性,至少对于简单的用户界面来说是如此,因为这些界面可以被认为是具体的--单一的,即评分者了解被评分的是哪个实体,而且被评分的内容也是合理的--同质的。
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引用次数: 0
An Automobile's Tail Lights: Sacrificing Safety for Playful Design? 汽车尾灯:为好玩的设计牺牲安全?
IF 2.9 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-03-15 DOI: 10.1177/00187208241237860
Fiona Burns-Hemingway, Brett B T Feltmate, Raymond M Klein

Objective: The counterintuitive "Union Jack"-inspired turn signals on versions of BMW's Mini vehicles was investigated to reveal potential impacts on human performance.

Background: When some Mini drivers indicate a change in direction, they do so with an oppositely oriented arrow. This conflict, between the task-irrelevant spatial shape and task-relevant location of the signal, mimics a "converse" spatial-Stroop effect that, in combination with the ubiquitous use of arrows on road signs, may be confusing.

Method: Participants (n = 30) responded-via right and left keypresses-to the directions of road signs and turn signals in both pure and mixed blocks. Reaction times and accuracies were recorded to determine performance in each condition (compatible, neutral, incompatible).

Results: Performance suffered when the location and direction of the stimuli did not correspond. When responding to turn signals the cost to performance was especially salient in mixed blocks. Thus, when driving on roads where the meanings of arrows on road signs is important, turn signals pointing in a direction opposite from the directional intention indicated by the signals' location are likely to be confusing.

Conclusion: The design of some Mini's "Union Jack" style taillights opposes well-established principles of cognitive functioning, caused confusion in our laboratory study and therefore may be a safety hazard-a possibility that ought to be explored in more realistic (e.g., driving simulator) situations.

Application: BMW designers should consider universally adopting the neutral, "horizontal line," illumination style that is currently available in the aftermarket.

目标:研究宝马迷你车上的 "Union Jack "转向灯对人体性能的潜在影响:我们对宝马公司生产的迷你汽车上受 "Union Jack "启发而采用的反直觉转向信号灯进行了调查,以揭示其对人体表现的潜在影响:背景:一些迷你车驾驶员在指示方向时,会使用方向相反的箭头。这种与任务无关的空间形状和与任务相关的信号位置之间的冲突模拟了一种 "反向 "空间-斯特罗普效应,结合路标上无处不在的箭头使用,可能会造成混淆:方法:参与者(n = 30)通过左右按键对纯区块和混合区块中的路标和转向信号灯的方向做出反应。记录反应时间和准确度,以确定在各种条件(兼容、中性、不兼容)下的表现:结果:当刺激物的位置和方向不一致时,成绩就会下降。在对转弯信号做出反应时,混合区块中的成绩代价尤为明显。因此,在道路上行驶时,路标上箭头的含义非常重要,如果转向信号灯指向的方向与信号灯位置所指示的方向意图相反,很可能会造成混淆:结论:一些迷你车的 "Union Jack "式尾灯的设计违背了认知功能的既定原则,在我们的实验室研究中造成了混淆,因此可能存在安全隐患--这种可能性应该在更真实的情况下(如驾驶模拟器)加以探讨:宝马设计师应考虑普遍采用目前售后市场上的中性 "水平线 "照明风格。
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引用次数: 0
The Spatial Scale and Spread of Child Victimization. 儿童受害的空间规模和蔓延。
IF 2.6 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-05-20 DOI: 10.1177/08862605241245388
Gia Elise Barboza-Salerno, Holly Thurston, Bridget Freisthler

Previous research shows that large, densely populated urban areas have higher rates of child victimization that have persisted over time. However, few investigations have inquired about the processes that produce and sustain hot and cold spots of child victimization. As a result, the mechanisms that produce the observed spatial clustering of child victimization, and hence "why" harms against children tend to cluster in space, remains unknown. Does the likelihood of being a victim of violence in one location depend on a similar event happening in a nearby location within a specified timeframe? Rather, are child victims of violence more likely to reside in suboptimal neighborhood conditions? This paper aims to present an analytical and theoretical framework for distinguishing between these locational (point) processes to determine whether the empirical spatial patterns undergirding child victimization are more reflective of the "spread" via contagion (i.e., dependency) or whether they are produced by neighborhood structural inequality resulting from spatial heterogeneity. To detect spatial dependence, we applied the inhomogeneous K-function to Los Angeles Medical Examiner data on child homicide victim locations while controlling for regional differences in victimization events (i.e., heterogeneity). Our analysis found strong evidence of spatial clustering in child victimization at small spatial scales but inhibition at larger scales. We further found limited support for the spatiotemporal clustering of child victimization indicative of a contagion effect. Overall, our results support the role of neighborhood structural vulnerability in the underlying mechanisms producing patterns of child victimization across Los Angeles County. We conclude by discussing the policy implications for understanding this spatial patterning in geographical context and for developing effective and targeted preventive interventions.

