Estimating the minimally important difference (MID) of the Diabetes Health Profile-18 (DHP-18) for Type 1 and Type 2 Diabetes Mellitus

Aims: The DHP-18 is a widely used measure of health related quality of life in diabetes mellitus but it is unclear what constitutes a meaningful change in score on each domain. The aim of this study was to establish estimates for the minimally important difference (MID) for each of the domains. Methods: The MID for each domain was estimated using both anchor and distribution based approaches which were applied to data from both the United Kingdom and France. A range of anchors were tested. Results: A global health change anchor was found to be more acceptable for Type 1 diabetes than for Type 2. MID estimates varied by domain, by estimation approach used, and by diabetes type. For Type 1 diabetes the Psychological Distress domain estimates ranged from 2.86 to 11.05, Barriers to Activity domain from 2.87 to 11.32 and Disinhibited Eating domain from 1.03 to 11.53. For Type 2 diabetes the Psychological Distress estimates ranged from 0.94 to 9.71; Barriers to Activity from 1.66 to 9.88 and Disinhibited Eating from 0.90 to 11.64. Conclusions: This is the first attempt to derive estimates for the MID of an English language measure of health related quality of life in diabetes. For Type 1 diabetes we recommend using the mean MID value using both approaches. For Type 2 we recommend applying more weight to the distribution based estimations. The MID values identified in this study will help clinicians and researchers using the DHP-18 to identify clinically meaningful change in patient reported outcomes

The answers are within me. An evaluation of a person centred counselling service for men at HMP Doncaster who have had experience of domestic violence 2005-2007

This report is the second year evaluation of the person centred counselling service for male victims and perpetrators of domestic violence at HMP Doncaster in 2006/7. This report follows on from the previous year's evaluation, Raging Anger Within Me, which evaluated this project in 2005/6. Initiated by the Doncaster Rape and Sexual Abuse Counselling Centre (DRSACC), the second year of counselling service delivery was also funded by Lloyds TSB and the Tudor Trust. The report provides a background to the service offered, details the key factors in the service's success and makes recommendations for the future sustainability of this innovative service. The report also contains a particularly interesting section detailing how the appropriateness of the service is perceived by experienced prison staff

Ergonomic Models of Anthropometry, Human Biomechanics and Operator-Equipment Interfaces

The Committee on Human Factors was established in October 1980 by the Commission on Behavioral and Social Sciences and Education of the National Research Council. The committee is sponsored by the Office of Naval Research, the Air Force Office of Scientific Research, the Army Research Institute for the Behavioral and Social Sciences, the National Aeronautics and Space Administration, and the National Science Foundation. The workshop discussed the following: anthropometric models; biomechanical models; human-machine interface models; and research recommendations. A 17-page bibliography is included

Critical Assessment of Management Practices and Policies for Stormwater and Sediment Ponds in South Carolina

2010 S.C. Water Resources Conference - Science and Policy Challenges for a Sustainable Futur