Search Results (367)

Autism is a prevalent neurodevelopmental disability among children in the United States. Enhanced Milieu Teaching (EMT) en Español Para Autismo is a caregiver-implemented language-focused naturalistic developmental behavioral intervention specifically for young children on the autism spectrum whose families are Latino and Spanish-speaking. The current study tested a reduced intensity adaptation of EMT en Español Para Autismo using a single-case experimental design study with four caregiver–child dyads. All children demonstrated characteristics of autism and lived in low-income Spanish-speaking households. Caregivers were taught to use EMT en Español Para Autismo strategies during play with their child using a cyclical teach–model–coach–review approach. Home visits occurred once each week. Three out of four dyads completed the study. None of the caregivers demonstrated functional relations between the cyclical teach–model–coach–review approach and their use of strategies; however, caregivers did increase their use of contingent language models and time delays when intervention began. Caregiver impressions of the intervention were positive, but they varied in their perceptions of some of the strategies (e.g., limiting instructions), consistent with participants in prior studies. Overall, the reduced intensity of the intervention and long gaps between visits may have limited the effectiveness of this intervention compared to findings in prior studies. More research is needed to tailor language interventions for Latino Spanish-speaking families with autistic children, especially those with limited resources. Full article

Conspiracy beliefs targeting lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals have attracted increasing attention in social and political psychology due to their role in prejudice, social exclusion, and resistance to social change. Despite growing interest in this phenomenon, validated instruments for assessing LGBTQ+-related conspiracy beliefs in Spanish-speaking populations remain limited. The present study aimed to adapt and evaluate the psychometric properties of the Spanish version of the Gender Ideology and LGBTQ+ Lobby Conspiracies Scale (GILC) in a Chilean sample. A total of 611 participants completed the instrument. Evidence based on internal structure was examined using parallel analysis, psychometric network analysis, confirmatory factor analysis (CFA), and measurement invariance testing across sex assigned at birth. Evidence based on relations with external variables was assessed through sociodemographic characteristics, religiosity, political orientation, and generic conspiracy beliefs. Results consistently supported a predominantly unidimensional structure. The CFA showed that the original one-factor model achieved satisfactory fit after incorporating two theoretically meaningful residual correlations. In addition, the scale demonstrated configural, metric, and scalar invariance across sex assigned at birth. GILC scores were positively associated with generic conspiracy beliefs, religiosity, age, and right-wing political orientation. Overall, the findings provide support for the validity of the Spanish version of the GILC and suggest that it constitutes a useful tool for studying LGBTQ+-related conspiracy beliefs in Spanish-speaking contexts. Full article

Most instruments used to assess depression have been developed in sociocultural contexts that differ substantially from those of Spanish-speaking Latin American populations. To address this limitation, the present study developed and evaluated a new brief measure of depressive symptomatology for use in northeastern Mexico. The study included 414 participants (Mage = 27.37 years, SD = 13.72). An initial pool of 23 items, grounded in interbehavioral psychology, was developed and subsequently evaluated by a panel of 58 expert judges. Based on content-validity analyses, the instrument was reduced to 15 items. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) supported a final four-item, one-factor solution. The final model demonstrated adequate fit to the data (χ²/df = 0.281, AGFI = 0.993, NNFI = 1.015, CFI = 1.000, RMSEA = 0.000, 90% CI [0.000, 0.094], and SRMR = 0.008). Evidence of discriminant and convergent validity was supported by a negative correlation with the Subjective Happiness Scale (r = −0.294, p < 0.01) and a positive correlation with the seven-item version of the Center for Epidemiologic Studies Depression Scale (CESD-7; r = 0.273, p < 0.01). Construct reliability was satisfactory (H = 0.841). Overall, the findings provide preliminary evidence supporting the reliability and validity of the proposed instrument as a brief screening measure of depressive symptomatology in a Mexican sample, mostly from Nuevo León. Full article

