Mitzi M. S. Johnson

The Influence of Positive Affect on the Unusualness of Word Associations

A pilot study and two experiments investigated the influence of positive affect, induced in three differing ways, on the uniqueness of word associations. Persons in the positive-affect conditions gave more unusual first-associates to neutral words, according to the Palermo & Jenkins (1964) norms, than did subjects in the control conditions. In Study 3, where word type (positive, neutral, negative) was a second factor along with affect, in a between-subjects design, associates to positive words were also more unusual and diverse than were those to other words. These results were related to those of studies suggesting that positive affect may facilitate creative problem solving and to other work suggesting an impact of positive feelings on cognitive organization.

Age difference in political decision making: Strategies for evaluating political candidates

To investigate age-related differences in strategies used to evaluate political candidates, an experimental study employed protocol tracing techniques with a computerized information matrix. Forty younger and forty older adults gathered information about and evaluated candidates in national and local elections. Older adults accessed less information but took longer to examine information and make choices. Differences in strategic processing suggest that young adults were more likely to organize their information searches by issues and to eliminate candidates based on issue stances. In contrast, older adults were more likely to organize their information searches by candidates and to engage in satisficing.

Essential information and support needs of family caregivers

The purpose of this study was to identify essential information and support needs of family caregivers for individuals with Alzheimers disease or a related dementia, and to examine the relationship between caregiver characteristics and needs. Caregivers (n=128, response rate=49.4%) returned a survey detailing information needs, support needs, and personal information. The need for information concerning diagnosis/treatment and legal/financial issues was more important than general information about the disease. Specifically, information about health plan coverage was most important. Experienced caregivers also needed legal/financial information, as well as support. Female caregivers rated needs related to support as significantly more important than male caregivers. Practitioners should realize that caregivers may have different information and support needs and these needs may change throughout the caregiving experience.

The carrot and the stick: Benefits and barriers in getting a diagnosis

The goals of this study were to identify the benefits and barriers perceived by family caregivers of persons who have been through a diagnostic assessment for dementia symptoms and to determine which caregivers experience more benefits and barriers associated with assessments. A survey was mailed to caregivers involved in the decision to seek a diagnostic assessment for a family member at a University of Kentucky memory disorders clinic. A total of 528 family caregivers (response rate 71.7%) returned a 4-page survey designed to elicit benefits, barriers, and demographic information. Respondents delayed the diagnostic assessment for an average of 22.4 months after noticing symptoms. Perceived benefits involved confirmation of a medical condition, access to treatment, and help preparing for the caregiving role. Barriers were both emotional and pragmatic in nature. Respondents who were younger, visited the rural assessment clinic, and had less education experienced more barriers. All groups reported receiving the same number of benefits from the assessment. By incorporating these benefits and barriers, interventions can be designed to increase the likelihood of early diagnostic assessments.

The generation effect extended: Memory enhancement for generation cues

The generation effect is the greater memorability of a response that is actively produced (e.g., in answering a question from memory) than one that is more passively produced (as in reading the answer). The present three experiments addressed a question that is critical to the theoretical interpretation of the generation effect: Is memory enhanced for the cues that are used to elicit generated responses? Using incidental learning procedures, Experiments 1 and 2 gave an affirmative answer (although the effect was substantially weaker than the generation effect for responses). Enhancement of memory for generation cues was observed both in a within-subject/within-list design (reading and generation items within the same trial blocks; Experiment 1) and in a between-subjects design (reading and generation tasks for different groups of subjects; Experiment 2). In Experiment 3, memory enhancement for generation cues was used to produce a previously unobtained result—a generation effect for nonsense responses under incidental learning conditions. These findings provide critical evidence required by theories that interpret the generation effect in terms of enhanced processing of the cue-response item.

Dr. Mom and other influences on younger and older adults' OTC medication purchases

The present study examined age differences in the sources of information that older and younger adults use when making decisions about purchasing over-the-counter (OTC) cold/allergy medications. Participants completed a questionnaire addressing information sources that influence OTC purchases and advertising awareness. The questionnaire was given either before or after completing a decision task in which they searched a computerized display of label information and chose one of seven brand name medications to purchase. Analyses revealed age-related differences in sources of information considered and label information used when purchasingOTC medications. Priming participants to recall specific advertising claims using the questionnaire had little effect on the information used by younger or older adults. Younger adults relied on price and product use information, whereas older adults relied on side effect and drug interaction information. This finding has implications forOTC label design and health care professionals who counsel patients about OTC medication usage.

