Corporate Real Estate Management in the Retail Sector: Investigation of Current Strategy and Structure

Retail organizations are often cited as being at the forefront of corporate real estate management. This research found that the retail sector is characterized by diversity both in terms of the degree to which organizations are vertically integrated and in terms of the range of modes of retailing they engage in. This in turn led to diverse real estate portfolios. However, regardless of this diversity, the over riding strategy was focused on supporting the core activity. This study provides a snapshot of current practice however it also uncovers the need for a greater understanding of the diversity in practice.

Using Rasch analysis to form plausible health states amenable to valuation: the development of CORE-6D from CORE-OM in order to elicit preferences for common mental health problems

Purpose: To describe a new approach for deriving a preference-based index from a condition specific measure that uses Rasch analysis to develop health states. Methods: CORE-OM is a 34-item instrument monitoring clinical outcomes of people with common mental health problems. CORE-OM is characterised by high correlation across its domains. Rasch analysis was used to reduce the number of items and response levels in order to produce a set of unidimensionally-behaving items, and to generate a credible set of health states corresponding to different levels of symptom severity using the Rasch item threshold map. Results: The proposed methodology resulted in the development of CORE-6D, a 2-dimensional health state description system consisting of a unidimensionally-behaving 5-item emotional component and a physical symptom item. Inspection of the Rasch item threshold map of the emotional component helped identify a set of 11 plausible health states, which, combined with the physical symptom item levels, will be used for the valuation of the instrument, resulting in the development of a preference-based index. Conclusions: This is a useful new approach to develop preference-based measures where the domains of a measure are characterised by high correlation. The CORE-6D preference-based index will enable calculation of quality adjusted life years in people with common mental health problems.Rasch analysis; health-related quality of life; condition-specific measure; preference-based health; health states; CORE-6D; CORE-OM; mental health; quality-adjusted life years

Challenges to addressing student mental health in embedded counselling services: a survey of UK higher and further education institutions

Background: with reports continually demonstrating increased demand and severity of student mental health needs, it is important to gain a fuller understanding of the impact on embedded student counselling services. Aims: to identify (1) service similarities; (2) factors which impact on services; (3) characteristics of service users; and (4) identify the use of therapeutic technology (e.g. online self-help). Methods: an online survey was completed by 113 heads of UK student counselling services across Higher Education (HE), Further Education (FE), and Sixth Form Colleges (SFCs), to capture service data from the academic year 2013/14. Results: students predominantly received high-intensity support (e.g. Counselling) and referrals increased over 3-years. Conclusion: challenges to embedded counselling services and their implications for development are discussed

Using Rasch analysis to form plausible health states amenable to valuation: the development of CORE-6D from CORE-OM in order to elicit preferences for common mental health problems

Purpose: To describe a new approach for deriving a preference-based index from a condition specific measure that uses Rasch analysis to develop health states. Methods: CORE-OM is a 34-item instrument monitoring clinical outcomes of people with common mental health problems. CORE-OM is characterised by high correlation across its domains. Rasch analysis was used to reduce the number of items and response levels in order to produce a set of unidimensionally-behaving items, and to generate a credible set of health states corresponding to different levels of symptom severity using the Rasch item threshold map. Results: The proposed methodology resulted in the development of CORE-6D, a 2-dimensional health state description system consisting of a unidimensionally-behaving 5-item emotional component and a physical symptom item. Inspection of the Rasch item threshold map of the emotional component helped identify a set of 11 plausible health states, which, combined with the physical symptom item levels, will be used for the valuation of the instrument, resulting in the development of a preference-based index. Conclusions: This is a useful new approach to develop preference-based measures where the domains of a measure are characterised by high correlation. The CORE-6D preference-based index will enable calculation of Quality Adjusted Life Years in people with common mental health problems

The Contribution of Therapist Effects to Patient Dropout and Deterioration in the Psychological Therapies

BACKGROUND: In the psychological therapies, patient outcomes are not always positive. Some patients leave therapy prematurely (dropout), while others experience deterioration in their psychological well-being. METHODS: The sample for dropout comprised patients (n = 10 521) seen by 85 therapists, who attended at least the initial session of one-to-one therapy and completed a Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at pre-treatment. The subsample for patient deterioration comprised patients (n = 6405) seen by the same 85 therapists but who attended two or more sessions, completed therapy and returned a CORE-OM at pre-treatment and post-treatment. Multilevel modelling was used to estimate the extent of therapist effects for both outcomes after controlling for patient characteristics. RESULTS: Therapist effects accounted for 12.6% of dropout variance and 10.1% of deterioration variance. Dropout rates for therapists ranged from 1.2% to 73.2%, while rates of deterioration ranged from 0% to 15.4%. There was no significant correlation between therapist dropout rate and deterioration rate (Spearman's rho = 0.07, p = 0.52). CONCLUSIONS: The methods provide a reliable means for identifying therapists who return consistently poorer rates of patient dropout and deterioration compared with their peers. The variability between therapists and the identification of patient risk factors as significant predictors has implications for the delivery of safe psychological therapy services. Copyright © 2016 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Therapists play an important role in contributing to patient dropout and deterioration, irrespective of case mix. Therapist effects on patient dropout and deterioration appear to act independently. Being unemployed as a patient was the strongest predictor of both dropout and deterioration. Patient risk to self or others was also an important predictor

Bowhead whales, and not right whales, were the primary target of 16th- to 17th-century Basque whalers in the western North Atlantic