In the last several years, reading comprehension has declined during elementary school in the U.S. Are cell phones to blame? There is a dearth of evidence concerning the cell phone impact on reading comprehension at the elementary school level. Our primary question was whether acquisition of a phone would be negatively related to the reading comprehension performance of third- and sixth-grade children. More specifically, would notifications or the mere presence of a phone reduce the concentration required for an optimal reading comprehension performance? Among 106 children, we studied 55 children in a sixth-grade group and 51 children in a third-grade group. The sample was linguistically diverse: English was the home language for 42%, Arabic for 30%, and Spanish for 28%. The experimental procedure used a repeated-measures design: Participants who brought phones to school the day of the study took a grade-appropriate reading comprehension test from the DIBELS 8th edition with their phone next to them and a different test from the same battery without their phone nearby or in sight. Participants who did not have a phone with them also took two reading comprehension tests from the DIBELS 8th edition; they were the same tests taken by participants in the experimental portion of the study who had phones with them. All participants completed a short survey about phone ownership and use, along with demographic questions. There was no effect of the experimental conditions on reading comprehension: Whether or not a child had their phone in sight made no difference to their reading comprehension performance. Nor did reading comprehension differ for students with or without phones at school the day of the study. This absence of short-term effects contrasted with the presence of long-term relationships: Possessing a personal cell phone was significantly associated with lower reading comprehension scores across the whole sample. However, for participants from non-English-speaking homes who had their own phones, reading comprehension was significantly better the earlier a child began texting and had access to games on their phone. For children from English-speaking homes who had their own phones, neither early mobile game access nor earlier initiation of texting was associated with better reading comprehension. Full article

Developmental Language Disorder (DLD) is characterized by persistent difficulties in language acquisition and use and is frequently accompanied by variability in cognitive performance. This study compared auditory psycholinguistic abilities and selected cognitive outcomes in children with DLD and typically developing (TD) peers and examined whether associations between these domains were robust within each group. Eighty Spanish-speaking children aged 7–9 years participated (40 DLD, 40 TD). Four auditory subtests of the Illinois Test of Psycholinguistic Abilities assessed auditory comprehension, auditory association, auditory integration, and auditory sequential memory. Age-scaled scores from selected WISC-V subtests represented verbal comprehension, working memory, fluid reasoning, and processing speed. Between-group differences were examined with independent-samples t tests and sensitivity analyses controlling for paternal education. Pearson correlations were supplemented by Spearman correlations and false-discovery-rate corrections. Children with DLD scored lower than TD peers on all auditory psycholinguistic and cognitive measures (Cohen’s d = 1.35–2.55). The between-group differences remained significant after accounting for paternal education; for auditory integration, significant differences were observed at both levels of paternal education despite a significant interaction. Three Pearson correlations reached nominal significance before correction, but none was replicated as statistically significant by Spearman analysis or survived correction for multiple testing. The findings therefore indicate broad between-group differences but limited evidence for stable within-group coupling between the auditory psycholinguistic and cognitive measures assessed. Comprehensive assessment should consider language-related and cognitive domains separately rather than assuming a single explanatory mechanism. Full article

Background: Competence (within the legal and bioethical framework in Spain, the term ‘competence’ is used as equivalent to healthcare decision-making capacity) in the field of child and adolescent psychiatry is a complex and evolving issue. Legal frameworks vary by country and legal tradition. Most concerns relate to treatment decisions within mental health, but in fact there is a wide range of decisions with a relevant impact on patients’ lives and quality of life over the long term. Forensic science must adapt its current practice to the worldwide challenge presented by this evidence. Objectives: This article will present a current research project about competence (healthcare decision-making capacity) in a sample of adolescent and child population in Spain. The final objective will be to validate the Spanish version of the MacCAT semi-structured interview consenting to psychiatric admission in adolescents in a mixed sample. We also examine some of the influences that must be taken into account in this research. Methodology: This is an instrumental and methodological study utilizing a sequential mixed-methods design (qualitative content validation followed by a quantitative psychometric evaluation). A process of adaptation of the Spanish MacCAT to consent to psychiatric admission in the adolescent population. A pilot study will initially be conducted to evaluate question comprehension and duration. Subsequently, a cross-sectional study will be carried out to assess inter-rater reliability, internal consistency, and validity. Evaluation will include clinical and neuropsychological assessment in five departments at two University Hospitals. Expected results: We will establish new evidence about the evaluation of competence in adolescent psychiatry; to date, no studies have been identified assessing the capacity to consent to psychiatric admission among Spanish-speaking adolescents, nor the factors potentially related to such competence. To our knowledge, the relationship between competence and illness awareness in the adolescent population remains unexplored in the literature, and its analysis constitutes one of the novel contributions of the present study. In addition, we will adapt and validate a well-known evaluation scale to the specific environments of our medical and psychiatric health departments. Conclusions: Objective evaluation of competence for medical interventions and treatments is a challenge in clinical and forensic examination. New evidence is necessary to operationalize classical evaluations in standardized ways, adapted to different countries, legal systems and forensic traditions. Full article

