A Training Program to Improve IFSP/IEP Goals and Objectives Through the Routines-Based Interview

WOS:000329323800001 (Nº de Acesso Web of Science)The authors describe a training program designed to improve the knowledge and skills of early childhood interventionists. Within the context of using the Routines-Based Early Intervention approach, this training focused on improving the quality of goals and objectives on individualized plans, through the Routines-Based Interview. We structured the training around five face-to-face sessions and a follow-up 3 months later. Here, we describe the development of the program, its content and methods, and the results on improvement of the goals and objectives with 80 professionals. These participants had completed the training, provided pretraining data, and provided posttraining data. Results showed that the training described here had the desired very large effect: Quality ratings of goals and objectives increased by over three standard deviations

Measuring professionals’ perceptions about collaborative consultation in early childhood intervention

We investigated the reliability and construct validity of the Professionals’ Perceptions about Collaborative Consultation in Early Childhood Intervention Scale (ProPerCECIS), a rating scale developed to measure collaborative consultation in early childhood intervention (ECI). ProPerCECIS was completed by 427 professionals from 78 ECI teams. The full sample was randomised into sample A, 170 participants, for conducting an exploratory factor analysis (EFA) – and sample B, 257 participants, for performing confirmatory factor analysis (CFA). Multiple-group analysis, with the overall sample, was conducted. The EFA final solution comprised three correlated factors, with acceptable to very good internal consistency: Intervention, Context, and Planning. The CFA supported the three-factor structure. Results supported configural invariance and partial metric invariance, but partial scalar invariance did not hold. Results supported the conceptual framework of collaborative consultation in ECI and suggest that ProPerCECIS can be a useful measure of professionals’ perceptions about collaborative consultation practices in ECI. ProPerCECIS seems to be particularly suited to assess collaborative practices within services providing routines-based family-centred interventions. Importantly, because the factor structure for ProPerCECIS holds up for different professional groups, it might be used by transdisciplinary ECI teams.info:eu-repo/semantics/acceptedVersio

Effects of an in-service training program using the routines-based interview

The focus of this study is an in-service training program rooted in routines-based early intervention and designed to improve the quality of goals and objectives on individualized plans. Participants were local intervention team members and other professionals who worked closely with each team. This training program involved a small number of trainees per group, providing multiple learning experiences across time and various opportunities for self-assessment and monitoring. We investigated (a) the perceptions of the participants about the strengths and weaknesses of the training program, (b) medium-term outcomes of the training with a comparison group, (c) and variables associated with the quality of goals and objectives. This study involved training more than 200 professionals, and results support the effectiveness of the program in improving the quality of goals and objectives, showing the importance of the routines-based interview in producing that improvement.info:eu-repo/semantics/acceptedVersio

Accuracy of screening tools for Pap smears in general practice

Background: Data extraction tools (DETs) are increasingly being used for research and audit of general practice, despite their limitations. Objective: This study explores the accuracy of Pap smear rates obtained with a DET compared to that of the Pap smear rate obtained with a manual file audit. Method: A widely available DET was used to establish the rate of Pap smears in a large multi-general practice (multi-GP) in regional New South Wales followed by a manual audit of patient files. The main outcome measure was identification of possible discrepancies between the rates established. Results: The DET used significantly underestimated the level of cervical screening compared to the manual audit. In some instances, the patient file contained phone/specialist record of Pap smear conducted elsewhere, which accounted for the failure of the DET to detect some smears. Those patients who had Pap smears whose pathology codes differed between time intervals, i.e. from different pathology providers or from within the same provider but using a different code, were less likely to have had their most recent Pap smear detected by the DET (p \u3c 0.001). Conclusion: Data obtained from DETs should be used with caution as they may not accurately reflect the rate of Pap smears from electronic medical records

Co-producing Randomized Controlled Trials: How Do We Work Together?

In the light of the declaration “Nothing about us without us” (Charlton, 2000), interest in co-production, and coproduced research is expanding. Good work has been done establishing principles for co-production (Hickey et al., 2018) and for good quality involvement (Involve, 2013; 4Pi, 2015) and describing how this works in practice in mental health research (Gillard et al., 2012a,b, 2013). In the published literature, co-production has worked well in qualitative research projects in which there is often methodological flexibility. However, to change treatment guidelines in the UK, e.g., the National Institute for Health and Care Excellence guidelines, and influence service commissioning, high quality quantitative research is also needed. This type of research is characterized by formal methodological rules, which pose challenges for the scope of co-production. In this paper we describe the significant challenges and solutions we adopted to design and deliver a coproduced randomized controlled trial of mental health peer support. Given the methodological rigidity of a randomized controlled trial, establishing clearly which methodological and practical decisions and processes can be coproduced, by whom, and how, has been vital to our ongoing co-production as the project has progressed and the team has expanded. Creating and maintaining space for the supported dialogue, reflection, and culture that co-production requires has been vital. This paper aims to make our learning accessible to a wide audience of people developing co-production of knowledge in this field

