Nonverbal Communication Behaviors Research Articles

Effectiveness of an Eight-Week Multidisciplinary Selective Mutism Treatment Group

ABSTRACT Recent selective mutism (SM) treatment approaches focusing on the delivery of interventions using intensive doses of cognitive behavioral therapy (CBT) and Parent-Child Interaction Therapy (PCIT-SM). In the current study, we sought to examine the effectiveness of an eight-session weekly outpatient group program for youth ages 3 to 14 diagnosed with SM. Group interventions included caregiver coaching and support for CBT skills, particularly graded speaking exposures for youth using the PCIT-SM framework. A total of 112 youth (M age = 7.26; 57.1% white; 63.4% girls) were referred for treatment; 100 youth completed the weekly program with at least one caregiver. Initial evaluations assessed SM symptomology, communication behavior, anxiety, and impairment due to symptoms at pre-treatment and post-treatment. Parents and clinicians tracked communication behaviors during all treatment sessions. Results suggested a significant reduction in SM symptoms in various settings (e.g., school, social) and impairment associated with anxiety from pre- to post-treatment. Youth demonstrated a significant increase in speaking behaviors across treatment session, with a corresponding decrease in use of nonverbal communication behaviors. Caregivers did not report a significant change in family impairment, though this was not unexpected due to the demands placed on caregivers as part of treatment. Overall, the results of this study support the efficacy of a brief, weekly intervention for SM, even when symptoms are significantly impairing. Weekly outpatient treatment should be considered a viable option when intensive options are not feasible.

Mealtime nonverbal communications among nursing home staff and residents with dementia: A secondary analysis of videotaped observations

AbstractBackgroundMealtime difficulties are common among nursing home (NH) residents with dementia. Quality communications between staff and residents are critical to engage residents in eating. This study characterized dyadic nonverbal communications between nursing home staff and residents and evaluated relationships of nonverbal communications with individual characteristics.MethodsThis secondary analysis of 110 videotaped mealtime observations involved 25 residents and 29 staff (42 unique dyads) in 9 NHs. Nonverbal communication behaviors were coded using the refined Cue Utilization and Engagement in Dementia mealtime video‐coding scheme. Codes for staff nonverbal behaviors include 8 negative and 26 positive behaviors (modification for resident ability n=12, care approaches n=7, and dining environment n=7). Codes for resident nonverbal behaviors include 5 positive/neutral behaviors and 22 negative behaviors (chewing/swallowing difficulties n=4, functional impairment n=6, and resistive behaviors n=12).ResultsStaff modifications for resident ability (41.9%) were more prevalent than modifications of care approaches (35.1%) and dining environment (13.6%). Staff negative behaviors (9.3%) (33.5%) were more frequent compared to functional impairment (9.9%). Residents demonstrated positive/neutral behaviors (20.9%). Resident chewing/swallowing difficulties were correlated with resident eating function (p=.002). Resident functional impairment was correlated with staff education (p=.026) and resident age (p=.013), gender (p=.013), and dementia stage (p=.003). Resistive behaviors were correlated with resident comorbidity (p=.003), dementia stage (p=.049), and eating function (p=.001). Resident positive behaviors were correlated with staff race (p=.005) and resident age (p=.002), dementia stage (p=.049), and eating function (p=.002). Modifications for resident functional/cognitive ability were correlated with resident eating function (p<.001), while modifications of care approaches were correlated with staff race (p<.001) and years in current NH (p<.001), as well as with resident gender (p=.003) and eating function (p<.049). Modifications of dining environment were correlated with staff gender (p=.017) and years in current NH (p=.046), as well as with resident dementia stage (p=.008) and eating function (p<.001). Staff negative behaviors were correlated with resident comorbidity (p=.008).ConclusionsDyadic mealtime nonverbal communications were dynamic, interactive, and complex. Multiple individual characteristics were related to dyadic nonverbal communications. Findings may inform development of individualized, person‐centered mealtime care interventions.

