School of Social Sciences, Humanities, and Arts

Parent-child dyads in which the child is deaf but the parent is hearing present a unique opportunity to examine parents’ use of non-auditory cues, particularly vision and touch, to establish communicative intent. This study examines the multimodal communication patterns of hearing parents during a free play task with their hearing (N=9) or deaf (N=9) children. Specifically, we coded parents’ use of multimodal cues in the service of establishing joint attention with their children. Dyad types were compared for overall use of multimodal – auditory, visual, and tactile – attention-establishing cues, and for the overall number of successful and failed bids by a parent for a child’s attention. The relationship between multimodal behaviors on the part of the parent were tracked for whether they resulted in successful or failed initiation of joint attention. We focus our interpretation of the results on how hearing parents differentially accommodate their hearing and deaf children to engage them in joint attention. Findings can inform the development of recommendations for hearing parents of deaf children who are candidates for cochlear implantation regarding communication strategies to use prior to a child’s implantation. Moreover, these findings expand our understanding of how joint attention is established between parents and their preverbal children, regardless of children’s hearing status.

The remote Objective Structured Clinical Examination (OSCE) is a cornerstone of medical education, enabling structured and objective assessment of clinical skills, communication, and patient-centered care. However, its widespread adoption has introduced challenges related to cost-effectiveness and efficient use of rater resources. Traditional double scoring (DS) ensures reliability but is labor-intensive and costly, especially in large-scale assessments. To address these challenges, this study introduces Targeted Double Scoring (TDS), a novel methodology that selectively applies DS to specific score ranges, particularly those near the pass/fail threshold. The study was conducted using data from a pilot remote OSCE administered to 550 clinical medicine undergraduates in China. The OSCE consisted of three stations: Clinical Reasoning (CR), Physical Examination (PE), and Fundamental Skills (FS). Each station was scored remotely by two raters, with a cut-off score of 60 out of 100. The TDS methodology was modeled based on the OSCEs DS design and fitted with scoring data. A decision-theoretic approach identified optimal Critical Score Ranges (CSRs) for targeted double scoring, balancing reliability and cost-effectiveness. The findings show that TDS significantly reduces rater workload and costs while maintaining high reliability and fairness. For instance, TDS achieved up to 70% cost savings compared to traditional DS under certain configurations. The study also highlights the flexibility of TDS, which can be tailored to different OSCE designs and scoring rubrics. These results have broad implications for medical education, especially in resource-constrained settings where optimizing assessment efficiency is critical. This study provides a practical solution to the cost-related challenges of remote OSCEs and offers a framework for adopting TDS in assessments. By focusing raters on critical score ranges, TDS maintains rigorous and fair evaluations without overburdening faculty or exceeding budgets. Future research should explore TDS scalability and its integration with emerging technologies like artificial intelligence to enhance efficiency and reliability.

Previous research suggests that adults' essentialist beliefs depend on their own social-group membership. However, these studies have examined the effects of one social-group membership at a time (e.g., the influence of race on essentialism of race), even though all individuals belong to multiple social groups. It is therefore unclear whether membership in one social category (e.g., ethnicity) predicts essentialism of another category (e.g., SES). To address this question, the present study simultaneously explored the relationship between individuals' racial and ethnic background and subjective SES and their essentialism of ethnicity and SES. Results showed that participants' racial and ethnic background predicted their essentialist beliefs about ethnicity, but their subjective SES did not. In contrast, participants' subjective SES and ethnicity interacted to predict their essentialist beliefs about SES: for non-Hispanic White individuals, higher subjective SES predicted stronger essentialist beliefs about SES across multiple dimensions of essentialism, but no such pattern emerged for members of racial and ethnic minority groups. These findings suggest that adults' essentialist beliefs are influenced by a complex interplay of their multiple social-group memberships.

