Individual differences in memory predict changes in breakdown and repair fluency but not speed fluency: A short-term fluency training intervention study

The purpose of this intervention study is to reveal the extent to which memory-related aptitudes are implicated in the second language (L2) fluency development fostered by task repetition. English L2 learners are engaged in oral narrative tasks three times per day under two different 3-day task repetition schedules: blocked (Day 1: A-A-A, Day 2: B-B-B, Day 3: C-C-C) versus interleaved (Day 1: A-B-C, Day 2: A-B-C, Day 3: A-B-C). Their phonological short-term memory (PSTM), attention control, and associative memory were used as predictors of fluency changes measured through speed, breakdown, and repair fluency behaviors. Results showed that while the articulation rate change was not explained by any of the examined predictors, breakdown and repair fluency were predicted by different memory components. Specifically, PSTM was associated with mid-clause pause decrease during the training phase, while associative memory was linked to the increase in clause-final pauses in the posttest. Attention control, as well as PSTM, was related to greater repair frequency in the posttest, indicating increased learners’ attention to speech monitoring. Furthermore, PSTM and associative memory contributed to reducing breakdown fluency in the blocked repetition condition only, suggesting that learners can capitalize on their memory for improving oral fluency by engaging in blocked practice.

An Experimental Comparison of Approaches to Training Insight

The purpose of the research was to investigate different types of training in insight problem solving. In doing so, we reviewed the literature on experimental tests of procedures for training insight problem solving. The results revealed that most procedures focused either on restructuring or divergent thinking, and provided some evidence for the effectiveness of both approaches. However, we found no studies that compared the effects of the two approaches. The article reports two experiments that compared different training procedures based on restructuring and divergent thinking. For the latter, the methods focused separately on fluency, flexibility and originality training. The first experiment compared a restructuring approach with fluency training and a placebo control condition. The results indicated that the restructuring training was significantly more effective than the others, but only when instructions were verbal, not in script form. The second experiment compared restructuring training with flexibility, fluency and originality training, all presented in script form, and the results indicated that the restructuring training was significantly more effective than both fluency training and flexibility training. Implications for future research are discussed.

Using simulation to explore the impact of device design on the learning and performance of peripheral intravenous cannulation

Background The design of medical devices impacts upon the performance of healthcare professionals and patient safety. However, multiple devices serving the same function are often available. The purpose of this study was to use simulation as a means of examining the impact of differences in device design on (1) learning of, or attainment of behavioral fluency in, peripheral intravenous cannulation (PIVC); and (2) the generalization, or transfer, of learning on one device to performance of PIVC using an untrained device. Methods A total of 25 final cycle medical students participated in this study which used a randomized two-group design. Participants were randomly assigned to learn PIVC using either a closed PIVC device (a single device which consists of an intravenous cannula with a pre-attached extension tube; n = 14) or an open PIVC device (a two-piece device made up of an intravenous cannula and a separate extension tube which is attached following insertion of the cannula; n = 11). Task analyses were developed for the performance of PIVC using each device. Subsequently, simulation-based fluency training was delivered to both groups using their assigned PIVC device, and continued for each participant until the fluency criterion was achieved. Following achievement of fluency, participants were asked to perform PIVC using the untrained device (i.e., the PIVC device that they had not been trained on). Results All participants in both groups met the fluency criterion, and no significant differences were observed in the number of trials or total training required by groups to achieve fluency. Participants in both groups improved significantly from baseline (M = 11.69) to final training trial (M = 100). However, a significant decrement in performance (M = 81.5) was observed when participants were required to perform PIVC using the untrained device. Conclusions Participants achieved fluency in PIVC regardless of the device used. However, significant decrements in performance were observed when participants were required to perform PIVC using a novel device. This finding supports the need for careful consideration of devices purchased and supplied in the clinical setting, and the need for training prior to the introduction of novel devices or for new staff members.