Orthography-phonology consistency in English: Theory- and data-driven measures and their impact on auditory vs. visual word recognition.

Research on orthographic consistency in English words has selectively identified different sub-syllabic units in isolation (grapheme, onset, vowel, coda, rime), yet there is no comprehensive assessment of how these measures affect word identification when taken together. To study which aspects of consistency are more psychologically relevant, we investigated their independent and composite effects on human reading behavior using large-scale databases. Study 1 found effects on adults' naming responses of both feedforward consistency (orthography to phonology) and feedback consistency (phonology to orthography). Study 2 found feedback but no feedforward consistency effects on visual and auditory lexical decision tasks, with the best predictor being a composite measure of consistency across grapheme, rime, OVC, and word-initial letter-phoneme. In Study 3, we explicitly modeled the reading process with forward and backward flow in a bidirectionally connected neural network. The model captured latent dimensions of quasi-regular mapping that explain additional variance in human reading and spelling behavior, compared to the established measures. Together, the results suggest interactive activation between phonological and orthographic word representations. They also validate the role of computational analyses of language to better understand how print maps to sound, and what properties of natural language affect reading complexity.

The Children's Picture Books Lexicon (CPB-LEX): A large-scale lexical database from children's picture books.

This article presents CPB-LEX, a large-scale database of lexical statistics derived from children's picture books (age range 0-8 years). Such a database is essential for research in psychology, education and computational modelling, where rich details on the vocabulary of early print exposure are required. CPB-LEX was built through an innovative method of computationally extracting lexical information from automatic speech-to-text captions and subtitle tracks generated from social media channels dedicated to reading picture books aloud. It consists of approximately 25,585 types (wordforms) and their frequency norms (raw and Zipf-transformed), a lexicon of bigrams (two-word sequences and their transitional probabilities) and a document-term matrix (which shows the importance of each word in the corpus in each book). Several immediate contributions of CPB-LEX to behavioural science research are reported, including that the new CPB-LEX frequency norms strongly predict age of acquisition and outperform comparable child-input lexical databases. The database allows researchers and practitioners to extract lexical statistics for high-frequency words which can be used to develop word lists. The paper concludes with an investigation of how CPB-LEX can be used to extend recent modelling research on the lexical diversity children receive from picture books in addition to child-directed speech. Our model shows that the vocabulary input from a relatively small number of picture books can dramatically enrich vocabulary exposure from child-directed speech and potentially assist children with vocabulary input deficits. The database is freely available from the Open Science Framework repository: https://tinyurl.com/4este73c .

Primary Care Counseling of Parents Regarding Childhood Screen Media Use.

Parental beliefs and motivation are instrumental in improving childhood digital media use (DMU). Parents (n = 611) completed questionnaires about childhood DMU assessing knowledge, interest in counseling, motivation to change, self-efficacy, and beliefs. Less than a third correctly recognized screen time limits. Twenty-seven percent received childhood DMU information from a doctor, while 46% stated they would like such information. Only 2% had a doctor-recommended DMU plan. Interest in DMU topics, motivation to improve, and management self-efficacy were moderate. Top negative beliefs were addiction to DMU (52%), sleep problems (39%), obesity (33%), social skills (33%), and inappropriate content (32%). Differences between age categories existed for social (48%, P = .01) and language (14%, P = .01) concerns (highest for toddlers), attention concerns (27%, P = .02; highest in preschoolers), and depression (13%, P < .001) and low self-esteem (8%, P = .04; highest in teens). Findings support further development of approaches to address DMU, tailored by age-specific common parental views.

Sex difference in tDCS current mediated by changes in cortical anatomy: A study across young, middle and older adults.

