PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Task Shifting”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources
PubMed2026

Five-year outcomes in a randomised controlled trial of prolonged exposure therapy and supportive counselling for post-traumatic stress disorder in adolescents: a task-shifted intervention.

BACKGROUND: Cognitive-behavioural therapies with a trauma focus are effective in reducing posttraumatic stress disorder and other psychological distress in adolescents. Long-term follow-up data on adolescents treated for PTSD remain scarce, with few studies extending beyond 12 months after treatment completion. OBJECTIVE: To evaluate the maintenance of treatment gains in a comparative study of effectiveness of PE-A and SC up to 60 months post-treatment. METHOD: Sixty-three adolescents diagnosed with PTSD were randomly assigned to either treatment, provided by newly trained and supervised non-specialist health workers. The primary outcome measure was PTSD symptom severity, as independently assessed on the Child PTSD Symptom Scale (CPSS). We report on the 60-month post-treatment follow-up, building on post-treatment, 3-month, 6-month, 12-month and 24-month post-treatment data that have been published previously. RESULTS: Participants in both treatment groups maintained a significant reduction in PTSD symptoms up to 60-months post-treatment (F (7, 343)&#x2009;=&#x2009;2.86, p&#x2009;<&#x2009;.01). Participants receiving prolonged exposure experienced greater improvement on the CPSS at all follow-up assessment timepoints, except for the 60-month FU (p&#x2009;=&#x2009;.28; g&#x2009;=&#x2009;0.33). CONCLUSION: Adolescents with PTSD continued to maintain treatment gains up to 60-months post-treatment. These data, along with findings from the original RCT, indicate that a brief treatment protocol (averaging 9 sessions of PE-A or SC) in a LMIC, task-shifted to be delivered by nurses without prior psychotherapy experience, led to lasting improvements in PTSD and comorbid symptoms for up to five years. The sustained benefits and improved functioning over the first few years post-treatment support expanding both treatments, especially PE-A, in community settings.

Humans↗
PubMed1978

Performance of MA-matched nonretarded and retarded children on discrimination learning and transfer-shift tasks.

The effects of the nature of the relevant dimension, response mode, imagery, and age on discrimination learning and shift performance was examined. Three age groups were used, CA 8 years-MA 8 years, CA 5 years-MA 5 years. CA 8 years-MA 5 years. The latter group learned both intradimensional and extradimensional shifts slower than did the former two groups. Subsequent analyses suggested that the reason for the slower learning in the retarded group was their greater frequency of control by dominant dimensions and/or the initial control by novel stimuli. A second finding was related to the particular procedure employed. Children were required to either press a button to indicate which of two stimuli was correct or pick up the correct stimulus. Form-relevant but not color-relevant problems were facilitated by the pick-up procedure. These findings suggest that dimensional dominance may be a consequence of the procedures employed in previous reports where children were or were not permitted to manipulate the stimuli.

Age Factors↗
PubMed1979

The utilization of external and movement cues in simple spatial tasks by blind and sighted children.

The role of visual experience in coding spatial position by movements or by external cues was examined in simple (nonrotational) shift tasks with blind and sighted children. Age and the salience of external cues were also of interest. Results showed that the congenitally totally blind used movement cues significantly more even when external cues were present and prominent. The blind with minimal visual experience coded by external cues, but made errors beyond the age by which blindfolded sighted children performed correctly. It was argued that visual experience affects coding by drawing attention to external cues, and by providing more adequate spatial information than other sources usually available to the blind. In its absence, movement coding and self-reference can become preferred strategies.

Adolescent↗
PubMed1978

Perceptual versus mediational learning in a total change concept-shift paradigm.

The experiment investigated the effects of language acquisition by children in Grades 1 to 4 on performance in a concept-shift task in which the relevant stimulus attributes were either the colour of ink in which a word was written or the meaning of the word. Both English stream and French Immersion children served as subjects. The results indicated a developmental sequence from perceptual learning to verbal mediation. This process was demonstrated at an earlier stage in the French Immersion students who formed a more highly selected group, and intellectual or socio-economic explanations for these differences may be feasible. The relative speed of acquisition of intradimensional and extradimensional shifts interacts with the perceptual/mediational process.

