scholarly journals An Exploratory Meta-Analytic Review on the Empirical Evidence of Differential Learning as an Enhanced Motor Learning Method

2021 ◽  
Vol 12 ◽  
Author(s):  
Bruno Tassignon ◽  
Jo Verschueren ◽  
Jean-Pierre Baeyens ◽  
Anne Benjaminse ◽  
Alli Gokeler ◽  
...  
Keyword(s):  
Motor Learning ◽  
Effect Size ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Acquisition Phase ◽  
Medium Effect ◽  
Learning Method ◽  
Learning Methods ◽  
Differential Learning ◽  
Small Effect Size

Background: Differential learning (DL) is a motor learning method characterized by high amounts of variability during practice and is claimed to provide the learner with a higher learning rate than other methods. However, some controversy surrounds DL theory, and to date, no overview exists that compares the effects of DL to other motor learning methods.Objective: To evaluate the effectiveness of DL in comparison to other motor learning methods in the acquisition and retention phase.Design: Systematic review and exploratory meta-analysis.Methods: PubMed (MEDLINE), Web of Science, and Google Scholar were searched until February 3, 2020. To be included, (1) studies had to be experiments where the DL group was compared to a control group engaged in a different motor learning method (lack of practice was not eligible), (2) studies had to describe the effects on one or more measures of performance in a skill or movement task, and (3) the study report had to be published as a full paper in a journal or as a book chapter.Results: Twenty-seven studies encompassing 31 experiments were included. Overall heterogeneity for the acquisition phase (post-pre; I2 = 77%) as well as for the retention phase (retention-pre; I2 = 79%) was large, and risk of bias was high. The meta-analysis showed an overall small effect size of 0.26 [0.10, 0.42] in the acquisition phase for participants in the DL group compared to other motor learning methods. In the retention phase, an overall medium effect size of 0.61 [0.30, 0.91] was observed for participants in the DL group compared to other motor learning methods.Discussion/Conclusion: Given the large amount of heterogeneity, limited number of studies, low sample sizes, low statistical power, possible publication bias, and high risk of bias in general, inferences about the effectiveness of DL would be premature. Even though DL shows potential to result in greater average improvements between pre- and post/retention test compared to non-variability-based motor learning methods, more high-quality research is needed before issuing such a statement. For robust comparisons on the relative effectiveness of DL to different variability-based motor learning methods, scarce and inconclusive evidence was found.

Effects of Acupressure on Anxiety: A Systematic Review and Meta-Analysis

2015 ◽  
Vol 33 (5) ◽  
pp. 353-359 ◽  
Author(s):  
Doreen W H Au ◽  
Hector W H Tsang ◽  
Paul P M Ling ◽  
Christie H T Leung ◽  
P K Ip ◽  
...  
Keyword(s):  
Effect Size ◽  
Citation Index ◽  
Meta Analysis ◽  
Allocation Concealment ◽  
Risk Of Bias ◽  
Medium Effect ◽  
Physiological Indicators ◽  
Medium Effect Size ◽  
Mean Differences ◽  
Randomised Controlled

Objective To evaluate the evidence from randomised controlled trials (RCTs) and quantify the effects of acupressure on anxiety among adults. Methodology RCTs published between January 1997 and February 2014, comparing acupressure with sham control, were identified from the databases Science Citation Index/Social Sciences Citation Index, Scopus, PubMed and PsycINFO. Meta-analysis of eligible studies was performed and the magnitude of the overall effect size was calculated for the anxiety outcome. Revised STRICTA (the Standards for Reporting Interventions in Clinical Trials of Acupuncture) criteria were used to appraise the acupressure procedures, and the Cochrane risk of bias tool was used to assess the methodological quality of the studies. Results Of 39 potentially relevant studies, seven RCTs met the inclusion criteria for review while five studies met the criteria for meta-analysis. All studies reported the positive effect of acupressure on relieving anxiety from the anticipation of surgery or treatment. EX-HN3 ( Yintang), HT7 ( Shenmen) were the commonest points selected and two studies used bilateral points. The acupressure procedure was generally well reported and studies had a low risk of bias. The combined results of the five trials showed a greater overall reduction in anxiety in the acupressure group than in the sham controls (standardised mean differences (SMD)=−1.11; 95% CI −1.61 to −0.61; p<0.0001 heterogeneity: I2=75%; χ2=16.17; p=0.003; r=0.485). Conclusions Acupressure seems to be effective in providing immediate relief of pretreatment anxiety among adults, and has a medium effect size. However, conflicting results were found for the improvements on physiological indicators. More rigorous reporting, including allocation concealment procedure, is needed to strengthen the results.

scholarly journals Do animated triangles reveal a marked difficulty among autistic people with reading minds?

