Development of a complex intervention to test the effectiveness of peer support in type 2 diabetes

BACKGROUND: Diabetes is a chronic illness which requires the individual to assume responsibility for their own care with the aim of maintaining glucose and blood pressure levels as close to normal as possible. Traditionally self management training for diabetes has been delivered in a didactic setting. In recent times alternatives to the traditional delivery of diabetes care have been investigated, for example, the concept of peer support which emphasises patient rather than professional domination. The aim of this paper is to describe the development of a complex intervention of peer support in type 2 diabetes for a randomised control trial in a primary care setting. METHODS: The Medical Research Council (MRC) framework for the development and evaluation of complex interventions for randomised control trials (RCT) was used as a theoretical guide to designing the intervention. The first three phases (Preclinical Phase, Phase 1, Phase 2) of this framework were examined in depth. The Preclinical Phase included a review of the literature relating to type 2 diabetes and peer support. In Phase 1 the theoretical background and qualitative data from 4 focus groups were combined to define the main components of the intervention. The preliminary intervention was conducted in Phase 2. This was a pilot study conducted in two general practices and amongst 24 patients and 4 peer supporters. Focus groups and semi structured interviews were conducted to collect additional qualitative data to inform the development of the intervention. RESULTS: The four components of the intervention were identified from the Preclinical Phase and Phase 1. They are: 1. Peer supporters; 2. Peer supporter training; 3. Retention and support for peer supporters; 4. Peer support meetings. The preliminary intervention was implemented in the Phase 2. Findings from this phase allowed further modeling of the intervention, to produce the definitive intervention. CONCLUSION: The MRC framework was instrumental in the development of a robust intervention of peer support of type 2 diabetes in primary care. TRIAL REGISTRATION: Current Controlled Trials ISRCTN42541690

Mutualism between harvester ants and a desert ephemeral: seed escape from rodents

DOI: 10.2307/1937419© Ecological Society of AmericaThe harvester ants Veromessor pergandei and Pogonomyrmex californicus modify the highly localized seed shadow of the Sonoran Desert ephemeral Datura discolor (Solanaceae) through (1) attraction to food bodies attached to seeds released beneath the parent plant, (2) immediate transport of disapores to the ant nest, (3) subsequent removal of the food body in underground granaries, and (4) final expulsion of intact seeds onto the colony midden. D. discolor seed without food bodies are not attractive to ants and remain beneath the parent canopy. At Nude Wash, California, USA, diaspore removal distances are generally small, averaging 2.3 m away from the nearest D. discolor canopy in March—May 1977. Two lines of evidence indicate that this limited transport has a large effect on seed detection and utilization by rodents: (1) seeds placed in ant—proof dishes beneath the D. discolor canopy were about 10 times more likely to be removed by nocturnally foraging rodents than seeds placed in locations similar to those where ants locate their nests; (2) using D. discolor as bait, significantly more rodents were trapped beneath the plant canopy than in open areas where seeds were transported by ants. Manipulation of the density of D. discolor seed in these tests suggests that seed utilization by rodents is distance—responsive to the parent canopy rather than dependent on the density of seeds. Disapore analyses indicate that investment in the transport system is relatively small and represents <5% of the total investment in seeds

Seasonal shifts in macronutrient preferences in supercolonies of the invasive Yellow Crazy Ant 'Anoplolepis gracilipes' (Smith, 1857) (Hymenoptera: Formicidae) on Christmas Island, Indian Ocean

The timing and duration of sexual brood production in ants can affect their rate of spread and colony growth. Because protein is key to larval growth, queen survival and fecundity, macronutrient collection by foraging workers is expected to favour protein prior to and throughout gyne production. However, food preference driven by the production of gynes may be overridden by a preference associated with worker production, especially if investment in workers vastly outweighs that of sexual brood and workers are produced on different schedules. Food preferences alone may not indicate the availability of that food type in the environment. On Christmas Island, Indian Ocean, sexual brood of the invasive Yellow Crazy Ant, 'Anoplolepis gracilipes' (Smith, 1857), was produced annually during a single period associated with the onset of the wet season. However, workers were produced continuously throughout the year and colony investment to worker production measured by the standing biomass of eggs, larvae and pupae, typically exceeded 98%. High, aseasonal investment in worker production, together with aseasonal worker activity, would suggest that there should be no seasonal preference shown by workers at food stations containing both protein and carbohydrate. However, workers showed a preference for one food type over another on 46 of 61 occasions at one site and on 31 of 41 occasions at another. When a preference was shown, it was predominantly for protein-rich food during the dry season and almost always for carbohydrate at the onset and during the wet season. We suggest that these preferences reflect seasonal shortages in key resources when invertebrates (protein-rich) are scarce during the dry season and honeydew from scale insects (carbohydrate) is depleted by rain during the wet season. On Christmas Island, timing and duration of the dry season preference for protein has been exploited by the control program for A. gracilipes supercolonies, which deploys a toxin in a proteinaceous bait matrix during dry periods

First record of Pulvinaria urbicola Cockerell (Hemiptera: Coccidae), a potentially damaging scale insect, on Christmas Island, Indian Ocean

Pulvinaria urbicola Cockerell, a pulvinariine soft scale (Hemiptera: Coccidae), is a broad host-plant generalist, produces honeydew and is commonly tended by ants, including the invasive yellow crazy ant Anoplolepis gracilipes Smith and big-headed ant Pheidole megacephala (Fabricius). Pu. urbicola is implicated in dieback of forest dominated by Pisonia grandis (Nyctaginaceae) on many Indo-Pacific islands. Here we report detection of Pu. urbicola on Christmas Island (Indian Ocean), describe the potential impacts of the association of this trophobiont with introduced ants, and briefly outline biosecurity and management issues. On Christmas Island, Pu. urbicola represents a threat to stands of Pi. grandis, potentially threatens the dominant forest tree Pi. umbellifera, and could exacerbate supercolony formation and impacts of the yellow crazy ant