Background: The early development of sociocognitive skills is linked to, and serves as a precursor for, the development of communication, language, and socialisation. Some of the most prevalent neurodevelopmental disorders, such as autism, are characterised by difficulties in communication and social interaction. Identifying delays in these skills could enable us to detect an earlier warning sign. Method: The original version of the Early Social Cognition Inventory (ESCI), a 21-item parent-reported questionnaire, was translated and culturally and linguistically adapted for use in Spain. Participants: The sample included 113 children from nursery schools and 19 children from an early intervention centre, aged between 18 and 60 months, from 10 early childhood centres in Valencia (Spain). Parents completed the ESCI and the Social Reactivity Scale, Preschool Second Edition (SRS-2 P). The children were assessed using additional tests, including the Early Sociocognitive Battery (ESB) and the Peabody Picture Vocabulary Test III (PPVT). Results: Internal consistency (α = 0.78, p < 0.001) and the correlation between criterion measures (p < 0.001) indicate that the ESCI measures sociocognitive development. Furthermore, the results regarding diagnostic ability, assessed using the AUC (area under the curve) values from the ROC analysis, are promising (AUC = 0.94; p < 0.001 for Autism Spectrum Disorders), although further research is needed given the sample size. Conclusions: The results of the ESCI pilot study indicate that it is a suitable tool for assessing early sociocognitive development in Spain, although further research with larger samples and longitudinal studies is required. Full article

Migrant agricultural workers (MAWs), predominantly individuals from countries in the Global South, play a vital role in maintaining Canadian food security. Employed in low-income positions across the country, they often face workplace hazards and numerous occupational health and safety (OHS) challenges related to long working hours, limited access to OHS information, gaps in knowledge, structural power imbalances with employers, and language and cultural barriers. This pilot study explored the knowledge, attitudes, and perceptions of OHS issues among MAWs in Southern and Eastern Ontario during the COVID-19 pandemic. Participants completed survey questions on working conditions, OHS hazards, and living conditions. A total of 93 questionnaires were completed, 55 by Spanish-speaking and 38 by English-speaking individuals, with 91% of respondents identifying as male. Several participants reported awareness of positive COVID-19 cases in their workplaces, and some indicated having experienced OHS-related illnesses or injuries but felt uncomfortable reporting them to supervisors. Knowledge of OHS rights varied, with a notable minority uncertain about their entitlement to sick leave. The findings indicate a need for further research and targeted interventions to strengthen health and safety practices among MAWs and to ensure they are informed, protected, and supported in exercising their workplace rights. Full article

Farmworkers experience disproportionate risks of pesticide exposure, yet only two U.S. states, California and Washington, currently mandate routine cholinesterase biomonitoring programs for agricultural workers. Although regulatory and resource limitations influence implementation of worker protection programs, operational barriers also complicate repeated biomonitoring among highly mobile and underserved farmworker populations. The objective of this preliminary study was to evaluate the operational feasibility of recruiting, retaining, and repeatedly monitoring farmworkers using a novel, rapid, portable cholinesterase analysis device under routine agricultural field conditions. Guided by an evidence-based feasibility framework, a multidisciplinary team administered surveys and collected blood samples from 25 farmworkers in rural North Carolina at three time points during a single agricultural season. Participation and visit completion rates were high, although worker mobility, changing job assignments, environmental conditions, and temperature-sensitive samples created logistical challenges. Experienced bilingual promotoras de salud played a critical role in coordination, communication, scheduling, and retention. Findings provide preliminary evidence that repeated field-based cholinesterase biomonitoring protocols are feasible and acceptable when supported by community-based outreach organizations with Spanish speaking health workers, structured logistics, and culturally responsive engagement strategies. Evaluation of the analytical performance is beyond the scope of this report, however, these results provide practical insights for strengthening occupational health surveillance and future implementation studies designed to protect agricultural workers. Full article