INTRODUCTION: The observed variability in the effects of transcranial direct current stimulation (tDCS) is influenced by the amount of current reaching the targeted region-of-interest (ROI). Age and sex might affect current density at target ROI due to their impact on cortical anatomy. The present tDCS simulation study investigates the effects of cortical anatomical parameters (volumes, dimension, and torque) on simulated tDCS current density in healthy young, middle-aged, and older males and females. METHODOLOGY: Individualized head models from 240 subjects (120 males, 18-87 years of age) were used to identify the estimated current density (2 mA current intensity, 25 cm2 electrode) from two simulated tDCS montages (CP5_CZ and F3_FP2) targeting the inferior parietal lobule (IPL) and middle frontal gyrus (MFG), respectively. Cortical parameters including segmented brain volumes (cerebrospinal fluid [CSF], grey and white matter), cerebral-dimensions (length/width &length/height) and brain-torque (front and back shift, petalia, and bending) were measured using the magnetic resonance images (MRIs) from each subject. The present study estimated sex differences in current density at these target ROIs mediated by these cortical parameters within each age group. RESULTS: For both tDCS montages, females in the older age group received higher current density than their male counterparts at the target ROIs. No sex differences were observed in the middle-aged group. Males in the younger age group had a higher current density than females, only for the parietal montage. Across all age groups, CSF, and grey matter volumes significantly predicted the current intensity estimated at the target sites. In the older age group only, brain-torque was a significant mediator of the sex difference. CONCLUSIONS: Our findings demonstrate the presence of sex differences in the simulated tDCS current density, however this pattern differed across age groups and stimulation locations. Future studies should consider influence of age and sex on individual cortical anatomy and tailor tDCS stimulation parameters accordingly.

A survey of office practice: Parents, front office staff, nurses and clinicians hold disparate views on adolescent vaccines.

BACKGROUND: Previous work suggests provider recommendation improves vaccine delivery. Less examined is the role of practice's front office staff and nurses in vaccine communication. Messaging and communication about vaccines should be consistent across all levels of the pediatric practice. METHODS: We distributed surveys to clinicians, nurses, front office staff, and parents of adolescents 11-17 years in pediatric and family medicine office practices. We inquired about perceived importance of adolescent vaccines and the use of recommendations to families about receiving vaccines. We also asked front office staff about concerns from families about vaccines as well as vaccine refusal for themselves and their child. RESULTS: Nurses perceived that the HPV vaccine was less important than the MenACWY and Tdap vaccines (% very important 84% v. 95% and 94%; P < .01). Parents also perceived HPV vaccine as being less important than MenACWY and Tdap vaccines (59% v 68% and 79%; P < .01. Between groups, parents perceived all vaccines as being less important than front office staff. Nurses and clinicians reported using a strong recommendation less often for HPV vaccine compared to the MenACWY and Tdap (70% v 84% and 84%; P < .01 for nurses, and 77% v. 88% and 86%; P < .05 for clinicians). Front office staff were more likely to report concerns from parents about HPV vaccine than from MenACWY and Tdap after the visit is complete. CONCLUSION: Parents, front office staff and nurses differ on the importance of vaccines. Interventions to improve vaccine communication and delivery must include all who work in the practice.

Reading proficiency influences the effects of transcranial direct current stimulation: Evidence from selective modulation of dorsal and ventral pathways of reading in bilinguals.

INTRODUCTION: tDCS can modulate reading which is processed by lexical (ventral) and sub-lexical (dorsal) pathways. Previous research indicates that pathway recruitment in bilinguals depends on a script's orthographic depth and a reader's proficiency with it. The effect of tDCS on each reading pathway has not been investigated in bilinguals. We stimulated the left dorsal and ventral pathways separately in Chinese-English (C-E) bilinguals to understand whether pathway-specific modulation by tDCS is possible and, if so, how it is influenced by orthographic depth and script proficiency. METHODS: A double-blind, sham-controlled, within-subject experiment was designed wherein 16 balanced bilinguals received anodal tDCS in dorsal, ventral and sham sessions. Two tDCS montages of electrode sizes 5 × 5 cm2 with 1) anode at CP5 and cathode at CZ, and 2) anode at TP7 and cathode at nape of the neck, were applied for stimulating the dorsal and ventral pathways respectively. Bilinguals were asked to read word lists for each language before and after stimulation. RTs for accurate trials were analysed using linear mixed-effect modelling that included proficiency scores for reading English pseudo-words (PW) and Chinese pinyin. RESULTS: For both languages, word reading RTs were faster following dorsal pathway stimulation. The dorsal stimulation effect (change in RT) was negatively correlated with pseudoword reading and pinyin proficiency. Stimulation of the ventral pathway decreased RTs only for Chinese reading. CONCLUSION: Dorsal and ventral reading pathways can be selectively modulated by tDCS in bilingual readers with dorsal (sub-lexical) pathway stimulation affecting reading in both scripts and ventral (lexical) pathway stimulation selectively affecting Chinese reading. Dorsal pathway tDCS effects are modulated by sub-lexical reading proficiency.