Relationship between sensory characteristics and cortical thickness/volume in autism spectrum disorders

Individuals with autism spectrum disorders (ASDs) exhibit atypical sensory characteristics, impaired social skills, deficits in verbal and nonverbal communication, and restricted and repetitive behaviors. The relationship between sensory characteristics and brain morphological changes in ASD remains unclear. In this study, we investigated the association between brain morphological changes and sensory characteristics in individuals with ASD using brain image analysis and a sensory profile test. Forty-three adults with ASD and 84 adults with typical development underwent brain image analysis using FreeSurfer. The brain cortex was divided into 64 regions, and the cortical thickness and volume of the limbic system were calculated. The sensory characteristics of the participants were evaluated using the Adolescent/Adult Sensory Profile (AASP). Correlation analysis was performed for cortical thickness, limbic area volume, and AASP scores. In the ASD group, there was a significant positive correlation between visual sensory sensitivity scores and the right lingual cortical thickness (r = 0.500). There were also significant negative correlations between visual sensation avoiding scores and the right lateral orbitofrontal cortical thickness (r = −0.513), taste/smell sensation avoiding scores and the right hippocampal volume (r = −0.510), and taste/smell sensation avoiding scores and the left hippocampal volume (r = −0.540). The study identified associations among the lingual cortical thickness, lateral orbitofrontal cortical thickness, and hippocampal volume and sensory characteristics. These findings suggest that brain morphological changes may trigger sensory symptoms in adults with ASD.

HEALTHCARE PROVIDER PATIENT NONVERBAL COMMUNICATIVE BEHAVIOUR ON DIABETES MELLITUS MANAGEMENT PRACTICES IN SELECTED HOSPITALS IN KENYA

Purpose: To examine the effect of healthcare provider patient communication nonverbal communicative behaviour on diabetes mellitus management practices in selected hospital in Kenya.
 Methodology: This was a causal comparative research design study with application of quantitative methodology. The study was carried out at Kenyatta National Hospital (KNH) and MP Shah Hospital. Systematic random sampling was used to sample patients. 400 participants were involved in the study and comprised 313 patients at KNH and 87 patients at MP Shah Hospital studied between the months of February 2019 and November 2019. The researcher administered questionnaire was used to collect data. The results were summarized using percentages and means or medians for categorical and continuous data respectively. Comparisons were done using chi square test of association of categorical variables and independent t-test for comparison of means. Linear regression and ANOVA were used to test for associations and hypothesis between healthcare provider patient nonverbal communicative behaviour (NVCB) and diabetes mellitus management practices (DMMPs).
 Findings: The rating of nonverbal communicative behavior was significantly higher at MP Shah Hospital than at KNH, p=0.010. Nonverbal communicative behavior had positive significant effect on diabetes mellitus management practices in Kenya [β=0.15, (95% CI 0.03, 0.27), p=0.016] with similar outcome at KNH [β=0.20, (95% CI 0.08, 0.33), p=0.002] and not at MP Shah Hospital [β=0.03, (95% CI 0.37, 0.42), p=0.899]. Thus, the null hypothesis was rejected in Kenya; the null hypothesis was rejected at KNH; the null hypothesis was not rejected at MP Shah Hospital. Therefore, there was significant effect of NVCB on DMMPs in Kenya, at KNH and not at MP Shah Hospital.
 Unique contribution to theory, practice and policy: Nonverbal communicative behaviour was responsible for improved performance in diabetes mellitus management practices among patients in Kenya and at KNH. At MP Shah Hospital, NVCB was not responsible for improvement in the DMMPs. The findings reinforce uncertainty reduction and communication accommodation theories basis in the dyadic interaction between patients and healthcare providers. Therefore, NVCB needs to be well conceptualized and incorporated at the health ministry and medical training institutions to equip medical workers with the required communication skills.

Students’ Perceptions of Verbal and Non-Verbal Communication Behaviors during and after the COVID-19 Pandemic

Aiming at shedding light on the implications the COVID-19 pandemic has had on the students’ social and personal lives, this study has focused on the verbal and non-verbal communication and on the surveyees’ personal lives during the pandemic as well as on the perspective of changing their communication behaviors after the pandemic. The 409 respondents, students at Politehnica University of Timisoara, took part in a survey, conducted between 1 April and 30 May 2021, that was posted on isondaje.ro, a Romanian online survey platform. The research has suggested the following results: the adjustment of the verbal communication by speaking in a more articulated manner or more loudly; the overuse of the upper part of the face to compensate for the concealed parts of the face due to face mask wearing; the analysis of the factors underlying the respondents’ actions, i.e., relational attitudes, various greeting forms, various non-verbal reactions, which are aspects that are likely to change even after the pandemic. The results have also presented the changes that interpersonal communication could go through under the pressure of the restrictions imposed by the pandemic, but also the ways through which people try to protect their most valuable asset, i.e., communication, which defines humanity and makes us unique as human beings.

