Browsing by Subject "Verbal Behavior"

Now showing 1 - 8 of 8
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    Age-related slowing in the retrieval of information from long-term memory.
    (Journal of gerontology, 1985-03) Madden, DJ
    The present experiment investigated adult age differences in the retrieval of information from long-term memory. Each trial required a decision regarding the synonymy of two visually presented words. On the yes-response trials, the two words were either identical, differed only in case, or were synonyms that differed in case. Age differences in absolute decision time were greater for the synonyms than for the other word pairs, but the proportional slowing of decision time exhibited by the older adults was constant across word-pair type. A generalized age-related slowing in the speed of information processing can currently account for age differences in the retrieval of letter-identity and semantic information from long-term memory.
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    Changes in Informed Consent Policy and Treatment Delays in Stroke Thrombolysis.
    (Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2020-12-18) Xu, Hanzhang; De Silva, Deidre Anne; Woon, Fung Peng; Ong, Marcus Eng Hock; Matchar, David B; Bettger, Janet Prvu; Laskowitz, Daniel T; Xian, Ying

    Objectives

    The efficacy of thrombolytic therapy with tissue plasminogen activator (tPA) is highly time dependent. Although clinical guidelines do not recommend written informed consent as it may cause treatment delays, local policy can supersede and require it. From 2014 to 2017, three out of five public hospitals in Singapore changed from written to verbal consent at different time points. We aimed to examine the association of hospital policy changes regarding informed consent on door-to-needle (DTN) times.

    Materials and methods

    Using data from the Singapore Stroke Registry and surveys of local practice, we analyzed data of 915 acute ischemic stroke patients treated with tPA within 3 hours in all public hospitals between July 2014 to Dec 2017. Patient-level DTN times before and after policy changes were examined while adjusting for clinical characteristics, within-hospital clustering, and trends over time.

    Results

    Patient characteristics and stroke severity were similar before and after the policy changes. Overall, the median DTN times decreased from 68 to 53 minutes after the policy changes. After risk adjustment, changing from written to verbal informed consent was associated with a 5.6 minutes reduction (95% CI 1.1-10.0) in DTN times. After the policy changed, the percentage of patients with DTN ≤60 minutes and ≤45 minutes increased from 35.6% to 66.1% (adjusted OR 1.75; 95% CI 1.12-2.74) and 9.3% to 36.0% (adjusted OR 2.42; 95% CI 1.37-4.25), respectively.