Collisson et al. (2020) found Dark Triad traits and gender role beliefs predicted foodie calls, a phenomenon where people go on a date with others, to whom they are not attracted, for a free meal. Because gender roles and dating norms differ across cultures, we conducted a registered replication across different cultures by surveying 1838 heterosexual women from Poland, the United Kingdom (UK), and the United States (US). Relying on the structural equation modeling, as conducted in the original study, our findings revealed gender role beliefs best predicted foodie calls and their perceived acceptability, whereas the Dark Triads general factor was nonsignificant. Analyses at the country level yielded mixed results. The original findings were replicated in the UK and Poland, but not in the US, where only narcissism predicted foodie calls. In the US, gender role beliefs predicted foodie call acceptability, but the Dark Triad general factor did not. Potential reasons for why traditional gender roles, but not the Dark Triad, predicted foodie calls in the US are discussed.

The theory of planned behavior is a social cognition theory that has been widely applied to identify the psychological determinants of intentions and behavior in health contexts. Our 2015 meta-analysis of theory applications in chronic illness contributed to a burgeoning evidence base comprising syntheses supporting theory predictions in health behavior. In this review, we identify limitations of prior meta-analyses of theory applications in health behavior and highlight salient evidence gaps, summarize how recent meta-analyses of the theory have addressed some of the limitations, outline outstanding research questions, and suggest future research syntheses, including those currently in progress, to resolve them. We point to recent and ongoing meta-analyses addressing theory hypotheses and assumptions not tested in previous syntheses, such as perceived behavioral control moderating effects and indirect effects of environmental (e.g., sociostructural variables) and intrapersonal (e.g., personality traits) determinants on health behavior mediated by theory constructs. We also highlight meta-analyses examining behavioral effects of constructs representing extended processes (e.g., habit, implicit cognition) in the context of the theory. Further, we summarize recent meta-analyses addressing directional and causal inferences in theory effects, including meta-analyses of longitudinal studies and experimental and intervention research. We also highlight attempts to test the mechanisms of action of interventions based on the theory including the change meta-analysis method and mediation analyses. We conclude by summarizing the advances that recent meta-analyses of the theory have made to the evidence base of health behavior determinants and interventions and highlighting suggestions for meta-analyses that will further progress the evidence base.

Physical activity levels among early adolescents and their parents are insufficient for health benefits. Identifying modifiable determinants in parent-child dyads can inform future research and interventions. We tested a partial least squares path model based on the integrated behavior change model in insufficiently active Finnish parent-child dyads (n = 88), including measures of autonomous and controlled motivation, social cognition constructs (attitude, subjective norm, perceived behavioral control), intention, planning, and habits. Autonomous motivation predicted attitude in both samples, but only predicted subjective norms and perceived behavioral control in children. Attitude in turn predicted intention, planning, and habit, in the child sample, but only intention and planning in parents. Perceived behavioral control predicted intention and planning only in children, while subjective norm had minimal effects in either sample. Autonomous motivation and attitude consistently determined intention and planning for both parents and children, highlighting their importance in future research and interventions.

Background/Objectives: Over 5 million youth under the age of 19 provide daily, hands-on care to an ill or injured family member across the United States. Yet how these young carers perceive the care they deliver in the moment, and how these perceptions relate to well-being, is unexplored, particularly in complex neurological conditions. This paper presents initial data on young carers for a family member with amyotrophic lateral sclerosis (ALS). Methods: Ecological momentary assessment (EMA) was used to measure perceptions of care in the moments of care and the cognitive and emotional states of the young carers during those moments. Young carers (n = 15) aged 10-19 were followed for seven days, completing assessments three times per day, which provided 260 total measurements. Young carers reported frequently engaging in caregiving (~39% of assessments). Results: The results indicated that it was not simply performing a caregiving task that related to outcomes, but rather how caregiving moments were perceived that mattered. Caregiving moments perceived as more fulfilling resulted in young carers feeling less discontent and more focused, whereas caregiving moments perceived as lacking resources predicted more discontent and distress. Exploratory analyses highlighted the potential for burden for young carers. They reported high levels of worry when they were not around the care recipient, with this worry predicting feeling more discontent and distressed. Conclusions: Young carers are deeply involved in care and perceive care differently across moments, both positive and negative. These initial data can be used to develop targeting support programs in the moment of care, potentially lessening the negative impacts of care.