Autism ◽  
2021 ◽  
pp. 136236132198915
Author(s):  
Alexander C Wilson
Keyword(s):  
Effect Size ◽  
Meta Analysis ◽  
General Information ◽  
Medium Effect ◽  
Group Differences ◽  
Social Challenges ◽  
Autistic People ◽  
The Social ◽  
Small Effect Size ◽  
The Difference

This meta-analysis tested whether autistic people show a marked, isolated difficulty with mentalising when assessed using the Frith -Happé Animations, an advanced test of mentalising (or ‘theory of mind’). Effect sizes were aggregated in multivariate meta-analysis from 33 papers reporting data for over 3000 autistic and non-autistic people. Relative to non-autistic individuals, autistic people underperformed, with a small effect size on the non-mentalising control conditions and a medium effect size on the mentalising condition. This indicates that studies have reliably found mentalising to be an area of challenge for autistic people, although the group differences were not large. It remains to be seen how important mentalising difficulties are in accounting for the social difficulties diagnostic of autism. As autistic people underperformed on the control conditions as well as the mentalising condition, it is likely that group differences on the test are partly due to domain-general information processing differences. Finally, there was evidence of publication bias, suggesting that true effects on the Frith -Happé Animations may be somewhat smaller than reported in the literature. Lay abstract Autistic people are thought to have difficulty with mentalising (our drive to track and understand the minds of other people). Mentalising is often measured by the Frith -Happé Animations task, where individuals need to interpret the interactions of abstract shapes. This review article collated results from over 3000 people to assess how autistic people performed on the task. Analysis showed that autistic people tended to underperform compared to non-autistic people on the task, although the scale of the difference was moderate rather than large. Also, autistic people showed some difficulty with the non-mentalising as well as mentalising aspects of the task. These results raise questions about the scale and specificity of mentalising difficulties in autism. It also remains unclear how well mentalising difficulties account for the social challenges diagnostic of autism.

scholarly journals A critical review on the theoretical framework of differential motor learning and meta-analytic review on the empirical evidence of differential motor learning

2018 ◽  
Author(s):  
Ben Serrien ◽  
Bruno Tassignon ◽  
Jean-Pierre Baeyens ◽  
Ron Clijsen
Keyword(s):  
Motor Learning ◽  
Meta Analysis ◽  
Performance Outcomes ◽  
Fine Motor ◽  
Learning Method ◽  
Neurophysiological Mechanism ◽  
Theoretical Rationale ◽  
Differential Learning ◽  
Analytic Review ◽  
And Performance

Objective. Differential learning is a motor learning method characterized by a high amountof variability during practice. The objective of this paper is twofold. First, a critical appraisalis performed of the theoretical rationale of the differential learning method. Second, asystematic review and meta-analysis of experimental results is made to compare theeffectiveness of differential learning compared to other motor learning methods.Methods. Narrative review of the theoretical rationale of differential learning. Systematicreview and meta-analysis of published randomized controlled trials where differentiallearning is compared to other motor learning methodologies.Results. The theoretical rationale of differential learning is reasonable, but at some points toometaphorically formulated. Especially the use of stochastic resonance as the mechanismbehind differential learning is ambiguous and remains untested to this day. However, indirectevidence for a neurophysiological mechanism has been described and should be pursuedfurther. Empirically, differential learning has been examined in a variety of contexts rangingfrom technical skills and performance outcomes in single sports movements to tactical sportscontexts, fine motor skills, balance tasks and rehabilitation. The meta-analysis showed thatdifferential learning performed better than traditional motor learning methods and that theeffect was larger on the retention test than on the post-test. However, little to no evidence wasfound for the comparison to other variability-based motor learning techniques. Additionally,risk of bias was high or unclear on many items and publication bias was likely which limitsstrong confidence in the conclusions of the meta-analysis.Perspectives. Differential learning is a promising method to enhance motor learning but willrequire further research to test certain theoretical claims and to find factors that predict theindividual and time-dependent optimal amount of practice variability.