    Conclusion

    Changing from written to verbal consent is associated with significant improvement in the timeliness of tPA administration in acute ischemic stroke.
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    Clustering by alcoholic Korsakoff patients.
    (Neuropsychologia, 1981-01) Rubin, DC; Butters, N
    Twelve alcoholic Korsakoff patients and 12 alcoholic controls recalled two clusterable lists, and two nonclusterable lists. Korsakoff patients recalled more from the clusterable than the nonclusterable lists. Detailed analysis of the Korsakoff results indicate that while some forms of semantic organization are impaired, the ability to use associative structure remains intact. © 1981.
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    Influence of encoding difficulty, word frequency, and phonological regularity on age differences in word naming.
    (Experimental aging research, 2011-05) Allen, Philip A; Bucur, Barbara; Grabbe, Jeremy; Work, Tammy; Madden, David J
    It is presently unclear as to why older adults take longer than younger adults to recognize visually presented words. To examine this issue in more detail, the authors conducted two word-naming studies (Experiment 1: 20 older adults and 20 younger adults; Experiment 2: 60 older adults and 60 younger adults) to determine the relative effects of orthographic encoding (case type), lexical access (word frequency), and phonological regularity (regular vs. irregular phonology). The hypothesis was that older adults attempt to compensate for sensory and motor slowing by using progressively larger perceptual units (holistic encoding). However, if forced to use smaller perceptual units (e.g., by using mixed-case presentation), it was predicted that older adults would be particularly challenged. Older adults did show larger case-mixing effects than younger adults (suggesting that older adults' performances were especially poor when they were forced to use smaller perceptual units), but there were no age differences in word frequency or phonological regularity even though both age groups showed main effects for these variables. These results suggest that lexical access skill remains stable in the addressed (orthographic/semantic) and assembled (phonological) routes over the life span, but that older adults slow down in recognizing words because it takes them longer to normalize (perceptually "clean up") noisier sensory information.
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    Phonemic fluency and brain connectivity in age-related macular degeneration: a pilot study.
    (Brain connectivity, 2015-03) Whitson, Heather E; Chou, Ying-Hui; Potter, Guy G; Diaz, Michele T; Chen, Nan-Kuei; Lad, Eleonora M; Johnson, Micah A; Cousins, Scott W; Zhuang, Jie; Madden, David J
    Age-related macular degeneration (AMD), the leading cause of blindness in developed nations, has been associated with poor performance on tests of phonemic fluency. This pilot study sought to (1) characterize the relationship between phonemic fluency and resting-state functional brain connectivity in AMD patients and (2) determine whether regional connections associated with phonemic fluency in AMD patients were similarly linked to phonemic fluency in healthy participants. Behavior-based connectivity analysis was applied to resting-state, functional magnetic resonance imaging data from seven patients (mean age=79.9±7.5 years) with bilateral AMD who completed fluency tasks prior to imaging. Phonemic fluency was inversely related to the strength of functional connectivity (FC) among six pairs of brain regions, representing eight nodes: left opercular portion of inferior frontal gyrus (which includes Broca's area), left superior temporal gyrus (which includes part of Wernicke's area), inferior parietal lobe (bilaterally), right superior parietal lobe, right supramarginal gyrus, right supplementary motor area, and right precentral gyrus. The FC of these reference links was not related to phonemic fluency among 32 healthy individuals (16 younger adults, mean age=23.5±4.6 years and 16 older adults, mean age=68.3±3.4 years). Compared with healthy individuals, AMD patients exhibited higher mean connectivity within the reference links and within the default mode network, possibly reflecting compensatory changes to support performance in the setting of reduced vision. These findings are consistent with the hypothesis that phonemic fluency deficits in AMD reflect underlying brain changes that develop in the context of AMD.
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    Production and recognition bias of stylistic sentences using a story reading task.
    (J Psycholinguist Res, 2002-03) Zervakis, Jennifer; Rubin, David C
    Four experiments examined participants' ability to produce surface characteristics of sentences using an on-line story reading task. Participants read a series of stories in which either all, or the majority of sentences were written in the same "style," or surface form. Twice per story, participants were asked to fill in a blank consistent with the story. For sentences that contained three stylistic regularities, participants imitated either all three characteristics (Experiment 2) or two of the three characteristics (Experiment 1), depending on the proportion of in-style sentences. Participants demonstrated a recognition bias for the read style in an unannounced recognition task. When participants read stories in which the two styles were the dative/double object alternation, participants demonstrated a syntactic priming effect in the cloze task, but no consistent recognition bias in a later recognition test (Experiments 3 and 4).
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    Recall of semantic domains.
    (Memory & cognition, 1980-07) Rubin, DC; Olson, MJ
    The order of recall of lists of words learned incidentally was analyzed by multidimensional scaling similarity matrices based on the number of times words were retrieved next to each other. For the semantic domains of mammals, birds, and kinship terms, retrieval from very long-term memory, both for groups and individuals, and recall of recently learned lists produced multidimensional solutions similar to published solutions based on judged relatedness and associative overlap. For the squares of the Monopoly board and the names of the members of the Lawrence University faculty, for which clear a priori category structures exist, the form of clustering in the order and timing of recall that is commonly found in recall of lists learned recently in the laboratory was also found in the retrieval of lists learned incidentally through multiple exposures over long periods of time in the real world. © 1980 Psychonomic Society, Inc.
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    Risk communication in clinical trials: a cognitive experiment and a survey.
    (BMC Med Inform Decis Mak, 2010-09-27) Cheung, Yin Bun; Wee, Hwee Lin; Thumboo, Julian; Goh, Cynthia; Pietrobon, Ricardo; Toh, Han Chong; Yong, Yu Fen; Tan, Say Beng
    BACKGROUND: A Royal Statistical Society Working Party recently recommended that "Greater use should be made of numerical, as opposed to verbal, descriptions of risk" in first-in-man clinical trials. This echoed the view of many clinicians and psychologists about risk communication. As the clinical trial industry expands rapidly across the globe, it is important to understand risk communication in Asian countries. METHODS: We conducted a cognitive experiment about participation in a hypothetical clinical trial of a pain relief medication and a survey in cancer and arthritis patients in Singapore. In part 1 of the experiment, the patients received information about the risk of side effects in one of three formats (frequency, percentage and verbal descriptor) and in one of two sequences (from least to most severe and from most to least severe), and were asked about their willingness to participate. In part 2, the patients received information about the risk in all three formats, in the same sequence, and were again asked about their willingness to participate. A survey of preference for risk presentation methods and usage of verbal descriptors immediately followed. RESULTS: Willingness to participate and the likelihood of changing one's decision were not affected by the risk presentation methods. Most patients indicated a preference for the frequency format, but patients with primary school or no formal education were indifferent. While the patients used the verbal descriptors "very common", "common" and "very rare" in ways similar to the European Commission's Guidelines, their usage of the descriptors "uncommon" and "rare" was substantially different from the EU's. CONCLUSION: In this sample of Asian cancer and arthritis patients, risk presentation format had no impact on willingness to participate in a clinical trial. However, there is a clear preference for the frequency format. The lay use of verbal descriptors was substantially different from the EU's.