Examining Language Switching and Cognitive Control Through the Adaptive Control Hypothesis.

Increasing evidence suggests that language switching is a distinct form of bilingual language control that engages cognitive control. The most relevant and widely discussed framework is the Adaptive Control Hypothesis. This theoretical framework identifies language switching to be a key aspect of bilingual language control. It proposes that bilinguals' engagement in three different types of interactional contexts (single-language context, dual-language context, and dense code-switching context) confers adaptive effects on cognitive control processes. These contexts differ in the presence of both languages and how language control is exercised. The model makes predictions about behavioral outcomes associated with these contexts. This study is a novel attempt to test for the model's assumptions, predictions, and its interactional contexts. It seeks to examine the relationship between language switching behaviors, reported bilingual interactional contexts, and verbal and non-verbal cognitive control through this theoretical framework. Seventy-four English-Mandarin young adult bilinguals were measured on their self-reported engagements in the different interactional contexts and production of word and sentential language switches through experimental language switching tasks (alternating, semi-cued, and uncued switching). Cognitive control processes in verbal and non-verbal goal maintenance, interference control, selective response inhibition, and task engagement and disengagement were measured. Overall, partial support for the model was observed. Higher reported engagement in the dual-language context was positively but not uniquely related to cognitive engagement and disengagement on verbal tasks. Non-verbal goal maintenance and interference control, on the other hand, were related to uncued inter-sentential language switching. However, the distinction of the model's three interactional contexts might not be evident in a multilingual society, as findings suggest that there is fluidity in bilinguals' interactional contexts. Current findings reveal the complex interaction of language switching with distinct domains and cognitive control processes. This study is significant in testing an influential bilingual language control model.

Involving mental health consumers in nursing handover: A qualitative study of nursing views of the practice and its implementation.

Nursing handover occurs between shifts and is an important means of communication and information exchange around consumer care. The involvement of consumers in nursing handover, known as 'bedside handover', is well established within general health settings and promotes a patient-centred approach to care. Bedside handover represents an opportunity for mental health settings to consolidate recovery-oriented principles, albeit with some unique challenges in the way that involving consumers in nursing handover is implemented. This qualitative descriptive study explores the views of nursing staff and nursing managers about involving consumers in nursing handover and the process of implementation across five mental health inpatient units in Australia. The study took place in a local health district covering regional and rural areas of New South Wales that had issued a directive to implement bedside handover. The consolidated criteria for reporting qualitative research (COREQ) checklist was applied to this study. Six focus groups were held with nursing staff (n = 22), and eleven individual interviews were undertaken with nursing managers to explore their perceptions of bedside handover and its implications for nursing practice. The data were analysed using thematic analysis. Data from focus groups and interviews were analysed separately and then combined to generate three themes: (i) the mental health context is different; (ii) protecting consumer privacy and confidentiality; and (iii) it might make things worse. The findings provide insights into both the challenges, and the process of involving consumers in nursing handover within mental health settings and provides guidance for future implementation.

The Impact of Different Writing Systems on Children's Spelling Error Profiles: Alphabetic, Akshara, and Hanzi Cases.