Child↗
PubMed2026

Synaptic Mitochondrial Oxidative Stress Contributes to Individual Variability in Age-Related Cognitive Inflexibility in Mice.

Aging is associated with impairments in cognitive flexibility, a key executive function supported by the medial prefrontal cortex (mPFC), yet the biological mechanisms underlying individual variability in age-related decline remain poorly understood. Here we investigated behavioral, ultrastructural, and proteomic correlates of cognitive inflexibility in mice across aging. Using a touchscreen-based attentional set-shifting task, we observed substantial individual variability in cognitive inflexibility among aged C57BL/6J mice. Volume electron microscopy of the mPFC revealed age-related reductions in synaptic density, but these structural changes did not correlate with cognitive performance. Instead, the proportion of synapses containing presynaptic mitochondria was inversely associated with cognitive flexibility in aged mice. To identify molecular correlates, we performed proteomic profiling of mPFC whole tissue and synaptosome fractions. Proteins associated with individual variability in cognitive inflexibility were largely distinct from those associated with chronological aging. Notably, synaptosomal proteins negatively correlated with cognitive performance were strongly enriched for mitochondrial pathways, including oxidative phosphorylation, mitochondrial translation, and the tricarboxylic acid cycle. Consistent with these findings, the mitochondria-targeted antioxidant MitoQ improved attentional set-shifting performance in aged mice without affecting initial learning. Proteomic analyses revealed that MitoQ reduced the abundance of synaptosomal mitochondrial proteins, particularly those involved in mitochondrial apoptotic signaling. Together, these results suggest that synaptic mitochondrial oxidative stress in the mPFC contributes to individual vulnerability to cognitive inflexibility. Targeting synaptic mitochondrial oxidative stress may therefore represent a promising strategy to preserve executive function during aging.

Animals↗
PubMed1978

A feminist approach to family therapy.

Although family therapy recognizes the importance of the social context as a determiner of behavior, family therapists have not examined the consequences of traditional socialization practices that primarily disadvantage women. The unquestioned reinforcement of stereotyped sex roles takes place in much of family therapy. A feminist therapy orientation that considers the consequences of stereotyped sex roles and the statuses prescribed by society for females and males should be part of family therapy practice. This paper describes the ways in which family therapists who are aware of their own biases and those of the family can change sexist patterns through applying feminist principles to such areas as the contract, shifting tasks in the family, communication, generational boundaries, relabeling deviance, modeling, and therapeutic alliances.

Communication↗
PubMed1978

The effects of overtraining on mediational processes in elderly males.

To examine the effects of overtraining on mediational processes, 81 male residents (aged 55 or above) of a VA domicillary were tested using a two-choice discrimination task. Upon reaching criterion, the men were given, 0, 15, or 30 overtraining trials and then shifted to either a reversal, intradimensional, or extradimensional task. Analysis of the error scores resulted in a significant initial versus shift task main effect and type of shift by initial versus shift task interaction. Further analysis indicated no difference among the three shift groups for the initial task. However, in the shift task, the reversal group had significantly fewer errors than the other two groups who were not statistically different. Participants thus appeared to be mediationally sufficient when reversal and extradimensional tasks were compared, but mediationally deficient when intra- and extradimensional, and reversal and intradimensional tasks were contrasted. While overtraining had no significant effect, examination of the three way interaction suggested potentially facilitative effects of overtraining and a possible regression effect among participants not receiving overtraining.

Aged↗
PubMed1976

Effects of social influence in a recognition task of auditory intensity: a temporary shift in criterion.

The effects of responses of another person or a computer occurring prior to the subjects' responses in tasks to recognition model which assumed that subjects shifted their decision criteria temporarily on each trial. A parameter representing the amount of criterion shift reliably estimated sensitivity to social influence. When the social sensitivity parameter was estimated from the data, discriminative ability, defined as d', was unaffected by the presence of social influence. Principal components analyses suggested that social sensitivity and discriminative ability represented essentially orthogonal components of subjects' decision behavior.

Auditory Perception↗
PubMed2026

Effectiveness and implementation of task-sharing cognitive-behavioral interventions for perinatal mental health: A systematic review and meta-analysis.