China’s economic landscape has changed considerably in recent years, raising questions of how Chinese individuals reason about economic categories. The present study examined whether Chinese individuals hold essentialist beliefs about socioeconomic status (SES) and residency, a salient category in China that is usually passed from parent to child and determines access to public services. We also examined whether Chinese adults’ essentialist beliefs varied with their perception of their social status, as shown in other cultures. To address these questions, 356 Chinese students in Shanghai with or without Shanghai residency completed a battery of measures assessing essentialist beliefs about SES and residency. Results showed that participants essentialized both categories along some dimensions: they treated them as causally informative natural categories but did not believe they were biologically based. Participants with higher subjective SES were more likely to essentialize both SES and residency, while participants who identified with a more prestigious residency were more likely to essentialize residency. This study provides the first evidence that Chinese individuals essentialize residency. Our findings also suggest that the positive association between social status and essentialist beliefs extends to the Chinese cultural context and holds across different types of social standing, such as SES and residency.

OBJECTIVE: We outline the development of a narrative intervention guided by the Common-Sense Model of Self-Regulation (CSM) to promote Human Papillomavirus (HPV) vaccination in a diverse college population. METHODS: We adapted the Obesity-Related Behavioral Intervention Trials (ORBIT) model to guide the development, evaluation, and refinement of a CSM-guided narrative video. First, content experts developed a video script containing information on HPV, HPV vaccines, and HPV-related cancers. The script and video contents were evaluated and refined, in succession, utilizing the think-aloud method, open-ended questions, and a brief survey during one-on-one interviews with university students. RESULTS: Script and video content analyses led to significant revisions that enhanced quality, informativeness, and relevance to the participants. We highlight the critical issues that were revealed and revised in the iterative process. CONCLUSIONS: We developed and refined a CSM guided narrative video for diverse university students. This framework serves as a guide for developing health communication interventions for other populations and health behaviors. INNOVATION: This project is the first to apply the ORBIT framework to HPV vaccination and describe a process to develop, evaluate, and refine comparable CSM guided narrative interventions that are tailored to specific audiences.

Few studies have measured components of stress responses in real time-an essential step in designing just-in-time interventions targeting moments of risk. Using ecological momentary assessment (EMA), we characterised stress response components to everyday stressors, including reactivity (the response following a stressor), recovery (the return towards baseline), and pile-up (the accumulation of stressors) (RRPs) by quantifying the dynamics of response indicators (i.e., subjective stress, negative affect, and perseverative cognition). To determine the utility of these novel measures in capturing and characterising acute moments of the stress response, this study evaluated the proportion of variance in RRPs attributed to (1) between-person, (2) between-days, and (3) within-day (momentary) levels. Healthy adults (n = 123; aged 35-65, 79% women, 91% non-Hispanic White) participated in a 14-day study assessing stress response via EMA 6 times a day. RRPs were constructed from 10,065 EMA reports. Multilevel models with moments nested within days nested within persons were used to partition variance in the RRPs. Reactivity and recovery indicators captured the most variation within-days (i.e., across moments; range 76%-80% and 87%-89%, respectively), with small amounts of variance between-person. For pile-up, variation was mostly observed between-days (range 60%-63%) and between-persons (range 27%-31%). In contrast, raw measures of stress response reflected substantial between-person (range 32%-54%) and within-day (range 34%-53%) variance. These results demonstrated that a person-specific approach to measuring stress response components (i.e., RRPs) can capture the dynamic within-person variation in stress response, as it occurs in real time, making it well-suited for use in novel just-in-time interventions targeting moments of risk.