Eye contact in a month in a toddler with autism spectrum disorder

Autism is characterized by deficits in verbal and nonverbal communication and repetitive behaviors. There is a lack of data available regarding pharmacological treatment in autism spectrum disorders.

Technologies teaching students in russian universities within the framework of the person-oriented and competence–based approaches

In the era of internationalization of education, process integrating the synthesis of the person-oriented and competence-based approaches, the introduction of new technologies for teaching the Russian language to foreign students is especially rapid and intensive being one of the most relevant issues in education sector. Educational process and subsequent socialization in the foreign language environment is based on the acquisition, transformation and active reproduction of knowledge, skills and abilities of the verbal and nonverbal communicative behaviour representing a set of communicative rules being obligatory for the performance in the linguo-cultural community within the standard communicative situations. Research indicates that integration of teaching technologies when mastering Russian as a foreign language forms an effective system of educational process, involving the synthesis of methods, goals, content, forms, means, namely, its main components; students' active involvement in educational activities creates comfortable conditions for implementation of fruitful educational process and improvement of their communicative competence.

Observational assessment of communication to empower patients with dementia to make legally effective decisions – revalidation of CODEMamb

Objectives: Communication enables humans to exercise their rights. Dementia research consistently shows that communication skills decrease as the disease progresses. Nonverbal communication abilities decline more slowly than verbal skills and often become more important as the disease advances. However, resources and deficits in nonverbal and verbal communication behavior differ between persons with dementia and contexts. Knebel et al. proposed the observational assessment tool CODEMamb that we believe to be the first standardized instrument to differentiate between content-related and relationship aspects of nonverbal communication behavior. Until now, evaluations of CODEMamb have been exploratory and used small samples. Method: We therefore retested the psychometric criteria of CODEMamb in persons with a suspected dementia in an ambulatory setting. Data was drawn from 326 older adults (aged 52 − 91) during routine screening in Germany. Results: Our findings support the three-factorial structure of CODEMamb. Internal consistency of the overall scale and the three subscales of CODEMamb was high. Correlations with CERAD-NP subscales revealed similarities to CODEMamb, indicating sufficient convergent validity. Finally, CODEMamb was able to differentiate between persons according to the stage of their disease. Conclusion: CODEMamb is a theoretically based, reliable and valid observational assessment tool and its use in ambulatory settings can help foster individual, person-centered communication by identifying the resources of people with dementia, thereby empowering them in rights-exercising situations.

Positioning of Mature Students Based on Verbal and Non-Verbal Communication Behaviors

Positioning of Mature Students Based on Verbal and Non-Verbal Communication Behaviors

A spectrogram image based intelligent technique for automatic detection of autism spectrum disorder from EEG.

Autism spectrum disorder (ASD) is a developmental disability characterized by persistent impairments in social interaction, speech and nonverbal communication, and restricted or repetitive behaviors. Currently Electroencephalography (EEG) is the most popular tool to inspect the existence of neurological disorders like autism biomarkers due to its low setup cost, high temporal resolution and wide availability. Generally, EEG recordings produce vast amount of data with dynamic behavior, which are visually analyzed by professional clinician to detect autism. It is laborious, expensive, subjective, error prone and has reliability issue. Therefor this study intends to develop an efficient diagnostic framework based on time-frequency spectrogram images of EEG signals to automatically identify ASD. In the proposed system, primarily, the raw EEG signals are pre-processed using re-referencing, filtering and normalization. Then, Short-Time Fourier Transform is used to transform the pre-processed signals into two-dimensional spectrogram images. Afterward those images are evaluated by machine learning (ML) and deep learning (DL) models, separately. In the ML process, textural features are extracted, and significant features are selected using principal component analysis, and feed them to six different ML classifiers for classification. In the DL process, three different convolutional neural network models are tested. The proposed DL based model achieves higher accuracy (99.15%) compared to the ML based model (95.25%) on an ASD EEG dataset and also outperforms existing methods. The findings of this study suggest that the DL based structure could discover important biomarkers for efficient and automatic diagnosis of ASD from EEG and may assist to develop computer-aided diagnosis system.

