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Facing perceptual uncertainty, the brain combines information from different senses to make optimal perceptual decisions and to guide behavior. However, decision making has been investigated mostly in unimodal contexts. Thus, how the brain integrates multisensory information during decision making is still unclear. Two opposing, but not mutually exclusive, scenarios are plausible: either the brain thoroughly combines the signals from different modalities before starting to build a supramodal decision, or unimodal signals are integrated during decision formation. To answer this question, we devised a paradigm mimicking naturalistic situations where human participants were exposed to continuous cacophonous audiovisual inputs containing an unpredictable signal cue in one or two modalities and had to perform a signal detection task or a cue categorization task. First, model-based analyses of behavioral data indicated that multisensory integration takes place alongside perceptual decision making. Next, using supervised machine learning on concurrently recorded EEG, we identified neural signatures of two processing stages: sensory encoding and decision formation. Generalization analyses across experimental conditions and time revealed that multisensory cues were processed faster during both stages. We further established that acceleration of neural dynamics during sensory encoding and decision formation was directly linked to multisensory integration. Our results were consistent across both signal detection and categorization tasks. Taken together, the results revealed a continuous dynamic interplay between multisensory integration and decision making processes (mixed scenario), with integration of multimodal information taking place both during sensory encoding as well as decision formation.
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http://dx.doi.org/10.1016/j.neuroimage.2020.116970 | DOI Listing |
J Med Internet Res
September 2025
School of Nursing, University of Minho, Braga, Portugal.
Background: The spread of misinformation on social media poses significant risks to public health and individual decision-making. Despite growing recognition of these threats, instruments that assess resilience to misinformation on social media, particularly among families who are central to making decisions on behalf of children, remain scarce.
Objective: This study aimed to develop and evaluate the psychometric properties of a novel instrument that measures resilience to misinformation in the context of social media among parents of school-age children.
Clin Orthop Relat Res
September 2025
Leni & Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Background: Peripheral nerve injury commonly results in pain and long-term disability for patients. Recovery after in-continuity stretch or crush injury remains inherently unpredictable. However, surgical intervention yields the most favorable outcomes when performed shortly after injury.
View Article and Find Full Text PDFJAMA Cardiol
September 2025
Department of Medicine, Cardiovascular Medicine, Stanford University, Stanford, California.
Importance: Consumer wearable technologies have wide applications, including some that have US Food and Drug Administration clearance for health-related notifications. While wearable technologies may have premarket testing, validation, and safety evaluation as part of a regulatory authorization process, information on their postmarket use remains limited. The Stanford Center for Digital Health organized 2 pan-stakeholder think tank meetings to develop an organizing concept for empirical research on the postmarket evaluation of consumer-facing wearables.
View Article and Find Full Text PDFJAMA Netw Open
September 2025
Harvard Medical School, Boston, Massachusetts.
Importance: Research in behavioral economics has demonstrated that people have irrational biases, which make them susceptible to decisional shortcuts, or heuristics. The extent to which physicians consciously might use nudges to exploit these heuristics and thereby influence their patients' decision-making is unclear. In addition, ethical questions about the conscious use of nudges in medicine persist, yet little is known about how physicians experience and perceive their use.
View Article and Find Full Text PDFCult Health Sex
September 2025
Department of Behavioral and Social Sciences, Brown University, Providence, RI, USA.
Transgender women and sex workers in Brazil underutilise HIV prevention services. Understanding preferences and decision-making regarding HIV prevention can help develop new programmes to meet their needs. We conducted semi-structured interviews with 26 transgender women and travesti sex workers in São Paulo, Brazil.
View Article and Find Full Text PDF