Carers\u27 preferences for the delivery of therapy services for people with disability in rural Australia: Evidence from a discrete choice experiment

Background: The implementation of the Australian National Disability Insurance Scheme (NDIS) is expected to generate a responsive, person-centred system that will empower people with disability to choose the services and support they receive. However little attention has been paid to examine how users of the NDIS will choose and spend their individual budgets. This study aimed to determine quantitatively the relative importance that carers of people with a disability living in rural Australia place on different therapy service delivery characteristics. Methods: A stated preference discrete choice experiment (DCE) was incorporated into a survey of carers of people with disability living in rural Australia. Carers chose between therapy delivery services differing in attributes such as travel time to receive therapy, sector providing the service (i.e. Government, not-for-profit, private), out-of-pocket costs, person who delivers the therapy (therapist or other staff) and waiting time. Results: A total of 133 carers completed the DCE. The majority of respondents cared for a child with a disability (84%), the average age of the person they cared for was 17 years (SD 14.25). Participants expressed strong preferences for a short waiting time (0-3 months) to receive therapy services; services delivered by a therapist, no out of pocket cost and travelling up to 4 hours to receive a therapy session (p Conclusion: Carers of people with a disability in rural Australia exhibited strongest preferences for short waiting times (0-3 months). Therapy services that are delivered by therapy assistants or support workers will require careful introduction to achieve uptake and acceptability

Factors affecting retention of allied health professionals working with people with disability in rural New South Wales, Australia: discrete choice experiment questionnaire development

Objective: This paper describes the development of a discrete choice experiment (DCE) questionnaire to identify the factors (attributes) that allied health professionals (AHPs) working with people with disability identify as important to encouraging them to remain practising in rural areas. Methods: Focus groups and semi-structured interviews were conducted with 97 purposively selected service providers working with people with disability in rural New South Wales, Australia. Focus groups and interviews were digitally recorded, transcribed, and analysed using a modified grounded theory approach involving thematic analysis and constant comparison. Results: Six attributes that may influence AHPs working with people with disability in rural areas to continue to do so were inductively identified: travel arrangements, work flexibility, professional support, professional development, remuneration, and autonomy of practice. The qualitative research information was combined with a policy review to define these retention factors and ensure that they are amenable to policy changes. Conclusion: The use of various qualitative research methods allowed the development of a policy-relevant DCE questionnaire that was grounded in the experience of the target population (AHPs)

Religious Involvement, the Serotonin Transporter Promoter Polymorphism, and Drug Use in Young Adults

We examine whether the genetic basis for religious involvement is common to the genetic basis for drug use/abuse, helping to explain the inverse relationship between religiosity and drug use. To test this hypothesis, we analyzed data on 2,537 young adult siblings participating in Wave III of the National Longitudinal Study of Adolescent Health on whom both genetic characteristics and religious participation were collected. Religion/spirituality was assessed with four measures: frequency of attendance at religious services and other religious youth meetings, frequency of private prayer, self-rated importance of religion and spirituality, and self-reported history of a life-changing spiritual experience. Each religious measure was examined individually and combined together into a summary scale. Illicit drug use (including prescription drug abuse) was assessed. Polymorphisms of the promoter region of the serotonin transporter gene, SLC6A4 (i.e., LL, SL, SS genotypes) were determined. Results indicated that (1) all religious measures were inversely related to drug use/abuse, (2) the SLC6A4 genotypes SS and SL were less common among those who were more religious, especially among non-whites, and (3) SS/SL genotypes were less common among those who used illegal drugs. Despite being less likely to have the protective SS/SL genotype, religious adolescents were still less likely to use drugs. (4) There was no evidence that the serotonin transporter genotype mediated the relationship between religiosity and illegal drug use. These findings suggest that genetic factors play a role in religiosity, especially in non-whites, and that both genotype and religiosity independently predict substance abuse

Stochastic method for accommodation of equilibrating basins in kinetic Monte Carlo simulations

A computationally simple way to accommodate 'basins' of trapping sites in standard kinetic Monte Carlo simulations is presented. By assuming the system is effectively equilibrated in the basin, the residence time (time spent in the basin before escape) and the probabilities for transition to states outside the basin may be calculated. This is demonstrated for point defect diffusion over a periodic grid of sites containing a complex basin.Comment: 4 pages, 1 figur

Should I stay or should I go? Exploring the job preferences of allied health professionals working with people with disability in rural Australia