A Meta-Analysis of Facebook-Assisted Learning Outcomes and Their Gender Differences

2021 ◽  
Vol 13 (4) ◽  
pp. 63-82
Author(s):  
*Zhonggen Yu ◽  
Liheng Yu
Keyword(s):  
Gender Differences ◽  
Social Media ◽  
Learning Outcomes ◽  
Effect Size ◽  
Meta Analysis ◽  
Medium Effect ◽  
Future Research ◽  
Small Effect Size ◽  
Medium Effect Size ◽  
Media Applications

Social media applications such as Facebook have received wide attention in their use in education. However, it is still hard to arrive at a conclusion regarding whether a Facebook-assisted approach is effective in education and whether there are any significant gender differences in the learning outcomes. Based on rigid inclusion criteria, this study included 21 peer-reviewed high-quality journal articles. Through a meta-analysis using Reviewer Manager 5.3, the authors concluded that a Facebook-assisted approach could obtain significantly higher learning outcomes than the non-Facebook-assisted one with a medium effect size (d = 0.42) and that females could achieve significantly better learning outcomes than males with a very small effect size (d = -0.21) in the Facebook-assisted education. Future research could examine the effect of educational use of other social media applications, as well as in sociological, psychological, or educational dimensions.

A Meta-Analysis on the Efficacy of Exposure-Based Treatment in Anxiety Disorders: Implications for Disgust

2020 ◽  
Vol 20 (2) ◽  
pp. 31-49
Author(s):  
Simona A. PASCAL ◽  
Ioana R. PODINA ◽  
Cătălin NEDELCEA
Keyword(s):  
Anxiety Disorders ◽  
Emotional Distress ◽  
Effect Size ◽  
Meta Analysis ◽  
Medium Effect ◽  
Small Effect Size ◽  
Medium Effect Size ◽  
Exposure Sessions ◽  
And Gender ◽  
Meta Analyses

Despite of several meta-analyses indicating that exposure-based treatments (EBT) are successful in addressing anxiety and fear symptoms, less is known whether this is also the case for disgust, which also accompanies anxiety disorders. Therefore, the aim of the current meta-analysis was to compare the efficacy of EBT on disgust and anxiety (emotional distress), against control condition. This meta-analysis included a total of eight studies. Overall, there was a medium effect size (g = .57, 95% CI: .26 to .88, p < .001) for emotional distress; a medium effect size for anxiety (g = .79, 95% CI: .24 to 1.34, p = .005), yet a small effect size for disgust (g = .36, 95% CI: .05 to .68, p = .024). These findings prompt that current EBT are not tailored to address disgust symptoms accompanying many forms of anxiety disorders, although literature points more and more to a need in this respect. We also examined potential moderator variables (the year of publication, the number of exposure sessions, age of the sample, and gender composition). Additionally, we discussed several strengths and limitations, one of the most important being the small number of studies regarding the subject and their heterogeneity.

Effectiveness of a freely available computerised cognitive behavioural therapy programme (MoodGYM) for depression: Meta-analysis

2016 ◽  
Vol 51 (3) ◽  
pp. 260-269 ◽  
Author(s):  
Conal Twomey ◽  
Gary O’Reilly
Keyword(s):  
Psychological Distress ◽  
Confidence Interval ◽  
Effect Size ◽  
Meta Analysis ◽  
Behavioural Therapy ◽  
Medium Effect ◽  
Post Intervention ◽  
Small Effect Size ◽  
General Psychological Distress ◽  
Randomised Controlled

Objective: To investigate the effectiveness of a freely available computerised cognitive behavioural therapy programme (MoodGYM) for depression (primary outcome), anxiety and general psychological distress in adults. Method: We searched PsycINFO, CINAHL Plus, MEDLINE, EMBASE, Social Science Citation Index and references from identified papers. To assess MoodGYM’s effectiveness, we conducted random effects meta-analysis of identified randomised controlled trials. Results: Comparisons from 11 studies demonstrated MoodGYM’s effectiveness for depression symptoms at post-intervention, with a small effect size ( g = 0.36, 95% confidence interval: 0.17–0.56; I2 = 78%). Removing the lowest quality studies ( k = 3) had minimal impact; however, adjusting for publication bias reduced the effect size to a non-significant level ( g = 0.17, 95% confidence interval: −0.01 to 0.38). Comparisons from six studies demonstrated MoodGYM’s effectiveness for anxiety symptoms at post-intervention, with a medium effect size ( g = 0.57, 95% confidence interval: 0.20–0.94; I2 = 85%). Although comparisons from six studies did not yield significance for MoodGYM’s effectiveness for general psychological distress symptoms, the small effect size approached significance ( g = 0.34, 95% confidence interval: −0.04 to 0.68; I2 = 79%). Both the type of setting (clinical vs non-clinical) and MoodGYM-developer authorship in randomised controlled trials had no meaningful influence on results; however, the results were confounded by the type of control deployed, level of clinician guidance, international region of trial and adherence to MoodGYM. Conclusions: The confounding influence of several variables, and presence of publication bias, means that the results of this meta-analysis should be interpreted with caution. Tentative support is provided for MoodGYM’s effectiveness for symptoms of depression and general psychological distress. The programme’s medium effect on anxiety symptoms demonstrates its utility for people with this difficulty. MoodGYM benefits from its free accessibility over the Internet, but adherence rates can be problematic and at the extreme can fall below 10%. We conclude that MoodGYM is best placed as a population-level intervention that is likely to benefit a sizeable minority of its users.