以往的研究表明,人口稠密的大城市地区儿童受害率较高,而且这种现象长期存在。然而,很少有调查探究产生和维持儿童受害热点和冷点的过程。因此,造成所观察到的儿童受害空间集群的机制,以及 "为什么 "对儿童的伤害倾向于在空间上集群,仍然是未知数。在某一地点成为暴力受害者的可能性是否取决于附近地点在特定时间范围内发生的类似事件?相反,暴力受害儿童是否更有可能居住在条件不理想的社区?本文旨在提出一个分析和理论框架,以区分这些定位(点)过程,从而确定儿童受害的实证空间模式是更多地反映了通过传染(即依赖性)进行的 "传播",还是由空间异质性导致的邻里结构不平等造成的。为了检测空间依赖性,我们将非均质 K 函数应用于洛杉矶法医检验的儿童凶杀案受害者地点数据,同时控制受害事件的地区差异(即异质性)。我们的分析发现,有强有力的证据表明,在较小的空间范围内,儿童受害事件具有空间集群性,但在较大的空间范围内,这种集群性受到抑制。我们还发现,儿童受害的时空集群效应对传染效应的支持有限。总体而言,我们的研究结果支持邻里结构脆弱性在洛杉矶县儿童受害模式的基本机制中的作用。最后,我们讨论了在地理背景下理解这种空间模式以及制定有效和有针对性的预防干预措施的政策意义。
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引用次数: 0
Examining Patterns and Predictors of ADHD Teens' Skill-Learning Trajectories During Enhanced FOrward Concentration and Attention Learning (FOCAL+) Training. 研究多动症青少年在强化向后集中和注意力学习(FOCAL+)训练中的技能学习轨迹模式和预测因素。
IF 2.9 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-03-09 DOI: 10.1177/00187208241237863
Jeffery N Epstein, Annie A Garner, Adam W Kiefer, James Peugh, Leanne Tamm, James D Lynch, Ryan P MacPherson, John O Simon, Donald L Fisher

Objective: Examine patterns and predictors of skill learning during multisession Enhanced FOrward Concentration and Attention Learning (FOCAL+) training.

Background: FOCAL+ teaches teens to reduce the duration of off-road glances using real-time error learning. In a randomized controlled trial, teens with ADHD received five sessions of FOCAL+ training and demonstrated significant reductions in extended glances (>2-s) away from the roadway (i.e., long-glances) and a 40% reduced risk of a crash/near-crash event. Teens' improvement in limiting long-glances as assessed after each FOCAL+ training session has not been examined.

Method: Licensed teen (ages 16-19) drivers with ADHD (n = 152) were randomly assigned to five sessions of either FOCAL+ or modified standard driver training. Teens completed driving simulation assessments at baseline, after each training session, and 1 month and 6 months posttraining. Naturalistic driving was monitored for one year.

Results: FOCAL+ training produced a 53% maximal reduction in long-glances during postsession simulated driving. The number of sessions needed to achieve maximum performance varied across participants. However, after five FOCAL+ training sessions, number of long-glances was comparable irrespective of when teens achieved their maximum performance. The magnitude of reduction in long-glances predicted levels of long-glances during simulated driving at 1 month and 6 months posttraining but not naturalistic driving outcomes. FOCAL+ training provided the most benefit during training to teens who were younger and had less driving experience.

Conclusion: FOCAL+ training significantly reduces long-glances beginning at the 1st training session.

Application: Providing five FOCAL+ training sessions early on during teen driving may maximize benefit.

