7 research outputs found
Investigating children’s perspectives of literacy opportunities as they transition from a prior-to-school setting to their first year of formal schooling
Transition to school is a key life event for young children (Turunen, 2014). The research literature on children’s transitions to school emphasises the importance of a smooth transition for positive social and educational outcomes, not only in school but also in later life (Dockett & Perry, 2007; Dunlop & Fabian, 2007). The research on transition to school has previously focused on discussions between educators and parents across settings, and on the concept of school readiness. However, it has now broadened to include a range of stakeholders (Dockett & Perry, 2006) and recent research on the transition to school highlights the importance of including children’s perspectives (Murray, 2014). There is a significant gap in the research literature in reporting children’s perspectives on the literacy events they engage with at the time of transition from prior-to-school educational settings to formal schooling
Applying behavioral insights to increase rural and remote internships: Results from two Randomized Controlled Trials
Worldwide, organizations struggle to attract professionals in rural and remote (R&R) areas. Undertaking a placement in an R&R area as part of a program of study has been shown to increase the likelihood of graduates taking up positions in locations that are difficult to staff. We applied behavioral insights to develop low cost, scalable interventions to encourage pre-service teachers to undertake internships in R&R areas of Australia. We tested the effectiveness of removing behavioral barriers when researching R&R areas and adding social triggers to make the R&R opportunity relevant. Our first randomized controlled trial (RCT) tested the use of personalized communication from an influential messenger to highlight the benefits of an R&R internship. Our second RCT tested the offer of social support by allowing pre-service teachers to complete the R&R internship with a “buddy”, rather than alone. Our behavioral approaches trebled R&R internship applications in RCT 1. These findings provide insights for cost-effectively increasing R&R internships in teaching, healthcare or social work
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Medical Oncologists’ Experiences in Using Genomic Testing for Lung and Colorectal Cancer Care
Purpose:
Genomic testing improves outcomes for many at-risk individuals and patients with cancer; however, little is known about how genomic testing for non–small-cell lung cancer (NSCLC) and colorectal cancer (CRC) is used in clinical practice.
Patients and Methods:
In 2012 to 2013, we surveyed medical oncologists who care for patients in diverse practice and health care settings across the United States about their use of guideline- and non–guideline-endorsed genetic tests. Multivariable regression models identified factors that are associated with greater test use.
Results:
Of oncologists, 337 completed the survey (participation rate, 53%). Oncologists reported higher use of guideline-endorsed tests (eg, KRAS for CRC; EGFR for NSCLC) than non–guideline-endorsed tests (eg, OncotypeDX Colon; ERCC1 for NSCLC). Many oncologists reported having no patients with CRC who had mismatch repair and/or microsatellite instability (24%) or germline Lynch syndrome (32%) testing, and no patients with NSCLC who had ALK testing (11%). Of oncologists, 32% reported that five or fewer patients had KRAS and EGFR testing for CRC and NSCLC, respectively. Oncologists, rather than pathologists or surgeons, ordered the vast majority of tests. In multivariable analyses, fewer patients in nonprofit integrated health care delivery systems underwent testing than did patients in hospital or office-based single-specialty group settings (all P < .05). High patient volume and patient requests (CRC only) were also associated with higher test use (all P < .05).
Conclusion:
Genomic test use for CRC and NSCLC varies by test and practice characteristics. Research in specific clinical contexts is needed to determine whether the observed variation reflects appropriate or inappropriate care. One potential way to reduce unwanted variation would be to offer widespread reflexive testing by pathology for guideline-endorsed predictive somatic tests