Effectiveness of an LGBTQ+ E-Learning Module for Social Workers:A Randomized Controlled Trial

Purpose: To evaluate the effectiveness of an e-learning training module for improving children's social workers’ knowledge of, and attitudes toward, LGBTQ+ young people. Methods: A pragmatic randomized, CONSORT-compliant controlled trial to compare an intervention group ( N = 304) with a business-as-usual comparison group ( N = 310). After attrition, the analysis included 188 (intervention) and 278 (comparison) participants. The main outcome measures were the Heteronormative Attitudes and Beliefs Scale and a perceived LGBTQ+ knowledge measure, controlling for several covariates. Results: A significant effect of intervention on both outcome measures, using several rigorous analysis approaches and missing data imputation methods. Participants who undertook the training decreased their heteronormative attitudes and beliefs and increased their perceived LGBTQ+ knowledge compared to business as usual. Conclusion: This study demonstrates the effectiveness of an e-learning training intervention in improving knowledge of, and attitudes toward, LGBTQ+ young people. Implications for research, practice, and policy are outlined

Caucasian Infants’ Attentional Orienting to Own- and Other-Race Faces

Infants show preferential attention toward faces and detect faces embedded within complex naturalistic scenes. Newborn infants are insensitive to race, but rapidly develop differential processing of own- and other-race faces. In the present study, we investigated the development of attentional orienting toward own- and other-race faces embedded within naturalistic scenes. Infants aged six-, nine- and twelve-months did not show differences in the speed of orienting to own- and other race faces, but other-race faces held infants’ visual attention for longer. We also found a clear developmental progression in attentional capture and holding, with older infants orienting to faces faster and fixating them for longer. Results are interpreted within the context of the two-process model of face processing

The role of adult social care in the prevention of intensive health and care needs: a scoping review

Context: Despite the strong emphasis on prevention in social care policy, there is a lack of evidence on the effectiveness of preventive social care interventions to delay escalation of intensive care needs. Objective(s): We reviewed the literature relating to the role of Adult Social Care to prevent escalation of care needs. We aimed to identify mechanisms in service delivery that prevent development of long-term care needs. Method(s): We used the PRISMA-ScR framework to review papers reporting the (cost)effectiveness of preventative services. Findings were qualitatively synthesised using elements of realist synthesis. Findings: Thirty-one papers were included covering: integrated care, intermediate care, rehabilitation, post-discharge services, community-based care, and domiciliary care. Overall, we found few studies with conclusive results to inform policy and practice. Moreover, the evidence was mostly concerned with the impact of social care on health care utilisation, with relatively few studies addressing the impact on social care utilisation. There was some preliminary evidence for the effectiveness of multi-faceted support set within the community, and improvements were observed for patients’ Quality of Life. Limitations: The variety of papers we included reflects the complexity of the social care landscape but prevents robust assessment of the impact of services to delay advancing care needs. Implications: Greater investment in research in this field will help policy makers and families target scarce resources and invest in the most effective prevention services. We emphasise the impact of prevention services can take several years to realise, which must be reflected in research design and social care funding

Infants’ responses to interactive gaze-contingent faces in a novel and naturalistic eye-tracking paradigm

Background: Face-scanning is an important skill that takes place in a highly interactive context embedded within social interaction. However, previous research has studied face-scanning using non-interactive stimuli. We aimed to study face-scanning and social interaction in infancy in a more ecologically valid way by providing infants with a naturalistic and socially engaging experience. Methods: We developed a novel gaze-contingent eye-tracking paradigm in which infants could interact with face-stimuli. Responses (socially engaging/socially disengaging) from faces were contingent on infants’ eye movements. We collected eye-tracking and behavioral data of 162 (79 male, 83 female) 6-, 9- and 12-month-olds. Results: All infants showed a clear preference for looking at the eyes relative to the mouth. Contingency was learned implicitly and infants were more likely to show behavioral responses (e.g. smiling, pointing) when receiving socially engaging responses. Infants’ responses were also more often congruent with the actors’ responses than incongruent. Additionally, our large sample allowed us to look at the ranges of behavior on our task and we identified a small number of infants who displayed deviant behaviors. We discuss these findings in relation to data collected from a small sample (N=11) of infants considered to be ‘at-risk’ for autism spectrum disorders. Conclusions: Our results demonstrate the versatility of the gaze-contingency eye-tracking paradigm, allowing for a more nuanced and complex investigation of face-scanning as it happens in real-life interaction. As we provide additional measures of contingency learning and reciprocity, our task holds the potential to investigate atypical neurodevelopment within the first year of life

