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

Pengembangan Kesenian Wayang Golek Virtual Berbasis Komputer Dengan Software Opensource

Human mind changes and modern life influnce traditional art, especially Wayang of Indonesia has begun to rarely performed. Therefore, with the technology and computer resources that can be used to show the art puppet show in this study conducted a virtual puppet design application that uses Augmented Reality. The application is executed using a virtual puppet of digital cameras real-time, also using markers and a computer. Through the camera, a virtual puppet application will identify a marker and then do the loading 3D objects shaped puppet that can allow a user to interact with virtual puppet. User act as a puppeteer who will deliver in accordance with the puppet show puppet show story and also to load the supporting applications to play gamelan and sinden sound like the real puppet show. The method used is waterfall method. And implemented using C programming language, library ARToolkit, Blender, and Lazarus-based opensource. The application has been tested and the results obtained through questionnaires that this application can motivate users to learn the art puppet using this application

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

Structuring Photovoice for Community Impact: A Protocol for Research With Women With Physical Disability

Women with disability face participation barriers based on long-held misconceptions around their identity that adversely affect their health, income levels, and access to education and employment. It has been noted that photographs produced through photovoice methodology can help dismantle attitudinal and environmental barriers that people with disability continue to confront, but this method is rarely assessed for impact. In this protocol paper, we merge principles of feminist theory, photovoice methodology and integrated knowledge translation to generate 1. exhibition-quality participant-created photography on identity, 2. discussion around and insight into inclusion for women with disability and 3. a public exhibition to understand any impact these photographs may have on audiences and discriminatory barriers. Photographs, text, discussions and audience feedback are to be interrogated through thematic and narrative analysis. By aiming our arts-based research findings for a public audience, we hope to advance understanding of female identity and inclusion.Frauen mit Beeinträchtigungen erleben oft Teilhabebarrieren infolge langdauernder Fehleinschätzungen über ihre Identität, gefolgt von negativen Effekten für ihre Gesundheit, ihr Einkommen und ihren Zugang zu Bildung und Arbeit. In rückliegenden Arbeiten wurde bereits gezeigt, dass Fotos, die mittels des Photovoice-Verfahrens produziert wurden, halfen, Einstellungs- und Umgebungsbarrieren abzubauen, allerdings wurde die Methode kaum mit Blick auf möglichen öffentlichen Impact genutzt. In diesem Protokollpapier haben wir Prinzipien miteinander verbunden, die auf feministische Theorien, die Photovoice-Methode und integrierte Wissensvermittlungspraktiken zurückgehen, um 1. ausstellungsreife Fotografien zur Identität der Forschungsteilnehmerinnen zu generieren, 2. zur Diskussion von und Einsicht in Inklusion für beeinträchtige Frauen beizutragen und 3. eine Ausstellung zu initiieren, um zu verstehen, welchen Impact die Fotos auf das Publikum und auf diskriminierende Barrieren haben können. Fotografien, Texte, Diskussionen und Publikums-Feedback wurden einer thematischen und narrativen Analyse unterzogen. Indem wir mit unserer kunstbasierten Forschung eine breite Öffentlichkeit adressierten, hoffen wir, zu einem besseren Verständnis von weiblicher Identität und Inklusion beigetragen zu haben

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