When not helping is nice: Children's changing evaluations of helping during COVID-19.

A key aspect of children's moral and social understanding involves recognizing the value of helpful behaviors. COVID-19 has complicated this process; behaviors generally considered praiseworthy were considered problematic during the COVID-19 pandemic. The present study examined whether 6- to 12-year-olds (N = 228; residing in the United States) adapt their evaluations of helpful behavior in response to shifting norms. Specifically, we presented children with scenarios featuring helpful and unhelpful actions that involved physical interaction (e.g., hugging) or nonphysical interaction (e.g., recruiting a teacher); although all children were tested during the COVID-19 pandemic, stories portrayed individuals either before or during COVID-19. While children generally judged helpfulness positively and unhelpfulness negatively, children exhibited a selective shift in their judgments for COVID-19 scenarios: children considered helpfulness negatively and unhelpfulness positively if helping required physical interaction. These findings demonstrate that children flexibly tune their social evaluations of helping to align with evolving norms. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Children's judgments of interventions against norm violations: COVID-19 as a naturalistic case study.

The coronavirus pandemic has had a significant influence on social interactions, introducing novel social norms such as mask-wearing and social distancing to protect people's health. Because these norms and associated practices are completely novel, it is unknown how children assess what kinds of interventions are appropriate under what circumstances and what principles they draw on in their decisions. We investigated children's reasoning about interventions against individuals who failed to adhere to COVID-19 norms. In this pre-registered study (N = 128), 4- to 7-year-olds heard stories about a norm violator, that is, a person who refuses to wear a mask in class (COVID condition) or wear indoor shoes in class when his or her shoes are muddy (Muddy Shoes condition). Children evaluated four different interventions-giving a mask/indoor shoes (Giving), preventing the person from entering (Exclusion), throwing a paper ball at the person (Throwing), and not intervening (Doing Nothing)-in terms of their rightness, niceness, and effectiveness. We found that across measures children evaluated Giving most positively, whereas they viewed Throwing most negatively. Doing Nothing and Exclusion received mixed evaluations across measures, revealing nuanced judgments of these interventions in children. In most measures, there was no difference between the COVID and Muddy Shoes conditions, suggesting that children's evaluations are not specific to the novel COVID-19 context. Together, our results show that children dynamically evaluate each intervention, taking multiple factors into account. The current study has implications for the development of interventions against norm violations.

Clinical effectiveness of music interventions for dementia and depression in elderly care (MIDDEL): Australian cohort of an international pragmatic cluster-randomised controlled trial.

BACKGROUND: Dementia and depression are highly prevalent and comorbid conditions among older adults living in care homes and are associated with individual distress and rising societal costs. Effective, scalable, and feasible interventions are needed. Music interventions have shown promising effects, but the current evidence base is inconclusive. The present study aimed to determine the effectiveness of two different music interventions on the depressive symptoms of people with dementia living in residential aged care. METHODS: We implemented a 2 × 2 factorial cluster-randomised controlled trial to determine whether group music therapy (GMT) is more effective than no GMT with standard care, or recreational choir singing (RCS) is more effective than no RCS with standard care, for reducing depressive symptoms and other secondary outcomes in people with dementia with mild to severe depressive symptoms living in residential aged care. Care home units with at least ten residents were allocated to GMT, RCS, GMT plus RCS, or standard care, using a computer-generated list with block randomisation (block size four). The protocolised interventions were delivered by music therapists (GMT) and community musicians (RCS). The primary outcome was Montgomery-Åsberg Depression Rating Scale score at 6 months, assessed by a masked assessor and analysed on an intention-to-treat basis using linear mixed-effects models, which examined the effects of GMT versus no-GMT and RCS versus no-RCS, as well as interaction effects of GMT and RCS. We report on the Australian cohort of an international trial. This trial is registered with ClinicalTrials.gov, NCT03496675, and anzctr.org.au, ACTRN12618000156280. FINDINGS: Between June 15, 2018, and Feb 18, 2020, we approached 12 RAC facilities with 26 eligible care home units and, excluding six units who could not be enrolled due to COVID-19 lockdowns, we screened 818 residents. Between July 18, 2018, and Nov 26, 2019, 20 care home units were randomised (318 residents). Recruitment ceased on March 17, 2020, due to COVID-19. The primary endpoint, available from 20 care home units (214 residents), suggested beneficial effects of RCS (mean difference -4·25, 95% CI -7·89 to -0·62; p=0·0221) but not GMT (mean difference -0·44, -4·32 to 3·43; p=0·8224). No related serious adverse events occurred. INTERPRETATION: Our study supports implementing recreational choir singing as a clinically relevant therapeutic intervention in reducing depressive symptoms for people with dementia in the Australian care home context. FUNDING: National Health and Medical Research Council, Australia.