scholarly journals Transdiagnostic comparison of visual working memory capacity in bipolar disorder and schizophrenia

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Catherine V. Barnes-Scheufler ◽  
Caroline Passow ◽  
Lara Rösler ◽  
Jutta S. Mayer ◽  
Viola Oertel ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Working Memory ◽  
Visual Working Memory ◽  
Effect Size ◽  
Working Memory Capacity ◽  
Memory Capacity ◽  
Medium Effect ◽  
Full Spectrum ◽  
Small Effect Size ◽  
The Difference

Abstract Background Impaired working memory is a core cognitive deficit in both bipolar disorder and schizophrenia. Its study might yield crucial insights into the underpinnings of both disorders on the cognitive and neurophysiological level. Visual working memory capacity is a particularly promising construct for such translational studies. However, it has not yet been investigated across the full spectrum of both disorders. The aim of our study was to compare the degree of reductions of visual working memory capacity in patients with bipolar disorder (PBD) and patients with schizophrenia (PSZ) using a paradigm well established in cognitive neuroscience. Methods 62 PBD, 64 PSZ, and 70 healthy controls (HC) completed a canonical visual change detection task. Participants had to encode the color of four circles and indicate after a short delay whether the color of one of the circles had changed or not. We estimated working memory capacity using Pashler’s K. Results Working memory capacity was significantly reduced in both PBD and PSZ compared to HC. We observed a small effect size (r = .202) for the difference between HC and PBD and a medium effect size (r = .370) for the difference between HC and PSZ. Working memory capacity in PSZ was also significantly reduced compared to PBD with a small effect size (r = .201). Thus, PBD showed an intermediate level of impairment. Conclusions These findings provide evidence for a gradient of reduced working memory capacity in bipolar disorder and schizophrenia, with PSZ showing the strongest degree of impairment. This underscores the importance of disturbed information processing for both bipolar disorder and schizophrenia. Our results are compatible with the cognitive manifestation of a neurodevelopmental gradient affecting bipolar disorder to a lesser degree than schizophrenia. They also highlight the relevance of visual working memory capacity for the development of both behavior- and brain-based transdiagnostic biomarkers.

School-based interventions for the treatment of childhood obesity: a systematic review, meta-analysis and meta-regression of cluster randomised controlled trials

2021 ◽  
pp. 1-28
Author(s):  
Tarcisus Ho ◽  
Ling Jie Cheng ◽  
Ying Lau
Keyword(s):  
Childhood Obesity ◽  
Children And Adolescents ◽  
Meta Analysis ◽  
Overweight And Obesity ◽  
Risk Of Bias ◽  
Medium Effect ◽  
School Based ◽  
Cluster Randomised ◽  
School Based Interventions ◽  
Meta Regression