This study aimed to validate the Meta AI Literacy Scale (MAILS) in Ecuadorian high school students and examine latent profiles of Artificial Intelligence (AI) literacy. An instrumental, cross-sectional study was conducted with a sample of 971 students aged 14 to 19 years. Confirmatory factor analysis (CFA) supported a nine-factor correlated model with satisfactory fit indices (CFI = 0.953, TLI = 0.946, RMSEA = 0.053, SRMR = 0.058), high internal consistency (total α = 0.973; ω = 0.974), and scalar measurement invariance by sex and type of educational centre. Latent profile analysis (LPA) identified four differentiated profiles organised along a quantitative continuum of competence. Overall, the findings provide empirical evidence regarding the validity and utility of the MAILS in a sample of Ecuadorian high school students, providing a basis for future validations in other Spanish-speaking and Latin American contexts, and suggest that intentional academic use of the internet is associated with higher levels of AI literacy, although with small effect sizes. The validated instrument constitutes a resource for educational researchers and practitioners seeking to characterise AI literacy in secondary school populations and to inform evidence-based curricular interventions. Full article

The scientific literature was reviewed to systematically identify and characterize validated scales measuring homophobia, lesbophobia, biphobia, and transphobia, as well as the biopsychosocial consequences derived from these attitudes in sexual and gender minority (SGM) populations. The search was conducted in the WOS, Scopus, and Medline databases, limited to studies published between January 2015 and January 2024. This review was registered in the International Prospective Register of Systematic Reviews, and its quality was evaluated using the Effective Public Health Practice Project instrument. The criteria of the PRISMA declaration for systematic reviews were applied. Among the 78 articles initially selected, 9 met the established eligibility criteria. In these 9 articles, 13 validated scales were identified, covering attitudes toward sexual and gender minorities, internalised stigma, minority stress and resilience, parental acceptance, and experiences of bullying and cyberbullying in SGM populations. The findings reveal substantial fragmentation in the available measurement landscape, with most instruments lacking cross-cultural validation, measurement invariance testing, and construct coverage beyond Western, English- or Spanish-speaking contexts. These results should be interpreted with caution given the limited number of included studies and the absence of meta-analytic quantification. This review proposes the development of a novel intermodular measurement system as a priority research agenda and identifies key implications for specialized psychiatric and clinical practice, public health surveillance, and future research. Full article

Healthcare disparities are widespread across the U.S. Mobile health programming is designed to dismantle systemic healthcare barriers for medically underserved communities. The purpose of this study was to assess the effectiveness of two southeastern U.S. mobile primary care programs. Guided by the Social Determinants of Health framework, this descriptive study examines the programs’ patient populations to determine reach and patient medical data to ascertain patients’ connection to the medical system and long-term primary care. Data were collected via electronic health record (EHR) and analyzed in Power BI and R. Basic descriptive, crosstab and chi-square statistics were conducted to assess the patient population and explore patient healthcare engagement prior to and following their initial mobile primary care visit. The results indicate that mobile primary care programs are utilized by systemically underserved groups, with both program A and B’s patient population identifying primarily as Latin/Hispanic (69.6% and 41.3% respectively), uninsured (99.1% and 59.8%), and Spanish-speaking (64.4% and 42.3%). Additionally, each program demonstrates an ability to engage patients in long-term primary care utilization via repeat utilizers (65.5% and 25.9%). McNemar’s chi-square results show that participation in either of the mobile primary care programs has a statistically significant, non-random measurable effect on patient primary care enrollment. Differences in program structure and findings are explored, and recommendations for future practice, research, and policy are discussed. Full article