目的:研究在多课时强化向后集中注意力学习(FOCAL+)训练中技能学习的模式和预测因素:研究在多课时强化向后集中注意力学习(FOCAL+)训练中技能学习的模式和预测因素:背景:"FOCAL+"通过实时错误学习,教导青少年缩短偏头看路的时间。在一项随机对照试验中,患有多动症的青少年接受了五次 FOCAL+ 训练,结果表明,他们离开路面的长时间瞥视(>2 秒)(即长时间瞥视)明显减少,发生碰撞/近似碰撞事件的风险降低了 40%。在每次 FOCAL+ 培训课程结束后,对青少年在限制长距离瞥视方面的改进情况进行评估,但尚未进行研究:方法:患有多动症的持证青少年(16-19 岁)驾驶员(n = 152)被随机分配到 FOCAL+ 或修改后的标准驾驶员培训课程中,各接受五次培训。青少年分别在基线、每次训练后、训练后 1 个月和 6 个月完成模拟驾驶评估。对自然驾驶进行为期一年的监测:结果:在训练后的模拟驾驶中,FOCAL+ 训练使远距离瞥视最大减少了 53%。不同参与者达到最大表现所需的训练次数各不相同。然而,在五次 FOCAL+ 训练后,无论青少年何时达到最佳表现,其远距离瞥视次数都相当。在训练后 1 个月和 6 个月的模拟驾驶中,长瞥视减少的程度可以预测长瞥视的水平,但不能预测自然驾驶的结果。FOCAL+训练为年龄较小、驾驶经验较少的青少年带来了最大的益处:结论:FOCAL+ 训练从第一堂训练课开始就能明显减少长时间瞥视:应用:在青少年驾驶过程中尽早提供五次 FOCAL+ 训练课程,可能会带来最大益处。
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引用次数: 0
Attentional Tunneling in Pilots During a Visual Tracking Task With a Head Mounted Display. 飞行员在使用头戴式显示器进行视觉跟踪任务时的注意力隧道现象。
IF 2.9 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-03-06 DOI: 10.1177/00187208241236395
Erik Van der Burg, Wietse D Ledegang, Frank L Kooi, Mark M J Houben, Eric L Groen

Objective: We examined whether active head aiming with a Helmet Mounted Display (HMD) can draw the pilot's attention away from a primary flight task. Furthermore, we examined whether visual clutter increases this effect.

Background: Head up display symbology can result in attentional tunneling, and clutter makes it difficult to identify objects.

Method: Eighteen military pilots had to simultaneously perform an attitude control task while flying in clouds and a head aiming task in a fixed-base flight simulator. The former consisted of manual compensation for roll disturbances of the aircraft, while the latter consisted of keeping a moving visual target inside a small or large head-referenced circle. A "no head aiming" condition served as a baseline. Furthermore, all conditions were performed with or without visual clutter.

Results: Head aiming led to deterioration of the attitude control task performance and an increase of the amount of roll-reversal errors (RREs). This was even the case when head aiming required minimal effort. Head aiming accuracy was significantly lower when the roll disturbances in the attitude control task were large compared to when they were small. Visual clutter had no effect on both tasks.

Conclusion: We suggest that active head aiming of HMD symbology can cause attentional tunneling, as expressed by an increased number of RREs and less accuracy on a simultaneously performed attitude control task.

Application: This study improves our understanding in the perceptual and cognitive effects of (military) HMDs, and has implications for operational use and possibly (re)design of HMDs.

目的:我们研究了使用头盔式显示器(HMD)进行主动头部瞄准是否会将飞行员的注意力从主要飞行任务上转移开。此外,我们还研究了视觉杂波是否会增加这种效果:背景:抬头显示器的符号会导致注意力隧道效应,而杂乱的视觉会使识别物体变得困难:方法:18 名军事飞行员必须在云中飞行时同时完成姿态控制任务和固定基地飞行模拟器中的头部瞄准任务。前者包括手动补偿飞机的滚动干扰,后者包括将移动的视觉目标保持在一个小或大的头部参照圈内。无头部瞄准 "条件作为基线。此外,所有条件均在有或没有视觉杂波的情况下进行:结果:头部瞄准导致姿态控制任务成绩下降,翻滚反转错误(RRE)增加。即使在头部瞄准只需最小努力的情况下也是如此。当姿态控制任务中的滚动干扰较大时,头部瞄准的准确性明显低于滚动干扰较小时。视觉杂波对这两项任务没有影响:我们认为,在同时进行的姿态控制任务中,头部主动瞄准 HMD 符号可导致注意力隧道,表现为 RRE 数量增加和准确性降低:本研究加深了我们对(军用)HMD 的感知和认知影响的理解,对 HMD 的实际使用和可能的(重新)设计具有重要意义。
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引用次数: 0
Caregiver-Implemented Interventions to Improve Daily Living Skills for Individuals With Developmental Disabilities: A Systematic Review. 护理人员实施干预措施,提高发育障碍人士的日常生活技能:系统回顾。
IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Pub Date : 2025-01-01 Epub Date: 2024-11-14 DOI: 10.1177/01454455241296514
Renming Liu, Stephanie Gerow, Catharine Lory, Kristina McGinnis, David Cosottile