Zero-maintenance of electronic systems: Perspectives, challenges, and opportunities

Self-engineering systems that are capable of repairing themselves in-situ without the need for human decision (or intervention) could be used to achieve zero-maintenance. This philosophy is synonymous to the way in which the human body heals and repairs itself up to a point. This article synthesises issues related to an emerging area of self-healing technologies that links software and hardware mitigations strategies. Efforts are concentrated on built-in detection, masking and active mitigation that comprises self-recovery or self-repair capability, and has a focus on system resilience and recovering from fault events. Design techniques are critically reviewed to clarify the role of fault coverage, resource allocation and fault awareness, set in the context of existing and emerging printable/nanoscale manufacturing processes. The qualitative analysis presents new opportunities to form a view on the research required for a successful integration of zero-maintenance. Finally, the potential cost benefits and future trends are enumerated

The First Detection of Blue Straggler Stars in the Milky Way Bulge

We report the first detections of Blue Straggler Stars (BSS) in the bulge of the Milky Way galaxy. Proper motions from extensive space-based observations along a single sight-line allow us to separate a sufficiently clean and well-characterized bulge sample that we are able to detect a small population of bulge objects in the region of the color-magnitude diagram commonly occupied young objects and blue strgglers. However, variability measurements of these objects clearly establish that a fraction of them are blue stragglers. Out of the 42 objects found in this region of the color-magnitude diagram, we estimate that at least 18 are genuine BSS. We normalize the BSS population by our estimate of the number of horizontal branch stars in the bulge in order to compare the bulge to other stellar systems. The BSS fraction is clearly discrepant from that found in stellar clusters. The blue straggler population of dwarf spheroidals remains a subject of debate; some authors claim an anticorrelation between the normalised blue straggler fraction and integrated light. If this trend is real, then the bulge may extend it by three orders of magnitude in mass. Conversely, we find that the genuinely young (~5Gy or younger) population in the bulge, must be at most 3.4% under the most conservative scenario for the BSS population.Comment: ApJ in press; 25 pages, 6 figures, 2 table

Pre-galactic metal enrichment - The chemical signatures of the first stars

The emergence of the first sources of light at redshifts of z ~ 10-30 signaled the transition from the simple initial state of the Universe to one of increasing complexity. We review recent progress in our understanding of the formation of the first stars and galaxies, starting with cosmological initial conditions, primordial gas cooling, and subsequent collapse and fragmentation. We emphasize the important open question of how the pristine gas was enriched with heavy chemical elements in the wake of the first supernovae. We conclude by discussing how the chemical abundance patterns conceivably allow us to probe the properties of the first stars and subsequent stellar generations, and allow us to test models of early metal enrichment.Comment: 52 pages, 20 figures, clarifications, references added, accepted for publication in the Reviews of Modern Physic

Evolving the theory and praxis of knowledge translation through social interaction: a social phenomenological study

Background: As an inherently human process fraught with subjectivity, dynamic interaction, and change, social interaction knowledge translation (KT) invites implementation scientists to explore what might be learned from adopting the academic tradition of social constructivism and an interpretive research approach. This paper presents phenomenological investigation of the second cycle of a participatory action KT intervention in the home care sector to answer the question: What is the nature of the process of implementing KT through social interaction? Methods: Social phenomenology was selected to capture how the social processes of the KT intervention were experienced, with the aim of representing these as typical socially-constituted patterns. Participants (n = 203), including service providers, case managers, administrators, and researchers organized into nine geographically-determined multi-disciplinary action groups, purposefully selected and audiotaped three meetings per group to capture their enactment of the KT process at early, middle, and end-of-cycle timeframes. Data, comprised of 36 hours of transcribed audiotapes augmented by researchers\u27 field notes, were analyzed using social phenomenology strategies and authenticated through member checking and peer review. Results: Four patterns of social interaction representing organization, team, and individual interests were identified: overcoming barriers and optimizing facilitators; integrating \u27science push\u27 and \u27demand pull\u27 approaches within the social interaction process; synthesizing the research evidence with tacit professional craft and experiential knowledge; and integrating knowledge creation, transfer, and uptake throughout everyday work. Achieved through relational transformative leadership constituted simultaneously by both structure and agency, in keeping with social phenomenology analysis approaches, these four patterns are represented holistically in a typical construction, specifically, a participatory action KT (PAKT) model. Conclusion: Study findings suggest the relevance of principles and foci from the field of process evaluation related to intervention implementation, further illuminating KT as a structuration process facilitated by evolving transformative leadership in an active and integrated context. The model provides guidance for proactively constructing a \u27fit\u27 between content, context, and facilitation in the translation of evidence informing professional craft knowledge