Cancer pain assessment and management recommendations by hospice nurses

Pain is often the most prevalent symptom among cancer patients referred to hospice or palliative care programs. This study was designed to use performance-based testing to evaluate the skills of hospice nurses in assessing the severe pain of a cancer patient and the pain management recommendations they would present to the patients primary care physician. Twenty-seven hospice nurses (ranging in experience from 1 month to 10 years) were presented with the same standardized patient with cancer pain. In Part A (7 minutes), one of the investigators checked for predetermined behaviors as the nurses performed the clinical pain assessment. In Part B (7 minutes), the nurses answered questions regarding their recommendations for pain management for the patient seen in Part A. In the admission pain assessment, hospice nurses did well in assessing pain intensity (85%), pain location (70%), and pain-relieving factors (59%). However, only 48% of the nurses adequately assessed the pain onset, and only 44% adequately assessed other symptoms the patient might be experiencing. In Part B, 96% of the nurses recommended opioids, 96% recommended the oral route of administration, and 82% recommended regular dosing of the opioids. Fifty-six percent of nurses included a breakthrough medication in their analgesic recommendations. All of the hospice nurses treated the patients fear of addiction in an appropriate manner, and 93% of the nurses recommended increasing the patients opioid dosage to treat the persisting pain problem. There were no significant differences among nurses with regard to length of time as a hospice nurse or hospice certification on any of the items in either Part A or Part B. Most practicing hospice nurses were judged to be competent in the assessment and management of the severe pain of the standardized cancer patient, although some deficits were noted. Regular oral opioids were the analgesics of choice. Co-analgesics were rarely recommended.

Individual differences in the voluntary use of a memory aid during decision making

To characterize selective uses of external memory aids, 42 younger and 38 older adults made decisions and then completed individual difference measures. Experimental manipulation of the availability of a memory aid allowed examination of the effects of having a memory aid available as opposed to the spontaneous use of that aid. Use of the memory aid resulted in longer decision times, more requests for information, and less rechecking of already viewed information. Younger and older adults with high abstraction scores and older adults with high vocabulary scores were more likely to use the aid. Patterns of use differed in that younger adults used the aid in the middle of their information gathering and older adults used the aid toward the end. Making a memory aid available for use during decision making affected decision-making processes of older adults; use of the aid was associated with greater crystallized and fluid intelligence.

Cancer pain education: a structured clinical instruction module for hospice nurses.

The learning experience with the Cancer Pain Structured Clinical Instruction Module (SCIM), a highly structured skills training course for medical students, has been reported favorably. The purpose of this study was to present the Cancer Pain SCIM to registered nurses employed in a hospice setting. The goal of the study was to pilot test a structured cancer pain educational program for hospice nurses and to determine the perceived effectiveness of this course on the participants’ cancer pain assessment and management skills. A multidisciplinary Cancer Pain SCIM was presented to 25 hospice nurses to improve their understanding of the management of cancer pain. The development group identified essential aspects of cancer pain management and then developed checklists defining specific station content. During the 2-hour Cancer Pain SCIM, nurses rotated through 8 stations in groups of 3, spending 15 minutes at each station. Eight instructors and 6 standardized patients, 5 of whom were survivors of cancer, participated in the course. All participants (students, instructors, and patients) evaluated the course, using a 5-point Likert scale (1 = strongly disagree; 5 = strongly agree). Nurses provided self-assessments of their perceived competence on important aspects of cancer pain management both before and after the SCIM. The self-assessment items used a 5-point scale ranging from 1 (not competent) to 5 (very competent). Twenty-five hospice nurses, averaging 4.1 years (range 1–30 years) postgraduation, participated in the Cancer Pain SCIM. Overall, nurses agreed that they improved on each of the 8 teaching items (P < 0.001). The average (SD) pretest score of 2.8 (0.72) improved to 3.8 (0.58) on the post-test (P < 0.001). Nurses believed that their mastery of specific clinical skills, taught in all 8 stations, improved as a result of participation in the course. Nurses strongly agreed (mean ± SD) that it was beneficial to use patients with cancer in the course (4.6 ± 0.82). Faculty members enjoyed participating in the course (4.9 ± 0.35) and indicated a willingness to participate in future courses (4.7 ± 0.49). Significant perceived learning among hospice nurses took place in all aspects of the Cancer Pain SCIM. Participating nurses, instructors, and patients with cancer appreciated the SCIM format. Nurses and faculty considered the participation of actual patients with cancer highly beneficial. The SCIM format has great potential to improve the quality of cancer pain education.

An Analysis of Admission Committee Voting Patterns.

No abstract available.