Many individuals with intellectual and developmental disabilities (DD) encounter difficulties in performing daily living skills, which limits their self-sufficiency and autonomy. Caregivers, such as parents, are often the individuals who interact with individuals with DD the most during daily living skills routines. Therefore, it is critical to teach caregivers to implement daily living skills interventions with their children. A systematic review of the literature related to caregiver-implemented daily living skills interventions yielded 38 articles. Of those, 20 articles, with 21 experiments, were rated as high quality based on What Works Clearinghouse design standards. Behavior skill training was the most common strategy used to teach caregivers to implement interventions. Common daily living skills interventions included prompting, reinforcement, and task analysis. The most common form of prompting was verbal prompting, and the most common schedule of reinforcement was a continuous schedule of reinforcement. Of the 21 high-quality experiments, 86% demonstrated caregiver-implemented interventions yielded improvements in daily living skills. Several studies demonstrated generalization and maintenance of daily living skills. Implications for research and practice are discussed.

许多智力和发育障碍(DD)患者在掌握日常生活技能时会遇到困难,这限制了他们的自立和自主能力。在日常生活技能日常活动中,父母等照顾者往往是与智力发育障碍者互动最多的人。因此,教会照顾者对其子女实施日常生活技能干预至关重要。对有关照顾者实施日常生活技能干预的文献进行了系统性回顾,共获得 38 篇文章。其中有 20 篇文章和 21 项实验根据 What Works Clearinghouse 的设计标准被评为高质量。行为技能培训是用于指导护理人员实施干预措施的最常用策略。常见的日常生活技能干预包括提示、强化和任务分析。最常见的提示方式是口头提示,最常见的强化计划是持续强化计划。在 21 项高质量的实验中,86% 的实验表明护理人员实施的干预措施改善了日常生活技能。多项研究表明,日常生活技能得到了推广和保持。本文讨论了研究和实践的意义。
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引用次数: 0
Virtual Reality Adaptive Training for Personalized Stress Inoculation. 用于个性化压力接种的虚拟现实自适应训练。
IF 2.9 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2025-01-01 Epub Date: 2024-03-28 DOI: 10.1177/00187208241241968
Tor Finseth, Michael C Dorneich, Nir Keren, Warren D Franke, Stephen Vardeman

Objective: To evaluate a personalized adaptive training program designed for stress prevention using graduated stress exposure.

Background: Astronauts in the high-risk space mission environment are prone to performance-impairing stress responses, making preemptive stress inoculation essential for their training.

Methods: This work developed an adaptive virtual reality-based system that adjusts environmental stressors based on real-time stress indicators to optimize training stress levels. Sixty-five healthy subjects underwent task training in one of three groups: skill-only (no stressors), fixed-graduated (prescheduled stressor changes), and adaptive. Psychological (subjective stress, task engagement, distress, worry, anxiety, and workload) and physiological (heart rate, heart rate variability, blood pressure, and electrodermal activity) responses were measured.

Results: The adaptive condition showed a significant decrease in heart rate and a decreasing trend in heart rate variability ratio, with no changes in the other training conditions. Distress showed a decreasing trend for the graduated and adaptive conditions. Task engagement showed a significant increase for adaptive and a significant decrease for the graduated condition. All training conditions showed a significant decrease in worry and anxiety and a significant increase in the other heart rate variability metrics.

Conclusion: Although all training conditions mitigated some stress, the preponderance of trial effects for the adaptive condition supports that it is more successful at decreasing stress.

