1,862 research outputs found
The Economic Impacts of the Regional Greenhouse Gas Initiative on Ten Northeast and Mid-Atlantic States
Assesses outcomes of the first U.S. market-based program to reduce emissions of carbon dioxide from power plants, including impact on electricity markets, power companies' costs, and consumer prices; use of auction proceeds; and states' economic benefits
Strategies to improve retention in randomised trials: a Cochrane systematic review and meta-analysis
Objective: To quantify the effect of strategies to improve retention in randomised trials.<p></p>
Design: Systematic review and meta-analysis.<p></p>
Data sources Sources searched: MEDLINE, EMBASE, PsycINFO, DARE, CENTRAL, CINAHL, C2-SPECTR, ERIC, PreMEDLINE, Cochrane Methodology Register, Current Controlled Trials metaRegister, WHO trials platform, Society for Clinical Trials (SCT) conference proceedings and a survey of all UK clinical trial research units.<p></p>
Review: methods Included trials were randomised evaluations of strategies to improve retention embedded within host randomised trials. The primary outcome was retention of trial participants. Data from trials were pooled using the fixed-effect model. Subgroup analyses were used to explore the heterogeneity and to determine whether there were any differences in effect by the type of strategy.<p></p>
Results: 38 retention trials were identified. Six broad types of strategies were evaluated. Strategies that increased postal questionnaire responses were: adding, that is, giving a monetary incentive (RR 1.18; 95% CI 1.09 to 1.28) and higher valued incentives (RR 1.12; 95% CI 1.04 to 1.22). Offering a monetary incentive, that is, an incentive given on receipt of a completed questionnaire, also increased electronic questionnaire response (RR 1.25; 95% CI 1.14 to 1.38). The evidence for shorter questionnaires (RR 1.04; 95% CI 1.00 to 1.08) and questionnaires relevant to the disease/condition (RR 1.07; 95% CI 1.01 to 1.14) is less clear. On the basis of the results of single trials, the following strategies appeared effective at increasing questionnaire response: recorded delivery of questionnaires (RR 2.08; 95% CI 1.11 to 3.87); a ‘package’ of postal communication strategies (RR 1.43; 95% CI 1.22 to 1.67) and an open trial design (RR 1.37; 95% CI 1.16 to 1.63). There is no good evidence that the following strategies impact on trial response/retention: adding a non-monetary incentive (RR=1.00; 95% CI 0.98 to 1.02); offering a non-monetary incentive (RR=0.99; 95% CI 0.95 to 1.03); ‘enhanced’ letters (RR=1.01; 95% CI 0.97 to 1.05); monetary incentives compared with offering prize draw entry (RR=1.04; 95% CI 0.91 to 1.19); priority postal delivery (RR=1.02; 95% CI 0.95 to 1.09); behavioural motivational strategies (RR=1.08; 95% CI 0.93 to 1.24); additional reminders to participants (RR=1.03; 95% CI 0.99 to 1.06) and questionnaire question order (RR=1.00, 0.97 to 1.02). Also based on single trials, these strategies do not appear effective: a telephone survey compared with a monetary incentive plus questionnaire (RR=1.08; 95% CI 0.94 to 1.24); offering a charity donation (RR=1.02, 95% CI 0.78 to 1.32); sending sites reminders (RR=0.96; 95% CI 0.83 to 1.11); sending questionnaires early (RR=1.10; 95% CI 0.96 to 1.26); longer and clearer questionnaires (RR=1.01, 0.95 to 1.07) and participant case management by trial assistants (RR=1.00; 95% CI 0.97 to 1.04).<p></p>
Conclusions: Most of the trials evaluated questionnaire response rather than ways to improve participants return to site for follow-up. Monetary incentives and offers of monetary incentives increase postal and electronic questionnaire response. Some strategies need further evaluation. Application of these results would depend on trial context and follow-up procedures.<p></p>
Use of strategies to improve retention in primary care randomised trials: a qualitative study with in-depth interviews
Objective To explore the strategies used to improve retention in primary care randomised trials.<p></p>
Design Qualitative in-depth interviews and thematic analysis.<p></p>
Participants 29 UK primary care chief and principal investigators, trial managers and research nurses.<p></p>
Methods In-depth face-to-face interviews.<p></p>
Results Primary care researchers use incentive and communication strategies to improve retention in trials, but were unsure of their effect. Small monetary incentives were used to increase response to postal questionnaires. Non-monetary incentives were used although there was scepticism about the impact of these on retention. Nurses routinely used telephone communication to encourage participants to return for trial follow-up. Trial managers used first class post, shorter questionnaires and improved questionnaire designs with the aim of improving questionnaire response. Interviewees thought an open trial design could lead to biased results and were negative about using behavioural strategies to improve retention. There was consensus among the interviewees that effective communication and rapport with participants, participant altruism, respect for participant's time, flexibility of trial personnel and appointment schedules and trial information improve retention. Interviewees noted particular challenges with retention in mental health trials and those involving teenagers.<p></p>