Small Talk with a Robot? The Impact of Dialog Content, Talk Initiative, and Gaze Behavior of a Social Robot on Trust, Acceptance, and Proximity

Appropriate human likeness for social robots is said to increase trust and acceptance. Whether this applies to human communication features like dialog initiative needs to be investigated. Dialog initiative could be unacceptable for a robot, depending on the dialog content. Hence, the presented study investigates how a social robot’s proactive verbal and non-verbal communication behavior affects trust and acceptance depending on dialog content and content presentation order. A laboratory study (n = 31) with a humanoid robot was conducted. Talk initiative (human/robot) and the robot’s gaze behavior (directed/random) were manipulated. Dialog content was alternated between a service task and small talk. The subject’s trust, acceptance and human-robot proximity were assessed. Whereas a directed gaze was perceived as more humanlike and was more accepted during small talk, no gaze preference for the service task emerged. There was no preference for who initiated the small talk but for the service task, robot initiative led to higher trust in the robot when the service task was the first interaction. Participant’s self-reported trust in the robot was associated with the distance they kept to the robot. Different gaze and proactive strategies seem to be efficient to foster trust and acceptance in social robots for different dialog contents and thus should be considered when designing interaction strategies for social robots.

Neural Mechanisms of Parental Communicative Adjustments in Spoken Language

During cultural transmission, caregivers typically adjust their form of speech according to the presumed characteristics of an infant/child, a phenomenon known as infant/child directed speech (IDS/CDS) or “parentese.” Although ventromedial prefrontal cortex (vmPFC) damage was previously found to be associated with failure in adjusting non-verbal communicative behaviors, little is known about the neural mechanisms of verbal communicative adjustments, such as IDS/CDS. In the current study, 30 healthy mothers with preschool-age children underwent functional magnetic resonance imaging (fMRI) while performing a picture naming task which required them to name an object for either a child or an adult. In the picture naming task, mothers exhibited a longer naming duration in the toward-child condition than the toward-adult control condition. Naming an object for a child, compared with naming it for an adult, resulted in greater involvement in the vmPFC and other regions (e.g., cerebellum) in the global caregiving network. In particular, the vmPFC exhibited task-related deactivation and decreased functional connectivity with the supplementary motor, precentral, postcentral, and supramarginal regions. These findings suggest that the vmPFC, which is included in the default mode network, is involved in optimizing communicative behaviors for the inter-generational transmission of knowledge. This function of the vmPFC may be considered as a prosocial drive to lead to prosocial communicative behaviors depending on the context. This study provides a better understanding of the neural mechanisms involved in communicative adjustments for children and insight into related applied research fields such as parenting, pedagogy, and education.

Expressivity in children with autism and Williams syndrome

PurposeThe purpose of this study is to investigate the social and affective aspects of communication in school-age children with HFA and school-age children with WS using a micro-analytic approach. Social communication is important for success at home, school, work and in the community. Lacking the ability to effectively process and convey information can lead to deficits in social communication. Individuals with high functioning autism (HFA) and individuals with Williams syndrome (WS) often have significant impairments in social communication that impact their relationships with others. Currently, little is known about how school-age children use and integrate verbal and non-verbal behaviors in the context of a social interaction.Design/methodology/approachA micro-analytic coding scheme was devised to reveal which channels children use to convey information. Language, eye gaze behaviors and facial expressions of the child were coded during this dyadic social interaction. These behaviors were coded throughout the entire interview, as well as when the child was the speaker and when the child was the listener.FindingsLanguage results continue to pose problems for the HFA and WS groups compared to their typically developing (TD) peers. For non-verbal communicative behaviors, a qualitative difference in the use of eye gaze was found between the HFA and WS groups. For facial expression, the WS and TD groups produced more facial expressions than the HFA group.Research limitations/implicationsNo differences were observed in the HFA group when playing different roles in a conversation, suggesting they are not as sensitive to the social rules of a conversation as their peers. Insights from this study add knowledge toward understanding social-communicative development in school-age children.Originality/valueIn this study, two non-verbal behaviors will be assessed in multiple contexts: the entire biographical interview, when the child is the speaker and when the child is the listener. These social and expressive measures give an indication of how expressive school-age children are and provide information on their attention, affective state and communication skills when conversing with an adult. Insights from this study will add knowledge toward understanding social-communicative development in school-age children.

