Exploring Staff Turnover in a Large-Scale EBT Implementation Initiative

Staff turnover in the behavioral health field is a substantial and chronic problem with implications for both agencies and clients (Ben-Dror, 1994). Increased focus on the implementation of evidence-based treatments (EBT) has further highlighted the problems associated with turnover, as EBT trainings are particularly costly and time-consuming for clinicians and their agencies (Cook, Biyanova, & Coyne, 2009). The current study examined rates and predictors of turnover within an EBT implementation initiative designed to assess the effectiveness of three different training models. Data was collected from 110 families, 100 clinicians, 50 supervisors, and 50 administrators involved in the state-wide implementation of Parent-Child Interaction Therapy (PCIT). Overall, rates of staff turnover (8% at 12 months, 30% at 24 months) were less than typically reported by community behavioral health organizations (50% or greater at 12 months). In addition, organizational climate was a significant predictor of supervisor and administrator turnover, with different rates of turnover noted across different training conditions. Evidence also suggested that clinician turnover may be associated with poor client outcomes, although for a limited proportion of families. Implications for behavioral health agencies and future directions for research are discussed

Examining the Use of mHealth Technology for Weight Management: A Hybrid Effectiveness-Implementation Trial in Family Medicine

Overweight and obesity are prevalent and problematic conditions in the United States and worldwide, and effective weight management interventions are underutilized. Efforts to improve weight management practices have focused almost exclusively on changing physician behavior, without considering the larger healthcare context or the reciprocal patient-physician relationship. The current study explored the possibility of leveraging technology to improve the implementation of weight management clinical practice guidelines and increase patient-physician weight management discussions. 100 patients of five family medicine physicians were randomly assigned to either complete a weight management mobile application (app) prior to their primary care visit (app condition), or to undergo their primary care visit as usual (control condition). Findings suggested that patients largely viewed the app as an acceptable use of their time in the waiting room and they were able to complete the app with moderate fidelity prior to meeting with their physicians. Consistent with hypotheses, patients in the app condition were statistically more likely to initiate discussions about weight status than patients in the control group. However, contrary to hypotheses, these discussions did not occur at a statistically higher rate in the app condition than in the control condition. Overall weight status conversations were low relative to patient need, occurring in 42.7% of total visits, though 82.5% of the total sample was classified as overweight or obese. Also contrary to hypotheses, patients in the app condition did not demonstrate statistically improved BMI at follow-up than the control condition. Strengths, limitations, and directions for future research are discussed

Web-Based Training Methods for Behavioral Health Providers: A Systematic Review

There has been an increase in the use of web-based training methods to train behavioral health providers in evidence-based practices. This systematic review focuses solely on the efficacy of web-based training methods for training behavioral health providers. A literature search yielded 45 articles meeting inclusion criteria. Results indicated that the serial instruction training method was the most commonly studied web-based training method. While the current review has several notable limitations, findings indicate that participating in a web-based training may result in greater post-training knowledge and skill, in comparison to baseline scores. Implications and recommendations for future research on web-based training methods are discussed

How much charm can PANDA produce?

We consider the production of charmed baryons and mesons in the proton-antiproton binary reactions at the energies of the future $\bar{P}$ANDA experiment. To describe these processes in terms of hadronic interaction models, one needs strong couplings of the initial nucleons with the intermediate and final charmed hadrons. Similar couplings enter the models of binary reactions with strange hadrons. For both charmed and strange hadrons we employ the strong couplings and their ratios calculated from QCD light-cone sum rules. In this method finite masses of $c$ and $s$ quarks are taken into account. Employing the Kaidalov's quark-gluon string model with Regge poles and adjusting the normalization of the amplitudes in this model to the calculated strong couplings, we estimate the production cross section of charmed hadrons. For $p\bar{p}\to \Lambda_c\bar{\Lambda}_c$ it can reach several tens of $nb$ at $p_{lab}= 15 {GeV}$, whereas the cross sections of $\Sigma_c$ and $D$ pair production are predicted to be smaller.Comment: 22 pages, 6 figures, matches published versio