This research aims to understand Chinese international students’ perceptions of the academic support provided by Spanish universities. It explores students’ feedback on their participation in such support, its perceived effectiveness, and their expectations and needs. Drawing from a hybrid sociocultural framework, this study employed a qualitative research design, conducting semi-structured interviews to collect data from 14 Chinese postgraduate students at the Autonomous University of Barcelona. Data were analysed using thematic analysis to uncover key themes related to the students’ experiences with the academic support system. The findings reveal that, although UAB offers various forms of academic support, both participation in, and the perceived effectiveness of, these provisions remain limited. Chinese students encounter challenges such as language barriers, unfamiliarity with the academic support system, and varying attitudes from faculty. The findings highlight a need for more practical and systematic academic writing and speaking courses, as well as culturally sensitive and internationalised support mechanisms. As a practical implication, the study suggests that universities should prioritise “situational” oral communication training that prepares students for active classroom participation and implement proactive outreach strategies, such as engaging departmental coordinators to directly promote available library and digital resources, thereby overcoming the current lack of student awareness. This study contributes to addressing a gap in the literature by providing empirical insights into the learning experiences of Chinese postgraduate students regarding academic support in Spain. It offers recommendations for UAB and other Spanish institutions to enhance their academic support systems, promoting a more inclusive and international environment for international students. Full article

Research on twice-exceptional students, particularly those with co-occurring intellectual giftedness and dyslexia, remains limited and conceptually fragmented. This study examines the reading- and writing-related profiles of these students by comparing three groups: gifted students without dyslexia (G), gifted students with dyslexia (G-D), and dyslexic students without intellectual giftedness (D). The sample consisted of 133 Spanish-speaking primary school students (Grades 3–6). The results revealed a distinct and non-linear performance pattern. G-D students exhibited marked difficulties in lower-level literacy processes, including phonological and lexical processing, with a performance pattern closer to that of dyslexic peers. However, they showed relative strengths in higher-order language abilities, particularly text comprehension, oral comprehension, and written composition. The findings suggest a non-uniform profile of reading- and writing-related abilities in these students, characterized by weaknesses in several lower-level literacy processes and relative strengths in some higher-order language abilities. This pattern may contribute to the underidentification of these students across educational and clinical contexts. By providing empirical evidence from Spanish, a relatively underexplored orthographic context, this study contributes to current models of twice-exceptionality and highlights the need for more sensitive and staged identification procedures, as well as multidimensional assessment and intervention approaches that address both strengths and weaknesses. Full article

Background/Objectives: Grief following the death of a partner is a complex psychosocial process associated with an increased risk of prolonged grief, depression and suicidal ideation. Among lesbian, gay, bisexual, transgender, intersex, and queer (LGBTIQ+) individuals, these risks are exacerbated by stigma, relational invisibility and family rejection, often resulting in unrecognized or disenfranchised grief. This scoping review aimed to map the available evidence on the experiences of bereavement following the death of a partner among LGBTIQ+ individuals between 2016 and 2026, identifying study types, recurring themes and knowledge gaps relevant to nursing practice. Methods: A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) extension and the methodology of the Joanna Briggs Institute. Searches were planned in PubMed/MEDLINE, Scopus, CINAHL, PsycINFO and Web of Science (2016–March 2026) using combined terms for grief, partner and LGBTIQ+ populations. Primary qualitative, quantitative and mixed-methods studies, as well as selected grey literature that explicitly addressed grief following the death of a partner in LGBTIQ+ individuals were considered. Results: The search identified 1032 records; after removing duplicates (n = 356), 676 titles/abstracts were screened, and 94 full texts were assessed. Eighteen studies were included, mainly qualitative, and conducted in high-income countries. Key themes included invisibility and lack of recognition of the relationship, managing the disclosure of sexual orientation and gender identity, social isolation and the role of chosen families, and intersectional vulnerabilities in subgroups such as older adults, bisexual people and trans people. Conclusions: The available evidence reflects specific bereavement experiences among LGBTIQ+ individuals that are not adequately captured in traditional models of bereavement care. Significant gaps remain, particularly in Spanish-speaking contexts and in the design and evaluation of nurse-led interventions. This scoping review provides a conceptual basis for future research and for the development of culturally safe clinical practices in supporting LGBTIQ+ individuals through bereavement. Full article