Defining internet-supported therapeutic interventions
- Authors: Barak, Azy , Klein, Britt , Proudfoot, Judith
- Date: 2009
- Type: Text , Journal article
- Relation: Annals of Behavioral Medicine Vol. 38, no. 1 (2009), p. 4-17
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- Description: BACKGROUND: The field of Internet-supported therapeutic interventions has suffered from a lack of clarity and consistency. The absence of professional leadership and of accepted governing approaches, terminology, professional standards, and methodologies has caused this field to be diffused and unstructured. Numerous terms have been used to label and describe the activities conducted over the Internet for mental and physical health purposes: web-based therapy, e-therapy, cybertherapy, eHealth, e-Interventions, computer-mediated interventions, and online therapy (or counseling), among others. METHODS: Following a comprehensive review, we conceptualized Internet-supported interventions, using four categories based on prime practice approaches: web-based interventions, online counseling and therapy, Internet-operated therapeutic software, and other online activities (e.g., as supplements to face-to-face therapy). We provide a working definition and detailed description of each category, accompanied by numerous examples. CONCLUSIONS: These categories may now serve as guiding definitions and related terminologies for further research and development in this emerging field.
Constrained action selection in children with developmental coordination disorder
- Authors: Pettit, Lewis , Charles, Jennifer , Wilson, Andrew , Plumb, Mandy , Brockman, Anne , Williams, Justin , Mon-Williams, Mark
- Date: 2008
- Type: Text , Journal article
- Relation: Human Movement Science Vol. 27, no. 2 (2008), p. 286-295
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- Description: The effect of advance ('precue') information on short aiming movements was explored in adults, high school children, and primary school children with and without developmental coordination disorder (n=10, 14, 16, 10, respectively). Reaction times in the DCD group were longer than in the other groups and were more influenced by the extent to which the precue constrained the possible action space. In contrast, reaction time did not alter as a function of precue condition in adults. Children with DCD showed greater inaccuracy of response (despite the increased RT). We suggest that the different precue effects reflect differences in the relative benefits of priming an action prior to definitive information about the movement goal. The benefits are an interacting function of the task and the skill level of the individual. Our experiment shows that children with DCD gain a benefit from advance preparation in simple aiming movements, highlighting their low skill levels. This result suggests that goal-directed RTs may have diagnostic potential within the clinic.
Non-target flanker effects on movement in a virtual action centred reference frame
- Authors: Carr, Sherilene , Phillips, James , Meehan, James
- Date: 2008
- Type: Text , Journal article
- Relation: Experimental Brain Research Vol. 184, no. 1 (2008), p. 95-103
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- Description: Visual selective attention is thought to underly inhibitory control during pointing movements. Accounts of inhibitory control during pointing movements make differential predictions about movement deviations towards or away from highly salient non-target flankers based on their potential cortical activation and subsequent inhibition: (1) Tipper et al. (Vis Cogn 4:1-38, 1997) "response vector model" predicts movements away from highly salient flankers; (2) Welsh and Elliott's (Q J Exp Psychol 57:1031-1057, 2004a and J Mot Behav 36:200-211, 2004b) "response activation model" predicts movements towards highly salient flankers early in the response, that is resolved by a race for inhibition. To eliminate the confounds of physical properties, such as obstacle avoidance and information cues of non-target objects, pointing was conducted in a virtual environment (graphical user interface). Participants were 14 skilled computer users who moved a computer cursor with a mouse to virtual targets. Analysis revealed non-target flankers significantly interfered with movement consistent with action centred selective attention, and reflecting a proximity-to-hand effect. Spatial analysis revealed evidence of highly salient flankers attracting movement, and less salient flankers repelling movement, supporting Welsh and Elliott's response activation model. These effects were achieved in a virtual 2D environment where interference caused by the physical properties of objects was less cogent.