Application: The integration of real-time personalized stress exposure within a VR-based training program not only prepares individuals for high-stress situations by preemptively mitigating stress but also customizes stressor levels to the crew member's current state, potentially enhancing resilience to future stressors.

摘要背景:在高风险的太空任务环境中,宇航员很容易出现有损表现的应激反应,因此对他们进行先期应激接种训练至关重要:背景:宇航员在高风险的太空任务环境中很容易产生有损表现的应激反应,因此先发制人的应激接种对他们的训练至关重要:方法:这项研究开发了一种基于虚拟现实的自适应系统,可根据实时压力指标调整环境压力,以优化训练压力水平。65 名健康受试者在三组中的一组接受了任务训练:纯技能组(无压力源)、固定分级组(预先安排的压力源变化)和自适应组。对心理(主观压力、任务参与度、苦恼、担忧、焦虑和工作量)和生理(心率、心率变异性、血压和皮肤电活动)反应进行了测量:适应性训练条件下的心率明显下降,心率变异比呈下降趋势,其他训练条件下的心率和心率变异比没有变化。分级条件和适应条件下的压力呈下降趋势。任务参与度在适应训练条件下有明显提高,而在分级训练条件下有明显下降。所有训练条件都表明,担心和焦虑明显减少,其他心率变异性指标明显增加:结论:尽管所有训练条件都减轻了一些压力,但适应性条件的试验效果占优势,这表明适应性条件在减轻压力方面更为成功:应用:在基于 VR 的培训计划中整合实时个性化压力暴露,不仅能通过预先减轻压力为个人应对高压力情况做好准备,还能根据机组人员的当前状态定制压力水平,从而有可能增强对未来压力的适应能力。
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引用次数: 0
Job-Seeking Experiences of Trans Adults in South Korea. 韩国变性成人的求职经历。
IF 2.4 Q2 MATERIALS SCIENCE, BIOMATERIALS Pub Date : 2024-12-05 Epub Date: 2023-12-20 DOI: 10.1080/00918369.2023.2295336
Jimin Sung, Jaehee Yi, Min Ah Kim, Gaben Sanchez

Being trans is stigmatized and can make it difficult to fit into the job market in South Korean society. This study explored trans individuals' job-seeking experience and the impact of gender identity on their career choices and development using a qualitative approach. In-depth interviews were conducted with 20 trans adults with job-seeking experiences who were recruited through purposive and snowball sampling in South Korea. Ten subthemes were identified in three overarching themes: (a) limiting myself in job search; (b) challenges in the job application and interview process; and (c) having a desire to build a meaningful career. Participants limited their choices for employment in favor of gender-neutral jobs or trans-inclusive work environments. In the job-seeking process, they faced challenges due to society's rigid binary gender roles and the negative stereotypes about trans identities. Despite stress and identity-related conflict, participants expressed a desire to overcome challenges, build a meaningful career, and flourish at work without compromising their gender identity. This study highlights the experiences of trans individuals in their job-seeking journey. Psychosocial interventions and career support services could help trans individuals in the job-seeking process by identifying their unique challenges to employment and providing assistance to cope with stigma and oppression.

在韩国社会,变性是一种耻辱,会让人难以融入就业市场。本研究采用定性方法探讨了变性人的求职经历以及性别认同对其职业选择和发展的影响。研究人员通过目的性抽样和滚雪球式抽样,在韩国招募了 20 名有求职经历的变性成人,对他们进行了深入访谈。访谈确定了三个总体主题下的十个次主题:(a)求职过程中的自我限制;(b)求职和面试过程中的挑战;以及(c)建立有意义职业生涯的愿望。参与者限制了自己的就业选择,倾向于选择性别中立的工作或跨性别包容的工作环境。在求职过程中,由于社会僵化的二元性别角色和对变性身份的负面成见,他们面临着各种挑战。尽管存在压力和与身份相关的冲突,但参与者表示希望克服挑战,建立有意义的职业生涯,并在不损害其性别身份的情况下在工作中蓬勃发展。这项研究强调了变性人在求职过程中的经历。社会心理干预和职业支持服务可以帮助变性人在求职过程中识别他们在就业方面所面临的独特挑战,并提供帮助以应对污名化和压迫。
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引用次数: 0
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