Assessing reliability and validity of SIPAT and opportunities for improvement: A single-center cohort study.

Psychosocial assessment is a standard component of patient evaluations for transplant candidacy. The Stanford Integrated Psychosocial Assessment for Transplant (SIPAT) is a widely used measure to assess psychosocial risk for transplant. However, there are questions regarding the SIPAT's reliability and validity. We examined the SIPAT's psychometric performance and its impact on equitable access to transplant in a diverse cohort of 2825 patients seeking liver transplantation between 2014 and 2021 at an urban transplant center. The SIPAT demonstrated good internal consistency reliability at the overall score [Cronbach's α = 0.85, 95% CI (0.83, 0.86)] and domain levels (0.80 > α > 0.70). There was mixed support for structural validity, with poor overall model fit in confirmatory factor analysis and 50% of questions achieving the 0.70-factor loadings threshold. Adjusting for sociodemographic variables, the odds of not being waitlisted for psychosocial reasons were three times higher for patients with Medicaid insurance than patients with private insurance [OR 3.24, 95% CI (2.09, 4.99)] or Medicare [OR 2.89, 95% CI (1.84, 4.53)], mediated by higher SIPAT scores. Black patients had nearly twice the odds of White patients [OR 1.88, 95% CI (1.20, 2.91)], partially mediated by higher social support domain scores. Patients with Medicaid, non-White patients, and those without a college degree scored significantly higher on collinear questions, disproportionately contributing to higher SIPAT scores. The SIPAT did not perform equally across insurance type, race/ethnicity, and education groups, with the lowest subgroup validity associated with patient readiness and psychopathology domains. The SIPAT should be interpreted with caution, especially as a composite score. Future studies should examine validity in other populations.

The Maintenance of the U.S. Racial Hierarchy Through Judgments of Multiracial People Based on Proximity to Whiteness.

Previous research has argued that a growing multiracial population will blur boundaries between racial groups, reducing racism and improving interracial relations. However, this is unlikely to happen if multiracial groups are judged according to their proximity to Whiteness. We examined how having White ancestry shapes status perceptions of multiracial groups. Studies 1 and 2 showed that multiracial groups with White ancestry (e.g., Black/White) are considered higher status than dual minority multiracial (e.g., Black/Latinx) and monoracial minority (e.g., Black) groups. Study 3 revealed that multiracial groups with White ancestry are perceived as more competent and warmer than monoracial minority and dual minority multiracial groups, leading to higher status perceptions for multiracial groups with White ancestry. Thus, multiracial people, like other racial minorities, may be judged according to White, Eurocentric standards. The results imply that, without anti-racist intervention, the treatment of multiracial people will reinforce, rather than challenge, the existing racial hierarchy.

Getting completely turned around: how disorientation impacts subjective straight ahead.

In manipulating a pointer to indicate subjective straight ahead (SSA), participants were more variable after a series of whole-body rotations in conjunction with external sensory blockade than after external sensory blockade alone. The variability of reported SSA did not increase consequent to a temporal delay matched to the time taken by the rotation procedure. These results suggest that an observer's egocentric reference frame is more complex and less stable than has previously been thought.

Revisiting the relationship between exercise heart rate and music tempo preference.

In the present study, we investigated a hypothesized quartic relationship (meaning three inflection points) between exercise heart rate (HR) and preferred music tempo. Initial theoretical predictions suggested a positive linear relationship (Iwanaga, 1995a, 1995b); however, recent experimental work has shown that as exercise HR increases, step changes and plateaus that punctuate the profile of music tempo preference may occur (Karageorghis, Jones, & Stuart, 2008). Tempi bands consisted of slow (95-100 bpm), medium (115-120 bpm), fast (135-140 bpm), and very fast (155-160 bpm) music. Twenty-eight active undergraduate students cycled at exercise intensities representing 40, 50, 60, 70, 80, and 90% of their maximal HR reserve while their music preference was assessed using a 10-point scale. The Exercise Intensity x Music Tempo interaction was significant, F(6.16, 160.05) = 7.08, p < .001, 7,2 = .21, as was the test for both cubic and quartic trajectories in the exercise HR-preferred-music-tempo relationship (p < .001). Whereas slow tempo music was not preferred at any exercise intensity, preference for fast tempo increased, relative to medium and very fast tempo music, as exercise intensity increased. The implications for the prescription of music in exercise and physical activity contexts are discussed.