OBJECTIVE: To evaluate the effectiveness of cognitive-behavioral interventions (CBIs) delivered by nonspecialist providers (NSPs) on perinatal depressive (PND) and anxiety symptoms, and to narratively synthesize their implementation processes and reported implementation outcomes, including acceptability, feasibility, fidelity, cost, and sustainability. METHODS: We systematically searched eight databases from inception to April 8, 2025. Eligible studies were randomised controlled trials (RCTs) assessing CBIs delivered by NSPs for PND and/or anxiety. Two reviewers independently screened, extracted, and assessed trials. Meta-analyses employed random-effects models, with subgroup, sensitivity, meta-regression, and publication bias analyses conducted in Stata 18.0. Implementation processes and outcomes were reported as frequencies or percentages across trials. RESULTS: A total of 47 trials (11, 357 participants) were included in the systematic review, of which 37 trials (8,709 participants) were included for meta-analyses. CBIs were conducted in 12 countries. Nurses and midwives delivered 45% of CBIs. CBIs were associated with reduced PND post-intervention compared with control conditions (standardized mean difference [SMD] -0.49, 95% CI -0.63 to -0.35; I&#xb2; = 86.8%). Limited evidence from four trials suggested a small sustained effect at 12 months (SMD -0.14, 95% CI -0.27 to -0.02; I&#xb2; = 26.4%). Reductions in anxiety symptoms were observed immediately post-intervention (SMD, -0.45, 95% CI -0.65 to -0.25; I&#xb2;=81%), but evidence for longer-term effects was limited. Subgroup analyses confirmed consistent effects across diverse settings, populations, and intervention characteristics. Reporting of implementation processes (e.g., training, supervision, fidelity) was limited, with only 23.4% of trials assessing fidelity and 10.6% evaluating costs. CONCLUSIONS: NSP-delivered CBIs showed beneficial effects on PND and anxiety, with generally encouraging evidence for acceptability and feasibility. However, evidence for sustained effects beyond the immediate post-intervention period remains limited. Future studies should strengthen long-term follow-up and improve reporting of implementation processes and outcomes, particularly in rural and adolescent perinatal populations, to inform scalable and equitable task-sharing models.

Humans↗
PubMed1976

Sex differences in patterns of EEG asymmetry.

This paper reports three studies showing sex differences in EEG asymmetry during self-generated cognitive and affective tasks. In the first experiment, bilateral EEG, quantified for alpha on-line, was recorded from right-handed subjects while they either whistled, sang or recited lyrics of familiar songs. The results revealed significant asymmetry between the whistle and talk conditions only for subjects with no familial left-handedness and, within this group, only for females and not for males. In the second experiment, bilateral EEG was recorded while right-handed subjects (with no familial left-handedness) self-induced covert affective and non-affective states. Results revealed significantly greater relative right-hemisphere activation during emotion versus non-emotion trials only in females; males showed no significant task-dependent shifts in asymmetry between conditions. The third experiment was designed to test the hypothesis that females show greater percent time asymmetry than males during biofeedback training for symmetrical and asymmetrical EEG patterns. Results confirmed this prediction as well as indicating that females show better control of such asymmetrical cortical patterning. These findings provide new neuropsychological support for the hypothesis of greater bilateral flexibility in females during self-generation tasks.

Affect↗
PubMed1992

Changes in cortical negative DC shifts due to different motor task conditions.

The experiments were performed to study the relationship between motor performance and DC potential curves recorded by scalp electrodes. Accordingly, we studied the influence of different movements (e.g., unilateral versus bilateral, simple versus complex, active versus passive, phasic versus tonic muscle activity) on negative DC potentials. Our results confirm that spatial distributions of DC potential maxima can be used as an indicator of the activation of distinct cortical areas. Furthermore, evidence is presented that some motor tasks have a greater influence on the magnitude of surface electronegativity than others. (1) Phasic muscle activity revealed a significantly larger potential size than tonic. (2) Performance of a complex finger movement task elicited an increased surface electronegativity compared with performance of a simple task. (3) No significant differences in potential size were found between left (untrained) and right (skilled) hand use during the performance of the same complex motor task. (4) This was also true for the performance of an active and a passive finger movement task, indicating that, at least in simple motor tasks, somatosensory afferents significantly contribute to the recorded potential curve.

Adolescent↗
PubMed1975

Differential effect of task relevance on early and late components of cortical and subcortical somatic evoked potentials in man.