Author Posting. © Arctic Institute of North America, 2008. This article is posted here by permission of Arctic Institute of North America for personal use, not for redistribution. The definitive version was published in Arctic 61 (2008): 61-75.During the 16th and 17th centuries, Basque whalers travelled annually to the Strait of Belle Isle and Gulf of St. Lawrence to hunt whales. The hunting that occurred during this period is of primary significance for the North Atlantic right whale, Eubalaena glacialis (Müller, 1776), because it has been interpreted as the largest human-induced reduction of the western North Atlantic population, with ~12250–21 000 whales killed. It has been frequently reported that the Basques targeted two species in this region: the North Atlantic right whale and the bowhead whale, Balaena mysticetus L., 1758. To evaluate this hypothesis and the relative impact of this period of whaling on both species, we collected samples from 364 whale bones during a comprehensive search of Basque whaling ports from the 16th to the 17th century in the Strait of Belle Isle and Gulf of St. Lawrence. Bones were found and sampled at 10 of the 20 sites investigated. DNA was extracted from a subset (n = 218) of these samples. Analysis of the mitochondrial cytochrome b region identified five whale species. The identification of only a single right whale bone and 203 bowhead whale bones from at least 72 individuals indicates that the bowhead whale was likely the principal target of the hunt. These results imply that this whaling had a much greater impact (in terms of numbers of whales removed) on the bowhead whale population than on the western North Atlantic right whale population.Financial support for this work was provided by the Canadian Whale Institute, the Northern Scientific Training Program (NSTP), the Department of Fisheries and Oceans Science Subvention program, the Ocean Life Institute (Woods Hole Oceanographic Institution), and the Natural Sciences and Engineering Research Council of Canada (NSERC)

Student mental health profiles and barriers to help seeking: When and why students seek help for a mental health concern

Background The student mental health landscape in higher education requires preventative strategies that maintain daily functioning as well as early intervention to respond to episodes of mental ill-health. As a community, this requires capturing the needs of students in the general university population as well as those using counselling and psychological wellbeing services. Aims This cross-sectional study aimed to characterise the mental health profile of students in the general university population and identify barriers to help seeking. Methods A total of 1,956 students from five UK universities completed an online questionnaire comprising the CCAPS-34 and open-ended questions about their mental health concerns and intentions to seek help. Mental health profiles were explored using mixed factorial ANOVAs and post hoc simple effect analyses. Help-seeking behaviours and intentions were identified using conceptual content analysis. Results Distinctive mental health profiles emerged across faculties and help-seeking behaviours. Content analysis identified students’ help-seeking experiences, intentions, preferences and barriers. Conclusions Characterising the mental health profile of students outside of support services, as well as their barriers to seeking help, provides a rich understanding for shaping preventative policies and service provision. Doing so will respond to student mental health needs before they require clinical intervention

Acceptance and commitment therapy (ACT) for clinically distressed health care workers: Waitlist-controlled evaluation of an ACT workshop in a routine practice setting

OBJECTIVES: To examine the effects of a 1-day acceptance and commitment therapy (ACT) workshop on the mental health of clinically distressed health care employees, and to explore ACT's processes of change in a routine practice setting. DESIGN: A quasi-controlled design, with participants block allocated to an ACT intervention or waiting list control group based on self-referral date. METHODS: Participants were 35 health care workers who had self-referred for the ACT workshop via a clinical support service for staff. Measures were completed by ACT and control group participants at pre-intervention and 3 months post-intervention. Participants allocated to the waitlist condition went on to receive the ACT intervention and were also assessed 3 months later. RESULTS: At 3 months post-intervention, participants in the ACT group reported a significantly lower level of psychological distress compared to the control group (d = 1.41). Across the 3-month evaluation period, clinically significant change was exhibited by 50% of ACT participants, compared to 0% in the control group. When the control group received the same ACT intervention, 69% went on to exhibit clinically significant change. The ACT intervention also resulted in significant improvements in psychological flexibility, defusion, and mindfulness skills, but did not significantly reduce the frequency of negative cognitions. Bootstrapped mediation analyses indicated that the reduction in distress in the ACT condition was primarily associated with an increase in mindfulness skills, especially observing and non-reactivity. CONCLUSIONS: These findings provide preliminary support for providing brief ACT interventions as part of routine clinical support services for distressed workers. PRACTITIONER POINTS: - A 1-day ACT workshop delivered in the context of a routine staff support service was effective for reducing psychological distress among health care workers. - The brief nature of this group intervention means it may be particularly suitable for staff support and primary care mental health service settings. - The findings indicate that the beneficial effects of an ACT workshop on distressed employees' mental health were linked to improvements in specific mindfulness skills. - Study limitations include non-random allocation of participants to the ACT and control groups, and measurement of mediators and outcome at the same time point (3 months post-intervention)

Efficacy of personalized psychological interventions: a systematic review and meta-analysis

Objective: To examine whether personalized treatment is associated with improved mental health outcomes relative to standardized treatment, and to investigate the efficacy of different approaches to personalization in psychological therapy. Method: This was a systematic review and meta-analysis of randomized controlled trials that compared the outcomes of personalized treatment with standardized treatment and other control groups. Studies were identified through Scopus, PsychINFO and Web of Science. Subgroup analyses were applied to investigate sources of effect size heterogeneity. The review protocol was pre-registered in the Open Science Framework. Results: Seventeen studies (N = 7617) met inclusion criteria for the review, nine of which (N = 5134) provided sufficient data for inclusion in the primary meta-analysis. A risk of bias assessment indicated that 16 of the studies had some concerns or high risk of bias, but there was no significant evidence of publication bias. A small, statistically significant effect size was found in favor of personalized treatment relative to standardized treatment (d = 0.22 [95% CI = 0.05, 0.39], p = 0.011). When studies with a high risk of bias were removed, this effect size was smaller but remained statistically significant (d = 0.14 [95% CI = 0.08, 0.20], p <0.001). Conclusions: The systematic literature review and meta-analysis indicates that personalization is an effective strategy for improving overall outcomes from psychological therapy