Infants show pupil dilatory responses to happy and angry facial expressions

Facial expressions are one way in which infants and adults communicate emotion. Infants scan expressions similarly to adults, yet it remains unclear whether they are receptive to the affective information they convey. The current study investigates six-, nine- and twelve-month infants’ (N = 146) pupillary responses to the six ‘basic’ emotional expressions (happy, sad, surprise, fear, anger, and disgust). To do this we use dynamic stimuli and gaze-contingent eye-tracking to simulate brief interactive exchanges, alongside a static control condition. Infants’ arousal responses were stronger for dynamic compared to static stimuli. And for dynamic stimuli we found that, compared to neutral, infants showed dilatory responses for happy and angry expressions only. Although previous work has shown infants can discriminate perceptually between facial expressions, our data suggest that sensitivity to the affective content of all six basic emotional expressions may not fully emerge until later in ontogeny

Reflections on the Use of Synchronous Online Focus Groups in Social Care Research

Focus groups are an extensively employed research method for the collection of qualitative data. Recent developments in teleconferencing platforms have produced a substantial increase in online research, including online focus groups. The current study is the first to discuss methodological reflections on the conduct of online focus groups in adult social care research. Previously reported research on the use of online focus groups in healthcare research cannot readily be applied to the significantly distinct social care sector. Unique characteristics of the social care sector, such as the dispersion of social care services, the significant funding gap, ongoing recruitment and retention issues, and an ageing population becoming increasingly reliant on social care have consequences for the design, conduct and appropriateness of the online focus group method. In this article, we review the use of synchronous online focus groups in social care research. We conducted six online focus groups with social care professionals (total N = 37). The online focus group method is evaluated by analysing and reporting data from a participant experience survey and researcher reflection logs. Additionally, this article reviews Microsoft Teams as a platform for online focus groups. It is concluded that the benefits of increased accessibility and representation significantly outweigh the limitations related to online social communication. We suggest that the use of the online focus groups method could enhance the relatively scarce research capacity in social care, and we provide practical recommendations for the design and conduct of online focus groups in social care research

Effects of V1 surround modulation tuning on visual saliency and the tilt illusion

Neurons in the primary visual cortex respond to oriented stimuli placed in the center of their receptive field, yet their response is modulated by stimuli outside the receptive field (the surround). Classically, this surround modulation is assumed to be strongest if the orientation of the surround stimulus aligns with the neuron's preferred orientation - irrespective of the actual center stimulus. This neuron-dependent surround modulation has been used to explain a wide range of psychophysical phenomena, such as biased tilt perception and saliency of stimuli with contrasting orientation. However, several neurophysiological studies have shown that for most neurons surround modulation is instead center-dependent: it is strongest if the surround orientation aligns with the center stimulus. As the impact of such center-dependent modulation on the population level is unknown, we examine this using computational models. We find that with neuron-dependent modulation the biases in orientation coding, commonly used to explain the tilt illusion, are larger than psychophysically reported, but disappear with center-dependent modulation. Therefore we suggest that a mixture of the two modulation types is necessary to quantitatively explain the psychophysically observed biases. Next, we find that under center-dependent modulation average population responses are more sensitive to orientation differences between stimuli, which in theory could improve saliency detection. However, this effect depends on the specific saliency model. Overall, our results thus show that center-dependent modulation reduces coding bias, while possibly increasing the sensitivity to salient features

Significant pain decrease in children with non-systemic Juvenile Idiopathic Arthritis treated to target:results over 24 months of follow up

Background: The aim of this study was to compare pain-scores in three targeted treatment-strategies in JIA-patients and to identify characteristics predicting persistent pain. Methods: In the BeSt-for-Kids-study 92 DMARD-naïve JIA-patients were randomized in 3 treatment-strategies: 1) initial sequential DMARD-monotherapy 2) initial methotrexate (MTX)/prednisolone-bridging or 3) initial MTX/etanercept. Potential differences in VAS pain scores (0-100 mm) over time between treatment-strategies were compared using linear mixed models with visits clustered within patients. A multivariable model was used to assess the ability of baseline characteristics to predict the chance of high pain-scores during follow-up. Results: Pain-scores over time reduced from mean 55.3 (SD 21.7) to 19.5 (SD 25.3) mm after 24 months. On average, pain-scores decreased significantly with β -1.37 mm (95% CI -1.726; -1.022) per month. No significant difference was found between treatment-strategies (interaction term treatment arm*time (months) β (95% CI) arm 1: 0.13 (-0.36; 0.62) and arm 2: 0.37 (-0.12; 0.86) compared to arm 3). Correction for sex and symptom duration yielded similar results. Several baseline characteristics were predictive for pain over time. Higher VAS pain [β 0.44 (95% CI 0.25; 0.65)] and higher active joint count [0.77 (0.19; 1.34)] were predictive of higher pain over time, whereas, low VAS physician [-0.34 (-0.55; -0.06)], CHQ Physical [-0.42 (-0.72; -0.11)] and Psychosocial summary Score [-0.42 (-0.77; -0.06)] were predictive of lower pain. Conclusions: Treatment-to-target seems effective in pain-reduction in non-systemic JIA-patients irrespective of initial treatment-strategy. Several baseline-predictors for pain over time were found, which could help to identify patients with a high risk for development of chronic pain. Trial registration: Dutch Trial Registry number 1574.</p