Terry Au - Academia.edu (original) (raw)

Papers by Terry Au

Social Science & Medicine, May 1, 2015

The global movements of healthcare professionals and patient populations have increased the compl... more The global movements of healthcare professionals and patient populations have increased the complexities of medical interactions at the point of service. This study examines interpreter mediated talk in cross-cultural general dentistry in Hong Kong where assisting para-professionals, in this case bilingual or multilingual Dental Surgery Assistants (DSA), perform the dual capabilities of clinical assistant and interpreter. An initial language use survey was conducted with Polyclinic DSAs using a logbook approach to provide self-report data on language use in clinics. Frequencies of mean scores using a 10-point visual analogue scale (VAS) indicated that the majority of DSAs spoke mainly Cantonese in clinics and interpreted for postgraduates and professors. Conversation Analysis (CA) examined recipient design across a corpus (n=21) of video-recorded review consultations between non-Cantonese speaking expatriate dentists and their Cantonese L1 patients. Three patterns indicated were: dentist designated expansions; dentist directed interpretations; and assistant initiated interpretations to both the dentist and patient. The third, rather than being perceived as negative, were found to be framed either in response to patient difficulties or within the specific task routines of general dentistry. The findings illustrate trends in dentistry towards personalized care and patient empowerment as a reaction to the predominant product delivery approach to patient management. Implications are indicated for both treatment adherence and the education of dental professionals.

Journal of Investigative and Clinical Dentistry, Feb 8, 2012

Aim: To develop and validate an instrument, the Hong Kong Rapid Estimate of Adult Literacy in Den... more Aim: To develop and validate an instrument, the Hong Kong Rapid Estimate of Adult Literacy in Dentistry (HKREALD-30). Methods: The Rapid Estimate of Adult Literacy in Dentistry (REALD-99) was translated into Chinese and modified in the pretest. A total of 200 parents of pediatric dental patients were interviewed using this modified scale and administered additional three sets of self-reported questionnaires. The 99 items of the scale were reduced to 30 (HKREALD-30). Concurrent validity was tested by comparing the HKREALD-30 scores with the participants' educational level, pattern of dental visits and reading habits. Convergent validity was tested by examining the association between HKREALD-30 and the Test of Functional Health Literacy in Dentistry (TOFHLiD). The test-retest reliability and internal consistency of HKREALD-30 were also evaluated. Results: A significant correlation (P < 0.01) was found between HKREALD-30 and participants' reading habits. HKREALD-30 was also highly correlated with TOFHLiD (Spearman's rho = 0.693, P < 0.01). In the regression model, HKREALD-30 was positively associated with TOFHLiD (P < 0.05) after controlling for participants' characteristics. The intra-class correlation coefficient of HKREALD-30 was 0.78 and the Cronbach's alpha was 0.84. Conclusion: Initial testing of HKREALD-30 suggested that it is a valid and reliable instrument for the basic screening of oral health literacy among Chinese people in Hong Kong.

Language Learning and Development, Feb 1, 2021

ABSTRACT Do learners of a second language (L2) need frequent contact with native speakers of that... more ABSTRACT Do learners of a second language (L2) need frequent contact with native speakers of that language in order to master its phonology? What if they hear audio recordings of native speakers and receive immediate corrective feedback about their perception? We used a randomized controlled experiment with 135 Chinese speakers (with English as their L2) to examine whether a high-variability perceptual training (HVPT) paradigm might enhance the perception of challenging contrasts between English voiced and voiceless stop consonants. Learners in all the age groups tested – middle childhood, early adolescence, and young adulthood – showed enhanced perception of English stop consonants after 20 five-minute training sessions conducted across 4 to 6 weeks, based on audio-recorded input coupled with corrective feedback. The training benefits were maintained at the one-month follow-up. Our results suggest that HVPT using audio-recordings of native speakers can be an affordable and useful language enrichment to supplement live interaction with native speakers, for L2 learners of a wide age range.

Journal of Public Health Dentistry, Sep 9, 2013

This paper describes the development of a new literacy assessment instrument, the Hong Kong Oral ... more This paper describes the development of a new literacy assessment instrument, the Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (HKOHLAT-P). Its relationship to literacy theory is analyzed to establish content and face validity. Implications for construct validity are examined by analyzing cognitive demand to determine how &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;comprehension&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; is measured. Key influences from literacy assessment were identified to analyze item development. Cognitive demand was analyzed using an established taxonomy. The HKOHLAT-P focuses on the functional domain of health literacy assessment. Items had strong content and face validity reflecting established principles from modern literacy theory. Inclusion of new text types signified relevant developments in the area of new literacies. Analysis of cognitive demand indicated that this instrument assesses the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;comprehension&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; domain, specifically the areas of factual and procedural knowledge, with some assessment of conceptual knowledge. Metacognitive knowledge was not assessed. Comprehension tasks assessing patient health literacy predominantly examine functional health literacy at the lower levels of comprehension. Item development is influenced by the fields of situated and authentic literacy. Inclusion of content regarding multiliteracies is suggested for further research. Development of functional health literacy assessment instruments requires careful consideration of the clinical context in determining construct validity.