The effect of "task relevance" on early and late components of cortical and subcortical somatic evoked potentials (SEPs) was studied in a group of Parkinsonian patients operated on under local anesthesia for treatment of prominent unilateral tremor. 1. SEPs produced by median nerve stimulation were found at contralateral cortical (ss), thalamic (vcpci, vcai), lemniscal (Lm), postilemniscal (PoLm), prelemniscal (Raprl) and reticular (Ttc) regions. No SEPs were found in other contiguous thalamic (M,Pf, ce) and subthalamic (Q) regions. 2. Subcortical early SEP components consisted of two monophasic positive potentials distributed within a circumscribed thalamo-lemniscal region where electrical stimulation elicited consistent sensory responses circumscribed to contralateral hand and face. In contrast, subcortical late SEP components consisted of monophasic or polyphasic, positive or negative potentials distributed in a widespread, thalamic, lemniscal, prelemniscal and reticular region where elecrical stimulation elecited sensory or motor responses of various types. Subcortical early and late SEP components appeared together in lemniscal, thalamic and cortical regions but they wers separated at postlemniscal (only early) and prelemniscal and reticular ones (only late). 3. Significant amplitude changes in cortical and subcortical late SEP componets were found concomitant to variations in "task relevance": they decreased when patients shifted from novelty to habituation, they increased when patients shifted from habituation to attention and they decreased when patients shifted from attention to distraction. In contrast, no significant ampiltude changes in cortical and subcortical early components were found when patients shifted through these various "task relevance" conditions.

Adult↗
PubMed1992

Frontocentral DC-potential shifts predicting behavior with or without a motor task.

This study was designed to investigate the predictive value of the event-related potentials (ERPs) preceding the initiation of a difficult perceptual-memory task and to investigate whether these ERPs require a motor movement on the part of the subject for their occurrence. Across 4 conditions the DC-potential shifts were recorded from 23 right-handed subjects using DC amplifiers. Although the start of each trial began with a ready signal, the conditions differed in that the subjects initiated the task by a button press in 2 conditions and the computer initiated it in 2 others without a press. The results showed that, especially in the frontocentral electrode sites, the DC-potential shifts which began those trials ending in correct performance were more negative relative to those trials ending in an incorrect response. Those conditions which required the subjects to self-initiate the trial and those which were initiated by the computer showed similar results indicating that the negative DC-potential shifts preceding correct performance are neither produced by nor depend on a task initiating motor movement. The onset of the DC-potential shifts preceded task initiation by up to 4.1 sec indicating that they were more than the Bereitschaftspotential.

Adult↗
PubMed1975

Effects of verbal rehearsal on discrimination learning in moderately retarded and nursery-school children.

In a simultaneous discrimination task with intradimensional shift, low-IQ and average-IQ children were required either to rehearse audibly a phase relating the positive cue to reward or not to rehearse audibly. A limited number of rehearsal trials substantially reduced discrimination errors and the facilitating effect transferred fully when new color cues were introduced and audible rehearsal stopped. Retarded subjects tended to need extra prompting to rehearse, but their discrimination performance showed no reliable deficit. It seems valuable to view the equal-MA deficit that retarded subjects have previously displayed on discrimination tasks as a consequence of deficiency in short-term memory strategies.

Child, Preschool↗
PubMed1975

Electrophysiological orthosis for the upper extremity in hemiplegia: feasibility study.

A versatile two channel stimulator with cutaneous electrodes was designed and built to test the feasibility of multi-channel upper extremity functional electrical stimulation in hemiplegic patients. Preliminary experiments led to the choice of stimulation for hand opening (extensor carpi radialis and ulnaris, extensor digitorum communis) and elbow extension (triceps). Three channel stimulation including the deltoideus muscle was attempted successfully in one patient. Five of eight patients showed substantial improvement with the orthosis and three of these five showed some therapeutic effect over a period of two months. The stimulation was proportionally controlled by the patient by means of movement of the nonaffected shoulder. Functional tasks such as the shifting of an object between two specified areas on a desk were used for evaluation of performance. Tasks that were impossible without stimulation were easily performed with stimulation and after minimal training. The results obtained were significant for the functional rehabilitation of hemiplegic subjects. It is concluded that a more extensive clinical evaluation program including regular long term training of the subjects is justified.

Arm↗