Our lives were healthier before: focus groups with African American, American Indian, Hispanic/Latino, and Hmong people with diabetes.

Focus groups were conducted to explore health-related beliefs and experiences of African American, Hispanic/Latino, American Indian, and Hmong people with diabetes and engage community members in improving diabetes care and education for these populations. Eighty participants attended 12 focus groups, 3 per population. Major themes were loss of health attributed to modern American lifestyles, lack of confidence in the medical system, and the importance of spirituality. Participants recommended improvements in the areas of health care, diabetes education, social support, and community action. Their recommendations emphasize the importance of respectful, knowledgeable health care providers; culturally responsive diabetes education for people with diabetes and their families; and broad-based community action. These recommendations align with current public health priorities and medical knowledge. It is proposed that healthy traditions from diverse populations can be leveraged to improve the health of all people with diabetes.

Stroop dilution revisited: evidence for domain-specific, limited-capacity processing.

Nine experiments show that in the context of Stroop dilution the extent to which flanking distractors are processed depends on the nature of the material at fixation. A Stroop effect is eliminated if a word or a nonword is colored and appears at fixation and the color word appears as a flanker. A Stroop effect is observed when the color carrier at fixation is from a different domain than the color word distractor (e.g., Arabic digits). It is argued that when the material at fixation is in the same domain as the color word distractor, the distractor is not processed. Taken together, these results implicate a role for material-specific, limited-capacity processing in the context of this variant of the Stroop paradigm.

Single letter coloring and spatial cuing eliminates a semantic contribution to the Stroop effect.

Previous work has shown that the Stroop effect is reduced in size when a single letter is colored and spatially precued. The present experiment addresses a number of criticisms of this work by (1) providing a direct measure of semantic processing, (2) using a vocal response instead of a manual one, and (3) using a more appropriate baseline. A semantically based Stroop effect (slower color naming for color-associated words than for color-neutral words) is observed when all letters in the display are precued and appear in a homogeneous color. This Stroop effect is statistically eliminated when a single letter is precued and is the "odd man out" in terms of its color. Two explanations are considered. In one, single-letter coloring and cuing serve to curtail semantic processing. In the other, single-letter coloring and cuing help to keep the informational sources (i.e, color, word) separate and hence reduce interference, but semantic analysis is not curtailed. The latter account provides a more complete account of existing data.

Improving diabetes care and outcomes: the secondary benefits of a public health-managed care research collaboration.

The project improving Diabetes Care through Empowerment, Active Collaboration and Leadership (IDEAL) is a collaborative translational research project of the Minnesota Diabetes Program (MDP) at the Minnesota Department of Health and HealthPartners (HP), a large managed care organization. The research was designed to test a quality improvement model to improve diabetes care delivery and outcomes in primary care clinics, but the collaboration was structured from the beginning to maximize potential secondary effects. The MDP and HP participated jointly in every aspect of the project. Personnel from other health care systems and academic and quality improvement organizations also participated in IDEAL. Secondary effects included heightened priority for diabetes care improvement at HP and within its medical group, along with an increased emphasis on a population approach for both of these organizations. Simultaneously, the MDP developed a better understanding of the issues and potential for improving care in primary care clinics, medical groups, and managed care organizations. These benefits resulted in further collaboration between the MDP, HP, and other managed care, health care, and quality improvement organizations in Minnesota. Thus, Project IDEAL has been a successful collaboration of public health and managed care whose contribution to improved diabetes care in Minnesota health systems extends far beyond the original scope of the project.

Reading nonwords aloud: results requiring change in the dual route cascaded model.

The time to name a nonword increases monotonically as letter length increases. The leading computational model of basic processes in reading (Coltheart, Rastle, Perry, Langdon & Ziegler's dual route cascaded model) simulates this, because its nonlexical route assigns phonemes to letters serially, left to right, and arguably, this corresponds to what humans do. New simulation work shows that (1) this letter length effect interacts with the effect of slowing the rate of early processing, and (2) the model produces a qualitatively different pattern from that observed with university-level readers. The contrast between simulation and human performance thus illuminates a problem with how the nonlexical route operates in the model, and constrains accounts that can be provided for the human data. Consideration is given to thresholding the output of the letter-level module as a way to modify the model so as to make it possible to simulate the human data.

When parallel processing in visual word recognition is not enough: new evidence from naming.

Low-frequency irregular words are named more slowly and are more error prone than low-frequency regular words (the regularity effect). Rastle and Coltheart (1999) reported that this irregularity cost is modulated by the serial position of the irregular grapheme-phoneme correspondence, such that words with early irregularities exhibit a larger cost than words with late ones. They argued that these data implicate rule-based serial processing, and they also reported a successful simulation with a model that has a rule-based serial component--the DRC model of reading aloud (Coltheart, Rastle, Perry, Langdon, & Ziegler, 2001). However, Zorzi (2000) also simulated these data with a model that operates solely in parallel. Furthermore, Kwantes and Mewhort (1999) simulated these data with a serial processing model that has no rules for converting orthography to phonology. The human data reported by Rastle and Coltheart therefore neither require a serial processing account, nor successfully discriminate among a number of computational models of reading aloud. New data are presented wherein an interaction between the effects of regularity and serial position of irregularity is again reported for human readers. The DRC model simulated this interaction; no other implemented computational model does so. The present results are thus consistent with rule-based serial processing in reading aloud.

Orienting in space and time: joint contributions to exogenous spatial cuing effects.

We examined whether the time course of exogenous spatial-cuing effects is sensitive to the allocation of attention in time. Expectation for a target within a particular time window following the cue was manipulated by varying the proportion of trials that appeared at each of three stimulus onset asynchronies in both a detection task and a two-alternative forced-choice discrimination task. The time course of spatial-cuing effects was sensitive to the temporal expectation manipulation only in the discrimination task. The results are discussed with reference to the role of attentional set in exogenous spatial-cuing paradigms.