The Relationship Between Teacher Non-Verbal Communication and Student Behavior: A Cross-National Perspective

This paper aims at providing insights on the role of non-verbal communication (NVC) in classroom by examining the relationship between teacher NVC cues and student behavior. Student behavior is considered in terms of perceptions of the match between the teacher and the student self-concept (i.e. self-image congruence), attention, and learning. Hypotheses are tested on a sample of students coming from Spain and Italy. Findings indicate that the student self-concept has the strongest relationship with teacher personal appearance, attention with paralinguistics, and learning with kinesics. Some differences are found in the strength of the examined relationships between Spanish and Italian students.

Links between language and executive functions in Swedish preschool children: A pilot study

AbstractLanguage skills and executive functions (EF) undergo rapid development during preschool years and are foundational for a wide range of life outcomes but little is known of the connections between language and EF in Swedish, typically developing children. The current pilot study included 47 mono- and multilingual children aged 4–6 and aimed at describing the relationship between language and EF and investigating potential associations to age, sex, bi-/multilingualism, socioeconomic status (SES), and aspects of preschool attendance. Measures of language and EF correlated with one another to a large extent, but also showed some differentiation, suggesting a specific link between morphosyntactic ability and inhibition. Age was a significant predictor of most but not all measures. No significant effects of sex were found, with the exception for a female advantage in nonverbal communicative behavior, assessed by a novel rating paradigm. SES did not predict language or EF, and bi- and/or multilingual children did not differ from monolingual Swedish children on language or EF measures. Findings are discussed in relation to the connection between language and EF as well as to the needs of development of reliable language, EF, and communication measures for use in the Swedish context.

Simulated patient and role play methodologies for communication skills and empathy training of undergraduate medical students

BackgroundVerbal and non-verbal communication, as well as empathy are central to patient-doctor interactions and have been associated with patients’ satisfaction. Non-verbal communication tends to override verbal messages. The aim of this study was to analyze how medical students use verbal and non-verbal communication using two different educational approaches, student role play (SRP) and actor simulated patient (ASP), and whether the non-verbal behaviour is different in the two different poses.MethodsThree raters evaluated 20 students playing the doctor role, 10 in the SRP group and 10 in the ASP group. The videos were analyzed with the Calgary-Cambridge Referenced Observation Guide (CCG) and, for a more accurate evaluation of non-verbal communication, we also evaluated signs of nervousness, and posture. Empathy was rated with the CARE questionnaire. Independent Mann Whitney U tests and Qhi square tests were performed for statistical analysis.ResultsFrom the 6 main tasks of the CCG score, we obtained higher scores in the ASP group for the task ‘Gathering information’ (p = 0.0008). Concerning the 17 descriptors of the CCG, the ASP group obtained significantly better scores for ‘Exploration of the patients’ problems to discover the biomedical perspective’ (p = 0.007), ‘Exploration of the patients’ problems to discover background information and context’ (p = 0.0004) and for ‘Closing the session – Forward planning’ (p = 0.02). With respect to non-verbal behaviour items, nervousness was significantly higher in the ASP group compared to the SRP group (p < 0.0001). Concerning empathy, no differences were found between the SRP and ASP groups.ConclusionsMedical students displayed differentiated verbal and non-verbal communication behaviour during the two communication skills training methodologies. These results show that both methodologies have certain advantages and that more explicit non-verbal communication training might be necessary in order to raise students’ awareness for this type of communication and increase doctor-patient interaction effectiveness.