Oral Health & Preventive Dentistry, 2014

To identify and review the psychometric properties of instruments available for measuring oral he... more To identify and review the psychometric properties of instruments available for measuring oral health literacy. A comprehensive computerised search was carried out using six databases. The final papers were rated for level of evidence and scientific quality. A total of 621 potentially relevant articles were retrieved in the primary search. Twenty-nine studies using 13 oral health literacy instruments were included in the final analysis. After applying an international standards framework, all included studies were categorised as evidence level &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;2c&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;. Qualities of evidence were rated with STROBE guidelines. Psychometric analysis indicated various levels of validity and reliability across the instruments. As an emerging field, the number and reliability of oral health literacy instruments is rapidly growing, although many are in preliminary stages of testing. The majority of these focus on functional literacy and were developed in English for North American contexts. Further work is indicated to measure oral health literacy as a wider construct across diverse populations.

International Journal of Paediatric Dentistry, Jan 24, 2013

Background. Oral health literacy is a newly emerging field with considerable research potential. ... more Background. Oral health literacy is a newly emerging field with considerable research potential. Aim. To validate an original instrument, the Hong Kong Oral Health Literacy Assessment Task (HKOHLAT-P) for paediatric dentistry. Design. A convenient sample of 200 child/parent dyads attending a dental hospital in Hong Kong was selected. Convergent validity was tested by examining the association of HKOHLAT-P scores with those derived from the Test of Functional Health Literacy in Dentistry (TOFHLiD) and Hong Kong Rapid Estimate of Adult Literacy in Dentistry (HKREALD-30). The predictive validity of HKOHLAT-P was determined by testing the association between HKOHLAT-P and children's caries experience (dmft) and the Chinese Early Childhood Oral Health Impact Scale (ECOHIS). The test-retest reliability and internal consistency of HKOHLAT-P were also evaluated. Results. HKOHLAT-P was positively correlated with TOFHLiD and HKREALD-30 (P < 0.01), and was negatively correlated with children's dmft and ECOHIS. In the regression model, HKOHLAT-P was associated with TOFHLiD, HKEALD-30, children's dmft, and ECOHIS (P < 0.05) after controlling for participants' demographic characteristics. The intra-class correlation coefficient of HKOHLAT-P was 0.63 and the Cronbach's a was 0.71. Conclusion. Initial testing of HKOHLAT-P suggested that it is a valid and reliable instrument.

Patient Education and Counseling, Mar 1, 2014

To describe the relationship between caregivers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;a... more To describe the relationship between caregivers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; oral health literacy (OHL) and the oral health status of their children in an Asian population. A random sample of 301 child/caregiver dyads was recruited from kindergartens in Hong Kong. Two locally-developed and validated OHL assessment tasks were administered to caregivers with Hong Kong Rapid Estimate of Adult Literacy in Dentistry-30 (HKREALD-30) assessing word recognition and Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (HKOHLAT-P) assessing comprehension. Their children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s oral health status was assessed [dental caries experience - decayed, missing, filled teeth index - (dmft) and oral hygiene status - Visible Plaque Index (VPI)]. Caregivers&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; literacy was associated with children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s oral health status. The HKOHLAT-P had a stronger association with children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s oral health than HKREALD-30. HKOHLAT-P and HKREALD-30 remained associated with dmft in the adjusted negative binomial regression models (accounting for socio-demographics), Incidence Rate Ratio (IRR) 0.97, p=0.02, and 0.96, p=0.03, respectively. In the adjusted model, HKOHLAT-P was associated with VPI (IRR 0.90, p&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;0.05), but no association between HKREALD-30 and VPI was evident. The main conclusion of this study was that caregiver oral health literacy was associated with their child&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s oral health status. A comprehension instrument had a more robust association with children&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s oral status than a word recognition instrument. This study has implications for general public health education for designing community-level interventions.

Cognitive Science, 2013

Holistic processing and left-side bias are both behavioral markers of expert face recognition. In... more Holistic processing and left-side bias are both behavioral markers of expert face recognition. In contrast, expertise in Chinese character recognition involves left-side bias but reduced holistic processing (Hsiao & Cottrell, 2009). Here we examine whether the reduction in holistic processing associated with expert Chinese character recognition can be better explained by writing rather than reading experience. Compared with non-Chinese readers (novices), Chinese readers who had limited writing experience (Limited-writers) showed increased holistic processing, whereas Chinese readers who could also write characters fluently (Writers) showed reduced holistic processing. These results suggest that writing/sensorimotor experience can modulate holistic processing effects, and that the reduced holistic processing observed in expert Chinese readers may depend on writing rather than reading experience. By contrast, both Writers and Limited-writers showed a similar level of left-side bias in processing symmetric Chinese characters, left-side bias may therefore be a consistent expertise marker for object recognition uninfluenced by motor experience.