Online corrections in children with and without DCD
- Authors: Plumb, Mandy , Wilson, Andrew , Mulroue, Amy , Brockman, Anne , Williams, Justin , Mon-Williams, Mark
- Date: 2008
- Type: Text , Journal article
- Relation: Human Movement Science Vol. 27, no. 5 (2008), p. 695-704
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- Description: Human arm movements need 'online' corrections due to noise in perception and action. A Step-Perturbation paradigm explored online corrections in control children and children with DCD aged between 7 and 13 years. Control children found the task straightforward: a distracter had no effect and they managed to stop relatively quickly. Children with DCD found the task difficult and the apparatus was modified accordingly (decreased postural and force production demands). The distracter affected some children with DCD and some found it difficult to stop. All of the DCD population showed poorer performance in both the perturbation and non-perturbation condition. Nevertheless, there was no interaction between group and condition. Thus, this study found no evidence for specific deficits in online correction mechanisms in DCD. We suggest that: (i) fundamental problems in generating basic movements can account for the documented difficulties in correcting on-going movements, and (ii) such fundamental difficulties make it very difficult to pinpoint specific mechanism deficits.
Using a voice-centered relational method of data analysis in a feminist study exploring the working world of nursing unit managers
- Authors: Paliadelis, Penny , Cruickshank, Mary
- Date: 2008
- Type: Text , Journal article
- Relation: Qualitative Health Research Vol. 18, no. 10 (2008), p. 1444-1453
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- Description: In this article, we discuss the application of a data analysis method used in a feminist study that explored the working world of nursing unit managers in Australia. The decision to use a voice-centered relational approach to the data was based on a desire to delve into the working world of nursing unit managers and uncover the layers within the narratives that specifically related to their perceptions of themselves, their world, and the context in which they work. Throughout this article, the focus is on how this method was applied to uncover multiple layers of meaning within the data, rather than on the researchers' and participants' roles in the coconstruction of interview data. An excerpt from an interview transcript is used to illustrate how the stories of the participants were explored using this method.
Galvanic and acoustic vestibular stimulation activate different populations of vestibular afferents
- Authors: Bacsi, Ann M , Watson, Shaun , Colebatch, James G
- Date: 2003
- Type: Text , Journal article
- Relation: Clinical Neurophysiology Vol. 114, no. 2 (2003), p. 359-365
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- Description: OBJECTIVE: To deduce whether similar or distinct populations of vestibular afferents are activated by acoustic and galvanic vestibular stimulation by comparing the effectiveness of 'matched' stimuli in eliciting vestibulospinal reflexes. METHODS: Twelve subjects (5 men, 7 women) underwent individual 'matching' of 2 ms tone burst and galvanic stimuli, using vestibulocollic reflexes so that corrected reflex amplitudes to tone burst and galvanic stimuli were within 10% of each other. These same intensities were then administered using 20 ms durations to determine whether they were equally effective in evoking vestibulospinal responses. RESULTS: Corrected reflex amplitudes for vestibulocollic responses to tone burst and galvanic stimulation were not significantly different for the right (P=0.45) or left (P=0.68) sides. All subjects had vestibulospinal responses to galvanic stimulation (average intensity 4.0 mA for both sides). The short latency (SL) and medium latency (ML) components of the vestibulospinal reflexes were larger after galvanic compared to tone burst stimulation in 11 of 12 subjects (P<0.01). CONCLUSIONS: Despite evoking equal-sized vestibulocollic reflexes, there was a clear dissociation between the magnitude of tone burst and galvanic-induced vestibulospinal reflexes. Galvanic stimulation evoked SL and ML reflexes in all subjects. Tone burst stimuli evoked only small SL reflexes and, in most cases, no ML reflexes. Acoustically-evoked vestibulocollic reflexes are likely to be due to saccular excitation. The limited effectiveness of longer tone burst stimuli to evoke ML vestibulospinal reflexes suggests that saccular afferents have, at most, only a minor role in the production of these reflexes. We conclude that galvanic stimulation is more effective in eliciting vestibulospinal reflexes than tone burst stimulation, and that the two methods activate different populations of vestibular afferents.