Astute Remedy for Autism “Developing an Interactive Real Time Application Along With a Hardware Product to Help Youngters With Autism”

The general terms of complex disorders of brain development are Autism spectrum disorder (ASD) and autism. Difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors are characteristics of this disorders. So an interactive application is proposed which will help an autistic child in his or her speech ability along with the verbal communication ability. A complete guide has been prepared to help the caretaker in curing of autism. Also doctors can be contacted whenever needed through the contact numbers specified according to the location of the patient. As children loves to learn new things visually we developed a real time pictographic images to teach them about the known things in their surroundings. Moreover, the child will also be taught about small sentences along with the basic mathematics. Their progress can be evaluated through the module.

Abstract IA49: New Perspectives on Training Complex Communication

Abstract Effective, empathic communication is a cardinal skill in healthcare, and is particularly important in the setting of cancer. What may be less apparent is the complexity of empathic communication, which involves cognitive, affective and behavioral components. Current training methods do not address all these elements; this can cause mismatches in verbal, paraverbal and nonverbal communication behaviors, resulting in conversation failure and adverse outcomes. Further, traditional training methods alone do not produce conversational skill development and maintenance. Considering that problems such as implicit bias and health disparities are, to some degree, smaller conversational failures writ large, underscores the crucial need for improved communication training. Blending current methods with new technologies can fills the gap between available methods and actual training needs to produce significantly better outcomes over a variety of challenging communication topics. Citation Format: Frederick W. Kron. New Perspectives on Training Complex Communication [abstract]. In: Proceedings of the AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2020 Oct 2-4. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(12 Suppl):Abstract nr IA49.

Lawyers’ antics and nonverbal impoliteness in Nigerian court documents: An example of Mosojo versus Oyetayo

Unlike the inquisitorial court system, the adversarial court requires that counsels willfully resort to face-aggravating impolite non/verbal acts through the instrumentation of relevant court papers as well as the use of professional privileges at the cross-examination phase to the detriment of the opposition, thereby elevating the quest for victory above fact-finding and the dispensation of justice. The study evaluates counsels’ impolite nonverbal communicative behaviour and professional antics which are complementary to verbal impoliteness. Anchored on Watts’ (2003) theory of relational works and Culpeper’s (1996) impoliteness super-strategies, the study drew fifteen (15) purposively selected examples, with preponderance of underlying nonverbal face-aggravating behaviour by professional courtroom participants, from archived pretrial documents and transcripts of proceedings in Mosojo versus Oyetayo (2012). Against the existence of inquisitorial and fact-finding alternative dispute resolution (ADR) mechanisms, the disputants chose the adversarial Western-like court system, with a penchant for impolite non/verbal behaviour, for the resolution of the Obasinkin chieftaincy dispute in a Nigerian community. Findings revealed that counsels’ antics and nonverbal impolite behaviour are not only embedded in some legal documents, but also manifested in the form of time-wasting, willful absence from court and embedded presupposing boobytrap arguments that were meant to frustrate the opposition and influence the course of justice. Litigants are advised to explore the ADR alternative while judges should regulate the courtroom use of language to prevent the miscarriage of justice.

Social and individual factors modulate parent-infant interactions: Lessons from free play sessions in an Argentine sample

In this study, we aimed to explore the associations between socioeconomic status (SES) (i.e., parents’ education and occupation, quality of the home and overcrowding), temperament styles (i.e., surgency, negative emotionality and regulatory capacity) and early dyadic and triadic nonverbal communication behaviors. We recruited 60 mother-infant dyads (mean age: 10.89 months, range: 9–13 months) low-to-mid SES, and assessed the duration of their communication behaviors using the Bakeman and Adamson (1984); SES was measured using INDEC Scale (2001), and temperament was assessed using the Infant Behavior Questionnaire-Revised Very Short Form (IBQ-R VSF, Putnam et al., 2014). Results showed that SES and their subdimensions were positively associated with passive, coordinated joint engagement (coordinated attention to person and object) and surgency, and negative with infant passive observation. Also, there were positive correlations between negative emotionality and unengaged attention behavior. We conclude that SES contributed to parent-infant interactions and temperament style from early months of life. We interpret these findings in relation to early intervention approaches aimed at promoting cognitive and social development.