Cognitive Science, 2015

Holistic processing (HP) and hemispheric lateralization are both expertise markers of object reco... more Holistic processing (HP) and hemispheric lateralization are both expertise markers of object recognition. For example, expertise in face and subordinate object perception is shown to be associated with HP and stronger right hemispheric lateralization. However, HP is modulated by experiences of selective attention to parts such as writing experiences of Chinese characters (Tso, Au, & Hsiao, 2014) and drawing experiences of faces (Zhou et al., 2011). Meanwhile, hemispheric lateralization is associated with the decoding strategy employed in object recognition, such as left hemispheric lateralization for reading alphabetic scripts and right hemispheric lateralization for reading logographic scripts. This study aims at training participants to recognize the same sets of artificially-created scripts using either wholeword (Logographic) or grapheme-to-phoneme (Alphabetic) approaches. We found that both approaches induced strong HP, though the alphabetic approach induced stronger left hemisphere advantage than the logographic approach. This training study demonstrates that HP and hemispheric lateralization are separate processes that are associated with different perceptual mechanisms.

Cognition, Aug 1, 1984

... Login to save citations to My List. Citation. Database: PsycINFO. [Comment/Reply].Counterfact... more ... Login to save citations to My List. Citation. Database: PsycINFO. [Comment/Reply].Counterfactuals: In reply to Alfred Bloom. Au, Terry K. Cognition, Vol 17(3), Aug 1984, 289-302. doi: 10.1016/0010-0277(84)90012-X. Abstract. ...

Infant Mental Health Journal

To understand the role of experience in parenting beliefs about caring for infants, we examined t... more To understand the role of experience in parenting beliefs about caring for infants, we examined the parenting beliefs of pregnant women who were expecting their first child with those of pregnant women who already had at least one other child. A culturally diverse sample of 550 British and Italian women completed self‐report measures evaluating their beliefs about the value of attunement and structure in caregiving, parenting self‐efficacy, and home chaos. Psychometric evaluation confirmed the two‐factor structure of the Baby Care Questionnaire (BCQ) for measuring attunement and structure but did not support configural invariance across the different samples. Beliefs about attunement and structure were related to parenting experience: pregnant women who already had at least one other child reported stronger beliefs in attunement, whereas pregnant women expecting their first child reported stronger beliefs in structure. Regression analyses revealed that the associations between paren...

Autism, 2021

This study examined the reliability and validity of the 13-item Classroom Observation Scale as us... more This study examined the reliability and validity of the 13-item Classroom Observation Scale as used by teachers and non-clinically trained observers to identify children who more likely than their peers to have autism spectrum disorder in less-resourced preschools. A total of 534 children (ages 2;10 to 4;5, Mean = 3;8) from nine Chinese-language preschools serving families from lower-middle to middle socioeconomic backgrounds in Hong Kong were observed in their first preschool year using the Classroom Observation Scale. The 75 screen-positive children and 55 randomly selected typically developing peers were clinically assessed for autism spectrum disorder 1 year later. The Classroom Observation Scale as used by teachers and non-clinically trained researchers helped to identify preschoolers who were later diagnosed with autism spectrum disorder with odds ratios of 3.11 and 8.66, respectively. This study provided further evidence on the versatility and ecological validity of the Class...

Humanities and Social Sciences Communications, 2020

Despite growing attention to gender disparities in higher education, women in academia still rece... more Despite growing attention to gender disparities in higher education, women in academia still receive less research funding and recognition. Previous research on this gender gap has focused on biomedical, science, technology, engineering, and mathematics in the West—relatively silent on social sciences and Asia. This study examined how well staff gender, submission rate, success rate, and amount per award could predict annual changes in the number and amount of grant funding for academic years 2015/2016–2020/2021 in the Faculty of Social Science at the University of Hong Kong, a leading institution in social sciences in Asia. Decomposition analysis revealed that, compared to men, women had higher submission rates, which significantly contributed to an increase in the number of awards for the University in recent years in two major funding mechanisms (namely, General Research Fund and Early Career Scheme), especially from 2019/2020 to 2020/2021. Women also outperformed men in the succ...

The editors of Language Learning and Development gratefully acknowledge the following individuals... more The editors of Language Learning and Development gratefully acknowledge the following individuals who served as manuscript reviewers for Volume 1: ... Derek Houston Janet Werker Barbara Landau Chris Johnson Jane Grimshaw Cynthia Fisher Sandy Waxman Marina Vasilyeva Diane Brentari Jana Iverson Annie Senghas Elissa Newport Daphne Bavelier Aaron Newman Karen Emmorey Catherine Lord Paul Bloom Mabel Rice Dan Swingley Jessica Maye Linda Smith Judy Gierut Kathy Hirsh-Pasek Mike Tomasello Heidi Harley Jeff Lidz Tania Zamuner Lisa ...