Assessment of function and clinical utility of alcohol and other drug web sites: An observational, qualitative study

Background The increasing popularity and use of the internet makes it an attractive option for providing health information and treatment, including alcohol/other drug use. There is limited research examining how people identify and access information about alcohol or other drug (AOD) use online, or how they assess the usefulness of the information presented. This study examined the strategies that individuals used to identify and navigate a range of AOD websites, along with the attitudes concerning presentation and content. Methods Members of the general community in Brisbane and Roma (Queensland, Australia) were invited to participate in a 30-minute search of the internet for sites related to AOD use, followed by a focus group discussion. Fifty one subjects participated in the study across nine focus groups. Results Participants spent a maximum of 6.5 minutes on any one website, and less if the user was under 25 years of age. Time spent was as little as 2 minutes if the website was not the first accessed. Participants recommended that AOD-related websites should have an engaging home or index page, which quickly and accurately portrayed the site’s objectives, and provided clear site navigation options. Website content should clearly match the title and description of the site that is used by internet search engines. Participants supported the development of a portal for AOD websites, suggesting that it would greatly facilitate access and navigation. Treatment programs delivered online were initially viewed with caution. This appeared to be due to limited understanding of what constituted online treatment, including its potential efficacy. Conclusions A range of recommendations arise from this study regarding the design and development of websites, particularly those related to AOD use. These include prudent use of text and information on any one webpage, the use of graphics and colours, and clear, uncluttered navigation options. Implications for future website development are discussed

Whiting–related sediment export along the Middle Miocene carbonate ramp of Great Bahama Bank.

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Which Intervention Characteristics are Related to More Exposure to Internet-Delivered Healthy Lifestyle Promotion Interventions? A Systematic Review

Background: The Internet has become a popular medium for the delivery of tailored healthy lifestyle promoting interventions. The actual reach of Internet-delivered interventions seems, however, lower than expected, and attrition from interventions is generally high. Characteristics of an intervention, such as personally tailored feedback and goal setting, are thought to be among the important factors related to of use of and exposure to interventions. However, there is no systematic overview of which characteristics of Internet-delivered interventions may be related to more exposure. Objective: The present study aims to identify (1) which potentially exposure-promoting methods and strategies are used in existing Internet interventions, (2) which objective outcome measures are used to measure exposure to Internet interventions, and (3) which potentially exposure-promoting methods and strategies are associated with better exposure. Methods: A systematic review of the literature was conducted based on the Cochrane guidelines. Papers published between 1995 and 2009 were searched in the PubMed, PsycINFO, and Web of Science databases. In total, 64 studies were included that reported objective exposure measures such as completion of an initial visit, number of log-ins, and time spent on the website. Information about intervention-related characteristics (ie, interactive behavior change strategies, interactive elements for fun, peer or counsel support, email/phone contact, and regular updates of the website) that could potentially contribute to better exposure and objective exposure outcomes were abstracted from the studies and qualitative systematic descriptive analyses were performed. Results: The results showed that a large variety of behavior change techniques and other exposure-promoting elements were used in the interventions and that these methods and strategies varied for the various lifestyle behaviors. Feedback, interactive elements, and email/phone contact were used most often. In addition, there was much variety and a lack of consistency in the exposure measures that were reported. Of all the categories of intervention characteristics that may be associated with better exposure, there were indications that peer and counselor support result in a longer website visit and that email/phone contact and updates of the website result in more log-ins. Conclusions: Results of this qualitative systematic review indicate that of all intervention characteristics that could potentially enhance exposure, only peer support, counselor support, email/phone contact with visitors, and updates of the intervention website were related to better exposure. The diversity of intervention methods used and the inconsistency in the report of exposure measures prevented us from drawing firmer conclusions. More research is needed to identify whether other characteristics of Internet interventions are associated with greater exposure

Eating Beyond Satiety and Body Mass Index

Objective: To examine discrete eating behaviours as predictors of body mass and psychological processes through which these behaviours might lead to increased body mass. Method: Three hundred and twenty-nine undergraduate females filled out questionnaires on eating beyond satiety (EBS), snacking, night eating, and hunger as well as the process variables — eating expectancies and self-reported cue reactivity — in an online study. The eating behaviours were regressed on body mass index and mediation analyses were conducted for the process variables. Results: EBS was the strongest predictor of body mass when the other eating behaviours were controlled. The process variables did not mediate the relationship between EBS and body mass. Discussion: EBS may be a discrete variable on which to intervene to prevent and treat overweight and obesity. Further research is needed to elucidate the situational and affective antecedents of EBS

Earthquake safety in India: achievements, challenges and opportunities

The Indian subcontinent has suffered some of the greatest earthquakes in the world. The earthquakes of the late nineteenth and early twentieth centuries triggered a number of early advances in science and engineering related to earthquakes that are discussed here. These include the development of early codes and earthquake-resistant housing after the 1935 Quetta earthquake in Baluchistan, and strengthening techniques implemented after the 1941 Andaman Islands earthquake, discovered by the author in remote islands of India. Activities in the late 1950s to institutionalize earthquake engineering in the country are also discussed. Despite these early developments towards seismic safety, moderate earthquakes in India continue to cause thousands of deaths, indicating the poor seismic resilience of the built environment. The Bhuj earthquake of 2001 highlighted a striking disregard for structural design principles and quality of construction. This earthquake was the first instance of an earthquake causing collapses of modern multi-storey buildings in India, and it triggered unprecedented awareness amongst professionals, academics and the general public. The earthquake led to the further development of the National Information Centre of Earthquake Engineering and the establishment of a comprehensive 4-year National Programme on Earthquake Engineering Education that was carried out by the seven Indian Institutes of Technology and the Indian Institute of Science. Earthquake engineering is a highly context-specific discipline and there are many engineering problems where appropriate solutions need to be found locally. Confined masonry construction is one such building typology that the author has been championing for the subcontinent. Development of the student hostels and staff and faculty housing on the new 400-acre campus of the Indian Institute of Technology Gandhinagar has provided an opportunity to adopt this construction typology on a large scale, and is addressed in the monograph. The vulnerability of the building stock in India is also evident from the occasional news reports of collapses of buildings under construction or during rains (without any earthquake shaking). Given India’s aspirations to be counted as one of the world’s prosperous countries, there is a great urgency to address the safety of our built environment. There is a need: to create a more professional environment for safe construction, including a system for code enforcement and building inspection; for competence-based licensing of civil and structural engineers; for training and education of all stakeholders in the construction chain; to build a research and development culture for seismic safety; to encourage champions of seismic safety; to effectively use windows of opportunity provided by damaging earthquakes; to focus on new construction as opposed to retrofitting existing buildings; and to frame the problem in the broader context of overall building safety rather than the specific context of earthquakes. Sustained long-term efforts are required to address this multi-faceted complex problem of great importance to the future development of India. While the context of this paper is India, many of the observations may be valid and useful for other earthquake-prone countriesby Sudhir K. Jai