Diversity, endemism and origins of scale insects on a tropical oceanic island: Implications for management of an invasive ant

Detailed assessment of scale insect (Hemiptera: Coccoidea) faunas on islands may help predict impacts of invasive ants (Hymenoptera: Formicidae) and inform options for their management, including biological control. Mutualism between scale insects and the invasive ant Anoplolepis gracilipes on Christmas Island, Indian Ocean, threatens the conservation of the island's endemic land crab fauna, alters rainforest structure and composition, and disrupts ecosystem processes. Diversity and endemism of the scale insect fauna were assessed through broad survey across rainforest, targeted search on endemic plant species, and inspection of ornamental and horticultural plants in settled areas. Emphasis was placed on honeydew-producing species that sustain ant supercolonies and detection of endemic scale insects that could be non-target species in a biological control programme for honeydew-producing scale insects. Origins of the fauna were inferred using scale insect databases and interception records at Ports-of-Entry for the United States and Korea. Twenty-eight scale insect species in seven families are identified for the island. Four honeydew-producing species, the lac scale Tachardina aurantiaca (Kerriidae) and three soft scale species (Coccidae), are abundant in rainforest and tended by ants. No endemic species were found. Compositionally, the scale insect fauna resembles that of many other tropical islands: almost all species are biogeographically widespread, host-plant generalists, and routinely intercepted in human-mediated dispersal pathways. The likely source bioregion is Sundaland where 27 of the 28 species on the island have been recorded and which has been the major pathway for movement of plant material to the island for over a century

Invasional meltdown: Invader-invader mutualism facilitates a secondary invasion

In multiply invaded ecosystems, introduced species should interact with each other as well as with native species. Invader-invader interactions may affect the success of further invaders by altering attributes of recipient communities and propagule pressure. The invasional meltdown hypothesis (IMH) posits that positive interactions among invaders initiate positive population-level feedback that intensifies impacts and promotes secondary invasions. IMH remains controversial: few studies show feedback between invaders that amplifies their effects, and none yet demonstrate facilitation of entry and spread of secondary invaders. Our results show that supercolonies of an alien ant, promoted by mutualism with introduced honeydew-secreting scale insects, permitted invasion by an exotic land snail on Christmas Island, Indian Ocean. Modeling of land snail spread over 750 sites across 135 km² over seven years showed that the probability of land snail invasion was facilitated 253-fold in ant supercolonies but impeded in intact forest where predaceous native land crabs remained abundant. Land snail occurrence at neighboring sites, a measure of propagule pressure, also promoted land snail spread. Site comparisons and experiments revealed that ant super colonies, by killing land crabs but not land snails, disrupted biotic resistance and provided enemy-free space. Predation pressure on land snails was lower (28.6%), survival 115 times longer, and abundance 20-fold greater in supercolonies than in intact forest. Whole-ecosystem suppression of supercolonies reversed the probability of land snail invasion by allowing recolonization of land crabs; land snails were much less likely (0.79%) to invade sites where supercolonies were suppressed than where they remained intact. Our results provide strong empirical evidence for IMH by demonstrating that mutualism between invaders reconfigures key interactions in the recipient community. This facilitates entry of secondary invaders and elevates propagule pressure, propagating their spread at the whole-ecosystem level. We show that identification and management of key facilitative interactions in invaded ecosystems can be used to reverse impacts and restore resistance to further invasions

Ant interceptions reveal roles of transport and commodity in identifying biosecurity risk pathways into Australia

We obtained 14,140 interception records of ants arriving in Australia between 1986 and 2010 to examine taxonomic and biogeographic patterns of invasion. We also evaluated how trade and transport data influenced interception rates, the identity of species being transported, the commerce most associated with the transport of ants, and which countries are the primary sources for ants arriving in Australia. The majority of ant interceptions, accounting for 48% of interceptions, were from Asia and Oceania. The top commodities associated with ant interceptions were: (1) Live trees, plants, cut flowers; (2) Wood and wood products; (3) Edible vegetables; and (4) Edible fruit and nuts. The best fitting model for predicting ant interceptions included volumes for these four commodities, as well as total trade value, transport volume, and geographic distance (with increased distance decreasing predicted ant interceptions). Intercepted ants identified to species consisted of a combination of species native to Australia, introduced species already established in Australia, and species not yet known to be established. 82% of interceptions identified to species level were of species already known to be established in Australia with Paratrechina longicornis having the most records. These data provide key biogeographic insight into the overlooked transport stage of the invasion process. Given the difficult nature of eradication, once an ant species is firmly established, focusing on early detection and quarantine is key for reducing the establishment of new invasions

Supplementary material 3 from: Suhr EL, O'Dowd DJ, Suarez AV, Cassey P, Wittmann TA, Ross JV, Cope RC (2019) Ant interceptions reveal roles of transport and commodity in identifying biosecurity risk pathways into Australia. NeoBiota 53: 1-24. https://doi.org/10.3897/neobiota.53.39463

: Data type: biodiversity dat

Appendix F. A table presenting parameter estimates for model C.1 (in Appendix C) for comparisons of survival time (in days) of tethered GALS in three forest states (yellow crazy ant [YCA] supercolonies, intact forest, ghosted forest) over 180 days.

A table presenting parameter estimates for model C.1 (in Appendix C) for comparisons of survival time (in days) of tethered GALS in three forest states (yellow crazy ant [YCA] supercolonies, intact forest, ghosted forest) over 180 days