Conclusions The findings of this qualitative study have allowed us to reflect on research practice around retention and highlight a gap between such practice and current evidence. Interviewees describe acting from experience without evidence from the literature, which supports the use of small monetary incentives to improve the questionnaire response. No such evidence exists for non-monetary incentives or first class post, use of which may need reconsideration. An exploration of barriers and facilitators to retention in other research contexts may be justified.<p></p>
Best practice guidance for the use of strategies improved retention in randomised trials developed from two consensus workshops
OBJECTIVE: To develop best practice guidance for the use of retention strategies in randomised clinical trials (RCTs). DESIGN: Consensus development workshops. SETTING: Two UK Clinical Trials Units. PARTICIPANTS: 66 statisticians, clinicians, RCT coordinators, research scientists, research assistants, and data managers associated with RCTs. METHODS: The consensus development workshops were based on the consensus development conference method used to develop best practice for treatment of medical conditions. Workshops commenced with a presentation of the evidence for: incentives, communication, questionnaire format, behavioural, case management and methodological retention strategies identified by a Cochrane review and associated qualitative study. Three simultaneous group discussions followed, focused on: a) how convinced the workshop participants were by the evidence for retention strategies, b) barriers to the use of effective retention strategies, c) types of RCT follow-up that retention strategies could be used for, and d) strategies for future research. Summaries of each group discussion were fed back to the workshop. Coded content for both workshops were compared for agreement and disagreement. Agreed consensus on best practice guidance for retention was identified. RESULTS: Workshop participants agreed best practice guidance for the use of small financial incentives to improve response to postal questionnaires in RCTs. Use of 2nd class post was thought to be adequate for postal communication with RCT participants. The most relevant validated questionnaire was considered best practice for collecting RCT data. Barriers identified for the use of effective retention strategies were: the small improvements seen in questionnaire response for the addition of monetary incentives, and perceptions among trialists that some communication strategies are outdated. Furthermore, there was resistance to change existing retention practices thought to be effective. Face to face and electronic follow-up technologies were identified as retention strategies for further research. CONCLUSIONS: We developed best practice guidance for the use of retention strategies in RCTs and identified potential barriers to the use of effective strategies. The extent of agreement on best practice is limited by the variability in the currently available evidence. This guidance will need updating as new retention strategies are developed and evaluated
Attentional modulation of neural sound tracking in children with and without dyslexia
Auditory selective attention forms an important foundation of children's learning by enabling the prioritisation and encoding of relevant stimuli. It may also influence reading development, which relies on metalinguistic skills including the awareness of the sound structure of spoken language. Reports of attentional impairments and speech perception difficulties in noisy environments in dyslexic readers are also suggestive of the putative contribution of auditory attention to reading development. To date, it is unclear whether non-speech selective attention and its underlying neural mechanisms are impaired in children with dyslexia and to which extent these deficits relate to individual reading and speech perception abilities in suboptimal listening conditions. In this EEG study, we assessed non-speech sustained auditory selective attention in 106 7-to-12-year-old children with and without dyslexia. Children attended to one of two tone streams, detecting occasional sequence repeats in the attended stream, and performed a speech-in-speech perception task. Results show that when children directed their attention to one stream, inter-trial-phase-coherence at the attended rate increased in fronto-central sites; this, in turn, was associated with better target detection. Behavioural and neural indices of attention did not systematically differ as a function of dyslexia diagnosis. However, behavioural indices of attention did explain individual differences in reading fluency and speech-in-speech perception abilities: both these skills were impaired in dyslexic readers. Taken together, our results show that children with dyslexia do not show group-level auditory attention deficits but these deficits may represent a risk for developing reading impairments and problems with speech perception in complex acoustic environments. Research Highlights: Non-speech sustained auditory selective attention modulates EEG phase coherence in children with/without dyslexia Children with dyslexia show difficulties in speech-in-speech perception Attention relates to dyslexic readers’ speech-in-speech perception and reading skills Dyslexia diagnosis is not linked to behavioural/EEG indices of auditory attention
Auditory attention influences trajectories of symbol–speech sound learning in children with and without dyslexia