Abstract Objective Schools offer an ideal setting for childhood obesity interventions due to their access to children and adolescents. This review aimed to systematically review the impact of school-based intervention for the treatment of childhood obesity. Design Eight databases were searched from inception till May 30, 2020. A revised Cochrane risk-of-bias tool and the Grading of Recommendations, Assessment, Development and Evaluations criteria were used to evaluate the risk of bias and overall evidence. Meta-analysis and meta-regression were performed on Stata software using the random-effects model. Overall effect was evaluated using Hedges’ g, and heterogeneity was assessed using Cochran’s Q and I2. Setting Cluster randomised trials (cluster-RCTs) delivered in school. Participants Children and adolescents (6-18 years of age) with overweight and obesity. Results Twelve cluster-RCTs from seven countries with 1,755 participants were included in the meta-analysis. School-based interventions for the treatment of childhood obesity reduced body mass index (BMI) and BMI z-scores with a medium effect (g=0·52). Subgroup analyses showed the greater effectiveness of brief school-based interventions and the interventions conducted in lower-middle to upper-middle economies. Meta-regression assessed the heterogeneity and the final model, with covariates of the type of economies and trial duration, accounted for 41.2% of the variability. The overall quality of evidence was rated low because of the high risk of bias and inconsistency. Conclusions School-based interventions is a possible approach to provide universal healthcare for the treatment of childhood obesity, and further well-designed cluster-RCTs with longer follow-up are needed. This study is registered with PROSPERO (CRD42020160735).

scholarly journals Predictability of rotational tooth movement with orthodontic aligners comparing software-based and achieved data: A systematic review and meta-analysis of observational studies

2021 ◽  
pp. 146531252110272
Author(s):  
Despina Koletsi ◽  
Anna Iliadi ◽  
Theodore Eliades
Keyword(s):  
Effect Size ◽  
Tooth Movement ◽  
Data Extraction ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Patient Treatment ◽  
Qualitative Synthesis ◽  
Meta Analyses ◽  
Enamel Reduction

Objective: To evaluate all available evidence on the prediction of rotational tooth movements with aligners. Data sources: Seven databases of published and unpublished literature were searched up to 4 August 2020 for eligible studies. Data selection: Studies were deemed eligible if they included evaluation of rotational tooth movement with any type of aligner, through the comparison of software-based and actually achieved data after patient treatment. Data extraction and data synthesis: Data extraction was done independently and in duplicate and risk of bias assessment was performed with the use of the QUADAS-2 tool. Random effects meta-analyses with effect sizes and their 95% confidence intervals (CIs) were performed and the quality of the evidence was assessed through GRADE. Results: Seven articles were included in the qualitative synthesis, of which three contributed to meta-analyses. Overall results revealed a non-accurate prediction of the outcome for the software-based data, irrespective of the use of attachments or interproximal enamel reduction (IPR). Maxillary canines demonstrated the lowest percentage accuracy for rotational tooth movement (three studies: effect size = 47.9%; 95% CI = 27.2–69.5; P < 0.001), although high levels of heterogeneity were identified (I2: 86.9%; P < 0.001). Contrary, mandibular incisors presented the highest percentage accuracy for predicted rotational movement (two studies: effect size = 70.7%; 95% CI = 58.9–82.5; P < 0.001; I2: 0.0%; P = 0.48). Risk of bias was unclear to low overall, while quality of the evidence ranged from low to moderate. Conclusion: Allowing for all identified caveats, prediction of rotational tooth movements with aligner treatment does not appear accurate, especially for canines. Careful selection of patients and malocclusions for aligner treatment decisions remain challenging.

Exploring the Morning Morality Effect in the context of moral utilitarianism: a post-hoc analysis

2021 ◽  
Author(s):  
Bastien Trémolière ◽  
Corentin J Gosling
Keyword(s):  
Effect Size ◽  
Autonomous Vehicles ◽  
Meta Analysis ◽  
Individual Study ◽  
Post Hoc Analysis ◽  
Cognitive Reflection ◽  
Confounding Variables ◽  
Small Effect Size ◽  
Large Heterogeneity ◽  
Post Hoc

Recent research has shown mixed evidence for the morning morality effect (i.e., the observation that individuals are less immoral in the morning than in the afternoon). In the present research, we target the morning morality effect in the context of moral utilitarianism, by reanalyzing observational data previously collected by our lab. These data include different tasks capturing moral utilitarianism (i.e., standard sacrificial dilemmas, an ecological utilitarian scale, and/or dilemmas involving the morality of autonomous vehicles). We report a meta-analysis of 6 studies which showed that participants became less utilitarian as the day goes on, but with a small effect size (r = -0.14) and a large heterogeneity. Exploration of this heterogeneity showed that such a conclusion was statistically significant for classic sacrificial dilemmas only. Notably, even when restricting the analysis to the classic sacrificial dilemmas, a moderate inconsistency remained. Post-hoc analysis of an individual study showed that this small effect did not survive the inclusion of potentially confounding variables, such as psychopathy trait and cognitive reflection. Implications and limitations are discussed.

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