Introduction: The uneven distribution of allied health professionals (AHPs) in rural and remote Australia and other countries is well documented. In Australia, like elsewhere, service delivery to rural and remote communities is complicated because relatively small numbers of clients are dispersed over large geographic areas. This uneven distribution of AHPs impacts significantly on the provision of services particularly in areas of special need such as mental health, aged care and disability services. Objective: This study aimed to determine the relative importance that AHPs (physiotherapists, occupational therapists, speech pathologists and psychologists – “therapists”) living in a rural area of Australia and working with people with disability, place on different job characteristics and how these may affect their retention. Methods: A cross-sectional survey was conducted using an online questionnaire distributed to AHPs working with people with disability in a rural area of Australia over a 3-month period. Information was sought about various aspects of the AHPs’ current job, and their workforce preferences were explored using a best–worst scaling discrete choice experiment (BWSDCE). Conditional logistic and latent class regression models were used to determine AHPs’ relative preferences for six different job attributes. Results: One hundred ninety-nine AHPs completed the survey; response rate was 51 %. Of those, 165 completed the BWSDCE task. For this group of AHPs, “high autonomy of practice” is the most valued attribute level, followed by “travel BWSDCE arrangements: one or less nights away per month”, “travel arrangements: two or three nights away per month” and “adequate access to professional development”. On the other hand, the least valued attribute levels were “travel arrangements: four or more nights per month”, “limited autonomy of practice” and “minimal access to professional development”. Except for “some job flexibility”, all other attributes had a statistical influence on AHPs’ job preference. Preferences differed according to age, marital status and having dependent children. Conclusions: This study allowed the identification of factors that contribute to AHPs’ employment decisions about staying and working in a rural area. This information can improve job designs in rural areas to increase retention

The contribution of 211 particles to the mechanical reinforcement mechanism of 123 superconducting single domains

Hardness and fracture toughness of Dy-123 single-domains were studied by Vickers micro-indentation. A significant anisotropy of the mechanical properties was observed. Hardness tests give higher values when performed in (001) planes rather than in planes parallel to the c-axis. Moreover cracks pattern around the indentation follows preferential orientation in planes parallel to the c-axis whereas a classical ''four-cracks'' pattern is observed in the (001) planes. It has been possible to show the crucial role played by the 211-particles in the deviating mechanism of cracks and the relevance of the 211-particle distribution high homogeneity in the material.Comment: 14 pages, including 5 figures and 1 Table. submitted to Supercond. Sci. Techno

What topics of peer interactions correlate with student performance in physics courses?

Research suggests that interacting with more peers about physics course material is correlated with higher student performance. Some studies, however, have demonstrated that different topics of peer interactions may correlate with their performance in different ways, or possibly not at all. In this study, we probe both the peers with whom students interact about their physics course and the particular aspects of the course material about which they interacted in six different introductory physics courses: four lecture courses and two lab courses. Drawing on methods in social network analysis, we replicate prior work demonstrating that, on average, students who interact with more peers in their physics courses have higher final course grades. Expanding on this result, we find that students discuss a wide range of aspects of course material with their peers: concepts, small-group work, assessments, lecture, and homework. We observe that in the lecture courses, interacting with peers about concepts is most strongly correlated with final course grade, with smaller correlations also arising for small-group work and homework. In the lab courses, on the other hand, small-group work is the only interaction topic that significantly correlates with final course grade. We use these findings to discuss how course structures (e.g., grading schemes and weekly course schedules) may shape student interactions and add nuance to prior work by identifying how specific types of student interactions are associated (or not) with performance.Comment: Submitted to European Journal of Physic

Context affects student thinking about sources of uncertainty in classical and quantum mechanics

Measurement uncertainty is an important topic in the undergraduate laboratory curriculum. Previous research on student thinking about experimental measurement uncertainty has focused primarily on introductory-level students' procedural reasoning about data collection and interpretation. In this paper, we extended this prior work to study upper-level students' thinking about sources of measurement uncertainty across experimental contexts, with a particular focus on classical and quantum mechanics contexts. We developed a survey to probe students' thinking in the generic question ``What comes to mind when you think about measurement uncertainty in [classical/quantum] mechanics?'' as well as in a range of specific experimental scenarios. We found that students primarily focused on limitations of the experimental setup in classical mechanics and principles of the underlying physics theory in quantum mechanics. Our results suggest that students need careful scaffolding to identify principles in appropriate classical experimental contexts and limitations in appropriate quantum experimental contexts. We recommend that future research probe how instruction in both classical and quantum contexts can help students better understand the range of sources of uncertainty present in classical and quantum experiments.Comment: 15 pages, 8 figure

New perspectives on student reasoning about measurement uncertainty: More or better data

Uncertainty is an important and fundamental concept in physics education. Students are often first exposed to uncertainty in introductory labs, expand their knowledge across lab courses, and then are introduced to quantum mechanical uncertainty in upper-division courses. This study is part of a larger project evaluating student thinking about uncertainty across these contexts. In this research, we investigate advanced physics student thinking about uncertainty by asking them conceptual questions about how a hypothetical distribution of measurements would change if `more' or `better' data were collected in four different experimental scenarios. The scenarios include both classical and quantum experiments, as well as experiments that theoretically result in an expected single value or an expected distribution. This investigation is motivated by our goal of finding insights into students' potential point- and set-like thinking about uncertainty and of shining light on the limitations of those binary paradigms.Comment: 15 pages, 5 figures, accepted to Physical Review Physics Education Researc

Current percolation and anisotropy in polycrystalline MgB2_2

The influence of anisotropy on the transport current in MgB$_2$ polycrystalline bulk samples and wires is discussed. A model for the critical current density is proposed, which is based on anisotropic London theory, grain boundary pinning and percolation theory. The calculated currents agree convincingly with experimental data and the fit parameters, especially the anisotropy, obtained from percolation theory agree with experiment or theoretical predictions.Comment: 5 pages, accepted for publication in Physical Review Letters (http://prl.aps.org/