An exploratory cluster randomised controlled trial of knowledge translation strategies to support evidence-informed decision-making in local governments (The KT4LG study)

Background: Childhood overweight and obesity is the most prevalent and, arguably, politically complex child health problem internationally. Governments, communities and industry have important roles to play, and are increasingly expected to deliver an evidence-informed system-wide prevention program. However, efforts are impeded by a lack of organisational access to and use of research evidence. This study aims to identify feasible, acceptable and ideally, effective knowledge translation (KT) strategies to increase evidence-informed decision making in local governments, within the context of childhood obesity prevention as a national policy priority.Methods/Design: This paper describes the methods for KT4LG, a cluster randomised controlled trial which is exploratory in nature, given the limited evidence base and methodological advances. KT4LG aims to examine a program of KT strategies to increase the use of research evidence in informing public health decisions in local governments. KT4LG will also assess the feasibility and acceptability of the intervention. The intervention program comprises a facilitated program of evidence awareness, access to tailored research evidence, critical appraisal skills development, networking and evidence summaries and will be compared to provision of evidence summaries alone in the control program. 28 local governments were randomised to intervention or control, using computer generated numbers, stratified by budget tertile (high, medium or low). Questionnaires will be used to measure impact, costs, and outcomes, and key informant interviews will be used to examine processes, feasibility, and experiences. Policy tracer studies will be included to examine impact of intervention on policies within relevant government policy documents.Discussion: Knowledge translation intervention studies with a focus on public health and prevention are very few in number. Thus, this study will provide essential data on the experience of program implementation and evaluation of a system-integrated intervention program employed within the local government public health context. Standardised programs of system, organisational and individual KT strategies have not been described or rigorously evaluated. As such, the findings will make a significant contribution to understanding whether a facilitated program of KT strategies hold promise for facilitating evidence-informed public health decision making within complex multisectoral government organisations.<br /

Reengaging High School Dropouts: Early Results of the National Guard Youth ChalleNGe Program Evaluation

Very early results from a random assignment evaluation of the National Guard Youth ChalleNGe Program, an intensive, "quasi-military" residential program for high school dropouts, show that the program has large impacts on high school diploma and GED attainment and positive effects on working, college-going, health, self-efficacy, and avoiding arrest

Taking real-life seriously : an approach to decomposing context beyond 'environment' in living labs

The maturity of Living Labs has grown and several researchers have tried to create a uniform definition of what Living Labs are by emphasizing the multi-method and real-life, contextual approach. Although researchers thus recognize the importance of context in Living Labs, they do not provide insights into how context can be taken into account. The real-life context predominantly focuses on the in-situ use of a product during field trials where users are observed in their everyday life. The contribution of this paper will be twofold. By means of a case study we will show how context can be evaluated in the front end of design, so Living Lab researchers are no longer dependent on the readiness level of a product, and we will show how field trials can be evaluated in a more structured way to cover all components of context. By using a framework to evaluate the impact of context on product use, Living Lab researchers can improve the overall effectiveness of data gathering and analysis methods in a Living Lab project

Susceptibility analysis of complex systems

A study of electromagnetic coupling effects on systems containing distributed elements and lumped linear components is presented. The structure is decomposed into sections containing multiconductor transmission lines and interconnection blocks holding lumped elements. The external field is assumed to interfere with line sections, but mutual influences among different sections are neglected. Both the sections and the blocks are treated as multiport components and characterized by their scattering parameters. The analysis is based on a correspondence matrix that accounts for the topology of connections between sections and blocks. Closed-form solutions are derived in the Laplace domain, and the temporal evolution of voltages and currents at any of the system ports is obtained by a numerical inversion. This method makes it possible to predict the susceptibility of complex systems and to verify the intra-system compatibility (especially crosstalk). The relative influence of circuit components and of line layouts on the severity of interferences is evidenced by simulation result

An Empirical Study of a Software Maintenance Process

This paper describes how a process support tool is used to collect metrics about a major upgrade to our own electronic retail system. An incremental prototyping lifecycle is adopted in which each increment is categorised by an effort type and a project component. Effort types are Acquire, Build, Comprehend and Design and span all phases of development. Project components include data models and process models expressed in an OO modelling language and process algebra respectively as well as C++ classes and function templates and build components including source files and data files. This categorisation is independent of incremental prototyping and equally applicable to other software lifecycles. The process support tool (PWI) is responsible for ensuring the consistency between the models and the C++ source. It also supports the interaction between multiple developers and multiple metric-collectors. The first two releases of the retailing software are available for ftp from oracle.ecs.soton.ac.uk in directory pub/peter. Readers are invited to use the software and apply their own metrics as appropriate. We would be interested to correspond with anyone who does so