The importance of literacy in academics and the predominantly digital world cannot be understated. The literacy component of writing is less researched than that of reading, even though it holds equal significance for modern success. Spelling is an important aspect of the construct of literacy, and is more difficult to acquire than reading. Previous work on spelling error analysis for English provides insight into the sets of knowledge and cognitive processes required for children to perform the task, and their different strategies across development. However, different sets of skills and strategies may contribute to spelling across types of orthographies. In this study, we extend spelling error analysis to groups of biliterate children learning two scripts, which include English plus either: (a) another Latin-script alphabet with a shallow orthography (Malay); (b) a transparent alphasyllabary using akshara (Tamil); or (c) a non-alphabetic, morphosyllabic script using simplified hanzi characters (Mandarin Chinese). These sets of scripts vary in how speech is mapped to print. We utilized an error coding scheme based on triple-code theory to enumerate the occurrence of phonological, orthographic (graphemic), and morphological (semantic) types of spelling errors across the three language groups. Five hundred and sixty-eight Grade 1, 6-year-old children participated, with 128 English + Malay, 119 English + Tamil, and 321 English + Chinese children in each bilingual group. They completed a spelling to dictation task in their Asian language, with ten words taken from the grade level curriculum per language. Results indicate group differences in the proportions of error types, with more overall errors for Tamil, more phonological errors for Malay, and more irrelevant or non-sense words for Chinese. The implications are that different scripts present different challenges for young learners.

Child, family, and school factors in bilingual preschoolers' vocabulary development in heritage languages.

Child characteristics, family factors, and preschool factors are all found to affect the rate of bilingual children's vocabulary development in heritage language (HL). However, what remains unknown is the relative importance of these three sets of factors in HL vocabulary growth. The current study explored the complex issue with 457 Singaporean preschool children who are speaking either Mandarin, Malay, or Tamil as their HL. A series of internal factors (e.g., non-verbal intelligence) and external factors (e.g., maternal educational level) were used to predict children's HL vocabulary growth over a year at preschool with linear mixed effects models.The results demonstrated that external factors (i.e., family and preschool factors) are relatively more important than child characteristics in enhancing bilingual children's HL vocabulary growth. Specifically, children's language input quantity (i.e., home language dominance), input quality (e.g., number of books in HL), and HL input quantity at school (i.e., the time between two waves of tests at preschool) predict the participants' HL vocabulary growth, with initial vocabulary controlled. The relative importance of external factors in bilingual children's HL vocabulary development is attributed to the general bilingual setting in Singapore, where HL is taken as a subject to learn at preschool and children have fairly limited exposure to HL in general. The limited amount of input might not suffice to trigger the full expression of internal resources. Our findings suggest the crucial roles that caregivers and preschools play in early HL education, and the necessity of more parental involvement in early HL learning in particular.

Teacher's code-switching and bilingual children's heritage language learning and cognitive switching flexibility.

To code-switch or not to code-switch? This is a dilemma for many bilingual language teachers. In this study, the influence of teachers' CS on bilingual children's language and cognitive development is explored within heritage language (HL) classes in Singapore. Specifically, the relationship between children's language output, vocabulary development, and cognitive flexibility to teachers' classroom CS behavior, is examined within 20 preschool HL classrooms (10 Mandarin, 6 Malay, and 4 Tamil). Teachers' and children's utterances were recorded, transcribed, and analyzed for CS frequency and type (i.e., inter-sentential, intra-sentential). 173 students were assessed with receptive vocabulary and dimensional card sort tasks, and their vocabulary and cognitive switching scores assessed using correlational and mixed effects analyses. Results show that inter-sentential and intra-sentential CS frequency is positively and significantly related to children's intra-sentential CS frequency. Overall, findings revealed that teachers code-switched habitually more often than for instructional purposes. Neither inter-sentential nor intra-sentential CS was significantly related to children's development in HL vocabulary, and intra-sentential CS was found to positively and significantly relate to children's growth in cognitive flexibility. These findings reveal the multi-faceted impact of teacher's CS on children's early development.

Technology-Based Tools for English Literacy Intervention: Examining Intervention Grain Size and Individual Differences.

