Aims and Objectives/Purpose/Research Questions Following reports showing bilingual advantages in executive control (EC) performance, the current study investigated the role of selective attention as a foundational skill that might underlie these advantages. Design/Methodology/Approach Bilingual and monolingual young adults performed a visual search task by determining whether a target shape was present amid distractor shapes. Task difficulty was manipulated by search type (feature or conjunction) and by the number and discriminability of the distractors. In feature searches, the target (e.g., green triangle) differed on a single dimension (e.g., color) from the distractors (e.g., yellow triangles); in conjunction searches, two types of distractors (e.g., pink circles and turquoise squares) each differed from the target (e.g., turquoise circle) on a single but different dimension (e.g., color or shape). Data and Analysis Reaction time and accuracy data from 109 young adults (53 monolinguals and 56 bilinguals) were analyzed using a repeated-measures analysis of variance. Group membership, search type, number and discriminability of distractors were the independent variables. Findings/Conclusions Participants identified the target more quickly in the feature searches, when the target was highly discriminable from the distractors and when there were fewer distractors. Importantly, although monolinguals and bilinguals performed equivalently on the feature searches, bilinguals were significantly faster than monolinguals in identifying the target in the more difficult conjunction search, providing evidence for better control of visual attention in bilinguals Originality Unlike previous studies on bilingual visual attention, the current study found a bilingual attention advantage in a paradigm that did not include a Stroop-like manipulation to set up false expectations. Significance/Implications Thus, our findings indicate that the need to resolve explicit conflict or overcome false expectations is unnecessary for observing a bilingual advantage in selective attention. Observing this advantage in a fundamental skill suggests that it may underlie higher order bilingual advantages in EC.

BackgroundMindfulness meditation (MM) is a commonly used psychological intervention for pain, mood, and anxiety conditions, but can be challenging to practice with severe symptoms without proper training. The Mindfulness Meditation app (MMA) is a supportive training tool specifically developed for this study to aid in the practice of mindful breathing using a smartphone.ObjectiveThis study aims to evaluate the psychophysiological effects of the MMA. Specifically, the study will assess parasympathetic functioning using heart rate variability (HRV; primary outcome), pain and mood symptoms, mind-wandering and present moment awareness, and breath focus in groups of undergraduate participants who self-report clinically-relevant symptoms of chronic pain (CP) and depression or anxiety (DA) and condition-free (CF) participants who do not meet either criteria. We hypothesize that use of the MMA by study groups will lead to improved HRV, pain, and mood symptoms compared with groups who do not use the app.MethodsThis study is a two-arm randomized controlled trial (RCT) recruiting through a Web-based research participation pool at York University in Toronto, Canada. We are aiming for minimum 60 participants in each of CP, DA, and CF groups. Upon arriving to the laboratory, participants will be prescreened for classification into groups of CP, DA, or CF. Groups will be randomly assigned by a 1:1 ratio to an MMA (MMA+) condition or MM condition without the app (MMA−) after a brief stress induction procedure. In MMA+, participants will practice mindful breathing with a smartphone and press breath or other buttons at the sound of audio tones if their awareness was on breathing or another experience, respectively. HRV and respiration data will be obtained during rest (5 min), stress induction (5 min), and meditation conditions (12 min). Participants will complete psychological self-report inventories before and after the stress induction and after the meditation condition. Separate linear mixed models will be used to examine HRV and self-report inventories comparing groups and treatment conditions.ResultsRecruitment for the study began in November 2017 and is expected to be completed in winter of 2019-2020. As of July 2019, 189 participants have been recruited. The study’s main findings are expected to reveal a positive pattern of HRV responses in the CP, DA, and CF groups, such that a significant increase in HRV (P<.05) is detected in those randomized to the MMA+ condition in comparison with those randomized to the MMA− condition.ConclusionsThis RCT will contribute to the burgeoning health psychology literature regarding the clinical relevance of HRV in assessment and treatment of psychological and medical conditions. Furthermore, possible ways to inform designs of MM training tools delivered by apps and Web platforms for CP, depression, and anxiety conditions’ treatment will be discussed.Trial RegistrationClinicaltrials.gov NCT03296007; https://clinicaltrials.gov/ct2/show/NCT03296007.International Registered Report Identifier (I...

This chapter describes the Manage My Pain digital pain management platform and its integration into the Transitional Pain Service at Toronto General Hospital. A collaboration between ManagingLife, the developer of Manage My Pain, and the Transitional Pain Service led to the creation of a patient-provider virtual community with the aim of managing complex pain after surgery so as to prevent the transition from acute post-surgical pain to chronic post-surgical pain. User engagement, motivation, and satisfaction are discussed with respect to the needs of (1) people living with pain and (2) health care providers. Challenges in implementation are described, along with new features developed for the digital platform as a result of the partnership between ManagingLife and the Transitional Pain Service.

This chapter describes the Manage My Pain digital pain management platform and its integration into the Transitional Pain Service at Toronto General Hospital. A collaboration between ManagingLife, the developer of Manage My Pain, and the Transitional Pain Service led to the creation of a patient-provider virtual community with the aim of managing complex pain after surgery so as to prevent the transition from acute post-surgical pain to chronic post-surgical pain. User engagement, motivation, and satisfaction are discussed with respect to the needs of (1) people living with pain and (2) health care providers. Challenges in implementation are described, along with new features developed for the digital platform as a result of the partnership between ManagingLife and the Transitional Pain Service.

No abstract