Search for Exotic Mesons in pi- P Interactions at 18 GeV/c

The recent search for non $q \bar{q}$ mesons in $\pi^{-}p$ interactions at Brookhaven National Laboratory is summarized. Many final states such as $\eta \pi$, $\eta' \pi^{-}$, $a_{0} \pi$, $f_{1} \pi$, $a_{2} \pi$, $b_{1} \pi$, which are favored decay modes of exotics, are under investigation.Comment: 9 pages, PostScript, Presented at the International School of Nuclear Physics, Erice, Sicily, Italy, September 199

Effect of Parametric Resonances on the Bunched-beam Dilution Mechanism

This research was sponsored by the National Science Foundation Grant NSF PHY-931478

Search for the scalar a0a_0 and f0f_0 mesons in the reactions e+e−→γπ0π0(η)e^+e^-\to\gamma\pi^0\pi^0(\eta)

It is shown that the reactions $e^+e^-\to\gamma\pi^0\pi^0(\eta)$ give a good chance for observing scalar $a_0$ and $f_0$ mesons. In the photon energy region less then 100 MeV the vector meson contributions $e^+e^-\to V^0\to\pi^0 V'^0\to\gamma\pi^0\pi^0(\eta)$ are negligible in comparison with the scalar mesons $e^+e^-\to\phi\to\gamma f_0(a_0)\to\gamma\pi^0\pi^0(\eta)$ for $BR(\phi\to\gamma f_0(a_0)\to\gamma\pi^0\pi^0(\eta))$ greater than $5\cdot10^{-6}(10^{-5})$. Using two-channel treatment of the $\pi\pi$ scattering the predictions for $BR(\phi\to\gamma (f_0+\sigma)\to\gamma\pi\pi)$ are derived. The four quark model, the model of $K\bar K$ molecule and the$s\bar s$ model of scalar $f_0$ and $a_0$ mesons are discussed.Comment: 31 pages, 10 ps files of figures, minor numerical changes, Appendix corrected, to be published in Phys.Rev.

Partial-wave analysis of the eta pi+ pi- system produced in the reaction pi-p --> eta pi+ pi- n at 18 GeV/c

A partial-wave analysis of 9082 eta pi+ pi- n events produced in the reaction pi- p --> eta pi+ pi- n at 18.3 GeV/c has been carried out using data from experiment 852 at Brookhaven National Laboratory. The data are dominated by J^{PC} = 0^{-+} partial waves consistent with observation of the eta(1295) and the eta(1440). The mass and width of the eta(1295) were determined to be 1282 +- 5 MeV and 66 +- 13 Mev respectively while the eta(1440) was observed with a mass of 1404 +- 6 MeV and width of 80 +- 21 MeV. Other partial waves of importance include the 1++ and the 1+- waves. Results of the partial wave analysis are combined with results of other experiments to estimate f1(1285) branching fractions. These values are considerably different from current values determined without the aid of amplitude analyses.Comment: 22 pages, 8 figure

Global changes in extreme daily temperature since 1950

Copyright 2008 by the American Geophysical UnionExtreme value analysis of observed daily temperature anomalies from a new quasi-global data set indicates that extreme daily maximum and minimum temperatures (>98.5 or <1.5 percentile) have warmed for most regions since 1950. Changes in extreme anomalous daily temperatures are determined by fitting extreme value distributions with time-varying parameters. Changes in the distribution of anomaly exceedances above a high threshold are found to be statistically significant at the 10% level for most land areas when compared with a time-invariant distribution and with the unforced natural variability produced by a coupled climate model. The largest positive trends in the location parameter of the extreme distribution are found in Canada and Eurasia where daily maximum temperatures have typically warmed by 1 to 3 degrees C since 1950. The total area exhibiting positive trends is significantly greater than can be attributed to unforced natural variability. For most regions, positive trend magnitudes are larger and cover a greater area for daily minimum temperatures than for maximum temperatures. The comparatively small areas of cooling are found to be consistent with unforced natural climate variability. The North Atlantic Oscillation (NAO) is found to have a significant influence on extreme winter daily temperatures for many areas, with a negative NAO of one standard deviation reducing expected extreme winter daily temperatures by similar to 2 degrees C over Eurasia but increasing temperatures over northeastern North America