Technology plays an increasingly important role in educational practice, including interventions for struggling learners (Torgesen et al., 2010; de Souza et al., 2018). This study focuses on the efficacy of tablet-based applications (see Word Reading, Grapholearn, and an experimental word-level program) for the purpose of supplementing early English literacy intervention with primary grades 1 and 2 children. The children were identified for learning support programs within Singaporean schools, which follow a bilingual policy, meaning children were learning reading in English plus an additional language. One hundred forty-seven children across seven schools participated (Mean age = 6.66). Within learning support classrooms, triplets of students matched on basic reading skills were randomly assigned to one of three groups: (1) phoneme-level, (2) rime-level, or (3) word-level focused interventions. All groups performed reading skills activities on iPads, across two phases over a 14-week period. Assessments for word reading accuracy and fluency, pseudoword decoding accuracy and fluency, and spelling were administered at four time points, pre- and post-intervention. Additional baseline measures were taken to assess individual differences in phonological awareness, orthographic awareness, general cognitive ability, statistical learning, and bilingual vocabulary knowledge. Mixed model analysis was conducted on the pre- to post-test measures across the two phases of the intervention (focused on accuracy then fluency). All groups made gains across the different literacy measures, while the phoneme-level intervention showed an advantage over the rime-level intervention, but not the word-level intervention, for decoding. There were also moderating effects of individual differences on outcomes. The general pattern of results showed an advantage of the word-level intervention for those with poorer phonological awareness for reading fluency; and a phoneme-level intervention advantage for those with poorer statistical learning ability. Children's bilingual group (English plus Mandarin, English plus Malay, or English plus Tamil) also showed differential effects of the type of intervention (e.g., phoneme- or word-level) on different outcome measures. These results, along with data collected from the tablets during the intervention, suggest the need to examine the interplay between different types of technology-based interventions and individual differences in learning profiles.

Silent Reading Fluency and Comprehension in Bilingual Children.

This paper focuses on reading fluency by bilingual primary school students, and the relation of text fluency to their reading comprehension. Group differences were examined in a cross-sectional design across the age range when fluency is posed to shift from word-level to text-level. One hundred five bilingual children from primary grades 3, 4, and 5 were assessed for English word reading and decoding fluency, phonological awareness, rapid symbol naming, and oral language proficiency with standardized measures. These skills were correlated with their silent reading fluency on a self-paced story reading task. Text fluency was quantified using non-linear analytic methods: recurrence quantification and fractal analyses. Findings indicate that more fluent text reading appeared by grade 4, similar to monolingual findings, and that different aspects of fluency characterized passage reading performance at different grade levels. Text fluency and oral language proficiency emerged as significant predictors of reading comprehension.

Neurolinguistics: Structure, Function, and Connectivity in the Bilingual Brain.

Advances in neuroimaging techniques and analytic methods have led to a proliferation of studies investigating the impact of bilingualism on the cognitive and brain systems in humans. Lately, these findings have attracted much interest and debate in the field, leading to a number of recent commentaries and reviews. Here, we contribute to the ongoing discussion by compiling and interpreting the plethora of findings that relate to the structural, functional, and connective changes in the brain that ensue from bilingualism. In doing so, we integrate theoretical models and empirical findings from linguistics, cognitive/developmental psychology, and neuroscience to examine the following issues: (1) whether the language neural network is different for first (dominant) versus second (nondominant) language processing; (2) the effects of bilinguals' executive functioning on the structure and function of the "universal" language neural network; (3) the differential effects of bilingualism on phonological, lexical-semantic, and syntactic aspects of language processing on the brain; and (4) the effects of age of acquisition and proficiency of the user's second language in the bilingual brain, and how these have implications for future research in neurolinguistics.

Student learning outcomes in response to concept-based teaching.

BACKGROUND: Concept-based teaching (CBT) has been found to better facilitate students' meaningful learning than traditional pedagogy, but little research has been conducted in nursing education. METHOD: This mixed-methods study investigated meaningful learning in nursing students. Quantitative data were extracted from archived records and analyzed through multiple regression to compare two groups: students who received CBT and students who received traditional teaching. RESULTS: Students' pretest scores were the best predictor of meaningful learning gain (i.e., difference between pre- and post-test higher order thinking [HOT] scores). No significant between-group differences were noted. Qualitative data were collected from 22 CBT students, purposefully selected for their HOT scores, and analyzed through flow mapping. Integrative analysis found that students who verbalized a greater number of knowledge connections had higher HOT scores and a deeper understanding of nursing principles than did students with lower HOT scores. CONCLUSION: CBT students' gain in HOT scores may become more apparent over several semesters.