The acquisition of letter–speech sound correspondences is a fundamental process underlying reading development, one that could be influenced by several linguistic and domain-general cognitive factors. In the current study, we mimicked the first steps of this process by examining behavioral trajectories of audiovisual associative learning in 110 7- to 12-year-old children with and without dyslexia. Children were asked to learn the associations between eight novel symbols and native speech sounds in a brief training and subsequently read words and pseudowords written in the artificial orthography. We then investigated the influence of auditory attention as one of the putative domain-general factors influencing associative learning. To this aim, we assessed children with experimental measures of auditory sustained selective attention and interference control. Our results showed shallower learning trajectories in children with dyslexia, especially during the later phases of the training blocks. Despite this, children with dyslexia performed similarly to typical readers on the post-training reading tests using the artificial orthography. Better auditory sustained selective attention and interference control skills predicted greater response accuracy during training. Sustained selective attention was also associated with the ability to apply these novel correspondences in the reading tests. Although this result has the limitations of a correlational design, it denotes that poor attentional skills may constitute a risk during the early stages of reading acquisition, when children start to learn letter–speech sound associations. Importantly, our findings underscore the importance of examining dynamics of learning in reading acquisition as well as individual differences in more domain-general attentional factors
Best Practice Guidance for the Use of Strategies to Improve Retention in Randomised Trials: Results From Two Consensus Development Workshops
Answering two biological questions with a latent class model via MCMC applied to capture-recapture data.
Bayesian Parameter Estimation for Latent Markov Random Fields and Social Networks
Undirected graphical models are widely used in statistics, physics and
machine vision. However Bayesian parameter estimation for undirected models is
extremely challenging, since evaluation of the posterior typically involves the
calculation of an intractable normalising constant. This problem has received
much attention, but very little of this has focussed on the important practical
case where the data consists of noisy or incomplete observations of the
underlying hidden structure. This paper specifically addresses this problem,
comparing two alternative methodologies. In the first of these approaches
particle Markov chain Monte Carlo (Andrieu et al., 2010) is used to efficiently
explore the parameter space, combined with the exchange algorithm (Murray et
al., 2006) for avoiding the calculation of the intractable normalising constant
(a proof showing that this combination targets the correct distribution in
found in a supplementary appendix online). This approach is compared with
approximate Bayesian computation (Pritchard et al., 1999). Applications to
estimating the parameters of Ising models and exponential random graphs from
noisy data are presented. Each algorithm used in the paper targets an
approximation to the true posterior due to the use of MCMC to simulate from the
latent graphical model, in lieu of being able to do this exactly in general.
The supplementary appendix also describes the nature of the resulting
approximation.Comment: 26 pages, 2 figures, accepted in Journal of Computational and
Graphical Statistics (http://www.amstat.org/publications/jcgs.cfm
Rest-frame properties of 32 gamma-ray bursts observed by the Fermi Gamma-Ray Burst Monitor
Aims: In this paper we study the main spectral and temporal properties of
gamma-ray bursts (GRBs) observed by Fermi/GBM. We investigate these key
properties of GRBs in the rest-frame of the progenitor and test for possible
intra-parameter correlations to better understand the intrinsic nature of these
events. Methods: Our sample comprises 32 GRBs with measured redshift that were
observed by GBM until August 2010. 28 of them belong to the long-duration
population and 4 events were classified as short/hard bursts. For all of these
events we derive, where possible, the intrinsic peak energy in the spectrum (\eprest), the duration in the rest-frame, defined as the
time in which 90% of the burst fluence was observed (\tninetyrest) and the
isotropic equivalent bolometric energy (\eiso). Results: The distribution of
\eprest has mean and median values of 1.1 MeV and 750 keV, respectively. A
log-normal fit to the sample of long bursts peaks at ~800 keV. No high-\ep
population is found but the distribution is biased against low \ep values. We
find the lowest possible \ep that GBM can recover to be ~ 15 keV. The
\tninetyrest distribution of long GRBs peaks at ~10 s. The distribution of
\eiso has mean and median values of erg and erg, respectively. We confirm the tight correlation between \eprest
and \eiso (Amati relation) and the one between \eprest and the 1-s peak
luminosity () (Yonetoku relation). Additionally, we observe a parameter
reconstruction effect, i.e. the low-energy power law index gets softer
when \ep is located at the lower end of the detector energy range. Moreover, we
do not find any significant cosmic evolution of neither \eprest nor
\tninetyrest.Comment: accepted by A&
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