Meaningful learning: theoretical support for concept-based teaching.

Novice nurses' inability to transfer classroom knowledge to the bedside has been implicated in adverse patient outcomes, including death. Concept-based teaching is a pedagogy found to improve knowledge transfer. Concept-based teaching emanates from a constructivist paradigm of teaching and learning and can be implemented most effectively when the underlying theory and principles are applied. Ausubel's theory of meaningful learning and its construct of substantive knowledge integration provides a model to help educators to understand, implement, and evaluate concept-based teaching. Contemporary findings from the fields of cognitive psychology, human development, and neurobiology provide empirical evidence of the relationship between concept-based teaching, meaningful learning, and knowledge transfer. This article describes constructivist principles and meaningful learning as they apply to nursing pedagogy.

The role of reading time complexity and reading speed in text comprehension.

Reading speed is commonly used as an index of reading fluency. However, reading speed is not a consistent predictor of text comprehension, when speed and comprehension are measured on the same text within the same reader. This might be due to the somewhat ambiguous nature of reading speed, which is sometimes regarded as a feature of the reading process, and sometimes as a product of that process. We argue that both reading speed and comprehension should be seen as the result of the reading process, and that the process of fluent text reading can instead be described by complexity metrics that quantify aspects of the stability of the reading process. In this article, we introduce complexity metrics in the context of reading and apply them to data from a self-paced reading study. In this study, children and adults read a text silently or aloud and answered comprehension questions after reading. Our results show that recurrence metrics that quantify the degree of temporal structure in reading times yield better prediction of text comprehension compared to reading speed. However, the results for fractal metrics are less clear. Furthermore, prediction of text comprehension is generally strongest and most consistent across silent and oral reading when comprehension scores are normalized by reading speed. Analyses of word length and word frequency indicate that the observed complexity in reading times is not a simple function of the lexical properties of the text, suggesting that text reading might work differently compared to reading of isolated word or sentences.

Do Dyslexics Misread a ROWS for a ROSE?

Insufficient knowledge of the subtle relations between words' spellings and their phonology is widely held to be the primary limitation in developmental dyslexia. In the present study the influence of phonology on a semantic-based reading task was compared for groups of readers with and without dyslexia. As many studies have shown, skilled readers make phonology-based false-positive errors to homophones and pseudohomophones in the semantic categorization task. The basic finding was extended to children, teens, and adults with dyslexia from familial and clinically-referred samples. Dyslexics showed the same overall pattern of phonology errors and the results were consistent across dyslexia samples, across age groups, and across experimental conditions using word and nonword homophone foils. The dyslexic groups differed from chronological-age matched controls by having elevated false-positive homophone error rates overall, and weaker effects of baseword frequency. Children with dyslexia also made more false-positive errors to spelling control foils. These findings suggest that individuals with dyslexia make use of phonology when making semantic decisions both to word homophone and non-word pseudohomophone foils and that dyslexics lack adequate knowledge of actual word spellings, compared to chronological-age and reading-level matched control participants.

A taxometric investigation of developmental dyslexia subtypes.

Long-standing issues with the conceptualization, identification and subtyping of developmental dyslexia persist. This study takes an alternative approach to examine the heterogeneity of developmental dyslexia using taxometric classification techniques. These methods were used with a large sample of 671 children ages 6-8 who were diagnosed with severe reading disorders. Latent characteristics of the sample are assessed in regard to posited subtypes with phonological deficits and naming speed deficits, thus extending prior work by addressing whether these deficits embody separate classes of individuals. Findings support separate taxa of dyslexia with and without phonological deficits. Different latent structure for naming speed deficits was found depending on the definitional criterion used to define dyslexia. Non-phonologically based forms of dyslexia showed particular difficulty with naming speed and reading fluency.

Closing doors, saving services.

After ending inpatient care, a hospital recommits to its community.